ArticleThe British journal of occupational therapy2026
Reshaping daily life: An observational study on the impact of rheumatoid arthritis on occupational repertoire.
Article in The British journal of occupational therapy, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Introduction: Rheumatoid arthritis (RA) restricts function and limits participation in everyday activities. While functional impairments are well-documented, RA's impact on occupational repertoire, particularly in leisure activities, remains underexplored. Objective: To examine pre-post changes in occupational repertoire following RA onset and explore associations with functional status and disease activity. Methods: In this cross-sectional study, 32 adults with RA (28 women) from a tertiary rheumatology clinic completed the DAS-28, HAQ-DI, and Activity Card Sort - Brazil (ACS-BR) rating changes in their occupational repertoire before and after disease onset. Results: Post-onset participation fell in all ACS-BR domains ( Conclusion: RA causes broad occupational disruptions, beyond self-care and productivity activities. Routine mapping of occupational repertoire can help occupational therapists detect early withdrawal from leisure and social roles, set client-centered goals, and monitor outcomes. Interventions that protect leisure and social participation, alongside self-management, may help sustain meaningful participation and quality of life.
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