Product-Based Activities-as-a-Means in Occupational Therapy Practice Globally: A Scoping Review

Occupational therapy practitioners use product-based activity-as-a-means to address occupational performance. This study aimed to describe this global use by mapping the different types of product-based activities, determining the diagnostic groupings they applied to and exploring their intended purpose within occupational therapy practice. The review was designed according to Arksey & O’Malley’s framework and studies published 2012 to 2022 were considered. Data were extracted in Covidence and analyzed in Excel software. The PRISMA-ScR flowchart was used for reporting. Fifty-three studies met inclusion criteria, and eight categories were created with art/art-making being used the most. Mental, behavioral, and neurodevelopmental disorders were reported across all categories mostly to improve higher-level cognitive and emotional body functions in mental health settings. Occupational therapists have the expertise to use various activities to achieve therapeutic outcomes for all individuals, regardless of their limitations. The review results can aid occupational therapists make evidence-based clinical decisions.