What do we do? Examining current occupational therapy practice with people with chronic obstructive pulmonary disease (COPD)

Duckworth, S and Collins, B 2018, What do we do? Examining current occupational therapy practice with people with chronic obstructive pulmonary disease (COPD) , in: RCOT 2018, 11th-13th June 2018, Belfast Waterfront, Northern Ireland.

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Aims: The lack of clarity about what exactly occupational therapy intervention involves for people with chronic obstructive pulmonary disease (COPD) leads to variation in practice, challenges evaluating practice and limited understanding of occupational therapy in the multidisciplinary team. This study detailed interventions that occupational therapists in pulmonary rehabilitation (PR) undertake with patients with COPD. Design and methods: Grounded theory (Birks and Mills 2015) was used to create a ‘theory’ of occupational therapy practice. Ethical approval and agreement from the investigator’s NHS Trust Research and Development team were gained. Recruitment was through the occupational therapy respiratory network. Semi-structured telephone interviews were conducted with nine occupational therapists working with people with COPD in PR services in England. Recorded interviews were transcribed and themed. Constant comparison (Holloway and Galvin 2016) was used to compare different participants’ accounts. Results: Three broad themes about intervention emerged. Firstly, practice is diverse and includes generic clinical interventions. Secondly, educational strategies are applied to occupations in everyday life. Thirdly, psychological approaches are used. Clear differences in practice emerged, despite participants being specifically selected from out-patient PR teams. Lack of clinical guidelines was thought to increase diversity of practice. Conclusion: This research has contributed the first detailed account of occupational therapy practice for people with COPD in England. The findings indicate the need for further research and to develop best practice guidelines for respiratory occupational therapists, with the aim of reducing inequalities and promoting the best quality care. There is potential to develop an occupation-based approach to pulmonary rehabilitation.

Item Type: Conference or Workshop Item (Poster)
Schools: Schools > School of Health and Society
Journal or Publication Title: RCOT 2018 Book of Abstracts
Publisher: Royal College of Occupational Therapists
Related URLs:
Depositing User: USIR Admin
Date Deposited: 10 Jul 2020 14:16
Last Modified: 27 Aug 2021 21:42
URI: https://usir.salford.ac.uk/id/eprint/57586

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