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Decision-Making in Pediatric Occupational Therapy Dosing: An Exploratory Mixed-Methods Study
Anne H Zachry1, Lauren Woods1, Jennifer Henderson1
1The University of Tennessee Health Science Center, Memphis, USA.
OTJR : Occupation, Participation and Health
|July 17, 2026
Summary
Pediatric occupational therapists
Area of Science:
- Occupational Therapy
- Pediatric Rehabilitation
- Healthcare Practice Analysis
Background:
- Occupational therapy (OT) practice involves complex dosing decisions.
- Understanding the underlying factors influencing these decisions is crucial for effective pediatric outpatient care.
- Previous research has not fully elucidated the conceptual domains guiding OT dosing in this setting.
Purpose of the Study:
- To examine the conceptual domains influencing occupational therapists' dosing decisions in pediatric outpatient settings.
- To identify how clinical, contextual, and systemic factors are integrated into these decisions.
- To explore the structure of therapists' reasoning regarding dosing parameters.
Main Methods:
- A cross-sectional exploratory survey was distributed to practicing pediatric occupational therapists.
- Quantitative analyses included descriptive statistics, exploratory factor analysis, and cluster analyses (hierarchical and k-means).
- Qualitative responses were analyzed thematically and triangulated with quantitative data.
Main Results:
- Ninety-eight occupational therapists participated from across the United States.
- Five distinct conceptual domains emerged from the analyses, consistently grouping dosing considerations.
- Qualitative and quantitative findings showed alignment, with facility guidelines influencing logistical and financial constraints.
Conclusions:
- Pediatric occupational therapy dosing decisions are multifaceted and conceptually organized.
- These decisions dynamically integrate clinical expertise with contextual and systemic factors.
- A multidimensional framework is necessary to understand occupational therapy dosing in pediatric practice.
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