Theoretical Frameworks for Community based practice

ch. 3. week 1

Theory

A systematic way of understanding events or situations- describes the relationships between the constructs, concepts, and principles on which it is
built
- Used to assist communities to improve occupational performance, health & wellness, quality of life, participation, role competence, well-being, and
occupational justice
- Theory provides a foundation for thinking
o Science driven
o Evidence based

Criteria of Good Theory

Fit

Understanding

Generality

Control

Occupation Based Theories

MOHO

Transactional perspective of occupation

Occupational eco sustainable community development approach

Occupational justice approach

Occupation focused prevention of illness and disability approach

Occupation focused health promotion

NON Occupation Based Frameworks

Health Belief Model

Transtheoretical Model of Health Behavior Change

Precede-proceed framework

Diffusion of Innovations Model

MOHO

How the human system selects and performs occupations

volition, habituation, and performance capacity

Performance Capacity

Interplay of physical, physiological, and cognitive capacities, observable
and objectively measured with client’s subjective experiences and
perspectives

Habituation

Internalized; consistent patterns of behavior; sense of order and predictability

Volition

Describes what motivates the individual, community, or population to engage in behaviors.

MOHO: How a system changes

Trajectory of change

Adaptive cycle

Maladaptive cycle

Transactional Perspective of Occupation (TPO)

Occupations are part of the transaction of persons and environments; relationships not just an individual
- Concepts
o Problematic situations
o Functional coordination
o Creativity
o Growth

Community Occupational influenced by

History

Sociocultural context

Various stakeholders

Physical setting

Goals and visions for the future

Community norms and values

Occupational ecosustainable community development approach

Restore balance with the natural environment

occupational justice approach

People are occupational in nature engagement is critical to well-being; people have a right to occupational engagement and participation in their environments of choice

Occupation Focused prevention of illness and disability approach

Occupation as a contributing factor to illness and recovery

Occupation Focused health promotion approach

Health education and preventive medicine

Health Belief Model

Perceived susceptibility

Perceived severity

Perceived benefits

Perceived barriers

Cues to action

Transtheoretical Model of Health Behavior Change

Precontemplation

Contemplation

Preparation

Action

Maintenance

Precede-Proceed Planning Model

Phase 1: Social Assessment
Phase 2: Epidemiological Assessment
Phase 3: Behavioral and Environmental Assessment
Phase 4: Educational and Ecological Assessment
Phase 5: Administrative and Policy Assessment
Phase 6: Implementation
Phase 7: Process Evaluation
Phase 8: Impact Evaluation
Phase 9: Outcome Evaluatio

DIffusion of Innovations Model

How to most efficiently communicate the availability of the intervention (i.e., diffusion) and the adoption of new behaviors (i.e., innovation)