#OTalk Research – Tuesday 3rd April: Coproduction in Research

April’s #OTalk Research is being hosted by Claire Ballinger and Tina Coldham and supported Lynne Goodacre from the #OTalk Research team.



There has been a lot of talk in recent years about the importance of patient and public involvement in research, with evidence that such involvement makes research more accessible, meaningful and successful.

Some go further and argue that coproduction or cocreation of research must be the way forward if we are to truly focus on service users’ understandings, perspectives and priorities.  As OTs, this has a synergy with our client centred practice. However, those new to research and coproduction might be wondering how it might work, how to ‘do’ it, and perhaps whether it is even possible!

In our OTalk we hope to discuss what coproduction means, hear from people who have experience of coproduction in research about what it is like, and share some ideas about how to work successfully together.

We offer the following questions as a basis for reflection and discussion:
1. What do we understand by coproduction in health research?

2. Why might coproduction in research be useful? For whom/what?

3. Has anyone had experience of coproduction health research? What was it like.

4. What were the highlights and surprises? Was there anything that concerned you or you wish had been done differently?

5. What principles, resources or tips could we share to guide coproduction?

Post Chat

Online Transcript

#OTalk Healthcare Social Media Transcript April 3rd 2018

The Numbers

684.609K Impressions
295 Tweets
34 Participants
236 Avg Tweets/Hour
Avg Tweets/Participant

#OTalk Participants

Data for #OTalk can be up to 15 minutes delayed


#OTalk 27th March – Students, practice educators and the key ingredients to a successful practice placement.

This weeks #Otalk is on the topic of “practice placements” and will be hosted by Lucy Gordon (@LucyGordon83).

Here is what Lucy had to say…

I am a final year student with four months left at Coventry University. I have been lucky enough to have three excellent experiences on each of my practice placements, in a variety of different settings. Additionally, I have seen how peer support and MDT support during a placement can make a huge difference to student experience.

It is important that qualified occupational therapists provide practice placements for students because they have a professional responsibility to provide regular practice education opportunities for occupational therapy students where possible, and to promote a learning culture within the workplace (RCOT 2015).

Therefore, I would like to host an #OTalk exploring how students and educators can create great student experiences, but also to look at what students can bring to a service. I want to understand the strategies used by students whilst on placement to help them get the most from their experience, but I also want practice educators to share what they think makes a great student and what they expect during placement.

I hope that the chat gives students, health professionals and practice educators the opportunity to share strategies, advice and knowledge, in a supportive and friendly environment.

Questions to consider:

Q1. As students, occupational therapists and practice educators, how would you define a successful practice placement?

Q2. How can students and practice educators work together to ensure student placements are successful?

Q3. What can skills and knowledge can students bring to a service whilst they are on a practical placement?

Q4. How can practice educators support students in their learning?

Q5. What tips can you share for resources you have created whilst on placement to help you develop as a student?


Royal College of Occupational Therapy (2015) Code of Ethics and Professional Conduct. London: College of Occupational Therapy

Post Chat

Online Transcript

#OTalk Healthcare Social Media Transcript March 27th 2018

The Numbers

1.258M Impressions
587 Tweets
61 Participants
470 Avg Tweets/Hour
10 Avg Tweets/Participant

#OTalk Participants


#OTalk 20th March – Occupational Therapy and working with people severe and multiple learning disabilities.

This weeks #Otalk is on the topic of “OT and learning disability” and will be hosted by RCOT Specialist Section for people with learning disabilities (@RCOT_PLD).

The RCOT people with learning disabilities specialist section are hosting their second #otalk on 20th March 2018. Choosing a topic has not been easy as we acknowledge there is a lot we can talk about. We asked our members at the last annual conference which was hosted at RCOT HQ on 14th October 2017 what they would like to discuss. The decision was occupational therapy and STOMP campaign. We held this #otalk on 21st November 2017. You can review the discussion at www.otalk.co.uk.

Our members second choice on the role of occupational therapy for people with profound and multiple learning disabilities (PMLD). We would like to gain a better understanding of what occupational therapists are currently doing when working with clients with PMLD and have posed five questions which will be asked during the #OTalk:

  1. What is the role of an occupational therapist working with people with severe and multiple learning disability (PMLD)?
  2. What strategies, techniques or assessment do you use when working with client with PMLD?
  3. What are the challenges or difficulties?
  4. Do you feel you have the right skills?
  5. Is there enough evidence to support you work?

Prior to the discuss we advice you to access the Lillywhite and Haines (2009) publication ‘occupational therapy with people with learning disabilities’ which can be found on our web page on the RCOT website.

Post chat

#OTalk Healthcare Social Media Transcript March 20th 2018

Online Transcript

The Numbers

1.551M Impressions
604 Tweets
62 Participants
483 Avg Tweets/Hour
10 Avg Tweets/Participant

#OTalk Participants


#OTalk 13th March – What does the term participation mean in mental health?


This weeks #Otalk is on the topic of “Participation” and will be hosted by Tori Wolfendale (@Tori_Doll).

Tori Wolfendale is a Specialist Occupational Therapist working within an intensive rehabilitation mental health environment. At present, she is involved as the Research Director for the VdT Model of Creative Ability Foundation UK and is also a member of @MOT1ON_Research – she has a keen interest in contributing to the evidence base for Occupational Therapy interventions, focusing predominantly on the implementation of the VdT Model of Creative Ability within adult mental health services.

