OCCUPATIONAL THERAPY IN HEALTH CARE最新文献

{"title":"Preparing Occupational Therapists to Support Parenting Occupations: Perspectives from the United States.","authors":"John Rider, Chi Lam, Morgan Mitchell, Margaret McGrath, Anne Honey","doi":"10.1080/07380577.2026.2735294","DOIUrl":"https://doi.org/10.1080/07380577.2026.2735294","url":null,"abstract":"<p><p>Parenting is a valued occupation, yet occupational therapists report uncertainty in supporting parents in adult practice. This study examined parenting-related practices, confidence, preparation, and barriers among seventy-seven occupational therapists in the United States working primarily with adults. Online survey responses were analyzed using descriptive statistics, Spearman correlations, and Mann-Whitney U tests. Although 96% identified parenting as within occupational therapy's scope and 61% reported providing parenting-related interventions, formal assessment was uncommon; only 6% used standardized parenting assessments, whereas 73% relied on informal approaches. Greater exposure to clients who were parents was associated with more frequently asking about parenting roles and providing interventions. Parenting-specific training was associated with greater confidence and more frequent intervention, while perceived sufficiency of entry-level preparation was associated with greater confidence. Fifty-eight percent reported insufficient entry-level preparation, and common barriers included limited training, institutional support, and resources. Findings highlight the need for greater parenting-focused content in occupational therapy education and continuing professional development, stronger institutional support and clinical resources, and integration of parenting into adult evaluation, intervention, and clinical workflows.</p>","PeriodicalId":46157,"journal":{"name":"OCCUPATIONAL THERAPY IN HEALTH CARE","volume":" ","pages":"1-17"},"PeriodicalIF":0.9,"publicationDate":"2026-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149065057","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":"Associations of Cognitive Impairment and Physical Prefrailty with Occupational Dysfunction in Community-Dwelling Older Adults: Accounting for Depressive Tendencies.","authors":"Ippei Suganuma, Dai Segawa, Ippei Kawasaki, Shun Harada, Hideaki Nakai, Yoshiki Tamaru","doi":"10.1080/07380577.2026.2733169","DOIUrl":"https://doi.org/10.1080/07380577.2026.2733169","url":null,"abstract":"<p><p>This cross-sectional study examined the associations of cognitive impairment and physical prefrailty (PPF) with occupational dysfunction among community-dwelling older adults, adjusting for depressive tendencies. Data from 105 participants were analyzed using two-way ANCOVA. No interaction effects were observed. PPF showed a significant main effect on occupational imbalance. When the Geriatric Depression Scale score was excluded as a covariate, cognitive prefrailty (CPF) was associated with higher occupational deprivation. These findings suggest that depressive tendencies may confound the association between CPF and occupational deprivation, highlighting the importance of comprehensive preventive interventions addressing physical, cognitive, and psychological factors in early frailty stages.</p>","PeriodicalId":46157,"journal":{"name":"OCCUPATIONAL THERAPY IN HEALTH CARE","volume":" ","pages":"1-16"},"PeriodicalIF":0.9,"publicationDate":"2026-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149002444","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":"Trauma Releasing Exercises as a Treatment Technique: A Scoping Review.","authors":"Linda A J Roos, Karin van Niekerk, Kerstin M Tönsing","doi":"10.1080/07380577.2026.2726931","DOIUrl":"https://doi.org/10.1080/07380577.2026.2726931","url":null,"abstract":"<p><p>Trauma Releasing Exercises (TRE®) is a mind-body technique predominantly used to address stress and anxiety. Occupational therapists use such techniques to enhance occupational performance but require evidence-based support. This scoping review, following the JBI framework, synthesized 22 studies on TRE (24 records). The JBI is an organization aimed at guiding how health research is generated and evaluated. The study objectives were to describe the characteristics of TRE intervention studies (including population characteristics, measurement tools used to measure treatment outcomes and outcomes of treatment), in order to provide evidence for occupational therapy practice related to anxiety management, as well as to indicate the gaps in the literature. TRE was mainly applied to stress- and trauma-exposed populations, with potential benefits for mood, anxiety-related sleep difficulties, and cognitive functions. Preliminary evidence also suggests benefit for conditions such as Parkinson's disease and multiple sclerosis. While study designs were not consistently rigorous, findings highlight TRE's promise and the need for more research to inform evidence-based practice.