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Promoting occupational therapy students to have reflection skill was necessary in 21st century skills because it could develop their creative thinking and critical thinking resulting in work improvement, and self development. This study aimed to investigate the efficacy of mind mapping concept as a means to promote reflection skill among occupational therapy students. The study was undertaken during course of "Introduction to Occupational Therapy" for 1st year students. Students were assigned to write mind mapping concept after each session of learning module (6 times). Research instruments were: 1) the scale of reflection behaviors, 2) Student's mind mapping concept and the questionnaire towards learning styles in 21 Century. Data were analyzed using percentage, means, standard deviation and contents analysis.The finding that after use mind mapping concept to reflection, the mean of students' refection behaviors significantly increased. The finding suggest that the use of mind mapping concept is an effective tool to enhance student's reflection skills. Occupational therapy educator should be developed to shift sufficient knowledge and skills concerning the utilization of reflection among occupational therapy students.

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21st century skills development through occupational therapy students’ reflection by use of mind mapping concept in course of introduction to occupational therapy