Improvement of functional independence of patients with acute schizophrenia through early occupational therapy: a pilot quasi-experimental controlled study

Tanaka, Chito; Yotsumoto, Kayano; Tatsumi, Eri; Sasada, Toru; Taira, Masaru; Tanaka, Kiwamu; Maeda, Kiyoshi; Hashimoto, Takeshi

doi:10.1177/0269215514521440

Cited by 16 publications

(7 citation statements)

References 23 publications

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“…Individualized visits were used as a support strategy for conducting activities of daily living away from the hospital. It is possible that early OT will improve the functional independence of patients with acute schizophrenia [ 55 ]. During the first half of their hospitalization, this was implemented 2–3 times per week.…”

Section: Methodsmentioning

confidence: 99%

A multicenter, randomized controlled trial of individualized occupational therapy for patients with schizophrenia in Japan

Shimada

Ohori

Inagaki³

et al. 2018

PLoS ONE

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The individualized occupational therapy (IOT) program is a psychosocial program that we developed to facilitate proactive participation in treatment and improve cognitive functioning and other outcomes for inpatients with acute schizophrenia. The program consists of motivational interviewing, self-monitoring, individualized visits, handicraft activities, individualized psychoeducation, and discharge planning. This multicenter, open-labeled, blinded-endpoint, randomized controlled trial evaluated the impact of adding IOT to a group OT (GOT) program as usual for outcomes in recently hospitalized patients with schizophrenia in Japanese psychiatric hospitals setting compared with GOT alone. Patients with schizophrenia were randomly assigned to the GOT+IOT group or the GOT alone group. Among 136 randomized patients, 129 were included in the intent-to-treat population: 66 in the GOT+IOT and 63 in the GOT alone groups. Outcomes were administered at baseline and discharge or 3 months following hospitalization including the Brief Assessment of Cognition in Schizophrenia Japanese version (BACS-J), the Schizophrenia Cognition Rating Scale Japanese version, the Social Functioning Scale Japanese version, the Global Assessment of Functioning scale, the Intrinsic Motivation Inventory Japanese version (IMI-J), the Morisky Medication Adherence Scale-8 (MMAS-8), the Positive and Negative Syndrome Scale (PANSS), and the Japanese version of Client Satisfaction Questionnaire-8 (CSQ-8J). Results of linear mixed effects models indicated that the IOT+GOT showed significant improvements in verbal memory (p <0.01), working memory (p = 0.02), verbal fluency (p < 0.01), attention (p < 0.01), and composite score (p < 0.01) on the BACS-J; interest/enjoyment (p < 0.01), value/usefulness (p < 0.01), perceived choice (p < 0.01), and IMI-J total (p < 0.01) on the IMI-J; MMAS-8 score (p < 0.01) compared with the GOT alone. Patients in the GOT+IOT demonstrated significant improvements on the CSQ-8J compared with the GOT alone (p < 0.01). The present findings provide support for the feasibility in implementing an IOT program and its effectiveness for improving cognitive impairment and other outcomes in patients with schizophrenia.

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Section: Methodsmentioning

confidence: 99%

A multicenter, randomized controlled trial of individualized occupational therapy for patients with schizophrenia in Japan

Shimada

Ohori

Inagaki³

et al. 2018

PLoS ONE

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“…Individualized visits were used as a support strategy for carrying out activities of daily living away from the hospital room. It is possible early OT will improve the functional independence of patients with acute schizophrenia (Tanaka et al, ). During the first half of their hospitalization, this was implemented 2–3 times per week.…”

Section: Methodsmentioning

confidence: 99%

Development of an Individualized Occupational Therapy Programme and its Effects on the Neurocognition, Symptoms and Social Functioning of Patients with Schizophrenia

