“Pursuing Balance”: Experiences of Occupational Adaptation in Women with Hip and Knee Osteoarthritis
Bibliographic record
Abstract
Osteoarthritis is commonly found in weight-bearing joints such as the hips and knees, and is the leading cause of disability among community-dwelling Canadian adults. Women are particularly affected by the symptoms of hip and knee osteoarthritis; they report more disability and difficulty with their activities of daily living than their male counterparts. Occupational adaptation allows the women to continue functioning in their life roles, but little is known about their experiences of this process. The purpose of this study was to describe the experience of occupational adaptation in older women with hip and knee osteoarthritis. Eleven Caucasian women, 60 to 75 years old, who reported a diagnosis by a physician of hip and/or knee osteoarthritis participated in this hermeneutic phenomenological study. Vivid descriptions of the women’s experiences of occupational adaptation were sought during focus group and individual interview sessions, which were audiotaped and transcribed verbatim. Thematic analysis was used to determine essential themes within the lifeworld existentials: lived body, lived space, lived time, and lived human relation. Line-by-line analysis was used first and then incidental themes were separated from essential themes. The essence of the experience – “Pursuing Balance” – was the theme that permeated all the women’s experiences and all four lifeworld existentials. The women sought a state of subjective balance in each existential. In the lived body, symptoms direct occupational engagement and adaptation, and adaptive strategies are used to minimize symptoms but remain active. Lived space can facilitate or impede occupational participation, and modifying space is balanced with utilizing existing space. The amount of time spent in occupations affects the severity of symptoms; planning and pacing balance lived time. For lived human relation, supportive relationships help the women maintain their relational identities, and the women balance their independence with accepting help. Achieving balance is the goal of occupational adaptation for these women with hip and knee osteoarthritis. The women’s experiences in this study contribute to theories of occupational adaptation and occupational balance, as well as the experience of living with and adapting to hip and knee osteoarthritis.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.003 | 0.006 |
| Meta-epidemiology (narrow) | 0.001 | 0.001 |
| Meta-epidemiology (broad) | 0.001 | 0.001 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.008 | 0.007 |
| Scholarly communication | 0.003 | 0.003 |
| Open science | 0.001 | 0.005 |
| Research integrity | 0.001 | 0.002 |
| Insufficient payload (model declined to judge) | 0.002 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".