Continuing Mobility and Occupational Participation Outside the Home in Old Age Is an Act of Negotiation

Fristedt, Sofi; Björklund, Anita; Wretstrand, Anders; Falkmer, Torbjörn

doi:10.1080/01924788.2011.625213

Cited by 11 publications

(11 citation statements)

References 48 publications

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“…People with chronic pain 252 Hitch et al engage in both meaningful and mundane occupations, to maintain connectedness with the social world (van Huet, 2011). Similarly, elderly people reported virtual and media related mobility (via television, radio, and computers) contributed to their belonging by enabling connection with their community (Fristedt et al, 2011). While these findings suggest the nature of the relationship, both focus on populations who are socially isolated.…”

Section: Doing ↔ Belongingmentioning

confidence: 81%

In the Footsteps of Wilcock, Part Two: The Interdependent Nature of Doing, Being, Becoming, and Belonging

Hitch

Pépin

Stagnitti

2014

Occupational Therapy In Health Care

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The four dimensions of occupation developed by Wilcock in the Occupational Perspective on Health-doing, being, becoming, and belonging-have evolved. Although the inter-relationships between the dimensions have been explored by clinicians and researchers to some degree, the reciprocal and multidimensional nature of these relationships are rarely explicitly addressed. This article will present a critical analysis of the relationships and interaction between doing, being, becoming, and belonging, initially in dyads and then in a multidimensional way. The article proposes provisional understandings of how they combine and influence each other in occupational engagement. Six observations are made on the dimensions of occupation, along with a discussion of the impact of their interrelationships on research and practice.

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Section: Doing ↔ Belongingmentioning

confidence: 81%

In the Footsteps of Wilcock, Part Two: The Interdependent Nature of Doing, Being, Becoming, and Belonging

Hitch

Pépin

Stagnitti

2014

Occupational Therapy In Health Care

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“… [ 111 ] Brazil Not reported Cross-sectional 1652; 60+ To evaluate the association between safety from crime and physical activity among older adults [ 112 ] Europe Urban Longitudinal 261; 75–81 To identify the effect of environmental facilitators for outdoor walking on development of walking difficulty in community-dwelling older people. [ 113 ] Europe Not reported Qualitative 957; 81.7 To describe older people’s motive for and experiences of mobility and occupational participation outside the home. [ 114 ] USA Urban Qualitative 21; 60+ To identify the salient factors of the neighborhood environment that encourage or discourage walking in older, urban African Americans.…”

Section: Resultsmentioning

confidence: 99%

Importance of proximity to resources, social support, transportation and neighborhood security for mobility and social participation in older adults: results from a scoping study

et al. 2015

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BackgroundSince mobility and social participation are key determinants of health and quality of life, it is important to identify factors associated with them. Although several investigations have been conducted on the neighborhood environment, mobility and social participation, there is no clear integration of the results. This study aimed to provide a comprehensive understanding regarding how the neighborhood environment is associated with mobility and social participation in older adults.MethodsA rigorous methodological scoping study framework was used to search nine databases from different fields with fifty-one keywords. Data were exhaustively analyzed, organized and synthesized according to the International Classification of Functioning, Disability and Health (ICF) by two research assistants following PRISMA guidelines, and results were validated with knowledge users.ResultsThe majority of the 50 selected articles report results of cross-sectional studies (29; 58 %), mainly conducted in the US (24; 48 %) or Canada (15; 30 %). Studies mostly focused on neighborhood environment associations with mobility (39; 78 %), social participation (19; 38 %), and occasionally both (11; 22 %). Neighborhood attributes considered were mainly ‘Pro ducts and technology’ (43; 86 ) and ‘Services, systems and policies’ (37; 74 %), but also ‘Natural and human-made changes’ (27; 54 %) and ‘Support and relationships’ (21; 42 %). Mobility and social participation were both positively associated with Proximity to resources and recreational facilities, Social support, Having a car or driver’s license, Public transportation and Neighborhood security, and negatively associated with Poor user-friendliness of the walking environment and Neighborhood insecurity. Attributes of the neighborhood environment not covered by previous research on mobility and social participation mainly concerned ‘Attitudes’, and ‘Services, systems and policies’.ConclusionResults from this comprehensive synthesis of empirical studies on associations of the neighborhood environment with mobility and social participation will ultimately support best practices, decisions and the development of innovative inclusive public health interventions including clear guidelines for the creation of age-supportive environments. To foster mobility and social participation, these interventions must consider Proximity to resources and to recreational facilities, Social support, Transportation, Neighborhood security and User-friendliness of the walking environment. Future studies should include both mobility and social participation, and investigate how they are associated with ‘Attitudes’, and ‘Services, systems and policies’ in older adults, including disadvantaged older adults.

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“…The mediums through which people belong to groups (professional or otherwise) are currently undergoing changes. The role of technology was captured in a study of elderly people (Fristedt, Björklund, Wretstrand, & Falkmer, 2011), who found it to be a potential barrier to belonging, negating the need to make direct contact. However, younger generations often prefer to connect and belong through online mediums.…”

Section: Belongingmentioning

confidence: 99%

In the Footsteps of Wilcock, Part One: The Evolution of Doing, Being, Becoming, and Belonging

Hitch

Pépin

Stagnitti

2014

Occupational Therapy In Health Care

127

132

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This article will present a critical analysis of the four dimensions of occupation, doing, being, becoming and belonging, and propose clearer understandings of the terms. The concepts have developed and evolved since Wilcock first introduced them as main constructs of Occupational Perspective of Health (OPH), with doing and being receiving the most comprehensive development. However, the concepts of becoming and belonging remain underdeveloped. Given the complex nature of occupation, this comprehensive analysis of each dimension adds greater depth to our understanding, and provisional definitions of each term are provided to guide their ongoing development.

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Continuing Mobility and Occupational Participation Outside the Home in Old Age Is an Act of Negotiation

Cited by 11 publications

References 48 publications

In the Footsteps of Wilcock, Part Two: The Interdependent Nature of Doing, Being, Becoming, and Belonging

In the Footsteps of Wilcock, Part Two: The Interdependent Nature of Doing, Being, Becoming, and Belonging

Importance of proximity to resources, social support, transportation and neighborhood security for mobility and social participation in older adults: results from a scoping study

In the Footsteps of Wilcock, Part One: The Evolution of Doing, Being, Becoming, and Belonging

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