What is the Mental Health Occupational Therapy Interventions and Outcomes Network (MOTION)?

@MOT1ON_Research was set up by Dr. Mary Birken in April 2017 to bring together Occupational Therapists interested in adult mental health intervention effectiveness research in the UK. This was as a result of the review of “Recovering Ordinary Lives: the strategy for occupational therapy in mental health services 2007 to 2017”, (College of Occupational Therapists, 2006) whereby it was identified that a key concern for Occupational Therapists working in mental health is the lack of quantitative evidence of effectiveness of sufficient rigour to be included in clinical guidelines, such as those produced by the National Institute of Clinical Excellence (Smyth, 2014). Commissioners also identified that demonstrating evidence of effectiveness and cost effectiveness is a priority for Occupational Therapy in mental health. To respond to the need to carry out rigorous research to test the effectiveness and cost effectiveness of Occupational Therapy in mental health, MOTION was developed. The aim of MOTION is to bring together Occupational Therapists interested in researching this topic to tackle the common barriers to carrying out effectiveness research in this area, for example, lack of agreement on outcomes and outcome measurement, and Occupational Therapists working generically in community mental health services.

MOTION has recognised that the concept of ‘participation’ is increasingly becoming an important outcome for assessment in many fields, including development, disability and policy implementation. However, selecting specific instruments to measure participation has been a significant problem due to overlapping conceptual definitions and use of different theories. Furthermore, following the first meeting of the MOTION working groups, which focuses on participation as an outcome measure and measures of participation. The aim of this particular working group is to explore the literature on participation and outcome measures within adult mental health services. As a result, in order to obtain an understanding of what the term ‘participation’ means within mental health services from an occupational therapy perspective, MOTION decided to explore this topic within the #OTalk forum.

For more information about MOTION, please visit:

https:// motionresearch.wordpress.com

How is participation recognised within existing literature?

Occupational Therapy is a client-centred health profession concerned with promoting health and wellbeing through occupation. The primary goal of Occupational Therapy is to enable people to participate in the activities of everyday life. Occupational Therapists achieve this outcome by working with people and communities to enhance their ability to engage in the occupations they want to, need to, or are expected to do, or by modifying the occupation or the environment to better support their occupational engagement (WFOT, 2012).

Rice (2011) states that Occupational Therapy is concerned with the meaning that individuals’ place on activities and occupations that are carried out in their daily routines. Participation in these activities is influenced by an individual’s motivation, experience, abilities and limitations. Occupational Therapists are therefore trained to evaluate a person’s abilities and limitations in a variety of life spheres in order to establish a baseline performance which is used to plan for treatment and is then evaluated using a specific outcome measure – within the current service that Tori is working in, the Activity Participation Outcome Measure (APOM) is used to measure the outcome of specific domains, including; processing skills, communication and social interactions skills, life skills, role performance, balanced life style, motivation, self-esteem and affect.

Clinically, a person’s role participation becomes the focus of the Occupational Therapist when disability-related limitations affect a person’s capacity to participate in desired and meaningful roles. Occupational Therapists aim to assure that persons with a disability have the motivation, opportunity, and capacity to overcome disability-related limitations and participate in social life. The International Classification of Health, Disability and Function (ICF) defines participation as “involvement in life situations” different than it defines activities which are “the execution of a task or action by an individual”. Furthermore, the ICF states that participation naturally occurs when clients are actively involved in carrying out occupations or daily life activities they find purposeful and meaningful. More specific outcomes of Occupational Therapy interventions are multidimensional and support the end result of participation. Despite the difference in definition, the ICF places both activities and participation together within existing literature – this ambiguity has resulted in an entire thread of literature as rehabilitation researches seek to identify ways to approach the measurement of participation.

Questions to consider within the #OTalk chat:

Q1: What does the term ‘participation’ mean to you/your service users?

Q2) Is participation an important measure within mental health services, if so how?

Q3) Do you consider occupational participation throughout the occupational therapy process, if so how?

Q4) How does the physical, social, cultural environment impact on participation within inpatient and community mental health services?

Q5) How do mental health services define ‘participation’ in meaningful occupation?


College of Occupational Therapists. (2006), Recovering Ordinary Lives –the strategy for occupational therapy in mental health services 2007-2017. London: COT.

Rice, C., M. (2011). The development of an assessment protocol for activity participation in those suffering from mental illness The development of an assessment protocol for activity participation in those suffering from mental illness.

Smyth, G. (2014), “Recovering Ordinary Lives: the success, challenges and future”, Occupational Therapy News, Vol. 22, No. 9, pp. 22-23.

World Federation of Occupational Therapists. (2012). Definition of Occupational Therapy. Available: http://www.wfot.org/AboutUs/AboutOccupationalTherapy/DefinitionofOccupationalTherapy.aspx. Last accessed 15th January 2018.

Post Chat

Online Transcript

#OTalk Healthcare Social Media Transcript March 13th 2018

The Numbers

936.728K Impressions
374 Tweets
53 Participants
299 Avg Tweets/Hour
Avg Tweets/Participant

#OTalk Participants

Data for #OTalk can be up to 15 minutes delayed