Occupational Science: Bridging Occupation and Health
BACKGROUND: The paper is based on a keynote address delivered at the 2004 CAOT Conference in Charlottetown, Prince Edward Island Occupational therapists are widely associated with a medical model of health care in which recognition of how engagement in occupation contributes to health status is poorly understood. Occupational science as the study of people as occupational beings has the potential to increase such understanding. PURPOSE: This paper considers some aspects of the relationship between health and the occupations of older people to highlight avenues for change and the research required to support them. METHOD: The paper is structured around a simple verse of dialogue between a healthy old man and an occupational therapist. Explanation of the dialogue draws upon historical and current literature as well as occupational science research to provide a rationale for future practice based on broader concepts of occupation for health. RESULTS AND PRACTICE SUGGESTIONS: The dialogue promotes the need for discussion about health and about the health notion of Active Ageing. It highlights professional language as one impediment to change and suggests that research concerning occupation as it relates to population health is a primary requirement for the future of occupational therapy.
Available from: Julie Bednarski
- "To facilitate this understanding, it will be important for the students to develop a depth of knowledge in occupational justice. Learning these concepts must begin and develop in the educational learning environment (Wilcock, 2004).Law (2004)recommended applying the characteristics of depth, innovation, and courage to the occupational therapy profession in attempts to meet the profession's emerging challenges. The goal of the MOT elective course was to provide in-depth understanding of the concepts of occupational justice, provide opportunities for innovative interventions focused on occupation, and empower the students to have the courage to create changes in the occupational lives of nursing home residents. "
Available from: Wendy Bryant
- "Ann Allart Wilcock examined the relationship between occupation and health in depth, suggesting that existing knowledge has not been sufficient to explain the complexity of occupational engagement and its impact on human wellbeing. She argued that an occupational perspective improves understanding of health and wellbeing (Wilcock 2005a, 2005b) and developed theories in the field of occupational science, applying them to occupational therapy, health promotion and social justice (Wilcock 2006). "
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ABSTRACT: Introduction: Ann Wilcock's published work identifies the fundamental importance of occupation in promoting health, wellbeing and even survival. Despite the implications for occupational therapy, the impact of her work has not been comprehensively explored. This research investigated how her ideas were used in published research from 1993 to 2007. Method and findings: Mixed methods obtained two sets of data. First, qualitative data from a textual analysis of Wilcock's published work were analysed and used to create a glossary and a conceptual framework of her ideas. Secondly, content analysis of 48 research papers yielded 121 citations, which were coded into categories. The findings indicated that her ideas did not appear to be embraced fully by other authors and were sometimes applied superficially. Discussion: The conceptual framework was refined and finalised, to demonstrate how Wilcock's ideas are interrelated. It is presented as a means of developing an accessible occupational perspective for research and practice.
Available from: Charlotte Lofqvist
- "The four main risk factors for fall involved in the in-depth fall assessment of the PHV protocol seem relevant since we also identified one or more of these risk factors among those assessed as having a risk of falling. Also, decreased ability to perform meaningful activities in life is known to negatively influence health . Questions assessing considerable changes in the patterns of activities were therefore considered important to involve in the protocol. "
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ABSTRACT: The purpose of preventive home visits is to promote overall health and wellbeing in old age. The aim of this paper was to describe the process of the development of evidence-based preventive home visits, targeting independent community-living older persons. The evidence base was generated from published studies and practical experiences. The results demonstrate that preventive home visits should be directed to persons 80 years old and older and involve various professional competences. The visits should be personalized, lead to concrete interventions, and be followed up. The health areas assessed should derive from a broad perspective and include social, psychological, and medical aspects. Core components in the protocol developed in this study captured physical, medical, psychosocial, and environmental aspects. Results of a pilot study showed that the protocol validly identified health risks among older people with different levels of ADL dependence.
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