Model of Human Occupation Flashcards
covers the holistic picture of a client
model of human occupation
proponent of moho
dr. gary wayne kielhofner (1949-2010)
1980
moho was first published
became interested in occupational therapy based on his own experience
dr. gary wayne kielhofner (1949-2010)
conceptual model defined as a set of evolving theoretical arguments that are used in practice and are tested through research
moho
- 4 major components
- most evidence-based
- occupation focused
- client-centered OT conceptual practice
conceptual practice of moho in focused
- person factor
- environment
- occupational adaptation
- complexity of occupation
4 major components
- volition
- habituation
- performance capacity
person factor
motivation
volition
habits and roles
habituation
current status of client
performance capacity
other term for occupational adaptation
occupational performance
- motivation for occupation
- nature of skilled performance
- routine patterning of occupation
- influence of environment on occupation
moho addresses
to participate, motivation should be targeted; tap on client’s motivation
motivation for occupation
motor, process, social skills
nature of skilled performance
- embracing the complexity of the occupation
- components of the person
- environment influences performance
- understanding occupational performance
fundamental conceptual ideas of moho
dynamic system (human system) to produce system
embracing the complexity of the occupation
must understand the flow of this system to understand the person
dynamic system
environment influences or hinders which plays a vital role in performing occupation
dynamic and context dependent
facilitates or inhibits performance
environment (dynamic and context dependent; embracing the complexity of the occupation)
performance patterns
self-organization (embracing the complexity of the occupation)
for a person to achieve occupational performance, they must be able to organize the performance skills to perform
performance patterns (self-organization; embracing the complexity of the occupation)
result of motivation, patterns, performance capacity, and environmental influences
embracing the complexity of the occupation
- volition
- habituation
- performance capacity
components of the person
motivation in choosing and performing
volition
- personal causation
- values
- interests
volition
thoughts and feelings about one’s capacities and effectiveness that each of us have as we do everyday activities
personal causation (volition)
you know you are good/excel at it = high motivation
personal causation (volition)
you participate in the task because you know you are good at it
personal causation (volition)
beliefs and commitment about what we do
values (volition)
this activity is good, right, and important
values (volition)
feeling of attraction based on the anticipation of a positive experience in doing an occupation
interests (volition)
hearing good feedback from other people, thus increasing interest
interests (volition)
organization of actions
habituation
aims to make it regular and consistent
habituation
- habits
- roles
habituation
subconscious/automatic
habits (habituation)
identity and sense of obligation that goes along with the identity
roles (habituation)
“i have to perform well”
obligation that goes along with identity (roles; habituation)
- habits
- roles
performance patterns
how mental and physical abilities used to experience the task/activity
performance capacity
have to analyze client factors:
- musculoskeletal
- neurological
- cardiopulmonary
- other body functions
performance capacity
see if environment facilitates participation to client
environment influences performance
- skills
- occupational performance
- occupational participation
- occupational identity and occupational competence
- occupational adaptation
understanding occupational performance (the actual doing)
to have skills, _______ must be present
person factors (volition, habituation, performance capacity)
skills are refined through ______
person factors (volition, habituation, performance capacity)
to perform, one must have the ______
skills needed for the occupation (refined)
once the occupation is performed, one can ________
participate (you know you how to perform and you know you have the set of skills)
participation can achieve _____ and _____
occupational identity and occupational competence
you see that you are good; because of social environment (feedback), _____ is formed
occupational identity
married to occupational identity
occupational competence
you want to do better to instill the occupational identity
occupational competence
______ can be achieved through occupational identity and competence
occupational adaptation
be able to perform, whatever the context is, without difficulties and independently
occupational adaptation
- humans are biologically mandated to be active beings
- situation and condition within the environment will greatly affects the person’s motivation
- human is an open-system that can be changed and developed through interaction
- competence is the ability to put into action what the person regards as meaningful
- occupation in heterarchical
theoretical bases of moho
humans are designed to perform occupation
humans are biologically mandated to be active beings
ex: impairment of performance capacity can affect a client’s volition
situation and condition within the environment will greatly affects the person’s motivation
person, input, output, and feedback should work together (interacting)
occupation in heterarchical
when he or she can choose, organize, and perform occupations that are personally meaningful
function
- exploration
- achievement
- competence
clients must be able to achieve (function)
inability to perform occupations, an interruption in role performance, and an inability to meet role responsibilites
dysfunction
- helplessness
- incompetence
- inefficacy
what clients feel (dysfunction)
- input
- person
- skilled action/occupational performance
- environment
concepts of moho
- input
- person factor
- output
- feedback
the human open system
not linear/hierarchy
the human open system
environmental inputs perceived by senses
input
uses performance skills
output
social/personal
feedback
- use data to find out about the client from the viewpoint of an outsider looking in
- client the data to help the client understand how their personal perception and subjective views affects their occupational performance actions
evaluation process using moho
therapist can gather data through
structured and unstructured assessment
- performance capacity
- habituation
- volition
evaluate all parts of the entire human system
- assessment of communication and interaction skills (ACIS)
- assessment of motor and process skills (AMPS)
non-standardized/observational assessment
- modified interest checklist
- role checklist
self-report assessment
- occupational performance history interview, version 2 (OPHI-II)
- occupational circumstances assessment interview and rating scales
- work role interview
standardized assessment
modified by Scafa and developed by Kielhofner and Naville
modified interest checklist
designed for psychiatric patient but can be used for physical dysfunction
modified interest checklist
used to assess the interest of the client
modified interest checklist
can provide task that is interesting/meaningful to them which can be used for preparatory/purposeful task
modified interest checklist
developed by Kielhofner, Oakley, and Barries
role checklist
assess the habituation and volition components of human system
role checklist
the aim of the intervention is to enhance the open system cycle so that it will yield to a competent and adaptive performance
intervention guidelines
- generating questions about the client
- gathering information on and with the client
- using information gathered to create an explanation of the client’s situation
- generating goals and strategies for therapy
- implementing and monitoring therapy
- determining outcomes of therapy
6 steps of therapeutic reasoning