Serious Mental Illness
Conditions
Keywords
Schizophrenia, Psychosis, Occupational Disengagement, Occupational Imbalance
Brief summary
The purpose of this study is to test the efficacy of a new Occupational Time Use Intervention designed to increase activity participation and improve meaning in the lives of people with serious mental illness living in the community.
Detailed description
5 Assertive Community Treatment (ACT) Teams from Kingston (n=2), Belleville (n=1), and Ottawa (n=2) will be involved in a 12 week randomized controlled trial of our Time Use Intervention. 20 subjects (4 subjects from each team) will participate in this pilot study and will be treated individually by their ACT team Occupational Therapist (1 OT per ACT Team). This pilot test will help to determine the clinical utility and efficacy of our treatment protocol. Comparison: Standard ACT treatment with the Occupational Time Use Intervention vs. Standard ACT treatment
Interventions
BEHAVIORALOccupational Time Use Intervention
12 week behavioral intervention administered by Occupational Therapists.
Sponsors
Queen's University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
No
Inclusion criteria
* Adults (18-65 years of age); * Primary diagnosis of a severe psychiatric disorder with a psychotic feature; * Team and self-perceived occupational disengagement (low activity levels); * Fluent in English; * Living in a community setting and receiving ACT treatment; * Own legal guardian (thus competent to give consent to participate), and are willing to give written informed consent to participate in the study.
Exclusion criteria
* Unstable mental health; * Lack of interest in a time use intervention; * Satisfied with current time use and occupations; * ACT Team Occupational Therapist is subject's main Case Manager.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Change in Activity Level using a 2 day (48 hour) time use diary | Participants were tested at baseline and after 12 weeks of treatment. |
| Occupational Engagement using 1. 48 hour time use diary for occupational balance, 2. Engagement in Meaningful Activities Survey (EMAS) for meaning of activities, and 3. Profiles of Engagement in People with Schizophrenia (POES) to rate engagement. | Participants were tested at baseline and after 12 weeks of treatment. |
Secondary
| Measure | Time frame |
|---|---|
| Clinical Utility using feedback from Therapists and Treatment Subjects | Participants were tested after 12 weeks of treatment. |
Outcome results
None listed