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PLACE INTEGRATION OF NEWLY RELOCATED NURSING FACILITY RESIDENTS: UNDERSTANDING THE LINKS OF OCCUPATION AND ENVIRONMENT TO HEALTH
by
Thomas John Mernar
A Dissertation Presented to the
FACULTY OF THE GRADUATE SCHOOL
UNIVERSITY OF SOUTHERN CALIFORNIA
In Partial Fulfillment of the
Requirements for the Degree
DOCTOR OF PHILOSOPHY
(OCCUPATIONAL SCIENCE)
August 2008
Copyright 2008 Thomas John Mernar
Object Description
| Title | Place integration of newly relocated nursing facility residents: understanding the links of occupation and environment to health |
| Author | Mernar, Thomas J. |
| Author email | mernar@usc.edu; osphd@hotmail.com |
| Degree | Doctor of Philosophy |
| Document type | Dissertation |
| Degree program | Occupational Science |
| School | School of Dentistry |
| Date defended/completed | 2008-05-09 |
| Date submitted | 2008 |
| Restricted until | Unrestricted |
| Date published | 2008-08-01 |
| Advisor (committee chair) | Jackson, Jeanne M. |
| Advisor (committee member) |
Clark, Florence Carlson, Michael Xie, Bin Wilber, Kathleen H. |
| Abstract | OBJECTIVE. This study is the first to examine the transactional nature of occupation and environment and its links to perceived health through place integration for older adults newly relocating to a nursing facility.; METHODS. Using a non-experimental repeated measures design, older adults answered a questionnaire battery that addressed occupation, physical and social environmental climate, social networks, and perceived health during their first month (n=94) and second month (n=50) of residing in a nursing facility. Outcomes were compared during the first month, second month, and change from first to second month.; RESULTS. During the first month, a positive association was found between perceived physical health and a resident's engagement in importantly defined self-care occupations (p=0.004) and ability to perform self-care occupations (p=0.0003), while negatively associated with his or her engagement in importantly defined social occupations (p=0.001), self-disclosure (p=0.04), and frequency of visitations of close family and friends (p=0.02). Perceived mental health was found to be positively associated with environmental cohesion (p=0.03). At the second month, perceived physical health was negatively related with a resident's engagement in importantly defined play/leisure occupations (p=0.002) and ability to perform play/leisure occupations (p=0.02). Perceived mental health was found to have a positive association with a resident's engagement in importantly defined social occupations (p=0.004) and ability to perform social occupations (p= 0.0002). In the change from the first month to the second month, perceived physical health was negatively associated with a resident's engagement in importantly defined play/leisure occupations (p=0.006) and the ability to perform play/leisure occupations (p=0.02). Finally, perceived mental health was positively related to a resident's ability to engage in social occupations (p=0.007).; CONCLUSION. Engagement in a higher number of importantly defined occupations did not always yield a positive relationship to perceived health. Similarly, having a greater ability to perform certain types of occupations did not always predict perceived health. Findings of this study underscore the important dynamic of how different types of occupation and its transaction with various aspects of the physical and social environment relate to positive and negative changes in perceived health for older adults newly residing in nursing facilities. |
| Keyword | occupational science; place integration; gerontology; nursing facilities; long term care, |
| Language | English |
| Part of collection | University of Southern California dissertations and theses |
| Publisher (of the original version) | University of Southern California |
| Place of publication (of the original version) | Los Angeles, California |
| Publisher (of the digital version) | University of Southern California. Libraries |
| Type | texts |
| Legacy record ID | usctheses-m1502 |
| Contributing entity | University of Southern California |
| Rights | Mernar, Thomas J. |
| Repository name | Libraries, University of Southern California |
| Repository address | Los Angeles, California |
| Repository email | cisadmin@lib.usc.edu |
| Filename | etd-Mernar-2148 |
| Archival file | uscthesesreloadpub_Volume32/etd-Mernar-2148.pdf |
Description
| Title | Page 1 |
| Contributing entity | University of Southern California |
| Repository email | cisadmin@lib.usc.edu |
| Full text | PLACE INTEGRATION OF NEWLY RELOCATED NURSING FACILITY RESIDENTS: UNDERSTANDING THE LINKS OF OCCUPATION AND ENVIRONMENT TO HEALTH by Thomas John Mernar A Dissertation Presented to the FACULTY OF THE GRADUATE SCHOOL UNIVERSITY OF SOUTHERN CALIFORNIA In Partial Fulfillment of the Requirements for the Degree DOCTOR OF PHILOSOPHY (OCCUPATIONAL SCIENCE) August 2008 Copyright 2008 Thomas John Mernar |
