BackgroundRefugees encounter texts such as course books, pamphlets and exams during mandatory integration in the Netherlands. Texts present explicit or implicit messages to refugees on “successful” integration and citizenship.The What’s the Problem Represented to Be? (WPR) approach from Carol Bacchi, allows us to understand how texts are a presentation of governments see problems, and what is needing to be fixed. Applying an occupational lens facilitates identification of occupations promoted as desirable or discouraged towards those striving for citizenship.Relevance:Discourse in integration programs can be considered as a tool of governance, aiming to promote “acceptable” everyday occupations during the transition to citizenship.Aim:This presentation aims to present findings of an initial analysis for discussion. The main aim of the research project, is to explore the impact of differing discourses in integration programs in the Netherlands, including government and citizen programs, to understand the consequences of these discourses on the lives of refugees.Identify Gaps: This research addresses important gaps in current integration research. Firstly, this research focuses on texts in practice, while previous research has largely focused on the policy texts. Secondly, this research program will focus on not only government integration programs, but also those who are being initiated and facilitated by citizens in the Netherlands’.Theoretical Foundation:Theoretical approach inspired by Foucault governmentality. Critical analysis of discourse in texts is informed by Bacchi’s WPR approach. Concept of citizenship will be framed with Isin’s concept of acts of citizenship. Theories from occupational science, such as occupational possibilities, will facilitating understanding of how occupations are promoted in practice.Conclusion:Textual documents, utilized in practice, are important to include when exploring the relationship between discourse and everyday doing. It is important to consider discourse as a tool of governance and how it impacts on the occupational engagement of refugees.
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Participation in everyday occupations influences people's health and well-being. To enable individuals to do the activities they want and need to do is the main concern of occupational therapy practice. Many daily occupations are universal, but they also depend on culture. The development of the Activity Card Sort in eight countries has offered the opportunity to describe occupations across cultures. In the developmental process of culturally relevant versions of the Activity Card Sort by occupational therapists in each country, the instrument versions included samples of older adults (N = 468). These data are used in the current description with the aim of identifying central activities across cultures and central activities for Asian and Western cultures. Te n activities were identified as being central across cultures (i.e., more than half of the older adults in all eight countries performed them). They were the following: shopping in a store, doing grocery shopping, doing dishes, doing laundry, reading books or magazines, sitting and thinking, watching television, listening to radio or music, visiting with friends and relatives, and talking on the telephone. Further, 16 additional activities central to Asian culture and 18 activities central to Western culture were identified. The identification of central activities deepens knowledge of activities with cultural significance. This knowledge is needed in clinical practice and multicultural research. This description provides a starting point for further exploration of everyday occupations among older adults.
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The imbalance between demand and supply in Dutch healthcare led to the introduction of task redistribution at the beginning of the 21st century. Some new occupations arrived, and many, especially occupations in allied healthcare, underwent major changes in scope of practice and authorization. One example is dental hygiene, which is the field of study chosen for this thesis.
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Background: Smoking is an avoidable risk factor for diseases, impacting socioeconomic and health care systems globally. The meaning, purposes, and values related to continued smoking after being diagnosed with COPD have not yet been sufficiently explored from an occupational perspective. Gaining an understanding of why people continue to engage in health-compromising or harmful occupations facilitates a more inclusive view on and discussion of occupation. The purpose of this study was to explore meaning construction regarding the occupation of tobacco smoking of people living with COPD in Germany. Methods: This study applied an interpretative phenomenology analysis (IPA) approach to explore the lived experience of people living with COPD who continue to smoke. Four participants were interviewed. Their accounts were then analysed following IPA guidelines. Findings: Three themes emerged from the data: Set in stone, Forbidden fruit, and To wear sackcloth and ashes. Smoking was experienced as a meaningful occupation, and it was especially valued for how it structured the day. Smoking was a familiar habit, and it supported emotional, physical, and cognitive well-being, and contributed to sense of identity. Conclusion: The findings illustrate the importance of understanding occupations that are not positively related to physical health and well-being because of their harmful nature. The findings of this study suggest that occupations do not need to be health-promoting, productive, or reasonable to be meaningful to individuals—meaning is constructed by subjective perceptions of enjoyment, pleasure, and well-being and by experiencing a sense of restoration and reward when engaging in them.
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We assess the incidence of numeracy skills mismatch in five countries: Belgium, Chile, Italy, Netherlands, and the United States of America. To do this, we make use of a new approach (Brun-Schamme & Rey, 2021), namely by identifying someone as being mismatched if the score for numeracy skills is outside the interval [median – SD , median + SD]. We make use of the PIAAC dataset, collected by the OECD, a survey that measures adults’ proficiency in numeracy among other type of skills. We find that 14% of the workers are over-skilled, whereas 16% are under-skilled. Being over-skilled is more likely for men, younger age-groups, having a high level of education, using numeracy skills often at work, and having studied science, mathematics, and engineering.
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Introduction:Community development approaches are increasingly used by occupational therapists in response to occupational justice theory, which posits that both individuals and community groups may be denied access to meaningful occupations through societal powers outside their control. Previous research has found that occupational therapists feel insufficiently prepared for a role in community development and tend to use their general skill set, sometimes in combination with generic community development approaches. This study explored whether the reflective framework for community development in occupational therapy is applicable and useful for occupational therapists in the United Kingdom.Methods:A mixed methods approach was used, combining an online questionnaire and focus groups with occupational therapists who already work in community development. Findings were compared with the framework.Findings:The participants recognised most aspects of the Framework in their own practice, but some key aspects such as collaboration with the community at every stage were less prominent. They found the framework applicable to the UK context, particularly for occupational therapists inexperienced in community development practice.Conclusion:This study has highlighted community development practice by occupational therapists in the United Kingdom and concluded that the framework would support them in fulfilling this role more effectively.
