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The home environments and occupational engagement of people with intellectual disabilities in supported living / Danielle Ashley in The British Journal of Occupational Therapy, Vol. 82 Issue 11 (Novembre 2019)
[article]
Titre : The home environments and occupational engagement of people with intellectual disabilities in supported living Type de document : texte imprimé Auteurs : Danielle Ashley ; Ellie M. Fossey Année de publication : 2019 Article en page(s) : p. 698-709 Note générale : doi.org/10.1177/0308022619843080 Langues : Anglais (eng) Mots-clés : Intellectual disability supported living occupational engagement environment occupational therapy Résumé : Introduction
Social inclusion for people with intellectual disabilities includes engagement in the occupations of daily life. Given the focus on people with intellectual disabilities living independently with support, identifying the qualities of their home environments is integral to understanding the possibilities for engagement in occupations of daily life and better quality of life outcomes. In turn, this can inform the types of person-centred supports, such as active support, necessary to enable increased engagement for people with intellectual disabilities.
Method
A case study methodology and mixed methods were utilised to develop an in-depth understanding of the home environments of six people with intellectual disabilities in supported living, and their experience of how these environments impacted their occupational engagement both at home and in their community. Semi-structured interviews and observation of participants’ home environments, using the Residential Environment Impact Survey – Short Form, were completed.
Findings
Participants valued the opportunity to be self-reliant and live in their own homes. They had adequate means to engage in basic daily activities; however, their homes lacked expression of their occupational identity, and they had minimal occupational opportunities and demands, resulting in limited occupational engagement.
Conclusion
For people with intellectual disabilities, it is important to increase opportunities for participation in valued occupations that foster social identities, and to provide adequate environmental supports and demands, to enable sustained occupational engagement and social inclusion.Permalink : ./index.php?lvl=notice_display&id=85660
in The British Journal of Occupational Therapy > Vol. 82 Issue 11 (Novembre 2019) . - p. 698-709[article] The home environments and occupational engagement of people with intellectual disabilities in supported living [texte imprimé] / Danielle Ashley ; Ellie M. Fossey . - 2019 . - p. 698-709.
doi.org/10.1177/0308022619843080
Langues : Anglais (eng)
in The British Journal of Occupational Therapy > Vol. 82 Issue 11 (Novembre 2019) . - p. 698-709
Mots-clés : Intellectual disability supported living occupational engagement environment occupational therapy Résumé : Introduction
Social inclusion for people with intellectual disabilities includes engagement in the occupations of daily life. Given the focus on people with intellectual disabilities living independently with support, identifying the qualities of their home environments is integral to understanding the possibilities for engagement in occupations of daily life and better quality of life outcomes. In turn, this can inform the types of person-centred supports, such as active support, necessary to enable increased engagement for people with intellectual disabilities.
Method
A case study methodology and mixed methods were utilised to develop an in-depth understanding of the home environments of six people with intellectual disabilities in supported living, and their experience of how these environments impacted their occupational engagement both at home and in their community. Semi-structured interviews and observation of participants’ home environments, using the Residential Environment Impact Survey – Short Form, were completed.
Findings
Participants valued the opportunity to be self-reliant and live in their own homes. They had adequate means to engage in basic daily activities; however, their homes lacked expression of their occupational identity, and they had minimal occupational opportunities and demands, resulting in limited occupational engagement.
Conclusion
For people with intellectual disabilities, it is important to increase opportunities for participation in valued occupations that foster social identities, and to provide adequate environmental supports and demands, to enable sustained occupational engagement and social inclusion.Permalink : ./index.php?lvl=notice_display&id=85660 Exemplaires (1)
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Exclu du prêtUnderstanding the meaning and use of occupational engagement: Findings from a scoping review / Melissa H. Black in The British Journal of Occupational Therapy, Vol. 82 Issue 5 (Mai 2019)
[article]
Titre : Understanding the meaning and use of occupational engagement: Findings from a scoping review Type de document : texte imprimé Auteurs : Melissa H. Black ; Benjamin Milbourn ; Kyle Desjardins ; Victoria Sylvester ; Kimberley Parrant ; Angus Buchanan Année de publication : 2019 Article en page(s) : p. 272-287 Note générale : doi.org/10.1177/0308022618821580 Langues : Anglais (eng) Mots-clés : Occupation occupational engagement occupational therapy occupational science Résumé : Introduction
It is theorized that occupational therapy practice is underpinned by the construct of occupational engagement, with a focus on examining the subjective meaning of occupation. The theoretical definition of occupational engagement presents significant challenges to its use, evaluation, and measurement within evidence-based contemporary occupational therapy practice.
Method
A scoping review was conducted to examine how occupational engagement is defined within occupational therapy literature and how occupational engagement is evaluated.
Results
Twenty-six journal articles were identified. Definitions were fragmented and inconsistent across studies. Key themes relating to definitions of occupational engagement included active involvement in occupation, finding value and meaning, balanced engagement, subjective experience of engagement, developing identity through occupation, and social and environmental interactions. Measures seeking to understand occupational engagement were varied across studies, with a consistent measure applied only in the area of mental health.
