Evidence Based Guidelines to Improve Engagement and Par- ticipation for People Experiencing Depression
DOI:
https://doi.org/10.61841/btmwp239Keywords:
depression, evidence based practice, participation, practice guidelinesAbstract
Background
Depression can have a strongly negative impact on a person’s ability to engage with and participate in activities of daily living. Clinicians currently seeking guidance on best practice in this area currently need to access and cri- tique a wide range of evidence from a number of disciplines. While some clinical practice guidelines are avail- able, this form of evidence presentation presents several barriers to implementation.
Procedures
This article proposes a new procedure for developing guidance for clinicians, known as evidence based guidelines. The purpose of the guidelines presented here is to provide guidance on appropriate assessment and in- tervention strategies with people experiencing depression, who wish to improve their engagement and participa- tion in daily activities. They were constructed using a multiple methods procedure, with five phases.
Results
Evidence based guidelines for the general population, older adults and people with co-morbid physical conditions are presented at the conclusion of this article.
Conclusion
The procedure described here produces evidence based guidelines with built in measures to promote implementa- tion into practice. The resulting guidelines for depression will enable clinicians from all disciplines to engage in best practice, and assist people with depression participate more fully in their lives.
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References
Ay-Woan, P., Sarah, C. P., Lylnn, C., Tsyr-Jang, C., & Ping-Chuan, H. (2006). Quality of life in depression: Pre- dictive models. Quality of Life Research: An International Journal of Quality of Life Aspects of Treat- ment, Care & Rehabilitation, 15(1), 39-48.
Bannigan, K., & Moores, A. (2009). A model of professional thinking: Integrating reflective practice and evidence based practice. Canadian Journal of Occupational Therapy, 76(5), 342-350.
Brown, C., Rempfer, M., & Hamera, E. (2008). Correlates of insider and outsider conceptualizations of recovery.
Psychiatric Rehabilitation Journal, 32(1), 23-31.
Chaffey, L., Unsworth, C., & Fossey, E. (2010). A grounded theory of intuition among occupational therapists in mental health practice. British Journal of Occupational Therapy, 73(7), 300-308.
Chesworth, C., Duffy, R., Hodnett, J., & Knight, A. (2002). Measuring clinical effectiveness in mental health: Is the Canadian Occupational Performance an appropriate measure? British Journal of Occupational Therapy, 65(1), 30-34.
Choi, H., Fogg, L., Lee, E. E., & Choi Wu, M. (2009). Evaluating differential item functioning of the CES-D Scale according to caregiver status and cultural context in Korean women. Journal of the American Psychiatric Nurses Association, 15(4), 240-248.
Chung, L., Pan, A.-W., & Hsiung, P.-C. (2009). Quality of life for patients with major depression in Taiwan: A model-based study of predictive factors. Psychiatry Research, 168(2), 153-162.
Cole, F. (2010). Physical activity for its mental health benefits: conceptualising participation, within the Model of Human Occupation. British Journal of Occupational Therapy, 73(12), 607-615.
Collins, M. (1998). Occupational therapy and spirituality: Reflecting on quality of experience in therapeutic inter- ventions. British Journal of Occupational Therapy, 61(6), 280-284.
Cooper, P., & Sloan, D. (2012). Can the use of writing lower rumination of negative thoughts in depressed adults?...
...including commentary by Sloan DM. International Journal of Therapy & Rehabilitation, 19(1), 43-52.
Cowls, J., & Galloway, E. (2009). Understanding how traumatic re-enactment impacts the workplace: assisting cli- ents' successful return to work. Work, 33(4), 401-411.
Cracknell, E. (1995). A small, achievable task. British Journal of Occupational Therapy, 58(8), 343-344.
Curtin, M., & Fossey, E. (2007). Appraising the trustworthiness of qualitative studies: Guidelines for occupational therapists. Australian Occupational Therapy Journal, 54(2), 88-94.
Desha, L., Nicholson, J., & Ziviani, J. (2011). Adolescent depression and time spent with parents and siblings. So- cial Indicators Research, 101(2), 233-238.
Desha, L., & Ziviani, J. (2007). Use of time in childhood and adolescence: A literature review on the nature of activity participation and depression. Australian Occupational Therapy Journal, 54(1), 4-10.
Dobbins, M., Robeson, P., Ciliska, D., Hanna, D., Cameron, R., O'Mara, L., . . . Mercer, S. (2009). A description of a knowledge broker role implemented as part of a randomized controlled trial evaluating three knowledge translation strategies. Implementation Science, 4(1), 23-32.
