Otjr-Occupation Participation and Health最新文献

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Hybrid Behavioral Intervention for Caregivers of Children With Developmental Delay: Pilot Study. 发育迟缓儿童照顾者的混合行为干预:初步研究。
IF 1.5 4区 医学
Otjr-Occupation Participation and Health Pub Date : 2026-05-02 DOI: 10.1177/15394492261437762
Chieh-Yu Pan, Fen-Ling Kuo, Yu-Ling Lin, Chin-Wen Wu
{"title":"Hybrid Behavioral Intervention for Caregivers of Children With Developmental Delay: Pilot Study.","authors":"Chieh-Yu Pan, Fen-Ling Kuo, Yu-Ling Lin, Chin-Wen Wu","doi":"10.1177/15394492261437762","DOIUrl":"https://doi.org/10.1177/15394492261437762","url":null,"abstract":"<p><p>Caregivers of children with developmental delays often experience high stress and challenges in parent-child interactions. The objective of this study was to examine the feasibility, acceptability, and preliminary effects of a caregiver behavioral intervention delivered in hybrid and self-study formats. Forty caregivers were randomized to an 8-week hybrid program (online modules plus therapist consultations) or a self-study program. Primary outcomes included caregiver stress and self-efficacy, with feasibility assessed through satisfaction and intervention fidelity. Both groups showed improvements in caregiver stress and parent-child interaction, with no significant between-group differences. The self-study group demonstrated additional gains in parenting competence. The hybrid group reported higher satisfaction and fidelity, with large effect sizes (Cohen's <i>d</i> = 3.96 and 4.08) and described stronger parent-child connections. The intervention was feasible and supported a stepped-care approach, with self-study as a first-line option and hybrid models for families needing additional support. <i>Trials:</i> ClinicalTrials.gov, NCT05827952.</p>","PeriodicalId":47195,"journal":{"name":"Otjr-Occupation Participation and Health","volume":" ","pages":"15394492261437762"},"PeriodicalIF":1.5,"publicationDate":"2026-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147822169","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 Balance, Leisure, Coping, Sleep, and Quality of Life in Caregivers of Individuals With Stroke. 脑卒中患者照护者的职业平衡、休闲、应对、睡眠和生活质量。
IF 1.5 4区 医学
Otjr-Occupation Participation and Health Pub Date : 2026-04-17 DOI: 10.1177/15394492261431564
Özge Buket Arslan, Türkan Evleksiz, Gokcen Akyurek
{"title":"Occupational Balance, Leisure, Coping, Sleep, and Quality of Life in Caregivers of Individuals With Stroke.","authors":"Özge Buket Arslan, Türkan Evleksiz, Gokcen Akyurek","doi":"10.1177/15394492261431564","DOIUrl":"https://doi.org/10.1177/15394492261431564","url":null,"abstract":"<p><p>Stroke survivors often need long-term care, with family members serving as primary caregivers. This study examined the interplay between occupational balance, leisure satisfaction, coping, sleep quality, and the mental component of quality of life among caregivers of individuals with stroke. A total of 150 caregivers completed the Occupational Balance Questionnaire, Leisure Satisfaction Scale, Revised-Coping Orientation to Problems Experienced Scale, Pittsburgh Sleep Quality Index, and 36-Item Short Form Health Survey Questionnaire. Stepwise multiple regression analyses were conducted to identify predictors. Leisure satisfaction was the strongest predictor of sleep quality. The mental component of quality of life was predicted by occupational balance, sleep quality, and leisure satisfaction. Occupational balance was predicted by leisure satisfaction, coping, the mental component of quality of life, and sleep quality. Leisure satisfaction emerged as a key factor influencing occupational balance, sleep quality, and mental well-being, highlighting its role in caregiver support.</p>","PeriodicalId":47195,"journal":{"name":"Otjr-Occupation Participation and Health","volume":" ","pages":"15394492261431564"},"PeriodicalIF":1.5,"publicationDate":"2026-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147718370","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
Self-Selected Goal Attainment Following Botulinum Toxin A Injections: Upper Limb Performance Assessment. A型肉毒毒素注射后自我选择的目标实现:上肢表现评估。
IF 1.5 4区 医学
Otjr-Occupation Participation and Health Pub Date : 2026-04-16 DOI: 10.1177/15394492261435538
Hannah L H Barden, Ian J Baguley, Melissa T Nott, James Elhindi, Judy Ranka
