Group leader and participant perceptions of Balancing Everyday Life, a group-based lifestyle intervention for mental health service users
Open accessAbstract
Background: There exist few recovery and occupation-based interventions for mental health service users. Balancing Everyday Life (BEL) is a new occupation-based lifestyle intervention that was created to fill this need.Aim: To gain group leaders’ and participants’ perspectives of the BEL intervention content and format, including factors that helped, hindered, and could be improved.Methods: A constructivist grounded theory method guided data collection and analysis. Interviews took place with 12 BEL group leaders and 19 BEL participants from out-patient psychiatry settings and community-based day centers in Sweden.Results: BEL’s structure and content were appreciated, yet flexibility was desired to adapt to participant needs. BEL could act as a bridge, helping participants connect with others, and to a more engaged and balanced everyday life. Facilitating factors included a person-focused (versus illness-focused) approach, physical and emotional environments, and connection. Barriers included room resources. More sessions were desired for the intervention.Conclusion: Group leaders and participants experienced BEL as a useful tool to instigate meaningful change and connection in the participants’ lives. The combination of a positive person-focused approach and group support was appreciated. These results could inform future research, evaluation, and development of occupation-focused lifestyle interventions for mental health service users.
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Participants reported the BEL program structure and content tailored to their skills and interests were helpful, along with opportunities to connect with peers and share life experiences in a supportive environment.
“Overall, participants reported the BEL program structure and content tailored to their skills and interests were helpful, along with opportunities to connect with peers and share life experiences in a supportive environment (69–71)”
From Contributions of a time use perspective in community mental health practice: a scoping review (2024) · cites this paper as [71]
BEL group facilitators perceived the program structure as beneficial, along with its alignment to occupational therapy through activity engagement and promotion of collaboration within multidisciplinary teams.
“The BEL group facilitators also perceived the program structure of the program as beneficial, along with its alignment to occupational therapy through activity engagement and promotion of collaboration within multidisciplinary teams (71).”
From Contributions of a time use perspective in community mental health practice: a scoping review (2024) · cites this paper as [71]
The BEL group components encouraged reflection, envisioning and connecting to a more positive future, and sustaining change.
“The group components also encouraged reflection, envisioning and connecting to a more positive future, and sustaining change (69–71).”
From Contributions of a time use perspective in community mental health practice: a scoping review (2024) · cites this paper as [71]
Participants suggested more flexibility to tailor the BEL program to their needs, and more time and support for goal setting and implementing strategies in daily life would be helpful.
“However, participants suggested more flexibility to tailor the program to their needs, and more time and support for goal setting and implementing strategies in daily life would be helpful (71).”
From Contributions of a time use perspective in community mental health practice: a scoping review (2024) · cites this paper as [71]
The main barriers in implementing BEL were variation in individual needs and challenges, limited space or information technology issues.
“From their experience, the main barriers in implementing BEL were variation in individual needs and challenges, limited space or information technology issues (71).”
From Contributions of a time use perspective in community mental health practice: a scoping review (2024) · cites this paper as [71]
Group leaders' and participants' perspectives of the BEL intervention have been reported, suggesting the value of joining with others and group support to bring about meaningful activity changes in daily life.
“Group leaders' and participants' perspectives of the BEL intervention have also been reported, suggesting the value of joining with others and group support to bring about meaningful activity changes in daily life (29, 30).”
From Implementing an action over inertia group program in community residential rehabilitation services: group participant and facilitator perspectives (2021) · cites this paper as [30]
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- Authors
- Lund, K., Hultqvist, J., Bejerholm, U., Argentzell, E., & Eklund, M.
- Affiliations
- Lund University (SE)
- Corresponding author
- Lund, Kristine
- Venue
- Scandinavian Journal of Occupational Therapy
- Published
- 2019-02-01
- Volume
- 27
- Issue
- 6
- Pages
- 462-473
- ISSN
- 1103-8128 (ISSN-L)
- 1651-2014
- OpenAlex
- W2911762999
- Cited by
- 25
- References
- 39
- Citations by year
- 2026: 2 · 2025: 4 · 2024: 5 · 2023: 5 · 2022: 2 · 2021: 3 · 2020: 1 · 2019: 3
- FWCI
- 4.80
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- Scandinavian Journal of Occupational Therapy (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Lund University Publications (Lund University) (submittedVersion)
- Funders
- Swedish Research Council (521-2013-2522)
- Topics
- Health Sciences › Health Professions › Occupational Therapy › Occupational Therapy Practice and Research
- Health Sciences › Health Professions › General Health Professions › Mental Health and Patient Involvement
- Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
- Keywords
- occupation-based intervention, mental health service users, participant perceptions, recovery, group support, outpatient psychiatry, intervention development
- MeSH terms
- Adult, Aged, Attitude of Health Personnel, Mental Disorders, Humans, Interviews as Topic, Leadership, Life Style, Mental Health Services, Middle Aged, Occupational Therapy, Perception, Psychotherapy, Group, Grounded Theory
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