The effectiveness of occupational therapy in enabling adults with a diagnosis of depression to improve their function and meaningful participation; a mixed methods study

Christie, L 2022, The effectiveness of occupational therapy in enabling adults with a diagnosis of depression to improve their function and meaningful participation; a mixed methods study , PhD thesis, University of Salford.

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Abstract

Background: Depression is a leading cause of disability and is characterised by a loss of interest in activities as well as difficulty carrying out everyday activities. Occupational therapy aims to enable people to participate in the daily activities they want or need to do to improve health and well-being, however there is a limited evidence base relating to the effectiveness and impact of occupational therapy in depression. Purpose This mixed-methods study aimed to (a) evaluate the effectiveness of individualised occupational therapy in enabling individuals with a diagnosis of depression to improve their occupational functioning and participation in everyday activities and (b), identify the most effective components of occupational therapy from the perspective of service users. Method: A single group pretest-posttest study design was used utilising the following outcome measures: Canadian Occupational Performance Measure (COPM), Beck Depression Inventory II (BDI II), Work and Social Adjustment Scale (WSAS), Utrecht Scale for Evaluation of Rehabilitation-Participation (User-P) and the Short Form-36 Health Survey (SF-36). Semi-structured interviews were undertaken at completion of the intervention. Methods of data analysis included correlations, paired t tests and descriptive statistics for the quantitative data, and thematic analysis for the interview data. Findings Quantitative findings show statistically significant improvements in the COPM-P, COPMS, BDI II, WSAS, two scales of the USER-P and three scales of the SF-36 outcome measure. In addition, correlation analysis suggested a tendency for those participants who had more occupational therapy to have better outcomes suggesting preliminary indication of a ‘dose-response’ relationship relating to the amount of occupational therapy people receive.

Item Type: Thesis (PhD)
Schools: Schools > School of Health and Society
Depositing User: USIR Admin
Date Deposited: 07 Jun 2022 15:43
Last Modified: 07 Jul 2022 02:30
URI: http://usir.salford.ac.uk/id/eprint/63958

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