Mr. Asch is a 67-year-old male in a Lifestyle Redesign program. The occupational therapist asks him to tell his story about how his diabetes affects his life. The OT is enacting which part of the Lifestyle Redesign program?

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Service delivery incorporated four key methods, as outlined by Mandel et al. (1999): didactic presentation, peer exchange, direct experience, and personal exploration. Didactic presentation included new information about a topic relevant to the participant(s), as well as about occupation and how it affects each participant. Occupational therapists led the participants through a process of occupational self-analysis in regard to the topic (Mandel et al., 1999). The therapist facilitated peer exchange, where each participant had the opportunity to tell stories from his or her own life and how his or her experiences related to the topic at hand. Time was provided for group problem solving, and group members were encouraged to offer solutions to each other. The Lifestyle Redesign intervention also provided direct experience through an activity or outing. Some examples from the Well Elderly Study include: creating resource booklets with transportation information and inexpensive things to do in the community, performing the range-of-motion (ROM) dance, planning, shopping for and preparing a meal together, and creating and displaying personal history time lines. Direct experience, both inside and outside of sessions, provided participants with the opportunity to increase their self-efficacy and sense of control, and to better self-regulate (Mandel et al., 1999).

Mr Asch Is a 67-Year-Old Male in a Lifestyle Redesign