American Journal of Occupational Therapy最新文献_第2页

Occupational Therapy at the First Visit: A Case for Joint Consultation in Hand Care. 第一次就诊时的职业治疗：手部护理联合会诊一例。

IF 2.4 4区医学

American Journal of Occupational Therapy Pub Date : 2026-11-01 Epub Date: 2026-09-24 DOI: 10.1177/19437676261487164

Husam Taha, AbdelRahman Marridi

{"title":"Occupational Therapy at the First Visit: A Case for Joint Consultation in Hand Care.","authors":"Husam Taha, AbdelRahman Marridi","doi":"10.1177/19437676261487164","DOIUrl":"10.1177/19437676261487164","url":null,"abstract":"For many common hand conditions, such as carpal tunnel syndrome, trigger finger, and thumb base arthritis, both surgery and nonsurgical care can lead to good outcomes. The best choice depends on the patient's occupations and goals, so the patient should help make it. This is what shared decision-making, choosing together after weighing the options, is meant to do. In practice, though, patients often meet an occupational therapist only after deciding on surgery, so the nonsurgical option gets little attention when the choice is made. We argue that the occupational therapist belongs at the first visit, when the decision is made. Drawing on a model used for one year in two West Bank clinics, in which a surgeon and an occupational therapist see the patient together and present the options side by side, we show how the therapist's presence makes shared decision-making concrete and supports continuity where access is limited.What This Article Adds: This article makes the case for including the occupational therapist in the first surgical consultation for common hand conditions, so that the surgical and nonsurgical options are weighed together, with the patient, at the moment the decision is made.","PeriodicalId":48317,"journal":{"name":"American Journal of Occupational Therapy","volume":" ","pages":"1159-1163"},"PeriodicalIF":2.4,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149041400","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Occupational Therapy Best Practices in U.S. Public Schools: Alignment with Federal Legislation and State Licensure. 美国公立学校的职业治疗最佳实践：与联邦立法和州许可相一致。

IF 2.4 4区医学

American Journal of Occupational Therapy Pub Date : 2026-11-01 Epub Date: 2026-08-11 DOI: 10.1177/19437676261473526

Margaret Morris

引用次数: 0

Toward Scalable Driver Readiness Screenings for Autistic Teens: Clinical Measures Correlated With Real-World Evaluations. 面向自闭症青少年的可扩展驾驶准备筛选：与现实世界评估相关的临床措施。

IF 2.4 4区医学

American Journal of Occupational Therapy Pub Date : 2026-11-01 Epub Date: 2026-08-12 DOI: 10.1177/19437676261473507

Chelsea Ward McIntosh, Miriam Monahan, Laura Bennett, Allison E Curry, Emma B Sartin

{"title":"Toward Scalable Driver Readiness Screenings for Autistic Teens: Clinical Measures Correlated With Real-World Evaluations.","authors":"Chelsea Ward McIntosh, Miriam Monahan, Laura Bennett, Allison E Curry, Emma B Sartin","doi":"10.1177/19437676261473507","DOIUrl":"https://doi.org/10.1177/19437676261473507","url":null,"abstract":"ImportanceThere are no standardized pathways to guide autistic adolescents through the learning-to-drive process, beginning with deciding whether they are ready to pursue driving.ObjectiveTo examine whether commonly used clinical assessments correlate with driver readiness determinations.DesignCross-sectional, nonexperimental study using a single in-person visit comprised of a clinical assessment and on-road passenger activities.SettingA primary care clinic in an urban city.ParticipantsTwenty-one autistic adolescents aged 15-19 years without a learner's permit were recruited via email outreach. Inclusion criteria required English fluency and ability to complete an in-person 4-h visit.Outcomes and MeasuresParticipants completed a clinical battery and on-road passenger activities. Readiness determinations were dichotomized into \"Not Ready\" or \"Ready\" for a formal driver evaluation. We conducted descriptive statistics, correlations, and positive predictive and negative predictive value tests to assess differences by clinical measures scores and readiness determinations.ResultsSeven participants were categorized as \"Not Ready\" and 14 as \"Ready.\" Strongest correlations with readiness were observed for Bruininks-Oseretsky Test of Motor Proficiency, Second Edition (BOT-2) Short Form scores and Beery Visual-Motor Integration (VMI) scores. Potential cut points between groups included <22 on the Beery VMI raw score, >65 on the BOT-2 Total Point Score, >36 on the BOT-2 Standard Score, and ≥5 on the BOT-2 Transferring Pennies score. NIH Toolbox working memory and cognitive flexibility tasks showed moderate associations.Conclusions and RelevanceCommonly used clinical assessments show preliminary associations with driver readiness outcomes. Findings support future development of a standardized screening battery to guide referral decisions and predriving skill development.","PeriodicalId":48317,"journal":{"name":"American Journal of Occupational Therapy","volume":"80 6","pages":"981-991"},"PeriodicalIF":2.4,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149138777","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Occupational Data Stewardship in the Era of Artificial Intelligence: A Call for Occupational Therapy Leadership. 人工智能时代的职业数据管理：对职业治疗领导的呼唤。