Fossey, E. (2005). An invitation to write about your work. Australian Occupational Therapy Journal, 52(9), 99- 100.
Francke, A., Smit, M., de Veer, A., & Mistiaen, P. (2008). Factors influencing the implementation of clinical guidelines for health care professionals: A systematic meta-review. BMC Medical Informatics and De- cision Making, 8(1), 38.
Fricke, J. (2004). Why does our profession need a journal? . Australian Occupational Therapy Journal, 51(2), 59.
Gagliardi, A., & Brouwers, M. (2012). Integrating guideline development and implementation: Analysis of guideline development manual instructions for generating implementation advice. Implementation Sci- ence, 7(1), 67-76.
Gagliardi, A., Brouwers, M., Palda, V., Lemieux-Charles, L., & Grimshaw, J. (2011). How can we improve guideline use? A conceptual framework of implementability. Implementation Science, 6(1), 26.
Girard, C., Fisher, A., Short, M., & Duran, L. (1999). Occupational performance differences between psychiatric groups. Scandinavian Journal of Occupational Therapy, 6(3), 119-126.
Goldberg, B., Brintnell, E. S., & Goldberg, J. (2002). The relationship between engagement in meaningful activities and quality of life in persons disabled by mental illness. Occupational Therapy in Mental Health, 18(2), 17-44.
Gunnarsson, A. B., Jansson, J., & Eklund, M. (2006). The Tree Theme Method in psychosocial occupational ther- apy: a case study. Scandinavian Journal of Occupational Therapy, 13(4), 229-240.
Gunnarsson, A. B., Jansson, J. A., & Eklund, M. (2006). The tree theme method in psychosocial occupational ther- apy: A case study. Scandinavian Journal of Occupational Therapy, 13(4), 229-240.
Gutman, S. A., & Biel, L. (2001). Promoting the Neurologic Substrates of Well-Being Through Occupation. Occu- pational Therapy in Mental Health, 17(1), 1-22.
Haglund, L., Thorell, L., & Wallinder, J. (1998). Occupational functioning in relation to psychiatric diagnosis: Schizophrenia and mood disorders. Nordic Journal of Psychiatry, 52, 223-229.
Hand, C., Law, M., & McColl, M. (2011). Occupational Therapy Interventions for Chronic Diseases: A Scoping Review. American Journal of Occupational Therapy, 65(4), 428-436.
Hauck, K., & Chard, G. (2009). How do employees and managers perceive depression: a worksite case study.
Work, 33(1), 13-22.
Henderson, R., & Rheault, W. (2004). Appraising and Incorporating Qualitative Research in Evidence-Based Prac- tice. Journal of Physical Therapy Education, 18(3), 35-40.
Hillier, S., Grimmer-Somers, K., Merlin, T., Middleton, P., Salisbury, J., Tooher, R., & Weston, A. (2011). FORM: An Australian method for formulating and grading recommendations in evidence based clinical guidelines. BMC Medical Research Methodology, 11, 23-31.
Hutchings, H., Rapport, F., Wright, S., & Doel, M. (2013). Obtaining Consensus from Mixed Groups: An Adapted Nominal Group Technique. British Journal of Medicine & Medical Research, 3(3), 491-502.
Kinnealey, M., Koenig, K. P., & Smith, S. (2011). Relationships between sensory modulation and social supports and health-related quality of life. American Journal of Occupational Therapy, 65(3), 320-327.
le Roux, M. C., & Kemp, R. (2009). Effect of a companion dog on depression and anxiety levels of elderly resid- ents in a long-term care facility. Psychogeriatrics, 9(1), 23-26.
Lee, A. (2001). The effects of chronic illness on roles and emotions of caregivers. Occupational Therapy in Health Care, 14(1), 47-60.
Linroth, R., Zander, S., Forde, S., Hanley, M., & Linds, J. (1996). Ramsey County day treatment services: Day treatment to extended day treatment centres to focus group. Occupational Therapy in Health Care, 10(2), 89-103.
Lopez, A., Vanner, E. A., Cowan, A. M., Samuel, A. P., & Shepherd, D. L. (2008). Intervention Planning Facets— Four Facets of Occupational Therapy Intervention Planning: Economics, Ethics, Professional Judgment, and Evidence-Based Practice. The American Journal of Occupational Therapy, 62(1), 87-96. doi: 10.5014/ajot.62.1.87
Mack, S. (2002). Where the Rainbow Speaks and Catches the Sun. Occupational Therapy in Mental Health, 17(3- 4), 43-58.
