| 1. |
- 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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| 2. |
- 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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| 3. |
- 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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| 4. |
- Eklund, Mona, et al.
(författare)
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Associations between occupational and social interaction factors and well-being among people with psychiatric disabilities living in supported housing in Sweden
- 2020
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Ingår i: Journal of Occupational Science. - : Informa UK Limited. - 1442-7591 .- 2158-1576. ; 27:1, s. 54-68
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Tidskriftsartikel (refereegranskat)abstract
- Research indicates that occupation is important for well-being in people with mental illness, but this has not been extensively studied among those with severe psychiatric disabilities. Social contacts may possibly play a more vital role for them. This study aimed to explore how aspects of occupation and social interaction were related with well-being factors in that group, while controlling for the influence of clinical factors. People with psychiatric disabilities living in congregate supported housing (CSH; N = 155) responded to questionnaires addressing occupation, social contacts and well-being aspects, such as subjective health, quality of life, self-mastery, and personal recovery. A comparison group with psychiatric disabilities who lived in an ordinary flat or house and received outreach housing support (N = 111) completed the same instruments. The two groups were compared regarding their pattern of associations between occupation, social contacts, and well-being. Associations between occupation and well-being in the CSH group showed that general satisfaction with everyday occupations in particular was related to all aspects of well-being, whereas activity level and occupational balance were not related to well-being. The relationships were fewer and weaker, in comparison to the group in ordinary housing with outreach support. Indicators of social contacts were basically unrelated to well-being. The study contributes to occupational science by showing that the role of a high activity level for well-being, although important, should not be overemphasized. Future research should focus on narratives to get the voices of people residing in CSH and on exploration of how individually/socially performed occupations are associated with well-being.
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| 5. |
- Eklund, Mona, et al.
(författare)
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Effectiveness of Balancing Everyday Life (BEL) versus standard occupational therapy for activity engagement and functioning among people with mental illness - a cluster RCT study
- 2017
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Ingår i: BMC Psychiatry. - : BIOMED CENTRAL LTD. - 1471-244X. ; 17
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Tidskriftsartikel (refereegranskat)abstract
- Background: Many with a mental illness have an impoverished everyday life with few meaningful activities and a sedentary lifestyle. The study aim was to evaluate the effectiveness of the 16-week Balancing Everyday Life (BEL) program, compared to care as usual (CAU), for people with mental illness in specialized and community-based psychiatric services. The main outcomes concerned different aspects of subjectively evaluated everyday activities, in terms of the engagement and satisfaction they bring, balance among activities, and activity level. Secondary outcomes pertained to various facets of well-being and functioning. It was hypothesized that those who received the BEL intervention would improve more than the comparison group regarding activity, well-being and functioning outcomes.Methods: BEL is a group and activity-based lifestyle intervention. CAU entailed active support, mainly standard occupational therapy. The BEL group included 133 participants and the CAU group 93. They completed self-report questionnaires targeting activity and well-being on three occasions – at baseline, after completed intervention (at 16 weeks) and at a six-month follow-up. A research assistant rated the participants’ level of functioning and symptom severity on the same occasions. Non-parametric statistics were used since these instruments produced ordinal data.Results: The BEL group improved more than the CAU group from baseline to 16 weeks on primary outcomes in terms of activity engagement (p < 0.001), activity level (p = 0.036) and activity balance (p < 0.042). The BEL group also improved more on the secondary outcomes of symptom severity (p < 0.018) and level of functioning (p < 0.046) from baseline to 16 weeks, but not on well-being. High intra-class correlations (0.12–0.22) indicated clustering effects for symptom severity and level of functioning. The group differences on activity engagement (p = 0.001) and activity level (p = 0.007) remained at the follow-up. The BEL group also improved their well-being (quality of life) more than the CAU group from baseline to the follow-up (p = 0.049). No differences were found at that time for activity balance, level of functioning and symptom severity.Conclusion: The BEL program was effective compared to CAU in terms of activity engagement. Their improvements were not, however, greater concerning other subjective perceptions, such as satisfaction with daily activities and self-rated health, and clustering effects lowered the dependability regarding findings of improvements on symptoms and functioning. Although the CAU group had “caught up” at the follow-up, the BEL group had improved more on general quality of life. BEL appeared to be important in shortening the time required for participants to develop their engagement in activity and in attaining improved quality of life in a follow-up perspective.
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| 6. |
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| 7. |
- Eklund, Mona, et al.
