Study protocol for a pragmatic cluster RCT on the effect and cost-effectiveness of Everyday Life Rehabilitation versus treatment as usual for persons with severe psychiatric disability living in sheltered or supported housing facilities
Background: People with severe psychiatric disabilities and impaired autonomy, living in sheltered or supported housing facilities, often lead sedentary, solitary lives indoors and have significantly poorer health than others in the population. Meaningful everyday activities are important for the re...
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Umeå universitet, Institutionen för samhällsmedicin och rehabilitering
2022
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Online Access: | http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-198899 https://doi.org/10.1186/s13063-022-06622-0 |
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ftumeauniv:oai:DiVA.org:umu-198899 2024-02-11T10:07:12+01:00 Study protocol for a pragmatic cluster RCT on the effect and cost-effectiveness of Everyday Life Rehabilitation versus treatment as usual for persons with severe psychiatric disability living in sheltered or supported housing facilities Lindström, Maria Lindholm, Lars Liv, Per 2022 application/pdf http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-198899 https://doi.org/10.1186/s13063-022-06622-0 eng eng Umeå universitet, Institutionen för samhällsmedicin och rehabilitering Umeå universitet, Institutionen för epidemiologi och global hälsa Umeå universitet, Avdelningen för hållbar hälsa Trials, 2022, 23:1, orcid:0000-0002-1633-2179 http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-198899 doi:10.1186/s13063-022-06622-0 PMID 35971130 ISI:000840847000002 Scopus 2-s2.0-85136026768 info:eu-repo/semantics/openAccess Collaboration Community-based mental health ELR intervention Health equity Occupational therapy Participation Person-centred Quality of life Recovery Severe mental illness Health Care Service and Management Health Policy and Services and Health Economy Hälso- och sjukvårdsorganisation hälsopolitik och hälsoekonomi Nursing Omvårdnad Article in journal info:eu-repo/semantics/article text 2022 ftumeauniv https://doi.org/10.1186/s13063-022-06622-0 2024-01-17T23:36:44Z Background: People with severe psychiatric disabilities and impaired autonomy, living in sheltered or supported housing facilities, often lead sedentary, solitary lives indoors and have significantly poorer health than others in the population. Meaningful everyday activities are important for the recovery towards an enrichening, agentic, social, and hopeful everyday life. The Everyday Life Rehabilitation (ELR) model—a person-centred activity- and recovery-oriented intervention—has shown positive outcomes in feasibility studies, and thus a randomised controlled trial (RCT) is required to establish the effectiveness of ELR, along with calculations of cost-effectiveness. Methods: The ELR-RCT is a pragmatic, two-parallel-armed cluster RCT evaluating the effect and cost-effectiveness of using ELR from two measurement points over 6 months (pre-post intervention) and in three waves over 3 years. The primary outcome is recovering quality of life (ReQoL) at 6 months, and the secondary outcome is self-perceived recovery and daily functioning (RAS-DS) at 6 months. Additionally, Goal Attainment Scaling (GAS) will be used for the intervention group. Power analysis has been conducted for primary outcome measure. The first wave will include an internal pilot, to be evaluated after 6 months, used as basis for decisions on updating the required sample size and any other need for adaptations before continuing with the full-scale RCT in the second and third wave. All municipalities within a geographic area in northern Sweden, with a minimum of one sheltered or supported housing facility for people with severe psychiatric or neuropsychiatric disability, including access to occupational therapy, will be enrolled. Participants will be block-randomised to receive ELR plus treatment as usual (TAU) or TAU alone for a control period. The control group will thereafter receive delayed ELR. Occupational therapists and housing staff will receive an educational package, manuals, and tools, as well as reflections with colleagues during the ... Article in Journal/Newspaper Northern Sweden Umeå University: Publications (DiVA) Trials 23 1 |
institution |
Open Polar |
collection |
Umeå University: Publications (DiVA) |
op_collection_id |
ftumeauniv |
language |
English |
topic |
Collaboration Community-based mental health ELR intervention Health equity Occupational therapy Participation Person-centred Quality of life Recovery Severe mental illness Health Care Service and Management Health Policy and Services and Health Economy Hälso- och sjukvårdsorganisation hälsopolitik och hälsoekonomi Nursing Omvårdnad |
spellingShingle |
