Moments of meaning: Enacted narratives of occupational engagement within a dementia town

Kielsgaard, Kamilla; Horghagen, Sissel; Nielsen, Dorthe Susanne; Kristensen, Hanne Kaae

doi:10.1080/14427591.2020.1859403

Cited by 7 publications

(4 citation statements)

References 37 publications

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“…A scoping review was conducted to explore and describe existing evidence about approaches to enhancing engagement in meaningful occupation in institutional settings (Kielsgaard et al, 2020). Furthermore, a narrative, ethnographic fieldwork, was undertaken to understand how people with dementia engaged in occupations and how this related to their experience of meaning within the particular context of an activity-centre in the dementia town (Kielsgaard et al, 2021). Results from both studies were reviewed and extracted into a matrix according to the four elements of evidence, which include both the perspectives of people with dementia and professionals as well as theoretical elements of importance to facilitate meaningful occupation.…”

Section: Methodsmentioning

confidence: 99%

“…The study was carried out at the activity-centre in a Danish dementia town for people with moderate to severe dementia (see Kielsgaard et al, 2021). It forms part of a larger action research project whose aim is to develop, implement and evaluate an evidence-based intervention to enhance engagement in meaningful occupations for people with dementia (Svendborg Kommune, 2020).…”

Section: Settingmentioning

confidence: 99%

“…The term meaningful occupation in this study encompass all everyday occupations people do that provide meaning to the individual’s life (Hasselkus, 2011) . These occupations should be tailored to the individual’s with dementia current and past interests and preferences and adjusted to their abilities and have the potential to connect the person with others or the environment (Han et al, 2016; Kielsgaard et al, 2020; Kielsgaard et al, 2021). Occupational engagement refers to the way people involve themselves in occupation and is understood as ‘ the involvement in an occupation with current positive personal value attached to it ’ (Morris & Cox, 2017, p. 9).…”

Section: Introductionmentioning

confidence: 99%

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Enhancing engagement in meaningful occupation in a dementia town: A qualitative evaluation of MOED – The meaningful occupational engagement intervention for people with dementia

et al. 2022

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Introduction Engagement in meaningful everyday life occupations is linked to well-being. However, people with dementia are often deprived of engagement. As a response, a Danish Dementia Town was established with the intention of transforming care services to improve opportunities for meaningful engagement. The evidence-based The meaningful occupational engagement intervention for people with dementia (MOED) intervention was developed and implemented in dementia town to enhance meaningful occupational engagement. The purpose of this paper is to evaluate the content, impact and implementation process of MOED. Method To evaluate MOED, we applied a program theory-based qualitative approach, building on participant observations and informal conversations with people with dementia ( n = 7) and staff ( n = 9). Data were analysed from a hermeneutic approach to gain an in-depth understanding of how MOED influenced meaningful occupational engagement and to evaluate the implementation process. Findings The main theme ‘Engagement in meaningful occupations – a conditional and fragile process’ emerged along with three subthemes: ‘Creating an everyday space of meaning: Conditions of the intervention’, ‘Occupational engagement as an opportunity to blossom: Impact of the intervention’ and ‘Professional identity, culture and reflections: Contextual barriers to changes to working practice’. Together, the subthemes illustrate how engagement in meaningful occupations arose. However, opportunities to engage in meaningful occupations were fragile, as they depended on various factors within the context. Conclusion Engagement in meaningful occupations emerged when MOED was applied in accordance with the program theory, as it seemed to create spaces where people with dementia could engage in meaningful occupations and they could blossom over time. However, MOED was only partially implemented in accordance with the developed program theory, as several contextual barriers influenced the sustainability of the intervention. MOED showed potential to support improvement in dementia care activity programmes to enhance opportunities to engage in meaningful occupations in everyday life for people living with dementia.

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Section: Methodsmentioning

confidence: 99%

Section: Settingmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Enhancing engagement in meaningful occupation in a dementia town: A qualitative evaluation of MOED – The meaningful occupational engagement intervention for people with dementia

et al. 2022

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“…Persons with dementia also describe social and emotional benefits of physical activity. Physical activity is an opportunity for persons with dementia to maintain and strengthen their personal identity and be connected to their community (Cedervall et al, 2015; Dupuis et al, 2019; Kielsgaard et al, 2021; Malthouse & Fox, 2014; Roland & Chappell, 2015; van Alphen et al, 2016). Physical activity programs also support the development and maintenance of relationships and are an opportunity to be encouraged and supported by others (Bechard et al, 2020; Cedervall & Aberg, 2010; Cedervall et al, 2015; Genoe & Dupuis, 2014; Hobson et al, 2020; McDuff & Phinney, 2015; Phinney et al, 2016; Vseteckova et al, 2020; Wright, 2018).…”

Section: Introductionmentioning

confidence: 99%

The dementia-inclusive choices in exercise project: Using participatory action research to improve physical activity supports for persons with dementia

Middleton,

Pelletier,

Koch

et al. 2023

Dementia

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Persons with dementia have the right to equal inclusion in rehabilitation, including physical activity. However, the perspectives of persons with dementia are rarely integrated into decision-making related to physical activity programming, services, and supports. Here, we describe the participatory action research (PAR) approach used to develop the Dementia-Inclusive Choices for Exercise (DICE) toolkit, which aims to increase the quality and number of physical activity opportunities available to persons with dementia. The DICE Research Team included persons with dementia, a family care partner, exercise professionals, community and dementia service providers, health care professionals, and researchers who worked to: 1) Engage/maintain the Research Team; 2) Set/navigate ways of engagement; 3) Understand barriers to physical activity; 4) Prioritize the audience and actions; 5) Develop the toolkit; 6) Conduct usability testing; and 7) Implement and evaluate. Guided by the Behaviour Change Wheel, and informed by interviews, focus groups, and existing research, our PAR Team chose to prioritize training exercise providers; exercise providers can enable exercise for persons with dementia if they understand common changes with dementia and how to support persons with dementia in exercise. The content and format of the toolkit was co-developed: drafted by our Research Team, adapted through a stakeholder workshop, and refined through iterative development and usability testing. The product of our PAR process, the DICE toolkit, includes videos meant to destigmatize dementia, training modules and a training manual for exercise providers, a physical activity handout for persons with dementia, and wallet cards to help persons with dementia communicate their abilities, needs, and preferences. Our usability study indicated that the toolkit could be used by exercise providers and may improve attitudes about dementia. Our vision is that our co-developed DICE toolkit will empower exercise providers to improve physical activity opportunities and support for persons with dementia.

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Within moments of becoming—everyday citizenship in nursing homes

Sund

Fjetland

Hanisch

2022

Scandinavian Journal of Occupational Therapy

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Moments of meaning: Enacted narratives of occupational engagement within a dementia town

Cited by 7 publications

References 37 publications

Enhancing engagement in meaningful occupation in a dementia town: A qualitative evaluation of MOED – The meaningful occupational engagement intervention for people with dementia

Enhancing engagement in meaningful occupation in a dementia town: A qualitative evaluation of MOED – The meaningful occupational engagement intervention for people with dementia

The dementia-inclusive choices in exercise project: Using participatory action research to improve physical activity supports for persons with dementia

Within moments of becoming—everyday citizenship in nursing homes

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