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":"https://doi.org/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":"","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":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Lisandra Emy Taketa Dos Santos Lima, Wellington Francisco Rodrigues, Carlo José Freire Oliveira, Edinara Kososki, Fabiana Caetano Martins Silva E Dutra, Alessandra Cavalcanti, Ana Amélia Cardoso
{"title":"Occupational Impact of COVID-19 Social Isolation on Brazilian Mothers: A Cross-Sectional Study.","authors":"Lisandra Emy Taketa Dos Santos Lima, Wellington Francisco Rodrigues, Carlo José Freire Oliveira, Edinara Kososki, Fabiana Caetano Martins Silva E Dutra, Alessandra Cavalcanti, Ana Amélia Cardoso","doi":"10.1177/15394492251316467","DOIUrl":"https://doi.org/10.1177/15394492251316467","url":null,"abstract":"<p><p>The COVID-19 pandemic lockdown impacted the occupational performance of all mothers. For those who were mothers of diversely developing children, it was even more difficult. To measure how the lockdown affected mothers in Brazil, comparing those with typically developing children (MTD) to those with children with disabilities or developmental disorders (MDD). This is a cross-sectional, exploratory, quantitative research realized using an online questionnaire; data were collected on sociodemographics and changes in occupational performance during lockdown. In total, 1,070 mothers of children aged 3 to 12 years (76.5% MTD, 23.5% MDD) reported diminished performance, especially in activities of daily living and instrumental activities of daily living. The decline was more significant in the MDD group. The lockdown negatively impacted the occupational performance of all mothers, with a greater effect on MDD, suggesting possibilities for interventions in occupational therapy to reduce maternal overload in similar situations.</p>","PeriodicalId":47195,"journal":{"name":"Otjr-Occupation Participation and Health","volume":" ","pages":"15394492251316467"},"PeriodicalIF":1.5,"publicationDate":"2025-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143484413","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":"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}
Melanie Morriss Tkach, Winnie Dunn, Timothy J Wolf
{"title":"The Feasibility of Occupation-Based Coaching for Autistic Children and Primary Caregivers.","authors":"Melanie Morriss Tkach, Winnie Dunn, Timothy J Wolf","doi":"10.1177/15394492241309322","DOIUrl":"https://doi.org/10.1177/15394492241309322","url":null,"abstract":"<p><p>Autistic children participate less and have fewer opportunities to develop participation skills than nonautistic peers. The extent to which occupation-based coaching (OBC), a metacognitive strategy training intervention, affects participation in school-age autistic children is unknown. We conducted a single-group pretest-posttest design to evaluate the feasibility and preliminary effect of telehealth OBC for autistic children (<i>n</i> = 13) and primary caregivers (<i>n</i> = 12). Participants completed eight telehealth OBC sessions to address activity-based goals; they completed child, caregiver, and family outcomes pre- and post-intervention. Recruitment, retention, caregiver measure completion, and intervention adherence rates exceeded feasibility benchmarks. OBC had large effects on child performance (Hedge's <i>g</i> = 1.65) and satisfaction (Hedge's <i>g</i> = 1.89), a moderate effect on child sleep disturbance (Hedge's <i>g</i> = 0.60), and small effects on child participation (Hedge's <i>g</i> = 0.23) and family quality of life (Hedge's <i>g</i> = 0.26). Further research in a large-scale study is warranted with changes to better support child measure completion and enhance the study protocol.</p>","PeriodicalId":47195,"journal":{"name":"Otjr-Occupation Participation and Health","volume":" ","pages":"15394492241309322"},"PeriodicalIF":1.5,"publicationDate":"2025-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142933035","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}
Beata Batorowicz, Kate Mamo, Tessa Meadows, Agnieszka Fecica, Gregor Renner
{"title":"Transition to Adulthood for Individuals With Complex Communication Needs: A Scoping Review.","authors":"Beata Batorowicz, Kate Mamo, Tessa Meadows, Agnieszka Fecica, Gregor Renner","doi":"10.1177/15394492241271162","DOIUrl":"10.1177/15394492241271162","url":null,"abstract":"<p><p>Transitioning to adulthood is a complex and challenging process for youth with complex communication needs (CCN) and/or who use augmentative and alternative communication (AAC). This scoping review examined and consolidated available evidence documenting transition barriers and facilitators. Eight databases were searched systematically using complex communications needs/augmentative and alternative communication, transition programs, and adulthood as key terms. Participants aged 14-35 years and interventions focused on transition to occupations, including education, employment, leisure pursuits, or socializing/relationships. The search yielded 3459 records, which were screened by three independent raters. Twenty-three articles met the inclusion criteria. Studies focused primarily on employment (<i>n</i> =18), postsecondary education (<i>n</i> = 10), and socializing/relationships (<i>n</i> = 13). Programs experience and outcomes varied. Enabling factors included organizations, transition-focused programs, and social networks. Barriers included low expectations, lack of programs/supports, and limited literacy skills. Future studies must include richer descriptions of programs/services and participants, while more work is required to explore long-term outcomes.</p>","PeriodicalId":47195,"journal":{"name":"Otjr-Occupation Participation and Health","volume":" ","pages":"66-84"},"PeriodicalIF":1.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11571602/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142134174","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}
Ben D Lee, Nancy Bagatell, Monica K Ridlehoover, Jennifer Womack
