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Hansen BW, Pedersen HA, Brandt Å, Berring LL. Creative activities as intervention: experiences of well-being and satisfaction with daily living in a mental health context. Nord J Psychiatry 2023; 77:788-798. [PMID: 37682638 DOI: 10.1080/08039488.2023.2253236] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/15/2022] [Revised: 07/31/2023] [Accepted: 08/23/2023] [Indexed: 09/10/2023]
Abstract
PURPOSE This study aimed to explore to what extent and in which way people with severe mental illness experience well-being, performance, and satisfaction with daily living when participating in creative activities as intervention. MATERIALS AND METHODS A sequential mixed-methods design was applied. Data was obtained at two measurement points two-three weeks apart using the WHO-5 questionnaire and COPM questionnaire from a sample of 33 participants participating in interventions with creative activities. In addition, eight of the participants took part in qualitative semi-structured interviews, and data was analysed using content analysis on a manifest level. The quantitative data was processed using descriptive statistics, paired t-tests and Kendall's tau-b for correlations. RESULT Participation resulted in improved self-rated well-being (17. 70. p < 0.0001), self-perceived occupational performance of daily living (1.40, p = 0.001), and satisfaction with occupational performance (2.05, p < 0.0001). The changes in well-being and daily living were explained by a work-like content and structure, positive intrapersonal and social acceptability experiences, and greater self-esteem due to the experience of being an artist. CONCLUSION This study contributes with knowledge about participation in creative activities as intervention even for a short period enables well-being, and performance and satisfaction with daily living for people experiencing severe mental illness.
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Affiliation(s)
- Bodil Winther Hansen
- University of Southern Denmark, Odense, Denmark
- University College Copenhagen, Copenhagen, Denmark
| | | | - Åse Brandt
- Department of Public Health, General Practice, University of Southern Denmark, Odense, Denmark
| | - Lene Lauge Berring
- Psychiatric Research Unit, Mental Health Services Region Zealand, Region Zealand, Denmark
- Institute of Regional Health Research, University of Southern Denmark, Odense, Denmark
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2
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Nielsen KT, Larsen AE, Wæhrens EE, Pilegaard MS. Clinical utility of the Danish version of the Self-Assessment of Modes Questionnaire (D-SAMQ). Scand J Occup Ther 2023; 30:1092-1101. [PMID: 37354483 DOI: 10.1080/11038128.2023.2226371] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/09/2022] [Revised: 05/19/2023] [Accepted: 06/12/2023] [Indexed: 06/26/2023]
Abstract
BACKGROUND The the Self-Assessment of Modes Questionnaire (SAMQ) has been translated into Danish and culturally adapted (D-SAMQ), and aspects of validity and reliability have also been evaluated. However, no knowledge about the clinical utility of the D-SAMQ exists. AIMS/OBJECTIVES The aims were to investigate the clinical utility of the D-SAMQ among Danish occupational therapists (OTs) and occupational therapy students (OTSs), and to determine differences in perceived clinical utility between the two groups. MATERIAL AND METHODS Data was collected using an online survey consisting of 17 questions related to four dimensions of clinical utility; appropriateness, accessibility, practicability, and acceptability. RESULTS A total of 25 OTs and 41 OTSs participated. The clinical utility was perceived to be high across all questions related to the four dimensions. No statistically significant differences were found between OTs and OTSs in any of the four dimensions. CONCLUSIONS AND SIGNIFICANCE The D-SAMQ is ready for use in occupational therapy practice, education, and research. D-SAMQ can be used to gain insight into own therapeutic style. This insight serves as a basis for facilitating therapeutic relationships with the clients during the process of enabling engagement in occupation.
