title: Understanding primary carers' occupational adaptation and engagement.
abstract: OBJECTIVE
  Primary carers for people with intellectual disability living in remote rural areas experience high demand care commitments that may require them to be available twenty-four hours seven days a week and reduce their access to formal or respite support leaving them little time to engage in other occupations. The aim of this study was to explore the impact of caring for a person with an intellectual disability living in remote rural farming location on primary carers' occupational engagement.
  
  
  METHODS
  A thematic analysis, using an interpretive phenomenological analysis approach, was conducted on seven in-depth semi-structured interviews of primary carers.
  
  
  RESULTS
  Occupational adaptation and engagement, emerging as a primary theme, indicated that primary carers' occupations were affected by: limiting opportunity to develop occupations; developing new occupations; adapting occupations; and ceasing occupations. A number of influencing themes, affecting the primary carers' occupational engagement also emerged, including: lifestyle and occupational roles; wellness and health; engaging quality supports; societal and community context; and vision for the future.
  
  
  CONCLUSIONS
  The results provided an initial understanding of the impact of caring on the primary carers' occupational adaptation and engagement, and a suggestion that clinicians consider using a family-centred approach as an effective and meaningful intervention.
authors.affiliation: School of Occupational Therapy and Social Work, Curtin Health Innovation Research Institute, Curtin University, Perth, Western Australia, Australia.
authors.forename: Carmel
authors.initials: C
authors.lastname: McDougall
authors.forename: Angus
authors.initials: A
authors.lastname: Buchanan
authors.forename: Sunila
authors.initials: S
authors.lastname: Peterson
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D000368:Aged; D017028:Caregivers / Q000523:psychology*; D005260:Female; D006301:Health Services Needs and Demand; D006801:Humans; D008607:Intellectual Disability / Q000534:rehabilitation*; D008297:Male; D008875:Middle Aged; D009788:Occupational Therapy / Q000379:methods*; D011320:Primary Health Care / Q000379:methods; D011361:Professional Competence; D011369:Professional-Patient Relations; D012144:Respite Care / Q000706:statistics & numerical data; D012424:Rural Population; D012944:Social Support; D014904:Western Australia
keywords: family; intellectual disability; occupation; rural and remote