American Journal of Occupational Therapy最新文献

{"title":"Amplifying Silenced Voices: A Critical Reflection on Challenges Facing Occupational Therapy Academics With Multiple Minoritized Identities.","authors":"Natasha Smet, Jeffrey John Andrion","doi":"10.5014/ajot.2025.050912","DOIUrl":"10.5014/ajot.2025.050912","url":null,"abstract":"<p><p>The issues faced by racialized; female; immigrant; and two-spirit, lesbian, gay, bisexual, transgender, queer/questioning, intersex, and asexual/agender + (2SLGBTQIA+) occupational therapy academics and practitioners highlight the overlapping systems of oppression due to their multiple minoritized identities (MMIs). Through critical reflection, the authors bring to light how oppressive occupational therapy structures and processes continue to sustain Othering within the profession, including the paradox of occupational justice. The authors caution that ignoring issues faced by occupational therapy academics with MMIs might end in tragic intersectionality. Positionality Statement: Natasha Smet identifies as an immigrant queer woman of color, scholar, and practitioner who was born and raised in South Africa during the Apartheid era when laws were enforced to segregate people solely on the basis of race. Although Apartheid ended in 1994, her experiential knowledge of systemic racism, overt discrimination, and oppression continued as a survivor of educational and academic workplace violence and abuse in the United States. Her lived experience of oppression continues to be her catalyst to disrupt white supremacy across academic institutional settings. Jeffrey John Andrion is a racialized, straight, cisgender, immigrant male academic who was born and raised in the Philippines. Although he is an immigrant settler of Canada, he is also a descendant of former colonizees in his native home country. With experiential knowledge of racialization and Othering, he grew up with the terms resistance and oppression. In this column, we define Othering as \"the process whereby an individual or groups of people attribute negative characteristics to other individuals or groups of people that set them apart as representing that which is opposite to them\" (Rohleder, 2014, p. 1306).</p>","PeriodicalId":48317,"journal":{"name":"American Journal of Occupational Therapy","volume":"79 2","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143417112","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 Outreach Experiences of Occupational Therapy Students: An Opportunity for Transformation.","authors":"Ricardo D Ramirez, Laura VanPuymbrouck","doi":"10.5014/ajot.2025.050904","DOIUrl":"10.5014/ajot.2025.050904","url":null,"abstract":"<p><strong>Importance: </strong>Occupational therapy lacks workforce diversity. Academic programs (APs) are uniquely positioned to create learning experiences that align with diversity, equity, and inclusion (DEI) efforts within occupational therapy.</p><p><strong>Objective: </strong>To examine the acceptability of a student-led outreach program from the perspectives of occupational therapy students.</p><p><strong>Design: </strong>Qualitative, cross-sectional study that used occupational therapy students' reflections as part of routine educational assessments. Thematic analysis was used to identify and define themes within reflections. Reflexivity and prolonged engagement in the field enhanced trustworthiness.</p><p><strong>Setting: </strong>Urban, Midwestern OTD program.</p><p><strong>Participants: </strong>Sixty-eight occupational therapy students enrolled in their second semester.</p><p><strong>Intervention: </strong>Occupational therapy student-led outreach presentations in middle and high schools in which most students had Black, Indigenous, or People of Color backgrounds. Presentations lasted 45 to 60 min.</p><p><strong>Outcomes and measures: </strong>After their presentations, occupational therapy students completed an open-ended reflection on their outreach experience of at least 250 words.</p><p><strong>Results: </strong>Participants were primarily women (n = 63; 92.65%) and White (n = 50; 73.53%). Three themes emerged in the analysis of students' reflections: knowledge translation, opportunity versus assignment, and practical insights.</p><p><strong>Conclusions and relevance: </strong>Occupational therapy APs are positioned to craft learning opportunities that can meet accreditation requirements, benefit students' professional development, and contribute to DEI efforts. To make these efforts sustainable, occupational therapy APs must cultivate meaningful relationships with local and diverse community partners while also evaluating opportunities to integrate DEI into their own curricula. Additional research is needed to examine the long-term impact of outreach efforts between occupational therapy students and recipients. Plain-Language Summary: Occupational therapy academic programs are uniquely situated to promote diversity, equity, and inclusion (DEI) in the profession. Focusing on racial and ethnic diversity, in this study we sought to capture the perspectives of first-year occupational therapy students who participated in a student-led outreach initiative embedded within their curriculum. We found that occupational therapy students benefited from participating in this educational experience because they were challenged to share their knowledge of occupational therapy with middle and high school students from underrepresented