An Evaluation Of Achievement Motivation Theory And Work Therapy Participation As Predictors In The Vocational Rehabilitation Of Psychiatric Patients

Author : Kanako Iwanaga
Publisher :
ISBN 13 :
Total Pages : 131 pages
Book Rating : 4.:/5 (15 download)

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Download or read book Evaluation of Constructs Based on Self-determination Theory and Self-efficacy Theory as Predictors of Vocational Rehabilitation Engagement for People with Chronic Illness and Disability written by Kanako Iwanaga and published by . This book was released on 2018 with total page 131 pages. Available in PDF, EPUB and Kindle. Book excerpt: Gainful employment is associated with health and well-being for people with chronic illness and disability (CID). However, the employment-to-population ratio for people with CID is considerably low, making this population vulnerable to secondary health conditions associated with unemployment and poverty. The role of the state-federal vocational rehabilitation (VR) program is to assist people with CID to obtain and maintain employment. However, the success of the program can be impeded by ambivalence among people with CID regarding going to work; ambivalence associated with fear of losing disability-related benefits and health insurance; anxiety regarding social functioning problems in the workplace; and concern about potential harassment in the workplace. Self-determination and self-efficacy have been proposed as a new paradigm to promote treatment adherence and engagement in medical rehabilitation. Self-determination theory (SDT) and self-efficacy theory (SET) identifies the constructs of autonomy, competence, relatedness, and outcome expectancy as critical components in understanding ambivalence to engage in treatment. However, there is a paucity of research on SDT and SET constructs as predictors of VR engagement for people with CID. The purpose of the present study was to evaluate SDT and SET constructs as predictors of VR engagement in a sample of VR clients (N=254) using multiple regression analysis. After controlling for the effects of demographic variables and known person-environment (P-E) contextual factors in the regression model, SDT and SET predictors were found to account for 59% of the variance in VR engagement. Relatedness, observed as the working alliance, was the strongest predictor for VR engagement, followed by competence, observed as job performance competency, and then autonomy supportive climate. Although autonomous motivation and job seeking competency were significantly associated with VR engagement at the bivariate level, they were not significant in the regression model. It appears that working alliance, due to its large effect size, may have mediated the effect of autonomous motivation and job seeking competency in the regression model. Interventions to enhance counselor skills to promote working alliance in addition to vocational training to increase job performance competency of rehabilitation clients may strengthen motivation to engage in VR services, leading to better employment outcomes.