Research Article
Issue Date: July 17, 2019
Published Online: July 17, 2019
Updated: August 28, 2019
Occupational Therapy Interventions for Urinary Dysfunction in Primary Care: A Case Series
Author Affiliations
  • Rebecca Cunningham, OTD, OTR/L, is Assistant Professor of Clinical Occupational Therapy, Division of Occupational Science and Occupational Therapy, University of Southern California, Los Angeles; rebecca.cunningham@med.usc.edu
  • Samantha Valasek, OTD, OTR/L, is Assistant Professor of Clinical Occupational Therapy, Division of Occupational Science and Occupational Therapy, University of Southern California, Los Angeles.
Article Information
Health and Wellness / Neurologic Conditions
Research Article   |   July 17, 2019
Occupational Therapy Interventions for Urinary Dysfunction in Primary Care: A Case Series
American Journal of Occupational Therapy, 07 2019, Vol. 73, 7305185040. https://doi.org/10.5014/ajot.2019.038356
American Journal of Occupational Therapy, 07 2019, Vol. 73, 7305185040. https://doi.org/10.5014/ajot.2019.038356
Abstract

Urinary dysfunction is commonly reported in primary care contexts. A shortage of primary care providers is affecting access to relevant services. Occupational therapy practitioners work in primary care settings and typically address urinary dysfunction in an outpatient context. Evidence regarding the delivery of occupational therapy interventions for urinary dysfunction in primary care has been limited. In this study, 3 women received 9–14 occupational therapy sessions in a primary care setting to address urinary symptoms. Plan-of-care duration, assessments, and urinary dysfunction interventions were individualized to accommodate personal and environmental factors. Across all case-series participants, Canadian Occupational Performance Measure scores demonstrated clinically significant improvement. Mixed results were found for SF–36 health-related quality-of-life subscale scores. Assessment scores specific to urinary dysfunction decreased, indicating reduced symptom severity and functional impact. This article provides preliminary evidence regarding the feasibility of occupational therapy interventions addressing urinary dysfunction in primary care settings.