The use of Igisoro game in Occupational Therapy Rehabilitation in Rwanda: A mixed method design

Abstract Background: The Igisoro game is a traditional board game deeply embedded in Rwandan culture, played by two participants on a specially designed board. It has been recognized for its role in fostering social, intellectual, and communication skills. The game is widely accessible and enjoyed across various settings. In particular, Igisoro is utilized in Rwandan hospitals, including mental health and physical settings, where occupational therapists incorporate it as a therapeutic tool in their interventions. Objective:This study aims to explore the perceptions of occupational therapy professionals and their clients regarding the use of Igisoro game in rehabilitation. Methods:The research first gathered insights from occupational therapy professionals through a cross-sectional quantitative study involving seventeen (17) occupational therapists, selected conveniently. Subsequently, the study explored the perceptions of beneficiaries through face-to-face semi-structured in-depth interviews with twelve (12) participants, recruited purposively. The sample size was determined based on data saturation. Results:The occupational therapy professionals reported that Igisoro game improve clients’ concentration, gaining attention, expression of feelings, problem-solving skills and improving socialization were reported at higher frequencies of (88.2%), self-confidence (82%), improve judgement, fine motor skills, cognitive and perceptual skills at 76.5%, management of side effect of medication (64.7%). Furthermore, the beneficiaries’ perceptions yielded three themes namely: enhancing the socialization, stress management, and enhancing hands skills. Conclusion: The perceived benefits identified by both occupational therapists and beneficiaries align closely. Both groups recognized that the Igisoro game enhances socialization, cognitive abilities, and hand functional skills. Therefore, Igisoro should continue to be employed as a valuable therapeutic tool in occupational therapy rehabilitation.