The effectiveness of the model of occupational self-efficacy in improving the quality of life and self-efficacy beliefs in individuals living with schizophrenia: A pre- and post-intervention pilot study

Article type: Research Article

Authors: Soeker, Mogammad Shaheed^{a; *} | Abbas, Iesrafeel^b | Karachi, Farhana^c

Affiliations: [a] Occupational Therapy Department, University of the Western Cape, Cape Town, South Africa | [b] Occupational Therapy Department, University of Cape Town, Cape Town, South Africa | [c] Physiotherapy Department, University of the Western Cape, Cape Town, South Africa

Correspondence: [*] Address for correspondence: Mogammad Shaheed Soeker, Private Bag X17, Bellville, 7535, South Africa. E-mail: msoeker@uwc.ac.za.

Abstract: BACKGROUND: Individuals diagnosed with schizophrenia often experience major limitations in returning to work despite participating in rehabilitation programs. OBJECTIVE: The aim of the study was to determine whether individuals who were diagnosed with schizophrenia experienced improved return to work rates, quality of life and self-efficacy beliefs after participating in an intervention program that utilizes the Model of Occupational Self-Efficacy (MOOSE). METHOD: Nine (n = 9) individuals who were diagnosed with schizophrenia participated in the study. The research study specifically utilized a pre- and post-intervention research design. In order to gather data from the participants, the WHO Quality of Life Questionnaire and Self-Efficacy Questionnaires were used to determine whether the individual living with schizophrenia’s quality of life and self-efficacy beliefs improved after participating in a vocational rehabilitation program. RESULTS: All participants in this study presented with an improvement in Return-to-Work Rates, Self-Efficacy Beliefs and Quality of Life scores. The results of the study revealed a 100% return to work rate, a statistically significant effect of the intervention (i.e., MOOSE) on Self-Efficacy beliefs, measured using the Generalized Self-Efficacy Scale, F(1, 8) = 6.606, p = 0.03.*. CONCLUSION: The findings of this study indicated that MOOSE is a useful model to facilitate the return to work of individuals living with schizophrenia. It is also suggested that cognitive rehabilitative activities, life skills and work skills training in a real work environment be included as part of the vocational rehabilitation program.

Keywords: Rehabilitation, occupation, occupational therapy, return to work, vocational rehabilitation

DOI: 10.3233/JVR-230039

Journal: Journal of Vocational Rehabilitation, vol. 59, no. 2, pp. 221-231, 2023