| Summary: | 碩士 === 國立臺灣師範大學 === 復健諮商研究所 === 99 === Background and Purpose: In Taiwan, most clients with chronic schizophrenia receive work training in hospital-based sheltered workshop in order to improve work bebaviors for preparing employment. As service providers, we need to understand the factors that affect work behaviors of clients with schizophrenia in sheltered workshop. Through literature review, poor illness management and negative self-efficacy have been found for clients with schizophrenia. Some demographic factors, such as education and previous employment history, were discussed as predictors for employment outcomes of schizophrenia. Therefore, the purposes of this study were to explore the predictive value of self-efficacy, illness management, education and previous employment history for work behaviors of clients with schizophrenia in sheltered workshop.
Method: In this study, 131 people with schizophrenia from 5 Community Rehabilitation center and 5 Recovery Home participated in this study. Clients scored more than 24 in the Mini-Mental Status Examination (MMSE), were recruited and evaluated by the following three self-report questionnaires, which are the Self-Efficacy Scale (SES), Knowledge for Illness Scale (KIS), and Drug Attitude Inventory (DAI). In addition, Work Behavior Inventory (WBI) was used to evaluate participants’ work behaviors in sheltered workshop. Data was analyzed via descriptive statistics, t test, ANOVA, Pearson correlation and stepwise multiple regression analysis.
Result：The results have indicated the followings; Firstly, participants with previous employment history reported higher self-efficacy and work behavior. Secondly, participants with tertiary education were found to have higher score in Knowledge for Illness Scale (KIS) than those with junior education. Thirdly, Self-Efficacy Scale (SES) and Drug Attitude Inventory (DAI) were correlated with work behaviors. In addition to these findings, self-efficacy, previous employment history and drug attitude emerged as significant predictors of work behaviors for clients with schizophrenia in sheltered workshop.
Conclusion: According to these findings, we suggest that the vocational rehabilitation practitioners utilize the concept of self-efficacy in prevocational program to improve confidence about social skill and work behaviors, and design illness management groups to promote drug compliance and recovery concept for the clients with schizophrenia in sheltered workshop.
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