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Understanding decision-making towards housework among women with upper limb repetitive strain injury

Cheung, Therma WC, Clemson, Lindy, O'Loughlin, Kate and Shuttleworth, Russell 2016, Understanding decision-making towards housework among women with upper limb repetitive strain injury, Australian occupational therapy journal, vol. 63, no. 1, pp. 37-46, doi: 10.1111/1440-1630.12254.

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Title Understanding decision-making towards housework among women with upper limb repetitive strain injury
Author(s) Cheung, Therma WC
Clemson, Lindy
O'Loughlin, Kate
Shuttleworth, RussellORCID iD for Shuttleworth, Russell orcid.org/0000-0002-5383-9948
Journal name Australian occupational therapy journal
Volume number 63
Issue number 1
Start page 37
End page 46
Total pages 10
Publisher Wiley-Blackwell Publishing Asia
Place of publication Richmond, Vic.
Publication date 2016-02
ISSN 0045-0766
1440-1630
Keyword(s) behavioural change
ergonomic education
housework
occupational therapy
upper limb RSI
Summary BACKGROUND: Among women with upper limb repetitive strain injury (RSI), occupational therapy interventions include education to facilitate ergonomic practices in housework. From a client-centred perspective, an understanding of women's decision-making about housework is needed to design effective occupational therapy programmes. This study addresses a gap in research in this area by exploring women's views about changing housework habits. AIM: The aim was to construct a conceptual representation to explain decision-making in housework by drawing on experiences of a sample of Singapore Chinese women with upper limb RSI from one hand therapy clinic.

METHODS: Based on a constructivist grounded theory methodology, data were collected through in-depth interviewing with 15 women. Interviews were audiotaped and transcribed. Data were analysed with line by line coding, focussed coding and axial coding with constant comparison throughout data collection.

RESULTS: Decision-making in housework among these women involved three main themes: (i) emotional attachment to housework; (ii) cognitively informed decision; and (iii) emotionally influenced decision. Women with upper limb RSI had to make cognitive decisions for or against a change in housework to manage their condition. However, the women's cognitively informed decisions were shaped by their emotional attachment to housework. As such, they experienced strong emotional barriers to changing their housework practices even when they had cognitively accepted the necessity and possibility of making a change.

CONCLUSIONS: Therapists need to be aware that counselling to address the emotional barriers experienced by women is important during ergonomic education.
Language eng
DOI 10.1111/1440-1630.12254
Field of Research 111799 Public Health and Health Services not elsewhere classified
1103 Clinical Sciences
1117 Public Health And Health Services
Socio Economic Objective 920507 Women's Health
HERDC Research category C1 Refereed article in a scholarly journal
Copyright notice ©2016, Occupational Therapy Australia
Persistent URL http://hdl.handle.net/10536/DRO/DU:30087935

Document type: Journal Article
Collection: School of Health and Social Development
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