Maria Löfgren, Anneli Nyman, Gunilla Isaksson, Ellinor Larsson
{"title":"Framing Facets of Social Participation: Older Adults' Experiences of \"Social Online Meetings\".","authors":"Maria Löfgren, Anneli Nyman, Gunilla Isaksson, Ellinor Larsson","doi":"10.1177/15394492241262291","DOIUrl":"https://doi.org/10.1177/15394492241262291","url":null,"abstract":"<p><p>Changing demographics with an increased proportion of older adults indicate the need to develop new health-promoting interventions where the potential of digitization is considered. The aim was to explore and create an understanding of how social online meetings are experienced by older adults. Interviews with older adults generated data that were analyzed using a grounded theory approach. The participants were interviewed after participating in a digital health promotion group initiative provided in a municipality context. A core conceptual category and three subcategories reflected an intertwined process of discovering facets of social participation where internal reflections on personal values and needs were nurtured by an external driven process of becoming part of a group in an online context. Occupational therapists and other health and social care professionals need to consider the various facets of social participation when supporting older adults active and healthy aging.</p>","PeriodicalId":47195,"journal":{"name":"Otjr-Occupation Participation and Health","volume":" ","pages":"15394492241262291"},"PeriodicalIF":1.5,"publicationDate":"2024-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141447312","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":"\"The Other Thousand Hours\": A Spinal Cord Injury Self-Management Program Qualitative Analysis.","authors":"Bridget Kraus, Annie Lakin, Natalie Sherbrooke","doi":"10.1177/15394492241260648","DOIUrl":"10.1177/15394492241260648","url":null,"abstract":"<p><p>People with spinal cord injury experience secondary health conditions (SHCs) at a high rate which impacts life expectancy and functional performance. Self-management (SM) is an evidence-based approach to reduce the negative effects of SHCs, but prior SM programs have not been successful for the spinal cord injury (SCI) population. We sought to describe the experiences of participants completing a group-based telehealth program that is tailored to the SCI population: The Spinal Cord Injury Self-Management (SCISM) Program. We conducted interviews using Interpretive Phenomenological Analysis to examine participants' experiences. Twenty-two participants completed the interviews. Four themes (\"A Sense of Community,\" \"Being Held Accountable,\" \"I'm Still Learning,\" and \"Being Proactive Instead of Reactive\") emerged. People with SCI require continued support throughout the chronic stage of SCI particularly at the community level to address mental health as well as the learning and application of SM skills through tailored interventions that foster community and accountability.</p>","PeriodicalId":47195,"journal":{"name":"Otjr-Occupation Participation and Health","volume":" ","pages":"15394492241260648"},"PeriodicalIF":1.5,"publicationDate":"2024-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141443551","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":"Associations Among Hypersensitivity, Vagal Tone, and Mood State in Adults.","authors":"Hikari Otsuka, Keisuke Irie, Riku Takebuchi, Hiroyuki Inadomi","doi":"10.1177/15394492241259402","DOIUrl":"https://doi.org/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":"15394492241259402"},"PeriodicalIF":1.4,"publicationDate":"2024-06-15","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}
Bethany A Gruskin, Marinthea Richter, Kathryn M Loukas, Amber M Angell
{"title":"Expertise Gained During the COVID-19 Pandemic: Exploring Ethical Implications Through Practitioners' Narratives.","authors":"Bethany A Gruskin, Marinthea Richter, Kathryn M Loukas, Amber M Angell","doi":"10.1177/15394492241254742","DOIUrl":"https://doi.org/10.1177/15394492241254742","url":null,"abstract":"<p><p>The COVID-19 pandemic necessitated a transition to telehealth. Research supports the use of telehealth; however, there is a paucity of literature on the ethical considerations of this shift. This study explored ethics through narratives of practitioners' lived experiences of transitioning to telehealth. Semi-structured interviews were conducted virtually with 10 pediatric health care professionals. Transcripts were analyzed from a narrative phenomenological perspective. Discussed themes include <i>responding to the rapid redirection, collaborating with colleagues and caregivers, applying therapeutic use of self</i>, and <i>evolving pragmatic clinical reasoning.</i> Transitioning to telehealth resulted in ethical dilemmas pertaining to clients and practitioners. The need for additional support was salient to ensure clients received beneficial services that would not cause harm (non-maleficence). Communities of practice formed organically as forums to explore strategies for sharing comprehensive and equitable information (veracity and justice). Knowledge generated through providers' experiences may inform future guidelines on service delivery transitions.</p>","PeriodicalId":47195,"journal":{"name":"Otjr-Occupation Participation and Health","volume":" ","pages":"15394492241254742"},"PeriodicalIF":1.4,"publicationDate":"2024-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141071058","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}
