Implementing the Model of Human Occupation across a mental health occupational therapy service: communities of practice and a participatory change process
Authors: Wimpenny, Katherine; Forsyth, Kirsty; Jones, Catherine; Matheson, Lorna; Colley, Julie
Source: The British Journal of Occupational Therapy, Volume 73, Number 11, November 2010 , pp. 507-516(10)
Publisher: College of Occupational Therapists
Abstract:The implementation of evidence-based change in practice settings is complex and far reaching, but only limited research has been undertaken in this area. This participatory action research study investigated the implementation of the Model of Human Occupation (MOHO) across a mental health occupational therapy service.
Method: The study involved preparatory workshops and 12 months of team-based, monthly group reflective supervision sessions, facilitated by a colleague from academia, with follow-up contact for a further 12 months.
Findings: The main findings emphasise the importance of developing a critical learning space, or 'community of practice', and identify that barriers to theory implementation can be overcome by collective effort with a shared dialectic. The successful development of a community of practice required the careful consideration of a number of interconnected influences, including those of self, peer and facilitator, and contextual and theoretical relationships.
Conclusion: The study concluded that the community of practice was central in supporting the effective implementation of MOHO and its associated assessment tools. A key output of the study is a Participatory Change Process, which illustrates the key steps undertaken and interrelated factors affecting theory uptake. The process requires further testing, but has potential to guide theory implementation in other settings.
Document Type: Research Article
Publication date: November 2010
The British Journal of Occupational Therapy (BJOT) is the official journal of the College of Occupational Therapists. Its purpose is to publish articles relevant to theory, practice, research, education and management in occupational therapy internationally.
BJOT publishes research articles, critical reviews, practice analyses, opinion pieces, editorials, letters to the editor, book reviews and an annual index. Please refer to the author's guide at http://www.cot.co.uk/british-journal-bjot/british-journal-occupational-therapy
Submissions can be made at http://mc.manuscriptcentral.com/bjot
The 2012 Impact Factor for The British Journal of Occupational Therapy is 1.096.
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