Lessons learned about occupation-focused and occupation-based interventions: A synthesis using group concept mapping methodology

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Abstract

Introduction: Occupational therapy (OT) is based on the core assumption that humans are active beings through engagement in occupations. Within OT, occupation is typically used as primary means and/or ends i.e. occupation-focused and/or occupation-based interventions are employed. Studies evaluating such interventions are limited.

Objectives: To synthesize experiences about occupation-focused and/or occupation-based interventions. Hence, to identify, organize and prioritize experiences with employing occupation as a core element in OT intervention studies.

Methods: Participants were OT PhD students and researchers involved in studies concerning occupation-focused and/or occupation-based interventions. Group Concept Mapping was applied.

Results: Based on 133 ideas, a conceptual model emerged encompassing two overall dimensions concerning ‘developing interventions’ and ‘planning intervention studies’, respectively. Moreover, ten themes related to one or both dimensions were defined and 94 ideas across clusters had high importance ratings.

Conclusion: Synthesis of participants’ experiences indicates that ‘doing’ as agent of change is a core element of OT interventions. Moreover, a multi-level perspective is needed to reach sustainable changes in doing. Group- and peer-support can work as amplifier for change, and flexibility is important during intervention. Such complex interventions need special design and mixed methods in the development, and evaluation of outcome needs to address occupation.
Original languageEnglish
JournalScandinavian Journal of Occupational Therapy
ISSN1103-8128
DOIs
Publication statusPublished - 20. Jan 2019

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Occupational Therapy
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Keywords

  • Occupational therapy
  • concept mapping
  • intervention development
  • study planning

Cite this

@article{4ac77602cc2d431c8df85ced479f08a6,
title = "Lessons learned about occupation-focused and occupation-based interventions: A synthesis using group concept mapping methodology",
abstract = "Introduction: Occupational therapy (OT) is based on the core assumption that humans are active beings through engagement in occupations. Within OT, occupation is typically used as primary means and/or ends i.e. occupation-focused and/or occupation-based interventions are employed. Studies evaluating such interventions are limited.Objectives: To synthesize experiences about occupation-focused and/or occupation-based interventions. Hence, to identify, organize and prioritize experiences with employing occupation as a core element in OT intervention studies.Methods: Participants were OT PhD students and researchers involved in studies concerning occupation-focused and/or occupation-based interventions. Group Concept Mapping was applied.Results: Based on 133 ideas, a conceptual model emerged encompassing two overall dimensions concerning ‘developing interventions’ and ‘planning intervention studies’, respectively. Moreover, ten themes related to one or both dimensions were defined and 94 ideas across clusters had high importance ratings.Conclusion: Synthesis of participants’ experiences indicates that ‘doing’ as agent of change is a core element of OT interventions. Moreover, a multi-level perspective is needed to reach sustainable changes in doing. Group- and peer-support can work as amplifier for change, and flexibility is important during intervention. Such complex interventions need special design and mixed methods in the development, and evaluation of outcome needs to address occupation.",
keywords = "Occupational therapy, concept mapping, intervention development, study planning",
author = "Nielsen, {Kristina Tomra} and {la Cour}, Karen and Christensen, {Jeanette Reffstrup} and Pilegaard, {Marc Sampedro} and {von B{\"u}low}, Cecilie and {\AA}se Brandt and Hanne Peoples and Hans Jonsson and W{\ae}hrens, {Eva Elisabet Ejlersen}",
year = "2019",
month = "1",
day = "20",
doi = "10.1080/11038128.2018.1561940",
language = "English",
journal = "Scandinavian Journal of Occupational Therapy",
issn = "1103-8128",
publisher = "Taylor & Francis",

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T1 - Lessons learned about occupation-focused and occupation-based interventions

T2 - A synthesis using group concept mapping methodology

AU - Nielsen, Kristina Tomra

AU - la Cour, Karen

AU - Christensen, Jeanette Reffstrup

AU - Pilegaard, Marc Sampedro

AU - von Bülow, Cecilie

AU - Brandt, Åse

AU - Peoples, Hanne

AU - Jonsson, Hans

AU - Wæhrens, Eva Elisabet Ejlersen

PY - 2019/1/20

Y1 - 2019/1/20

N2 - Introduction: Occupational therapy (OT) is based on the core assumption that humans are active beings through engagement in occupations. Within OT, occupation is typically used as primary means and/or ends i.e. occupation-focused and/or occupation-based interventions are employed. Studies evaluating such interventions are limited.Objectives: To synthesize experiences about occupation-focused and/or occupation-based interventions. Hence, to identify, organize and prioritize experiences with employing occupation as a core element in OT intervention studies.Methods: Participants were OT PhD students and researchers involved in studies concerning occupation-focused and/or occupation-based interventions. Group Concept Mapping was applied.Results: Based on 133 ideas, a conceptual model emerged encompassing two overall dimensions concerning ‘developing interventions’ and ‘planning intervention studies’, respectively. Moreover, ten themes related to one or both dimensions were defined and 94 ideas across clusters had high importance ratings.Conclusion: Synthesis of participants’ experiences indicates that ‘doing’ as agent of change is a core element of OT interventions. Moreover, a multi-level perspective is needed to reach sustainable changes in doing. Group- and peer-support can work as amplifier for change, and flexibility is important during intervention. Such complex interventions need special design and mixed methods in the development, and evaluation of outcome needs to address occupation.

AB - Introduction: Occupational therapy (OT) is based on the core assumption that humans are active beings through engagement in occupations. Within OT, occupation is typically used as primary means and/or ends i.e. occupation-focused and/or occupation-based interventions are employed. Studies evaluating such interventions are limited.Objectives: To synthesize experiences about occupation-focused and/or occupation-based interventions. Hence, to identify, organize and prioritize experiences with employing occupation as a core element in OT intervention studies.Methods: Participants were OT PhD students and researchers involved in studies concerning occupation-focused and/or occupation-based interventions. Group Concept Mapping was applied.Results: Based on 133 ideas, a conceptual model emerged encompassing two overall dimensions concerning ‘developing interventions’ and ‘planning intervention studies’, respectively. Moreover, ten themes related to one or both dimensions were defined and 94 ideas across clusters had high importance ratings.Conclusion: Synthesis of participants’ experiences indicates that ‘doing’ as agent of change is a core element of OT interventions. Moreover, a multi-level perspective is needed to reach sustainable changes in doing. Group- and peer-support can work as amplifier for change, and flexibility is important during intervention. Such complex interventions need special design and mixed methods in the development, and evaluation of outcome needs to address occupation.

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KW - concept mapping

KW - intervention development

KW - study planning

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