OTQualitativeThe Australian journal of rural health2025

Exploring Occupational Therapists Use of the Perceive, Recall, Plan and Perform Assessment When Working With Aboriginal and Torres Strait Islander Peoples in the Northern Territory.

Rebecca Jarrott, Judy Ranka, Melissa Nott and 1 others

PMID 40689556

WHAT IT FOUND

Occupational therapists in the Northern Territory described the PRPP-A as acceptable for assessing cognition with Aboriginal and Torres Strait Islander clients because tasks could fit the client’s context, highlight strengths, and support culturally safe collaboration.

Key findings

01Occupational therapists described learning and using the PRPP-A as a transformative change in their practice when assessing cognition with Aboriginal and Torres Strait Islander clients.

02Participants described the PRPP-A as acceptable and clinically useful because it provided meaningful information for goals, intervention, reassessment, and communication with clients, families, and teams.

03Therapists said the approach helped them choose tasks important to the client, identify strengths, and work collaboratively with clients and families.

STILL TO COME

How it was doneWhat they foundWhat it means for OTs

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What it does not show

Only occupational therapists were interviewed, so Aboriginal and Torres Strait Islander clients, families, and significant others did not report their experience of the PRPP-A. The sample was 13 therapists in one Northern Territory region, so views may differ in other Australian settings. The study explored acceptability only; practicability and accessibility were not assessed. The research team had no Aboriginal or Torres Strait Islander co-supervisor or co-researcher, though they consulted widely with local health professionals and academics.

Declared interests

No conflicts of interest were declared. Rebecca Jarrott received support through an Occupational Therapy School of Victoria Award in 2021. Melissa Nott's contribution was supported by Charles Sturt University Three Rivers Department of Rural Health funding under the Australian Government's Rural Health Multidisciplinary Training Program. Charles Sturt University, University of Sydney and Charles Darwin University supported research activity and manuscript preparation under existing employment and PhD candidature.

The easy way to misread this

Do not read the PRPP-A as proven to improve patient cognitive outcomes or occupational performance. This paper reports the perceptions of 13 occupational therapists in focus groups, not patient results, not a controlled trial, and not a test of effectiveness.

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