Characteristics of adult participants in Green Care programs on farms in Norway for return to work

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1 Characteristics of adult participants in Green Care programs on farms in Norway for return to work Lina Harvold Dalskau, PhD student Norwegian University of Life Sciences (UMB) Project leader and main supervisor: Camilla Ihlebæk (UMB) Project coordinator and supervisor: Bente Berget (UMB) Supervisor: Gunnar Tellnes (UiO)

2 PROJECT BACKGROUND Concern in Norway High and increasing proportion of the population permanently or temporarily out of work Dependent on different kinds of welfare benefits (NAV 29) Reasons for long-term sick leave and disability benefits: Musculoskeletal pain causes: 35% of all sickness absence (28) 3% of all new disability benefits (26) (Brage et al. 2) Psychological disorders Increasing cause for receiving sickness/disability benefits New receivers of disability benefits with psychological problems increase most in the group between 2-39 years of age 2

3 GREEN CARE Green care - umbrella term for health promoting interventions that use nature to strengthen: Social skills, physical and psychological health and quality of life Green care interventions on farms in Norway Inn på tunet was introduced as a concept in 21 Collective term for interventions that use the farm and the area around the farm in the intervention (must be regular farming activities on farm) 3

4 METHOD AND DESIGN Mapping of all Green care farms in Norway: For adults between years Vocational training (addiction problems, psychiatry) Developed a nationwide survey for participants Describe participants in Green care interventions on farms Assess how Green care interventions on farms are related to satisfaction with life, subjective health complaints, general self-efficacy, social support, basic needs and emotions regarding return to work (RTW) Developed a nationwide survey for farmers providing green care 4

5 PRELIMINARY RESULTS AND DISCUSSION 214 participants (estimated response rate about 35-4%) 46% male and 54% female Mean age 35,7 years (range 19-67) Percent Marital status Percent Education level 5

6 Percent Time out of work at intervention start Less than 1 year 1-2 years 2-5 years More than 5 years No work experience 7 Total number of years working 6 5 Percent Less than years More than years Don't know 6

7 Percent ON THE FARM 86% report being on farms with animals 65% report farmer as having the main responsibility 94% report being with other participants in the intervention Time spent in the intervention 1-6 mo 7-12 mo 1-2 years More than 2 years Percent Days per week spent on the farm Once a week Twice a week Three times a week Four times a week Five times a week or more 7

8 CORRELATIONS Emotions about RTW Measured with 4 questions Higher scores indicate more positive emotions Positive emotions about RTW are correlated to: General self-efficacy (.495) Judgements we make of our own capabilities to execute courses of action Satisfaction with life (.26) Global cognitive judgement of satisfaction with our lives Subjective health complaints (-.221) 8

9 CORRELATONS CONT. Positive emotions about RTW is also relation to basic needs (self-determination theory SDT): Autonomy (.24) Competence (.352) Relatedness (.352) Self-determination theory represent broad framework for human motivation and personality Contexts that support satisfaction of the needs results in a high motivation and engagement in the activity 9

10 GROUP DIFFERENCES BASED ON TIME SPENT IN THE INTERVENTION Two groups: 1) Intervention - less than one year (n=1) 2) Intervention more than one year (n=53) Participants that have been in the intervention for more than one year have; Higher satisfaction with life scores Higher nondirective social support scores Higher scores on basic needs (autonomy, competence and relatedness) Less subjective health complaints

11 GROUP DIFFERENCES BASED ON TIME SPENT IN THE INTERVENTION CONT. 5 4 Participants perceptions of change from being in the intervention Mean score 3 2 In the intervention for less than one year In the intervention for more than one year 1 Coping Mood Physical health 11

12 IN CONCLUSION Positive emotions towards RTW are assosiated with: GSE, SWL, and SHC basic needs (autonomy, competence and realtedness) People that has been in the intervention for more than one year also have higher scores on SWL, NDSS and basic needs (autonomy, competence and relatedness Self-percieved changes in coping, mood and physical health less SHC 12

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