Kevin Berner, Mary O'Donnell, Jessica Bell, Jillian C Salis
{"title":"Meaning and Purpose of Digital and Adaptive Gaming: A Scoping Review.","authors":"Kevin Berner, Mary O'Donnell, Jessica Bell, Jillian C Salis","doi":"10.1177/15394492251356262","DOIUrl":"10.1177/15394492251356262","url":null,"abstract":"<p><p>Digital gaming is a popular leisure occupation for people across the lifespan. Occupational therapy practitioners should understand the meaning and purpose of digital gaming for people with disabilities. This scoping review explores peer-reviewed literature investigating the meaning and purpose of digital gaming for people with disabilities. A structured search of the literature (2006-2023) was performed with four databases following the JBI Guidance for Scoping Reviews. Three independent reviewers completed article screening, selection, and extraction using a scoping review approach. Forty-eight included articles covered a range of diagnoses, settings, contexts, and outcomes. Studies explored exergaming as a therapeutic tool, outcomes of virtual reality gaming, digital gaming for cognitive retraining and the experience of disabled gamers. Limited studies examined meaning and purpose as a primary outcome. Future research around outcomes of meaning and purpose could contribute to knowledge and skills to support gaming as an occupation.</p>","PeriodicalId":47195,"journal":{"name":"Otjr-Occupation Participation and Health","volume":" ","pages":"688-698"},"PeriodicalIF":1.4,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144838188","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}
Eniko Rak, Sydney Burford, Drew Wheat, Maggie Budd, Nina Jain
{"title":"Chores Participation, Self-Efficacy, and Transition Readiness in Youths With Diabetes: Preliminary Results.","authors":"Eniko Rak, Sydney Burford, Drew Wheat, Maggie Budd, Nina Jain","doi":"10.1177/15394492251360236","DOIUrl":"10.1177/15394492251360236","url":null,"abstract":"<p><p>This study investigated the relationship of chores participation, diabetes management self-efficacy and transition readiness among adolescents with diabetes. Fifty-four youths participated (average age 13.5 years). The CHORES survey evaluated chore participation, the STARx questionnaire assessed health care transition readiness, and the Perceived Diabetes Self-Management Scale (PDSMS) assessed self-efficacy. Results showed that involvement in chores was positively correlated with transition readiness scores (<i>r</i> = .404, <i>p</i> < .05) and important subdomains of transition, namely self-management and provider communication. Mediation analysis found that self-efficacy significantly influenced the link between chores and transition readiness. This suggests that when adolescents assume more household responsibilities, they may develop greater confidence in managing their diabetes, which in turn enhances their readiness for the health care transition. Encouraging chores participation can improve transition readiness directly and indirectly, through self-efficacy. Understanding these mechanisms is key in designing patient education programs, or psychosocial interventions to support transition. Implications for health care providers and parents are discussed.</p>","PeriodicalId":47195,"journal":{"name":"Otjr-Occupation Participation and Health","volume":" ","pages":"699-708"},"PeriodicalIF":1.4,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13522413/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144859729","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}
{"title":"Reliability of the Self-Report Administration of the ABILHAND Questionnaire in Chronic Stroke.","authors":"Oyéné Kossi, Mendinatou Agbetou, Véronique Tinéponanti, Gbènankpon Gilleron Tossoulegue, Sènadé Inès Noukpo, Ditouah Didier Niama-Natta, Annemie Spooren, Peter Feys, Bruno Bonnechère, Thierry Adoukonou","doi":"10.1177/15394492251355941","DOIUrl":"10.1177/15394492251355941","url":null,"abstract":"<p><p>The ABILHAND is among the most widely used questionnaires in upper limb rehabilitation. This study aimed to evaluate whether self-report procedure of the ABILHAND-Stroke is concordant with performance observation-based procedure. Two assessments were performed with each patient on the same day using the Beninese version of the ABILHAND. Intraclass correlation coefficient (ICC2,1) and Bland-Altman plot were used to evaluate the agreement and the relationships between ABILHAND measures. A total of 123 people with chronic stroke were included in the study. ICC was .77 (95% confidence interval [CI] = [.67, .82]) with <i>p</i> < 10<sup>-6</sup> demonstrating a good concordance between both assessment methods despite significant difference between patients' mean measures (self-report = -0.06 ± 2.64 logit; performance-based = 1.28 ± 3.57 logit; <i>p</i> value < .0001). Results confirmed the concordance of the self-report regarding the performance-based measures. In clinical routine self-report of ABILHAND scale might be useful for initial screening purposes while for further investigation the performance observation-based procedure should be preferred.</p>","PeriodicalId":47195,"journal":{"name":"Otjr-Occupation Participation and Health","volume":" ","pages":"659-666"},"PeriodicalIF":1.4,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144776529","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}
Timothy Wolf, Melanie M Tkach, Samantha Shea Lemoins
