A Methodology for Developing Evidence about Meaning in Occupation: Exploring the Meaning of Working

Abstract

Using research-based evidence to support practice is becoming a standard of care. Although occupational therapists believe that occupation can be used as a therapeutic agent to promote health and well-being in their clients, there is only limited research to support this. One reason for this is the difficulty in quantitatively constructing “occupation” for research. This article describes one method that can be used to quantitatively measure meaning, an important indicator of occupation. This study explicates the “meaning” of working as examined through three interconnected constructs of work meaning (work centrality, societal norms about working, and valued work outcomes) and provides an exemplar study in which these three constructs were used to examine the meaning of working in a group of telecommunication workers. The Meaning of Working Survey was used to gather information from 170 telecommunication workers. Data from the survey were analyzed using both descriptive methods and cluster analysis. By evaluating these three constructs, it was possible to identify trends and patterns of the meaning of working for this group of workers. They did not view work as a central life role and viewed working as a constraint or a reciprocal arrangement. They valued benefits and wages over intrinsic outcomes. The cluster analysis revealed that meaning was generally related to external outcomes. The discussion focuses on how this methodology for measuring meaning could be used to develop research on the meaning of occupation and its effect on health outcomes. This study provides occupational therapy researchers with one quantitative methodology for examining the meaning of working and an exemplar on how that methodology has been used in research on meaning and occupation.