American Journal of Occupational Therapy最新文献

{"title":"Acceptance and Commitment Therapy in Occupational Therapy: A Scoping Review.","authors":"John V Rider, Abigail E LaVerdure, Jackie Fox","doi":"10.1177/19437676261464099","DOIUrl":"10.1177/19437676261464099","url":null,"abstract":"<p><p>ImportanceAcceptance and Commitment Therapy (ACT) emphasizes psychological flexibility and engagement in valued activities, aligning with occupational therapy's focus on participation. However, the published literature describing occupational therapy practitioners' use of ACT has not been synthesized.ObjectiveTo map the existing literature describing occupational therapy practitioners' use of ACT, including its use in evaluation and intervention, client concerns addressed, practice settings, and reported outcomes.Data SourcesA comprehensive search was conducted across PubMed, Embase, Scopus, CINAHL, PsycINFO, OTSeeker, OTDBase, SciELO, ProQuest Dissertations and Theses, MedNar, and Google Scholar from 1982 through 2025.Study Selection and Data CollectionThis scoping review followed Joanna Briggs Institute methodology and PRISMA-ScR guidelines. Studies were included if they described the use of ACT by occupational therapy practitioners. Two reviewers independently screened and extracted data using a standardized tool.FindingsTwenty-five sources were included, primarily involving adults with chronic pain in interdisciplinary rehabilitation settings. ACT was most often used within intervention, with limited description of its role in evaluation. Outcomes predominantly reflected improvements in psychological flexibility, acceptance, emotional distress, and participation. Occupation-specific outcomes were infrequently reported, and occupational therapy-specific contributions were often unclear within interdisciplinary models.Conclusions and RelevanceAcross the included studies, ACT was reported to be used by occupational therapy practitioners within intervention approaches, particularly in chronic pain and mental health contexts. However, its application remains inconsistently articulated in occupation-based evaluation and outcomes. Greater clarity in occupational therapy-specific implementation and measurement is needed to advance ACT as an occupation-centered approach.</p>","PeriodicalId":48317,"journal":{"name":"American Journal of Occupational Therapy","volume":"80 5","pages":"867-881"},"PeriodicalIF":2.4,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13640416/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148892623","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":"The Suitcase Packing Activity: A Novel Outcome Measure for Individuals With Upper Limb Loss.","authors":"Paige Paulus, W Lee Childers, Marisa Pontillo","doi":"10.1177/19437676261464069","DOIUrl":"10.1177/19437676261464069","url":null,"abstract":"<p><p>ImportancePoor prosthetic satisfaction in individuals with upper limb loss has been linked to delayed or nonspecific rehabilitation. The Suitcase Packing Activity (SPA) is a functional outcome measure which has been validated in healthy individuals and assesses bimanual and unilateral upper limb function through a goal-directed task.ObjectiveTo validate the SPA by investigating the relationship between SPA scores and patient-reported outcomes (PROs).DesignCross-sectional cohort study.SettingMilitary treatment facilities, community events, and prosthetic clinics.ParticipantsIndividuals over the age of 18 with major upper limb loss or limb difference who could speak/read English.Outcomes and MeasuresParticipants completed the SPA and questionnaires on patient characteristics, Patient-Reported Outcomes Measurement Information System (PROMIS^®), and Disabilities of the Arm, Shoulder and Hand (DASH). SPA categories are time, accuracy, and efficiency. Pearson correlations evaluated relationships between SPA subscales and continuous variables. Linear regression determined if DASH score and age could predict SPA scores. Commonality analyses determined the unique, common, and total variance of SPA subscales explained by predictor variables.ResultsTwenty-nine individuals with upper limb loss and limb difference (18 M, age:37.8 ± 12.0, time since amputation:15.7 ± 14.7years) participated in this study. Age, PROMIS^® Social Subscale, and DASH were associated with SPA scores. Age and DASH predicted SPA Time and Efficiency.Conclusions and RelevanceSPA scores align with better PRO scores and demonstrate that the SPA has sufficient concurrent validity to evaluate function in patients with limb loss. Further investigation is warranted to use this measure to compare baseline function or changes over time.