communities. Viewing this experience as an opportunity instead of an assignment, occupational therapy students felt that they contributed to DEI efforts while growing as future practitioners. Occupational therapy","PeriodicalId":48317,"journal":{"name":"American Journal of Occupational Therapy","volume":"79 2","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143391866","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":"Development of the Occupational Justice Scale for Refugees and Investigation of Its Psychometric Properties.","authors":"Muhammed Rohat Yazici, Gokcen Akyurek","doi":"10.5014/ajot.2025.050741","DOIUrl":"10.5014/ajot.2025.050741","url":null,"abstract":"<p><strong>Importance: </strong>Although occupational justice is an important construct for occupational therapy, the Occupational Justice Scale for Refugees (OJS-R) is, to our knowledge, the first of such scales developed in this field.</p><p><strong>Objective: </strong>To develop an occupational justice scale designed specifically for refugees and to evaluate its psychometric properties.</p><p><strong>Design: </strong>This study was conducted as face-to-face interviews and self-report surveys with refugees. The Davis technique was applied twice to 12 expert panelists, and the test form was administered to 603 individuals. Item analysis was conducted to evaluate the internal consistency of the scale. An exploratory factor analysis and confirmatory factor analysis were also performed to examine the construct validity of the scale.</p><p><strong>Setting: </strong>Four different provinces in Turkey: Istanbul, Ankara, Elazig, and Bingöl.</p><p><strong>Participants: </strong>Data from 603 Syrian refugees were included in the analyses.</p><p><strong>Outcomes and measures: </strong>Information from completed informed consent forms, the OJS-R, and the Occupational Balance Questionnaire-11, Turkish version (OBQ11-T).</p><p><strong>Results: </strong>The OJS-R explained 70.179% of the variance and revealed a five-factor structure (occupational deprivation, alienation, marginalization, apartheid, and imbalance). The scale demonstrated high reliability, with an interclass correlation of .989 and Cronbach's α of .993. Test-retest correlation coefficients were robust, and the correlation between the OJS-R and OBQ11-T were statistically significant (r = .987, p < .001). These results validate the 30-item scale structure consisting of five dimensions.</p><p><strong>Conclusions and relevance: </strong>The OJS-R may be a reliable and valid measure of occupational justice and appropriate for populations such as refugees. Plain-Language Summary: Occupational justice is a critical perspective of social structures that promote social, political, and economic changes to enable individuals to meet their occupational potential and experience well-being. Refugees often experience occupational injustice, even though there is no scale to evaluate occupational justice. This study is a scale development study. We developed the Occupational Justice Scale for Refugees (OJS-R), which, to our knowledge, is the first scale designed specifically to measure the levels of occupational justice experienced by refugees. This study's results may simplify greater consideration and evaluation of occupational justice by occupational therapists. Furthermore, the OJS-R may encourage occupational therapists to include occupational justice in their refugee intervention programs.</p>","PeriodicalId":48317,"journal":{"name":"American Journal of Occupational Therapy","volume":"79 2","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143442262","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":"Embracing Multiple Philosophical Orientations in Occupational Therapy to Enhance Cultural Sensitivity.","authors":"Joana Nana Serwaa Akrofi, Tsu-Hsin Howe, Janet Njelesani","doi":"10.5014/ajot.2025.050960","DOIUrl":"10.5014/ajot.2025.050960","url":null,"abstract":"<p><p>The philosophical foundations of occupational therapy, originating in North America, primarily align with American philosophy, which leads to challenges when occupational therapy is applied in diverse cultural contexts. The occupational therapy profession needs to embrace multiple philosophical orientations to enhance cultural sensitivity. In this column, the authors use postcolonial theory to analyze colonial legacies and power dynamics within communities, highlighting the limitations of current Western-based adaptations in promoting diversity, equity, inclusion, justice, and accessibility. They argue that incorporating diverse philosophical orientations into occupational therapy can enrich the field by fostering adaptability and inclusivity. They also outline steps to integrate multiple philosophical orientations, including acknowledging historical influences and adopting practices that resonate with diverse values. Embracing multiple philosophical orientations signifies the profession's commitment to evolving and responding effectively to the complex needs of individuals and communities, thereby promoting more equitable and just outcomes in occupational therapy practice. Positionality Statement: The authors of this column include a Ghanaian nondisabled occupational therapist who studied and practiced occupational therapy in Ghana, West Africa, and the United States; a White, nondisabled, female Canadian occupational therapy scholar with practice experience across numerous international contexts; and an Asian, nondisabled, female occupational therapy scholar who has occupational therapy practice experience in both Asia and the United States. All three authors currently live and work in the United States. They drew from their personal experiences, knowledge of the profession, research evidence, and critical reasoning to conceptualize this column.