Structured assessments on the desire for activities – ‘Why wish for what I can’t do?’

Introduction Homecare services are limited, and there is likely a gap between the everyday activities homecare users want to do and the activities they perform or receive help with. Structured assessment on the desire for engaging in activities may be useful to identify unmet occupational needs.Aim...

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Main Author: M. Granbom
Format: Article
Language:English
Published: Taylor & Francis Group 2025-12-01
Series:Scandinavian Journal of Occupational Therapy
Subjects:
Online Access:https://www.tandfonline.com/doi/10.1080/11038128.2025.2483505
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author M. Granbom
author_facet M. Granbom
author_sort M. Granbom
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description Introduction Homecare services are limited, and there is likely a gap between the everyday activities homecare users want to do and the activities they perform or receive help with. Structured assessment on the desire for engaging in activities may be useful to identify unmet occupational needs.Aim To reflect on the experiences of using the Occupational Gaps Questionnaire (OGQ) to investigate how homecare users express the desire to do everyday activities they know they cannot perform without help, and to deepen the understanding of how the desire of doing may be restricted beyond limitations in language and cognition.Method OGQ interviews were conducted with 11 older adults who received daily homecare. The interviews were analysed thematically.Result/discussion The homecare users reported few occupational gaps. Activities that were previously part of their occupational repertoire and considered to be meaningful were no longer desired. The desire to engage in activities appears to be influenced by functional decline and the structural limitations of homecare. Structured assessments might not capture the full picture of what a person desires to do, however may spark valuable conversations. For person-centered eldercare, professionals must acknowledge how functional decline and structural limitations influence what older adults desire to do.
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spelling doaj-art-99b4488d9d644cd98ae1c86f429b441f2025-08-20T03:40:51ZengTaylor & Francis GroupScandinavian Journal of Occupational Therapy1103-81281651-20142025-12-0132110.1080/11038128.2025.2483505Structured assessments on the desire for activities – ‘Why wish for what I can’t do?’M. Granbom0Department of Health Sciences, Lund University, Lund, SwedenIntroduction Homecare services are limited, and there is likely a gap between the everyday activities homecare users want to do and the activities they perform or receive help with. Structured assessment on the desire for engaging in activities may be useful to identify unmet occupational needs.Aim To reflect on the experiences of using the Occupational Gaps Questionnaire (OGQ) to investigate how homecare users express the desire to do everyday activities they know they cannot perform without help, and to deepen the understanding of how the desire of doing may be restricted beyond limitations in language and cognition.Method OGQ interviews were conducted with 11 older adults who received daily homecare. The interviews were analysed thematically.Result/discussion The homecare users reported few occupational gaps. Activities that were previously part of their occupational repertoire and considered to be meaningful were no longer desired. The desire to engage in activities appears to be influenced by functional decline and the structural limitations of homecare. Structured assessments might not capture the full picture of what a person desires to do, however may spark valuable conversations. For person-centered eldercare, professionals must acknowledge how functional decline and structural limitations influence what older adults desire to do.https://www.tandfonline.com/doi/10.1080/11038128.2025.2483505Older adultshomecare usersassessment toolsmodel of human occupationselection, optimisation and compensation (SOC)socioemotional selectivity theory
spellingShingle M. Granbom
Structured assessments on the desire for activities – ‘Why wish for what I can’t do?’
Scandinavian Journal of Occupational Therapy
Older adults
homecare users
assessment tools
model of human occupation
selection, optimisation and compensation (SOC)
socioemotional selectivity theory
title Structured assessments on the desire for activities – ‘Why wish for what I can’t do?’
title_full Structured assessments on the desire for activities – ‘Why wish for what I can’t do?’
title_fullStr Structured assessments on the desire for activities – ‘Why wish for what I can’t do?’
title_full_unstemmed Structured assessments on the desire for activities – ‘Why wish for what I can’t do?’
title_short Structured assessments on the desire for activities – ‘Why wish for what I can’t do?’
title_sort structured assessments on the desire for activities why wish for what i can t do
topic Older adults
homecare users
assessment tools
model of human occupation
selection, optimisation and compensation (SOC)
socioemotional selectivity theory
url https://www.tandfonline.com/doi/10.1080/11038128.2025.2483505
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