| 1. |
- Andersson, Helene, et al.
(författare)
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Experiences of sensory input in daily occupations for people with serious mental illness
- 2021
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Ingår i: Scandinavian Journal of Occupational Therapy. - : Informa UK Limited. - 1103-8128 .- 1651-2014. ; 28:6, s. 446-456
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Tidskriftsartikel (refereegranskat)abstract
- Background: There is growing evidence that people with serious mental illness have impaired capacity for processing sensory inputs which affects daily occupation. Although this is known, research regarding the target groups experiences of sensory inputs in daily occupations is lacking. Aim: To investigate the experience of sensory input and strategies used in daily occupations among people with serious mental illness. Material and methods: Fourteen people with serious mental illness were interviewed regarding their experiences of sensory processing and strategies for managing sensory inputs in daily occupations. Data were analysed using content analysis. Results: Sensory processing issues affected occupational engagement and strategies to control inputs were intuitively used to cope with sensory challenges. Informants either ignored, reduced or avoided sensory inputs. Informants also enabled daily life through strategies such as creating a home that provides rest, finding a safe place, using nature and animals for relaxing and using effects of calming and alerting occupations. Discussion: Specific sensory inputs were difficult to process, which was experienced as stressful and affected occupations negatively. The results imply a need for further research exploring the management of sensory input and the use of sensory modulation approaches to enable engagement in daily activities.
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| 2. |
- Argentzell, Elisabeth, et al.
(författare)
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Experience of meaning in everyday occupations among unemployed people with severe mental illness
- 2012
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Ingår i: Scandinavian Journal of Occupational Therapy. - : Informa UK Limited. - 1103-8128 .- 1651-2014. ; 19:1, s. 49-58
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Tidskriftsartikel (refereegranskat)abstract
- Background. Knowledge about how people with severe mental illness find meaning in non-work occupations is important in order to develop programmes of meaningful daily occupations for this group. Purpose. To examine the meaning daily occupations may bring to those who are severely mentally ill and unemployed. Methods. Twelve unemployed people with severe mental illness were interviewed regarding their experience of meaning in daily occupations.Findings. Meaning was experienced in a balance between occupations that helped the informants control their mental illness. Themes of meaning were: feeling competent and being socially engaged, having routines and being productive, being creative and seeking knowledge, and taking care of body and mind. Substitutes for paid work were found in occupations such as taking care of the household or being productive at a day centre.Implications. People with severe mental illness should be allowed to play an active role in their rehabilitation process, using the occupational therapist for forming daily routines, creating a balance between work-like and restful occupations, finding occupations that meet one’s skills and training social behaviour. Besides, work-related occupations should be emphasized in the rehabilitation.
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| 3. |
- Argentzell, Elisabeth
(författare)
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Experiences of Everyday Occupation among People with Psychiatric Disabilities - Relationships to social interaction, the worker role and day centre attendance
- 2012
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- The thesis aims to explore subjective experiences of everyday occupation, social interaction and the view of the worker role among people with psychiatric disabilities(PD), while also addressing the importance of day centre attendance. The thesis consists of one qualitative study, exploring which characteristics in everyday occupation provide meaning to people with PD, and three quantitative studies based on questionnaires to both day centre attendees and non-attendees. Study I showed that feeling competent and having a balance between different meaningful occupations helped having control over mental illness. Being social, creating routines and being productive and creative were important to the experience of meaning, as was taking care of body and mind. Study II showed that having less depression and a high activity level were strong predictors of having highly valued everyday occupations. Having a high level of self-mastery seemed to predict both better occupational value and satisfaction with daily occupation. Better satisfaction with daily occupation was further related with being older and having less general psychopathology. The result from Study III showed that the person who was the most supportive and closest to the participants was a family member, but many of them reported to be without such a close and supportive person. Cohabitating and having a high level of positive subjective experiences of occupation were predictors of the quantity of social interaction. Having a high level of self-mastery, a low level of depression and fewer positive symptoms as well as being more satisfied with daily occupation were important for qualitative aspects of social interaction. Study IV showed that having a high activity level, a high level of self-mastery, being younger and having less severe depressive symptoms were indicators of a more positive view of the worker role. The importance of day centre attendance was also explored. The day centre group experienced a higher level of occupational value, was more active and met more people than the non-attendees.When examining aspects of the worker role significant differences were found on the item level, indicating a stronger worker role among participants attending day centres with a work focus. The results of this thesis add new knowledge regarding the everyday life among the target group and may be used in developing community-based mental health care services.
