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Use of Virtual Home Assessments to Develop Occupational Therapy Students' Clinical Skills and Professional Reasoning. 使用虚拟家庭评估来发展职业治疗学生的临床技能和专业推理。
IF 0.9
OCCUPATIONAL THERAPY IN HEALTH CARE Pub Date : 2025-07-18 DOI: 10.1080/07380577.2025.2535338
Monique Chabot, Tara Ford, Melanie Munda, Kristen Kelly, Jenny Martínez, Marie-Christine Potvin
{"title":"Use of Virtual Home Assessments to Develop Occupational Therapy Students' Clinical Skills and Professional Reasoning.","authors":"Monique Chabot, Tara Ford, Melanie Munda, Kristen Kelly, Jenny Martínez, Marie-Christine Potvin","doi":"10.1080/07380577.2025.2535338","DOIUrl":"https://doi.org/10.1080/07380577.2025.2535338","url":null,"abstract":"<p><p>Home assessments are within the domain of occupational therapy and therefore, often an assignment with the occupational therapy curriculum. While such assessments are best completed in-person, the COVID-19 pandemic restrictions provided an opportunity for the exploration of virtual home assessments. As an experiential learning experience, 29 s-year occupational therapy students completed home assessments both in-person and virtually using telehealth technology. Reflective worksheets and small group discussions provided the students with opportunities to share their perceptions of the skills obtained through the experience, including professional reasoning, telehealth assessment, and rapport building. Virtual home assessments support skill development in home assessments and telehealth.</p>","PeriodicalId":46157,"journal":{"name":"OCCUPATIONAL THERAPY IN HEALTH CARE","volume":" ","pages":"1-11"},"PeriodicalIF":0.9,"publicationDate":"2025-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144664024","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
How Occupational Therapists Apply Therapeutic Approaches for Mental Health Care Within Acute Medical Settings: A Grounded Theory Pilot Study. 职业治疗师如何在急性医疗环境中应用心理健康护理的治疗方法：一项接地理论试点研究。
IF 0.9
OCCUPATIONAL THERAPY IN HEALTH CARE Pub Date : 2025-07-10 DOI: 10.1080/07380577.2025.2526049
Anne M L Nelson, Robert B Krueger
{"title":"How Occupational Therapists Apply Therapeutic Approaches for Mental Health Care Within Acute Medical Settings: A Grounded Theory Pilot Study.","authors":"Anne M L Nelson, Robert B Krueger","doi":"10.1080/07380577.2025.2526049","DOIUrl":"https://doi.org/10.1080/07380577.2025.2526049","url":null,"abstract":"<p><p>The aim of this study was to explore and describe how occupational therapists build therapeutic relationships while providing skilled mental health care within acute medical settings. This pilot study used a grounded theory design to capture the expertise of seven occupational therapists who have built therapeutic relationships with recipients of mental healthcare within acute medical environments. A constructivist grounded theory approach was used to analyze the transcribed interview data. A dynamic process emerged in a model of four main conceptual categories: intersections between the personal and the professional, communication guides the therapeutic approach, seeking and establishing new therapeutic connections, and cultivating therapeutic connections over time. Findings were interpreted according to the intentional relationship model and organized into a logical and reproducible collection of skilled approaches that occupational therapy practitioners and students can reference for clinical practice.</p>","PeriodicalId":46157,"journal":{"name":"OCCUPATIONAL THERAPY IN HEALTH CARE","volume":" ","pages":"1-43"},"PeriodicalIF":0.9,"publicationDate":"2025-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144609871","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Understanding the Need for Medication Management Education: A Qualitative Analysis. 了解药物管理教育的必要性：一项定性分析。
IF 0.9
OCCUPATIONAL THERAPY IN HEALTH CARE Pub Date : 2025-07-03 DOI: 10.1080/07380577.2025.2525096
Denise D Allen, Lynn Jaffe
