American Journal of Occupational Therapy最新文献

{"title":"Improving Access to Community Occupations via Rideshare: A Pilot Study With Autistic Adults.","authors":"Stacey Reynolds, Karla Estrada, Hannah Feder, Brandon Jenkins, Maria Medina, Austin Miller, Amanda M Robinson, Roy T Sabo, Alissa Molinelli Brooke","doi":"10.5014/ajot.2026.051398","DOIUrl":"10.5014/ajot.2026.051398","url":null,"abstract":"<p><strong>Importance: </strong>Adults with autism often face barriers to community access for work and leisure, yet few programs address transportation independence and safety. This study evaluated the Safe Rideshare Program (SRP), designed to teach autistic adults to use rideshare services.</p><p><strong>Objective: </strong>To assess acceptability, appropriateness, and the potential impact of the SRP and to evaluate changes in rideshare use for community access over a 2-mo follow-up period.</p><p><strong>Design: </strong>A one-group, pretest-posttest study.</p><p><strong>Setting: </strong>Community.</p><p><strong>Participants: </strong>Thirteen autistic adults.</p><p><strong>Intervention: </strong>The SRP consisted of five virtual training modules completed synchronously with project trainers via Zoom, followed by eight ride-along sessions using either Uber or Lyft rideshare services.</p><p><strong>Outcomes and measures: </strong>Intervention acceptability was rated by participants using the Acceptability of Intervention Measure. Appropriateness of the intervention was assessed by trainers using the Intervention Appropriateness Measure. A 30-item Rideshare Independence Checklist was used to assess independence and safety using rideshare services.</p><p><strong>Results: </strong>Of the 13 enrolled participants, 12 completed the program with strong acceptability and appropriateness ratings (≥75% threshold was met). Independence and safety significantly improved during the intervention, and at the 2-mo follow-up, 8 participants reported increased independent rides (p = .011).</p><p><strong>Conclusions and relevance: </strong>The SRP demonstrated preliminary acceptability and appropriateness, as well as the potential to improve transportation independence, safety, and community access for autistic adults. Plain-Language Summary: Many autistic adults face challenges accessing their communities for work, shopping, or social activities because of transportation barriers. Learning how to use rideshare services, such as Uber or Lyft, can help address this issue, but few programs are designed to teach these skills safely and effectively. To fill this gap, our team developed the Safe Rideshare Program (SRP) and tested its usefulness. Thirteen autistic adults, ages 18 to 24 yr, participated in this study. Most participants completed the entire program and gave it high ratings for being easy to follow and helpful. Trainers who worked with the participants also reported that the program was useful. By the end of the training, participants showed significant improvements in their ability to use rideshare services independently and safely. Two months after finishing the program, many participants continued to use rideshare services. On the basis of our preliminary findings, we believe that the SRP shows promise in helping autistic adults overcome transportation barriers and gain more independence. With improved access to transportation, participants were able ","PeriodicalId":48317,"journal":{"name":"American Journal of Occupational Therapy","volume":"80 3","pages":""},"PeriodicalIF":2.1,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147505205","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":"Examination of Total Hours of Volunteering or Informal Helping Among Older Adults and Risk of Future Functional Disability Using Data From a Large Panel Study.","authors":"Raymond Hernandez, Stefan Schneider, Bart Orriens, Elizabeth Zelinski","doi":"10.5014/ajot.2026.051162","DOIUrl":"10.5014/ajot.2026.051162","url":null,"abstract":"<p><strong>Introduction: </strong>To assist with aging in place, occupational therapy practitioners consider a range of factors that can affect future functional ability. Engagement in volunteering has often been associated with improved future functional ability, but the effect of total helping hours inclusive of volunteering and informal helping has received less attention.</p><p><strong>Objective: </strong>To examine whether total hours helping others, inclusive of formal volunteering and informal helping, was associated with better future functional status.</p><p><strong>Design: </strong>Time-to-event analysis (Cox regression) was conducted on data collected between May 2015 and August 2023 from the Understanding America Study (UAS), a U.S. internet-based longitudinal panel.</p><p><strong>Participants: </strong>UAS participants age 65 yr and older who did not report difficulties with activities of daily living (ADLs) at baseline (N = 2,434).