Prescribing Assistive Technology for Cognition to Support Aging in Place: OTs' Perspective

Background. With a rapidly aging population, ensuring the safety and independence of older adults, particularly those with cognitive impairments, is a key public health priority. Occupational therapists (OTs) play a crucial role by recommending assistive technologies for cognition (ATCs) to support this population. However, little is known about how OTs choose ATCs, and the rehabilitation strategies involved in their implementation. Purpose. This study examines OTs' perspectives on prescribing ATCs to support aging in place, focusing on (1) factors influencing ATC recommendations and (2) effective rehabilitation strategies. Methods. We conducted a descriptive qualitative study with 15 geriatric-focused OTs across three focus groups. Discussions were analyzed through three steps: coding, refining, and creating data matrices. Findings. OT recommendations are influenced by client factors (e.g., learning ability), specific tasks (e.g., medication management), and contextual elements (e.g., financial support). OTs employ cognitive rehabilitation, practice simulations, and caregiver collaboration strategies to support ATC integration. Conclusions. Understanding how OTs choose and apply ATCs provides insights to optimize their use in geriatric care, promoting safer, independent living for older adults.