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| 4. |
- Argentzell, Elisabeth, et al.
(författare)
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Exploring mediators of the recovery process over time among mental health service users, using a mixed model regression analysis based on cluster RCT data
- 2020
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Ingår i: BMC Psychiatry. - : Springer Science and Business Media LLC. - 1471-244X. ; 20:1
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Tidskriftsartikel (refereegranskat)abstract
- Background: Personal recovery is associated with many significant health-related factors, but studies exploring associations between activity factors and personal recovery among service users are scarce. The aims of this study were hence to; 1) investigate if various aspects of activity may mediate change in recovery while also acknowledging clinical, sociodemographic and well-being factors; 2) explore the effects of two activity-based interventions, Balancing Everyday Life (BEL) or standard occupational therapy (SOT), on personal recovery among service users. Methods: Two-hundred-and-twenty-six service users were included in a cluster RCT, 133 from BEL units and 93 from SOT units. Participants commonly had a diagnosis of mood disorder and the mean age was 40. Instruments used targeted activity, mastery and functioning. A mixed-model regression analysis was employed. Results: The model tested was whether selected variables could be used to mediate the change in recovery from the start to a six-month follow-up after intervention. Participants’ personal recovery increased after treatment and increased further at the follow-up. The general level of recovery was negatively related to a diagnosis of depression/anxiety, both before and after treatment, but depressed/anxious service users still increased their recovery. There were no significant relations between recovery and sex or age. The interactions between change in recovery and changes in depression/anxiety, satisfaction with activities, sex, and age were all non-significant. All possible treatment mediators included were related to change in recovery, the strongest being occupational engagement and mastery, followed by activity satisfaction and symptoms. Mediation was shown by the decrease in the effect of the time factor (from intervention start to completion) when the covariates were introduced. In all cases the time variable was still significant. When testing a model with all variables simultaneously as covariates, occupational engagement and mastery were strongly significant. There was no difference between interventions regarding recovery improvement. Conclusion: The treatments were equally beneficial and were effective regardless of gender, age and diagnosis. Those who gained most from the treatment also gained in feelings of mastery and activity engagement. Activity engagement also moderated the level of recovery. To enhance recovery, interventions should facilitate meaningful activities and gaining control in life. Trial registration: The study was registered with ClinicalTrials.gov. Reg. No. NCT02619318. Retrospectively registered: December 2, 2015.
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| 5. |
- Argentzell, Elisabeth, et al.
(författare)
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Factors influencing subjective perceptions of everyday occupations: Comparing day centre attendees with non-attendees.
- 2012
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Ingår i: Scandinavian Journal of Occupational Therapy. - : Informa UK Limited. - 1651-2014 .- 1103-8128. ; 19, s. 68-77
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Tidskriftsartikel (refereegranskat)abstract
- Abstract Background: Subjective perceptions of everyday occupations are important for the well-being of people with psychiatric disabilities (PD) and are likely to vary with factors such as attending a day centre or not, activity level, self-mastery, sociodemographic and clinical factors. Aim: To explore differences in subjective perceptions of occupation and activity level between day centre attendees and non-attendees, and to investigate factors of importance for the subjective perceptions of occupations. Methods: The study groups comprised 175 participants: 93 day centre attendees and 82 non-attendees. Data were collected with instruments concerning; subjective perceptions of everyday occupations, activity level, self-mastery, and sociodemographic and clinical factors. Results: Day centre attendees perceived higher levels of occupational value and activity level, while the groups perceived a similar level of satisfaction with daily occupations. For the total sample, self-mastery influenced both valued and satisfying everyday occupations while only value was affected by activity level. Satisfaction with daily occupation increased with age and both value and satisfaction increased with lower levels of psychiatric symptoms. Conclusion: Day centres provide perceptions of occupational value and stimulate activity. Non-differences between the groups regarding satisfaction with everyday occupations implied, however, that day centres might not cover all relevant occupational needs.
