Video and social rehabilitation of persons with mental illness helps to structure everyday life:a qualitative study

BACKGROUND: Living with a mental disorder has a significant impact on everyday life. In 2018, one out of every six adults, equivalent to 17.3% of the adult population of the European Union, had symptoms of mental disorders. This paper focus on social rehabilitation of patients with mental illness who have been discharged from hospital and who use video communication technologies in their rehabilitation in collaboration with their social worker. The aim of this study has been to explore the experiences of persons with mental illnesses who participated in a long-term video-based tele-social rehabilitation program, the Video Assist. METHODS: The overall research strategy is the case study method. Data collection techniques are based on triangulation. Document analysis has been performed. Participant observation in homes of persons with mental using video with social workers (168 hours). Semi structured qualitative interviews with persons with mental illness (n=13) has been conducted lasting between 30 and 60 minutes. Data were analyzed using NVivo 10.0. RESULTS: Experiences of persons with mental illness participating in the tele-social rehabilitation program are in themes: user friendly video technology, video created a new means of communication between citizen and social worker, feeling of surveillance by having the technology in the home, development of new coping strategies in everyday life and need for psychosocial support and training via the video technology. CONCLUSIONS: Persons with mental illness who are in a recovery process find that participating in a tele-social-rehabilitation program gives them a sense of mobility, security, surveillance but the ability to develop new coping strategies in their everyday lives. Future research is needed on long-term effects of tele-social rehabilitation for persons with mental illness

Motivating Patients in Cardiac Rehabilitation Programs: A Multicenter Randomized Controlled Trial

Concerns have been raised about motivation and psychological distress when implementing telerehabilitation in patients with heart failure. The current study compared conventional and telerehabilitation in two groups (n=67; n=70) of patients with heart failure at 0, 6, and 12 months on measures of motivation (Self-Determination Theory measures) and psychological distress (Hospital Anxiety and Depression scale). We found no significant changes in motivation across groups, although our telerehabilitation group had a slightly lower level of controlled motivation and higher levels of relatedness. In addition, there were no differences between groups with regard to psychological distress. This study demonstrates that telerehabilitation motivates patients with heart failure to the same degree as conventional rehabilitation, and that telerehabilitation is not associated with increased psychological distress. As such, telerehabilitation offers an alternative to conventional rehabilitation and addresses some of the barriers for participating in rehabilitation identified in the literature

STUDIER AF HESTEASSISTERET PSYKOTERAPI TIL VOKSNE: ET SYSTEMATISK REVIEW

Dette review har undersøgt studier af hesteassisteret psykoterapitil voksne patientgrupper og inkluderede både kvalitativog kvantitativ forskning. Alle 12 inkluderede undersøgelserfandt positive resultater på tværs af så forskellige grupper sompatienter med skizofreni, PTSD, borderline personlighedsforstyrrelse,depression, anoreksi, svagt begavede, voldtægtsofreog par i parterapi. De kvalitative undersøgelser fandt forbedretselvtillid, koncentrationsevne, kropsbevidsthed samt fysiskfunktionsniveau. De kvantitative undersøgelser rapporteredeforbedringer i kliniske symptomer samt fysisk helbred. Genereltfølte patienterne sig knyttede til hestene, og flere oplevede relationelleforbedringer som følge af terapien.Undersøgelsernes generaliserbarhed begrænses af de anvendteforskningsdesign og små deltagerantal. Resultaterne erdog lovende og understøtter et behov for yderligere undersøgelseraf effekten af hesteassisteret terapi