Occupational Engagement and Adaptation in Adults with Dementia: A Preliminary Investigation

Lee, Melissa; Madden, Vikki; Mason, Kate; Rice, Susan; Wyburd, Jennifer; Hobson, Sandra

doi:10.1080/j148v25n01_05

Cited by 7 publications

(3 citation statements)

References 33 publications

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“…Interestingly, a number of papers failed to define the concept [36][37][38][39][40][41][42][43][44][45][46], perhaps assuming prior understanding. Additionally, some authors ascribed the term to a simpler phenomenon of adapting occupations such as reducing the number of steps in the occupation or using modified equipment [32,[47][48][49][50][51]. Case studies were provided in several papers to facilitate understanding of the concept [52][53][54][55][56].…”

Section: Definitionsmentioning

confidence: 99%

Occupational adaptation – analyzing the maturity and understanding of the concept through concept analysis

Walder

Molineux

Bissett

et al. 2019

Scandinavian Journal of Occupational Therapy

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BackgroundOccupational adaptation is a key occupational therapy concept, yet lacks clarity and consensus, impacting on its application in practice, theory and research. Concept analysis is a rigorous methodology which enables identification of unique features, gaps in knowledge, and the need for further concept refinement. AimsThis study aimed to determine the conceptual maturity of occupational adaptation, and identify steps needed to understand and use occupational adaptation. MethodsFour databases were searched using the term 'occupational adaptation' and a principle-based concept analysis was conducted from epistemological, pragmatic, linguistic, and logical perspectives. A mapping of the concept's evolution and analysis of the maturity of its structural features also occurred. Results748 papers were identified, which reduced to 161 after abstract and full-text review. A diverse range of applications and two primary theoretical frames of reference were identified. The definition, attributes, preconditions, outcomes, and boundaries of the concept lacked maturity, limiting clinical utility.

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Section: Definitionsmentioning

confidence: 99%

Occupational adaptation – analyzing the maturity and understanding of the concept through concept analysis

Walder

Molineux

Bissett

et al. 2019

Scandinavian Journal of Occupational Therapy

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“…Nonetheless, the escalating levels of cognitive and functional impairments experienced by persons with dementia greatly restrict their optimal and meaningful engagement in activities. They need to rely more on care-givers for the performance of many activities including day-to-day functional activities and socially related activities (Lee et al 2006; Nygard and Ohman 2002).…”

Section: Introductionmentioning

confidence: 99%

Care-givers’ perspectives of occupational engagement of persons with dementia

Tsunaka

Chung

2011

Ageing and Society

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Meaningful engagement in activity is associated with the maintenance of health and wellbeing, but reduced activity participation is common among persons with dementia. Family care-givers play an important role in engaging their relatives with dementia in activities but little is known about their perception of occupational engagement. This study aimed to examine care-givers’ perception of occupational performance of their relatives from three aspects: person, occupation and environment. Adopting a qualitative methodology, semi-structured and in-depth interviews were conducted with 14 family care-givers. Care-givers were also asked to document the activity patterns of their relative, using the Activity Card Sort Hong Kong version (ACS-HK). The ACS-HK findings suggested that high-demand leisure activities were mostly retained (61%) while instrumental activities of daily living were the least retained (37%). Qualitative analysis revealed that care-givers’ perception of activity participation was intertwined with their motives and behaviours to get their relatives engaged in activities. Care-givers acknowledged occupational engagement as a means of maintaining wellness and used various strategies to encourage their relative's activity participation. Apathy and passivity, however, are difficult to deal with. Also, activity decisions appear to depend on the availability of support resources and a balance between safety concern and risk-taking. Clinical practitioners could assist care-givers by suggesting activity strategies and providing support resources for continued engagement of their relative in activities.

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“…Caregivers observed PWD participated in both fewer mutually shared and individual leisure activities since dementia onset. Decreased participation in everyday activities, including leisure activities, has been previously documented in PWD (Gauthier, Gelinas, & Gauthier, 1997; Lee et al., 2006; Miller & Butin, 2001; Vikstrom et al., 2008); however, the majority of this work focused on PWD’s decreased participation in self-care and household tasks. The exception is Miller and Butin’s work, which focused on self-care and joint leisure activities.…”

Section: Discussionmentioning

confidence: 96%

Spousal caregivers and persons with dementia: Increasing participation in shared leisure activities among hospital-based dementia support program participants

DiLauro

Pereira²,

Carr

et al. 2016

Dementia

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Spousal caregivers of persons with dementia often have difficulty engaging persons with dementia in leisure activities. This qualitative descriptive study identifies how caregivers perceive their spouses' participation in leisure activities since dementia onset and the professional guidance caregivers require to increase persons with dementia participation in shared leisure activities. Nine spousal caregivers from a hospital-based caregiver intervention attended one of three focus groups. Using symbolic interactionism and selective optimization with compensation theory as guiding frameworks, thematic content analysis was performed. Three major themes were identified: Recognizing and acknowledging changes, Making sense of changes and conflicts, and Embracing changes and forging ahead. Findings can be used by healthcare providers to better understand caregivers' needs for engaging persons with dementia in shared leisure activities, and inform development of feedback protocols to enhance caregiver interventions.

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Occupational Engagement and Adaptation in Adults with Dementia: A Preliminary Investigation

Cited by 7 publications

References 33 publications

Occupational adaptation – analyzing the maturity and understanding of the concept through concept analysis

Occupational adaptation – analyzing the maturity and understanding of the concept through concept analysis

Care-givers’ perspectives of occupational engagement of persons with dementia

Spousal caregivers and persons with dementia: Increasing participation in shared leisure activities among hospital-based dementia support program participants

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