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Int. J. Environ. Res. Public Health 2015, 12(9), 11379-11395; doi:10.3390/ijerph120911379

Improving Personal Characterization of Meaningful Activity in Adults with Chronic Conditions Living in a Low-Income Housing Community

1
Occupational Therapy Program, College of Allied Health, University of Oklahoma, 1200 N. Stonewall Avenue, Oklahoma City, OK 73117, USA
2
College of Nursing, University of Oklahoma, 1100 N Stonewall Ave, Oklahoma City, OK 73117, USA
*
Author to whom correspondence should be addressed.
Academic Editor: Wendy Stav
Received: 22 July 2015 / Revised: 21 August 2015 / Accepted: 7 September 2015 / Published: 11 September 2015
(This article belongs to the Special Issue Occupational Therapies and Human Well-Being)
View Full-Text   |   Download PDF [708 KB, uploaded 11 September 2015]

Abstract

Purpose: To understand how adults living in a low-income, public housing community characterize meaningful activity (activity that gives life purpose) and if through short-term intervention, could overcome identified individual and environmental barriers to activity engagement. Methods: We used a mixed methods design where Phase 1 (qualitative) informed the development of Phase 2 (quantitative). Focus groups were conducted with residents of two low-income, public housing communities to understand their characterization of meaningful activity and health. From these results, we developed a theory-based group intervention for overcoming barriers to engagement in meaningful activity. Finally, we examined change in self-report scores from the Meaningful Activity Participation Assessment (MAPA) and the Engagement in Meaningful Activity Survey (EMAS). Results: Health literacy appeared to impact understanding of the questions in Phase 1. Activity availability, transportation, income and functional limitations were reported as barriers to meaningful activity. Phase 2 within group analysis revealed a significant difference in MAPA pre-post scores (p =0.007), but not EMAS (p =0.33). Discussion: Health literacy should be assessed and addressed in this population prior to intervention. After a group intervention, participants had a change in characterization of what is considered healthy, meaningful activity but reported fewer changes to how their activities aligned with their values. View Full-Text
Keywords: meaningful activity; occupational therapy; public housing; mixed-methods; (feasibility) study; behavior change intervention; ageing meaningful activity; occupational therapy; public housing; mixed-methods; (feasibility) study; behavior change intervention; ageing
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. (CC BY 4.0).

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MDPI and ACS Style

Ciro, C.A.; Smith, P. Improving Personal Characterization of Meaningful Activity in Adults with Chronic Conditions Living in a Low-Income Housing Community. Int. J. Environ. Res. Public Health 2015, 12, 11379-11395.

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Int. J. Environ. Res. Public Health EISSN 1660-4601 Published by MDPI AG, Basel, Switzerland RSS E-Mail Table of Contents Alert
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