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Goal, intervention and outcome of occupational therapy in individuals with psychosis: content analysis through a chart review
Örebro University, School of Health and Medical Sciences, Örebro University, Sweden. Department of Public Health and Caring Sciences, Unit of Caring Science, Uppsala University, Uppsala, Sweden.
Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden; epartment of Rehabilitation Medicine Clinic, Karolinska Hospital, Stockholm.
Department of Occupational Therapy, University of South Dakota, Vermillion, USA.
2000 (English)In: Occupational Therapy International, ISSN 0966-7903, E-ISSN 1557-0703, Vol. 7, no 1, 21-41 p.Article in journal (Refereed) Published
Abstract [en]

The purpose of the study was to analyse the content of occupational therapy records documenting treatment for individuals with psychoses. A retrospective content analysis of occupational therapy records regarding treatment goals, interventions and outcome was undertaken using a coding scheme, the Template of Occupational Therapy (TOT). Twenty-five occupational therapists chosen at random contributed 64 occupational therapy records, generating 2992 statements.

The patients’ disorders and functional and activity limitations (n=1723) were comprehensively described. Ability to manage self-care and the home environment, and to engage in a daily occupation, emerged as the prominent treatment goals. The content of the occupational therapy interventions was characterized by descriptions of a wide range of activities, which were used as therapeutic resources.

The occupational therapist had a client-centred approach, combining the use of the current activity with the use of herself/himself as a resource. A few statements in the records were interpreted as relating to outcomes of treatment for this patient group. Statements related to outcome were the patients’ self-reports and how they were able to manage activities of daily living. This retrospective study was found to be a useful conceptual model for designing studies of evidence-based occupational therapy in mental health

Place, publisher, year, edition, pages
2000. Vol. 7, no 1, 21-41 p.
Keyword [en]
content analysis, mental health, occupational therapy, psychoses, patient record
National Category
Occupational Therapy
Research subject
Occupational therapy
Identifiers
URN: urn:nbn:se:oru:diva-37321Scopus ID: 2-s2.0-0002082209OAI: oai:DiVA.org:oru-37321DiVA: diva2:751530
Available from: 2014-10-01 Created: 2014-10-01 Last updated: 2014-10-28Bibliographically approved
In thesis
1. Occupational Performance in Individuals with Severe Mental Disorders: Assessment and Family Burden
Open this publication in new window or tab >>Occupational Performance in Individuals with Severe Mental Disorders: Assessment and Family Burden
2002 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

The overall aim of the present thesis was three-fold. The first was to study occupational performance in individuals with severe mental disorders and their experiences of occupational therapy, the second to study experienced burden of family caregivers and the third to test the validity and the homogeneity of assessment tools in this area. The samples consisted of individuals with severe mental disorders participating in organised occupations (n= 112), occupational therapy records (n=64), occupational therapists working in mental health care (n=7) and family caregivers of individuals with severe mental disorders (n=256). Data were collected by questionnaires, structured and narrative interviews, observations and occupational therapy records. Individuals with severe mental disorders reported problems related to leisure and work activities and the occupational therapists recorded problems concerning how to organise and structure occupational performance. Individuals functioning on a high cognitive level experienced problems related to work and productive activities. Participation in occupational therapy strengthened their confidence in their own ability. The “Experience of Occupational Performance Questionnaire” (EOPQ) was developed from data on the experiences of women participating in occupational therapy. A principal component analysis gave seven factors with acceptable homogeneity. There is a need for assessment tools to evaluate occupational therapy. The EOPQ represents an attempt to fulfil this need. Family caregivers experienced limitations of daily activities as a burden. The ability to perform daily activities was studied from three perspectives, the individuals’, the occupational therapists’, and the experienced burden of the family caregivers. These perspectives are complementary and thus necessary for planning and implementation of individually adapted occupational therapy as well as for the evaluation of outcomes.

Place, publisher, year, edition, pages
Uppsala: Uppsala University, Tryck & Medier, 2002. 41 p.
Series
Comprehensive summaries of Uppsala Dissertations form the Faculty of Social Sciences, ISSN 0282-7492 ; 118
Keyword
Mental disorders, occupational performance, activities in daily life, factor analysis.
National Category
Social Sciences
Research subject
Occupational therapy
Identifiers
urn:nbn:se:oru:diva-37423 (URN)01-554-5432-1 (ISBN)
Public defence
2002-11-08, Uppsala, 13:00 (Swedish)
Opponent
Supervisors
Available from: 2014-10-21 Created: 2014-10-02 Last updated: 2016-12-06Bibliographically approved

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