scholarly journals Understanding diabetes self-management using the Model of Human Occupation

2019 ◽  
Vol 82 (5) ◽  
pp. 296-305
Author(s):  
Bel Youngson

Introduction Over 400 million people worldwide are living with diabetes. Research suggests that people struggle to manage their diabetes and an in-depth understanding of the lived experience of diabetes is required to inform and promote occupational therapy practice. This article reports on one part of a PhD study into the role of occupational therapy in diabetes self-management. Method Semi-structured interviews using an intuitive inquiry methodology were conducted with 22 people with diabetes in three separate studies. Analysis of the lived experience of all participants was drawn together to explore the understanding of diabetes self-management from an occupational perspective using the Model of Human Occupation. Findings The occupation of diabetes self-management was conceptualised with seven inter-related occupational forms. Challenges were related to occupational identity, volition, habituation, performance capacity and the context in which these took place. Conclusion This study, embedded in the experiences of those with diabetes, suggests that occupational therapy has a distinct role in diabetes self-management, through seeing this self-management as an occupation. The use of the Model of Human Occupation enables a focus on the characteristics of the occupational forms and how these might be adapted for successful occupational engagement.

2021 ◽  
Vol 75 (Supplement_2) ◽  
pp. 7512520381p1-7512520381p1
Author(s):  
Christine A. Linkie ◽  
Cynthia Evetts

Abstract Date Presented 04/19/21 People with schizophrenia have daily living challenges related to impaired cognitive skills and low self-efficacy. This study used the Model of Human Occupation Screening Tool (MOHOST) in a single-case design with multiple baselines (N = 5) to investigate a strengths-based intervention for people with schizophrenia. Visual and statistical analyses yielded a small intervention effect (d = 0.26) and relationships among cognitive variables and MOHOST domains. Participants reported increased self-confidence and occupational engagement. Primary Author and Speaker: Christine A. Linkie Additional Authors and Speakers: Karen Ratcliff, Ickpyo Hong


Author(s):  
Thanalutchmy Lingah ◽  
Juwairiyya Paruk

ABSTRACT INTRODUCTION: Occupational Engagement is an inextricable component of life and is considered essential to human survival. Doing an occupation that is positively perceived (such as dance) can lead to the experience and expression of meaning which then enhances quality of life. This study aimed to explore the meaning that undergraduate Occupational Therapy students studying at the University of KwaZulu-Natal attach to dance as an occupation METHOD: The study followed an exploratory qualitative research design with purposive sampling. Focus groups and semi-structured interviews were utilized to collect data which were analysed thematically RESULTS: Five themes emerged: Centre stage (an exploration of factors motivating engagement); On Pointe (beneficial effects of dance); My Solo Dance Experience (the individual's journey whilst engaging); It Takes 2 to Tango (exploring the role of relationships) & Dancing to the Beat (exploring time available for engagement). The hidden complexities of 'meanings' attached to the occupation of dance emerged which were experienced as subjective and multi-dimensional CONCLUSION: The study revealed that the meanings attached to dance were based on individual experiences with the occupation, others and the environment. Engagement in the occupation of dance (doing) enhances personal growth (becoming) and becomes a part of the individual (being Keywords: doing; being; becoming; belonging; occupational engagement; occupational balance; occupation; dance; meaning


2021 ◽  
Vol 27 (7) ◽  
pp. 186-193
Author(s):  
Helen Rogers

Background/Aims This qualitative study explores the role of nursing leadership in supporting the delivery of compassionate care in a hospital that experienced both an acquisition and merger within 5 years. It aimed to understand the impact that NHS mergers and acquisitions have on a nursing team's capacity to deliver compassionate care to patients and to explore how nursing leadership can support the delivery of compassionate care during these periods. Methods Semi-structured interviews were undertaken with seven members of purposively recruited staff, who had lived experience of working at a hospital during an acquisition by a larger NHS trust, followed by a merger with another large NHS trust 5 years later. Results Staff valued authentic, honest and visible nurse leadership that was understanding of the context in which they were delivering care. Ward managers and matrons acted as ‘shock absorbers’ to protect their teams from the negative aspects of the change process. However, this came at an emotional cost and demonstrates the need for continued support structures. Conclusions This case study shows that staff value being able to deliver compassionate care; it gives meaning to their work, especially the ‘small things’. However, the context of care delivery can affect their ability to do this. There remains a great need for emotional support for staff to sustain their resilience in the face of changing staff, policies, practices and clinical models.


BMJ Open ◽  
2019 ◽  
Vol 9 (2) ◽  
pp. e024545 ◽  
Author(s):  
Monica Lakhanpaul ◽  
Lorraine Culley ◽  
Tausif Huq ◽  
Deborah Bird ◽  
Nicky Hudson ◽  
...  