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Affiliation(s)
- Kristina Tomra Nielsen
- The Department of Occupational Therapy, University College of Northern Denmark, Aalborg, Denmark
- Occupation-centred Occupational Therapy, The Parker Institute, Copenhagen University Hospital Bispebjerg and Frederiksberg, Copenhagen, Denmark
| | - Anette Enemark Larsen
- The Department of Occupational Therapy, Copenhagen University College, Copenhagen, Denmark
| | - Eva Ejlersen Wæhrens
- Occupation-centred Occupational Therapy, The Parker Institute, Copenhagen University Hospital Bispebjerg and Frederiksberg, Copenhagen, Denmark
- User Perspectives and Community-based Interventions, The Research Group for Occupational Science, Department of Public Health, University of Southern Denmark, Odense, Denmark
| | - Marc Sampedro Pilegaard
- DEFACTUM, Central Denmark Region, Aarhus, Denmark
- Department of Clinical Social Medicine and Rehabilitation, Regional Hospital Gødstrup, Herning, Denmark
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Lee M, Choi H. Art-based emotion regulation in major depression: Framework for intervention. ARTS IN PSYCHOTHERAPY 2023. [DOI: 10.1016/j.aip.2023.102018] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/30/2023]
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4
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Pilegaard MS, Nielsen KT, Enemark Larsen A, Wæhrens EE. Reliability and validity of the Danish version of the Self-Assessment of Modes Questionnaire. Scand J Occup Ther 2023; 30:497-504. [PMID: 36649478 DOI: 10.1080/11038128.2022.2164350] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/19/2023]
Abstract
BACKGROUND The Self-Assessment of Modes Questionnaire (SAMQ) is developed to help therapists identify their preferred use of modes when interacting with clients in clinical practice. A Danish translation of the SAMQ has been developed (D-SAMQ). To provide a robust instrument for occupational therapy practice and research, evaluation of the psychometric properties of the D-SAMQ is needed. OBJECTIVES The study aims to evaluate test-retest reliability, measurement error and content validity in terms of cultural relevance of the D-SAMQ. MATERIAL AND METHODS Danish occupational therapists were recruited to represent diverse clinical settings and to work with various age groups. The D-SAMQ consists of 20 clinical cases. A repeated measures design was employed with evaluation of content validity at the second timepoint. The Content Validity Index and Kappa statistics were employed. RESULTS In most cases (n = 12, 60%) agreement (test-retest reliability and measurement error) was moderate or strong. Also, there was a moderate (n = 6 cases, 30%), strong (n = 4 cases, 20%) or almost perfect agreement (n = 10 cases, 50%) on the cultural relevance of the cases. CONCLUSIONS Acceptable test-retest reliability, measurement error and content validity were found. The SAMQ may support occupational therapists to adapt their therapeutic style to meet the needs of the clients.
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Affiliation(s)
- Marc Sampedro Pilegaard
- DEFACTUM, Central Region Denmark, Aarhus, Denmark.,Department of Social Medicine and Rehabilitation, Gødstrup Hospital, Herning, Denmark
| | - Kristina Tomra Nielsen
- The Department of Occupational Therapy, University College of Northern Denmark, Aalborg, Denmark.,The ADL Unit, The Parker Institute, Copenhagen University Hospital, Bispebjerg and Frederiksberg, Copenhagen, Denmark
| | - Anette Enemark Larsen
- The Department of Occupational Therapy, The Faculty of Health Sciences, Institute of Therapist and Midwifery, Copenhagen University College, Copenhagen, Denmark
| | - Eva Ejlersen Wæhrens
- The ADL Unit, The Parker Institute, Copenhagen University Hospital, Bispebjerg and Frederiksberg, Copenhagen, Denmark.,User Perspectives and Community-Based Interventions, The Research Group for Occupational Science, Department of Public Health, University of Southern Denmark, Odense C, Denmark
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Gunnarsson AB, Håkansson C, Hedin K, Wagman P. Outcomes of the Tree Theme Method versus regular occupational therapy: A longitudinal follow-up. Aust Occup Ther J 2022; 69:379-390. [PMID: 35257386 PMCID: PMC9545876 DOI: 10.1111/1440-1630.12796] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/05/2021] [Revised: 02/18/2022] [Accepted: 02/22/2022] [Indexed: 11/28/2022]
Abstract
