Introducing the Leadership in Enabling Occupation (LEO) Model

Townsend, Elizabeth; Polatajko, Helene J.; Craik, Janet; Zweck, Claudia M. von

doi:10.2182/cjot.2011.78.4.7

Cited by 181 publications

(346 citation statements)

References 14 publications

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“…During a semi-structured interview, participants described which occupations they experienced as important, but found difficult to perform. The term “occupation” is, in short, everything people do to occupy themselves, including looking after themselves, enjoying life, and contributing socially and economically to their communities 13. The importance of each occupation is rated on a 1–10 point scale (10= very important).…”

Section: Methodsmentioning

confidence: 99%

Predictors of outcomes following reablement in community-dwelling older adults

Tuntland

Kjeken

Langeland

et al. 2016

CIA

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BackgroundReablement is a rehabilitation intervention for community-dwelling older adults, which has recently been implemented in several countries. Its purpose is to improve functional ability in daily occupations (everyday activities) perceived as important by the older person. Performance and satisfaction with performance in everyday life are the major outcomes of reablement. However, the evidence base concerning which factors predict better outcomes and who receives the greatest benefit in reablement is lacking.ObjectiveThe objective of this study was to determine the potential factors that predict occupational performance and satisfaction with that performance at 10 weeks follow-up.MethodsThe sample in this study was derived from a nationwide clinical controlled trial evaluating the effects of reablement in Norway and consisted of 712 participants living in 34 municipalities. Multiple linear regression was used to investigate possible predictors of occupational performance (COPM-P) and satisfaction with that performance (COPM-S) at 10 weeks follow-up based on the Canadian Occupational Performance Measure (COPM).ResultsThe results indicate that the factors that significantly predicted better COPM-P and COPM-S outcomes at 10 weeks follow-up were higher baseline scores of COPM-P and COPM-S respectively, female sex, having a fracture as the major health condition and high motivation for rehabilitation. Conversely, the factors that significantly predicted poorer COPM-P and COPM-S outcomes were having a neurological disease other than stroke, having dizziness/balance problems as the major health condition and having pain/discomfort. In addition, having anxiety/depression was a predictor of poorer COPM-P outcomes. The two regression models explained 38.3% and 38.8% of the total variance of the dependent variables of occupational performance and satisfaction with that performance, respectively.ConclusionThe results indicate that diagnosis, functional level, sex and motivation are significant predictors of outcomes following reablement.

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Section: Methodsmentioning

confidence: 99%

Predictors of outcomes following reablement in community-dwelling older adults

Tuntland

Kjeken

Langeland

et al. 2016

CIA

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“…Institutional elements that shape and are shaped by practice need to be more explicitly and systematically considered by community therapists (Cooper, ; Townsend, Polatajko, Craik, & Zweck, ). To do this, we suggest two possible courses of action.…”

Section: Discussionmentioning

confidence: 99%

“…Our results detail how standardisation (Carrier, Levasseur, et al, ) and performance optimisation (Carrier et al, ) shape and limit the scope of professional practice and hence the response to clients’ needs. Knowing more about these elements might help professional regulatory colleges/associations advocate for performance indicators that sustain rather than conflict with professional values (Townsend et al, ). For example, health indicators adapted to the varying characteristics of healthcare organisations (Smith, ) could be coherent with individuals’ experience of health and supportive of client‐centred healthcare (Sturmberg et al, ).…”

Section: Discussionmentioning

confidence: 99%

Institutional context: What elements shape how community occupational therapists think about their clients’ care?

Carrier

Freeman

Desrosiers

et al. 2020

Health Soc Care Community

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“…The most recent Canadian occupational therapy guidelines presented the Leadership in Enabling Occupation (LEO) Model to encourage occupational therapists to plan systemic actions that work toward optimal service availability and address systemic barriers to clients' access to occupation (Townsend, Polatajko, Craik, & von Zweck, 2011). Given this work, the demonstrated need for addressing rights and injustices in practice, and CAOTs mission to advance excellence in occupational therapy, it was clear that the association has an important role in advancing occupational justice and human rights in occupational therapy.…”

Section: Reasons For New Practicementioning

confidence: 99%

A case study of a national association's actions to advance the integration of occupational justice and human rights in occupational therapy

Gordon

Lapointe

MacLachlan

et al. 2016

World Federation of Occupational Therapists Bulletin

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Objective: To consider a professional association's actions in supporting an occupational therapy community's awareness and learning about occupational justice and human rightsinformed practice. Presentation: The Canadian Association of Occupational Therapists (CAOT) is a national professional association that promotes excellence in occupational therapy through advocacy, professional development opportunities, and resource and product development. For its 2015 Conference, CAOT focussed on the intersection between justice, human rights and occupational therapy. Technique: Conferences are intense knowledge mobilisation platforms and are an opportunity for professional associations to demonstrate leadership in advancing and promoting the occupational therapy profession. Conclusion: Occupational therapy associations are encouraged to use their resources and voice to unite occupational therapists within their region in pursuit of the goal to make our communities more just and inclusive for all.

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Introducing the Leadership in Enabling Occupation (LEO) Model

Abstract: LEO is a leadership tool to extend all occupational therapists' strategic use of scholarship, new accountability approaches, existing and new funding, and workforce planning to improve access to occupational therapy.

Cited by 181 publications

References 14 publications

Predictors of outcomes following reablement in community-dwelling older adults

Predictors of outcomes following reablement in community-dwelling older adults

Institutional context: What elements shape how community occupational therapists think about their clients’ care?

A case study of a national association's actions to advance the integration of occupational justice and human rights in occupational therapy

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