Factors Influencing Home-Based Disabled Elderly' Participation in Reablement : A Qualitative Exploration from the Perspective of the Model of Human Occupation

Methods

A qualitative explorative design with one-on-one semi-structured interviews was conducted with 20 participants (disabled elders, primary caregivers, community staff) in a Beijing community. All interviews were audio-recorded and transcribed within 24 hours. Data were analyzed using MAXQDA 20.4 via an inductive-deductive approach.Results: Four themes and 11 sub-themes emerged: Motivation (value-driven by dignity preservation and family burden reduction; interest-driven persistence; self-efficacy affecting confidence); Habituation (behavioural inertia independent of roles; active participation driven by family role responsibility); Personal capacity (physical limitations and cognitive level affecting reablement learning); and Environment (community facilities/services, home renovation/assistive devices, caregiving philosophy differences, family companionship/emotional support).Conclusion: Chinese cultural values profoundly shape motivation and habits, with personal value closely tied to family roles.