PMID- 33994515
OWN - NLM
STAT- MEDLINE
DCOM- 20211102
LR  - 20211102
IS  - 1883-0498 (Electronic)
IS  - 0023-2513 (Print)
IS  - 0023-2513 (Linking)
VI  - 66
IP  - 4
DP  - 2020 Dec 15
TI  - Effects of Home-visit Occupational Therapy Using a Management Tool for Daily Life 
      Performance on Severe Mental Illness: A Multicenter Randomized Controlled Trial.
PG  - E119-E128
AB  - AIM: Effective intervention is necessary for improving the social functioning of 
      patients with severe mental illness (SMI). We examined the effects of home-visit 
      occupational therapy (OT) using a Management Tool for Daily Life Performance 
      (MTDLP) that was designed to support patients in completing their desired daily 
      life activities. The control group were treated by home-visit OT without using 
      MTDLP. METHOD: In this multicenter randomized controlled trial, 60 participants 
      included adults aged 18-65 with an ICD-10 diagnosis of F2 (i.e., schizophrenia, 
      schizotypal and delusional disorders) or F3 (i.e., mood [affective] disorders) 
      and who utilized one of the 20 psychiatric outreach teams in Japan. Participants 
      were randomly assigned into two groups: MTDLP (n = 29), control (n = 31). 
      Home-visit OT was provided to both groups, once a week, for four months. A 
      repeated-measures analysis of variance was conducted to compare changes in 
      participants' social functioning using the Global Assessment of Functioning (GAF) 
      and the Social Functioning Scale (SFS). RESULTS: The GAF scores of the MTDLP 
      group improved significantly greater than those of the control group. No 
      significant change in SFS total scores was found between the groups; however, the 
      Employment/Occupation scores (an SFS subscale) of the MTDLP group significantly 
      improved compared to the controls. CONCLUSION: These findings suggest that MTDLP 
      can increase the social functioning of people with SMI more so than controls. 
      Thus, home-visit OT using MTDLP that is intensively focused on the patient's 
      desires and implemented in the real-world environment appears to contribute to 
      improvements in social functioning.
FAU - Mashimo, Izumi
AU  - Mashimo I
AD  - Department of Rehabilitation Science, Kobe University Graduate School of Health 
      Sciences, Kobe, Japan.
AD  - Department of Occupational Therapy, Faculty of Health Science, Aino University, 
      Osaka, Japan.
FAU - Yotsumoto, Kayano
AU  - Yotsumoto K
AD  - Department of Rehabilitation Science, Kobe University Graduate School of Health 
      Sciences, Kobe, Japan.
FAU - Fujimoto, Hirokazu
AU  - Fujimoto H
AD  - Hyogo University of Health Sciences, Kobe, Japan.
FAU - Hashimoto, Takeshi
AU  - Hashimoto T
AD  - Department of Rehabilitation Science, Kobe University Graduate School of Health 
      Sciences, Kobe, Japan.
LA  - eng
PT  - Journal Article
PT  - Multicenter Study
PT  - Randomized Controlled Trial
DEP - 20201215
PL  - Japan
TA  - Kobe J Med Sci
JT  - The Kobe journal of medical sciences
JID - 0413531
SB  - IM
MH  - Activities of Daily Living
MH  - Adult
MH  - Ambulatory Care/methods
MH  - Female
MH  - Home Care Services/*statistics & numerical data
MH  - Humans
MH  - Japan
MH  - Male
MH  - Mental Disorders/psychology/*therapy
MH  - Middle Aged
MH  - Occupational Therapy/*methods
MH  - Outcome Assessment, Health Care
MH  - Severity of Illness Index
MH  - Social Adjustment
MH  - Social Interaction
PMC - PMC8212806
OTO - NOTNLM
OT  - Activities of daily living
OT  - Home-visit
OT  - Occupational therapy
OT  - Randomized controlled trial
OT  - Severe mental illness
OT  - Social functioning
COIS- CONFLICTS OF INTEREST The authors have no conflicts of interest to declare.
EDAT- 2021/05/18 06:00
MHDA- 2021/11/03 06:00
PMCR- 2020/12/15
CRDT- 2021/05/17 05:53
PHST- 2021/05/17 05:53 [entrez]
PHST- 2021/05/18 06:00 [pubmed]
PHST- 2021/11/03 06:00 [medline]
PHST- 2020/12/15 00:00 [pmc-release]
AID - kobej-66-e119 [pii]
PST - epublish
SO  - Kobe J Med Sci. 2020 Dec 15;66(4):E119-E128.