Submitted by: Michael P. Sy 2018-06-20 00:00:00 Last Updated by: Michael P. Sy 2018-10-28 11:09:04 Export to PDF

The experiences of Filipinos recovering from substance addiction towards daily life participation and exercising of basic human rights

PHRR180621-001847

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The experiences of Filipinos recovering from substance addiction towards daily life participation and exercising of basic human rights

Background. The role of occupational therapy (OT) in substance addiction and rehabilitation (SAR) has remained to be unclear due to the constant changes in the local health landscape especially in the Philippines. Participation in occupation is a known expertise of occupational therapists (OTs) when they work with well, disabled, and disadvantaged populations1. Specifically, people with substance use disorder (SUD) have participation concerns and can benefit from OT2 since participation concerns arise before, during, and after rehabilitation. Occupational participation is also related to “occupational justice (OJ)”, a new concept that is believed to be a result of positive daily living participation of people. OJ is concerned with equity and fairness for people to engage in meaningful and diverse occupations3.
 
Aims. 1) To examine the lived experiences of Filipinos recovering from substance addiction towards participation in daily living and basic human rights; 2) To identify the strengths and limitations in using the Occupational Justice Health Questionnaire (OJHQ)3.
 
Methods. This study will use a phenomenological (experiential) research design to explore the four aspects to human experience: 1) lived space, 2) lived body, 3) social relationships, and 4) lived time. There is a 4-step method proposed for this study: 
 
(Step 1) Preparation for data collection will commence, which has two sub-steps: Translating the OJHQ (Step 1.1) and establishing collaboration with research sites (Step 1.2). When all preparatory steps are completed, the data collection will begin.
 
 (Step 2) The principal investigator will first perform a pilot testing of the guided in-depth interview based on the OJHQ (n = 5), followed by actual data collection of 30 Filipino adults (18 years above) who are recovering from SUD from the research sites (DOH-Drug Treatment and Rehabilitation Center in Bicutan and Bataan). They should be able to speak and understand both basic Filipino and English without cognitive disabilities and psychotic impressions. 
 
(Step 3) Field notes will also be collected among the interviewers including the PI (n = 3) from their experiences in translating the tool and using the OJHQ as OT practitioners.
 
(Step 4) Data analysis will be done using ATLAS.ti 7 and the six-step Interpretative Phenomenological Analysis (IPA) to produce content and thematic analyses that will explain the abovementioned research aims.
 
Overall, there will be four (4) sets of data to be collected: 1) Field notes on the translation process of the OJHQ, 2) Interview data from pilot testing (n = 5), 3) Interview data from actual collection (n = 30), and 4) Field notes on the experience of implementing the OJHQ focusing on strengths and limitations (Steps 2 and 3).
 
 
References
1American Occupational Therapy Association. (2014). Occupational therapy practice framework: Domain and process (3rd ed.). American Journal of Occupational Therapy, 68(Suppl. 1), S1– S48 http://dx doi org/10 5014/ajot 2014 682006 
2 Fritz, H., & Cutchin, M. P. (2016). Integrating the science of habit: Opportunities for occupational therapy. Occupational Therapy Journal of Research, 36(2), 92-98. 
3 Wilcock, A. A. & Townsend, E. A. (2014). Occupational Justice. In B. A. Boyt Schell, G. Gillen, & M. E. Scaffa (Eds.), Willard & Spackman’s Occupational Therapy 12th ed., (pp. 541- 552). Philadelphia: Lippincott Williams & Wilkins.

Start Date Duration in Months Target Completion Date Actual Completion Date
2018-08-02 9 2019-05-02 2019-06-30

Ongoing

Institution Classification Region LTO #
Tokyo Metropolitan University (Arakawa Campus), Department of Occupational Therapy, Graduate School of Human Health Sciences Government Japan NA
Institution Classification Region LTO #
Department of Health Government NCR NA
Institution Amount Region
Tokyo Metropolitan University (Arakawa Campus), Department of Occupational Therapy, Graduate School of Human Health Sciences N/A Japan
Name Expertise Affiliation
Nobuo Ohshima Biomedical sciences Tokyo Metropolitan University (Arakawa Campus), Department of Occupational Therapy, Graduate School of Human Health Sciences
Ma Patricia Nicole R. Roraldo Occupational therapy Mariveles Mental Hospital

Recovering individuals from substance/drug addiction

Given the issues on the complexity and controversy surrounding the injustices experienced by people recovering from SUD, the lack of a structured/standardized tool that documents occupational justice concerns in light of SAR, and the existence of one-sided resolutions from experts and policy makers in SAR research and program development, the following research objectives are formulated:

1)    To examine the lived experiences of Filipinos recovering from substance addiction towards participation in daily living and basic human rights.

2)    To identify the strengths and limitations in using the OJHQ.

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Completed

  • Philippines

Non-clinical Studies

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None

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02 Aug 2018

Utilization Utilization Info
Publication

This proposal is expected to produce two paper publications in any of the following journals:

  • OTJR: Occupation, Participation, and Health
  • Australian Journal of Occupational Therapy
Oral Presentation

Findings of this research may be presented in any of the following forums:

  • Department of Health (Philippines)
  • Tokyo Metropolitan University (Japan)
  • Australian Occupational Therapy National Congress (Australia)
Drug Literature NA
Posters NA
Others NA

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