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Navigating Children's Risky Play: A Comparative Analysis of Saudi Mothers and Fathers. 引导儿童冒险游戏：沙特母亲和父亲的比较分析。
IF 1.5 4区 医学
Otjr-Occupation Participation and Health Pub Date : 2025-01-15 DOI: 10.1177/15394492241311004
Rana M Alarawi, Shelly J Lane, Julia L Sharp, Susan Hepburn, Anita Bundy
{"title":"Navigating Children's Risky Play: A Comparative Analysis of Saudi Mothers and Fathers.","authors":"Rana M Alarawi, Shelly J Lane, Julia L Sharp, Susan Hepburn, Anita Bundy","doi":"10.1177/15394492241311004","DOIUrl":"https://doi.org/10.1177/15394492241311004","url":null,"abstract":"<p><p>Despite documented benefits for development, children are engaging in considerably fewer risky play activities. Research on parent gender and children's risky play is inconsistent. Gender and cultural context shape how individuals perceive and tolerate children's risky play. Little research exists on gender disparities in approaches to risky play in Eastern cultures, including Saudi Arabia. The study's objective was to examine gender variations in Saudi parents' willingness and tolerance for children's risky play. It included 85 parents: 41 fathers and 44 mothers. Differential Item Functioning analysis revealed a statistically significant difference between mothers and fathers on three Factors Affecting Tolerance of Risk in Play Scale items. While interaction effects and predictors were not significant (<i>p</i> = .22-.97), the overall multiple regression model significantly predicted parents' risk tolerance (<i>p</i> = .04). Within the context of other factors, gender appeared to play a complex and indirect role in determining parents' risk tolerance.</p>","PeriodicalId":47195,"journal":{"name":"Otjr-Occupation Participation and Health","volume":" ","pages":"15394492241311004"},"PeriodicalIF":1.5,"publicationDate":"2025-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142984934","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Feasibility of Occupation-Based Coaching for Autistic Children and Primary Caregivers. 自闭症儿童及主要照顾者职业辅导的可行性。
IF 1.5 4区 医学
Otjr-Occupation Participation and Health Pub Date : 2025-01-06 DOI: 10.1177/15394492241309322
Melanie Morriss Tkach, Winnie Dunn, Timothy J Wolf
{"title":"The Feasibility of Occupation-Based Coaching for Autistic Children and Primary Caregivers.","authors":"Melanie Morriss Tkach, Winnie Dunn, Timothy J Wolf","doi":"10.1177/15394492241309322","DOIUrl":"https://doi.org/10.1177/15394492241309322","url":null,"abstract":"<p><p>Autistic children participate less and have fewer opportunities to develop participation skills than nonautistic peers. The extent to which occupation-based coaching (OBC), a metacognitive strategy training intervention, affects participation in school-age autistic children is unknown. We conducted a single-group pretest-posttest design to evaluate the feasibility and preliminary effect of telehealth OBC for autistic children (<i>n</i> = 13) and primary caregivers (<i>n</i> = 12). Participants completed eight telehealth OBC sessions to address activity-based goals; they completed child, caregiver, and family outcomes pre- and post-intervention. Recruitment, retention, caregiver measure completion, and intervention adherence rates exceeded feasibility benchmarks. OBC had large effects on child performance (Hedge's <i>g</i> = 1.65) and satisfaction (Hedge's <i>g</i> = 1.89), a moderate effect on child sleep disturbance (Hedge's <i>g</i> = 0.60), and small effects on child participation (Hedge's <i>g</i> = 0.23) and family quality of life (Hedge's <i>g</i> = 0.26). Further research in a large-scale study is warranted with changes to better support child measure completion and enhance the study protocol.</p>","PeriodicalId":47195,"journal":{"name":"Otjr-Occupation Participation and Health","volume":" ","pages":"15394492241309322"},"PeriodicalIF":1.5,"publicationDate":"2025-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142933035","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Transition to Adulthood for Individuals With Complex Communication Needs: A Scoping Review. 有复杂沟通需求的个人向成年的过渡：范围审查》。
IF 1.5 4区 医学
Otjr-Occupation Participation and Health Pub Date : 2025-01-01 Epub Date: 2024-09-05 DOI: 10.1177/15394492241271162
Beata Batorowicz, Kate Mamo, Tessa Meadows, Agnieszka Fecica, Gregor Renner
