Can J Occup Ther. 2023 Jun;90(2):136-151. doi: 10.1177/00084174231160950. Epub 2023 Mar 23.
Only a few studies have explored experiences of meaningful activity and associations with psychosocial wellbeing during COVID-19. None reflect a Canadian context or focus on persons living in poverty. To identify experiences and associations between meaningful activity and psychosocial wellbeing for persons living in poverty during the first year of COVID-19. We delivered a quantitative survey at three time points during the first year of the pandemic supplemented by qualitative interviews at Time(T) 1 and 1 year later at T3. One hundred and eight participants completed T1 surveys, and 27 participated in qualitative interviews. Several statistically significant correlations between indices of meaningful activity engagement and psychosocial wellbeing were identified across T1-T3. Meaningful activity decreased from T1-T3 [X (2, n = 49) = 9.110, < .05], with a significant decline from T2-T3 (z = -3.375, < .001). In T1 qualitative interviews, participants indicated that physical distancing exacerbated exclusion from meaningful activities early in the pandemic. At T3 (1 year later), they described how classist and ableist physical distancing policies layered additional burdens on daily life. Meaningful activity engagement and psychosocial wellbeing are closely associated and need to be accounted for in the development of pandemic policies that affect persons living in low income. Occupational therapists have a key role in pandemic recovery.
只有少数研究探讨了在 COVID-19 期间有意义的活动体验以及与社会心理福祉的关联，没有研究反映加拿大的情况或关注生活贫困的人。为了确定生活在 COVID-19 第一年的贫困人口在有意义的活动和社会心理福祉之间的体验和关联。我们在大流行的第一年进行了三次时间点的定量调查，并在 T1 和一年后的 T3 进行了定性访谈。108 名参与者完成了 T1 调查，27 名参与者参加了定性访谈。在 T1-T3 期间，有意义的活动参与和社会心理福祉的几个指数之间确定了几个具有统计学意义的相关性。从 T1-T3 来看，有意义的活动减少[X(2，n=49)=9.110，<0.05]，从 T2-T3 显著下降(z=-3.375，<0.001)。在 T1 定性访谈中，参与者表示，社交距离在大流行早期加剧了他们被排除在有意义的活动之外。在 T3(一年后)，他们描述了阶级主义和能力主义的社交距离政策如何给日常生活带来额外的负担。有意义的活动参与和社会心理福祉密切相关，需要在制定影响低收入人群的大流行政策时加以考虑。职业治疗师在大流行的恢复中起着关键作用。