</p><p><strong>Measures: </strong>Measures used included self-reports of ADL status, total hours helping others (i.e., volunteering, informal helping), an approximate indicator of physical capacity (i.e., level of engagement in moderate physical activity), an approximation of mental capacity (i.e., speed of digital device use), and self-reports of preexisting conditions.</p><p><strong>Results: </strong>More hours helping others was associated with a subsequently lower risk of developing ADL difficulty at older ages, but the effect was no longer significant after accounting for differences in baseline cognitive capacity, physical capacity, and preexisting conditions.</p><p><strong>Conclusions and relevance: </strong>Findings suggest that past helping behaviors may influence future functional status by improving intrinsic capacity and general health. To support aging in place, occupational therapy practitioners may consider encouraging older adult clients to engage in more hours formally or informally helping others. Plain-Language Summary: Older adults often prefer aging in place, but functional limitations can prevent this from being possible. Among older adults, volunteering has consistently been associated with improved functional status in the future. Informal helping, or helping people outside of one's household in a way that is not structured by an institution (e.g., a charity), has some evidence supporting its association with better physical functioning. In this article, we examine the effect of total time spent formally or informally helping others on future risk of developing difficulty with an activity of daily living. Among adults age 65 and older, more total time helping others was associated with lower risk of developing difficulty with an activity of daily living at older ages. The effect was no longer significant after accounting for an individual's baseline physical and mental capacity and general health. This may suggest that past helping behaviors could influence future functional status ","PeriodicalId":48317,"journal":{"name":"American Journal of Occupational Therapy","volume":"80 2","pages":""},"PeriodicalIF":2.1,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12955714/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146041911","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":"Cognitive Impairments and Health System Outcomes in Inpatient Rehabilitation: A Comparison of Patients With Stroke and Those With Type II Diabetes Mellitus.","authors":"Jessica Edelstein, Bethany Rajaratnam, Audrey Rozell, William McCall, Hallie Zeleznik, Elizabeth Skidmore","doi":"10.5014/ajot.2026.051328","DOIUrl":"10.5014/ajot.2026.051328","url":null,"abstract":"<p><strong>Importance: </strong>Cognitive impairment is associated with poor outcomes in inpatient rehabilitation (IPR) but may be underrecognized among patients without neurologic diagnoses.</p><p><strong>Objective: </strong>To compare cognitive impairment prevalence between IPR patients with ischemic stroke and patients with Type II diabetes mellitus (T2DM) without a cerebrovascular diagnosis and to examine associations with functional outcomes and readmissions.</p><p><strong>Design: </strong>This observational, cross-sectional study used retrospective electronic medical record data collected from 2019 to 2022.</p><p><strong>Setting: </strong>Single inpatient rehabilitation facility in an academic health system.</p><p><strong>Participants: </strong>The sample consisted of 360 patients admitted to IPR, including 147 patients with ischemic stroke without T2DM and 213 patients with T2DM without a neurologic diagnosis.</p><p><strong>Outcomes and measures: </strong>Cognitive status was assessed at admission using the Montreal Cognitive Assessment (MoCA). Outcomes included discharge self-care and mobility (Section GG), within-stay readmission, and 30-day postdischarge readmission.</p><p><strong>Results: </strong>Mild cognitive impairment was more prevalent among patients with T2DM than among patients with stroke at admission. Patients with stroke had lower mean MoCA scores at admission and discharge. Diagnosis was not associated with discharge self-care, discharge mobility, or readmission outcomes. Higher admission functional status and lower disease burden were associated with better functional outcomes, and higher admission mobility was associated with lower odds of within-stay readmission.