Occupational therapy enables clients to self-manage their health through the use of occupation; however, additional occupation-focused assessments are needed to capture people’s subjective experiences associated with everyday activities as awareness of one’s experiences can help promote change.
Purpose.
This qualitative case study explored the utility of one such assessment, the Daily Experiences of Pleasure, Productivity, and Restoration Profile (PPR Profile).
Method.
Five spousal caregivers completed and discussed the PPR Profile with an occupational therapist. Interviews with the caregivers and therapist occurred during and following use. Content analysis revealed several themes.
Findings.
Both caregivers and the occupational therapist reported that use of the PPR Profile provided benefits but not without challenges.
Implications.
The findings support preliminary utility of the PPR Profile; however, additional research is needed and occupational therapists need to be aware of the challenges when deciding to use the tool.
American Occupational Therapy Association. (2008). Occupational therapy services in the promotion of health and the prevention of disease and disability. American Journal of Occupational Therapy, 62, 694–703. doi:10.5014/ajot.62.6.694
2.
AtlerK. (2012). The development and initial validation of the Daily Experiences of Pleasure, Productivity and Restoration Profile (Unpublished doctoral dissertation). Colorado State University, Fort Collins.
3.
AtlerK. (2014). The Daily Experiences of Pleasure, Productivity and Restoration Profile: A measure of subjective experiences. In PierceD. (Ed.), Occupational science for occupational therapy (pp. 187–199). Thorofare, NJ: Slack.
4.
AtlerK. (2015a). An argument for a dynamic interrelated view of occupational experience. Journal of Occupational Science, 22, 249–259. doi:10.1080/14427591.2014.887991
5.
AtlerK. E. (2015b). User-perceived utility of the Daily Experiences of Pleasure, Productivity, and Restoration Profile. Canadian Journal of Occupational Therapy, 82, 235–244. doi:10.1177/0008417415571731
6.
AtlerK. E.EakmanA.OrsiB. (2016). Enhancing validity evidence of the Daily Experiences of Pleasure, Productivity, and Restoration Profile. Journal of Occupational Science, 23, 278–290. doi:10.1080/14427591.2015.1080625
7.
Barclay-GoddardR.KingJ.DuboulozC.SchwartzC. E. (2012). Building on transformative learning and response shift theory to investigate health-related quality of life changes over time in individuals with chronic health conditions and disability. Archives of Physical Medicine and Rehabilitation, 93, 214–220. doi:10.1016/j.apmr.2011.09.010
8.
BaxterP.JackS. (2008). Qualitative case study methodology: Study design and implementation for novice researchers. Qualitative Report, 13, 544–559.
9.
CameronJ. I.GignacM. A. M. (2007). “Timing it right”: A conceptual framework for addressing the support needs of family caregivers to stroke survivors from the hospital to the home. Patient Education and Counseling, 70, 305–314.
10.
ClarkF.JacksonJ.CarlsonM. (2004). Occupational science, occupational therapy and evidence based practice: What the well elderly study has taught us. In MolineuxM. (Ed.), Occupation for occupational therapists (pp. 200–218). Oxford, UK: Blackwell.
11.
ClyburnL. D.StonesM. J.HadjistavropoulosT.TuokkoH. (2000). Predicting caregiver burden and depression in Alzheimer’s disease. Journals of Gerontology Series B, 55(1), S2–S13.
12.
CosterW. (1998). Occupation-centered assessment of children. American Journal of Occupational Therapy, 52, 337–344.
13.
DiClementeC. C.ProchaskaJ. O. (1998). Toward a comprehensive, transtheoretical model of change: Stages of change and addictive behaviors (MillerW. R.HeatherN., Eds.; 2nd ed.). New York, NY: Plenum Press.
14.
DobleS.SanthaJ. (2008). Occupational well-being: Rethinking occupational therapy outcomes. Canadian Journal of Occupational Therapy, 75, 184–190. doi:10.1177/000841740807500310
15.
