The INSPIRE Model for productive living: a proposed process model for community-based occupational therapy services
Embargo Date
2021-06-18
OA Version
Citation
Abstract
There are limited occupational therapy (OT) services available to community dwelling adults with chronic health conditions and disabilities. Inconsistency in services across the continuum provokes discontinuity in care, lack of community resources and supports, and patient noncompliance. Lack of adequate services often results in poor health management, rehospitalizations, falls, learned helplessness, and lack of purpose and identity. Long-term health outcomes and participation of individuals with chronic health conditions are dependent on a model that addresses these factors and creates a standard of care for community-based OT. The Integrating New Skills to Promote Independence Rehabilitation and Equity (INSPIRE) Model For Productive Living is a proposed process model to guide community-based intervention plans. The INSPIRE Model is grounded in theory and informed by the evidence to create a self-directed process to promote skill acquisition, carry over and long-term compliance for adults with chronic health conditions and disabilities. More specifically, occupation-based theories, including Model of Human Occupation and the Ecology of Human Performance are used as a basis to create the model, and the Adult Learning Theory to structure the conceptual themes and process. Although services at the community level are limited, best practice to promote independence and self-management of health were identified and integrated into the INSPIRE Model. Strategies for implementation, dissemination, and funding are outlined.
Description
License
Attribution-NonCommercial-NoDerivatives 4.0 International