The Dynamic Occupational Therapy Method as a theoretical-methodological framework for telehealth practices: a qualitative study

Abstract

Introduction: Telehealth in occupational therapy expanded significantly during the COVID-19 pandemic. The literature highlights the need to develop creative, less bureaucratic, and person-centered practices. The Dynamic Occupational Therapy Method (MTOD) proposes a non-protocol, dynamic, and situated practice, which may provide insights into advancing the incorporation of communication and information technologies. Objective: To analyze the challenges, learnings, and strategies of occupational therapists in delivering on-line care supported by the MTOD. Method: An exploratory qualitative study was conducted with 13 occupational therapists who use the MTOD. Data were collected through a characterization form and semi-structured interviews, which were thematically analyzed. Results: Most participants identified as cisgender women, white, residing in the state of São Paulo, with additional participants from Rio de Janeiro and Ceará. They had more than 20 years of professional experience, working as self-employed practitioners in private practice, across different fields and with diverse age groups. The qualitative results addressed: insecurities and openness to new learning within cyberculture; new skills for singular and situational digital inclusion through educational actions; the singularities of the target subjects and work with fourth terms; the triadic relationship in hybrid technological clusters; and the MTOD as a framework for creative, flexible, and safe practices. Conclusion: The MTOD proved to be sensitive to the realities of telehealth practice, being applied dynamically and demonstrating versatility and adaptability, while providing theoretical-methodological support for occupational therapists. As a phenomenon of contemporary practice, it is expected to broaden reflections within both the professional field and the knowledge base of occupational therapy.