Collaboration Community-based mental health ELR intervention Health equity Occupational therapy Participation Person-centred Quality of life Recovery Severe mental illness Health Care Service and Management Health Policy and Services and Health Economy Hälso- och sjukvårdsorganisation hälsopolitik och hälsoekonomi Nursing Omvårdnad Lindström, Maria Lindholm, Lars Liv, Per Study protocol for a pragmatic cluster RCT on the effect and cost-effectiveness of Everyday Life Rehabilitation versus treatment as usual for persons with severe psychiatric disability living in sheltered or supported housing facilities |
topic_facet |
Collaboration Community-based mental health ELR intervention Health equity Occupational therapy Participation Person-centred Quality of life Recovery Severe mental illness Health Care Service and Management Health Policy and Services and Health Economy Hälso- och sjukvårdsorganisation hälsopolitik och hälsoekonomi Nursing Omvårdnad |
description |
Background: People with severe psychiatric disabilities and impaired autonomy, living in sheltered or supported housing facilities, often lead sedentary, solitary lives indoors and have significantly poorer health than others in the population. Meaningful everyday activities are important for the recovery towards an enrichening, agentic, social, and hopeful everyday life. The Everyday Life Rehabilitation (ELR) model—a person-centred activity- and recovery-oriented intervention—has shown positive outcomes in feasibility studies, and thus a randomised controlled trial (RCT) is required to establish the effectiveness of ELR, along with calculations of cost-effectiveness. Methods: The ELR-RCT is a pragmatic, two-parallel-armed cluster RCT evaluating the effect and cost-effectiveness of using ELR from two measurement points over 6 months (pre-post intervention) and in three waves over 3 years. The primary outcome is recovering quality of life (ReQoL) at 6 months, and the secondary outcome is self-perceived recovery and daily functioning (RAS-DS) at 6 months. Additionally, Goal Attainment Scaling (GAS) will be used for the intervention group. Power analysis has been conducted for primary outcome measure. The first wave will include an internal pilot, to be evaluated after 6 months, used as basis for decisions on updating the required sample size and any other need for adaptations before continuing with the full-scale RCT in the second and third wave. All municipalities within a geographic area in northern Sweden, with a minimum of one sheltered or supported housing facility for people with severe psychiatric or neuropsychiatric disability, including access to occupational therapy, will be enrolled. Participants will be block-randomised to receive ELR plus treatment as usual (TAU) or TAU alone for a control period. The control group will thereafter receive delayed ELR. Occupational therapists and housing staff will receive an educational package, manuals, and tools, as well as reflections with colleagues during the ... |
format |
Article in Journal/Newspaper |
author |
Lindström, Maria Lindholm, Lars Liv, Per |
author_facet |
Lindström, Maria Lindholm, Lars Liv, Per |
author_sort |
Lindström, Maria |
title |
Study protocol for a pragmatic cluster RCT on the effect and cost-effectiveness of Everyday Life Rehabilitation versus treatment as usual for persons with severe psychiatric disability living in sheltered or supported housing facilities |
title_short |
Study protocol for a pragmatic cluster RCT on the effect and cost-effectiveness of Everyday Life Rehabilitation versus treatment as usual for persons with severe psychiatric disability living in sheltered or supported housing facilities |
title_full |
Study protocol for a pragmatic cluster RCT on the effect and cost-effectiveness of Everyday Life Rehabilitation versus treatment as usual for persons with severe psychiatric disability living in sheltered or supported housing facilities |
title_fullStr |
Study protocol for a pragmatic cluster RCT on the effect and cost-effectiveness of Everyday Life Rehabilitation versus treatment as usual for persons with severe psychiatric disability living in sheltered or supported housing facilities |
title_full_unstemmed |
Study protocol for a pragmatic cluster RCT on the effect and cost-effectiveness of Everyday Life Rehabilitation versus treatment as usual for persons with severe psychiatric disability living in sheltered or supported housing facilities |
title_sort |
study protocol for a pragmatic cluster rct on the effect and cost-effectiveness of everyday life rehabilitation versus treatment as usual for persons with severe psychiatric disability living in sheltered or supported housing facilities |
publisher |
Umeå universitet, Institutionen för samhällsmedicin och rehabilitering |
publishDate |
2022 |
url |
http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-198899 https://doi.org/10.1186/s13063-022-06622-0 |
genre |
Northern Sweden |
genre_facet |
Northern Sweden |
op_relation |
Trials, 2022, 23:1, orcid:0000-0002-1633-2179 http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-198899 doi:10.1186/s13063-022-06622-0 PMID 35971130 ISI:000840847000002 Scopus 2-s2.0-85136026768 |
op_rights |
info:eu-repo/semantics/openAccess |
op_doi |
https://doi.org/10.1186/s13063-022-06622-0 |
container_title |
Trials |
container_volume |
23 |
container_issue |
1 |
_version_ |
1790605367340695552 |