Hoyt Catherine R, Clifton Maribeth, Smith Cristina Reyes, Woods Lamar, Taff Steven D
Program in Occupational Therapy, WA University School of Medicine, St. Louis, MO, USA.
Department of Pediatrics, Washington University School of Medicine, St. Louis, MO, USA.
Occup Ther Health Care. 2025 Jan;39(1):216-239. doi: 10.1080/07380577.2023.2265479. Epub 2023 Oct 14.
Theories, models, and frameworks provide the foundation for occupational therapy education, research, and clinical practice. While most have a systems approach focus, other factors, such as societal influences and structural inequities, also contribute to health. Using a cross-sectional design, this study identified the gaps in occupational therapy models of practice and presents a novel approach, the PAIRE (Recognize rivilege, cknowledge njustice, and eframe Perspective to Reach quity) Model. PAIRE is focused on achieving occupational equity through the reciprocal and intersectional impact of the provider/team, the person/people seeking occupational therapy, and the occupation-in-context, with continuous influences of access, context, and justice. We describe the components of PAIRE and illustrate its functionality in education, research, and clinical practice contexts as well as case examples.
理论、模型和框架为职业治疗教育、研究和临床实践奠定了基础。虽然大多数都侧重于系统方法，但其他因素，如社会影响和结构不平等，也对健康有影响。本研究采用横断面设计，确定了职业治疗实践模式中的差距，并提出了一种新方法——PAIRE（认识特权、承认不公正、构建公平视角以实现公平）模型。PAIRE专注于通过提供者/团队、寻求职业治疗的个人/人群以及情境中的职业之间的相互和交叉影响来实现职业公平，并受到获取机会、情境和公平性的持续影响。我们描述了PAIRE的组成部分，并举例说明其在教育、研究、临床实践背景以及案例中的功能。
