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Background: Although client-centred practice is considered a vital part of occupational therapy practice in western countries, there has been little discussion of the applicability of this approach in non-western countries. Purpose: The purpose of this project was to explore the applicability of client-centred practice as an approach in a medically oriented setting in an Indian cultural context, and the main question concerned Indian occupational therapists’ perceptions of client-centred practice as an approach in a medically oriented setting in India. Method: Qualitative methods were used and data were gathered from nine Indian occupational therapists through audio recorded focus group interviews. Content analysis was used to identify three themes: How the participants define clientcentred practice, factors that influence client-centred practice in India, and the participants’ description of how they use client-centred practice. Conclusion: The results suggest that practicing this approach in this type of setting can be challenging due to many factors. The conflict between a medical model and client-centred practice, cultural impacts on practicing a client-centred approach in India, and the client’s ability to understand information and communicate problems are highlighted. In the discussion it is indicated that there is a need for further investigations on the relevance of health literacy in client-centred practice, to find an appropriate way of using a client-centred approach in a medically oriented setting, and to explore the use of client-centred practice in non-western contexts

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