This paper explores a conceptualization of how factors impact activities of daily living (ADL) and participation from the perspective of persons with disability. This study identified what, and how, factors perceived by participants affect their daily activities, to better inform reporting of scores obtained on measures of ADLs and participation such as the Barthel Index and the Participation Scale. Grounded theory methodology was used to conceptualize a model, employing semi-structured interviews guided by categories of the above measures. Eight themes emerged from 24 participants, resulting in conceptualization of the successful adaptation model, which demonstrates relationships amongst factors, activities, and participation. Health professionals can use this model to assist persons with disability achieve desired goals.


Disability, ICF Activities and Participation, and Grounded Theory


The authors would like to acknowledge the Southeastern Ontario Academic Medical Association and Clinical Teachers Association at Queen’s University for funding this research. They would also like to thank Queen’s University Inter-professional Patient Education Direction for a small stipend. This paper constitutes a portion of the thesis of Joy Wee for the degree of Master of Science. Finally, they would like to thank their participants, and close with a quotation from one. “I think what’s really important is people giving you a chance…You open your eyes, open your mind, and then open your heart.”

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Creative Commons Attribution-Noncommercial 4.0 License
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