{"title":"Transition to Adulthood for Individuals With Complex Communication Needs: A Scoping Review.","authors":"Beata Batorowicz, Kate Mamo, Tessa Meadows, Agnieszka Fecica, Gregor Renner","doi":"10.1177/15394492241271162","DOIUrl":"10.1177/15394492241271162","url":null,"abstract":"<p><p>Transitioning to adulthood is a complex and challenging process for youth with complex communication needs (CCN) and/or who use augmentative and alternative communication (AAC). This scoping review examined and consolidated available evidence documenting transition barriers and facilitators. Eight databases were searched systematically using complex communications needs/augmentative and alternative communication, transition programs, and adulthood as key terms. Participants aged 14-35 years and interventions focused on transition to occupations, including education, employment, leisure pursuits, or socializing/relationships. The search yielded 3459 records, which were screened by three independent raters. Twenty-three articles met the inclusion criteria. Studies focused primarily on employment (<i>n</i> =18), postsecondary education (<i>n</i> = 10), and socializing/relationships (<i>n</i> = 13). Programs experience and outcomes varied. Enabling factors included organizations, transition-focused programs, and social networks. Barriers included low expectations, lack of programs/supports, and limited literacy skills. Future studies must include richer descriptions of programs/services and participants, while more work is required to explore long-term outcomes.</p>","PeriodicalId":47195,"journal":{"name":"Otjr-Occupation Participation and Health","volume":" ","pages":"66-84"},"PeriodicalIF":1.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11571602/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142134174","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Practitioner Perspectives on Occupation-Based Practice Across Varied Settings. 从业者对不同环境下基于职业的实践的看法。
IF 16.4 4区 医学
Otjr-Occupation Participation and Health Pub Date : 2025-01-01 Epub Date: 2024-02-09 DOI: 10.1177/15394492241226876
Ben D Lee, Nancy Bagatell, Monica K Ridlehoover, Jennifer Womack
{"title":"Practitioner Perspectives on Occupation-Based Practice Across Varied Settings.","authors":"Ben D Lee, Nancy Bagatell, Monica K Ridlehoover, Jennifer Womack","doi":"10.1177/15394492241226876","DOIUrl":"10.1177/15394492241226876","url":null,"abstract":"<p><p>Occupation-based practice (OBP) is considered a cornerstone of occupational therapy practice. However, there is no consensus-based definition of OBP, let alone agreement on its mediators across practice settings. To describe how OBP is currently conceptualized and enacted across different practice settings, a descriptive qualitative approach of focus groups and elicitation of visual data (e.g., photographs, video recordings) was used with 65 participants. Multiple rounds of qualitative data analysis were used to identify codes and themes. Three themes were identified: (a) contextual factors of OBP, (b) client status, and (c) temporal characteristics of OBP. OBP is influenced by institutional, historical, and temporal aspects of practice settings, with further exploration needed across different practice settings and occupational therapy pedagogy styles. Considering the influence of contextual aspects may support occupational therapy practitioners and researchers' efforts to support their advocacy for occupation as a foundational concept in the profession.</p>","PeriodicalId":47195,"journal":{"name":"Otjr-Occupation Participation and Health","volume":" ","pages":"140-147"},"PeriodicalIF":16.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139708197","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Urinary Incontinence and Quality of Life: A Cross-Sectional Study. 尿失禁与生活质量：一项横断面研究
IF 16.4 4区 医学
Otjr-Occupation Participation and Health Pub Date : 2025-01-01 Epub Date: 2024-06-08 DOI: 10.1177/15394492241256869
Tania L Shearon, Jeffrey L Alexander
{"title":"Urinary Incontinence and Quality of Life: A Cross-Sectional Study.","authors":"Tania L Shearon, Jeffrey L Alexander","doi":"10.1177/15394492241256869","DOIUrl":"10.1177/15394492241256869","url":null,"abstract":"<p><p>Over half of women in the United States report urinary incontinence (UI). This condition can be treated conservatively, but many people do not seek treatment. The current correlational study assessed women's knowledge of UI. Specifically, we investigated the relationships between knowledge level about UI and quality of life (QoL), and between severity level of UI and QoL. A convenience cross-sectional sample of 39 older women was obtained from two YMCA locations. Data were analyzed using the Spearman rank-order correlation coefficient. A significant relationship was found between severity of UI and QoL, <i>r<sub>s</sub></i> = -.73, <i>p</i> < .001; no relationship was found between knowledge level of UI and QoL, <i>r<sub>s</sub></i> = .24, <i>p</i> = .13. Results suggested women's knowledge about the causes of UI and conservative therapy is limited. Occupational therapists need to address UI with their patients and educate them about treatment options and availability.</p>","PeriodicalId":47195,"journal":{"name":"Otjr-Occupation Participation and Health","volume":" ","pages":"105-112"},"PeriodicalIF":16.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141288771","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Parenting With and Beyond Cancer: A Photo-Elicitation Study. 与癌症为伴和超越癌症的父母：照片激发研究