</p>","PeriodicalId":48317,"journal":{"name":"American Journal of Occupational Therapy","volume":"79 2","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143442267","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":"Sensory-Based Interventions in Occupational Therapy for Children and Youth (May 2015-January 2024).","authors":"Aimee Piller, Lauren Andelin, Tara J Glennon, Jessica McHugh Conlin, Krysti Teng, Kelly Auld-Wright, Talicia Tarver","doi":"10.5014/ajot.2025.79S102","DOIUrl":"https://doi.org/10.5014/ajot.2025.79S102","url":null,"abstract":"<p><p>Systematic review briefs provide a summary of the findings from systematic reviews evaluated in conjunction with the American Occupational Therapy Association's Evidence-Based Practice Program. Each systematic review brief summarizes the evidence on a theme related to a systematic review topic. This systematic review brief presents findings from the systematic review on the effectiveness of sensory-based interventions (excluding Ayres Sensory Integration® [ASI]) for children and youth 0-21 yr of age.</p>","PeriodicalId":48317,"journal":{"name":"American Journal of Occupational Therapy","volume":"79 Suppl 1","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145851126","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":"Navigating Barriers and Building Bridges: A Qualitative Exploration of the Leadership Journeys of Black Occupational Therapists.","authors":"Tyra M Banks, Karen Park, Kayla Gibson","doi":"10.5014/ajot.2025.050988","DOIUrl":"10.5014/ajot.2025.050988","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Importance: &lt;/strong&gt;This article illuminates the unique challenges Black occupational therapy practitioners face on their leadership paths. Amplifying minoritized voices and raising awareness of systemic racism serve as catalysts for fostering equity and inclusivity in the occupational therapy profession.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Objective: &lt;/strong&gt;To explore the journey and lived experience of Black occupational therapy practitioners currently holding or who had previously held leadership positions.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;An interpretive phenomenological method was used to explore, identify, and analyze the supports and barriers participants encountered while pursuing leadership roles. Participants completed a demographic survey and a 60-min virtual interview. Reflexive thematic analysis was used to identify themes, and theory triangulation ensured validity and rigor in the analysis.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Findings: &lt;/strong&gt;Five themes emerged: (1) sociocultural context can nurture the potential for leadership, (2) responsibility to build a legacy of representation, (3) micro- and macroaggressions: stereotyped and underestimated, (4) networking as a necessary process, and (5) creating inclusive spaces expands professional identities.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusions and relevance: &lt;/strong&gt;Findings were examined and triangulated through the lens of critical race theory and social network theory, providing valuable context for understanding social structures, power dynamics, and their impact on developing Black occupational therapy practitioner leaders. The data support the importance of networks and the role of institutional racism in perpetuating social inequalities that persist in the leadership journey of Black occupational therapy practitioners. Plain-Language Summary: This manuscript illuminates the unique challenges Black occupational therapy practitioners face in their leadership paths. Researchers used an interpretive phenomenological research design to explore the journeys and lived experiences of seven Black occupational therapy practitioners currently holding or who had previously held leadership positions within the past 5 yr. Five themes emerged: (1) sociocultural context can nurture the potential for leadership, (2) responsibility to build a legacy of representation, (3) micro- and macroaggressions: stereotyped and underestimated, (4) networking as a necessary process, and (5) creating inclusive spaces expands professional identities. The findings were examined and triangulated through the lens of critical race theory and social network theory, providing context for understanding social structures, power dynamics, and the impact of these structures on developing Black occupational therapy practitioner leaders. The data support the importance of networks and the role of institutional racism in maintaining the social inequalities persisting on the leadership journey of Black occupational therapy practitioners. Positionality Statement: Th","PeriodicalId":48317,"journal":{"name":"American Journal of Occupational Therapy","volume":"79 2","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143473355","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":"Feel the Burn, Heal the Burn: Job Crafting and Burnout Among Occupational Therapy Professionals.","authors":"Brittany Lynner, Rosalyn Stoa, Gwenith Fisher, Erika Del Pozo, Ryan Lizerbram","doi":"10.5014/ajot.2025.050731","DOIUrl":"10.5014/ajot.2025.050731","url":null,"abstract":"<p><strong>Importance: </strong>Burnout is common among occupational therapy professionals and associated with poor health and well-being, absenteeism, turnover, and exit from the profession. This study identified specific job titles, job characteristics, and resources related to burnout.