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.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
94
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.
Öppenvårdspsykiatrisk mottagning
Falun, Dalarna County, Sweden
Habiliteringscenter Brommaplan vuxna, Habilitering och Hälsa, Region Stockholm
Stockholm, Sweden
Neuropsykiatriska mottagningen, Akademiska sjukhuset
Uppsala, Sweden
Hallsberg psykiatrisk öppenvård
Hallsberg, Örebro County, Sweden
Karlskoga psykiatrisk öppenvård
Karlskoga, Örebro County, Sweden
Lindesberg psykiatrisk öppenvård
Lindesberg, Örebro County, Sweden
USÖ psykiatrisk öppenvård och affektiva enhet
Örebro, Örebro County, Sweden
Vuxenhabiliteringen - Autismteamet
Örebro, Örebro County, Sweden
Change in Assessment of Time Management Skills-Swedish, Time management sub scale at 10 weeks after intervention start and at 24 weeks after intervention start
11 items, reported as 0-100 ATMS units
Time frame: baseline (pre-intervention), 10 weeks, 24 weeks
Change in Weekly Calendar Planning Activity-Swedish version No of correct appointments at 10 weeks after intervention start and at 24 weeks after intervention start
Performance test of executive functioning. No of correctly entered appointments (range 0-17)
Time frame: baseline (pre-intervention), 10 weeks, 24 weeks
Change in Weekly Calendar Planning Activity Swedish version total time at 10 weeks after intervention start and at 24 weeks after intervention start
Performance test of executive functioning. Total time
Time frame: baseline (pre-intervention), 10 weeks, 24 weeks
Change in Weekly Calendar Planning Activity Swedish version no of strategies at 10 weeks after intervention start and at 24 weeks after intervention start
Performance test of executive functioning. No of strategies used more strategies are better
Time frame: baseline (pre-intervention), 10 weeks, 24 weeks
Change in Weekly Calendar Planning Activity Swedish version rules followed at 10 weeks after intervention start and at 24 weeks after intervention start
Performance test of executive functioning. No of rules followed (range 0-5) More rules followed are better
Time frame: baseline (pre-intervention), 10 weeks, 24 weeks
Change in Weekly Calendar Planning Activity Swedish version efficacy score at 10 weeks after intervention start and at 24 weeks after intervention start
Performance test of executive functioning. Efficacy score (high score is better)
Time frame: baseline (pre-intervention), 10 weeks, 24 weeks
Change in Satisfaction with daily occupations and occupational balance (SDO-OB) activity score at 10 weeks after intervention start and at 24 weeks after intervention start
No of activities (range 0-17, higher scores are better)
Time frame: baseline (pre-intervention), 10 weeks, 24 weeks
Change in Satisfaction with daily occupations and occupational balance (SDO-OB) satisfaction score at 10 weeks after intervention start and at 24 weeks after intervention start
Satisfaction score (range 13-91, higher scores are better)
Time frame: baseline (pre-intervention), 10 weeks, 24 weeks
Change in Global satisfaction score at 10 weeks after intervention start and at 24 weeks after intervention start
Global satisfaction score (range 1-5, lower scores are better)
Time frame: baseline (pre-intervention), 10 weeks, 24 weeks
Change in Satisfaction with daily occupations and occupational balance (SDO-OB) occupational balance at 10 weeks after intervention start and at 24 weeks after intervention start
Occupational balance (nominal data)
Time frame: baseline (pre-intervention), 10 weeks, 24 weeks
Change in General Self-Efficacy Scale at 10 weeks after intervention start and at 24 weeks after intervention start
Self-efficacy (range 0-40, higher score is better)
Time frame: baseline (pre-intervention), 10 weeks, 24 weeks
Change in Parental Sense of Competence at 10 weeks after intervention start and at 24 weeks after intervention start
Sense of competence (range 15-90, higher score is better)
Time frame: baseline (pre-intervention), 10 weeks, 24 weeks
Change in EuroQuality of Life - 5 dimensions - 5 levels (EQ-5D-5L) item scores at 10 weeks after intervention start and at 24 weeks after intervention start
Individual item scores on 5 items scored 1-5
