American Journal of Occupational Therapy最新文献

{"title":"Occupational Therapy Education Research Agenda.","authors":"","doi":"10.5014/ajot.2025.79S312","DOIUrl":"https://doi.org/10.5014/ajot.2025.79S312","url":null,"abstract":"<p><p>This Occupational Therapy Education Research Agenda identifies seven major research goals and priorities and is intended to complement the 2011 Occupational Therapy Research Agenda, which identified five research priorities of the profession.</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":"145913553","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":"Guidelines for Contributors to AJOT.","authors":"","doi":"10.5014/ajot.2025.79S308","DOIUrl":"https://doi.org/10.5014/ajot.2025.79S308","url":null,"abstract":"<p><p>The American Journal of Occupational Therapy (AJOT) is the official journal of the American Occupational Therapy Association (AOTA). The primary mission of AJOT is to publish peer-reviewed research examining the effectiveness and efficacy of occupational therapy practice so that occupational therapy professionals can make informed, evidence-based decisions about best practice. In addition, the journal aims to publish (1) research documenting the reliability and validity of occupational therapy instruments; (2) studies demonstrating a relationship between occupational engagement and the facilitation of community participation and health; and (3) articles that provide a forum for scholars to debate professional issues that affect education, practice, and research. This Guidelines for Contributors to AJOT is also available at the American Journal of Occupational Therapy manuscript submission website, ScholarOne (go to https://mc04.manuscriptcentral.com/ajot and click \"Instructions & Forms\" in the upper right). These guidelines are published annually in a supplement to the journal; any changes implemented in the interim are published to the Author Guidelines page on the AJOT website (go to https://research.aota.org/ajot/pages/authorguidelines).</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":"146041906","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 Representative Assembly Meeting Summary.","authors":"","doi":"10.5014/ajot.2025.79S310","DOIUrl":"https://doi.org/10.5014/ajot.2025.79S310","url":null,"abstract":"<p><p>The 2025 AOTA Representative Assembly convened on April 24, 2025, to vote on key issues impacting the organization and profession. During the meeting, nine motions were presented. The outcomes of each motion are summarized herein.</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":"145913574","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":"Precision Occupational Therapy Using Data-Driven Decision-Making: Creating Evidence for Practice.","authors":"Roseann C Schaaf","doi":"10.5014/ajot.2025.051421","DOIUrl":"10.5014/ajot.2025.051421","url":null,"abstract":"<p><p>Translation of knowledge about the evidence for occupational therapy interventions is critical to support the profession's evidence base. It has become increasingly important to guide occupational therapy practice in an evidence-based, outcomes-oriented way and to identify strategies that can foster dissemination and integration of evidence into practice. In this Eleanor Clarke Slagle Lecture, Roseann C. Schaaf introduces the concept of precision occupational therapy using data-driven decision-making (DDDM) as a process to enhance practice, create evidence for occupational therapy, and foster knowledge translation. Precision occupational therapy embodies a personalized approach that respects the individual and considers multiple streams of information simultaneously to design treatments that are individually tailored and measure meaningful, personalized outcomes. It considers the individual's strengths and needs and customizes interventions to enhance wellness and quality of life; it thus can be a guide for practice and research and can create evidence through practice. Schaaf presents three case examples to exemplify the application of precision occupational therapy using DDDM.</p>","PeriodicalId":48317,"journal":{"name":"American Journal of Occupational Therapy","volume":"79 6","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145253353","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":"From Awareness to Integration: Leading the Change for Occupational Therapy.","authors":"Shirley A Wells","doi":"10.5014/ajot.2025.790605","DOIUrl":"10.5014/ajot.2025.790605","url":null,"abstract":"<p><p>In her lecture for the inaugural Dr. Lela A. Llorens Award of Excellence for Diversity, Equity, and Inclusion, Dr. Shirley A. Wells acknowledges the growing importance of creating more inclusive and equitable environments across all aspects of health care, with occupational therapy being no exception. Inclusion and integration are fundamental values that should be woven into every part of the practice of occupational therapy. It is not enough to be aware of these concepts; occupational therapists must actively engage in Acts of Inclusion and Integration in their delivery of care, collaboration with clients and colleagues, and shaping of the future of the field. Dr. Wells highlights examples of how occupational therapists can break down barriers to create spaces where everyone feels valued and supported.