Sophia C Larson, Alyssa E Smith, Bhooma R Aravamuthan, Hunter G Moore, Kaylin A Antonoff, Sharon Ramey, Catherine R Hoyt
{"title":"Pediatric Constraint-Induced Movement Therapy: Current Practices and Implementation Barriers.","authors":"Sophia C Larson, Alyssa E Smith, Bhooma R Aravamuthan, Hunter G Moore, Kaylin A Antonoff, Sharon Ramey, Catherine R Hoyt","doi":"10.1177/15394492241300607","DOIUrl":"https://doi.org/10.1177/15394492241300607","url":null,"abstract":"<p><p>Hemiplegic Cerebral Palsy (CP) is the most common pediatric motor disability, characterized by unilateral motor weakness. Pediatric Constraint-Induced Movement Therapy (pCIMT) improves affected extremity function but faces variable clinical integration. This study assessed U.S. providers' awareness and use of pCIMT, educational practices, and barriers to broader implementation for more eligible children. Overall, 148 providers specializing in pediatric stroke or hemiplegic CP completed surveys on pCIMT familiarity, implementation challenges, and support for evidence-based practices (EBP). Participants indicated high pCIMT competency. Although 75% reported regional pCIMT availability, only 14% indicated that pCIMT is accessible to all children who could benefit. Reported barriers included therapist and family availability, cost, and institutional limitations. Despite valuing EBP, participants reported minimal workplace support for its use. The study revealed significant barriers to pCIMT accessibility and implementation. Further research is needed to address these challenges and improve clinical adoption of EBP, such as pCIMT.</p>","PeriodicalId":47195,"journal":{"name":"Otjr-Occupation Participation and Health","volume":" ","pages":"15394492241300607"},"PeriodicalIF":1.5,"publicationDate":"2024-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142808222","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 Transportation Challenges and Opportunities for Mobility-Vulnerable Populations Through the Social-Ecological Model.","authors":"Mary Jeghers, Sandra Winter, Sherrilene Classen","doi":"10.1177/15394492241302710","DOIUrl":"https://doi.org/10.1177/15394492241302710","url":null,"abstract":"<p><p>Community mobility is a vital activity of daily living. Mobility-vulnerable populations-individuals with incomes below the federal poverty threshold, minorities, individuals with disabilities, and older adults-face transit disparities. Advanced technologies (e.g., ride-sharing) may mitigate transportation inequities, but limited evidence considers mobility-vulnerable populations. Utilizing the social-ecological model, the team examined challenges and opportunities associated with transportation availability, accessibility, affordability, acceptability, and adaptability among two socioeconomic communities. Four focus groups were conducted using community-based participatory research principles. Community advisory boards informed focus group development and implementation. A thematic analysis was performed using the social-ecological model. Participants (<i>N</i> = 23) experienced transportation challenges and opportunities at all levels of the social-ecological model-individual (e.g., bus availability), relationship (e.g., peer support), community (e.g., safety), and societal (e.g., social isolation). Findings indicate the importance of looking beyond individual factors and exploring relationships, community, and societal impacts on transportation use.</p>","PeriodicalId":47195,"journal":{"name":"Otjr-Occupation Participation and Health","volume":" ","pages":"15394492241302710"},"PeriodicalIF":1.5,"publicationDate":"2024-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142802847","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":"Perceptions of Participation for Wheelchair Rugby Team Members: A Qualitative Inquiry.","authors":"Kate Eglseder, Lori Patria, Barbara Demchick","doi":"10.1177/15394492241290710","DOIUrl":"10.1177/15394492241290710","url":null,"abstract":"<p><p>Although physical activity has been shown to influence physical, social, and emotional well-being, individuals experiencing quadriparesis often lack knowledge of and access to adaptive sporting programs. The purpose of this study was to explore the perceptions about wheelchair rugby's impact on community participation and well-being for individuals with quadriparesis and to identify functional barriers to participation. Qualitative semistructured interviews were used to explore the perception of participation in wheelchair rugby on community participation and well-being for adults with quadriparesis. Participants perceived that their participation in sports had positive benefits on community participation and well-being. In addition, participants identified barriers to participation for individuals with quadriparesis. Practitioners working with individuals with quadriparesis should consider sports participation when designing interventions and education.</p>","PeriodicalId":47195,"journal":{"name":"Otjr-Occupation Participation and Health","volume":" ","pages":"15394492241290710"},"PeriodicalIF":1.5,"publicationDate":"2024-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142636175","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}
Gordon Muir Giles, Yael Goverover, Erin R Foster, Lisa Tabor Connor, Dorothy Farrar Edwards, Carolyn Baum, Joan Toglia
