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Cited by 125Occupational Therapy Practice and ResearchSchizophrenia research and treatmentPsychiatric care and mental health services

Randomized controlled pilot study of an occupational time-use intervention for people with serious mental illness

Edgelow, Megan, Krupa, Terry·2011·American Journal of Occupational Therapy
DOI 10.5014/ajot.2011.001313
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Abstract

OBJECTIVE: We assessed the efficacy and clinical utility of a new occupational time-use intervention, Action Over Inertia, designed to improve occupational balance and engagement among community-dwelling people with serious mental illness. METHOD: Using a randomized controlled design, we assigned 24 participants to an intervention group or standard care group. Participants were community-dwelling people with serious mental illness receiving assertive community treatment services. Data on time use, occupational balance, and engagement were collected and compared at baseline and 12-wk posttest. RESULTS: Eighteen participants completed the pilot study. Treatment group participants increased their occupational balance by spending an average of 47 min more per day in activity than the control group (p = .05). Differences in occupational engagement were not shown, but evidence of clinical utility was found. CONCLUSION: This pilot study of Action Over Inertia has shown evidence of efficacy and clinical utility.

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  • The AOI workbook provides resources, including time diaries, to support individuals to reflect on personal activity patterns and develop strategies for enabling rapid activity changes, supported planning for change, and ongoing supports for sustainable changes.

    “The workbook provides resources, including time diaries, to support individuals to reflection on personal activity patterns and development of strategies for enabling rapid activity changes, supported planning for change, and ongoing supports for sustainable changes (65).”

    From Contributions of a time use perspective in community mental health practice: a scoping review (2024) · cites this paper as [65]

  • All ten studies reported the time use interventions were facilitated by at least one occupational therapist; only P2P groups were co-facilitated with peer or lived experience workers; and all reported facilitator training and regular briefings.

    “All ten studies reported the time use interventions were facilitated by at least one occupational therapist; only P2P groups were co-facilitated with peer or lived experience workers. All reported facilitator training and regular briefings (47, 64, 65).”

    From Contributions of a time use perspective in community mental health practice: a scoping review (2024) · cites this paper as [65]

  • A pilot RCT of AOI delivered individually over 12 weeks showed small but not statistically significant activity changes: decreased time spent sleeping and increased general activity compared to a control group.

    “A pilot RCT of AOI delivered individually over 12 weeks also showed small but not statistically significant activity changes: decreased time spent sleeping and increased general activity compared to a control group (65).”

    From Contributions of a time use perspective in community mental health practice: a scoping review (2024) · cites this paper as [65]

  • The authors of the Randomized Control Trial studies acknowledged that lack of blinding may have also impacted the findings.

    “The authors of the Randomized Control Trial studies acknowledged that lack of blinding may have also impacted the findings (14, 65).”

    From Contributions of a time use perspective in community mental health practice: a scoping review (2024) · cites this paper as [65]

  • Edgelow and Krupa reported that participants commented positively on their experience of AOI and changes made in their daily lives.

    “Participants also commented positively on their experience of AOI and changes made in their daily lives.”

    From Implementing an action over inertia group program in community residential rehabilitation services: group participant and facilitator perspectives (2021) · cites this paper as [28]

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Authors
Edgelow, M., & Krupa, T.
Affiliations
Queen's University (CA)
ORCID
Venue
American Journal of Occupational Therapy
Publisher
SAGE Publications
Published
2011-05
Volume
65
Issue
3
Pages
267-276
ISSN
  • 0272-9490 (ISSN-L)
  • 1943-7676
DOI
10.5014/ajot.2011.001313
OpenAlex
W2007660006
Cited by
125
References
44
Citations by year
2026: 4 · 2025: 10 · 2024: 8 · 2023: 12 · 2022: 11 · 2021: 10 · 2020: 8 · 2019: 9 · 2018: 7 · 2017: 8 · 2016: 7 · 2015: 8 · 2014: 9 · 2013: 6 · 2012: 6
FWCI
21.49
Type
journal article
Language
en
Open access
closed
Licence
journals.sagepub.com/page/policies/text-and-data-mining-license (tdm)
Locations
  • American 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 › Psychology › Clinical Psychology › Psychiatric care and mental health services
Keywords
severe mental illness, occupational balance, occupational engagement, assertive community treatment, community-dwelling adults, intervention efficacy, clinical utility
MeSH terms
Activities of Daily Living, Adult, Mental Disorders, Community Mental Health Services, Female, Humans, Male, Middle Aged, Occupational Therapy, Ontario, Pilot Projects, Surveys and Questionnaires, Reproducibility of Results, Health Behavior, Treatment Outcome, Patient Satisfaction, Time Management, Young Adult

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