@article{ref1,
title="Adjusting challenge-skill balance to improve quality of life in older adults: a randomized controlled trial",
journal="American journal of occupational therapy",
year="2018",
author="Yoshida, Ippei and Hirao, Kazuki and Nonaka, Tetsushi",
volume="72",
number="1",
pages="7201205030p1-7201205030p8",
abstract="OBJECTIVE: We sought to investigate whether occupational therapy that includes adjusting the challenge-skill balance improves health-related quality of life (HRQOL) for older adults in comparison with standard occupational therapy. <br><br>METHOD: In this single-blind, randomized controlled trial, 56 older adults were assigned to two groups that received 10 sessions of occupational therapy with and without adjustment of challenge-skill balance. The primary outcome was change in HRQOL after 10 sessions of occupational therapy. <br><br>RESULTS: Significant differences were observed in HRQOL using the EuroQol-5 Dimension score (p =.022, d = 0.76) and the eight-item Short-Form Health Survey scores for general health (p =.001, d = 0.99) and in flow experience using the Flow State Scale for Occupational Tasks (p =.008, d = 0.82). <br><br>CONCLUSION: Assessment and adjustment of the challenge-skill balance of activities may effectively improve older adults' HRQOL.<p /> <p>Language: en</p>",
language="en",
issn="0272-9490",
doi="10.5014/ajot.2018.020982",
url="http://dx.doi.org/10.5014/ajot.2018.020982"
}