Otjr-Occupation Participation and Health最新文献_第4页

Evidence-Informed Occupational Therapy Decision Support Using Graph Retrieval-Augmented Generation. 使用图形检索-增强生成的循证职业治疗决策支持。

IF 1.4 4区医学

Otjr-Occupation Participation and Health Pub Date : 2026-08-25 DOI: 10.1177/15394492261476597

Ichiro Kutsuna, Naoki Tomiyama, Akira Masuo, Kyosuke Yorozuya, Shinya Onda, Aiko Hoshino

{"title":"Evidence-Informed Occupational Therapy Decision Support Using Graph Retrieval-Augmented Generation.","authors":"Ichiro Kutsuna, Naoki Tomiyama, Akira Masuo, Kyosuke Yorozuya, Shinya Onda, Aiko Hoshino","doi":"10.1177/15394492261476597","DOIUrl":"https://doi.org/10.1177/15394492261476597","url":null,"abstract":"Occupational therapy clinical decision-making requires support that is both evidence-informed and traceable. To develop and evaluate a clinical decision-support system (CDSS) for occupational therapy using the Japanese Association of Occupational Therapists (JAOT) Case Report Corpus. A total of 3,023 cases were included, with 90% used as a reference case set and 10% as a test case set. A knowledge graph linking assessment findings, goals, and intervention plans was constructed from the reference case set. Using GPT-5-mini, intervention plans were generated from assessment findings under five conditions: no reference information, random reference cases, keyword-based retrieval of similar cases, embedding-based retrieval of similar cases, and GraphRAG. Generated intervention plans were evaluated using the Retrieval-Augmented Generation Assessment (RAGAS) Faithfulness metric, and models were compared using paired t-tests. GraphRAG showed significantly higher faithfulness than the other reference-based models. GraphRAG may provide case-based and traceable support for occupational therapy decision-making.","PeriodicalId":47195,"journal":{"name":"Otjr-Occupation Participation and Health","volume":" ","pages":"15394492261476597"},"PeriodicalIF":1.4,"publicationDate":"2026-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148819579","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

Factors Impacting Quality of Life in People Living With Complex Regional Pain Syndrome. 影响复杂局部疼痛综合征患者生活质量的因素

IF 1.4 4区医学

Otjr-Occupation Participation and Health Pub Date : 2026-08-25 DOI: 10.1177/15394492261476586

Gretchen L Bachman, Tara Packham, Dana S Mills, Margo Kreger

引用次数: 0

Developmental Transactions Between Infant Gaze and Maternal Responsiveness and Measures of Social-Emotional Competence in Toddlerhood. 婴幼儿注视与母亲反应的发展交易及幼儿期社会情绪能力的测量。

IF 1.4 4区医学

Otjr-Occupation Participation and Health Pub Date : 2026-08-25 DOI: 10.1177/15394492261476582

Cristin M Holland, John Sideris, Barbara L Thompson, Pat Levitt, Grace T Baranek

{"title":"Developmental Transactions Between Infant Gaze and Maternal Responsiveness and Measures of Social-Emotional Competence in Toddlerhood.","authors":"Cristin M Holland, John Sideris, Barbara L Thompson, Pat Levitt, Grace T Baranek","doi":"10.1177/15394492261476582","DOIUrl":"https://doi.org/10.1177/15394492261476582","url":null,"abstract":"Background: Infants and their caregivers reciprocally influence each other through transactions within everyday activities, facilitating further child development.Objectives: This study assessed a transactional pathway between infant gaze capacities and maternal responsiveness across development and associations with child joint engagement at 24 months and social-emotional competence at 36 to 42 months of age.Methodology: Videos of mother-child play at 2, 6, 9, 12, 18, and 24 months were used to behaviorally code infant gaze, maternal responsiveness, and child joint engagement. Mothers completed a parent-report measure of social-emotional competence about their child at 36 to 42 months. Structural equation modeling tested the developed transactional model.Results: The proposed transactional pathway between infant person-gaze capacities and maternal responsivity across 2 to 18 months mediated joint engagement, while joint engagement was associated with social-emotional competence.Conclusion: Transactions occurring within play occupations between infants and caregivers across early development are critical for development of social-emotional competencies.","PeriodicalId":47195,"journal":{"name":"Otjr-Occupation Participation and Health","volume":" ","pages":"15394492261476582"},"PeriodicalIF":1.4,"publicationDate":"2026-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148819518","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