{"title":"Understanding the Need for Medication Management Education: A Qualitative Analysis.","authors":"Denise D Allen, Lynn Jaffe","doi":"10.1080/07380577.2025.2525096","DOIUrl":"https://doi.org/10.1080/07380577.2025.2525096","url":null,"abstract":"<p><p>Medication management is a complex task, in which unintentional errors can have serious adverse effects. Occupational therapy practitioners can play a preventive role in this process but currently are limited in their involvement. Therefore, this qualitative study sought to better understand occupational therapy practitioners' current practices in medication management and thereby determine specific ways to increase the occupational therapy practitioner role. Twenty participants were interviewed, and verbatim transcripts were analyzed using the six-step process by Kiger and Varpio (2020). Three major themes emerged: (1) educational needs of occupational therapists, (2) educational needs of the client/caregiver, and (3) practitioner desire for standardization. Some practitioners are adept in their engagement in medication management, but there is a need for more didactic training and increased continuing education on medication management to promote the important role of occupational therapy in medication management.</p>","PeriodicalId":46157,"journal":{"name":"OCCUPATIONAL THERAPY IN HEALTH CARE","volume":" ","pages":"1-14"},"PeriodicalIF":0.9,"publicationDate":"2025-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144561516","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Occupational Therapy Intervention in People with Muscular Dystrophy: A Systematic Review. 肌萎缩症患者的职业治疗干预：系统综述。
IF 0.9
OCCUPATIONAL THERAPY IN HEALTH CARE Pub Date : 2025-07-02 DOI: 10.1080/07380577.2025.2525101
Martina Renna, Anna Berardi, Francescaroberta Panuccio, Giovanni Galeoto, Rachele Simeon
{"title":"Occupational Therapy Intervention in People with Muscular Dystrophy: A Systematic Review.","authors":"Martina Renna, Anna Berardi, Francescaroberta Panuccio, Giovanni Galeoto, Rachele Simeon","doi":"10.1080/07380577.2025.2525101","DOIUrl":"https://doi.org/10.1080/07380577.2025.2525101","url":null,"abstract":"<p><p>This systematic review aimed to evaluate the effectiveness of occupational therapy interventions in individuals with muscular dystrophy, focusing on functional outcomes and quality of life. The study included randomized controlled trials (RCTs) involving individuals with muscular dystrophy, regardless of age or gender. Various therapeutic interventions were assessed, along with a range of outcome measures. The quality of the included studies was evaluated using the Cochrane Risk of Bias tool, and the PEDro Scale was applied to assess methodological rigor. Six RCTs published between 2011 and 2020 were analyzed. The primary focus of these studies was on interventions targeting functional deficits in individuals with muscular dystrophy. The Cochrane RoB 2 tool indicated that four studies had a moderate risk of bias, while two had a low risk. The PEDro Scale also revealed varying methodological quality. The interventions centered on adapting daily activities and using compensatory strategies, involving caregivers to promote patient independence and improve quality of life. Thus, the analysis highlights the potential benefits of occupational therapy for individuals with muscular dystrophy to improve functional abilities. However, more high-quality research is needed to solidify these findings and improve the evidence base.</p>","PeriodicalId":46157,"journal":{"name":"OCCUPATIONAL THERAPY IN HEALTH CARE","volume":" ","pages":"1-18"},"PeriodicalIF":0.9,"publicationDate":"2025-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144545369","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Effectiveness of Motivational Interviewing for Improving Self-Efficacy in Stroke Patients: An Occupational Therapy Randomized Control Trial Study. 动机访谈对提高中风患者自我效能的效果：职业疗法随机对照试验研究》。
IF 0.9
OCCUPATIONAL THERAPY IN HEALTH CARE Pub Date : 2025-07-01 Epub Date: 2024-08-22 DOI: 10.1080/07380577.2024.2392263
