Implementing the Person-Environment-Occupation-Performance model in an occupational therapy neurosciences service: A mixed methods study

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.