American Journal of Occupational Therapy最新文献

{"title":"Practitioner Burnout and Productivity Levels in Skilled Nursing and Assisted Living Facilities, Part 1: A Descriptive Quantitative Account.","authors":"Ashley Coleman, Ellen McLaughlin, Michael Floren","doi":"10.5014/ajot.2024.050341","DOIUrl":"10.5014/ajot.2024.050341","url":null,"abstract":"<p><strong>Importance: </strong>Understanding burnout among practitioners in skilled nursing facilities (SNFs) and assisted living facilities (ALFs) while considering contextual factors may lead to practices that enhance therapist and patient satisfaction as well as quality of care.</p><p><strong>Objective: </strong>To examine productivity standards and burnout in the context of setting and role, as reported by therapy practitioners in geriatric settings, and to explore relationships between productivity standards and perceived ethical pressures.</p><p><strong>Design: </strong>Cross-sectional online survey with descriptive data.</p><p><strong>Participants: </strong>Practitioners (N = 366) included occupational therapists, physical therapists, speech-language pathologists, and occupational and physical therapy assistants working in SNFs and ALFs in the United States. A survey integrating the Maslach Burnout Inventory: Human Services Survey for Medical Personnel (MBI-HSS) and questions addressing demographics and contextual factors was distributed via social media.</p><p><strong>Results: </strong>Of 366 practitioners, 20.5% were burned out, exhibiting extreme scores for Emotional Exhaustion (EE), Depersonalization (DP), and Personal Accomplishment (PA) on the MBI-HSS. Significant relationships between productivity requirements and EE, DP, and PA, after accounting for covariates, were evident. Significant relationships between productivity standards and five of the six ethically questionable behaviors existed. Role affected productivity requirements, specifically between therapists and assistants, whereas setting did not.</p><p><strong>Conclusions and relevance: </strong>Productivity standards and related pressures are associated with concerning aspects of burnout among practitioners working in geriatric settings. Advocating for change in defining productivity and incorporating positive support in the work environment may assist in reducing burnout and turnover rates and improve patient satisfaction and care. Plain-Language Summary: This research highlights the prevalence of burnout and perceived pressures related to productivity requirements among occupational therapy practitioners working in skilled nursing and assisted living facilities.</p>","PeriodicalId":48317,"journal":{"name":"American Journal of Occupational Therapy","volume":null,"pages":null},"PeriodicalIF":2.9,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139467125","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":"Understanding Accreditation Requirement Trends of Teaching Occupation in Occupational Therapy Curricula.","authors":"Thomas J Mernar, Leighan Herzberger","doi":"10.5014/ajot.2024.050342","DOIUrl":"10.5014/ajot.2024.050342","url":null,"abstract":"<p><p>Accreditation standards covering occupation have evolved across recent versions of the Accreditation Council for Occupational Therapy Education's (ACOTE®'s) academic B content standards. Because occupational therapy and occupational therapy assistant academic programs are required to provide evidence of compliance with each B content standard, the level of students' learning of occupation warrants attention. The revised Bloom's taxonomy offers a useful framework for examining hierarchical learning action verbs that underpin the degree of complexity of students' learning of occupation within the ACOTE standards. In this column, we provide an analysis of action verbs across ACOTE standards from 2006 to the most recent, 2018 version. The findings reveal a reduction in accreditation requirement trends covering occupation in both lower and higher order cognitive skill levels as described in the revised Bloom's taxonomy. We advocate for increased curricular content centered on the foundations of occupation so that students and future practitioners can increasingly apply, analyze, evaluate, and creatively use occupation in the classroom and in practice.</p>","PeriodicalId":48317,"journal":{"name":"American Journal of Occupational Therapy","volume":null,"pages":null},"PeriodicalIF":2.9,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139565017","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":"Organizational Barriers to and Facilitators of the Successful Implementation and Sustainability of the Supporting and Enhancing NICU Sensory Experiences (SENSE) Program.","authors":"Roberta Pineda, Polly Kellner, Bethany A Gruskin, Joan Smith","doi":"10.5014/ajot.2024.050450","DOIUrl":"10.5014/ajot.2024.050450","url":null,"abstract":"<p><strong>Importance: </strong>The Supporting and Enhancing NICU Sensory Experiences (SENSE) program is an evidence-based intervention that promotes daily, positive sensory exposures for infants in the neonatal intensive care unit (NICU). Understanding program implementation across sites may aid in optimizing strategies for uptake of the program and subsequently improve outcomes for infants and families.