Sina Gholipour, Nazila Akbarfahimi, Leeba Rezaie, Samaneh Hosseinzadeh, Alexandra J Bratty
{"title":"Effectiveness of Motivational Interviewing for Improving Self-Efficacy in Stroke Patients: An Occupational Therapy Randomized Control Trial Study.","authors":"Sina Gholipour, Nazila Akbarfahimi, Leeba Rezaie, Samaneh Hosseinzadeh, Alexandra J Bratty","doi":"10.1080/07380577.2024.2392263","DOIUrl":"10.1080/07380577.2024.2392263","url":null,"abstract":"<p><p>Since self-efficacy or belief in one's personal capabilities is an important predictor of rehabilitation outcomes, this study aimed to investigate the effect of motivational interviewing (MI) on the self-efficacy of stroke patients. Stroke patients (<i>n</i> = 34) participated in a single-blinded randomized control trial study. Both the intervention (<i>n</i> = 17) and control (<i>n</i> = 17) groups received the usual occupational therapy treatment with the intervention group also receiving a weekly session of MI for four weeks. Using a pretest and posttest design, the posttest was measured eight weeks after the last session of MI. General self-efficacy score, quality of life scores, and upper limb recovery scores did not significantly improve with time in either group. However, functional independence scores, and lower limb recovery scores (<i>p</i> = 0.001, and <i>p</i> = 0.003, respectively) were significantly improved in the intervention group compared to the control group. While MI did not effectively enhance self--efficacy in stroke patients, occupational therapists could potentially enhance rehabilitation outcomes by incorporating MI in patient recovery.</p>","PeriodicalId":46157,"journal":{"name":"OCCUPATIONAL THERAPY IN HEALTH CARE","volume":" ","pages":"667-684"},"PeriodicalIF":0.9,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142019099","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A Three-Tiered Comprehensive Driving Evaluation Integrating a Driving Simulator Test for Drivers with Borderline Cognitive Fitness-to-Drive: Proof of Concept. 基于驾驶模拟器测试的三层综合驾驶评估：概念验证。
IF 0.9
OCCUPATIONAL THERAPY IN HEALTH CARE Pub Date : 2025-07-01 Epub Date: 2025-04-05 DOI: 10.1080/07380577.2025.2488122
Michel Bédard, Hillary Maxwell, Carrie Gibbons, Sacha Dubois, Bruce Weaver, Randy Middleton
{"title":"A Three-Tiered Comprehensive Driving Evaluation Integrating a Driving Simulator Test for Drivers with Borderline Cognitive Fitness-to-Drive: Proof of Concept.","authors":"Michel Bédard, Hillary Maxwell, Carrie Gibbons, Sacha Dubois, Bruce Weaver, Randy Middleton","doi":"10.1080/07380577.2025.2488122","DOIUrl":"10.1080/07380577.2025.2488122","url":null,"abstract":"<p><p>Comprehensive driving evaluations for older adults with cognitive impairment are time-consuming, expensive, and involve risk. To minimize these challenges, we evaluated a three-tiered driving evaluation process incorporating cognitive tests (Step 1), a driving simulator test (Step 2), and a road test (Step 3). Participants in this study were referred to a driving assessment center for concerns about cognitive fitness-to-drive. Each participant completed all three evaluation steps. Their fitness-to-drive was determined independently by an occupational therapist and an experienced driving evaluator with a driver instructor background. Our main objective was to examine the agreement between the occupational therapist's determination of fitness-to-drive after each step and the driving evaluator's determination of fitness-to-drive after the road test. As a secondary objective, the occupational therapist's confidence in their determinations was also examined. Results showed agreement for 38.8% of participants after Step 1, 46.5% after Step 2, and 92.3% after Step 3. The mean occupational therapist's confidence rating in their determination (scale of 0 to 100; higher is better) was 36.15 after Step 1, 49.54 after Step 2, and 90.54 after Step 3. All drivers deemed to have passed the evaluation had been identified as such after the driving simulator test. These results suggest that the best agreement between the occupational therapist and the driving evaluator was reached after the final step. However, the results also indicate that for some participants, a road test may not be required following a driving simulator test. Eliminating the road test in some instances may create efficiencies and reduce cost and risk while maintaining accurate determinations of fitness-to-drive.