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

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

doi:10.1300/j148v25n01_05

Cited by 3 publications

(2 citation statements)

References 30 publications

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“…More recent literature in occupational therapy highlights the fact that while, with attendant cognitive and language declines, the course of dementia typically leads to reduced occupational engagement, motivation to participate may be maintained (Lee et al, 2006). However, "if caring and dedicated staff members see occupation but fail to notice it, then they may not act in ways that support residents' [with dementia] capacities and optimal emotional well-being in routine activity situations" (Wood et al, 2009).…”

Section: Implications For Occupational Therapy Practicementioning

confidence: 99%

The Power of the Social Environment in Motivating Persons with Dementia to Engage in Occupation: Qualitative Findings

Teitelman¹,

Raber²,

Watts³

2010

Physical & Occupational Therapy In Geriatrics

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A key element in persons with dementia's occupational engagement is the degree to which the social environment supports participation. This article summarizes the results of a qualitative study of eight assisted living facility residents, that explored volition in persons with moderate dementia. Extensive interviewing and observation were followed by the primary researcher's engagement and documentation of each resident in therapeutic activity sessions. Data were analyzed using van Manen's phenomenological approach, and three themes emerged. One, potency of the social environment, is the focus of this article. From the eight participants, two case studies are presented, one demonstrating the positive impact of therapeutic communication and social support on volitional behavior and occupational engagement and the other demonstrating the inhibiting effect of lack of therapeutic social interaction. Each case is analyzed using Epp's (2003, Person-centred dementia care: A vision to be refined. The Canadian Alzheimer's Disease Review, 14-18) Person-Centered Care model techniques and interaction modes recommended by Taylor's (2008, The intentional relationship: Occupational therapy and use of self. Philadelphia: F.A. Davis.) Intentional Relationship Model. The article concludes with recommendations for promoting positive social interactions at the client, staff/family, and systems levels.

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Section: Implications For Occupational Therapy Practicementioning

confidence: 99%

The Power of the Social Environment in Motivating Persons with Dementia to Engage in Occupation: Qualitative Findings

Teitelman¹,

Raber²,

Watts³

2010

Physical & Occupational Therapy In Geriatrics

View full text Add to dashboard Cite

show abstract

“…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: 97%

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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The Use of Occupational Adaptation in Research: A Scoping Review

Johansson

Fristedt

Boström

et al. 2018

Occupational Therapy In Health Care

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The aim of this scoping review was to identify and describe how occupational adaptation has been used in different research studies published from 1992 to 2015 and to identify possible gaps in study design. Four categories of studies were identified: those focused on understanding how occupational adaptation occurs in different life situations and different health conditions, those focused on the use of occupational adaptation as a guide or model in organizing the occupational therapy process, and those using occupational adaptation as a part of instrument development. Several gaps in research are evident including updating the theory development on occupational adaptation, types of maladaptation, studies conducted in less affluent countries, quantitative studies with robust designs, inclusion of men and younger persons as subjects, vulnerable groups, health promotion, and community settings.

show abstract

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

Cited by 3 publications

References 30 publications

The Power of the Social Environment in Motivating Persons with Dementia to Engage in Occupation: Qualitative Findings

The Power of the Social Environment in Motivating Persons with Dementia to Engage in Occupation: Qualitative Findings

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

The Use of Occupational Adaptation in Research: A Scoping Review

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