Open Access Capstone
Doctor of Occupational Therapy (OTD)
Department Name when Degree Awarded
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.
Dana M. Howell, PhD, OTD, OTR/L
Renee Causey-Upton, PhD, OTD, OTR/L, CLA, FAOTA
2023 Paula Buari
Buari, Paula O., "THE PERCEPTION OF STROKE ON IADL" (2023). Occupational Therapy Doctorate Capstone Projects. 115.
IRB Approval Number (if applicable)