Columbia University, New York, NY, USA.
OTJR (Thorofare N J). 2020 Jan;40(1):17-26. doi: 10.1177/1539449219850126. Epub 2019 Jun 4.
This study aims to determine whether a functional literacy program using principles from the Cognitive Orientation to daily Occupational Performance approach and Occupational Adaptation theory, and embedded in community-based daily activities, could enhance occupational participation in a sample of sheltered homeless adults. This study used a two-group, controlled design with pre- and post-intervention measures. Intervention was carried out in a group setting in 1.5 hr, twice-weekly sessions over 8 weeks. Intervention addressed literacy skills needed to complete participant identified, desired daily activities. Statistically significant differences were found between intervention and control groups' perceived functional literacy skills with regard to occupational performance ( = -4.075, < .0001, = 1.02) and satisfaction ( = -4.113, < .0001, = 1.40); reading frequency ( = -3.594, < .0001, = 0.48), reading effectiveness ( = -10.673, < .0001, = 0.68), level of support ( = -10.410, < .0001, = 1.81), and reading efficiency ( = -10.297, < .0001, = 1.83). The intervention enhanced perceived reading and occupational participation in the study's sample. Further research is needed to replicate and translate results in daily practice.
本研究旨在确定使用认知导向日常生活活动表现方法和职业适应理论原则,并将其嵌入社区日常活动中的功能性扫盲计划是否能够提高庇护所无家可归成年人样本的职业参与度。本研究采用了两组对照设计,进行了干预前后的测量。干预是在 8 周内每周两次,每次 1.5 小时,在小组环境中进行的。干预针对完成参与者确定的、期望的日常活动所需的读写能力技能。干预组和对照组在职业表现方面的感知功能性读写技能方面存在显著差异(= -4.075,<.0001,= 1.02)和满意度(= -4.113,<.0001,= 1.40);阅读频率(= -3.594,<.0001,= 0.48)、阅读效果(= -10.673,<.0001,= 0.68)、支持水平(= -10.410,<.0001,= 1.81)和阅读效率(= -10.297,<.0001,= 1.83)。干预增强了研究样本中对阅读和职业参与的感知。需要进一步的研究来复制和转化日常实践中的结果。