Engagement in occupation and adaptation to low vision

The purpose of this grounded theory study was to explore how engagement in occupation affects the adaptation process for older women with visual impairment. Data were collected and analyzed for seven participants using a constant comparative method. Nine categories emerged and were grounded in the data. A theoretical model was developed with the core category of adaptation. The interactions of participants' visual impairment, concurrent issues, threats to performance, losses, getting help, methods of doing, abilities, integration of losses and abilities, and adaptation. For these participants, the adaptation process was aided by getting help and finding methods of doing their preferred occupations.