</p><p><strong>Conclusions and relevance: </strong>Routine, diagnosis-agnostic cognitive screening identified high rates of cognitive impairment across diagnostic groups in IPR. Occupational therapy practitioners should incorporate systematic cognitive screening and follow-up functional cognition assessment to guide intervention planning and discharge preparation. Plain-Language Summary: Many people receiving inpatient rehabilitation experience problems with thinking and memory that can affect daily activities and recovery. These problems are often expected after stroke but may be overlooked in people with other health conditions, such as diabetes. This study compared cognitive impairment and rehabilitation outcomes in people with stroke and people with Type II diabetes who did not have a stroke. The study found that mild cognitive impairment was common in both groups, including many people with diabetes. Whether a person had a stroke or diabetes did not explain differences in functional outcomes or hospital readmissions. Instead, a person's functional ability at admission and overall health burden were more strongly related to outcomes. These findings suggest that occupational therapy practitioners should routinely screen cognition for all patients in inpatient ","PeriodicalId":48317,"journal":{"name":"American Journal of Occupational Therapy","volume":"80 2","pages":""},"PeriodicalIF":2.1,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12955713/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146087742","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":"Identity Development for LGBTQIA+ Autistic Adults in the United States: A Mixed-Methods Study.","authors":"Elizabeth K Schmidt, Jess Bauzá de García, Sage Michaud Espinosa, Lindsey Clausen","doi":"10.5014/ajot.2026.051171","DOIUrl":"10.5014/ajot.2026.051171","url":null,"abstract":"<p><strong>Importance: </strong>Development of lesbian, gay, bisexual, transgender, queer/questioning, intersex, asexual, and other gender and sexual minority (LGBTQIA+) identities and a disability identity is critical for positive mental health outcomes for LGBTQIA+ autistic individuals.</p><p><strong>Objective: </strong>To understand identity development and evaluate the resonance of support among a large sample of LGBTQIA+ autistic adults.</p><p><strong>Design: </strong>A sequential mixed-methods, participatory approach.</p><p><strong>Setting: </strong>Data collection for both phases occurred remotely.</p><p><strong>Participants: </strong>LGBTQIA+ autistic adults completed the qualitative phase and the survey (Ns = 57 and 107, respectively).</p><p><strong>Outcomes and measures: </strong>Phase 1, the qualitative phase, included semistructured interviews and focus groups based on queer, crip, and intersectionality theories. Questions related to identity exploration and development. Themes regarding barriers and supports were used to develop a survey, used in Phase 2, to collect quantitative data to confirm the resonance of the findings.</p><p><strong>Results: </strong>Participants described exposure, personal research, trial and error, and individuals external to the LGBTQIA+ and autistic communities as contributing to their evolving identities. If these contributing factors were positive, people described experiencing narrative gain, whereby they felt a sense of relief and pride over their identities, and if they were negative participants reported going through a journey toward self-acceptance.</p><p><strong>Conclusions and relevance: </strong>Occupational therapy practitioners can support LGBTQIA+ autistic adults in the identity development process by fostering connections with other LGBTQIA+ autistic individuals, providing accessible sexual health education supporting personal research and providing accessible resources, offering opportunities to explore identities through creative means, and creating supportive environments and safe spaces for self-exploration. Plain-Language Summary: Identity development is the process of understanding who you are. Occupational therapy practitioners can help support positive identity development for LGBTQIA+ autistic clients. In Phase 1 of the study, we talked to 57 LGBTQIA+ autistic people and asked them how they learned they were LGBTQIA+ and autistic. We used what we learned from those people to create survey questions, and we asked another 107 LGBTQIA+ autistic people whether the findings from our conversations in Phase 1 resonated with them as well. LGBTQIA+ autistic participants reported that they found it helpful to be exposed to people with diverse LGBTQIA+ and autistic identities; to be connected with articles, blogs, and people online who held diverse LGBTQIA+ and autistic identities; and to trial different identities. They also said it was helpful if people who were not LGBTQIA+ or autistic were","PeriodicalId":48317,"journal":{"name":"American Journal of Occupational Therapy","volume":"80 2","pages":""},"PeriodicalIF":2.1,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12955716/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146158680","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":"Timing and Intensity of Rehabilitation Services During Acute Stroke Hospitalization: Impacts on Functional Recovery and Community Discharge.","authors":"Jessica Edelstein, Amanda Hoffman, Darcie M Luby, Joseph Rosenthal, James E Graham","doi":"10.5014/ajot.2026.051362","DOIUrl":"10.5014/ajot.2026.051362","url":null,"abstract":"<p><strong>Importance: </strong>Improving functional recovery and supporting safe discharge pathways after stroke are key priorities in acute care, yet the delivery of rehabilitation services during hospitalization remains poorly understood.