Abstract

Objective: The purpose of this qualitative study was to examine and describe the intentions and other factors influencing the development and choice of everyday life strategies by people with poliomyelitis sequelae. Method: Interviews with 22 persons with poliomyelitis sequelae, aged 40-66 years, were content-analysed, inspired by the coding processes in grounded theory. Results: The conception of occupational self in interaction with the environment emerged as a core category, comprising the categories body image, sense of competence and values and goals. Four subsidiary categories were identified: early experiences of trauma and early behaviours of others, conception of authorities responsible for welfare, conception of disability and conception of independence. Together, these categories formed a model of the development and choice of strategies. Conclusion: Although they were unique as individuals, subjects in this study provided valuable information about the ?conception of occupational self? of people with poliomyelitis sequelae. This study provides a general understanding of the areas in which the respondents had to attain new awareness and modify their conceptions until strategies could be changed, and guidance as to how support and behaviour may facilitate the adaptation process.

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