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Lundqvist, L.-O., Rytterström, P., Rask, M., Brunt, D., Sellin, T., Grim, K., . . . Schröder, A. (2024). Influence of mental health service provision on the perceived quality of life among psychiatric outpatients: associations and mediating factors. Frontiers in Psychiatry, 14, Article ID 1282466.
Open this publication in new window or tab >>Influence of mental health service provision on the perceived quality of life among psychiatric outpatients: associations and mediating factors
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2024 (English)In: Frontiers in Psychiatry, E-ISSN 1664-0640, Vol. 14, article id 1282466Article in journal (Refereed) Published
Abstract [en]

Objective To investigate the relationship between perceived mental health service provision and quality of life (QoL) as perceived by patients in psychiatric outpatient care.Methods A total of 373 adult patients registered at 15 psychiatric outpatient clinics in three regions in central and southern Sweden were included in the study. Survey data were collected using a questionnaire on mental health service provision, symptom severity, recovery, clinical diagnosis, sociodemographics (serving as independent variables) and QoL (serving as the dependent variable). Three aspects of mental health service provision were used: patients' perceived quality of care, perceived staff-patient interaction, and patient reported psychiatric treatments. Structural equation modelling was used to model the relationship among the variables.Results Variables in mental health service provision showed few direct associations with patients' perceived QoL. Instead, the associations of mental health service provision on QoL were mainly mediated through symptom severity and recovery. These relationships were retained after adjusting for sociodemographic variables and clinical diagnoses. The final model achieved excellent goodness of fit (chi 2 = 49.502, p = 0.230, RMSEA = 0.020, CFI = 0.997 and a SRMR = 0.024).Conclusion This study shows that mental health service provision is associated with patients' perceived QoL; however, this association is mostly indirect and mediated by reduced symptom severity and increased recovery. This finding can help inform the design of future interventions to enhance service provision to improve patients' QoL.

Place, publisher, year, edition, pages
Frontiers Media S.A., 2024
Keywords
mediator model, mental health, outpatient psychiatric care, service provision, structural equation modelling, quality of life
National Category
Nursing Psychiatry
Research subject
Health and Caring Sciences, Nursing
Identifiers
urn:nbn:se:lnu:diva-127684 (URN)10.3389/fpsyt.2023.1282466 (DOI)001150731800001 ()38293591 (PubMedID)2-s2.0-85183631978 (Scopus ID)
Available from: 2024-02-14 Created: 2024-02-14 Last updated: 2024-03-13Bibliographically approved
Brolin, R., Tjörnstrand, C., Friis, M., Argentzell, E., Bejerholm, U., Eklund, M. & Brunt, D. (2024). "It's not just the residents who need to be motivated for activity": a qualitative study of the perspectives of staff on providing activity support for people with psychiatric disabilities in supported housing in Sweden. Frontiers in Psychiatry, 14, Article ID 1322859.
Open this publication in new window or tab >>"It's not just the residents who need to be motivated for activity": a qualitative study of the perspectives of staff on providing activity support for people with psychiatric disabilities in supported housing in Sweden
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2024 (English)In: Frontiers in Psychiatry, E-ISSN 1664-0640, Vol. 14, article id 1322859Article in journal (Refereed) Published
Abstract [en]

Background: The goals for staff in Supported Housing for people with psychiatric disabilities include helping to develop the residents’ independence and self-confidence in activities. However, staff have expressed frustration about providing this type of support when motivating residents to engage in meaningful activities and also about the difficulty in finding suitable levels of independence within a housing setting with limitations.

Objective: The aim is to explore the views and experiences of housing staff in Supported Housing on how they can stimulate and support engagement in activities for people with psychiatric disabilities.

Methods: Twenty-six members of staff from 20 supported housing units in 10 municipalities in Sweden were interviewed in five focus groups. A semi-structured interview guide was used, and the transcribed material was analyzed using qualitative content analysis.

Results: Three main categories emerged from the analysis: Multi-faceted factors influencing the staff’s provision of activity support, Staff’s approach for supporting activities, and Staff’s struggles to develop their work. Obstacles to participating in activities in the community were identified. Many contrasting factors were found, such as spontaneous or structured activities and individual or group activities, which affected the staff’s ability to motivate to activity.

