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South African Journal of Occupational Therapy

On-line version ISSN 2310-3833
Print version ISSN 0038-2337


JANSEN, Marjolein  and  CASTELEIJN, Daleen. Applying the Model of Creative Ability to patients with diabetic foot problems. S. Afr. j. occup. ther. [online]. 2009, vol.39, n.3, pp.26-32. ISSN 2310-3833.

Motivation is recognised as an important factor in the treatment of any patient12. There has been an increase in the number of people diagnosed with diabetes, and, thus an increase in the number of people with foot complications as a result of diabetes. Motivation has been identified as a factor contributing to the treatment outcomes of a person with this type of problem3,4,5,6,7, and an assessment into the level of motivation is recommended in the context of this condition. Currently, an assessment of motivation has not been sufficiently investigated. The Model of Creative Ability (MCA) provides a framework within which to assess intrinsic motivation and principles with which to treat a patient, based on the determined level of motivation, also referred to as levels of creative ability1,2,8. The purpose of this study was to investigate whether occupational therapy, tailored to the level of motivation, for patients with diabetic foot complications, has more positive treatment outcomes than occupational therapy that is not. A programme was therefore carried out in which two groups of patients were treated, an experimental group receiving intervention according to level of motivation and a control group. In spite of a small sample size, the results of the research indicated a more positive outcome when occupational therapy was tailored using the MCA, for patients suffering from diabetic foot complications.

Keywords : Motivation; Model of Creative Ability; diabetes; diabetic foot; quality of life; occupational therapy.

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