This paper presents an exploratory study describing the adoption of video-based services for in-home rehabilitation and occupational therapy groups targeted on older adults. The paper focuses on the subjectively experienced value of the new service from the perspectives of health care professionals and older users. The service was evaluated in a 10-month field trial. The qualitative data analysis findings suggest that video-based services can be used successfully in establishing occupational therapy groups, and that the therapeutic goals can also be achieved through video-based group sessions. However, some limitations should be considered in the design of videomediated group sessions, so, based on this study, a set of recommendations are presented for establishing video-based group work.