OCCUPATIONAL THERAPY IN HEALTH CARE最新文献_第8页

Using Standardized Cognitive Tools with General Medicine Populations and Impact on Hospital Readmission. 在普通医学人群中使用标准化认知工具及其对医院再入院的影响。

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OCCUPATIONAL THERAPY IN HEALTH CARE Pub Date : 2026-02-18 DOI: 10.1080/07380577.2026.2631716

Hannah Oldenburg, Tamra Trenary, William Harmsen, Jessica Edelstein

{"title":"Using Standardized Cognitive Tools with General Medicine Populations and Impact on Hospital Readmission.","authors":"Hannah Oldenburg, Tamra Trenary, William Harmsen, Jessica Edelstein","doi":"10.1080/07380577.2026.2631716","DOIUrl":"https://doi.org/10.1080/07380577.2026.2631716","url":null,"abstract":"Cognitive functioning is essential for participation in daily activities such as work, self-care, and home management. Occupational therapy practitioners play a key role in supporting these abilities through occupation-based interventions guided by standardized cognitive assessment. However, the use of such tools in acute care remains poorly understood, especially among the variety of general medicine populations occupational therapy serves in acute care. This cross-sectional, retrospective study aimed to describe the delivery of acute occupational therapy services including the types and frequency of cognitive evaluation tools administered and to examine the relationship between receipt of a cognitive evaluation and 30-day hospital readmission. Conducted at a single academic medical center, the study included 3,334 adult patients hospitalized on a general medicine unit who received occupational therapy services from an initial sample of 18,334 patients. Among the inclusion sample, 84.5% underwent a standardized cognitive assessment with receipt of a cognitive evaluation approaching significance for association of 30-day hospital readmission (p = .0537). Findings indicate that occupational therapy practitioners in acute care settings employ a variety of standardized cognitive screening and performance-based tools across diverse general medicine conditions and medical acuity. Further research is warranted to explore proximal factors, such as social support and prior functional performance, and their impact on 30-day hospital readmission.","PeriodicalId":46157,"journal":{"name":"OCCUPATIONAL THERAPY IN HEALTH CARE","volume":" ","pages":"1-16"},"PeriodicalIF":1.0,"publicationDate":"2026-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146221663","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

Screening Driving Risk with the DriveSafe DriveAware: Application in Telehealth. 驾驶安全驾驶意识筛选驾驶风险：在远程医疗中的应用。

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OCCUPATIONAL THERAPY IN HEALTH CARE Pub Date : 2026-02-09 DOI: 10.1080/07380577.2026.2625212

Ellen R Cahoon, Anne E Dickerson

{"title":"Screening Driving Risk with the DriveSafe DriveAware: Application in Telehealth.","authors":"Ellen R Cahoon, Anne E Dickerson","doi":"10.1080/07380577.2026.2625212","DOIUrl":"https://doi.org/10.1080/07380577.2026.2625212","url":null,"abstract":"With an aging population living longer with diverse medical conditions, screening tools to measure driving risk are needed. The use of virtually administered screening tools has the potential to improve access to medical or rehabilitation services for individuals. This study compared 50 community living older adults with driver's licenses on their performance using the app DriveSafe DriveAware under two clinician-administered conditions. All participants were randomly assigned to complete one administration in-person using a touchscreen tablet and the other by verbal responses via a virtual connection with a clinician. Using the intraclass correlation coefficient, it was 0.65 (95% Confidence Interval = 0.45 - 0.78); the two types of administration demonstrated moderate agreement with no order or gender effects. Normal aging differences were evident, but within the non-risk category. These results suggest that practitioners can use scores from the DriveSafe DriveAware regardless of administration in-person or through a virtual means of communication. However, caution should be used until further research with medically-at-risk drivers is completed.","PeriodicalId":46157,"journal":{"name":"OCCUPATIONAL THERAPY IN HEALTH CARE","volume":" ","pages":"1-13"},"PeriodicalIF":1.0,"publicationDate":"2026-02-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146143988","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

Fall Risk Assessments for Individuals with Visual Impairment: A Scoping Review of Questionnaire-Based Tools. 视力障碍患者跌倒风险评估：基于问卷工具的范围审查。

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OCCUPATIONAL THERAPY IN HEALTH CARE Pub Date : 2026-02-04 DOI: 10.1080/07380577.2026.2623233

Sunkanmi Arogbokun, Sandra Owusu, Lauren Wheeler, Beth Barstow

引用次数: 0

Exploring Occupational Therapists' Transition to Neurodiversity Affirming Practice: A Discourse Analysis. 探索职业治疗师向神经多样性确认实践的过渡：一个话语分析。

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OCCUPATIONAL THERAPY IN HEALTH CARE Pub Date : 2026-02-01 DOI: 10.1080/07380577.2026.2623234