</p>","PeriodicalId":48317,"journal":{"name":"American Journal of Occupational Therapy","volume":"79 6","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145253358","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":"State of the Journal, 2025.","authors":"Stacey Reynolds","doi":"10.5014/ajot.2025.790601","DOIUrl":"10.5014/ajot.2025.790601","url":null,"abstract":"<p><p>The American Journal of Occupational Therapy (AJOT) has maintained its top-ranking status in the field of occupational therapy while expanding its efforts related to knowledge translation and improving reporting standards. Key outcomes for 2025 showcase the journal's breadth and depth, with 137 articles published, including a special issue on Diversity, Equity, Inclusion, Justice, Accessibility, and Belonging in Occupational Therapy Practice and Education. The AJOT Authors & Issues interview series also reached more than 21,000 views in 2025, doubling viewership from 2024.</p>","PeriodicalId":48317,"journal":{"name":"American Journal of Occupational Therapy","volume":"79 6","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145423418","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":"Activity Loss and Retention Patterns Following Unilateral Peripheral Nerve Injury: Implications for Rehabilitation.","authors":"Samah Gassass, Ruiwen Zhou, Robin Hattori, Lei Liu, Lisa Tabor Connor, Benjamin Allen Philip","doi":"10.5014/ajot.2025.051142","DOIUrl":"10.5014/ajot.2025.051142","url":null,"abstract":"<p><strong>Importance: </strong>Peripheral nerve injury (PNI) in the upper extremity can significantly affect the ability of patients to participate in preferred activities, yet measuring this effect is challenging because of limited suitable tools.</p><p><strong>Objective: </strong>To understand the impact of PNI on activity participation on basis of the activities' motor demands (fine motor, gross motor, and/or bimanual). We hypothesized that fine motor activities would show lower retention than gross motor or nonmotor activities, that hand dexterity would correlate with fine motor retention, and that unimanual activities would be retained more than bimanual activities.</p><p><strong>Design: </strong>Cross-sectional observational study.</p><p><strong>Setting: </strong>Two upper extremity rehabilitation clinics.</p><p><strong>Participants: </strong>Forty-eight patients with unilateral PNI in the upper extremity.</p><p><strong>Outcomes and measures: </strong>Primary outcome was participation retention rates in five activity dimensions, as assessed with the Activity Card Sort.</p><p><strong>Results: </strong>Participants retained fewer gross motor activities than fine motor activities. Pain and health-related quality of life were the only patient factors significantly associated with participation. Hand dexterity did not correlate with fine motor retention, and unimanual activities showed higher retention than bimanual activities, regardless of the injured side.</p><p><strong>Conclusions and relevance: </strong>Patterns of activity loss after PNI cannot be fully explained by motor demands alone. Although addressing specific motor skills remains important, participation is shaped by a complex interplay of physical, personal, and contextual factors as well as compensation and difficulties with bimanual tasks, even in unilateral injuries. Rehabilitation should incorporate activity-based assessments that capture real-world challenges and support individualized intervention planning. Plain-Language Summary: Nerve injuries in the upper extremity can significantly affect the ability to engage in essential activities. This study aimed to enhance the assessment of activity participation for people with upper extremity nerve injuries. We found that focusing on specific motor skills, such as fine and gross motor skills, gives a better understanding of how nerve injuries affect engagement in important activities. Hand dexterity, as measured using standard tools, was not linked to the ability to retain fine motor activities. These findings suggest that, to tailor interventions to enhance overall recovery, rehabilitation should include an individualized assessment (in addition to standard scales) to identify the activities that depend on the patient's specific motor skills impairments.</p>","PeriodicalId":48317,"journal":{"name":"American Journal of Occupational Therapy","volume":"79 6","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145245700","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 Philosophical Base of Occupational Therapy.","authors":"","doi":"10.5014/ajot.2025.79S301","DOIUrl":"10.5014/ajot.2025.79S301","url":null,"abstract":"<p><p>This AOTA Position Statement articulates the principles, values, and beliefs that guide the practice of occupational therapy. The document provides a foundation for entry-level education and supports advocacy.