Department of Community Medicine and Rehabilitation, Occupational Therapy, Umeå University, Umeå, Sweden.
Qual Health Res. 2013 Jun;23(6):728-40. doi: 10.1177/1049732313482047. Epub 2013 Mar 20.
As part of a larger study, we offered Everyday Life Rehabilitation (ELR) as a model for integrated occupational therapy in sheltered or supported housing facilities, to enable meaningful daily occupations for people with psychiatric disabilities. Our aim with this study was to understand how participants made sense of their occupational transformations in the context of their everyday life and life history. We carried out qualitative interviews and field observations with 16 participants with psychosis-related disorders. We used narrative analysis and disclosed stories of "rediscovering agency," referring to occupational and identity transformations. A parallel outcome study has shown positive results for participants, and by using narrative inquiry we contribute with a deeper understanding of the meaning making of their transformations and mechanisms of the intervention; i.e., hope, extended value of reaching goals, reentering the majority world, transparency of process, and attunement to the individual. The findings support the use of the ELR intervention.
作为一项更大规模研究的一部分，我们提供了日常生活康复（ELR）作为庇护或支持性住房设施中综合职业治疗的一种模式，使精神残疾人士能够从事有意义的日常职业活动。我们这项研究的目的是了解参与者如何在日常生活和生活史的背景下理解他们的职业转变。我们对 16 名患有精神障碍相关疾病的参与者进行了定性访谈和现场观察。我们使用叙述分析揭示了“重新发现能动性”的故事，即职业和身份的转变。一项平行的结果研究显示，参与者的结果是积极的，通过使用叙事探究，我们对他们转变的意义建构和干预机制有了更深入的理解；即，希望、实现目标的扩展价值、重新进入主流世界、过程的透明性和对个体的协调。研究结果支持使用 ELR 干预措施。