Time frame: baseline (pre-intervention), 10 weeks, 24 weeks
Change in EuroQuality of Life - 5 dimensions - 5 levels (EQ-5D-5L) global score at 10 weeks after intervention start and at 24 weeks after intervention start
One visual-analogue-scale answer (range 0-100)
Time frame: baseline (pre-intervention), 10 weeks, 24 weeks
Change in Assessment of Time Management Skills-Swedish (ATMS-S), Organization and planning sub scale at 10 weeks after intervention start and at 24 weeks after intervention start
11 items, reported as 0-100 ATMS units
Time frame: baseline (pre-intervention), 10 weeks, 24 weeks
Change in Assessment of Time Management Skills-Swedish (ATMS-S), Regulation of emotions sub scale at 10 weeks after intervention start and at 24 weeks after intervention start
5 items, reported as 0-100 ATMS units
Time frame: baseline (pre-intervention), 10 weeks, 24 weeks
Change in Diagnostic and Statistical Manual of Mental Disorders Manual-5 Self-rated level 1 Cross-Cutting Symptom Measure Adult: depression domain
2 items, reported as 0-8 points
Time frame: baseline (pre-intervention), 10 weeks, 24 weeks
Change in Diagnostic and Statistical Manual of Mental Disorders Manual-5 Self-rated level 1 Cross-Cutting Symptom Measure Adult: anger domain
1 item, reported as 0-4 points
Time frame: baseline (pre-intervention), 10 weeks, 24 weeks
Change in DSM-5 Self-rated level 1 Cross-Cutting Symptom Measure Adult: mania domain
2 items, reported as 0-8 points
Time frame: baseline (pre-intervention), 10 weeks, 24 weeks
Change in Diagnostic and Statistical Manual of Mental Disorders Manual-5 Self-rated level 1 Cross-Cutting Symptom Measure Adult: anxiety domain
3 items, reported as 0-12 points
Time frame: baseline (pre-intervention), 10 weeks, 24 weeks
Change in Diagnostic and Statistical Manual of Mental Disorders Manual-5 Self-rated level 1 Cross-Cutting Symptom Measure Adult: somatic symptoms domain
2 items, reported as 0-8 points
Time frame: baseline (pre-intervention), 10 weeks, 24 weeks
Change in DSM-5 Self-rated level 1 Cross-Cutting Symptom Measure Adult: suicidal ideation domain
1 items, reported as 0-4 points
Time frame: baseline (pre-intervention), 10 weeks, 24 weeks
Change in Diagnostic and Statistical Manual of Mental Disorders Manual-5 Self-rated level 1 Cross-Cutting Symptom Measure Adult: psychosis domain
2 items, reported as 0-8 points
Time frame: baseline (pre-intervention), 10 weeks, 24 weeks
Change in Diagnostic and Statistical Manual of Mental Disorders Manual-5 Self-rated level 1 Cross-Cutting Symptom Measure Adult: sleep problems domain
1 items, reported as 0-4 points
Time frame: baseline (pre-intervention), 10 weeks, 24 weeks
Change in Diagnostic and Statistical Manual of Mental Disorders Manual-5 Self-rated level 1 Cross-Cutting Symptom Measure Adult: memory domain
1 items, reported as 0-4 points
Time frame: baseline (pre-intervention), 10 weeks, 24 weeks
Change in Diagnostic and Statistical Manual of Mental Disorders Manual-5 Self-rated level 1 Cross-Cutting Symptom Measure Adult: repetitive thoughts and behaviors domain
2 items, reported as 0-8 points
Time frame: baseline (pre-intervention), 10 weeks, 24 weeks
Change in Diagnostic and Statistical Manual of Mental Disorders Manual-5 Self-rated level 1 Cross-Cutting Symptom Measure Adult: dissociation domain
1 items, reported as 0-4 points
Time frame: baseline (pre-intervention), 10 weeks, 24 weeks
Change in Diagnostic and Statistical Manual of Mental Disorders Manual-5 Self-rated level 1 Cross-Cutting Symptom Measure Adult: personality functioning domain
2 items, reported as 0-8 points
Time frame: baseline (pre-intervention), 10 weeks, 24 weeks
Change in Diagnostic and Statistical Manual of Mental Disorders Manual-5 Self-rated level 1 Cross-Cutting Symptom Measure Adult: substance use domain
3 items, reported as 0-12 points
Time frame: baseline (pre-intervention), 10 weeks, 24 weeks
Autism Quotient Short
28 items, 28-112 points
Time frame: baseline (pre-intervention), 10 weeks, 24 weeks
Adult Attention Deficit Hyperactivity disorder Self-report Scale
18 items, score 1-90
Time frame: baseline (pre-intervention), 10 weeks, 24 weeks
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