Mixed Methods Evaluation of a Movement and Mindfulness Empowerment Workshop for Adults with Serious Mental Illness
DOI:
https://doi.org/10.18060/24432Keywords:
serious mental illness, adults, empowerment, dance, mindfulnessAbstract
For seriously mentally ill adults, empowerment is critical to maximizing participation in major life activities. Although studies have identified interventions that have positively impacted empowerment, these interventions may not be applicable or amenable to all adults with serious mental illness. More interventions with other approaches are needed. Therefore, this study evaluated the initial implementation of a movement- and mindfulness-based workshop intervention. Quantitative data were used to examine differences in empowerment before and after the workshop, and qualitative data were used to explore participants’ perceptions of the reasons for empowerment differences. Ten participants completed the intervention, and nine of the ten participants also completed follow-up interviews. Quantitative data were collected via pre- and post-intervention surveys. Qualitative data were collected through follow-up interviews with the participants. Surveys revealed perceptions of optimism and control over the future increased between pre- and post-intervention. Interviews uncovered that increases in optimism and control over the future may have been related to workshop accomplishments and reduced helplessness outside of workshop sessions. Future research would benefit from the creation of a training manual along with a validated system to monitor intervention fidelity.
References
Areberg, C., & Bejerholm, U. (2013). The effect of IPS on participants’ engagement, quality of life, empowerment, and motivation: A randomized controlled trial. Scandinavian Journal of Occupational Therapy, 20(6), 420-428. https://doi.org/10.3109/11038128.2013.765911
Bannerman, H. (2014). Is dance a language? Movement, meaning and communication. Dance Research, 32(1), 65-80. https://doi.org/10.3366/drs.2014.0087
Barr, P. J., Scholl, I., Bravo, P., Faber, M. J., Elwyn, G., & McAllister, M. (2015). Assessment of patient empowerment: A systematic review of measures. PLoS ONE, 10(5), 1-25. https://doi.org/10.1371/journal.pone.0126553
Barrett, B., Young, M. S., Teague, G. B., Winarski, J. T., Moore, K. A., & Ochshorn, E. (2010). Recovery orientation of treatment, consumer empowerment, and satisfaction with services: A mediational model. Psychiatric Rehabilitation Journal, 34(2), 153-156. https://doi.org/10.2975/34.2.2010.153.156
Bejerholm, U., & Björkman, T. (2011). Empowerment in supported employment research and practice: Is it relevant? International Journal of Social Psychiatry, 57(6), 588-595. https://doi.org/10.1177/0020764010376606
Brown, S. M., & Bellamy, J. (2017). Feasibility, acceptability, and clinical trends of a mindfulness-informed child welfare intervention: Implications for trauma-focused practice. Advances in Social Work, 18(1), 369-386. https://doi.org/10.18060/21281
Cappel, M. L. (1995). Sista-2-Sista: A self-empowerment program. Journal of Physical Education, Recreation & Dance, 66(4), 43-45. https://doi.org/10.1080/07303084.1995.10608138
Castelein, S., van der Gaag, M., Bruggeman, R., van Busschbach, J. T., & Wiersma, D. (2008). Measuring empowerment among people with psychotic disorders: A comparison of three instruments. Psychiatric Services, 59(11), 1338-1342. https://doi.org/10.1176/appi.ps.59.11.1338
Coulombe, S., Radziszewski, S., Trépanier, S.-G., Provencher, H., Roberge, P., Hudon, C., Meunier, S., Provencher, M. D., & Houle, J. (2015). Mental health self-management questionnaire: Development and psychometric properties. Journal of Affective Disorders, 181, 41-49. https://doi.org/10.1016/j.jad.2015.04.007
Creswell, J. (2014). Research design: Qualitative, quantitative, and mixed methods approaches (4th ed.). Sage.
de Campos, E. A., Narchi, N. Z., & Moreno, G. (2020). Meanings and perceptions of women regarding the practice of yoga in pregnancy: A qualitative study. Complementary Therapies in Clinical Practice, 39, 1-6. https://doi.org/10.1016/j.ctcp.2020.101099
de Winter, J. C. F. (2013). Using the student’s t-test with extremely small sample sizes. Practical Assessment, Research and Evaluation, 18(10), 1-12. https://doi.org/10.7275/e4r6-dj05
Dempster, E. (2008). The choreography of the pedestrian. Performance Research, 13(1), 23-28. https://doi.org/10.1080/13528160802465458
Dhanalakshmi, D. (2019). Mindfulness-Based Stress Reduction (MBSR) to reduce anxiety, improve sense of coherence, optimism and general health among students. IAHRW International Journal of Social Sciences, 7(1), 121-127.
