Which intervention approach does not assume a disability is present?

The "create and promote" intervention approach is designed to enhance the performance of individuals without presuming the presence of a disability. This approach focuses on creating opportunities for participation and promoting wellness and health in varied populations, regardless of their current functional abilities. It emphasizes the proactive enhancement of skills and environments rather than remediation of impairments.

This approach aligns with the principles of occupational therapy that advocate for fostering engagement in meaningful occupations and activities as a means of improving overall quality of life. By targeting healthy populations and optimizing performance, it provides a framework for intervention that celebrates potential and builds on existing strengths rather than only addressing deficits or disabilities.

In contrast, the other approaches—establish and restore, modify, and prevent—do have an underlying assumption that individuals may have a disability or a limitation that the intervention seeks to address. Establish and restore focuses on improving or regaining lost skills, modify adjusts the demands of activities to enhance participation, and prevent aims to reduce the risk of experiencing a disability or functional decline in at-risk populations. Thus, these approaches are more reactive to disabilities rather than proactively promoting skills and opportunities.