Occupational participation is a key element to increase the quality of life in the population. One of the effective interventions to increase occupational participation is the “Occupational Self-Analysis” program. The aim of this study was to analyze participant’s reported benefits about the “Occupational Self-Analysis” program.
Method:
This is a qualitative study with 26 participants (12 people with intellectual disability, 7 affected by acquired brain injury, and 7 students) who participated in weekly group sessions and one individual session. The outcomes were measured based on participant diaries and focus group transcriptions.
Results:
Two main themes emerged: (1) supports for occupational participation and (2) barriers for occupational participation. The thematic analysis of the categories was based on the Model of Human Occupation to increase applicability of the program in occupational therapy practice.
Conclusions:
The “Occupational Self-Analysis” program allowed participants to increase their knowledge of supports provided for and the barriers against occupational participation.
AmosunSNyanteGWireduE (2013) Perceived and experienced restrictions in participation and autonomy among adult survivors of stroke in Ghana. African Health Sciences13: 24–31.
2.
AnabyDJarusTBackmanCL, et al. (2010) The role of occupational characteristics and occupational imbalance in explaining well-being. Applied Research in Quality of Life5: 81–104.
3.
AtlerKESchmidAAKlinedinstTC, et al. (2018) The relationship between quality of life, activity and participation among people with type 2 diabetes mellitus. Occupational Therapy in Health Care32: 341–362.
4.
BarclayLMcDonaldRLentinP, et al. (2016) Facilitators and barriers to social and community participation following spinal cord injury. Australian Occupational Therapy Journal63: 19–28.
5.
BarnesMBigariKCullerT, et al. (2008) Healthy lifestyles through an Adaptive Living Program: A pilot study. Occupational Therapy International15(4): 269–283.
6.
BergströmAKochLAnderssonM, et al. (2015) Participation in everyday life and life satisfaction in persons with stroke and their caregivers 3–6 months after onset. Journal of Rehabilitation Medicine47: 508–515.
7.
BrownCKitchenKNicollK (2012) Barriers and facilitators related to participation in aquafitness programs for people with multiple sclerosis: A pilot study. International Journal of MS Care14: 132–141.
8.
ChannonA (2014) Intellectual disability and activity engagement: Exploring the literature from an occupational perspective. Journal of Occupational Science21: 443–458.
9.
ClarkFJacksonJCarlsonM, et al. (2012) Effectiveness of a lifestyle intervention in promoting the well-being of independently living older people: Results of the Well Elderly 2 Randomised Controlled Trial. Journal of Epidemiology and Community Health66: 782–790.
10.
ColantonioARatcliffGChaseS, et al. (2004) Long-term outcomes after moderate to severe traumatic brain injury. Disability and Rehabilitation26: 253–261.
11.
ColeF (2010) Physical activity for its mental health benefits: Conceptualising participation within the model of human occupation. British Journal of Occupational Therapy73: 607–615.
12.
CurtinMFosseyE (2007) Appraising the trustworthiness of qualitative studies: Guidelines for occupational therapists. Australian Occupational Therapy Journal54: 88–94.
13.
CurtinSGalvinRRobinsonK (2019) The relationship between cancer survivors’ well-being and participation in work, activities of daily living and social engagement: Findings from the European Social Survey (2014). Scandinavian Journal of Occupational Therapy28: 531–541.
14.
Dahan-OlielNShikako-ThomasKMazerB, et al. (2016) Adolescents with disabilities participate in the shopping mall: facilitators and barriers framed according to the ICF. Disability and Rehabilitation38: 2102–2113.
15.
DoigEKuipersPPrescottS, et al. (2014) Development of self-awareness after severe traumatic brain injury through participation in occupation-based rehabilitation: Mixed-methods analysis of a case series. American Journal of Occupational Therapy68: 578.
16.
EakmanAMCarlsonMClarkF (2010) Factor structure, reliability and convergent validity of the engagement in meaningful activities survey for older adults. OTJR Occupation, Participation and Health30: 111–121.
17.
GoldbergBBrintnellESGoldbergJ (2002) The relationship between engagement in meaningful activities and quality of life in persons disabled by mental illness. Occupational Therapy in Mental Health18: 17–44.
18.
HammelJJonesRGossettA, et al. (2006) Examining barriers and supports to community living and participation after a stroke from a participatory action research approach. Topics in Stroke Rehabilitation13: 43–58.
19.
HammelJMagasiSHeinemannA, et al. (2015) Environmental barriers and supports to everyday participation: A qualitative insider perspective from people with disabilities. Archives of Physical Medicine and Rehabilitation96: 578–588.
20.
HemmingssonHJonssonH (2005) An occupational perspective on the concept of participation in the International Classification of Functioning, Disability and Health – some critical remarks. American Journal of Occupational Therapy59: 569–576.
21.
JacksonJCarlsonMMandelD, et al. (1998) Occupation in lifestyle redesign: the Well Elderly Study Occupational Therapy Program. The American Journal of Occupational Therapy: Official Publication of the American Occupational Therapy Association52: 326–336.
22.
JacksonJMandelDRZemkeR (2001) Promoting quality of life in elders: an occupation-based occupational therapy program. WFOT Bulletin43: 5–12.
23.
JoY-JKimH (2022) Effects of the model of human occupation-based home modifications on the time use, occupational participation and activity limitation in people with disabilities: A pilot randomized controlled trial. Disability and Rehabilitation: Assistive Technology17: 127–133.
