Priority 16 from the Occupational Therapy PSP
|UNCERTAINTY: What is the value of occupation as an intervention and how does effectiveness vary with the way it is used? (e.g. 'occupation-focused' interventions based on understanding a person, their environment and the meaningful occupations in their life, or 'occupation-based' interventions in which doing a meaningful occupation forms the focus) (JLA PSP Priority 16)|
|JLA question ID||0100/16|
|Explanatory note||"Occupation" is a term that refers to the practical and purposeful activities that allow people to live independently and have a sense of identity. They are the meaningful things that people need, want or have to do, and therefore vary from person to person.
The way occupational therapists use occupations within their interventions can vary. For example, an intervention might be 'occupation-focused' and aim to support a person to resume a meaningful occupation (such as returning to and participating in parkrun after a myocardial infarction, or heart attack). Alternatively, an intervention might be 'occupational based' in which case an activity that is already meaningful to an individual might be used to help achieve specific goals (such as running with a local club to to help managing depression).
This question aims to explore whether there is value in using occupation as a focus for interventions, and how the effectiveness of interventions may vary depending on whether an occupation focused or occupation based perspective is taken.
There is some evidence addressing this area, but varied in nature and quality. This question has partially been addressed in the evidence base.
|Health Research Classification System category||Generic Health Relevance|
|Extra information provided by this PSP|
|Original uncertainty examples||Are occupationally-based interventions as or more effective than occupationally focused interventions? ~ Intervention processes to support people with a personality disorder in older age via meaningful occupation. ~ What occupation-based interventions are effective? ~ How occupational therapists promote participation in occupation. ~ Does occupation-focused or occupation-based practice result in greater occupational participation compared to generic practice? ~ Why can occupation take centre stage in eating disorder recovery?
|Submitted by||Occupational therapists, Services Users, Carers, Students, Other|
|PSP unique ID||0100|
|PSP name||Occupational Therapy|
|Total number of uncertainties identified by this PSP.||66 (To see a full list of all uncertainties identified, please see the detailed spreadsheet held on the JLA website)|
|Date of priority setting workshop||27 July 2020|