{"title":"Associations Among Hypersensitivity, Vagal Tone, and Mood State in Adults.","authors":"Hikari Otsuka, Keisuke Irie, Riku Takebuchi, Hiroyuki Inadomi","doi":"10.1177/15394492241259402","DOIUrl":"10.1177/15394492241259402","url":null,"abstract":"<p><p>Although many previous studies have reported the relationship between hypersensitivity and vagal function in children, the relationship in adults is unclear. This study investigates the relationship between hypersensitivity and vagal function, discomfort to sensory stimuli, and daily mood states in healthy adults. Using a questionnaire, 39 healthy adults were divided into hypersensitivity and control groups. We compared the baseline respiratory sinus arrhythmia (RSA), reflecting vagal tone and reactivity, subjective discomfort to sensory stimuli, and daily mood status between groups. Those in the hypersensitivity group had significantly lower baseline RSA and were more likely to experience greater RSA variability and discomfort during exposure to sensory stimuli than the control group. We found no significant difference between groups in daily mood status. These findings suggest that vagal function is an important marker of hypersensitivity in healthy adults.</p>","PeriodicalId":47195,"journal":{"name":"Otjr-Occupation Participation and Health","volume":" ","pages":"170-178"},"PeriodicalIF":1.5,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141327919","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}
Andrea Fleischman, Marion Russell, Asa N Russell, Yongyue Qi, Vanessa Jewell
{"title":"Life Satisfaction and Gender Congruence in Transgender Individuals: A Role for Occupational Therapy.","authors":"Andrea Fleischman, Marion Russell, Asa N Russell, Yongyue Qi, Vanessa Jewell","doi":"10.1177/15394492241264467","DOIUrl":"10.1177/15394492241264467","url":null,"abstract":"<p><p>Societal restrictions impact transgender individuals' ability to engage in occupations that match their internal gender identity preventing gender affirmation. The aim was to explore transgender individuals' perceived levels of gender congruence and life satisfaction. A cross-sectional survey with a nonprobability sample of transgender adults was used to provide a preliminary exploration of transgender individuals' gender congruence and life satisfaction using the Gender Congruence and Life Satisfaction and World Health Organization Quality of Life-BREF. When comparing the means of the physical, psychological, social, and environmental domains to the population norm, the respondents demonstrated statistically lower scores in all four domains of the WHOQOL-BREF. In both the WHOQOL-BREF and GCLS, the mean score in psychological health and life satisfaction were the lowest. Transgender individuals prioritize self-care activities, such as hairstyling, and body image to affirm internal gender identity. Occupational therapy can assist with supporting gender transition in several occupational contexts.</p>","PeriodicalId":47195,"journal":{"name":"Otjr-Occupation Participation and Health","volume":" ","pages":"277-285"},"PeriodicalIF":1.5,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141793762","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":"Association Between Occupational Participation and Quality of Life in Japanese Older Adults.","authors":"Suguru Shimokihara, Kazuki Yokoyama, Hikaru Ihira, Yuriko Matsuzaki-Kihara, Atsushi Mizumoto, Hideyuki Tashiro, Hidekazu Saito, Keitaro Makino, Kiyotaka Shimada, Kosuke Yama, Ryo Miyajima, Takeshi Sasaki, Nozomu Ikeda","doi":"10.1177/15394492251327983","DOIUrl":"https://doi.org/10.1177/15394492251327983","url":null,"abstract":"<p><p>Positive associations between occupational participation and quality of life (QoL) are known in various populations, but there are few reports in older adults in Japan. To quantify the association between occupational participation in meaningful occupations and QoL among Japanese community-dwelling older adults. A self-administered questionnaire was sent to 626 older adults. QoL was assessed using the World Health Organization (WHO)-five well-being index, and occupational participation in meaningful occupations was measured with the self-administered occupational performance index. The association between occupational participation and QoL was analyzed. Among 367 participants, significant associations were found between occupational participation in meaningful occupations and QoL. In addition, participants with lower QoL exhibited lower levels of occupational participation in occupational control, occupational balance, and satisfaction of performance domains. There is a positive association between occupational participation and QoL among Japanese older adults. Occupational therapists should prioritize occupational participation to support the well-being of older adults.