1. Activity:
✓
Activity Analysis Form
CATEGORY
Activities of daily living
Instrumental activities of daily living
Health management
Rest and sleep
Education
Work
Play
Leisure
Social participation
2. Relevance and importance:
- 1-
SUBCATEGORY
From Thomas H. Occupational and Activity Analysis, Third Edition. SLACK Incorporated; 3. Objects used and their
properties: Tools:
Supplies:
Equipment:
Resources:
4. Space demands:
5. Social demands:
6. Sequencing and timing
demands: 1.
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Activity Analysis
From Thomas H. Occupational and Activity Analysis, Third Edition. SLACK Incorporated;
2 7. Body functions required:
FUNCTIONS
Specific Mental Functions
Higher level cognitive:
Judgment, concept formation,
metacognition, executive func-
tions, praxis, cognitive flexibility,
insight
Attention: Sustained shifting
and divided attention,
concentration, distractibility
Memory: Short-term, long-
term, and working memory
Perception: Discrimination of
sensations (e.g., auditory,
tactile, visual, olfactory,
gustatory, vestibular,
proprioceptive)
Thought: Control and content
of thought, awareness of reality
vs. delusions, logical and
coherent thought
Mental functions of
sequencing complex
movement: Regulating speed,
response, quality, and time
of motor production
Emotional: Regulation and
range of emotions;
appropriateness of emotions
Experience of self and time:
Awareness of one's identity
(including gender identity),
body, and position
in the reality of one's
environment and time
NONE
Activity Analysis
MINIMALLY MODERATELY GREATLY
CHALLENGED CHALLENGED CHALLENGED
From Thomas H. Occupational and Activity Analysis, Third Edition. SLACK Incorporated;
3
HOW IT IS USED
(continued) FUNCTIONS
Global Mental Functions
Consciousness: State of
awareness and alertness,
including the clarity and
continuity of the wakeful
state
Orientation: Orientation
to person, place, time,
self, and others
Psychosocial: Integration
of mental functions to
form personal and
interpersonal skills to
esestablisheciprocal
social interactions
Temperament and
personality:
Extroversion,
introversion,
agreeableness,
conscientiousness,
emotional stability,
openness to experience
self-control,
self-expression,
confidence, motivation,
impulse control, appetite
Energy: Energy level,
motivation, appetite,
craving, impulse control
Sleep: Physiological
process, quality of
sleep
Sensory Functions
Visual functions: Quality
of vision, visual acuity,
visual stability, visual field
Hearing functions:
Sound detection and
discrimination; aware-
ness of location and
distance of sounds
NONE
Activity Analysis
MINIMALLY MODERATELY GREATLY
CHALLENGED CHALLENGED CHALLENGED
From Thomas H. Occupational and Activity Analysis, Third Edition. SLACK Incorporated;
HOW IT IS USED
(continued) FUNCTIONS
Vestibular functions: Sensation
related to position, balance, and
secure movement against
gravity
Taste functions: Association of
taste qualities of bitterness,
sweetness, sourness, and
saltiness
Smell functions: Sensing of
odors and smells
Proprioceptive functions:
Awareness of body position
and space
Touch functions: Feeling of
being touched, touching
various textures
Interoception: Internal
detection of changes in one's
internal organs
Pain: Localized and generalized
pain
Sensitivity to temperature and
pressure: Thermal awareness
(hot and cold), sense of force
applied to the skin
(thermoreception)
Neuromusculoskeletal and Movement-Related Functions
Functions of Joints and Bones
Joint mobility: Joint range of
motion
Joint stability: Structural
integrity of joints, physiologi-
cal stability of joints related
to structural integrity
Muscle Functions
Muscle power: Strength
Muscle tone: Degree of muscle
tension
Activity Analysis
NONE MINIMALLY MODERATELY GREATLY
CHALLENGED CHALLENGED CHALLENGED
From Thomas H. Occupational and Activity Analysis, Third Edition. SLACK Incorporated;
5
HOW IT IS USED
(continued)