INTRODUCTION Depression and anxiety disorders affect individuals' everyday lives, and treatments that can help them to perform everyday occupations are needed. Occupational therapy for this group has been evaluated from a short-term perspective but not from a long-term perspective; further research is thus warranted. The aim of the study was to investigate the longitudinal outcomes of the Tree Theme Method (TTM) compared with care as usual, provided by occupational therapists, in terms of everyday occupations, psychological symptoms, and health-related aspects. METHODS This randomised controlled trial comprised a follow-up 3 and 12 months after an intervention. A total of 118 participants (19-64 years) with depression or anxiety disorders and problems with everyday occupations completed the base line questionnaires, 100 completed the follow-up at 3 months, and 84 completed the follow-up at 12 months. Imputations of missing data were performed using the last observation, and parametric analysis was used. RESULTS Both groups showed significant improvements (P value ≤ 0.01) in everyday occupations, psychological symptoms and health-related aspects after 3 and 12 months. No significant differences were found between the groups. CONCLUSION This study contributes with knowledge about the outcomes of occupational therapy for clients living with depression and anxiety disorders. Both TTM and care as usual lead to significant improvements over time concerning everyday occupations, psychological symptoms, and health-related aspects. The fact that both occupational therapy methods were associated with improvements for clients with depression and anxiety supports client-centredness in enabling an occupational therapist to choose the method best suited for the individual.
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Affiliation(s)
- A Birgitta Gunnarsson
- Department of Health and Rehabilitation, Institute of Neuroscience and Physiology, University of Gothenburg, Gothenburg, Sweden.,Department of Research and Development, Region Kronoberg, Växjö, Sweden
| | - Carita Håkansson
- Division of Occupational and Environmental Medicine, Lund University, Lund, Sweden
| | - Katarina Hedin
- Futurum, Region Jönköping County and Department of Health, Medicine and Caring Sciences, Linköping University, Linköping, Sweden.,Department of Clinical Sciences in Malmö, Family Medicine, Lund University, Lund, Sweden
| | - Petra Wagman
- Department of Rehabilitation, School of Health and Welfare, Jönköping University, Jönköping, Sweden
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6
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Álvarez ÓS, Ruiz-Cantero MT, Cassetti V, Cofiño R, Álvarez-Dardet C. Salutogenic interventions and health effects: a scoping review of the literature. GACETA SANITARIA 2021; 35:488-494. [DOI: 10.1016/j.gaceta.2019.12.002] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/15/2019] [Revised: 12/05/2019] [Accepted: 12/16/2019] [Indexed: 11/26/2022]
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Sampedro Pilegaard M, Sithamparanathan T, Nielsen KT, Taylor R, Waehrens EE. Danish translation, cultural adaptation and initial validation of the Self-Assessment of modes questionnaire (D-SAMQ). Scand J Occup Ther 2020; 28:285-293. [PMID: 32915680 DOI: 10.1080/11038128.2020.1817543] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/06/2023]
Abstract
BACKGROUND The Self-Assessment of Modes Questionnaire (SAMQ) was developed for occupational therapists (OTs) to identify their therapeutic style when interacting with clients. To provide Danish Occupational Therapists (OTs) with access to the SAMQ, a rigorous translation, cultural adaptation and validation are required. AIM To describe the process of translating and culturally adapting the SAMQ into Danish (D-SAMQ) and examining initial validation of the SAMQ in terms of relevance and comprehensiveness in a Danish context. MATERIAL AND METHODS A 10-step process for translation and cultural adaptation was followed: (1) Preparation, (2) Forward translation, (3) Reconciliation, (4) Back translation, (5) Back-translation review, (6) Harmonization, (7) Cognitive debriefing, (8) Review of cognitive debriefing results and finalization, (9) Proofreading and (10) Final report. The cognitive debriefing also involved validation. RESULTS Seven OTs and one OT student were included in the cognitive debriefing. Adaptations were made in eight of twenty cases, and modifications regarding the choice of words, sentence structure, and rephrasing were performed. The participants suggested more contextual details in the case descriptions. CONCLUSION The SAMQ was translated into Danish (D-SAMQ) and adapted and validated by Danish OTs. The D-SAMQ may enable OTs to identify their therapeutic style, and thereby improve the client-therapist relationship.