IF 2.4 4区医学

American Journal of Occupational Therapy Pub Date : 2026-11-01 Epub Date: 2026-09-22 DOI: 10.1177/19437676261481400

Pola Ham

{"title":"Occupational Data Stewardship in the Era of Artificial Intelligence: A Call for Occupational Therapy Leadership.","authors":"Pola Ham","doi":"10.1177/19437676261481400","DOIUrl":"10.1177/19437676261481400","url":null,"abstract":"Artificial intelligence (AI) is rapidly reshaping occupational therapy, and the literature has increasingly addressed robotics, predictive models, assessment technologies, ethics, documentation, and workforce readiness. Comparatively little attention, however, has been given to whether the occupational data underlying AI systems adequately represent occupation or support occupation-centered practice. In this article, representative occupational data are defined as data that capture occupation as it is experienced in context rather than reducing it to impairment, task performance, or service use alone. I contend that occupational therapy practitioners have a professional responsibility for occupational data stewardship by shaping how occupational data are structured, interpreted, governed, and applied across AI-supported practice, education, and research. This work includes identifying occupation-related information, translating it into meaningful data, and critically evaluating how those data are used within AI systems. To advance occupational data stewardship, I propose four priorities: establishing minimum occupational data elements, protecting occupational data privacy, maintaining human-in-the-loop accountability, and implementing AI in ways that prioritize occupational justice and participation over efficiency.","PeriodicalId":48317,"journal":{"name":"American Journal of Occupational Therapy","volume":" ","pages":"1148-1152"},"PeriodicalIF":2.4,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149018374","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Co-Occupational Participation and Musculoskeletal Health in Mothers: A 7-Day Diary Study. 共同职业参与与母亲肌肉骨骼健康：一项为期7天的日记研究。

IF 2.4 4区医学

American Journal of Occupational Therapy Pub Date : 2026-11-01 Epub Date: 2026-08-22 DOI: 10.1177/19437676261480598

Gamze Ayas, Esra Akı

{"title":"Co-Occupational Participation and Musculoskeletal Health in Mothers: A 7-Day Diary Study.","authors":"Gamze Ayas, Esra Akı","doi":"10.1177/19437676261480598","DOIUrl":"https://doi.org/10.1177/19437676261480598","url":null,"abstract":"Importance: Postpartum musculoskeletal disorders are prevalent, yet ergonomic approaches often overlook the temporal organization of mother-infant co-occupations. Examining weekly care patterns may help identify patterns relevant to occupational therapy assessment and future intervention research.Objective: To examine associations between weekly co-occupational exposure patterns and musculoskeletal disability among postpartum women.Design: Cross-sectional study using a 7-day co-occupational participation log.Setting: Community-based online recruitment.Participants: Primiparous postpartum women (N = 101).Outcomes and measures: Weekly exposure indicators were cumulative care load, sustained care intensity, and relative care predominance. Region-specific disability was assessed using the QuickDASH, Neck Disability Index (NDI), and Oswestry Disability Index (ODI).Results: All three exposure indicators were positively correlated with musculoskeletal disability. In adjusted analyses, cumulative care load was consistently associated with higher ODI, NDI, and QuickDASH scores, whereas sustained care intensity was associated with higher ODI and NDI scores. Relative care predominance was not independently associated with outcomes after adjustment. Adjusted models explained 32.3% to 37.8% of outcome variance.Conclusions and relevance: Weekly accumulation of high-load care days was the most consistent indicator of musculoskeletal disability across body regions; prolonged uninterrupted care bouts were additionally relevant for neck and low back disability. Temporal care patterns may be relevant to postpartum occupational therapy assessment and future intervention research.","PeriodicalId":48317,"journal":{"name":"American Journal of Occupational Therapy","volume":"80 6","pages":"1045-1053"},"PeriodicalIF":2.4,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149138260","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Barriers and Facilitators to Implementing Project ImPACT in China: Views of Healthcare Professionals and Caregivers. 在中国实施项目影响的障碍和促进因素：医疗保健专业人员和护理人员的观点。

