Sarah Roe

IntroductionEvidence-based occupational therapy home programmes for children with unilateral cerebral palsy have demonstrated efficacy; however, uptake into routine practice is varied. The aim of this study was to gain a deeper understanding of the therapist-perceived supports and barriers to using occupational therapy home programmes for children with unilateral cerebral palsy, based on evidence of best practice in the United Kingdom.MethodFourteen occupational therapists completed semi-structured telephone interviews. Using a qualitative framework analysis approach, support and barrier factors were indexed against the Theoretical Domains Framework, before being categorised more broadly using the Capability, Opportunity, Motivation and Behaviour Model.FindingsCommon supports included: (a) strong leadership within the team to facilitate the translation of occupational therapy home programmes and evidence-based interventions into service-specific protocols; (b) knowledge exchange wit...

Introduction The home context is considered a good location for children with cerebral palsy to practise meaningful occupations. The aim of this critical review was to gain a deeper understanding of how bimanual therapy and modified constraint induced movement therapy or constraint induced movement therapy methods are used within occupational therapy home programmes from an occupational perspective. Method A literature search was conducted using electronic databases for health research; five studies met the inclusion criteria. These were critically appraised and were analysed according to the relevant supports and barriers of the person–environment–occupation conceptual model of practice. Findings Family collaboration, strategic use of outcome measures, construction of the programme within the home environment and occupation-focused goals and activities emerged as commonly used methods. Enhanced descriptions of intervention context, the child’s voice in defining goals and challenges...

Recent UK Government rhetoric is calling for healthcare professionals to practice entrepreneurially whilst they are simultaneously being bombarded with restrictive protocols and prescriptive regimens. There is little agreement concerning what entrepreneurship is and the term ‘intrapreneurship’ has recently entered the literature field denoting the innovative and creative practices within an organisation. There is little usable inquiry into this important field, with the healthcare practice context severely lagging behind the wider entrepreneurship debates. This has created a highly pressured and confusing landscape for new occupational therapy graduates to negotiate. This study details a qualitative exploration into recent occupational therapy graduates’ perceptions and experiences of intrapreneurship within two contrasting healthcare practice contexts. The critical realist theorist, Margaret Archer, and her concepts of morphogenesis, the internal conversation and preferred reflexiv...