Occupational Self-Analysis Programme

NCT03989388 | Completed DMC

• 1 other identifier: Occupational Self-Analysis2016
• Study Type: interventional
• Target: 37
• Locations: 1 country
• Sites: 2

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.

Conditions

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

Outcome Measures

Primary Outcomes (4)

• SF-36 Health Questionnaire

  Evaluation of subjective health perception. Variables: * Eight health domains: physical functioning (10 items), bodily pain (2 items), role limitations due to physical health problems (4 items), role limitations due to personal or emotional problems (4 items), emotional well-being (5 items), social functioning (2 items), energy/fatigue (4 items), and general health (5 items). Scores for each domain range from 0 to 100, with a higher score defining a more favorable health state. * Physical component summary (Mean scores of four domains: physical functioning, role limitations caused by physical health problems, bodily pain, and general health) (Range 0-100) * Mental component summary scores (Mean scores of four domains: role limitations caused by emotional problems, vitality, social functioning, and mental health) (Range 0-100)

  30 minutes

• Roles Checklist

  Past, present and future occupational roles (Part 1 of Roles Checklist). Variables: \- Number of roles in each period (Range 0-10).

  20 minutes

• Focus groups

  Qualitative data: Perceived learning and emotions

  1 hour

• Participant diary

  Perceived learning and emotions in a participant diary after sessions

  2 hours

Study Arms (2)

Intervention Group

EXPERIMENTAL

Occupational Self-Analysis Programme

Behavioral: Occupational self-analysis

Control group

ACTIVE COMPARATOR

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

Behavioral: Vocational guidance; Behavioral: Usual Rehabilitation

Interventions

Occupational self-analysis BEHAVIORAL

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

Intervention Group

Vocational guidance BEHAVIORAL

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

Control group

Usual Rehabilitation BEHAVIORAL

Usual rehabilitation: occupational therapy and/or physiotherapy.

Control group

Eligibility Criteria

• Age: 18 Years - 70 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• \- Basic skills such as writing, reading or calculation

You may not qualify if:

• Unsuitable social behaviour
• Participants with Acquired Brain Injury:
• \- Members of an association for people with neurological impairment.
• Behavioral problems
• Problems speaking or understanding.
• Students:
• \- Occupational therapy student.
• Absenteeism
• Lack of suitable social behavior

Sponsors & Collaborators

• University of Malaga: lead
• Universidad Católica San Antonio de Murcia: collaborator

Study Sites (2)

Asociación de Daño Cerebral de Málaga (ADACEMA)

Málaga, 29004, Spain

Location

Universidad Católica San Antonio de Murcia

Murcia, 30107, Spain

Location

Related Publications (1)

• 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.

  PMID: 31017354 BACKGROUND

MeSH Terms

Conditions

Intellectual Disability; Brain Injuries; Stroke

Condition Hierarchy (Ancestors)

Neurobehavioral Manifestations; Neurologic Manifestations; Nervous System Diseases; Signs and Symptoms; Pathological Conditions, Signs and Symptoms; Neurodevelopmental Disorders; Mental Disorders; Brain Diseases; Central Nervous System Diseases; Craniocerebral Trauma; Trauma, Nervous System; Wounds and Injuries; Cerebrovascular Disorders; Vascular Diseases; Cardiovascular Diseases

Study Officials

• Ana Judit Fernández-Solano, PhD

  Universidad Católica San Antonio de Murcia

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NON RANDOMIZED
• Masking: NONE
• Purpose: SUPPORTIVE CARE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal investigator

Study Record Dates

• First Submitted: June 13, 2019
• First Posted: June 18, 2019
• Study Start: October 1, 2014
• Primary Completion: July 1, 2016
• Study Completion: July 1, 2016
• Last Updated: June 19, 2019

Record last verified: 2019-06

Locations

ES (2)