(författare)
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Outcomes of the Active in My Home (AiMH) intervention for people with psychiatric disabilities in supported housing : A longitudinal pilot and feasibility study
- 2020
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Ingår i: British Journal of Occupational Therapy. - : Sage Publications. - 0308-0226 .- 1477-6006. ; 83:1, s. 6-14
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Tidskriftsartikel (refereegranskat)abstract
- Introduction Facilitating occupational engagement in residents with psychiatric disabilities living in supported housing is important, because meaningful occupation is closely related to wellbeing. The aim was to explore whether residents taking part in the intervention Active in My Home (AiMH) made any changes in activity and recovery from baseline to completed AiMH; whether satisfaction with AiMH was related to any changes; and if changes between baseline and completed AiMH were stable at follow-up. Method AiMH consists of eight sessions for residents and includes workshops for staff. This no-control study involved seven supported housing units and 29 residents who took part in data collection at the start and completion of AiMH and at follow-up after 6-9 months. Outcomes concerned occupational engagement, the unit's provision of meaningful activity, personal recovery, psychosocial functioning and symptom severity. Findings Improvements occurred in the AiMH participants' occupational engagement (Z = -2.63, p = 0.008) and personal recovery (Z = -1.98, p = 0.048) from start to completion of AiMH. The improvement on occupational engagement was stable at follow-up (Z = -3.01, p = 0.005), when also psychosocial functioning (Z = -2.39, p = 0.017) and psychiatric symptoms (Z = -2.42, p = 0.016) had improved. Conclusion This study could not show whether the improvements were due to AiMH or other factors. The findings are still promising, however, and encourage further development and testing of AiMH.
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| 8. |
- Eklund, Mona, et al.
(författare)
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Psychiatric rehabilitation in community-based day centres: Motivation and satisfaction.
- 2013
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Ingår i: Scandinavian Journal of Occupational Therapy. - : Informa UK Limited. - 1651-2014 .- 1103-8128. ; 20:6, s. 438-445
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Tidskriftsartikel (refereegranskat)abstract
- Abstract Objective: This study investigated attendees' motivation and motives for participation in day centres and their satisfaction with the rehabilitation, while also addressing the influence of day centre orientation (work- or meeting-place orientation), gender and age. Methods: Ninety-three Swedish day centre attendees participated in a cross-sectional study and completed questionnaires about motivation, motives, and satisfaction with the rehabilitation. Data were analysed with non-parametric statistics. Results: The participants were highly motivated for going to the day centre and set clear goals for their rehabilitation. Female gender, but not age, was associated with stronger motivation. The strongest motives for going to the day centre were getting structure to the day and socializing. Attendees at work-oriented day centres more often expressed that they went there to get structure to the day and gain social status. Satisfaction with the rehabilitation was high, and the most common wishes for further opportunities concerned earning money and learning new things. Conclusions and implications for practice: The rehabilitation largely seemed to meet the attendees' needs, but the findings indicated that further developments were desired, such as participation in work on the open market and more work-like occupations in the day centre, accompanied by some kind of remuneration.
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| 9. |
- Eklund, Mona, et al.
(författare)
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Resident and staff perceptions of an activity- and recovery-based intervention in supported housing for people with severe mental illness – a longitudinal pilot study
- 2022
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Ingår i: BMC Psychiatry. - : Springer Science and Business Media LLC. - 1471-244X. ; 22:1
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Tidskriftsartikel (refereegranskat)abstract
- Background: People with severe mental illness who reside in supported housing (SH) and need a high level of assistance are at risk of an everyday life with little meaning and low community participation. Interventions to counteract that seem warranted, which was the rationale for this study. The aim was to investigate how residents and staff perceived an intervention designed to enhance meaningful everyday activity and personal recovery. Methods: The intervention, termed Active in My Home (AiMH), was led by an occupational therapist. It consisted of five individual and three group sessions, and AiMH staff acted as supporters. Twenty-nine AiMH participants and 43 staff members were included in this un-controlled study with three measurement points – before (T1), at completion (T2), and 6–9 months after completion of AiMH (T3). The data collection was based on self-report questionnaires addressing perceptions of satisfaction, meaningfulness, and recovery-oriented support. Results: The residents’ satisfaction with the SH per se was rated high (at 75% of the maximum score) and did not change over the study period from T1 to T3 (p = 0.544); nor did the participants’ perceived recovery-oriented support from the AiMH supporter (p = 0.235). Satisfaction with AiMH was rated by both participants and staff at T2. Their scores differed regarding general satisfaction (p = 0.008), staff scoring higher, but no differences were found regarding satisfaction with group sessions, individual sessions, or support of activity (p-values 0.062–0.836). The staff rated the SH unit’s provision of meaningful activities higher than the AIMH participants at T2 (p = 0.029) but not at T1 (p = 0.226) or T3 (p = 0.499). Conclusion: This study has offered some glimpses of how AiMH participants and staff perceived the AiMH intervention. It has also generated some ideas for better support for meaningful activity and recovery-oriented support in SH for people with mental illness, such as assisting SH residents in identifying activity opportunities and making activity choices when providing support for meaningful activity in the SH context. Trial registration: Registered at ClinicalTrials.gov ID: NCT05157854.
