Affiliations: University of Indianapolis, School of Occupational
Therapy, Indianapolis, IN, USA
Note: [] Address for correspondence: Marion Mahon, 4215 Graceland Ave,
Indianapolis, IN 46208, USA. Tel.: +1 317 926 4852; Fax: +1 317 788 3542;
E-mail: MahonMK@uindy.edu or Ldale@uindy.edu
Abstract: {\it Objective:} Occupational therapists specializing in hand
therapy are challenged to provide care that reflects foundational concepts of
occupation and holism. The researchers investigated cost containment influences
on occupational therapists specializing in hand therapy to determine how
therapists provide holistic care within cost containment constraints. {\it Method:} Five hand therapists were chosen based on selection
criteria of hand therapy and holistic care practice. Using a grounded theory
approach, the researchers gathered data via interviews and clinical
observations. Data were analyzed through open, axial, and selective coding, and
critiqued by an expert panel for emerging theory and concepts. {\it Results:} Occupational therapists developed new skills or
refined existing skill through adapting, educating, and strategizing in
response to environmental demands. Tenets of the occupational adaptation model
matched the strategies used by the participants. {\it Conclusion:} Occupational therapists specializing in hand
therapy adapted to cost containment constraints by modifying professional
settings and skills, educating multiple consumers, and implementing innovative
interventions.