Conclusion: A broad approach encompassing in-house training including a focus on values, recruitment policies, staff supervision and interventions focusing on both residents and staff are ways to support staff in motivating residents toward being more active within Supported Housing.

Place, publisher, year, edition, pages
Frontiers Media S.A., 2024
Keywords
community psychiatry, human activities, people with disabilities, staff attitudes, staff development, social support
National Category
Nursing
Research subject
Health and Caring Sciences, Nursing
Identifiers
urn:nbn:se:lnu:diva-127381 (URN)10.3389/fpsyt.2023.1322859 (DOI)001144537700001 ()38250283 (PubMedID)2-s2.0-85182703223 (Scopus ID)
Available from: 2024-02-01 Created: 2024-02-01 Last updated: 2024-02-22Bibliographically approved
Argentzell, E., Tjörnstrand, C., Brunt, D., Eklund, M. & Bejerholm, U. (2023). Opportunities and barriers for occupational engagement among residents in supported housing. Scandinavian Journal of Occupational Therapy, 30(1), 125-135
Open this publication in new window or tab >>Opportunities and barriers for occupational engagement among residents in supported housing
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2023 (English)In: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014, Vol. 30, no 1, p. 125-135Article in journal (Refereed) Published
Abstract [en]

Opportunities and barriers for occupational engagement among residents in supported housing. Background Research shows that people with psychiatric disabilities view supported housing (SH) as a possibility for social contact, but also as entailing a risk of deprived self-determination. There is, however, little research on the target group's engagement in everyday occupations. Aim To explore SH residents' opportunities and barriers for occupational engagement. Materials and methods Sixteen participants were interviewed, and data was analysed using content analysis. Results An overarching theme, Struggling to create meaning and seeking affection, and three underlying categories, emerged. Finding meaning through self-chosen occupations and support focussed on receiving support, doing self-chosen occupations, and having social contacts. Feeling neglected and insecure limits engagement in occupations was related to feelings of not being seen by staff, and insecurity, which hampered daily life. The third theme was Having a negative self-image and low level of ability hinders an active life. Conclusion Residents' self-view and ability to create an inner drive for being active was important for occupational engagement, which was linked to social connectedness. Occupational based interventions and a personal recovery approach is warranted in order to facilitate needs for meaningful occupations. Significance The results from the study can be used to further develop optimal support within SH units.

Place, publisher, year, edition, pages
Taylor & Francis Group, 2023
Keywords
Daily activities, psychiatric disability, recovery
National Category
Social Psychology
Research subject
Health and Caring Sciences, Nursing
Identifiers
urn:nbn:se:lnu:diva-117781 (URN)10.1080/11038128.2022.2141315 (DOI)000879966900001 ()36345116 (PubMedID)2-s2.0-85141554466 (Scopus ID)
Available from: 2022-12-07 Created: 2022-12-07 Last updated: 2023-05-10Bibliographically approved
Holst, H., Ozolins, L.-L., Brunt, D. & Hörberg, U. (2023). The perspectives of patients, nursing students and supervisors on “the caring–learning space”: a synthesis of and further abstracton of previous studies. International Journal of Qualitative Studies on Health and Well-being, 18(1), Article ID 2172796.
Open this publication in new window or tab >>The perspectives of patients, nursing students and supervisors on “the caring–learning space”: a synthesis of and further abstracton of previous studies
2023 (English)In: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 18, no 1, article id 2172796Article in journal (Refereed) Published
Abstract [en]

The aim was to describe and gain a greater understanding of the phenomenon “caring-learning space” based on the perspectives of patients, nursing students, and supervisors in clinical practice contexts.

A general structure of the phenomenon “caring-learning space” was created based on essential structures from five empirical studies. The analysis is based on a reflective lifeworld research approach (RLR).

The “caring-learning” space shows itself in terms of interpersonal relationships between patients, students, supervisors, and other actors in the care environment. It is first when the learning space is accepted as a part of caring, that a “caring-learning space” is created. A flexibility and a receptivity are seen where the learning is allowed to become visible and be integrated in the caring processes when caring and learning to interact.

