Understanding Identity Negotiation of Parkinson’s Disease and Occupational Engagement Using Narrative Inquiry

IF 0.3 Q4 REHABILITATION

PHYSICAL & OCCUPATIONAL THERAPY IN GERIATRICS Pub Date : 2021-10-16 DOI:10.1080/02703181.2021.1989545

Elena Sheldrake, Colleen McGrath, Debbie Laliberte Rudman, J. Holmes

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引用次数: 2

Abstract

Abstract Aims Many older adults with Parkinson’s disease experience challenges negotiating identity, often with negative implications for wellbeing. This study explores how older adults with Parkinson’s disease negotiate identity post-diagnosis, specifically addressing how they recount their management of identity and its impact on their occupational engagement. Methods Using a constructivist narrative approach, three participant sessions were conducted with five older adults with Parkinson’s disease. Line-by-line and thematic coding was completed. Results Three major themes emerged across narratives including: (a) Attempts to convey, maintain, and negotiate identity; (b) Resisting a disabled identity and (c) The centrality of occupation and social roles in negotiating identity. Conclusion Common themes of personal and social identity that threaten or support an older adult with PD’s decisions about occupational engagement were identified. Results of this study can be used by occupational therapists to better understand the influence of identity on occupational engagement.

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运用叙事探究了解帕金森病的身份协商与职业投入

许多患有帕金森病的老年人在协商身份方面遇到了挑战，往往对健康产生负面影响。本研究探讨患有帕金森病的老年人如何在诊断后协商身份，特别是解决他们如何叙述他们对身份的管理及其对职业投入的影响。方法采用建构主义叙事方法，对5名老年帕金森病患者进行了三次参与者会议。逐行和专题编码已完成。三个主要主题出现在叙事中，包括:(a)试图传达、维持和协商身份;(b)抵制残疾身份和(c)职业和社会角色在身份谈判中的中心地位。结论发现了威胁或支持老年PD患者职业投入决策的个人和社会认同的共同主题。本研究结果可供职业治疗师更好地理解认同对职业投入的影响。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

PHYSICAL & OCCUPATIONAL THERAPY IN GERIATRICS REHABILITATION-

CiteScore

1.30

自引率

0.00%

发文量

期刊介绍： This comprehensive journal is recognized for its useful balance of research and clinical practice articles. For more than twenty five years Physical & Occupational Therapy in Geriatrics has functioned as a forum for allied health professionals as well as others with a focus on rehabilitation of the geriatric client to share information, clinical experience, research, and therapeutic practice. Each issue focuses on current practice and emerging issues in the care of the older client, including rehabilitation and long-term care in institutional and community settings, and innovative programming; the entire range of problems experienced by the elderly; and the current skills needed for working with older clients.