Future trends and challenges in occupational therapy: Insights from a Delphi study

Occupational therapy is evolving rapidly due to technological advances and demographic and sociocultural changes. Recognizing emerging trends is fundamental to developing responsive educational programs, evidence-based practices, and adaptive health policies. This study explores expert perspectives across five themes: (1) Future Technologies, (2) Neuroscience and Biotechnology Integration, (3) Technology-Based Therapy Approaches, (4) Sociocultural and Demographic Impacts, and (5) Innovative Educational Methods.

A three-round Delphi study was conducted with 36 occupational therapy professionals. The sample included 12 academicians (mean age (M) = 34.5, 67% female), 12 clinicians (M = 31.2, 75% female), and 12 final-year interns (M = 23.1, 92% female). The mean professional experience was 6.0 years for academicians and 5.8 years for clinicians. Thematic analysis and Kendall's W were used to evaluate consensus.

Participants emphasized the importance of integrating virtual reality/augmented reality interventions, artificial intelligence-supported assessments, and telehealth into occupational therapy practice. Neuroplasticity-based interventions and simulation-based learning were highlighted for future competence. Ethical concerns regarding artificial intelligence, as well as cost and digital literacy barriers, were also noted.

To meet future challenges, occupational therapists should enhance digital competencies, ensure accessibility, and develop inclusive, culturally responsive practices. Findings inform clinical, educational, and policy strategies in occupational therapy.