PEO Model/MOHO

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person, environment, occupation

What does PEO stand for?

the environment (the other occupations can be changes, as well)

Which component is the easiest to change according to the PEO model?

Yes, the “fit” will naturally change over time (life events)

• temporal aspect of the PEO model

Do the components shift over time?

• large overlap of P, E, O

• feeling competent and satisfied

What is the expected outcome of the PEO model?

to understand the transactional relationship between occupation, person, and occupations and how they shift over time

Why was the PEO model created?

small overlap of P, E, O

• dysfunction

What would a bad fit look like?

• dynamic

• multiple roles and unique skills/attributes

• physical, cognitive, and affective

What is involved in the person component of the PEO model?

physical, social, cultural, socioeconomic, institutional

What is involved in the environment component of the PEO model?

purpose and meaningful to fulfill needs

• involves the tasks and activities

What is involved in the occupation component of the PEO model?

• competence (able to do something well)

• satisfaction (the person feels good about what they did)

How do we look at occupational performance according to PEO?

• helping the person improve/gain skills

• modify/adjust the environment

How can we intervene, as OT’s, according to the PEO model?

• (to achieve an optimal fit)

Model of Human Occupation

What does MOHO stand for?

Dynamic System theory (We must first understand the many systems that influence a person’s complex situation to understand an individual and their situation.)

What theory is MOHO based on?

MOHO

model that is evidence-based, client-centered, holistic, and occupation-centered

• an individual’s situation (impact of the disease, illness, or disability)

• and how an OT can facilitate their participation, identity, and competence

What does MOHO help us understand?

volition, habituation, performance capacity, environment

What are the four components/pillars in MOHO?

volition

a pattern of thoughts and feelings about oneself as an actor in the world, which helps us to anticipate, choose, experience, and interpret what one does

• personal causation (we can influence the env)

• values

• interests

What is volition composed of?

personal causation (part of volition)

the idea that we can influence the environment around us

volition

Which component of MOHO influences our future decisions?

• habits (ex. procrastinate)

• routines (ex. daily morning routine)

• roles (influence our habits, define who we are)

What is involved in habituation in MOHO?

objective - performance capacity

measurable abilities

subjective - performance capacity

the person’s lived experience, how capable the person feels they are, self-report

objective - measurable

subjective - lived experience, how capable they feel

What is involved in performance capacity?

a resource (supportive) or constraint (negative)

What can the environment be for a person in MOHO?

volition, habituation, performance capacity

the internal parts of MOHO

actions, thoughts, emotions which cause change and an occupational shift → occupational identity → occupational competence → occupational adaptation

What can be caused by the interaction of the four pillars in MOHO?

• occupational skills (observable, goal-directed actions)

• occupational performance (activities that are based on volition and habituation)

• occupational participation (direct result of occupational performance, result of successful interaction of internal and external variables)

What are the levels of doing? (maintain our 4 pillars through these)

• occupational identity

• occupational competence

• occupational adaptation

What are the outcomes of MOHO?

occupational identity

influenced by how they view themselves within their social contex

occupational competence

evaluation of individuals’ performance in meaningful occupations

occupational adaptation

meeting personal needs and desires while meeting reasonable expectations through participation in an occupation (how we react to change)

• engage in occupations that are meaningful and fulfilling identity

• and meet the demands of the sociocultural environment

What does “order” mean in MOHO?

unable to engage in occupations

What does “disorder” mean in MOHO?

exploration, competence, achievement of identity and competence

What is the remotivation process?