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Empowerment, self and engagement in day center occupations : a longitudinal study among people with long-term mental illness

Sutton, Daniel ; Bejerholm, Ulrika LU and Eklund, Mona LU orcid (2019) In Scandinavian Journal of Occupational Therapy 26(1). p.69-78
Abstract

Background: Day centers are a common form of mental health service internationally. They are aimed at enhancing occupational engagement and social relations, but there is a need to clarify the outcomes of day center programs, including the impact on important aspects of recovery such as empowerment. Aims: The aim of this study was to explore whether perceived empowerment changed over time among Swedish day center users and whether self-esteem, quality of life, socio-demographic data and self-reported diagnosis, type of program and level of engagement in day center occupations could predict future empowerment. Method: The study involved a re-analysis of longitudinal data from 14 day centers, where measures of perceived empowerment and... (More)

Background: Day centers are a common form of mental health service internationally. They are aimed at enhancing occupational engagement and social relations, but there is a need to clarify the outcomes of day center programs, including the impact on important aspects of recovery such as empowerment. Aims: The aim of this study was to explore whether perceived empowerment changed over time among Swedish day center users and whether self-esteem, quality of life, socio-demographic data and self-reported diagnosis, type of program and level of engagement in day center occupations could predict future empowerment. Method: The study involved a re-analysis of longitudinal data from 14 day centers, where measures of perceived empowerment and other individual factors were collected over a 15-month period. Non-parametric statistics were used, including Wilcoxon’s signed-rank test and logistic regression analysis. Results: There were no significant changes in day center attendee empowerment scores. Self-esteem and level of engagement in day center occupations were found to be predictors of empowerment, together explaining 34% of the variation. Conclusions: Developing empowerment in the day center context involves a complex interaction of individual, social and material factors. Potential barriers to empowerment are discussed along with considerations related to measuring empowerment as an outcome of day center programs.

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Please use this url to cite or link to this publication:
author
; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Day services, recovery, self-esteem
in
Scandinavian Journal of Occupational Therapy
volume
26
issue
1
pages
10 pages
publisher
Taylor & Francis
external identifiers
  • scopus:85033500146
  • pmid:29105535
ISSN
1103-8128
DOI
10.1080/11038128.2017.1397742
language
English
LU publication?
yes
id
c97e0559-1d51-4597-b716-edc0715cf1ed
date added to LUP
2017-11-22 10:56:15
date last changed
2024-02-13 10:43:48
@article{c97e0559-1d51-4597-b716-edc0715cf1ed,
  abstract     = {{<p>Background: Day centers are a common form of mental health service internationally. They are aimed at enhancing occupational engagement and social relations, but there is a need to clarify the outcomes of day center programs, including the impact on important aspects of recovery such as empowerment. Aims: The aim of this study was to explore whether perceived empowerment changed over time among Swedish day center users and whether self-esteem, quality of life, socio-demographic data and self-reported diagnosis, type of program and level of engagement in day center occupations could predict future empowerment. Method: The study involved a re-analysis of longitudinal data from 14 day centers, where measures of perceived empowerment and other individual factors were collected over a 15-month period. Non-parametric statistics were used, including Wilcoxon’s signed-rank test and logistic regression analysis. Results: There were no significant changes in day center attendee empowerment scores. Self-esteem and level of engagement in day center occupations were found to be predictors of empowerment, together explaining 34% of the variation. Conclusions: Developing empowerment in the day center context involves a complex interaction of individual, social and material factors. Potential barriers to empowerment are discussed along with considerations related to measuring empowerment as an outcome of day center programs.</p>}},
  author       = {{Sutton, Daniel and Bejerholm, Ulrika and Eklund, Mona}},
  issn         = {{1103-8128}},
  keywords     = {{Day services; recovery; self-esteem}},
  language     = {{eng}},
  number       = {{1}},
  pages        = {{69--78}},
  publisher    = {{Taylor & Francis}},
  series       = {{Scandinavian Journal of Occupational Therapy}},
  title        = {{Empowerment, self and engagement in day center occupations : a longitudinal study among people with long-term mental illness}},
  url          = {{http://dx.doi.org/10.1080/11038128.2017.1397742}},
  doi          = {{10.1080/11038128.2017.1397742}},
  volume       = {{26}},
  year         = {{2019}},
}