Participation Patterns, Family Routines and Environmental Factors Prior to Pediatric Psychiatric Hospitalization. 儿童精神科住院前的参与模式、家庭常规及环境因素。

IF 1.4 4区医学

Otjr-Occupation Participation and Health Pub Date : 2026-08-25 DOI: 10.1177/15394492261476598

Miranda Melamed Snir, Doron Gothelf, Roni Simchon, Shimona Lev On, Tal Shilton, Mariela Mosheva, Tal Cohen, Sofia Perez, Anat Golos

{"title":"Participation Patterns, Family Routines and Environmental Factors Prior to Pediatric Psychiatric Hospitalization.","authors":"Miranda Melamed Snir, Doron Gothelf, Roni Simchon, Shimona Lev On, Tal Shilton, Mariela Mosheva, Tal Cohen, Sofia Perez, Anat Golos","doi":"10.1177/15394492261476598","DOIUrl":"https://doi.org/10.1177/15394492261476598","url":null,"abstract":"Children admitted to psychiatric wards often experience limited participation in daily activities vital for development. This cross-sectional study compared participation in home and community settings among hospitalized children (HC) with those with neurodevelopmental disorders (ND) and typically developing peers (TD). The study involved 141 parents using the Participation and Environment Measure for Children and Youth and the Family Routines Inventory. Occupational therapists completed the Short Child Occupational Profile following a visit to the HC homes. Results showed significantly lower participation patterns among HC compared to ND and TD groups, with more barriers and parental desire for change than the TD group. Family routines that were consistent led to increased participation, while environmental barriers correlated with reduced involvement. Social and occupational environments limited home participation the most. These findings highlight that participation restrictions among HC are influenced by health conditions, environment, and routines. Occupational therapy can enhance participation and community reintegration.","PeriodicalId":47195,"journal":{"name":"Otjr-Occupation Participation and Health","volume":" ","pages":"15394492261476598"},"PeriodicalIF":1.4,"publicationDate":"2026-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148819589","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

Kangaroo Mother Care: A Bibliometric Scoping Analysis of Global Literature and Implications for Occupational Therapy. 袋鼠妈妈护理：全球文献的文献计量学范围分析及其对职业治疗的影响。

IF 1.4 4区医学

Otjr-Occupation Participation and Health Pub Date : 2026-08-20 DOI: 10.1177/15394492261476585

Alaina Nickerl, Dara Fuller, Selena Williams, Alexandra Shandalov, Kinsuk Maitra

引用次数: 0

Assessing Motor Imagery Vividness in Children Using a Visual Analog Scale: Convergent Validity and Responsiveness. 用视觉模拟量表评估儿童运动意象的生动性：收敛效度和反应性。

IF 1.4 4区医学

Otjr-Occupation Participation and Health Pub Date : 2026-08-20 DOI: 10.1177/15394492261474471

Akira Nakashima, Miyu Murata, Yuma Ishida, Rinto Tomonaga, Toshio Higashi, Ryoichiro Iwanaga

{"title":"Assessing Motor Imagery Vividness in Children Using a Visual Analog Scale: Convergent Validity and Responsiveness.","authors":"Akira Nakashima, Miyu Murata, Yuma Ishida, Rinto Tomonaga, Toshio Higashi, Ryoichiro Iwanaga","doi":"10.1177/15394492261474471","DOIUrl":"https://doi.org/10.1177/15394492261474471","url":null,"abstract":"Assessing motor imagery (MI) vividness for specific tasks is essential for effective MI training; however, no task-specific method is available for children. This study examined the usefulness of the Visual Analog Scale (VAS) for assessing MI vividness in children. Thirty-three right-handed typically developing children participated in two sessions meant to assess VAS convergent validity and responsiveness. To assess convergent validity, a shirt-donning task was assigned, and Pearson's correlation was used to test the relationship between mental chronometry and VAS scores during imagined performance. For responsiveness, pre- and post-training changes in VAS scores during the ball rotation task (BRT) were examined using paired t-tests. A significant correlation was found between mental chronometry and VAS scores for shirt donning (r = -.518, p = .002). Post-training, BRT performance improved, and VAS scores increased significantly (p < .001). These findings provide preliminary evidence of the potential usefulness of the VAS for assessing task-specific MI vividness in children.","PeriodicalId":47195,"journal":{"name":"Otjr-Occupation Participation and Health","volume":" ","pages":"15394492261474471"},"PeriodicalIF":1.4,"publicationDate":"2026-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148799425","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