{"title":"Self-Selected Goal Attainment Following Botulinum Toxin A Injections: Upper Limb Performance Assessment.","authors":"Hannah L H Barden, Ian J Baguley, Melissa T Nott, James Elhindi, Judy Ranka","doi":"10.1177/15394492261435538","DOIUrl":"https://doi.org/10.1177/15394492261435538","url":null,"abstract":"<p><p>Challenges remain in measuring functional upper limb (UL) outcomes following Botulinum Toxin A (BTX-A) injections for muscle spasticity. Few measures exist to evaluate personally meaningful UL performance. The Upper Limb Performance Assessment (ULPA) is an observer-rated measure using patient-centred and selected tasks in real-world conditions. This multicentre, pre/post observational study examined the ULPA's ability to measure motor function of adults with UL spasticity following acquired brain injury on self-selected goals. The ULPA detected change in UL functional use for self-selected goals, with improved Task Performance Mastery and reduced Excessive and Missing task-specific movements. This corresponded with an increased number of Expected movements for the task. ULPA sub-measures correlated with goal attainment as measured by Goal Attainment Scaling. The ULPA, a skilled clinical observation measure, can detect change in functional UL performance following BTX-A injection in adults with acquired brain injury.</p>","PeriodicalId":47195,"journal":{"name":"Otjr-Occupation Participation and Health","volume":" ","pages":"15394492261435538"},"PeriodicalIF":1.5,"publicationDate":"2026-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147700209","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
Psychometric Properties of Turkish Version of Perceived Efficacy and Goal-Setting System. 土耳其版本的感知效能和目标设定系统的心理测量特性。
IF 1.5 4区 医学
Otjr-Occupation Participation and Health Pub Date : 2026-04-16 DOI: 10.1177/15394492261431633
Gokcen Akyurek, Rumeysa Gunal Gunser, Rukiye Begum Koca Senturk
{"title":"Psychometric Properties of Turkish Version of Perceived Efficacy and Goal-Setting System.","authors":"Gokcen Akyurek, Rumeysa Gunal Gunser, Rukiye Begum Koca Senturk","doi":"10.1177/15394492261431633","DOIUrl":"https://doi.org/10.1177/15394492261431633","url":null,"abstract":"<p><p>Goal setting is essential in pediatric rehabilitation to enhance participation and meaningful goals. This study examined the construct validity, internal consistency, and test-retest reliability of the Turkish version of the Perceived Efficacy and Goal-Setting System (PEGS) in children with disabilities. A methodological cross-sectional design was used with 120 children aged 7 to 9 years (90.9% cerebral palsy, 9.1% spina bifida), their caregivers, and teachers from three rehabilitation centers in Turkey. The adaptation process followed WHO guidelines. Data were collected with PEGS-Child, PEGS-Caregiver, PEGS-Teacher forms, and demographics. Exploratory and confirmatory factor analyses confirmed a single-factor structure consistent with the original, with factor loadings above 0.320 and acceptable fit indices (CFI > 0.90, RMSEA < 0.08). Cronbach's alpha ranged from 0.72 to 0.77. Test-retest reliability was high (ICC = 0.876-0.943). The Turkish PEGS is valid and reliable, supporting child participation in goal-setting and fostering collaboration between home and school.</p>","PeriodicalId":47195,"journal":{"name":"Otjr-Occupation Participation and Health","volume":" ","pages":"15394492261431633"},"PeriodicalIF":1.5,"publicationDate":"2026-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147700250","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 Framework for Occupational Therapists Managing Oral Feeding in Preterm Infants. 职业治疗师管理早产儿口腔喂养的框架。
IF 1.5 4区 医学
Otjr-Occupation Participation and Health Pub Date : 2026-04-14 DOI: 10.1177/15394492261428990
Sandra Fucile
{"title":"A Framework for Occupational Therapists Managing Oral Feeding in Preterm Infants.","authors":"Sandra Fucile","doi":"10.1177/15394492261428990","DOIUrl":"https://doi.org/10.1177/15394492261428990","url":null,"abstract":"<p><p>Oral feeding is a complex multidimensional process that preterm infants often face challenges achieving due to their immaturity, medical complexity, and environmental influences in the neonatal intensive care unit. The objective of this study is to describe a framework and clinical guide of the oral feeding process. Evidence from current literature on preterm infant oral feeding was synthesized and integrated. The proposed framework identifies core skills (sucking, swallowing, breathing, and aerodigestion), which are influenced by intrinsic factors (musculoskeletal, respiratory, cardiovascular, gastrointestinal, sensory, and neurological) and extrinsic factors (physical surroundings, policies, parent attributes, health care provider, and feeding equipment). The framework and clinical guide offer an evidence-based approach for understanding oral feeding in preterm infant. Recognizing oral feeding as a multidimensional occupation enables occupational therapists to address the range of factors influencing infants' oral feeding performance.</p>","PeriodicalId":47195,"journal":{"name":"Otjr-Occupation Participation and Health","volume":" ","pages":"15394492261428990"},"PeriodicalIF":1.5,"publicationDate":"2026-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147677708","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
You and Me to We: Using Reflexivity to Foster an Agency-University Partnership for Participatory Action Research. 你和我到我们:利用反身性促进参与行动研究的机构-大学伙伴关系。
IF 1.5 4区 医学
Otjr-Occupation Participation and Health Pub Date : 2026-04-01 Epub Date: 2025-08-13 DOI: 10.1177/15394492251364740
Wanda J Mahoney, Jessie L Bricker, Grace A Franko Barlow, Timothy J Johnson, Sarah C Smith