</p>","PeriodicalId":48317,"journal":{"name":"American Journal of Occupational Therapy","volume":"80 5","pages":"795-803"},"PeriodicalIF":2.4,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13640400/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148892574","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":"Enhancing Play and Daily Activities in Autistic Children: Family-Centered Occupational Therapy in a Hospital Setting.","authors":"Ya-Lin Hsieh, Mei-Hui Tseng, Fu-Mei Chiang, Wei-Tian Huang, Wen-Hsin Lai, I-Ming Hsiao","doi":"10.1177/19437676261464088","DOIUrl":"10.1177/19437676261464088","url":null,"abstract":"<p><p>ImportanceFamily-centered occupational therapy (FCOT) Coaching Intervention improves child participation and parental skills, yet its use in hospital-based early intervention (EI) in Taiwan is limited.ObjectiveTo evaluate FCOT Coaching Intervention for enhancing daily participation and play in autistic children.DesignQuasi-experimental, pretest-posttest design.SettingNational Taiwan University Children's Hospital.ParticipantsNineteen autistic children (aged 2-6) and their parents. Families self-selected into FCOT Coaching Intervention group (<i>n</i> = 9) or control group (<i>n</i> = 10) based on transportation convenience.InterventionFCOT Coaching Intervention group comprised twice-weekly, 30-min sessions over 6 months, focusing on parent coaching and family-centered goals. Controls received traditional therapy in community clinics.Outcomes and MeasuresChild outcomes were assessed via Psychoeducational Profile-Third Edition (PEP-3), Vineland Adaptive Behavior Scale (VABS), and Revised Knox Preschool Play Scale (RKPPS). Parenting stress and family outcomes were measured with Parenting Stress Index-Short Form (PSI-SF) and Family Outcomes Survey-Revised (FOS-R). Goal Attainment Scaling (GAS) assessed individualized goals in FCOT Coaching Intervention group.ResultsChildren who received FCOT Coaching Intervention showed significant gains in adaptive behaviors (<i>p</i> = .021), daily living skills (<i>p</i> = .026), and attention during play (<i>p</i> = .035). GAS revealed notable progress in play and daily activity participation. Parenting stress and family outcomes showed no significant group differences.Conclusions and RelevanceFCOT Coaching Intervention effectively enhanced parts of functional participation and play in young autistic children in a hospital setting. Findings support expanding FCOT Coaching Intervention in EI and underscore the need for long-term follow-up.</p>","PeriodicalId":48317,"journal":{"name":"American Journal of Occupational Therapy","volume":"80 5","pages":"758-770"},"PeriodicalIF":2.4,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13640407/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148892567","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 Differences in Children With Idiopathic Toe Walking: A Scoping Review and Exploratory Meta-Analysis.","authors":"Virginia Way Tong Chu, Olivier Yves Rolin, Gay L Girolami, Marybeth Grant-Beuttler","doi":"10.1177/19437676261464097","DOIUrl":"10.1177/19437676261464097","url":null,"abstract":"<p><p>ImportanceThe cause of idiopathic toe walking (ITW) remains unclear, though impaired sensory processing has often been hypothesized to be linked to ITW.ObjectivesThe objective of this article is to review the literature on toe-walking to identify how sensory processing contributes to ITW.Data SourcesFour databases (CINAHL, Pubmed, PsychINFO, and SCOPUS) were searched for papers related to sensory processing and ITW published prior to July 2024. References of retrieved papers were reviewed for additional sources.Study Selection and Data CollectionThe PRISMA guidelines for scoping review were used to abstract the data following Joanna Briggs Institute methodology. Inclusion criteria were examined and papers included at least one sensory system related to ITW was studied. Papers were excluded if toe walking was due to diagnosed neurological, orthopedic, or genetic conditions.FindingsOur scoping review identified 13 published articles relevant to examining sensory processing in children with ITW. Studies explored differences in vibration perception, light touch, proprioception, vestibular, visual processing, sensorimotor functional assessments, and parental surveys of sensory processing. Six of the papers were included in a meta-analysis on vibration perception threshold that failed to reach significance (<i>p</i> = .12). Despite heterogeneity across studies in participants, methods, and outcomes, a meta-analysis for atypical scores from parent-report sensory processing survey data yielded significant differences between children with ITW and typical controls (<i>p</i> < .0068).Conclusions and RelevanceChildren with ITW demonstrate impairments across multiple domains of sensory processing and sensory-motor function suggesting an underlying relationship between ITW and sensory differences. Children with ITW, however, represent a diverse group of individuals with significant between-subjects variability in which senses are impaired, and which outcome measures best capture these differences.