This framework aims to assist occupational therapists in describing aspects of work functioning in work assessments on different situations. There are three separate dimensions of work functioning. Dimension 1 is work participation and society. Work participation is an individual’s ability and opportunity he/she has, to acquire and maintain a work position in the society, and to fulfill a worker role. The complex interaction between personal, environmental, and temporal factors affects a person’s work participation. It is affected by the public support from the community, the person’s environmental demands, and his/her ability to utilize the opportunities. Dimension 2 is work performance and the individual. Work performance is the ability to satisfactorily perform the required work activities and tasks of a work position. Occupational therapists can perform work assessment on the work activities, either stimulated and/or in workplace. The third dimension is individual capacity and physical/psychological functioning. Individual capacity includes physical and psychological factors (e.g., muscle strength, memory) that the clients have in performing the required work activities. This dimension also focuses on underlying factors that indirectly influences the clients’ ability in work functioning. These factors include both constrain and support, including personal factors (physical and psychological aspect), environmental factors (physical, psychological and social circumstances where the work activity is carried out, and the socio-cultural consensus on how work activity should be carried out). For the assessment, there are objective (someone else assess the client) and subjective (client assess his/her own work functioning) perspectives. The two perspectives of the assessments may not be the same and it is important for occupational therapists to seek for the clients’ opinion to better understand the unique circumstance of each client. This framework can be used as a screening tool and instrument selection to assess clients’ underlying problem area, which indirectly leads to well-founded interventions.
Domain of occupation
It can be used as a screening tool and a guide to choose suitable instruments for assessing problem area in work functioning.
Sandqvist, J. L., & Henriksson, C. M. (2004). Work functioning: A conceptual framework. Work, 23, 147-157.
Cancer-related fatigues (CRF) is multifactorial and all potential contributing factors are needed to be assessed to understand the unique presentation on the individual’s life. This framework proposes a number of factors associated with CRF. Of these factors, the medical status of fatigue, which is predetermined and cannot be modified by therapists, includes disease-related factors (e.g., type of disease), treatment-related factors (e.g., treatment required), comorbidities, and underlying biomedical factors.
This model suggests that occupational therapists working with older adults with low vision should extend beyond compensatory techniques (e.g., modifying physical environmental and providing technology) to the community for social integration. Occupational therapists can accompany clients to nearby grocery stores, places of worship and community centers. Occupational therapists can also make recommendation to owners to eliminate environmental barriers and encourage clients to self-advocate.
This model comprises the complexity and multi-dimensionality of the relation between persons with motor disabilities and their environment. It addresses the personalized accessibility (i.e., unique needs of a person living in a specific environment that is central to this person). It defines the relationship of the person-environment interaction using six concepts, they are:
This model of practice is based on the theoretical concepts relating to the child, environment, task, and the interaction among these key factors and the child’s participation in different occupations. A goodness-of-fit of those factors is necessary for successful participation in occupations.