MOHO's Impact on Life Skills & QoL in Mentally Ill Offenders: A Tamil Nadu Study

NCT07677644 | Completed DMC

• 2 other identifiers: CSP/23/OCT/138/882SRIHER(DU)
• Study Type: interventional
• Target: 12
• Locations: 1 country
• Sites: 1

Brief Summary

What is the goal of this study? The goal of this study is to learn if a 12-week occupational therapy programme based on the Model of Human Occupation (MOHO) can improve life skills and quality of life in mentally ill offenders in Chennai, India. Who will take part? 12 mentally ill offenders from the Prisoners' Ward, Central Prison, Puzhal, Chennai will take part in this study. What will participants do? Participants will: Attend 24 structured occupational therapy sessions, twice a week for 12 weeks Be assessed for life skills using the Vellore Occupational Therapy Evaluation Scale (VOTES) Be assessed for quality of life using the WHOQOL-BREF questionnaire What are the main questions this study aims to answer? Does a MOHO-based occupational therapy programme improve life skills among mentally ill offenders? Does a MOHO-based occupational therapy programme improve quality of life among mentally ill offenders?

Conditions

Mentally Ill Persons; Psychiatric Diagnosis; Occupational Therapy

Outcome Measures

Primary Outcomes (1)

• Life skills

  Mentally ill offenders frequently experience significant deterioration of essential life skills due to prolonged institutionalization, psychiatric symptoms, and limited occupational engagement. Life skills rehabilitation is therefore critical in this forensic population for the following reasons: Addresses occupational dysfunction by targeting volition, habituation, and performance capacity through MOHO-based intervention Reduces recidivism by equipping offenders with practical competencies necessary for community reintegration Enhances quality of life across physical, psychological, social, and environmental domains Supports forensic psychiatric rehabilitation\*\* through structured, evidence-based occupational therapy Promotes social inclusion by fostering self-efficacy, role competence, and community participation Empowers a vulnerable population by addressing occupational needs and supporting recovery-oriented outcomes

  3 months

Secondary Outcomes (1)

• Quality of Life (QoL)

  3 months

Study Arms (1)

Mentally ill Offenders in State Prison, Tamil Nadu, India

EXPERIMENTAL

Mentally ill offenders are individuals diagnosed with a psychiatric disorder who are concurrently involved in the criminal justice system. This arm comprises 12 purposively sampled mentally ill offenders residing in the Prisoners' Ward, Central Prison, Puzhal, Chennai, Tamil Nadu, India. Participants will receive a structured 12-week MOHO-based occupational therapy intervention consisting of 24 sessions delivered twice weekly by a trained occupational therapist. Sessions will incorporate MOHO constructs - volition, habituation, and performance capacity - to address occupational dysfunction. Activities will focus on self-care, daily living, communication, interpersonal skills, and community reintegration. Life skills will be assessed using the Vellore Occupational Therapy Evaluation Scale (VOTES) and quality of life will be measured using the WHOQOL-BREF at baseline and post-intervention.

Behavioral: Model of Human Occupation (MOHO)

Interventions

Model of Human Occupation (MOHO) BEHAVIORAL

Description of MOHO (Model of Human Occupation): The Model of Human Occupation (MOHO) is a client-centred occupational therapy theoretical framework developed by Gary Kielhofner in 1980. MOHO explains how humans are motivated to engage in occupation, how occupational patterns are organised, and how occupation is performed within the environment. It is built upon three core subsystems: Volition- refers to the motivation for occupation, encompassing personal causation, values, and interests \*Habituation- refers to the organisation of occupation into patterns and routines through roles and habits Performance Capacity- refers to the physical and mental abilities that enable occupational performance MOHO emphasises that meaningful occupational engagement is essential for health, well-being, and quality of life. It considers the dynamic interaction between the person, their occupation, and the environment. MOHO-based interventions are widely used in psychiatric and

Also known as: MOHO

Mentally ill Offenders in State Prison, Tamil Nadu, India

Eligibility Criteria

• Age: 18 Years - 64 Years
• Sex: male
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Offenders committed crimes under the section IPC \& CrPc of Indian Constitution April,1 1974 Offenders from age 18 to 64 (14.1 % to 13.9 % Male prevalence) Male offenders with or without differential diagnosis of psychotic symptoms HCR-20 V3 Risk assessment tool score ranging from low to moderate level Short Orientation Memory Concentration Test (OMCT) scores ranging from 0-19

You may not qualify if:

