Empowerment, self and engagement in day center occupations: a longitudinal study among people with long-term mental illness

Research output: Contribution to journalArticle

Abstract

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.

Details

Authors
Organisations
External organisations
  • Auckland University of Technology
Research areas and keywords

Subject classification (UKÄ) – MANDATORY

  • Occupational Therapy

Keywords

  • Day services, recovery, self-esteem
Original languageEnglish
Pages (from-to)69-78
Number of pages10
JournalScandinavian Journal of Occupational Therapy
Volume26
Issue number1
Early online date2017 Nov 3
Publication statusPublished - 2019
Publication categoryResearch
Peer-reviewedYes