A Qualitative Descriptive Study of Engagement in and Influencing Factors of Population-Based OT Practice for Older Adults

IntroductionOccupational therapy has recently begun promoting population-based practice (PBP), which would allow them to address the myriad of factors impacting older adults' health. The purpose of this qualitative study was to describe occupational therapists' engagement in PBP and factors they perceive influence engagement.MethodsSemi-structured interviews were conducted with 21 occupational therapists.ResultsQualitative content analysis revealed PBP was facilitated by personal interests and volunteerism or by employer-provided opportunities. Therapists' knowledge and skills, understanding of OT, employer support, resources, and features of the US healthcare system all influence engagement.DiscussionThere is limited understanding of PBP among occupational therapists. These professionals have the foundational knowledge and skills to participate, but additional education and employer support is needed to increase engagement. Barriers must be overcome, and facilitators of engagement promoted, to enable the incorporation of PBP in everyday OT practice, and subsequently, improve health outcomes for the older adult population.