{"title":"Practitioner Perspectives on Occupation-Based Practice Across Varied Settings.","authors":"Ben D Lee, Nancy Bagatell, Monica K Ridlehoover, Jennifer Womack","doi":"10.1177/15394492241226876","DOIUrl":"10.1177/15394492241226876","url":null,"abstract":"<p><p>Occupation-based practice (OBP) is considered a cornerstone of occupational therapy practice. However, there is no consensus-based definition of OBP, let alone agreement on its mediators across practice settings. To describe how OBP is currently conceptualized and enacted across different practice settings, a descriptive qualitative approach of focus groups and elicitation of visual data (e.g., photographs, video recordings) was used with 65 participants. Multiple rounds of qualitative data analysis were used to identify codes and themes. Three themes were identified: (a) contextual factors of OBP, (b) client status, and (c) temporal characteristics of OBP. OBP is influenced by institutional, historical, and temporal aspects of practice settings, with further exploration needed across different practice settings and occupational therapy pedagogy styles. Considering the influence of contextual aspects may support occupational therapy practitioners and researchers' efforts to support their advocacy for occupation as a foundational concept in the profession.</p>","PeriodicalId":47195,"journal":{"name":"Otjr-Occupation Participation and Health","volume":" ","pages":"140-147"},"PeriodicalIF":16.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139708197","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":"Urinary Incontinence and Quality of Life: A Cross-Sectional Study.","authors":"Tania L Shearon, Jeffrey L Alexander","doi":"10.1177/15394492241256869","DOIUrl":"10.1177/15394492241256869","url":null,"abstract":"<p><p>Over half of women in the United States report urinary incontinence (UI). This condition can be treated conservatively, but many people do not seek treatment. The current correlational study assessed women's knowledge of UI. Specifically, we investigated the relationships between knowledge level about UI and quality of life (QoL), and between severity level of UI and QoL. A convenience cross-sectional sample of 39 older women was obtained from two YMCA locations. Data were analyzed using the Spearman rank-order correlation coefficient. A significant relationship was found between severity of UI and QoL, <i>r<sub>s</sub></i> = -.73, <i>p</i> < .001; no relationship was found between knowledge level of UI and QoL, <i>r<sub>s</sub></i> = .24, <i>p</i> = .13. Results suggested women's knowledge about the causes of UI and conservative therapy is limited. Occupational therapists need to address UI with their patients and educate them about treatment options and availability.</p>","PeriodicalId":47195,"journal":{"name":"Otjr-Occupation Participation and Health","volume":" ","pages":"105-112"},"PeriodicalIF":16.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141288771","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}
Kara Glazer, Diya Wazirali, Laura Koszer, Benjamin Ezra Canter, Brianna Pinto, Laura Stursberg, Wendy J Coster, Robin Newman
{"title":"Parenting With and Beyond Cancer: A Photo-Elicitation Study.","authors":"Kara Glazer, Diya Wazirali, Laura Koszer, Benjamin Ezra Canter, Brianna Pinto, Laura Stursberg, Wendy J Coster, Robin Newman","doi":"10.1177/15394492231217746","DOIUrl":"10.1177/15394492231217746","url":null,"abstract":"<p><p>The purpose of this study was to understand the occupational performance of parents with cancer and to understand if photo-elicitation would provide new insights into these experiences. In a semi-structured photo-elicitation interview, 36 participants living with and beyond cancer who had children under 18 years old shared and discussed photographs related to their parenting experiences. Transcribed interviews were analyzed using thematic analysis. Two main themes were identified. Parents shared how they (a) managed daily responsibilities and (b) maintained connection with their family. Across all types, stages and phases of the cancer continuum parents shared experiences related to maintaining child and family responsibilities and maintaining connection with their children. Photo-elicitation was an efficient and effective method to gather rich data from parents living with cancer. The results emphasize the clinical utility of using photo-elicitation to understand the occupational performance of parents throughout the cancer continuum of care.</p>","PeriodicalId":47195,"journal":{"name":"Otjr-Occupation Participation and Health","volume":" ","pages":"48-56"},"PeriodicalIF":16.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139075480","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}
Simone V Gill, Danny Shin, Theresa W Kim, Kara M Magane, Timothy Hereen, Michael Winter, Christine Helfrich, Richard Saitz
{"title":"A Fall Prevention Feasibility Trial for People With HIV and Alcohol Use.","authors":"Simone V Gill, Danny Shin, Theresa W Kim, Kara M Magane, Timothy Hereen, Michael Winter, Christine Helfrich, Richard Saitz","doi":"10.1177/15394492241238956","DOIUrl":"10.1177/15394492241238956","url":null,"abstract":"<p><p>Alcohol contributes to higher fall risk in people living with HIV (PLWH), yet fall prevention trials for PWH with alcohol use are lacking. To assess the feasibility of conducting a randomized controlled trial of a 10-week online fall prevention intervention tailored for PLWH with alcohol use. The intervention consisted of weekly virtual group discussions, individual phone check-ins, and home exercises. Of those eligible, 53.5% (23/43) enrolled (12 to the intervention and 11 to control). Mean age was 58 years; 82.6% had a past 6-month fall; 65.2% had alcohol use disorder; and 95.7% completed postintervention assessments. The intervention was highly rated (Client Satisfaction Questionnaire-8 score <i>M</i> = 30.4, <i>SD</i> = 1.6) with a wide range of group and individual phone session attendance. Preliminary analyses suggest the intervention may reduce the odds of falling and alcohol use frequency. Findings support the feasibility of a larger randomized trial. ClinicalTrials.gov Identifier: NCT04804579.</p>","PeriodicalId":47195,"journal":{"name":"Otjr-Occupation Participation and Health","volume":" ","pages":"85-94"},"PeriodicalIF":1.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140330218","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}