Strategies Empowering Activities in Everyday Life: An Internet-based Occupational Therapy Intervention
- Conditions
- Chronic Disease
- Interventions
- Behavioral: Strategies Empowering Activities in Everyday life (SEE 2.0)
- Registration Number
- NCT06484322
- Lead Sponsor
- Luleå Tekniska Universitet
- Brief Summary
The purpose of the study is to evaluate the feasibility, potential outcomes and the implementation process of a second updated version of an internet-based intervention in occupational therapy, focusing on self-management in activities of everyday life to promote health in people with chronic diseases.
- Detailed Description
The number of people with chronic disease is increasing as is the need of preventive efforts to facilitate their health. Chronic diseases are defined as 'long-term health conditions' that require constant attention and/or limit activities of daily living. People living with one or multiple chronic diseases experience difficulties to live an active everyday life and restrictions of engagement in various activities are common. Interventions that support their process of change and development of self-management in everyday life in relation to their changed capacity needs to be established. Research shows that the access to interventions is facilitated by the use of internet-based solutions. Hence, an internet-based occupational therapy intervention 'Strategies Empowering activities in Everyday life' (SEE) has been developed that will be evaluated in a feasibility trial.
The feasibility study is designed as a longitudinal trial with pre-test, post test evaluation without control group embedded in a mixed method approach. Data will be collected by assessment tools, qualitative interviews and group interviews. Evaluation of the feasibility of the intervention and the study design will be conducted in terms of acceptability, adherence, values, and implementation, from the perspective of patients with chronic disease and health care personnel at different organizational levels in the primary care.
The results from this feasibility study will support the continued development of SEE in future larger-scale evaluation studies. The goal is that SEE will add to existing interventions and becomes implemented in clinical practice. The results will be published in peer-reviewed scientific journals and presented at conferences.
Recruitment & Eligibility
- Status
- RECRUITING
- Sex
- All
- Target Recruitment
- 40
- Diagnosed or at risk of developing a chronic disease/long-term condition such as long-term pain, stress-related conditions, neurological diseases and chronic fatigue syndrome
- Age: 18-75 years
- Experiencing difficulties to have an active everyday life and/or experiencing a need to develop self-management strategies in everyday life.
- Have access to a screen/computer, internet and e-ID as well as being able to use them
- Be able to participate in the program, including be ready for a process of change
- Understanding of the Swedish language in written and oral form.
- Sickness or disease which causes difficulties with understanding written and verbal advice (e.g. mental or cognitive illness).
- Having an ongoing misuse
- Receiving palliative care
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- SINGLE_GROUP
- Arm && Interventions
Group Intervention Description Experimental group Strategies Empowering Activities in Everyday life (SEE 2.0) The experimental group will receive the internet-based intervention 'SEE' focusing on supporting self-management of activities in everyday life to promote health. Beside SEE, they will also receive care as usual.
- Primary Outcome Measures
Name Time Method The Satisfaction with Daily Occupation (SDO-13) Change from baseline to four- and twelve months post-base line Measures change in satisfaction of daily occupations through a structured interview with 13 questions within areas such as work/studies, leisure, home and self-care occupations. Satisfaction with occupations is measured on an ordinal scale with a score ranging from 0-7. The total rating range between 13-91. Higher score indicates a higher satisfaction with daily occupations.
Occupational Balance Questionnaire (OBQ) Change from baseline to four- and twelve months post-base line Measures change in perceived occupational balance; occupational balance reflects a person's subjective perception of having the right amount of- and the right variation between activities. The OBQ consist of 11 items rated on a four-point ordinal scale, scored 0 to 3. A total score may range between 0 and 33 where a higher score implies a higher sense of occupational balance.
Occupational values with pre-defined items (Oval-pd). Change from baseline to four- and twelve months post-base line Measures change in occupational values which reflects the subjective perception of concrete, symbolic or self-rewarding values in activities. The Oval-pd consists of 18 items rated on a four-point ordinal scale, scored 1 to 4. The responses add up to a total score between 18-72, a higher score indicates higher occupational value in the activities of everyday life.
- Secondary Outcome Measures
Name Time Method Life satisfaction questionnaire (Lisat-11) Change from baseline to four- and twelve months post-base line Measures a change in life satisfaction. Lisat-11 consists of 11 items rated on an ordinal scale scored 1-6. A higher score indicates a higher level of life satisfaction.
Work ability index (WAI) Change from baseline to four- and twelve months post-base line Measures a change in self-perceived work ability. Self-perceived work ability is rated on a 10-point ordinal scale and a higher score indicates higher perceived work ability.
General Self-Efficacy (GSE-10) Change from baseline to four- and twelve months post-base line Measures change in self-reported self-efficacy which consists of 10 items on an ordinal scale from 1-4. The total score ranges from 10-40 and a higher score indicates higher self- efficacy.
Mental Fatigue Scale (MFS) Change from baseline to four- and twelve months post-base line Measures change in perceived mental fatigue and consists of 14 items rated on an ordinal scale (0-3). The summarized score ranges from 0-42. Scores over 10.5 indicate fatigue.
RAND-36 Change from baseline to four- and twelve months post-base line Measures change in perceived health and function in everyday life and consists of 36 items with an ordinal scale across 8 dimensions of health. The dimensions of health are graded on a scale 0-100 and a higher score indicates a higher perceived health and function in everyday life.
EuroQol 5 Dimensions (EQ-5D) Thermometer Change from baseline to four- and twelve months post-base line Measures a change in perceived health with a score ranging from 0-100. A higher score indicates better perceived health.
Perceived Stress Scale (PSS) Change from baseline to four- and twelve months post-base line Change in perceived stress on 10 items rated on an ordinal scale (0-4). The summarised score range from 0-40. A higher score indicates a higher level of perceived stress.
Trial Locations
- Locations (2)
Luleå university of technology
🇸🇪Lulea, None Selected, Sweden
Luleå University of Technology
🇸🇪Luleå, Sweden