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临床试验/NCT03989388
NCT03989388已完成不适用

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

University of Malaga2 个研究点 分布在 1 个国家目标入组 37 人开始时间: 2014年10月1日最近更新:
适应症
干预措施

试验速览

阶段
不适用
状态
已完成
入组人数
37
试验地点
2
主要终点
Roles Checklist

研究概览

简要总结

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.

详细描述

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.

研究设计

研究类型
Interventional
分配方式
Non Randomized
干预模型
Parallel
主要目的
Supportive Care
盲法
None

入排标准

年龄范围
18 Years 至 70 Years(Adult, Older Adult)
性别
All
接受健康志愿者
否

入选标准

  • •Participants with Intellectual disabilities:
  • •Inclusion Criteria:
  • •- Basic skills such as writing, reading or calculation

排除标准

  • •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.
  • •Inclusion Criteria:
  • •- Occupational therapy student.
  • •Exclusion Criteria:
  • •Absenteeism
  • •Lack of suitable social behavior

研究组 & 干预措施

Intervention Group

Experimental

Occupational Self-Analysis Programme

干预措施: Occupational self-analysis (Behavioral)

Control group

Active Comparator

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

干预措施: Vocational guidance (Behavioral)

Control group

Active Comparator

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

干预措施: Usual Rehabilitation (Behavioral)

结局指标

主要结局

Roles Checklist

时间窗: 20 minutes

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

SF-36 Health Questionnaire

时间窗: 30 minutes

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)

Participant diary

时间窗: 2 hours

Perceived learning and emotions in a participant diary after sessions

Focus groups

时间窗: 1 hour

Qualitative data: Perceived learning and emotions

次要结局

未报告次要终点

研究者

申办方类型
Other
责任方
Principal Investigator
主要研究者

María Rodríguez Bailón

Principal investigator

University of Malaga

研究点 (2)

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