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  • About
  • The Global ETD Search service is a free service for researchers to find electronic theses and dissertations. This service is provided by the Networked Digital Library of Theses and Dissertations.
    Our metadata is collected from universities around the world. If you manage a university/consortium/country archive and want to be added, details can be found on the NDLTD website.
1

Introducing advocate human capabilities (AHC) model applied to persons with Long COVID

Mischuk, Lorraine Orysia Vera 13 December 2024 (has links)
2025 / A reductionistic or silo approach lacks a whole-person approach in which all relevant body systems are assessed concurrently with the environment, contributing to gaps in understanding. Also, current person–environment occupational therapy models are not universally appropriate for diverse social contexts. The Advocate Human Capabilities (AHC) model is introduced to bridge this gap in care. The AHC model recognizes the person and the environment are inseparable from the molecular level to the ubiquitous level, with a cacophony of interactions between all body systems and multiple environmental factors. When there is high homeostasis at the molecular level and consonance at the ubiquitous level, persons are optimal with their capabilities. Capabilities lead to occupational choice, engagement, and well-being, which social and cultural determinants can positively or negatively impact. The AHC model is built on evidence-based literature from diverse fields, including neurology, psychology, and behavioral sciences. Western, Eastern, and Indigenous knowledge provides the foundation for the inclusive AHC model supporting diverse populations in Canada, the United States, and worldwide. The model provides a means to investigate why persons are not optimal in their desired occupations, strengthening person–environment interventions and supporting occupational choice and well-being. The AHC model applied to persons with Long COVID will be delivered to occupational therapists via an online workshop. The workshop begins with the current research outlining Long COVID symptoms, complications, population challenges, and current rehabilitation approaches, including the strengths and limitations of the World Health Organization’s rehabilitation guidelines. Workshop participants will be trained in the AHC model with robust supporting evidence. They will also learn how the AHC assessment method applies the AHC model, providing the tools to systematically assess person and environment factors simultaneously while establishing a timeframe individualized to the person’s symptoms and lived experience with Long COVID. Furthermore, participants will learn how to synthesize the information gained, leading to more targeted person–environment interventions from the micro to the macro level, including the nervous system, cognitive, mental health, and physical factors, all supporting occupational choice. The workshop is steeped in adult learning theory. It provides participants with multiple interactive learning experiences, enhancing their knowledge gain and ability to use and apply the model and approach to their occupational therapy practice. Participants will be voluntarily recruited to participate in program evaluation research at the workshop conclusion and 1 year later. The anonymous survey reflects participants’ perceptions regarding the utility and confidence of using the AHC model and whether using the AHC model will improve outcomes (person-identified goals). The developer will use the findings to further inform the AHC model’s development and workshop delivery methods. The AHC model is a new lens reflecting the complex, inseparable person–environment relationship. The AHC model strives to be culturally safe and relevant around the globe, respecting persons’ context, values, and beliefs. / 2026-12-13T00:00:00Z

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