Measuring change in activity participation of mental health care users attending an Occupational Therapy programme in Rural South Africa

Olindah Silaule, Daleen Casteleijn

Abstract


Introduction: Lack of evidence on the effect of interventions is one of the several ongoing challenges facing healthcare services in South Africa. The increasing emphasis on routine outcome measurement has urged occupational therapists to demonstrate the impact of their intervention in mental health. This study aimed to evaluate the change in activity participation of the mental health care users attending an occupational therapy programme.

Methods: A one-group pre/post-test design was used. The Activity Participation Outcome Measure (APOM) was administered to measure activity participation of 64 mental health care users. Five measurements were done between admission and follow-up after discharge.

Results: Majority of the participants were between the ages of 20 – 29 and mainly diagnosed with substance use disorders. The effect sizes, Cohen’s d (> 0.80) and Cohen’s r (>0.37) demonstrated a significant positive change (p=0.00) across all APOM domains during hospitalisation. An insignificant change (p> 0.05) was noted in the effect sizes during the follow-up stages with a substantial decline in some of the APOM domains indicating that patients were not well-integrated into their communities.

Conclusion: This study revealed the importance of measuring change in participation for shaping clinical practice, to ensure meaningful intervention, and successful integration of MHCUs in their communities.

KEY WORDS:

Routine outcome measurement, activity participation, occupational therapy, mental health, rural context


Full Text:

PDF

Refbacks

  • There are currently no refbacks.


ISSN 0038-2337 (print), ISSN 2310-3833 (online)

CC license
This Open Access journal is distributed under the terms of the Creative Commons License [CC-BY-NC-ND 4.0]. Under this license, authors agree to make articles available to users, without permission or fees, for any lawful, non- commercial purpose. Users may read, copy, or re-use published content as long as the author and original place of publication are properly cited.