Identifying Occupational Therapy Research Priorities in Trinidad and Tobago: A Group Concept Mapping Study

Table 1

Mean importance and feasibility rating scores for clusters and statements.

	Statements and clusters	Importance (1-5)	Feasibility (1-5)
	OT contributions to the public health sector	4.29	3.58
15^a	Benefits of rehabilitation teams in the public health sector in improving health outcomes	4.53	3.67
18^b	The impact of OT services in public sector hospitals on minimizing long-term costs	4.53	3.42
32^b	The benefits of inpatient OT services in preventing repeated hospital visits and declining health and wellness	4.53	3.50
24^a	Benefits of promoting OT in the public hospitals in Trinidad and Tobago	4.47	3.77
31^a	The role and need for OTs in multidisciplinary teams	4.47	4.25
23^a	The impact of OT on the transition from hospital care to home to help minimize the chance of readmittance	4.41	3.67
33^a	OT in outpatient settings: how services can contribute to the prevention of hospital readmission and declining health	4.41	3.75
16^b	Reducing readmission rates: the impact of rehabilitation teams in the public health sector	4.35	3.25
34	The role of community OT in preventing deteriorating health and recurring hospital visits	4.24	3.75
17	Examining whether rehabilitation teams in the public health sector contribute to improving quality of life	4.18	3.85
21	How can OTs contribute to public outpatient clinics in Trinidad and Tobago?	4.06	3.83
19	An exploration of the benefits of OT in various public sector roles	3.82	3.33
25	Linking hand rehabilitation and OT to clients after a stroke within public hospitals	3.59	3.31
	School-based OT in the local context	4.10	3.73
20^b	The benefits of OT in public schools	4.41	3.58
14^b	OT in schools: a system that matches our unique population needs and the number of OTs we currently have	4.31	3.62
9^a	The correlation between accessing OT services and improved school performance	4.12	4.33
30	The impact of sensory integration therapy on school performance of children with autism spectrum disorders	3.94	3.50
6	The adherence to OT recommendations by schools and teachers for children ages 3-7	3.71	3.75
	Localising mental health OT	4.01	3.55
29^a	The role and need for OT in mental health settings in Trinidad and Tobago	4.25	4.23
27^a	The role of OT in promoting independence with ADL’s and IADL’s in mental health institutions to contribute to reintegration into society	4.13	3.58
13^b	The effect of mental health OT in low income youth and adolescents	4.06	3.31
22	Exploring the benefits of OT in mental health within the public sector	4.00	3.85
42	The impact of OT interventions in mental health settings: from acute to outpatient	3.88	3.31
3	The use of OT theoretical models of practice in mental health settings in Trinidad and Tobago	3.76	3.25
	The realities of emerging OT practice	3.94	3.90
28^a	Accessibility of OT services by members of the general public in Trinidad and Tobago	4.53	4.00
37^b	An overview of OT in Trinidad and Tobago: barriers and facilitators for access to OT services by health conditions and service user demographics	4.06	3.92
41^a	The link between OT-conducted staff training and the well-being and function of older adults in nursing homes	3.94	4.00
26	Balancing the small ratio of OTs to client: searching for an effective mode of service delivery in Trinidad and Tobago	3.88	3.33
38	What are the functional outcomes of OT services across health conditions and service user demographics receiving OT input?	3.65	3.82
8	What is OT? A qualitative exploration of the public’s knowledge and awareness of OT services available in Trinidad and Tobago	3.59	4.58
	OT with special populations	3.92	3.62
43^a	The role of OT in navigating accessibility for persons with physical disabilities	4.18	4.00
45	The importance of the OT role in conducting wheelchair assessments for varying health conditions	3.88	3.50
35	OT intervention straight from the Neonatal Intensive Care Unit: the relationship between immediate access to OT and premature babies’ needs for services later on	3.88	3.18
11	The impact of OT interventions on people with functional neurological disorders in Trinidad and Tobago	3.75	3.83
	Occupation and participation of children and youth	3.74	3.31
12^b	OT and crime prevention in “at-risk” youth	4.06	2.75
2^a	The relationships between the frequency of accessing outdoor and sport activities and the physical development of children ages 6-10 in Trinidad and Tobago	3.94	3.50
4^a	The impact of family income on opportunities for children and adolescents to access leisure occupations in Trinidad and Tobago	3.76	3.38
7	The impact of stigma on accessing therapeutic interventions by parents of children ages 3-7 who have been recommended OT	3.53	3.33
44	The use of aqua therapy by OTs in children with cerebral palsy	3.47	3.67
	Contextualising practitioner development	3.26	4.00
40^a	OT practitioner burn out: causes and strategies for prevention	3.94	4.17
1^a	“Life long learner”: what are the CPD opportunities for OT practitioners in Trinidad and Tobago?	3.65	4.17
36^b	Mapping the CPD opportunities for OT according to current, prevalent health, and social conditions requiring OT input	3.65	3.75
39	“National OTs practising overseas”: prevalence, areas of practice abroad and potential areas for local involvement back in Trinidad and Tobago	3.06	3.92
5	“I went away to come back”: the experience of Trinidadian OTs who studied away and now practice in Trinidad and Tobago	2.76	4.00
10	“Home or away” an exploration with Trinidadian OT graduates: what influences the choice to practice at home or abroad?	2.76	4.08

The numbers in the left column coincide with the statement numbers depicted in the point cluster map (Figure 2) and the go-zone plots (Figure 4). ^aPrioritised statement rated above the mean for both importance and feasibility. ^bArea for future development rate high importance but deemed less feasible. Cluster names and their corresponding importance and feasibility scores are in bold.