Understanding occupational engagement for individuals with bariatric needs: The perspectives of Australian Occupational Therapists.


Journal

Australian occupational therapy journal
ISSN: 1440-1630
Titre abrégé: Aust Occup Ther J
Pays: Australia
ID NLM: 15420200R

Informations de publication

Date de publication:
10 2020
Historique:
received: 27 09 2019
revised: 18 02 2020
accepted: 20 02 2020
pubmed: 13 3 2020
medline: 17 8 2021
entrez: 13 3 2020
Statut: ppublish

Résumé

Over the last 20 years, the number of individuals affected by obesity in Australia has increased by 56%. The impact of excessive weight gain results in a wide range of physical, psychological and social difficulties, with resultant changes to occupational performance and engagement. For some people within this population, a further consequence of this increasing weight gain contributes to additional difficulties, with the individual being considered to be "bariatric". For these people, resultant changes include decreased capacity to engage in self-care activities, leisure occupations and productive roles, creating significant difficulties in undertaking important life roles. This phenomenological study aimed to understand the occupational engagement of individuals with bariatric needs, and to identify potential opportunities to support the engagement and participation of these individuals from the perspectives of Australian occupational therapists. Qualitative data were collected from 11 semi-structured interviews with occupational therapists from a variety of practice settings. Thematic analysis identified four central themes (a) Occupational engagement was significantly impacted by a lack of suitable resources and availability of daily living equipment; (b) Health and well-being were impacted by a disruption in meaningful occupational engagement; (c) Occupational roles were limited due to poor occupational identity and perceptions of not belonging within the community; (d) Occupational therapists do have a varied role when working with individuals with bariatric needs. Occupational therapists engaged in this study indicated that people with bariatric needs were significantly impacted by many complex issues as a result of their health condition, often contributing to poor health and decreased well-being. Occupational therapists are well-placed to engage with individuals with bariatric needs across many care contexts and must take up potential opportunities to provide services targeted towards the increased engagement and participation of these individuals, with resultant improvements to health and well-being.

Identifiants

pubmed: 32163600
doi: 10.1111/1440-1630.12657
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

417-426

Informations de copyright

© 2020 Occupational Therapy Australia.

