Introduction: Personal assistance contributes to improving the quality of life and independence of individuals with reduced capabilities and is consistent with the principles of occupational therapy. Services include a user-centered approach, focusing on personal autonomy and promoting independence in performing occupations. The work of assistants and occupational therapists is closely linked, as both prioritize a holistic approach and the independent living of the user in their home environment. Purpose: From an occupational therapy perspective, the purpose of this study was to explore the experience of the role of personal assistants in promoting users' independence in daily activities and social participation. Methods: A qualitative research approach was used. Data were collected through semi-structured interviews with five female personal assistants who had at least two years of work experience and experience working with at least two users. For data analysis, qualitative content analysis was used to systematically code the text and organize it into meaningful categories. Results: Through the analysis, five categories were formed: user-centered approach, the relationship between the user and the assistant, support for the user, adapting the performance of activities, and social inclusion. Assistants promote independence by continuously adapting support according to the user's capabilities, consistently proceeding from their wishes. In their work, they use strategies such as mirroring, demonstration, establishing daily routines, and using assistive devices and modern digital technologies. A trusting and coordinated relationship is key, enabling holistic support at physical, mental, and social levels. Discussion: Personal assistance goes beyond mere physical assistance and aligns with the biopsychosocial model. Personal assistants operate on the principle of collaboration rather than taking over tasks. However, they work mostly intuitively, without formal therapeutic goals, which confirms the need for additional training and closer cooperation with occupational therapists. As study limitations, we highlight the small and homogeneous sample and the potential for social desirability bias in responses. Conclusion: Personal assistants contribute significantly to the independent functioning of users and the prevention of social isolation. It would be beneficial to link occupational therapists and personal assistants and to design educational programs for practicing the profession of personal assistant.
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