The usefulness of the Model of Occupational Self Efficacy (MOOSE) in returning stroke survivors to work in a rural community in Cape Town, South Africa

Article type: Research Article

Authors: Soeker, Mogammad Shaheed^{; *} | Smith, Melissa | Hess April, Lucia

Affiliations: Occupational Therapy 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 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.

Keywords: Return to work, adaptation, coping skills and strategies, adaptation, vocational rehabilitation

DOI: 10.3233/JVR-230041

Journal: Journal of Vocational Rehabilitation, vol. 60, no. 3, pp. 341-352, 2024