{"title":"Expert Consensus on Components of an Evidence-Based Framework to Facilitate Self-Employment for Persons With Disabilities: A Delphi Study.","authors":"Luther Lebogang Monareng, Shaheed Mogammad Soeker, Deshini Naidoo","doi":"10.1155/oti/4109837","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>In light of the global unemployment crisis, there is a need for research on nonconventional work, including self-employment, an alternative placement option for persons with disabilities.</p><p><strong>Objective: </strong>The objective of the study is to establish consensus on the components of an evidence-based framework to facilitate self-employment for persons with disabilities.</p><p><strong>Methods: </strong>End users, service providers and policy actors participated in this Delphi study. Relevant data was collected online and analysed thematically, descriptively and using frequencies.</p><p><strong>Results: </strong>The response rates were n = 19/21 (91%) in Round 1, n = 16/19 (84%) in Round 2 and n = 15/16 (94%) in Round 3. The main findings of Round 1, through an open-ended question, were (i) an ideal tool, considerations and interventions related to entrepreneurial skills for persons with disabilities and (ii) expected roles and capacities of persons with disabilities. Through the 5-point Likert scale evaluations in Round 2, the participants identified critical components of the framework, including (i) key features, (ii) legislation that informs disability rights, (iii) involved key role players, (iv) characteristics, roles and duties of persons with disabilities and (v) the ideal tool's facilitation steps. In the final round, the participants agreed on the content of the framework's user's guide document to include the following: (i) purpose of the tool, (ii) background of the tool, (iii) how to use the tool and (iv) tool supporting resources.</p><p><strong>Conclusion: </strong>Consensus on the components of a framework was achieved; experts regarded the framework as being nonprescriptive, prioritising practicality, accessibility and sustainability within and beyond the South African context. Participants proposed measures like a user's guide to support framework operationalisation.</p>","PeriodicalId":49140,"journal":{"name":"Occupational Therapy International","volume":"2026 1","pages":"e4109837"},"PeriodicalIF":2.2000,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13193230/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Occupational Therapy International","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1155/oti/4109837","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"REHABILITATION","Score":null,"Total":0}
引用次数: 0
Abstract
Background: In light of the global unemployment crisis, there is a need for research on nonconventional work, including self-employment, an alternative placement option for persons with disabilities.
Objective: The objective of the study is to establish consensus on the components of an evidence-based framework to facilitate self-employment for persons with disabilities.
Methods: End users, service providers and policy actors participated in this Delphi study. Relevant data was collected online and analysed thematically, descriptively and using frequencies.
Results: The response rates were n = 19/21 (91%) in Round 1, n = 16/19 (84%) in Round 2 and n = 15/16 (94%) in Round 3. The main findings of Round 1, through an open-ended question, were (i) an ideal tool, considerations and interventions related to entrepreneurial skills for persons with disabilities and (ii) expected roles and capacities of persons with disabilities. Through the 5-point Likert scale evaluations in Round 2, the participants identified critical components of the framework, including (i) key features, (ii) legislation that informs disability rights, (iii) involved key role players, (iv) characteristics, roles and duties of persons with disabilities and (v) the ideal tool's facilitation steps. In the final round, the participants agreed on the content of the framework's user's guide document to include the following: (i) purpose of the tool, (ii) background of the tool, (iii) how to use the tool and (iv) tool supporting resources.
Conclusion: Consensus on the components of a framework was achieved; experts regarded the framework as being nonprescriptive, prioritising practicality, accessibility and sustainability within and beyond the South African context. Participants proposed measures like a user's guide to support framework operationalisation.
期刊介绍:
Occupational Therapy International is a peer-reviewed journal, publishing manuscripts that reflect the practice of occupational therapy throughout the world. Research studies or original concept papers are considered for publication. Priority for publication will be given to research studies that provide recommendations for evidence-based practice and demonstrate the effectiveness of a specific treatment method. Single subject case studies evaluating treatment effectiveness are also encouraged. Other topics that are appropriate for the journal include reliability and validity of clinical instruments, assistive technology, community rehabilitation, cultural comparisons, health promotion and wellness.