</p><p><strong>Objective: </strong>To investigate health care professionals' perceptions of implementing the SENSE program.</p><p><strong>Design: </strong>The SENSE Program Implementation Survey was developed using Proctor et al.'s model and the BARRIERS scale to probe organizational practices across sites worldwide.</p><p><strong>Setting: </strong>Survey distributed to 211 hospitals with a SENSE program license obtained before March 2020.</p><p><strong>Participants: </strong>One hundred fourteen NICU personnel (response rate = 54%).</p><p><strong>Outcomes and measures: </strong>The survey sought to understand barriers and facilitators, adaptations during implementation, and associated costs.</p><p><strong>Results: </strong>Of the 53% (n = 57 of 107) of respondents who had implemented the SENSE program, many (n = 14; 31%) experienced quick timing (<1 mo) to use, including spread to nearly all infants in their NICU within 6 mo (n = 18; 35%). Most reported the program was used to educate families ≤3 days of birth (n = 20/59; 34%). Most of the sensory interventions in the program were performed by parents (n = 38; 67%) and therapists (n = 44; 77%). Barriers and facilitators at the organizational and individual levels were identified. No additional staff were hired to implement the program.</p><p><strong>Conclusions and relevance: </strong>Given perceived successes and challenges, strategic enhancement of implementation can inform future administrations of the SENSE program. Plain-Language Summary: This study provides occupational therapists who are interested in implementing the SENSE program (Supporting and Enhancing NICU Sensory Experiences) with an understanding of common barriers, facilitators, costs, and adaptations, which can be used to advocate for program implementation in NICUs to improve outcomes for preterm infants worldwide.</p>","PeriodicalId":48317,"journal":{"name":"American Journal of Occupational Therapy","volume":null,"pages":null},"PeriodicalIF":2.9,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139565034","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":"Occupational Therapy Practice Guidelines for Adults Living With Alzheimer's Disease and Related Neurocognitive Disorders.","authors":"Stacy Smallfield, Lizabeth Metzger, Melissa Green, Laura Henley, Elizabeth K Rhodus","doi":"10.5014/ajot.2024.078101","DOIUrl":"10.5014/ajot.2024.078101","url":null,"abstract":"<p><strong>Importance: </strong>There are currently 55 million adults living with declining functional cognition-altered perception, thoughts, mood, or behavior-as the result of Alzheimer's disease (AD) and related neurocognitive disorders (NCDs). These changes affect functional performance and meaningful engagement in occupations. Given the growth in demand for services, occupational therapy practitioners benefit from consolidated evidence of effective interventions to support adults living with AD and related NCDs and their care partners.</p><p><strong>Objective: </strong>These Practice Guidelines outline effective occupational therapy interventions for adults living with AD and related NCDs and interventions to support their care partners.</p><p><strong>Method: </strong>We synthesized the clinical recommendations from a review of recent systematic reviews.</p><p><strong>Results: </strong>Twelve systematic reviews published between 2018 and 2021 served as the foundation for the practice recommendations.</p><p><strong>Conclusion and recommendations: </strong>Reminiscence, exercise, nonpharmacological behavioral interventions, cognitive therapy, sensory interventions, and care partner education and training were found to be most effective to support adults living with AD and related NCDs. Plain-Language Summary: These Practice Guidelines provide strong and moderate evidence for occupational therapy practitioners to support adults living with Alzheimer's disease (AD) and related neurocognitive disorders (NCDs) and their care partners. They provide specific guidance for addressing the decline in cognition, behavioral and psychological symptoms of dementia, and pain experience of adults living with AD and related NCDs. The guidelines also describe interventions to support care partners. With support from the evidence, occupational therapy practitioners are better equipped to address the unique needs of adults living with AD and related NCDs and their care partners.