Reflecting on our effectiveness: occupational therapy interventions with Indigenous clients

Stedman, Amanda, and Thomas, Yvonne (2011) Reflecting on our effectiveness: occupational therapy interventions with Indigenous clients. Australian Occupational Therapy Journal, 58 (1). pp. 43-49.

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Background:  The health and social inequity experienced by the Indigenous population of Australia has resulted in the establishment of a national priority to close the gap in health outcomes. The occupational therapy profession is being urged to ensure the cultural appropriateness of practice interventions for Indigenous people. Although the importance of practice modification has been recognised by the occupational therapy profession, minimal research has been conducted in relation to older Aboriginal and Torres Strait Islander populations.

Method:  The aim of this study was to explore occupational therapists' views of their effectiveness when practising with Indigenous clients. The qualitative study utilises in-depth interviews with occupational therapists working in a regional centre of North Queensland to explore their views of effectiveness when modifying interventions for Indigenous clients.

Results:  Inductive thematic analysis of the descriptive data generated four themes. The first theme provides insights into participants' views of effectiveness when providing interventions to Indigenous clients. The remaining themes identify specific modification as (i) awareness of culture and respect for the individual, (ii) developing different expectations and (iii) ensuring equality of outcomes.

Conclusion:  The study supports the importance of modifying practice to provide culturally safe occupational therapy to Indigenous clients. The importance of adopting a client-centred approach in modifying interventions is also highlighted. Self-reflection by the therapist regarding their occupational therapy practice with Indigenous clients is strongly suggested. In response, a self-reflection tool has been developed from the findings of the study.

Item ID: 15519
Item Type: Article (Research - C1)
ISSN: 1440-1630
Keywords: cultural safety; indigenous health; reflective practice
Date Deposited: 03 Mar 2011 00:07
FoR Codes: 11 MEDICAL AND HEALTH SCIENCES > 1117 Public Health and Health Services > 111701 Aboriginal and Torres Strait Islander Health @ 100%
SEO Codes: 92 HEALTH > 9202 Health and Support Services > 920201 Allied Health Therapies (excl. Mental Health Services) @ 100%
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