Research Article

“Surthriving” Hand Rehabilitation: Proposing Interventions to Support Novice Occupational Therapists Working in Underserved Contexts

Table 2

Description of how data collection techniques were used.

Data collection tools and techniquesProcedure

Demographic online questionnaireParticipants provided basic demographic and practice data using an online survey (MS Forms)
Photoelicitation: “sharing experiences”Participants shared photographs that captured aspects of their experience. Descriptions of the photographs and resulting group discussions were audio-recorded and transcribed.
Facilitated reflection using sentence stems [36]: “me in my setting”Participants were given a page of sentence stems that prompted reflection on their community service contexts and their experience thereof. Completed sentences were shared with the group and uploaded in Word files to NVivo for analysis.
Authoring a congress abstractParticipants, along with the first author, wrote and submitted an abstract (title: Hand therapy on the move – taking therapy to harder-to-reach communities) that presented a practice innovation (portable hand therapy station) that the group planned to develop together. The abstract was uploaded to NVivo for analysis.
Facilitated reflection using the person-environment-occupation model [37]Participants reflected on their experience of delivering hand rehabilitation using the person-environment-occupation model, reflecting on aspects of the occupation (delivering hand rehabilitation), the environment (complex healthcare context), and the person (their personal experiences, knowledge, skills, etc.) that influenced their experience across their community service year. Participants illustrated this transaction on paper and explained their experience to the group. Photos of the illustrations and transcribed audio recordings of the explanations were uploaded for analysis.
Real-time troubleshooting: case discussions on WhatsAppThe need to include a platform for “real-time” support emerged early in the study, and additional ethical permission was obtained to include WhatsApp as a data collection tool. Informal case discussions occurred on this platform as participants sought guidance and feedback.
Feedback on professional development activitiesExperts were invited to the CoP based on emerging needs in the group. This also enabled the first author to focus on her role as a researcher. These sessions were evaluated in an online survey (MS Forms), and the data from the survey was uploaded to NVivo for analysis.
(Professional development activities included “Clinical reasoning 101”; formal case discussions; basic biomechanical and treatment principles; management of the neurologically impaired hand; sensory reeducation and considerations for disability grant eligibility; and occupation-based hand therapy)
Online (MS Forms) evaluation experienceAn online survey questionnaire was developed to evaluate participants’ experience of the CoP. Data were downloaded to Excel and Word and uploaded to NVivo for analysis.
Workshop to prepare congress presentationParticipants’ abstract was accepted. A hybrid workshop was thus arranged to develop the practice innovation. Participants, supported by the first author, systematically reflected on the occupational roles that their hand-injured clients engaged in; the contextual realities of their hand rehabilitation practice; and photographs of their community service year. Participants also reviewed local hand rehabilitation evidence. This data, used to inform the design of their practice innovation, was collaboratively developed on a Google Doc. A copy of the document was uploaded to NVivo for analysis.
Member checkingAnalysis findings were presented to participants at intervals throughout the study. Feedback from these sessions was included as data for further/final analysis.