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Evaluation of the time management intervention Let's Get Organized: Effectiveness, sustainability over time, and parenting perspectives
Örebro University, School of Health Sciences.ORCID iD: 0000-0003-3099-7457
2025 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

Introduction: Time management skills are crucial in daily life—at home, to maintain employment, and in parenting—posing a challenge for people with impaired executive functioning. To improve time management skills, individual occupational therapy is commonly offered. The occupational therapy group intervention Let’s Get Organized (LGO) includes ten weekly sessions with a focus on time management skills; it has shown promising results but needs to be further evaluated. Aim: The overall aim of this thesis was to evaluate the time management group intervention LGO for people with ADHD, autism, or mental disorders regarding effectiveness, sustainability over time, and parenting perspectives. Method: LGO was evaluated in four studies with different designs: a multi-center, two-armed, randomized controlled trial including 75 participants who were randomized to LGO or individual occupational therapy (Study I); a single-group one-year follow-up study including 38 participants (Study II); a study including data from the participants in Study I who were parents (n = 28, Study III); and a qualitative interview study with parents after intervention (n = 15, Study IV). To analyze the data, non-parametric tests, a mixed-effects model, correlation testing, and inductive qualitative content analysis were used. Results: Time management skills improved in both groups (LGO and individual occupational therapy) with no difference between them (Study I). Additionally, organization and planning skills and emotional regulation improved after intervention in both groups (Study I). The improved time management skills achieved after LGO were sustained one year after intervention (Study II). Parents improved significantly in parental self-efficacy after time management interventions with no difference betweenthe type of intervention (Study III). Parents experienced more active parenting and better predictability in the whole family after participating in LGO (Study IV). Conclusion: Time management interventions improve time management skills; the improvement is sustained over the long term and moreover has a positive impact on parenting.

Place, publisher, year, edition, pages
Örebro: Örebro University , 2025. , p. 84
Series
Örebro Studies in Medicine, ISSN 1652-4063 ; 335
Keywords [en]
Occupational therapy, time management skills, organization and planning, intervention, parenting, parental self-efficacy
National Category
Other Health Sciences
Identifiers
URN: urn:nbn:se:oru:diva-121525ISBN: 9789175296906 (print)ISBN: 9789175296913 (electronic)OAI: oai:DiVA.org:oru-121525DiVA, id: diva2:1967012
Public defence
2025-10-03, Örebro universitet, Forumhuset, Hörsal F, Fakultetsgatan 1, Örebro, 09:00 (Swedish)
Opponent
Supervisors
Available from: 2025-06-11 Created: 2025-06-11 Last updated: 2025-09-30Bibliographically approved
List of papers
1. Effectiveness of a group-based time-management intervention: a randomised controlled trial
Open this publication in new window or tab >>Effectiveness of a group-based time-management intervention: a randomised controlled trial
(English)Manuscript (preprint) (Other academic)
National Category
Other Health Sciences
Identifiers
urn:nbn:se:oru:diva-123567 (URN)
Available from: 2025-09-10 Created: 2025-09-10 Last updated: 2025-09-30Bibliographically approved
2. One-year follow-up after the time management group intervention Let's Get Organized
Open this publication in new window or tab >>One-year follow-up after the time management group intervention Let's Get Organized
Show others...
2022 (English)In: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014, Vol. 29, no 4, p. 305-314Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: Time management skills are essential to maintain occupations in everyday life. People with neurodevelopmental or mental disorders often experience persistent difficulties with managing time and organizing daily life, consequently, there is a need to establish interventions with sustainable results.

AIM: The aim was to perform a one-year post-intervention follow-up after the intervention Let's Get Organized (LGO-S) for people with neurodevelopmental or mental disorders.

METHODS: The study is a one-year follow-up of a single group pre-test-post-test design. Thirty-eight persons with difficulties in time management due to neurodevelopmental or mental disorders participated. Instruments to collect data were Assessment of Time Management Skills; Weekly Calendar Planning Activity and the Satisfaction with Daily Occupations instrument. Wilcoxons's signed-rank test was used to compare data over time.