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| 6. |
- Argentzell, Elisabeth, et al.
(författare)
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Opportunities and barriers for occupational engagement among residents in supported housing
- 2023
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Ingår i: Scandinavian Journal of Occupational Therapy. - : Taylor & Francis Group. - 1103-8128 .- 1651-2014. ; 30:1, s. 125-135
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Tidskriftsartikel (refereegranskat)abstract
- Opportunities and barriers for occupational engagement among residents in supported housing. Background Research shows that people with psychiatric disabilities view supported housing (SH) as a possibility for social contact, but also as entailing a risk of deprived self-determination. There is, however, little research on the target group's engagement in everyday occupations. Aim To explore SH residents' opportunities and barriers for occupational engagement. Materials and methods Sixteen participants were interviewed, and data was analysed using content analysis. Results An overarching theme, Struggling to create meaning and seeking affection, and three underlying categories, emerged. Finding meaning through self-chosen occupations and support focussed on receiving support, doing self-chosen occupations, and having social contacts. Feeling neglected and insecure limits engagement in occupations was related to feelings of not being seen by staff, and insecurity, which hampered daily life. The third theme was Having a negative self-image and low level of ability hinders an active life. Conclusion Residents' self-view and ability to create an inner drive for being active was important for occupational engagement, which was linked to social connectedness. Occupational based interventions and a personal recovery approach is warranted in order to facilitate needs for meaningful occupations. Significance The results from the study can be used to further develop optimal support within SH units.
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| 7. |
- Argentzell, Elisabeth, et al.
(författare)
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Perceptions of the worker role among people with psychiatric disabilities: Description and investigation of associated factors.
- 2013
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Ingår i: Work: A Journal of Prevention, Assessment & Rehabilitation. - 1875-9270. ; 45:3, s. 289-298
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Tidskriftsartikel (refereegranskat)abstract
- Objective: To investigate how subjective perceptions of everyday occupations, activity level, day centre attendance, social interaction, self-mastery and clinical factors were related to how unemployed people with psychiatric disabilities (PD) envision a future worker role, also controlling for socio-demographic variables. Participants: 175 people with PD; 93 attended a day centre and 82 did not. Of the 93 day centre attendees 39 visited meeting place-oriented day centres and 54 attended work-oriented ones. Methods: Self-ratings and interview-based instruments were used to assess the view of the worker role, social interaction, subjective perceptions of everyday occupations, activity level, self-mastery, and socio-demographic and clinical factors. Non-parametric statistics were used when analysing the data. Results: A few aspects of the worker role seemed positively influenced by attending a day centre, in particular a work-oriented one. High levels of activity (p=0.009) and self-mastery (p=0.024), being younger (p=0.004) and having less depression (p=0.008) were also associated with a more positive view of the worker role. Conclusion: In order to enhance a future worker role the individual's feeling of control in the rehabilitation process should be highlighted and possibilities for general activity engagement be offered. Since the findings indicate that most aspects of the worker role were not enhanced by day centre attendance community-based care should further concentrate on promoting this future role for people with PD.
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| 8. |
- Argentzell, Elisabeth, et al.
(författare)
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Quality of Life Among People with Psychiatric Disabilities : Does Day Centre Attendance Make a Difference?