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Affiliation(s)
- Marc Sampedro Pilegaard
- The Research Initiative of Activity Studies and Occupational Therapy, Research Unit of General Practice, Department of Public Health, University of Southern Denmark, Odense, Denmark.,REHPA, The Danish Knowledge Centre for Rehabilitation and Palliative Care, Odense University Hospital, Odense, Denmark
| | | | - Kristina Tomra Nielsen
- The Research Initiative of Activity Studies and Occupational Therapy, Research Unit of General Practice, Department of Public Health, University of Southern Denmark, Odense, Denmark.,Department of Occupational Therapy, University College of Northern Denmark, Aalborg, Denmark
| | - Renee Taylor
- College of Applied Health Sciences, University of Illinois at Chicago, Chicago, Illinois, USA
| | - Eva Ejlersen Waehrens
- The Research Initiative of Activity Studies and Occupational Therapy, Research Unit of General Practice, Department of Public Health, University of Southern Denmark, Odense, Denmark.,ADL unit, The Parker Institute, Copenhagen University Hospital Bispebjerg and Frederiksberg, Aalborg, Denmark
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Kirsh B, Martin L, Hultqvist J, Eklund M. Occupational Therapy Interventions in Mental Health: A Literature Review in Search of Evidence. ACTA ACUST UNITED AC 2019. [DOI: 10.1080/0164212x.2019.1588832] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Affiliation(s)
| | - Lori Martin
- University of Toronto, Toronto, Ontario, Canada
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Birgitta Gunnarsson A, Wagman P, Hedin K, Håkansson C. Treatment of depression and/or anxiety - outcomes of a randomised controlled trial of the tree theme method® versus regular occupational therapy. BMC Psychol 2018; 6:25. [PMID: 29792226 PMCID: PMC5967043 DOI: 10.1186/s40359-018-0237-0] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/13/2018] [Accepted: 05/16/2018] [Indexed: 01/18/2023] Open
Abstract
BACKGROUND Depression and anxiety disorders are a major concern in western countries, and because these often have a negative affect on everyday life interventions based on activities in everyday life are needed. The Tree Theme Method® (TTM) is a client-centred occupational therapy intervention designed to increase the ability to cope with, and to enhance satisfaction with, everyday life, both at home and at work. The aim of this study was to compare the short term outcomes of the TTM intervention with regular occupational therapy treatment for people with depression and/or anxiety disorders. METHODS This randomised controlled trial included patients from three counties in Sweden. Men and women with depression and/or anxiety disorders, ages 18 to 65, were randomised to either TTM or regular occupational therapy. Assessment data were collected at baseline and the follow-up directly after completing the intervention. Non-parametric and parametric statistical methods were used. RESULTS The questionnaires were answered by 118 patients at baseline and by 107 patients after completing the intervention. No significant differences in short term outcomes were found between the groups. Both groups showed positive significant outcomes regarding almost all aspects of activities in everyday life, psychological symptoms, and health-related and intervention-related aspects. CONCLUSIONS Despite the lack of differences between the groups, the positive outcomes regarding activities in everyday life, psychological symptoms, and health-related aspects after completing the intervention indicates the need for further research on the long-term perspective of TTM compared to regular occupational therapy. TRIAL REGISTRATION Clinical Trials.gov: NCT01980381 ; registered November 2013.
