Journal article review: Meaningfulness and daily occupations
Meaningfulness and daily occupations among individuals with
persistent mental illness - reviewed by Dr Katrina Bannigan,
Director Research Centre for Occupation and Mental Health
(RCOMH)
The focus of this article was to investigate
how people with persistent mental illness, who have different types
of daily structure, experience and describe the meaningfulness of
their daily occupations. The study reported was a small study that
contributed to a larger study about the importance of competitive
work or studying compared to community based daily activities and
no regular daily activity, for health and well being. It is an
example of how different methodologies can be used to explore
different aspects of a research question. The study is described in
the paper as a qualitative study, which is disappointing because
‘qualitative’ describes the paradigm the researcher was working in
not the actual study design, approach or tradition the researcher
was using. There were 102 participants who were from the three
groups being studied in the larger study, i.e. those with
competitive work or studying (n=34), those attending community
based activity centres (n=35) and those with no regular structured
activities (n=33). The participants were interviewed using the
yesterday activity diary, which is usually used in time use
studies, but was adapted to explore the participants’ perceptions
of the meaning or value of the occupations they had performed. The
interviews were recorded by writing notes in the interview and then
typing up verbatim afterwards, this will inevitably mean that some
data may have been lost due to memory and because it
is difficult to write, listen and talk at the same time.
There is a detailed explanation of the data analysis, involving
more than one researcher, with different backgrounds, and there was
a high level of agreement which increases confidence in the
trustworthiness of the study. Five themes were identified that
described the facets of meaningfulness and there were 13 categories
that emerged from the data to explain these themes. The five themes
were:
- Connection with others and the world around
them
- Enjoyment and fun in life
- Being productive and having a sense of
achievement
- Being occupied and having routines and
projects in the stream of time
- Taking care of oneself to maintain
health.
These themes are explained in-depth in the
text and discussed in relation to a range of literature. The
authors were careful to point out “When investigating experienced
meaningfulness at a group level, it is important to bear in mind
the complexity, dynamics and uniqueness of human occupation. Human
occupation, and its associated meaningfulness, is truly unique and
highly individual across events, over time and within different
contexts. Hence this study cannot provide knowledge about which
occupations are most meaningful for all people with persistent
mental illness. Investigating these unique experiences at a
group level can, however, generate knowledge about the most
commonly experienced and shared aspects of meaningfulness in daily
occupations ” (p32). There was no evidence of reflexivity. Overall,
whilst there are some flaws in the text, I found this an extremely
interesting read and it does contribute to the body of knowledge in
occupational science about the perceived meaningfulness of
occupation. It is worth reading from a methodological and
occupation perspective.
The full reference for the article is
Leufstadius C, Erlandsson LK, Björkman T, Eklund M (2008)
Meaningfulness in Daily Occupations among Individuals with
Persistent Mental Illness. Journal of Occupational
Science, 15 (1) 27-35.