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10/1/2019
1
OT 321
Occupation: Theory and Analysis
Ecology Of Human
Performance Model (EHP)
W & S CH 43
Noor Ismael, PhD, MSc, OTR/L
1/10/2019
Identifying Theory:
Title/Who Developed It?
10/1/2019
2
Ecology Of Human Performance
(EHP)
•Dunn, W., Brown, C. & McGuuigan, A. (1994). The
ecology of human performance: A framework for
considering the effect of context. AJOT,48, 595-607.
Identifying Theory:
Purpose/Focus
10/1/2019
3
Ecology Of Human Performance (EHP)
•Human Performance is a transaction
•Person
•Context
•Task
•Explains ecology (person –context)
•Explains how ecology affects behavior
and task performance
Dunn, W. Brown, C. & McGuuigan, A. (1994). The ecology of human performance: A framework
for considering the effect of context. AJOT,48, 595-607.
Identifying Theory:
Primary Concepts or
Constructs
10/1/2019
4
EHP: Constructs & Variables
•Person
•Context
•Task
•Performance
Identifying Theory:
Structure of Constructs
Organization
Categories
Relationships to each other
10/1/2019
5
T T
T
T
T
T TT
T
T
T
T
T
T
TT
T
T
T
T
TASK
PERFORMANCE
CONTEXT
PERSON
EHP: Person
•Individual, unique, complex
•Experiences
•Sensorimotor, cognitive & psychosocial skills &
abilities
•Meaning attached to task and context
influences performance
10/1/2019
6
Individuals Have Unique Experiences (Ex:
Socializing)
Individuals Have Various Abilities
10/1/2019
7
EHP: Context
•“The lens through which a person views task
performance”
•Two aspects:
•Temporal (Time)
•Environment
EHP: Context
•Temporal
•Chronological
•Developmental
•Life cycle
•Disability Status
•Period
10/1/2019
8
EHP: Context
•Environment
-Social
–Physical
–Cultural
EHP: Task
• Set of behaviors to accomplish a goal
• 1st Step
• 2nd Step
• 3rd Step
• Roles shape tasks
• Take on meaning in the person-context-task transaction to become
occupations
10/1/2019
9
EHP: Performance
• Process of engaging in tasks
• The result of transaction between person & context => performance
range
• Performance range changes over time
Person-Context-Task Transaction
•Ecology = interdependence of person-
environment
•Ecology affects task performance
•Task performance affects ecology
10/1/2019
10
T T
T
T
T
T TT
T
T
T
T
T
T
TT
T
T
T
T
TASK
PERFORMANCE
CONTEXT
PERSON
EHP: Guiding Intervention
•Establish and restore
•Alter
•Modify
•Prevent
•Create
10/1/2019
11
Establish And Restore
•Focus is on the person
•Attainment of new skill/ability
•Education imbedded in the task
Alter The Context Or Task
•Trying different context or task
•Select context/task to enable performance
•New/different context/task that matches with
current skills/abilities
•Not a change to current context/task
10/1/2019
12
Modify/Adapt
•Is a change to the current context/task
•Support performance in natural setting
•Compensatory techniques
•Task becomes more available to the person
Prevent
•Prevent occurrence or evolution of performance
problems in context
•Without intervention, predict what is likely to
occur
•Change course of events
•Includes other strategies, but occurs before the
problem develops
10/1/2019
13
Create Circumstances
•Promote performance in context
•No presumed disability or impairment
•Enhance performance for all
•In natural contexts of life
EHP: Assumptions
• People and contexts are unique & dynamic
• Person and context cannot be separated
• Each influence the other
• Contrived contexts are different from natural contexts
• Natural environments a more accurate reflection of true
performance
• Explicitly links tasks, person & context
10/1/2019
14
EHP: Limitations to the Model
•Additional evidence needed to:
•Verify the relationships
•Test effectiveness of interventions
Ecology of Human Performance
(EHP)
•Interventions include changes to the tasks and
context
•Approaches to Intervention
• Establish/Restore
• Modify/Adapt
• Alter
• Prevent
• Create
10/1/2019
15
Ms. Riggles
Ms. Riggles is a retired high-school vocal teacher who lives alone in a
townhouse. She retired early due to changes in vision, sensation and
mobility from Type II diabetes. Reading has been a favorite activity,
but is increasingly difficulty changes in central vision. She also used to
go to the library weekly. Now that she is not driving, her daughter
brings her books or will occasionally take her to the library. She has
two grandchildren who come to her house after school during the
week and their mother picks them up later. She enjoys having them
over and they help her with laundry.
