A feasibility study of the Redesigning Daily Occupations (ReDO®-10) programme for adults living with obesity attending specialist clinical services in Ireland

Introduction: Obesity is a complex, chronic, multifactorial condition requiring holistic treatment approaches. In Ireland, clinical specialist occupational therapists have been integrated into obesity management services, marking a new practice area with emerging evidence-based interventions. The Redesigning Daily Occupations (ReDO®-10) programme is a ten-week, group-based time-use intervention developed in Sweden, designed to explore the relationships between daily activities, time-use and health. This study is the first known evaluation of ReDO®-10 with adults living with obesity. Methods: This was a sequential mixed-method feasibility study involving two non- randomised groups recruited from the Centre of Obesity Management services in Dublin and Galway. Participants were adults (18+) living with obesity and clinical specialist occupational therapists trained in ReDO® facilitated the programme. Quantitative data were collected at baseline, post-intervention and at 3-month follow-up using EQ-5D-5L, WHODAS 2.0, OVal-pd and MYCaW. Qualitative data were gathered using semi-structured interviews with ReDO® participants, occupational therapists and key interest-holders, along with weekly therapist reflections to monitor programme fidelity. Results: Ten female participants living with obesity completed the 10-week ReDO® programme, with full retention and an average weekly attendance rate of 80%. Participants reported a positive experience, valuing the group format and the insightful content. Quantitative measures showed trends towards improvements in health outcomes. Occupational therapists reported professional satisfaction and identity, noting the manualised structure supported delivery in busy service settings, while remaining aligned with professional values. Conclusions: The findings suggest that ReDO®-10 is a feasible, acceptable and well- received programme for adults living with obesity. The promising findings of this novel approach demonstrate preliminary benefits for health, wellbeing and occupational value. However, a future randomised controlled trial is needed to test the programme's efficacy.

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University of Galway

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CC BY-NC-ND

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University of Galway Theses (Research Masters Theses)