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Participation in Everyday Occupations and Situations Outside Home for Older Adults Living with and Without Dementia: Places, Familiarity and Risks.

紀錄類型:	書目-電子資源 : Monograph/item
正題名/作者:	Participation in Everyday Occupations and Situations Outside Home for Older Adults Living with and Without Dementia: Places, Familiarity and Risks./
作者:	Margot-Cattin, Isabel.
出版者:	Ann Arbor : ProQuest Dissertations & Theses, : 2021,
面頁冊數:	109 p.
附註:	Source: Dissertations Abstracts International, Volume: 83-01, Section: B.
Contained By:	Dissertations Abstracts International83-01B.
標題:	Occupational therapy. -
電子資源:	https://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=28621529
ISBN:	9798522950361

Participation in Everyday Occupations and Situations Outside Home for Older Adults Living with and Without Dementia: Places, Familiarity and Risks.
Margot-Cattin, Isabel.

Participation in Everyday Occupations and Situations Outside Home for Older Adults Living with and Without Dementia: Places, Familiarity and Risks. - Ann Arbor : ProQuest Dissertations & Theses, 2021 - 109 p.

Source: Dissertations Abstracts International, Volume: 83-01, Section: B.

Thesis (Ph.D.)--Karolinska Institutet (Sweden), 2021.

This item must not be sold to any third party vendors.

Participation in occupations and places outside the home has been related to health and social benefitsas well as offering challenging and risks for older adults living with and without dementia, yet little isknown about how this participation is experienced, also considering the places visited and theoccupations performed. Places are central in a transactional and occupational perspective tounderstand how visiting, maintaining and abandoning them affects their participation outside thehome. Acknowledging the complexity and interrelatedness properties of participation, with theembodiment of places by the occupation while it is embedded in the place, provides a new way ofexamining participation. Thus, the overarching aim of the fours studies was to explore and providenew knowledge on participation in places outside the home for older adults with mild-to-moderatedementia as compared with older adults without dementia, as well as developing an understanding ofthe transactions between the persons and the places, and how places outside home are associated withperceived participation.To attain this aim, the Participation in Activities and Places Outside Home (ACT-OUT) questionnairewas developed in Study I, as no tool existed that combined occupations and places. ACT-OUT wasrevised and aligned using cognitive interviews with 26 older adults living without dementia and fiveolder adults living with dementia. ACT-OUT was then used in Study II, together with theoccupational gap questionnaire OGQ, to evaluate stability and change in places visited outside home,and associations between number of places currently visited and perceived occupational gaps, and inStudy III to consider factors, e.g. perceived risks, that potentially affected perceived participationoutside the home with 35 older adults living with dementia, in comparison with 35 older adults livingwithout dementia. Study IV used qualitative, mobile interviews to explore familiarity outside home asexperienced by nine older adults living with dementia.Findings (Study II) showed that participants living with dementia visited places to a lesser extent thanthe comparison group. Social and cultural places as well as places for recreation and physical activitytended to be abandoned, in contrast to places for medical care. Overall, they maintained less placesand abandoned more places than the group of comparison, and participation in places was associatedwith occupational gaps for those living without dementia. In Study III, number of places visited, wereassociated with the perception of participation outside home, but only for the group of persons livingwithout dementia, while risks of falling and for getting lost were associated for those living withdementia. Findings in Study IV showed that familiarity was experienced in a continuous way, as awhole and in repeated occurrences in personal territories that encompassed diverse places andoccupations.This thesis contributed new knowledge about how visiting places contributed to our understanding ofthe conception of participation outside the home of older adults living with and without dementia,including how perceived risks would influence participation. Familiarity was seen as an overarchingconcept that links place with participation outside the home, as personal territories including placessupport participation outside the home for older adults living with dementia.

ISBN: 9798522950361Subjects--Topical Terms:

617818
Occupational therapy.

Participation in Everyday Occupations and Situations Outside Home for Older Adults Living with and Without Dementia: Places, Familiarity and Risks.
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