The association between volition and participation in adults with acquired disabilities: A scoping review.
Hong Kong J Occup Ther 2019;
32:84-96. [PMID:
32009860 PMCID:
PMC6967221 DOI:
10.1177/1569186119870022]
[Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/11/2019] [Accepted: 07/21/2019] [Indexed: 11/29/2022] Open
Abstract
Background/objective
Physical, cognitive and psychological factors such as self-efficacy and
motivation affect participation in populations with acquired disabilities.
Volition is defined as a person's motivation for participating in
occupation. The concept of ‘volition’ expands similar concepts and theories,
which focus mostly on cognitive processes that influence motivation.
Although volition seems to affect participation, the association between
these two concepts has not been examined in populations with acquired
disabilities. This scoping review explored this association.
Methods
The literature review used a structured five-stage framework, according to
predefined inclusion and exclusion criteria. Seven electronic databases
(CINAHL, PsycINFO, PubMed, Web of Science, SCOPUS, The Cochrane
Library-Wiley, OTseeker) and Google Scholar were searched for relevant
articles, published in English from January 2001 to May 2018.
Results
A total of 18 articles, relating to populations with various diagnoses were
included. Two directly examined volition and participation and showed a
positive association between them. Other articles discussed the effect of
participants’ chronic condition on their volition and participation, the
effect of volition on participation, or the effect on participation of an
intervention addressing volition.
Conclusions
An acquired disability affects both volition and participation, and volition
seems to affect participation among people with acquired disabilities. Few
articles showed positive effects of interventions that addressed clients'
volition, on participation. Further research should include additional
health conditions and types of literature, to better understand the
association between these concepts. This understanding will contribute to
the development of occupational therapy interventions that emphasise
volition, in order to improve participation outcomes.
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