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Cultural Humility Practices in Occupational Therapy Services: A Scoping Review.

Kristina M Kokorelias1, Vania Wu2, Heather Colquhoun3

  • 1Kristina M. Kokorelias, PhD, is Associate Scientist, Department of Medicine, Geriatrics, Sinai Health and University Health Network, Toronto, Ontario, Canada, and Assistant Professor, Department of Occupational Sciences and Occupational Therapy, Temerty Faculty of Medicine, and Toronto Rehabilitation Institute, University of Toronto, Toronto, Ontario, Canada; k.kokorelias@mail.utoronto.ca.

The American Journal of Occupational Therapy : Official Publication of the American Occupational Therapy Association
|February 20, 2025
PubMed
Summary

This scoping review explores cultural humility in occupational therapy literature, finding key elements like self-reflection and supportive interactions align with practice. These insights can enhance occupational therapy training and practice.

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Area of Science:

  • Occupational Therapy
  • Rehabilitation Science
  • Health Equity

Background:

  • Cultural humility is recognized for potentially improving occupational therapy (OT) service quality.
  • The application of cultural humility by OT practitioners in practice contexts remains underexplored in existing literature.

Purpose of the Study:

  • To systematically review peer-reviewed rehabilitation literature on the practice of cultural humility.
  • To align identified cultural humility findings with occupational therapy practice using the Canadian Practice Process Framework (CPPF).

Main Methods:

  • A scoping review methodology guided by Arksey and O'Malley (2005) was employed.
  • Literature searches were conducted across nine databases, supplemented by Google Scholar and hand-searches of six journals.
  • Study descriptors, context, population, and cultural humility elements were extracted and analyzed, then mapped onto the CPPF.

Main Results:

  • Eleven studies met the inclusion criteria for the review.
  • Key cultural humility elements identified included self-reflection and critique (63.6%), self-awareness and egolessness (72.7%), and supportive interaction (45.4%).
  • The majority of cultural humility elements aligned with the societal (100%) and practice (90.9%) contexts within the CPPF.

Conclusions:

  • Findings demonstrate how occupational therapists can integrate cultural humility across all practice stages and contexts.
  • The results offer valuable insights for OT education, informing the development of training programs.
  • This review provides a foundation for future research aimed at applying cultural humility principles to advance OT services.