Those living with and beyond cancer (LWBC) have psychosocial and physical complications, compromising their quality of life (QoL). Occupational therapy (OT) offers a unique service promoting health, well-being, participation, and QoL. However, it has been revealed that OT services are underutilized in oncology care. Phase II of this international study explores the perspectives of healthcare professionals working with persons LWBC regarding the role of OT in
oncology, as well as supports and barriers to OT referral. Data was collected through four focus groups with 17 participants. A multiple explanatory case study and a grounded theory approach were used to analyze data. Four overarching themes emerged, including support for OT referral,” “knowledge of patient client factors & side effects,” “barriers to OT referral,” and “participant context, along with ten sub-themes. The limitations of this research may impact generalizability and depth, such as a predominance of female participants. Future research should examine the impact of education on OT scope of practice on OT referral and recruit participants in diverse ways to address limitations. Addressing system barriers and advocating for the scope of OT may lead to more OT referrals in oncology.