Can J Occup Ther. 2021 Jun;88(2):131-141. doi: 10.1177/00084174211000595. Epub 2021 Mar 22.
BACKGROUND.: Persons living with dementia face a reduction of their life space outside home and disengagement from participation, linked to places visited.
PURPOSE.: This study explored stability and change in perceived participation in places visited outside home and its relationship with occupational gaps among older adults.
METHOD.: Older adults living with ( = 35) or without ( = 35) dementia were interviewed using the Participation in ACTivities and Places OUTside Home (ACT-OUT) questionnaire and the Occupational Gaps Questionnaire (OGQ). Data analysis used descriptive and inferential statistics.
FINDINGS.: The group of people living with dementia reported significantly fewer places ( < .001) visited than the comparison group and having abandoned more places visited ( < .001) than the comparison group. The number of occupational gaps was significantly different between groups ( < .001).
IMPLICATIONS.: Participation outside home is not influenced in a uniform and straightforward way for persons living with dementia; the shrinking world effect appears differently in relation to types of places.
患有痴呆症的人会减少他们在家以外的生活空间,并与他们所去的地方脱节,从而减少参与度。
本研究探讨了老年人在其居住地以外所感知的参与度的稳定性和变化,以及其与职业差距的关系。
使用参与活动和居住地(ACT-OUT)问卷和职业差距问卷(OGQ)对患有(n=35)或不患有(n=35)痴呆症的老年人进行访谈。数据分析采用描述性和推断性统计。
患有痴呆症的人群报告说他们去的地方明显较少(<.001),比对照组放弃了更多去过的地方(<.001)。两组之间的职业差距有显著差异(<.001)。
对于患有痴呆症的人来说,他们在家以外的参与度的影响并不是统一和直接的;缩小的世界效应与地方类型有关,表现方式也不同。