Occupational intervention in mental health hospitals: Study of contextual impact.

Recovery-promoting and occupation-oriented interventions for people with schizophrenia who receive in-patient services are scarcely investigated, limiting our understanding of the factors affecting intervention effectiveness and hindering occupational inclusion. To investigate the impact of contextu...

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Publicado en:Scandinavian Journal of Occupational Therapy Vol. 30; no. 2; pp. 137 - 148
Autores principales: Volovik-Shushan, Shani, Krupa, Terry, Bloch, Yuval, Lipskaya-Velikovsky, Lena
Formato: research tables/charts Journal Article
Publicado: Springer Nature Feb2023
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Feb2023
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      pub: Springer Nature
      place: New York, New York
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        10.1080/11038128.2022.2076734
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        atl: Occupational intervention in mental health hospitals: Study of contextual impact.
      aug:
        au:
          Volovik-Shushan, Shani
          Krupa, Terry
          Bloch, Yuval
          Lipskaya-Velikovsky, Lena
        affil: Shalvata Mental Health Care Center, Hod-Hasharon, Israel
      sug:
        subj:
          Occupational Therapy
          Mental Health
          Hospitals, Psychiatric
          Inpatients
          Human
          Cognition
          Quasi-Experimental Studies
          Descriptive Statistics
          Schizophrenia
          Treatment Outcomes
          Severity of Illness
          Functional Status
          Activities of Daily Living
          Recovery
          Funding Source
      ab: Recovery-promoting and occupation-oriented interventions for people with schizophrenia who receive in-patient services are scarcely investigated, limiting our understanding of the factors affecting intervention effectiveness and hindering occupational inclusion. To investigate the impact of contextual factors on the effectiveness of 'Occupational Connections' (OC) – occupational intervention for in-patient psychiatric settings. Quasi-experimental, single-blind study compared between inpatients with schizophrenia participating in OC (N = 14) and those receiving treatment as usual only (N = 16) on primary outcomes of participation dimensions and recovery-orientation of the service, and on secondary outcomes of cognition, symptom severity, and functional capacity. Participation in OC in a new context appears to contribute to improvement in cognitive fluency and flexibility, schizophrenia symptoms, and functional capacity (−2.8<t < 4.32, p < 0.05) with no improvement in the participation dimensions (−1.36<t < 1.36, p > 0.05) or reduction (−2.25<t < 3.74, p < 0.05). The pattern of change in primary and secondary outcomes in a new context was distinct from previous reports on OC effectiveness. These findings suggest the impact of contextual factors on OC effectiveness. Personal participants' factors, institutional features, clinician characteristics, and intervention qualities should be considered in the process of the OC further development, evidence building, and clinical implementation to ensure optimal intervention results.
      pubtype: Academic Journal
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      ougenre: Article
    language: English
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