Individuals diagnosed with stroke have a poor return to work rate, particularly in rural communities.
OBJECTIVE:
The aim of the study is to describe the experiences and perceptions of individuals diagnosed with stroke about the usefulness of the Model of Occupational Self Efficacy (MOOSE) in assisting them in returning to their worker role.
METHODS:
The study utilized an explorative, descriptive, qualitative research design, furthermore the data was analyzed using thematic analysis, resulting in three themes. Seven stroke survivors and one key informant participated in the study.
RESULTS:
Theme one: Obstacles that affect the return to work of stroke survivors in a rural community. Theme two: Re-establishing a strong belief in functional ability through participation in occupation. Finally, theme three: The MOOSE enables transition to the worker role in a rural context.
CONCLUSION:
The findings indicate that the MOOSE is a useful model in facilitating the return to work of individuals diagnosed with a stroke. The participants struggled to return to work not only due to their loss of abilities but also their lack of knowledge with regard to how to return to work and their diagnosis of a stroke.
Ball,K., Salmon,J., Giles-Corti,B., & Crawford,D. (2006). How can socio-economic differences in physical activity among women be explained? A qualitative study. Women Health, 43(1), 93–113.
2.
Buys,T. (2015). Professional competencies in vocational rehabilitation: Results of a Delphi study. South African Journal of Occupational Therapy, 45(3), 48–54.
3.
Burns,N., & Grove,S. K. (2003). Understanding nursing research (3rd ed.). W. B. Saunders.
4.
Brink,H. I., Van Rensburg,G., & Van der Walt,C. (2012). Fundamentals of research methodology for health care professionals (2nd ed.). Juta & Company.
5.
Burkman,K. (2010). The stroke recovery book:Aguide for patients and families. Addicus Books.
6.
Christiansen,C. H., Baum,C. M., & Bass-Haugen,J. (2005). Comparing the languages of: The ICF, the PEOP model, the AOTA practice framework. In Christiansen, C. H., Baum, C. M., & Bass-Haugen, J. (Eds.). Occupational therapy: Performance, participation & well being (3rd ed.). Slack Incorporated.
7.
Coetzee,Z., Goliath,C., Van der Westhuizen,R., & Van Niekerk,L. (2011). Re-conceptualising vocational rehabilitation services toward an inter-sectoral model. South African Journal of Occupational Therapy, 41(2), 32–33.
8.
Cuthill,M. (2002). Exploratory research: Citizen participation, local government and sustainable development in Australia. In Mills, A., Durepos, G., & Wiebe, E. Encyclopedia of Case Study Research, Sage, pp. 79-89.
9.
Denzin,N. (2005) The Sage handbook of qualitative research, (3rd ed.). Sage.
Jesus,T., Bright,F., Kayes,N., & Cott,C. (2016). Person-centred rehabilitation: What exactly does it mean? Protocol for a scoping review with thematic analysis towards framing the concept and practice of person-centred rehabilitation. http://dx.doi.org/10.1136/bmjopen-2016-011959
12.
Kennedy,P. (2012). Stroke and rehabilitation: Psychological perspectives. In Oxford handbook of rehabilitation psychology (pp. 92-99), Oxford University Press.
13.
Klinger,L. (2005). Occupational adaptation: Perspectives of people with traumatic brain injury. Journal of Occupational Science, 12(1), 9–16.
14.
Krefting,L. (1991). Rigor in qualitative research: The assessment of trustworthiness. American Journal of Occupational Therapy, 45(3), 214–222.
15.
Lambert,V. A., & Lambert,C. E. (2012). Qualitative descriptive research: An acceptable design. Pacific Rim International Journal of Nursing Research, 16(4), 255–256.
16.
Mandaville,A., Ray,A., Robertson,H., Foster,C., & JesserC. (2014). A retrospective review of swallow dysfunction in patients with severe traumatic brain injury. Dysphagia, 29(3), 310–318.
17.
Maredza,M., Bertram,M. Y., & Tollman,S. M. (2015). Disease burden of stroke in rural South Africa. An estimate of incidence, mortality and disability adjusted life years. BMC Neurology, 15(54), 4–7.
18.
McLaughlin,M., Bell,M., & Stringer,D. (2004). Stigma and acceptance of persons with disabilities: Understudied aspects of workforce diversity. Group & Organization Management, 29(3), 302–333. https://journals.sagepub.com/doi/10.1177/1059601103257410
19.
Musser,B., Wilkinson,J., Gilbert,T. T., & Bokhour,B.G. (2015). Changes in identity after aphasic stroke: Implications for primary care. International Journal of Family Medicine, 2015. [PDF] Changes in Identity after Aphasic Stroke: Implications for Primary Care | Semantic Scholar.
20.
Pallesen,H. (2014). Body, coping and self-identity. A qualitative -year follow-up study of stroke. Disability and Rehabilitation, 36(3), 232–241. https://doi.org/10.3109/09638288.2013.788217
21.
Patton,M. Q. (2002). Qualitative evaluation and research methods. Sage.
22.
Soeker,M. S., & Pape,C. (2019). The use of the model of Occupational Self-Efficacy for work retraining: A multiple case study. Occupational Therapy International, 1-8. https://doi.org/10.1155/2019/3867816
23.
Soeker,M. S., & Darries,Z. (2019). Challenges women with traumatic brain injury experience in their work environment after vocational rehabilitation. Work, 64, 477–486.
24.
Soeker,M. S. (2017). The efficacy of the Model of Occupational Self Efficacy for returning brain injured individual to work: A pre post intervention study. Work, 58(1), 63–72.
25.
Soeker,M. S., & Olaoye,O. A. (2017). Exploring the experiences of rehabilitated stroke survivors and the perceptions of stakeholders with regard to stroke survivors returning to work in South-West Nigeria. Work, 57(4), 595–609.
Steyn,K. (2006). Hypertension in South Africa. Chronic Diseases of Lifestyle in South Africa since 1995-2005. Medical Research Council Technical Report.
Urimubenshi,G., & Rhoda,A. (2011). Environmental barriers experienced by stroke patients in Musanze district in Rwanda. A Descriptive Qualitative Study, 11(3), 398–405.
32.
Waddell,G., & Burton,K. (2006). Is work good for your health and wellbeing (pp. 17-24), The Stationery Office. London.
33.
Wehman,P. (2012). Supported employment What is it?. Journal of Vocational Rehabilitation, 37, 139–142.
34.
Wolf,J. T., Chuh,A., Floyd,T., McInnis,K., & Williams,E. (2014). Effectiveness of occupation-based interventions to improve areas of occupation and social participation after stroke. American Journal of Occupational Therapy. https://ajot.aota.org/article.aspx?articleID=2087151
