Eklund Mona, Erlandsson Lena-Karin
Department of Health Sciences, Lund University, Lund, Sweden.
Work. 2013 Jan 1;46(1):51-8. doi: 10.3233/WOR-121524.
The outcomes, in terms of quality of life and satisfaction with rehabilitation, of the 16-week Redesigning Daily Occupations (ReDO) programme as a work rehabilitation method for women with stress-related disorders was evaluated. It was hypothesised that, compared to women who got Care as Usual (CAU), the ReDO group would improve their quality of life and self-mastery more, and that those differences would prevail at follow-ups after 6 and 12 months. Another hypothesis was that the ReDO group would be more satisfied than the CAU group with the rehabilitation received.
Forty-two women were recruited to the ReDO intervention and a matched comparison group got CAU.
The data consisted of self-ratings of quality of life, self-mastery and satisfaction with the work rehabilitation received.
The first hypothesis was only partially verified. No general group differences were identified, but closer examination indicated different trajectories in the two groups. There was an increase in quality of life in the ReDO group from baseline to completion of the work rehabilitation, and further increase at the six-month follow-up, while the quality of life in the CAU group was stable over time. Regarding self-mastery there was an increase from baseline to completed rehabilitation in the ReDO group but a pronounced decrease in the CAU group. Thereafter the group differences levelled out. The second hypothesis was verified. The ratings of client satisfaction were considerably higher in the ReDO group.
The ReDO seems a promising work rehabilitation method for strengthening quality of life and self-mastery for the target group. Future research should include larger groups and be based on randomised controlled designs.
评估为期16周的“重新设计日常活动(ReDO)”项目作为一种针对患有压力相关障碍女性的工作康复方法,在生活质量和康复满意度方面的效果。研究假设,与接受常规护理(CAU)的女性相比,ReDO组在生活质量和自我掌控方面会有更大改善,且这些差异在6个月和12个月的随访中依然存在。另一个假设是,ReDO组对所接受的康复治疗比CAU组更满意。
42名女性被招募参加ReDO干预,一个匹配的对照组接受CAU。
数据包括生活质量、自我掌控以及对所接受工作康复治疗的满意度的自评。
第一个假设仅得到部分验证。未发现总体组间差异,但进一步检查表明两组有不同的变化轨迹。从基线到工作康复结束,ReDO组的生活质量有所提高,在6个月随访时进一步提高,而CAU组的生活质量随时间保持稳定。关于自我掌控,ReDO组从基线到康复结束有所提高,而CAU组则显著下降。此后,组间差异趋于平稳。第二个假设得到验证。ReDO组的客户满意度评分显著更高。
ReDO似乎是一种有前景的工作康复方法,可增强目标群体的生活质量和自我掌控能力。未来研究应纳入更大样本,并基于随机对照设计。