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Introduction: People on the autism spectrum often struggle to transition smoothly between occupations in daily life. Objective: This qualitative inquiry aimed to understand the human and non-human factors that influence occupational transitions from the perspectives of adults on the autism spectrum. Method: Using a constructivist grounded theory design, this study purposively gathered data from eight adults on the autism spectrum who shared their viewpoints via semi-structured interviews and self-produced written texts. Framed by the Cultural Historical Activity Theory, an iterative process of constant comparative analysis was employed, yielding six categories that constituted the assembly of a working theory on occupational transitions among adults on the autism spectrum. Results: Drawn from eight participants, the six categories were: 1) getting ready, 2) the attributes of the occupation, 3) the others, 4) strategies of the moment, 5) cumulative stress, and 6) possible ends of the process. Conclusion: Our findings revealed a nuanced understanding on occupational transitions for adults with autism. First, materiality (non-human entities) serves various purposes in occupational transitions, implying that in some cases, intangible materials (tacit knowledge) would be enough to initiate, aid, or terminate occupational transitions. Second, doing transitions together through the optimization of social support and resources can make occupational transitions more meaningful for adults in the autism spectrum. It is our ambition that these propositions be tested and emphasized in occupational therapy, healthcare, and social care practices.
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Children with special educational needs included in Austrian mainstream schools are provided with special educational support, which aim to create learning environments, that meet the children’s needs on an individual level. Little is known about what adjustments children with special educational needs in mainstream school classes require to promote participation in school occupations. This is the first study in Austria exploring the student-environment-fit from self-perceived children’s perspective and comparing this to teachers’ perspective by using the School Setting Interview. In this cross-sectional matched pairs study twenty-five children (mean age 12.5 ± 1.4) with special educational needs and twenty-one teachers from six Austrian secondary schools were interviewed. Participants’ ratings were analyzed descriptively and statistically with Wilcoxon-Sign Rank Test. Reported adjustments from the child and teacher perspectives were analyzed with qualitative content analysis and presented using the occupational, social and physical environmental dimensions from the Model of Human Occupation. Results indicate perceived student-environment-fit differs between school activities as well as between children and teachers. Three out of 16 school activities showed a statistically significant difference between children and teacher matched-pair analysis. Children perceive more unmet needs then teachers. Most adjustments are reported in the social environment dimension and inform practitioners what adjustments are perceived to be useful for children with Special Educational Needs and their teachers. Both children’s and teacher’s perspectives provide valuable information. Significantly, children in this study were able to identify required needs and describe adjustments. To increase participation in school occupations, children can and need to be actively included in the decision-making process.
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In the Netherlands and Europe, there exist approaches to refugee (re)settlement where asylum seekers face long waiting periods, in large-scale centres often isolated from Dutch society, with little-to-no opportunity to structure their day or participate in activities which bring meaning to their lives. These activities, which bring meaning people’s lives are termed occupations in the occupational therapy and occupation science literature. When the context hinders the opportunity to engage in these meaningful occupations, one experiences a situation of occupational injustice. These approaches taken in the Netherland and internationally creates the state of occupation injustice, this lack of ability to engage in meaningful activities, and this is turn has been documented to have negative effects on refugees health, well-being, identity and eventual inclusion in society.Parallel to these standard approaches in the Netherlands, are alternative approaches to refugee resettlement and integration. These alternatives are oftenbeing facilitated by charities, community-based organizations and citizen initiatives. Alternative programs currently aim to counter the government programs and focus on safe passages, for vulnerable populations, with an emphasis on early inclusion in society, community placement, sponsorship, and integration from the time of arrival. These alternative programs claim to address the issues of lack of meaningful engagement and isolation as currently seen in standard procedures, thereby claiming to improve integration, inclusion and wellbeing.This research aims to explore the lives and experiences of both the individuals living in, as well as the individuals facilitating these alternative programs. The research will explore how these programs are situated in and/or actively negotiating the broader context of refugee programs and policies in the Netherlands. This exploration will include the perspectives of the multiple actors involved, including service users and service providers, using a participatory methodology.Through exploring the perspectives on alternative programs through a participatory evaluation format, we are able to explore these programs as they are described, evaluated and experienced by theservices users themselves. This allows for a grounded understanding of the programs and their further potential.
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Global issues, including the current pandemic and ongoing climate change, shape voluntary and forced international migration flows in inequitable ways. Anti-immigrant discourses in the Global North seek to capitalize on public concerns about border control. Meanwhile, the greatest immigration challenges are borne by countries in the Global South. The majority of refugees who are forcibly displaced by war, political violence, poverty, and environmental disasters seek refuge in neighbouring regions where many states lack the capacity to adequately support them. Given these challenges, it is imperative for occupational scientists to work collaboratively to support equitable occupational possibilities for immigrants, refugees, and internally displaced persons. During this dialogic session we will 1) outline useful theoretical approaches for understanding how migration shapes engagement in occupations; 2) discuss specific ethical considerations and methods for studying migration and its occupational implications; and 3) share promising practices for working with people from migration backgrounds. Each topic will be introduced through a brief presentation from one of the co-authors sharing vignettes from their own research and professional experiences to ignite discussions. Following each of the three presentations, participants will be grouped strategically to build networks among those with similar interests. This may include grouping participants who share a language.>What are the gaps in occupation-based research on global migration, and how can these be collaboratively addressed?>How can occupational science contribute to discussions within migration studies?>What occupational concepts are most useful for studying different migrant populations?
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