{"title":"You and Me to We: Using Reflexivity to Foster an Agency-University Partnership for Participatory Action Research.","authors":"Wanda J Mahoney, Jessie L Bricker, Grace A Franko Barlow, Timothy J Johnson, Sarah C Smith","doi":"10.1177/15394492251364740","DOIUrl":"10.1177/15394492251364740","url":null,"abstract":"<p><p>Reflexivity can be an important tool for building relationships for participatory research. The purpose of this article was to explore key indicators of a developing participatory action research partnership between an occupational therapy education program and a developmental disability agency. Agency staff leaders and occupational therapy faculty participated in a contextual and interpersonal reflexivity process during participatory action research. Through this process, researchers recognized similar values between their organizations. They also reflected on the evolving mutual benefit of the partnership over time. The relationship grew by including each other in activities important to their organizations. Increasing responsibilities, including the process of agency staff becoming university-recognized researchers, facilitated becoming researchers together. Collaborative, structured reflexivity can illuminate meaning and characteristics of a developing participatory action research partnership. The process and findings can inform future partnerships, especially for entry-level occupational therapy education programs.</p>","PeriodicalId":47195,"journal":{"name":"Otjr-Occupation Participation and Health","volume":" ","pages":"247-255"},"PeriodicalIF":1.5,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144838192","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
Identifying Collective Efforts to Support Community Participation Among People With Multiple Sclerosis. 确定支持多发性硬化症患者社区参与的集体努力。
IF 1.5 4区 医学
Otjr-Occupation Participation and Health Pub Date : 2026-04-01 Epub Date: 2025-10-23 DOI: 10.1177/15394492251379327
Bishan Yang, Jennifer Sullivan, Elysa Lanz, Michael Schiller, Emma Gregg, Carolyn Baylor, Dawn M Ehde, Danbi Lee
{"title":"Identifying Collective Efforts to Support Community Participation Among People With Multiple Sclerosis.","authors":"Bishan Yang, Jennifer Sullivan, Elysa Lanz, Michael Schiller, Emma Gregg, Carolyn Baylor, Dawn M Ehde, Danbi Lee","doi":"10.1177/15394492251379327","DOIUrl":"10.1177/15394492251379327","url":null,"abstract":"<p><p>People with multiple sclerosis (PwMS) face significant challenges in community participation. While existing efforts primarily target individual-level barriers, broader system-level support remains underexplored. The objective of this study was to identify actionable system-level changes that support PwMS in community participation. Using a community-engaged research approach, we conducted an online community engagement meeting (CEM) with diverse MS community members. A community advisory board was involved in planning, implementation, and dissemination. The CEM featured a research presentation and facilitated discussions to identify potential solutions. Participants completed a post-event feedback survey. Twenty-one participants proposed specific recommendations for bridging information gaps, improving MS care, enhancing environmental accessibility, and combating ableism. Eleven survey respondents reported meaningful participation in the CEM. The recommendations were shared directly with a policymaker. This study provides an example of engaging community members in an action-oriented dissemination activity, generating insights that can inform future support efforts by professionals and policymakers.</p>","PeriodicalId":47195,"journal":{"name":"Otjr-Occupation Participation and Health","volume":" ","pages":"302-310"},"PeriodicalIF":1.5,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145349240","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
Community Participation and Enfranchisement Among Adults With Mobility Impairments. 行动障碍成人的社区参与和选举权。
IF 1.5 4区 医学
Otjr-Occupation Participation and Health Pub Date : 2026-04-01 DOI: 10.1177/15394492261431587
McKenna J Houlihan, John V Rider
{"title":"Community Participation and Enfranchisement Among Adults With Mobility Impairments.","authors":"McKenna J Houlihan, John V Rider","doi":"10.1177/15394492261431587","DOIUrl":"https://doi.org/10.1177/15394492261431587","url":null,"abstract":"<p><p>Adults with paralysis often experience restricted community participation, yet less is known about participation enfranchisement, including perceived control and importance. This study aimed to describe patterns of participation enfranchisement and examine associations with demographic and functional factors among adults with mobility impairments. Thirty adults with paralysis using mobility aids completed the Community Participation Indicators (CPI) at an adaptive fitness center. Social and recreational activities were most frequently performed, whereas employment, volunteering, and civic activities were least frequently performed. Adjusted CPI ratios indicated higher meaningful participation in social and household activities (≥.60) and lower meaningful participation in employment, volunteering, and civic roles (≤.36). Independent driving (τ<sub>b</sub> = -.490, <i>p</i> =.002) and independent living (τb =.409, <i>p</i> =.009) were associated with greater perceived control. Longer disability duration (<i>r<sub>s</sub></i> = -.573, <i>p</i> <.001) and earlier onset (<i>r<sub>s</sub></i> =.481, <i>p</i> =.007) were associated with lower perceived importance. Findings highlight barriers and opportunities for occupational therapy to enhance participation enfranchisement.</p>","PeriodicalId":47195,"journal":{"name":"Otjr-Occupation Participation and Health","volume":" ","pages":"15394492261431587"},"PeriodicalIF":1.5,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147595559","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