{"title":"OTJR: A Year in Review 2025.","authors":"Timothy Wolf, Melanie M Tkach, Samantha Shea Lemoins","doi":"10.1177/15394492261448388","DOIUrl":"10.1177/15394492261448388","url":null,"abstract":"","PeriodicalId":47195,"journal":{"name":"Otjr-Occupation Participation and Health","volume":" ","pages":"607-608"},"PeriodicalIF":1.4,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147869932","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":"Mapping Robotics and Occupation-Based Practice in Stroke Rehabilitation: A Scoping Review.","authors":"Chirathip Thawisuk, Kaoru Inoue, Natsuka Suyama, Ryosuke Miyadera, Chanitpon Bunyawat","doi":"10.1177/15394492251347160","DOIUrl":"10.1177/15394492251347160","url":null,"abstract":"<p><p>Stroke rehabilitation often focuses on motor recovery, with robotic-assisted therapy showing promise in enhancing upper limb function. However, these interventions primarily target physical improvements and often neglect occupation-based practices. This scoping review examined how robotic rehabilitation aligns with occupational therapy principles by examining how real-life tasks are incorporated. Using Arksey and O'Malley's framework, we systematically reviewed studies published between January 2014 and July 2024 across PubMed, CINAHL, and Scopus. Of the 15 studies analyzed, most employed exoskeletons or soft robotic gloves for task-specific training, incorporating activities such as dressing, eating, and household chores. Hybrid protocols combining clinic-based robotic therapy with home programs were prevalent, demonstrating significant motor improvements. However, occupational performance outcomes were rarely measured, making it unclear whether motor gains translated into functional improvements. While robotic technologies hold promises for occupation-based rehabilitation, further research is needed to ensure these interventions support meaningful engagement and functional independence for stroke survivors.</p>","PeriodicalId":47195,"journal":{"name":"Otjr-Occupation Participation and Health","volume":" ","pages":"617-627"},"PeriodicalIF":1.4,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144303227","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}
Jacqueline Wheatcroft, Natasha A Lannin, Anne M Baker, Carolyn A Unsworth
{"title":"Expert Consensus on a Cognitive Rehabilitation Learning Package for Novice Occupational Therapists.","authors":"Jacqueline Wheatcroft, Natasha A Lannin, Anne M Baker, Carolyn A Unsworth","doi":"10.1177/15394492251345815","DOIUrl":"10.1177/15394492251345815","url":null,"abstract":"<p><p>Novice occupational therapists struggle with clinical reasoning when interpreting cognitive assessments and planning interventions for patients with an acquired brain injury (ABI), impacting patient rehabilitation outcomes. This study aimed to establish expert consensus on a self-directed learning package (SDLP) for novice occupational therapists to support clinical reasoning when planning cognitive rehabilitation. A mixed-methods design consisting of an initial survey, then three virtual Nominal Group Technique focus groups, including 21 expert occupational therapists, prioritized SDLP content and teaching methods. Experts identified: \"neuroanatomy,\" \"evidence-based practice guidelines\", \"interpretation of functional errors,\" \"delivery of cognitive rehabilitation,\" \"goal setting,\" and \"progress measurement\" as the most important content. They prioritized video demonstrations, case studies, online modules, and practical assignments as methods to deliver the SDLP. The virtual focus groups enabled rapid consensus of the content and teaching methods for an SDLP which can now be developed to support novices' clinical reasoning when planning cognitive rehabilitation.</p>","PeriodicalId":47195,"journal":{"name":"Otjr-Occupation Participation and Health","volume":" ","pages":"637-648"},"PeriodicalIF":1.4,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13522419/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144327197","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}
Gülşah Zengin Yazıcı, Müberra Tanrıverdi, Güleser Güney Yılmaz, Muhammed Rohat Yazıcı
{"title":"Psychometric Evaluation of the Turkish Classification and Assessment of Occupational Dysfunction Scale.","authors":"Gülşah Zengin Yazıcı, Müberra Tanrıverdi, Güleser Güney Yılmaz, Muhammed Rohat Yazıcı","doi":"10.1177/15394492251359205","DOIUrl":"10.1177/15394492251359205","url":null,"abstract":"<p><p>Occupational dysfunction affects daily life and well-being, requiring valid assessment tools. Cross-cultural adaptation ensures their applicability across populations. This study adapts the Classification and Assessment of Occupational Dysfunction into Turkish (CAOD-T) and evaluates its validity, reliability, psychometric evaluation and clinical compatibility. A total of 224 participants were recruited, including 179 individuals without disabilities and 45 individuals with physical disabilities. Construct validity was tested via confirmatory factor analysis (CFA). Known-groups validity compared scores between groups. Reliability was assessed using Cronbach's alpha, intraclass correlation coefficient (ICC), and McDonald's ω. Sensitivity and specificity were analyzed via receiver operating characteristic (ROC) analysis. CFA confirmed the four-factor structure (comparative fit index [CFI] = 0.934, root mean square error of approximation [RMSEA] = 0.0373). CAOD-T demonstrated strong internal consistency (α = .758), test-retest reliability (ICC = .756), and clinical compatibility (area under the curve [AUC] = 0.953, sensitivity = 93.3%, specificity = 91.11%). CAOD-T is a valid, reliable, and clinically applicable tool for assessing occupational dysfunction in Turkish populations. Future studies should explore its use across different age groups and cultures.</p>","PeriodicalId":47195,"journal":{"name":"Otjr-Occupation Participation and Health","volume":" ","pages":"649-658"},"PeriodicalIF":1.4,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144745469","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}
