OCCUPATIONAL THERAPY IN HEALTH CARE最新文献

{"title":"Examining the Benefits of Trauma Focused Cognitive Behavioral Therapy and Trauma Informed Yoga for Survivors of Human Trafficking by Occupational Therapists: A Systematic Review.","authors":"Grace Hopkins, Nancy Amonette, Linda Kate Stidham, Alison Hansen, Karen Aranha, Claudia Hilton","doi":"10.1080/07380577.2026.2658599","DOIUrl":"https://doi.org/10.1080/07380577.2026.2658599","url":null,"abstract":"<p><p>Human trafficking (HT) is a violation of human rights causing injuries that often result in deep mental and physical scars on survivors with a lifelong deleterious impact on engagement in all occupations and overall health. A lack of attention to these needs results in chronic disorders that cause occupational injustice and imbalance, lifelong dependence on healthcare, and early mortality. In occupational therapy, adjunctive evidence-based interventions are needed to provide holistic care to support recovery for these individuals. Trauma-focused cognitive behavioral therapy (TF-CBT) and the mindfulness approach of trauma-informed yoga (TIY) are two interventions used with this population to alleviate post-trauma symptoms; however, their underlying mechanism to aid with recovery and their overall outcomes vary. The objective is to examine the effectiveness of trauma-focused interventions, TF-CBT and TIY, to holistically address the needs of HT survivors specifically for occupational therapy practice. Data sources are Ovid(Medline), CINAHL, and PsycINFO databases. The inclusion criteria were: (i) human participants, (ii) populations with trafficking trauma, (iii) interventions TF-CBT and/or TIY, (iv) published between 2009 and 2024, and (v) published in English. Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines were used. The outcomes of these studies indicate that TF-CBT has moderate strength quantitative evidence and TIY evidence is considered weak. However, quality assessment of the Level 6 TIY studies indicates high qualitative value, with findings that were transparent, transferable, and generalizable to larger populations. TF-CBT and/or TIY are evidence-based interventions that can be used as adjunctive therapies, either administered by the occupational therapists or referred to specialists trained in these modalities, to mitigate trauma-related symptoms. When used together, they can be complementary and have a more holistic effect. However, higher level quantitative and mixed-methods studies using more rigorous methodologies are needed to strengthen the evidence.</p>","PeriodicalId":46157,"journal":{"name":"OCCUPATIONAL THERAPY IN HEALTH CARE","volume":" ","pages":"1-28"},"PeriodicalIF":1.0,"publicationDate":"2026-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147785151","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 the Vision Coach^TM Interactive Light Board on Improving Processing Speed Reaction Time in Autistic Individuals.","authors":"Anne E Dickerson, Young Joo Kim","doi":"10.1080/07380577.2026.2646495","DOIUrl":"https://doi.org/10.1080/07380577.2026.2646495","url":null,"abstract":"<p><p>The aim of this study was to evaluate if the Vision Coach^TM interactive light board improves processing speed reaction time among autistic individuals and if it contributes to improvement in driving performance. Fifty-seven participants with autism received individual intervention one to two times a day over five days using the Vision Coach. Using a paired pre-posttest design, results showed that participants took statistically significant less time to complete each speed trial (<i>p</i> < .001, <i>r</i> = 0.28-0.32) and missed statistically significant fewer number of targets at post-test (<i>p</i> < .001, <i>r</i> = 0.35 and 0.46, respectively) than pretest. Lastly, there were significant, positive relationships between the changes in the number of targets missed and in the time taken to tap the correct targets for the trials in Speeds 2 and 3 (<i>p</i> < .001). Since decreased processing speed is commonly observed among individuals with autism, this study offers evidence to support Vision Coach as an occupational therapy intervention that improves functional performance. In addition, results from improved processing speed reaction time on driving performance is discussed.</p>","PeriodicalId":46157,"journal":{"name":"OCCUPATIONAL THERAPY IN HEALTH CARE","volume":" ","pages":"1-15"},"PeriodicalIF":1.0,"publicationDate":"2026-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147934454","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":"Adaptive Resilience in Parkinson's Caregiving: A Qualitative Study of Lived Experience and Implications for Practice.","authors":"Lauren Turbeville, Caroline Adams, Kelsey Arnold, Ava Borrello, Hunter Davis, Anna Horne, Kathrin Rothermich","doi":"10.1080/07380577.2026.2655699","DOIUrl":"https://doi.org/10.1080/07380577.2026.2655699","url":null,"abstract":"<p><strong>Background and rationale: </strong>Parkinson's disease (PD) is a progressive neurodegenerative disorder that requires increasing care over time. Care partners, often family members, play a critical role in supporting individuals with PD, yet their experiences are understudied. Existing literature focuses largely on care partner burden and quality of life, often neglecting the nuanced, evolving nature of caregiving and role adaptation. Occupational therapy plays a vital role in supporting care partners, yet further research is needed to understand their lived experiences through an evidence-based lens.</p><p><strong>Purpose of the study: </strong>This study explores how care partners of people with PD experience and develop resilience over time, with an emphasis on emotional, relational, and occupational adaptation.