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Kessler D, Boudreau E, Maitland J, Lysaght R, McColl MA, Alexander L, Wilson C, Batorowicz B, DePaul V, Donnelly C. Adopting new habits and routines in response to COVID-19 lockdown disruptions: A qualitative study. Br J Occup Ther 2024; 87:334-343. [PMID: 38832353 PMCID: PMC11144113 DOI: 10.1177/03080226241232815] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/18/2023] [Accepted: 01/29/2024] [Indexed: 06/05/2024]
Abstract
Introduction COVID-19-related restrictions resulted in changes to time use and occupational participation, impacting individual and collective well-being. This study addressed a knowledge gap concerning the adaptive process during periods of occupational disruption. We explored the experience of occupational disruption and how people managed disruption during the COVID-19 pandemic. Methods We used a qualitative descriptive approach and interviewed 18 participants of a larger survey study of time use during the COVID-19 pandemic undertaken around a medium-sized city in Canada. Transcript analysis was conducted inductively using conventional content analysis. Findings Two overarching themes were constructed during data analysis: The Disruption Experience and Adopting New Habits and Routines. In the face of disruption, participants described a sense of loss and disconnection, and challenges with time management. Establishing new habits and routines required new learning associated with increased time and flexibility, connecting with others and health and wellness. Conclusion During changing pandemic restrictions, participants expressed a sense of loss, disconnection and time management challenges associated with occupational disruptions, but also described ways they adapted, improving their health and well-being. Strategies identified through this work may be used to enhance adaptation during disruptions. Future research should explore differences in adaptation, among more diverse populations.
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Affiliation(s)
- Dorothy Kessler
- School of Rehabilitation Therapy, Queen’s University, Kingston, ON, Canada
| | - Emma Boudreau
- Providence Care Hospital, Kingston, ON, Canada
- Queen’s University, Kingston, ON, Canada
| | - Jennifer Maitland
- Queen’s University, Kingston, ON, Canada
- Adaptable Occupational Therapy, Pembroke, ON, Canada
| | - Rosemary Lysaght
- School of Rehabilitation Therapy, Queen’s University, Kingston, ON, Canada
| | - Mary Ann McColl
- School of Rehabilitation Therapy, Queen’s University, Kingston, ON, Canada
| | - Libby Alexander
- School of Rehabilitation Therapy, Queen’s University, Kingston, ON, Canada
| | - Clarke Wilson
- School of Rehabilitation Therapy, Queen’s University, Kingston, ON, Canada
| | - Beata Batorowicz
- School of Rehabilitation Therapy, Queen’s University, Kingston, ON, Canada
| | - Vincent DePaul
- School of Rehabilitation Therapy, Queen’s University, Kingston, ON, Canada
| | - Catherine Donnelly
- School of Rehabilitation Therapy, Queen’s University, Kingston, ON, Canada
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Tse T, Lentin P, Douglas J, Carey LM. Understanding activity participation 3-months after stroke: a mixed methodology study. Disabil Rehabil 2020; 44:2868-2878. [PMID: 33353413 DOI: 10.1080/09638288.2020.1849429] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
Abstract
PURPOSE To investigate stroke survivors' activity participation 3-months after stroke, reasons for activity participation and the change in reason for activity participation. METHOD Thirty stroke survivors were administered the Activity Card Sort-Australia concurrent with a semi-structured interview about their activity participation. Data were analyzed using descriptive statistics and spiral content analysis. RESULTS Participants had returned, in part, to 96% of their previous leisure, social/educational and household activities 3-months after-stroke; retaining more sedentary and home-based activities but fewer physically demanding and community-based activities. Thirteen participants described a change in their reasons for their activity participation. Personal, environmental and temporal dimensions explained these reasons for activity participation, as well as the changes in reason for activity participation. Full activity participation involved participants' orchestrating a dynamic mix of fulfilling their personal desires according to their current physical, mental and emotional capacity; their social, organizational and physical environmental demands and obligations; and their routines, available time and future plans. CONCLUSION Qualitative interviews extend our understanding of the process of returning to participation in life activities and occupations following stroke to reveal that it involves the stroke survivor in a dynamic adaptation process of synchronizing personal, environmental and temporal dimensions in their daily lives.IMPLICATIONS FOR REHABILITATIONRehabilitation professionals need to recognize the unique knowledge and ability stroke survivors have to manage their capacities, activities, occupations and environments.Client-centered practice involving true collaborative partnerships are needed to ensure stroke survivors return more satisfactorily to their activities and occupations.Rehabilitation professionals need to continually consider the ongoing changing relationships that occur between the person, their capacities, social, organizational and physical environments, and the person's activity/occupational participation during recovery from stroke.Returning to full activity/occupational participation after stroke is a dynamic and continuous process.Rehabilitation needs to be provided in different forms at different stages beyond the immediate post-stroke time so that stroke survivors benefit from the "right rehabilitation" at the "right time" throughout their recovery journey.
