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Association between satisfaction and participation in everyday occupations after stroke
Aileen Bergström1, Susanne Guidetti1, Kerstin Tham1
1a Department of Neurobiology, Care Science and Society, Division of Occupational Therapy , Karolinska Institutet , Huddinge , Sweden.
Scandinavian Journal of Occupational Therapy
|October 25, 2016
Summary
Occupational therapy patients who engage in desired daily activities report higher satisfaction. This study confirms that participation in wanted occupations is key to patient satisfaction post-stroke.
Area of Science:
- Occupational therapy
- Rehabilitation science
- Health psychology
Background:
- Occupational therapy assumes patient satisfaction stems from engaging in desired daily activities.
- Empirical evidence supporting this assumption is limited.
- Understanding this link is crucial for effective therapeutic interventions.
Purpose of the Study:
- To investigate the relationship between satisfaction and participation in everyday occupations.
- To explore this relationship in a Swedish cohort five years after stroke.
- To provide empirical evidence for a core tenet of occupational therapy.
Main Methods:
- Utilized the Occupational Gaps Questionnaire (OGQ) with 69 participants.
- OGQ assesses subjective participation restrictions (discrepancy between doing and wanting to do activities).
- Measured satisfaction per activity and analyzed data using McNemar/chi-square tests.
Main Results:
- Seventy percent of participants reported participation restrictions.
- Individuals without participation restrictions showed significantly higher satisfaction (p=.002).
- Participants performing desired activities reported 79-100% satisfaction.
Conclusions:
- A significant association exists between satisfaction and participation in desired everyday occupations post-stroke.
- This finding empirically supports a fundamental assumption in occupational therapy.
- The study highlights the importance of measuring both satisfaction and participation in daily activities.

