Changes in experienced value of everyday occupations after nature-based vocational rehabilitation

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Changes in experienced value of everyday occupations after nature-based vocational rehabilitation. / Palsdottir, Anna Maria; Grahn, Patrik; Persson, Dennis.

I: Scandinavian Journal of Occupational Therapy, Vol. 21, Nr. 1, 2014, s. 58-68.

Forskningsoutput: TidskriftsbidragArtikel i vetenskaplig tidskrift

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Palsdottir, Anna Maria ; Grahn, Patrik ; Persson, Dennis. / Changes in experienced value of everyday occupations after nature-based vocational rehabilitation. I: Scandinavian Journal of Occupational Therapy. 2014 ; Vol. 21, Nr. 1. s. 58-68.

RIS

TY - JOUR

T1 - Changes in experienced value of everyday occupations after nature-based vocational rehabilitation

AU - Palsdottir, Anna Maria

AU - Grahn, Patrik

AU - Persson, Dennis

PY - 2014

Y1 - 2014

N2 - Objective: The aim of this study was to describe and assess changes in participants' experiences of everyday occupations after nature-based vocational rehabilitation (NBVR), to assess changes regarding symptoms of severe stress and the rate of return to work and possible association with experiencing the occupational value of everyday occupations. Methods: The NBVR was carried out by a transdisciplinary rehabilitation team and took place in a specially designed rehabilitation garden. The study had a longitudinal and mixed-method approach. Data concerning experiences of everyday occupations (Oval-pd), self-assessed occupational competence (OSA-F), health status (EQ-VAS, SCI-93), and sense of coherence (SOC-13) were collected before and after the intervention, and a one-year follow-up was carried out regarding returning to work. Semi-structured interviews were performed 12 weeks after the intervention. Results: Significant changes were measured regarding perceived occupational values in daily life, symptoms of severe stress, and returning to work. Both the return to work rate and symptoms of severe stress were significantly associated with changed experience of everyday occupation. Conclusions: In the interviews, participants explained that they now had a slower pace of everyday life and that everyday occupations were more often related to nature and creativity. This could be interpreted as nature-based rehabilitation inducing changes through meaningful occupations in restorative environments, leading to a positive change in perceived values of everyday occupations.

AB - Objective: The aim of this study was to describe and assess changes in participants' experiences of everyday occupations after nature-based vocational rehabilitation (NBVR), to assess changes regarding symptoms of severe stress and the rate of return to work and possible association with experiencing the occupational value of everyday occupations. Methods: The NBVR was carried out by a transdisciplinary rehabilitation team and took place in a specially designed rehabilitation garden. The study had a longitudinal and mixed-method approach. Data concerning experiences of everyday occupations (Oval-pd), self-assessed occupational competence (OSA-F), health status (EQ-VAS, SCI-93), and sense of coherence (SOC-13) were collected before and after the intervention, and a one-year follow-up was carried out regarding returning to work. Semi-structured interviews were performed 12 weeks after the intervention. Results: Significant changes were measured regarding perceived occupational values in daily life, symptoms of severe stress, and returning to work. Both the return to work rate and symptoms of severe stress were significantly associated with changed experience of everyday occupation. Conclusions: In the interviews, participants explained that they now had a slower pace of everyday life and that everyday occupations were more often related to nature and creativity. This could be interpreted as nature-based rehabilitation inducing changes through meaningful occupations in restorative environments, leading to a positive change in perceived values of everyday occupations.

KW - Evidence-based health design

KW - flow

KW - horticulture therapy

KW - stress-related

KW - mental illness

KW - supportive environments

U2 - 10.3109/11038128.2013.832794

DO - 10.3109/11038128.2013.832794

M3 - Article

VL - 21

SP - 58

EP - 68

JO - Scandinavian Journal of Occupational Therapy

T2 - Scandinavian Journal of Occupational Therapy

JF - Scandinavian Journal of Occupational Therapy

SN - 1651-2014

IS - 1

ER -