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Affiliation(s)
- Tamara Tse
- Occupational Therapy, School of Allied Health, Human Services and Sport, La Trobe University, Melbourne, Australia.,Neurorehabilitation and Recovery, Stroke Division, The Florey Institute of Neuroscience and Mental Health, Heidelberg, Australia.,Occupational Therapy Department, St Vincent's Hospital Melbourne, Fitzroy, Australia
| | - Primrose Lentin
- Department of Occupational Therapy, Faculty of Medicine, Nursing and Health Sciences, Monash University, Frankston, Australia
| | - Jacinta Douglas
- Living with Disability Research Centre, School of Allied Health, Human Services and Sport, La Trobe University, Melbourne, Australia.,Summer Foundation, Blackburn, Australia
| | - Leeanne M Carey
- Occupational Therapy, School of Allied Health, Human Services and Sport, La Trobe University, Melbourne, Australia.,Neurorehabilitation and Recovery, Stroke Division, The Florey Institute of Neuroscience and Mental Health, Heidelberg, Australia
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Yavuz Tatlı İ, Semin Akel B. A controlled study analyzing the temporal activity patterns of individuals with stroke compared to healthy adults. Br J Occup Ther 2019. [DOI: 10.1177/0308022618819996] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Introduction The understanding of the temporal pattern of individuals can add a wider perspective to interventions. Therefore, the present study is aimed toward analysis of the temporal activity pattern of individuals with stroke compared to healthy adults. Method This study is a prospective, case–control, analytic research study. The study sample comprised 50 individuals with stroke and 50 individuals without disease, for 80% power with a 5% type 1 error. The Modified Occupational Questionnaire was administered to assess the temporal activity pattern. Individuals identified the activities performed at each hour of the day and data was analyzed. Results The temporal activity pattern of individuals with stroke differed from healthy controls; education and play activities were not part of stroke participants’ daily routines. Also, participation in work, leisure and social participation activities was significantly different for people with stroke compared to healthy controls ( p < 0.01 ). The study group assigned very low values to the activities; the value perceived by individuals differed significantly between groups ( p < 0.01 ). Conclusion Clinicians are in a position to enable individuals’ time use and help to engage them in meaningful activity. Individuals with stroke may benefit from a program focusing on the temporal aspect of activities.
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Affiliation(s)
- İbrahim Yavuz Tatlı
- Faculty of Health Sciences, Occupational Therapy Department, Hacettepe University, Turkey
- Konya Education and Research Hospital, Turkey
| | - Burcu Semin Akel
- Faculty of Health Sciences, Occupational Therapy Department, Hacettepe University, Turkey
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Sernheim ÅS, Hemmingsson H, Lidström H, Witt Engerström I, Liedberg GM. Rett syndrome: Teenagers' and young adults' activities, usage of time and responses during an ordinary week - a diary study. Scand J Occup Ther 2019; 27:323-335. [PMID: 30663472 DOI: 10.1080/11038128.2018.1545046] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Abstract
Background: Little is known about the everyday life of individuals with Rett syndrome.Aim/Objective: To describe ten participants' (teenagers/young adults) activities during a period of seven days, the time-use, where and with whom the activities were performed and the participants' responses in the form of visible/audible reactions during activities.Material and method: A time-geographic self-administered diary was filled in by 63 informants (parents/support staff) and analysed using the software, DAILY LIFE 2011.Results/Findings: The most frequently reported activities were hygiene/toilet, moving around indoors, eating and getting dressed. Most time was spent in sleeping, daily care, medical health care and travel/transportation. Little time remained for receptive activities, daytime rest, physical, social/creative, communication, school/daily work and domestic chore activities, especially for the young adults. Most time was spent with staff, thereafter with families and the least time was spent with friends. The most reported response was "interested", and "opposed" was the least reported.Conclusions: Daily and medical health care activities were time consuming. Improved communication between all parties may increase participation and well-being and provide solutions for handling unpleasant activities and sedentary time.Significance: A more varied range of activities may improve the everyday life for individuals with Rett syndrome.
