Although aquatic-based interventions are increasingly used in the psychiatric rehabilitation services, the effects of this type of community program as an adjuvant therapy for psychosocial problems of people with serious mental illness (SMI) have been under-explored. This research evaluated the feasibility and outcomes of an occupational therapy program consisting of aquatic-based activities (AA-OT program) in the community in Spain. This study is the first randomized controlled trial (RCT) on this topic. This pilot trial was conducted with a sample of 16 adults with SMI who were randomly allocated to the AA-OT program plus treatment as usual or treatment as usual alone (eight in each group). The AA-OT program included activation of daily living skills, warm-up, group activities/tasks, and relaxation. It consisted of two sessions per week over 12 weeks. Outcomes were evaluated at week 0 and 12. A total of 14 participants (87.5%) completed the trial. No adverse events or side-effects were noted. Comparisons between the two groups on change scores showed that participants in the intervention group showed significant improvements in several outcome measures: psychosocial problems (HoNOS), two health-related quality of life scales (SF-36: Physical Functioning and Mental Health), and performance of social activities (Activity and Social Relations scale). Satisfaction with the program was high. In conclusion, the results support the feasibility and potential benefits of this occupational therapy program. 12 weeks of aquatic-based activities in a group intervention may enhance the outcomes of psychiatric rehabilitation improving the severity of psychosocial problems, patient-reported health status, and social relations. This community-based program may be beneficial as a non-pharmacologic method in the illness management and recovery of people with SMI. The findings from this pilot trial need to be confirmed in a large, fully-powered RCT.

中文翻译：

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一项针对西班牙患有严重精神疾病的成年人的团体职业治疗计划中的水上活动的试点随机对照试验

尽管基于水上运动的干预措施越来越多地用于精神科康复服务，但这类社区计划作为严重精神疾病 (SMI) 患者心理社会问题的辅助治疗的效果尚未得到充分探索。本研究评估了西班牙社区开展的由水上活动（AA-OT 计划）组成的职业治疗计划的可行性和结果。本研究是第一个关于该主题的随机对照试验（RCT）。这项试点试验是在 16 名患有 SMI 的成年人中进行的，他们被随机分配到 AA-OT 计划加上照常治疗或单独照常治疗（每组 8 人）。AA-OT 计划包括激活日常生活技能、热身、团体活动/任务和放松。它包括每周两次，为期 12 周。在第 0 周和第 12 周评估结果。共有 14 名参与者 (87.5%) 完成了试验。没有注意到不良事件或副作用。两组变化分数的比较表明，干预组的参与者在几个结果指标上表现出显着改善：心理社会问题 (HoNOS)、两个与健康相关的生活质量量表 (SF-36：身体机能和心理健康)，以及社会活动的表现（活动和社会关系量表）。对节目的满意度很高。总之，结果支持该职业治疗计划的可行性和潜在益处。在团体干预中进行 12 周的水上活动可能会提高精神康复的结果，从而改善心理社会问题的严重程度、患者报告的健康状况和社会关系。这种以社区为基础的计划作为一种非药物方法可能有益于 SMI 患者的疾病管理和康复。这项试点试验的结果需要在一项大型、全功率 RCT 中得到证实。