Why Do Young Drivers and Accompanying People Enrol in L17, and How Do Differences in Motivations and Influence from the Social Environment Affect Their User Experience and Compliance? A Qualitative Study with the Socio-Ecological Model as a Framework

Occupational therapists have become increasingly concerned with factors beyond the individual which impact occupational performance. Several recent models propose that the environment is a significant influence on occupational performance and upon its meaningfulness. An in-depth, qualitative study was conducted which explored the meaning of occupational engagement for eight women with mental illness (Rebeiro & Cook, 1999). This study yielded several important insights about the environment, which have recently been replicated by Legault and Rebeiro (2001) and Rebeiro, Day, Semeniuk, O'Brien, and Wilson (In Press). Participants suggested that environments that provide opportunity, and not prescription are more conducive to fostering occupational performance. Participants further suggested that an environment that provides Affirmation of the individual as a person of worth, a place to belong, and a place to be supported, enables occupational performance over time. A series of research studies indicated that the social environment is an important consideration in planning therapeutic interventions which aim to enable occupation. Implications for occupational therapy practice, education and research are offered

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Brazilian Children’s Understanding of the Quality of Life in Their Living Environment: A Qualitative Study

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph17145101 ◽

2020 ◽

Vol 17 (14) ◽

pp. 5101

Author(s):

Camilla Aparecida Silva de Oliveira ◽

Andréa Maria Duarte Vargas ◽

Fernanda de Morais Ferreira ◽

Efigênia Ferreira e Ferreira

Keyword(s):

Quality Of Life ◽

Content Analysis ◽

Qualitative Study ◽

Social Environment ◽

Physical Environment ◽

Living Environment ◽

Public And Private ◽

The Social ◽

Graphic Elements

(1) Objective: To understand the perception of Brazilian children about the Quality of Life (QoL) considering their living environment. (2) Methods: This is a qualitative study conducted with children aged 6–10 years, from a medium-sized Brazilian municipality, recruited from public and private schools. An adaptation of the “draw, write, and say” method was used to collect data. At first, all children (n = 252) drew a “neighborhood with QoL”. On the same day, the researcher analyzed the graphic elements of the representations and intentionally selected the two best-detailed drawings from each class (n = 49) and the children were invited to narrate them. The narratives were analyzed through content analysis. (3) Results: Two major themes emerged from the content analysis, namely, the physical environment and social environment. The first included the needs to live in a community, such as housing, places of leisure, essential services, and natural elements. The second was relationships with family and friends. (4) Conclusion: The children presented the meaning of an environment with QoL, pointing out essential items to have this ideal environment. The social environment and the physical environment were perceived interdependently; that is, any change in one of these aspects may affect children’s QoL.

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A Qualitative Study Exploring How Family Planning Beliefs and Attitudes Contribute to Family Planning Behavior in Rural, Southeastern Kenya: Application of the Social Ecological Model

World Medical & Health Policy ◽

10.1002/wmh3.207 ◽

2016 ◽

Vol 8 (4) ◽

pp. 364-381 ◽

Cited By ~ 1

Author(s):

Michele Coleman ◽

Araceli Alonso

Keyword(s):

Family Planning ◽

Qualitative Study ◽

Ecological Model ◽

Social Ecological Model ◽

Social Ecological ◽

The Social ◽

Beliefs And Attitudes

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Factors influencing decision making for kidney transplantation among Black and Latino patients on dialysis: A qualitative study applying the social ecological model

Chronic Illness ◽

10.1177/1742395320959411 ◽

2020 ◽

pp. 174239532095941

Author(s):

Diandra Wong ◽

Tina Adjei-Bosompem ◽

Lakia Maxwell ◽

Jennifer Melendez-Suarez ◽

Barry Smith ◽

...

Keyword(s):

Decision Making ◽

Social Networks ◽

Kidney Transplantation ◽

Qualitative Study ◽

Health System ◽

Ecological Model ◽

Social Ecological Model ◽

Decision Making Process ◽

Social Ecological ◽

The Social

Objectives This qualitative study explored factors that may influence decisions regarding kidney transplantation among African-American and Latino adults on dialysis. Methods Qualitative interviews were audio-recorded and transcribed. Open-coding techniques were used to identify concepts, categories, and themes. The Social Ecological Model (SEM) was used to organize themes and identify potential solutions across multiple levels (individual, interpersonal, community, and policy/health system). Results Thirty-six patients were interviewed. Their mean age was 53 SD 12 years; 50% were female; and their duration on dialysis was 4.9 SD 6 years. Five themes emerged and were organized according to the levels of the SEM: 1) Fear about the outcomes of transplantation and 2) faith in God (individual level); 3) Family dynamics and reluctance to involve family in the decision making process (interpersonal level); 4) The experiences of friends and social networks (community level); and 5) Concerns about the social and economic impact of transplantation (policy and health system). Discussion The application of a Social Ecological model in this study helped to illuminate the complex and multilevel factors that may influence the decisions for kidney transplantation. Future studies are needed to further explore how family members, social networks, faith communities, and policies/health systems influence the decision making process.

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Towards healthy settings for people with intellectual disabilities

Health Promotion International ◽

10.1093/heapro/daz054 ◽

2019 ◽

Vol 35 (4) ◽

pp. 661-670 ◽

Cited By ~ 1

Author(s):

Kristel Vlot-van Anrooij ◽

J Naaldenberg ◽

T I M Hilgenkamp ◽

L Vaandrager ◽

K van der Velden ◽

...

Keyword(s):

Intellectual Disabilities ◽

Concept Mapping ◽

Social Environment ◽

Physical Environment ◽

Ecological Model ◽

Care Providers ◽

The Social ◽

Health Promoting ◽

Settings Approach ◽

People With Intellectual Disabilities

Abstract People with intellectual disabilities (ID) depend on their environment for support to live healthily. The characteristics of healthy settings for people with ID are unknown. This study aims to conceptualize healthy settings for people with ID by conducting an international and multidisciplinary concept mapping study. As theoretical framework the settings approach, an ecological model with a whole system focus toward health promotion, was used. The integrative mixed-methods approach of this study involved concept mapping with researchers specialized in healthcare for people with ID and researchers specialized in healthy settings. The 41 participants generated statements that were later sorted and rated. Findings encompass 13 clusters relating to the social environment, the physical environment and societal preconditions. Specific factors of healthy settings for people with ID include: (i) universal design of the physical environment, (ii) the role of care professionals in the social environment to empower people with ID, (iii) possibilities for care providers to contribute to a health-promoting setting and (iv) preconditions that allow people to engage in society. These factors can be used in strategies to apply the approach in practice and give directions to put in place policies on developing enabling environments and decreasing health inequities.

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