{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,15]],"date-time":"2026-05-15T03:00:05Z","timestamp":1778814005310,"version":"3.51.4"},"reference-count":45,"publisher":"SAGE Publications","issue":"12","license":[{"start":{"date-parts":[[2011,12,1]],"date-time":"2011-12-01T00:00:00Z","timestamp":1322697600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Can J Psychiatry"],"published-print":{"date-parts":[[2011,12]]},"abstract":"<jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>To investigate the effect of the Boston Psychiatric Rehabilitation (PR) Approach on attainment of personal rehabilitation goals, social functioning, empowerment, needs for care, and quality of life in people with severe mental illness (SMI) in the Netherlands.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method:<\/jats:title>\n                    <jats:p>A 24-month, multicentre, randomized controlled trial was used to compare the results of PR to care as usual (CAU). Patients with SMI were randomly assigned by a central randomization centre to PR ( n = 80) or CAU ( n = 76). The primary outcome of goal attainment was assessed by independent raters blind to treatment allocation. Measures for secondary outcomes were change in work situation and independent living, the Personal Empowerment Scale, the Camberwell Assessment of Needs, and the World Health Organization Quality of Life assessment. Effects were tested at 12 and 24 months. Data were analyzed according to intention to treat. Covariates were psychiatric centre, psychopathology, number of care contacts, and educational level of the professionals involved.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>The rate of goal attainment was substantially higher in PR at 24 months (adjusted risk difference: 21%, 95% CI 4% to 38%; number needed to treat [NNT] = 5). The approach was also more effective in the area of societal participation (PR: 21% adjusted increase, CAU: 0% adjusted increase; NNT = 5) but not in the other secondary outcome measures.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>The results suggest that PR is effective in supporting patients with SMI to reach self-formulated rehabilitation goals and in enhancing societal participation, although no effects were found on the measures of functioning, need for care, and quality of life.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/070674371105601207","type":"journal-article","created":{"date-parts":[[2017,1,11]],"date-time":"2017-01-11T13:24:42Z","timestamp":1484141082000},"page":"751-760","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":52,"title":["Effectively Working on Rehabilitation Goals: 24-Month Outcome of a Randomized Controlled Trial of the Boston Psychiatric Rehabilitation Approach"],"prefix":"10.1177","volume":"56","author":[{"given":"Wilma","family":"Swildens","sequence":"first","affiliation":[{"name":"Senior Researcher, Altrecht Mental Health Care, Utrecht, the Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jooske T","family":"van Busschbach","sequence":"additional","affiliation":[{"name":"Senior Researcher, Department of Psychiatry, University of Groningen, University Medical Center Groningen, Groningen, the Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Harry","family":"Michon","sequence":"additional","affiliation":[{"name":"Senior Researcher, Department of Reintegration and Community Care, Trimbos Institute, Netherlands Institute of Mental Health and Addiction, Utrecht, the Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hans","family":"Kroon","sequence":"additional","affiliation":[{"name":"Head, Department of Reintegration and Community Care, Trimbos Institute, Netherlands Institute of Mental Health and Addiction, Utrecht, the Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maarten W J","family":"Koeter","sequence":"additional","affiliation":[{"name":"Associate Professor, Epidemiologist, Amsterdam Institute for Addiction Research, Academic Medical Center, Department of Psychiatry, University of Amsterdam, Amsterdam, the Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Durk","family":"Wiersma","sequence":"additional","affiliation":[{"name":"Professor, Department of Psychiatry, University of Groningen, University Medical Center Groningen, Groningen, the Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jim","family":"van Os","sequence":"additional","affiliation":[{"name":"Professor of Psychiatric Epidemiology, Department of Psychiatry and Psychology, School of Mental Health and Neuroscience, Maastricht University Medical Center, Maastricht, the Netherlands; Visiting Professor of Psychiatric Epidemiology, King's Health Partners, Department of Psychosis Studies, Institute of Psychiatry, London, United Kingdom"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2011,12,1]]},"reference":[{"key":"bibr1-070674371105601207","doi-asserted-by":"publisher","DOI":"10.1177\/070674370204700704"},{"key":"bibr2-070674371105601207","doi-asserted-by":"publisher","DOI":"10.1080\/09638230500060144"},{"key":"bibr3-070674371105601207","first-page":"151","volume":"5","author":"Rossler W.","year":"2006","journal-title":"World Psychiatry"},{"key":"bibr4-070674371105601207","volume-title":"The principles and practice of psychiatric rehabilitation","author":"Roberts