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Health Management and Time-Use With Tetraplegia: A Narrative Inquiry.

Amanda E Balser1, Dana M Howell1, Donna Colaianni1

  • 1Eastern Kentucky University, Richmond, USA.

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Summary
This summary is machine-generated.

Understanding time-use for individuals with tetraplegia is crucial. This study explores how health management routines and caregiver reliance impact daily life and participation in meaningful occupations.

Keywords:
healthoccupational therapyqualitative researchspinal cord injurytime studies

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Area of Science:

  • * Occupational therapy
  • * Rehabilitation science
  • * Health management

Background:

  • * Limited understanding of time-use in health management for individuals with tetraplegia.
  • * Impact of health management routines on occupational participation remains underexplored.
  • * Need for insights into the dynamic nature of disability and its effect on daily life.

Purpose of the Study:

  • * To explore the time-use of an individual with tetraplegia.
  • * To understand factors influencing changes in health-management routines over time.
  • * To examine the relationship between time-use, health management, and occupational engagement.

Main Methods:

  • * Qualitative narrative inquiry approach.
  • * Data collection through observation, time-use logs, and interviews.
  • * Analysis of five interpretive stories detailing lived experiences.

Main Results:

  • * Situational contexts significantly disrupt engagement in routines.
  • * Increased reliance on caregivers for daily activities was observed.
  • * Themes included caregiver influence, self-efficacy, positive thinking, meaning-making, and the impact of schedules.

Conclusions:

  • * Clinicians need to appreciate the evolving nature of disability in tetraplegia.
  • * Interventions should consider the dynamic interplay of health management, time-use, and occupational participation.
  • * Understanding the lived experience is key to effective client-centered care.