Priority 2 from the Occupational Therapy PSP

UNCERTAINTY: How can occupational therapists ensure that person-centred practice is central to how they work?  (JLA PSP Priority 2)
Overall ranking 2
JLA question ID 0100/2
Explanatory note Occupational therapists consider person- or client-centeredness to be a core principle of the profession. However, it is agreed that in some areas of practice a person-centred approach can be more difficult to achieve, and that the people who access occupational therapy services do not always agree that they have experienced person-centred practice.  This question aims to explore how the profession can uphold this core element of its philosophy in practice, regardless of the context within which services are provided

The evidence addressing this question is largely comprised of conversational pieces and smaller scale studies. The question has partially been addressed in the evidence base.
D'Cruz, K., et al. (2016). "Client-centred practice: Perspectives of persons with a traumatic brain injury." Scandinavian Journal of Occupational Therapy 23(1): 30-38.
Fransen, H., et al. (2015). "Participatory citizenship: Critical perspectives on client-centred occupational therapy." Scandinavian Journal of Occupational Therapy 22(4): 260-266.
Gupta, J. and S. D. Taff (2015). "The illusion of client-centred practice." Scandinavian Journal of Occupational Therapy 22(4): 244-251.
Katzman, E. and S. LeBlanc-Omstead (2019). "Considering epistemic justice in the quest for client-centered practice." Occupational Therapy Now 21(2): 9-10.
Larsen, A. E., et al. (2019). "A survey on client-centered practice among danish occupational therapists." Scandinavian Journal of Occupational Therapy 26(5): 356-370.
Miller, P., et al. (2019). "Learning What is Important: A Quality Improvement Initiative to Enhance Patient-Centred Care in Home Care." Physical & Occupational Therapy in Geriatrics 37(1): 3-15.
Moore, L., et al. (2017). "Barriers and facilitators to the implementation of person-centred care in different healthcare contexts." Scandinavian Journal Of Caring Sciences 31(4): 662-673.
Mshanga, D., et al. (2019). "Occupational therapists' perspectives on the implementation of client-centred practice in Tanzania." British Journal of Occupational Therapy 82(12): 732-742.
Njelesani, J., et al. (2015). "Thinking critically about client-centred practice and occupational possibilities across the life-span." Scandinavian Journal of Occupational Therapy 22(4): 252-259.
Óladóttir, S. and G. Pálmadóttir (2017). "The continuum of client-centred practice in an acute psychiatric unit: A mixed method study of clients’ perceptions." British Journal of Occupational Therapy 80(1): 49-57.
Phoenix, M. and S. Vanderkaay (2015). "Client-centred occupational therapy with children: A critical perspective." Scandinavian Journal of Occupational Therapy 22(4): 318-321.
Ranner, M., et al. (2016). "Client-centred ADL intervention after stroke: Occupational therapists’ experiences." Scandinavian Journal of Occupational Therapy 23(2): 81-90.
Van de Velde, D., et al. (2016). "The client-centred approach as experienced by male neurological rehabilitation clients in occupational therapy. A qualitative study based on a grounded theory tradition." Disability & Rehabilitation 38(16): 1567-1577.
Whalley Hammell, K. R. (2015). "Client-centred occupational therapy: the importance of critical perspectives." Scandinavian Journal of Occupational Therapy 22(4): 237-243.

Health Research Classification System category Generic Health Relevance
Extra information provided by this PSP
Original uncertainty examples How can we ensure that we genuinely explore individual life goals with people. ~ That are good ways in ensuring our work is client centered / driven by the client? ~ How well do occupational therapists support person-centres decision making? ~ How can you be person-centred when working with people who lack capacity or aren’t at the age of consent?
Submitted by Occupational therapists, Carers, Service Users, Students, People with a different interest, Other
PSP information
PSP unique ID 0100
PSP name Occupational Therapy
Total number of uncertainties identified by this PSP. 66  (To see a full list of all uncertainties identified, please see the detailed spreadsheet held on the JLA website)
Date of priority setting workshop 27 July 2020