Browsing by Author "Jainodien, Ayesha"

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    The adaptation of the model of occupational self-efficacy for returning individuals living with tuberculosis to work
    (University of the Western Cape, 2018) Jainodien, Ayesha; Soeker, Shaheed; Smith, Mario
    Tuberculosis (TB) and multi-drug resistant (MDR) TB have been identified as one of the largest health problems in the world, and notably recognized as a big issue in democratic South Africa. Socio-demographic factors such as poverty and unemployment were identified to be major contributing factors to the epidemic. Individuals with TB reportedly have poor levels of occupational self-efficacy and found it challenging to return to work after prolonged hospitalization. The Model of Occupational Self-Efficacy (MOOSE) has been used effectively to assist individuals with traumatic Brain Injury (TBI) to return to work. Adaptation of the MOOSE was recommended for application with other syndromes associated with long hospitalization and absence from work. The aim of the study was to adapt the MOOSE for clients living with tuberculosis and to aid them in returning to work. The study was conducted through exploratory research. Semi-structured interviews were conducted with ten purposively selected key informants from private and public health facilities in the Western Cape. The data was analysed through thematic analysis from which six themes emerged. Themes One, Two and Six describe the barriers experienced by the participants when returning to work following their diagnosis of PTB or MDR-TB. Theme Three, Four and Five discussed the factors that facilitate the resumption of the worker role for the PTB and MDR-TB survivors. The findings of this study were used to inform the adaptation of the MOOSE for use with patients living with TB. Ethics clearance was obtained from the Biomedical Research Ethics Committee (BMREC) of UWC. Permission was given by the Department of Health to conduct the study on the clinical platform. All ethics principles were upheld.
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    The challenges that individuals with MDRTB and TB experience when returning to work after completing TB treatment in the Western Cape, South Africa
    (SAGE Publications Ltd, 2025) Soeker, Mogammad Shaheed; Jainodien, Ayesha; Smith, Mario
    Background: Tuberculosis (TB) and multi-drug resistant (MDR) TB have been identified as one of the largest health problems in the world, and notably recognised as a major concern in South Africa. Socio-demographic factors such as poverty and unemployment has been identified as major contributing factors to the epidemic. Objective: The aim of the study was to explore the barriers and enablers of return to work (RTW) for individuals living with MDRTB and Pulmonary Tuberculosis (PTB) in the Western Cape, South Africa. The qualitative exploration was part of a larger study that resulted in a return-to-work programme for individuals with MDRTB and TB. Method: Qualitative methodology was employed for this study. Semi-structured interviews were used with 5 key informants and 4 participants diagnosed with PTB and MDR-TB. The data was analysed by means of thematic analysis. Results: The participants described the barriers and facilitators of their RTW process and the factors that were of critical importance in the resumption of the worker role. Two themes represent the barriers, and two themes represent the enablers of RTW. The four major themes were 1) A sense of disbelief in one's own potential, 2) The contextual environment influences an individual's worker role, 3) The future of Occupational Therapy (OT) services in TB rehabilitation, and 4) Engagement in activities alleviates feelings of despondency. Conclusion: The study highlighted that contextual barriers such as poor socio-economic factors negatively influenced individuals diagnosed with PTB/MDRTB from initiating and completing rehabilitation programmes. The lack of resources in public facilities were also noted as one of the main barriers described by the rehabilitation care specialists. The facilitators that supported the completion of rehabilitation programmes enhancing the life skills of and work related skills as part of the PTB/MDRTB intervention provided to clients or patients. Early engagement in work skills improvement programmes may enhance the worker roles of individuals with PTB/MDRTB
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    The development of a vocational rehabilitation program to assist individuals with mdrtb and tb in returning to work
    (John Wiley and Sons Ltd, 2025) Soeker, Mogammad Shaheed; Jainodien, Ayesha
    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