Occupational adaptation and identity reconstruction: A grounded theory synthesis of qualitative studies exploring adults’ experiences of adjustment to chronic disease, major illness or injury
Year: 2017
Type: article
Study design: Systematic Review
Abstract: Background: Adjustment to occupational disruption and loss following illness or injury is a complex, subjective experience. A number of studies have provided insight into this process within specific conditions and populations. Some studies reveal a process of occupational adaptation. Others describe reconstruction of an occupational identity, as expressed and defined through occupation. Examining these studies collectively can provide a deeper insight into these processes.Purpose: This study involved a synthesis of qualitative studies investigating the lived experience of adjusting to chronic disease or a significant health event. The key research question was how people adjust to chronic disease, major illness or injury from the perspective of occupational adaptation and occupational identity.Method: A systematic search of four databases identified qualitative studies exploring the personal experience of adjustment in adult populations with a range of significant health issues (excluding mental health and palliative care). Using occupational adaptation and occupational identity as sensitising concepts, findings of eligible studies were re-analysed using a 12-step grounded theory methodology, identifying central themes, and bringing these together collectively to construct a theoretical framework.Results: Thirty seven papers met inclusion and quality criteria. Analysis revealed a process of adapting how and what occupations were performed, and re-establishing an occupational identity, facilitated by achieving adequate levels of competence, motivation and confidence in occupational performance.Conclusion: This synthesis provides further evidence to confirm adjustment to chronic disease, major illness or injury as a process of reconstructing an occupational identity and occupational adaptation.
Source: Journal of Occupational Science
Authors: Kim Walder, Matthew Molineux
Institution: Griffith University
Language: English
Subfield: Occupational Therapy
Field: Health Professions
Domain: Health Sciences
Open Access status: green
OpenAlex ID: W2580605101