Embodying the Work: An Interpretive Phenomenological Analysis of Becoming Peer Support Workers. 体现工作:成为同伴支持工作者的解释现象学分析。
IF 1.5 4区 医学
Otjr-Occupation Participation and Health Pub Date : 2026-04-01 Epub Date: 2025-11-17 DOI: 10.1177/15394492251385459
Susan Magasi, Kathryn Smith, Ocean Jerriel Bolocon, Ronnell Booze, Ryann Brown, Robert L Green
{"title":"Embodying the Work: An Interpretive Phenomenological Analysis of Becoming Peer Support Workers.","authors":"Susan Magasi, Kathryn Smith, Ocean Jerriel Bolocon, Ronnell Booze, Ryann Brown, Robert L Green","doi":"10.1177/15394492251385459","DOIUrl":"10.1177/15394492251385459","url":null,"abstract":"<p><p>Peer support interventions complement traditional rehabilitation services and contribute to improving physical and mental health and community living outcomes in diverse disability populations. Yet, little is known about the impact that being a peer support worker has on people with physical disabilities who take on these roles. Peer health navigators (PHN) are a type of peer support worker specifically trained to help other people with disabilities breakdown barriers to health, healthcare, and social participation. This qualitative study explored identity transformations experienced by people with physical disabilities after adopting a PHN role in a community-based participatory research intervention study. Specifically, we used interpretative phenomenological analysis to explore the lived experiences of peer health navigators from the Our Peers-Empowerment Navigational Support study. Participants identified that serving as a PHN had a transformative impact on their disability experience through relational processes of co-creation of a positive disability identity and reciprocal empowerment. Occupational therapy practitioners can facilitate peer support through intentional skill and community building.</p>","PeriodicalId":47195,"journal":{"name":"Otjr-Occupation Participation and Health","volume":" ","pages":"273-282"},"PeriodicalIF":1.5,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145534855","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
Participatory Development of a Suicide Prevention Program for Autism Community Organizations. 自闭症社区组织自杀预防计划的参与式发展。
IF 1.5 4区 医学
Otjr-Occupation Participation and Health Pub Date : 2026-04-01 Epub Date: 2025-11-26 DOI: 10.1177/15394492251391675
A V Kirby, K Feldman, B Duncan-Ishcomer, R Kripke-Ludwig, A Joyce, W Lee, K Rodriguez, Z Siddeek, A Darlington, A Atisme, W Clark, K Murthi, L Wexler, C Nicolaidis
{"title":"Participatory Development of a Suicide Prevention Program for Autism Community Organizations.","authors":"A V Kirby, K Feldman, B Duncan-Ishcomer, R Kripke-Ludwig, A Joyce, W Lee, K Rodriguez, Z Siddeek, A Darlington, A Atisme, W Clark, K Murthi, L Wexler, C Nicolaidis","doi":"10.1177/15394492251391675","DOIUrl":"10.1177/15394492251391675","url":null,"abstract":"<p><p>Participatory research is critical for developing appropriate and effective programs for specific communities. Suicide is a health inequity for autistic people and prevention is a high priority for autistic community members. Using community-based participatory research with autistic partners, we aimed to develop a research-informed, conceptually grounded, and community-supported suicide prevention program for the autism community. The participatory, multistep program development process included regular meetings to integrate existing research with an established intervention framework and was informed by 38 qualitative research interviews with autistic adults, family members, and mental health providers. The development process resulted in a four-part, virtual, education and community empowerment program-Forming Love around Autistic People to Prevent Suicide (FLAPS)-aimed at supporting organizations to engage in multilevel suicide prevention efforts. Participatory research that meaningfully engages autistic community partners can support the development of promising programs to promote suicide prevention for autistic people.</p>","PeriodicalId":47195,"journal":{"name":"Otjr-Occupation Participation and Health","volume":" ","pages":"240-246"},"PeriodicalIF":1.5,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12690040/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145606904","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
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