1
|
Tao G, Singh G, Simpson E, Battalova A, Rash I, Mohammadi S, Schmidt J, Borisoff J, Mortenson B, Miller WC. Quality of Physical Activity Participation Among Adults with Disabilities Through Pandemic Restriction. Can J Occup Ther 2023; 90:161-172. [PMID: 37186790 DOI: 10.1177/00084174231160954] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/17/2023]
Abstract
Background. Physical activity (PA) is essential for maintaining well-being in adults with disabilities. This population experienced reduced PA during the COVID-19 pandemic; yet, the impact on quality of PA participation remains unclear. Purpose. This secondary analysis explored how pandemic restrictions impacted six experiential dimensions of quality of PA participation among adults with disabilities. Methods. An exploratory sequential mixed-methods design, including semi-structured interviews (n = 10) and self-reported surveys (n = 61), was conducted in May-2020 and February-2021. Quality of PA participation was measured using the Measure of Experiential Aspects of Participation (MeEAP). Participants included community-dwelling adults over 19 years of age (mean 59.2 ± 14.0 years) living with stroke, spinal cord injury, or other physical disabilities. Findings. Directed content analysis identified three themes related to adjusting PA participation for restrictions, motivation barriers, and valuing social support. These themes highlighted five factors, such as resilience, as potential quantitative predictors of quality of PA participation. While paired correlations with MeEAP scores were observed, these factors were not statistically predictive in multiple regression analysis (adjusted R2 = -0.14, F(10,50) = 0.92, p = .53). Implications. The interplay between Meaning, Autonomy, Engagement, and Belongingness dimensions of quality of PA participation was complex, with an emphasized role for mental health, in adults with disabilities.
Collapse
|
2
|
Njølstad BW, Mengshoel AM, Sveen U. 'It's like being a slave to your own body in a way': a qualitative study of adolescents with chronic fatigue syndrome. Scand J Occup Ther 2018; 26:505-514. [PMID: 29607759 DOI: 10.1080/11038128.2018.1455895] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
Abstract
BACKGROUND Chronic fatigue syndrome/myalgic encephalomyelitis (CFS/ME) is a relatively common disabling illness in adolescents that may limit participation in daily life. AIM This study explored interactions between the illness experiences of adolescents with CFS/ME, their occupational lives and expectations for the future. METHODS Seven adolescents with CFS/ME were interviewed. The interviews were analyzed using thematic analysis. RESULTS Three themes were developed. 'Being ruled by an unfamiliar and inexplicable body', which illustrated that altered and strange bodies seemed to separate and disrupt the participants from their former occupational lives. 'On the sideline of life with peers', which demonstrated that the informants spent time at home, doing undemanding activities instead of participating in activities with peers. 'A coherent connection between present and future life', which was reflected by how the participants eventually accepted their situation and rebuilt a meaningful occupational life and value of self. CONCLUSION CFS/ME made the body unfamiliar and disconnected informants from participating in their usual daily occupations. A coherent interaction between body, occupational life and social self was achieved by taking their new body into account and adjusting their occupations accordingly. This practice enabled the participants to hope for a better future life.
Collapse
Affiliation(s)
- Berit Widerøe Njølstad
- a Section of Orthopaedic Rehabilitation, Division of Orthopaedic Surgery , Oslo University Hospital , Oslo , Norway
| | | | - Unni Sveen
- c Department of Physical Medicine and Rehabilitation, Division of Clinical Neuro-science , Oslo University Hospital , Oslo , Norway.,d Faculty of Health Sciences , Oslo and Akershus University, College of Applied Sciences , Oslo , Norway
| |
Collapse
|
3
|
Svensson E, Kåhlin I, Kjellberg A. Residential environment impact scale: Utilization of the Swedish version. Scand J Occup Ther 2017; 25:419-427. [DOI: 10.1080/11038128.2017.1369158] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Affiliation(s)
- Elise Svensson
- Division of Occupational Therapy, Department of Social and Welfare Studies, Faculty of Health Sciences, Linköping University, Norrköping, Sweden
| | - Ida Kåhlin
- Division of Occupational Therapy, Department of Social and Welfare Studies, Faculty of Health Sciences, Linköping University, Norrköping, Sweden
| | - Anette Kjellberg
- Division of Occupational Therapy, Department of Social and Welfare Studies, Faculty of Health Sciences, Linköping University, Norrköping, Sweden
| |
Collapse
|
4
|
Kennedy J, Davis JA. Clarifying the Construct of Occupational Engagement for Occupational Therapy Practice. OTJR-OCCUPATION PARTICIPATION AND HEALTH 2017; 37:98-108. [DOI: 10.1177/1539449216688201] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Occupational engagement (OE) has been presented as a core construct in occupational therapy; however, its broad conceptualization and confounding definitions are problematic. Clarifying the construct of OE would help occupational therapists to explicate the nature of their practice. The purpose of this study was to explore occupational therapists’ perspectives of the construct of OE. Qualitative descriptive methodology was used to collect data using semistructured interviews with nine practicing occupational therapists in the Greater Toronto Area. Qualitative content analysis, using an inductive approach, was employed to uncover emerging categories. Participants spoke about transitioning from therapeutic engagement to OE with a client by following a client’s path of choice. The essential elements and influencers of OE were highlighted, and the relationship between OE and occupational performance was discussed. The findings provide an initial understanding of essential elements necessary to enable clients to initiate engagement in therapy and then, subsequently, in occupations of their choice.
