A clinical reasoning model to deliver vocational rehabilitation at a grassroots level in South Africa
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Citation
Abstract
Vocational rehabilitation is one of the significant interventions that occupational therapists provide in South Africa. However numerous barriers to the delivery of these services have been reported at a grassroots level. This program intends to
overcome these barriers by (a) developing a clinical reasoning model to inform vocational rehabilitation at a grassroots level in South Africa, (b) obtain consensus on the content of the model using a panel of experts, (c) Train novice therapists on the use of the model to deliver vocational rehabilitation services at a grassroots level and (d) Evaluate the effectiveness of the program to increase knowledge and skill of occupational therapists delivering vocational rehabilitation services as well as changes in their practice profiles in terms of frequency of vocational rehabilitation services provided.
Results from a nominal group technique study indicated that the content of the program is perceived as acceptable by a panel of experts. The program can improve not only vocational rehabilitation service delivery, but also to increase the use of measurable outcomes during occupational therapy interventions. This could aid in supporting the distinct positive contribution and impact of occupational therapy in the South African context.