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activity analysis
Identifies the demands of an activity as it is typically done, without a client in mind
Ex. Making a peanut butter and jelly sandwich
occupation-based activity analysis
Identifies the demands of an occupation of a client, and how they perform and engage in the occupation within their contexts
Ex. Lisa made a peanut butter and jelly sandwich for her daughter at home.
occupations vs. tasks vs. activities
Occupations are meaningful activities within contexts
Tasks are specific, purposeful actions that are performed as part of an occupation (e.g., "marking homework" as part of teaching).
Activities can be broader and include any actions that a person does (e.g., "jogging" or "watching TV")—they may be part of an occupation or just everyday life.
7 steps of analysis process
determining what is being analyzed, determining the relevance and importance, determining object, space, and social demands, determining the sequencing and timing demands, determining required body functions, determining required body structures, and determining required performance skills
determining what is being analyzed
step 1
determining the relevance and importance
step 2
determining object, space, and social demands
step 3
determining the sequencing and timing demands
step 4
determining required body functions
step 5
determining required body structures
step 6
determining required performance skills
step 7
relevance and importance
meaning, purpose, and perceived utility
objects used and their properties
Tools, supplies, and equipment required in the process of carrying out the activity
space demands
Physical environmental requirements of the activity or occupation
social demands
the social environment and attitudinal environments required
sequencing and timing demands
temporal process required to carry out the activity or occupation (e.g. specific steps, sequencing, timing requirements)
Required actions and performance skills
usual skills that would be required by any performer to carry out the activity. Motor, social, and process skills required. The performance skills demanded by an activity will be correlated with the demands of the other activity aspects.
required body functions
Physiological functions of body systems required to support the actions used to perform the activity
Required body structures
anatomical parts of the body such as organs, limbs, and their components that support body functions and are required to perform the activity or occupation
value of occupation as intervention
The value of occupation as an intervention lies in its ability to restore or maintain a person's engagement in meaningful, purposeful activities that promote health, well-being, and quality of life. It addresses not only physical recovery but also emotional, cognitive, and social needs. By focusing on occupation, interventions become more personalized, sustainable, and empowering for individuals, leading to greater overall outcomes in therapy, rehabilitation, and everyday life.
role of OTPF-4 in analysis
Does more than define terminology for the profession of occupational therapy, it establishes a clear definition of our domain and the process in which occupational therapy practice occurs.
It demonstrates the complexity of everyday activities and how each component works together to allow for participation in meaningful activities.
It provides a foundation for activity analysis. Ex. body functions, structures, and performance skills all have a section in the OTPF.
Relationship of ICF to OTPF
OTPF was created using ICF as a guide.
The ICF is a document that was created by the WHO as a framework for classifying health and disability.
By using the terminology and classifications used in the ICF, the language used in the OTPF is internationally and interprofessionally recognized.
Divide occupations into smaller manageable activities or tasks.
This is necessary when there are more than 20-25 steps,
when there are multiple criteria for successful completion, and when there are different objects or space demands for different parts of the activity.
Categories of Occupations
ADLs, IADLs, health management, rest and sleep, education, work, play, leisure, and social participation
ADLs
Activities oriented toward taking care of one's own body and completed on a routine basis.
Bathing, showering
toileting and toilet hygiene
dressing
eating and swallowing
feeding
functional mobility
Personal hygiene and grooming
sexual activity
IADLs
Activities to support daily life within the home and community that often require more complex interactions than those used in ADLs
care of others
care of pets and animals
child rearing
communication management
driving and community mobility
financial management
home establishment and management
meal preparation and cleanup
religious and spiritual expression
safety and emergency maintenance
shopping
health management
Activities related to developing, managing, and maintaining health and wellness routines, including self-management, with the goal of improving or maintaining health to support participation in other occupations.
social and emotional health promotion and maintenance
symptom and condition management
communication with the health care system
medication management
physical activity
nutrition management
personal care device management
rest and sleep
Activities related to obtaining restorative rest and sleep to support healthy, active engagement in other occupations.
rest
sleep preparation: defined in two parts- preparing the body and mind for the occupation of sleep, and the second is related to preparing the environment
Sleep participation
education
Activities needed for learning and participating in the educational environment.
formal educational participation
informal personal educational needs or interests exploration (beyond formal education)
informal educational participation
work
labor or exertion related to the development, production, delivery, or management of objects or services; benefits may be financial or non-financial (social connectedness, contributions to society, structure and routine to daily life.
employment interests and pursuits
employment seeking and acquisition
job performance and maintenance
requirement preparation and adjustment
volunteer exploration
volunteer participation
play
activities that are intrinsically motivated, internally controlled, and freely chosen, and that may include suspension of reality (ex. fantasy, exploration, humor, risk-taking, contests, celebrations) play is a complex and multidimensional phenomenon that is shaped by sociocultural factors
play exploration
play participation
leisure
Nonobligatory activity that is intrinsically motivated and engaged in during discretionary time, that is, time not committed to obligatory occupations such as work, self-care, or sleep
leisure exploration
leisure participation
social participation
Activities that involve social interaction with others, including family, friends, peers, and community members, and that support social interdependence
community participation
family participation
friendships
intimate partner relationships
Understand which aspects of the client are key to conducting occupation-based activity analysis (Chap. 3)
OTs must understand the client's "why" behind the activity or occupation
the client contexts are the environmental and personal factors
The client's interests, values, beliefs, and spirituality influence elements of participation. Performance patterns, such as the habits, routines, rituals, and roles, may also play an important part in the occupation being analyzed.
Values/beliefs
Specifically referring to a client's personal convictions about what is important and true and their connection to the world around them, including their spirituality; essentially, their perspective on life and what holds meaning for them
occupational form (objects, proprieties, space
demands, social demands of the activities)
The objects used will be unique to the individual, as will the way they perform the activity, with whom it is performed, and where it is performed.
Environment
Those things that surround the client (e.g. the natural and human-made environments, products and technology, attitudinal aspects, support and relationships with people and animals, and services, systems, and policies,
performance patterns
Habits
Routines
Roles
Rituals