Collapse
|
5
|
Lexell EM, Alkhed AK, Olsson K. The group rehabilitation helped me adjust to a new life: Experiences shared by persons with an acquired brain injury. Brain Inj 2013; 27:529-37. [DOI: 10.3109/02699052.2013.765598] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
|
6
|
Aplin T, de Jonge D, Gustafsson L. Understanding the dimensions of home that impact on home modification decision making. Aust Occup Ther J 2013; 60:101-9. [PMID: 23551003 DOI: 10.1111/1440-1630.12022] [Citation(s) in RCA: 32] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/24/2012] [Indexed: 12/01/2022]
Abstract
BACKGROUND/AIM The home environment is a multidimensional and personally meaningful place, and the complexity of this environment often impacts on the home modification process and outcomes. Home modifications can appear as a straightforward solution to safety and occupational performance concerns; nevertheless, clients sometimes reject modifications or are unsatisfied with the completed works. To understand this phenomenon, this study aimed to determine what aspects of the home environment impact home modification decision making. METHOD In this qualitative descriptive study, 42 in-depth interviews using a semi-structured questionnaire were undertaken and analysed using a template analysis. The interviews explored the experience of the home modification process, including concerns and the decisions made about the modifications. FINDINGS Four dimensions of the home environment were commonly found to affect decision making namely, the personal, societal, physical and temporal dimensions of home as well as social and occupational dimensions. CONCLUSIONS An understanding of the dimensions of home that impact decision making provides occupational therapists with a greater appreciation of the experience of home and allows them to enhance the effectiveness and acceptance of home modifications.
Collapse
Affiliation(s)
- Tammy Aplin
- Division of Occupational Therapy, School of Health and Rehabilitation Sciences, The University of Queensland, St Lucia, Queensland, Australia.
| | | | | |
Collapse
|
7
|
Isaksson G, Hellman A. The influence of social support on the rehabilitation of women with spinal cord injury: experiences recounted by occupational therapists. Scand J Occup Ther 2011; 19:395-403. [PMID: 22017670 DOI: 10.3109/11038128.2011.620982] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
OBJECTIVE Women with a spinal cord injury (SCI) often require support from others to perform their everyday activities. The aim was to describe OTs' experiences of how social support from the network influences or could influence the rehabilitation of women with SCIs. METHODS Four occupational therapists, specialized in rehabilitation of persons with SCIs, narrated 11 separate stories relating to women with an SCI. Five themes were identified: "Assisting the women to identify new ways to perform activities", "Giving support to the women by re-establishing relationships on their behalf", "Enabling the women to find solutions to problems that have an impact on everyday activities", "Enabling the women to learn what it is like to live with an SCI from first-hand accounts", and "Assisting the women to set goals in anticipation of life outside the clinic". RESULTS AND CONCLUSIONS The results indicate that professionals within rehabilitation need to be aware of and actively create and strengthen natural social networks during the complex and demanding rehabilitation process. Furthermore, they ought to use their capacity as professionals to ensure that support is provided and to reduce negative interactions within the injured person's network, given that social support, social integration, and negative interactions have the potential to influence health and well-being.
