Otjr-Occupation Participation and Health最新文献

{"title":"Disability Recognition and Occupational Participation in Chronic Conditions and Acquired Disabilities: A Scoping Review.","authors":"Ryoma Tahara, Wakaya Fujii, Shinichi Watanabe, Takayasu Koike, Kenji Tsujimoto, Takahiro Takenaka, Shinya Onda","doi":"10.1177/15394492261492289","DOIUrl":"https://doi.org/10.1177/15394492261492289","url":null,"abstract":"<p><p>Chronic illness and acquired disability reshape everyday life through both functional change and the ways disability is recognized and interpreted. This scoping review mapped qualitative evidence on disability recognition in adults with chronic conditions or acquired disabilities, focusing on how these processes become visible through occupational participation. Following the Joanna Briggs Institute (JBI) methodology and Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) reporting, we conducted iterative searches, including a focused supplementary CINAHL search, and included peer-reviewed qualitative studies with accessible English full text. Eighty-three studies were included and positioned as Group A (core evidence; <i>n</i> = 32) or Group B (contextual evidence; <i>n</i> = 51). Group A findings were integrated into six interacting domains: Identity change, everyday-life disruption, rebuilding of everyday life, temporal processes, social recognition and role adjustment, and construction of a new normal. The framework positions occupational participation as a practical medium through which disability recognition is negotiated and reorganized.</p>","PeriodicalId":47195,"journal":{"name":"Otjr-Occupation Participation and Health","volume":" ","pages":"15394492261492289"},"PeriodicalIF":1.4,"publicationDate":"2026-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149225181","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}

{"title":"Health Behavior Goals Among Cancer Survivors in an Occupational Therapy Self-Management Program.","authors":"Yoko E Fukumura, Kathleen D Lyons, Alix G Sleight","doi":"10.1177/15394492261492296","DOIUrl":"https://doi.org/10.1177/15394492261492296","url":null,"abstract":"<p><p>Adopting health behaviors is critical for cancer survivors. Facilitating goal setting has been identified as an effective support for behavior change, but little is known about granular goal-setting behaviors. Further understanding of individual goal-setting behaviors may help identify individual support needs and further understanding of the impact of personalized intervention for cancer survivors. To describe participant-identified short-term goal-setting behaviors within a 12-week occupational therapy health behavior intervention for cancer survivors. Summative qualitative content analysis was conducted on short-term goals from therapy notes of a pilot study with 20 adult cancer survivors. Thirteen goal categories were identified from 480 short-term goals, with the majority of goals within Physical Activity (26.9%) and Diet (24.2%). Individual differences were noted in both goal-setting frequency and variety of goal content. Results indicate that goal-setting behaviors vary widely across individuals. Further study is needed to examine whether differences correspond with unique support needs.</p>","PeriodicalId":47195,"journal":{"name":"Otjr-Occupation Participation and Health","volume":" ","pages":"15394492261492296"},"PeriodicalIF":1.4,"publicationDate":"2026-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149225171","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}

{"title":"Cross-Cultural Adaptation and Psychometric Evaluation of the Occupation-Based Practice Measure in Japan.","authors":"Kanta Ohno, Takuya Hirose, Satoru Amano, Kayoko Takahashi, Makoto Kyougoku, Yuho Okita, Hirotomo Shibahashi, Mohammad Khayatzadeh-Mahani","doi":"10.1177/15394492261494511","DOIUrl":"https://doi.org/10.1177/15394492261494511","url":null,"abstract":"<p><p>Occupation-based practice (OBP) is central to occupational therapy, yet its implementation remains inconsistent. This study translated and culturally adapted the OBP Measure into Japanese and evaluated its psychometric properties in 351 occupational therapists. Content validity, structural validity, internal consistency, test-retest reliability, measurement error, and measurement invariance were examined. Content validity was excellent (S-CVI = .97). Confirmatory factor analysis of the revised 33-item model showed mixed fit. Internal consistency was acceptable for four subscales, whereas <i>Interest in OBP</i> showed inadequate internal consistency and relatively weak test-retest reliability. Total-score test-retest reliability was high (ICC = 0.87), with an MDC₉₅ of 1.94. Configural and metric invariance were supported across career stages, whereas scalar invariance was not fully supported. Overall, the OBPM-J showed promising psychometric properties, although its structural validity, <i>Interest in OBP</i> subscale, total-score interpretation, and comparability across career stages require further investigation.</p>","PeriodicalId":47195,"journal":{"name":"Otjr-Occupation Participation and Health","volume":" ","pages":"15394492261494511"},"PeriodicalIF":1.4,"publicationDate":"2026-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149225149","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}

