Tees, Esk, and Wear Valleys National Health Service Foundation Trust, Roseberry Park, Marton Road, Middlesbrough TS4 3AF, England.
Am J Occup Ther. 2011 May-Jun;65(3):257-66. doi: 10.5014/ajot.2011.001305.
Activity-based group work is widely used by occupational therapists in mental health settings (Lloyd, King, & Bassett, 2002), but the evidence to support this intervention is unclear. We therefore conducted a systematic review focused on the question, "Is activity-based group work effective in helping people with severe and enduring mental illness in community settings improve their functional ability and/or reduce their mental health symptoms?" We used a wide-ranging search strategy, including electronic searching, hand searching, citation searching, and use of gray literature, and identified 136 potentially relevant papers. After assessment of relevance and quality, only 3 articles met the minimum criteria. Heterogeneity and flaws in quality meant it was not possible to make specific inferences for practice from the studies. Large-scale rigorous research, in the form of randomized controlled trials, is urgently needed to identify whether activity-based group work is effective.
基于活动的小组工作在精神卫生领域被职业治疗师广泛应用（Lloyd、King 和 Bassett，2002），但支持这种干预的证据并不明确。因此，我们进行了一项系统评价，重点关注的问题是，“在社区环境中，基于活动的小组工作是否对帮助患有严重和持久精神疾病的人提高其功能能力和/或减轻其心理健康症状有效？”我们采用了广泛的搜索策略，包括电子搜索、手工搜索、引文搜索和利用灰色文献，并确定了 136 篇潜在相关的论文。在评估相关性和质量之后，只有 3 篇文章符合最低标准。由于存在异质性和质量缺陷，因此无法从这些研究中为实践提供具体的推论。急需进行大规模的严格研究，例如随机对照试验，以确定基于活动的小组工作是否有效。
