title: The meaning of spirituality for individuals with disabilities.
abstract: OBJECTIVE
  To examine the experiences of people with disabilities regarding their spirituality and its meaning for them. This study asked: What are the differences in the meaning of spirituality in the lives of individuals with childhood onset disabilities when compared to those with adult onset disabilities?
  
  
  METHODS
  This qualitative study involved semi-structured individual interviews of 12 adults, six with childhood onset and six with adult onset disabilities. Member checking of both transcribed data and open coding was done to ensure trustworthiness. Data was analyzed using open, axial, and selective coding.
  
  
  RESULTS
  Findings suggested that the two groups held different perceptions about the meaning of spirituality. For childhood onset participants, two categories of 'connecting and expressing for purpose and meaning in life', and 'disability as a vehicle to discover god's purpose' were generated. For adult onset participants, two categories of 'connecting and expressing through feelings and actions', and 'disability as a catalyst for spiritual awakening' were derived from the data.
  
  
  CONCLUSIONS
  Individuals with childhood and adult onset disabilities perceive and experience spirituality differently. Therefore, different approaches to using spirituality in practice need to be employed for the two groups. Suggestions are provided for incorporating spirituality into occupational therapy practice.
authors.affiliation: The University of Alabama, Birmingham, Alabama 35294, USA. Schulze@uab.edu
authors.forename: Emily K
authors.initials: EK
authors.lastname: Schulz
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D017668:Age of Onset; D001294:Attitude to Health; D006233:Persons with Disabilities / Q000523:psychology*; D005260:Female; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D008875:Middle Aged; D029181:Spirituality