Context, Culture, and Sociocultural Influences

context

the environmental and personal factors specific to each client that influence engagement and participations in occupations

• affects clients access to occupations

• the quality of satisfaction with performance (e. support or hinder engagement)

environmental factors

aspects of the physical, social, and attudinal surroundings in which people live and conduct their lives

examples of environmental factors

• Natural Environment and Human-made Changes to the Environment

• Products and Technology

• Support and Relatonships

• Attitudes

• Services, Systems, & Policies

personal factors

the unique features of a person that are not part of a health conditon or health state and that consttute the partcular background of the person’s life and living

• considered enduring, stable atributes of the person some personal factors, though, can change over tme

ex of personal factors

• Chronological age

• Sexual Orientaton (sexual preference, sexual identty)

• Gender identty

• Race and ethnicity

• Cultural identfcaton and attudes

• Social background, social status, socioeconomic status

• Upbringing and life experiences

• Habits and past/current behavioral paterns

• Psychological assets, temperament, unique character traits, & coping styles

• Educaton

• Profession and professional identity

• Lifestyle

• Health conditions & fitness status

domain

context is apart of _

process

context is apart of _

• describes actions a professional group takes when providing services (e. service delivery approaches)

influence of context

• Access opportunities to engage and participate in occupations

• Identify with roles

• Develop habits and routines

• Perform activities and occupations, and

• Experience meaning, purpose, and satisfaction with life

space demands

physical environment requirements of the occupation or activity

social demands

elements of the social and attitudinal environments required for the occupation or activity

client centered care

supports the premise that a client is capable of leading the therapy process and making decisions about his or her health care, and that therapy is a collaborative process between client and practitioner

race

Grouping recognized by physical, biological attributes

• social construct

ethnicity

social grouping of people who share cultural or national similarities

• Kinship, family rituals, food preferences, clothing, celebratons

racism

judgement of an individual’s worth based on group characteristics

prejudice

preconceived ideas and attitudes, usually negative about a particular group of people

• without full examination of facts

stereotyping

attribute certain characteristics to an entire group

ethnocentrism

tendency of people to put their own group as superior / at the center

discrimination

the action or behavior associated with prejudice

culture characteristics

• age

• gender

• physical, cognitive, and emotional abilities

• place of residence

• social, educational, and economic levels

• affiliation

• religion

• political views

• sexual orientation

cultural humility

• ability to understand the needs and emotions of your own culture and the

culture of others

• to be appropriately responsive to attitudes, feelings, or circumstances of groups

of people that share common behaviors/beliefs

culturally responsive care

• An approach that communicates a state of being open to the process of building mutuality with a client &

• to accepting that the cultural-specific knowledge one has about a group may or may not apply to the client they were currently treating

sociocultural

social and cultural forces that infuence feelings, attitudes, values, thoughts, beliefs, interactons, and behaviors of individual group

social

circumstances that influence people’s lifestyles

• Education, SES, employment status, working conditions, community safety, social supports, transportation, quality of food and/or housing

occupational perspective

behaviors and occupations are enabled or disabled by group membership

• racial, ethnic, religious, gendered, socio economic

occupational identity

composite

sense of who one is &

wishes to become

as an

occupatonal being

generated from

one’s history of occupatonal partcipaton

addressing issues as an OT

• Focus interventons on improving the quality of life for the individual

• using expertse at person-environment ft and recognize the centrality of meaningful occupatons to good health

• Unique strength of appreciaton of the person

• Act on issues of occupatonal injustces

• Leverage positon within the health care system

occupational choice

Informed by the

sociopolitcal,

sociocultural, &

socioeconomic

contexts

in

which people live & this percepton

predicates partcular

paterns of occupatonal

engagement

that may

reinforce negatve

health

behaviors

occupational science perspective

occupaton is socially

situated, happens in a

cultural context

Critcal view of the

individualizaton of

occupaton

Capacity of social

structures to inform

engagement in

occupaton and

consequently, health