</p><p><strong>Objective: </strong>To examine the associations between rehabilitation service delivery factors and two outcomes, functional status at discharge and community discharge.</p><p><strong>Design: </strong>Retrospective observational study using electronic medical record (EMR) data (2018-2021). Regression analyses were stratified by occupational therapy (OT) and physical therapy (PT) cohorts.</p><p><strong>Setting: </strong>Thirteen-hospital health system in Colorado.</p><p><strong>Participants: </strong>Adults hospitalized with ischemic stroke who received occupational therapy (n = 713) or physical therapy (n = 979).</p><p><strong>Outcomes and measures: </strong>Primary outcomes were (1) discharge function using Activity Measure for Post-Acute Care \"6-Clicks\" scores and (2) community discharge (yes or no). Independent variables included time to evaluation, time to treatment, and daily therapy intensity.</p><p><strong>Results: </strong>Among OT recipients, each additional day of delay between evaluation and the first therapy session was associated with lower odds of community discharge (odds ratio [OR] = 0.927, p = .032) whereas greater therapy intensity was associated with higher odds (OR = 1.396, p = .034). These same factors were also associated with higher discharge function (p < .05). In the PT model, earlier evaluation was significantly associated with improved discharge mobility (p = .006), although no other therapy factors were significant.</p><p><strong>Conclusions and relevance: </strong>Findings suggest that timely and intensive OT services during acute hospitalization may improve functional outcomes and increase community discharge rates. EMR-derived therapy metrics provide clinically relevant insight and may inform hospital-based rehabilitation strategies. Plain-Language Summary: This study looked at how early and intensive occupational therapy during a hospital stay for stroke affects a person's ability to function and return home. Using hospital records from more than 1,600 patients, the study found that patients who received earlier and more intense OT were more likely to regain independence and go home rather than to a facility. These results suggest that not just receiving therapy but how and when it is delivered plays a big role in recovery. This could help hospitals better support patients during stroke recovery.</p>","PeriodicalId":48317,"journal":{"name":"American Journal of Occupational Therapy","volume":"80 2","pages":""},"PeriodicalIF":2.1,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12955715/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146158635","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":"Development of a Practical Guide for Pediatric Constraint-Induced Movement Therapy: Enhancing Understanding and Informed Decision-Making.","authors":"Lauren Leonardi, Stephanie DeLuca, Mary Rebekah Trucks, Dory A Wallace, Catherine R Hoyt","doi":"10.5014/ajot.2025.051397","DOIUrl":"10.5014/ajot.2025.051397","url":null,"abstract":"<p><strong>Importance: </strong>Constraint-induced movement therapy (CIMT) is an intervention for hemiplegic cerebral palsy (CP) that has a strong evidence base. CIMT has been shown to be effective in improving functional use of the more impaired upper extremity, yet has not become standard practice. Toolkits have been effectively used in various settings to increase intervention implementation; however, no guide currently exists to support clinical decision-making related to CIMT.</p><p><strong>Objective: </strong>To provide an overview of the development of a practical guide for pediatric CIMT (pCIMT) that will aid therapists, other health care professionals, and families with children who may be eligible for pCIMT.</p><p><strong>Design: </strong>Model development research.</p><p><strong>Setting: </strong>Virtual communication secured in accordance with the Health Insurance Portability and Accountability Act of 1996 (Pub. L. 104-191).</p><p><strong>Participants: </strong>Content experts (N = 12) with expertise related to pCIMT, hemiplegic CP, and occupational therapy who were recruited via purposive sampling to develop the practical guide.</p><p><strong>Outcomes and measures: </strong>Development of the practical guide followed a toolkit developmental model. Field notes were used to record all verbal and written feedback provided by content experts.