Conclusion
The lack of consistency in definitions and measurement of occupational engagement presents significant issues for occupational therapy practice and evaluation. There is a need for a common definition of occupational engagement to be applied in the literature. Outcome measures seeking to understand occupational engagement are also required; however, these rely on a clearly defined construct.Permalink : ./index.php?lvl=notice_display&id=80413
in The British Journal of Occupational Therapy > Vol. 82 Issue 5 (Mai 2019) . - p. 272-287[article] Understanding the meaning and use of occupational engagement: Findings from a scoping review [texte imprimé] / Melissa H. Black ; Benjamin Milbourn ; Kyle Desjardins ; Victoria Sylvester ; Kimberley Parrant ; Angus Buchanan . - 2019 . - p. 272-287.
doi.org/10.1177/0308022618821580
Langues : Anglais (eng)
in The British Journal of Occupational Therapy > Vol. 82 Issue 5 (Mai 2019) . - p. 272-287
Mots-clés : Occupation occupational engagement occupational therapy occupational science Résumé : Introduction
It is theorized that occupational therapy practice is underpinned by the construct of occupational engagement, with a focus on examining the subjective meaning of occupation. The theoretical definition of occupational engagement presents significant challenges to its use, evaluation, and measurement within evidence-based contemporary occupational therapy practice.
Method
A scoping review was conducted to examine how occupational engagement is defined within occupational therapy literature and how occupational engagement is evaluated.
Results
Twenty-six journal articles were identified. Definitions were fragmented and inconsistent across studies. Key themes relating to definitions of occupational engagement included active involvement in occupation, finding value and meaning, balanced engagement, subjective experience of engagement, developing identity through occupation, and social and environmental interactions. Measures seeking to understand occupational engagement were varied across studies, with a consistent measure applied only in the area of mental health.
Conclusion
The lack of consistency in definitions and measurement of occupational engagement presents significant issues for occupational therapy practice and evaluation. There is a need for a common definition of occupational engagement to be applied in the literature. Outcome measures seeking to understand occupational engagement are also required; however, these rely on a clearly defined construct.Permalink : ./index.php?lvl=notice_display&id=80413 Exemplaires (1)
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Exclu du prêtOccupation-focused health promotion for well older people — A cost-effectiveness analysis / Magnus Zingmark in The British Journal of Occupational Therapy, Vol.79 N°3 (March 2016)
[article]
Titre : Occupation-focused health promotion for well older people — A cost-effectiveness analysis Type de document : texte imprimé Auteurs : Magnus Zingmark ; Ingeborg Nilsson ; Anne G. Fisher Année de publication : 2016 Article en page(s) : p.153-162 Langues : Anglais (eng) Mots-clés : Occupational therapy occupational engagement activity limitations participation restrictions health promotion self-rated health quality-adjusted life years cost effectiveness Résumé : Introduction The aim of this study was to evaluate three occupational therapy interventions, focused on supporting continued engagement in occupation among older people, to determine which intervention was most cost effective, evaluated as the incremental cost/quality adjusted life year gained.
Method The study was based on an exploratory randomized controlled trial. Participants were 77–82 years, single living and without home help. One hundred and seventy seven persons were randomized to an individual intervention, an activity group, a discussion group or a no intervention control group. All interventions focused on supporting the participants to maintain or improve occupational engagement. Outcomes were evaluated at baseline, three and 12 months and included general health and costs (intervention, municipality and health care). Based on linear regression models, we evaluated how outcomes had changed at each follow-up for each intervention group in relation to the control group.
Results Both group interventions resulted in quality adjusted life years gained at three months. A sustained effect on quality adjusted life years gained and lower total costs indicated that the discussion group was the most cost-effective intervention.
Conclusion Short-term, occupation-focused occupational therapy intervention delivered in group formats for well older people resulted in quality-adjusted life years gained. A one-session discussion group was most cost effective.Permalink : ./index.php?lvl=notice_display&id=42948
in The British Journal of Occupational Therapy > Vol.79 N°3 (March 2016) . - p.153-162[article] Occupation-focused health promotion for well older people — A cost-effectiveness analysis [texte imprimé] / Magnus Zingmark ; Ingeborg Nilsson ; Anne G. Fisher . - 2016 . - p.153-162.
Langues : Anglais (eng)
in The British Journal of Occupational Therapy > Vol.79 N°3 (March 2016) . - p.153-162
Mots-clés : Occupational therapy occupational engagement activity limitations participation restrictions health promotion self-rated health quality-adjusted life years cost effectiveness Résumé : Introduction The aim of this study was to evaluate three occupational therapy interventions, focused on supporting continued engagement in occupation among older people, to determine which intervention was most cost effective, evaluated as the incremental cost/quality adjusted life year gained.