Shimada

Nishi²,

Yoshida³

et al. 2016

Occupation Therapy Intl

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We described an individualized occupational therapy (IOT) programme and examined the effects of adding IOT to group OT (GOT) on improving neurocognition, symptoms and social functioning among recently hospitalized patients with schizophrenia. The Brief Assessment of Cognition in Schizophrenia-Japanese version (BACS-J), the Positive and Negative Syndrome Scale (PANSS) and the Global Assessment of Functioning scale were used for outcome evaluations. Fifty-one patients were voluntarily assigned to either the GOT + IOT (n = 30) or GOT alone (n = 21) groups based on their preferences. Retention in the GOT + IOT group was 100%. Three-month baseline to discharge assessments in the GOT + IOT group showed significant improvements in BACS-J verbal memory, working memory, verbal fluency, attention, executive function and composite score, and in PANSS positive subscale, general psychopathology subscale, and total score compared to the GOT alone group. Study limitations notwithstanding, the present findings provide preliminary support for the feasibility of implementing IOT and its effectiveness for improving cognitive impairment and symptoms in patients with schizophrenia. The results of this study indicate that IOT in psychiatric facilities may improve psychosocial treatment of schizophrenia. Additional study is warranted to replicate the effects of IOT as demonstrated in this Japanese study. Copyright © 2016 John Wiley & Sons, Ltd.

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“… 20 23 24 26–28 30 32 33 40 42 44 47 48 50–53 However, in the intervention group, treatment was reinforced by specific OT interventions in SMI, including: a home-based rehabilitation programme, 20 a social cognition enhancement programme, 23 an OT programme focused on work reintegration, 24 a collaborative journal, 26 a computerised cognitive programme, 27 an emotion regulation skills programme, 28 a group programme for balance in ADL, 30 individualised OT, 32 dance therapy, 33 training in shopping skills, 40 activity-based OT, 42 OT narrative medicine, 44 weight loss psychiatric rehabilitation, 47 metacognitive training, 48 a prevocational programme, 50 a programme to reconnect patients with a significant activity, 51 an OT programme focused on expressive activities 52 and an early OT intervention. 53 …”

Section: Resultsmentioning

confidence: 99%

“…Third, as we have shown in online supplemental table 2 and as described below, the articles analysed were classified into four clearly differentiated interventions, except one study. 53 In this study the intervention used was conventional OT in schizophrenia and schizoaffective disorder. This intervention was led exclusively by an occupational therapist, the programme lasted 12 weeks with 2–5 weekly 30-min sessions and it included exercise, craft and daily life skills activities.…”

Section: Resultsmentioning

confidence: 99%

Occupational therapy interventions for adults with severe mental illness: a scoping review

2021

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ObjectiveTo identify the occupational therapy (OT) interventions in adults with severe mental illness (SMI) most investigated in intervention studies and to describe their characteristics.DesignScoping review.Data sourcesOn 17 January 2020, we searched the following electronic databases: MEDLINE, Scopus, Web of Science and EMBASE. We also performed a manual search of TESEO doctoral thesis database and of the journals indexed in the first quartile of OT according to the SCImago Journal Rank. We updated our search on 10 March 2021, performing a complementary search on ProQuest database and repeating the search in all sources. The terms included in the search strategy were: schizophrenia, schizotypal personality, delusional, schizoaffective, psychotic, bipolar, major depression, obsessive–compulsive, severe mental, OT and intervention.Study selectionThe study screening was peer-reviewed. Inclusion criteria were: (1) OT intervention studies in SMI: experimental, randomised, non-randomised and pilot/exploratory studies; (2) adult population with SMI: schizophrenia, schizotypal personality disorder, delusional disorder, obsessive–compulsive disorder, schizoaffective disorder, psychotic disorder, bipolar disorder, major depressive disorder; (3) OT identified as a discipline involved in the intervention; (4) English or Spanish language and (5) studies with full text available.ResultsThirty-five studies met the inclusion criteria. OT interventions were classified in psychosocial, psychoeducational, cognitive and exercise interventions. The most used OT intervention was psychosocial intervention.ConclusionPsychosocial intervention was the most investigated OT intervention in SMI, followed by psychoeducational, cognitive and exercise interventions. These interventions are usually group interventions in patients with schizophrenia, performed by a multidisciplinary team (in which an occupational therapist collaborates), with 2–3 weekly 60 min sessions and a duration of 3–6 months.

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Improvement of functional independence of patients with acute schizophrenia through early occupational therapy: a pilot quasi-experimental controlled study

Abstract: The results suggest that early occupational therapy may improve functional independence in patients with acute schizophrenia.

Cited by 16 publications

References 23 publications

A multicenter, randomized controlled trial of individualized occupational therapy for patients with schizophrenia in Japan

A multicenter, randomized controlled trial of individualized occupational therapy for patients with schizophrenia in Japan

Development of an Individualized Occupational Therapy Programme and its Effects on the Neurocognition, Symptoms and Social Functioning of Patients with Schizophrenia

Occupational therapy interventions for adults with severe mental illness: a scoping review

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