Models- MOHO Chapter 8- Dimensions of Doing

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According to Kielhofner, participation is collectively influenced by one's

- Volition -Habituation - Performance capacity - Environment

An individuals volition toward participating in a particular occupation or occupational role follows a volitional process, which may range from

1. Merely experiencing the doing of an activity, to 2. Experiencing and choosing, to 3. experiencing, interpreting, anticipating, and choosing.

Within the model of human occupation, three types of skills are recognized:

1. Motor skills 2. Process skills 3. Communication and interaction skills

What are the three elements of occupational adaption?

1. Occupational Identity 2. Occupational Competence 3. Environmental Impact

What are the six dimensions of Occupational participation?

1. Participating in roles 2. Choosing an activity within a role (an occupational form) 3. Participating in the chosen activity (occupational performance) 4. Participating in one or more steps of that activity 5. Participating in the individual actions that comprise a step (skills) 6. Subjective experience and objective appraisal of performance capacity

What are the three levels of doing in occupation?

1.Participation 2. Performance 3. Skills

What are communication and interaction skills?

Communication and interaction skills include being able to convey one's intentions and needs and to express oneself in a way that allows for involvement and coordinated social actions with others.

Occupational Identity

Composite sense of who one is and wishes to become as an occupational being generated from one's history of Occupational participation.

Occupational Performance

Comprises discrete acts, or units of doing, that are performed. Within the Model of Human Occupation, occupational performance may be viewed as engaging in an occupational form. Engaging in an occupational form involved completing (or literally going through the form of) a discrete act that may involve a series of steps that lead to a coherent whole or desired activity.

Communication and Interactions Skills

Conveying intentions and needs, and corresponding social action in order to act together with people.

Occupational Performance

Defines discrete acts or units of doing.

Occupational Participation

Defines what we do in the broad areas of work (study),play, and activities of daily living.

Occupational Participation

Defines what we do in the broadest sense. Participation describes our engagement in the broad categories of work (study),play, and the activities of daily living that undergird everyday life.

Occupational Competence

Degree to which one is able to sustain a pattern of Occupational participation that reflects one's occupational identity.

Dimensions of participation

Diverse possibilities in which people become involved in occupations, considering as a parameter their maximum potential of cognitive and physical capacity.

What is Occupational Adaptation?

Having a positive occupational identity and the correspondent occupational competence constructed over time through the dynamics of the constant interaction between personal factors and environmental impact.

Occupational Adaptation

Having a positive occupational identity and the correspondent occupational competence that have been constructed over time through the Dynamics of a constant interaction between personal factors and environmental impact in an ongoing participation in occupation.

What is Occupational Competence?

It is the degree to which one sustains a successful pattern of occupational participation that reflects one's occupational identity. Thus, while identity has to do with the subjective meaning of one's occupational life, competence has to do with putting that identity into action in an ongoing way.

What is Occupational Identity?

It refers to a composite definition of the self, including roles and relationships, values, self-concept, and personal desired and goals. It is a composite sense of who one is and wishes to become as an occupational being generated from one's history of occupational participation.

What is Environmental Impact?

It refers to the manner by which personal and environmental characteristics integrate dynamically while a person is participating in occupations. Persons are in constant negotiation with themselves and with the opportunities and restrictions posed by the social, physical, cultural, economic, and political characteristics of the environment.

Process Skills

Logically sequencing actions over time, selecting and using appropriate tools and materials, and adapting performance when encountering problems.

What are motor skills?

Motor skills Define moving one's body or objects and one's environment. Specific motor skills include, but are not limited to, bending or stabilizing one body and manipulating, lifting, or carrying objects.

Motor Skills

Moving self or task objects.

Occupational Skills

Observable, goal-directed actions that a person uses while performing a step of a task.

Within the model of human occupation, doing has been described at three levels:

Occupational participation, occupational performance, and occupational skills.

What is Environmental Impact (in relation to occupational adaptation)?

Opportunities, resources, demands, and restrictions of cultural, political, and economic conditions and social and physical environmental dimensions of different occupational settings play an active role in changing, for the better or for worse, the course of occupational adaptation.

What are process skills?

Process skills involve logically sequencing actions over time, selecting and using appropriate tools and materials, and adapting performance to overcome obstacles.

Occupational Adaptation

Refers to the extent to which persons are able to develop, change in response to challenges, or otherwise achieve a state of wellbeing through what they do.

Environmental Impact

Refers to the manner by which personal and environmental characteristics integrate dynamically while a person is participating in occupations. The environment offers opportunities, resources, demands, and restrictions of cultural, political, and economic conditions, social and physical environmental dimensions of different occupational settings that play an active role in changing, For The Better or For Worse, the course of Occupational adaptation.

What are occupational skills?

The observable, goal-directed actions that make up occupational performance are referred to as occupational skills.

Habits are more likely to form when

a person makes a volitional choice to engage in an act. Each Act, and eventual habit of performance, take shape within a social and physical environment that, hopefully, facilitates that act. Thus, in addition to volition and habituation, that event is critically important in terms of its ability to enable, or restrict, one's performance.

The World Health Organization uses the term participation to refer to

a person's involvement in life situations which makes him or her take part in society along with their experiences in life contexts.

Participation in occupation emerges from the

constant interaction between person's performance capacities, habituation, volition, and the environment. Therefore, It is both personal and contextual. It is personal and that the types of dimensions of participation in which a person will engage are influenced by the individual's unique motives, patterns of organization, and abilities and limitations. It is contextual and that the environment as part of a person's participation, providing conditions for either enabling or restricting it.

Dimensions of participation

emphasize the diverse ways people become involved in occupations, considering their maximum potential for cognitive and physical capacity. This is acknowledged from the perspective of both objective measures of performance and the subjective experience of the client.

Participating in occupational roles refers to

engaging in occupations in the broadest sense. Performing The Acts required for valued occupational roles (worker, player, amateur, student, family member, Etc.) Tells us that these could be desired and or necessary to one's well-being. Participating in occupational roles involves taking part and long-term life projects that have a personal and unique meaning that pertains to work/productive activity, activities of daily living, or play/leisure occupations.

Participation in occupations has been conceptualized as involving the constant interaction of

humans feeling, thinking, and acting in and with the world. These three factors - feeling, thinking, and acting - interrelate in different ways, and each one takes a more or less active role according to the unique person's reality of performance capacities, volition, habituation, and environmental impact.

Intensity of participation

refers to the performance of a group of actions necessary to participate in a given occupational role. When the actions required for a specific role are consistently performed, people feel a sense of accomplishment with respect to an occupational role.


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