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The Color Narrative program improved older adults' sense of purpose and maintained cognitive function compared to standard care. This occupation-focused intervention shows promise for preventive care in community settings.

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Area of Science:

  • Gerontology
  • Occupational Therapy
  • Cognitive Intervention

Background:

  • Enhancing purpose in life is crucial for cognitive health in older adults.
  • Occupational therapy's role in promoting purpose and cognitive function needs further exploration.
  • Community-based preventive care for aging populations requires innovative approaches.

Purpose of the Study:

  • To evaluate the effectiveness of the occupation-focused Color Narrative program.
  • To compare the Color Narrative program with standard Japanese community-based preventive care.
  • To assess the program's impact on cognitive function and purpose in life among community-dwelling older adults.

Main Methods:

  • A randomized controlled trial was conducted in community centers.
  • Participants (N=44) were community-dwelling older adults.
  • The intervention involved group storytelling, meaningful occupation engagement, and reflection; controls received health education and recreation.

Main Results:

  • The Color Narrative program demonstrated significant interactions for cognitive function (MMSE-J) and purpose in life (LET).
  • Participants in the Color Narrative program maintained cognitive function (MMSE-J scores) and showed increased purpose in life (LET scores).
  • Control group participants experienced a decline in cognitive function.

Conclusions:

  • The Color Narrative program effectively enhances purpose in life and prevents cognitive decline in older adults.
  • Occupational therapy, through programs like Color Narrative, plays a significant role in preventive care.
  • These findings support the integration of occupation-focused interventions for healthy aging in community settings.