Date Presented 03/22/24
This RCT reports on the efficiency in improving time management skills of the group-based intervention ’Let’s Get Organized’ (LGO), compared to individual occupational therapy, in people with ADHD, Autism Spectrum Disorder or mental disorders.
Primary Author and Speaker: Kajsa Lidstroem Holmqvist
Contributing Authors: Maria Wingren, Ruzan Udumyan, Marie Holmefur
PURPOSE: Time management skills are essential for handling daily life in a modern society. People with ADHD, Autism spectrum disorder or mental disorders may have affected time management, which for example might lead to poor occupational balance, low self-efficacy and difficulites to maintain family and working life. Let’s Get Organized’(LGO) is a manual-based group intervention to improve time management skills. The aim of this trial was to evaluate the efficiency of the Swedish version of LGO (LGO-S) compared to treatment as usual (individual occupational therapy) to improve time management for adults with impaired time management skills due to neurodevelopmental or mental disorders.
DESIGN: Multi-center two-armed open parallel randomized controlled trail (RCT). Participants (n=88) from nine out-patient psychiatric or habilitation care units were randomized into 1) Let’s Get Organized (LGO-S) and 2) individual occupational therapy (treatment as usual).
METHOD: Both groups received intervention for 10 weeks. Data was collected pre-, post- and three months post intervention. Primary outcome measure was self-assessed time management skills. Secondary outcome measures were self assessed planning and organisational skills, regulation of emotions, satisfaction with daily occupations and self-efficacy.
RESULTS: Both LGO and Individual occupational therapy showed statistically significant improvements in time management skills after intervention (p<0.001 in both groups). The results were maintained at the three month follow-up. There were no statistically significant differences between groups. Analyzes of secondary outcomes are ongoing and will be presented at the conference.
CONCLUSION: Both LGO and individual occupational therapy had a positive effect on the participants’ time management skills. Conclusions about secondary outcomes and possible correlations will be presented at the conference.
References
Holmefur, M., Roshanay, A., White, S., Janeslätt, G., Vimefall, E., & Lidström-Holmqvist, K. (2021). Evaluation of the “Let’s Get Organized” group intervention to improve time management: protocol for a multi-centre randomised controlled trial. Trials, 22(1), 1–15. https://doi.org/10.1186/s13063-021-05578-x
Holmefur, M., Lidström-Holmqvist, K., Roshanay, A. H., Arvidsson, P., White, S., & Janeslätt, G. (2019). Pilot Study of Let’s Get Organized: A Group Intervention for Improving Time Management. The American journal of Occupational Therapy, 73(5), 7305205020p1–7305205020p10. https://doi.org/10.5014/ajot.2019.032631
Lidström-Holmqvist, K., Tollén, A., & Holmefur, M. (2021). Toward Control Over Time: Participant Experience of Attending the Let’s Get Organized Group Intervention. The American Journal of Occupational Therapy, 75(5),7505205060. https://doi.org/10.5014/ajot.2021.043216
Wingren, M., Lidström-Holmqvist, K., Roshanai, A. H., Arvidsson, P., Janeslätt, G., White, S., & Holmefur, M. (2022). One-year follow-up after the time management group intervention Let’s Get Organized. Scandinavian Journal of Occupational Therapy, 29(4), 305–314. https://doi.org/10.1080/11038128.2021.1954687