</p><p><strong>Results: </strong>The participants provided recommendations to include in the guide during the developmental phase. In two rounds of the expert review phase, they recommended revisions related to readability, content, and visuals. The final practical guide included six sections.</p><p><strong>Conclusions and relevance: </strong>A practical guide was developed to support occupational therapists, health care professionals, and caregivers in making an informed decision about whether pCIMT is the right intervention for a particular child. Plain-Language Summary: Hemiplegic cerebral palsy is the most common motor disability that affects children, and it often causes difficulty moving one side of the body. Pediatric constraint-induced movement therapy (pCIMT) is an evidence-based intervention to help children use their more affected side. However, pCIMT is not widely available. With guidance from key informants, we designed a practical guide to support health care professionals and families in determining whether pCIMT could be an appropriate intervention. A three-phase toolkit development model was followed to design the practical guide. In this article, we report on Stages 1 and 2 (the development and expert review phases). Twelve experts and caregivers informed the development of the six sections of the practical guide. Future research should proceed to Stage 3 (the evaluation phase) to evaluate the effectiveness of the practical guide and identify implementation strategies for the guide to support pCIMT usage.</p>","PeriodicalId":48317,"journal":{"name":"American Journal of Occupational Therapy","volume":"80 1","pages":""},"PeriodicalIF":2.1,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13060631/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145702527","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":"Sensory Processing and Participation Across Contexts: Strengthening the Evidence Base.","authors":"Amber M Angell, Jewel Crasta, Leah I Stein Duker, Brittany M St John","doi":"10.5014/ajot.2026.051542","DOIUrl":"https://doi.org/10.5014/ajot.2026.051542","url":null,"abstract":"<p><p>This special section of the American Journal of Occupational Therapy presents important international developments in occupational therapy research related to sensory processing and participation across a range of contexts and occupations. Taken as a whole, this collection of articles provides evidence that sensory processing differences affect children across the developmental continuum, transcending specific diagnostic criteria and significantly influencing participation in diverse occupational environments. Although this may not seem like a novel insight to experienced occupational therapy practitioners, its significance lies in strengthening the empirical support underlying these practice-based \"commonsense\" claims.</p>","PeriodicalId":48317,"journal":{"name":"American Journal of Occupational Therapy","volume":"80 1","pages":""},"PeriodicalIF":2.1,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145985844","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":"Official Documents Available From the American Occupational Therapy Association.","authors":"","doi":"10.5014/ajot.2025.79S304","DOIUrl":"https://doi.org/10.5014/ajot.2025.79S304","url":null,"abstract":"","PeriodicalId":48317,"journal":{"name":"American Journal of Occupational Therapy","volume":"79 Suppl 3","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146228994","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":"Feeding, Eating, and Swallowing Approaches in Occupational Therapy.","authors":"","doi":"10.5014/ajot.2025.79S305","DOIUrl":"https://doi.org/10.5014/ajot.2025.79S305","url":null,"abstract":"<p><p>This AOTA Position Statement defines the role of occupational therapy practitioners and describes their distinct approaches and value in the delivery of occupational therapy services for people with feeding, eating, and swallowing impairments and performance limitations.</p>","PeriodicalId":48317,"journal":{"name":"American Journal of Occupational Therapy","volume":"79 Suppl 3","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145795216","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":"AOTA 2025 Annual Business Meeting Summary.","authors":"","doi":"10.5014/ajot.2025.79S311","DOIUrl":"https://doi.org/10.5014/ajot.2025.79S311","url":null,"abstract":"<p><p>The 2025 AOTA Annual Business Meeting was held as a virtual event on August 20, 2025. More than 340 members registered from over 46 states and territories.</p>","PeriodicalId":48317,"journal":{"name":"American Journal of Occupational Therapy","volume":"79 Suppl 3","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145913550","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}