Graduation Year


Document Type


Degree Type

Open Access Capstone

Degree Name

Doctor of Occupational Therapy (OTD)


Occupational Therapy

Department Name when Degree Awarded

Occupational Therapy


Background: Residents in a skilled nursing home receiving rehabilitative services following a stroke may value instrumental activity of daily living (IADL) tasks more than ADL tasks. This research investigates the impact of IADL tasks on quality of life (QoL). Purpose: The research questions were: How do individuals post-stroke and receiving occupational therapy services in a skilled nursing facility perceive their participation, or lack of participation, in IADL, and how does this impact their perceived QoL? Theoretical Framework. The theoretical framework that guided this project was the Model of Human Occupation. Methods. A phenomenological research-based qualitative approach designed to understand perceptions of stroke on QoL from lived experiences. Participants were recruited through convenient sampling, and interview questions and a Likert scale were employed. Results. Three themes: Doing things by myself, My level of confidence, and IADL tasks impact my QoL. This study revealed that participants found performance in IADL tasks meaningful despite having challenges with ADLs. They described how they valued doing things independently and would give full effort to regain function. Some participants also demonstrated self-awareness of their limitations and plans for effective discharge. Finally, all the participants expressed how IADL tasks impact their QoL. Conclusions: There was a positive connection between the performance of IADL tasks and QoL. Invariably, participants described a meaningful QoL with an increased chance of returning to IADL performance.

Faculty Mentor

Dana M. Howell, PhD, OTD, OTR/L

Department Affiliation

Occupational Therapy

Committee Member

Renee Causey-Upton, PhD, OTD, OTR/L, CLA, FAOTA

Department Affiliation

Occupational Therapy

IRB Approval Number (if applicable)