A caring-learning space is established by the patient being the focal point, but also a co-creator in caring as well as learning regardless of her/his health status. This entails that the ”caring-learning space” exists when patients, students, supervisors and other healthcare professionals interact based on their ability and role in the space.KEYWORDS:

Place, publisher, year, edition, pages
London: Taylor & Francis, 2023
Keywords
Caring, clinical practice, learning, lifeworld, phenomenology
National Category
Nursing Pedagogy
Research subject
Health and Caring Sciences, Caring Science; Health and Caring Sciences, Caring Science
Identifiers
urn:nbn:se:lnu:diva-119153 (URN)10.1080/17482631.2023.2172796 (DOI)000924817100001 ()36744305 (PubMedID)2-s2.0-85147391189 (Scopus ID)
Available from: 2023-02-07 Created: 2023-02-07 Last updated: 2023-08-09Bibliographically approved
Rask, M., Lundqvist, L.-O., Schröder, A. & Brunt, D. (2022). Psychometric Properties of the Verbal and Social Interaction Questionnaire for Psychiatric Outpatient Care (VSI-OP), Staff and Patient Versions. Issues in Mental Health Nursing, 43(10), 936-943
Open this publication in new window or tab >>Psychometric Properties of the Verbal and Social Interaction Questionnaire for Psychiatric Outpatient Care (VSI-OP), Staff and Patient Versions
2022 (English)In: Issues in Mental Health Nursing, ISSN 0161-2840, E-ISSN 1096-4673, Vol. 43, no 10, p. 936-943Article in journal (Refereed) Published
Abstract [en]

The aim of this paper is to investigate the psychometric properties of the Verbal and Social Interaction questionnaire for psychiatric outpatient care (VSI-OP) by using a confirmatory factor analysis. A further aim is to present the patient and staff perceptions of the frequency of these interactions in this context. The factor structure of the VSI-OP could be explained by three factors for both the staff and the patient versions. The three factors are: 'Inviting the patient to establish a relationship', 'Showing interest in the patients' feelings, experiences and behaviour' and 'Helping the patients to establish structure and routines in their everyday life'. The two first factors were the most frequently occurring actions according to the staff and the patients.

Place, publisher, year, edition, pages
Taylor & Francis Group, 2022
National Category
Nursing
Research subject
Health and Caring Sciences, Nursing
Identifiers
urn:nbn:se:lnu:diva-114107 (URN)10.1080/01612840.2022.2072549 (DOI)000796830900001 ()35580349 (PubMedID)2-s2.0-85130625534 (Scopus ID)
Available from: 2022-06-16 Created: 2022-06-16 Last updated: 2022-10-11Bibliographically approved
Backåberg, S., Brunt, D., Rask, M. & Gummesson, C. (2021). Experiences of using a video-based learning model during a long-term process of movement awareness and learning – a hermeneutical study. European Journal of Physiotherapy, 23(1), 41-47
Open this publication in new window or tab >>Experiences of using a video-based learning model during a long-term process of movement awareness and learning – a hermeneutical study
2021 (English)In: European Journal of Physiotherapy, ISSN 2167-9169, E-ISSN 2167-9177, Vol. 23, no 1, p. 41-47Article in journal (Refereed) Published
Abstract [en]

Aim: To explore the long-term learning process in movement awareness development supported by a video-based learning model.

Participants: Eleven undergraduate nursing students.

Method: The students participated in learning sessions comprising video modelling, video feedback and reflective enquiry with a focus on inter-personal interaction. Each student participated in three individual video sessions during a four-month period. Three individual interviews were carried out, the last one 12–18 months after the final session. Visual, verbal and written material were collected from the video sessions, individual interviews and diaries, and interpreted within a hermeneutical approach.

Results: The learning process was described in three themes: motivation for change, exploring alternative perspectives and movement changes through challenges.

Conclusions: The video-based learning model implies a challenging experience on a personal level that supports motivation and a deep approach to learning. It adds a powerful base for reflection, which encourages student-centred active learning. The facilitator’s reflective approach is essential to allow the student to explore her/his own movement, in contrast to delivering instructions. The learning model may be valuable in the physiotherapist’s clinical work in facilitating patients’ movement awareness in the process of movement improvements.

