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Cited by 42Occupational Therapy Practice and ResearchMedical Practices and RehabilitationHealth, Education, and Aging

Are health promotion and prevention interventions integrated into occupational therapy practice with older adults having disabilities? Insights from six community health settings in Q uébec, C anada

Turcotte, Pier‐Luc, Carrier, Annie, Desrosiers, Johanne, Levasseur, Mélanie·2015·Australian Occupational Therapy Journal
DOI 10.1111/1440-1630.12174
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Abstract

BACKGROUND/AIM: Increasingly, health-care systems should promote seniors' health and prevent disability. As they enable engagement in meaningful activities within the individuals' living environment, community occupational therapists have great potential to contribute to health promotion and prevention. Despite this potential, little is known about current health promotion and prevention activities in occupational therapy community practice. This study thus aimed to: (1) identify health promotion and prevention interventions used with seniors having disabilities, and (2) explore barriers to integrating such interventions into practice. METHODS: Secondary data analysis of a qualitative study was carried out using thematic saliency analysis. Eleven community occupational therapists working with seniors having disabilities were recruited in six community health settings in Québec, Canada. Observations of 12 home visits, followed by 12 semi-structured interviews, were conducted with occupational therapists. RESULTS: Most interventions involved optimising independence in personal care and mobility. Explicit health promotion interventions were limited and included enabling healthy lifestyles by increasing health literacy and empowerment. Meaningful activities (leisure, community participation) were not targeted. Barriers to integrating health promotion into practice were clients' complex health conditions and limited openness to change combined with organisational and professional obstacles, such as a misunderstanding of occupational therapists' role in health promotion. CONCLUSIONS: Health promotion and prevention interventions are not intentionally integrated into community occupational therapy practice with seniors having disabilities. As a result, seniors' needs to engage in meaningful activities might remain unmet. Overcoming barriers to integrating health promotion and prevention in practice could help improve population health and wellbeing.

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  • Barriers to participating in community programming pre-dated the COVID-19 pandemic, as most community programs were offered in-person, posing a significant barrier for older adults who experience challenges with participating in activities outside of their homes.

    “Barriers to participating in community programming pre-dated the COVID-19 pandemic, as most community programs were offered in-person, posing a significant barrier for older adults who experience challenges with participating in activities outside of their homes (37–42).”

    From Telephone-based group mental health support for older adults in central Canada: pilot acceptability and effectiveness findings of The CONNECT Program (2025) · cites this paper as [42]

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Authors
Turcotte, P., Carrier, A., Desrosiers, J., & Levasseur, M.
Affiliations
Université de Sherbrooke (CA)
Corresponding author
Turcotte, Pier‐Luc
ORCID
Venue
Australian Occupational Therapy Journal
Publisher
Wiley
Published
2015-02
Volume
62
Issue
1
Pages
56-67
ISSN
  • 0045-0766 (ISSN-L)
  • 1440-1630
DOI
10.1111/1440-1630.12174
OpenAlex
W2027582382
Cited by
42
References
37
Citations by year
2026: 1 · 2025: 3 · 2024: 2 · 2023: 3 · 2022: 4 · 2021: 2 · 2020: 8 · 2019: 6 · 2018: 3 · 2017: 4 · 2016: 3 · 2015: 3
FWCI
13.79
Type
journal article
Language
en
Open access
closed
Licence
onlinelibrary.wiley.com/termsAndConditions#vor (vor, 3 d)
Locations
  • Australian Occupational Therapy Journal (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • Canadian Institutes of Health Research
  • Fonds de Recherche du Québec - Santé
Topics
  • Health Sciences › Health Professions › Occupational Therapy › Occupational Therapy Practice and Research
  • Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Medical Practices and Rehabilitation
  • Social Sciences › Health › Health, Education, and Aging
Keywords
health promotion, prevention interventions, occupational therapy practice, older adults with disabilities, barriers to integration, meaningful activities, community participation, health literacy, mobility (physical function)
MeSH terms
Activities of Daily Living, Adult, Aged, Aged, 80 and over, Community Health Services, Disability Evaluation, Female, Disabled Persons, Persons with Disabilities, Health Promotion, Humans, Male, Middle Aged, Occupational Therapy, Preventive Medicine, Quebec, Geriatric Assessment, Treatment Outcome, Risk Assessment, Delivery of Health Care, Integrated, Qualitative Research

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