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Barriers and enablers to providing community-based occupational therapy to people with functional neurological disorder: An interview study with occupational therapists in the United Kingdom

Nicholson, C; Francis, J; Nielsen, G; Lorencatto, F (0222) Barriers and enablers to providing community-based occupational therapy to people with functional neurological disorder: An interview study with occupational therapists in the United Kingdom. British Journal of Occupational Therapy, 85 (4). pp. 262-273. ISSN 0308-0226 https://doi.org/10.1177/03080226211020658
SGUL Authors: Nielsen, Glenn

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Abstract

Introduction Occupational therapists have an integral role in the treatment of people with functional neurological disorder, yet there is evidence of variable implementation of occupational therapy in community settings. This study explored the barriers and enablers to delivering community-based occupational therapy to people with functional neurological disorder in the United Kingdom. Methods Community-based neurological occupational therapists (n = 10) with experience in functional neurological disorder were invited to complete semi-structured qualitative interviews. The interview schedule and analysis were based on the Theoretical Domains Framework, a behavioural science tool for investigating barriers and enablers to clinical practice. Data were analysed using a combined content and framework analysis approach. Findings Important barriers to treatment included limited published information to guide practice, lack of professional role clarity and restricted multidisciplinary team working. Enablers included occupational therapists’ dual training in physical and mental health and focus on activity engagement. Service provision, quality and access varied across geographical locations. Conclusion Occupational therapists are uniquely placed to help people with functional neurological disorder; however, findings suggest that existing community service structures in many regions in the United Kingdom are inadequate and limit the quality of treatment that can be provided. Additional resources are required to support occupational therapy service provision in community settings.

Item Type: Article
Additional Information: Nicholson, C; Francis, J; Nielsen, G; Lorencatto, F, Barriers and enablers to providing community-based occupational therapy to people with functional neurological disorder: An interview study with occupational therapists in the United Kingdom, British Journal of Occupational Therapy Copyright © 2021 (The Author(s)). DOI: 10.1177/03080226211020658
Keywords: 1103 Clinical Sciences, Rehabilitation
SGUL Research Institute / Research Centre: Academic Structure > Molecular and Clinical Sciences Research Institute (MCS)
Journal or Publication Title: British Journal of Occupational Therapy
ISSN: 0308-0226
Language: en
Dates:
DateEvent
1 April 0222Published
27 May 2021Published Online
28 April 2021Accepted
Publisher License: Publisher's own licence
URI: https://openaccess.sgul.ac.uk/id/eprint/113313
Publisher's version: https://doi.org/10.1177/03080226211020658

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