Camryn N. Beyers, Jennifer A. Weaver, Carly M. Huyber, Jennifer Currin-McCulloch, Arlene A. Schmid
{"title":"Occupational Therapists’ Perspectives and Role With Illness-Induced Trauma From Medical Conditions","authors":"Camryn N. Beyers, Jennifer A. Weaver, Carly M. Huyber, Jennifer Currin-McCulloch, Arlene A. Schmid","doi":"10.1177/15394492241247735","DOIUrl":"https://doi.org/10.1177/15394492241247735","url":null,"abstract":"Illness-induced trauma (IIT) might cause a disruption in an individual’s occupational performance. To examine occupational therapy practitioners’ (OTPs) perspectives and role in addressing IIT. In this descriptive mixed-methods design, 24 OTPs completed an online survey and 10 OTPs participated in a semi-structured 1:1 interview. Survey questions asked about knowledge regarding IIT. Interviews addressed incorporation of IIT knowledge and trauma-informed care (TIC) into practice. Quantitative results showed most OTPs (64%) did not receive TIC training and believed training was inadequate. Qualitative results indicated three major themes: “Impact on Rehabilitation,” “Variety of OT Approaches for IIT,” and “Barriers to Providing Trauma-Informed Care.” Although OTPs report inconsistencies with incorporating TIC into practice, there are similarities with foundational OT skills and TIC. Findings suggest OTPs utilize a TIC approach to support clients with IIT to process and re-engage in meaningful occupations.","PeriodicalId":47195,"journal":{"name":"Otjr-Occupation Participation and Health","volume":"1 1","pages":""},"PeriodicalIF":1.4,"publicationDate":"2024-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140830929","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}
Sahar Ghahramani, Afsoon Hassani Mehraban, Mehdi Alizadeh Zarei, Sulmaz Ghahramani
{"title":"Occupational Therapy Outcome Measures in Preschool Children With Autism Spectrum Disorders: A Scoping Review","authors":"Sahar Ghahramani, Afsoon Hassani Mehraban, Mehdi Alizadeh Zarei, Sulmaz Ghahramani","doi":"10.1177/15394492241246547","DOIUrl":"https://doi.org/10.1177/15394492241246547","url":null,"abstract":"With the rising prevalence of autism spectrum disorder (ASD), early assessment of preschool children is vital for occupational therapists. This scoping review aimed to provide detailed information about outcome measures used in occupational therapy interventions in preschool children with ASD and map the focus of the outcome measures based on the International Classification of Functioning, Disability, and Health (ICF) components. A thorough search from 2000 to 2022 was conducted that employed ICF linking rules to categorize the outcome measures. Seventy-four outcome measures were identified. They predominantly targeted body function and activity/participation, with less emphasis on environmental factors, and none assessed body structure. The most common measures were Vineland Adaptive Behavior Scale (VABS-2), Canadian Occupational Performance Measure (COPM), and Parenting Stress Index–Short Form (PSI-SF). This study offers a diverse array of outcome measures and underscores the potential of the ICF framework in enhancing evaluations, particularly concerning broader environmental components as one of the primary facilitating/hindering factors in the participation of children with ASD.","PeriodicalId":47195,"journal":{"name":"Otjr-Occupation Participation and Health","volume":"364 1","pages":""},"PeriodicalIF":1.4,"publicationDate":"2024-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140830838","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}
B. Caitlin Peters, Robin Gabriels, Arlene A. Schmid, Rebecca K. F. Lassell, Zhaoxing Pan, Ari Hoffman, Susan Hepburn
{"title":"Occupational Therapy Using Zones of Regulation™ Concepts: A Feasibility Study","authors":"B. Caitlin Peters, Robin Gabriels, Arlene A. Schmid, Rebecca K. F. Lassell, Zhaoxing Pan, Ari Hoffman, Susan Hepburn","doi":"10.1177/15394492241246549","DOIUrl":"https://doi.org/10.1177/15394492241246549","url":null,"abstract":"There is a lack of peer-reviewed research on occupational therapy using Zones of Regulation™ concepts for autistic youth. The purpose of this article is to describe the feasibility of a newly-developed occupational therapy intervention using Zones of Regulation™ concepts (OT-ZOR) for autistic youth. Specifically, we aimed to evaluate: (a) participant recruitment, retention, and attendance; (b) intervention fidelity, safety, and assessment completion; (c) intervention acceptability; and (d) preliminary participant outcomes. A single-arm feasibility study was completed with outcome measures before and after 10 weeks of OT-ZOR. Fourteen autistic youth ages 6 to 13 completed the study. Youth attended 94% of OT-ZOR sessions. Providers achieved 97% fidelity to the intervention. Occupational therapists and caregivers expressed overall satisfaction with the OT-ZOR intervention. Youth demonstrated significant decreases in irritability, hyperactivity, emotional reactivity, and dysphoria. OT-ZOR is feasible to implement, acceptable to providers and caregivers, and may improve self-regulation in autistic youth.","PeriodicalId":47195,"journal":{"name":"Otjr-Occupation Participation and Health","volume":"23 1","pages":""},"PeriodicalIF":1.4,"publicationDate":"2024-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140801874","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}