</p>","PeriodicalId":47195,"journal":{"name":"Otjr-Occupation Participation and Health","volume":" ","pages":"15394492251327983"},"PeriodicalIF":1.5,"publicationDate":"2025-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143732311","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":"Coaching Community Volunteers to Support Children With Disabilities: A Brief Report.","authors":"Valerie Miller, Dana Howell, Patrick Kitzman","doi":"10.1177/15394492251324903","DOIUrl":"https://doi.org/10.1177/15394492251324903","url":null,"abstract":"<p><p>Children with disabilities (CWD) participate in community settings less often than their nondisabled peers, often due to a lack of support. Occupational performance coaching (OPC) is an intervention that coaches adults to facilitate participation of CWD. This study examined if an OPC intervention provided to adult volunteers increased inclusion for CWD within a church setting. A mixed methods approach to using a cohort of Sunday school children with and without disabilities in a faith-setting was used. Improvements by 3 points in Goal Attainment Scale scores, by 3.2 points in total performance and 3.6 points in total satisfaction on the Canadian Occupational Performance Measure scores and improvements in the social networks were noted. This study suggests OPC used with community partners to be a feasible approach for increasing community inclusion for CWD.</p>","PeriodicalId":47195,"journal":{"name":"Otjr-Occupation Participation and Health","volume":" ","pages":"15394492251324903"},"PeriodicalIF":1.5,"publicationDate":"2025-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143677287","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":"Perceived Accessibility of Living Environment and Services Questionnaire: Validity and Reliability.","authors":"Orit Segev-Jacubovski","doi":"10.1177/15394492251322494","DOIUrl":"https://doi.org/10.1177/15394492251322494","url":null,"abstract":"<p><p>Assessing living-environment accessibility is relevant for older adults and others with disabilities because they influence participation in daily activities and quality of life (QoL). The objective of this study is to test the reliability and validity of the Perceived Accessibility of Living Environment and Services questionnaire (PALES). Feedback from experts on older adults and accessibility and a sample of 495 older adults (≥60 years) with/without disabilities was used to assess validity/reliability measures. Construct validity was tested via between-group (with/without disabilities) differences and correlations between PALES responses and World Health Organization's QoL domains, criterion validity via correlations between participant and researcher responses, and test-retest reliability. Results showed content validity, test-retest reliability (<i>r</i> = 0.892, <i>p</i> < .001), criterion validity (<i>r</i> = .826, <i>p</i> < .001), between-group differences <i>t</i>(493) = -6.591, <i>p</i> < .001, convergent validity (<i>r</i> = 0.41-0.31, <i>p</i> < .001), and discriminant validity (<i>r</i> = 0.16-0.14, <i>p</i> < .001). The PALES is suitable for assessing immediate neighborhood environment accessibility for older adults.</p>","PeriodicalId":47195,"journal":{"name":"Otjr-Occupation Participation and Health","volume":" ","pages":"15394492251322494"},"PeriodicalIF":1.5,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143665077","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}
Sara Benham, Kial-Ann M Rasmussen, Monique Chabot, Alanna Raffel, William E Janes
{"title":"From Makerspaces to Practice: 3D Printing Expansion to Improve Assistive Technology Access.","authors":"Sara Benham, Kial-Ann M Rasmussen, Monique Chabot, Alanna Raffel, William E Janes","doi":"10.1177/15394492251326058","DOIUrl":"https://doi.org/10.1177/15394492251326058","url":null,"abstract":"<p><p>The rising demand for assistive technology (AT) highlights the potential of 3D printing as an innovative occupational therapy (OT) tool. This cost-effective technology enables the creation of customized AT devices that enhance client participation and well-being through remediation and adaptive approaches. However, adoption in OT practice faces several barriers, including limited practitioner awareness, insufficient training, and time and maintenance challenges. This commentary proposes a tiered approach focused on expanding education and integrating 3D printing into OT training and practice settings. In addition, it advocates for developing and using validated outcome measures to evaluate the effectiveness of 3D-printed devices. Client-reported satisfaction and participation metrics should be prioritized across practice settings to ensure that 3D-printed devices meet occupational goals and user needs. Expanding educational opportunities and developing validated assessment tools focusing on participatory outcomes will support broader integration of 3D printing in OT practice, improving AT access through client and practitioner collaboration.</p>","PeriodicalId":47195,"journal":{"name":"Otjr-Occupation Participation and Health","volume":" ","pages":"15394492251326058"},"PeriodicalIF":1.5,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143659162","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}
Pamela Roberts, Debra Ouellette, Gordon Muir Giles, Tracy M Mroz, Jeremy Furniss, Julie Malloy, Trudy Mallinson
