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Effectiveness of an intervention to improve day centre services for people with psychiatric disabilities
Author(s) -
Eklund Mona,
Gunnarsson A. Birgitta,
Sandlund Mikael,
Leufstadius Christel
Publication year - 2014
Publication title -
australian occupational therapy journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.595
H-Index - 44
eISSN - 1440-1630
pISSN - 0045-0766
DOI - 10.1111/1440-1630.12120
Subject(s) - intervention (counseling) , fidelity , context (archaeology) , psychological intervention , psychiatric rehabilitation , rehabilitation , psychology , quality of life (healthcare) , occupational therapy , medicine , psychiatry , nursing , physical therapy , mental health , mental illness , paleontology , electrical engineering , engineering , biology
Background/aim Day centres for people with psychiatric disabilities need to be evaluated for effectiveness in order to provide the best possible support. This study aimed at investigating the effectiveness of a tailor‐made intervention to improve day centre services for people with psychiatric disabilities. Methods The intervention was devised to bridge identified gaps in the services and lasted for 14 months. Eight centres were allotted to the intervention (55 attendees) or comparison condition (51 attendees). Fidelity to the intervention and major events in the day centres were assessed. The outcomes were degree of meaningfulness found in the day centre occupations, satisfaction with the rehabilitation received, satisfaction with everyday occupations and quality of life. Results The fidelity to the intervention was good, but more positive events, such as new occupational opportunities, had taken place in the comparison units. No differences were identified between the intervention and the comparison group regarding changes from baseline to the 14‐month follow‐up in perceived meaningfulness among day centre occupations, satisfaction with everyday occupations or quality of life. Conclusions The intervention seemed ineffective, but the positive events in the comparison group resembled the measures included in the tailor‐made interventions. This first intervention study in the day centre context has hopefully helped to generate hypotheses and methods for future research.