</p>","PeriodicalId":48317,"journal":{"name":"American Journal of Occupational Therapy","volume":null,"pages":null},"PeriodicalIF":2.9,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10985123/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139673277","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":"Letter to the Editor.","authors":"Thajus Asirvatham","doi":"10.5014/ajot.2024.050523","DOIUrl":"10.5014/ajot.2024.050523","url":null,"abstract":"","PeriodicalId":48317,"journal":{"name":"American Journal of Occupational Therapy","volume":null,"pages":null},"PeriodicalIF":2.9,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139433205","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":"Test-Retest Reliability, Criterion-Related Validity, and Ecological Validity of the Test of Visual-Motor Skills, Third Edition, in Kindergarten Children With Developmental Coordination Disorder.","authors":"Shu-Fu Hsu, Hung-Yu Lin, Yen-Tsun Wu, Na-Chi Liao, Wan-Hui Yu, En-Chi Chiu","doi":"10.5014/ajot.2024.050206","DOIUrl":"10.5014/ajot.2024.050206","url":null,"abstract":"<p><strong>Importance: </strong>Establishing empirical evidence on the psychometric properties of the Test of Visual-Motor Skills (3rd ed.; TVMS-3) is helpful for guiding its use as an assessment of visual-motor integration (VMI) skills in kindergarten children with developmental coordination disorder (DCD).</p><p><strong>Objective: </strong>To investigate the test-retest reliability, criterion-related validity, and ecological validity of the TVMS-3 in Taiwanese kindergarten children with DCD.</p><p><strong>Design: </strong>A nonexperimental, descriptive, correlational design.</p><p><strong>Setting: </strong>A hospital in Central Taiwan.</p><p><strong>Participants: </strong>Fifty-seven kindergarten children with DCD were recruited in the study.</p><p><strong>Outcomes and measures: </strong>Intraclass correlation coefficient, percentage of minimal detectable change, and paired t test (Wilcoxon signed rank test) were used to investigate the test-retest reliability of the TVMS-3. The correlations (Pearson's r) between the TVMS-3 accuracy score and the scores of each of the four domains and the adaptive behavior composite score of the Vineland Adaptive Behavior Scales (3rd ed.; Vineland-3) were calculated, respectively, to examine criterion-related validity and ecological validity.</p><p><strong>Results: </strong>The accuracy score of the TVMS-3 had excellent test-retest reliability and acceptable random measurement error. Moreover, it showed good criterion-related validity and sufficient ecological validity with the Vineland-3 in Taiwanese kindergarten children with DCD.</p><p><strong>Conclusions and relevance: </strong>The accuracy score of the TVMS-3 is applicable to Taiwanese kindergarten children with DCD in clinical and research settings. Plain-Language Summary: The accuracy score of the Test of Visual-Motor Skills (3rd ed.; TVMS-3) is a useful assessment tool to detect deficits in visual-motor integration for Taiwanese kindergarten children with developmental coordination disorder. The TVMS-3 has excellent test-retest reliability, good criterion-related validity, and sufficient ecological validity.</p>","PeriodicalId":48317,"journal":{"name":"American Journal of Occupational Therapy","volume":null,"pages":null},"PeriodicalIF":2.9,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139433211","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":"Content Validity Testing of a Novel Cognitive Screen, the Gaylord Occupational Therapy Cognitive (GOT-Cog), to Improve Inpatient Occupational Therapy Treatment Planning.","authors":"Henry C Hrdlicka, Emily Meise, John Corbett, Amanda Meyer, Pete Grevelding","doi":"10.5014/ajot.2024.050306","DOIUrl":"10.5014/ajot.2024.050306","url":null,"abstract":"<p><strong>Importance: </strong>No single cognitive screen adequately captures all cognitive domains that are important for inpatient occupational therapy treatment planning.</p><p><strong>Objective: </strong>To quantify the content validity of a novel 22-item cognitive screen, the Gaylord Occupational Therapy Cognitive (GOT-Cog) screen, developed to better inform inpatient occupational therapy treatment planning.</p><p><strong>Design: </strong>Delphi-style expert panel review.</p><p><strong>Setting: </strong>Long-term acute care hospital.</p><p><strong>Participants: </strong>The first panel was attended by four occupational therapists, two speech-language pathologists, one physician assistant, and two neuropsychologists; the second, by four occupational therapists, one speech-language pathologist, and one physician assistant.</p><p><strong>Intervention: </strong>Each Delphi panel discussed the relevance, essentiality, and clarity of each item. After each discussion, panelists completed a content validity survey to summarize their evaluation of each item.