{"title":"Functional Cognition: Moving the Field Forward.","authors":"Gordon Muir Giles, Yael Goverover, Erin R Foster, Lisa Tabor Connor, Dorothy Farrar Edwards, Carolyn Baum, Joan Toglia","doi":"10.1177/15394492241296811","DOIUrl":"https://doi.org/10.1177/15394492241296811","url":null,"abstract":"<p><p>The concept of functional cognition has been variously defined, but at its core relates to how cognitive and performance abilities are integrated and used in everyday life. Functional cognition is a fundamental element of occupational performance, and functional cognitive assessment and intervention are central to how occupational therapy can improve client outcomes. Attendees at a conference convened by the American Occupational Therapy Foundation identified areas where the construct of functional cognition required further clarification. This paper briefly reviews these issues setting the stage for further conceptual analysis. The paper also examines the practical challenges that must be addressed before functional cognitive assessment and intervention can be fully integrated into occupational therapy practitioners' professional practice. Potential routes to address these challenges are identified.</p>","PeriodicalId":47195,"journal":{"name":"Otjr-Occupation Participation and Health","volume":" ","pages":"15394492241296811"},"PeriodicalIF":1.5,"publicationDate":"2024-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142636173","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}
Heather A Shepherd, Tiago S Jesus, Emily Nalder, Armaghan Dabbagh, Heather Colquhoun
{"title":"Occupational Therapy Research Publications From 2001 to 2020 in PubMed: Trends and Comparative Analysis with Physiotherapy and Rehabilitation.","authors":"Heather A Shepherd, Tiago S Jesus, Emily Nalder, Armaghan Dabbagh, Heather Colquhoun","doi":"10.1177/15394492241292438","DOIUrl":"10.1177/15394492241292438","url":null,"abstract":"<p><p>A limited understanding of trends in occupational therapy (OT) research publications exists. This study aimed to evaluate trends in OT research publications, in PubMed (2001-2020), compared to physiotherapy and rehabilitation. A method of secondary analysis of publication trends in the PubMed database was used. Medical subject headings for OT, physiotherapy, and rehabilitation were combined with search filters (e.g., population age, study design, and OT practice area). Linear regressions were computed to analyze changes in yearly growth. OT research publications increased by 5.86 per year and comprised less than 2.5% of rehabilitation research publications yearly. Knowledge synthesis was the predominant OT study design (2.94% yearly increase; <i>p</i> < .001). Intellectual/cognitive conditions and emergent practice areas in OT research publications increased over time (both <i>p</i> = .007). OT research publications were relatively evenly distributed across population age. OT research publications are increasing over time but lag relative to physiotherapy and rehabilitation broadly. Our findings may inform future OT research priorities.</p>","PeriodicalId":47195,"journal":{"name":"Otjr-Occupation Participation and Health","volume":" ","pages":"15394492241292438"},"PeriodicalIF":1.5,"publicationDate":"2024-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142584366","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":"Roles Caregivers Take on in Pediatric Rehabilitation Telehealth Services: A Scoping Review.","authors":"Melanie Morriss Tkach, Juliana Hudson Earwood","doi":"10.1177/15394492241291576","DOIUrl":"https://doi.org/10.1177/15394492241291576","url":null,"abstract":"<p><strong>Background: </strong>Caregivers and children continue to use pediatric rehabilitation telehealth services (PRTS) post-pandemic. Understanding how caregivers support children during PRTS can help us fully integrate caregivers for positive outcomes. This scoping review describes the roles caregivers take on during PRTS.</p><p><strong>Methods: </strong>We searched MEDLINE, CINAHL, PsycINFO, and ERIC for research published January 2005 to July 2023. We included English articles on the effect of PRTS. We excluded qualitative and non-peer-reviewed literature.</p><p><strong>Results: </strong>Thirty-four articles met inclusion criteria. Caregivers were gatekeepers, technicians, implementers, trainees, collaborators, telehealth consumers, and supervisors in PRTS. Caregivers took on roles throughout PRTS, and roles varied by type of PRTS delivered.</p><p><strong>Conclusions: </strong>Caregivers take on multiple roles to support children during PRTS. Our results can inform clinical decisions about how to integrate and support caregivers in PRTS. Future research should explore strategies that support caregiver role taking to maximize caregiver involvement and outcomes in PRTS.</p>","PeriodicalId":47195,"journal":{"name":"Otjr-Occupation Participation and Health","volume":" ","pages":"15394492241291576"},"PeriodicalIF":1.5,"publicationDate":"2024-11-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142584373","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}
Katie Dahlerbruch, Christine Helfrich, Simone V Gill
{"title":"Participation as Co-Occupation Between Parents and Adult Children With Profound Intellectual and Multiple Disabilities.","authors":"Katie Dahlerbruch, Christine Helfrich, Simone V Gill","doi":"10.1177/15394492241292267","DOIUrl":"https://doi.org/10.1177/15394492241292267","url":null,"abstract":"<p><p>Adults with profound intellectual and multiple disabilities (PIMD) require high levels of assistance to participate in occupations. Otherwise, they experience low occupational engagement. This study aimed to explore how parents describe participation in occupations for their adult children with PIMD. Semi-structured interviews (<i>n</i> = 9) were conducted to understand how parents described their adult children's participation in occupations. Data were analyzed using the theory of co-occupation to identify themes and triangulate findings with the literature. Parents described participation as co-occupation in \"essential\" versus \"non-essential\" occupations. Participation in essential co-occupations emphasized shared physicality, while non-essential co-occupations focused on joint meaning (shared intentionality) and emotional responses (shared emotionality). Findings illustrate a way to conceptualize participation in essential versus non-essential co-occupations for adults with PIMD, highlight the importance of recognizing and illuminating subjective experiences of adults with PIMD, and provide a foundation for occupational therapists to increase occupational engagement within this population.