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The complexity of daily occupations in multiple sclerosis.

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Author

Summary, in English

The aims of this study were to describe which self-care, productivity, and leisure occupations individuals with multiple sclerosis (MS) perceive as difficult to perform on admission to rehabilitation and the individuals' own perception of the importance of, performance of, and satisfaction with these occupations. Whether the reported self-care, productivity, and leisure occupations were related to sex, age, disease severity, and living arrangements was also investigated. Forty-seven men and women (mean age 49.4 years) were assessed with the Canadian Occupational Performance Measure (COPM) on admission to rehabilitation. The individuals reported 366 occupations (median 8, range 3-15), which were categorized as self-care (51%), productivity (30%), and leisure (19%). Three COPM subcategories—household management (26%), personal care (21%), and functional mobility (20%)—accounted for two-thirds of the reported occupations. All prioritized occupations (n=238; (median 5, range 2-7) had high ratings for importance and the ratings for performance and satisfaction were generally low. Men reported significantly more occupations related to self-care than women, but no significant difference between the sexes could be found for productivity and leisure. No significant differences between the occupational areas were found when age, disease severity, or/and living arrangements were included in the analysis. In conclusion, individuals with MS perceive difficulties with occupations related to all aspects of daily life. This underscores the need to use assessment tools that capture the complexity of daily occupations.

Publishing year

2006

Language

English

Pages

8-241

Publication/Series

Scandinavian Journal of Occupational Therapy

Volume

13

Issue

4

Document type

Journal article

Publisher

Taylor & Francis

Topic

  • Occupational Therapy

Keywords

  • Activities of daily living
  • multiple sclerosis
  • outcome assessment
  • patient-centred care
  • rehabilitation

Status

Published

Research group

  • Sustainable occupations and health in a life course perspective

ISBN/ISSN/Other

  • ISSN: 1651-2014