</p><p><strong>Outcomes and measures: </strong>On the basis of panelists' survey responses, item- and scale-level relevance, essentiality, and clarity were quantified by calculating the respective content validity index (CVI), content validity ratio (CVR), and content clarity index (CCI). Universal agreement (UA) and κ statistics were also calculated, as appropriate.</p><p><strong>Results: </strong>Upon presenting the initial 23-item instrument covering 10 cognitive domains to the first Delphi panel, several questions were added, removed, or rewritten, resulting in a 22-item instrument representing nine domains. After the second panel, several questions were again rewritten, and the domains reorganized. All scale-level metrics improved, including CVI (from 0.87 to 1.0), UA (0.52 to 1.0), CVR (0.43 to 0.94), and CCI (2.26 to 2.92).</p><p><strong>Conclusions and relevance: </strong>GOT-Cog displays overall excellent content validity and can proceed to construct validity testing. Plain-Language Summary: By reporting on the content validity of the Gaylord Occupational Therapy Cognitive screen, this brief report begins the necessary process of evaluating the measure's overall validity and reliability.</p>","PeriodicalId":48317,"journal":{"name":"American Journal of Occupational Therapy","volume":null,"pages":null},"PeriodicalIF":2.9,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139075559","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":"Implementation of Evidence-Based Practice and Burnout Among Occupational Therapists: The Role of Self-Efficacy.","authors":"Tal Bar-Nizan, Debbie Rand, Yael Lahav","doi":"10.5014/ajot.2024.050426","DOIUrl":"10.5014/ajot.2024.050426","url":null,"abstract":"<p><strong>Importance: </strong>Implementing evidence-based practice (EBP) is essential for ensuring optimal quality care and obtaining positive outcome in treatment. Occupational therapists generally hold positive attitudes toward EBP; however, EBP is not always fully implemented.</p><p><strong>Objective: </strong>To explore the mediating role of self-efficacy on the relationship between implementing EBP and burnout among occupational therapists.</p><p><strong>Design: </strong>A cross sectional study.</p><p><strong>Setting: </strong>Data were collected through social media and WhatsApp groups using an online survey accessible through Qualtrics, a secured web-based data collection system; responses were anonymous.</p><p><strong>Participants: </strong>The final sample consisted of 261 female Israeli occupational therapists (ages 24-65 yr, with 1-40 yr of clinical experience).</p><p><strong>Outcomes and measures: </strong>The following questionnaires assessed EBP implementation, burnout, and self-efficacy, respectively: the EBP Implementation Scale, the Maslach Burnout Inventory, and the Occupational Therapy Self-Efficacy Questionnaire. Demographic data were also collected.</p><p><strong>Results: </strong>EBP implementation was low (0-43 points out of a maximum 72 points), moderate levels of burnout and high levels of self-efficacy were reported. Significant associations with medium effect sizes were found between EBP implementation and burnout: the higher the levels of EBP implementation, the lower the levels of burnout frequency and intensity. Moreover, self-efficacy mediated these relationships. EBP implementation was related to elevated self-efficacy, which, in turn, was associated with lower burnout.</p><p><strong>Conclusions and relevance: </strong>EBP implementation may serve as an important tool to limit burnout among occupational therapists by fostering their trust in their ability to handle clinical challenges. Further research is needed. Plain-Language Summary: This study explored implementing evidence-based practice (EBP) and its relationships to burnout and work-related self-efficacy among occupational therapists. The study found that self-efficacy mediated the relationships between implementing EBP and burnout. Implementing EBP was associated with higher self-efficacy, which, in turn, was associated with lower burnout among occupational therapists.</p>","PeriodicalId":48317,"journal":{"name":"American Journal of Occupational Therapy","volume":null,"pages":null},"PeriodicalIF":2.9,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139099014","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":"Cross-Cultural Adaptation, Reliability, and Validity of the Turkish Sensory Responsiveness Questionnaire.","authors":"Recep Yükçü, Sinem Kars, Meral Huri","doi":"10.5014/ajot.2024.050378","DOIUrl":"10.5014/ajot.2024.050378","url":null,"abstract":"<p><strong>Importance: </strong>Sensory processing difficulties are commonly seen in people with mental disorders. However, no questionnaires specific to Turkish culture are available for people with mental disorders.</p><p><strong>Objective: </strong>To examine the cultural adaptation, reliability, and validity of the Turkish Sensory Responsiveness Questionnaire (SRQ).</p><p><strong>Design: </strong>Causal comparative groups design.