Feeling like a stranger: negotiations with culture as experienced by Chilean occupational therapists

Castro, Daniela; Dahlin‐Ivanoff, Synneve; Mårtensson, Lena

doi:10.3109/11038128.2016.1152295

Cited by 4 publications

(6 citation statements)

References 58 publications

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“…The practitioners realised that mutual cultural learning improved their competencies as OT. Our findings support current concepts of OT in cross-cultural contexts [ 17 , 19 , 72 ]. OT theory and practice built on the diverse cultural background of clients and practitioners can have a relevant and significant impact [ 1 , 20 – 22 , 81 ].…”

Section: Discussionsupporting

confidence: 89%

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Changing Perspectives of Local Therapists Eight Years after the Implementation of an Occupational Therapy Service in a Unique Himalayan Cross-Cultural Setting

Scheidegger¹,

Ting²,

Bastiaenen

et al. 2021

Occupational Therapy International

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Background. Whether concepts and principles of Occupational Therapy (OT) can successfully be applied to non-Western and cross-cultural settings is being intensively discussed. Aims/Objectives. We explored the changing perspectives of local occupational therapists (OTs) eight years after the implementation of an OT service in a Himalayan cross-cultural setting in terms of (1) treatment applied, (2) professional identity, and (3) cross-cultural interactions. Material and Methods. A qualitative study design was chosen, and semistructured interviews were conducted in all employed practitioners (a) during implementation and (b) eight years later n = 7 . Questions were carefully formulated in order to narrow down the intended issues but respecting crosscultural differences. The framework method was implemented for data analysis. Findings. Long-term empowering local OTs resulted in the successful development of a sustainable OT department in a unique Himalayan cross-cultural setting. Practitioners became aware of their therapeutic potentials, a clear sense of professional identity was developed, and it was recognised that sensitive cross-cultural practice is only achieved by an ongoing and intentional cultural learning process. Conclusions and Significance. Our findings suggest that OT can be applied to non-Western cross-cultural settings.

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Section: Discussionsupporting

confidence: 89%

“…In order to meet the study aims and achieve trustworthiness and credibility, we build a multicultural, multilingual and multidisciplinary research team [ 44 , 65 , 71 , 72 ]. This collaborative approach is increasingly used in cross-cultural research projects [ 72 , 73 ]. The research team included four members.…”

Section: Methodsmentioning

confidence: 99%

Changing Perspectives of Local Therapists Eight Years after the Implementation of an Occupational Therapy Service in a Unique Himalayan Cross-Cultural Setting

Scheidegger¹,

Ting²,

Bastiaenen

et al. 2021

Occupational Therapy International

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“…The contemporary practice stressed on culture competence of the service when dealing with clients (37)(38)(39). Curriculum development that exposed the students to different cultural practice such as conducting fieldwork in different countries and professional training for the practitioners are warranted to produce a cultural competence service (39,40). Our study is consistent with the previous study to promote local cultural practice such as the salat activity to be incorporated in the professional curriculum and training to ensure the service is relevant to Malaysia context.…”

Section: Discussionsupporting

confidence: 85%

Malaysian Occupational Therapists’ Perspective on Prayer Activity of Muslim Clients

Romli¹,

Yunus²

2016

EIMJ

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Introduction: Investigation on spiritual issue in healthcare practice received less attention. Muslims valued pray activity or known as salat as one of the important daily activity. However, negligible study is available on salat as the end goal of occupational therapy intervention. This study aims to investigate the awareness and the impact of Muslim-culture on occupational therapists in Malaysia. Methods: A cross-sectional survey study was conducted via internet-based and manual paper-andpencil survey throughout occupational therapists in Malaysia. Descriptive and inferential statistics using percentage, Cronbach's alpha and Chi-square was implemented on the findings. Results: In total, 119 occupational therapists responded. The questionnaire has overall internal consistency of α = 0.74. Occupational therapists have positive perceptions on spiritual activity but poorly translated into service implementation and faced challenges. Factors such as level of education, years of experience, religion, working location and work setting were significant on the awareness, perception, practice and challenges. Cultural-based practice is challenging for occupational therapy even in the majority-practice context. Occupational therapists should differentiate between belief and activity in spiritual issue to provide a better assistance for the clients. Conclusion: This study showed continuing education is desired to drive the occupational therapy profession for a better cultural-sensitivity service delivery.

