"Let's Get Organized" in Adult Psychiatric/habilitation Care
- Conditions
- Neurodevelopmental DisordersMental Disorder
- Interventions
- Behavioral: Let's Get Organized group interventionDevice: Individual Occupational Therapy
- Registration Number
- NCT03654248
- Lead Sponsor
- Örebro University, Sweden
- Brief 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.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 94
- confirmed or suspected diagnosis of a mental disorder, such as affective disorder or schizophrenia, or neurodevelopment disorder, such as autism spectrum disorder or attention deficit hyperactivity disorder/attention deficit disorder
- self-reported difficulties in time management in daily life to an extent that affects functioning in daily life negatively
- intellectual disability
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Let's Get Organized group intervention Let's Get Organized group intervention Group intervention with 10 weekly sessions, each lasting 1,5 hours Individual Occupational Therapy Individual Occupational Therapy Individual intervention lasting 10 weeks
- Primary Outcome Measures
Name Time Method 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 baseline (pre-intervention), 10 weeks, 24 weeks 11 items, reported as 0-100 ATMS units
- Secondary Outcome Measures
Name Time Method Change in Diagnostic and Statistical Manual of Mental Disorders Manual-5 Self-rated level 1 Cross-Cutting Symptom Measure Adult: depression domain baseline (pre-intervention), 10 weeks, 24 weeks 2 items, reported as 0-8 points
Change in Diagnostic and Statistical Manual of Mental Disorders Manual-5 Self-rated level 1 Cross-Cutting Symptom Measure Adult: anger domain baseline (pre-intervention), 10 weeks, 24 weeks 1 item, reported as 0-4 points
Change in DSM-5 Self-rated level 1 Cross-Cutting Symptom Measure Adult: mania domain baseline (pre-intervention), 10 weeks, 24 weeks 2 items, reported as 0-8 points
Change in Diagnostic and Statistical Manual of Mental Disorders Manual-5 Self-rated level 1 Cross-Cutting Symptom Measure Adult: anxiety domain baseline (pre-intervention), 10 weeks, 24 weeks 3 items, reported as 0-12 points
Change in Diagnostic and Statistical Manual of Mental Disorders Manual-5 Self-rated level 1 Cross-Cutting Symptom Measure Adult: somatic symptoms domain baseline (pre-intervention), 10 weeks, 24 weeks 2 items, reported as 0-8 points
Change in DSM-5 Self-rated level 1 Cross-Cutting Symptom Measure Adult: suicidal ideation domain baseline (pre-intervention), 10 weeks, 24 weeks 1 items, reported as 0-4 points
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 baseline (pre-intervention), 10 weeks, 24 weeks Performance test of executive functioning. No of correctly entered appointments (range 0-17)
Change in Weekly Calendar Planning Activity Swedish version total time at 10 weeks after intervention start and at 24 weeks after intervention start baseline (pre-intervention), 10 weeks, 24 weeks Performance test of executive functioning. Total time
Change in Weekly Calendar Planning Activity Swedish version no of strategies at 10 weeks after intervention start and at 24 weeks after intervention start baseline (pre-intervention), 10 weeks, 24 weeks Performance test of executive functioning. No of strategies used more strategies are better
Change in Weekly Calendar Planning Activity Swedish version rules followed at 10 weeks after intervention start and at 24 weeks after intervention start baseline (pre-intervention), 10 weeks, 24 weeks Performance test of executive functioning. No of rules followed (range 0-5) More rules followed are better
Change in Weekly Calendar Planning Activity Swedish version efficacy score at 10 weeks after intervention start and at 24 weeks after intervention start baseline (pre-intervention), 10 weeks, 24 weeks Performance test of executive functioning. Efficacy score (high score is better)
