Efficacy of an Occupational Time Use Intervention for People With Serious Mental Illness

Study Overview
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Brief Summary
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The purpose of this study is to test the efficacy of a new Occupational Time Use Intervention designed to increase activity participation and improve meaning in the lives of people with serious mental illness living in the community.

Detailed Description
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5 Assertive Community Treatment (ACT) Teams from Kingston (n=2), Belleville (n=1), and Ottawa (n=2) will be involved in a 12 week randomized controlled trial of our Time Use Intervention. 20 subjects (4 subjects from each team) will participate in this pilot study and will be treated individually by their ACT team Occupational Therapist (1 OT per ACT Team). This pilot test will help to determine the clinical utility and efficacy of our treatment protocol. Comparison: Standard ACT treatment with the Occupational Time Use Intervention vs. Standard ACT treatment

Official Title
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Efficacy of an Occupational Time Use Intervention

Conditions
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Serious Mental Illness

Intervention / Treatment
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* Behavioral: Occupational Time Use Intervention


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Adults (18-65 years of age); Primary diagnosis of a severe psychiatric disorder with a psychotic feature; Team and self-perceived occupational disengagement (low activity levels); Fluent in English; Living in a community setting and receiving ACT treatment; Own legal guardian (thus competent to give consent to participate), and are willing to give written informed consent to participate in the study. Exclusion Criteria: Unstable mental health; Lack of interest in a time use intervention; Satisfied with current time use and occupations; ACT Team Occupational Therapist is subject's main Case Manager.

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 65 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: A<br>Experimental arm receives 12 week intervention along with standard care. | Behavioral: Occupational Time Use Intervention<br>* 12 week behavioral intervention administered by Occupational Therapists.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change in Activity Level using a 2 day (48 hour) time use diary |  | Participants were tested at baseline and after 12 weeks of treatment. | 
| Occupational Engagement using 1. 48 hour time use diary for occupational balance, 2. Engagement in Meaningful Activities Survey (EMAS) for meaning of activities, and 3. Profiles of Engagement in People with Schizophrenia (POES) to rate engagement. |  | Participants were tested at baseline and after 12 weeks of treatment. | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Clinical Utility using feedback from Therapists and Treatment Subjects |  | Participants were tested after 12 weeks of treatment. | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Schizophrenia, Psychosis, Occupational Disengagement, Occupational Imbalance