Occupations and Signs of Reduced Hope: An Explorative Study of Older Adults With Functional Impairments

Borell, Lena; Lilja, Margareta; Svidén, Gerd Andersson; Sadlo, Gaynor

doi:10.5014/ajot.55.3.311

Cited by 25 publications

(19 citation statements)

References 14 publications

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“…Hope is defi ned as 'an energized mental state involving feelings of uneasiness or uncertainty and characterized by a cognitive, action-oriented expectation that a positive future goal or outcome is possible' (Haase et al, 1992, p. 143 increasing hope, improving mood and a sense of well-being are supported by the literature (Goldberg et al, 2004). Similar experiences of older adults pursuing occupations with hope and a positive will is described in the occupational therapy literature (Borell et al, 2001). Behaviour patterns and routines appeared to serve an important role in maintaining health gains.…”

Section: Discussion and Implications For Occupational Therapy Practicementioning

confidence: 53%

A pilot study of a pulmonary rehabilitation programme evaluated by four adults with chronic obstructive pulmonary disease

Norweg

Bose

Snow³

et al. 2008

Occupation Therapy Intl

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The purpose of this qualitative study was to analyse participants' perceptions of a pulmonary rehabilitation programme, which combined occupational therapy with physical therapy. Semi-structured interviews were used to collect data from four adults with chronic obstructive pulmonary disease (COPD) who attended an outpatient pulmonary rehabilitation programme in New York City. Features of the occupational therapy programme reported to be valuable were biofeedback and clinician support. Participants reported more control of dyspnoea, improved mental health and confidence in performing daily activities, less fatigue, more physically active lifestyles and hope for the future. Limitations of the study were that participants were interviewed only once and themes were not verified with participants. The study results also cannot be generalized. Further research is needed to evaluate the effectiveness of occupational therapy in promoting self-management and coping skills and restoring occupational performance in adults with COPD. Participants' responses provide additional support for developing cognitive-behavioural protocols in occupational therapy and measuring their effectiveness in relieving anxiety symptoms and promoting dyspnoea management.

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Section: Discussion and Implications For Occupational Therapy Practicementioning

confidence: 53%

A pilot study of a pulmonary rehabilitation programme evaluated by four adults with chronic obstructive pulmonary disease

Norweg

Bose

Snow³

et al. 2008

Occupation Therapy Intl

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“…While some of the elderly citizens may have developed their dysfunctions gradually, giving them time to compensate or adjust their occupational expectations to a level commensurate with their abilities, they might not consider themselves as having occupational performance issues and therefore did not identify any. They might no longer want to perform occupations but rather sense an engagement in the occupations of their life despite limitations (1,32). Thus, they may not perceive having issues as they have dealt with the matter.…”

Section: Discussionmentioning

confidence: 93%

“…This may also explain why the elderly citizens in the present study, as seen in another Danish study of the most important activities of 75-year-olds (31), rated functional mobility as of the highest importance. It is vital to identify and address these issues, as the elderly population is peculiarly prone to occupational reduction due to functional limitations (32). Mobility limitations leading to fear of falling may accelerate degeneration of physical capability and cause a person to refrain from otherwise desirable occupations, presaging physical deterioration (33).…”

Section: Discussionmentioning

confidence: 99%

Utility of the Canadian Occupational Performance Measure as an admission and outcome measure in interdisciplinary community-based geriatric rehabilitation

Larsen

Carlsson

2011

Scandinavian Journal of Occupational Therapy

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In a community-based geriatric rehabilitation project, the Canadian Occupational Performance Measure (COPM) was used to develop a coordinated, interdisciplinary, and client-centred approach focusing on occupational performance. The purpose of this study was to evaluate the utility of the COPM as an admission and outcome measure in an interdisciplinary geriatric rehabilitation context in Denmark. Eighteen occupational and physiotherapists administered the COPM among elderly citizens. Of 185 citizens referred to the study, 152 were admitted to rehabilitation based on health indices, and 124 completed the COPM after their admission, identifying 404 occupational performance issues in all. Post-assessment data were obtained from 95 participants and revealed statistically significant positive change (p < 0.001) in both performance and satisfaction with performance. Furthermore the therapists answered a questionnaire evaluating their experiences, showing that they found development in knowledge and community between the professions to benefit both therapists and citizens, and gained a better insight into their clients' everyday lives through the COPM. In conclusion, the COPM may be useful as an admission and outcome measurement for the rehabilitation of elderly citizens; however, aspects of education and administration must be considered before the instrument can be successfully administered in an interdisciplinary geriatric rehabilitation context.

