{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T08:47:51Z","timestamp":1790153271247,"version":"4.0.1"},"reference-count":37,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2020,8,20]],"date-time":"2020-08-20T00:00:00Z","timestamp":1597881600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Aus Occup Therapy J"],"published-print":{"date-parts":[[2020,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>This study examined the influence of training in an occupation\u2010centred model on the practice of occupational therapists working in a cancer hospital. There is an increased need for occupation\u2010based rehabilitation services for individuals with and surviving cancer. Incorporating an occupation\u2010centred model into practice has unique challenges for occupational therapists working in oncology settings. Utilizing an occupation\u2010centred model of practice may influence the therapeutic reasoning of occupational therapists.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A generic qualitative inquiry (Patton, 2015) was used to examine therapeutic reasoning as related to post\u2010professional training in a specific occupation\u2010centred model, the Model of Human Occupation (MOHO). Initially, ten occupational therapists with various levels of experience, working across populations in a large cancer centre completed a training session about the MOHO. This was followed by participation in monthly focus groups with an emphasis on the use of MOHO in daily practice (Taylor, 2017). Focus group sessions were video recorded and transcribed. The transcripts were then analysed using open coding and theme generation (Patton, 2015).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Three major themes were extracted from the data during the thematic analysis: understanding and using MOHO language; challenges in incorporating a conceptual model of occupation\u2010centred practice in an oncology setting; and therapeutic reasoning implications. Patterns in the themes indicated a progression from learning the model, to applying the model, to reflection on practice.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Post\u2010professional training in an occupation\u2010based model influenced the therapeutic reasoning and practice of occupational therapists in an oncology setting.<\/jats:p><\/jats:sec>","DOI":"10.1111\/1440-1630.12687","type":"journal-article","created":{"date-parts":[[2020,8,21]],"date-time":"2020-08-21T10:10:39Z","timestamp":1598004639000},"page":"605-614","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Occupational therapy, cancer, and occupation\u2010centred practice: impact of training in the model of human occupation"],"prefix":"10.1111","volume":"67","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3642-9856","authenticated-orcid":false,"given":"Patricia","family":"Bowyer","sequence":"first","affiliation":[{"name":"School of Occupational Therapy Texas Woman\u2019s University Houston TX USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lauro","family":"Mu\u00f1oz","sequence":"additional","affiliation":[{"name":"Texas Home Health Austin TX USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6841-6086","authenticated-orcid":false,"given":"Cynthia Gorter","family":"Tiongco","sequence":"additional","affiliation":[{"name":"School of Occupational Therapy Texas Woman\u2019s University Houston TX USA"},{"name":"School of Health Professions Texas Tech University Health Sciences Center Lubbock TX USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7972-3265","authenticated-orcid":false,"given":"Melanie Morriss","family":"Tkach","sequence":"additional","affiliation":[{"name":"School of Occupational Therapy Texas Woman\u2019s University Houston TX USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cary C.","family":"Moore","sequence":"additional","affiliation":[{"name":"School of Occupational Therapy Texas Woman\u2019s University Houston TX USA"},{"name":"University of Alaska Anchorage\u2010Creighton University Distance Program Anchorage AK USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brittney","family":"Burton","sequence":"additional","affiliation":[{"name":"Harris Health System Houston TX USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daisy","family":"Lim","sequence":"additional","affiliation":[{"name":"Texas Speech Therapy Missouri City TX USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,8,20]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.5014\/ajot.2014.682006"},{"key":"e_1_2_11_3_1","volume-title":"2011 Accreditation Council for Occupational Therapy Education (ACOTE) Standards and Interpretive Guide: December 2017 Interpretive Guide Version","author":"American Occupational Therapy Association","year":"2017"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1177\/0308022618804704"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1177\/030802260807101206"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.18043\/ncm.78.5.312"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/1440-1630.12529"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.3109\/11038128.2012.754492"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1177\/030802260807100205"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.5014\/ajot.2013.676002"},{"key":"e_1_2_11_11_1","first-page":"7102100030","article-title":"Centennial Topics \u2013 Systematic review of occupational therapy and adult cancer rehabilitation: Part 1. 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