title: The influence of the environment on participation subsequent to rehabilitation as experienced by elderly people in Norway.
abstract: The aim of this study was to illuminate how the environment may influence participation among elderly people who have undergone community-based rehabilitation in Norway, after an acute illness or accident. Fourteen persons over 65 years of age were selected with the specific intention of gaining a variety of ages, both genders, and people living in different kinds of housing. Three focus groups were established and repeated interviews were held with each group. A constant comparative analysis was used to analyse the data. The main finding was that the participants experienced pressure from their environment to concentrate on performing the most necessary daily activities rather than on participation. Three main encounters with environments seemed to be important for this: encountering people and society, encountering private and formal assistance, and encountering occupation. The support that the participants received from family and friends was more important for their participation than having accessible physical environments. The findings suggest that occupational therapists must consider themselves to be part of a societal environment that can hinder participation.
authors.affiliation: Division of Occupational Therapy, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Sweden. Kjersti.Vik@hist.no
authors.forename: Kjersti
authors.initials: K
authors.lastname: Vik
authors.forename: Margareta
authors.initials: M
authors.lastname: Lilja
authors.forename: Louise
authors.initials: L
authors.lastname: Nygård
mesh_terms: D000203:Activities of Daily Living; D000368:Aged; D000369:Aged, 80 and over; D001294:Attitude to Health; D004779:Environment Design; D005260:Female; D017144:Focus Groups; D006297:Health Services Accessibility; D006299:Health Services for the Aged; D006801:Humans; D008297:Male; D009664:Norway; D009788:Occupational Therapy; D010349:Patient Compliance; D011369:Professional-Patient Relations; D012046:Rehabilitation / Q000523:psychology*; D013383:Suburban Population