MOHO's Impact on Life Skills & QoL in Mentally Ill Offenders: A Tamil Nadu Study (MOHO)
Effectiveness of the Model of Human Occupation (MOHO) in Enhancing Life Skills and Its Impact on Quality of Life (QoL) Among Mentally Ill Offenders in Tamil Nadu: A Quasi-Experimental Study
What is the goal of this study?
The goal of this study is to learn if a 12-week occupational therapy programme based on the Model of Human Occupation (MOHO) can improve life skills and quality of life in mentally ill offenders in Chennai, India.
Who will take part?
12 mentally ill offenders from the Prisoners' Ward, Central Prison, Puzhal, Chennai will take part in this study.
What will participants do?
Participants will:
Attend 24 structured occupational therapy sessions, twice a week for 12 weeks Be assessed for life skills using the Vellore Occupational Therapy Evaluation Scale (VOTES) Be assessed for quality of life using the WHOQOL-BREF questionnaire
What are the main questions this study aims to answer?
Does a MOHO-based occupational therapy programme improve life skills among mentally ill offenders? Does a MOHO-based occupational therapy programme improve quality of life among mentally ill offenders?
Přehled studie
Postavení
Intervence / Léčba
Detailní popis
Typ studie
Zápis (Aktuální)
Fáze
- Nelze použít
Kontakty a umístění
Studijní místa
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Tamil Nadu
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Chennai, Tamil Nadu, Indie, 636016
- Sri Ramachandra Institute of Higher Education and Research (Deemed University)
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Kritéria účasti
Kritéria způsobilosti
Věk způsobilý ke studiu
- Dospělý
Přijímá zdravé dobrovolníky
Popis
Inclusion Criteria:
- Offenders committed crimes under the section IPC & CrPc of Indian Constitution April,1 1974 Offenders from age 18 to 64 (14.1 % to 13.9 % Male prevalence) Male offenders with or without differential diagnosis of psychotic symptoms HCR-20 V3 Risk assessment tool score ranging from low to moderate level Short Orientation Memory Concentration Test (OMCT) scores ranging from 0-19
Exclusion Criteria:
- Offenders with Physical disabilities Offenders with Activity Limitations
Studijní plán
Jak je studie koncipována?
Detaily designu
- Primární účel: Výzkum zdravotnických služeb
- Přidělení: N/A
- Intervenční model: Přiřazení jedné skupiny
- Maskování: Žádné (otevřený štítek)
Zbraně a zásahy
Skupina účastníků / Arm |
Intervence / Léčba |
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Experimentální: Mentally ill Offenders in State Prison, Tamil Nadu, India
Mentally ill offenders are individuals diagnosed with a psychiatric disorder who are concurrently involved in the criminal justice system.
This arm comprises 12 purposively sampled mentally ill offenders residing in the Prisoners' Ward, Central Prison, Puzhal, Chennai, Tamil Nadu, India.
Participants will receive a structured 12-week MOHO-based occupational therapy intervention consisting of 24 sessions delivered twice weekly by a trained occupational therapist.
Sessions will incorporate MOHO constructs - volition, habituation, and performance capacity - to address occupational dysfunction.
Activities will focus on self-care, daily living, communication, interpersonal skills, and community reintegration.
Life skills will be assessed using the Vellore Occupational Therapy Evaluation Scale (VOTES) and quality of life will be measured using the WHOQOL-BREF at baseline and post-intervention.
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Description of MOHO (Model of Human Occupation): The Model of Human Occupation (MOHO) is a client-centred occupational therapy theoretical framework developed by Gary Kielhofner in 1980. MOHO explains how humans are motivated to engage in occupation, how occupational patterns are organised, and how occupation is performed within the environment. It is built upon three core subsystems: Volition- refers to the motivation for occupation, encompassing personal causation, values, and interests *Habituation- refers to the organisation of occupation into patterns and routines through roles and habits Performance Capacity- refers to the physical and mental abilities that enable occupational performance MOHO emphasises that meaningful occupational engagement is essential for health, well-being, and quality of life. It considers the dynamic interaction between the person, their occupation, and the environment. MOHO-based interventions are widely used in psychiatric and
Ostatní jména:
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Co je měření studie?