IF 2.4 4区医学

American Journal of Occupational Therapy Pub Date : 2026-11-01 Epub Date: 2026-09-15 DOI: 10.1177/19437676261484891

Xiaoqian Zhao, Aimin Liang, Jun Chen, Dongmei Ma, Ying Nie, Zhenhang Zhai, Jiaqi Wang, Ruixue Sun, Guojun Zhang

{"title":"Barriers and Facilitators to Implementing Project ImPACT in China: Views of Healthcare Professionals and Caregivers.","authors":"Xiaoqian Zhao, Aimin Liang, Jun Chen, Dongmei Ma, Ying Nie, Zhenhang Zhai, Jiaqi Wang, Ruixue Sun, Guojun Zhang","doi":"10.1177/19437676261484891","DOIUrl":"10.1177/19437676261484891","url":null,"abstract":"BackgroundProject of Improving Parents as Communication Teachers (Project ImPACT), an evidence-based parent-mediated intervention (PMI), aims to enhance the developmental skills of autistic children through caregiver training. Although PMIs have been successfully implemented in various cultural contexts, their promotion in China faces many barriers and facilitators that require in-depth exploration.PurposeThis study aims to identify the potential barriers and facilitators affecting the implementation of Project ImPACT in a northern hospital in China from the perspectives of healthcare professionals and caregivers.Design and methodsThis study specifically analyzed the differing views of both groups regarding these factors during implementation and examined their relevance to the updated Consolidated Framework for Implementation Research (CFIR 2.0). This qualitative research employed focus group discussions and individual interviews with 11 healthcare professionals and 18 caregivers of autistic children to collect data. The data were analyzed using thematic analysis in conjunction with a targeted content analysis guided by the CFIR 2.0.ResultsThe findings revealed 11 barriers, 20 facilitators, and two neutral factors. Healthcare professionals tended to focus on systemic issues, while caregivers were mainly concerned with family and individual challenges.ConclusionsDespite both groups' positive attitudes towards Project ImPACT in meeting family needs, they exhibited different emphases on organizational frameworks, cultural adaptability, and specific practical strategies for implementation.","PeriodicalId":48317,"journal":{"name":"American Journal of Occupational Therapy","volume":" ","pages":"1062-1077"},"PeriodicalIF":2.4,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148971662","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Feasibility and Outcomes of High Intensity Arm Training in Stroke. 脑卒中中高强度手臂训练的可行性和效果。

IF 2.4 4区医学

American Journal of Occupational Therapy Pub Date : 2026-11-01 Epub Date: 2026-09-16 DOI: 10.1177/19437676261481403

Madeline Runyen, Charmi Kanani, Cristin Beazley, Amol M Karmarkar

{"title":"Feasibility and Outcomes of High Intensity Arm Training in Stroke.","authors":"Madeline Runyen, Charmi Kanani, Cristin Beazley, Amol M Karmarkar","doi":"10.1177/19437676261481403","DOIUrl":"10.1177/19437676261481403","url":null,"abstract":"ImportanceAerobic intensity is well supported in poststroke gait rehabilitation, but its role in upper extremity rehabilitation is unclear.ObjectiveExamine whether aerobic intensity is associated with upper extremity recovery and self-care performance.DesignRetrospective observational cohort study.Participants121 individuals admitted to an inpatient rehabilitation hospital after stroke.InterventionArm therapy targeting increased cardiovascular demand using advanced arm rehabilitation technology and body weight support.OutcomesArm recovery and self-care performance were assessed using the Fugl-Meyer Assessment for the Upper Extremity and Section GG Medicare Functional Assessment.ResultsMore than half of participants reached ≥70% heart rate (HR) maximum in at least one session. Achieving ≥70% HR maximum (p = .04) and use of body weight support (p = .02) were each associated with greater improvement in self-care performance.ConclusionsAchieving ≥70% HR maximum during arm training was feasible and associated with greater self-care independence. Strategies to increase cardiovascular demand such as a more challenging body position or the use of body weight support (BWS) may support functional performance in individuals poststroke.","PeriodicalId":48317,"journal":{"name":"American Journal of Occupational Therapy","volume":" ","pages":"1133-1142"},"PeriodicalIF":2.4,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148978404","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Participation in Personal and Professional Roles After Young Adult Stroke: A Scoping Review. 青年中风后个人和职业角色的参与：范围审查。