{"title":"The Menu Task: A Three-Phase Examination of Staff Training and Usability.","authors":"Timothy S Marks, Anna E Boone, Dorothy Farrar-Edwards, Gordon M Giles","doi":"10.1177/15394492261492295","DOIUrl":"https://doi.org/10.1177/15394492261492295","url":null,"abstract":"<p><p>Occupational therapists need easy-to-learn and easy-to-implement tests of functional cognition but report implementation hesitancy. We describe primarily inpatient therapists' experiences learning about, forming expectations about, and using the Menu Task. Three cross-sectional study phases relevant to the usability of the Menu Task were performed. Phase 1 was a quantitative examination of therapists scoring the Menu Task following 40 min of training, which found that therapists achieved high reliability. Phase 2 used an in-person survey to examine therapists' perceptions of using the Menu Task, finding that therapists perceived the Menu Task as feasible and useful. Phase 3 was a qualitative analysis of therapists' descriptions of the routine use of the Menu Task, finding that the Menu Task was efficient for obtaining clinically relevant data in acute care but noted areas where the Menu Task needs improvement. Brief exposure to the Menu Task reduces staff hesitancy in using a performance-based screening measure of functional cognition.</p>","PeriodicalId":47195,"journal":{"name":"Otjr-Occupation Participation and Health","volume":" ","pages":"15394492261492295"},"PeriodicalIF":1.4,"publicationDate":"2026-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149217049","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}

{"title":"Instruments for Assessing Professional Reasoning in Occupational Therapy: A Systematic Review.","authors":"Soledad Sánchez-Zamorano, Andrea Martínez-Riquelme, María-Paz Ossandón-Pérez, Pedro Moruno-Miralles","doi":"10.1177/15394492261490104","DOIUrl":"https://doi.org/10.1177/15394492261490104","url":null,"abstract":"<p><p>Following PRISMA-COSMIN 2024 guidelines, this systematic review assessed the quality of evidence for quantitative instruments (OMIs) designed to measure professional reasoning in occupational therapy students and professionals between 2016 and 2025. Thirteen OMIs (~1,500 participants) were identified, revealing a substantial geographical bias toward the Global North. Although 61.5% (<i>n =</i> 8) were classified as Category A (Recommended), only the Evidence-Based Professional Thinking Tool (EIPT) demonstrated a \"high\" level of certainty of evidence. Critical shortcomings persist: while only one instrument reported minimal important change values, none identified minimal important differences. Current assessment tools exhibit methodological weaknesses and limited parameters for interpreting scores. Given that the evidence base is largely in a pilot stage, future research should prioritize cross-cultural adaptation, establish interpretive thresholds, and include observable, performance-based measures to improve the quality of assessment and evidence-based practice in occupational therapy education and clinical settings. Trial registration: PROSPERO (CRD420251270730).</p>","PeriodicalId":47195,"journal":{"name":"Otjr-Occupation Participation and Health","volume":" ","pages":"15394492261490104"},"PeriodicalIF":1.4,"publicationDate":"2026-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149217024","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}

