OTQualitativeHong Kong journal of occupational therapy : HKJOT2025

The potential of place-based occupational therapy to support aging-in-place: A qualitative study.

Florence Cheong, Chou Chuen Yu

PMID 40657286

WHAT IT FOUND

The seven therapists said placing occupational therapy in the client's own neighbourhood, using the streets and shops they already walk, could fill the gap between hospital discharge and day rehabilitation and keep caregivers involved.

All said subsidies and hospital endorsement would decide whether it happens.

Key findings

01Participants said place-based OT could cover the waiting period after hospital discharge, which they described as typically two or more weeks before a day rehabilitation centre place is available, so clients do not lose function while waiting.

02Most participants wanted the service sited inside the neighbourhood, ideally at or near an Active Ageing Centre, so clients could reach it on foot or by wheelchair instead of a caregiver taking leave to bring them by taxi or car.

03The three things participants named as necessary for the service to work were government subvention, therapists with several years of experience, and hospital clinicians telling clients the service was genuine and trustworthy.

STILL TO COME

How it was doneWhat they foundWhat it means for OTs

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What it does not show

Only seven therapists took part, all in Singapore, and all volunteered through the researcher's own professional network; three were her former colleagues. This is a narrow set of views, not a representative sample. The study asked therapists what place-based OT could do. Most answers describe a service that does not yet exist, so nothing here shows the model changes anything for older adults. Therapists may have answered positively because they were being asked about a new model of care, which the authors name as a risk of social desirability bias. The first author is a senior OT who ran the interviews and did the coding herself, and the authors name her own perspective as a possible influence on the data. No older adults were interviewed, so what clients would actually want from the service is missing. No costs were worked out; the authors say cost-effectiveness still needs to be investigated.

Declared interests

The research was funded by the Tan Tock Seng Hospital Occupational Therapy Enabling Fund (2023-001). The authors declared no conflicts of interest, and the paper states that the three participants who were the researcher's former colleagues had no working relationship with her at the time of recruitment.

The easy way to misread this

Do not read this as evidence that place-based occupational therapy works. No service was set up and no older adult was followed; seven therapists described what they thought a future service could do, often in the future tense, and the authors themselves note that participants may have answered positively because they were being asked about a new model of care.

Summarised by AI from the full paper, without a clinician reviewing it. Check it against the source before it changes what you do. Read it on PubMed →