Identifying CMO configurations in the study of a programme with varied implementation methods: occupational therapists in reablement services

Occupational therapists have been highlighted as key professionals to contribute positively to reablement services in the UK. Occupational therapists are not always integrated members of reablement teams and their role in... [ view full abstract ]

Occupational therapists have been highlighted as key professionals to contribute positively to reablement services in the UK. Occupational therapists are not always integrated members of reablement teams and their role in reablement is not clearly defined. A realist review of the literature identified that occupational therapists are utilised in a variety of different ways within reablement services.
Three different reablement services that include occupational therapists within the service were selected as case studies. Observation of occupational therapists and interviews and focus groups with occupational therapists and other team members were undertaken in the three case study areas to identify the breath of practice of occupational therapists.
This presentation describes the analysis stage of the research focussing on identifying context mechanism outcome (CMO) configurations within the ‘programme’ of occupational therapists working in reablement services where there is no set implementation method. It will discuss the usefulness of identifying the different interventions of occupational therapists as an additional element to CMO configurations. In this way features of the different interventions undertaken are separated from the contexts and mechanisms that affect the outcomes for service users and reablement team members.