The impact of Covid-19 for occupational therapy: Findings and recommendations of a global survey

Abstract

A global survey of individuals involved in the delivery of occupational therapy was conducted by the World Federation of Occupational Therapists (WFOT) to determine the impact of the COVID-19 pandemic and identify needs and recommendations for future resources and support. The online survey was circulated in five languages through member organisations and other WFOT communications networks. The 30-item survey collected primarily quantitative data, although some comments and recommendations were requested. A total of 2750 individual responses were received from 100 countries. Findings indicated that the Covid-19 pandemic had a wide-ranging impact on occupational therapy as a result of several factors, including a lack of preparedness, restrictions in service access, new demands during redeployment, frequently changing work conditions, use of new technology and limitations in resources such as additional space for physical distancing and personal protective equipment. Working during the pandemic also had a personal impact on the health of most respondents, with some reporting reduced morale and concerns for their safety. Access to Covid-19 specific training and living in a high-income country were found to have a significant positive impact on a number of outcomes, including the respondent's sense of competence, effectiveness and safety. Those working in a clinical role were less likely to report higher levels of safety, effectiveness and positive impacts associated with the pandemic. Important recommendations emerged from the findings to inform the future work of WFOT and other professional organisations, including the need for: collaborative efforts to provide information and training resources; development of standards and supports to promote quality service provision; and advocacy to promote access to occupational therapy and address occupational injustice.