Effectiveness of Balancing Everyday Life (BEL) versus standard occupational therapy for activity engagement and functioning among people with mental illness – a cluster RCT study

Autor: Mona Eklund, Carina Tjörnstrand, Mikael Sandlund, Elisabeth Argentzell
Jazyk: angličtina
Rok vydání: 2017
Předmět:
Zdroj: BMC Psychiatry, Vol 17, Iss 1, Pp 1-12 (2017)
Druh dokumentu: article
ISSN: 1471-244X
DOI: 10.1186/s12888-017-1524-7
Popis: 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
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