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| 10. |
- Eklund, Mona, et al.
(författare)
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The linkage between patterns of daily occupations and occupational balance : Applications within occupational science and occupational therapy practice
- 2017
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Ingår i: Scandinavian Journal of Occupational Therapy. - London, UK : Informa UK Limited. - 1103-8128 .- 1651-2014. ; 24:1, s. 41-56
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Forskningsöversikt (refereegranskat)abstract
- Patterns of daily occupations (PDO) and occupational balance (OB) are recurring phenomena in the literature. Both are related with health and well-being, which makes them central in occupational therapy practice and occupational science. The aim was to review how PDO and OB are described in the literature, to propose a view of how the two constructs may be linked, and elaborate on how such a view may benefit occupational science and occupational therapy. The literature was analysed by latent and manifest content analysis and comparative analysis. The findings were summarized in a model, framing PDO as the more objective and OB as the more subjective result from an interaction between personal preferences and environmental influences. The proposed model does not assume a cause–effect relationship between the targeted constructs, rather a mutual influence and a joint reaction to influencing factors. Indicators of PDO and OB were identified, as well as tools for assessing PDO and OB. The authors propose that discerning PDO and OB as separate but interacting phenomena may be useful in developing a theoretical discourse in occupational science and enhancing occupational therapy practice. Although the scope of this study was limited, the proposed view may hopefully inspire further scrutiny of constructs.
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| 11. |
- Eklund, Mona, et al.
(författare)
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Utvärdering av kommunala sysselsättningsformer för psykiskt funktionshindrade : Preliminära resultat från ett projekt i fyra etapper
- 2007
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Konferensbidrag (refereegranskat)abstract
- Meningsfull daglig verksamhet var ett viktigt mål i 90-talet psykiatriutredning, men nyliga uppföljningar har visat att det är långt kvar till detta mål. Det finns således anledning att både utvärdera existerande dagverksamheter och försöka förbättra dem. Under etapp 1 av ett sådant projekt jämförs personer som går i träffpunktsliknande dagverksamheter med dem som går i mer arbetsinriktade, angående tillfredsställelse, motivation, sociala kontakter, välbefinnande mm. De som går i dagverksamheter jämförs på liknande variabler med personer som inte har någon regelbunden daglig verksamhet alls. Preliminära resultat från denna etapp presenteras. Etapp 2 innebär kvalitativa studier för att utröna vilka meningsfulla upplevelser som genereras dels från arbete, dels från andra dagliga aktiviteter. Resultat från sådana studier rapporteras i andra presentationer (Christel Leufstadius samt Elisabeth Strömberg). På basis av analyser från etapperna 1 och 2 planeras en intervention, som innebär att berika dagverksamheter med de ”viktiga egenskaper” som identifierats i de första etapperna. Etapp 3 är utveckling av ett instrument för att reflektera en verksamhets "viktiga egenskaper". Interventionsprojektet (etapp 4) bedrivs i tre regioner: Malmö-Lund, Örebro och Umeå med omgivande landsbygd. Dagverksamheter randomiseras till intervention respektive fortsatt verksamhet som vanligt. Enheterna jämförs vid baseline och efter en tids implementering avseende besökarnas upplevelser av ”viktiga egenskaper”, tillfredsställelse, motivation, sociala kontakter mm.
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| 12. |
- Eklund, Mona, et al.
(författare)
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Wellbeing, activity and housing satisfaction - comparing residents with psychiatric disabilities in supported housing and ordinary housing with support
- 2017
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Ingår i: BMC Psychiatry. - : BioMed Central. - 1471-244X. ; 17
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Tidskriftsartikel (refereegranskat)abstract
- Background: The home is imperative for the possibilities for meaningful everyday activities among people with psychiatric disabilities. Knowledge of whether such possibilities vary with type of housing and housing support might reveal areas for improved support. We aimed to compare people with psychiatric disabilities living in supported housing (SH) and ordinary housing with support (OHS) regarding perceived well-being, engaging and satisfying everyday activities, and perceived meaning of activity in one's accommodation. The importance of these factors and socio-demographics for satisfaction with housing was also explored. Methods: This naturalistic cross-sectional study was conducted in municipalities and city districts (n = 21) in Sweden, and 155 SH residents and 111 OHS residents participated in an interview that included both self-reports and interviewer ratings. T-test and linear regression analysis were used. Results: The SH group expressed more psychological problems, but better health, quality of life and personal recovery compared to the OHS residents. The latter were rated as having less symptom severity, and higher levels of functioning and activity engagement. Both groups rated themselves as under-occupied in the domains of work, leisure, home management and self-care, but the SH residents less so regarding home management and self-care chores. Although the groups reported similar levels of activity, the SH group were more satisfied with everyday activities and rated their housing higher on possibilities for social interaction and personal development. The groups did not differ on access to activity in their homes. The participants generally reported sufficient access to activity, social interaction and personal development, but those who wanted more personal development in the OHS group outnumbered those who stated they received enough. Higher scores on satisfaction with daily occupations, access to organization and information, wanting more social interaction, and personal recovery predicted high satisfaction with housing in the regression model. Conclusion: The fact that health, quality of life and recovery were rated higher by the SH group, despite lower interviewer-ratings on symptoms and level of functioning, might partly be explained by better access to social interaction and personal development in the SH context. This should be acknowledged when planning the support to people who receive OHS.
