title: Toward the reconceptualization of the relationship between occupation and health and well-being.
abstract: BACKGROUND
  Foundational to the occupational therapy profession is the belief that engagement in occupation is health promoting; however, this belief fails to account for occupational engagement that may be risky or illness producing. Consensus regarding the nature of the relationship between occupation and health has yet to be achieved.
  
  
  OBJECTIVE
  The purpose of this study is to provide a comprehensive description of how the relationship between occupation and health and well-being is discussed within the occupational therapy and occupational science literature.
  
  
  METHODS
  The methodological framework outlined by Arksey and O'Malley served as the basis for this scoping review of the occupational therapy and occupational science literature.
  
  
  RESULTS
  One hundred and twelve articles were identified as meeting the criteria for inclusion. The dominant discourse portrays the relationship between occupation and health as positive.
  
  
  CONCLUSIONS
  The broader literature suggests that occupational engagement can have both positive and negative effects on health and well-being. As such, the reconceptualization of the relationship between occupation and health and well-being is warranted to enable occupational therapists to practise in a more client-centred manner.
authors.forename: Katherine E
authors.initials: KE
authors.lastname: Stewart
authors.forename: Tess M
authors.initials: TM
authors.lastname: Fischer
authors.forename: Rehana
authors.initials: R
authors.lastname: Hirji
authors.forename: Jane A
authors.initials: JA
authors.lastname: Davis
mesh_terms: D015438:Health Behavior; D006304:Health Status; D006801:Humans; D008603:Mental Health; D009788:Occupational Therapy; D009790:Occupations
keywords: Discourse; Health behavior; Illness; Occupational therapy; Professional beliefs; comportements liés à la santé; croyances professionnelles; discours; ergothérapie; maladie