Adult

This integrative framework mainly consists of two elements: (1) the factors influencing clinical reasoning (CR), and (2) the evolving CR process underlying the choice of teaching strategies. First, both internal factors (relate to occupational therapists, such as knowledge and experience, personal habits) and external factors (relate to client, environment, task, and interaction of them, such as emotional/cognitive/physical availability, previous knowledge) influence CR of therapists.

The Framework of Occupational Gradation (FOG) focuses on one’s active movements with the more involved upper extremity. There are two versions of FOG, one for young children (C-FOG) and one for older children and adults (A-FOG). Both aim to provide occupational ideas in preventing learned non-use of the more involved upper extremity for clients with neurological impairment. These ideas can be incorporated into daily lives to increase use of the extremity. Appropriateness of task for each client is determined by hand dominance and perceived meaningfulness.

The four-quadrant model of facilitated learning (4QM) is used by teachers and practitioners in selecting effective learning strategies based on changing needs of the learners during acquisition of new skills. When occupational therapists use skill acquisition as intervention strategy, the 4QM provides a way of understanding, planning, and organizing the use of learning strategies. Through acquiring occupational performance components, the goal is for improve performance in the targeted occupation.

This European Conceptual Framework clarifies how occupational therapists (OTs) think about human action and how OTs can act to influence occupational performance of clients. This framework has four main characteristics: (1) it is dynamic, (2) it represents the perspective of the performer, (3) concepts are organized into eight clusters, and (4) it is organized into the person’s internal world, external world and the interface between those worlds. This framework organizes 25 terms that are commonly used by OTs, such as activity, occupation, and task.

The Ecology of Human Performance framework (EHP) focuses on the relationship between several important constructs in occupational therapy; they are person, context, task, performance, and therapeutic intervention, in order to get a throughout understand of human occupation. The person construct is one’s experience and his/her sensorimotor, cognitive, and psychological skills and abilities. Then the person construct is surrounded by a circle symbolizing this person’s context (including temporal, physical, social, and cultural contexts).

The fundamental message of this Do-Live-Well framework is “what you do everyday matters”, and they are essential to one’s health and wellbeing. In this framework, there are four main sections, and each represents a building block to “Do-Live-Well". The four sections are (1) dimensions of experience, (2) activity patterns, (3) health and wellbeing outcomes, and (4) forces influencing activity engagement.

The dynamic interactional model of cognitive rehabilitation emphasizes that cognition is a continuous product of the dynamic interaction between the individual, task, and environment. Individual factor includes structural capacity (including physical limitation), strategies (including organized approach/routine/tactics), metacognitive processes (knowledge and regulation of own cognitive processes and capacities) and learner characteristics such as motivation and knowledge. These individual factors interact with other factors during information processing and learning.

The Dunn’s Model of Sensory Processing proposes four basic patterns of sensory processing which are emerged from the interaction of the neurological threshold and self-regulation. Neurological threshold is a personal range of threshold for noticing and responding to different sensory events in everyday life. People who have low sensory threshold would notice and respond to stimuli more often because their neurological system activates easier and more readily to sensory events.

The Client-centred Strategies Framework (CSF) aims to help clinicians in creating environments and contexts that facilitate client-centered practice. This framework consists of five categories; personal reflection, client-centered process, practice settings, community organizing, and coalition advocacy and political action. Each category provides strategies that can be used by clinicians in facilitating client-centered practice. The personal reflections category is the clinician’s process of gaining insight from clinical and individual experiences.

The Functional Model of Cognitive Rehabilitation (FMCR) applies general concepts from the Canadian Model of Occupational Performance (CMOP). It aims to complement to the CMOP for choosing, organizing, and performing useful and perceived meaningful occupations in order to addresses the cognitive performance component. In the CMOP, the cognitive performance components include perception, concentration, memory, comprehension, and judgement. The FMCR recognizes the dynamic interaction between clients and their environments (physical, cultural, and social).