IF 2.4 4区医学

American Journal of Occupational Therapy Pub Date : 2026-11-01 Epub Date: 2026-09-30 DOI: 10.1177/19437676261478051

M R Donnelly, R M Vaughn, T N Chavis, S Gass, T Mazan, J Futrowsky

{"title":"Participation in Personal and Professional Roles After Young Adult Stroke: A Scoping Review.","authors":"M R Donnelly, R M Vaughn, T N Chavis, S Gass, T Mazan, J Futrowsky","doi":"10.1177/19437676261478051","DOIUrl":"10.1177/19437676261478051","url":null,"abstract":"ImportanceYoung adulthood is characterized by role developmental and occupational transitions; however, rehabilitation for young adult stroke survivors (YASS) is largely informed by evidence from older adults. Understanding the unique participation challenges of YASS is important for identifying tailored intervention targets.ObjectiveTo systematically map, synthesize, and identify gaps in the literature examining YASS participation.Data SourcesEBSCO search across Academic Search Ultimate, CINAHL Plus with Full Text, MEDLINE, and APA PsycInfo.Study Selection and Data CollectionPeer-reviewed studies reporting original data from YASS aged 18-45 that address participation in a role (e.g., parent, spouse), activity (e.g., education), or set of activities (e.g., activities of daily living). Data were extracted and synthesized to describe poststroke participation.FindingsFifteen studies reflected a heterogeneous evidence base. Findings suggest that stroke leads to occupational disruption with multi-layered and compounding effects on roles and activities during young adulthood.Conclusions and RelevanceStroke disrupts the life course trajectory through which roles, identities, future possibilities, and life structures are formed, negotiated, and adjusted.This review charted the limited and fragmented literature, indicating a need for evidence to inform clinical practices tailored to the distinct and evolving needs of YASS.","PeriodicalId":48317,"journal":{"name":"American Journal of Occupational Therapy","volume":" ","pages":"1100-1110"},"PeriodicalIF":2.4,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149082611","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

How Top-Down Are We? Reconsidering the Gap Between Occupational Therapy's Identity and Practice. 我们是如何自上而下的？重新思考职业治疗的身份与实践之间的差距。

IF 2.4 4区医学

American Journal of Occupational Therapy Pub Date : 2026-10-16 DOI: 10.1177/19437676261498878

Pantelis Pergantis, Konstantinos Georgiou

{"title":"How Top-Down Are We? Reconsidering the Gap Between Occupational Therapy's Identity and Practice.","authors":"Pantelis Pergantis, Konstantinos Georgiou","doi":"10.1177/19437676261498878","DOIUrl":"https://doi.org/10.1177/19437676261498878","url":null,"abstract":"Occupational therapy has spent more than a century defining occupation as its professional core. Yet studies across countries and settings show a recurring gap. Therapists value occupation-centered practice while often relying on impairment-focused assessment and intervention. This article argues that the profession may face a translation problem more than an identity problem. Biomedical service structures, standardized measurement, workplace culture, and professional socialization can pull reasoning toward body functions. Bottom-up methods are not inherently incompatible with occupational therapy; the problem arises when change in a component is treated as sufficient evidence of occupational success. Drawing on occupational therapy research, the International Classification of Functioning, Disability and Health, rehabilitation science, and disability rights, we argue that occupation and participation should remain the outcomes that organize assessment, intervention, and evaluation. Practical changes are proposed for clinical reasoning, outcome measurement, education, supervision, and service design.","PeriodicalId":48317,"journal":{"name":"American Journal of Occupational Therapy","volume":" ","pages":"19437676261498878"},"PeriodicalIF":2.4,"publicationDate":"2026-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149197165","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Protecting the Pipeline: Faculty Burnout as a Structural Issue in Occupational Therapy Education. 保护管道：职业治疗教育中教师职业倦怠的结构性问题。

IF 2.4 4区医学

American Journal of Occupational Therapy Pub Date : 2026-10-15 DOI: 10.1177/19437676261497930

Kaylynn Garrison, Danielle DiLuzio Panetta, Serena Dewey, Dane Vulcan, Leanna McManus

引用次数: 0