{"title":"Occupational Therapy Assessment Practice Patterns for Core Domains in Adult Populations.","authors":"Pamela Roberts, Debra Ouellette, Gordon Muir Giles, Tracy M Mroz, Jeremy Furniss, Julie Malloy, Trudy Mallinson","doi":"10.1177/15394492251320089","DOIUrl":"https://doi.org/10.1177/15394492251320089","url":null,"abstract":"<p><p>Practitioners need to demonstrate the value of occupational therapy services in achieving effective patient outcomes. To intervene effectively, we must have adequate assessment practices. This study examines variation in occupational therapy assessment practices by facility type, areas addressed, and types of instruments. The study characterizes commonly and frequently used assessment practices in core occupational domains and identifies potential practice gaps related to assessment. A cross-sectional online survey across six domains central to adult occupational therapy practice (activities of daily living [ADL], instrumental activities of daily living [IADL], fear of falling, functional cognition, psychosocial, and vision) was administered to practitioners in various settings. Surveys were obtained from 1,198 respondent. Survey responses identified differences in domains being assessed and assessment methods used by occupational therapy practitioners across hospital inpatient post-acute care facilities and community settings. There is variability in the methods used to assess domains critical to occupational therapy practice and the degree to which occupational therapists evaluate domains in practice settings.</p>","PeriodicalId":47195,"journal":{"name":"Otjr-Occupation Participation and Health","volume":" ","pages":"15394492251320089"},"PeriodicalIF":1.5,"publicationDate":"2025-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143524839","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}
Stephen Wechsler, Sheel Singh, Andres Azuero, Sarah Khalidi, Courtney J Stevens, Mark Hegel, Colleen Muse, Robin Newman, Sarah Dos Anjos, Jamme Morency, Deborah Ejem, Marie Bakitas, Kathleen Lyons
{"title":"Goal Satisfaction, Not Attainment, Predicted Occupational Performance Improvement During Behavioral Activation/Problem-Solving Rehabilitation After Breast Cancer.","authors":"Stephen Wechsler, Sheel Singh, Andres Azuero, Sarah Khalidi, Courtney J Stevens, Mark Hegel, Colleen Muse, Robin Newman, Sarah Dos Anjos, Jamme Morency, Deborah Ejem, Marie Bakitas, Kathleen Lyons","doi":"10.1177/15394492251315720","DOIUrl":"10.1177/15394492251315720","url":null,"abstract":"<p><p>Occupational performance challenges are common among breast cancer survivors (BCS). In a recent randomized controlled trial (RCT), our rehabilitation intervention catalyzed significantly greater improvements in occupational performance compared to an education-based control condition. To describe BCS' activity priorities and examine what short-term goal characteristics (i.e., focus) and outcomes (i.e., attainment, satisfaction) predicted long-term occupational performance improvement. Post hoc analysis of intervention session data from an RCT. Content analysis was used to summarize participants' short-term and long-term goals. Linear regressions were conducted to examine associations between weekly goal characteristics and outcomes and occupational performance improvement. Among 138 BCS, 119 (86.2%) set long-term goals focused on exercise. Self-reported satisfaction with weekly goal outcomes was the strongest predictor of occupational performance improvement (η<sub>p</sub><sup>2</sup> = 0.14-0.17, <i>p</i> < .001). Satisfaction with short-term goal outcomes, regardless of goal focus or attainment, predicts long-term occupational performance improvement in the year following breast cancer treatment.</p>","PeriodicalId":47195,"journal":{"name":"Otjr-Occupation Participation and Health","volume":" ","pages":"15394492251315720"},"PeriodicalIF":1.5,"publicationDate":"2025-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12353347/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143516976","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":"Performance Quality Rating Scale for Somatosensation After Stroke Version 3: Reliability, Feasibility.","authors":"Tamara Wanklyn, Kate E Webster, Leeanne M Carey","doi":"10.1177/15394492241307636","DOIUrl":"https://doi.org/10.1177/15394492241307636","url":null,"abstract":"<p><p>The Performance Quality Rating Scale for Somatosensation after Stroke (PQRS-SS) guides observation of survivors of stroke performing client-selected occupations, using common operational definitions. We aimed to determine the inter- and intra-rater reliability, standard error of measurement, and feasibility (via interviews and thematic analysis) of the PQRS-SS version 3. Videos of 22 survivors of stroke with somatosensory impairment completing 38 client-selected occupations on two occasions (76 clips) were viewed by four clinicians twice, 6 weeks apart (PQRS-SS version 3). Intraclass correlation coefficients (ICC), standard error of measurement (SEM), and interview data are reported. For PQRS-SS version 3, inter-rater reliability was moderate to excellent (ICC<sub>2,1</sub> = 0.71, ICC<sub>2,4</sub> = 0.91) and intra-rater reliability was good (ICC<sub>3,1</sub> = 0.76-0.87). Clinician raters reported the PQRS-SS version 3 was easy to use. The PQRS-SS version 3 is ready for use by trained, experienced clinicians and is ready for ongoing psychometric testing.</p>","PeriodicalId":47195,"journal":{"name":"Otjr-Occupation Participation and Health","volume":" ","pages":"15394492241307636"},"PeriodicalIF":1.5,"publicationDate":"2025-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143256903","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}
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}