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department of occupational therapy bangladesh health professions institute occupational therapy performance component american occupational therapy association performance activities occupation play group therapy individual therapy model practice framework bangladesh association usa daily living activity instrumental science healthcare project management health learning research mental health medical management importance of studying therapeutic skills participation therapeutic use of self therapeutic use of activity grading adaptation treatment continuum therapeutic rapport rapport building benefit of therapeutic relationship therapeutic relationship continuum evaluation intervention activity adapting grading activity activity- focused analysis performance contexts performance skills client factors psychosocial component cognitive components motor components neuromusculoskeletal components perceptual components sensory components performance compontents component occupational performance presentation formal education informal education education rest and sleep daily living treatment process