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| 13. |
- Engdahl, Patrik, et al.
(författare)
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Co-design Process of a Digital Return-to-Work Solution for People with Common Mental Disorders : Stakeholder Perception Study
- 2023
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Ingår i: JMIR Formative Research. - Toronto : JMIR Publications Inc.. - 2561-326X. ; 7, s. 1-15
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Tidskriftsartikel (refereegranskat)abstract
- Background: Service users and other stakeholders have had few opportunities to influence the design of their mental health and return-to-work services. Likewise, digital solutions often fail to align with stakeholders’ needs and preferences, negatively impacting their utility. mWorks is a co-design initiative to create a digital return-to-work solution for persons with common mental disorders that is acceptable and engaging for those receiving and delivering the intervention. Objective: This study aimed to describe stakeholder perceptions and the involvement of a design process during the prototype development of mWorks. Methods: A co-design approach was used during the iterative development of mWorks. Overall, 86 stakeholders were recruited using a combination of purposeful and convenience sampling. Five stakeholder groups represented service users with experience of sick leave and common mental disorders (n=25), return-to-work professionals (n=19), employers (n=1), digital design and system developers (n=4), and members of the public (n=37). Multiple data sources were gathered using 7 iterations, from March 2018 to November 2020. The rich material was organized and analyzed using content analysis to generate themes and categories that represented this study’s findings. Results: The themes revealed the importance of mWorks in empowering service users with a personal digital support solution that engages them back in work. The categories highlighted that mWorks needs to be a self-management tool that enables service users to self-manage as a supplement to traditional return-to-work services. It was also important that content features helped to reshape a positive self-narrative, with a focus on service users’ strengths and resources to break the downward spiral of ill health during sick leave. Additional crucial features included helping service users mobilize their own strategies to cope with thoughts and feelings and formulate goals and a plan for their work return. Once testing of the alpha and beta prototypes began, user engagement became the main focus for greater usability. It is critical to facilitate the comprehension and purpose of mWorks, offer clear guidance, and enhance motivational and goal-setting strategies. Conclusions: Stakeholders’ experience-based knowledge asserted that mWorks needs to empower service users by providing them with a personal support tool. To enhance return-to-work prospects, users must be engaged in a meaningful manner while focusing on their strengths and resources. ©Patrik Engdahl, Petra Svedberg, Annika Lexén, Carina Tjörnstrand, Catharina Strid, Ulrika Bejerholm
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| 14. |
- Gunnarsson, Birgitta, 1958, et al.
(författare)
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Navigating in a Misty Landscape - Perceptions of Supporting a Relative Residing in Supported Housing for People with a Psychiatric Disability
- 2020
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Ingår i: Issues in Mental Health Nursing. - : Informa UK Limited. - 0161-2840 .- 1096-4673. ; 41:11, s. 1038-1046
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Tidskriftsartikel (refereegranskat)abstract
- The aim was to explore informal carers' perceptions of supporting the everyday life of a relative who has a psychiatric disability and resides in supported housing (SH). A qualitative study based on interviews with 12 informal carers was performed, and the data was analyzed with qualitative content analysis. The theme "Navigating in a misty landscape when striving to support a relative with a psychiatric disability" was identified, encompassing four categories pertaining to residents' needs, collaboration, environmental issues and the carer's situation. SH services can be enhanced by addressing informal carers' experiences and developing greater collaboration involving informal carers, residents and staff.
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| 15. |
- Hultqvist, Jenny, et al.
(författare)
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Programme characteristics and everyday occupations in day centres and clubhouses in Sweden
- 2017
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Ingår i: Scandinavian Journal of Occupational Therapy. - : Taylor & Francis. - 1103-8128 .- 1651-2014. ; 24:3, s. 197-207
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Tidskriftsartikel (refereegranskat)abstract
- Background: Meaningful everyday occupations are important for mental health and recovery and are provided by both community-based day centres (DCs) and clubhouses. It is unknown, however, if any of the two has more recovery-promoting features. Objective: This nine-month longitudinal study compared DC and clubhouses, concerning the users' perceptions of unit and programme characteristics, and aspects of everyday occupations in terms of engagement and satisfaction. Stability over time in these respects, as well as motivation for participation and relationships with occupational engagement and satisfaction, were explored. Methods: Participants from 10 DCs (n = 128) and 5 clubhouses (n = 57) completed self-report instruments. Results: DC attendees rated lower levels on two organizational factors; choice and ability to influence decisions, and the unit's social network. Motivation showed to be an important factor for perceived occupational engagement, which did not differ between the two groups. DC attendees were more satisfied with their everyday occupations at baseline, but that factor increased more in the clubhouse group and there was no group difference at follow-up. The unit and programme characteristics and occupational engagement showed stability over time. Discussion: Clubhouses seemed more advantageous and DC services may consider developing users' opportunities for choice and decision-making, and peer support.
