Occupational Self-Analysis Programme

NCT ID: NCT03989388

Last Updated: 2019-06-19

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 37 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2014-10-31
• Study Completion Date: 2016-07-31

Brief Summary

Introduction There is a growing tendency from Occupational Therapy towards the use of programs based on occupation, which, through significant occupational participation, have shown to obtain beneficial results maintained over time in its participants. For this, these programs carry out processes of occupational self- analysis in which people reflect on the daily activities they usually perform so that they can generate modifications towards more satisfactory routines. However, and despite their proven benefits, these programs have been conducted mainly on older people and in cultural contexts other than Spanish.

The "Occupational Self-Analysis" program, developed in the Spanish context, provides participants with a space where they can learn to analyse the barriers and supports for occupational participation and thus achieve a more significant occupational performance.

Objectives The objective of this study was to assess the effectiveness of the "Occupational Self-Analysis" program on the subjective perception of health and the number of roles in people with and without disabilities. In the same way, the purpose was to analyse the increase or modification of the performance in the Activities of the Daily Life that the participants did, and to know how the social environment supports the individual participation of the participants in meaningful activities.

Method The implementation of the "Occupational Self-Analysis" program was carried out in 3 different populations; people with intellectual disability, people with acquired brain injury (ABI) and University students. The intervention was performed by comparing it with a control group (vocational guidance or usual rehabilitation in the caso of ABI participants). In people with intellectual disability, the experimental group consisted of 12 participants and the control one of 13. In people with ABI, the experimental group involved 5 participants and the control, 7. In university students, the experimental group involved 7 and the control 7. The SF-36 Health Questionnaire was used for the evaluation of subjective health perception and the Roles Checklist (Part 1) to evaluate the number of roles they play in the present and the future. All of them underwent a final focus group and the diary were they wrote their learning and emotions was analyzed to assess the benefits of the program.

Detailed Description

Results A positive trend was observed in all dimensions of the SF-36 Health Questionnaire in people with intellectual disability and ABI. In the experimental group of people with intellectual disability the improvements were significant compared to the control group in the dimensions of role limitations due to physical problems (Z = -2.41, p = .016), role limitations due to emotional problems (Z = - 1.99; p = .046), social function (Z = -3.35; p = .001) and the accumulated scores of the mental component (Z = -2.66; p = .008). On the other hand, the ABI experimental group obtained significant improvements in vitality after the intervention (Z = -2.20, p = .028), not finding statistically significant improvements compared to the control group.

With respect to the number of roles internalized, both the experimental group with intellectual disability and the one presenting ABI experienced a marginally significant increase in the number of roles that participants wanted to develop in the future after taking part in the program.

Both in people with intellectual disability, ABI and students, the program improved the involvement in meaningful activities through the inclusion of new occupations, modification of previous habits or the transformation of solitary activities into social participation activities. In addition, the participants increased their awareness of those factors that influenced their participation in meaningful activities. This meant becoming aware of aspects related to volition, habituation, personal abilities and the environment.

Conditions

Occupational Therapy; Intellectual Disability; Acquired Brain Injury; Students; Stroke; Awareness

Study Design

• Allocation Method: NON_RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: SUPPORTIVE_CARE
• Blinding Strategy: NONE

Study Groups

Intervention Group

Occupational Self-Analysis Programme

Group Type: EXPERIMENTAL

Occupational self-analysis

Intervention Type: BEHAVIORAL

The "Occupational Self-Analysis" program provides participants with a space where they can learn to analyse the barriers and supports for occupational participation.

Control group

Vocational guidance or usual rehabilitation (in the case of ABI participants)

Group Type: ACTIVE_COMPARATOR

Vocational guidance

Intervention Type: BEHAVIORAL

To explore participant´s job interests and learned how to find a job and define a professional profile.

Usual Rehabilitation

Intervention Type: BEHAVIORAL

Usual rehabilitation: occupational therapy and/or physiotherapy.

Interventions

Occupational self-analysis

The "Occupational Self-Analysis" program provides participants with a space where they can learn to analyse the barriers and supports for occupational participation.

Intervention Type: BEHAVIORAL

Vocational guidance

To explore participant´s job interests and learned how to find a job and define a professional profile.

Intervention Type: BEHAVIORAL

Usual Rehabilitation

Usual rehabilitation: occupational therapy and/or physiotherapy.

Intervention Type: BEHAVIORAL

Eligibility Criteria

Inclusion Criteria

• Basic skills such as writing, reading or calculation

• Members of an association for people with neurological impairment.

• Occupational therapy student.

Exclusion Criteria

-Unsuitable social behaviour

Participants with Acquired Brain Injury:

• Behavioral problems
• Problems speaking or understanding.

Students:

• Absenteeism
• Lack of suitable social behavior

• Minimum Eligible Age: 18 Years
• Maximum Eligible Age: 70 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Universidad Católica San Antonio de Murcia

OTHER

Sponsor Role: collaborator

University of Malaga

OTHER

Sponsor Role: lead

Responsible Party

María Rodríguez Bailón

Principal investigator

Responsibility Role: PRINCIPAL_INVESTIGATOR

Principal Investigators

Ana Judit Fernández-Solano, PhD

Role: PRINCIPAL_INVESTIGATOR

Universidad Católica San Antonio de Murcia

Locations

Asociación de Daño Cerebral de Málaga (ADACEMA)

Málaga, , Spain

Universidad Católica San Antonio de Murcia

Murcia, , Spain

Countries

Spain

References

Fernandez-Solano AJ, Del Bano-Aledo ME, Rodriguez-Bailon M. From thinking to acting: occupational self-analysis tools for use with people with intellectual disability. A pilot study. J Intellect Disabil Res. 2019 Sep;63(9):1086-1096. doi: 10.1111/jir.12621. Epub 2019 Apr 24.

Reference Type: BACKGROUND

PMID: 31017354 (View on PubMed)

Other Identifiers

Occupational Self-Analysis2016

Identifier Type: -

Identifier Source: org_study_id