A Need to Activate Lasting Engagement

Author:

Brick Rachelle1,Lyons Kathleen Doyle2,Rodakowski Juleen3,Skidmore Elizabeth4

Affiliation:

1. Rachelle Brick, MSOT, OTR/L, is PhD Candidate, Department of Occupational Therapy, School of Health and Rehabilitation Sciences, University of Pittsburgh, Pittsburgh, PA; rsb50@pitt.edu

2. Kathleen Doyle Lyons, ScD, OTR/L, is Scientist, Department of Psychiatry Research, Dartmouth–Hitchcock Medical Center, Lebanon, NH.

3. Juleen Rodakowski, OTD, MS, OTR/L, is Assistant Professor, Department of Occupational Therapy, School of Health and Rehabilitation Sciences, University of Pittsburgh, Pittsburgh, PA.

4. Elizabeth Skidmore, PhD, OTR/L, is Professor and Chair, Department of Occupational Therapy, School of Health and Rehabilitation Sciences, University of Pittsburgh, Pittsburgh, PA.

Abstract

Abstract Occupational therapy practitioners provide interventions to promote activity engagement to multiple clinical populations. They help clients develop restorative, adaptive, and compensatory skills to improve their performance in daily activities. The issue addressed in this article is that current clinical frameworks lack translation of learned skills to consistent everyday performance. There is a gap between what clients can do and what clients actually do in everyday life. Behavioral activation provides an explicit, structured, and practical approach that can translate capacity into long-term engagement. This article presents behavioral activation as a transdiagnostic approach that targets populations experiencing chronic illness to bridge the gap between what the client can do in therapy and what the client could do in everyday life. What This Article Adds: People with chronic illness have difficulty translating the skills learned in traditional practice settings to everyday life. Behavioral activation offers occupational therapy practitioners a practical structure to promote the translation of learned skills.

Publisher

AOTA Press

Subject

Occupational Therapy

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