OCCUPATIONAL THERAPY IN HEALTH CARE最新文献

{"title":"Association Between Meaningful Activities and Frailty in Community-Dwelling Older Adults in Rural Japan: A Cross-Sectional Study.","authors":"Kohei Obuchi, Katsushi Yokoi, Tomomi Furukawa, Takashi Takebayashi, Hitoshi Mutai","doi":"10.1080/07380577.2025.2544781","DOIUrl":"10.1080/07380577.2025.2544781","url":null,"abstract":"<p><p>This cross-sectional study investigates the relationship between meaningful activities and frailty, including pre-frailty, among older adults in rural Japan. Data from 1,018 participants aged 65 years or older were analyzed using multinomial logistic regression. Among the entire sample, the presence of meaningful activities was significantly associated with lower odds of both pre-frailty and frailty. Additionally, both higher performance and satisfaction with meaningful activities were associated with reduced odds of frailty-related outcomes. These findings underscore the role of meaningful activities in promoting healthy aging. Tailored occupational therapy interventions enhancing engagement in meaningful activities may help prevent frailty, particularly in rural settings.</p>","PeriodicalId":46157,"journal":{"name":"OCCUPATIONAL THERAPY IN HEALTH CARE","volume":" ","pages":"753-770"},"PeriodicalIF":0.9,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144800551","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":"Perspectives of Occupational Therapists Toward Robot-Assisted Therapy for Stroke Survivors: A Scoping Review.","authors":"Chirathip Thawisuk, Kaoru Inoue, Natsuka Suyama, Ryosuke Miyadera, Chanitpon Bunyawat","doi":"10.1080/07380577.2025.2560986","DOIUrl":"10.1080/07380577.2025.2560986","url":null,"abstract":"<p><p>Robot-assisted therapy, such as exoskeletons and soft robotics gloves, shows promise for stroke rehabilitation by improving upper limb function, although occupational therapists' clinical adoption remains limited. A scoping review was conducted to explore occupational therapists' perspectives regarding barriers, facilitators, and therapeutic impacts of robots. Seven studies with qualitative and mixed-method approaches were analyzed. Findings indicate that while initial skepticism can be overcome with training and hands-on exposure, technical challenges, and operational difficulties hinder usage. Organizational support and robust training emerge as critical factors to enhance the successful integration of robotics into stroke rehabilitation programs effectively.</p>","PeriodicalId":46157,"journal":{"name":"OCCUPATIONAL THERAPY IN HEALTH CARE","volume":" ","pages":"771-787"},"PeriodicalIF":0.9,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145087678","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":"Effectiveness of a 12-Week Multifactorial Intervention in Improving Frailty in Community-Dwelling Older Adult: A Case Study.","authors":"Ippei Kawasaki, Takuma Yuri, Hideaki Nakai, Shigeki Tabata, Shun Harada, Ippei Suganuma, Noriyuki Ogawa","doi":"10.1080/07380577.2025.2546486","DOIUrl":"10.1080/07380577.2025.2546486","url":null,"abstract":"<p><p>This case report presents a multifactorial intervention implemented by an occupational therapist during a 12-week program with specific goal set for a community-dwelling older adult in a frail condition. The participant was a 70-year-old underweight male who exhibited signs of frailty. He participated in individual sessions focused primarily on consultations for 90 min once a week over a three-month period. Changes in physical functions, as well as frailty-related assessments, were evaluated at the initial, mid-term, and final stages. The intervention involved collaboration with a multidisciplinary team to address exercise, nutrition, and social participation, with the long-term goal of \"taking a train to visit family in the neighboring prefecture.\" The results indicated the program led to improvements in physical functions, including weight gain, improved results of walking test, and enhanced nutritional status, all of which contributed to a better frailty score. Additionally, there was an increase in social participation opportunities supporting the long-term goal. This study shows setting specific goal in participation level and multidisciplinary approach were important and a top-down approach by the occupational therapist indicated to be effective.