{"title":"The Outreach Experiences of Occupational Therapy Students: An Opportunity for Transformation.","authors":"Ricardo D Ramirez, Laura VanPuymbrouck","doi":"10.5014/ajot.2025.050904","DOIUrl":"10.5014/ajot.2025.050904","url":null,"abstract":"<p><strong>Importance: </strong>Occupational therapy lacks workforce diversity. Academic programs (APs) are uniquely positioned to create learning experiences that align with diversity, equity, and inclusion (DEI) efforts within occupational therapy.</p><p><strong>Objective: </strong>To examine the acceptability of a student-led outreach program from the perspectives of occupational therapy students.</p><p><strong>Design: </strong>Qualitative, cross-sectional study that used occupational therapy students' reflections as part of routine educational assessments. Thematic analysis was used to identify and define themes within reflections. Reflexivity and prolonged engagement in the field enhanced trustworthiness.</p><p><strong>Setting: </strong>Urban, Midwestern OTD program.</p><p><strong>Participants: </strong>Sixty-eight occupational therapy students enrolled in their second semester.</p><p><strong>Intervention: </strong>Occupational therapy student-led outreach presentations in middle and high schools in which most students had Black, Indigenous, or People of Color backgrounds. Presentations lasted 45 to 60 min.</p><p><strong>Outcomes and measures: </strong>After their presentations, occupational therapy students completed an open-ended reflection on their outreach experience of at least 250 words.</p><p><strong>Results: </strong>Participants were primarily women (n = 63; 92.65%) and White (n = 50; 73.53%). Three themes emerged in the analysis of students' reflections: knowledge translation, opportunity versus assignment, and practical insights.</p><p><strong>Conclusions and relevance: </strong>Occupational therapy APs are positioned to craft learning opportunities that can meet accreditation requirements, benefit students' professional development, and contribute to DEI efforts. To make these efforts sustainable, occupational therapy APs must cultivate meaningful relationships with local and diverse community partners while also evaluating opportunities to integrate DEI into their own curricula. Additional research is needed to examine the long-term impact of outreach efforts between occupational therapy students and recipients. Plain-Language Summary: Occupational therapy academic programs are uniquely situated to promote diversity, equity, and inclusion (DEI) in the profession. Focusing on racial and ethnic diversity, in this study we sought to capture the perspectives of first-year occupational therapy students who participated in a student-led outreach initiative embedded within their curriculum. We found that occupational therapy students benefited from participating in this educational experience because they were challenged to share their knowledge of occupational therapy with middle and high school students from underrepresented communities. Viewing this experience as an opportunity instead of an assignment, occupational therapy students felt that they contributed to DEI efforts while growing as future practitioners. Occupational therapy","PeriodicalId":48317,"journal":{"name":"American Journal of Occupational Therapy","volume":"79 2","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143391866","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Navigating Barriers and Building Bridges: A Qualitative Exploration of the Leadership Journeys of Black Occupational Therapists.","authors":"Tyra M Banks, Karen Park, Kayla Gibson","doi":"10.5014/ajot.2025.050988","DOIUrl":"10.5014/ajot.2025.050988","url":null,"abstract":"<p><strong>Importance: </strong>This article illuminates the unique challenges Black occupational therapy practitioners face on their leadership paths. Amplifying minoritized voices and raising awareness of systemic racism serve as catalysts for fostering equity and inclusivity in the occupational therapy profession.</p><p><strong>Objective: </strong>To explore the journey and lived experience of Black occupational therapy practitioners currently holding or who had previously held leadership positions.</p><p><strong>Methods: </strong>An interpretive phenomenological method was used to explore, identify, and analyze the supports and barriers participants encountered while pursuing leadership roles. Participants completed a demographic survey and a 60-min virtual interview. Reflexive thematic analysis was used to identify themes, and theory triangulation ensured validity and rigor in the analysis.</p><p><strong>Findings: </strong>Five themes emerged: (1) sociocultural context can nurture the potential for leadership, (2) responsibility to build a legacy of representation, (3) micro- and macroaggressions: stereotyped and underestimated, (4) networking as a necessary process, and (5) creating inclusive spaces expands professional identities.</p><p><strong>Conclusions and relevance: </strong>Findings were examined and triangulated through the lens of critical race theory and social network theory, providing valuable context for understanding social structures, power dynamics, and their impact on developing Black occupational therapy practitioner leaders. The data support the importance of networks and the role of institutional racism in perpetuating social inequalities that persist in the leadership journey of Black occupational therapy practitioners. Plain-Language Summary: This manuscript illuminates the unique challenges Black occupational therapy practitioners face in their leadership paths. Researchers used an interpretive phenomenological research design to explore the journeys and lived experiences of seven Black occupational therapy practitioners currently holding or who had previously held leadership positions within the past 5 yr. Five themes emerged: (1) sociocultural context can nurture the potential for leadership, (2) responsibility to build a legacy of representation, (3) micro- and macroaggressions: stereotyped and underestimated, (4) networking as a necessary process, and (5) creating inclusive spaces expands professional identities. The findings were examined and triangulated through the lens of critical race theory and social network theory, providing context for understanding social structures, power dynamics, and the impact of these structures on developing Black occupational therapy practitioner leaders. The data support the importance of networks and the role of institutional racism in maintaining the social inequalities persisting on the leadership journey of Black occupational therapy practitioners. Positionality Statement: Th","PeriodicalId":48317,"journal":{"name":"American Journal of Occupational Therapy","volume":"79 2","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143473355","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Brittany Lynner, Rosalyn Stoa, Gwenith Fisher, Erika Del Pozo, Ryan Lizerbram
{"title":"Feel the Burn, Heal the Burn: Job Crafting and Burnout Among Occupational Therapy Professionals.","authors":"Brittany Lynner, Rosalyn Stoa, Gwenith Fisher, Erika Del Pozo, Ryan Lizerbram","doi":"10.5014/ajot.2025.050731","DOIUrl":"10.5014/ajot.2025.050731","url":null,"abstract":"<p><strong>Importance: </strong>Burnout is common among occupational therapy professionals and associated with poor health and well-being, absenteeism, turnover, and exit from the profession. This study identified specific job titles, job characteristics, and resources related to burnout.</p><p><strong>Objective: </strong>To identify specific aspects of occupational therapy jobs related to burnout and to investigate job crafting as one approach for reducing burnout.</p><p><strong>Design: </strong>Cross-sectional survey.</p><p><strong>Participants: </strong>Four hundred occupational therapy professionals from 45 states across the United States.</p><p><strong>Outcomes and measures: </strong>This study investigated the relative importance of job demands (e.g., workload, emotional labor, role ambiguity), job resources (e.g., professional identity, autonomy, perceived support), and burnout and examined job crafting as a strategy for reducing burnout.</p><p><strong>Results: </strong>Burnout varied across occupational therapy positions and practice areas and was most strongly associated with excessive workload. Occupational therapy professionals who engaged in job crafting reported less burnout. Several positive job resources, including meaningful work, job involvement, and perceived organizational support, were also associated with job crafting.</p><p><strong>Conclusions and relevance: </strong>This study identified specific occupational therapy roles, settings, and job characteristics related to burnout and job crafting behaviors that may help reduce burnout. Plain-Language Summary: Burnout is common among occupational therapy professionals and is associated with poor health and well-being, absenteeism, turnover, and people leaving the profession. This study identifies occupational therapy positions, practice areas, and work conditions at most risk for burnout and highlights job resources that can prevent and mitigate burnout. The study found that burnout varied across occupational therapy positions and practice areas and was most strongly associated with excessive workload. Recommendations to address burnout include engaging in job crafting, optimizing job demands and resources, and fostering meaningful work to reduce burnout.</p>","PeriodicalId":48317,"journal":{"name":"American Journal of Occupational Therapy","volume":"79 1","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11740873/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142773801","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Discovery of Knowledge in Practice.","authors":"Penelope Moyers, Nicole Quint","doi":"10.5014/ajot.2025.050880","DOIUrl":"https://doi.org/10.5014/ajot.2025.050880","url":null,"abstract":"<p><p>Given the number of occupational therapy doctorate (OTD) programs and graduates with professional doctoral degrees, the concept of practice scholarship is increasingly important. The scholarly work of occupational therapy practitioners guided by a research model is appropriate for those who have trained as researchers or OTD students and practitioners receiving mentorship from occupational therapy research scientists. A research model of scholarship may not fit the scholarly work of most occupational therapy practitioners with an OTD. We propose the Scholarship of Knowledge Discovery in Practice model, which emphasizes how contextual factors influence the generation and application of knowledge, particularly in addressing feasibility and sustainability challenges when integrating evidence into practice. This model prioritizes discovery when solving practice problems through quality improvement, program development, and innovation. OTD students and occupational therapy practitioners may use this model in generating scholarly work through capstones and ongoing enactment of the scholarly role. The recognition of practice scholarship as making important contributions to the profession may generate multiple vehicles through which to disseminate the discovery of knowledge in practice.</p>","PeriodicalId":48317,"journal":{"name":"American Journal of Occupational Therapy","volume":"79 1","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142962342","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Impact of Medical Improvisation on Therapeutic Use of Self: A Randomized Controlled Waitlist Study.","authors":"Cynthia Selim, Jessica Tsotsoros, Catana Brown, Lynne Jeffries, Carrie Ciro","doi":"10.5014/ajot.2025.050785","DOIUrl":"10.5014/ajot.2025.050785","url":null,"abstract":"<p><strong>Importance: </strong>The application of interpersonal skills is considered therapeutic use of self, a pillar of occupational therapy practice, and a required competency for occupational therapy education (American Occupational Therapy Association [AOTA], 2020). Medical improvisation (medical improv) uses the principles of improvisational theater to enhance professional competencies and shows promising results in health professions education (Gao et al., 2019).