Occupational Therapy Program Student Theses, Dissertations and Capstones

Document Type


Degree Name

Doctor of Philosophy (PhD) in Occupational Therapy

Copyright Statement

All rights reserved. This publication is intended for use solely by faculty, students, and staff of Nova Southeastern University. No part of this publication may be reproduced, distributed, or transmitted in any form or by any means, now known or later developed, including but not limited to photocopying, recording, or other electronic or mechanical methods, without the prior written permission of the author or the publisher.


College of Health Care Sciences – Occupational Therapy Department

First Advisor

Wendy K Stav

Second Advisor

Eli Stav

Third Advisor

Elizabeth Francis-Connolly

Publication Date / Copyright Date



Nova Southeastern University


Background: The positive impact of occupation and well-being has been documented throughout the literature, however, the direct link of using occupation-based practice (OBP) and improvement of client outcomes has not been well established. This research study considered what OBP is, what the constructs are that comprise it, and how facilitators and barriers impact its use. Results: Results of this grounded theory study included four main constructs of occupation-based practice (actual occupation, meaningful and purposeful value, therapeutic intent, and engaged participation) as well as the theory of OccupationalTherapist’s Dynamic Use of Occupation-Based Practice. This theory explains the dynamic process that a practitioner uses during each therapeutic interaction and how it impacts where on the continuum the interaction lies (medical model to occupation-based). Conclusion: The results of this study help inform the profession at the academic, continuing education, practice, and administrative levels view and understand occupation-based practice in a more concrete manner. The results of this study provide evidence for the creation of a measurement tool to further assess the use of occupation-based practice.


Occupational Therapy


constructs, meaningful, occupation, occupation-based practice, purposeful