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Peer Review Article

The article I decided to write this blog post about is from AOTA, and it is about evaluating social behavioral changes through occupational therapy activity groups.  The article observed 31 people who received 1 month of skilled OT services in the form of psychosocial group activities.  The participants took a Social Profile test before they received a month of therapy, and after they received therapy.
There were considerable improvements in the scores, which are all positive improvements.  The results of the study support the idea that occupational therapy group sessions may assist in learning/recovering social participation skills, as evidenced by the pretest and posttest Social Profile scores.

The study included patients with diagnoses of bipolar disorder, major depression, schizo-affective disorder, and schizophrenia.  According to the study, the members all presented with negative symptoms, such as lack of eye contact, lack of interest in other members, and inability to discuss their needs and desires.  
The activities in the study included activities such as cooking, meal planning, wood crafts, planning a weekend, learning life skills, and setting goals.  They began doing activities at the "parallel level" meaning that group members listen, work, or play next to each other without interaction.  An example is a yoga class.  The idea behind the study is that the group would slowly work through the levels of social participation, beginning with parallel, to associative, to basic cooperative, to supportive cooperative, and finally to a mature level.  
Overall, I liked the idea of the study.  This was a longitundinal study that took about 16 months (there were 2 OTs working with group members individually for a month).  Studies like this make me wonder how beneficial programs like this would be if there they were allotted the time to make significant improvements such as this.  

Donohue, PhD, OTL, FAOTA, M. V., Hanif, MA, OTR, H., & Berns, BS Psych., BS OT, L. (2011, December). An Exploratory Study of Social Participation in Occupational Therapy Groups [Electronic version]. American Occupational Therapy Association, Inc., 34(4), 1-4.

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