Centre of Expertise Innovations in Care, Rotterdam University of Applied Sciences, P.O. Box 25035, 3001 HA, Rotterdam, The Netherlands,
J Occup Rehabil. 2014 Mar;24(1):42-51. doi: 10.1007/s10926-013-9446-9.
The purpose of this study was to investigate into more detail how occupational performance of participants of a 1-year multidisciplinary vocational rehabilitation intervention changed over time, using a broad focus on three areas of occupational performance, addressing work, as well as self-care and leisure. In addition, we explored differences between employed and unemployed persons.
In a pre-post-intervention design, changes in occupational performance, addressing work, self-care and leisure, were evaluated using the Canadian Occupational Performance Measure (COPM) and the Occupational Performance History Interview (OPHI-II).
Eleven young adults (median 22 years) with physical disabilities participated. Post-intervention, participants experienced fewer problems and showed improved occupational performance in work, as well as self-care and leisure, and improved satisfaction with performance. Participants also showed improved occupational identity and occupational competence, and total scores on OPHI-II. Participants who did not achieve employment did not differ in demographic characteristics. They experienced problems in all three areas of occupational performance at pre-intervention, and more difficulty in interacting in occupational settings (environment). Post-intervention, their levels of occupational identity, competence and settings were similar to those of employed persons.
Participants showed improved occupational performance after the intervention. The goal of employment and the broad integrated approach of the intervention seemed to motivate participants to resolve problems in work, as well as self-care and leisure. Unemployed persons faced problems in all three areas of occupational performance at start. Although they seemed to catch up during the intervention, they did not achieve employment within 1 year.
本研究旨在更详细地探讨参与者在为期 1 年的多学科职业康复干预后的职业表现如何随时间变化，重点关注职业表现的三个领域，包括工作、自我照顾和休闲。此外，我们还探讨了就业和非就业人员之间的差异。
采用前后干预设计，使用加拿大职业表现量表（COPM）和职业表现历史访谈（OPHI-II）评估职业表现（包括工作、自我照顾和休闲）的变化。
11 名患有身体残疾的年轻人（中位数 22 岁）参与了研究。干预后，参与者在工作、自我照顾和休闲方面的问题减少，职业表现得到改善，对表现的满意度提高。参与者还表现出职业认同和职业能力的提高，以及 OPHI-II 的总分提高。未就业的参与者在人口统计学特征上没有差异。他们在干预前的所有三个职业表现领域都存在问题，并且在职业环境中（环境）的互动方面更加困难。干预后，他们的职业认同、能力和环境水平与就业人员相似。
参与者在干预后表现出职业表现的改善。就业目标和广泛的综合干预方法似乎激发了参与者解决工作、自我照顾和休闲方面的问题。未就业人员在职业表现的所有三个领域都面临问题。尽管他们在干预过程中似乎有所改善，但他们在 1 年内并未就业。