Renata Hoeflich Damaso de Oliveira, Ana Paula Serrata Malfitano
{"title":"Occupational Therapy and Imprisoned Adolescents: An Analysis of Professional Practices","authors":"Renata Hoeflich Damaso de Oliveira, Ana Paula Serrata Malfitano","doi":"10.1177/15394492241247570","DOIUrl":"https://doi.org/10.1177/15394492241247570","url":null,"abstract":"The care of adolescents in reclusion has been a field of work for occupational therapists in different parts of the world. The objective of this study was to describe and analyze Brazilian occupational therapists’ practices with adolescents in reclusion. Research conducted in Brazil, identifying 56 professionals, invited to answer a questionnaire ( n = 43); participate in discussion groups ( n = 9); and interview ( n = 4). Professionals reported different visions that guide their practices, including the identification of individual skills and the profession’s possibilities for social action. Occupational therapists have specificities to work in these institutions, highlighting the possibilities of acting with a focus on social change. Practices in occupational therapy can lead to social change if focused on social issues. Social occupational therapy offers theoretical and methodological elements that inform the profession. Reflections on the practice carried out, according to a critical perspective, enable a performance in occupational therapy that intends social change.","PeriodicalId":47195,"journal":{"name":"Otjr-Occupation Participation and Health","volume":"64 1","pages":""},"PeriodicalIF":1.4,"publicationDate":"2024-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140801792","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}
Consuelo M. Kreider, Sharon Medina, Stephanie Judycki, Chang Yu Wu, Mei-Fang Lan
{"title":"Stigma and Stigma Resilience: Role of the Undergraduate and the Campus Environment","authors":"Consuelo M. Kreider, Sharon Medina, Stephanie Judycki, Chang Yu Wu, Mei-Fang Lan","doi":"10.1177/15394492241246233","DOIUrl":"https://doi.org/10.1177/15394492241246233","url":null,"abstract":"Rationale:Stigma permeates disability experiences and compounds disability-related challenges.Objective:Identify individual and environmental factors of stigmatizing experiences of college students with learning disabilities (LDs) and attention-deficit/hyperactivity disorder (ADHD).Methodology:A qualitative descriptive design was used with a thematic analysis of 30 transcripts from group discussions among four cohorts of undergraduates with LD/ADHD ( N = 52). The Person-Environment-Occupation-Performance Model was used in interpreting the stigmatizing experiences.Findings:The themes Perceived Misconceptions and Stigmatizing Actions describe key social-environmental factors. The theme Overcoming Stigmatizing Experiences elucidates key skills and processes for developing stigma resilience. These skills and processes were anchored in self-awareness and personally contextualized understanding of disability-related challenges and strengths, which were fostered during positive interactions with supportive others, such as instructors and mentors.Implications:Findings illustrate the biopsychosocial nature of stigma and highlight the role of individual and social-environmental factors in building stigma resilience among young adults with LD/ADHD.","PeriodicalId":47195,"journal":{"name":"Otjr-Occupation Participation and Health","volume":"2015 1","pages":""},"PeriodicalIF":1.4,"publicationDate":"2024-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140801873","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":"Person and Environment Factors Supporting Self-Care Performance and Social Participation After Mild Stroke","authors":"Lindsay Bright, Carolyn M. Baum, Pamela Roberts","doi":"10.1177/15394492241246546","DOIUrl":"https://doi.org/10.1177/15394492241246546","url":null,"abstract":"Mild stroke survivors seldom receive occupational therapy services as their deficits are assumed to be minor enough to not affect their daily occupations. Yet many mild stroke survivors report deficits in self-care performance and social participation. This study investigates person and environment factors influencing self-care performance and social participation among mild stroke survivors, using the Person–Environment–Occupation–Performance (PEOP) model. A retrospective cohort analysis of 736 mild stroke survivors was conducted using electronic health records. Person factors included demographic characteristics and clinical characteristics, and environment factors included the Social Vulnerability Index. The analysis included logistic regression. Approximately, 10% of patients reported deficits in self-care or social participation. Disability level was the only person factor associated with self-care performance. Person factors affecting social participation included mobility and unemployment. Socioeconomic status was associated with both occupation measures. Occupational therapy practitioners must address the person and environment factors affecting mild stroke survivors’ self-care performance and social participation.","PeriodicalId":47195,"journal":{"name":"Otjr-Occupation Participation and Health","volume":"23 1","pages":""},"PeriodicalIF":1.4,"publicationDate":"2024-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140802075","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}