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Affiliation(s)
- A Birgitta Gunnarsson
- Department of Research and Development, Region Kronoberg, PO Box 1223, SE-351 12, Växjö, Sweden. .,Department of Clinical Neuroscience and Rehabilitation, University of Gothenburg, Gothenburg, Sweden.
| | - Petra Wagman
- School of Health and Welfare, Department of Rehabilitation, Jönköping University, Jönköping, Sweden
| | - Katarina Hedin
- Futurum, Region Jönköping County and Department of Medical and Health Sciences, Linköping University, Linköping, Sweden.,Department of Clinical Sciences in Malmö, Family Medicine Lund University, Lund, Sweden
| | - Carita Håkansson
- Division of Occupational and Environmental Medicine, Lund University, Lund, Sweden
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10
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Roswiyani R, Kwakkenbos L, Spijker J, Witteman CLM. The Effectiveness of Combining Visual Art Activities and Physical Exercise for Older Adults on Well-Being or Quality of Life and Mood: A Scoping Review. J Appl Gerontol 2017; 38:1784-1804. [PMID: 31640495 PMCID: PMC6820121 DOI: 10.1177/0733464817743332] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/11/2023] Open
Abstract
Visual art activities and physical exercise are both low-intensity and low-cost interventions. The present study aims to comprehensively describe published literature on the effectiveness of a combination of these interventions on well-being or quality of life (QoL) and mood of older adults. Embase, CINAHL, Ovid Medline (R), PsycINFO, and Web of Science databases were searched for studies published between 1990 and 2015 that evaluated interventions combining visual art therapy and exercise for people aged 50 years or older with at least one resultant well-being or QoL or mood outcome. We found 10 studies utilizing different combination programs and outcome measures, and most had small sample sizes. Seventy percent of the studies reported that combining both interventions was effective in improving well-being or QoL and mood in older adults. Future studies are, however, requisite to investigate whether in the respective population such a combination is more effective than either of the interventions alone.
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Affiliation(s)
- Roswiyani Roswiyani
- Behavioural Science Institute, Radboud University, Nijmegen, The Netherlands.,Department of Psychology, Universitas Tarumanagara, Jakarta, Indonesia
| | - Linda Kwakkenbos
- Behavioural Science Institute, Radboud University, Nijmegen, The Netherlands.,Department of Psychiatry, McGill University, Montreal, Quebec, Canada.,Lady Davis Institute for Medical Research, Jewish General Hospital, Montreal, Quebec, Canada
| | - Jan Spijker
- Behavioural Science Institute, Radboud University, Nijmegen, The Netherlands.,Pro Persona Mental Health Care, Depression Expertise Centre, Nijmegen, the Netherlands
| | - Cilia L M Witteman
- Behavioural Science Institute, Radboud University, Nijmegen, The Netherlands
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Weiste E. Relational interaction in occupational therapy: Conversation analysis of positive feedback. Scand J Occup Ther 2017; 25:44-51. [DOI: 10.1080/11038128.2017.1282040] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Affiliation(s)
- Elina Weiste
- Centre of Excellence in Research on Intersubjectivity in Interaction, University of Helsinki, Helsinki, Finland
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12
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Blomdahl C, Gunnarsson BA, Guregård S, Rusner M, Wijk H, Björklund A. Art therapy for patients with depression: expert opinions on its main aspects for clinical practice. J Ment Health 2016; 25:527-535. [PMID: 27469205 DOI: 10.1080/09638237.2016.1207226] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Abstract
BACKGROUND Art therapy is based mainly on clinical experience and is rarely described and evaluated scientifically. There is a need for further exploration of its use in patients with depression. AIM The aim of this study was to explore what experts consider to be the main aspects of art therapy in clinical practice for patients with depression. METHOD Eighteen occupational therapists experienced and educated in art therapy participated. The experts answered three rounds of Delphi questionnaires and ranked their agreement with 74 assertions. Consensus was defined as 70% or higher. RESULTS The experts agreed more on assertions about theoretical frames of reference than about clinical practice. The main aspects of art therapy were agreed to be the patients' opportunity to express themselves verbally and through making art. It was equally important that art tasks provided an opportunity to address depressive thoughts, feelings, life experiences, and physical symptoms. CONCLUSIONS Experts in the field of art therapy considered that the main aspect of clinical practice in art therapy for patients with depression is that art themes should promote expression related to both to depression and personal history.
