Mental Disorder, Neurodevelopmental Disorders
Conditions
Keywords
Time management, Group intervention, Executive function
Brief summary
The aim of this study is to pilot test the Let's Get Organized (LGO) Occupational Therapy intervention in a Swedish context by exploring possible enhancements in time management skills, aspects of executive functioning, and satisfaction with daily occupations in persons with time-management difficulties due to neurodevelopmental and/or mental disorders. Method: A pre-post design with 3 and 12-months follow-up is used. The LGO intervention is a manual-based group intervention aiming to enhance time-management, targeted to persons with mental or neurodevelopmental disorders. The LGO is conducted as 10 weekly 1.5-hour group sessions. Two trained group leaders, lead each group of 6-8 participants. Goal-directed and other learning strategies are used to train effective time management habits such as maintaining a calendar and wearing a watch. All group sessions follow the same format, and each session has a set theme. Group sessions are structured with a slide presentation and a course manual, and information from the group leaders is intermixed with discussion among the participants and tasks to complete. The primary outcome of the study is self-reported time management measured by the Assessment of Time Management Skills (ATMS-S). Secondary outcomes are executive functioning measured with the Weekly Calendar Planning Activity (WCPA) and satisfaction with daily occupations, which is measured with the interview-administered questionnaire Satisfaction with Daily Occupations 13 items (SDO-13). Data will be collected before intervention start (pre intervention), after intervention completion (post intervention) and 3 and 12 months post intervention completion. The ATMS will be collected at all four time points. The WCPA and SDO-13 will be collected pre, post and 12 months post intervention.
Interventions
BEHAVIORALLet's Get Organized
Group intervention aiming to enhance time-management, targeted to persons with mental or neurodevelopment disorders. Each group has 6-8 participants and is lead by two trained group leaders. Goal-directed and other learning strategies are used to train effective time management habits such as maintaining a calendar and wearing a watch. Group sessions are structured with a PowerPoint presentation and a course manual, and information from the group leaders is intermixed with discussion among the participants and tasks to complete.
Sponsors
Dalarna County Council, Sweden
Region Örebro County
Uppsala University
Region Gävleborg
State University of New York - Downstate Medical Center
Örebro University, Sweden
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE
Intervention model description
Pre-post intervention study
Eligibility
Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
No
Inclusion criteria
* confirmed or suspected diagnosis of a mental disorder, such as affective disorder or schizophrenia, or neurodevelopmental disorder, such as autism spectrum disorder or attention deficit hyperactivity disorder/attention deficit disorder * self-reported difficulties in time management in daily life to an extent that affects functioning in daily life negatively
Exclusion criteria
* intellectual disability
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change Assessment of Time Management Skills (ATMS-S) Time management sub scale | baseline (pre-intervention), 10 weeks, 24 weeks, 62-months | Time management (11 items) measured in ATMS units (range 0-100) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change in Weekly Calendar Planning Activity (WCPA-SE) Total time | baseline (pre-intervention), 10 weeks, 62-months | Total time No of strategies used No of rules followed (0-5) |
| Change in Weekly Calendar Planning Activity (WCPA-SE) Strategies | baseline (pre-intervention), 10 weeks, 62-months | No of strategies used No of rules followed (0-5) |
| Change in Weekly Calendar Planning Activity (WCPA-SE) Rules followed | baseline (pre-intervention), 10 weeks, 62-months | No of rules followed (range 0-5) |
| Change in Satisfaction with Daily Occupations 13 items (SDO-13) Activity sub scale | baseline (pre-intervention), 10 weeks, 62-months | No of activities (range 0-13) |
| Change in Weekly Calendar Planning Activity (WCPA-SE) No of appointments | baseline (pre-intervention), 10 weeks, 62-months | No of correctly entered appointments (range 0-17) Total time No of strategies used No of rules followed (0-5) |
| Change in Satisfaction with Daily Occupations 13 items (SDO-13) Global satisfaction sub scale | baseline (pre-intervention), 10 weeks, 62-months | Global satisfaction score (range 1-5, lower score indicates better satisfaction) |
| Change in Assessment of Time Management Skills (ATMS-S) Organization and planning sub scale | baseline (pre-intervention), 10 weeks, 24 weeks, 62-months | Organization and Planning (11 items) measured in ATMS units (range 0-100) |
| Change in Assessment of Time Management Skills (ATMS-S) Regulation of emotions sub scale | baseline (pre-intervention), 10 weeks, 24 weeks, 62-months | Regulation of emotions (5 items) measured in ATMS units (range 0-100) |
| Change in Satisfaction with Daily Occupations 13 items (SDO-13) Satisfaction sub scale | baseline (pre-intervention), 10 weeks, 62-months | Satisfaction sub scale score (each item is scored 1-7 and summed to a sub scale score, range 13-91, higher score indicates better satisfaction) |
Outcome results
None listed