DoigE.FlemingJ.KuipersP.CornwellP. (2010). Clinical utility of the combined use of the Canadian Occupational Performance Measure and Goal Attainment Scaling. American Journal of Occupational Therapy, 64, 904–914. doi:10.5014/ajot.2010.08156
16.
DuboulozC. J. (2014). Transformative occupational therapy: We are wired to be transformers. Canadian Journal of Occupational Therapy, 81, 204–212. doi:10.1177/0008417414554913
17.
DuboulozC.KingJ.PatersonB.AsheB.ChevrierJ.MoldoveanuM. (2010). A model of the process of transformation in primary care for people living with chronic illnesses. Chronic Illness, 6, 282–293. doi:10.1177/1742395310383340
18.
EakmanA. M. (2015). Meaning, sensemaking and spirituality. In ChristiansenC. H.BaumC. M.BassJ. D. (Eds.), Occupational therapy: Performance, participation, and well-being (4th ed., pp. 311–329). Thorfare, NJ: Slack.
19.
EakmanA. M. (2011). Convergent validity of the engagement in meaningful activities survey in a college sample. OTJR: Occupation, Participation and Health, 31, 23–32. doi:10.3928/15394492-20100122-02
20.
EakmanA. M.EklundM. (2011). Reliability and structural validity of an assessment of occupational value. Scandinavian Journal of Occupational Therapy, 18, 231–240. doi:10.3109/11038128.2010.521948
21.
EklundM.LeufstadiusC. (2007). Relationships between occupational factors and health and well-being in individuals with persistent mental illness living in the community. Canadian Journal of Occupational Therapy, 74, 303–313. doi:10.1177/000841740707400403
22.
ErlandssonL.-K. (2012). Coaching for learning: Supporting health through self-occupation-analysis and revision of daily occupations. World Federation of Occupational Therapists Bulletin, 65, 52–56. doi:10.1179/otb.2012.65.1.009
23.
ErlandssonL.-K.EklundM.PerssonD. (2011). Occupational value and relationships to meaning and health: Elaborations of the ValMO-model. Scandinavian Journal of Occupational Therapy, 18, 72–80. doi:10.3109/11038121003671619
24.
FisherA. G. (2009). Occupational therapy intervention process model: A model for planning and implementing top-down, client-centered, and occupation-based interventions. Fort Collins, CO: Three Star Press.
25.
GibsonW.BrownA. (2009). Working with qualitative data. Thousand Oaks, CA: Sage.
26.
HammelJ.MagasiS.HeinemannA.WhiteneckG.BognerJ.RodriguezE. (2008). What does participation mean? An insider perspective from people with disabilities. Disability and Rehabilitation, 30, 1445–1460. doi:10.1080/09638280701625534
27.
HammellK. (2007). Reflections on a disability methodology for the client-centred practice of occupational therapy research. Canadian Journal of Occupational Therapy, 74, 365–369. doi:10.2182/cjot.07.003
28.
HasselkusB. R. (2004). Deeper into the heart of the matter. American Journal of Occupational Therapy, 58, 476–479. doi:10.5014/ajot.58.4.476
29.
HildenbrandW. C.LambA. J. (2013). Occupational therapy in prevention and wellness: Retaining relevance in a new health care world. American Journal of Occupational Therapy, 67, 266–271. doi:10.5014/ajot.2013.673001
30.
JonssonH. (2008). A new direction in the conceptualization and categorization of occupation. Journal of Occupational Science, 15, 3–8. doi:10.1080/14427591.2008.9686601
31.
KesslerD.GrahamF. (2015). The use of coaching in occupational therapy: An integrative review. Australian Occupational Therapy Journal, 62, 160–176. doi:10.1111/1440-1630.12175
32.
KielhofnerG. (2005). Rethinking disability and what to do about it: Disability studies and its implications for occupational therapy. American Journal of Occupational Therapy, 59, 487–496. doi:10.5014/ajot.59.5.487
33.
