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What are the goals of patients on sick leave with common mental disorders? An exploration of health plans in a person-centred eHealth intervention. Passed

Wednesday May 15, 2024 14:30 - 15:13 Poster Arena

Presenter: Matilda Cederberg

Track: Digitalisation and eHealth, Posters

Poster can be found in location 87.

Sick leave attributed to common mental disorders (CMDs, e.g., depression, anxiety, and stress-related mental illnesses) is a growing concern in many countries including Sweden. Sick leave episodes can be caused by illness or by social or work-related factors, but often multiple factors play in. This contributes to a complex situation and the need for individually tailored interventions with a holistic focus. Person-centred care focuses beyond functional or disease-related goals towards that which is meaningful to the patient. The aim of this study was to explore the content of personal health plans derived in person-centred phone conversations between health care professionals and patients on sick leave with CMDs. More specifically, we wanted to identify what type of goals the plans contained. We performed a qualitative content analysis of health plans documented in a randomised controlled trial evaluating effects of a remote person-centred intervention for patients on sick leave with CMDs, in which a total of 102 patients received the intervention. Among these, n=99 had at least one personal health plan, and these plans constituted data for the present study. Findings are tentative, but primary analysis has resulted in three overarching types of goals, reflecting both a focus on illness (e.g., receiving treatment), functionality (e.g., return to work) or other areas of life (e.g., relationships or personal interests): 1. Change-oriented goals, 2. Getting back to how things were, and 3. Maintaining status quo. In the first theme, goals expressed a desire for internal changes in one’s attitude or feelings, or external changes in circumstances or priorities. In the second theme, goals expressed a desire to regain something the patient felt lost, such as certain abilities, connections, or a sense of identity. In the third theme, patients’ goals oriented towards maintaining a change process already initiated, or a focus on enduring certain circumstances.   

Language

English

Seminar type

Poster

Conference

GCPCC

Authors

Matilda Cederberg, Sara Alsén , Andreas Fors

Lecturers

Matilda Cederberg Presenter

Psykiatri Psykos, Sahlgrenska universitetssjukhus