Malekpour, M. (2008). Needs assessment of runaway females in Iran from an occupational therapy perspective.
Occupational Therapy International, 15(4), 232-252.
McKay, E. (2008). What we have been 'doing'? A historical review of occupational therapy. In E. McKay, C. Craik,
K. H. Lim & G. Richards (Eds.), Advancing occupational therapy in mental health practice (pp. 3-16). London: Blackwell Publishing.
McNulty, M. C., & Beplat, A. L. (2008). The validity of using the Canadian occupational performance measure with older adults with and without depressive symptoms. Physical & Occupational Therapy in Geriatrics, 27(1), 1-15.
Moretenson, W. B., & Oliffe, J. L. (2009). Mixed Methods Research in Occupational Therapy: A Survey and Cri- tique. OTJR: Occupation, Participation and Health, 29(1), 14-23.
Oakley, F., Khin, N. A., Parks, R., Bauer, L., & Sunderland, T. (2002). Improvement in activities of daily living in elderly following treatment for post-bereavement depression. Acta Psychiatrica Scandinavica, 105(3), 231-234.
Olson, L. (2006). When a mother is depressed: Supporting her capacity in co-occupation with her baby - a case study. Occupational Therapy in Mental Health, 22(3-4)(135-152).
Pépin, G., Guérette, F., Lefebvre, B., & Jacques, P. (2008). Canadian Therapists' Experiences While Implementing the Model of Human Occupation Remotivation Process. Occupational Therapy in Health Care, 22(2/3), 115-124.
Pfeiffer, B., Kinnealey, M., Reed, C., & Herzberg, G. (2005). Sensory Modulation and Affective Disorders in Chil- dren and Adolescents With Asperger’s Disorder. The American Journal of Occupational Therapy, 59(3), 335-345. doi: 10.5014/ajot.59.3.335
Prior, S. (1998). Determining the effectiveness of a short-term anxiety management course. British Journal of Oc- cupational Therapy, 61(5), 207-213.
Scott, S. D., Albrecht, L., O'Leary, K., Ball, G. D., Dryden, D. M., Hartling, L., . . . Klassen, T. P. (2011). A pro- tocol for a systematic review of knowledge translation strategies in the allied health professions. Imple- ment Science, 6, 58.
Skärsäter, I., Baigi, A., & Haglund, L. (2006). Functional status and quality of life in patients with first-episode ma- jor depression. Journal of Psychiatric and Mental Health Nursing, 13(2), 205-213.
Sundsteigen, B., Eklund, K., & Dahlin-Ivanoff, S. (2009). Patients' experience of groups in outpatient mental health services and its significance for daily occupations. Scandinavian Journal of Occupational Therapy, 16(3), 172-180.
Tam, P. W. C., & Wong, D. F. K. (2007). Qualitative analysis of dysfunctional attitudes in Chinese persons suffer- ing from depression. Hong Kong Journal of Psychiatry, 17(4), 109-114.
Thibeault, R. (1997). A funeral for my father's mind: A therapists attempt at grieving. Canadian Journal of Occu- pational Therapy, 64(3), 107-114.
Waters, D. (1995). Recovering from a depressive episode using the Canadian Occupational Performance Measure.
Canadian Journal of Occupational Therapy, 62(5), 278-282.
Westwood, J. (2003). The impact of adult education for mental health service users. British Journal of Occupation- al Therapy, 66(11), 505-510.
Whitney, D. K., Kusznir, A., & Dixie, A. (2002). Women with Depression: The Importance of Social, Psychologic- al and Occupational Factors in Illness and Recovery. Journal of Occupational Science, 9(1), 20-27.
Wilcock, A. (2006). An occupational perspective of health (2nd ed.). Thorofare, NJ: SLACK Incorporated.
Yakobina, S., Yakobina, S., & Tallant, B. K. (1997). I came, I thought, I conquered: Cognitive Behavior approach applied in occupational therapy for the treatment of depressed (dysthymic) females. Occupational Therapy in Mental Health, 13(4), 59-73.
Yau, E. F. Y., Chan, C. C. H., Chan, A. S. F., & Chui, B. K. T. (2005). Changes in psychosocial and work-related characteristics among Clubhouse members: A preliminary report. Work: Journal of Prevention, Assess- ment & Rehabilitation, 25(4), 287-298.
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