KoelschL. E. (2013). Reconceptualizing the member check interview. International Journal of Qualitative Methods, 12(1), 168–179.
34.
KruegerR. A.CaseyM. A. (2009). Focus groups: A practical guide for applied research (4th ed.). Thousand Oaks, CA: Sage.
35.
LawM.BaptisteS.CarswellA.McCollM.PolatajkoH.PollockN. (2005). Canadian Occupational Performance Measure (4th ed.). Ottawa, ON: CAOT Publications ACE.
36.
MackenzieN.KnipeS. (2006). Research dilemmas: Paradigms, methods and methodology. Issues in Educational Research, 16, 193–205.
37.
MaitraK. K.ErwayF. (2006). Perception of client-centered practice in occupational therapists and their clients. American Journal of Occupational Therapy, 60, 298–310. doi:10.5014/ajot.60.3.298
38.
MatuskaK.ChristiansenC. (2008). A proposed model of lifestyle balance. Journal of Occupational Science, 15, 9–19. doi:10.1080/14427591.2008.9686602
39.
MerriamS. (2009). Qualitative research: A guide to design and implementation. San Francisco, CA: Jossey-Bass.
MillerW. R.RollnickS. (2002). Motivational interviewing: Preparing people for change (2nd ed.). New York, NY: Guilford Press.
42.
MollS. E.GewurtzR. E.KrupaT. M.LawM. C.LarivièreN.LavesseurM. (2015). “Do-live-well”: A Canadian framework for promoting occupation, health, and well-being. Canadian Journal of Occupational Therapy, 82, 9–23. doi:10.1177/0008417414545981
ParkC. L.FolkmanS. (2010). Making sense of the meaning literature: An integrative review of meaning making and its effects on adjustment to stressful life events. Psychological Bulletin, 136, 257–301. doi:10.1037/a0018301
45.
PierceD. (2003). Occupation by design: Building therapeutic power. Philadelphia, PA: F.A. Davis.
46.
PollockN.BaptisteS.LawM.McCollM.OpzoomerA.PolatajkoH. (1990). Occupational performance measures: A review based on the guidelines for the client-centered practice of occupational therapy. Canadian Journal of Occupational Therapy, 57, 77–81. doi:10.1177/000841749005700206
Savin-BadenM.MajorC. H. (2013). Qualitative research: The essential guide to theory and practice. New York, NY: Routledge.
49.
SmartA. (2006). A multi-dimensional model of clinical utility. International Journal for Quality in Health Care, 18, 377–382. doi:10.1093/intqhc/mzl1034
50.
SmithN.KielhofnerG.WattsJ. (1986). The relationship between volition, activity pattern and life satisfaction in the elderly. American Journal of Occupational Therapy, 40, 278–283. doi:10.5014/ajot.40.4.278
51.
StoffelV. C.MoyersP. A. (2004). An evidence-based and occupational perspective of interventions for persons with substance-use disorders. American Journal of Occupational Therapy, 58, 570–586. doi:10.5014/ajot.58.5.570
52.
TaylorR. R. (2014). Therapeutic relationiship and client collaboration: Applying the intentional relationship model. In Boyt SchellB. A.GillenG.ScaffaM. E. (Eds.), & CohnE. S. (Consulting Ed.), Willard and Spackman’s occupational therapy (12th ed., pp. 425–436). Philadelphia, PA: Lippincott, Williams, & Wilkins.
53.
ToomeyM.NicholsonD.CarswellA. (1995). The clinical utility of the Canadian Occupational Performance Measure. Canadian Journal of Occupational Therapy, 62, 242–249. doi:10.1177/000841749506200503
54.
WilcockA. (2006). An occupational perspective of health (2nd ed.). Thorofare, NJ: Slack.
55.
YinR. K. (2014). Case study research: Design and methods (5th ed.). Washington, DC: Sage.