G","year":"2006"},{"key":"bibr5-070674371105601207","volume-title":"Psychiatric rehabilitation","author":"Pratt CW","year":"2010"},{"key":"bibr6-070674371105601207","doi-asserted-by":"publisher","DOI":"10.1080\/09638239818210"},{"key":"bibr7-070674371105601207","doi-asserted-by":"publisher","DOI":"10.2975\/28.2005.274.281"},{"key":"bibr8-070674371105601207","doi-asserted-by":"publisher","DOI":"10.1093\/schbul\/sbl023"},{"key":"bibr9-070674371105601207","first-page":"523","volume":"3","author":"Wykes T","year":"2008","journal-title":"Schizophr Bull"},{"key":"bibr10-070674371105601207","doi-asserted-by":"publisher","DOI":"10.1001\/archpsyc.56.7.627"},{"key":"bibr11-070674371105601207","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.bp.105.012641"},{"key":"bibr12-070674371105601207","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(07)61516-5"},{"key":"bibr13-070674371105601207","doi-asserted-by":"publisher","DOI":"10.1177\/070674370705200602"},{"key":"bibr14-070674371105601207","doi-asserted-by":"publisher","DOI":"10.1093\/schbul\/12.4.542"},{"key":"bibr15-070674371105601207","doi-asserted-by":"publisher","DOI":"10.1007\/BF00754379"},{"key":"bibr16-070674371105601207","doi-asserted-by":"publisher","DOI":"10.1093\/schbul\/12.4.709"},{"key":"bibr17-070674371105601207","volume-title":"Psychiatric rehabilitation","author":"Anthony WA","year":"2002","edition":"2"},{"key":"bibr18-070674371105601207","first-page":"161","volume":"5","author":"Farkas M.","year":"2006","journal-title":"World Psychiatry J"},{"key":"bibr19-070674371105601207","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.90.12.1873"},{"key":"bibr20-070674371105601207","doi-asserted-by":"publisher","DOI":"10.1176\/ps.2006.57.12.1778"},{"key":"bibr21-070674371105601207","doi-asserted-by":"publisher","DOI":"10.1177\/00343552060490030201"},{"key":"bibr22-070674371105601207","volume-title":"Towards a model for a comprehensive community-based mental health system","author":"National Institute of Mental Health","year":"1987"},{"key":"bibr23-070674371105601207","doi-asserted-by":"publisher","DOI":"10.1017\/CBO9780511752650.018"},{"key":"bibr24-070674371105601207","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.319.7211.703"},{"key":"bibr25-070674371105601207","first-page":"15","volume":"45","author":"Swildens W","year":"2003","journal-title":"Tijdschr Psychiatr"},{"key":"bibr26-070674371105601207","doi-asserted-by":"publisher","DOI":"10.1023\/A:1013960031687"},{"key":"bibr27-070674371105601207","doi-asserted-by":"publisher","DOI":"10.1007\/s11136-004-0689-y"},{"key":"bibr28-070674371105601207","volume-title":"Psychiatric rehabilitation fidelity in the Netherlands: Questionnaire","author":"Luyten E","year":"2004"},{"key":"bibr29-070674371105601207","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.157.6.853"},{"key":"bibr30-070674371105601207","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.167.5.589"},{"key":"bibr31-070674371105601207","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.174.5.404"},{"key":"bibr32-070674371105601207","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291798006667"},{"key":"bibr33-070674371105601207","doi-asserted-by":"publisher","DOI":"10.1007\/BF02188748"},{"key":"bibr34-070674371105601207","doi-asserted-by":"publisher","DOI":"10.1007\/BF02246547"},{"key":"bibr35-070674371105601207","first-page":"227","volume":"3","author":"Ventura J","year":"1993","journal-title":"Int J Methods Psychiatr Res"},{"key":"bibr36-070674371105601207","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.166.5.654"},{"key":"bibr37-070674371105601207","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.177.39.s28"},{"key":"bibr38-070674371105601207","doi-asserted-by":"publisher","DOI":"10.1037\/h0095020"},{"key":"bibr39-070674371105601207","doi-asserted-by":"publisher","DOI":"10.1037\/0022-0167.36.2.223"},{"key":"bibr40-070674371105601207","volume-title":"Release 10.1","author":"StataCorp. Stata statistical software","year":"2008"},{"key":"bibr41-070674371105601207","doi-asserted-by":"publisher","DOI":"10.1176\/ps.50.2.248"},{"key":"bibr42-070674371105601207","doi-asserted-by":"publisher","DOI":"10.1176\/ps.46.4.353"},{"key":"bibr43-070674371105601207","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.187.4.366"},{"key":"bibr44-070674371105601207","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ps.56.2.209"},{"key":"bibr45-070674371105601207","doi-asserted-by":"publisher","DOI":"10.2975\/26.2002.78.85"}],"container-title":["The Canadian Journal of Psychiatry"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/070674371105601207","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/070674371105601207","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T16:13:04Z","timestamp":1777392784000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/070674371105601207"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2011,12]]},"references-count":45,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2011,12]]}},"alternative-id":["10.1177\/070674371105601207"],"URL":"https:\/\/doi.org\/10.1177\/070674371105601207","relation":{},"ISSN":["0706-7437","1497-0015"],"issn-type":[{"value":"0706-7437","type":"print"},{"value":"1497-0015","type":"electronic"}],"subject":[],"published":{"date-parts":[[2011,12]]}}}