</p><p><strong>Setting: </strong>Homes, clinics, hospitals, and therapy practices in Turkey.</p><p><strong>Participants: </strong>A total of 913 participants, of whom 529 were participants ages 18-60 yr with mental disorders.</p><p><strong>Outcomes and measures: </strong>The cross-cultural adaptation and translation procedures were conducted following Beaton's guidelines. Internal consistency was examined with Cronbach's α. Criterion-related validity of the SRQ was determined with the Adolescent/Adult Sensory Profile using construct validity and was examined by confirmatory factor analysis (CFA) using IBM SPSS Statistics (Version 23) and AMOS (Version 24.0).</p><p><strong>Results: </strong>In CFA, model fit indices showed an acceptable fit. Test-retest reliability was excellent for the hedonic and avoidance subfactor scores and for the total score (intraclass correlation coefficients = .973, .988, and .974, respectively). Internal consistency was high for the hedonic subfactor (.812) and the avoidance subfactor (.815). Participants with bipolar disorder had the highest scores on the hedonic subfactor, whereas those with schizophrenia had the highest scores on the avoidance subfactor.</p><p><strong>Conclusions and relevance: </strong>The 36-item SRQ is reliable and valid for analyzing the sensory processing abilities of adults in the Turkish population. Plain-Language Summary: People with mental disorders commonly have difficulties with sensory processing. No sensory responsiveness questionnaire specific to the Turkish population or culture is available for people with mental disorders. This study shows that the current form of the Turkish Sensory Responsiveness Questionnaire can contribute to understanding the sensory processing abilities of Turkish people with and without mental disorders.</p>","PeriodicalId":48317,"journal":{"name":"American Journal of Occupational Therapy","volume":null,"pages":null},"PeriodicalIF":2.9,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139418327","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":"Financial Capability Interventions Used for Specific Diagnoses Related to Functional Impairment: A Scoping Review.","authors":"Sofia Salsi, Emily Ariano, Jennifer Casey, Morgan Loewen, Lisa Engel","doi":"10.5014/ajot.2024.050254","DOIUrl":"10.5014/ajot.2024.050254","url":null,"abstract":"<p><strong>Importance: </strong>Occupational therapists often address financial occupations of clients with acquired functional impairments who experience challenges with financial capability (FC).</p><p><strong>Objective: </strong>To explore the intervention literature aimed at improving FC in five diagnostic adult populations.</p><p><strong>Data sources: </strong>MEDLINE, CINAHL, PsycInfo, EconLit, and EMBASE; researchers also completed backward and forward citation searching and contacted expert authors.</p><p><strong>Study selection and data collection: </strong>Two independent reviewers completed article screening, selection, and extraction using a scoping review approach; a priori inclusion criteria were peer-reviewed articles, written in English, involving adults with one of five diagnostic conditions, describing any intervention to improve FC.</p><p><strong>Findings: </strong>Twenty-four articles met the inclusion criteria. Most articles were aimed at substance use or mental health populations (n = 20); fewer focused on brain injury (n = 2), multiple sclerosis (n = 1), or mixed-diagnosis (n = 1) populations. Only 4 were randomized controlled trials (RCTs). Interventions were heterogeneous and complex, including components of skills training (n = 21), individualized budgeting (n = 18), representative payeeship (n = 11), education (n = 10), structured goal setting (n = 7), savings building (n = 5), metacognitive strategies (n = 2), and assistive technology (n = 1).</p><p><strong>Conclusions and relevance: </strong>Despite growth in the area, the literature regarding FC intervention is limited, with few RCTs and many populations unrepresented. The literature for a systematic review of FC intervention efficacy for these populations is insufficient, particularly because included studies used varied components, limiting comparison. Further research is imperative to guide evidence-based practice. Plain-Language Summary: This study is an overview of literature about interventions to address the financial occupations of clients with acquired functional impairments. The findings give occupational therapy researchers and clinicians the information they need to begin analyzing, using, and building the evidence to support the use of interventions to improve clients' financial capability and well-being.</p>","PeriodicalId":48317,"journal":{"name":"American Journal of Occupational Therapy","volume":null,"pages":null},"PeriodicalIF":2.9,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139673276","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}