Extent of problem in functioning during participating vocational rehabilitation program

Abstract

Background: The International Classification of Functioning, Disability and Health (ICF) by the World Health Organization were the foundation for developing WORQ. WORQ is an ICF-based questionnaire to assess and evaluate functioning in vocational rehabilitation setting. The Work Rehabilitation Questionnaire (WORQ) is used to better understand the extent of problems in functioning that people may have due to their health condition(s) and who are undergoing work or VR. In our country perspective, there are no any uses of work rehabilitation questionnaires that measure the extent of problem in functioning during participating vocational rehabilitation program. This study result show the extent of problem in functioning and find the association between the socio-demographic factor and work rehabilitation for persons with disability. Objective: To measure the level of problem in body function, activities and participation. To find the association between socio-demographic factor and work rehabilitation. To better understand the extent of problems in function that people may have due to their health condition and who are undergoing work or vocational rehabilitation. Methodology: Researcher has used cross sectional study under Quantitative design for this study to measure the extent of problem in functioning during participating vocational rehabilitation program and measure the association between socio-demographic factors and work rehabilitation. 85 participants selected by using convenient sampling from madhod memorial vocational training institute of Centre for the Rehabilitation of the paralyzed. Result and Discussion: For the analysis of extent of problem, the main section of WORQ (42 question) were divided into two domain based on ICF core sets for VR: (a) Domain 1: body functions (14 ICF categories); (b) Domain 2: activities & participations (20 ICF categories). Besides the literature was found it on Hand of VR (Selb, M., Finger. M. E. and Esorpizo, R., 2015). The extent of problem in functioning during participating in VR program found is: 0 or no problem found in dressing function and thought function. Mild problem found in energy and drive function, sleep function, temperament & personality function, higher-level cognitive function, hearing function, sensation of pain, Exercise tolerance function, Muscle power function, Seeing function and Protective functions of the skin, Acquiring, Focusing attention, Reading, Making decisions, Undertaking a single task, Carrying out daily routine, Handling stress and other psychological demands, Communicating with receiving nonverbal messages, Conversation, Using communication devices and techniques, Lifting and carrying objects, Fine hand use and Looking after one’s health. Moderate Problem found in Vestibular function, Lifting and carrying objects, Walking, Using transportation, Complex interpersonal interactions, Economic self-sufficiency. Sever problem found in Moving around and Driving. Conclusion: WORQ appears to be a valid, reliable and feasible questionnaire that is easy to administer by health or VR professionals to evaluate work functioning in VR that is based on the ICF. The additional information gained when using the WORQ would contribute to improving interdisciplinary understanding of the patient’s situation and therefore support the integrative planning of the return to-work process or engagement in gainful employment. Key words: Vocational Rehabilitation, The International Classification of Functioning, Disability and Health, Persons with Disabilities.