</p><p><strong>Objective: </strong>To identify specific aspects of occupational therapy jobs related to burnout and to investigate job crafting as one approach for reducing burnout.</p><p><strong>Design: </strong>Cross-sectional survey.</p><p><strong>Participants: </strong>Four hundred occupational therapy professionals from 45 states across the United States.</p><p><strong>Outcomes and measures: </strong>This study investigated the relative importance of job demands (e.g., workload, emotional labor, role ambiguity), job resources (e.g., professional identity, autonomy, perceived support), and burnout and examined job crafting as a strategy for reducing burnout.</p><p><strong>Results: </strong>Burnout varied across occupational therapy positions and practice areas and was most strongly associated with excessive workload. Occupational therapy professionals who engaged in job crafting reported less burnout. Several positive job resources, including meaningful work, job involvement, and perceived organizational support, were also associated with job crafting.</p><p><strong>Conclusions and relevance: </strong>This study identified specific occupational therapy roles, settings, and job characteristics related to burnout and job crafting behaviors that may help reduce burnout. Plain-Language Summary: Burnout is common among occupational therapy professionals and is associated with poor health and well-being, absenteeism, turnover, and people leaving the profession. This study identifies occupational therapy positions, practice areas, and work conditions at most risk for burnout and highlights job resources that can prevent and mitigate burnout. The study found that burnout varied across occupational therapy positions and practice areas and was most strongly associated with excessive workload. Recommendations to address burnout include engaging in job crafting, optimizing job demands and resources, and fostering meaningful work to reduce burnout.</p>","PeriodicalId":48317,"journal":{"name":"American Journal of Occupational Therapy","volume":"79 1","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11740873/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142773801","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":"Construct Validity, Criterion Validity, and Internal Consistency of GOT-Cog©, a Novel Occupational Therapy Cognitive Screen.","authors":"Emily Meise, John Corbett, Amanda Meyer, Pete Grevelding, Henry C Hrdlicka","doi":"10.5014/ajot.2025.050832","DOIUrl":"https://doi.org/10.5014/ajot.2025.050832","url":null,"abstract":"<p><strong>Importance: </strong>No single cognitive screen adequately captures the cognitive domains needed for inpatient occupational therapy treatment planning.</p><p><strong>Objective: </strong>To assess the construct validity of the Gaylord Occupational Therapy Cognitive (GOT-Cog©) screen, a novel comprehensive cognitive screen that evaluates functional cognition.</p><p><strong>Design: </strong>Randomized crossover controlled study design using the St. Louis University Mental Status (SLUMS) exam as a comparator.</p><p><strong>Setting: </strong>Long-term acute-care hospital.</p><p><strong>Participants: </strong>Participants were inpatients admitted to Gaylord Hospital who were ages 18 yr or older, prescribed occupational therapy services, with no documented history of dementia, Alzheimer's, or preexisting intellectual disability and no present aphasia.</p><p><strong>Intervention: </strong>During participants' initial occupational therapy evaluation, either the SLUMS or GOT-Cog were randomly delivered; the screen that was not delivered on admission was delivered 22 to 26 hr later by the same or a different clinician.</p><p><strong>Outcomes and measures: </strong>GOT-Cog and SLUMS total scores and individual item and domain scores.</p><p><strong>Results: </strong>Ninety-eight participants yielded sufficient data for analysis. Total GOT-Cog and SLUMS scores positively correlated (p < .0001). All shared domains between GOT-Cog and SLUMS were significantly correlated (p ≤ .0155); similarly, all unique domains showed significant correlations with both GOT-Cog and SLUMS total scores (p ≤ .0194). No ordering effects were observed (p ≥ .8081). Despite having 11 more items, GOT-Cog took only 6 min longer to complete (10 vs. 16 min; p < .0001). Both demonstrated adequate internal consistency.