Effectiveness of the Boston University Approach to Psychiatric Rehabilitation in Improving Social Participation in People With Severe Mental Illnesses: A Randomized Controlled Trial
BackgroundPeople with severe mental illnesses (SMIs) have difficulty participating in society through work or other daily activities.AimsTo establish the effectiveness with which the Boston University Approach to Psychiatric Rehabilitation (BPR) improves the level of social participation in people w...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2020-09-01
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| Series: | Frontiers in Psychiatry |
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| Online Access: | https://www.frontiersin.org/article/10.3389/fpsyt.2020.571640/full |
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| author | Sarita A. Sanches Sarita A. Sanches Sarita A. Sanches Wilma E. Swildens Wilma E. Swildens Barbara Schaefer Mirjam Moerbeek Talitha L. Feenstra Talitha L. Feenstra Talitha L. Feenstra Antoinette D. I. van Asselt Antoinette D. I. van Asselt Unna N. Danner Jaap van Weeghel Jaap van Weeghel Jaap van Weeghel Jooske T. van Busschbach Jooske T. van Busschbach |
| author_facet | Sarita A. Sanches Sarita A. Sanches Sarita A. Sanches Wilma E. Swildens Wilma E. Swildens Barbara Schaefer Mirjam Moerbeek Talitha L. Feenstra Talitha L. Feenstra Talitha L. Feenstra Antoinette D. I. van Asselt Antoinette D. I. van Asselt Unna N. Danner Jaap van Weeghel Jaap van Weeghel Jaap van Weeghel Jooske T. van Busschbach Jooske T. van Busschbach |
| author_sort | Sarita A. Sanches |
| collection | DOAJ |
| description | BackgroundPeople with severe mental illnesses (SMIs) have difficulty participating in society through work or other daily activities.AimsTo establish the effectiveness with which the Boston University Approach to Psychiatric Rehabilitation (BPR) improves the level of social participation in people with SMIs, in the Netherlands.MethodIn a randomized controlled trial involving 188 people with SMIs, we compared BPR (n = 98) with an Active Control Condition (ACC, n = 90) (Trial registration ISRCTN88987322). Multilevel modeling was used to study intervention effects over two six-month periods. The primary outcome measure was level of social participation, expressed as having participated in paid or unpaid employment over the past six months, as the total hours spent in paid or unpaid employment, and as the current level of social participation. Secondary outcome measures were clients’ views on rehabilitation goal attainment, Quality of Life (QOL), personal recovery, self-efficacy, and psychosocial functioning.ResultsDuring the study, social participation, QOL, and psychosocial functioning improved in patients in both groups. However, BPR was not more effective than ACC on any of the outcomes. Better social participation was predicted by previous work experience and a lower intensity of psychiatric symptoms.ConclusionsWhile ACC was as effective as BPR in improving the social participation of individuals with SMIs, much higher percentages of participants in our sample found (paid) work or other meaningful activities than in observational studies without specific support for social participation. This suggests that focused rehabilitation efforts are beneficial, irrespective of the specific methodology used. |
| first_indexed | 2024-12-16T18:33:32Z |
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| id | doaj.art-b7f29dfc823b4edba2b046b90f5e059f |
| institution | Directory Open Access Journal |
| issn | 1664-0640 |
| language | English |
| last_indexed | 2024-12-16T18:33:32Z |
| publishDate | 2020-09-01 |
| publisher | Frontiers Media S.A. |
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| series | Frontiers in Psychiatry |
| spelling | doaj.art-b7f29dfc823b4edba2b046b90f5e059f2022-12-21T22:21:14ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402020-09-011110.3389/fpsyt.2020.571640571640Effectiveness of the Boston University Approach to Psychiatric Rehabilitation in Improving Social Participation in People With Severe Mental Illnesses: A Randomized Controlled TrialSarita A. Sanches0Sarita A. Sanches1Sarita A. Sanches2Wilma E. Swildens3Wilma E. Swildens4Barbara Schaefer5Mirjam Moerbeek6Talitha L. Feenstra7Talitha L. Feenstra8Talitha L. Feenstra9Antoinette D. I. van Asselt10Antoinette D. I. van Asselt11Unna N. Danner12Jaap van Weeghel13Jaap van Weeghel14Jaap van Weeghel15Jooske T. van Busschbach16Jooske T. van Busschbach17Phrenos Center of Expertise for Severe Mental Illness, Utrecht, NetherlandsTilburg School of Social and Behavioral Sciences, Tranzo Scientific Center for Care and Welfare, Tilburg University, Tilburg, NetherlandsAltrecht Institute for Mental Health Care, Department Research and Monitoring, Utrecht, NetherlandsAltrecht Institute for Mental Health Care, Department Research and Monitoring, Utrecht, NetherlandsInholland University of Applied Sciences, Interprofessional Mental Health Care, Department of Nursing, Amsterdam, NetherlandsParnassia Psychiatric Institute, The Hague, NetherlandsDepartment of Methodology and Statistics, Utrecht University, Utrecht, NetherlandsUniversity of