审查以社区为基础的严重精神疾病患者干预措施,重点是学习日常生活的工具性活动和增进福祉。

IF 1.9 4区 医学 Q2 REHABILITATION
Emi Patmisari, Yunong Huang, Carla McLaren, Pankhuri Bhatia, Mark Orr, Sumathi Govindasamy, Emily Hielscher, Helen McLaren
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引用次数: 0

摘要

本综述综合了以社区为基础的干预措施的证据,这些干预措施旨在支持患有严重精神疾病(SMI)的个体学习日常生活工具性活动(IADLs)。鉴于全球有超过5亿人受严重精神障碍的影响,以及相关的功能损伤,有效的干预措施是迫切需要的。本综述对30项研究进行了回顾,这些研究代表了一系列全球背景和干预类型,分为简单的iadl(如家务)、复杂的iadl(如财务管理)和娱乐性iadl(如休闲活动)。研究结果表明,以社区为基础的干预措施显著改善了iadl,促进了功能独立性和整体幸福感。专题分析确定了成功的五个关键机制:个性化目标设定、具有实践学习的结构化项目、支持系统的参与、融入日常生活以及使用创新技术。审查强调,在强大的社区和技术资源的支持下,个性化和实用的IADL干预措施是最有效的。干预措施有效时,可以提高个人的实践技能,同时也有助于情感健康、社会联系和个人成就感。尽管结果令人鼓舞,但综述指出研究设计和结果的可变性,表明需要进行一致和长期的评估。尽管如此,回顾的见解为设计未来的干预措施提供了有价值的指导,以更好地支持重度精神障碍患者的自主性和社区融入。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Review of community-based interventions for people with serious mental illness, focusing on learning instrumental activities of daily living and enhancing wellbeing.

This review synthesises evidence on community-based interventions designed to support individuals with serious mental illness (SMI) in learning instrumental activities of daily living (IADLs). Given the increasing prevalence of SMI affecting over 500 million people worldwide, and associated functional impairments, effective interventions are critically needed. This review of thirty studies represented a range of global contexts and intervention types, which were categorised into simple IADLs (e.g. household chores), complex IADLs (e.g. financial management), and recreational IADLs (e.g. leisure activities). Findings demonstrated that community-based interventions significantly improved IADLs, promoting functional independence and overall well-being. Thematic analysis identified five key mechanisms for success: individualised goal-setting, structured programs with practical learning, engagement of support systems, integration into daily life, and use of innovative technologies. The review highlighted that personalised and practical IADL interventions, supported by robust community and technological resources, were most effective. When effective, interventions enhance practical skills of individuals while also contributing to emotional well-being, social connections, and personal fulfilment. Despite promising results, the review notes variability in study designs and outcomes, suggesting a need for consistent and long-term evaluations. Nonetheless, review insights offer valuable guidance for designing future interventions to better support autonomy and community integration of individuals with SMI.

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来源期刊
CiteScore
3.40
自引率
15.80%
发文量
45
审稿时长
6-12 weeks
期刊介绍: The Scandinavian Journal of Occupational Therapy is an internationally well-recognized journal that aims to provide a forum for occupational therapy research worldwide and especially the Nordic countries. Scandinavian Journal of Occupational Therapy welcomes: theoretical frameworks, original research reports emanating from quantitative, qualitative and mixed methods studies, literature reviews, case studies, presentation and evaluation of instruments, evaluation of interventions, learning and teaching in OT, letters to the editor.
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