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This article has been peer reviewed. It is the author’s final published version in The American Journal of Occupational Therapy, Volume 46, Issue 9, September 1992, Pages 801-808.

The published version is available at DOI: 10.5014/ajot.46.9.801. Copyright © American Occupational Therapy Association


This paper describes an occupational therapy intervention designed for family caregivers of persons with dementia. The intervention, based on the framework of a competence-environmental press model and the principle of collaboration, was implemented during 5 home visits. Each visit was designed to build caregiving skills through collaboration in identifying problem areas, developing and implementing environmental strategies, and modifying management approaches. A case vignette illustrates the therapeutic process and outcomes. The theoretical rationale and structure of the intervention and innovative documentation for evaluation of the theoretic process are also presented.

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