ArticleScandinavian journal of occupational therapy2026
Implementation of an Occupation-Based Practice Strategy in a Metropolitan Health Service: A Case Study.
Article in Scandinavian journal of occupational therapy, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundOccupation-Based Practice (OBP) is fundamental to occupational therapy, enhancing consumer engagement and outcomes, yet implementation is challenging due to local environments and dominance of impairment-based interventions.
aimTo investigate implementation of a service-wide OBP strategy in a large metropolitan tertiary health service over 6 years; understand its influence on occupational therapists; identify barriers and facilitators; and observe changes in clinician perceptions supporting sustainability.
methodsQualitative case study at two time points. Participants were occupational therapists and allied health assistants (n = 95 in 2017; n = 39 in 2023). Data was collected through focus groups (n = 8 in 2017; n = 3 in 2023) and multiple documents. Descriptive thematic analysis identified themes and sub-themes.
resultsStrategic leadership cultivated an OBP culture. Barriers included resource limitations and systemic pressures; facilitators included interdisciplinary support and professional development. Over time, perceptions shifted from conceptual understanding to practical application as OBP became integrated into service culture.
conclusionA service-wide OBP strategy was effectively used in practice. Implementation depended on consistent application, a supportive service culture, and responsive systems. Although COVID-19 negatively impacted OBP, commitment to the strategy supported re-establishment, demonstrating sustainability. SIGNIFICANCE: A service-wide OBP strategy increases OBP and can be sustained in a tertiary healthcare setting.
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