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Am J Occup Ther. 2011 May-Jun;65(3):267-76.

Randomized controlled pilot study of an occupational time-use intervention for people with serious mental illness.

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School of Rehabilitation Therapy, Queen's University, LDA Building, 31 George Street, Kingston, Ontario K7L 3N6, Canada.



We assessed the efficacy and clinical utility of a new occupational time-use intervention, Action Over Inertia, designed to improve occupational balance and engagement among community-dwelling people with serious mental illness.


Using a randomized controlled design, we assigned 24 participants to an intervention group or standard care group. Participants were community-dwelling people with serious mental illness receiving assertive community treatment services. Data on time use, occupational balance, and engagement were collected and compared at baseline and 12-wk posttest.


Eighteen participants completed the pilot study. Treatment group participants increased their occupational balance by spending an average of 47 min more per day in activity than the control group (p = .05). Differences in occupational engagement were not shown, but evidence of clinical utility was found.


This pilot study of Action Over Inertia has shown evidence of efficacy and clinical utility.

[Indexed for MEDLINE]
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