How Patients Hospitalized for Chronic Obstructive Pulmonary Disease Exacerbation Understood Dyspnea Management in Acute Occupational Therapy. 慢性阻塞性肺疾病加重住院患者如何理解急性职业治疗中的呼吸困难管理。

IF 1.4 4区医学

Otjr-Occupation Participation and Health Pub Date : 2026-08-13 DOI: 10.1177/15394492261476580

Yasunori Imaoka, Sho Maruyama, Syota Matsumoto, Keita Yuba, Osamu Hataji

{"title":"How Patients Hospitalized for Chronic Obstructive Pulmonary Disease Exacerbation Understood Dyspnea Management in Acute Occupational Therapy.","authors":"Yasunori Imaoka, Sho Maruyama, Syota Matsumoto, Keita Yuba, Osamu Hataji","doi":"10.1177/15394492261476580","DOIUrl":"10.1177/15394492261476580","url":null,"abstract":"This qualitative study explored how patients hospitalized for chronic obstructive pulmonary disease (COPD) exacerbation interpreted dyspnea-management strategies learned during acute occupational therapy (OT) and how they related those strategies to anticipated use after discharge. Semi-structured interviews were conducted before discharge with 15 patients, 14 of whom were male, who received acute OT at a single acute care hospital in Japan, and the data were analyzed using reflexive thematic analysis. Patients described building a practical basis for judging how dyspnea-management strategies might be used after discharge by noticing bodily changes in dyspnea, linking strategies to daily activities, and adjusting them through trial and repetition. Anticipated use after discharge remained conditional. Participants re-evaluated strategies in relation to uncertainty about use at home, difficulty perceiving benefit, and the influence of safety concerns and long-standing habits. Acute OT may help patients judge whether and how dyspnea-management strategies could fit everyday life beyond therapist-guided sessions.","PeriodicalId":47195,"journal":{"name":"Otjr-Occupation Participation and Health","volume":" ","pages":"15394492261476580"},"PeriodicalIF":1.4,"publicationDate":"2026-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148722266","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

Culturally Meaningful Leisure Among Caribbean Diaspora Older Adults in the United States: A Qualitative Study. 在美国加勒比海散居的老年人中有文化意义的休闲：一项定性研究。

IF 1.4 4区医学

Otjr-Occupation Participation and Health Pub Date : 2026-08-13 DOI: 10.1177/15394492261476577

Nardia Aldridge, Mikayla Dunn, Reagan Smith, Jada Wood, Brittnie Milhomme

{"title":"Culturally Meaningful Leisure Among Caribbean Diaspora Older Adults in the United States: A Qualitative Study.","authors":"Nardia Aldridge, Mikayla Dunn, Reagan Smith, Jada Wood, Brittnie Milhomme","doi":"10.1177/15394492261476577","DOIUrl":"10.1177/15394492261476577","url":null,"abstract":"Leisure participation supports well-being and positive aging; however, limited research has examined culturally meaningful leisure among Caribbean older adults living in diaspora communities. This qualitative phenomenological study explored the lived experiences of culturally relevant leisure and its relationship to well-being and quality of life among community-dwelling Caribbean older adults in the United States. Ten participants completed in-depth semi-structured interviews examining leisure participation, cultural meaning, and wellness. Data were analyzed using inductive thematic analysis. Four themes emerged from the thematic analysis: Culturally Meaningful Leisure as Preservation of Identity and Heritage; Leisure as Collective Connection and Belonging; Leisure as Spiritual, Emotional, and Occupational Sustenance; and Negotiating Participation Within Diaspora Contexts. Findings revealed that culturally meaningful leisure supported identity, belonging, social participation, faith, family connection, and service. Participants described leisure as reinforcing cultural continuity and emotional well-being within the context of migration and aging.","PeriodicalId":47195,"journal":{"name":"Otjr-Occupation Participation and Health","volume":" ","pages":"15394492261476577"},"PeriodicalIF":1.4,"publicationDate":"2026-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148726121","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

