Rewarding yet demanding: client perspectives on enabling occupations during early stages of recovery from schizophrenia
Abstract
Aim The purpose of this study, by exploring client perspectives, was to achieve a better understanding of how people with schizophrenia experience an occupational therapy intervention designed to enable them to carry out meaningful occupations in the early phases of recovery.Method A qualitative design comprising an eight-week client-centred occupational therapy intervention with semi-structured interviews with five of the six clients out of 10 who completed the intervention. Braun and Clark's thematic analysis was applied to the transcripts. Adherence rate and dropouts were recorded in a logbook. The Canadian Occupational Performance Measure was used to initiate and guide the intervention and the Canadian Model of Client-Centred Enablement for the client-therapist relationship.Results Participants described the intervention, which presupposed a certain level of patient readiness, as demanding. Participants valued engaging in real-life occupations while anchoring new strategies but also the occupational therapist's role in dealing with failure. Participants felt the intervention assisted in their recovery process and enabled them to engage in meaningful occupations.Conclusion The study provided unique insight into how participants experienced a client-centred partnership with an occupational therapist in the early phases of recovery. The intervention was feasible and supported the participants' recovery process.
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Conceptual practice models exist within occupational therapy literature that could have guided MA&R providers in providing support to enable activity engagement.
“Within occupational therapy literature, conceptual practice models exist [46–48] that could have guided the MA&R providers in providing support to enable activity engagement.”
That participants identified making activity changes as hard and confronting, albeit rewarding, is consistent with Bjørkedal et al.'s findings of a previous evaluation of occupational therapy to enable re-engagement in activities during recovery from participant perspectives.
“That participants identified making activity changes as hard and confronting, albeit rewarding, is consistent with Bjørkedal et al.'s (44) findings of a previous evaluation of occupational therapy to enable re-engagement in activities during recovery from participant perspectives.”
From Implementing an action over inertia group program in community residential rehabilitation services: group participant and facilitator perspectives (2021) · cites this paper as [44]
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Self-citation
- Authors
- Bjørkedal, S. T. B., Torsting, A. M. B., & Møller, T.
- Affiliations
- Mental Health Services (DK)
- Rigshospitalet (DK)
- Corresponding author
- Bjørkedal, S.T.B.
- Venue
- Scandinavian Journal of Occupational Therapy
- Published
- 2015-10-15
- Volume
- 23
- Issue
- 2
- Pages
- 97-106
- ISSN
- 1103-8128 (ISSN-L)
- 1651-2014
- OpenAlex
- W1777477272
- Cited by
- 24
- References
- 25
- Citations by year
- 2026: 1 · 2025: 2 · 2023: 7 · 2022: 1 · 2021: 6 · 2020: 3 · 2019: 1 · 2018: 1 · 2017: 2
- FWCI
- 3.17
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Scandinavian Journal of Occupational Therapy (publishedVersion)
- PubMed (publishedVersion)
- 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 › Arts and Humanities › Conservation › Art Therapy and Mental Health
- Keywords
- schizophrenia, early recovery, meaningful occupations, customer perspective, therapeutic relationship, Canadian Occupational Performance Measure, intervention feasibility
- MeSH terms
- Adult, Female, Humans, Male, Occupational Therapy, Professional-Patient Relations, Schizophrenia, Patient-Centered Care, Qualitative Research
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