Barriers of Occupation-based Intervention

Abstract

A Delphi study with three rounds of inquiry was conducted to identify the barriers of implementing Occupationbased Intervention (OBI) in Malaysia. Fifteen occupational therapy practitioners and educators consented and completed all the Delphi rounds. The first Delphi round began with an open-ended questionnaire asking the participants a broad question on barriers for applying OBI into clinical practice. Data was qualitatively analysed to develop statements about the barriers of applying OBI were grouped under five categories. In the second and third round, the participants were asked to rank their agreement with the statements about the barriers in applying OBI. Twenty-seven statements finally achieved the consensus level.

Perceptions on transitioning from impairment-based to occupation-based practice in public healthcare within KwaZulu-Natal

“…These facility-specific barriers concur with a study by Hall & Visagie⁵, which identified the dominance of the medical model, decreased human resources, high turnover rates, and limited time as factors that led to IBP being the primary practice choice. The previously mentioned barriers concur with multiple studies [24][25][26][27] , highlighting the limited availability of resources, participants' lack of experience and skills, and medical model dominance hinder OBP implementation. OBP was considered difficult to implement in a medical-model-based facility as pragmatic and contextual factors exerted opposing influences22, 2⁷.…”