</p>","PeriodicalId":47195,"journal":{"name":"Otjr-Occupation Participation and Health","volume":" ","pages":"15394492241292267"},"PeriodicalIF":1.5,"publicationDate":"2024-11-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142584369","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":"Examining Leisure Re-Engagement and Its Relationship With Self-Regulation After Traumatic Brain Injury: A Cross-Sectional Study.","authors":"Amanda Gahlot, Denise Krch, Yael Goverover","doi":"10.1177/15394492241288134","DOIUrl":"https://doi.org/10.1177/15394492241288134","url":null,"abstract":"<p><p>Engagement in leisure activities is a significant contributor to health. Individuals with traumatic brain injury (TBI) report not returning to pre-injury levels of leisure participation. Self-regulation (SR) is a possible factor of limited re-engagement. This study aimed to examine leisure re-engagement patterns and the impact of SR on these patterns. Fifty-five adults with TBI were included in a cross-sectional study. Participants completed a leisure activity survey, rating engagement before and after injury. Participants and an informant completed the Frontal Systems Behavior Scale (FrSBe) to assess SR. Leisure was significantly lower after injury than before injury, <i>t</i>(54) = 3.83, <i>p</i> < .001. The FrSBe apathy score was significantly associated with lower re-engagement (eta = 0.42) and may predict engagement after injury (Δ<i>R</i><sup>2</sup> = .09, <i>p</i> < .05). Apathy may contribute to difficulty re-engaging in leisure activities. Re-engagement in leisure activities should be a focus of occupational therapy intervention after TBI.</p>","PeriodicalId":47195,"journal":{"name":"Otjr-Occupation Participation and Health","volume":" ","pages":"15394492241288134"},"PeriodicalIF":1.5,"publicationDate":"2024-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142510286","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}
Heidi N Robertson, Victor Michael Camacho, Catherine Tsang-Wu, Jamie Provisor, Vera Gallagher, Irma J Pereira
{"title":"Exploring Interoceptive Awareness With Adults: Occupational Therapy Practitioner Knowledge, Perception, and Practice Patterns.","authors":"Heidi N Robertson, Victor Michael Camacho, Catherine Tsang-Wu, Jamie Provisor, Vera Gallagher, Irma J Pereira","doi":"10.1177/15394492241277470","DOIUrl":"https://doi.org/10.1177/15394492241277470","url":null,"abstract":"<p><p>As the literature states, interoception is important in health and wellness. Disruption of this system can negatively impact occupational performance. We completed a descriptive study to understand how occupational therapy practitioners working with adults address interoceptive awareness. A researcher-developed survey gathered data on knowledge acquisition of interoception and perceived practice patterns related to assessment, intervention, and outcomes. Participants (<i>N</i> = 44) reported acquiring knowledge of interoception through professional websites, browsing databases, and continuing education as the most common information sources. Client self-report (56.8%) and clinical observation (54.5%) were the most commonly reported assessments. Rehabilitation practitioners (<i>n</i> = 8) reported no use of formal assessments. Most participants (63.89%) reported interoceptive awareness interventions to be effective. Further research is needed on best practices for interoception assessment and intervention related to occupational performance.</p>","PeriodicalId":47195,"journal":{"name":"Otjr-Occupation Participation and Health","volume":" ","pages":"15394492241277470"},"PeriodicalIF":1.5,"publicationDate":"2024-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142510287","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}
Yaena Ha, Sangmi Park, Geummi Roh, Jiho Kim, Eunji Kim, Ickpyo Hong
{"title":"Association Between Adequate Sleep and Participation in Occupational Areas in School-Age Children.","authors":"Yaena Ha, Sangmi Park, Geummi Roh, Jiho Kim, Eunji Kim, Ickpyo Hong","doi":"10.1177/15394492241271154","DOIUrl":"https://doi.org/10.1177/15394492241271154","url":null,"abstract":"<p><p>Adequate sleep tailored to children's age is important for their well-being. This study aimed to examine the association between adequate sleep and children's participation in occupational areas. This study was a retrospective cross-sectional analysis of secondary data obtained from the 2020 National Survey of Children's Health in the United States. This study included 6,818 children aged 6 to 11 years. The mean age was 8.48 years (standard deviation = 1.72). Multivariate regression models revealed that adequate sleep was significantly associated with increased participation in occupational areas (17% more in leisure, 95% confidence interval [CI]: 1.11-1.23; 15% more in play, 95% CI: 1.07-1.22; 11% more in education, 95% CI: 1.01-1.22) in school-age children, but not with participation in work and social participation. Adequate sleep is associated with increased participation of school-age children in occupational areas.</p>","PeriodicalId":47195,"journal":{"name":"Otjr-Occupation Participation and Health","volume":" ","pages":"15394492241271154"},"PeriodicalIF":1.5,"publicationDate":"2024-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142477519","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}