</p>","PeriodicalId":46157,"journal":{"name":"OCCUPATIONAL THERAPY IN HEALTH CARE","volume":" ","pages":"1-43"},"PeriodicalIF":0.9,"publicationDate":"2026-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148913724","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":"The Effectiveness of Interoceptive-Based Interventions to Reduce Adult Anxiety Sensitivity: A Systematic Review.","authors":"Victoria Riley, Mia Tsukano, Cindy Truong, Jessica Johnson, Katlin Lee, Alison DeVries Hansen, Karen Ratcliff, Diane M Collins, April Cowan, Raquel Martinez, Claudia Hilton","doi":"10.1080/07380577.2026.2716742","DOIUrl":"https://doi.org/10.1080/07380577.2026.2716742","url":null,"abstract":"<p><strong>Purpose: </strong>Anxiety sensitivity is defined as the fear of anxiety-related sensations and is linked to the top three preventable causes of disease and death in the US. Interoception is related to anxiety sensitivity and can be addressed by occupational therapists. Interoception encompasses sensing/feeling/noticing, understanding/interpreting, and acting upon one's internal bodily sensations. Interoceptive-based interventions are starting to be used to decrease adult anxiety sensitivity. This review examines the effectiveness of interoceptive-based interventions on adult anxiety sensitivity that can be used by occupational therapists.</p><p><strong>Methods: </strong>Sources: Ovid, CINAHL (EBSCOhost), PsycInfo (Ovid), SCOPUS. Inclusion criteria: interoceptive interventions, persons over age 17 years with anxiety symptoms, level 4 or higher studies, minimum of 14 participants. Exclusion criteria: written before 1999, qualitative, non-peer-reviewed, not available in English, comorbidities or subtypes of anxiety.</p><p><strong>Results: </strong>Sixteen articles were reviewed, 10 level II studies, one level III-1 study, and four level III-2 studies examining the effect of interoceptive-based interventions on adult anxiety sensitivity. Interventions examined were mindfulness, interoceptive exposure, cognitive behavioral therapy (CBT), and combinations of those. All studies showed significant anxiety sensitivity reduction for participants identified with high anxiety sensitivity. Strong evidence supports the use of mindfulness alone and interoceptive exposure with CBT. Moderate evidence supports interoceptive exposure alone. Insufficient evidence currently supports the use of combinations of interoceptive exposure with mindfulness and of interoceptive exposure with CBT.</p><p><strong>Conclusion: </strong>Findings support certain interoceptive-based interventions as effective in reducing elevated anxiety sensitivity. More research is needed to examine the less studied combinations, dosages and types of exposures, inclusion of neurophysiological outcome measures, and assessment of long-term effects, and to explore the mechanisms behind this association and its impact on occupational performance and participation.</p>","PeriodicalId":46157,"journal":{"name":"OCCUPATIONAL THERAPY IN HEALTH CARE","volume":" ","pages":"1-43"},"PeriodicalIF":0.9,"publicationDate":"2026-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148851497","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":"How Do Occupational Balance, Activity Performance, and Quality of Life Differ in Avascular Necrosis?","authors":"Selin Gamze Sumen, Kubra Ersoy Temiz, Gamze Cagla Sirma, Hulya Yucel","doi":"10.1080/07380577.2026.2716713","DOIUrl":"https://doi.org/10.1080/07380577.2026.2716713","url":null,"abstract":"<p><p>Avascular necrosis (AVN) is a musculoskeletal condition characterized by pain, mobility limitations, and functional decline, that may restrict daily participation. This cross-sectional study investigated occupational balance, activity performance and satisfaction, and quality of life in 32 individuals with AVN and 31 healthy controls. Participants completed the Occupational Balance Questionnaire, Canadian Occupational Performance Measure (COPM), and World Health Organization Quality of Life-BREF. Individuals with AVN showed significantly lower occupational balance, COPM performance and satisfaction, and quality of life across general, physical, psychological, social, and total quality of life (<i>p</i><.001), whereas the environmental domain did not differ. These findings underscore the need for occupation-centered rehabilitation in AVN.