</p>","PeriodicalId":46157,"journal":{"name":"OCCUPATIONAL THERAPY IN HEALTH CARE","volume":" ","pages":"788-798"},"PeriodicalIF":0.9,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144822777","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":"Occupational Balance, Quality of Life, and Recovery Among Older Mental Health Service Users-A Cross-Sectional Study.","authors":"Carina Tordai, Steven M Schmidt, Elisabeth Argentzell, Mona Eklund","doi":"10.1080/07380577.2026.2688258","DOIUrl":"https://doi.org/10.1080/07380577.2026.2688258","url":null,"abstract":"<p><p>Occupational balance is associated with better quality of life and recovery in mental health service users; however, research focusing on such relationships among older adults within this group remains scarce. This explorative cross-sectional study examined relationships between occupational balance and quality of life and recovery in 49 older mental health service users, while also investigating how anxiety/depression and living arrangement (cohabiting vs. living alone) influenced those relationships. Self-report questionnaires were used, then analyzed statistically. Participants generally perceived occupational balance. Under-occupation-especially in leisure-was more common than over-occupation. Occupational balance was positively associated with quality of life and recovery, although anxiety/depression symptoms formed an even stronger predictor. The findings highlight the need for recovery-oriented interventions that include occupational balance with particular emphasis on leisure activities, and assessing perceived occupational balance can serve as a useful complement to traditional assessments of quality of life and recovery.</p>","PeriodicalId":46157,"journal":{"name":"OCCUPATIONAL THERAPY IN HEALTH CARE","volume":" ","pages":"1-23"},"PeriodicalIF":0.9,"publicationDate":"2026-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148278794","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":"Staff Training on Sensory Accommodations in Acute and Inpatient Care: A Scoping Review.","authors":"Stephanie Quon, Isabel Truong, Leah Moroz, Katherine Zheng","doi":"10.1080/07380577.2026.2685516","DOIUrl":"https://doi.org/10.1080/07380577.2026.2685516","url":null,"abstract":"<p><strong>Background: </strong>Sensory overload can worsen communication, cooperation with care, and overall safety and experience, prompting growing interest in staff training to deliver sensory accommodations as routine clinical practice.</p><p><strong>Objective: </strong>This scoping review aimed to map the literature on staff training interventions for sensory accommodations in acute and inpatient settings, describing training content and delivery, targeted populations and settings, reported outcomes, and implementation challenges.</p><p><strong>Methods: </strong>Following PRISMA-ScR guidance, databases were searched from inception to July 2025, supplemented by grey literature. Eligible sources described staff education/training intended to improve sensory-friendly care in emergency, inpatient, or comparable acute care contexts. A total of 2978 records were screened after duplicate removal, with 22 sources included in the final synthesis.</p><p><strong>Results: </strong>Four themes emerged: (1) training emphasized core sensory-friendly competencies, including recognition of sensory triggers, environmental modification, predictability, and communication strategies; (2) multi-component programs integrating training with environmental and operational supports were more commonly recommended than isolated educational approaches; (3) reported outcomes were primarily experiential, with limited evaluation of clinical or safety outcomes; and (4) sustainability depended on systems integration, ongoing training, and co-design with lived experience.</p><p><strong>Conclusions: </strong>Staff training for sensory accommodations is an increasingly common strategy across acute and inpatient care, but the evidence base is heterogeneous and often under-evaluated. Programs that combine training with practical tools, environmental changes, and implementation infrastructure appear more durable than education alone.