Long-Term Impact of Model of Human Occupation Training on Therapeutic Reasoning

This general qualitative study explores occupational therapists' perspectives related to the long-term impact of Model of Human Occupation (MOHO) training on therapeutic reasoning in practice. MOHO is a widely used, occupation-focused theory that promotes participation and engagement in meaningful activities for occupational adaptation. One-on-one, semi-structured interviews were conducted with six occupational therapists at a cancer rehabilitation center who previously underwent systematic MOHO training. Therapists acquired or expanded MOHO knowledge as a result of training and retained that knowledge 9 months later. They also implemented training-related practice changes including the provision of more holistic, client-centered occupational therapy services and systematic use of the MOHO to reason in practice 9 months later. Specific results varied based on experience with the MOHO prior to study-related training. MOHO training promotes knowledge acquisition and positive practice changes long-term for occupational therapists in cancer rehabilitation. Similar trainings would meet therapists' desire to learn more about theory-driven practice and improve their clinical reasoning skills. Future research should explore how results transfer to other facilities and how therapeutic reasoning with the MOHO impacts quality of care.