Occupational Therapy Interventions Survey Study Part-II: Types of Intervention Strategies and Factors Influencing Occupation-Based Intervention Use in Daily Practice by Indian versus Global Occupational Therapists
Pooja Pankaj Mehta, Punita Vasant Solanki, Charmie Anil DaveAbstract
Background:
Occupation-based interventions (OBIs) are a core component of occupational therapy (OT), emphasizing engagement in meaningful and purposeful activities relevant to an individual’s daily life, roles, and interests. Although several studies have explored factors influencing OT practice, such as patient adherence, ethical behavior, and clinical reasoning, there remains a gap in the literature regarding factors affecting the use of OBIs in clinical practice.
Objectives:
This study examined the strategies used under each intervention type and the influence of various factors on the implementation of OBIs in daily practice among Indian and global OTs.
Study Design:
Observational, cross-sectional, online survey.
Methods:
A validated questionnaire, as published in the OT interventions survey study-I, was administered through comprehensive sampling. Of 225 responses, 201 met eligibility criteria (India:
Results:
There are significant differences among certain strategies used among each of the types of interventions. During PCA, 39 initial variables were reduced to 24 key factors, grouped into six categories with strong sampling adequacy (Kaiser–Meyer–Olkin >0.7). Of which, four categories were common to both groups: (1) client/patient factors, (2) physical/environmental factors, (3) therapist-related factors, and (4) tools and technology. While two context-specific categories were included (5) referral-related and financial factors, and (6) social support and relationships for Indian OTs, versus (5) insurance-related and financial factors and (6) organizational protocols for global OTs.
Conclusion:
OBI practice among OTs is multifactorial and context dependent. Addressing these influencing factors may enhance the consistent use of OBIs, thereby strengthening the profession’s core identity and improving client-centred outcomes.