Holmefur Marie, Lidström-Holmqvist Kajsa, Roshanay Afsaneh Hayat, Arvidsson Patrik, White Suzanne, Janeslätt Gunnel
Marie Holmefur, PhD, Reg. OT, is Professor, School of Health Sciences, Faculty of Medicine and Health, Örebro University, Örebro, Sweden;
Kajsa Lidström-Holmqvist, PhD, Reg. OT, is Research Supervisor, University Health Care Research Center, Faculty of Medicine and Health, Örebro University, Örebro, Sweden.
Am J Occup Ther. 2019 Sep/Oct;73(5):7305205020p1-7305205020p10. doi: 10.5014/ajot.2019.032631.
There is a need for evidence-based occupational therapy interventions to enhance time management in people with time management difficulties.
To pilot test the first part of the Let's Get Organized (LGO) occupational therapy intervention in a Swedish context by exploring enhancements of time management skills, aspects of executive functioning, and satisfaction with daily occupations in people with time management difficulties because of neurodevelopmental or mental disorders.
One-group pretest-posttest design with 3-mo follow-up.
Outpatient psychiatric and habilitation settings.
Fifty-five people with confirmed or suspected mental or neurodevelopmental disorder and self-reported difficulties with time management in daily life.
Swedish version of Let's Get Organized (LGO-S) Part 1, with structured training in the use of cognitive assistive techniques and strategies using trial-and-error learning strategies in 10 weekly group sessions of 1.5 hr.
Time management, organization and planning, and emotional regulation were measured with the Swedish version of the Assessment of Time Management Skills (ATMS-S). Executive functioning was measured with the Swedish version of the Weekly Calendar Planning Activity, and satisfaction with daily occupations was assessed with the Satisfaction With Daily Occupations measure.
Participants displayed significantly improved time management, organization and planning skills, and emotional regulation, as well as satisfaction with daily occupations. Aspects of executive functioning were partly improved. ATMS-S results were sustained at 3-mo follow-up.
LGO-S Part 1 is a promising intervention for improving time management skills and satisfaction with daily occupations and should be investigated further.
This study shows that LGO-S Part 1 is feasible for use in psychiatric and habilitation outpatient services. The results are promising for improved time management skills, organization and planning skills, and satisfaction with daily occupations and need to be confirmed in further studies.
需要基于证据的职业治疗干预措施来提高时间管理有困难的人群的时间管理能力。
通过探索提高时间管理技能、执行功能方面以及因神经发育或精神障碍导致时间管理困难的人群对日常活动的满意度,在瑞典背景下对“让我们有条理”(LGO)职业治疗干预的第一部分进行试点测试。
单组前后测设计,随访3个月。
门诊精神科和康复机构。
55名确诊或疑似患有精神或神经发育障碍且自我报告在日常生活中存在时间管理困难的人。
瑞典版“让我们有条理”(LGO-S)第一部分,在10次每周1.5小时的小组会议中,采用试错学习策略对使用认知辅助技术和策略进行结构化培训。
使用瑞典版时间管理技能评估(ATMS-S)测量时间管理、组织和计划以及情绪调节。使用瑞典版每周日程规划活动测量执行功能,使用日常活动满意度量表评估对日常活动的满意度。
参与者在时间管理、组织和计划技能、情绪调节以及对日常活动的满意度方面有显著改善。执行功能的某些方面有所改善。ATMS-S的结果在3个月随访时得以维持。
LGO-S第一部分是一种有前景的干预措施,可用于改善时间管理技能和对日常活动的满意度,应进一步研究。
本研究表明LGO-S第一部分在精神科和康复门诊服务中使用是可行的。其结果在改善时间管理技能、组织和计划技能以及对日常活动的满意度方面很有前景,需要在进一步研究中得到证实。