The ecology of change in outdoor therapy (ECO-Therapy) model: A preliminary theoretical framework for nature-based pediatric occupational therapy practice

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dc.contributor.advisorPoskey, Gail
dc.contributor.committeeMemberPickens, Noralyn D
dc.contributor.committeeMemberRose, Katherine K
dc.creatorFigueroa, Laura Park 06/19/1976-
dc.date.accessioned2023-06-28T19:54:29Z
dc.date.available2023-06-28T19:54:29Z
dc.date.created2023-05
dc.date.issuedMay 2023
dc.date.submittedMay 2023
dc.date.updated2023-06-28T19:54:30Z
dc.description.abstractThe vital childhood occupation of outdoor play in nature is on the decline in industrialized societies around the world. Ubiquitous technology use, sedentarism, over-protective parenting, and urbanization have caused a mass human migration to indoor lifestyles characterized by a lack of connection to the outdoors. This disconnection from nature has profound implications for children because contact with nature has myriad benefits for children’s physical health and emotional well-being throughout life. Re-connecting children to nature may support improved occupational participation and performance. Occupational therapy practitioners are beginning to take their work with children outdoors into nature, but a unifying model or theoretical framework incorporating nature does not yet exist in the field of occupational therapy. The purpose of this qualitative constructivist grounded theory study was to develop a theoretical model to illustrate the process of nature-based pediatric occupational therapy, based on analysis of the perspectives of occupational therapy practitioners currently engaging in nature-based pediatric practice with children ages 0–12 years. Twenty-seven photos and 23.5 hours of interview data were analyzed. The developed theory, the Ecology of Change in Outdoor Therapy (ECO-Therapy) Model, is a preliminary interpretive explanation of the causal conditions, contextual elements, and relationships between primary actors in the nature-based pediatric occupational therapy process. The ECO-Therapy Model proposes the core mechanism of change in nature-based occupational therapy intervention involves practitioners and children braving real-life challenges outdoors together as an impetus for growing adaptive capacity, leading to improved occupational participation and performance in daily life. As a constructivist grounded theory, the ECO-Therapy Model is an interpretive theoretical analysis representative only of this sample of participants in this socio-cultural context at this historical moment in time. Future research may test and refine the ECO-Therapy Model to assess applicability in other contexts, both within and outside of the field of occupational therapy.
dc.format.mimetypeapplication/pdf
dc.identifier.urihttps://hdl.handle.net/11274/15183
dc.language.isoEnglish
dc.subjectOccupational therapy for children
dc.subjectNature-based therapy
dc.subjectOutdoor recreation for children with disabilities
dc.subject.otherOutdoor therapy
dc.subject.otherNature therapy
dc.subject.otherPediatric occupational therapy
dc.subject.otherOccupational therapy
dc.subject.otherChildren
dc.subject.otherPediatrics
dc.subject.otherGrounded theory
dc.subject.otherNature-based therapy
dc.titleThe ecology of change in outdoor therapy (ECO-Therapy) model: A preliminary theoretical framework for nature-based pediatric occupational therapy practice
dc.typeThesis
dc.type.materialtext
thesis.degree.collegeCollege of Health Sciences
thesis.degree.departmentSchool of Occupational Therapy
thesis.degree.disciplineOccupational Therapy
thesis.degree.grantorTexas Woman's University
thesis.degree.nameDoctor of Philosophy
thesis.degree.programAPA 7th edition
thesis.degree.schoolTexas Woman's University

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