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Barriers and Facilitators Influencing the Implementation of a New Community-Based Occupational Therapy Service for
Gabrielle Pratte1,2, Marilyn Gagnon1, Myriam Guertin2
1Institut universitaire de première ligne en santé et services sociaux du CIUSSS de l'Estrie-CHUS, Sherbrooke, Québec, Canada.
Insights
Implementing occupational therapy (OT) services in preschools requires strong partnerships and tailored support. Challenges like limited resources can hinder consistent service delivery, impacting early childhood rehabilitation access.
Area of Science:
- Public Health
- Occupational Therapy
- Early Childhood Education
Background:
- Access to occupational therapy (OT) for preschoolers is often delayed, exacerbating social health disparities.
- This study addresses the need for improved early intervention services within community and childcare settings.
Purpose of the Study:
- To explore the implementation of a community-based occupational therapy (OT) pilot program for preschoolers.
- To identify facilitators and barriers in co-developing and delivering OT services through intersectoral partnerships.
Main Methods:
- A qualitative descriptive interpretative approach was employed to document the pilot program's first year.
- Data were collected through interviews with community partners, educators, parents, and the occupational therapist.
- Analysis utilized the Strengths-Weaknesses-Opportunities-Threats (SWOT) framework and the Consolidated Framework for Implementation Research (CFIR).
Main Results:
- Facilitators included strong collaborations, adaptable staff, and personalized service delivery.
- Barriers involved insufficient OT follow-up, human resource shortages, and limited staff availability, impacting strategy implementation.
Conclusions:
- Multi-tiered services and intersectoral partnerships are crucial for enhancing access to early childhood rehabilitation.
- Further research is needed to understand the impact of collaborative, multi-tiered service models in preschool environments.
Aims:
Timely access to occupational therapy (OT) services for preschoolers remains a challenge, contributing to social health inequities. This study explored the implementation of an OT service co-developed with community organizations and childcare settings and grounded in proportionate universalism and public health principle's.
Methods:
A descriptive interpretative qualitative approach was used to document the first year of implementation of a pilot community-based OT service for preschoolers. Findings from interviews with partners, including pedagogical coordinator in childcare centers and community organizations (n = 6), educators (n = 3), parents (n = 3), and the occupational therapist involved in the project (n = 1), were analyzed using the Strengths-Weaknesses-Opportunities-Threats (SWOT) framework and interpreted through the Consolidated Framework for Implementation Research (CFIR).
Results:
Key facilitators included strong collaborations, open-mindedness, knowledge and interpersonal skills, tiered organizational model, and personalized services tailored to each partner's needs. Barriers reported were limited follow-up by the OT, shortage of human resources, and limited availability of staff, which negatively influenced the ability to meet regularly and implement strategies.
Conclusions:
Findings highlight the value of multi-tiered services and intersectoral partnership for improving access to early childhood rehabilitation services. More studies would help to have a better understanding of the effects of collaborative and multi-tiered services in preschool settings.
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