The Lived Environment Life Quality Model for institutionalized people with dementia

Abstract

As confirmed in this study, the Lived Environment Life Quality Model is a client-centred, ecologically valid, and occupation-focused guide to optimizing quality of life of institutionalized adults with dementia in present moments and progressively over time.

Understanding quality of life within occupational therapy intervention research: A scoping review

“…Incorporating a common understanding of QOL that includes the perspective of clients and is based on established conceptual models compatible with occupational therapy values is important for the development of reliable and valid outcome measures for occupational therapy as well as more effective client‐centred care and improved intervention outcomes. Indeed, such models that explicate how occupational therapy can support the optimisation of QOL for all individuals and for specific client groups are beginning to emerge (Pizzi & Richards, ; Wood, Lampe, Logan, Metcalfe & Hoesly, ). A common understanding of QOL shared among occupational therapy professionals will also assist in translating this concept to clients and client care.…”

Balancing Efficacy and Effectiveness with Philosophy, History, and Theory-Building in Occupational Therapy Education Research

“…Therefore, we have chosen an example from practice to clarify the process. To illustrate, we thread through each of the following stages the developmental process of the Lived Environment Life Quality Model (LELQ), a model for occupational therapists working with institutionalized adults with dementia (Wood, 2014;Wood, Lampe, Logan, Metcalfe, & Hoesly, 2016). …”

“…Consider, for example, the development of the LELQ model (Wood, 2014;Wood et al, 2016). Conceptual development of the LELQ began with a practice problem: "How does the immediate social and physical environment influence time-use and well-being each day?"…”

“…The outputs of research conducted at this phase involve a basis on which to judge the "fit or accuracy of the theory" (Swanson & Chermack, 2013, p. 107). For example, after years of studies examining the premises of the LELQ model, Wood, Lampe, Logan, Metcalfe, and Hoesly (2016) conducted a systematic confirmation/disconfirmation study. They asked practitioners to use the model and evaluate its concepts in practice.…”

“…We offer one final example from the LELQ model. Having derived the premises of model from philosophy, history, and theory and having operationalized its concepts and conducted research directly on its premises, Wood et al (2016) explained that the next steps for the LELQ model will be to conduct intervention studies and, importantly, to continue "real-world scrutiny of the LELQ model['s] usefulness for practice" (p. 24). As the LELQ model moves into intervention and outcomes research, that research is still intended to circle back to inform the model's philosophical, historical, and theoretical underpinnings.…”