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

January 25, 2021 updated by: Orkun Tahir Aran, Hacettepe University

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

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.

Study Overview

Study Type

Interventional

Enrollment (Actual)

49

Phase

  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

      • Ankara, Turkey
        • Hacettepe University

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

18 years to 65 years (Adult, Older Adult)

Accepts Healthy Volunteers

No

Genders Eligible for Study

All

Description

Inclusion Criteria:

  1. being between the ages of 18 and 65,
  2. Not being currently working,
  3. Having formal intellectual disability diagnosis,
  4. Having scored 23 points or less from the Mini Mental State Examination,
  5. Being able to understand basic Turkish language and 6) Volunteering to participate in the study

Exclusion Criteria:

  1. Having severe communication problems specifically in self-expression,
  2. Not being able to continue participating in the study for the projected study duration,
  3. Not permitted to participate by legal guardian.

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Treatment
  • Allocation: Randomized
  • Interventional Model: Parallel Assignment
  • Masking: Single

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: Intervention

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.

A structured, motivation and self-awareness based group intervention
Other Names:
  • Occupational therapy - vocational rehabilitation
An individual based, focused on desired job or occupation, face-to-face intervention
Active Comparator: control
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)
An individual based, focused on desired job or occupation, face-to-face intervention

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Occupational Self-Assessment version 2.2 (OSA 2.2)
Time Frame: Change from Baseline and to the 2 months
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):
Time Frame: Change from Baseline and to the 2 months
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

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Collaborators

Investigators

  • Study Chair: Hülya Kayıhan, Prof, Occupational Therapy, head of department

Publications and helpful links

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

February 6, 2020

Primary Completion (Actual)

May 12, 2020

Study Completion (Actual)

May 12, 2020

Study Registration Dates

First Submitted

January 22, 2021

First Submitted That Met QC Criteria

January 25, 2021

First Posted (Actual)

January 28, 2021

Study Record Updates

Last Update Posted (Actual)

January 28, 2021

Last Update Submitted That Met QC Criteria

January 25, 2021

Last Verified

January 1, 2021

More Information

Terms related to this study

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

NO

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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