Quality of Time Use by Adults With Spinal Cord Injuries

Author:

Yerxa Elizabeth J.1,Locker Susan Baum2

Affiliation:

1. Elizabeth J. Yerxa, EdD, LHD (Hon.), OTR, FAOTA, is Professor Emeritus, Department of Occupational Therapy, University of Southern California, Los Angeles, California. (Mailing address: Route 1, 196 Columbine, Bishop, California 93514)

2. Susan Baum Locker, MS, OTR, is Director of Occupational Therapy, Long Beach Community Hospital, Long Beach, California

Abstract

Abstract The self-perceived quality of time use of 15 community-based adults with spinal cord injuries was compared with that of 12 age- and sex-matched nondisabled adults through the use of the Activity Configuration Log (modified from an unpublished clinical assessment developed by Claudia Allen). Differences in how subjects classified their daily occupations were found between and within groups, especially for the categories of Work, Self-Maintenance, and Other. The results suggest that the subjects’ classifications of occupations and interpretations of their meanings are important sources of information for both the science of occupation and occupational therapy practice. The subjects with spinal cord injuries had a high rate of unemployment (67%) and much more daily free time than did their nondisabled counterparts. The affective quality of particular occupations was found to be related to the affective quality of the entire day. Occupational therapists agreed more with each other than with the subjects with disabilities when classifying occupations. Implications for practice and research are provided.

Publisher

AOTA Press

Subject

Occupational Therapy

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