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Improving Personal Characterization of Meaningful Activity in Adults with Chronic Conditions Living in a Low-Income Housing Community

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  • Carrie A. Ciro

    (Occupational Therapy Program, College of Allied Health, University of Oklahoma, 1200 N. Stonewall Avenue, Oklahoma City, OK 73117, USA)

  • Patsy Smith

    (College of Nursing, University of Oklahoma, 1100 N Stonewall Ave, Oklahoma City, OK 73117, USA)

Abstract

Purpose: To understand how adults living in a low-income, public housing community characterize meaningful activity (activity that gives life purpose) and if through short-term intervention, could overcome identified individual and environmental barriers to activity engagement. Methods: We used a mixed methods design where Phase 1 (qualitative) informed the development of Phase 2 (quantitative). Focus groups were conducted with residents of two low-income, public housing communities to understand their characterization of meaningful activity and health. From these results, we developed a theory-based group intervention for overcoming barriers to engagement in meaningful activity. Finally, we examined change in self-report scores from the Meaningful Activity Participation Assessment (MAPA) and the Engagement in Meaningful Activity Survey (EMAS). Results: Health literacy appeared to impact understanding of the questions in Phase 1. Activity availability, transportation, income and functional limitations were reported as barriers to meaningful activity. Phase 2 within group analysis revealed a significant difference in MAPA pre-post scores ( p =0.007), but not EMAS ( p =0.33). Discussion: Health literacy should be assessed and addressed in this population prior to intervention. After a group intervention, participants had a change in characterization of what is considered healthy, meaningful activity but reported fewer changes to how their activities aligned with their values.

Suggested Citation

  • Carrie A. Ciro & Patsy Smith, 2015. "Improving Personal Characterization of Meaningful Activity in Adults with Chronic Conditions Living in a Low-Income Housing Community," IJERPH, MDPI, vol. 12(9), pages 1-17, September.
    • Handle: RePEc:gam:jijerp:v:12:y:2015:i:9:p:11379-11395:d:55595
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    References listed on IDEAS

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    1. Krieger, J. & Higgins, D.L., 2002. "Housing and health: Time again for public health action," American Journal of Public Health, American Public Health Association, vol. 92(5), pages 758-768.
    2. Florence Clark & Stanley P. Azen & Mike Carlson & Deborah Mandel & Laurie LaBree & Joel Hay & Ruth Zemke & Jeanne Jackson & Loren Lipson, 2001. "Embedding Health-Promoting Changes Into the Daily Lives of Independent-Living Older Adults," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 56(1), pages 60-63.
    3. Digenis-Bury, E.C. & Brooks, D.R. & Chen, L. & Ostrem, M. & Horsburgh, C.R., 2008. "Use of a population-based survey to describe the health of boston public housing residents," American Journal of Public Health, American Public Health Association, vol. 98(1), pages 85-91.
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