</p>","PeriodicalId":48317,"journal":{"name":"American Journal of Occupational Therapy","volume":"80 5","pages":"908-929"},"PeriodicalIF":2.4,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13640398/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148892541","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":"Psychometric Evaluation of the Intraprofessional Collaborative Practice Survey in Entry-Level Occupational Therapy Students: A Rasch Analysis.","authors":"Chia-Wei Fan","doi":"10.1177/19437676261464086","DOIUrl":"10.1177/19437676261464086","url":null,"abstract":"<p><p>ImportanceCollaboration between occupational therapists (OTs) and occupational therapy assistants (OTAs) supports coordinated client-centered care. Although the Intraprofessional Collaborative Practice Survey (ICPS) has been used to document progress in occupational therapy, Rasch-based psychometric evidence is limited.ObjectiveTo evaluate the ICPS psychometric properties using Rasch analysis and examine differential item functioning (DIF) between master of occupational therapy (MOT) and doctor of occupational therapy (OTD) students.DesignCross-sectional psychometric validation study.SettingAccredited occupational therapy programs across the United States.ParticipantsIn total, 444 occupational therapy students (272 MOT [mean age = 24.55 years; 7.4% male] and 172 OTD [mean age = 24.84 years; 8.7% male]).Outcomes and MeasuresIntraprofessional Collaborative Practice Survey (ICPS)-Occupational Therapist version, a 20-item survey with <i>Perceived Importance</i> and <i>Perceived Ability</i> modules across four domains: Intraprofessional Teamwork, Roles and Responsibilities for Collaborative Practice, Communication for Intraprofessional Practice, and Values and Ethics for Intraprofessional Practice.ResultsUnidimensionality was confirmed for the four domains within both the Perceived Importance and Perceived Ability modules. Response categories advanced monotonically, supporting appropriate functioning of the 3-point rating scale. Item fit was acceptable. Ceiling effects were observed across both modules; no floor effects were found. Item separation indicated stable item ordering. Two Perceived Importance items demonstrated meaningful DIF between MOT and OTD students.Conclusions and RelevanceThe ICPS demonstrated satisfactory construct validity, and most items functioned comparably across MOT and OTD programs. Ceiling effects in the Perceived Importance items may limit sensitivity to change at higher endorsement levels. Two DIF items warrant further examination.</p>","PeriodicalId":48317,"journal":{"name":"American Journal of Occupational Therapy","volume":"80 5","pages":"812-826"},"PeriodicalIF":2.4,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13640401/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148892591","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":"Comprehensive Effects of Occupational Therapy Using Ayres Sensory Integration® in Children With ADHD: A Randomized Controlled Trial.","authors":"Angela Benfield, Jane Davis, Lilian Kaplan","doi":"10.1177/19437676261464073","DOIUrl":"10.1177/19437676261464073","url":null,"abstract":"","PeriodicalId":48317,"journal":{"name":"American Journal of Occupational Therapy","volume":"80 5","pages":"749-750"},"PeriodicalIF":2.4,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13640405/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148892593","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":"Solution-Based Strategies to Promote Participation of Youth With Physical Disabilities Through PREP Intervention.","authors":"Esra Keskin, Mallory Ryan, Dana Anaby","doi":"10.1177/19437676261464071","DOIUrl":"10.1177/19437676261464071","url":null,"abstract":"<p><p>ImportancePathways and Resources for Engagement and Participation (PREP) is an evidence-based, environmental intervention to improve an individual's participation in activities of choice. However, the specific intervention strategies employed have not been systematically examined.ObjectiveTo identify and describe PREP strategies used to promote the participation of youth and young adults with disabilities in community-based self-chosen occupations.DesignA descriptive qualitative study was employed. Data were extracted from PREP Intervention Forms documenting step 3 of the interventions (\"Make it Happen\") for 65 youth and young adults with physical disabilities. PREP Forms included 524 strategies to enhance participation in 127 goals set by the youth (e.g., taking cooking classes, playing badminton, playing a musical instrument, and volunteering in a radio station). Inductive content analysis was conducted.SettingCommunity.ParticipantsSixty-five youth and young adults with physical disabilities aged 12 to 25 (mean=18, SD = 3.67) who received the PREP intervention.ResultsTwenty-eight actions organized by four overarching strategy categories were identified: (1) reach out to community resources and partners, (2) set the stage for an accessible and adaptable context for participation, (3) engage partners in learning and education to foster their agency and enable feasible and supportive participation, and (4) monitor the process and consider new solutions.Conclusions and RelevanceFindings provide new knowledge about the practical application of the PREP approach, highlighting strategies that can enhance the participation of youth and young adults with physical disabilities. Findings can also redirect occupational therapists' attention toward engaging youth and community partners to build capacity for future participation.