Journal de la démence

Abstrait

Conceptual model of the purpose of meaningful occupation for people living with dementia developed through Systematic Review and Qualitative Evidence Synthesis

Katherine Strick

Guidance for the provision of care for people with dementia asserts that occupation people find meaningful is essential for wellbeing, however definitions of meaningful occupation are often very broad with the intrinsic meaning coming from within the person rather than the activity. As such the purpose of meaningful occupation, and how to gauge its effectiveness can be inconsistent. Through analysing the different purposes that occupation for people with dementia is perceived to have, this study created a conceptual model depicting the types of meaning that are seen as stemming from occupation. The conceptual model was based on systematic review and evidence synthesis of 20 qualitative papers using meta-ethnography. The fundamental purpose of occupation identified was to support the person with dementia to feel they were living a meaningful and fulfilling life. Three domains which support a person to gain a sense of fulfilment through their occupations: A catalytic environment: For an occupation to be meaningful for a person with dementia it must be perceived by them as having value and legitimacy, this is supported by the physical and social environment around the person. A meaningful life: Living a meaningful life involves the person with dementia continuing to maintain links from across their life course in a way which supports their sense of personal value. This is reflective of their past, though also supports their present and future identity. Occupation as a tool: Occupation can also be used a tool by people with dementia and those supporting them as a means to bring about a desired effect e.g. relieving anxiety Conclusions: The model proposes how occupation could support meaning in multiple ways, and considered how these forms of meaning were influenced by the world views and values of the individual, and context in which they were experienced.