</p><p><strong>Conclusions and relevance: </strong>The GOT-Cog has overall strong construct and criterion validity. Going forward, we will evaluate the rater reliability and responsiveness of the GOT-Cog. Plain-Language Summary: Occupational therapists evaluate clients' cognitive strengths and limitations in relation to activities of daily living and instrumental activities of daily living. Occupational therapists use this evaluation to help clients identify strategies to adapt to their specific environments, support their independence, and improve their ability to perform tasks. No cognitive screen currently exists that adequately evaluates a person's cognitive domains as part of treatment planning for inpatient occupational therapy. This study reviewed the construct validity, criterion validity, and internal consistency of the Gaylord Occupational Therapy Cognitive screen (GOT-Cog), a new comprehensive cognitive screen. The GOT-Cog was used with inpatients at a long-term acute-care hospital as part of their initial occupational therapy evaluation. The study found that the GOT-Cog has overall strong construct and criterion validity. Future studies will evaluate the ","PeriodicalId":48317,"journal":{"name":"American Journal of Occupational Therapy","volume":"79 1","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142915994","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":"Discovery of Knowledge in Practice.","authors":"Penelope Moyers, Nicole Quint","doi":"10.5014/ajot.2025.050880","DOIUrl":"https://doi.org/10.5014/ajot.2025.050880","url":null,"abstract":"<p><p>Given the number of occupational therapy doctorate (OTD) programs and graduates with professional doctoral degrees, the concept of practice scholarship is increasingly important. The scholarly work of occupational therapy practitioners guided by a research model is appropriate for those who have trained as researchers or OTD students and practitioners receiving mentorship from occupational therapy research scientists. A research model of scholarship may not fit the scholarly work of most occupational therapy practitioners with an OTD. We propose the Scholarship of Knowledge Discovery in Practice model, which emphasizes how contextual factors influence the generation and application of knowledge, particularly in addressing feasibility and sustainability challenges when integrating evidence into practice. This model prioritizes discovery when solving practice problems through quality improvement, program development, and innovation. OTD students and occupational therapy practitioners may use this model in generating scholarly work through capstones and ongoing enactment of the scholarly role. The recognition of practice scholarship as making important contributions to the profession may generate multiple vehicles through which to disseminate the discovery of knowledge in practice.</p>","PeriodicalId":48317,"journal":{"name":"American Journal of Occupational Therapy","volume":"79 1","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142962342","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":"Impact of Medical Improvisation on Therapeutic Use of Self: A Randomized Controlled Waitlist Study.","authors":"Cynthia Selim, Jessica Tsotsoros, Catana Brown, Lynne Jeffries, Carrie Ciro","doi":"10.5014/ajot.2025.050785","DOIUrl":"10.5014/ajot.2025.050785","url":null,"abstract":"<p><strong>Importance: </strong>The application of interpersonal skills is considered therapeutic use of self, a pillar of occupational therapy practice, and a required competency for occupational therapy education (American Occupational Therapy Association [AOTA], 2020). Medical improvisation (medical improv) uses the principles of improvisational theater to enhance professional competencies and shows promising results in health professions education (Gao et al., 2019).</p><p><strong>Objective: </strong>To understand the effect of medical improv on occupational therapy students' therapeutic use of self.</p><p><strong>Design: </strong>A 6-wk randomized controlled waitlist trial.</p><p><strong>Setting: </strong>Occupational therapy education.</p><p><strong>Participants: </strong>A cohort of 36 occupational therapy students.</p><p><strong>Intervention: </strong>Two 2-hr sessions of medical improvisation.</p><p><strong>Outcomes and measures: </strong>Standardized patients rated students' therapeutic use of self with the Empathy and Clarity Rating Scale (Terregino et al., 2019), and students completed the Self-Efficacy for Therapeutic Use of Self (SETUS; Yazdani et al., 2021). Data were analyzed using independent samples t tests and multivariate mixed-methods models.</p><p><strong>Results: </strong>There was a significant difference between the intervention and waitlist control group in three SETUS subtests (modes, p = .004; traits, p = .04; total score, p = .03) and a significant interaction effect in SETUS modes (p = .03). The waitlist control group responded with comparable increases, and all participants demonstrated a significant increase in self-efficacy of therapeutic use of self after the medical improv intervention (p < .001).</p><p><strong>Conclusions and relevance: </strong>These findings provide the first evidence for the positive effects of medical improv in building self-efficacy of therapeutic use of self in occupational therapy students. Plain-Language Summary: Medical improvisation (medical improv) in health professions education uses the principles of theatrical improvisation to build the interpersonal skills of students. This study's application of medical improv to occupational therapy education found significant change in students' self-efficacy of therapeutic use of self. The inclusion of medical improv in occupational therapy education can better prepare students to build and maintain therapeutic relationships.</p>","PeriodicalId":48317,"journal":{"name":"American Journal of Occupational Therapy","volume":"79 1","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142869755","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}