RESULTS: There were no significant differences in the participants' outcomes between post-intervention and one-year follow-up in time management skills and regulation of emotions, satisfaction with daily occupations, and global satisfaction. A significant improvement could be seen in the subscale organization and planning at the one-year follow-up compared to post-intervention.

CONCLUSIONS: Improvements in time management skills, organization, and planning, regulation of emotions, and satisfaction with daily occupations after the LGO-S can be maintained in the long term.

Place, publisher, year, edition, pages
Informa Healthcare, 2022
Keywords
ADHD, ASD, adults, long-term follow-up, mental disorders, neurodevelopmental disorders, occupational therapy
National Category
Occupational Therapy
Identifiers
urn:nbn:se:oru:diva-93469 (URN)10.1080/11038128.2021.1954687 (DOI)000675286600001 ()34288758 (PubMedID)2-s2.0-85111095322 (Scopus ID)
Note

Funding agencies:

Centre for Clinical Research Dalarna, Falun

Faculty of Medicine and Health, Örebro University

Regional Research Council in the Uppsala-Örebro Region

Research Committee in Region Örebro County

Available from: 2021-08-12 Created: 2021-08-12 Last updated: 2025-09-10Bibliographically approved
3. Evaluating the impact of time management interventions on parental self-efficacy
Open this publication in new window or tab >>Evaluating the impact of time management interventions on parental self-efficacy
(English)Manuscript (preprint) (Other academic)
National Category
Other Health Sciences
Identifiers
urn:nbn:se:oru:diva-123569 (URN)
Available from: 2025-09-10 Created: 2025-09-10 Last updated: 2025-09-30Bibliographically approved
4. A more active parenting after attending Let's Get Organized - Experiences of parents with ADHD
Open this publication in new window or tab >>A more active parenting after attending Let's Get Organized - Experiences of parents with ADHD
Show others...
2023 (English)In: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014, Vol. 30, no 8, p. 1267-1279Article in journal (Refereed) Published
Abstract [en]

Background: Parenting demands a high degree of attention, planning, and problem-solving, including time management, demands that can be challenging for parents with ADHD. Let's Get Organized (LGO) is an occupational therapy group intervention aiming at developing skills in time management, organisation and planning. There is a need to investigate if LGO may have an impact also on parenting.

Aim: To describe how parents with ADHD experienced the intervention, their time management strategies, parenting and family life after the occupational therapy group intervention LGO.

Method: Interviews were performed with 15 parents with ADHD, after completing LGO. Data were analysed using qualitative content analysis.

Results: The findings are described in one overarching main category, Active parenting and better relations within and outside the family through daily time management with three underlying generic categories: Let's Get Organized facilitates empowerment in daily life; The individual and family - both facilitators of and obstacles to implementation of time management strategies; and A changed parenting and family life.

Conclusions and significance: Participants experienced a positive impact on time management skills after LGO, which generated more active parenting and better predictability in the whole family. LGO can be a valuable intervention for parents with ADHD.

Place, publisher, year, edition, pages
Taylor & Francis, 2023
Keywords
Adult, empowerment, intervention, occupational therapy, parenting support, time management, qualitative research, >
National Category
Occupational Therapy
Identifiers
urn:nbn:se:oru:diva-107359 (URN)10.1080/11038128.2023.2225748 (DOI)001030005500001 ()37471235 (PubMedID)2-s2.0-85165512773 (Scopus ID)
Funder
Region Örebro County
Note

Funding agencies:

Centre for Clinical Research Dalarna, Falun, Sweden

Faculty of Medicine and Health, Örebro University, Örebro, Sweden

Available from: 2023-08-04 Created: 2023-08-04 Last updated: 2025-09-10Bibliographically approved

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