Duberg, A., Möller, M., & Sunvisson, H. (2016). “I feel free”: Experiences of a dance intervention for adolescent girls with internalizing problems. International Journal of Qualitative Studies on Health and Well-Being, 11(1). https://doi.org/10.3402/qhw.v11.31946
Eddy, M. (2009). A brief history of somatic practices and dance: Historical development of the field of somatic education and its relationship to dance. Journal of Dance and Somatic Practices, 1(1), 5-27. https://doi.org/10.1386/jdsp.1.1.5/1
Evans-Chase, M. (2015). If they like it they can take it with them: A mixed methods look at the use of internet-based instruction of mindfulness meditation with incarcerated youth. Advances in Social Work, 16(1), 90-106. https://doi.org/10.18060/17973
Gabriel, A. S., Diefendorff, J. M., & Erickson, R. J. (2011). The relations of daily task accomplishment satisfaction with changes in affect: A multilevel study in nurses. Journal of Applied Psychology, 96(5), 1095-1104. https://doi.org/10.1037/a0023937
Gander, F., Proyer, R. T., & Ruch, W. (2017). The subjective assessment of accomplishment and positive relationships: Initial validation and correlative and experimental evidence for their association with well-being. Journal of Happiness Studies, 18, 743-764. https://doi.org/10.1007/s10902-016-9751-z
Gidugu, V., & Jacobs, M. L. (2019). Empowering individuals with mental illness to develop healthy eating habits through mindful eating: Results of a program evaluation. Psychology, Health and Medicine, 24(2), 177-186. https://doi.org/10.1080/13548506.2018.1516295
Harris, W. (2013). Mindfulness-Based Existential Therapy: Connecting mindfulness and existential therapy. Journal of Creativity in Mental Health, 8(4), 349-362. https://doi.org/10.1080/15401383.2013.844655
Hultqvist, J., Eklund, M., & Leufstadius, C. (2015). Empowerment and occupational engagement among people with psychiatric disabilities. Scandinavian Journal of Occupational Therapy, 22(1), 54-61. https://doi.org/10.3109/11038128.2014.934916
Hutchinson, D., Anthony, W. A., Ashcraft, L., Johnson, E., Dunn, E. C., Lyass, A., & Rogers, E. S. (2006). The personal and vocational impact of training and employing people with psychiatric disabilities as providers. Psychiatric Rehabilitation Journal, 29(3), 205-213. https://doi.org/10.2975/29.2006.205.213
Hutchinson, D., Anthony, W., Massaro, J., & Rogers, E. S. (2007). Evaluation of a combined supported computer education and employment training program for persons with psychiatric disabilities. Psychiatric Rehabilitation Journal, 30(3), 189-197. https://doi.org/10.2975/30.3.2007.189.197
Hyun, M. S., Kim, H., & Nam, K. A. (2019). Effects of an empowerment program for community-dwelling people with mental illness in South Korea. Perspectives in Psychiatric Care, 55(1), 15-22. https://doi.org/10.1111/ppc.12273
Kabat-Zinn, J. (2003). Mindfulness-based interventions in context: Past, present, and future. Clinical Psychology: Science and Practice, 10(2), 144-156. https://doi.org/10.1093/clipsy/bpg016
Kotin, A., Mcgregor, S. A., Pellecchia, D., Schatz, I., & Liu, S. P. (2013). Speak out. Act up. Move forward. Disobedience-based arts education. Harvard Educational Review, 83(1), 190-200. https://doi.org/10.17763/haer.83.1.x2j8070452124kv3
Leseho, J., & Maxwell, L. R. (2010). Coming alive: Creative movement as a personal coping strategy on the path to healing and growth. British Journal of Guidance & Counselling, 38(1), 17-30. https://doi.org/10.1080/03069880903411301
Marchinko, S., & Clarke, D. (2011). The Wellness Planner: Empowerment, quality of life, and continuity of care in mental illness. Archives of Psychiatric Nursing, 25(4), 284-293. https://doi.org/10.1016/j.apnu.2010.10.003
McCall, M., Thorne, S., Ward, A., & Heneghan, C. (2015). Yoga in adult cancer: An exploratory, qualitative analysis of the patient experience. BMC Complementary and Alternative Medicine, 15(1), 1-10. https://doi.org/10.1186/s12906-015-0738-9
Moe, A. M. (2014). Sequins, sass, and sisterhood: An exploration of older women’s belly dancing. Journal of Women and Aging, 26(1), 39-65. https://doi.org/10.1080/08952841.2014.854574
Morris, F. J., & Willis-Rauch, M. (2014). Join the art club: Exploring social empowerment in art therapy. Art Therapy, 31(1), 28-36. https://doi.org/10.1080/07421656.2014.873694