24.
KarhulaMETolvanenAHämäläinenPI, et al. (2019) Predictors of participation and autonomy in people with multiple sclerosis. The American Journal of Occupational Therapy: Official Publication of the American Occupational Therapy Association73: 7304205070p1–7304205070p8.
25.
Kelley-GillespieN (2009) An integrated conceptual model of quality of life for older adults based on a synthesis of the literature. Applied Research in Quality of Life4: 259–282.
26.
KielhofnerG (2004) Modelo de La Ocupacion Humana. Teoria y Aplicación. 3a edn. Buenos Aires: Médica Panamericana.
27.
KielhofnerG (2008) Model of Human Occupation: Theory and Application. 4th edn.Baltimore, MD.: Lippincott Williams and Wilkins.
28.
Koopman-BoydenPRichardsonM (2013) An evaluation of mixed methods (diaries and focus groups) when working with older people. International Journal of Social Research Methodology16: 389–401.
29.
Larsson-LundMNymanA (2017) Participation and occupation in occupational therapy models of practice: A discussion of possibilities and challenges. Scandinavian Journal of Occupational Therapy24: 393–397.
30.
LevasseurMFiliatraultJLarivièreN, et al. (2019) Influence of Lifestyle Redesign® on health, social participation, leisure, and mobility of older French-Canadians. The American Journal of Occupational Therapy: Official Publication of the American Occupational Therapy Association73: 7305205030p1–7305205030p18.
31.
LohSYSapihisMDanaeeM, et al. (2021) The role of occupational-participation, meaningful-activity and quality-of-life of colorectal cancer survivors: Findings from path-modelling. Disability and Rehabilitation43: 2729–2738.
32.
LundAMelhusMSveenU (2017) Enjoyable company in sharing stroke experiences; - lifestyle groups after stroke. Scandinavian Journal of Occupational Therapy25: 127–135.
33.
MountainGMozleyCCraigC, et al. (2008) Occupational therapy led health promotion for older people: Feasibility of the Lifestyle Matters Programme. The British Journal of Occupational Therapy71: 406–413.
Opoku-AcheampongAKretchyIAAcheampongF, et al. (2017) Perceived stress and quality of life of pharmacy students in University of Ghana. BMC Research Notes10: 115.
36.
PriorSMaciverDForsythK, et al. (2013) Readiness for employment: Perceptions of mental health service users. Community Mental Health Journal49: 658–667.
37.
PriorSMaciverDAasRW, et al. (2020) An enhanced individual placement and support (IPS) intervention based on the Model of Human Occupation (MOHO); a prospective cohort study. BMC Psychiatry20: 361.
38.
ProchaskaJOVelicerWF (1997) The transtheoretical model of health behavior change. American Journal of Health Promotion12: 38–48.
39.
Rodríguez-BailónMPulido-NavarroMJBravo-QuirósA, et al. (2016) Seeing, judging and. . .acting! Improving health perception and meaningful occupational participation in older Spanish adults. Educational Gerontology42: 572–584.
40.
Rossi-BarbosaLAGamaACCCaldeiraAP (2015) Association between readiness for behavior change and complaints of vocal problems in teachers. CoDAS27: 170–177.
41.
SandsJ (2018) Introducing Cardinal Cardijn’s See–Judge–Act as an interdisciplinary method to move theory into practice. Religions9: 129.
42.
SheaC-KJacksonN (2015) Client perception of a client-centered and occupation-based intervention for at-risk youth. Scandinavian Journal of Occupational Therapy22: 173–180.
43.
SoaresdeSouzaVRamos CostaMARodriguesAC, et al. (2016) Stress among nursing undergraduate students of a Brazilian Public University. Investigacion Y Educacion En Enfermeria34: 518–527.
44.
SpaldingKDi TommasoAGustafssonL (2022) Uncovering the experiences of engaging in an inpatient occupation-based group program: The LifeSkills group. Scandinavian Journal of Occupational Therapy. Epub ahead of 2 June 2022. DOI: 10.1080/11038128.2022.2081604.
45.
StarksHTrinidadSB (2007) Choose your method: a comparison of phenomenology, discourse analysis, and grounded theory. Qualitative Health Research17: 1372–1380.
46.
TwomeyDMAllenNAganMLF, et al. (2021) Self-reported outcomes and patterns of service engagement after an acquired brain injury: A long-term follow-up study. Brain Injury35: 1649–1657.
47.
van Asselt-GovertsAEEmbregtsPJCMHendriksAHC (2018) Evaluation of a social network intervention for people with mild to borderline intellectual disabilities. Journal of Applied Research in Intellectual Disabilities31(2): e229–e243.
48.
WidehammarCLidströmHHermanssonL (2019) Environmental barriers to participation and facilitators for use of three types of assistive technology devices. Assistive Technology: The Official Journal of RESNA31: 68–76.
49.
WuH-LVolkerDL (2009) The use of theory in qualitative approaches to research: Application in end-of-life studies. Journal of Advanced Nursing65: 2719–2732.
50.
YazdaniFJibrilMKielhofnerG (2008) A study of the relationship between variables from the model of human occupation and subjective well-being among university students in Jordan. Occupational Therapy in Health Care22: 125–138.
51.
YerxaEJ (1990) An introduction to occupational science, a foundation for occupational therapy in the 21st century. Occupational Therapy in Health Care6: 1–17.
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