Place, publisher, year, edition, pages
Taylor & Francis, 2021
Keywords
Ergonomics, Feedback, Hermeneutics, Learning, Movement, Video recording
National Category
Physiotherapy
Research subject
Health and Caring Sciences; Health and Caring Sciences
Identifiers
urn:nbn:se:lnu:diva-87482 (URN)10.1080/21679169.2019.1635639 (DOI)000652859800006 ()2-s2.0-85068621189 (Scopus ID)2019 (Local ID)2019 (Archive number)2019 (OAI)
Available from: 2019-08-09 Created: 2019-08-09 Last updated: 2023-04-06Bibliographically approved
Tjörnstrand, C., Eklund, M., Bejerholm, U., Argentzell, E. & Brunt, D. (2020). A day in the life of people with severe mental illness living in supported housing. BMC Psychiatry, 20(1), 1-12, Article ID 508.
Open this publication in new window or tab >>A day in the life of people with severe mental illness living in supported housing
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2020 (English)In: BMC Psychiatry, E-ISSN 1471-244X, Vol. 20, no 1, p. 1-12, article id 508Article in journal (Refereed) Published
Abstract [en]

Background People with severe mental illness (SMI) living in supported housing (SH) struggle in everyday life and we currently lack a comprehensive body of knowledge concerning how the residents experience their day. This paper aimed to gain knowledge about how people with SMI describe a day in SH in Sweden, in particular the activities they most frequently engage in and how they experience what they do in or outside their home. Furthermore, it is important to gain knowledge of which activities motivate residents to leave the housing facility and to participate in the community. This new knowledge can help staff to encourage a recovery process among the residents. Methods One hundred thirty-three people living in SH completed a time-use diary and a mixed-methods approach was applied, including calculations of what activity that was most frequently performed and a manifest content analysis addressing experiences of activity. Results The residents had a low activity level and were often alone. Approximately one-half of the reported activities were performed in their own apartments, and generally unaccompanied. A quarter of the activities were performed in the common areas and a further quarter outside the SH. The most frequently performed activities were quiet and tranquil ones, e.g. listening to music and resting. Doing errands and group activities with staff and residents were the main activities that motivated leaving the facility. The participant experience of a day is presented in three categories: "Experiences of chosen and enforced togetherness and overcoming loneliness", "Environmental change and emotional balance can generate activity", and "Met and unmet needs for support, friendship and security". Conclusions The residents were generally satisfied with their quiet and tranquil lifestyle and appeared to demand little of life, which may relate to previous experiences of institutional life and can constitute a challenge for staff. The findings highlight experiences that can help to improve SH. Services need to support individually adjusted contextual stimuli and individualize the support to help residents find a good balance and motivate them to be active in and outside SH, which can support a recovery process.

Place, publisher, year, edition, pages
BioMed Central, 2020
Keywords
Activity, Psychiatric disabilities, Social environment, Occupational therapy, Supported accommodation
National Category
Psychiatry Nursing
Research subject
Health and Caring Sciences, Nursing
Identifiers
urn:nbn:se:lnu:diva-98738 (URN)10.1186/s12888-020-02896-3 (DOI)000578083500001 ()33059664 (PubMedID)2-s2.0-85092695067 (Scopus ID)
Available from: 2020-11-05 Created: 2020-11-05 Last updated: 2024-01-17Bibliographically approved
Brunt, D. (2020). Boende (3ed.). In: David Brunt;Ulrika Bejerholm;Urban Markström;Lars Hansson (Ed.), Att leva med psykisk funktionsnedsättning - livssituation och effektiva vård- och stödinsatser: (pp. 197-218). Studentlitteratur AB
Open this publication in new window or tab >>Boende
2020 (Swedish)In: Att leva med psykisk funktionsnedsättning - livssituation och effektiva vård- och stödinsatser / [ed] David Brunt;Ulrika Bejerholm;Urban Markström;Lars Hansson, Studentlitteratur AB, 2020, 3, p. 197-218Chapter in book (Other academic)
Place, publisher, year, edition, pages
Studentlitteratur AB, 2020 Edition: 3
National Category
Nursing Social Work
Research subject
Health and Caring Sciences, Nursing
Identifiers
urn:nbn:se:lnu:diva-103682 (URN)9789144126227 (ISBN)
Available from: 2021-05-27 Created: 2021-05-27 Last updated: 2021-05-27Bibliographically approved
Eklund, M. & Brunt, D. (2020). Development of 7-item perceived meaning of activity in housing (PMA-H-7) to assess opportunities for meaningful activities in the supported housing context for people with psychiatric disabilities. Evaluation & the Health Professions, 43(4), 230-234
Open this publication in new window or tab >>Development of 7-item perceived meaning of activity in housing (PMA-H-7) to assess opportunities for meaningful activities in the supported housing context for people with psychiatric disabilities
2020 (English)In: Evaluation & the Health Professions, ISSN 0163-2787, E-ISSN 1552-3918, Vol. 43, no 4, p. 230-234Article in journal (Refereed) Published
Abstract [en]