National Institute of Mental Health. (2019). Mental Illness. https://www.nimh.nih.gov/health/statistics/mental-illness.shtml
Okon, S., & Webb, D. (2014). Self-determination: A curriculum of empowerment for health and wellness in a psychosocial rehabilitation clubhouse. Occupational Therapy in Mental Health, 30(2), 196-212. https://doi.org/10.1080/0164212X.2014.911672
Pickett, S. A., Diehl, S. M., Steigman, P. J., Prater, J. D., Fox, A., Shipley, P., Grey, D. D., & Cook, J. A. (2012). Consumer empowerment and self-advocacy outcomes in a randomized study of peer-led education. Community Mental Health Journal, 48(4), 420-430. https://doi.org/10.1007/s10597-012-9507-0
Purser, A. (2019). Dancing intercorporeality: A health humanities perspective on dance as a healing art. Journal of Medical Humanities, 40(2), 253-263. https://doi.org/10.1007/s10912-017-9502-0
Regehr, K. (2012). The rise of recreational burlesque: Bumping and grinding towards empowerment. Sexuality and Culture, 16(2), 134-157. https://doi.org/10.1007/s12119-011-9113-2
Richards, K. A. R., & Hemphill, M. A. (2018). A practical guide to collaborative qualitative data analysis. Journal of Teaching in Physical Education, 37, 225-231. https://doi.org/10.1123/jtpe.2017-0084
Roberts, N. G. (2016). Embodying self: A dance/movement therapy approach to working with concealable stigmas. American Journal of Dance Therapy, 38(1), 63-80. https://doi.org/10.1007/s10465-016-9212-6
Rogers, E. S., Chamberlin, J., Ellison, M. L., & Crean, T. (1997). A consumer-constructed scale to measure empowerment among users of mental health services. Psychiatric Services, 48(8), 1042-1047. https://doi.org/10.1176/ps.48.8.1042
Rogers, E. S., Ralph, R. O., & Salzer, M. S. (2010). Validating the empowerment scale with a multisite sample of consumers of mental health services. Psychiatric Services, 61(9), 933-936. https://doi.org/10.1176/appi.ps.61.9.933
Russinova, Z., Gidugu, V., Bloch, P., Restrepo-Toro, M., & Sally Rogers, E. (2018). Empowering individuals with psychiatric disabilities to work: Results of a randomized trial. Psychiatric Rehabilitation Journal, 41(3), 196-207. https://doi.org/10.1037/prj0000303
Sá-Fernandes, L., Jorge-Monteiro, M. F., & Ornelas, J. (2018). Empowerment promotion through competitive employment for people with psychiatric disabilities. Journal of Vocational Rehabilitation, 49(2), 259-263. https://doi.org/10.3233/JVR-180971
Sakhat, Z. (2017). Butterflies. Social Work with Groups, 40(4), 308-314. https://doi.org/10.1080/01609513.2016.1217481
Salzer, M. S., Rogers, J., Salandra, N., O’Callaghan, C., Fulton, F., Balletta, A. A., Pizziketti, K., & Brusilovskiy, E. (2016). Effectiveness of peer-delivered Center for Independent Living supports for individuals with psychiatric disabilities: A randomized, controlled trial. Psychiatric Rehabilitation Journal, 39(3), 239-247. https://doi.org/10.1037/prj0000220
Sartorius, N. H. (2011). Empowerment and mental health. European Psychiatry, 26(S2), 2100-2100. https://doi.org/10.1016/s0924-9338(11)73803-2
Schrank, B., Brownell, T., Jakaite, Z., Larkin, C., Pesola, F., Riches, S., Tylee, A., & Slade, M. (2016). Evaluation of a positive psychotherapy group intervention for people with psychosis: Pilot randomised controlled trial. Epidemiology and Psychiatric Sciences, 25(3), 235-246. https://doi.org/10.1017/S2045796015000141
Strand, V. C., Hansen, S., & Courtney, D. (2013). Common elements across evidence-based trauma treatment: Discovery and implications. Advances in Social Work, 14(2), 334-354. https://doi.org/10.18060/3052
Travis, R., Rodwin, A. H., & Allcorn, A. (2019). Hip Hop, empowerment, and clinical practice for homeless adults with severe mental illness. Social Work with Groups, 42(2), 83-100. https://doi.org/10.1080/01609513.2018.1486776
Wang, C. Y., Zhang, K., & Zhang, M. (2017). Dysfunctional attitudes, learned helplessness, and coping styles among men with substance use disorders. Social Behavior and Personality, 45(2), 269-280. https://doi.org/10.2224/sbp.5825
Yamada, S., & Suzuki, K. (2007). Application of Empowerment Scale to patients with schizophrenia: Japanese experience. Psychiatry and Clinical Neurosciences, 61(6), 594-601. https://doi.org/10.1111/j.1440-1819.2007.01723.x