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Affiliation(s)
- Christina Blomdahl
- a Institute Care and Health Science, Sahlgrenska Academy, University of Gothenburg , Gothenburg , Sweden.,b Psychiatric Clinic, Södra Älvsborgs Hospital , Borås , Sweden
| | - Birgitta A Gunnarsson
- c Institute Clinical Neuroscience and Rehabilitation, Sahlgrenska Academy, University of Gothenburg , Gothenburg , Sweden.,d Department of Research and Development , Region Kronoberg , Växjö , Sweden
| | - Suzanne Guregård
- e Södra Älvsborg Hospital , Region Västra Götaland, Borås , Sweden
| | - Marie Rusner
- a Institute Care and Health Science, Sahlgrenska Academy, University of Gothenburg , Gothenburg , Sweden.,f Department of Research , Södra Älvsborg Hospital , Borås , Sweden
| | - Helle Wijk
- a Institute Care and Health Science, Sahlgrenska Academy, University of Gothenburg , Gothenburg , Sweden.,g Sahlgrenska University Hospital , Gothenburg , Sweden , and
| | - Anita Björklund
- h School of Health and Welfare, Department of Rehabilitation, Jönköping University , Jönköping , Sweden
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Royer N, Bourdages-Perreault L, Cornelier G, Coutya J, Naud JM, Chouinard J, Levasseur M. Ariadne's thread: a promising new multidisciplinary tool to foster clients' resilience throughout the rehabilitation process. Disabil Rehabil 2015; 38:1454-62. [PMID: 26694023 DOI: 10.3109/09638288.2015.1105310] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
INTRODUCTION Resilience plays an important role in the rehabilitation process as it helps people adapt and grow through difficulties. Ariadne's Thread is one of the few assessment and intervention tools that aim to maximize clients' resilience but its impacts have yet to be studied. PURPOSE This study explored health professionals' perceptions regarding the impact of Ariadne's Thread on clients, on themselves and on the rehabilitation process. METHOD An exploratory qualitative clinical research design was used to conduct semi-structured interviews with ten health professionals who used Ariadne's Thread directly or indirectly with clients. RESULTS Health professionals perceived that Ariadne's Thread had a positive impact on clients' personal factors, especially resilience, self-knowledge, self-esteem and motivation. Moreover, as it fosters a common understanding of clients and use of their strengths and interests in interventions, Ariadne's Thread facilitates the interdisciplinary rehabilitation process. It also enables professionals to confirm their treatment approaches and facilitates therapeutic relationships. CONCLUSIONS Ariadne's Thread is an innovative intervention and a promising way to enhance clients' resilience. Through a positive, holistic and client-centered vision, Ariadne's Thread can have a positive impact on the rehabilitation process, according to the perceptions of the health professionals in this study. Implications for rehabilitation Ariadne's Thread (AT) is one of the few assessment and intervention tools that aims to maximise clients' resilience and spirituality, and enables professionals to address important themes not usually covered in rehabilitation. Due to its effects on knowledge of the client and clients' resilience, self-esteem, strengths and spirituality, AT can enhance the rehabilitation process. Nevertheless, integrating resilience into practice requires a major paradigm shift, not only focusing on treatment results or helping clients to adapt to their disabilities, but also taking into account clients' and their families' strengths and resources.