</p>","PeriodicalId":46157,"journal":{"name":"OCCUPATIONAL THERAPY IN HEALTH CARE","volume":" ","pages":"1-18"},"PeriodicalIF":0.9,"publicationDate":"2026-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148761796","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":"Associations Between Interoception and Sensory Processing in Preschool Children.","authors":"Abdullah Furkan Cangi, Gonca Bumin","doi":"10.1080/07380577.2026.2703730","DOIUrl":"https://doi.org/10.1080/07380577.2026.2703730","url":null,"abstract":"<p><p>This study examined how caregiver-reported interoceptive functioning relates to caregiver-reported sensory processing characteristics in typically developing preschool children aged 2-5 years. Interoceptive functioning was assessed using the caregiver-report Dynamic Metacognitive Interoception Measure (DMIM), and sensory processing characteristics were assessed with the caregiver-report Sensory Processing Measure-Preschool (SPM-P). Analyses were based on data from 240 children and included correlation analyses, hierarchical regression models, and a small set of machine-learning methods used for complementary purposes. Across domains, interoceptive functioning and sensory processing characteristics were inversely associated. Moderate negative associations were observed between overall DMIM scores and sensory processing characteristics. Awareness and discrimination showed the clearest associations with tactile processing (<i>ρ</i> = -.41) and social participation (<i>ρ</i> = -.46), with p values below .001. Age-related differences were modest, with older children showing slightly higher interoceptive scores and lower sensory processing difficulty scores. Machine-learning analyses explained a similar proportion of variance (<i>R</i>² ≈ .31-.41) as the regression models and pointed to the same interoceptive dimensions as most relevant. Overall, the findings provide a descriptive view of how interoceptive and sensory characteristics appear together in early childhood within a community sample.</p>","PeriodicalId":46157,"journal":{"name":"OCCUPATIONAL THERAPY IN HEALTH CARE","volume":" ","pages":"1-18"},"PeriodicalIF":0.9,"publicationDate":"2026-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148473489","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":"Human-Centered Design in Occupational Therapy Education: A Pragmatic Teaching Strategy.","authors":"Jeana M Holt, AkkeNeel Talsma, Murad H Taani, Heidi L Bertram, Ilya Avdeev","doi":"10.1080/07380577.2026.2702546","DOIUrl":"https://doi.org/10.1080/07380577.2026.2702546","url":null,"abstract":"<p><p>Creative problem-solving and innovative thinking are essential in occupational therapy education. Human-Centered Design (HCD), grounded in constructivist theory and design thinking principles, offers a participatory approach that emphasizes empathy, iteration, and collaboration. This instructional insights article describes a 150-minute experiential HCD workshop integrated into a first-semester Fieldwork Seminar graduate occupational therapy course to enhance creativity and design thinking skills. The workshop was designed using the 5E Instructional model, which emphasizes experiential learning before the introduction of concepts and incorporates reflection to connect new and prior knowledge. The workshop included three key phases: introduction to HCD concepts, paired design challenges, and group prototyping activities using low-fidelity materials. Facilitators guided students through the empathize, define, ideate, prototype, and feedback phases, incorporating structured reflection to connect learning to practice. Quantitative outcomes showed gains in creative self‑efficacy, psychological empowerment, and design‑thinking skills. Qualitative reflections revealed stronger creative confidence, appreciation for collaboration, and intentions to use HCD in future practice. Findings suggest that brief, immersive learning meaningfully enhances engagement and skill development, supporting the value of integrating HCD into occupational therapy education. Educators should prioritize hands-on, collaborative activities and reflective practice, while future research should explore long-term impacts and broader curricular integration.