Effects of Vocational Rehabilitation Group Intervention on Motivation and Occupational Self-Awareness in Individuals With Intellectual Disabilities

Study Overview
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Brief Summary
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This study is an intervention study that investigates the effects of a group-based approach to motivation and occupational self-awareness of individuals with intellectual disability (ID). The intervention method was developed by following the intervention mapping method. An 8 weeks group intervention (twice a week) was applied to individuals with ID which includes; Introduction to intervention and meeting with other group members self-awareness training occupational self-awareness taking responsibility group work and labor division problem identification problem-solving The entire program was structured and guided by the prepared manual (available upon request from the authors). The manual was prepared by the authors of this study to ensure consistency between different sessions and groups. All sessions were diffusively explained in the manual as well as the individual session booklets. The supervisors were able to follow the structure of the sessions from those booklets. Additionally, there were visual materials for each session as in; presentations, graphics, and photographs. The program supervisors (therapists) met once every week to discuss the progress, participation, and overall status of each participant. Homework assignments were utilized to facilitate learning. Families were not included directly in the group sessions, however were informed about the homework assignments. Homework assignments consisted of very basic mental practice and reenactment regarding the session's topic and concepts. Families were also included in the final week's sessions since graduation certificates were handed out during these sessions and also small celebrations were carried out.

Official Title
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Effects of Vocational Rehabilitation Group Intervention on Motivation and Occupational Self-Awareness in Individuals With Intellectual Disabilities: A Single-Blind, Randomized Control Study

Conditions
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Intellectual Disability

Intervention / Treatment
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* Other: The Entering Employment and Sustaining Work Program
* Other: vocational rehabilitation


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: being between the ages of 18 and 65, Not being currently working, Having formal intellectual disability diagnosis, Having scored 23 points or less from the Mini Mental State Examination, Being able to understand basic Turkish language and 6) Volunteering to participate in the study Exclusion Criteria: Having severe communication problems specifically in self-expression, Not being able to continue participating in the study for the projected study duration, Not permitted to participate by legal guardian.

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 65 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: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Interventional Model Description: Single blind, randomized control study
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Intervention<br>The ENtering Employment and SUstaining Work (ENESUW) program consists of 6 main topics which are; self-awareness, occupational self-awareness, taking responsibility, teamwork and labor division, problem identification and problem solving. The entire program adopts a very plain and easy to understand method of information transmission in order to facilitate lossless comprehension and strengthen the trust relationship between the therapists and the participants. The ENESUW program took 8 weeks in total with twice weekly sessions, making up a total of 16 structured group sessions. The group format enabled the participants to learn through meaningful peer interactions and group activities which were supportive of the main learning goals (i.e. group work, labor division and taking responsibility) of the program. The twice weekly sessions were 45 minutes long in order to keep the participants attentive and active throughout the program. | Other: The Entering Employment and Sustaining Work Program<br>* A structured, motivation and self-awareness based group intervention<br>* Other names: Occupational therapy - vocational rehabilitation;Other: vocational rehabilitation<br>* An individual based, focused on desired job or occupation, face-to-face intervention<br>|
| Active Comparator: control<br>The control group also consisted of individuals with ID. They received face to face, individual vocational based occupational therapy approaches, which were twice a week for 8 weeks (approximately 40-45 minutes) | Other: vocational rehabilitation<br>* An individual based, focused on desired job or occupation, face-to-face intervention<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Occupational Self-Assessment version 2.2 (OSA 2.2) | Occupational Self-Assessment (OSA) is a comprehensive assessment which was designed to collect information regarding the individuals' occupational self-awareness. The OSA is an entirely self-reported tool regarding occupational competence and value. The 21 item OSA evaluates skills (item 1-11), habituation (12-16) and volition (17-21). Each item contains two sets of 4-point Likert scales, the first scale is about the individuals' performance in various activities (1- I have a lot of problem doing this, 2 - I have some difficult doing this, 3 - I do this well, and 4 points = I do this extremely well) and the second scale is about the values of those activities for the individual 1 - This is not important to me, 2 - This is important to me, 3 -This is more important to me; and 4- This is most important to me) | Change from Baseline and to the 2 months | 
| Objective Achievement Motivation Test - OLMT): | The OLMT is a test which is used for Job & Career replacement and academic testing by assessing examinee's achievement motivation under different circumstances. The OLMT consists of 3 subtests, these 3 subtests include a particular stimulus that motivates respondent's performance: the task itself, setting own goals, and from competition. The test also evaluates the match or mismatch between the set goals and actual performance (aspiration level). For testing; the respondent requires to move a prescribed route cell by cell by pressing two buttons (red and green) repeatedly in ten seconds. For the aspiration level, the respondent sets a goal for the test and tries to accomplish the set goal by performing the first test. The final part the respondent competes against a virtual opponent whose speed is slightly above the mean of the first two tests of the respondent. The scoring of the test is performed by a special software | Change from Baseline and to the 2 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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self awareness, occupational therapy, vocational rehabilitation, intellectual disability, motivation