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Self-determination and older people--a concept analysis.

Christina Ekelund1, Synneve Dahlin-Ivanoff, Kajsa Eklund

  • 1Vårdalinstitutet - The Swedish Institute for Health Sciences , Gothenburg , Sweden.

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This study clarifies self-determination for community-dwelling older adults, defining it as a process of having control, rights, and the ability to make informed choices. This definition aids occupational therapy research and practice.

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Area of Science:

  • Gerontology
  • Occupational Therapy
  • Health Sciences

Background:

  • Self-determination emphasizes client control and independence in rehabilitation.
  • Strengthening self-determination is a core occupational therapy goal.
  • A clear definition is lacking for community-dwelling older adults, needing cultural flexibility.

Purpose of the Study:

  • To define and clarify self-determination for community-dwelling frail older people.
  • Establish a flexible, context-aware definition.

Main Methods:

  • Utilized Walker & Avant's concept analysis procedure.
  • Supplemented with content analysis of 21 relevant articles.
  • Identified textual attributes for a conceptual definition.

Main Results:

  • Self-determination applied to decision-making, professional views, health, and rights.
  • Proposed definition: A process of control, legal/ethical rights, and informed decision-making ability.
  • Identified diverse contextual uses for community-dwelling older adults.

Conclusions:

  • Clarified the concept of self-determination for research with frail older adults.
  • Provides a foundational definition for occupational therapy practice.
  • Enhances understanding of autonomy in aging populations.