This thesis evaluates the effect of the use of Activity Diary check-lists, in small
community homes, on the frequency of participation in activities of people with
A number of Health Authorities across the country are introducing activity check-lists
into their services as a means of monitoring one aspect of quality of life of their
service users. None of the services have evaluated the value and reliability of such
recording systems. Two studies were undertaken to carry out such an evaluation.
Study I introduced an Activity Diary, designed by the researcher, into two small
community homes for people with learning difficulties. Baseline measures were
taken prior to the introduction of the diaries and then continued through the duration
of the intervention which involved the use of Activity Diaries by the homes with
weekly graphical feedback produced by the researcher. The results of the study
showed a slight but statistically insignificant increase in the frequency of panicipation
in activities by the residents.
A comparison study with the general public was undertaken during Study I. Almost
identical Activity Diaries as those used in the homes were completed by members of
the general public for one week. The diaries were compared to those of the residents
in Study I. The people with learning difficulties were found to have participated in
significantly fewer activities than the general public. Study IT built upon Study I and introduced Activity Diaries with additional
interventions into a number of homes. The additional interventions were; staff
recording their own activities, individualisation of the diaries to each homes needs,
daily and weekly goal planning and weekly graphical feedback of both staff and
residents activities. The results showed no change in the frequency of participation in
activities of the residents over the six months duration of the study.
Issues relating to the monitoring of residents activities using Activity Diary
check-lists are discussed.
Doctoral Thesis. Submitted in partial fulfilment of the requirements for the award of Doctor of Philosophy of Loughborough University.