Person
•Ms. Riggles is a retired music teacher, has
changes in vision and tactile sensation,
cognitively alert and aware, socially interacts
daily with daughter and grandchildren
•Enjoys reading and fulfilling her role as a
grandmother by doing activities with her
grand children at her home
10/1/2019
16
Context
•At this point, enjoying retirement and desires to be
“grandma” and have fun activities for the
grandchildren to do at her home
•recognizes own physical limitations due to health
condition
•Spends more time with family and less time with
friends
•Spends more time at home than in the community
Task
Reading alone
• Selects books
• Turns pages
• Reads words on the pages
• Returns books to library
Reading with grandchildren
• Selects books with grandchildren
• Assist grandchildren in holding and reading or reads to them
• Discusses pictures with grandchildren
• Keeps kids books at her house for grandchildren
10/1/2019
17
Task
• Roles shape tasks
• When alone, reads novels
• When with grandchildren, reads children’s books to them
• Take on meaning in the person-context-task transaction to become
occupations
 Reading alone fulfills personal enjoyment, independence
 Reading with grandchildren fulfills grandmother role
Performance Range
• Ms. Riggles
• can read some of the books she enjoys
• feels limited in book selection, since she does not go to library often
• How can this performance range change?
• Children content with book selection at grandma’s home
10/1/2019
18
Ms. Riggles wants more freedom to select
preferred books
•What interventions can be used?
• Establish and restore
• Alter
• Modify
• Prevent
• Create
Interventions
• Can she establish and restore vision or sensation to be able to drive to
the library again and easily ready books regardless of text size?
• Can she alter her library visits by going to a virtual library instead of the
physical building to select her books?
• Can she modify how she is transported to the library so she can continue
to select her own books?
• Can she prevent further decline in reading by using a magnifier or large
print text?
• Can she create a way to enjoy books by herself or when she is with her
grandchildren perhaps by listening to audio books?
10/1/2019
19
Dynamic nature
• If she decides to alter her library visits by going to a
virtual library instead of the physical building to
select her books, what would change about the
task-person-context?
• Select online vs. going to library
• Use computer for book selections online
• Work with grandchildren to use website vs. telling
daughter what to pick up
Outcome of EHP
• If human performance is a transaction, then ecology (person-
context) affects behavior and task performance
• For example, by altering her context is she able to select
the books she wants?

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Ot 321 week 2 2-ni_2019

  • 1. 10/1/2019 1 OT 321 Occupation: Theory and Analysis Ecology Of Human Performance Model (EHP) W & S CH 43 Noor Ismael, PhD, MSc, OTR/L 1/10/2019 Identifying Theory: Title/Who Developed It?
  • 2. 10/1/2019 2 Ecology Of Human Performance (EHP) •Dunn, W., Brown, C. & McGuuigan, A. (1994). The ecology of human performance: A framework for considering the effect of context. AJOT,48, 595-607. Identifying Theory: Purpose/Focus
  • 3. 10/1/2019 3 Ecology Of Human Performance (EHP) •Human Performance is a transaction •Person •Context •Task •Explains ecology (person –context) •Explains how ecology affects behavior and task performance Dunn, W. Brown, C. & McGuuigan, A. (1994). The ecology of human performance: A framework for considering the effect of context. AJOT,48, 595-607. Identifying Theory: Primary Concepts or Constructs
  • 4. 10/1/2019 4 EHP: Constructs & Variables •Person •Context •Task •Performance Identifying Theory: Structure of Constructs Organization Categories Relationships to each other
  • 5. 10/1/2019 5 T T T T T T TT T T T T T T TT T T T T TASK PERFORMANCE CONTEXT PERSON EHP: Person •Individual, unique, complex •Experiences •Sensorimotor, cognitive & psychosocial skills & abilities •Meaning attached to task and context influences performance
  • 6. 10/1/2019 6 Individuals Have Unique Experiences (Ex: Socializing) Individuals Have Various Abilities
  • 7. 10/1/2019 7 EHP: Context •“The lens through which a person views task performance” •Two aspects: •Temporal (Time) •Environment EHP: Context •Temporal •Chronological •Developmental •Life cycle •Disability Status •Period
  • 8. 10/1/2019 8 EHP: Context •Environment -Social –Physical –Cultural EHP: Task • Set of behaviors to accomplish a goal • 1st Step • 2nd Step • 3rd Step • Roles shape tasks • Take on meaning in the person-context-task transaction to become occupations
  • 9. 10/1/2019 9 EHP: Performance • Process of engaging in tasks • The result of transaction between person & context => performance range • Performance range changes over time Person-Context-Task Transaction •Ecology = interdependence of person- environment •Ecology affects task performance •Task performance affects ecology
