Feasibility of "Mer Aktiv"
ConditionMental Ill-health
Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18-64
SponsorRegion Halland
About this trial
The Mer aktiv rehabilitaion project aims to develop and evaluate a sustainable lifestyle intervention for individuals with mental ill health. By combining clinical experience, current evidence, and interprofessional collaboration between outpatient psychiatric services and community stakeholders, the project seeks to create conditions for a more active and balanced everyday life for individuals with mental ill health. The Mer Aktiv intervention focuses on breaking social isolation, promoting activity, and strengthening participants' empowerment through healthy lifestyle behaviours, group cohesion, and community-based activities. The aim of the intervention is to increase participation in everyday life and in society, as well as to support participants in remaining active after the intervention has ended. An increased level of activity, in which participants feel a sense of belonging within society, creates conditions for individuals to gradually move closer to the labour market over time. The project examines the feasibility and relevance of the intervention as a collaborative initiative between outpatient psychiatric care and community stakeholders, with the aim of refining the intervention and identifying potential barriers to implementation.
The aim is to develop and evaluate a multiprofessional lifestyle intervention for individuals receiving outpatient psychiatric care.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Enrolled in adult outpatient psychiatric care
Not engaged in any form of organized occupation, such as employment, studies, or work-based rehabilitation
Physical exercise/structured physical activity outside the home less than once per week
Participation in organized leisure activities less than once per week
Disqualifiers
Inability to attend sessions twice per week (e.g., due to distance or lack of transportation)
Ongoing individual psychotherapy
Current or planned participation in another group-based intervention
Ongoing substance use disorder, acute suicidality, or active psychosis (assessed based on the individual's capacity to manage symptoms and ability to participate in a group setting)
Trial design
Design model
Single group
Treatments tested in this trial
Mer aktiv rehabilitation - A group-based lifestyle intervention within psychiatric care
BehavioralMer aktiv is a multiprofessional group-based intervention developed to meet a clinical need within outpatient psychiatric services and refined through collaboration among occupational therapists, physiotherapists, care workers, dietitians, and health coordinators across several clinics. The content of the group-based intervention Mer Aktiv includes: * Psychoeducation on lifestyle habits as part of active recovery (based on the six pillars of health), with a focus on physical activity, diet, sleep, stress management, and social connectedness. * Information about community-based actors and resources (integrated into Training in activity). * Training in activity (including physical and social activities) aimed at promoting a more active, meaningful, and balanced everyday life. * Planning and facilitation of next steps in an active rehabilitation process.
Treatment groups
60 Participants
are divided into 1 treatment groupGroup A: Multiprofessional lifestyle group-interventionExperimental treatment 1 intervention
Trial outcomes
Primary outcomes
1
Level of daily occupations
Level of daily occupations will be collected using the occupational therapy assessment instrument Satisfaction with Daily Occupations (SDO-13) (13 questions conserning daily occupations distributed across the domains work/studies, leisure, home and maintenance, and self-care: response options Yes or No, Range 0-13)(13 indicates the highest level of activity). Data-collection with SDO-13 at Pre, Post and 6 months. Data-collection with a 5-item questionnaire "Occupational level over time" at 1 years follow up (developed by the research group with inspiration from SDO-13 and specified inclusion criteria)(response options Yes or No)(Change in daily occupations from recruitment until 1 year)(Change from No to Yes indicates an improvement) in (Q1-2) employment/studies, (Q3) structured rehabilitation (Q4) physical exercise, (Q5) leisure activiries.
Time frame
Pre-post, 6 months, 1 year2
Satisfaction with daily occupations
Satisfaction with Daily Occupations (SDO-13) will be collected using the occupational therapy assessment instrument Satisfaction with Daily Occupations (SDO-13) (13 questions conserning daily occupations distributed across the domains work/studies, leisure, home and maintenance, and self-care: response options Yes or No; satisfaction with daily occupations based on the same 13 questions: 7-point scale, 1 = worst imaginable satisfaction, 7 = best imaginable satisfaction.
Time frame
Pre-Post, 6 months.3
Physical activity and sedentary behaviour
Physical activity and sedentary behaviour (3-item Swedish National Board of Health and Welfare). To measure physical activity, the indicator questions developed by the Swedish National Board of Health and Welfare will be used (3 questions; number of minutes spent in vigorous physical activity and everyday physical activities, respectively, as well as an estimate of the time spent sitting). Increase in minutes in physical activities is better, decrease in time spent sitting is better. The three items are analysed seperatly.
Time frame
Pre-Post, 6 months, 1 year.Secondary outcomes
1
Occupational balance
Occupational Balance Questionnaire (OBQ11) Perceived occupational balance reflects an individual's perception of the amount and variation of occupations in everyday life. Occupational balance will be assessed using the occupational therapy assessment instrument Occupational Balance Questionnaire (OBQ11) (11 items; 4-point Likert scale, 1 = strongly disagree, 4 = strongly agree)(A higher score indicates better occupational balance).
Time frame
Pre-Post, 6 months, 1 year.2
Anxiety
The Generalized Anxiety Disorder 7-item scale (GAD-7) (7 items; 4 response options, 0 = not at all, 3 = nearly every day) will be used for self-assessment of participants' anxiety symptoms during the past two weeks. A higher score is worse.
Time frame
Pre-Post, 6 months, 1 year.3
Health / Depression
The Patient Health Questionnaire (PHQ-9) To assess participants' health, the Patient Health Questionnaire (PHQ-9) will be used (9 items; 4 response options, 0 = not at all, 3 = nearly every day)(A higher score is worse). The PHQ-9 can be used for clinical categorisation of depression.
Time frame
Pre-post, 6 months, 1 year.4
Sleep health
RU-SATED will be used to collect data on participants' sleep health (6 items; 5 response options per item: never, rarely, sometimes, often, always; estimated time)(a higher score indicates better sleep health). RU-SATED has been translated into Swedish by the research group (permission to translate and use RU-SATED has been obtained). Test-retest reliability will be conducted prior to the start of the group intervention.
Time frame
Pre-post, 6 months, 1 year.Locations
Sponsors and contacts
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Region Halland
Lead sponsor
Fontänhuset Varberg (Fountain house)
Collaborator
Träffpunkten Halmstad (Halmstad municipality)
Collaborator
Göteborg University
Collaborator
Adult Psychiatry Region Halland
Collaborator
Lund University
Collaborator
Halmstad University
Collaborator
Kristianstad University
Collaborator
Source ClinicalTrials.gov
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