1) The study aimed to compare the effectiveness of intensive client-centered occupational therapy (ICC-OT) to usual care in improving occupational performance and satisfaction in older home-dwelling adults. 2) 119 participants were randomly assigned to either the ICC-OT group, which received twice weekly occupational therapy sessions for 11 weeks, or the usual care group. 3) Preliminary results found that the ICC-OT group showed significantly greater improvements in occupational performance and satisfaction at both 3 and 6 month follow-ups compared to the usual care group.