https://doi.org/10.1177/1539449220928141 OTJR: Occupation, Participation and Health 1–9 © The Author(s) 2020 Article reuse guidelines: sagepub.com/journals-permissions DOI: 10.1177/1539449220928141 journals.sagepub.com/home/otj Original Article Introduction The global population is aging at a rapid rate (Chang et al., 2019). Later life is often accompanied by declines in physical and mental health, functional ability, and quality of life (QoL) (Clark et al., 2012; Toledano-González et al., 2018). This underlines the importance of developing health-promoting interventions to enable active, healthy aging (Golinowska et al., 2016; Johansson & Björklund, 2016). Research shows that people’s occupations (i.e., the activities in which they are engaged) are linked to their health and well-being (Stav et al., 2012). Thus, health promotion programs should be derived from engaging in a large range of physical, mental, social, cognitive, and productive activities (Moll et al., 2015). Lifestyle Redesign® (LR) is an occupation-based inter- vention which has been developed in the United States and studied over the past two decades (Clark et al., 2012). LR aims to enhance health, functioning, and QoL of older adults through the development of healthy and meaningful routines. The first LR randomized controlled trial (RCT) was a tightly controlled efficacy study in primarily one high-rise apart- ment. This study showed improvement in health perception, function, and QoL of the LR group, compared to an active control group (social activity) and a nontreatment control group (Clark et al., 1997). The second study was an effec- tiveness study involving multiple sites with a larger population at higher risk for health disparities (Clark et al., 2012). LR was shown to have beneficial effects on mental well-being (vitality, social function, and mental health), life satisfaction, depressive symptomatology, and bodily pain compared to a nontreatment control group. Due to its promising clinical effects, LR has been success- fully adapted to suit different socioeconomic and cultural backgrounds such as Latino (Schepens Niemiec et al., 2019) and Swedish (Johansson & Björklund, 2016). In addition, it has been modified to the needs of individuals with various health conditions, for example, people suffering from chronic pain (Simon & Collins, 2017) and stroke survivors (Lund et al., 2012). Furthermore, a recent systematic review found that LR is considered cost-effective and beneficial to both mental and physical health for older adults living in the com- munity (Lévesque et al., 2019). 928141OTJ XX X 10.1177/1539449220928141OTJR: Occupation, Participation and HealthMaeir et al. research-article 2020 1 School of Occupational Therapy, Faculty of Medicine, Hebrew University of Jerusalem, Israel 2 Matam Daycare, Jerusalem, Israel 3 Hebrew University Secondary School, Jerusalem, Israel 4 Ono Academic College, Israel Corresponding Author: Yafit Gilboa, School of Occupational Therapy, Faculty of Medicine, Hebrew University of Jerusalem, Mount Scopus, Jerusalem 91240, Israel. Email: Yafit.gilboa@mail.huji.ac.il The Feasibility and Efficacy of an Israeli Lifestyle Redesign®–Based Program for Well Older Adults: A Pilot Study Talia Maeir 1 , Aviva Beit-Yosef 1 , Tamar Wechsler 1,2 , Yael Safra 1,3 , Yael Zilbershlag 4 , Noomi Katz 4 , and Yafit Gilboa 1 Abstract The Israeli Lifestyle Program (ILP) was adapted from the original Lifestyle Redesign® intervention, aiming to enhance health, functioning, and quality of life (QoL) of older adults. The purpose of this study was to examine the feasibility and effectiveness of the ILP. The design of the study entailed a non-randomized trial with a 3-month follow-up including 18 women aged 65 to 81 recruited from a community center. The research group (n = 9) participated in 15 weekly group meetings and three individual sessions. The control group (n = 9) received an information booklet based on the ILP content. Between-group comparisons revealed significant differences in change scores in favor of the research group for occupational performance (U = 19.0, p = .03), environmental (U = 21.5, p = .04), and social (U = 20.5, p = .03) QoL factors. Findings also revealed reduction in depressive symptoms (U = 24.0, p = .07). These findings suggest community group programs for improving occupational performance and QoL. Keywords older adults, health promotion, occupational therapy, intervention, cultural/culture sensitivity