</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":"145679097","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 Occupational Therapy Code of Ethics.","authors":"","doi":"10.5014/ajot.2025.79S302","DOIUrl":"https://doi.org/10.5014/ajot.2025.79S302","url":null,"abstract":"<p><p>The 2025 Occupational Therapy Code of Ethics (the Code) of the American Occupational Therapy Association (AOTA) reflects the dynamic and inclusive nature of the occupational therapy profession, the evolving health care landscape, and the impact of emerging technologies that may present ethical considerations in practice, research, education, and policy. AOTA members are dedicated to fostering inclusion, equity, participation, safety, and well-being for all individuals, across diverse identities, abilities, and life circumstances. AOTA members are committed to empowering every person, group, family, organization, community, or population they serve to help them achieve their occupational goals and meet their unique needs.</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":"145679090","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":"Pediatric Acute-Onset Neuropsychiatric Syndrome (PANS) and Occupational Performance: A Scoping Review.","authors":"Michelle J Newby, Kirsti Haracz, Shelly J Lane, Janice Tona","doi":"10.5014/ajot.2025.051238","DOIUrl":"10.5014/ajot.2025.051238","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Importance: &lt;/strong&gt;Pediatric acute-onset neuropsychiatric syndrome (PANS) is a neuroimmune condition that significantly affects children's occupational performance across multiple domains. However, occupational performance is often overlooked in current PANS clinical frameworks, despite its critical role in daily functioning and well-being.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Objective: &lt;/strong&gt;To synthesize evidence on the occupational performance challenges experienced by children with PANS, the tools used to assess these challenges, and occupational therapy interventions used with these children.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Data sources: &lt;/strong&gt;MEDLINE, CINAHL, Cochrane Library, PsycINFO, SCOPUS, ERIC, and EMBASE were searched from their inception through May 17, 2024.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Study selection and data collection: &lt;/strong&gt;Peer-reviewed studies addressing PANS and occupational performance were included, with data categorized using the Occupational Therapy Practice Framework, 4th Edition.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Findings: &lt;/strong&gt;Of 3,431 records, 40 studies met inclusion criteria. Occupational performance challenges centered on communication, nutrition, education, rest/sleep, social participation, and toileting, with limited data on bathing, dressing, personal hygiene, and play and leisure. Assessments emphasized client factors, rarely using occupation-based tools. Only 2 studies mentioned occupational therapy interventions.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusions and relevance: &lt;/strong&gt;PANS has a pervasive impact on children's occupational performance, highlighting the urgent need to prioritize it within clinical frameworks. Future research should focus on occupation-based intervention studies and assessments to enhance outcomes for children with PANS. Plain-Language Summary: Pediatric acute-onset neuropsychiatric syndrome (PANS) causes sudden, severe symptoms, such as obsessive-compulsive behaviors, eating difficulties, sensory and motor changes, and developmental regression, which significantly disrupt children's ability to perform daily activities. This study included 40 research articles addressing what is known about the impact of PANS on children's daily functioning and the role of occupational therapy in managing challenges. Results showed that most studies focused on communication, nutrition, education, sleep, social, and toileting challenges, but few addressed other daily tasks like bathing, dressing, personal hygiene, and play or leisure. Despite identified challenges, only two studies mentioned occupational therapy interventions, highlighting a major gap in the evidence. Assessments focused mainly on a child's skills and challenges, rather than looking at how the child participates in everyday activities. The findings highlight the need to better understand the challenges children with PANS face in their everyday activities and to provide practical strategies to help them succeed. Positionality Statement: Newby is a pediatric occupational therapist and researcher with","PeriodicalId":48317,"journal":{"name":"American Journal of Occupational Therapy","volume":"79 6","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145245695","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}