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Affiliation(s)
- Åsa-Sara Sernheim
- Department of Social and Welfare Studies, Linköping University, Norrköping, Sweden.,The Swedish National Center for Rett syndrome & related disorders, Frösön, Sweden*
| | - Helena Hemmingsson
- Department of Social and Welfare Studies, Linköping University, Norrköping, Sweden.,Department of Special Education, Stockholm University, Stockholm, Sweden
| | - Helene Lidström
- Department of Social and Welfare Studies, Linköping University, Norrköping, Sweden
| | - I Witt Engerström
- The Swedish National Center for Rett syndrome & related disorders, Frösön, Sweden*
| | - G M Liedberg
- Department of Social and Welfare Studies, Linköping University, Norrköping, Sweden
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Porath M, Rosenblum S. Interaction between time organization and participation dimensions among higher education students. Br J Occup Ther 2018. [DOI: 10.1177/0308022618816641] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Introduction In today's academic world, higher education students from all study areas are expected to simultaneously cope with a variety of assignments, which increases stress levels. This tension may affect productivity, health and quality of life. Hence, it is important for students to adopt effective time organization and management techniques. This study aims to characterize time organization and participation dimensions, and the relationships between those dimensions among undergraduate students. Method The research sample consisted of 60 undergraduate students who completed several questionnaires: demographic, time organization and participation scales assessing daily time organization; an occupational questionnaire; and additional questions for assessing further daily participation dimensions that are unique to students. Results Time-organization ability related to and maintained a predictive relationship with individual daily participation aspects. Particularly, academic and daily routine constituted a majority (44%) of the students' time. Regression analysis indicated that the way the students' daily activities were organized in terms of time use explained between 12% and 18% of the variance of daily participation dimensions as performance, enjoyment and motivation levels. Conclusion Time-organization abilities significantly affected students' participation dimensions. Further research is recommended to help develop an assessment and intervention programme suiting student needs and enhancing their productivity potential and wellbeing.
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Affiliation(s)
- Merav Porath
- ‘AHAVA’ Special Education School for Students with Complex Learning, Emotional and Behavioral Difficulties due to Environmental Neglect and Abuse, Israel
| | - Sara Rosenblum
- The Laboratory of Complex Human Activity and Participation (CHAP), Department of Occupational Therapy, Faculty of Social Welfare & Health Sciences, Haifa University, Israel
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Affiliation(s)
- Diane L Cox
- Director of Research and Head of the Graduate School, Professor of Occupational Therapy, University of Cumbria, United Kingdom of Great Britain and Northern Ireland
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7
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Liang P, Fleming J, Gustafsson L, Liddle J. Occupational experience of caregiving during driving disruption following an acquired brain injury. Br J Occup Ther 2016. [DOI: 10.1177/0308022616668359] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Affiliation(s)
- Phyllis Liang
- Occupational Therapist, School of Health and Rehabilitation Sciences, Division of Occupational Therapy, The University of Queensland, Brisbane, Australia
| | - Jennifer Fleming
- Conjoint Associate Professor, School of Health and Rehabilitation Sciences, Division of Occupational Therapy, The University of Queensland, Brisbane, Australia
- Conjoint Associate Professor, Occupational Therapy Department, Princess Alexandra Hospital, Brisbane, Australia
| | - Louise Gustafsson
- Head and Undergraduate Program Director in Occupational Therapy, School of Health and Rehabilitation Sciences, Division of Occupational Therapy, The University of Queensland, Brisbane, Australia
| | - Jacki Liddle
- Postdoctoral Research Fellow and Occupational Therapist, Asia-Pacific Centre for Neuromodulation, UQ Centre for Clinical Research and Queensland Brain Institute, The University of Queensland, Brisbane, Australia
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Borges da Costa AL, Cox DL. The experience of meaning in circle dance. JOURNAL OF OCCUPATIONAL SCIENCE 2016; 23:196-207. [PMID: 27366111 PMCID: PMC4917970 DOI: 10.1080/14427591.2016.1162191] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Accepted: 02/22/2016] [Indexed: 06/06/2023]
Abstract
Circle dance, which derives from the tradition of folk dances, is practised worldwide. This article explores the meanings participants attribute to it. In-depth interviews with 39 participants, teachers and coordinators of teacher training programmes from the circle dance network in the United Kingdom were undertaken. Applying a constructivist grounded theory approach, major categories, representing respectively the experiences of circle dance participants, teachers and coordinators, were developed. This article specifically focuses on the first major category, termed "I can't imagine life without it", which relates to the experience of 22 dancers. From an occupational perspective, the study reveals how participants realise a sense of meaning and satisfaction through engagement in circle dance and the potential contribution of this occupation to well-being.
