The purpose of this study is to examine the impact of an introduction to the occupation-based theory (MOHO) on the clinical reasoning of therapists working with cancer clients.

The study will occur at MDACC, a comprehensive cancer center in the Texas Medical Center (TMC) in Houston. The center is the largest freestanding comprehensive cancer center in the world. The facility provides inpatient and outpatient services and supports research and education.

The facility has more than 50 buildings in the greater Houston area and in central Texas. The setting for this study will be the rehabilitation services area on the main campus in the TMC.

There are private offices, conference rooms and treatment areas where video chats and monthly meetings will occur.

The study is projected to occur over a one year period. Sessions will be videotaped (video chats - initial and follow ups and monthly group meetings) for further review. Analysis of the tapes will provide data for further research and education presentations. Sessions will also be audiotaped and transcribed for further review and data analysis purposes. Neither the videotapes nor audiotapes will be shared with anyone at the facility or any uninvolved parties. Audiotapes and videotapes will be stored in locked file cabinets and password protected computers will be used to view and analyze the audio and video tapes. Only the research team will have access to the stored data locked in the file cabinet.

Inclusion Criteria:

No training in MOHO constructs,English speaking.

Exclusion Criteria:

Training in using MOHO concepts in practice, highly skilled in use of MOHO, and non-English speaking. If a therapist is skilled and knowledgeable of the constructs of MOHO, there will be no way to determine if introduction of the model has impacted a therapist's clinical reasoning. All the materials used for the study will be in English and analysis of data will be conducted by English speaking individuals, therefore the study participants must speak English.

Participants will be outpatient-focused therapists working within the MD Anderson Cancer Center. Participants must have worked in this setting for at least 90 days before the study begins and will self-select to participate in the study. Recruitment of therapists at the MDACC will involve an introduction of the study by an onsite collaborator. The onsite collaborator will gather the names of individuals interested in participating in the study. Then, an onsite collaborator and PI will work together to determine if the therapists meet the inclusion criteria for the study. Once the therapists are determined to meet inclusion criteria, an invitation for participation will be extended by an onsite collaborator.