OTPF & AA

Question 1

What does the OTPF stand for?

Answer 1

Occupational Therapy Practice Framework

Question 2

The OTPF has evolved over the years, and now has **7 versions*. The latest is:

Answer 2

Occupational Therapy Practice Framework: Domain and Process, 4th Edition (2020)

Question 3

What is Task Analysis?

Answer 3

The process in which an OT takes an occupation or activity and breaks it down to understand the physical, cognitive, social, and other processes the activity generally requires

Question 4

Activity Analysis is a way of thinking or analyzing an activity while working with clients.

What is the goal of AA?

Answer 4

To understand an activity, aiming to address:

• Typical demands of the activity
• Performance skills and body functions needed to perform it
• Cultural meanings ascribed to it
• Relation to life participation

Question 5

Analyzing an activity enables the therapist to:

Answer 5

• Discover the skills required for its successful performance
• Identify the sequence of sub-skills leading to the acquisition of mature skills and decide how they can best be presented
• Contribute and enhance the professional reasoning of the therapist
• Break down activity into small steps
• Determine whether or not the person can perform an activity
• Determine the appropriateness of the activity for a particular client in terms of developmental needs, age, personal interests, gender, and cultural relevance
• Identify activity potential and activity risks, hazards, and precautions

Question 6

The careful use of _____ for therapeutic purposes change is what makes occupational therapy unique

Answer 6

Occupations

Question 7

Intervention strategies typically involve _____ in ways that either facilitate development or improvement in desired performance or allow for participation in spite of limitations

Answer 7

changing occupations

Question 8

Inherent in these occupational approaches is attention to developing and maintaining the client’s _______

Answer 8

Motivation to change

Question 9

What is Activity Grading?

Answer 9

• It is adapting an activity in order to allow change in the client.
• It may involve a gradual change in the nature of the activity as either

1. *(A whole** (complete change of activity)
2. By changing few components

Question 10

How does Activity Grading help a client progress?

Answer 10

Grading allows the client to progress from:

Exploration —> Acquisition of skills —> Attainment of goals

It also allows him to move on to the next stage once a skill has been learned.

Question 11

The grading of an occupation involves:

Answer 11

• Sequentially increasing its demands to stimulate the person’s function; or,
• Reducing the occupational demands to respond to client difficulties in performance

Often, practitioner grade occupations to improve the client’s underlying capacities and skills and grading will vary

Question 12

It is a term used when the practitioner helps the client by doing parts of the task that are too hard, but then has the client do the rest, so that a task may be completed.

Answer 12

Activity Scaffolding

Question 13

As clients develop or improve their skills, practitioners systematically withdraw supports, so that the task demands increase until the person is doing the whole task or occupation independently

Answer 13

Activity Fading

Question 14

This involves providing verbal expectations and support designed to help the individual engage in and sustain growth or changes

Answer 14

Activity Coaching

Question 15

What is the goal of Activity Adaptation or Modification?

Answer 15

• To allow the client’s involvement in a valued occupation
• Rather than striving to improve or change the functional capacity of the individual, adaptation focuses on **changing the demands of the occupation **so they are congruent with the person’s ability level

Question 16

Adaptations may involve modification of the occupation itself by:

Answer 16

• Reducing its demands
• Use of assistive devices
• Changes in physical/social environment