Christie Welch, Kajaani Shanmugarajah, Muzi Li

{"title":"Exploring Occupational Therapists' Transition to Neurodiversity Affirming Practice: A Discourse Analysis.","authors":"Christie Welch, Kajaani Shanmugarajah, Muzi Li","doi":"10.1080/07380577.2026.2623234","DOIUrl":"https://doi.org/10.1080/07380577.2026.2623234","url":null,"abstract":"This study uses discourse analysis to examine the types of services occupational therapy private practice clinics claim to provide for autistic people as well as the roots and impacts of the language that is used on the clinics' websites to describe these services. We conducted a web-based search of relevant websites, using content from 24 sites. We examined the discursive practices contained on the websites and compared them to foundational tenets of neurodiversity affirming practice. We found that the discursive patterns on the sites reflect a complex, mixed, and varied array of language, beliefs, and practices, some of which align with neurodiversity affirming practice, some of which diverge, and some of which inhabit a \"grey zone\". While many occupational therapists express intentions to provide neuro-affirming care, the services described and language used often reveal underlying tensions or inconsistencies. We discuss these gaps between stated intentions and implicit beliefs. We suggest a need for deeper reflexivity and critical examination of how our communications, interventions, and understanding align with neurodiversity affirming principles. Finally, we offer concrete strategies for changing discursive practices to support occupational therapists in our shift toward neurodiversity affirming practice.","PeriodicalId":46157,"journal":{"name":"OCCUPATIONAL THERAPY IN HEALTH CARE","volume":" ","pages":"1-23"},"PeriodicalIF":1.0,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146100906","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

Therapeutic Relationship Between Occupational Therapists, Autistic Clients, and Their Caregivers: Pediatric Occupational Therapists' Perspectives and Experiences. 职业治疗师、自闭症来访者和照顾者之间的治疗关系：儿童职业治疗师的观点和经验。

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OCCUPATIONAL THERAPY IN HEALTH CARE Pub Date : 2026-02-01 DOI: 10.1080/07380577.2026.2623230

Felicia B Bernhard, Camille Skubik-Peplaski, Jenny M Dorich

{"title":"Therapeutic Relationship Between Occupational Therapists, Autistic Clients, and Their Caregivers: Pediatric Occupational Therapists' Perspectives and Experiences.","authors":"Felicia B Bernhard, Camille Skubik-Peplaski, Jenny M Dorich","doi":"10.1080/07380577.2026.2623230","DOIUrl":"https://doi.org/10.1080/07380577.2026.2623230","url":null,"abstract":"The aim of this study was to understand how to develop and maintain a therapeutic relationship with autistic children and their caregivers. Ten pediatric occupational therapists participated in this descriptive qualitative study by engaging in semi-structured interviews, answering open-ended questions about their clinical practice working with autistic children and their caregivers. Data was analyzed with thematic analysis resulting in three themes. The first theme describes a relationship-based therapeutic process that allows the occupational therapy practitioner to partner with the caregiver and to utilize co-regulation to support the autistic child. The second theme highlighted the importance of the occupational therapy practitioner as a facilitator or barrier to the development of the relationship. Lastly, several external factors were found to limit a relationship-based approach and to challenge therapists' well-being and longevity in clinical practice settings. This study identified that the therapeutic relationship is dynamic and critical for the success of occupational therapy with autistic children and their caregivers.","PeriodicalId":46157,"journal":{"name":"OCCUPATIONAL THERAPY IN HEALTH CARE","volume":" ","pages":"1-26"},"PeriodicalIF":1.0,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146100931","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

Enabling Change and Home Participation for an Individual with Intellectual Disability: A Case Study in Complex Occupational Therapy Practice. 智障人士的改变与家庭参与：复杂职业治疗实践个案研究。

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OCCUPATIONAL THERAPY IN HEALTH CARE Pub Date : 2026-02-01 DOI: 10.1080/07380577.2026.2614420

Audrey Yong, Alice Harland, David Haines

{"title":"Enabling Change and Home Participation for an Individual with Intellectual Disability: A Case Study in Complex Occupational Therapy Practice.","authors":"Audrey Yong, Alice Harland, David Haines","doi":"10.1080/07380577.2026.2614420","DOIUrl":"https://doi.org/10.1080/07380577.2026.2614420","url":null,"abstract":"There is a need for greater visibility of occupational therapy within interdisciplinary practice and research, especially in the context of intellectual disability. This case study examines the nuanced role of occupational therapy in supporting an individual with intellectual disability and behaviours of concern during a critical transition. Drawing on data from multiple sources, the study explores occupational therapy involvement and its impact. A two-stage analysis revealed two overarching contributions: (1) the implementation of occupational therapy, and (2) the contribution and mechanisms through which occupational therapy enabled change. The findings highlight how environmental modifications, strategies to reduce participation barriers, sensory-based approaches, and interdisciplinary collaboration contributed to meaningful outcomes. Additionally, mechanisms of change were embedded in occupational therapists' practice of working competently within their scope of expertise, drawing on diverse ways of knowing, and navigating external influences. Key changes were observed for the individual through improved perceived quality of life: evidenced by reduced behaviours of concern, increased occupational participation, and a stabilised daily routine; enhanced occupational performance with greater engagement in daily activities; increased staff knowledge and confidence in supporting occupational needs; and a positive cultural shift and self-efficacy among staff, marked by increased motivation and hopefulness. This study illustrates the value of occupational therapy in enabling participation and fostering change within complex practice contexts.","PeriodicalId":46157,"journal":{"name":"OCCUPATIONAL THERAPY IN HEALTH CARE","volume":" ","pages":"1-25"},"PeriodicalIF":1.0,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146100957","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

