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Occupational therapy guidelines for client-centred practice: impact study findings.

J Blain1, E Townsend

  • 1Department of Sociology and Social Anthropology, Dalhousie University, Halifax, Nova Scotia.

Canadian Journal of Occupational Therapy. Revue Canadienne D'Ergotherapie
|December 1, 1993
PubMed
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This study examined the use and impact of occupational therapy guidelines for client-centred practice. Findings show varied guideline adoption and interpretation, informing recommendations for updated, dynamic practice standards.

Area of Science:

  • Occupational Therapy
  • Health Sciences
  • Practice Guidelines

Background:

  • The Canadian Association of Occupational Therapists (CAOT) and Department of National Health and Welfare developed client-centred practice guidelines in the 1980s.
  • The Guidelines Impact Study was initiated to assess the utilization and efficacy of these established occupational therapy guidelines.

Purpose of the Study:

  • To investigate the current use and perceived usefulness of the 1980s client-centred practice guidelines.
  • To identify implications for revising and updating these occupational therapy practice guidelines.

Main Methods:

  • A mixed-methods approach combining qualitative interviews with key informants and a quantitative survey of a 5% sample of CAOT members across Canada.
  • Analysis of interview data and survey responses to gauge guideline adoption and understanding.

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Main Results:

  • Variable use of the guidelines was observed, with higher utilization in acute care and rehabilitation settings.
  • Interpretations of the Model of Occupational Performance, specifically 'environment' and 'spiritual component,' were inconsistent among practitioners.

Conclusions:

  • Revised guidelines require clearer purpose and audience definition, alongside national consultation to encompass diverse practice areas.
  • The Model of Occupational Performance should be reconceptualized as a dynamic model, integrating generic concepts with specific applications for various occupational therapy domains.