Occupational Adaptation model versus biomechanical-rehabilitation model in the treatment of patients with hip fractures.

Objective: This study compared the effectiveness of the Occupational Adaptation frame of reference with the biomechanical-rehabilitation model in the treatment of two groups of 20 patients post-hip fracture.

Method: Using a quasi-experimental design, groups were compared on changes in scores on the Functional Independence Measure (FIM), a satisfaction questionnaire developed for this study and discharge environment.

Results: No group differences in FIM changes for the total stay were found.

Occupational adaptation intervention with patients with cerebrovascular accident: a clinical study.

Objective: The purpose of this study was to examine the use of the Occupational Adaptation frame of reference in the evaluation and treatment of patients with cerebrovascular accident (CVA).

Method: Outcomes of functional independence and discharge environment were measured through a quasi-experimental design. Twenty-five former patients served as the control subjects, and 25 patients admitted after the programmatic implementation of Occupational Adaptation served as the treatment subjects.

The impact of the classroom environment on defining function in school-based practice.

Objective: Whether the environment is stressed in function-dysfunction decisions appears to depend on where in the hierarchy of components of complex tasks and of role skills the evaluating therapist is focused. This study examined the intervention planning decisions of occupational therapists who used the Model of Student Role Adaptation, which emphasizes the complex tasks involved in the student role. The purpose of the study was to determine whether these therapists were responding to environmental demands in planning their interventions.

Effects of a skiing experience on adolescents with limb deficiencies: an occupational adaptation perspective.

Objective: Effects of a 6-day snow skiing trip on 14 adolescents with limb deficiencies were explored. The purpose was to determine whether components of mastery and self-esteem could be identified.

Method: Participant observation data collection methods included videotape, interviews, daily progress notes by ski instructors, and a 1-month posttrip questionnaire.

Occupational adaptation model of professional development as applied to level II fieldwork.

Objective: The purpose of this study was to test the validity of a model of professional development that was based on occupational adaptation. This model proposes that students have three classes of adaptive response behaviors available for use: primitive, transitional, and mature.

Method: Eight Level II fieldwork students were assigned to the Department of Veterans Affairs Medical Center, Dallas, Texas, for 12 weeks.

Occupational adaptation: toward a holistic approach for contemporary practice, Part 2.

This paper introduces a practice model based on the occupational adaptation frame of reference (Schkade & Schultz, 1992). The occupational adaptation practice model emphasizes the creation of a therapeutic climate, the use of occupational activity, and the importance of relative mastery. Practice based on occupational adaptation differs from treatment that focuses on acquisition of functional skills because the practice model directs occupational therapy interventions toward the patient's internal processes and how such processes are facilitated to improve occupational functioning.

Occupational adaptation: toward a holistic approach for contemporary practice, Part 1.

A theoretical perspective designed for clinical application and based on fundamental occupational therapy principles is offered. This perspective, the occupational adaptation frame of reference, is presented as an articulation of (a) a normal developmental process leading to competence in occupational functioning; (b) the process through which the benefits of occupational therapy occur; and (c) a perspective that promotes holistic practice. The person is viewed as operating occupationally through an idiosyncratic configuration of sensorimotor, cognitive, and psychosocial systems, all of which are inevitably involved in each occupational response.

Knowledge and attitudes of occupational therapy students regarding AIDS.

In this pilot study, knowledge regarding AIDS was tested in 36 occupational therapy students and 33 education students. Also measured were the students' attitudes toward AIDS patients and the resulting health care controversies. An analysis of the results revealed no significant differences in knowledge between the two groups.

Parent involvement in physical therapy: a controversial issue.

Children with physical disabilities are often treated in physical therapy without a parent present, under the assumption that the parent may "interfere" with therapy and/or the child will be too distracted if a parent is present. The effectiveness of a therapy program with parental involvement was compared to a program without parents involved. Results indicate that training with the mother present was as effective as training without the mother.

Promoting independence in adolescent paraplegics: a 2-week "camping" experience.

In the summer of 1982, Texas Scottish Rite Hospital (Dallas, TX, U.S.A.