Kimberly Breeden, MS, OTR/L, Coach, Founding Partner

Occupational Therapy and the Context of Time Change

photo of older gentleman in pajamas holding a clock
This Sunday Daylight Saving Time (DST) begins and clocks will “fall back” one hour. From an occupational therapy perspective, time change can have an impact on so many occupations, habits, and routines. For many of us, our devices will automatically adjust the time as we sleep. For others, clocks and watches will require the time to be set back manually. Time change may impact our sleep cycles and may have an impact on mood. Many fire departments recommend that batteries in smoke detectors be changed when DST begins.  
The Occupational Therapy Practice Framework: Domain and Process Fourth Edition (OTPF-4) identifies time as an important environmental context in which occupations occur. It describes context as a broad construct that influences engagement and participation in occupations (2021). The OTPF-4 provides OT practitioners support to address the context of time and gives practitioners confidence to address it within any practice setting. 

I work in home health and I am looking forward to helping clients this week with their changing time challenges using occupation in their own homes. I envision that for some of my clients we will address the physical challenges of accessing their clocks and manually setting them back, which may require reaching and standing balance while implementing falls prevention strategies. For other clients we may be working toward active problem solving, sequencing, organization, and memory. I can even imagine that for some parents and grandparents of young children, we may address preparing for how the upcoming time change will affect sleep cycles and daily activities for the family.  It is going to be a fun and challenging week! 

At Aspire OT, we would love to hear how you are using an occupation-based approach to address time change in your setting!  Follow us on social media and be part of the discussion.

Check out our course, Occupation-Based Practice: What Does it Really Mean?, to learn more about occupation-based practice and how you can use it in your treatment sessions.  

American Occupational Therapy Association. (2021). Occupational therapy practice 
 framework: Domain and process (4th ed.). American Journal of Occupational Therapy
74(Suppl. 2), 7412410010.
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Occupation-Based Practice: What Does it Really Mean?

Occupation-based treatment showcases our distinct value in an environment where payment is changing from volume to value. This workshop explores what it really means to be occupation-based and provide a formula to guide treatment planning.
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Created by OT practitioners JUST for  OT practitioners, our occupational therapy continuing education services allow you to advance your skills and help your patients.

Choosing Aspire OT for your CE needs means you are supporting other OT and OTA instructors as well as our partner Occupational Therapy Associations.  


Aspire OT was created to provide exceptional evidence-based CEs at reasonable prices designed to meet the needs of occupational therapists and occupational therapy assistants in everyday practice.

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