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| 16. |
- Hultqvist, Jenny, et al.
(författare)
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Quality of life among people with psychiatric disabilities attending community-based day centres or Clubhouses
- 2018
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Ingår i: Scandinavian Journal of Caring Sciences. - : John Wiley & Sons. - 0283-9318 .- 1471-6712. ; 32:4, s. 418-1427
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Tidskriftsartikel (refereegranskat)abstract
- Background: People with psychiatric disability have been found to have a poorer quality of life (QOL) compared to the general population, and QOL is an important outcome from psychosocial rehabilitation.Aims: This study aimed at comparing users of two approaches to psychosocial rehabilitation in Sweden, community‐based mental health day centres (DCs) and clubhouses, regarding QOL. A further aim was to investigate predictors of QOL.Methods: People regularly attending DCs (n = 128) or clubhouses (n = 57) completed questionnaires at baseline and a 9‐month follow‐up about socio‐demographics, QOL, self‐esteem, social network, satisfaction with daily occupations, satisfaction with services and the unit's organisation.Results: Quality of life remained stable over time in both groups. QOL at follow‐up was associated with baseline self‐esteem, social network, satisfaction with daily occupations and QOL at baseline. The strongest indicator of a higher QOL at follow‐up was attending a clubhouse programme followed by having scored high on QOL at baseline.Conclusion: Both approaches were suited for supporting their users in maintaining QOL. Visiting clubhouses seems, however, advantageous for QOL in a longer‐term perspective. Although this study contributed some new knowledge, research should further address which circumstances are associated with maintaining stability in QOL.
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| 17. |
- Hultqvist, Jenny, et al.
(författare)
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Recovery in mental illness: Focus on subjective perceptions of occupations in Clubhouses
- 2018
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Ingår i: American Journal of Psychiatric Rehabilitation. - 1548-7768. ; 21:3-4, s. 219-242
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Tidskriftsartikel (refereegranskat)abstract
- The primary study aim was to explore which factors could predict recovery at baseline and follow- up, with occupational value, occupational balance, satisfaction with daily occupations, occupational engagement, and sociodemographic and clinical factors as predictors. A secondary aim was to investigate stability over time in personal recovery from baseline to a 9- month follow- up among people with psychiatric disabilities at ending clubhouses. Clubhouse members completed questionnaires at baseline (N = 57) and at a 9- month follow- up (N = 37). The data were analyzed with nonparametric statistics. Occupational value showed a bivariate relationship with recovery at baseline and follow-up. At follow-up there was also a relationship between occupational engagement and recovery. Satisfaction with daily occupations was not associated with recovery. There were two baseline predictors of recovery at follow-up: a higher level of recovery at baseline and perceiving that one’s activities pertaining to work and clubhouse participation formed a good balance. The personal recovery scores remained stable over time. The result indicates the importance of clubhouses in maximizing occupational opportunities for experience of occupational value and engagement, while also considering members’ occupational balance, in an effort to support the members’ recovery process
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| 18. |
- Hultqvist, Jenny, et al.
(författare)
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Social networks and social interaction among people with psychiatric disabilities : comparison of users of day centres and clubhouses
- 2017
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Ingår i: Global Journal of Health Science. - : Canadian Center of Science and Education. - 1916-9736 .- 1916-9744. ; 9:6, s. 107-120
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Tidskriftsartikel (refereegranskat)abstract
- OBJECTIVE: The aim of the study was to compare users of community-based mental health day centres (DCs) and clubhouses in Sweden regarding reported social networks and social interaction and the stability of these over time. A further aim was to investigate social network predictors both cross-sectionally and longitudinally. METHODS: People regularly attending DCs (n=128) or clubhouses (n=57) completed questionnaires about social network and social interaction (social engagement and social functioning), self-esteem and socio-demographics at baseline and a nine-month follow-up. RESULTS: Perceived social engagement and social functioning did not differ between the groups and remained stable over time. Fewer in the DC reported having a close friend but there was no difference regarding having recently (the past week) seen a friend. When naming "someone with whom you can share your innermost thoughts and feelings", the DC group named more professional contacts, fewer friends and more often "nobody" compared to the clubhouse group. Finally, on both occasions the DC group scored significantly lower on size of the social network compared to the clubhouse users. Self-esteem and having recently seen a friend could predict size of the social network in the cross-sectional perspective. Strong indicators of belonging to the group with a larger social network at follow-up were being a woman, attending a clubhouse programme and having scored high on social network at baseline. CONCLUSION & IMPLICATION FOR PRACTICE: Having friends and strengthening one’s self-esteem may be essential factors for the social network of people with psychiatric disabilities in a short-term perspective. Visiting clubhouses seems advantageous in a longer-term perspective.
