The Development of a Vocational Rehabilitation Program to Assist Individuals With MDRTB and TB in Returning to Work.

Publisher: Wiley Country of Publication: United States NLM ID: 9433361 Publication Model: eCollection Cited Medium: Internet ISSN: 1557-0703 (Electronic) Linking ISSN: 09667903 NLM ISO Abbreviation: Occup Ther Int Subsets: MEDLINE

Publication: Hoboken, NJ : Wiley
Original Publication: London : Whurr Publishers, c1994-

Return to Work* ; Tuberculosis, Multidrug-Resistant*/rehabilitation ; Rehabilitation, Vocational*/methods; Humans ; Male ; Female ; Adult ; Tuberculosis, Pulmonary/rehabilitation ; Interviews as Topic ; Qualitative Research ; Middle Aged ; Program Development

Competing Interests: The authors declare no conflicts of interest.
Background: Individuals diagnosed with tuberculosis (TB) and multidrug-resistant (MDR) TB may struggle to return to work after they have completed a rehabilitation program. Multidrug-resistant tuberculosis (MDRTB) has been seen as a condition that is resistant to treatment, hence causing individuals to be economically in-active for considerable periods of time. Objective: The aim of the current study was to explore the views of individuals living with MDRTB, individuals with TB, and health professionals treating individuals with TB and MDRTB about the development of a vocational rehabilitation program. Method: The researchers used an exploratory descriptive research design, and semistructured interviews were conducted with five key informants and four participants who were diagnosed with pulmonary tuberculosis (PTB) and MDRTB. Thematic analysis was used in order to analyse the study findings. The current study is the second of two articles. The first article focused on barriers and facilitators linked to returning to work for individuals living with TB and MDRTB. The current article focuses on the development of a vocational rehabilitation program. Results: The findings of the original study revealed five themes; however, for the purpose of this article, only two themes will be presented, namely, Theme 1: promoting a holistic model and Theme 2: the use of resources for activity engagement. The latter theme contributed to the participant's view of the development of a vocational rehabilitation program. Conclusion: The study provided a description of the components of a vocational rehabilitation program that has been adapted from the Model of Occupational Self-Efficacy (MOOSE). The above program has been designed for individuals diagnosed with PTB/MDRTB and has the potential to assist them in returning to work. It is suggested that vocational rehabilitation programs be incorporated into general medical programs that focus on improving the functioning of individuals diagnosed with PTB/MDRTB.
(Copyright © 2025 Mogammad Shaheed Soeker and Ayesha Jainodien. Occupational Therapy International published by John Wiley & Sons Ltd.)

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Keywords: adaptations; client-centred approach; occupational therapy; perception; qualitative research; return to work; self-efficacy; tuberculosis; vocational rehabilitation; young adults

Date Created: 20250113 Date Completed: 20250113 Latest Revision: 20250215

20250215

PMC11724725

10.1155/oti/9914578

39803370