Final answer:
The OTPF-4 considers occupations more instrumental in supporting participation, engagement, and health than performance patterns, making the statement true.
Step-by-step explanation:
The question relates to the Occupational Therapy Practice Framework (OTPF), which categorizes different aspects of occupational therapy. According to the OTPF-4, occupations are central to a person's identity and competence, and they influence how one spends time and makes decisions. They are seen as critical for supporting participation, engagement, and health. On the other hand, performance patterns (which include habits, routines, roles, and rituals) support the performance of occupations but are considered to have a more indirect impact on participation, engagement, and health. Therefore, the statement that occupations are more instrumental in supporting participation, engagement, and health than performance patterns is considered to be True.