@article{28238,
  keywords = {Participation, Integration, Disability},
  author = {Martin Ginis KA and Evans BM and Mortenson BW and Noreau L},
  title = {Broadening the conceptualization of participation of persons with physical disabilities: A configurative review and recommendations.},
  abstract = {<p>Within the context of physical disability, participation has typically been conceptualized in terms of one{\textquoteright}s performance of different roles and activities. This perspective, however, ignores the meanings and satisfactions that a person derives from participating. Without an accepted conceptualization of participation that accounts for people{\textquoteright}s subjective perceptions and experiences, it is challenging for decision-makers and service providers to design meaningful participation-enhancing services, programs, and policies. Accordingly, our objectives were (1) to conduct a review of definitions and conceptualizations of participation that extend beyond performance and capture people{\textquoteright}s subjective experiences of participating and (2) to identify key experiential aspects of participation that can be used as a basis for conceptualizing and operationalizing the concept more broadly. The project involved a systematic, configurative review of relevant literature. Ten relevant articles were identified. Information on characteristics associated with experiential aspects of participation was extracted and subjected to a thematic analysis. The following 6 themes emerged: autonomy, belongingness, challenge, engagement, mastery, and meaning. Drawing on these findings, it is recommended that the individual{\textquoteright}s subjective perceptions of autonomy, belongingness, challenge, engagement, mastery, and meaning associated with participating be incorporated into conceptualizations and operationalizations of the participation construct. This recommendation provides a starting point for clinicians, researchers, and policymakers to conceptualize and measure the participation concept more consistently and more broadly.</p>
},
  year = {2016},
  journal = {Archives of physical medicine and rehabilitation},
  issn = {1532-821X},
  doi = {10.1016/j.apmr.2016.04.017},
  language = {eng},
}