Groningen, University Medical Center Groningen, Department of Epidemiology, Groningen, NetherlandsUniversity of Groningen, Groningen Research Institute of Pharmacy, Groningen, NetherlandsCentre for Nutrition, Prevention, and Health Services Research, Institute for Public Health and the Environment (RIVM), Bilthoven, NetherlandsUniversity of Groningen, University Medical Center Groningen, Department of Epidemiology, Groningen, Netherlands0University of Groningen, University Medical Center Groningen, Department of Health Sciences, Groningen, Netherlands1Altrecht Eating Disorders Rintveld, Altrecht Mental Health Institute, Zeist, NetherlandsPhrenos Center of Expertise for Severe Mental Illness, Utrecht, NetherlandsTilburg School of Social and Behavioral Sciences, Tranzo Scientific Center for Care and Welfare, Tilburg University, Tilburg, NetherlandsParnassia Psychiatric Institute, The Hague, Netherlands2University of Groningen, University Medical Center Groningen, University Center of Psychiatry, Rob Giel Onderzoekcentrum, Groningen, Netherlands3School of Human Movement and Education, Windesheim University of Applied Sciences, Zwolle, NetherlandsBackgroundPeople with severe mental illnesses (SMIs) have difficulty participating in society through work or other daily activities.AimsTo establish the effectiveness with which the Boston University Approach to Psychiatric Rehabilitation (BPR) improves the level of social participation in people with SMIs, in the Netherlands.MethodIn a randomized controlled trial involving 188 people with SMIs, we compared BPR (n = 98) with an Active Control Condition (ACC, n = 90) (Trial registration ISRCTN88987322). Multilevel modeling was used to study intervention effects over two six-month periods. The primary outcome measure was level of social participation, expressed as having participated in paid or unpaid employment over the past six months, as the total hours spent in paid or unpaid employment, and as the current level of social participation. Secondary outcome measures were clients’ views on rehabilitation goal attainment, Quality of Life (QOL), personal recovery, self-efficacy, and psychosocial functioning.ResultsDuring the study, social participation, QOL, and psychosocial functioning improved in patients in both groups. However, BPR was not more effective than ACC on any of the outcomes. Better social participation was predicted by previous work experience and a lower intensity of psychiatric symptoms.ConclusionsWhile ACC was as effective as BPR in improving the social participation of individuals with SMIs, much higher percentages of participants in our sample found (paid) work or other meaningful activities than in observational studies without specific support for social participation. This suggests that focused rehabilitation efforts are beneficial, irrespective of the specific methodology used.https://www.frontiersin.org/article/10.3389/fpsyt.2020.571640/fullsevere mental illnessessocial participationpsychiatric rehabilitationpaid employmentunpaid employmenteducation |
| spellingShingle | Sarita A. Sanches Sarita A. Sanches Sarita A. Sanches Wilma E. Swildens Wilma E. Swildens Barbara Schaefer Mirjam Moerbeek Talitha L. Feenstra Talitha L. Feenstra Talitha L. Feenstra Antoinette D. I. van Asselt Antoinette D. I. van Asselt Unna N. Danner Jaap van Weeghel Jaap van Weeghel Jaap van Weeghel Jooske T. van Busschbach Jooske T. van Busschbach Effectiveness of the Boston University Approach to Psychiatric Rehabilitation in Improving Social Participation in People With Severe Mental Illnesses: A Randomized Controlled Trial Frontiers in Psychiatry severe mental illnesses social participation psychiatric rehabilitation paid employment unpaid employment education |
| title | Effectiveness of the Boston University Approach to Psychiatric Rehabilitation in Improving Social Participation in People With Severe Mental Illnesses: A Randomized Controlled Trial |
| title_full | Effectiveness of the Boston University Approach to Psychiatric Rehabilitation in Improving Social Participation in People With Severe Mental Illnesses: A Randomized Controlled Trial |
| title_fullStr | Effectiveness of the Boston University Approach to Psychiatric Rehabilitation in Improving Social Participation in People With Severe Mental Illnesses: A Randomized Controlled Trial |
| title_full_unstemmed | Effectiveness of the Boston University Approach to Psychiatric Rehabilitation in Improving Social Participation in People With Severe Mental Illnesses: A Randomized Controlled Trial |
| title_short | Effectiveness of the Boston University Approach to Psychiatric Rehabilitation in Improving Social Participation in People With Severe Mental Illnesses: A Randomized Controlled Trial |
| title_sort | effectiveness of the boston university approach to psychiatric rehabilitation in improving social participation in people with severe mental illnesses a randomized controlled trial |
| topic | severe mental illnesses social participation psychiatric rehabilitation paid employment unpaid employment education |
| url | https://www.frontiersin.org/article/10.3389/fpsyt.2020.571640/full |
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