Monday, 5 July 2021

Evidence for your Practice: Outdoor contexts and empowerment

  

Retrieved from https://unsplash.com/photos/TO_RcfcfdMg

The potential of outdoor contexts within community-based rehabilitation 

Article: Madsen, L. S., Jakubec, S. L., V. Nielsen, C., & Handberg, C. (2021). The potential of outdoor contexts within community-based rehabilitation to empower people with disabilities in their rehabilitation. Disability and Rehabilitation, 1-12.

Rationale: For people with disabilities, outdoor contexts can sometimes be difficult to navigate. However, visiting outdoor spaces can be therapeutic and offer many opportunities to engage in new or different ways. Outdoor spaces are also contexts that typically invite community, gathering and social engagement. The aim of this study was to examine how the potential of outdoor contexts within community-based rehabilitation to empower people with disabilities in their rehabilitation

Method: This study was a 5 month ethnographic fieldwork study including 115 people with disabilities. Participant observation and walking interviews were conducted.

Results: Four overlapping themes were revealed:

1) Revisiting the outdoors – This overarching theme encompassed how outdoor spaces facilitate the constructs in the following three themes.

2) Building autonomy – Participants were empowered to take a more active role in their rehabilitation by participating in and navigating outdoor spaces.

3) Connecting with Community – Unique opportunities came about for participants and led to increased connections with the community spaces and its members.

4) Embodied learning – The learning that the participants acquired throughout the study was identified as transferrable to other settings including contexts of everyday life and their own home environment.

Conclusion: Outdoor contexts within community-based rehabilitation appeared to hold potential for connecting people with disabilities to communities. Despite there being barriers at times, it is suggested that revisiting the outdoors supports collective awareness and action with the potential to influence community attitudes more broadly.

Implications for OT:

- Outdoor contexts within community-based rehabilitation for folks with disabilities can capitalize on the features of both indoor and outdoor environments to meet shifting individual priorities and needs

- Outdoor spaces offer people with disabilities empowering experiences that are part of the landscape for everyday life and transfer well to other contexts (eg home environments)

- Outdoor contexts and related skills provide a bridge from individual rehabilitation to community belonging  

#OT365

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