</p><p><strong>Methods: </strong>Using a qualitative, phenomenological approach, 12 care partners participated in semi-structured interviews. Descriptive standardized measures (Q-LES-Q and ZBI) were also collected to contextualize participant well-being and caregiving burden without shaping analysis. Data were analyzed using the Stevick-Colaizzi-Keen method of phenomenological analysis, supported by researcher reflexivity and triangulation to ensure rigor.</p><p><strong>Key themes or findings: </strong>Three primary themes emerged: (1) <i>The Power of Adaptive Resilience</i>, reflecting internal growth and mindset shifts; (2) <i>The Quiet Struggle</i>, highlighting grief, guilt, and emotional isolation; and (3) <i>Through the Gray</i>, capturing the ambiguity and evolving nature of caregiving. Participants described caregiving as a marathon marked by emotional negotiation and the pursuit of meaning.</p><p><strong>Conclusions and implications: </strong>Care partners demonstrated adaptive resilience not as passive endurance, but as an active process of transformation. Centering care partner voices can inform more holistic, family-centered care models.</p>","PeriodicalId":46157,"journal":{"name":"OCCUPATIONAL THERAPY IN HEALTH CARE","volume":" ","pages":"1-16"},"PeriodicalIF":1.0,"publicationDate":"2026-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147730283","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":"Introduction to the Special Issue: Caregiving-Issues and Solutions Across Contexts.","authors":"Preethy S Samuel, Christina N Marsack-Topolewski","doi":"10.1080/07380577.2026.2653349","DOIUrl":"10.1080/07380577.2026.2653349","url":null,"abstract":"","PeriodicalId":46157,"journal":{"name":"OCCUPATIONAL THERAPY IN HEALTH CARE","volume":" ","pages":"331-334"},"PeriodicalIF":1.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147844314","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":"Empowering Parental Caregivers: A Pilot Study of a Web-Based Support Group for Parental Caregivers of Individuals with Spinal Cord Injuries.","authors":"E Martino, E Donoso Brown","doi":"10.1080/07380577.2024.2429133","DOIUrl":"10.1080/07380577.2024.2429133","url":null,"abstract":"<p><p>This pilot study investigated the feasibility of an occupational therapist-facilitated seven-week online support group with problem-solving training on the psychosocial well-being of parental caregivers of individuals with spinal cord injury (SCI). The study used a single-group pre-test/post-test quantitative design. A convenience sample of five participants, who each identified as mothers of male individuals with SCI, completed the study. From pre to post, participants demonstrated high satisfaction with the group, decreased stress, increased knowledge, and an increase in problem-focused coping strategies, yet no changes were greater than minimal detectable change.</p>","PeriodicalId":46157,"journal":{"name":"OCCUPATIONAL THERAPY IN HEALTH CARE","volume":" ","pages":"375-394"},"PeriodicalIF":1.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142648757","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":"Coaching to Support Children With Disabilities in Occupational Therapy: A Literature Review.","authors":"Valerie Miller, Mara A Sampson, Dana Howell, Patrick Kitzman","doi":"10.1080/07380577.2024.2346913","DOIUrl":"10.1080/07380577.2024.2346913","url":null,"abstract":"<p><strong>Importance: </strong>Coaching is an effective intervention strategy in occupational therapy but there lacks consensus in the literature about terms, definitions, and approaches used which can be barriers to the clinical use of this method.</p><p><strong>Objective: </strong>The purpose of this review is to understand how coaching adults is used as an intervention to support children with disabilities.</p><p><strong>Methods: </strong>Guidelines from foundational scoping review articles and PRISMA-ScR were followed. Studies using adult coaching as an intervention to support children with disabilities were reviewed. A total of 20 articles met inclusion criteria and were included in the review.</p><p><strong>Findings: </strong>The use of coaching terms and definitions vary. There are commonalities with coaching structures, \"key ingredients,\" and use of outcome measures among studies which can provide a starting framework for occupational therapists wanting to use coaching as an intervention in their practice.</p><p><strong>Conclusions and relevance: </strong>Coaching adults to support children with disabilities is already known to be an effective occupational therapy intervention strategy. Developing structured protocols with clearer and more unified terminology may improve the fidelity of this intervention approach.</p><p><strong>What this article adds: </strong>This article presents current practices in adult coaching to support children with disabilities in Occupational Therapy. The authors discuss commonalities across coaching practices for therapists who wish to use coaching protocols in their clinical practice.</p>","PeriodicalId":46157,"journal":{"name":"OCCUPATIONAL THERAPY IN HEALTH CARE","volume":" ","pages":"490-520"},"PeriodicalIF":1.