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}
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}
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}
{"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}
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}
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}
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}
Sissel Horghagen, Tore Bonsaksen, Cathrine Arntzen, Rucca Maass, Unni Sveen, Merete Hustoft, Linda Stigen
{"title":"Community-Working Occupational Therapists' Involvement in Research and Development Projects in Norway.","authors":"Sissel Horghagen, Tore Bonsaksen, Cathrine Arntzen, Rucca Maass, Unni Sveen, Merete Hustoft, Linda Stigen","doi":"10.1080/07380577.2024.2364178","DOIUrl":"10.1080/07380577.2024.2364178","url":null,"abstract":"<p><p>The aim of this study was to explore community-working occupational therapists' involvement in research and development projects. A cross-sectional survey of occupational therapists working in community-based services in Norway (<i>n</i> = 617) was conducted. In all, 117 of the 617 participants responded that they were involved in research and development projects. Greater likelihood of participation in research and development work were found for occupational therapists who had completed further education. Current and prioritized research topics were professional development and the development of interprofessional and professional service designs for occupational therapy. Service and quality development, rehabilitation and technology were areas where more knowledge was considered needed. To increase the growth and success of occupational therapy research and development, it is important that more occupational therapists in the municipality continue to complete further education. High-quality occupational therapy practice should be based on research and development projects in the municipalities.</p>","PeriodicalId":46157,"journal":{"name":"OCCUPATIONAL THERAPY IN HEALTH CARE","volume":" ","pages":"575-592"},"PeriodicalIF":0.9,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141493917","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}
{"title":"Motor-Based Application Process for Cerebral Visual Impairment-Related Questionnaires for School-Age Children with Cerebral Palsy.","authors":"Eray Kılıç, Ayşe Turan, Zühal Özen Tunay, Mariam Kavakci, Esra Akı","doi":"10.1080/07380577.2024.2389387","DOIUrl":"10.1080/07380577.2024.2389387","url":null,"abstract":"<p><p>This study aims to examine the psychometric properties of questionnaires related to cerebral visual impairment (CVI) in school-age children with cerebral palsy (CP). Additionally, it proposes an application process based on motor functionality for occupational therapists. A total of 288 children with CP were recruited for the study and administered the CVI Motor Questionnaire (CVI-MQ). The children's daily visual performance was assessed using the CVI Inventory and the Functional Vision Questionnaire (FVQ) considering the children's ambulatory status. The FVQ and the two factors extracted from the CVI Inventory significantly predicted visual functioning. Specific questionnaires related to CVI, applied with gross motor function in mind, can be valuable tools for occupational therapists to assess daily visual performance.</p>","PeriodicalId":46157,"journal":{"name":"OCCUPATIONAL THERAPY IN HEALTH CARE","volume":" ","pages":"644-666"},"PeriodicalIF":0.9,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141903199","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}
{"title":"Addressing Bias in the Occupational Therapy Admissions Process.","authors":"Stephanie Lancaster, Lauren Woods, Anne Zachry","doi":"10.1080/07380577.2024.2397667","DOIUrl":"10.1080/07380577.2024.2397667","url":null,"abstract":"<p><p>This study investigated the impact of a workshop in reducing unconscious bias in admissions committee members of an occupational therapy program to determine if workshop participation increased the number of underrepresented students in the program. A convenience sample of 50 committee members was used. A Wilcoxon matched pairs signed rank test indicated a significant increase in the post-test survey question scores. A chi-square test of independence revealed a significant increase in the number of students in the program from underrepresented groups. These results suggest that an online workshop can reduce perceived bias and increase diversity in an occupational therapy program.</p>","PeriodicalId":46157,"journal":{"name":"OCCUPATIONAL THERAPY IN HEALTH CARE","volume":" ","pages":"697-711"},"PeriodicalIF":0.9,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142120854","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}