Dynamic Model of Occupation-Based Practice (DMOBP)

  • The model explains the ever-changing state of therapeutic interactions along a continuum between a discrete model and occupation-based practice. Occupation-based practice is defined as the use of occupation in assessment and therapeutic intervention approach working toward occupational outcomes. In contrast, discrete models are measurement and intervention approaches that follow an agenda other than health through occupation and could be recognized as a medical, educational, psychological perspectives. The reciprocally beneficial relationship between occupational engagement and health is foundational to the model and supports the need for the therapeutic use of occupation. This model can help therapists recognize the occupational nature of their practice and the influences that support or hinder their use of occupation in practice. The DMOBP identifies four major influences on the inclusion of occupation in practice as systems (i.e., documentation, administrative support, etc.), physical environment (i.e., space, materials and assessment tools, etc.), therapist (i.e., education and training, experience or belief in occupation, etc.), and client (i.e., acuity level, expectations, etc.). The model further distinguishes the four constructs of occupation-based practice as authentic occupation, meaningful and purposeful value, therapeutic intent, and engaged participation. Each therapeutic interaction exists along the continuum of occupation-based practice and is determined by the practice influences and presence/absence of the four constructs. The Occupation-Based Practice Assessment is a correlating measurement tool based on the model allowing therapists to assess their practice.

Summarized by

  • Wendy B. Stav and Sarah M. Psillas

Type

  • Model (conceptual)

Population

  • Child
  • Adolescent
  • Adult
  • Elderly

Disability

  • All

Domain of occupation

  • All

Application Note

  • The Dynamic Model of Occupation-Based Practice is grounded in the belief in the reciprocal relationship between occupation and health, wherein occupation-based practice generates better therapeutic outcomes.

Key Reference

  • Key reference: Psillas, S., & Stav. W, B. (2021). Development of the Dynamic Model of Occupation-Based Practice. Open Journal of Occupational Therapy, 9(4), 1-14. https://doi.org/10.15453/2168-6408.1807

Year Published

  • 2021

Primary Developer

  • Wendy B. Stav (wendy.stav@health.slu.edu); Sarah M. Psillas (psillas@hartford.edu)

Primary Developer Email

  • occupationbasedpractice@gmail.com

Related Models

Vona du Toit Model of Creative Ability (VdTMoCA)

  • The Vona du Toit Model of Creative Ability (VdTMoCA) (Van der Reyden et al. 2019) is founded on the theory of creative ability developed by South African Occupational Therapist, Vona du Toit (du Toit, 1974).   This model's unique contribution to the Occupational Therapy profession is understanding people in terms of sequential levels of creative ability. The term creative refers to one's ability to change in response to life‘s demands (the creation of oneself), as well as creation of tangible things and solutions to problems.

     

Psychoanalytic Frame of Reference

  • The psychoanalytic frame of reference (FOR) emphasizes on the unconscious aspect of what is done and said, and it is embedded in an occupational therapy relationship model of practice - the Vivaio model (MOVI). The central element of the MOVI is the recognition of constant emotions that exist in the interdependent relationship between the three elements of patient, therapist and ‘doing’.

Lived Environment Life Quality Model (LELQ)

  • The Lived Environment Life Quality Model (LELQ) aims to explicate the ecological complexities in using occupations to optimize quality of life of institutionalized people with dementia. This model focuses on factors that affect clients’ opportunity in occupational engagement, mainly on the social and physical environmental supports and barriers. It has two main domains, including the lived-environment domain (specifically for assessment and intervention) and the Quality of Life (QoL) domain (specifically for intervention goals and outcome).

Shades of Independence Model

  • This model is symbolized as an infinity symbol, which emphasizes that independence is a continuum without a start or an end. An individual’s independence can exist at any point within this continuum. Inside the symbol, there are two sides representing two themes, they are personal factors and environmental factors. The lighter (left) side of the model represents personal factors, which consists of personal attributes.

Biomechanical Frame of Reference

  • The theoretical base of biomechanical frame of reference (FOR) is considered as a remedial approach focusing on impairments that limit occupational performance. This FOR assumes clients are able to acquire the voluntary motor skills necessary to perform the desired human occupation, meaning that the underlying impairment is amenable to remediation. It also assumes that engaging in occupation and therapeutic activities has the potential to remediate the underlying impairment, and results in improvement in occupational performance.

Model Type

Population

Disability

Domain of Occupation

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