ObjectiveThis paper draws on the data from the Management and Interventions for Asthma (MIA) study to explore the perceptions and experiences of asthma in British South Asian children using semi-structured interviews. A comparable cohort of White British children was recruited to identify whether any emerging themes were subject to variation between the two groups so that generic and ethnicity-specific themes could be identified for future tailored intervention programmes for South Asian children with asthma.SettingSouth Asian and White British children with asthma took part in semi-structured interviews in Leicester, UK.ParticipantsThirty three South Asian and 14 White British children with asthma and aged 5–12 years were interviewed.ResultsBoth similar and contrasting themes emerged from the semi-structured interviews. Interviews revealed considerable similarities in the experience of asthma between the South Asian and White British children, including the lack of understanding of asthma (often confusing trigger with cause), lack of holistic discussions with healthcare professionals (HCPs), an overall neutral or positive experience of interactions with HCPs, the role of the family in children’s self-management and the positive role of school and friends. Issues pertinent to South Asian children related to a higher likelihood of feeling embarrassed and attributing physical activity to being a trigger for asthma symptoms.ConclusionsThe two ethnicity-specific factors revealed by the interviews are significant in children’s self-management of asthma and therefore, indicate the need for a tailored intervention in South Asian children.


2018 ◽  
Vol 17 (1) ◽  
pp. 47-67 ◽  
Author(s):  
Shona Robinson-Edwards ◽  
Craig Pinkney

Purpose The purpose of this paper is to explore the experiences of Ibrahim, an ex-offender who has embraced Islam. Ibrahim professes Islam to be the influential element to his desistance process. This study explores Ibrahim’s journey, emphasising and reflecting upon youth; criminality and religiosity. Much of the current research relating to Black men and offending is limited to masculinity, father absence, gangs and criminality. The role of religiosity in the lives of offenders and/or ex-offenders is often overlooked. The authors suggest that identity, religiosity and desistance can raise a host of complexities while highlighting the unique challenges and benefits experienced by Ibrahim, following the practice of religion. Design/methodology/approach This paper took a qualitative, ethnographic approach, in the form of analysing and exploring Ibrahim’s personal lived experience. The analysis of semi-structured interviews, and reflective diaries, utilising grounded theory allowed the formation of the following three core themes: desistance, religion and identity. Findings The findings within this paper identify an interlink between desistance, religion and identity. The role of religiosity is becoming increasingly more important in academic social science research. This paper highlights the complexities of all three above intersections. Research limitations/implications This paper explores the complexities of religiosity in the desistance process of Ibrahim. Research in relation to former gang members in the UK and the role of religiosity in their lives is fairly under-researched. This paper seeks to build on existing research surrounding gang, further exploring religiosity from a UK context. Practical implications Time spent with Ibrahim had to be tightly scheduled, due to the work commitments of both Ibrahim and the researcher. Therefore, planning had to be done ahead in an efficient manner. Social implications Researching the way individuals experience the world is a “growing phenomenon”. This paper aimed to explore the lived experience of religiosity from the perspective of Ibrahim. However, it was important to not stereotype and label all Black males who have embraced Islam and desisted from crime. Therefore, this paper’s intention is not to stereotype Black men, but to raise awareness and encourage further discussion surrounding the role of religiosity in the lives of ex-offenders’. Originality/value To the authors’ knowledge, studies specifically focusing on the role of Islam in the life of an ex-offender are few and far between. Therefore, findings from this study are important to develop further understanding surrounding religiosity, offending and desistance. This study explores the lived experiences of Ibrahim, an former gang member and ex-offender who professes Islam to be a fundamental source to his desistance process.


2020 ◽  
Vol 67 (6) ◽  
pp. 605-614
Author(s):  
Patricia Bowyer ◽  
Lauro Muñoz ◽  
Cynthia Gorter Tiongco ◽  
Melanie Morriss Tkach ◽  
Cary C. Moore ◽  
...  

Author(s):  
Jane O'Brien ◽  
Elizabeth Asselin ◽  
Katie Fortier ◽  
Robin Janzegers ◽  
Beverly Lagueux ◽  
...  

2016 ◽  
Vol 79 (12) ◽  
pp. 727-733 ◽  
Author(s):  
Chia-Wei Fan ◽  
Mary Morley ◽  
Mike Garnham ◽  
David Heasman ◽  
Renee Taylor

Introduction In occupational therapy, there has been an increased interest in patients’ occupational participation within forensic settings. This retrospective study involved a longitudinal analysis of occupational participation within six forensic hospitals in England. The aim was to contribute to the understanding of forensic patients’ occupational participation over a two-year period. Methods The Model of Human Occupation Screening Tool (MOHOST) was rated by 78 occupational therapists on 489 patients in low and medium secure units who were receiving occupational therapy over two years. The many-faceted Rasch Model was used to convert their MOHOST scores at each time point into interval scales. Regression analysis was used to examine changes in occupational participation over time. Results Patients’ overall occupational participation improved over time. Specifically, participation improved in five of the six MOHOST subdomains, which included their motivation for occupation, pattern of occupation, communication/interaction skills, process skills, and environment. Patients did not demonstrate significant change in their motor skills, which varied as expected. In addition, patients in low secure units had better occupational participation than those in medium secure settings. Conclusion Our findings indicated improvements in the patients’ occupational participation over the 2-year period. Further investigations are needed to understand factors contributing to change.


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