Time use, daily activities, and health-related quality of life of school-going late adolescents in Cork city and county: A cross-sectional study

dc.check.embargoformatE-thesis on CORA onlyen
dc.check.infoRestricted to everyone for one yearen
dc.check.opt-outNoen
dc.check.reasonThis thesis is due for publication or the author is actively seeking to publish this materialen
dc.check.typeNo Embargo Required
dc.contributor.advisorGibbon, Fiona E.en
dc.contributor.advisorPerry, Ivan J.en
dc.contributor.advisorFitzgerald, Anthony P.en
dc.contributor.advisorMcKay, Elizabethen
dc.contributor.authorHunt, Eithne
dc.date.accessioned2014-12-15T16:38:17Z
dc.date.available2015-12-16T05:00:05Z
dc.date.issued2014
dc.date.submitted2014
dc.description.abstractAim: This thesis examines a question posed by founding occupational scientist Dr. Elizabeth Yerxa (1993) – “what is the relationship between human engagement in a daily round of activity (such as work, play, rest and sleep) and the quality of life people experience including their healthfulness” (p. 3). Specifically, I consider Yerxa’s question in relation to the quotidian activities and health-related quality of life (HRQoL) of late adolescents (aged 15 - 19 years) in Ireland. This research enquiry was informed by an occupational perspective of health and by population health, ecological, and positive youth development perspectives. Methods: This thesis is comprised of five studies. Two scoping literature reviews informed the direction of three empirical studies. In the latter, cross-sectional time use and HRQoL data were collected from a representative sample of 731 school-going late adolescents (response rate 52%) across 28 schools across Cork city and county (response rate 76%). In addition to socio-demographic data, time use data were collected using a standard time diary instrument while a nationally and internationally validated instrument, the KIDSCREEN-52, was used to measure HRQoL. Variable-centred and person-centred analyses were used. Results: The scoping reviews identified the lack of research on well populations or an adolescent age range within occupational therapy and occupational science; limited research testing the popular assumption that time use is related to overall well-being and quality of life; and the absence of studies that examined adolescent 24-hour time use and quality of life. Established international trends were mirrored in the findings of the examination of weekday and weekend time use. Aggregate-level, variable-centred analyses yielded some significant associations between HRQoL and individual activities, independent of school year, school location, family context, social class, nationality or diary day. The person-centred analysis of overall time use identified three male profiles (productive, high leisure and all-rounder) and two female profiles (higher study/lower leisure and moderate study/higher leisure). There was tentative support for the association between higher HRQoL and more balanced time use profiles. Conclusion: The findings of this thesis highlight the gendered nature of adolescent time use and HRQoL. Participation in daily activities, singly and in combination, appears to be associated with HRQoL. However, the nature of this relationship is complex. Individually and collectively, adolescents need to be educated and supported to create health through their everyday patterns of doing.en
dc.description.statusNot peer revieweden
dc.description.versionAccepted Version
dc.format.mimetypeapplication/pdfen
dc.identifier.citationHunt, E. 2014. Time use, daily activities, and health-related quality of life of school-going late adolescents in Cork city and county: A cross-sectional study. PhD Thesis, University College Cork.en
dc.identifier.endpage275
dc.identifier.urihttps://hdl.handle.net/10468/1741
dc.language.isoenen
dc.publisherUniversity College Corken
dc.rights© 2014, Eithne Hunten
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/3.0/en
dc.subjectTime useen
dc.subjectDaily occupationsen
dc.subjectHealthen
dc.subjectTeenagersen
dc.subjectYoung peopleen
dc.subjectOccupational scienceen
dc.subjectTime diariesen
dc.thesis.opt-outfalse
dc.titleTime use, daily activities, and health-related quality of life of school-going late adolescents in Cork city and county: A cross-sectional studyen
dc.typeDoctoral thesisen
dc.type.qualificationlevelDoctoralen
dc.type.qualificationnamePhD (Medicine)en
ucc.workflow.supervisorf.gibbon@ucc.ie
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