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Affiliation(s)
- Noémie Royer
- a Faculty of Medicine and Health Sciences, School of Rehabilitation , Université De Sherbrooke , Sherbrooke , Canada
| | - Léa Bourdages-Perreault
- a Faculty of Medicine and Health Sciences, School of Rehabilitation , Université De Sherbrooke , Sherbrooke , Canada
| | - Gentiane Cornelier
- a Faculty of Medicine and Health Sciences, School of Rehabilitation , Université De Sherbrooke , Sherbrooke , Canada
| | - Julie Coutya
- a Faculty of Medicine and Health Sciences, School of Rehabilitation , Université De Sherbrooke , Sherbrooke , Canada
| | - Jean-Michel Naud
- a Faculty of Medicine and Health Sciences, School of Rehabilitation , Université De Sherbrooke , Sherbrooke , Canada
| | | | - Mélanie Levasseur
- a Faculty of Medicine and Health Sciences, School of Rehabilitation , Université De Sherbrooke , Sherbrooke , Canada ;,c Research Centre on Aging, Health and Social Services Centre , University Institute of Geriatrics of Sherbrooke , Sherbrooke , Canada
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Gunnarsson AB, Wagman P, Håkansson C, Hedin K. The Tree Theme Method® (TTM), an occupational therapy intervention for treating depression and anxiety: study protocol of a randomized controlled trial. BMC Psychol 2015; 3:40. [PMID: 26552426 PMCID: PMC4640408 DOI: 10.1186/s40359-015-0097-9] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/14/2015] [Accepted: 10/30/2015] [Indexed: 12/30/2022] Open
Abstract
Background Depression and anxiety disorders are increasing among the general population in the Western world. Individuals may need several kinds of treatment in order to maintain health, such as cognitive behavioural therapy (CBT) and drug treatment. However, having an everyday life that “works” is also important, suggesting a need for interventions based on activities that facilitate a satisfying everyday life. There is still lack of such evidence-based interventions. The Tree Theme Method® (TTM) is an occupational therapy intervention designed for a client-centred context in which an individual develops strategies to become an actor in his or her everyday life. Previous studies of the TTM have focused on process evaluation; therefore, further studies are needed to evaluate the method’s effects. The aim of this paper is to outline an intervention that can evaluate the effects of the TTM in terms of psychological symptoms, as well as everyday occupations and well-being, in patients suffering from depression and anxiety. Methods/Design This randomized clinical trial includes patients from three Swedish counties randomized to either intervention or treatment as usual. Men and women aged 18–65 years who have been diagnosed with either depression or anxiety are eligible for inclusion. Data collection is carried out at baseline, and outcomes are assessed at the end of intervention, as well as at 3 months and 12 months after intervention ends. The outcomes measured are psychological symptoms, everyday activities, and health-related factors. Discussion Depression and anxiety may create difficulties for individuals in the activities of their everyday lives to the extent that they require diagnosis and intervention. Despite this reality, evidence-based interventions that focus on everyday activities are lacking. Therefore, it would be useful to design a specific method for occupational therapy intervention that does precisely that. This study provides insight into the effects of the TTM, comparing it to occupational therapy treatment as usual. Trial registration ClinicalTrials.gov: NCT01980381; registered November 2013.
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Affiliation(s)
- A Birgitta Gunnarsson
- Department of Research and Development, Region Kronoberg, PO Box 1223, SE-351 12, Växjö, Sweden. .,Department of Clinical Neuroscience and Rehabilitation, The Sahlgrenska Academy at University of Gothenburg, Gothenburg, Sweden.
| | - Petra Wagman
- Department of Rehabilitation, School of Health and Welfare, Jönköping University, Jönköping, Sweden.
| | - Carita Håkansson
- Division of Occupational and Environmental Medicine, Lund University, Lund, Sweden.
| | - Katarina Hedin
- Department of Research and Development, Region Kronoberg, PO Box 1223, SE-351 12, Växjö, Sweden. .,Department of Clinical Sciences in Malmö, Family Medicine Lund University, Lund, Sweden.