</p>","PeriodicalId":46157,"journal":{"name":"OCCUPATIONAL THERAPY IN HEALTH CARE","volume":" ","pages":"479-499"},"PeriodicalIF":0.9,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143789159","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Improving Participation in Toileting Routines in a Child with Functional Constipation: A Case Study Using the Integrated Sensory Toileting® Approach. 改善功能性便秘患儿如厕习惯：使用综合感官如厕®方法的案例研究。
IF 0.9
OCCUPATIONAL THERAPY IN HEALTH CARE Pub Date : 2025-07-01 Epub Date: 2024-08-23 DOI: 10.1080/07380577.2024.2394947
Isabelle Beaudry-Bellefeuille, Eduardo Ramos-Polo
{"title":"Improving Participation in Toileting Routines in a Child with Functional Constipation: A Case Study Using the Integrated Sensory Toileting® Approach.","authors":"Isabelle Beaudry-Bellefeuille, Eduardo Ramos-Polo","doi":"10.1080/07380577.2024.2394947","DOIUrl":"10.1080/07380577.2024.2394947","url":null,"abstract":"<p><p>This article presents a case report of a three and half year-old boy with functional constipation and sensory hyperreactivity. The Integrated Sensory Toileting® approach was used to guide clinical reasoning and identify the sensory underlying factors that were impacting the child's ability to acquire age-appropriate toileting habits and gastrointestinal health. The six months of treatment in occupational therapy and gastroenterology, as well as six months of follow-up are described. Improvements in sensory reactivity are documented using the Sensory Processing Measure-2 and the Toileting Habit Profile Questionnaire-Revised and corroborate with improvements in the child's ability to participate in toileting routines and improved gastrointestinal health.</p>","PeriodicalId":46157,"journal":{"name":"OCCUPATIONAL THERAPY IN HEALTH CARE","volume":" ","pages":"685-696"},"PeriodicalIF":0.9,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142037335","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A Meta-Synthesis on Sexuality in Persons with Dementia Mapped Using the Model of Human Occupation. 利用人类职业模型对痴呆症患者的性行为进行元综合分析。
IF 0.9
OCCUPATIONAL THERAPY IN HEALTH CARE Pub Date : 2025-07-01 Epub Date: 2024-07-08 DOI: 10.1080/07380577.2024.2375533
Dinnee Kong, Muhammad Hibatullah Romli, Navin Kumar Devaraj, Hakimah Sallehuddin, Maw Pin Tan
{"title":"A Meta-Synthesis on Sexuality in Persons with Dementia Mapped Using the Model of Human Occupation.","authors":"Dinnee Kong, Muhammad Hibatullah Romli, Navin Kumar Devaraj, Hakimah Sallehuddin, Maw Pin Tan","doi":"10.1080/07380577.2024.2375533","DOIUrl":"10.1080/07380577.2024.2375533","url":null,"abstract":"<p><p>Dementia affects the individual's functional ability including sexual activity. Limited understanding is available to support sexual health practices. This meta-synthesis review aimed to identify the gaps in the study of sexuality in dementia using the Model of Human Occupation (MOHO). Electronic searches utilizing six databases for existing articles involving persons living with dementia, care partners, and healthcare workers. The result showed that available studies primarily explored sexuality from the viewpoint of spouses of persons living with dementia. The volition domain of MOHO was the most explored provides a deeper understanding of volition on intrinsic perspective on sexuality in people with dementia. The environment domain was the least explored, highlighting healthcare professionals' need for social support and training. The topic of sexuality remains sensitive, limiting the availability of evidence-based interventions in this area.</p>","PeriodicalId":46157,"journal":{"name":"OCCUPATIONAL THERAPY IN HEALTH CARE","volume":" ","pages":"613-643"},"PeriodicalIF":0.9,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141555683","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Effects of Asthma on the Performance of Activities of Daily Living: A Retrospective Study. 哮喘对日常生活活动能力的影响：回顾性研究
