Conceptualizing Occupational Therapists’ Change Agent Role To Support Entry-Level Pedagogical Activities: Results From A Scoping Study
Bibliographic record
Abstract
Entry-level programs are expected to support occupational therapy students in developing knowledge and skills pertaining to the change agent role. To do so, a detailed, multidimensional conceptualization of this role is necessary. To date, in the occupational therapy profession, there is no such conceptualization, which might impact educators’ ability to conduct relevant pedagogical activities. Our study aimed to explore the dimensions of the change agent role for occupational therapy practitioners. We undertook a scoping study of the scientific and grey literature up to August 31, 2018 to “map” what is known about the change agent role. We searched nine databases, including Medline and CINAHL, varying combined keywords according to the database. We also manually searched reference lists and 12 relevant websites. We examined data using thematic charts and analysis. From the 33 documents analyzed, we identified two change agent configurations: social and clinical. The social configuration operates at the macro-level (society) and is aimed at optimizing health and social justice for communities or populations. Actions include lobbying, using media, and assuming a formal duty in an advocacy group. At the micro-level (clinical setting), the intent of the clinical configuration is to inform, sustain and promote individual decision-making and protect civil rights. This involves discussions with clients to understand their values and provide information about rights and options. To play the change agent role, occupational therapy practitioners must acquire a variety of knowledge and skills. To develop their students’ ability to take on this important role, educators must tailor their pedagogical activities accordingly.
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How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.002 | 0.001 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.000 |
| Bibliometrics | 0.000 | 0.001 |
| Science and technology studies | 0.001 | 0.000 |
| Scholarly communication | 0.000 | 0.001 |
| Open science | 0.001 | 0.000 |
| Research integrity | 0.000 | 0.001 |
| Insufficient payload (model declined to judge) | 0.003 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one teacher head, not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".