Primární výstupní opatření
Měření výsledku |
Popis opatření |
Časové okno |
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Life skills
Časové okno: 3 months
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Mentally ill offenders frequently experience significant deterioration of essential life skills due to prolonged institutionalization, psychiatric symptoms, and limited occupational engagement. Life skills rehabilitation is therefore critical in this forensic population for the following reasons: Addresses occupational dysfunction by targeting volition, habituation, and performance capacity through MOHO-based intervention Reduces recidivism by equipping offenders with practical competencies necessary for community reintegration Enhances quality of life across physical, psychological, social, and environmental domains Supports forensic psychiatric rehabilitation** through structured, evidence-based occupational therapy Promotes social inclusion by fostering self-efficacy, role competence, and community participation Empowers a vulnerable population by addressing occupational needs and supporting recovery-oriented outcomes |
3 months
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Sekundární výstupní opatření
Měření výsledku |
Popis opatření |
Časové okno |
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Quality of Life (QoL)
Časové okno: 3 months
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Quality of life (QoL) is a fundamental outcome measure in the rehabilitation of mentally ill offenders. It reflects an individual's perceived well-being across physical, psychological, social, and environmental domains. Among mentally ill offenders, QoL is severely compromised due to psychiatric illness, incarceration, stigma, and occupational deprivation. Improving QoL is essential in forensic rehabilitation because: Reflects holistic recovery beyond symptom reduction, encompassing functional independence and well-being Measures rehabilitation outcomes across physical, psychological, social, and environmental domains using WHOQOL-BREF Supports reintegration by improving social participation, interpersonal functioning, and community living Reduces institutionalization effects by restoring meaningful occupational roles and routines through MOHO Promotes mental health recovery by addressing individual occupational needs and priorities |
3 months
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Spolupracovníci a vyšetřovatelé
Vyšetřovatelé
- Vrchní vyšetřovatel: SriBalaji R Mr, Master in Occupational Therapy, Sri Ramachandra Institute of Higher Education and research,Porur,Chennai-600116
Publikace a užitečné odkazy
Obecné publikace
- World Medical Association. World Medical Association Declaration of Helsinki: ethical principles for medical research involving human subjects. JAMA. 2013 Nov 27;310(20):2191-4. doi: 10.1001/jama.2013.281053. No abstract available.
- Ozkan, E., Belhan, S., Yaran, M., & Zarif, M. (2018). Occupational therapy in forensic settings. In [Eds.], Occupational therapy - therapeutic and creative use of activity. IntechOpen. https://doi.org/10.5772/intechopen.80726
- Moore, M. (2014). Occupational therapy and forensic psychiatry. In [Ed.], Psychiatry and mental health occupational therapy (pp. 106-114).
- Lloyd, C., & Williams, P. L. (2010). Occupational therapy in the modern adult acute mental health setting: A review of current practice. International Journal of Therapy and Rehabilitation, 17(9), 483-493. https://doi.org/10.12968/ijtr.2010.17.9.78414
- Knott, G., & Bannigan, K. (2013). A critical review of the approved mental health professional role and occupational therapy. British Journal of Occupational Therapy, 76(3), 118-126. https://doi.org/10.4276/030802213X13627524435119
- Kirsh, B., Martin, L., Hultqvist, J., & Eklund, M. (2019). Occupational therapy interventions in mental health: A literature review in search of evidence. Occupational Therapy in Mental Health, 35(2), 109-156. https://doi.org/10.1080/0164212X.2018.1508603
- Soeker MS, Hare S, Mall S, van der Berg J. The value of occupational therapy intervention for the worker roles of forensic mental healthcare users in Cape Town, South Africa. Work. 2021;68(2):399-414. doi: 10.3233/WOR-203381.
- Galson SK. Mental health matters. Public Health Rep. 2009 Mar-Apr;124(2):189-91. doi: 10.1177/003335490912400202. No abstract available.
- Fieldhouse, J., Bryant, W., & Plastow, N. (Eds.). (2022). Creek's occupational therapy and mental health (6th ed.). Elsevier Health Sciences
- Daffern, M., & Chu, C. M. (2024). Approaches to offender rehabilitation in Asian jurisdictions. In J. Creek, L. Lougher, & A. Plastow (Eds.), Creek's occupational therapy and mental health
- Craik, C. (1998). An overview of the literature on occupational therapy in mental health. British Journal of Occupational Therapy, 61(5), 186-192. https://doi.org/10.1177/030802269806100502
- Swarbrick M, Noyes S. Effectiveness of Occupational Therapy Services in Mental Health Practice. Am J Occup Ther. 2018 Sep/Oct;72(5):7205170010p1-7205170010p4. doi: 10.5014/ajot.2018.725001.
- Rocamora-Montenegro M, Compan-Gabucio LM, Garcia de la Hera M. Occupational therapy interventions for adults with severe mental illness: a scoping review. BMJ Open. 2021 Oct 29;11(10):e047467. doi: 10.1136/bmjopen-2020-047467.
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Další relevantní podmínky MeSH
Další identifikační čísla studie
- CSP/23/OCT/138/882
- SRIHER(DU) (Jiný identifikátor: Sri Ramachandra Institute OF Higher Education and Research (Deemed University))
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