(Re-)Establishing familiarity: Resumption of occupations by older adults with physical disabilities

Bontje, Peter; Alsaker, Sissel; Asaba, Eric; Kottorp, Anders; Josephsson, Staffan

doi:10.1080/11038128.2018.1441324

Cited by 4 publications

(7 citation statements)

References 22 publications

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“…Human relationships to territories hold emotional, cognitive and functional aspects. They are not fixed in time but evolve and need to be continuously individually ‘negotiated’, meaning that places need to be visited and ‘used’ by performing activities (Bontje et al, 2019). Performing activities in places creates a structure, repeated occurrences and rhythms, predictability and patterns that contribute to familiarity (la Cour et al, 2009).…”

Section: Discussionmentioning

confidence: 99%

“…Human relationships to territories hold emotional, cognitive and functional aspects. They are not fixed in time but evolve and need to be continuously individually 'negotiated', meaning that places need to be visited and 'used' by performing activities (Bontje et al, 2019).…”

Section: Discussionmentioning

confidence: 99%

“…Familiarity is important in supporting people to participate outside home (Bontje et al, 2019; Brorsson et al, 2016; Malinowsky et al, 2019). In neuropsychology, familiarity is a memory process, different from recollection, based on assessments of stimuli, like recognising a person, a place or event as having been seen or experienced before (Yonelinas, 2002).…”

Section: Introductionmentioning

confidence: 99%

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Familiarity and participation outside home for persons living with dementia

et al. 2021

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Familiarity is important for persons living with dementia who participate outside home. When familiarity is challenged, such participation may be difficult. This ethnographic study clarifies how familiarity is experienced by persons with dementia in performing activities and visiting places, and how familiarity contributes to maintaining participation outside home. Nine participants were interviewed in their home and while visiting familiar places. Data were content analysed using a constant comparative method. The findings suggest that persons with dementia experience familiarity as continuous and whole, through occurrences that support personal territories. Landmarks and objects enhance the experience of familiarity. Familiarity that is continuously challenged may render participation outside home fragile.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Familiarity and participation outside home for persons living with dementia

et al. 2021

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“…Moreover, Japanese and international research has shown that, particularly for older persons with physical impairments, occupational therapy practice remains overly focused on functional recovery and self-care [ 1 , 2 , 9 – 13 ]. This study was focused on occupational therapy for older persons with physical impairments as it was part of a research project that aimed to describe and understand how persons from this population resume occupations after illness or accident [ 14 ].…”

Section: Introductionmentioning

confidence: 99%

“…This study was focused on occupational therapy for older persons with physical impairments as it was part of a research project that aimed to describe and understand how persons from this population resume occupations after illness or accident [ 14 ]. Research has identified challenges to implementing occupation-centred practices such as work-place cultures and reimbursement systems emphasizing mitigating impairment, client preferences for recapturing physical functions, and occupational therapists' ambiguous knowledge and attitudes or lack of mutual understanding between clients and occupational therapists on the said practices [ 9 , 15 – 19 ]. To understand how occupational therapists deal with such challenging conditions, the focus of this study on occupational therapists in Japan is of relevance, because they work in a country where the greying of society develops ahead of any other [ 20 ] and, in Japan, the introduction and development of the profession is intertwined with that of physical therapy and strongly influenced by the medical establishment [ 1 ].…”

Section: Introductionmentioning

confidence: 99%

Cocreation from Emerging Opportunities: Occupational Therapists’ Perspectives on Supporting Older Persons, in Japan

Bontje

Josephsson

Tamura

et al. 2022

Occupational Therapy International

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Introduction. Practices of occupational therapists, particularly those supporting older persons with physical impairments, remain overly focused on remediating impairments, and implementation of occupation-centered practices remains fraught with difficulties. In Japan, this issue exists across the continuum from acute care to rehabilitation settings and into the community. This is despite the existence of international models and frameworks that place occupation at the core of the profession. Accordingly, there is a need to better understand how occupational therapists respond to the call for occupation-centered practices across the said continuum of care with this population. The aim of this study was at exploring and understanding occupational therapists’ experiences of supporting the resumption of occupations among older persons with physical impairments, in Japan. Methods. Embedded in a constructivist world view, this was a qualitative focus group study. Four focus groups (two in urban areas and one each in rural and semirural areas), consisting of seven or eight occupational therapists with at least three years of relevant practice experience, convened twice to narrate and explore their support of older persons. All were participating voluntarily with confidentiality of their participation being guaranteed by the researchers. They met for a third time to verify emerging analytic results. Data were analysed using a reflective thematic analysis. Results. Identified were three themes, namely, calling forth powers of occupations, imagining client’s future, and cocreating plots, which we synthesized into recurring cocreations from emerging opportunities. Discussion. Supporting the resumption of occupations among older persons with physical impairments hinges on repeated processes of identifying possibilities for occupation, followed by actions to bring these (e.g., images of clients’ future) into reality. Occupations’ healing properties (i.e., occupations’ powers) can be used to assist clients in experiencing health and well-being. The results suggest a reframing of occupational therapy practices as recurring processes of recognizing opportunities for occupation, followed by actions whereby these possibilities are turned into reality. Occupational therapy effectiveness might be enhanced when goals and methods are repeatedly and creatively aligned with the evolving plots cocreated between the client, therapist, and stakeholders.

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Detecting Changes in Human Agency of Older Adults in Rehabilitation

Juntunen

Lautamo

Pikkarainen

et al. 2022

Activities, Adaptation & Aging

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Tools assessing person-centered rehabilitation should promote client selfawareness as well as measure the target outcomes. The aim of this study was to evaluate the ability of the Assessment of Perceived Agency (ATPA19) to track changes in rehabilitation for older adults. Older adults (mean age 79) participated in a ten-month intervention (baseline n=97, and follow-up n=63). The ATPA19 and WHOQOL-BREF physical domain showed the strongest correlation and were the only tools that detected significant changes in older adults. The ATPA-19 is an agency-based tool that can reveal new effects complementing those of the assessment tools commonly used in rehabilitation in older adults.

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(Re-)Establishing familiarity: Resumption of occupations by older adults with physical disabilities

Abstract: (Re-)establishing familiarity is a new concept representing transitions from an occupational perspective. Facilitating familiarity can assist older persons to experience health and well-being, even while transitioning after an illness or injury.

Cited by 4 publications

References 22 publications

Familiarity and participation outside home for persons living with dementia

Familiarity and participation outside home for persons living with dementia

Cocreation from Emerging Opportunities: Occupational Therapists’ Perspectives on Supporting Older Persons, in Japan

Detecting Changes in Human Agency of Older Adults in Rehabilitation

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