Variables affecting the competency maintenance behaviors of occupational therapists.

OBJECTIVE The purpose of this study was to examine the relationship between work environment and the competency maintenance activities of occupational therapists. METHOD A survey of 121 occupational therapists in three states and interviews with 8 occupational therapists in Ohio were used. RESULTS Analysis of survey data indicated that workplace support and the degree of competency monitoring are significant determinants of competency maintenance behavior. State continuing education requirements had no impact on reported levels of competency maintenance. Personal motivation of the therapist emerged as a potentially important moderator of the relationship between environment and competency maintenance. CONCLUSIONS Although environmental factors enhance competency maintenance activities, active participation in competency maintenance is also related to the personal commitment of the individual therapist. Strategies that reduce barriers to effective competency maintenance and promote a culture of continuing competency in the profession merit further investigation.