IF 16.4 4区 医学
Otjr-Occupation Participation and Health Pub Date : 2025-01-01 Epub Date: 2023-12-30 DOI: 10.1177/15394492231217746
Kara Glazer, Diya Wazirali, Laura Koszer, Benjamin Ezra Canter, Brianna Pinto, Laura Stursberg, Wendy J Coster, Robin Newman
{"title":"Parenting With and Beyond Cancer: A Photo-Elicitation Study.","authors":"Kara Glazer, Diya Wazirali, Laura Koszer, Benjamin Ezra Canter, Brianna Pinto, Laura Stursberg, Wendy J Coster, Robin Newman","doi":"10.1177/15394492231217746","DOIUrl":"10.1177/15394492231217746","url":null,"abstract":"<p><p>The purpose of this study was to understand the occupational performance of parents with cancer and to understand if photo-elicitation would provide new insights into these experiences. In a semi-structured photo-elicitation interview, 36 participants living with and beyond cancer who had children under 18 years old shared and discussed photographs related to their parenting experiences. Transcribed interviews were analyzed using thematic analysis. Two main themes were identified. Parents shared how they (a) managed daily responsibilities and (b) maintained connection with their family. Across all types, stages and phases of the cancer continuum parents shared experiences related to maintaining child and family responsibilities and maintaining connection with their children. Photo-elicitation was an efficient and effective method to gather rich data from parents living with cancer. The results emphasize the clinical utility of using photo-elicitation to understand the occupational performance of parents throughout the cancer continuum of care.</p>","PeriodicalId":47195,"journal":{"name":"Otjr-Occupation Participation and Health","volume":" ","pages":"48-56"},"PeriodicalIF":16.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139075480","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A Fall Prevention Feasibility Trial for People With HIV and Alcohol Use. 针对艾滋病病毒感染者和酗酒者的预防跌倒可行性试验。
IF 1.5 4区 医学
Otjr-Occupation Participation and Health Pub Date : 2025-01-01 Epub Date: 2024-03-30 DOI: 10.1177/15394492241238956
Simone V Gill, Danny Shin, Theresa W Kim, Kara M Magane, Timothy Hereen, Michael Winter, Christine Helfrich, Richard Saitz
{"title":"A Fall Prevention Feasibility Trial for People With HIV and Alcohol Use.","authors":"Simone V Gill, Danny Shin, Theresa W Kim, Kara M Magane, Timothy Hereen, Michael Winter, Christine Helfrich, Richard Saitz","doi":"10.1177/15394492241238956","DOIUrl":"10.1177/15394492241238956","url":null,"abstract":"<p><p>Alcohol contributes to higher fall risk in people living with HIV (PLWH), yet fall prevention trials for PWH with alcohol use are lacking. To assess the feasibility of conducting a randomized controlled trial of a 10-week online fall prevention intervention tailored for PLWH with alcohol use. The intervention consisted of weekly virtual group discussions, individual phone check-ins, and home exercises. Of those eligible, 53.5% (23/43) enrolled (12 to the intervention and 11 to control). Mean age was 58 years; 82.6% had a past 6-month fall; 65.2% had alcohol use disorder; and 95.7% completed postintervention assessments. The intervention was highly rated (Client Satisfaction Questionnaire-8 score <i>M</i> = 30.4, <i>SD</i> = 1.6) with a wide range of group and individual phone session attendance. Preliminary analyses suggest the intervention may reduce the odds of falling and alcohol use frequency. Findings support the feasibility of a larger randomized trial. ClinicalTrials.gov Identifier: NCT04804579.</p>","PeriodicalId":47195,"journal":{"name":"Otjr-Occupation Participation and Health","volume":" ","pages":"85-94"},"PeriodicalIF":1.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140330218","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
An Investigation of the Professional Resilience Strategies Used by Experienced Occupational Therapists. 对经验丰富的职业治疗师所使用的职业复原策略的调查。
IF 1.5 4区 医学
Otjr-Occupation Participation and Health Pub Date : 2025-01-01 Epub Date: 2024-03-15 DOI: 10.1177/15394492241237740
Samantha Ashby, Katrina Watkins, Kylie Wales
