Hand CL, Wilkins S, Letts LJ, Law MC. Renegotiating environments to achieve participation: A metasynthesis of qualitative chronic disease research.
The Canadian Journal of Occupational Therapy 2014;
80:251-62. [PMID:
24371933 DOI:
10.1177/0008417413501290]
[Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
BACKGROUND
Qualitative studies describe environmental influences on participation in adults with chronic disease, but translating these findings into practice can be difficult.
PURPOSE
This study sought to synthesize qualitative research findings regarding the influence of environmental factors on participation among adults with chronic disease.
METHODS
Searching revealed 31 I articles that describe the link between environment and participation for adults with osteoarthritis, rheumatoid arthritis, diabetes mellitus, heart disease, cancer, chronic obstructive pulmonary disease, and/or depression. Study findings were analyzed using metasynthesis methods to identify themes.
FINDINGS
For adults with chronic disease, renegotiating their environments and occupations to achieve, maintain, or rework their participation involves understanding support processes, being ordinary and able, navigating systems, and navigating physical environments.
IMPLICATIONS
Key areas that occupational therapy interventions can target are facilitating constructive collaboration between client and support person, fostering connections with others, recognizing cultural pressure to be ordinary and able, and advocating for supportive policy and practice.
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