People with psychiatric disabilities need to be able to express their views about their support, for example, the provision of meaningful activity in supported accommodation. Brief scales may be necessary to avoid strain and discomfort for this group. The aim was to develop a brief version of Perceived Meaning in Activity—Housing (PMA-H) and investigate its factor structure, internal consistency, evidence for convergent and discriminant validity, and any floor or ceiling effects. Two data sets from people with psychiatric disabilities living in congregate supported housing were reanalyzed. Seven-item PMA-H-7 was developed in Sample 1 and then tested for psychometric properties in Samples 1 (n = 155) and 2 (N = 35). Questionnaires addressing phenomena supposed to be similar to PMA (satisfaction with accommodation), or dissimilar (health, psychiatric symptoms, level of functioning), were administered. A single factor explained 44% of the variation in PMA-H-7. Internal consistency was α = .74/.75 in the two samples. Correlations of r s = .47/.52 with housing satisfaction indicated convergent validity. Low and insignificant associations were found for the remaining variables, supporting discriminant validity. No floor or ceiling effects were identified. PMA-H-7 showed adequate psychometric samples for use with people with psychiatric disabilities in assessing opportunities for meaningful activity in the supported housing context.

Place, publisher, year, edition, pages
Sage Publications, 2020
Keywords
community-based psychiatry, housing, instrument development, meaningful activity, psychiatric disability, psychometric testing, supported accommodation
National Category
Nursing
Research subject
Health and Caring Sciences, Nursing
Identifiers
urn:nbn:se:lnu:diva-93876 (URN)10.1177/0163278719845036 (DOI)000574512800004 ()31060380 (PubMedID)2-s2.0-85065538622 (Scopus ID)
Available from: 2020-04-28 Created: 2020-04-28 Last updated: 2021-05-06Bibliographically approved
Gunnarsson, A. B., Brunt, D., Tjörnstrand, C., Argentzell, E., Bejerholm, U. & Eklund, M. (2020). Navigating in a Misty Landscape - Perceptions of Supporting a Relative Residing in Supported Housing for People with a Psychiatric Disability. Issues in Mental Health Nursing, 41(11), 1038-1046
Open this publication in new window or tab >>Navigating in a Misty Landscape - Perceptions of Supporting a Relative Residing in Supported Housing for People with a Psychiatric Disability
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2020 (English)In: Issues in Mental Health Nursing, ISSN 0161-2840, E-ISSN 1096-4673, Vol. 41, no 11, p. 1038-1046Article in journal (Refereed) Published
Abstract [en]

The aim was to explore informal carers' perceptions of supporting the everyday life of a relative who has a psychiatric disability and resides in supported housing (SH). A qualitative study based on interviews with 12 informal carers was performed, and the data was analyzed with qualitative content analysis. The theme "Navigating in a misty landscape when striving to support a relative with a psychiatric disability" was identified, encompassing four categories pertaining to residents' needs, collaboration, environmental issues and the carer's situation. SH services can be enhanced by addressing informal carers' experiences and developing greater collaboration involving informal carers, residents and staff.

Place, publisher, year, edition, pages
Taylor & Francis Group, 2020
National Category
Nursing
Research subject
Health and Caring Sciences, Nursing
Identifiers
urn:nbn:se:lnu:diva-97672 (URN)10.1080/01612840.2020.1756012 (DOI)000549635400001 ()32605419 (PubMedID)2-s2.0-85087497060 (Scopus ID)
Available from: 2020-08-25 Created: 2020-08-25 Last updated: 2021-05-06Bibliographically approved
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0002-3164-8681

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