Feasibility and Preliminary Efficacy of an Occupational Therapy Intervention for Older Adults With Chronic Conditions in a Primary Care Clinic.

Importance: Occupational therapy can play a role in primary care management of chronic diseases among older adults.

Objective: To assess the feasibility of delivering a primary care occupation-focused intervention (Integrated PRimary care and Occupational therapy for Aging and Chronic disease Treatment to preserve Independence and Functioning, or i-PROACTIF) for older adults with chronic disease.

Design: Feasibility study comparing i-PROACTIF with complex care management using a two-group randomized controlled trial design with data gathered at baseline and during and after the 8-wk intervention.

Evaluation of a Motivational Interviewing Training for Third-Year Medical Students.

Background And Objectives: Prevalence of chronic disease is rising at unprecedented rates with associated costs that account for 84% of US health care spending. Physicians have the opportunity to guide patients to make lifestyle changes for preventing and self-managing chronic diseases. However, current medical education offers limited training opportunities in behavioral change counseling approaches.