Occupational Therapy

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Browsing Occupational Therapy by Author "Abu Mostafa, Moussa Kleib"

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    Development and feasibility of an educational intervention to improve participation for people with spinal cord injury from Gaza, Palestine
    (Stellenbosch : Stellenbosch University, 2023-12) Abu Mostafa, Moussa Kleib; Plastow, Nicola Ann; Savin-Baden, Maggi; Stellenbosch University. Faculty of Medicine and Health Sciences. Dept. of Health and Rehabilitation Sciences. Occupational Therapy.
    ENGLISH SUMMARY: Background: Many people with Spinal Cord Injury (SCI) in Low and Middle-Income Countries (LMICs) such as the Gaza Strip of Palestine are discharged prematurely from inpatient rehabilitation settings with inadequate skills in Activities of Daily Living (ADL). This gap may result in severe complications, e.g., pressure injuries, muscle contractures, incontinence disorders, and urinary tract infections. Consequently, participation of people with SCI (PW-SCI) in chosen purposeful activities may be limited and community participation may be restricted, leading to occupational deprivation and occupational imbalance. Resources allocated for the rehabilitation of SCI in the Gaza Strip are limited, and thus do not meet the multiple needs of PW-SCI. Moreover, many resources of health education for SCI were developed in high-income Western countries, which made them irrelevant for PW-SCI from low to middle-income countries with predominantly Islamic faith. Aim of the research: This study aimed to co-develop and evaluate the feasibility and initial effectiveness of an ADL education manual for use in inpatient SCI rehabilitation in Gaza, Palestine. Research question: Can a complex educational ADL intervention co-developed for and with patients with SCI treated in inpatient rehabilitation settings within the Gaza Strip optimise rehabilitation outcomes? Objectives: 1.To determine the effect of ADL education for inpatients with SCI in a rehabilitation setting through a systematic review and meta-analysis. 2.To co-develop an evidence-informed ADL education manual for PW-SCI (SADL-eM)using Participatory Action Research methods. 3.To test the usability of clinician-rated rehabilitation outcome measures, and acceptability of the SADL-eM, in a feasibility study. 4.To test procedures, estimate recruitment and retention, and initial effect of the SADL-eM in a pilot randomised controlled trial. Postdoctoral work this includes conducting a randomized clinical trial (RCT) while avoiding back draws of the current study. The researcher will recruit the sample from the Gaza Strip community-dwelling PW-SCI population with specific inclusion criteria to improve the reliability of the collected data. Methodology: The researcher adopted the UK Medical Research Council (MRC) framework for developing complex interventions that involve four phases, namely: development, feasibility and piloting, evaluation, and implementation. The researcher selected the study design for each phase according to the overall aim and study objectives. After obtaining the necessary ethical approval, the researcher in the development phase employed a systematic review and meta-analysis design to identify the current evidence base. Then, the researcher conducted a qualitative study that employed Participatory Action Research (PAR) to co-develop the educational model/intervention (Spinal Cord Injury Activities of Daily Living education manual). Within the feasibility and piloting phase, the researcher conducted a feasibility study to test the usability of clinician-rated rehabilitation outcome measures and patient acceptability of the SADL-eM, and a pilot study to test the procedure and to estimate recruitment, retention, and initial effectiveness of the SADL-eM.