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  • Title: Long-Term Impact of Model of Human Occupation Training on Therapeutic Reasoning.
    Author: Bowyer P, Munoz L, Tkach MM, Moore CC, Tiongco CG.
    Journal: J Allied Health; 2019; 48(3):188-193. PubMed ID: 31487357.
    Abstract:
    This general qualitative study explores occupational therapists' perspectives related to the long-term impact of Model of Human Occupation (MOHO) training on therapeutic reasoning in practice. MOHO is a widely used, occupation-focused theory that promotes participation and engagement in meaningful activities for occupational adaptation. One-on-one, semi-structured interviews were conducted with six occupational therapists at a cancer rehabilitation center who previously underwent systematic MOHO training. Therapists acquired or expanded MOHO knowledge as a result of training and retained that knowledge 9 months later. They also implemented training-related practice changes including the provision of more holistic, client-centered occupational therapy services and systematic use of the MOHO to reason in practice 9 months later. Specific results varied based on experience with the MOHO prior to study-related training. MOHO training promotes knowledge acquisition and positive practice changes long-term for occupational therapists in cancer rehabilitation. Similar trainings would meet therapists' desire to learn more about theory-driven practice and improve their clinical reasoning skills. Future research should explore how results transfer to other facilities and how therapeutic reasoning with the MOHO impacts quality of care.
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