- 2017
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Ingår i: Community Mental Health Journal. - : Springer Science and Business Media LLC. - 0010-3853 .- 1573-2789. ; 53:8, s. 984-990
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Tidskriftsartikel (refereegranskat)abstract
- The purpose was to investigate (i) how people with psychiatric disabilities who attend day centres experience their quality of life (QoL) compared to non-attendees, (ii) differences in QoL between those who attend meeting place-oriented centres and those who attend work-oriented centres, (iii) possible correlates of QoL among day centre attendees. Ninety-three day centre attendees and 82 non-attendees completed questionnaires addressing QoL and selected correlates. No group difference was found regarding QoL. Factors related with a good QoL were high levels of self-mastery and motivation. Thus, promoting day centre attendees’ self-mastery and motivation might enhance their QoL.
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| 9. |
- Argentzell, Elisabeth, et al.
(författare)
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Social interaction among people with psychiatric disabilities - Does attending a day centre matter?
- 2014
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Ingår i: International Journal of Social Psychiatry. - : SAGE Publications. - 1741-2854 .- 0020-7640. ; 60:6, s. 519-527
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Tidskriftsartikel (refereegranskat)abstract
- Background:Engaging in social interaction has, for people with psychiatric disabilities, been shown to enhance well-being and the experience of meaning and to generally prevent the worsening of mental illness.Aim:The aim of the study was to investigate how day centre attendees differed from non-attendees regarding different aspects of social interaction and to investigate how occupational factors, including day centre attendance, and previously known predictors were related to social interaction in the study sample as a whole.Methods:A total of 93 day centre attendees and 82 non-attendees with psychiatric disabilities were examined regarding social interaction, subjective perception of occupation, activity level, sense of self-mastery and socio-demographic and clinical variables. Data were analysed with non-parametric statistics, mainly logistic regression.Results:Social support was mainly provided by informal caregivers such as family members. The day centre attendees had more social relations but did not experience better quality or closeness in their relationships than non-attendees. Important factors for social interaction were subjective perceptions of daily occupation, being married/cohabiting, self-mastery and severity of psychiatric symptoms.Conclusion:Alternative ways of enhancing social interactions in the community is needed, targeting the group’s feeling of satisfaction and value in daily life together with self-mastery.
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| 10. |
- Brolin, Rosita, 1958-, et al.
(författare)
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"It's not just the residents who need to be motivated for activity" : a qualitative study of the perspectives of staff on providing activity support for people with psychiatric disabilities in supported housing in Sweden
- 2024
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Ingår i: Frontiers in Psychiatry. - : Frontiers Media S.A.. - 1664-0640. ; 14
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Tidskriftsartikel (refereegranskat)abstract
- Background: The goals for staff in Supported Housing for people with psychiatric disabilities include helping to develop the residents’ independence and self-confidence in activities. However, staff have expressed frustration about providing this type of support when motivating residents to engage in meaningful activities and also about the difficulty in finding suitable levels of independence within a housing setting with limitations.Objective: The aim is to explore the views and experiences of housing staff in Supported Housing on how they can stimulate and support engagement in activities for people with psychiatric disabilities.Methods: Twenty-six members of staff from 20 supported housing units in 10 municipalities in Sweden were interviewed in five focus groups. A semi-structured interview guide was used, and the transcribed material was analyzed using qualitative content analysis.Results: Three main categories emerged from the analysis: Multi-faceted factors influencing the staff’s provision of activity support, Staff’s approach for supporting activities, and Staff’s struggles to develop their work. Obstacles to participating in activities in the community were identified. Many contrasting factors were found, such as spontaneous or structured activities and individual or group activities, which affected the staff’s ability to motivate to activity.Conclusion: A broad approach encompassing in-house training including a focus on values, recruitment policies, staff supervision and interventions focusing on both residents and staff are ways to support staff in motivating residents toward being more active within Supported Housing.
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