Method The study was based on an exploratory randomized controlled trial. Participants were 77–82 years, single living and without home help. One hundred and seventy seven persons were randomized to an individual intervention, an activity group, a discussion group or a no intervention control group. All interventions focused on supporting the participants to maintain or improve occupational engagement. Outcomes were evaluated at baseline, three and 12 months and included general health and costs (intervention, municipality and health care). Based on linear regression models, we evaluated how outcomes had changed at each follow-up for each intervention group in relation to the control group.
Results Both group interventions resulted in quality adjusted life years gained at three months. A sustained effect on quality adjusted life years gained and lower total costs indicated that the discussion group was the most cost-effective intervention.
Conclusion Short-term, occupation-focused occupational therapy intervention delivered in group formats for well older people resulted in quality-adjusted life years gained. A one-session discussion group was most cost effective.Permalink : ./index.php?lvl=notice_display&id=42948 Exemplaires (1)
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Exclu du prêtOutcomes of the Active in My Home (AiMH) intervention for people with psychiatric disabilities in supported housing: A longitudinal pilot and feasibility study / Mona Eklund in The British Journal of Occupational Therapy, Vol. 83 Issue 1 (Janvier 2020)
[article]
Titre : Outcomes of the Active in My Home (AiMH) intervention for people with psychiatric disabilities in supported housing: A longitudinal pilot and feasibility study Type de document : texte imprimé Auteurs : Mona Eklund ; Elisabeth Argentzell ; Ulrika Bejerholm ; David Brunt ; Carina Tjörnstrand Année de publication : 2020 Article en page(s) : p. 6-14 Note générale : doi.org/10.1177/0308022619888872 Langues : Anglais (eng) Mots-clés : Supported housing mental illness occupational engagement satisfaction occupational therapy Résumé : Introduction
Facilitating occupational engagement in residents with psychiatric disabilities living in supported housing is important, because meaningful occupation is closely related to wellbeing. The aim was to explore whether residents taking part in the intervention Active in My Home (AiMH) made any changes in activity and recovery from baseline to completed AiMH; whether satisfaction with AiMH was related to any changes; and if changes between baseline and completed AiMH were stable at follow-up.
Method
AiMH consists of eight sessions for residents and includes workshops for staff. This no-control study involved seven supported housing units and 29 residents who took part in data collection at the start and completion of AiMH and at follow-up after 6–9 months. Outcomes concerned occupational engagement, the unit’s provision of meaningful activity, personal recovery, psychosocial functioning and symptom severity.
Findings
Improvements occurred in the AiMH participants’ occupational engagement (Z = −2.63, p = 0.008) and personal recovery (Z = −1.98, p = 0.048) from start to completion of AiMH. The improvement on occupational engagement was stable at follow-up (Z = −3.01, p = 0.005), when also psychosocial functioning (Z = −2.39, p = 0.017) and psychiatric symptoms (Z = −2.42, p = 0.016) had improved.
Conclusion
This study could not show whether the improvements were due to AiMH or other factors. The findings are still promising, however, and encourage further development and testing of AiMH.Permalink : ./index.php?lvl=notice_display&id=85690
in The British Journal of Occupational Therapy > Vol. 83 Issue 1 (Janvier 2020) . - p. 6-14[article] Outcomes of the Active in My Home (AiMH) intervention for people with psychiatric disabilities in supported housing: A longitudinal pilot and feasibility study [texte imprimé] / Mona Eklund ; Elisabeth Argentzell ; Ulrika Bejerholm ; David Brunt ; Carina Tjörnstrand . - 2020 . - p. 6-14.
doi.org/10.1177/0308022619888872
Langues : Anglais (eng)
in The British Journal of Occupational Therapy > Vol. 83 Issue 1 (Janvier 2020) . - p. 6-14
Mots-clés : Supported housing mental illness occupational engagement satisfaction occupational therapy Résumé : Introduction
Facilitating occupational engagement in residents with psychiatric disabilities living in supported housing is important, because meaningful occupation is closely related to wellbeing. The aim was to explore whether residents taking part in the intervention Active in My Home (AiMH) made any changes in activity and recovery from baseline to completed AiMH; whether satisfaction with AiMH was related to any changes; and if changes between baseline and completed AiMH were stable at follow-up.
Method
AiMH consists of eight sessions for residents and includes workshops for staff. This no-control study involved seven supported housing units and 29 residents who took part in data collection at the start and completion of AiMH and at follow-up after 6–9 months. Outcomes concerned occupational engagement, the unit’s provision of meaningful activity, personal recovery, psychosocial functioning and symptom severity.
Findings
Improvements occurred in the AiMH participants’ occupational engagement (Z = −2.63, p = 0.008) and personal recovery (Z = −1.98, p = 0.048) from start to completion of AiMH. The improvement on occupational engagement was stable at follow-up (Z = −3.01, p = 0.005), when also psychosocial functioning (Z = −2.39, p = 0.017) and psychiatric symptoms (Z = −2.42, p = 0.016) had improved.
Conclusion
This study could not show whether the improvements were due to AiMH or other factors. The findings are still promising, however, and encourage further development and testing of AiMH.Permalink : ./index.php?lvl=notice_display&id=85690 Exemplaires (1)
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Exclu du prêt