Challenges in implementation of research methodology in community-based occupational therapy: the Housing Enabler example

Scand J Occup Ther. 2007;14(1):54-62. doi: 10.1080/11038120601148520.

Abstract

This paper focuses on challenges in implementation of research in community-based occupational therapy practice. Based on a two-year project in a south Swedish municipality aiming at studying implementation of structured assessment procedures in the housing adaptation process, the first purpose is to provide a detailed project description, and the second is to report on first results identifying challenges in implementation of research in practice. The project was managed following a non-profit marketing model involving activities based on user needs, e.g. assessment training, support visits, and seminars with the users, i.e. occupational therapists. In order to collect data on implementation challenges, a multidimensional approach was utilized. Involving all occupational therapists in the municipality under study, 422 housing adaptation cases were assessed by means of the Housing Enabler. Good inter-rater reliability was demonstrated (kappa=0.62), but large differences between districts in the municipality were seen. Qualitative analyses of diaries, e-mail correspondence and minutes from workshops and seminars elucidated three categories reflecting research implementation challenges: Utilizing research in practice is not straightforward; Utilizing information technology is demanding; and Establishing cooperation and communication is challenging. The results can be utilized for planning of research implementation projects in practice not used to scientific work.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Architectural Accessibility*
  • Environment Design
  • Housing*
  • Humans
  • Marketing / organization & administration*
  • Observer Variation
  • Occupational Therapy*
  • Organizations, Nonprofit
  • Research Design
  • Sweden