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Cited by 4Occupational Therapy Practice and ResearchSchizophrenia research and treatmentPsychotherapy Techniques and Applications

Occupational therapy and psychosis: POINTER feasibility study for a pragmatic clinical trial

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Inman, Joanne, Bannigan, Katrina, Akhurst, Jacqueline·2021·British Journal of Occupational Therapy
DOI 10.1177/03080226211000257
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Abstract

Introduction The dearth of clinical trials of individualised occupational therapy with people with a diagnosis of psychosis limits the evidence base globally for occupational therapy practice. This study evaluated the feasibility of conducting a pragmatic clinical trial. Method Mixed methods design using a pragmatic perspective; two-centre, one-group pretest-posttest study, at six months. POINTER Occupational Intervention Specification captured routine individualised occupational therapy. Process evaluation included recruitment, retention, intervention delivery, fidelity, adherence and outcome measurement. The primary outcome was participation in activities of everyday life, measured by Time Use Survey, Participation Scale and Utrecht Scale for Evaluation of Rehabilitation-Participation. The Canadian Occupational Performance Measure measured self-reported experience of and satisfaction with occupational performance. The Short Form-36v2 Health Survey measured health-related quality of life, a secondary outcome. Participants’ experiences were explored using a questionnaire. Intervention providers’ perspectives were investigated via the POINTER occupational intervention log and focus groups. Results Recruitment was (20/36) and drop-out 20% (4/20). Fidelity was 77%, and adherence was good; POINTER had validity and utility. Outcome measurement was acceptable to participants, indicating increased participation in activities of everyday life. Conclusion A larger clinical trial is merited; recruitment processes need further exploration, and outcome measurement needs refining.

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  • The TUS has been used to measure economic and structured activity participation.

    “To date, the TUS has been variously used to measure time spent in structured activities (excluding resting and sleep) as an indicator of overall functioning (50, 52, 53); economic and structured activity participation (55); social participation (e.g. places visited and people with whom activities were completed) (56); and time use as an indicator of social recovery (54).”

    From Contributions of a time use perspective in community mental health practice: a scoping review (2024) · cites this paper as [55]

  • Fowler et al. and Inman et al. concluded respectively that the TUS is a relevant and sensitive measure of real-world functioning, and a suitable outcome measure for evaluating individualized occupational therapy interventions.

    “Fowler et al. (54) and Inman et al. (55) concluded respectively that the TUS is a relevant and sensitive measure of real-world functioning, and a suitable outcome measure for evaluating individualized occupational therapy interventions.”

    From Contributions of a time use perspective in community mental health practice: a scoping review (2024) · cites this paper as [55]

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Authors
Inman, J., Bannigan, K., & Akhurst, J.
Affiliations
  • Edge Hill University (GB)
  • Glasgow Caledonian University (GB)
  • Psychology, Rhodes University, Grahamstown, South Africa
Corresponding author
Inman, Joanne
ORCID
Venue
British Journal of Occupational Therapy
Publisher
SAGE Publications
Published
2021-05-04
Volume
84
Issue
9
Pages
541-549
ISSN
  • 0308-0226 (ISSN-L)
  • 1477-6006
DOI
10.1177/03080226211000257
OpenAlex
W3154174513
Cited by
4
References
29
Citations by year
2025: 1 · 2024: 1 · 2022: 1 · 2021: 1
FWCI
1.24
Type
journal article
Language
en
Open access
Licence
Locations
  • British Journal of Occupational Therapy (publishedVersion, cc-by)
  • Edge Hill University Research Information Repository (Edge Hill University) (publishedVersion, cc-by-nc-nd)
  • ResearchOnline (Glasgow Caledonian University) (acceptedVersion, cc-by)
Funders
  • Plymouth University
  • York St John University
Topics
  • Health Sciences › Health Professions › Occupational Therapy › Occupational Therapy Practice and Research
  • Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
  • Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
Keywords
occupational therapy, psychosis, feasibility, participation, health-related quality of life, intervention fidelity, recruitment and retention, participant experiences

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