Che Daud, Ahmad Zamir, Yau, Matthew K., Barnett, Fiona, and Judd, Jenni (2016) Occupation based intervention in hand injury rehabilitation: experiences of occupational therapists in Malaysia. Scandinavian Journal of Occupational Therapy, 23 (1). pp. 57-66.

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Abstract

Introduction: Practising Occupation Based Intervention (OBI) uses the concepts of occupation as a means and an end. Occupation as a means refers to occupational and purposeful tasks as a therapeutic agent while occupation as an end refers to occupation as an outcome of intervention. The purpose of this study was to describe the occupational therapists' experiences of providing OBI in hand injury rehabilitation.

Methods: Sixteen occupational therapists with more than five years of experience in hand rehabilitation were individually interviewed on their experiences of using OBI in practice. Data was thematically analysed using an Interpretative Phenomenological Analysis.

Results: Interpretations of the themes resulted in: "Occupation as a Means", "Occupation as an end", "Benefit of OBI", "Challenges of OBI" and "Making OBI a reality". It was found that occupational therapists had positive experiences with OBI. Occupational therapists perceived that occupation as a means and an end can be merged in a single therapy session when the occupational therapists use an occupation that is therapeutic.

Conclusion: Although occupation as a means and an end have different purposes, when the ultimate goal is,to enhance the clients' maximum level of functioning, both can be used for successful rehabilitation of hand injuries.

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