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| 19. |
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| 20. |
- Leufstadius, Christel, et al.
(författare)
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Skapande aktivitet
- 2010
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Ingår i: Aktivitet & relation. Mål och medel inom psykosocial rehabilitering. - Lund : Studentlitteratur. - 9789144048680 ; , s. 217-244
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Bokkapitel (populärvet., debatt m.m.)
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| 21. |
- Lund, Kristine, et al.
(författare)
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Joining, belonging, and re-valuing : a process of meaning-making through group participation in a mental health lifestyle intervention
- 2019
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Ingår i: Scandinavian Journal of Occupational Therapy. - : Informa UK Limited. - 1103-8128 .- 1651-2014. ; 26:1, s. 55-68
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Tidskriftsartikel (refereegranskat)abstract
- Background: Balancing Everyday Life (BEL), a new group-based intervention for mental health service users, was implemented in Sweden. Mental health service users often experience group interventions as meaningful, but knowledge of the process of meaning-making in a group is lacking. Aim: To explore participants’ perceptions of the group in the Balancing Everyday Life (BEL) lifestyle intervention; specifically, personal experiences of what brings meaning when participating in a group. Methods: This qualitative Grounded Theory study included 26 interviews with 19 BEL participants. Results: A process of meaning-making in a group was constructed: Joining with others: from feeling alone to connected, A sense of belonging: mutual support and understanding, and Re-valuing Self: respect and self-worth. No longer feeling alone contributed to meaning. Peers and group leaders were considered important parts of the group, and participants appreciated feeling understood, respected, and helping others. Conclusion: The proposed process of meaning-making, as well as ‘Joining’ as a unique step, seems to be new contributions which could help practitioners when organizing groups. Overcoming fear of joining could break a cycle of isolation and lead to connecting and belonging. The value of participants finding purpose through helping others should be further explored.
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| 22. |
- Marshall, Carrie Anne, et al.
(författare)
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Boredom and homelessness : A scoping review
- 2020
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Ingår i: Journal of Occupational Science. - : Informa UK Limited. - 1442-7591 .- 2158-1576. ; 27:1, s. 107-124
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Tidskriftsartikel (refereegranskat)abstract
- Background: Emerging literature suggests that boredom is a frequent problem experienced by homeless persons that may influence their health and well-being. Purpose: The range and breadth of literature exploring boredom among homeless persons is unknown. We initiated this study to fill this gap in existing literature. Method: Using the method advanced by Arksey and O’Malley (2005), and furthered by Levac, Colquhoun and O’Brien (2010), we carried out a scoping review to identify the range and breadth of literature exploring boredom among homeless persons. Two independent raters screened titles and abstracts and evaluated full-text articles against a set of inclusion/exclusion criteria established by all authors. A descriptive analysis and inductive narrative synthesis were performed. Findings: Our search yielded 4536 citations following the removal of duplicates. A total of 17 articles were included in our descriptive analysis and narrative synthesis. Five themes emerged from the included studies: Boredom as a feature of the homeless experience; Coping with boredom; Impact of boredom; Environment as a determinant of boredom; and Interventions for boredom. Only two of the included articles focused on boredom as a central construct, with all others identifying boredom as an experience of homeless persons while investigating related phenomena. Implications: Boredom is a critical topic of study for occupational science, and specifically as it relates to disadvantaged populations. Future research exploring the specific impacts of boredom on homeless persons, and research identifying and evaluating interventions to effectively reduce boredom in this population are needed.
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| 23. |
- Marshall, Carrie Anne, et al.
(författare)
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“Nobody cares about you as a group of people” : a mixed methods study of women living in congregate social housing in Ontario, Canada
- 2021
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Ingår i: Housing and Society. - : Informa UK Limited. - 0888-2746 .- 2376-0923. ; 48:1, s. 21-42
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Tidskriftsartikel (refereegranskat)abstract
- Guided by the social model of disability, we carried out this exploratory study to understand the health and psychosocial needs of women living in social housing in Ontario, Canada. Using a sequential, mixed-methods design, we interviewed 19 women using a 126-item quantitative interview including six standardized measures exploring indicators of psychosocial well-being. From these findings, we designed a qualitative interview protocol and returned to participants. We calculated descriptive statistics for quantitative variables and analyzed qualitative data using thematic analysis. Participants reported a median of six unmet basic psychosocial needs (range 1–16; IQR = 6), a high prevalence of health conditions and associated disability with scores falling above the 80th percentile on all subtests of a disability measure. Qualitative findings revealed that participants were living in an environment that made it challenging to meet their basic needs and felt abandoned by community supports. A persistent lack of safety led to self-isolation, which negatively influenced mental well-being. Social housing is aimed at alleviating poverty and its associated harms, yet women face multiple barriers to meeting their basic needs through existing supports and continue to experience poverty. Social housing can be disabling environments for women living in poverty.
