Issue in applying occupation-based intervention in clinical practice: A Delphi study

A Delphi study with three rounds of inquiry was conducted to identify the challenges of implementing Occupation-based Intervention (OBI) in occupational therapy practice in Malaysia. Fifteen occupational therapy practitioners and educators consented and completed all the Delphi rounds. The first Delphi round began with an open-ended questionnaire asking the participants a broad question on issues for applying OBI into clinical practice. Data was qualitatively analysed to develop statements about the issues of applying OBI were grouped under five categories: client factors, occupational therapist factors, contextual factors, occupation as treatment modalities and logistic issues. In the second and third round, the participants were asked to rank their agreement with the statements about the challenges in applying OBI. Level of consensus was set for this study at ≥ 70% and twenty-seven statements finally achieved the pre-set consensus level.