The Use of the Model of Occupational Self-Efficacy for Work Retraining: A Multiple Case Study.
Mogammad Shaheed Soeker, Candice Pape
PMID 31656455WHAT IT FOUND
People with brain injury said occupational therapy work retraining helped them accept new abilities and practice real work.
Stage two felt frustrating, and poverty, transport and scarce jobs limited progress.
Key findings
01Stage one helped participants reflect on functional challenges and set work goals, while stage two memory and concentration activities felt frustrating.
02Money, transport, hunger and lack of real work opportunities made sessions hard to attend and could reduce motivation and self-efficacy.
03Individual and group sessions, simulated work tasks and supervised real placements were described as helpful for confidence and work skills.
STILL TO COME
How it was doneWhat they foundWhat it means for OTs
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What it does not show
Ten participants, mainly male, and a qualitative design mean findings cannot be generalised. Participants had mild or moderate injury, prior paid employment and could communicate; results say little about severe injury, active psychiatric symptoms, multiple disabilities, or people unable to use English or Afrikaans. The program combined several supports at once, so no single component can be credited. The paper reports experiences, not measured employment outcomes or comparison with usual care. Poverty, transport and job scarcity may have shaped experiences independently of the model.
The easy way to misread this
Do not conclude that this model improves return to work. Ten people with mild or moderate brain injury described experiences after receiving several supports together, including individual and group sessions, memory and goal-setting activities, simulated work tasks, supervised work testing and longer real work placements, and not all were placed. The study cannot show which part helped.