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| 24. |
- Tjörnstrand, Carina, et al.
(författare)
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A day in the life of people with severe mental illness living in supported housing
- 2020
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Ingår i: BMC Psychiatry. - : BioMed Central. - 1471-244X. ; 20:1, s. 1-12
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Tidskriftsartikel (refereegranskat)abstract
- Background People with severe mental illness (SMI) living in supported housing (SH) struggle in everyday life and we currently lack a comprehensive body of knowledge concerning how the residents experience their day. This paper aimed to gain knowledge about how people with SMI describe a day in SH in Sweden, in particular the activities they most frequently engage in and how they experience what they do in or outside their home. Furthermore, it is important to gain knowledge of which activities motivate residents to leave the housing facility and to participate in the community. This new knowledge can help staff to encourage a recovery process among the residents. Methods One hundred thirty-three people living in SH completed a time-use diary and a mixed-methods approach was applied, including calculations of what activity that was most frequently performed and a manifest content analysis addressing experiences of activity. Results The residents had a low activity level and were often alone. Approximately one-half of the reported activities were performed in their own apartments, and generally unaccompanied. A quarter of the activities were performed in the common areas and a further quarter outside the SH. The most frequently performed activities were quiet and tranquil ones, e.g. listening to music and resting. Doing errands and group activities with staff and residents were the main activities that motivated leaving the facility. The participant experience of a day is presented in three categories: "Experiences of chosen and enforced togetherness and overcoming loneliness", "Environmental change and emotional balance can generate activity", and "Met and unmet needs for support, friendship and security". Conclusions The residents were generally satisfied with their quiet and tranquil lifestyle and appeared to demand little of life, which may relate to previous experiences of institutional life and can constitute a challenge for staff. The findings highlight experiences that can help to improve SH. Services need to support individually adjusted contextual stimuli and individualize the support to help residents find a good balance and motivate them to be active in and outside SH, which can support a recovery process.
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| 25. |
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| 26. |
- Tjörnstrand, Carina
(författare)
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Engagement in community-based day centres for people with psychiatric disabilities
- 2012
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- This thesis provides knowledge of occupational engagement in day centres for people with psychiatric disabilities and contributes to measurement development in the area of occupational engagement. The first study focused on the characteristics of the occupations carried out at the day centre by exploring occupational engagement using time-use diaries with a person-environment-occupation perspective. The occupations performed were categorized as social occupations, maintenance occupations, creative occupations, manufacturing occupations, service occupations and information-focused occupations. The study also showed that being at the day centre meant participating in occupations with varying levels of demands on the individual. The second study highlighted that attendance in day centres brought a feeling of being socially included through participation in occupations. Attendance in day centres created structure and routines, and the perceptions of contributing and being entrusted with responsibilities were considered motivational. The attendees were challenged to learn new things, to be more active and to master new goals in their daily life, and were in a process of seizing control over their everyday lives. The third study was a psychometric study of the Profile of Occupational Engagement in people with Severe mental illness - Productive occupations (POES-P). The findings indicated good internal consistency, and a logical pattern of relationships between the POES-P and other instruments was found. POES-P was considered to be mainly a construct in its own right. The distribution of responses indicated a ceiling effect, which calls for further development of the instrument. Study IV revealed a stepwise indication of which factors are most likely to be important for occupational engagement. The participants’ psychopathology, especially general symptoms, and time spent at the day centre were important factors for reaching occupational engagement above a medium level, and self-mastery was the only variable associated with belonging to the group with the highest level (> the 75th percentile) of occupational engagement.
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| 27. |
- Tjörnstrand, Carina, et al.
(författare)
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Factors Influencing Occupational Engagement in Day Centers for People with Psychiatric Disabilities.
