"Let's Get Organized" in Adult Psychiatric/Habilitation Care
Condition: Neurodevelopmental Disorders; Mental Disorder
MeSH terms: Mental Disorders; Neurodevelopmental Disorders
Study type: Interventional

Summary: 
      This project aims to evaluate and establish evidence for a novel, group-based intervention
      that can help people with cognitive limitations due to mental or neurodevelopmental disorders
      to improve their ability to manage time and organize activities. This might provide an
      important step towards establishing healthy life habits, getting or maintaining employment,
      and managing family life. Time management is a necessary skill for maintaining healthy life
      habits and daily occupations in modern society. People with limited cognitive function due
      to, for example, mental or neurodevelopmental disorders, have documented difficulties in time
      management, which is also related to issues with self-efficacy. Common interventions for
      persons with poor time management are time-assistive devices and products, but studies show
      that these devices alone are not enough to cover these people's needs. Structured training is
      needed, but there is a lack of structured interventions to enhance time management skills.
      The intervention program "Let's get organized" (LGO) is a manual-based group intervention
      aiming to enhance time management, targeted to persons with mental or neurodevelopmental
      disorders. In a recent feasibility study the LGO showed promising results.

      This project aims to evaluate to what extent the LGO intervention is effective in improving
      time management, and satisfaction with daily occupations. The proposed project is a
      randomized-controlled trial carried out in ten psychiatric units in Sweden. Participants
      (n=104) will be randomly assigned to either LGO group intervention or individual Occupational
      Therapy intervention for ten weeks .The primary outcome of the study is self-reported time
      management measured by the Assessment of Time Management Skills. Secondary outcomes are
      occupational balance, self-efficacy, parental competence and cost-effectiveness.
    


Intervention name(s): Let's Get Organized group intervention; Individual Occupational Therapy
Intervention type(s): Behavioral; Device
Intervention description(s): Group intervention aiming to enhance time management, targeted to persons with mental or neurodevelopment disorders. Each group has 6-8 participants and is lead by two trained group leaders. Goal-directed and other learning strategies are used to train effective time management habits such as maintaining a calendar and wearing a watch. Group sessions are structured with PowerPoint presentation and a course manual, an information from the group leaders is intermixed with discussion among the participants and tasks to complete.; Individual meetings with Occupational Therapist (standard therapy) during a 10-week period. Number of meetings and exact nature of intervention depends on the client's needs and is decided by the treating occupational therapist. Interventions will include prescription or instruction regarding time assistive devices and instructions regarding structure and planning of everyday life.
Other intervention name(s): LGO
Allocation: Randomized
Intervention model: Parallel Assignment
Masking: None (Open Label)
Primary purpose: Treatment
Keywords: Time management; Group intervention; Executive function