Implementing the Model of Human Occupation across a mental health occupational therapy service: Communities of practice and a Participatory Change Process



Wimpenny, Katherine and Forsyth, Kirsty and Jones, Catherine and Matheson, Lorna and Colley, Julie (2010) Implementing the Model of Human Occupation across a mental health occupational therapy service: Communities of practice and a Participatory Change Process. British Journal of Occupational Therapy, 73 (11). pp. 507-516. ISSN 0308-0226

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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. © The College of Occupational Therapists Ltd.

Item Type: Article
Divisions: School of Health Sciences > Occupational Therapy and Arts Therapies
Date Deposited: 05 Jan 2011 11:27
Last Modified: 19 Mar 2014 12:58
URI: http://eresearch.qmu.ac.uk/id/eprint/2068

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