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Engeström’s theory of expansive learning is used to analyse survey data about how Canadian graduating students in occupational therapy (OT) learn to provide equitable services to low-income clients. Analysis showed respondents are motivated to advocate against poverty as a systemic barrier and know some strategies to provide services to low-income clients but there are gaps, as OT students lack income screening tools. Engeström’s theory is used to model an activity network for OT students and practitioners. The model shows potential for an expansive learning cycle if the OT profession decides to address contradictions between the object-motive and the outcomes in low-income OT client equitable care. Motivation for systemic change might come from policy changes or professional bodies.
Ellen Murray, University of Toronto
Lynn Cockburn
Keri Chambers
Lucy Bartlett, University of Toronto
Naomi Stern
Tim PArk