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This paper explores what is needed to increase occupational therapy support for parents with disability and other challenges.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>An international online survey was developed based on previous literature and refined via cognitive interviews. It was reviewed by international occupational therapy academics from 11 countries and translated into eight languages. The survey sought the experiences and views of occupational therapists who work with adult populations about supporting parenting occupations. For this paper, fixed\u2010choice and free\u2010text responses illuminating what is needed to increase the provision of that support were analysed. A mixed methods design was used, combining descriptive statistics and interpretive content analysis. Multivariate multinominal logistic regression analyses were used to assess associations between needs identified and participant and practice characteristics.<\/jats:p><\/jats:sec><jats:sec><jats:title>Consumer and Community Involvement<\/jats:title><jats:p>This survey and paper were developed with input from occupational therapists and occupational therapy academics from 13 countries.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Participants (n\u2009=\u20091347) identified six types of factors needed to increase occupational therapy support for parenting occupations in adult populations. These were supportive institutional structures; training, resources and assessments; and recognition of occupational therapists' suitability to support parenting both within and outside the profession. Responses varied somewhat by country, setting, population, previous training and clinical experience.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Increasing occupational therapy support for parents with a variety of disabilities and other challenges requires efforts from individual occupational therapists, professional bodies, organisations and educators.<\/jats:p><\/jats:sec>","DOI":"10.1111\/1440-1630.70026","type":"journal-article","created":{"date-parts":[[2025,5,23]],"date-time":"2025-05-23T12:34:04Z","timestamp":1748003644000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["Supporting parents with disability and other challenges through occupational therapy: What is needed?"],"prefix":"10.1111","volume":"72","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5918-0454","authenticated-orcid":false,"given":"Anne","family":"Honey","sequence":"first","affiliation":[{"name":"Discipline of Occupational Therapy, Faculty of Medicine and Health University of Sydney  Camperdown New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fidaa","family":"Almomani","sequence":"additional","affiliation":[{"name":"Faculty of Applied Medical Sciences Jordan University of Science and Technology  Ar\u2010Ramtha Jordan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yu\u2010Wei Ryan","family":"Chen","sequence":"additional","affiliation":[{"name":"Discipline of Occupational Therapy, Faculty of Medicine and Health University of Sydney  Camperdown New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2824-2880","authenticated-orcid":false,"given":"Yvonne","family":"Codd","sequence":"additional","affiliation":[{"name":"Discipline of Occupational Therapy, School of Medicine Trinity College Dublin  Dublin Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Junghun A. 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