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15
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Eklund M, Erlandsson LK, Wästberg BA. A longitudinal study of the working relationship and return to work: perceptions by clients and occupational therapists in primary health care. BMC FAMILY PRACTICE 2015; 16:46. [PMID: 25887461 PMCID: PMC4397877 DOI: 10.1186/s12875-015-0258-1] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 12/02/2014] [Accepted: 03/16/2015] [Indexed: 01/18/2023]
Abstract
BACKGROUND The working relationship between client and therapist can be important to enhance outcomes from vocational rehabilitation for women with stress-related disorders in primary health care. The aim was to investigate the working relationship, as perceived by clients and therapists in the Redesigning Daily Occupations (ReDO™) program, and its relationships to return to work and satisfaction with the rehabilitation. Another aim was to compare the ReDO™ group and a "care-as-usual" (CAU) group regarding perceptions of the working relationship with the social insurance officer. METHOD Forty-two ReDO™ clients and 42 matched controls receiving CAU participated. The study included four measurements (baseline, after 16 weeks rehabilitation and follow-ups after 6 and 12 months). 37 + 37 clients completed. Return to work data was obtained from the Social Insurance Offices (SIO), and the working relationship and client satisfaction were assessed by self-report questionnaires. RESULTS The clients rated the working relationship higher than the therapists (mean rating 101.1 vs. 93.9; p < 0.001). The therapists' rating showed a statistically significant association with return to work at the 12-month follow-up, and the clients' perceptions were statistically significantly related to how they rated satisfaction with the rehabilitation received. The ReDO™ and the CAU groups did not differ regarding how they rated the relationship with the SIO officer (mean ratings 83.9 vs. 77; p = 0.189). The working relationship with the SIO officer was not related to return to work, but an association (rs = 0.70, p < 0.001) to client satisfaction at 16 weeks appeared in the CAU group alone. CONCLUSION The working relationship as perceived by clients and therapists seemed to be partly separate phenomena, the client perceptions being linked with satisfaction with the rehabilitation and the therapist perceptions with the clients' return to work. The relationship to the SIO officers was of no importance to return to work but was of some significance for satisfaction with the rehabilitation among the CAU clients. Therapists should strive to improve the relationship with clients to whom they feel the relationship is fragile since that might enhance the chances for those clients to return to work. TRIAL REGISTRATION Registered at ClinicalTrials.gov (identifier NCT01234961) 2 November 2010.
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Affiliation(s)
- Mona Eklund
- Department of Health Sciences, Lund University, PO Box 157, SE-22100, Lund, Sweden.
| | | | - Birgitta A Wästberg
- Department of Health Sciences, Lund University, PO Box 157, SE-22100, Lund, Sweden.
- Skane University Hospital Malmö-Lund, 221 85, Lund, Sweden.
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Blomdahl C, Gunnarsson AB, Guregård S, Björklund A. A realist review of art therapy for clients with depression. ARTS IN PSYCHOTHERAPY 2013. [DOI: 10.1016/j.aip.2013.05.009] [Citation(s) in RCA: 26] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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17
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Gunnarsson AB, Björklund A. Sustainable enhancement in clients who perceive the Tree Theme Method®as a positive intervention in psychosocial occupational therapy. Aust Occup Ther J 2013; 60:154-60. [DOI: 10.1111/1440-1630.12034] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/17/2013] [Indexed: 11/26/2022]
Affiliation(s)
| | - Anita Björklund
- Department of Rehabilitation; School of Health Sciences; Jönköping University, Jönköping; Sweden
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Pooremamali P, Ostman M, Persson D, Eklund M. An occupational therapy approach to the support of a young immigrant female's mental health: A story of bicultural personal growth. Int J Qual Stud Health Well-being 2011; 6:QHW-6-7084. [PMID: 21912570 PMCID: PMC3171197 DOI: 10.3402/qhw.v6i3.7084] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 08/04/2011] [Indexed: 11/23/2022] Open
Abstract
Young immigrants who suffer from psychosis perceive their illness from the outlook of at least two cultures, which is often a source of confusion and misunderstanding for clients, their families, and clinicians. This article presents a case study with a narrative approach, aiming to illustrate how an occupational therapy intervention can highlight the role of culture and address bicultural identification in a young adult immigrant woman with mental health problems. The results show how a culturally adapted intervention model can be used to help the client go through a transition from an interdependent to a more independent self. During the course of occupational therapy, the client gained greater insight into her problems and could view herself as integrating numerous facets related to two different social and cultural contexts. Moreover, the client achieved better skills in dealing with discrepancies and cultural contradictions and became capable of relying on either or both of the cultures in different situations.
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Gunnarsson AB, Peterson K, Leufstadius C, Jansson JÅ, Eklund M. Client perceptions of the Tree Theme Method™: a structured intervention based on storytelling and creative activities. Scand J Occup Ther 2010. [DOI: 10.3109/11038120903045366] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
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