Occupational Therapy Program Student Theses, Dissertations and Capstones
Document Type
Dissertation
Degree Name
Doctor of Philosophy (PhD) in Occupational Therapy
Copyright Statement
All rights reserved. This publication is intended for use solely by faculty, students, and staff of Nova Southeastern University. No part of this publication may be reproduced, distributed, or transmitted in any form or by any means, now known or later developed, including but not limited to photocopying, recording, or other electronic or mechanical methods, without the prior written permission of the author or the publisher.
Department
College of Health Care Sciences – Occupational Therapy Department
First Advisor
Rachelle Dorne
Publication Date / Copyright Date
2014
Publisher
Nova Southeastern University
NSUWorks Citation
Kathleen Subasic. 2014. Planning for the future : a grounded theory study of well older adults' decision-making regarding home modifications. Doctoral dissertation. Nova Southeastern University. Retrieved from NSUWorks, College of Health Care Sciences – Occupational Therapy Department. (32)
https://nsuworks.nova.edu/hpd_ot_student_dissertations/32.
Abstract
The purpose of this dissertation research was to understand the decision-making process that well older adults use when deciding whether to make a home modification. The researcher also sought to understand the views of well older adults concerning the use of home modification to prevent injury and declines in occupational performance. The researcher used the Person-Environment-Occupation (PEO) model (Law et al., 1996) from occupational therapy and occupational science as the orienting framework.
A qualitative grounded theory approach based on that proposed by Strauss and Corbin (1998) was used to structure data collection and analysis. Participants were obtained using purposive and theoretical sampling and were interviewed by the researcher. The 19 participants in this study ranged in age from 65 to 89.
Findings from this study include a model of the decision-making process that well older adults used to plan for their futures related to home setting and modification and also a substantive grounded theory. The Theory of Home Modification Decision-Making: Well Older Adults is proposed and explained. Central to the theory are two decision-making processes, including the conditions that influence the decisions. These findings and the theory are discussed relative to the PEO model and existing occupational therapy and gerontology literature. The information gained from this study is beneficial to occupational therapists and Certified Aging-in-Place Specialists to improve and expand their services to the well older adult population.
Disciplines
Occupational Therapy
Keywords
Social sciences, Health and environmental sciences, Decision making, Grounded theory research, Home modification, Well older adults