- 2015
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Ingår i: Community Mental Health Journal. - : Springer Science and Business Media LLC. - 0010-3853 .- 1573-2789. ; 51:1, s. 48-53
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Tidskriftsartikel (refereegranskat)abstract
- Occupational engagement is a vital factor in people's lives since it has been shown to be important for health and well-being. Community-based day centers (DCs), both meeting place-oriented and work-oriented ones, are common service alternatives in many western countries for enabling engagement in productive and leisure occupations among people with psychiatric disabilities. Little is, however, known about factors influencing occupational engagement in such settings. We aimed to investigate how factors pertaining to day center attendance, socio-demographics, motivation, clinical and self-related characteristics were related to how day center attendees rated their occupational engagement in productive occupations. These variables were assessed among day center attendees in meeting place-oriented (n = 39) and work-oriented (n = 54) DCs in Sweden through questionnaires and interviews. Logistic regression models showed that (1) less general psychopathology and more time spent on day center occupations were indicators of belonging to the group with a high level of occupational engagement according to a median cut; (2) higher perceived self-mastery was the only important factor with respect to ratings of occupational engagement above the third quartile. The models may be seen as creating a stepwise indication on which factors are important for reaching a medium level of occupational engagement (less severe general psychopathology and time spent at the day center) and for reaching a still higher level (a high level self-mastery), respectively, of occupational engagement. The findings may also be discussed in relation to different levels of engagement in a recovery process.
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| 28. |
- Tjörnstrand, Carina, et al.
(författare)
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Participation in day centres for people with psychiatric disabilities - a focus on occupational engagement
- 2013
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Ingår i: British Journal of Occupational Therapy. - 1477-6006. ; 76:3, s. 144-150
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Tidskriftsartikel (refereegranskat)abstract
- Background: Day centres are central for community participation among people with mental health problems. Understanding day centre attendees' occupational engagement is therefore important. Method:A total of 88 people from six day centres in four municipalities in southern Sweden completed a time-use diary, recording their occupational engagement during the most recent day at the day centre. The transcribed data were analysed using thematic content analysis. Findings: The main theme was being part of the spirit of togetherness and getting empowered, from which the participants' reflections could be understood. Conclusion: The day centres provided opportunities to be occupationally engaged and to create routines, and challenged the attendees to be more active in their daily life. Day centres have the potential to provide empowering occupations and rehabilitation for people with mental health problems and to help them towards a more participatory life.
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| 29. |
- Tjörnstrand, Carina, et al.
(författare)
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Participation in day centres for people with psychiatric disabilities: Characteristics of occupations.
- 2011
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Ingår i: Scandinavian Journal of Occupational Therapy. - : Informa UK Limited. - 1651-2014 .- 1103-8128. ; 18, s. 243-253
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Tidskriftsartikel (refereegranskat)abstract
- Abstract People with psychiatric disabilities (PD) are a vulnerable group, and should be offered support and rehabilitation when needed. Day centres that provide individually matched daily occupations are an important link to provide that. The present study aimed at gaining knowledge regarding the occupations performed in day centres, in terms of the participants' descriptions of what they were doing. Eighty-eight persons with PD completed a time-use diary that focused on the most recent day. The participants were selected from six different day centres, meeting-place-oriented as well as more work-oriented ones. By qualitative content analysis six categories were identified, representing the occupations performed; social occupations, maintenance occupations, creative occupations, manufacturing occupations, service occupations, and information-focused occupations. A main theme termed "being at the day centre means participating in occupations with different levels of demand" was also discerned. The day centres served as a social meeting point and an opportunity to be involved in occupations with different levels of demand. This study highlights the role day centres could play in the rehabilitation of people with PD, and the potential that lies in the knowledge of the levels of occupational demands when meeting individual occupational needs and when analysing and planning interventions.
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| 30. |
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| 31. |
- Tjörnstrand, Carina, et al.
(författare)
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Perceived social status among people with psychiatric disabilities attending work-oriented and meeting place-oriented day centers
- 2016
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Ingår i: Work: A Journal of Prevention, Assessment & Rehabilitation. - 1051-9815. ; 55:1, s. 19-28
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Tidskriftsartikel (refereegranskat)abstract
- BACKGROUND: Day centers have been criticized for giving attendees a lower social status because they only offer activities that are often work-like although not financially of benefit to attendees. OBJECTIVES: To explore day center attendees' perceived social status and to identify associations among the attendees with the center's orientation with activity, well-being, and psychiatric symptoms. METHOD: Day center attendees in meeting place-oriented (n = 39) and work-oriented (n = 54) day centers in Sweden were interviewed addressing the targeted factors using both self-rated and interview-based instruments. RESULT: Attendees rated themselves close to the middle on the social status measure. No difference between groups based on day center orientation was found. Their self-perceived positioning on social status was positively related to the worker role, occupational engagement, self-rated health, self-esteem, self-mastery, and depressive symptoms. Logistic regression models showed better self-rated health was the only predictor of belonging to the group with a higher level of social status when dichotomized according to the median. Self-rated health was the strongest indicator for scoring above the 75th percentile on perceived status, followed by self-esteem, which was also a significant indicator. CONCLUSION: These findings yielded new knowledge concerning perceived social status in the target group and the importance of health and self-esteem.
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| 32. |
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