{"title":"An Investigation of the Professional Resilience Strategies Used by Experienced Occupational Therapists.","authors":"Samantha Ashby, Katrina Watkins, Kylie Wales","doi":"10.1177/15394492241237740","DOIUrl":"10.1177/15394492241237740","url":null,"abstract":"<p><p>There is a paucity of research into the strategies occupational therapists use to maintain career longevity professional resilience. The objective of the study was to identify the strategies used by occupational therapists to maintain their professional resilience. Descriptive statistics were used to analyze data from a cross-sectional survey that investigated the professional resilience strategies used by experienced occupational therapists. Valid responses were received from 489 occupational therapists from 29 countries. The most used professional resilience strategies were maintaining a belief in the value of occupational therapy, taking time for reflection on positive outcomes, using personal time management strategies, and engagement in informal and formal professional support networks. A range of professional resilience strategies are used by experienced occupational therapists in health and social care settings. The findings can be used by managers and workplace organizations to support their occupational therapy workforce.</p>","PeriodicalId":47195,"journal":{"name":"Otjr-Occupation Participation and Health","volume":" ","pages":"131-139"},"PeriodicalIF":1.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11571592/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140140920","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Mental Health Mediators for Subjective, Not Objective, Cognition, and Community Participation Poststroke. 中风后主观（而非客观）认知和社区参与的心理健康中介因素。
IF 16.4 4区 医学
Otjr-Occupation Participation and Health Pub Date : 2025-01-01 Epub Date: 2024-03-17 DOI: 10.1177/15394492241238949
Yejin Lee, Marjorie L Nicholas, Lisa Tabor Connor
{"title":"Mental Health Mediators for Subjective, Not Objective, Cognition, and Community Participation Poststroke.","authors":"Yejin Lee, Marjorie L Nicholas, Lisa Tabor Connor","doi":"10.1177/15394492241238949","DOIUrl":"10.1177/15394492241238949","url":null,"abstract":"<p><p>Previous studies have stated that both objective and subjective cognitive abilities and mental health symptoms are associated with community participation poststroke. However, there is a need to understand the direct and indirect associations among these variables in persons with stroke. The objective of this study was to investigate whether mental health symptoms mediate the associations of subjective and objective cognitive abilities with community participation poststroke. We built regression-based mediation models with 74 participants with mild to moderate stroke. Independent variables were objective and subjective cognitive abilities. The dependent variable was community participation. Mediators were mental health symptoms including depression, apathy, and anxiety. The results indicated that depression (<i>b</i> = .093), apathy (<i>b</i> = .134), and anxiety (<i>b</i> = .116) fully mediated the association between subjective cognitive ability (<i>p</i> < .05), but not objective cognitive ability (<i>p</i> > .05), and community participation poststroke. Our findings suggest that poor subjective cognitive ability combined with mental health symptoms should be addressed together to promote community participation poststroke.</p>","PeriodicalId":47195,"journal":{"name":"Otjr-Occupation Participation and Health","volume":" ","pages":"113-121"},"PeriodicalIF":16.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140144286","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Occupational Therapy Practitioners' Perceptions of Providing Services for the Acute Postpartum Population. 职业治疗师对为急性产后人群提供服务的看法。
IF 16.4 4区 医学
Otjr-Occupation Participation and Health Pub Date : 2025-01-01 Epub Date: 2024-03-04 DOI: 10.1177/15394492241234846
Sarah S Sidar, Alysha Skuthan
{"title":"Occupational Therapy Practitioners' Perceptions of Providing Services for the Acute Postpartum Population.","authors":"Sarah S Sidar, Alysha Skuthan","doi":"10.1177/15394492241234846","DOIUrl":"10.1177/15394492241234846","url":null,"abstract":"<p><p>Occupational therapy practitioners' (OTP's) perceptions of their role in working on the acute postpartum hospital unit are unknown. The objective of this research was to determine the perspectives of OTP's enrolled in a continuing education course to gain competency in providing services to acute postpartum patients. Investigators engaged in a phenomenology consisting of semi-structured interviews with six OTP's working in acute care hospitals preparing to work on the postpartum unit. Three themes emerged from transcripts: (a) Its' Not THAT Different; (b) Willing To Try; and (c) Shifting Focus To Mom. OTPs working in hospitals identified existing skills applicable to working with acute postpartum patients, a need for additional learning to enhance competence, and a desire to focus support for the birthing person to improve maternal outcomes. Hospital onboarding and/or entry-level OTP programs should consider including education on the postpartum population. Future research should focus on program implementation on acute postpartum hospital units.</p>","PeriodicalId":47195,"journal":{"name":"Otjr-Occupation Participation and Health","volume":" ","pages":"21-28"},"PeriodicalIF":16.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140022965","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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