Transforming Occupational Therapy for the 21st Century PAIRE: Recognize Privilege, Acknowledge Injustice, and Reframe Perspective to Reach Equity

Catherine R. Hoyt, Maribeth Clifton, Cristina Reyes Smith, Lamar Woods, Steven D. Taff

Research output: Contribution to journalArticlepeer-review

1 Scopus citations

Abstract

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 Privilege, Acknowledge Injustice, and Reframe Perspective to Reach Equity) 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.

Original languageEnglish
Pages (from-to)216-239
Number of pages24
JournalOccupational Therapy in Health Care
Volume39
Issue number1
DOIs
StatePublished - 2025

Keywords

  • Framework
  • model
  • occupational equity
  • occupational therapy
  • theory

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