NBCOT Foundations and Theoretical Frameworks 1 — Questions and Answers
Question 1: Which theoretical framework emphasizes the dynamic interaction between the person, environment, and occupation in influencing occupational performance?
- Model of Human Occupation (MOHO)
- Person-Environment-Occupation (PEO) Model (Correct answer)
- Occupational Adaptation Model
- Ecology of Human Performance (EHP)
Correct answer: Person-Environment-Occupation (PEO) Model
The PEO Model specifically focuses on the transactional relationship among the person, their environment, and their occupations as the determinants of occupational performance.
Question 2: Gary Kielhofner developed which occupation-based model that uses concepts of volition, habituation, and performance capacity?
- Occupational Adaptation Model
- Model of Human Occupation (MOHO) (Correct answer)
- Canadian Model of Occupational Performance
- Kawa Model
Correct answer: Model of Human Occupation (MOHO)
MOHO, developed by Gary Kielhofner, organizes occupational behavior around volition (motivation), habituation (patterns), and performance capacity.
Question 3: The Kawa (River) Model of occupational therapy was developed primarily to reflect the values and worldview of which cultural context?
- African
- Latin American
- Japanese (Correct answer)
- Indigenous Australian
Correct answer: Japanese
The Kawa Model was developed by Michael Iwama and colleagues in Japan to reflect a collectivist, non-Western worldview where life is conceptualized as a river.
Question 4: In the Ecology of Human Performance (EHP) framework, which intervention approach involves altering the task or environment to support performance?
- Establish/Restore
- Adapt/Modify (Correct answer)
- Prevent
- Create
Correct answer: Adapt/Modify
The Adapt/Modify approach in EHP involves changing task demands or contextual features to support the person's performance without changing the person's skills.
Question 5: Which frame of reference is MOST appropriate when an OT is working to improve a client's sensory processing and integration to support participation?
- Biomechanical Frame of Reference
- Sensory Integration Frame of Reference (Correct answer)
- Cognitive Behavioral Frame of Reference
- Rehabilitative Frame of Reference
Correct answer: Sensory Integration Frame of Reference
The Sensory Integration Frame of Reference, developed by A. Jean Ayres, addresses how the brain processes sensory information to support adaptive behavior and participation.
Question 6: The biomechanical frame of reference in OT focuses primarily on which aspect of client function?
- Cognitive skills and executive function
- Range of motion, strength, and endurance (Correct answer)
- Sensory modulation and integration
- Role performance and habituation
Correct answer: Range of motion, strength, and endurance
The biomechanical frame of reference addresses impairments in ROM, strength, and endurance that affect a client's ability to perform occupations.
Question 7: Which occupational therapy model uses the metaphor of 'doing, being, becoming, and belonging' to describe the dimensions of occupation?
- Model of Human Occupation
- Occupational Adaptation Model
- Canadian Model of Occupational Performance and Engagement
- Wilcock's Occupational Perspective of Health (Correct answer)
Correct answer: Wilcock's Occupational Perspective of Health
Ann Wilcock articulated 'doing, being, becoming, and belonging' as interconnected dimensions that describe the breadth and depth of human occupation.
NBCOT Foundations and Theoretical Frameworks 1
Which theoretical framework emphasizes the dynamic interaction between the person, environment, and occupation in influencing occupational performance?