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“…Culos-Reed and Brawley (2000) recently reported that quality of life was correlated with higher levels of physical activity. Borell et al (2001) remind us that people measure the state of health by their present and past occupational performance. As their performance deteriorates so does their health.…”

Section: Discussionmentioning

confidence: 99%

“…Involvement in daily occupation is considered to be an important aspect of an individuals existence by providing or enhancing the meaning in their lives. Ongoing engagement in occupation is reported to positively affect and maintain our identity (Borell, Lilja, Andersson-Sviden & Sadlo, 2001;Christiansen, 1999;Christiansen, 2000). Trombly (2002) suggests that one of the overall goals of occupational therapy is to promote a sense of SE by facilitating the development, or in the case of RA, maintenance of abilities and skills that enable competent performance of our life roles.…”

Section: The Role Of Occupationmentioning

confidence: 99%

Rheumatoid Arthritis and Self Esteem: The Impact of Quality Occupation

MacKinnon

Miller

2003

Journal of Occupational Science

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Objective: To examine the influence of the quality of occupation on the rheumatoid arthritis-self-esteem relationship. Method: This study was a case comparison survey of 143 adults with rheumatoid arthritis (RA) and 142 non-disabled persons. Self-esteem (SE) was measured using a 10-item index. A daily log, which the individuals completed over a 24-hour period for 7 days, was used to capture time spent in occupations performed, which included work, activities of daily living (ADL) and leisure. The quality of occupation consisted of valued occupations, competently performed occupations, and dyadic occupations (occupations that were both valued and competently performed). Valued or competently performed occupation was operationalized as the product of the amount of time spent in hours in an occupation and the self-rating of that occupation when it had a 4.0 or higher rating on a 5.0 scale for either valued or competent occupations. For dyadic occupations, the means of the products, of the amount of time spent in an occupation and the self-rating when it was 4.0 or higher on a 5.0 scale for both, were calculated for both competent and valued occupations and combined. Results: Statistically significant differences existed between RA and the comparison group (t= 4.16, p <0.0001) for selfesteem. Competence in performing an occupation was the strongest moderator when the occupation was divided into its component parts of valued, competently performed or the dyad. When the occupation was further partitioned into the three categories -work, ADL and leisure -in combination with the three qualities of occupation, all were statistically significant at p < 0.05. Conclusions:The results provide support for the theoretical construct that occupation has a positive influence on the self-esteem of individuals with and without RA. The presence of valued and competently performed occupation, whether work, leisure or ADL related, appeared to be particularly important. These findings suggest a focus on a balance between doing (occupation) and being (self-esteem) which reflects satisfaction to them a balance between quality of occupation and quality of life should be considered. While there are differences between the two groups, it appears that being competent is more important for SE for individuals with RA while the value attached to the occupation is a more important feature for SE for those without RA. These differences make investigating the determinants of occupation more interesting and challenging.

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Occupations and Signs of Reduced Hope: An Explorative Study of Older Adults With Functional Impairments

Cited by 25 publications

References 14 publications

A pilot study of a pulmonary rehabilitation programme evaluated by four adults with chronic obstructive pulmonary disease

A pilot study of a pulmonary rehabilitation programme evaluated by four adults with chronic obstructive pulmonary disease

Utility of the Canadian Occupational Performance Measure as an admission and outcome measure in interdisciplinary community-based geriatric rehabilitation

Rheumatoid Arthritis and Self Esteem: The Impact of Quality Occupation

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