title: Improving Personal Characterization of Meaningful Activity in Adults with Chronic Conditions Living in a Low-Income Housing Community.
abstract: OBJECTIVE
  To understand how adults living in a low-income, public housing community characterize meaningful activity (activity that gives life purpose) and if through short-term intervention, could overcome identified individual and environmental barriers to activity engagement.
  
  
  METHODS
  We used a mixed methods design where Phase 1 (qualitative) informed the development of Phase 2 (quantitative). Focus groups were conducted with residents of two low-income, public housing communities to understand their characterization of meaningful activity and health. From these results, we developed a theory-based group intervention for overcoming barriers to engagement in meaningful activity. Finally, we examined change in self-report scores from the Meaningful Activity Participation Assessment (MAPA) and the Engagement in Meaningful Activity Survey (EMAS).
  
  
  RESULTS
  Health literacy appeared to impact understanding of the questions in Phase 1. Activity availability, transportation, income and functional limitations were reported as barriers to meaningful activity. Phase 2 within group analysis revealed a significant difference in MAPA pre-post scores (p =0.007), but not EMAS (p =0.33).
  
  
  CONCLUSIONS
  Health literacy should be assessed and addressed in this population prior to intervention. After a group intervention, participants had a change in characterization of what is considered healthy, meaningful activity but reported fewer changes to how their activities aligned with their values.
authors.affiliation: Occupational Therapy Program, College of Allied Health, University of Oklahoma, 1200 N. Stonewall Avenue, Oklahoma City, OK 73117, USA. carrie-ciro@ouhsc.edu.
authors.forename: Carrie A
authors.initials: CA
authors.lastname: Ciro
authors.affiliation: College of Nursing, University of Oklahoma, 1100 N Stonewall Ave, Oklahoma City, OK 73117, USA. patsy-smith@ouhsc.edu.
authors.forename: Patsy
authors.initials: P
authors.lastname: Smith
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D001294:Attitude to Health; D002908:Chronic Disease / Q000523:psychology / Q000628:therapy*; D005260:Female; D017144:Focus Groups; D006304:Health Status; D006801:Humans; D008297:Male; D008875:Middle Aged; D009042:Motivation; D009788:Occupational Therapy / Q000379:methods*; D010865:Pilot Projects; D011203:Poverty; D011638:Public Housing; D036301:Qualitative Research; D058992:Social Participation / Q000523:psychology*
keywords: (feasibility) study; ageing; behavior change intervention; meaningful activity; mixed-methods; occupational therapy; public housing