Occupational therapy and rehabilitation: fostering mental resilience and professional re-entry

Jarjina Akter Smrity; Kazi Abdus Satter Mahbub; Rushan Afroze; Lutfur Nahar; Joyati Roy

doi:10.18203/2320-6012.ijrms20250662

Authors

Jarjina Akter Smrity Department of Inspection for Factories and Establishments, Ministry of Labour and Employment, Dhaka, Bangladesh
Kazi Abdus Satter Mahbub Department of Cardiovascular and Thoracic Surgery, Bangabandhu Sheikh Mujib Medical University, Shahbagh, Dhaka, Bangladesh
Rushan Afroze The German Society for International Cooperation (GIZ) GmbH, Social protection for the workers in the textile and leather sector (SOSI), Gulshan, Dhaka, Bangladesh
Lutfur Nahar Department of Inspection for Factories and Establishments, Ministry of Labour and Employment, Dhaka, Bangladesh
Joyati Roy Keshabpur Upazila Health Complex, Jessore, Bangladesh

DOI:

https://doi.org/10.18203/2320-6012.ijrms20250662

Keywords:

Mental resilience, Occupational therapy, Professional re-entry, Quality of life, Rehabilitation

Abstract

Background: Occupational therapy (OT) plays a critical role in rehabilitation by addressing both physical and psychological challenges, fostering mental resilience, and supporting professional re-entry for individuals recovering from disabilities or illnesses. This study evaluated the impact of OT on mental resilience and professional re-entry among individuals undergoing rehabilitation at the Centre for the Rehabilitation of the Paralysed (CRP), Savar, Dhaka, Bangladesh.

Methods: A cross-sectional study was conducted from August 2023 to July 2024, involving 150 participants recruited through purposive sampling. Standardized tools were used to assess mental resilience (resilience scale), employment readiness, self-efficacy, and satisfaction with OT services. Data were collected via structured questionnaires, interviews, and therapist records. Descriptive statistics summarized demographic data and therapy outcomes, while chi-square tests, paired t-tests, and logistic regression were used to analyse associations between OT interventions and mental resilience or professional re-entry.

Results: The study observed a significant improvement in mental resilience, with 65% of participants transitioning to moderate or high resilience levels post-therapy. Employment readiness increased by 40%, with 55% successfully re-entering the workforce. Quality of life scores improved in 78% of participants, and 85% expressed satisfaction with OT services. Regression analysis identified mental resilience, self-efficacy, and social support as strong predictors of successful professional re-entry (p<0.05).

Conclusions: OT interventions demonstrated a significant positive impact on mental resilience, quality of life, and employment outcomes. However, persistent barriers such as workplace accessibility and psychological challenges were noted. The findings underscore the need for integrated OT approaches to address these barriers and support holistic rehabilitation.

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References

Edgelow M, Krupa T. Randomized controlled pilot study of an occupational time-use intervention for people with serious mental illness. Am J Occup Ther. 2011;65(3):267-76. DOI: https://doi.org/10.5014/ajot.2011.001313

Wallen M. There is weak evidence that forced‐use therapy provided for 1-month without additional therapy improved the fine motor function of children with hemiparesis. Aust Occup Ther J. 2004;51(2):110-1. DOI: https://doi.org/10.1111/j.1440-1630.2004.00435.x

Arbesman M, Logsdon DW. Occupational therapy interventions for employment and education for adults with serious mental illness: A systematic review. Am J Occup Ther. 2011;65(3):238-46.

Birch L, Adams J. Carers’ perceptions of community occupational therapy: short report. Br J Occup Ther. 2008;71(5):205-8. DOI: https://doi.org/10.1177/030802260807100507

D'Amico M, Jaffe L, Gardner J. Evidence for interventions to improve and maintain occupational performance and participation for people with serious mental illness: a systematic review. Am J Occup Ther. 2018;72(5):7205190020p1-10. DOI: https://doi.org/10.5014/ajot.2018.033332

Krupa T, Fossey E, Anthony WA, Brown C, Pitts DB. Doing daily life: how occupational therapy can inform psychiatric rehabilitation practice. Psychiatr Rehabil J. 2009;32(3):155-61. DOI: https://doi.org/10.2975/32.3.2009.155.161

Tomita MR, Saharan S, Rajendran S, Nochajski SM, Schweitzer JA. Psychometrics of the home safety self-assessment tool (HSSAT) to prevent falls in community-dwelling older adults. Am J Occup Ther. 2014;68(6):711-8. DOI: https://doi.org/10.5014/ajot.2014.010801

Driscoll J. Book Mark: Enabling independence: a guide for rehabilitation workers. Can J Occup Ther. 2007;74(4):347. DOI: https://doi.org/10.1177/000841740707400406

Iwama MK. The Kawa model: culturally relevant occupational therapy. Churchill Livingstone Elsevier; 2006.

Sutton DJ, Hocking C. Healing the person, not just the disorder: Using occupation to support recovery. Br J Occup Ther. 2014;77(12):604-13.

McNaught J, Paul L. The use of adaptive equipment following total knee replacement. Br J Occup Ther. 2015;78(3):187-95. DOI: https://doi.org/10.1177/0308022614562797

Kelly M, Lamont S, Brunero S. An occupational perspective of the recovery journey in mental health. Br J Occup Ther. 2010;73(3):129-35. DOI: https://doi.org/10.4276/030802210X12682330090532

Scanlan JN, Still M. Job satisfaction, burnout and turnover intention in occupational therapists working in mental health. Aust Occup Ther J. 2013;60(5):310-8. DOI: https://doi.org/10.1111/1440-1630.12067

Hitch D, Pepin G, Stagnitti K. In the footsteps of Wilcock, part one: The evolution of doing, being, becoming, and belonging. Occup Ther Health Care. 2014;28(3):231-46. DOI: https://doi.org/10.3109/07380577.2014.898114

Brown C, Stoffel V, Munoz JP. Occupational therapy in mental health: A vision for participation. F. A. Davis Company; 2011.

Arbesman M, Lieberman D. Method for the systematic review of occupational therapy interventions. Am J Occup Ther. 2011;65(3):341-9. DOI: https://doi.org/10.5014/ajot.2011.001289

Brown T, Crabtree JL, Mu K. Professional resilience strategies: a systematic review. Work. 2023;75(1):141-55.

Nott MT, Kendall MB, et al. Community reentry programs and outcomes in occupational therapy. J Occup Rehabil. 2023;33(2):345-358. doi:10.1007/s10926-023-10048-y

Crepeau EB, Schell BAB. Occupational therapy interventions for successful employment reintegration. Am J Occup Ther. 2023;77(3):118-25.

Huebner RA. The role of occupational therapy in mental and behavioral health. OTJR. 2023;43(4):211-7.

Chard G, et al. Quality of life improvements through occupational therapy. Occup Ther Int. 2023;30(2):225-235.

Taylor RR. Occupational therapy for overcoming employment barriers. Work. 2023;77(4):581-90.

Pandiyan A, Lari S, Vanka J, Gavaravarapu SM, Jee B, Jonnalagadda PR. Knowledge, attitude and practices related to pesticide usage among farmers: Findings from a hospital based cross-sectional study. Work. 2023;76(3):1061-70. DOI: https://doi.org/10.3233/WOR-220038

Muñoz JP, et al. Occupational therapy, resilience, and self-efficacy: A relational study. J Occup Rehabil. 2023;33(3):265-278.