Koh Wei Qi, Chia Yuan Lin, Ng Wen Xu, Lim Fiona Y Q, Cheung Therma W C
Occupational Therapist, Singapore General Hospital, Singapore.
Senior Occupational Therapist, Singapore General Hospital, Singapore.
Br J Occup Ther. 2022 Jan;85(1):68-77. doi: 10.1177/03080226211008048. Epub 2021 May 4.
The aim of this study is to understand the patterns of occupations among community-dwelling older adults in Singapore. The objectives are to describe their occupational engagement using the Activity Card Sort Singapore, understand their occupational preferences and perceived barriers and facilitators to engagement.
A convergent parallel mixed-method study was conducted over a 5-month period in 2018. Purposive and snowball sampling were used to recruit the participants. Individual 1-h interviews were conducted at participants' homes. Quantitative data collected include demographic information, Modified Barthel Index scores and activity engagement based on the Activity Card Sort Singapore. Qualitative data was collected using semi-structured interviews.
105 participants were enrolled in the study. Overall, older adults engaged mostly in instrumental and social activities. However, leisure and social activities were most preferred. Gender, educational level and age were found to influence occupational engagement. Overall, six main themes relating to perceived barriers and facilitators to occupational engagement were identified: cognition and physical status, self-efficacy, resources, affect and meaningfulness, social influence and environmental factors.
The findings from this study provided insights into the occupational patterns of community-dwelling older adults in Singapore and their perceived barriers and facilitators to engagement. Recommendations for practice were identified.
本研究旨在了解新加坡社区居住老年人的职业模式。目标是使用新加坡活动卡片分类法描述他们的职业参与情况，了解他们的职业偏好以及参与职业活动的感知障碍和促进因素。
2018年进行了为期5个月的收敛平行混合方法研究。采用目的抽样和滚雪球抽样招募参与者。在参与者家中进行了为期1小时的个人访谈。收集的定量数据包括人口统计学信息、改良巴氏指数得分以及基于新加坡活动卡片分类法的活动参与情况。定性数据通过半结构化访谈收集。
105名参与者纳入研究。总体而言，老年人大多参与工具性和社交活动。然而，休闲和社交活动是最受欢迎的。发现性别、教育程度和年龄会影响职业参与。总体而言，确定了与职业参与的感知障碍和促进因素相关的六个主要主题：认知和身体状况、自我效能感、资源、情感和意义、社会影响以及环境因素。
本研究结果为新加坡社区居住老年人的职业模式以及他们参与职业活动的感知障碍和促进因素提供了见解。确定了实践建议。