IF 0.9
OCCUPATIONAL THERAPY IN HEALTH CARE Pub Date : 2025-07-01 Epub Date: 2024-05-06 DOI: 10.1080/07380577.2024.2346899
Roy Meys, Frits M E Franssen, Nienke Nakken, Anouk W Vaes, Daisy J A Janssen, Anouk A F Stoffels, Hieronymus W H van Hees, Bram van den Borst, Chris Burtin, Martijn A Spruit
{"title":"Effects of Asthma on the Performance of Activities of Daily Living: A Retrospective Study.","authors":"Roy Meys, Frits M E Franssen, Nienke Nakken, Anouk W Vaes, Daisy J A Janssen, Anouk A F Stoffels, Hieronymus W H van Hees, Bram van den Borst, Chris Burtin, Martijn A Spruit","doi":"10.1080/07380577.2024.2346899","DOIUrl":"10.1080/07380577.2024.2346899","url":null,"abstract":"<p><p>The study aim was to identify the most problematic self--reported activities of daily living (ADLs). In a retrospective study, 1935 problematic ADLs were reported by 538 clients with 95% experiencing two or more problematic ADLs. Problematic ADLs were assessed by occupational therapists using the Canadian Occupational Performance Measure with walking (67%), household activities (41%), and climbing the stairs (41%) identified as the most prevalent problematic ADLs. Significant but weak associations were found between clinical determinants (e.g. physical, psychosocial) and problematic ADLs. The wide variety of problematic ADLs and the absence of a strong association with clinical determinants emphasizes the need for using individualized interview-based performance measures in clients with asthma.</p>","PeriodicalId":46157,"journal":{"name":"OCCUPATIONAL THERAPY IN HEALTH CARE","volume":" ","pages":"541-557"},"PeriodicalIF":0.9,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140867712","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Mechanisms of Change in Nature-Based Pediatric Occupational Therapy: The Ecology of Change in Outdoor Therapy Model. 以自然为基础的儿科职业疗法的变化机制：户外疗法中的生态变化模式。
IF 0.9
OCCUPATIONAL THERAPY IN HEALTH CARE Pub Date : 2025-07-01 Epub Date: 2024-07-02 DOI: 10.1080/07380577.2024.2372739
Laura Park Figueroa, Gail A Poskey, Katherine K Rose, Noralyn Davel Pickens
{"title":"Mechanisms of Change in Nature-Based Pediatric Occupational Therapy: The Ecology of Change in Outdoor Therapy Model.","authors":"Laura Park Figueroa, Gail A Poskey, Katherine K Rose, Noralyn Davel Pickens","doi":"10.1080/07380577.2024.2372739","DOIUrl":"10.1080/07380577.2024.2372739","url":null,"abstract":"<p><p>The purpose of this qualitative constructivist grounded theory study was to develop a model to explain potential mechanisms of change in the nature-based pediatric occupational therapy process, based on analysis of the perspectives of occupational therapy practitioners currently engaging in nature-based practice with children. Using 27 photos and interview data from 22 participants the <i>Ecology of Change in Outdoor Therapy (ECO-Therapy) Model</i> was developed. The model suggests mechanisms of change in nature-based pediatric occupational therapy may involve six iterative phases: <i>Longing for Freedom, Embarking on Adventure, Dancing with Nature, Claiming Self-Agency, Braving Real-Life Challenges, and Growing Adaptive Capacity.</i> The practitioner and child experiencing these phases throughout the nature-based occupational therapy process may lead to improved participation and performance in the child's daily life.</p>","PeriodicalId":46157,"journal":{"name":"OCCUPATIONAL THERAPY IN HEALTH CARE","volume":" ","pages":"500-521"},"PeriodicalIF":0.9,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141493918","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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