Introduction: The first year occupational therapy course at the University of Cape Town focusses on developing an understanding of occupation. Two first semester modules form the foundation for this understanding. This study aimed to describe the impact of these modules on first year students' knowledge of, and attitudes towards, the core constructs of occupation.
Methodology: A pre-experimental one-group pre-test post-test design was used with a convenience sample recruited from the 2013 first year occupational therapy class. A self-administered questionnaire was developed for the study based on an extensive literature review and consultation with international occupational therapy experts. Data were gathered before and after participating in the modules. Content and construct validity, test-retest and inter-rater reliability were determined using the expert panel and a pilot test. Data were analysed with STATISTICA.
Results: Forty-five (N=60) participants completed pre-test and post-test questionnaires and were included in the analysis. Knowledge improved significantly (p<0.001) between pre-test and post-test, and positive attitudinal changes were noted.Conclusion: Knowledge and attitudes improved after completing the modules suggesting that students were equipped with a sound foundational understanding of the core constructs of occupation. With the shift to an occupation-based approach, occupational therapy researchers have sought to understand the complexity of occupation and articulate its constructs clearly 1,9 . While different theorists understand the term 'occupation' from varying angles, all highlight similar aspects within their definitions, namely who is involved, where it takes place, what is done and how it is experienced. These aspects align with Nelson's 4,5 constructs of occupation which he terms 'developmental structure', 'occupational form', 'occupational performance' and 'meaning'. However, ambiguity continues to surround the term 'occupation' 10 which creates uncertainty about professional identity and blurs the boundaries between occupational therapy and other professions 11,12 . As students are particularly susceptible to this confusion, occupation-based practice should be emphasised in educational curricula to ensure the development of a strong professional identity and a sound understanding of the importance of occupation 12 . To this end, learning tasks to assist the exploration of occupation and its multiple constructs are introduced from first year to ensure that students develop the necessary knowledge, skills and attitudes required for practice. To this end, first year occupational therapy students at UCT are exposed to a variety of definitions and theories of occupation within the Basic Concepts of Human Occupation and Artforms modules, with an emphasis on Nelson's work. However, as Nelson argued that his conceptualisation of occupation aligns with that of other theorists 5 , it is possible that these modules may equip students with a broad understanding of occupation that...