In this way, the FTHUE can help operationalize the process outlined in the Theory of Occupational Adaptation
. It can help both the client and the therapist identify the press for mastery, occupational challenges and responses, and the adaptive response and assessment of response processes.
Therefore, it is reasonable that occupational adaptation be used to promote positive change and health within the client, an outcome of the process.
The construct of occupational adaptation appears to be important in the history, body of knowledge, and identity building of occupational therapy.
Despite the historical underpinnings of occupational adaptation in our profession, recent literature and documents from the American Occupational Therapy Association (AOTA) provide scant reference to the construct.
In a reconceptualization of the Schkade and Schultz OA model, Grajo (2017) asserted that the reason the model and construct seemed to be difficult to translate in practice is the complex terminologies used to describe occupational adaptation as a process.
The primary motivation of our research is to examine several questions on the use of the construct of occupational adaptation through a scoping review of literature.
We conducted a scoping study to explore existing literature on occupational adaptation. We used Arksey and O'Malley's 5-step Scoping Study Framework (2005) as a guide.
How is the construct of occupational adaptation defined and applied in different areas of occupational therapy practice?
What are potential gaps in the literature on the application and use of occupational adaptation as a construct?
To code the different definitions of occupational adaptation used in the studies, we identified relevant literature influences cited in the studies.
Our initial search yielded 631 articles using the keywords adaptation, occupational adaptation, and occupational therapy.
We included studies that were published in peer-reviewed journals and chose only the studies that defined occupational adaptation as a process or result of the transaction of the person and environment during participation in occupations.