• Offenders with Physical disabilities Offenders with Activity Limitations

Sponsors & Collaborators

• Sri Ramachandra Institute of Higher Education and Research: lead

Study Sites (1)

Sri Ramachandra Institute of Higher Education and Research (Deemed University)

Chennai, Tamil Nadu, 636016, India

Location

Related Publications (13)

• Ozkan, E., Belhan, S., Yaran, M., & Zarif, M. (2018). Occupational therapy in forensic settings. In [Eds.], Occupational therapy - therapeutic and creative use of activity. IntechOpen. https://doi.org/10.5772/intechopen.80726

  RESULT

• Moore, M. (2014). Occupational therapy and forensic psychiatry. In [Ed.], Psychiatry and mental health occupational therapy (pp. 106-114).

  RESULT

• Lloyd, C., & Williams, P. L. (2010). Occupational therapy in the modern adult acute mental health setting: A review of current practice. International Journal of Therapy and Rehabilitation, 17(9), 483-493. https://doi.org/10.12968/ijtr.2010.17.9.78414

  RESULT

• Knott, G., & Bannigan, K. (2013). A critical review of the approved mental health professional role and occupational therapy. British Journal of Occupational Therapy, 76(3), 118-126. https://doi.org/10.4276/030802213X13627524435119

  RESULT

• Kirsh, B., Martin, L., Hultqvist, J., & Eklund, M. (2019). Occupational therapy interventions in mental health: A literature review in search of evidence. Occupational Therapy in Mental Health, 35(2), 109-156. https://doi.org/10.1080/0164212X.2018.1508603

  RESULT

• Soeker MS, Hare S, Mall S, van der Berg J. The value of occupational therapy intervention for the worker roles of forensic mental healthcare users in Cape Town, South Africa. Work. 2021;68(2):399-414. doi: 10.3233/WOR-203381.

  PMID: 33492264 RESULT

• Galson SK. Mental health matters. Public Health Rep. 2009 Mar-Apr;124(2):189-91. doi: 10.1177/003335490912400202. No abstract available.

  PMID: 19320357 RESULT

• Fieldhouse, J., Bryant, W., & Plastow, N. (Eds.). (2022). Creek's occupational therapy and mental health (6th ed.). Elsevier Health Sciences

  RESULT

• Daffern, M., & Chu, C. M. (2024). Approaches to offender rehabilitation in Asian jurisdictions. In J. Creek, L. Lougher, & A. Plastow (Eds.), Creek's occupational therapy and mental health

  RESULT

• Craik, C. (1998). An overview of the literature on occupational therapy in mental health. British Journal of Occupational Therapy, 61(5), 186-192. https://doi.org/10.1177/030802269806100502

  RESULT

• World Medical Association. World Medical Association Declaration of Helsinki: ethical principles for medical research involving human subjects. JAMA. 2013 Nov 27;310(20):2191-4. doi: 10.1001/jama.2013.281053. No abstract available.

  PMID: 24141714 RESULT

• Swarbrick M, Noyes S. Effectiveness of Occupational Therapy Services in Mental Health Practice. Am J Occup Ther. 2018 Sep/Oct;72(5):7205170010p1-7205170010p4. doi: 10.5014/ajot.2018.725001.

  PMID: 30157004 RESULT

• Rocamora-Montenegro M, Compan-Gabucio LM, Garcia de la Hera M. Occupational therapy interventions for adults with severe mental illness: a scoping review. BMJ Open. 2021 Oct 29;11(10):e047467. doi: 10.1136/bmjopen-2020-047467.

  PMID: 34716157 RESULT

MeSH Terms

Conditions

Mental Disorders

Study Officials

• SriBalaji R Mr, Master in Occupational Therapy

  Sri Ramachandra Institute of Higher Education and research,Porur,Chennai-600116

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Occupational Therapist

Model Details: 12 members were selected based on the inclusion and exclusion criterai and intervention was provided

Study Record Dates

• First Submitted: June 17, 2026
• First Posted: July 1, 2026
• Study Start: April 5, 2024
• Primary Completion: July 18, 2024
• Study Completion: July 23, 2024
• Last Updated: July 1, 2026

Record last verified: 2026-06

Data Sharing

• IPD Sharing: Will share
• Shared Documents: STUDY PROTOCOL
• Time Frame: April 5,2024 to July 18,2024
• Access Criteria: The principal investigator will be able to access the IPD, they will be accessing the data's of the patients by means of recoded data

Locations

IN (1)