title: Empowering people to change occupational behaviours to address critical global issues.
abstract: BACKGROUND
  The greatest threat to human well-being in this century is climate change and related global issues.
  
  
  OBJECTIVE
  We examined the effectiveness of the Modified Instrumentalism in Occupational Therapy model as a framework for facilitating occupational behaviour change to address climate change and related issues.
  
  
  METHODS
  Eleven individuals participated in this mixed-methods single-subject-design study. Data were gathered using the Modified Assessment and Intervention Instrument for Instrumentalism in Occupational Therapy and Daily Occupational Inventories. Quantitative data were analyzed using two- and three-standard deviation band methods. Qualitative data were analyzed using heuristic phenomenological procedures.
  
  
  RESULTS
  Occupational performance changed for five participants. Participants' feelings shifted from frustration and helplessness to empowerment and a desire for action. They felt empowered to find occupation-based solutions to the global issues.
  
  
  CONCLUSIONS
  Occupation-based interventions that increase personal awareness of the connection between occupational performance and global issues could empower people to be agents for action to ameliorate the issues.
authors.forename: Moses N
authors.initials: MN
authors.lastname: Ikiugu
authors.forename: Madeline A
authors.initials: MA
authors.lastname: Westerfield
authors.forename: Jamie M
authors.initials: JM
authors.lastname: Lien
authors.forename: Emily R
authors.initials: ER
authors.lastname: Theisen
authors.forename: Shana L
authors.initials: SL
authors.lastname: Cerny
authors.forename: Ranelle M
authors.initials: RM
authors.lastname: Nissen
mesh_terms: D000328:Adult; D001521:Behavior Therapy; D057231:Climate Change; D003247:Conservation of Natural Resources; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D008962:Models, Theoretical; D009788:Occupational Therapy; D011209:Power, Psychological; D055815:Young Adult