The Model of Occupational Self Efficacy

The Model of Occupational Self Efficacy is a model of practice theory that is divided into different stages surrounding a client's traumatic brain injury. The first stage involves
 helping a client work towards accepting the limitations created by traumatic brain injury. The therapist will also review the resources and rehabilitation available to the client. The second stage is where the client engages in the intervention process seeking to increase their occupational participation. Stage 3 is where a client can improve their knowledge of a variety of things including medical precautions, use of assistive devices, and workplace adaption. Finally, stage 4 involves the client continuing to accept their condition and return to daily routine such as work or roles within their family. This process is aimed to develop self efficacy.   

 This theory is designed to be used with an adolescent, adult, or elderly population. The functional aspect of this theory includes increasing their occupational performance through interventions and use of medical precautions, assistive devices, and workplace adaptation. One thing an OT may assess when using this theory would would be their cognition post injury in order to best adapt interventions, education, ect and adequately fit the patient's abilities.

 Three key terms associated with this theory are as follows:

1. self efficacy- is the extent to which people believe they are capable of performing specific behaviors in order to attain certain goals
2. occupational performance- a person's ability to perform the required activities, tasks, and roles of living
3. traumatic brain injury-  a disruption in the normal function of the brain that can be caused by a bump, blow, or jolt to the head, or penetrating head injury



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