Exploration the Obstacles of Using Standardized Assessment of Outcome in Occupational Therapy Services: A Qualitative Study

Abstract

Background and aims: Paying attention to evidence-based approaches and the use of standardized outcome assessments in occupational therapy services not only guides service quality improvement and ensures optimal care, but also significantly influences the policies and macro-level planning of the health service system. Therefore, the current research was conducted with the aim of exploring the obstacles to using standardized outcome assessments in occupational therapy services. Methods: This study was conducted using a qualitative content analysis method. Participants were selected through purposive sampling from among occupational therapists working in Hamadan city, and 20 individuals were interviewed. The primary method of data collection was semi-structured interviews with open-ended questions. Data were analyzed using inductive qualitative content analysis. The validity and reliability of the study were ensured through four criteria: credibility, transferability, dependability, and confirmability. Results: Data analysis led to the identification of 974 initial codes, 23 subcategories, and 5 main categories. These categories include: access to and use of assessment tools; personal and professional characteristics of the therapist; management principles and priorities governing the clinic; patient characteristics; and the nature of the occupational therapy field—all of which were identified as obstacles. Conclusion: The findings of this study can contribute to overcoming these obstacles and support effective steps toward improving the quality of occupational therapy services. Additionally, they can inform the development of educational policies and programs for therapists, shaping the attitudes, knowledge, and skills necessary for professional practice. © (2025), (Iran University of Medical Sciences). All rights reserved.