Ifat Velder Shukrun, Jennifer R Budman, Adina Maeir
{"title":"Cognitive-Functional Intervention for Adults With ADHD (Cog-Fun-A): An Extreme Case Series Analysis.","authors":"Ifat Velder Shukrun, Jennifer R Budman, Adina Maeir","doi":"10.1177/15394492261464070","DOIUrl":"10.1177/15394492261464070","url":null,"abstract":"<p><p>Adults with attention-deficit/hyperactivity disorder (ADHD) often experience executive dysfunction that disrupts daily routines, occupational performance, and quality of life. Occupation-based interventions such as Cognitive-Functional Intervention for Adults (Cog-Fun-A) aim to address these challenges, yet little is known about variability in engagement and outcomes. This brief report describes three contrasting cases drawn from a Cog-Fun-A pilot study. Participants completed pre-post assessments including the Behavior Rating Inventory of Executive Function-Adult Version, Canadian Occupational Performance Measure, Adult ADHD Quality of Life Scale, Self-Regulation Skills Interview, and Model of Human Occupation Screening Tool. Therapist session logs were analyzed using descriptive content analysis to construct within-case and cross-case profiles. Two participants demonstrated clinically meaningful improvements in occupational performance, satisfaction, quality of life, and self-regulation, whereas one showed minimal change. Patterns across cases suggested that motivation, attribution style, routine stability, and environmental supports may influence engagement and strategy use in metacognitive, occupation-based intervention.</p>","PeriodicalId":47195,"journal":{"name":"Otjr-Occupation Participation and Health","volume":" ","pages":"719-727"},"PeriodicalIF":1.4,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13522423/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148413172","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}
{"title":"The Japanese Version of the Quality of Upper Extremity Skills Test.","authors":"Sayaka Katori, Nobuaki Himuro, Masaki Miura, Yukihiro Kitai, Ryo Tanabe, Hirofumi Ohnishi","doi":"10.1177/15394492251349161","DOIUrl":"10.1177/15394492251349161","url":null,"abstract":"<p><p>To improve upper-limb function in children with cerebral palsy (CP), adequate assessment tools are essential for rehabilitation; however, there have been very few assessment tools with acceptable validity and reliability for use in Japan to date. The aim of this study was to describe the process of translating the Quality of Upper Extremity Skills Test (QUEST) into Japanese and to examine its psychometric properties. The QUEST was translated using a forward-backward method. Sixty-one children aged 2-18 years with a diagnosis of CP underwent assessment, with video-based reliability assessments conducted for 38 of them. The intra-class correlation coefficients were 0.94 for inter-rater reliability and 0.97 for intra-rater reliability. The total score showed a strong correlation with the Manual Ability Classification System (ρ = -0.65). A questionnaire of experts showed generally good content validity. The Japanese version of the QUEST was found to be both valid and reliable.</p>","PeriodicalId":47195,"journal":{"name":"Otjr-Occupation Participation and Health","volume":" ","pages":"628-636"},"PeriodicalIF":1.4,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144318314","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":"Minimal Important Change in Canadian Occupational Performance Measure: A Systematic Review.","authors":"Hiroshi Yuine, Takeshi Sasaki, Kazuhiro Miyata, Sawako Saito, Hideki Shiraishi","doi":"10.1177/15394492251360232","DOIUrl":"10.1177/15394492251360232","url":null,"abstract":"<p><p>The Canadian Occupational Performance Measure (COPM) recognizes a significant clinical shift with a minimum two-point alteration post-intervention. However, there is sparse evidence supporting this criterion's clinical significance. To investigate and report minimal important change (MIC) and minimal detectable change (MDC) within the COPM in various populations. In May 2023, a search was conducted to locate studies that calculated MIC and MDC in the COPM using multiple databases. Studies were screened and extracted to assess bias risk in the final article selections. After screening 229 included studies, five studies were selected; four studies calculated MIC (performance: 0.20-3.20 points, satisfaction: 1.45-3.20 points) and one study calculated MDC (performance: 1.47-3.14 points, satisfaction: 1.80-3.98 points) within the COPM. The study populations, reassessment periods, and risk of bias varied. To effectively use COPM's MIC and MDC as references, clients and intervention conditions must be considered.</p>","PeriodicalId":47195,"journal":{"name":"Otjr-Occupation Participation and Health","volume":" ","pages":"667-677"},"PeriodicalIF":1.4,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144838189","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}