  • 10. 10/1/2019 10 T T T T T T TT T T T T T T TT T T T T TASK PERFORMANCE CONTEXT PERSON EHP: Guiding Intervention •Establish and restore •Alter •Modify •Prevent •Create
  • 11. 10/1/2019 11 Establish And Restore •Focus is on the person •Attainment of new skill/ability •Education imbedded in the task Alter The Context Or Task •Trying different context or task •Select context/task to enable performance •New/different context/task that matches with current skills/abilities •Not a change to current context/task
  • 12. 10/1/2019 12 Modify/Adapt •Is a change to the current context/task •Support performance in natural setting •Compensatory techniques •Task becomes more available to the person Prevent •Prevent occurrence or evolution of performance problems in context •Without intervention, predict what is likely to occur •Change course of events •Includes other strategies, but occurs before the problem develops
  • 13. 10/1/2019 13 Create Circumstances •Promote performance in context •No presumed disability or impairment •Enhance performance for all •In natural contexts of life EHP: Assumptions • People and contexts are unique & dynamic • Person and context cannot be separated • Each influence the other • Contrived contexts are different from natural contexts • Natural environments a more accurate reflection of true performance • Explicitly links tasks, person & context
  • 14. 10/1/2019 14 EHP: Limitations to the Model •Additional evidence needed to: •Verify the relationships •Test effectiveness of interventions Ecology of Human Performance (EHP) •Interventions include changes to the tasks and context •Approaches to Intervention • Establish/Restore • Modify/Adapt • Alter • Prevent • Create
  • 15. 10/1/2019 15 Ms. Riggles Ms. Riggles is a retired high-school vocal teacher who lives alone in a townhouse. She retired early due to changes in vision, sensation and mobility from Type II diabetes. Reading has been a favorite activity, but is increasingly difficulty changes in central vision. She also used to go to the library weekly. Now that she is not driving, her daughter brings her books or will occasionally take her to the library. She has two grandchildren who come to her house after school during the week and their mother picks them up later. She enjoys having them over and they help her with laundry. Person •Ms. Riggles is a retired music teacher, has changes in vision and tactile sensation, cognitively alert and aware, socially interacts daily with daughter and grandchildren •Enjoys reading and fulfilling her role as a grandmother by doing activities with her grand children at her home
  • 16. 10/1/2019 16 Context •At this point, enjoying retirement and desires to be “grandma” and have fun activities for the grandchildren to do at her home •recognizes own physical limitations due to health condition •Spends more time with family and less time with friends •Spends more time at home than in the community Task Reading alone • Selects books • Turns pages • Reads words on the pages • Returns books to library Reading with grandchildren • Selects books with grandchildren • Assist grandchildren in holding and reading or reads to them • Discusses pictures with grandchildren • Keeps kids books at her house for grandchildren
  • 17. 10/1/2019 17 Task • Roles shape tasks • When alone, reads novels • When with grandchildren, reads children’s books to them • Take on meaning in the person-context-task transaction to become occupations  Reading alone fulfills personal enjoyment, independence  Reading with grandchildren fulfills grandmother role Performance Range • Ms. Riggles • can read some of the books she enjoys • feels limited in book selection, since she does not go to library often • How can this performance range change? • Children content with book selection at grandma’s home
  • 18. 10/1/2019 18 Ms. Riggles wants more freedom to select preferred books •What interventions can be used? • Establish and restore • Alter • Modify • Prevent • Create Interventions • Can she establish and restore vision or sensation to be able to drive to the library again and easily ready books regardless of text size? • Can she alter her library visits by going to a virtual library instead of the physical building to select her books? • Can she modify how she is transported to the library so she can continue to select her own books? • Can she prevent further decline in reading by using a magnifier or large print text? • Can she create a way to enjoy books by herself or when she is with her grandchildren perhaps by listening to audio books?
  • 19. 10/1/2019 19 Dynamic nature • If she decides to alter her library visits by going to a virtual library instead of the physical building to select her books, what would change about the task-person-context? • Select online vs. going to library • Use computer for book selections online • Work with grandchildren to use website vs. telling daughter what to pick up Outcome of EHP • If human performance is a transaction, then ecology (person- context) affects behavior and task performance • For example, by altering her context is she able to select the books she wants?