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Affiliation(s)
| | - Diane L. Cox
- University of Cumbria, Lancaster, United Kingdom
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9
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Pereira RB. Occupare, to seize: expanding the potential of occupation in contemporary practice. Aust Occup Ther J 2015; 62:208-9. [DOI: 10.1111/1440-1630.12193] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/02/2015] [Indexed: 11/27/2022]
Affiliation(s)
- Robert B. Pereira
- Hospital Admission Risk Program; Barwon Health; Geelong Vic. Australia
- Discipline of Occupational Therapy; School of Public Health and Nutrition; Faculty of Health; University of Canberra; Bruce ACT Australia
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Talero P, Kern SB, Tupé DA. Culturally responsive care in occupational therapy: an entry-level educational model embedded in service-learning. Scand J Occup Ther 2015; 22:95-102. [PMID: 25599249 DOI: 10.3109/11038128.2014.997287] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Affiliation(s)
- Pamela Talero
- Department of Occupational Therapy Jefferson School of Health Professions, Thomas Jefferson University , Philadelphia, PA , USA
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Hunt E, McKay EA. A scoping review of time-use research in occupational therapy and occupational science. Scand J Occup Ther 2014; 22:1-12. [PMID: 25135710 DOI: 10.3109/11038128.2014.934918] [Citation(s) in RCA: 24] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
BACKGROUND Time use is a defining interest within occupational therapy and occupational science. This is evident through the range of contributions to the disciplinary knowledge base. Indeed it has been suggested that time-use methods are amongst the most established research techniques used to explore aspects of human occupation. However, the extent and nature of such activity in occupational therapy and occupational science has not been examined to date. AIM This study sought to map the extent and nature of time-use research in occupational therapy and occupational science journals and the extent to which studies explored the relationship between time-use and health. METHOD A scoping review method was used. RESULTS Sixty-one studies were included. Scandinavian countries contributed the largest number of studies (n = 16, 26%). While time-use diaries were used most frequently (n = 30, 49%) occupational therapists and occupational scientists have developed a range of data-collection instruments. Forty-nine studies (80%) focused on time-use in clinical or defined population sub-groups. Ten studies (16%) included an empirical examination of the relationship between time-use and health. CONCLUSION Future research should examine time-use and health amongst well populations across the lifespan and in different parts of the world.
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Roy L, Rousseau J, Fortier P, Mottard JP. Patterns of Daily Time Use of Young Adults With or Without First-Episode Psychosis. ACTA ACUST UNITED AC 2013. [DOI: 10.1080/0164212x.2013.819549] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
Affiliation(s)
- Laurence Roy
- Douglas Mental Health University Institute, Montréal, Canada
- McGill University, Montréal, Canada
| | - Jacqueline Rousseau
- School of Rehabilitation, University of Montréal, Montréal, Canada
- Research Center, Montréal Geriatrics University Institute, Montréal, Canada
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Abstracts. Br J Occup Ther 2013. [DOI: 10.1177/03080226130767s101] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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Hunt E, McKay EA. Using population-Level Time Use Datasets to Advance Knowledge of Human Activity, Participation and Health. Br J Occup Ther 2012. [DOI: 10.4276/030802212x13496921049789] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
Time use is of enduring interest to occupational therapists and occupational scientists. However, occupational researchers have yet to exploit fully the potential of large population-level time use datasets. A brief overview of the historical development and current activities within time use research internationally is presented. Whilst acknowledging the challenging nature of this type of research, the authors explore some of the opportunities offered by the secondary analysis of large time use datasets for occupational therapy and occupational science researchers who seek to advance knowledge of human activity, participation and health.
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Affiliation(s)
- Eithne Hunt
- College Lecturer and Doctoral Candidate, Department of Occupational Science and Occupational Therapy, University College Cork, Cork, Ireland
| | - Elizabeth A McKay
- Reader and Director of Occupational Therapy, School of Health Sciences and Social Care, Brunel University, London
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Wagman P, Håkansson C, Jacobsson C, Falkmer T, Björklund A. What is considered important for life balance? Similarities and differences among some working adults. Scand J Occup Ther 2012; 19:377-84. [PMID: 22250769 DOI: 10.3109/11038128.2011.645552] [Citation(s) in RCA: 32] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
Life balance seems subjective, health related, and multidimensional. However, the concept is complex. Exploring what people themselves consider more or less important for their life balance and whether this differs between people would develop new knowledge. Q methodology was chosen for the present study, in which 32 working men and women without recent long-term sick leave participated. They sorted 42 statements regarding life balance according to their importance for each participant's life balance. The analysis resulted in four different viewpoints concerning life balance. All four viewpoints considered good relationships with those closest to them, as well as knowing that these people were doing well, as important. Each viewpoint also showed a unique orientation towards what was considered important for life balance: occupational balance (viewpoint 1), self-actualization (viewpoint 2), self-awareness (viewpoint 3), and reciprocal relationships (viewpoint 4). The results. showed support for life balance as being a subjective, multidimensional, and health-related phenomenon. The results demonstrated the importance of relationships for life balance and heterogeneity in what people considered important for their own life balance.
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Affiliation(s)
- Petra Wagman
- School of Health Sciences, Jönköping University, Sweden.
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