Psychosocial Intervention with an Adolescent with Diabetes Using the Model of Human Occupation

Curtin, Clare

doi:10.1300/j004v11n02_03

Cited by 5 publications

(4 citation statements)

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“…As a practice model, MOHO is designed to facilitate identification of intervention goals and strategies for occupational therapy (Taylor and Kielhofner, 2017). An occupational therapist used the MOHO to help a 16-year-old male with type 1 diabetes identify self-care deficits (Curtin, 1991). Together, they found dysregulation in each component of the person (i.e., volition, habituation, and performance capacity), which contributed to poor self-care.…”

Section: The Model Of Human Occupationmentioning

confidence: 99%

“…Together, they found dysregulation in each component of the person (i.e., volition, habituation, and performance capacity), which contributed to poor self-care. With this information, the client's therapist bolstered not only the skills and routines for diabetes care, but also the client's self-confidence by facilitating experiences of success (Curtin, 1991). A previous study by Youngson (2019) applied the theoretical perspective of MOHO to diabetes self-care activities; however, the focus of that study was to identify occupational "forms" of diabetes self-care: testing blood sugar, appointments, diet, exercise, information and education, managing other illnesses, and medication.…”

Section: The Model Of Human Occupationmentioning

confidence: 99%

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The experience of type 2 diabetes: Application of the Model of Human Occupation

Klinedinst

Swink

Atler

et al. 2021

British Journal of Occupational Therapy

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Introduction Integrating type 2 diabetes (T2DM) self-care behaviors into daily life is complex and poorly understood. Occupational therapists, as experts in life context, habits, roles, and routines, can foster new ways of understanding and promoting daily engagement in T2DM self-care. The Model of Human Occupation (MOHO), a conceptual practice model, may have applicability to better understanding the experience of living with T2DM and engaging in necessary self-care behaviors. Methods We conducted focus group interviews with individuals with T2DM ( n = 10). We applied the MOHO to understand the experience of living with T2DM and engaging in related self-care behaviors. Findings Participants discussed each element of MOHO and how it related to living with and managing type 2 diabetes. Participants identified obtaining skills for self-advocacy with family, individualized/adapted exercise, stable health-promoting environments and routines, and problem-solving skills for disruptions to routine as critical needs for managing T2DM. These intervention strategies are well-aligned with MOHO and occupational therapy practice. Conclusion We found that MOHO was a useful tool for exploring the experience and daily management of T2DM.

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Section: The Model Of Human Occupationmentioning

confidence: 99%

Section: The Model Of Human Occupationmentioning

confidence: 99%

The experience of type 2 diabetes: Application of the Model of Human Occupation

Klinedinst

Swink

Atler

et al. 2021

British Journal of Occupational Therapy

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“…This lack of family support led Joan to seek full-time residential care, because she could not live in her home without his assistance. Curtin (1991) described the case of "John," an adolescent who received occupational therapy during his third hospital admission due to poor adherence to his DSM program. The results of his occupational therapy evaluation suggested that he used diabetic crises to express his feelings of neglect and gain the attention of his family, despite the fact that this behavior put his life at risk.…”

Section: Occupational Therapy Interventions For Secondary Conditionsmentioning

confidence: 99%

The Role of Occupational Therapy in Diabetes Self-Management Interventions

Pyatak¹

2010

OTJR: Occupational Therapy Journal of Research

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Approximately 23.6 million people in the United States are living with diabetes, a disease that is a leading cause of disabling conditions including blindness, kidney failure, amputations, heart disease, and stroke. Although these complications of diabetes can be delayed or prevented through intensive diabetes self-management (DSM), maintaining control of the disease can be burdensome and negatively impact quality of life. Occupational therapy has a largely untapped potential to assist individuals who struggle with managing diabetes in the context of everyday life, yet there is little discussion of DSM in the occupational therapy literature. The author conducts a systematic review of the existing occupational therapy literature on diabetes, examines the current state of DSM interventions, and discusses a potential role for occupational therapy using programs such as Lifestyle Redesign ® .

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“…Among the several areas in the model, personal causation is addressed in the volition subsystem within the human system that governs two hierarchically subordinate subsystems: habituation, referring to the formation of habits; and per-formance, referring to the acquisition of skills. When applying the model of human occupation to clinical settings, locus of control is the variable measured for personal causation (Barris, Dickie, & Kielhofner, 1988; Barris, Kielhofner, Martin, Gelinas, Klement, & Schultz, 1986;Gusich, 1984;Lederer, Kielhofner, & Watts, 1985;Oakley, Kielhofner, & Pizzi, 1990;Smyntek, Barris, & Kielhofner, 1985), and increasing internal control is usually the treatment goal (Curtin, 1991;Gusich, 1984;Kielhofner, 1995;Lancaster & Mitchell, 1991;Sholle-Martin, 1987).…”

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confidence: 99%

Facilitating Intrinsic Motivation in Individuals with Psychiatric Illness: A Study on the Effectiveness of an Occupational Therapy Intervention

Wu¹

2001

The Occupational Therapy Journal of Research

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This study examined the effectiveness of an occupational therapy intervention to facilitate intrinsic motivation in individuals with psychiatric illness who had motivational deficits. The clinical problem, motivational deficits, was referred to the passive or coercive behaviors resulting from cumulative psychosocial frustrations. The intervention was based on a motivational frame of reference developed by the researcher, involving strategies of autonomy support and moderate structure. The research design was a mixed-effects nested design, involving one experimental group and one control group, and two different groups of therapists to carry out the two types of treatment. The treatment was carried out in one-hour, twice-a-week individual therapy sessions for 12 weeks. The results showed that the motivational intervention effectively facilitated intrinsic motivation, and that there was a corresponding change in social behavior observed by independent therapists. It was concluded that the motivational frame of reference has potential to be used in occupational therapy practice, and further research is needed to investigate its long-term effects.

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Psychosocial Intervention with an Adolescent with Diabetes Using the Model of Human Occupation

Cited by 5 publications

References 0 publications

The experience of type 2 diabetes: Application of the Model of Human Occupation

The experience of type 2 diabetes: Application of the Model of Human Occupation

The Role of Occupational Therapy in Diabetes Self-Management Interventions

Facilitating Intrinsic Motivation in Individuals with Psychiatric Illness: A Study on the Effectiveness of an Occupational Therapy Intervention

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