</p>","PeriodicalId":48317,"journal":{"name":"American Journal of Occupational Therapy","volume":"80 5","pages":"804-811"},"PeriodicalIF":2.4,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13640404/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148892619","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":"Health Policy Perspectives-Realizing the Potential of Occupational Therapy in Supporting Postsecondary Student Mental Health and Success.","authors":"Eithne Hunt, Clodagh Nolan, Jeanne Eichler, Karen Keptner","doi":"10.1177/19437676261464052","DOIUrl":"10.1177/19437676261464052","url":null,"abstract":"<p><p>Postsecondary institutions around the world are grappling with how best to respond to what is described as a crisis in student mental health, with urgent calls for evidence-based advocacy, campaigning, and global action. In response to this call to action, in this article we advocate for a stronger role for occupational therapy in supporting student mental health in postsecondary settings through the enactment of the <i>Okanagan Charter: An International Charter for Health Promoting University and Colleges</i>, which celebrated its tenth anniversary in 2025. We share examples of innovative occupational therapy services and developments from the United States and Ireland specifically addressing the growing mental health needs of postsecondary students; highlight advocacy efforts and international collaborations and offer suggestions for how occupational therapy practitioners can work to consolidate and expand this vibrant and necessary emergent practice area through the basic tenets of the <i>Okanagan Charter: An International Charter for Health Promoting University and Colleges</i>.</p>","PeriodicalId":48317,"journal":{"name":"American Journal of Occupational Therapy","volume":"80 5","pages":"969-977"},"PeriodicalIF":2.4,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13639979/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148892631","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":"Qualitative Research in Occupational Therapy: Toward a More Rigorous and Reflexive Praxis.","authors":"Khalilah R Johnson, Nancy Bagatell, Allison J Naber, Emily F Rothman","doi":"10.1177/19437676261464101","DOIUrl":"10.1177/19437676261464101","url":null,"abstract":"","PeriodicalId":48317,"journal":{"name":"American Journal of Occupational Therapy","volume":"80 5","pages":"753-757"},"PeriodicalIF":2.4,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13640462/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148892626","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":"Implementation of Metacognitive Reflection and Insight Therapy for Occupational Therapy (MERIT-OT) to Support Veterans Receiving Occupational Therapy Mental Health Services.","authors":"Sally Wasmuth, Samantha Randolph, Benjamin Triplett, Anya Kamara, Stephanie M Rehling, Allison L Taylor, Caitlin Bunch, Elizabeth Karan","doi":"10.1177/19437676261464048","DOIUrl":"10.1177/19437676261464048","url":null,"abstract":"<p><p>ImportanceMetacognitive Reflection and Insight Therapy for Occupational Therapy (MERIT-OT) is a novel adaptation of an evidence-based psychotherapy model designed to enhance metacognitive capacity and support recovery. Its philosophical alignment with occupational therapy-particularly the emphasis on meaning-making and life participation-makes it a promising intervention for Veterans with serious mental illness. However, to date no implementation studies of MERIT-OT have been conducted.ObjectiveTo evaluate the implementation of MERIT-OT within a Veterans Affairs (VA) occupational therapy setting and to explore preliminary findings regarding clinical effectiveness.DesignPilot study evaluating the implementation and preliminary effectiveness of MERIT-OT when delivered by occupational therapists in a VA setting.SettingOne VA Medical Center across four occupational therapy practice areas: psychosocial rehabilitation, outpatient mental health, home health, and women's health.ParticipantsFive occupational therapists; three implemented MERIT-OT with nine Veterans over 37 sessions.Outcomes and MeasuresImplementation outcomes were assessed using the Consolidated Framework for Implementation Research when analyzing interviews and chart review data. Clinical outcomes were measured using the Metacognition Assessment Scale-Abbreviated (MAS-A).ResultsFacilitators included perceived relative advantage and tension for change. Barriers included competing priorities and documentation challenges. Quantitative analysis showed early gains in metacognitive mastery; other subscales showed limited change.Conclusions and RelevancePreliminary findings suggest ongoing consultation, additional training, and improved tools and resources may facilitate MERIT-OT implementation in VA outpatient mental health.What This Article AddsMERIT-OT offers a structured, recovery-oriented approach aligned with occupational therapy values and shows promise for enhancing metacognitive outcomes in mental health settings.</p>","PeriodicalId":48317,"journal":{"name":"American Journal of Occupational Therapy","volume":"80 5","pages":"827-836"},"PeriodicalIF":2.4,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13639981/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148892589","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}