Instruments of Insight: Cognitive Tool Use by Occupational Therapy Practitioners at Midwest Trauma Centers. 洞察工具：中西部创伤中心职业治疗从业者使用的认知工具。

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OCCUPATIONAL THERAPY IN HEALTH CARE Pub Date : 2026-01-28 DOI: 10.1080/07380577.2026.2622625

Amy Yule, Payton Friend, Tamra Trenary, Hannah Oldenburg

{"title":"Instruments of Insight: Cognitive Tool Use by Occupational Therapy Practitioners at Midwest Trauma Centers.","authors":"Amy Yule, Payton Friend, Tamra Trenary, Hannah Oldenburg","doi":"10.1080/07380577.2026.2622625","DOIUrl":"https://doi.org/10.1080/07380577.2026.2622625","url":null,"abstract":"In the hospital setting, standardized cognitive screening and assessment tools are critical to determine the presence of cognitive changes for occupational therapy discharge planning and intervention approaches. However, there is limited understanding of trends related to standardized tool availability and use across different trauma center designations. This study aimed to identify commonly used standardized cognitive screens and functional performance assessments, and to explore factors influencing their selection and use. Electronic surveys were employed with a total of 28 questions. Two hundred and eight occupational therapy practitioners completed an electronic survey that measured demographics, availability and use of screens and performance assessments, and attitudes and perceptions regarding cognitive evaluation. Results support 86.5% of participants reported the use of paper-pencil-based standardized cognitive screens and 65.4% reported the use of cognitive performance assessments. Findings showed differences in access and availability of cognitive screening tools as well as performance-based assessments between trauma center designations. Implications of the results are discussed both with past studies and potential future work.","PeriodicalId":46157,"journal":{"name":"OCCUPATIONAL THERAPY IN HEALTH CARE","volume":" ","pages":"1-21"},"PeriodicalIF":1.0,"publicationDate":"2026-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146067692","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

Preliminary Study on the Effectiveness of Small Group Activities for Older Adults with Cognitive Decline: A Comparison of Social Interaction and Leisure Activities in Hospitals. 小团体活动对老年人认知能力下降效果的初步研究：医院社会互动与休闲活动的比较。

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OCCUPATIONAL THERAPY IN HEALTH CARE Pub Date : 2026-01-20 DOI: 10.1080/07380577.2026.2613893

Natsumi Kimura, Norikazu Kobayashi

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The Impact of a One-Time Group Pain Management Educational Session in Primary Care. 一次小组疼痛管理教育会议对初级保健的影响。

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OCCUPATIONAL THERAPY IN HEALTH CARE Pub Date : 2026-01-03 DOI: 10.1080/07380577.2025.2609718

Allyssa A Howell, John V Rider, Rebecca Edgeworth

引用次数: 0

Parental Perspectives on the Impact of Adapted Motorized Ride-on Toy Vehicle Use for Children with Limited Mobility: A Multiple Case Study. 父母对机动化玩具车对行动不便儿童的影响的看法：一项多案例研究。

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OCCUPATIONAL THERAPY IN HEALTH CARE Pub Date : 2026-01-02 DOI: 10.1080/07380577.2025.2607422

Jennifer M Yates, Martin S Rice

{"title":"Parental Perspectives on the Impact of Adapted Motorized Ride-on Toy Vehicle Use for Children with Limited Mobility: A Multiple Case Study.","authors":"Jennifer M Yates, Martin S Rice","doi":"10.1080/07380577.2025.2607422","DOIUrl":"https://doi.org/10.1080/07380577.2025.2607422","url":null,"abstract":"This study aimed to examine parents' perspectives on the influence of independent mobility provided by an adapted motorized ride-on vehicle (MROV) on social participation for children with limited mobility. This qualitative, multiple-case study consisted of semi-structured interviews and field notes with caregivers of three children who had received an adapted MROV four to six months prior to data collection. Three major themes emerged from the three families' responses: (a) increased independence and autonomy, (b) enhanced social engagement and participation, and (c) emotional growth, joy, and confidence. Additionally, six prominent subthemes were established based on parents' perception of their child and the adapted MROV. The findings demonstrated the critical value of independent mobility through play from the lens of a parent or caregiver for their child with limited mobility. The adapted MROV not only served as a means for mobility but also facilitated improvements in autonomy, peer interactions, and self-expression. These results highlighted the potential of this intervention form for enhancing the quality of life and promoting engaged participation in children with limited mobility needs.","PeriodicalId":46157,"journal":{"name":"OCCUPATIONAL THERAPY IN HEALTH CARE","volume":" ","pages":"1-16"},"PeriodicalIF":1.0,"publicationDate":"2026-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145890490","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