</p>","PeriodicalId":46157,"journal":{"name":"OCCUPATIONAL THERAPY IN HEALTH CARE","volume":" ","pages":"1-13"},"PeriodicalIF":0.9,"publicationDate":"2026-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148425369","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":"Preliminary Reliability and Validity of the Toileting Habit Profile Questionnaire-Second Revision.","authors":"Isabelle Beaudry-Bellefeuille, Ana Isabel Belo-Almeida, Diana Fernandes-de-Sousa, Vânia Malveiro-Encarnação, Inês Cardoso-Pinto-Lopes, Shelly J Lane","doi":"10.1080/07380577.2026.2698125","DOIUrl":"https://doi.org/10.1080/07380577.2026.2698125","url":null,"abstract":"<p><p>Occupational therapists are skilled in facilitating participation in activities of daily living and in evaluating and treating sensory integration problems that interfere with engagement in everyday activities. The Toileting Habit Profile Questionnaire (THPQ) was developed to assess sensory issues impacting toileting participation in children. The aim of this study was to examine the preliminary reliability (internal consistency) and validity (known-groups discrimination) of the THPQ-R2, an expanded version of the THPQ. We adopted a descriptive survey methodology in which parents of three- to six-year-old children with and without functional defecation disorders (FDD) completed the THPQ-R2. The hyper-reactivity subscale demonstrated acceptable internal consistency, with a Cronbach's alpha of .755. The internal consistency analysis of the hypo-reactivity/poor perception subscale yielded Cronbach's alpha of 0.616. Children without FDD had significantly higher scores (less problems) on the hyper-reactivity subscale (<i>M</i> = 29.22, SD = 1.22) compared to children with FDD (<i>M</i> = 26.36, SD = 1.70). The scores on the hypo-reactivity/poor perception subscale of children without FDD (<i>M</i> = 19.08, SD = 1.30) were significantly higher (less problems) than those of children with FDD (<i>M</i> = 17.72, SD = 1.70). Our findings provide preliminary support for both the internal consistency and construct validity of the THPQ-R2.</p>","PeriodicalId":46157,"journal":{"name":"OCCUPATIONAL THERAPY IN HEALTH CARE","volume":" ","pages":"1-19"},"PeriodicalIF":0.9,"publicationDate":"2026-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148425352","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":"Characterization of the Term \"Wandering\" in Dementia-Related Research: A Scoping Review.","authors":"Serrina Philip, Christine Daum, Noelannah Neubauer, Antonio Miguel-Cruz, Lili Liu","doi":"10.1080/07380577.2026.2699848","DOIUrl":"https://doi.org/10.1080/07380577.2026.2699848","url":null,"abstract":"<p><p>\"Wandering\", commonly associated with dementia, is inconsistently defined in the literature. This scoping review examined definitions of wandering among persons living with dementia. We conducted a scoping review following Arksey and O'Malley's framework using seven databases with keywords \"dementia,\" \"wandering,\" and \"terminology.\" Articles of any year or study design were eligible if they referenced wandering in the context of dementia. Of 1,888 articles identified, 116 met the inclusion criteria. Publications defining the term wandering increased over the last three decades, representing seven categories: aimless walking, normal routine walking for pleasure, elopement, critical wandering, disorientation in spatial navigation, combined definitions, and other. A shared, person-centered definition that includes the perspectives of persons living with dementia would promote an acceptable understanding. As \"wandering\" carries stigma, its use varies across countries, resulting in inconsistent approaches for research and practice.</p>","PeriodicalId":46157,"journal":{"name":"OCCUPATIONAL THERAPY IN HEALTH CARE","volume":" ","pages":"1-22"},"PeriodicalIF":0.9,"publicationDate":"2026-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148413278","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":"Exercise Capacity and Occupational Competence Sequelae in COVID-19 Survivors: A Longitudinal Study.","authors":"Vildan Fidanoglu, Melda Saglam, Serkan Pekcetin, Naciye Vardar Yagli, Birsen Pinar Yildiz, Mesut Bayraktaroglu, Esra Ergun Alis","doi":"10.1080/07380577.2025.2488124","DOIUrl":"10.1080/07380577.2025.2488124","url":null,"abstract":"<p><p>The Sars-Cov-2 infection disease (COVID-19) causes symptoms during both acute and post-COVID phases. This study assessed exercise capacity and occupational competence of 20 hospitalized COVID-19 patients, at discharge and three months later using the 6-Minute Step Test and Occupational Self-Assessment. Significant differences were found in both exercise capacity and occupational competence scores between discharge and three months later (<i>p</i> < 0.05). However, these measurements were not correlated (<i>p</i> > 0.05). Although patients show improvement after discharge, some symptoms persisted, affecting their exercise, and occupational performance. Further research is needed to explore long-term occupational outcomes of COVID-19 beyond one year.</p>","PeriodicalId":46157,"journal":{"name":"OCCUPATIONAL THERAPY IN HEALTH CARE","volume":" ","pages":"564-580"},"PeriodicalIF":0.9,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143812572","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}