</p>","PeriodicalId":46157,"journal":{"name":"OCCUPATIONAL THERAPY IN HEALTH CARE","volume":" ","pages":"1-19"},"PeriodicalIF":1.0,"publicationDate":"2026-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148228253","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":"Exploring the Current Role and Interventions of Occupational Therapy in High-Risk Maternal Health: A Descriptive Qualitative Study.","authors":"Olivia Ariens, Kaitlin Freeman, Amanda Mack","doi":"10.1080/07380577.2026.2685511","DOIUrl":"https://doi.org/10.1080/07380577.2026.2685511","url":null,"abstract":"<p><p>This descriptive qualitative study explored the roles and interventions of occupational therapy practitioners (OTPs) working with high-risk maternal health populations. Seven OTPs from four regions across the U.S. participated in semi-structured interviews, which were analyzed through inductive coding. Five themes emerged: (1) Participation- and Occupation-Focused Practice, (2) Psychosocial Emphasis, (3) Client-Focused Care, (4) Specialized Services, and (5) Navigating the Realities of Healthcare. Findings demonstrate how OTPs support role transitions, mental health, specialized physical needs, and interprofessional collaboration. Results highlight occupational therapy's unique contributions to maternal health, emphasizing occupation-centered, client-driven care while underscoring the need for clearer role definition, education, and research to expand maternal health practice.</p>","PeriodicalId":46157,"journal":{"name":"OCCUPATIONAL THERAPY IN HEALTH CARE","volume":" ","pages":"1-21"},"PeriodicalIF":1.0,"publicationDate":"2026-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148220178","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":"Organizational Roles and Tasks of Occupational Therapists in Interventions Combining Rehabilitation and Palliative Care for People with COPD: A Scoping Review.","authors":"Ana Krašna, Helle Sommer, Jette Thuesen","doi":"10.1080/07380577.2026.2669235","DOIUrl":"https://doi.org/10.1080/07380577.2026.2669235","url":null,"abstract":"<p><p>Chronic obstructive pulmonary disease (COPD) leads to high symptom burden, functional decline, and often disability. Combining rehabilitation and palliative care is recommended to address these challenges. However, the position of occupational therapists (OTs) in such interventions remains unclear. The objective of this scoping review was to map organizational roles and tasks of OTs in interventions combining rehabilitation and palliative care for people with COPD. Literature search was conducted in databases PubMed, CINAHL, Embase, and Scopus, in addition to grey literature search (October-November 2024, with an update in October 2025). Sources were included if they described interventions combining rehabilitation and palliative care, involved COPD population, and identified OT's roles or tasks. Data were charted and analyzed.</p><p><p>Seventeen papers published between 2008 and 2025 were included.The results showed that OTs were most commonly members of interprofessional teams delivering integrated rehabilitation and palliative care or rehabilitation-focused programs. Thirteen OT's tasks were identified, primarily addressing <i>functional status</i> (e.g. ADL training, home modification, and assistive devices). Tasks related to <i>self-management</i> (e.g. energy conservation techniques) were less frequent, and none addressed <i>body structure and function</i>.</p><p><p>Although the OTs are present in interventions combining rehabilitation and palliative care for people with COPD, they mainly contribute through rehabilitation-focused roles, with limited engagement in palliative care. Our finding also suggest that expanding OT's tasks to include activities that support social participation, and a larger focus on self-management strategies, may enhance people's ability to manage everyday life. Future studies should define OTs' responsibilities and evaluate their impact within interventions combining rehabilitation and palliative care for people living with COPD.