Impact of using the Model of Human Occupation: A survey of occupational therapy mental health practitioners' perceptions

Abstract

Aim: While little is known about how occupational therapists perceive the use of occupation-focused theory in their practice, evidence indicates that it has been called for in the profession. To date, the Model of Human Occupation (MOHO) is the most widely used model internationally. The aim of this study is to document practitioners' perceptions of how using MOHO impacted on their practice. Methods: A descriptive study using an Internet-based survey study design was conducted with 429 therapists in six National Health Service (NHS) trusts in the UK. Results: Of the 429 therapists, 262 completed the survey, for a response rate of 61.07%. Most were female (85.5%) with a varying range of years of experience. Most worked in community and/or inpatient mental health settings; 92.1% responded that they use MOHO as their primary model. Therapists reported using MOHO moderately to greatly improve their assessment, goal setting, and conduct of relevant interventions as well as professional identity as an OT in their mental health occupational therapy practice. Conclusion/Implications: This study examined therapists' perceived impact of using an occupation-focused model in mental health practice. The findings of this study provided promising results. Findings suggest that the utilization of MOHO increases service for clients and professional stature and identity for therapists.

Key words::

• theory use
• occupation-focused practice
• evidence-based practice
• Clinical decision

Acknowledgements

Authors would like to thank all participants for this survey study. Also this study was undertaken as the first author's partial fulfillment of the requirements for the degree of Doctorate of Philosophy at the University of Illinois at Chicago.

Declaration of interest: The authors report no conflicts of interest. The authors alone are responsible for the content and writing of the paper.