{"title":"Exploring Self-Care Among Postpartum Women Recovering From Substance Use Disorders.","authors":"Caitlin Koob, Leah A Holcomb, Charles Hudson, Rachel Mayo, Jennifer Barkin","doi":"10.1177/15394492261486019","DOIUrl":"https://doi.org/10.1177/15394492261486019","url":null,"abstract":"<p><p>Self-care is central to occupational therapy (OT), yet its role among postpartum women navigating substance use disorder (SUD) recovery remains under-researched. This mixed-methods study examined self-care performance among postpartum women and explored self-care experiences during SUD recovery. We analyzed Barkin Index for Maternal Functioning (BIMF) self-care items among postpartum women with and without SUD (<i>N</i> = 141). Descriptive statistics and regression analyses examined associations between participant characteristics, SUD diagnosis, and self-care. Interviews with women with SUD (<i>n</i> = 22) underwent deductive thematic analysis grounded in Orem's self-care theory. Overall, 34.0% of participants had a SUD; the mean self-care score was 13.56 (<i>SD</i> = 3.93). Self-care scores did not differ significantly by SUD diagnosis (<i>p</i> = .370), but children's daycare attendance was associated with lower self-care (<i>p</i> = .015). Qualitatively, women described self-care as an effort to maintain stability, well-being, and recovery. Patient-centered OT services are critical for supporting self-care among postpartum women navigating SUD recovery.</p>","PeriodicalId":47195,"journal":{"name":"Otjr-Occupation Participation and Health","volume":" ","pages":"15394492261486019"},"PeriodicalIF":1.4,"publicationDate":"2026-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149185043","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}

{"title":"Initial Development and Content Validity of an Occupation-Focused Assessment: Occupations in Higher Education Transitions Inventory.","authors":"Karen M Keptner, Rachel Rogers, Alyssa Chandler Lee, Daniel Martin","doi":"10.1177/15394492261490096","DOIUrl":"https://doi.org/10.1177/15394492261490096","url":null,"abstract":"<p><p>University students face occupational disruption during post-secondary transitions, yet existing campus screening tools leave occupational challenges largely unassessed. No comprehensive, occupation-focused screening instrument exists for this population. To describe the theoretical development and content validation of the <i>Occupations in Higher Education Transitions Inventory</i> (<i>OHETI</i>), a screening tool assessing university student adaptation across 10 domains of occupation grounded in the Theory of Occupational Adaptation (OA) a five-phase iterative development process was used: (a) initial item generation; (b) preliminary expert review for face validity (<i>N</i> = 3 occupational therapists with expertise in OA theory); (c) tool reconceptualization based on expert feedback; (d) cognitive interviews with undergraduate students for face validity and comprehensibility (<i>N</i> = 10); and (e) formal content validation using a Content Validity Index (CVI) rating procedure with (<i>N</i> = 6) occupational therapy professionals with clinical and academic experience with emerging adult students. Initial item generation yielded 68 items across seven OA constructs. Expert feedback prompted a fundamental restructuring, producing 116 items across 10 occupations, covering aspects of relative mastery: satisfaction, effectiveness, and efficiency. Revision based on student cognitive interviews resulted in 122 items. Formal content validation produced I-CVI scores ranging from 0.667 to 1.0, with S-CVI scores of 0.9516 for clarity and 0.9435 for relevance. Two items were removed, resulting in a final tool of 120 scorable items across 10 occupations. The <i>OHETI</i> demonstrates strong content and face validity as a theoretically grounded, occupation-focused screening tool for university students. Online administration and individualized feedback distinguish it from existing instruments. Psychometric validation is needed before broad implementation.</p>","PeriodicalId":47195,"journal":{"name":"Otjr-Occupation Participation and Health","volume":" ","pages":"15394492261490096"},"PeriodicalIF":1.4,"publicationDate":"2026-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149185037","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}