Structural Relationships Among Positive Occupations, Psychological Distress, Life Functioning, and Well-Being in Community Mental Health. 社区心理健康中积极职业、心理困扰、生活功能与幸福感的结构关系

IF 1.4 4区医学

Otjr-Occupation Participation and Health Pub Date : 2026-08-13 DOI: 10.1177/15394492261476578

Takuya Noguchi, Makoto Kyougoku

{"title":"Structural Relationships Among Positive Occupations, Psychological Distress, Life Functioning, and Well-Being in Community Mental Health.","authors":"Takuya Noguchi, Makoto Kyougoku","doi":"10.1177/15394492261476578","DOIUrl":"10.1177/15394492261476578","url":null,"abstract":"This cross-sectional study examined associations among positive occupations, psychological distress, life functioning, subjective well-being, and perceived interpersonal difficulties among 276 adults with mental illness receiving community-based mental health services, including psychiatric day hospitals, in Japan. Positive occupations were defined as occupational experiences characterized by personally meaningful engagement, a sense of involvement, opportunities for achievement, and supportive social interaction. Structural equation modeling showed acceptable fit (comparative fit index [CFI] = 0.927, Tucker-Lewis index [TLI] = 0.922, root mean square error of approximation [RMSEA] = 0.062, standardized root mean square residual [SRMR] = 0.066). Greater engagement in positive occupations was associated with lower psychological distress (β = -.560), higher life functioning (β = .633), and higher subjective well-being (β = .297). Psychological distress (β = -.369) and life functioning (β = .211) were also associated with subjective well-being, which was associated with fewer perceived interpersonal difficulties (β = -.430). Findings are consistent with considering positive occupational engagement in recovery-oriented occupational therapy for community mental health.","PeriodicalId":47195,"journal":{"name":"Otjr-Occupation Participation and Health","volume":" ","pages":"15394492261476578"},"PeriodicalIF":1.4,"publicationDate":"2026-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148725799","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

Flow and Technology Acceptance in Extended Reality Leisure Participation During Mental Health Occupational Therapy. 心理健康职业治疗中扩展现实休闲参与的流程与技术接受。

IF 1.4 4区医学

Otjr-Occupation Participation and Health Pub Date : 2026-08-13 DOI: 10.1177/15394492261476591

Chia-Hui Hung, Shiu-Yuan Yang, Hsiang-Ju Chang, Yu-Ju Chen, Han-Si Shih, Shih-Chen Fan

{"title":"Flow and Technology Acceptance in Extended Reality Leisure Participation During Mental Health Occupational Therapy.","authors":"Chia-Hui Hung, Shiu-Yuan Yang, Hsiang-Ju Chang, Yu-Ju Chen, Han-Si Shih, Shih-Chen Fan","doi":"10.1177/15394492261476591","DOIUrl":"10.1177/15394492261476591","url":null,"abstract":"This convergent mixed-methods study examined extended reality (XR)-supported leisure participation among 12 long-term psychiatric inpatients completing an 8-week virtual reality and augmented reality program within occupational therapy. Flow experience and technology acceptance were assessed quantitatively alongside qualitative thematic analysis of weekly semi-structured interviews. Flow experience increased significantly (p < .05, r = .82), while technology acceptance remained stable. Perceived usefulness significantly predicted flow (R2 = .575); perceived ease of use did not. Five qualitative themes emerged: novelty-driven immersion, just-right challenge, therapist-mediated facilitation, embodied constraints, and occupational inertia limiting real-world leisure generalization. Immersive XR enhanced intrinsically motivated occupational engagement independent of generalized technology attitudes. Effective implementation requires therapist-led bridging strategies to support the transition from virtual immersion toward authentic leisure participation. XR functions as a mediating tool for expanding occupational possibilities in restricted mental health environments, with therapist facilitation constituting an active ingredient of participation.","PeriodicalId":47195,"journal":{"name":"Otjr-Occupation Participation and Health","volume":" ","pages":"15394492261476591"},"PeriodicalIF":1.4,"publicationDate":"2026-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148726522","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