Loading...
Implementing the Person-Environment-Occupation-Performance model in an occupational therapy neurosciences service: A mixed methods study
Thew, M. Cezar da Cruz, D. Murphy, A. Robin, B. Walshaw, C. McLean, L. Revel, S.
Thew, M.
Cezar da Cruz, D.
Murphy, A.
Robin, B.
Walshaw, C.
McLean, L.
Revel, S.
Publication Date
2026-03-27
End of Embargo
Supervisor
Rights
© 2026 The Author(s). This an Open Access article distributed under the Creative Commons CC-BY-NC license (http://creativecommons.org/licenses/by-nc/4.0/)
Peer-Reviewed
Yes
Open Access status
openAccess
Accepted for publication
2026-02-23
Institution
Department
Awarded
Embargo end date
Collections
Files
Loading...
brooks_et_al_2026.pdf
Adobe PDF, 550.28 KB
Additional title
Abstract
Introduction:
Using models of occupation in occupational therapy can promote professional identity and self-efficacy. This study evaluated implementing the Person-Environment-Occupation-Performance Model (PEOP) in a neurosciences occupational therapy service in the United Kingdom.
Methodology:
A mixed-methods approach with four stages. 1: survey of conceptual models in practice; 2: conceptual model teaching followed by focus groups; 3: PEOP training followed by implementation and Community of Practice; 4: individual semi-structured interviews. Participants were occupational therapists working in a neurosciences service.
Findings:
The survey identified limited use of conceptual models in practice. Participants chose the PEOP model due to congruence with practice, model semantics and potential to reinforce professional identity. Following training, therapists reported increased knowledge and confidence in using the model. During implementation, data from the community of practice created three themes: feasibility of application, documentation is key to change, keeping it meaningful. Follow-up interviews after 3-months generated three themes: PEOP legitimises the occupational therapist’s role, communities of practice spark change, the model supports occupational adaptation.
Conclusion:
Implementing the PEOP model was feasible and impactful. Training improved knowledge and confidence, and the community of practice and modified documentation supported application. Implementation realised continuity of occupation-centred practice across patient pathways and enhanced professional identity.
Version
Published version
Citation
Brooks R, Thew M, Cezar da Cruz D et al (2026) Implementing the Person-Environment-Occupation-Performance model in an occupational therapy neurosciences service: A mixed methods study. British Journal of Occupational Therapy. Accepted for publication.
Link to publisher’s version
Link to published version
Link to Version of Record
Type
Article