{"title":"Social and Community Participation in Adults With Chronic Spinal Cord Injury: A Scoping Review.","authors":"Maddison Wise, Rachel Lynch, Emilee Ong, Saravana Kumar","doi":"10.1177/15394492261492279","DOIUrl":"https://doi.org/10.1177/15394492261492279","url":null,"abstract":"<p><p>Spinal cord injury (SCI) leads to disability that limits social and community participation. However, the barriers to and enablers of post-injury reintegration remain unclear. This scoping review aimed to summarise the factors that facilitate and hinder social and community participation for adults with a chronic SCI. Quantitative and qualitative studies investigating barriers to and/or facilitators of social and/or community participation in adults with a chronic SCI were included. Grey literature and six academic databases were searched in March 2025. Methodological quality was assessed using the Mixed Methods Appraisal Tool (MMAT). Eight studies were included. Barriers to social and community participation included environmental factors, personal factors, context of care and social stigma. Facilitators included environmental factors, personal factors, professional assistance and social support. Addressing environmental challenges, reducing stigma and providing sustained social support and professional assistance enhanced integration. Future research should explore targeted, evidence-informed strategies to strengthen facilitators to optimise the lives of people with SCI.</p>","PeriodicalId":47195,"journal":{"name":"Otjr-Occupation Participation and Health","volume":" ","pages":"15394492261492279"},"PeriodicalIF":1.4,"publicationDate":"2026-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149138685","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}

{"title":"Digital Device Use and Hand-Wrist Disorders: A Scoping Review.","authors":"Sheila Santandrea, Arianna Candido, Valeria Mazza, Chiara Cricco, Roberto Tedeschi","doi":"10.1177/15394492261490100","DOIUrl":"https://doi.org/10.1177/15394492261490100","url":null,"abstract":"<p><p>The widespread use of smartphones and electronic devices has raised concerns about their impact on hand and wrist health. This scoping review synthesised current evidence on musculoskeletal and soft-tissue disorders associated with device use. Thirty-two studies were included, examining smartphones, computers and other digital tools. Smartphones were primarily linked to De Quervain's tenosynovitis and flexor pollicis longus tendinopathy, while computers and visual display units were associated with carpal tunnel syndrome and repetitive strain injuries. Key risk factors included repetitive thumb movements, prolonged static wrist postures and extended daily exposure. Biomechanical studies confirmed increased joint loading and muscle activity during intensive use. Preventive strategies - such as limiting usage time, improving ergonomics, alternating hands and incorporating regular breaks - showed potential benefits, particularly when combined with user education. Most included studies were cross-sectional, limiting causal inference and highlighting the need for longitudinal research.</p>","PeriodicalId":47195,"journal":{"name":"Otjr-Occupation Participation and Health","volume":" ","pages":"15394492261490100"},"PeriodicalIF":1.4,"publicationDate":"2026-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149138704","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}

{"title":"Safer Mobility Behavior Assessment and Intervention for People With Parkinson's Disease: A Modified Delphi Study.","authors":"Daniel Cheung, Serene S Paul, Lynette Mackenzie, Jacqueline Wesson, Natalie E Allen","doi":"10.1177/15394492261490109","DOIUrl":"https://doi.org/10.1177/15394492261490109","url":null,"abstract":"<p><p>Safer mobility behavior is an emerging concept for fall prevention in people with Parkinson's disease (PwPD). There is currently no assessment tool nor optimal intervention to support mobility behavior in PwPD. Therefore, this study aimed to gain a consensus of assessment and intervention components targeting safer mobility behavior. A modified Delphi study was conducted across 60 lived experience and 43 clinician/researcher participants over three rounds with consensus at 80%. In Round 1, assessment and intervention components were generated through interviews and focus groups. After two survey rounds, all components reached consensus in favor of their inclusion. Physical and cognitive ability were ranked as the top assessment components. Exercise, movement, and cognitive strategy training were ranked as the top intervention components. Integrated assessments, tailored interventions on disease-specific symptoms and care-partner involvement were emphasized. This study provides the components needed for the future application of promoting safer mobility behavior in PwPD.</p>","PeriodicalId":47195,"journal":{"name":"Otjr-Occupation Participation and Health","volume":" ","pages":"15394492261490109"},"PeriodicalIF":1.4,"publicationDate":"2026-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149138737","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}