Références

Australian Bureau of Statistics. (2019). Overweight and obesity (No. 4364.0.55.001). Retrieved from https://www.abs.gov.au/ausstats/abs@.nsf/Lookup/by%2520Subject/4364.0.55.001~2017-18~Main%2520Features~Overweight%2520and%2520obesity~90
Australian Institute of Health and Welfare. (2017). Impact of overweight and obesity as a risk factor for chronic conditions: Australian burden of disease study (No. 11). Retrieved from https://www.aihw.gov.au/getmedia/f8618e51-c1c4-4dfb-85e0-54ea19500c91/20700.pdf.aspx?inline=true
Backman, C. (2004). Occupational balance: Exploring the relationships among daily occupations and their influence on well-being. Canadian Journal of Occupational Therapy, 71(4), 202-209. https://doi.org/10.1177/000841740407100404
Baum, C., & Law, M. (1997). Occupational therapy practice: Focusing on occupational performance. American Journal of Occupational Therapy, 51(7), 277-288. https://doi.org/10.5014/ajot.51.4.277
Blanchard, S. (2009). Variables associated with obesity among African-American women in Omaha. American Journal of Occupational Therapy, 63, 58-68. https://doi.org/10.5014/ajot.63.1.58
Braun, V., Clark, P., & Terry, G. (2014). Thematic analysis. In P. Rohleder & A. Lyons (Eds.), Qualitative research in clinical and health psychology (pp. 94-114). New York, NY: McMillan.
Carpenter, C. (2004). The contribution of qualitative research to evidence-based practice. In K. Whalley Hammell & C. Carpenter (Eds.), Qualitative research in evidence based rehabilitation (pp. 1-13). Philadelphia, PA: Elsevier.
Carpenter, C. (2013). Phenomenology and rehabilitation research. In P. Liamputtong (Ed.), Research methods in health. Foundations for evidence based practice (2nd ed., pp. 115-131). Melbourne, Australia: Oxford University Press.
Cowley, S., & Leggett, S. (2011). Manual handling risks associated with the care, treatment and transportation of bariatric (severely obese) clients in Australia. Work, 39, 477-483. https://doi.org/10.3233/WOR-2011-1197
Durocher, E., Gibson, E., & Rappolt, S. (2013). Occupational justice: A conceptual review. Journal of Occupational Science, 21(4), 418-430. https://doi.org/10.1080/14427591.2013.775692
Fontaine, K., & Barofsky, I. (2001). Obesity and health-related quality of life. Obesity Reviews, 2, 173-182. https://doi.org/10.1046/j.1467-789x.2001.00032.x
Forhan, M., Law, C., Vrkljan, B., & Taylor, V. (2010). The experience of participation in everyday occupations for adults with obesity. Canadian Journal of Occupational Therapy, 77(4), 210-218. https://doi.org/10.2182/cjot.2010.77.4.3
Foti, D. (2005). Caring for the person of size. OT Practice, 10, 9-14.
Haracz, K., Ryan, S., Hazelton, M., & James, C. (2013). Occupational therapy and obesity: An integrative literature review. Australian Occupational Therapy Journal, 60(5), 356-365. https://doi.org/10.1111/1440-1630.12063
Isaksson, G., Lexell, J., & Skar, L. (2009). Social support provides motivation and ability to participate in occupation. Occupational Therapy Journal of Research, 27(1), 23-30. https://doi.org/10.1177/153944920702700104
Johnson, B., & Turner, L. (2003). Data collection strategies in mixed methods research. In A. Tashakkori & C. Teddlie (Eds.), Handbook of mixed methods in social and behavioural research (pp. 297-319). Thousand Oaks, CA: Sage Publications.
Koch, T. (1994). Establishing rigour in qualitative research: The decision trail. Journal of Advanced Nursing, 19(5), 976-986. https://doi.org/10.1111/j.1365-2648.1994.tb01177.x
Leung, J., & Funder, J. (2014). Obesity: A national epidemic and its impact on Australia Sydney. Retrieved from https://static1.squarespace.com/static/57e9ebb16a4963ef7adfafdb/t/580ec0679de4bb7cf16ffb9a/1477361771570/NTTW%2BReport.pdf
Liamputtong, P. (2010). The science of words and the science of numbers: Research methods as foundations for evidence-based practice in health. In P. Liamputtong (Ed.), Research methods in health, foundations for evidence-based practice (pp. 3-26). Melbourne, Australia: Oxford University Press.
Matuska, K., & Bass, J. (2016). Life balance and stress in adults with medical conditions or obesity. Occupational Therapy Journal of Research, 36(2), 74-81. https://doi.org/10.1177/1539449216628859
Mee, J., & Sumsion, T. (2001). Mental health clients confirm the motivating power of occupation. British Journal of Occupational Therapy, 64(3), 121-128. https://doi.org/10.1177/030802260106400303
Mee, J., Sumsion, T., & Craik, C. (2004). Mental health clients confirm the value of occupation in building competence and self-identity. British Journal of Occupational Therapy, 67(5), 225-233. https://doi.org/10.1177/030802260406700506
Megías, Á., González-Cutre, D., Beltrán-Carrillo, V. J., Gomis-Díaz, J. M., Cervelló, E., & Bartholomew, K. J. (2018). The impact of living with morbid obesity on psychological need frustration: A study with bariatric patients. Stress and Health, 34, 509-522. https://doi.org/10.1002/smi.2811
National Health and Medical Research Council. (2018). Australian code for responsible conduct of research. Canberra, Australia: Australian Research Council and Universities Australia. Retrieved from https://www.nhmrc.gov.au/about-us/publications/australian-code-responsible-conduct-research-2018#block-views-block-file-attachments-content-block-1.
Nutall, F. (2015). Body mass index: Obesity, BMI and health, a critical review. Nutrition Today, 50(3), 117-128. https://doi.org/10.1097/NT.000000000000009
Polgar, S., & Thomas, S. (2013). Introduction to Research in the Health Sciences (6th ed.). New York, NY: Elsevier.
Ramos Salas, X., Forhan, M., Caulfield, T., Sharma, A. M., & Raine, K. D. (2019). Addressing internalized weight bias and changing damaged social identities for people living with obesity. Frontiers in Psychology, 10, 1409.
Reingold, F., & Jordan, K. (2013). Obesity and occupational therapy. The American Journal of Occupational Therapy, 67, S39-S46. https://doi.org/10.5014/ajot.2013.67S39
Robinson, E. (2017). Overweight but unseen: A review of the underestimation of weight status and a visual normalization theory. Obesity Reviews, 18, 1200-1209. https://doi.org/10.1111/obr.12570
Thomas, S., Hyde, J., Kuranaratne, A., Herbert, D., & Komesaroff, P. (2008). Being‘fat’ in today’s world: A qualitative study of the lived experiences of people with obesity in Australia. Health Expectations, 11, 321-330. https://doi.org/10.1111/j.1369-7625.2008.00490.x
Tobin, G., & Begley, C. (2004). Methodological rigour within a qualitative framework. Journal of Advanced Nursing, 48(4), 388-396. https://doi.org/10.1111/j.1365-2648.2004.03207.x
Whalley Hammell, K. (2008). Reflections on … well-being and occupational rights. Canadian Journal of Occupational Therapy, 75(1), 61-64. https://doi.org/10.2182/cjot.07.007
Whalley-Hammell, K. (2014). Belonging, occupation and human well-being: An exploration. Canadian Journal of Occupational Therapy, 81(1), 39-50. https://doi.org/10.1177/0008417413520489
Wilcock, A. (2005). Occupational science: Bridging occupation and health. Canadian Journal of Occupational Therapy, 72(1), 5-12. https://doi.org/10.1177/000841740507200105
World Health Organisation. (2018). Obesity and overweight (fact sheet). Retrieved from https://www.who.int/en/news-room/fact-sheets/detail/obesity-and-overweight
Zettel-Watson, L., & Britton, M. (2008). The impact of obesity on the social participation of older adults. The Journal of General Psychology, 135, 409-423. https://doi.org/10.320/GENP.135.4.409-424

Auteurs

Narelle Ellison (N)

School of Occupational Therapy, Social Work and Speech Pathology, Curtin University, Perth, WA, Australia.

Sharon Keesing (S)

School of Occupational Therapy, Social Work and Speech Pathology, Curtin University, Perth, WA, Australia.

Courtenay Harris (C)

School of Occupational Therapy, Social Work and Speech Pathology, Curtin University, Perth, WA, Australia.

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