ReDO; Re-designing Daily Occupations Intervention and Research Project

1. ReDO; Re-designing Daily Occupations Intervention and Research Project Lena-Karin Erlandsson, OTR, Ph.D. Associate professor, Lund University lena-karin.erlandsson@med.lu.se

2. The everyday – risk factor for ill-health Forget things Too difficult assignments at work Sick leave! No one understands Can’t concentrate at work Lack of enthusiasm Pain !! Never done Can’t prioritise Have to … plan the school hours, dishes, dinner and change tires on the car Tired- lack of energy

3. The Re-designing Daily Occupations Programme – A method to reclaim balance in the everyday - in order to regain workability. How do I do that?

4. The Re-designing Daily Occupations Programme (Initially) a work rehabilitation programme for women with stress-related diagnosesfocusing on work, everyday life and health

5. Work rehabilitation – Re-designing Daily Occupations "I think just to see what you spend time on actually... How to create a day and what to put in it, I think this has been great”. ”I don’t think I can realize yet, what this course has meant for me and my future return to work.” Litograph by Peter Engberg

6. Research Project 1 • Carried out in collaboration between Lund University, Region Halland and Social Insurance Offices in Halland • Research projects during a 2-year period • Approximately 50 participants with stress-related diagnoses • A 10 + 6-week program • Outcome compared with a control group

7. Sample Women with stress-related diagnoses • Selected according to criteria from SIO • A stress-related diagnosis • Employment but difficulty returning in work, due to some sort of everyday-related problem

8. Aim After completing the program, participants shall have started a revision of their everyday lives for the benefit of increased working ability and health The participant shall have a clearer vision of what they want/need to pursue in order to continue job training or return to full or part-time work.

9. What is the ReDO programme? • A ”course” • Work rehabilitation; in a group setting • Gives new perspectives and understanding of the everyday and it’s impact on health AND workability • Recognises the importance of family, administrative officers, employers and colleagues … etc.

10. Fundamental Principles of ReDO Focus on daily occupations • Work AND leisure, household chores, personal care • Experiences and structure The environment My own! Time A start of a long process

11. Occupational self -analysis 5 weeks: Group meetings 2 days/week Tools and exercises for self-analysis Occupational self -analysis 5 weeks: Group meetings 2 days/week Tools and exercises for self-analysis Goals and strategies for change 5 weeks: Group meetings 2 days/week Guidance in setting goals and strategy developmentSeminar for relatives and colleagues and /or employer Implementing changes in patterns of daily occupations 6 weeks: Group meetings 3 days Job placement –individually-adjusted ReDO - 3 phases

12. Empowerment / enablement • Understanding aspects of the everyday • Self occupational analysis • Identifying hinders and recourses • Set goals • Implementation • Evaluation How to Do in a different way…

13. Outcome of the ReDO program for women with stress-related disorders – a comparative study focusing on return to work • Research Project 1 Quasi-experimental study 42 women completed ReDO 42 women in a matched control group (age, diagnoses, time on sick leave, family situation and level of education) Measuring points: start, end, 6 and 12 months after end of intervention

14. Table 1. Baseline Characteristics of the Participants (N=84)

15. Result – Return to workcubic contrast (F=8.44; p=.005)

16. Result – Change in self immagelinear contrast (F=6.81: p=.011)