</p>","PeriodicalId":46157,"journal":{"name":"OCCUPATIONAL THERAPY IN HEALTH CARE","volume":" ","pages":"1-24"},"PeriodicalIF":1.0,"publicationDate":"2026-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147976252","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":"Investigating the Multifaceted Needs and Challenges of Family Caregivers of Individuals with Spinal Cord Injury: A Qualitative Study.","authors":"Somayyeh Mohammadi, Asia Cai, Heather Cathcart, Brooke Page, Elena Pauly, Beth Erlander, Julie M Robillard, David G T Whitehurst, William C Miller","doi":"10.1080/07380577.2026.2667520","DOIUrl":"https://doi.org/10.1080/07380577.2026.2667520","url":null,"abstract":"<p><p>This qualitative study explored the challenges faced by family caregivers of individuals with spinal cord injury (fcSCI) and the contributing factors to these challenges. Thirteen field experts, including fcSCI and clinical and professional experts, participated. Ten vignettes showcasing various issues faced by fcSCI were used to facilitate the discussion. Thematic analyses of semi-structured interviews identified two themes: (i) <i>decline in wellbeing: \"It just weighs on you,\"</i> which explained the psychological, social, and physical challenges faced by fcSCI, and (ii) <i>lacking caregiver preparedness:\"There's just so many things to know,\"</i> which describes the diverse responsibilities that fcSCI take. Findings emphasized the negative consequences of providing long-term care and the importance of improving caregiver readiness. Facilitating access to educational resources is an essential step in supporting family caregivers.</p>","PeriodicalId":46157,"journal":{"name":"OCCUPATIONAL THERAPY IN HEALTH CARE","volume":" ","pages":"1-23"},"PeriodicalIF":1.0,"publicationDate":"2026-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147844271","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":"Occupational Therapy Practitioners' Knowledge, Beliefs, and Misconceptions About Back Pain: A Cross-Sectional Survey.","authors":"Cassandra Ginn, Hailey Smith, Amanda Balser, Sara Brito, Chelsea Tucker, Madeline Ebright, Chelsea Beverly","doi":"10.1080/07380577.2026.2666910","DOIUrl":"https://doi.org/10.1080/07380577.2026.2666910","url":null,"abstract":"<p><p>A cross-sectional survey of 95 U.S. occupational therapy practitioners examined their attitudes and beliefs about the back and back pain, as well as their confidence in supporting adult clients with back pain. Data were collected using the 34-item Back Pain Attitudes Questionnaire and two 5-point Likert scale items assessing confidence. Results indicate many participants held unhelpful beliefs about the back. However, even those participants with unhelpful beliefs endorsed several evidence-informed strategies, reflecting a mixture of accurate and less-supported perspectives. These findings highlight opportunities for practitioners to critically evaluate and update their beliefs to enhance evidence-informed care for adults with back pain.</p>","PeriodicalId":46157,"journal":{"name":"OCCUPATIONAL THERAPY IN HEALTH CARE","volume":" ","pages":"1-16"},"PeriodicalIF":1.0,"publicationDate":"2026-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147822077","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":"Effects of Music-Based Auditory Stimulation on Children with Autism Spectrum Disorder and Auditory Sensory Over-Responsivity: A Pilot Study.","authors":"Suzanne Vercontaire, Caitlin Deville, Kassie Missell, Diana Early, Rong Huang","doi":"10.1080/07380577.2026.2636083","DOIUrl":"https://doi.org/10.1080/07380577.2026.2636083","url":null,"abstract":"<p><p>Many children with autism spectrum disorder (ASD) have altered sensory processing - including auditory sensory over-responsivity (SOR). Few treatment options exist for children with ASD and auditory SOR. This study investigated whether music-based auditory stimulation (The Listening Program^® SPECTRUM with Waves^™ bone conduction headphones), could reduce auditory SOR, sensory dysfunction, and behaviors common to children with ASD and improve adaptive functioning. Six boys between the ages of 5 and 10 with ASD and auditory SOR completed listening sessions at home for 40 wk. Participants had statistically significant improvements in the Hearing construct of the Sensory Processing Measure that were sustained 3 months post-intervention. Participants also had significant improvements across multiple other sensory constructs, social skills, and communication skills. This study provides support for The Listening Program^® SPECTRUM with Waves^™ bone conduction headphones to improve sensory processing and reduce hypersensitivity to sound, which may lead to better social and communication skills for children with ASD and auditory SOR. Larger, randomized-controlled studies are needed.</p>","PeriodicalId":46157,"journal":{"name":"OCCUPATIONAL THERAPY IN HEALTH CARE","volume":" ","pages":"1-15"},"PeriodicalIF":1.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147822070","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}