Identifying, organizing and prioritizing ideas on how to enhance ADL ability

Kristina Tomra Nielsen*, Louise Klokker, Susanne Guidetti, Eva Elisabet Ejlersen Wæhrens

*Corresponding author for this work

Research output: Contribution to journalJournal articleResearchpeer-review


Background: There is a need to develop evidence-based occupational therapy programs aiming at enhancing the ability to perform Activities of Daily Living (ADL) among persons living with chronic conditions. Information from different sources is to be integrated in the development process. Thus, it is necessary to engage both occupational therapists and persons living with chronic conditions in suggesting ideas on how to enhance the ADL ability. Objective: To identify, organize and prioritize ideas on how to enhance ability to perform ADL in persons with chronic conditions. Material and method: Group Concept Mapping, involving brainstorming, sorting, labeling, rating and validation of ideas, was applied among persons with chronic conditions (n = ≤ 18) and occupational therapists (n = ≤ 23). Multidimensional scaling analysis and cluster analyzes were applied. Results: 149 ideas were identified and organized into seven clusters related to applying new adaptational strategies, personal factors, social surroundings and relevant services and opportunities. Each cluster contained ideas of high priority to persons with chronic conditions and/or occupational therapists. Conclusion: A span of highly relevant themes, illustrated the complexity of enhancing ADL ability. This should be considered in the development of interventions aiming at enhancing ADL ability in persons with chronic conditions.

Original languageEnglish
JournalScandinavian Journal of Occupational Therapy
Issue number5
Pages (from-to)382-393
Publication statusPublished - 29. Jul 2019



  • Occupational therapy
  • chronic conditions
  • developing complex interventions
  • group concept mapping
  • user involvement

Cite this