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“…In addition, recent studies indicated that avoiding including the child in the process of ADHD diagnosis and intervention may have a long-term impact on their understanding of the diagnosis and willingness to continue treatment [50,51] Most of the OTs noted moderate to high transference of therapy goals to the home environment yet also reported a need to address daily routines and habits, as well as cultural values during the intervention process being as these can have an effect both in the routines of the child and the therapist's communication with the parents. The importance of cultural norms and values has been emphasized in previous literature regarding culture and cultural competence [5,9], as well ecological theories, which contend that all activities of the family niche reflect the cultural values and other ecological variables which influence family practices [52]. Therefore, it is important to consider the lifestyle and values of a child's family unit and ethnic group as contextual and environmental factors that may affect their routines and participation [42].…”

Section: Discussionmentioning

confidence: 99%

“…Iwama [4] emphasized the eminent role of culture in OT, making it relevant to diverse clients' occupational needs; as such, it is considered a factor in client collaboration, models of practice, assessment tools, and therapeutic material design. In addition, recent literature addresses the need to understand both the individual client and the collective culture, as well as the interaction between the therapist and the client [5,6].…”

Section: Introductionmentioning

confidence: 99%

Clinicians’ Views on the Need for Cultural Adaptation of Intervention for Children with ADHD from the Ultraorthodox Community

Golos

Mor

Fisher

et al. 2021

Occupational Therapy International

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Culture is a core context within occupational therapy, with a recent literature emphasizing the importance of cultural competence, as well as culturally sensitive assessment and intervention. The recent literature has indicated the efficacy of the Cognitive-Functional intervention (Cog-Fun) for children with ADHD among the general Israeli population, yet no studies to date have examined the necessity of cultural adaptations for minority groups. The current study examines the necessity of adapting the intervention protocol and process to the Ultraorthodox (UO) population, as perceived by occupational therapists. The study included 28 occupational therapists certified to use the Cog-Fun intervention, who reported using this approach with UO children. Participants responded to an online questionnaire developed for this study, regarding characteristics of the UO population and necessary adaptions to the Cog-Fun intervention process and protocol. Findings were analyzed using descriptive statistics and qualitative content analysis. Results of the study point to the necessity of addressing various features of the UO community, including daily routines and habits, cultural values, knowledge regarding ADHD, and accessibility of information. Participants also reported a need to adapt the graphic content of the intervention materials. The qualitative data expanded on the perceptions of the participants through four main themes: (a) knowledge regarding ADHD diagnosis and intervention; (b) perceptions and attitudes regarding ADHD diagnosis and medication; (c) factors affecting communication between the OT, parents, and teachers; and (d) adapting the intervention protocol to habits, routines, and lifestyle of UO families. This study has direct implications for therapists utilizing the Cog-Fun with UO children and may also provide insights relevant to occupational therapists using other treatment approaches with children from this culture, as well as other minority or traditional groups. Furthermore, this study may serve as an important addition to the limited literature describing cultural adaptations of evidence-based interventions.

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Feeling like a stranger: negotiations with culture as experienced by Chilean occupational therapists

Cited by 4 publications

References 58 publications

Changing Perspectives of Local Therapists Eight Years after the Implementation of an Occupational Therapy Service in a Unique Himalayan Cross-Cultural Setting

Changing Perspectives of Local Therapists Eight Years after the Implementation of an Occupational Therapy Service in a Unique Himalayan Cross-Cultural Setting

Malaysian Occupational Therapists’ Perspective on Prayer Activity of Muslim Clients

Clinicians’ Views on the Need for Cultural Adaptation of Intervention for Children with ADHD from the Ultraorthodox Community

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