Collapse
Affiliation(s)
- Gunilla Isaksson
- Department of Health Sciences, Luleå University of Technology, Luleå, Sweden.
| | | |
Collapse
|
8
|
de Jonge DM, Jones A, Phillips R, Chung M. Understanding the essence of home: Older people's experience of home in Australia. Occup Ther Int 2011; 18:39-47. [DOI: 10.1002/oti.312] [Citation(s) in RCA: 39] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/21/2010] [Revised: 11/22/2010] [Accepted: 11/23/2010] [Indexed: 11/11/2022] Open
|
9
|
McCormack C, Collins B. Can Disability Studies Contribute to Client-Centred Occupational Therapy Practice? Br J Occup Ther 2010. [DOI: 10.4276/030802210x12785840213328] [Citation(s) in RCA: 25] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
Occupational therapists frequently cite a ‘client-centred’ approach as a fundamental aspect of their practice. However, there are many examples in the narratives of disabled people that suggest that the health and social care services they experience do not quite meet this aspiration. The authors propose that an understanding of disability from disabled people's perspectives is elemental to client-centred practice and that knowledge of the academic discipline of disability studies can contribute to authentic client-centred occupational therapy.
Collapse
|
10
|
Chippendale TL, Bear-Lehman J. Enabling “Aging in Place” for Urban Dwelling Seniors: An Adaptive or Remedial Approach? PHYSICAL & OCCUPATIONAL THERAPY IN GERIATRICS 2010. [DOI: 10.3109/02703180903381078] [Citation(s) in RCA: 20] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
|
11
|
Nyman A, Lund ML. Influences of the social environment on engagement in occupations: The experience of persons with rheumatoid arthritis. Scand J Occup Ther 2009; 14:63-72. [PMID: 17366079 DOI: 10.1080/11038120601124562] [Citation(s) in RCA: 13] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Abstract
The aim of this explorative study was to describe and enhance the understanding of how persons with rheumatoid arthritis (RA) experience the influence of the social environment on their engagement in occupations. Nine persons were interviewed and the data obtained were analysed using a comparative method. The findings revealed that other persons in the social environment influenced informants' experiences of engaging in occupations in two ways, which formed the categories: "Constructive collaboration" and "Insufficient collaboration". These categories had certain properties related to the actions the others undertook to assist the informants during their collaboration. These assisting actions influenced the informants' possibilities to engage in occupations, and also their experience of engagement. The findings also showed that the "Conditions for collaboration" varied and influenced their collaboration, which thereby constituted a third category. The findings may contribute to a deeper understanding of how other persons can facilitate and restrict meaningful occupational experiences. This provides knowledge that can be used by occupational therapists when empowering their clients and those close to them to reflect on their actions and the consequences of these actions to enhance occupational engagement.
Collapse
Affiliation(s)
- Anneli Nyman
- Department of Health Sciences, Occupational Therapy, Luleå University of Technology, Luleå, Sweden.
| | | |
Collapse
|
12
|
Borell L, Asaba E, Rosenberg L, Schult ML, Townsend E. Exploring experiences of “participation” among individuals living with chronic pain. Scand J Occup Ther 2009; 13:76-85. [PMID: 16856464 DOI: 10.1080/11038120600673023] [Citation(s) in RCA: 51] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
Abstract
The aim of this paper is to advance our understanding of participation and its relation to occupation, by analysing the daily occupational experiences of six men and women living with chronic pain. Open-ended interviews are used in conjunction with a constant comparative method of analysis. The findings are thematically presented as: "taking initiative and making choices", doing something physical", "doing something social", and "doing something for others". Furthermore, a short vignette is presented in which the authors attempt to juxtapose theoretical constructs with individual experiences in order to illustrate another level of contextual richness of the data. Methodological implications are discussed in relation to the findings, analytic presentation, and previous research.
Collapse
Affiliation(s)
- Lena Borell
- Department Neurotec, Division of Occupational Therapy, Dalhousie University, Halifax, Canada.
| | | | | | | | | |
Collapse
|
13
|
Tanner B, Tilse C, de Jonge D. Restoring and Sustaining Home: The Impact of Home Modifications on the Meaning of Home for Older People. ACTA ACUST UNITED AC 2008. [DOI: 10.1080/02763890802232048] [Citation(s) in RCA: 73] [Impact Index Per Article: 4.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
|