socio-ecological perspectives of performance health: optimizing function within an environmental...
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Socio-ecological Socio-ecological perspectives of perspectives of
performance health: performance health: Optimizing function Optimizing function
within an environmental within an environmental context.context.
Sandra Kirkwood, Sandra Kirkwood,
B.Occ. Thy., B. Mus.B.Occ. Thy., B. Mus.
Definition Occupational Definition Occupational TherapyTherapy
Occupational therapists work with Occupational therapists work with individuals throughout their life individuals throughout their life span in a wide variety of span in a wide variety of institutional, community-based institutional, community-based and organisational settings and organisational settings involving broad ranging issues involving broad ranging issues concerning their actual or concerning their actual or potential occupational potential occupational performance.performance.
Occupational Occupational PerformancePerformance
Consists of activities of daily living, Consists of activities of daily living, education, work, play, leisure and education, work, play, leisure and social participation.social participation.
Optimal occupational performance Optimal occupational performance implies a balance among performance implies a balance among performance areas. areas.
Includes the objective, observable Includes the objective, observable component (the behaviours component (the behaviours associated with occupation) and the associated with occupation) and the subjective, experiential component subjective, experiential component (the cognitive and affective (the cognitive and affective experiences associated with these experiences associated with these behaviours).behaviours).
Person-environment-occupation model Mary Law et al.,1996
PERSON (Performer/s)
ENVIRONMENT (Socio-ecological
context)OCCUPATION(Performance)
Modified by Kirkwood, 2008
Occupational Performance Occupational Performance Model Australia. Model Australia. Chapparo & Chapparo &
Ranka 1996Ranka 1996
Model of Human Model of Human OccupationOccupation
Gary KielhofnerGary Kielhofner“Volition,
habituation, performance capacity and environmental conditions always resonate together, creating conditions out of which our thoughts, feelings and behaviour emerge” (Kielhofner 2004).
Kawa model: Michael Kawa model: Michael Iwama Iwama
www.kawamodel.comwww.kawamodel.com Metaphor of river; occupation as life Metaphor of river; occupation as life
flowflow
Model of socio-ecological Model of socio-ecological supportsupport
PersonalFactors
Intrapersonal Relationships
Community Context
Society
Media, Policy
Kirkwood, 2008Kirkwood, 2008
Socio-ecological model of Socio-ecological model of performance health performance health (Kirkwood, (Kirkwood,
2008)2008)
HistoryTime &Develop-ment
Cultural Context
Intrapersonalrelationships, politics.
Social attitudes, beliefs &policy.
PhysicalEnvironment& Access
Personal Factors& QOL
MEASURING OCCUPATIONAL PERFORMANCE: M.Law et al, (eds) 2005.
OCCUPATIONAL SELF ASSESSMENT
PERCEIVED EFFICACY AND GOAL SETTING SYSTEM (PEGS)
THE CANADIAN OCCUPATIONAL PERFORMANCE MEASURE
OCCUPATIONAL PERFORMANCE HISTORY INTERVIEW II
OCCUPATIONAL CIRCUMSTANCES ASSESSMENT INTERVIEW & RATING SCALE
Design, adapt, evaluate Design, adapt, evaluate musical equipment & musical equipment &
seatingseating
Symmetrical keyboardSymmetrical keyboard
Concert basso stoolConcert basso stool
Access - modificationsAccess - modifications
ACROD Access sub-committee on access and mobilityACROD Access sub-committee on access and mobility
Equity & Access: Socio-Equity & Access: Socio-cultural cultural
"Everyone has the right freely to "Everyone has the right freely to participate in the cultural life of the participate in the cultural life of the community, to enjoy the arts and to share community, to enjoy the arts and to share in scientific advancement and its benefits" in scientific advancement and its benefits" (Article 27, (Article 27, Universal Declaration of Human RightsUniversal Declaration of Human Rights, UN, , UN,
1948).1948).
The National Aboriginal Health StrategyThe National Aboriginal Health Strategy states that "health encompasses the states that "health encompasses the social, emotional, spiritual and cultural social, emotional, spiritual and cultural well-being of the whole community." well-being of the whole community."
Modified methods to Modified methods to optimise performanceoptimise performance
Sensory modulation and Sensory modulation and musical developmentmusical development
Neurological Neurological foundation of foundation of Dalcroze Music Dalcroze Music EducationEducation
Sensory processing Sensory processing disordersdisorders
Evaluating Evaluating “Listening with the “Listening with the whole body” whole body” approach.approach.
Advocacy and AutonomyAdvocacy and Autonomy
Submission to Aboriginal & Torres Submission to Aboriginal & Torres Strait Islander Healing Foundation in Strait Islander Healing Foundation in response to response to Voices around the Voices around the campfire: Establishing the A&TSI campfire: Establishing the A&TSI Healing Foundation.Healing Foundation.
Education & workshops to raise Education & workshops to raise awareness of health promotion and awareness of health promotion and concept of “Health for all.” concept of “Health for all.”
Inter-professional collaborationInter-professional collaboration
Networking & Service Networking & Service developmentdevelopment
Music Health Australia www.musichealth.com.au
Community musicCommunity music Music without bordersMusic without borders Music performanceMusic performance Singing for good healthSinging for good health Health promotion, workshops.Health promotion, workshops.
ReferencesReferences
Chapparo C. & Ranka, J. (1996) Occupational performance model (Australia) online at www.occupationalperformance.com
Law M, Baum C, Dunn, W. (eds.) (2005) Measuring Occupational Performance. Thorofare, NJ : Slack. www.slackbooks.com
Wilcock, A (2006) An occupational perspective on health. Thorofare, NJ: Slack.
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