Integrating Health Promotion, Culture, and OT

Effective communication…

is the foundation of a therapeutic relationship and is especially important when clients and therapists come from different cultural backgrounds

Language barriers hinder

effective communication and can create difficulty in delivery of care

Purnell Model

views cultural competency as a holistic understanding of the client through twelve cultural domains

Twelve Cultural Domains

1. Heritage

2. Communication

3. Family roles and organization

4. Workforce issues

5. Bicultural ecology

6. High-risk behaviors

7. Nutrition

8. Pregnancy and childbearing

9. Death rituals

10. Spirituality

11. Health care practices

12. Health care practitioners

Health Promotion WHO Definiton

process of enabling people to increase control over, and to improve their health

Health Promotion OTPF4 Definition

an approach that does not assume a disability is present or that any aspect would interfere with performance

Health Promotion Therapy

attempts to address the behavioral changes people must make to follow through with healthy lifestyle modifications

• explanatory theory

• change theory

Explanatory theory

provides the OT with the means to define and describe why health problems are occurring within an individual, group, or community

Change theory

provides a guide to health intervention planning and development to address health concerns of a person, group, or community

OTs understand that if consumers are to achieve health and well-being…

they need to balance their personal needs and occupations with context and environment

PEO model stresses the importance of a balanced fit among a…

person, environment, and occupation for health and participation

Incorporating the traditional PEO model with a health promotion model has the potential to…

increase the clients knowledge and understanding of the importance of health and prevent disability

Health Belief Model

• consistent of multiple concepts that address consumers beliefs about health and how current behaviors can influence health

• four concepts

First concept: susceptibility

occurs when the client has a belief or subjective impression of the risk for illness, disease, or trauma

Second concept: perceived severity

clients perception of how severe the consequences will be disability, injury, or trauma

Third concept: perceived benefits

client’s belief that possible actions are available, effective, or available and effective to address a health need

Fourth concept: perceived barries

costs or negative repercussions that may result from engaging in specific or preventive behaviors

Self-efficacy

building confidence to make the best decisions for health and well-being