Lived Environment Life Quality Model (LELQ)

  • The Lived Environment Life Quality Model (LELQ) aims to explicate the ecological complexities in using occupations to optimize quality of life of institutionalized people with dementia. This model focuses on factors that affect clients’ opportunity in occupational engagement, mainly on the social and physical environmental supports and barriers. It has two main domains, including the lived-environment domain (specifically for assessment and intervention) and the Quality of Life (QoL) domain (specifically for intervention goals and outcome). The lived-environment domain has three subdomains: caregiving microsystem (face-to-face settings of institutional homes), persons with dementia, and environmental press. Attention is the basis of daily activity situations (routine times for self-care, activity groups, etc.) which organize and structure time use. This model suggests the use of occupational profile (occupational history, occupational interests, and function) as a guide for intervention. Environmental presses exist as a continuum from occupationally enlivening (optimistic caregiving cultures and supportive physical environment) to occupationally deadening (unsupportive interaction between the social, physical, and cultural environment). The QoL domain has three subdomains that are strongly influenced by the environments, they are: time use (how the clients organize daily activity situations), ability to function (functioning level which is calibrated with consideration of the dementia severity), and relative being (emotional experiences and personhood). Occupationally enlivening presses support occupational engagement and therefore elicit positive QoL, and vice versa with occupationally deadening presses. Interventions in the physical, social, and cultural environments aim to create and sustain occupational enlivening presses. The ultimate goal of the interventions in the LELQ is to increase QoL of individuals with dementia living in institutional facilities by using occupations as a mean.

Summarized by

  • Macey Cho

Type

  • Model (practice)

Population

  • Elderly

Disability

  • Cognitive disability

Domain of occupation

  • All

Application Note

  • It is client-centered, ecologically-valid and occupational focused.

Key Reference

  • Wood, W., Lampe, J. L., Logan, C. A., Metcalfe, A. R., & Hoesly, B. E. (2017). The Lived Environment Life Quality Model for institutionalized people with dementia. Canadian Journal of Occupational Therapy, 84, 22-33.

Year Published

  • 2017

Primary Developer

  • Wendy Wood

Primary Developer Email

  • wendy.wood@colostate.edu

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Model Type

Population

Disability

Domain of Occupation

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