Empowerment, self and engagement in day center occupations: A longitudinal study among people with long-term mental illness
Engelsk titel: Empowerment, self and engagement in day center occupations: A longitudinal study among people with long-term mental illness
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Författare:
Sutton, Daniel
;
Bejerholm, Ulrika
;
Eklund, Mona
Email: dsutton@aut.ac.nz
Språk: Eng
Antal referenser: 70
Dokumenttyp:
Artikel
UI-nummer: 19030060
Sammanfattning
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.