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The Effectiveness of Occupational Th...

Christie, Lynn,

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The Effectiveness of Occupational Therapy in Enabling Adults with a Diagnosis of Depression to Improve their Function and Meaningful Participation; A Mixed Methods Study /

Record Type:	Electronic resources : Monograph/item
Title/Author:	The Effectiveness of Occupational Therapy in Enabling Adults with a Diagnosis of Depression to Improve their Function and Meaningful Participation; A Mixed Methods Study // Lynn Christie.
Author:	Christie, Lynn,
Description:	1 electronic resource (338 pages)
Notes:	Source: Dissertations Abstracts International, Volume: 84-04, Section: A.
Contained By:	Dissertations Abstracts International84-04A.
Subject:	Therapists. -
Online resource:	https://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=29403795
ISBN:	9798352651865

The Effectiveness of Occupational Therapy in Enabling Adults with a Diagnosis of Depression to Improve their Function and Meaningful Participation; A Mixed Methods Study /
Christie, Lynn,

The Effectiveness of Occupational Therapy in Enabling Adults with a Diagnosis of Depression to Improve their Function and Meaningful Participation; A Mixed Methods Study /Lynn Christie. - 1 electronic resource (338 pages)

Source: Dissertations Abstracts International, Volume: 84-04, Section: A.

Background Depression is a leading cause of disability and is characterised by a loss of interest in activities as well as difficulty carrying out everyday activities. Occupational therapy aims to enable people to participate in the daily activities they want or need to do to improve health and well-being, however there is a limited evidence base relating to the effectiveness and impact of occupational therapy in depression. Purpose This mixed-methods study aimed to (a) evaluate the effectiveness of individualised occupational therapy in enabling individuals with a diagnosis of depression to improve their occupational functioning and participation in everyday activities and (b), identify the most effective components of occupational therapy from the perspective of service users. Method A single group pretest-posttest study design was used utilising the following outcome measures: Canadian Occupational Performance Measure (COPM), Beck Depression Inventory II (BDI II), Work and Social Adjustment Scale (WSAS), Utrecht Scale for Evaluation of Rehabilitation-Participation (User-P) and the Short Form-36 Health Survey (SF-36). Semi-structured interviews were undertaken at completion of the intervention. Methods of data analysis included correlations, paired t tests and descriptive statistics for the quantitative data, and thematic analysis for the interview data. Findings Quantitative findings show statistically significant improvements in the COPM-P, COPMS, BDI II, WSAS, two scales of the USER-P and three scales of the SF-36 outcome measure. In addition, correlation analysis suggested a tendency for those participants who had more occupational therapy to have better outcomes suggesting preliminary indication of a 'dose-response' relationship relating to the amount of occupational therapy people receive. Six key themes and 16 subthemes emerged from the qualitative data, which give insight into the aspects of occupational therapy that participants found most helpful. These include: a focus on what was meaningful to them, resuming previous activities, especially hobbies, focusing on small things at the start, setting their own goals, and the partnership between themselves and their occupational therapist. Additionally, qualitative data suggest participants found occupational therapy motivating and effective with progress being attributed to occupational therapy. Conclusions The qualitative findings confirm the quantitative findings. There may be some indication of a causal relationship between occupational therapy and improved occupational function and/or participation but this should be considered cautiously. The positive findings may also allow this study to serve as a feasibility study for a larger study. ImplicationsThis research further develops the evidence base for occupational therapy in mental health by showing that occupational therapy was associated with improved outcomes in people with depression. There were powerful narratives demonstrating how occupational therapy improved functioning, which were backed up by promising improvements in objective measures. Further larger scale studies would be needed to confirm the quantitative findings.

English

ISBN: 9798352651865Subjects--Topical Terms:

3564388
Therapists.

The Effectiveness of Occupational Therapy in Enabling Adults with a Diagnosis of Depression to Improve their Function and Meaningful Participation; A Mixed Methods Study /
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520 $a Background Depression is a leading cause of disability and is characterised by a loss of interest in activities as well as difficulty carrying out everyday activities. Occupational therapy aims to enable people to participate in the daily activities they want or need to do to improve health and well-being, however there is a limited evidence base relating to the effectiveness and impact of occupational therapy in depression. Purpose This mixed-methods study aimed to (a) evaluate the effectiveness of individualised occupational therapy in enabling individuals with a diagnosis of depression to improve their occupational functioning and participation in everyday activities and (b), identify the most effective components of occupational therapy from the perspective of service users. Method A single group pretest-posttest study design was used utilising the following outcome measures: Canadian Occupational Performance Measure (COPM), Beck Depression Inventory II (BDI II), Work and Social Adjustment Scale (WSAS), Utrecht Scale for Evaluation of Rehabilitation-Participation (User-P) and the Short Form-36 Health Survey (SF-36). Semi-structured interviews were undertaken at completion of the intervention. Methods of data analysis included correlations, paired t tests and descriptive statistics for the quantitative data, and thematic analysis for the interview data. Findings Quantitative findings show statistically significant improvements in the COPM-P, COPMS, BDI II, WSAS, two scales of the USER-P and three scales of the SF-36 outcome measure. In addition, correlation analysis suggested a tendency for those participants who had more occupational therapy to have better outcomes suggesting preliminary indication of a 'dose-response' relationship relating to the amount of occupational therapy people receive. Six key themes and 16 subthemes emerged from the qualitative data, which give insight into the aspects of occupational therapy that participants found most helpful. These include: a focus on what was meaningful to them, resuming previous activities, especially hobbies, focusing on small things at the start, setting their own goals, and the partnership between themselves and their occupational therapist. Additionally, qualitative data suggest participants found occupational therapy motivating and effective with progress being attributed to occupational therapy. Conclusions The qualitative findings confirm the quantitative findings. There may be some indication of a causal relationship between occupational therapy and improved occupational function and/or participation but this should be considered cautiously. The positive findings may also allow this study to serve as a feasibility study for a larger study. ImplicationsThis research further develops the evidence base for occupational therapy in mental health by showing that occupational therapy was associated with improved outcomes in people with depression. There were powerful narratives demonstrating how occupational therapy improved functioning, which were backed up by promising improvements in objective measures. Further larger scale studies would be needed to confirm the quantitative findings.
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