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 baseline (pre-intervention), 10 weeks, 24 weeks No of activities (range 0-17, higher scores are better)
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 baseline (pre-intervention), 10 weeks, 24 weeks Satisfaction score (range 13-91, higher scores are better)
Change in Global satisfaction score at 10 weeks after intervention start and at 24 weeks after intervention start baseline (pre-intervention), 10 weeks, 24 weeks Global satisfaction score (range 1-5, lower scores are better)
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 baseline (pre-intervention), 10 weeks, 24 weeks Occupational balance (nominal data)
Change in General Self-Efficacy Scale at 10 weeks after intervention start and at 24 weeks after intervention start baseline (pre-intervention), 10 weeks, 24 weeks Self-efficacy (range 0-40, higher score is better)
Change in Parental Sense of Competence at 10 weeks after intervention start and at 24 weeks after intervention start baseline (pre-intervention), 10 weeks, 24 weeks Sense of competence (range 15-90, higher score is better)
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 baseline (pre-intervention), 10 weeks, 24 weeks Individual item scores on 5 items scored 1-5
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 baseline (pre-intervention), 10 weeks, 24 weeks One visual-analogue-scale answer (range 0-100)
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 baseline (pre-intervention), 10 weeks, 24 weeks 11 items, reported as 0-100 ATMS units
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 baseline (pre-intervention), 10 weeks, 24 weeks 5 items, reported as 0-100 ATMS units
Change in Diagnostic and Statistical Manual of Mental Disorders Manual-5 Self-rated level 1 Cross-Cutting Symptom Measure Adult: psychosis domain baseline (pre-intervention), 10 weeks, 24 weeks 2 items, reported as 0-8 points
Change in Diagnostic and Statistical Manual of Mental Disorders Manual-5 Self-rated level 1 Cross-Cutting Symptom Measure Adult: sleep problems domain baseline (pre-intervention), 10 weeks, 24 weeks 1 items, reported as 0-4 points
Change in Diagnostic and Statistical Manual of Mental Disorders Manual-5 Self-rated level 1 Cross-Cutting Symptom Measure Adult: memory domain baseline (pre-intervention), 10 weeks, 24 weeks 1 items, reported as 0-4 points
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 baseline (pre-intervention), 10 weeks, 24 weeks 2 items, reported as 0-8 points
Change in Diagnostic and Statistical Manual of Mental Disorders Manual-5 Self-rated level 1 Cross-Cutting Symptom Measure Adult: dissociation domain baseline (pre-intervention), 10 weeks, 24 weeks 1 items, reported as 0-4 points
Change in Diagnostic and Statistical Manual of Mental Disorders Manual-5 Self-rated level 1 Cross-Cutting Symptom Measure Adult: personality functioning domain baseline (pre-intervention), 10 weeks, 24 weeks 2 items, reported as 0-8 points
Change in Diagnostic and Statistical Manual of Mental Disorders Manual-5 Self-rated level 1 Cross-Cutting Symptom Measure Adult: substance use domain baseline (pre-intervention), 10 weeks, 24 weeks 3 items, reported as 0-12 points
Autism Quotient Short baseline (pre-intervention), 10 weeks, 24 weeks 28 items, 28-112 points
Adult Attention Deficit Hyperactivity disorder Self-report Scale baseline (pre-intervention), 10 weeks, 24 weeks 18 items, score 1-90
Trial Locations
- Locations (8)
Öppenvårdspsykiatrisk mottagning
🇸🇪Falun, Dalarna, Sweden
Karlskoga psykiatrisk öppenvård
🇸🇪Karlskoga, Orebro, Sweden
Vuxenhabiliteringen - Autismteamet
🇸🇪Örebro, Sweden
Hallsberg psykiatrisk öppenvård
🇸🇪Hallsberg, Örebro, Sweden
Lindesberg psykiatrisk öppenvård
🇸🇪Lindesberg, Örebro, Sweden
USÖ psykiatrisk öppenvård och affektiva enhet
🇸🇪Örebro, Sweden
Habiliteringscenter Brommaplan vuxna, Habilitering och Hälsa, Region Stockholm
🇸🇪Stockholm, Sweden
Neuropsykiatriska mottagningen, Akademiska sjukhuset
🇸🇪Uppsala, Sweden