What can occupational therapists learn about occupational engagement, from the lived experience of adults with post-traumatic stress disorder related to sexual abuse in New Zealand?
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What can occupational therapists learn about occupational engagement, from the lived experience of adults with post-traumatic stress disorder related to sexual abuse in New Zealand?

Introduction / Rationale: Sexual abuse is a global phenomenon, potentially leading to post-traumatic stress disorder (PTSD) and  other major mental health disorders. Yet, there is little evidence supporting the role of occupation-based interventions in this clinical area, which suggests more research is needed. Research exploring lived experience is a powerful methodology, and when focused on occupation can strategically promote occupational therapy. 

Objectives: To develop a deeper understanding of the nuanced relationship between occupational engagement, and health and well-being for individuals with experience of sexual trauma, living in New Zealand – Aoteraoa. 

Methods / Approach: Using a phenomenological approach and semi-structured interviews, this research investigates the lived experience of occupational participation for individuals with PTSD related to sexual trauma. Nuanced insights are being developed, and supported by a Māori interviewer for indigenous participants. Data are being analysed using thematic analysis. 

Results / Practice Implications: Twelve individuals have participated including four females and eight males. Recruitment is ongoing and full results will be presented.  Findings will relate to experiences and insights into the phenomena of engaging in everyday activities, helpful and unhelpful trauma related occupations, and enablers and barriers to occupational participation. Preliminary analyses suggest themes including: freedom and space; stopping history from repeating itself; sharing personal narratives; helping others; a sense of belonging; and self-determination.

Conclusion / Contribution to the occupational therapy profession:This study will provide a deeper understanding of the relationship between occupational engagement and health and well-being, for those living with sexual trauma and PTSD. Understanding factors that influence participation in meaningful activities can assist occupational therapists promote and deliver effective interventions and outcomes in this area of practice.