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140866899","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":"Navigating Challenges and Coping Strategies Among Family Caregivers of Memory-Impaired Stroke Survivors in Metro Cebu, Philippines.","authors":"Sharmaine Shane W Pondoc, Paolo Miguel P Bulan","doi":"10.1080/07380577.2024.2437020","DOIUrl":"10.1080/07380577.2024.2437020","url":null,"abstract":"<p><p>This study explored the lived experiences of family caregivers for stroke survivors with memory impairments in Metro Cebu, Philippines, using a qualitative design. In-depth semi-structured interviews with six caregivers were analyzed using Yin's five-phase thematic analysis. Three key themes emerged: (1) Nurturing Patient Well-Being, highlighting the emotional and physical demands of caregiving; (2) Navigating the Trials of Caregiving, detailing the emotional, psychological, and financial challenges caregivers face; and (3) Altered Life Course, illustrating the lifestyle changes and coping mechanisms employed. The findings emphasize the need for structured support systems and tailored caregiving guidelines for occupational therapists to assist caregivers.</p>","PeriodicalId":46157,"journal":{"name":"OCCUPATIONAL THERAPY IN HEALTH CARE","volume":" ","pages":"395-410"},"PeriodicalIF":1.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142787238","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":"Careers and Quality of Life: Comparing Perceptions of Compound and Noncompound Caregivers.","authors":"Christina N Marsack-Topolewski, Kathryn Wright, Rosanne DiZazzo-Miller, Preethy S Samuel","doi":"10.1080/07380577.2024.2400526","DOIUrl":"10.1080/07380577.2024.2400526","url":null,"abstract":"<p><p>Study objectives were to compare differences in quality of life (QOL) and family quality of life (FQOL) between compound and noncompound caregivers and describe how career-related dimensions influence the global FQOL. Examination of survey data from 77 compound and 113 noncompound caregivers indicated that compound caregivers had lower QOL, global FQOL, and worse career outcomes than noncompound caregivers. Global FQOL was associated with greater career satisfaction, higher income, and noncompound caregiver type. For compound caregivers, global FQOL was associated with more career opportunities and positive perceptions of career stability. These findings have implications for supporting career pursuits of family caregivers.</p>","PeriodicalId":46157,"journal":{"name":"OCCUPATIONAL THERAPY IN HEALTH CARE","volume":" ","pages":"424-446"},"PeriodicalIF":1.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142298261","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":"Finding PEACE: Development and Pilot Testing of the Positive and Enjoyable Aspects of the Caregiving Experience Measure with Caregivers of Older Adults.","authors":"Andrea Gossett Zakrajsek, Elizabeth Schuster, Catherine Wells, Jaclyn Williams, Joanne Grosh, Peregrine Silverschanz","doi":"10.1080/07380577.2024.2428708","DOIUrl":"10.1080/07380577.2024.2428708","url":null,"abstract":"<p><p>Negative aspects of caregiving, including stress and burden, have dominated research. However, there has been a growing awareness of the need to examine the positive and rewarding aspects of caregiving for older adults. This paper will describe the development and pilot testing of a measure that examines the Positive and Enjoyable Aspects of the Caregiving Experience (PEACE). Forty-five caregivers of older adults were recruited from two hospitals within a large regional health system and studied at three points in time. Data were examined only at the second phase of data collection within this study (<i>n</i> = 29). Correlations were used to examine the relationship between positive and enjoyable aspects of caregiving constructs and validated tools. Analysis found high internal reliability (α = 0.82) for a novel measure developed and tested in this study, entitled, the PEACE. Convergent validity was demonstrated by significant positive correlations between the PEACE and quality of life and social support. Divergent validity was found between the PEACE and caregiver burden. This novel measure has the potential for a more holistic assessment of the caregivers' experiences, which offers implications for service provision and program development.</p>","PeriodicalId":46157,"journal":{"name":"OCCUPATIONAL THERAPY IN HEALTH CARE","volume":" ","pages":"359-374"},"PeriodicalIF":1.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142648760","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":"A Brief Occupational Therapy Foot Care Program for Community-Dwelling Older Adults and the Social Connectedness Implications.","authors":"Victor M Camacho, Jennifer Gardner, Diana Cruz, Molly Dunn, Serina Figueiras, Sara Orbe, John Rutledge","doi":"10.1080/07380577.2025.2609716","DOIUrl":"10.1080/07380577.2025.2609716","url":null,"abstract":"<p><p>Individuals with type II diabetes are at risk of serious medical complications, which require daily patterns of health management. A single group, pre-post study was conducted to determine the impact of a new, brief occupational therapy foot care program for undeserved older adults with prediabetes or type II diabetes (<i>n</i> = 19). Culturally responsive, in-person programming included two one-hour modules of educational videos and guided practice with foot care equipment under the supervision of a licensed occupational therapist. Using a researcher-developed questionnaire, knowledge regarding the regularity of assessing feet and lifestyle factors associated with diabetes increased post-intervention. An upward positive trend was observed with all questions posed, and a statistically significant increase in satisfaction regarding routine associated with diabetes was observed (<i>p</i> = 0.013). Results suggest the utility of a brief foot care program to address diabetes-related outcomes and the health management implications of social connectedness.</p>","PeriodicalId":46157,"journal":{"name":"OCCUPATIONAL THERAPY IN HEALTH CARE","volume":" ","pages":"447-471"},"PeriodicalIF":1.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145890447","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}