Occupational Self-Analysis Programme

Study Overview
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Brief Summary
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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
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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.

Official Title
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Occupational Self-Analysis Programme in Participants With Intellectual Disabilities, Acquired Brain Injury and Students

Conditions
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Occupational Therapy, Intellectual Disability, Acquired Brain Injury, Students, Stroke, Awareness

Intervention / Treatment
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* Behavioral: Occupational self-analysis
* Behavioral: Vocational guidance
* Behavioral: Usual Rehabilitation


Participation Criteria
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Eligibility Criteria
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Participants with Intellectual disabilities: Inclusion Criteria: - Basic skills such as writing, reading or calculation Exclusion Criteria: -Unsuitable social behaviour Participants with Acquired Brain Injury: Inclusion Criteria: - Members of an association for people with neurological impairment. Exclusion Criteria: Behavioral problems Problems speaking or understanding. Students: Inclusion Criteria: - Occupational therapy student. Exclusion Criteria: Absenteeism Lack of suitable social behavior

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 70 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Supportive Care
Allocation: Non-Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Intervention Group<br>Occupational Self-Analysis Programme | Behavioral: Occupational self-analysis<br>* The Occupational Self-Analysis program provides participants with a space where they can learn to analyse the barriers and supports for occupational participation.<br>|
| Active Comparator: Control group<br>Vocational guidance or usual rehabilitation (in the case of ABI participants) | Behavioral: Vocational guidance<br>* To explore participant´s job interests and learned how to find a job and define a professional profile.<br>Behavioral: Usual Rehabilitation<br>* Usual rehabilitation: occupational therapy and/or physiotherapy.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| 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 |