Best Practices for Supporting Occupational Therapy Students With Disabilities During Clinical Education: Results From a Three-Round Delphi Study.

Occupational therapy international · 2026 · Other · OT
Courtney Gohean, Katie McLaughlin, Aster Harrison

A Delphi consensus panel of OT educators, clinicians, and disabled students and practitioners agreed on 53 recommended practices for supporting disabled OT students on clinical placements. These are expert recommendations, not tested interventions — no study here shows they improve outcomes.

Key findings

1

The final consensus list comprised 53 items: 41 best practices for supporting disabled OT/OTA students on Level II fieldwork and 12 suggested available accommodations, organised into six themes (communication and transparency, advance planning, disability-affirming approach, education of all parties, individualized and flexible accommodation, and addressing structural barriers and institutional ableism).

2

Ten of the best practices received the maximum median score of 7 out of 7 for both importance and feasibility, making them the panel's strongest consensus items.

3

US OT productivity standards (the ratio of direct patient-care time to documentation time) were identified as a structural barrier: they penalise clinical educators for teaching time and disadvantage students who need more documentation time, and two related items received median feasibility scores of only 3 or 4 despite high importance ratings.

MethodologyResultsClinical Relevance

Single-blind randomized controlled trial. Sixty-four participants were randomized across two intervention arms and assessed at twelve weeks for the primary outcome…

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Summarised by AI from the abstract, not the full paper. Check it against the source before it changes what you do. Read it on PubMed