An Exploration into Occupation-Centered Practice in Skilled Nursing Facilities

Vanessa D. Jewell, Noralyn D. Pickens, Gayle Hersch, Gail Jensen

Research output: Contribution to journalArticlepeer-review

5 Scopus citations


Aims: The aims of this pilot study were to identify occupational therapy interventions provided to short-Term rehabilitation clients at skilled nursing facilities and to determine if therapists engaged clients in interventions with an occupation-centered approach. Methods: This study utilized a prospective mixed methods design with in-depth observations of two occupational therapists and three clients. Field notes, schematic drawings, and the Occupation-Centered Intervention Assessment documented and captured 57 interventions. Results: Provision of interventions occurred primarily in the clinic (36/57), with exercise and rote practice as the most common intervention approach (26/57), and interventions that utilized occupation were rated higher on the OCIA indicating a more occupation-centered approach. Conclusions: More than half of the interventions did not involve the use or focus on occupation, indicating a gap between theoretical frameworks and interventions taught in professional school and what actually occurs in practice.

Original languageEnglish (US)
Pages (from-to)43-56
Number of pages14
JournalPhysical and Occupational Therapy in Geriatrics
Issue number1
StatePublished - Jan 2 2016

All Science Journal Classification (ASJC) codes

  • Rehabilitation
  • Gerontology
  • Occupational Therapy
  • Geriatrics and Gerontology


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