Transforming Occupational Therapy for the 21st Century PAIRE: Recognize Privilege, Acknowledge Injustice, and Reframe...

Area of Science:

• Occupational Therapy
• Public Health
• Social Determinants of Health

Background:

• Existing occupational therapy models primarily use a systems approach.
• Societal influences and structural inequities significantly impact health outcomes.
• Gaps exist in current occupational therapy practice models regarding these broader factors.

Purpose of the Study:

• To identify limitations in current occupational therapy practice models.
• To introduce a novel model, the PAIRE (Recognize Privilege, Acknowledge Injustice, and Reframe Perspective to Reach Equity) Model.
• To promote occupational equity by addressing systemic factors.

Main Methods:

• Employed a cross-sectional study design.
• Identified gaps in existing occupational therapy models.
• Developed and described the PAIRE Model's components and application.

Main Results:

• The PAIRE Model offers a novel approach to occupational therapy practice.
• It emphasizes the reciprocal and intersectional impact of providers, clients, and context.
• Continuous influences of access, context, and justice are integrated into the model.

Conclusions:

• The PAIRE Model provides a framework for achieving occupational equity.
• It is applicable across occupational therapy education, research, and clinical practice.
• The model offers a pathway to address structural inequities and promote health justice.