</p><p><strong>Objective: </strong>To understand the effect of medical improv on occupational therapy students' therapeutic use of self.</p><p><strong>Design: </strong>A 6-wk randomized controlled waitlist trial.</p><p><strong>Setting: </strong>Occupational therapy education.</p><p><strong>Participants: </strong>A cohort of 36 occupational therapy students.</p><p><strong>Intervention: </strong>Two 2-hr sessions of medical improvisation.</p><p><strong>Outcomes and measures: </strong>Standardized patients rated students' therapeutic use of self with the Empathy and Clarity Rating Scale (Terregino et al., 2019), and students completed the Self-Efficacy for Therapeutic Use of Self (SETUS; Yazdani et al., 2021). Data were analyzed using independent samples t tests and multivariate mixed-methods models.</p><p><strong>Results: </strong>There was a significant difference between the intervention and waitlist control group in three SETUS subtests (modes, p = .004; traits, p = .04; total score, p = .03) and a significant interaction effect in SETUS modes (p = .03). The waitlist control group responded with comparable increases, and all participants demonstrated a significant increase in self-efficacy of therapeutic use of self after the medical improv intervention (p < .001).</p><p><strong>Conclusions and relevance: </strong>These findings provide the first evidence for the positive effects of medical improv in building self-efficacy of therapeutic use of self in occupational therapy students. Plain-Language Summary: Medical improvisation (medical improv) in health professions education uses the principles of theatrical improvisation to build the interpersonal skills of students. This study's application of medical improv to occupational therapy education found significant change in students' self-efficacy of therapeutic use of self. The inclusion of medical improv in occupational therapy education can better prepare students to build and maintain therapeutic relationships.</p>","PeriodicalId":48317,"journal":{"name":"American Journal of Occupational Therapy","volume":"79 1","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142869755","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Occupational Therapists' Role in Maternal Health in the Home Environment After Cesarean Section.","authors":"Caroline Rich, Alysha Skuthan","doi":"10.5014/ajot.2025.050806","DOIUrl":"https://doi.org/10.5014/ajot.2025.050806","url":null,"abstract":"<p><p>Cesarean sections (c-sections) are the most commonly performed surgery in the United States, and the country is currently facing a maternal health crisis. Surprisingly, women do not receive rehabilitation services to support the acute stages of c-section recovery. When someone undergoes a knee or hip replacement, it is standard practice for the physician to order home health services, including occupational therapy, for a client before they are discharged from the hospital. The role transition to motherhood, which requires the provision of newborn care, physical limitations after surgery, and the associated mental health changes position occupational therapy practitioners as professionals who can provide essential services to mothers after a c-section. In this column, we argue for occupational therapy practitioners' important role in serving women in the home environment immediately after a c-section and provide a tangible action plan for implementing these crucial services to improve maternal health outcomes. This column gives a voice to the often-invisible struggles of mothers suffering in silence in the acute postpartum stage of c-section recovery in the hope of bringing positive change to maternal health outcomes through the provision of skilled occupational therapy services.</p>","PeriodicalId":48317,"journal":{"name":"American Journal of Occupational Therapy","volume":"79 1","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142962506","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":"Official Documents Available From the American Occupational Therapy Association.","authors":"","doi":"10.5014/ajot.2024.078S101","DOIUrl":"https://doi.org/10.5014/ajot.2024.078S101","url":null,"abstract":"","PeriodicalId":48317,"journal":{"name":"American Journal of Occupational Therapy","volume":"78 Suppl 1","pages":""},"PeriodicalIF":2.1,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143391740","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":"Interprofessional Collaborative Practice: Importance Across Populations and Settings.","authors":"","doi":"10.5014/ajot.2024.78S107","DOIUrl":"https://doi.org/10.5014/ajot.2024.78S107","url":null,"abstract":"<p><p>This AOTA Position Statement describes how occupational therapy practitioners work as part of an interprofessional collaborative practice in various settings, including, but not limited to, hospitals, skilled nursing facilities, school systems, and community agencies.</p>","PeriodicalId":48317,"journal":{"name":"American Journal of Occupational Therapy","volume":"78 Suppl 1","pages":""},"PeriodicalIF":2.1,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142899396","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":"Effect of Early Intervention on Developmental Domains and Parent-Child Interaction Among Children With Developmental Delay: A Randomized Controlled Study.","authors":"Ezginur Gündoğmuş, Gonca Bumin, Sıddika Songül Yalçın","doi":"10.5014/ajot.2024.050706","DOIUrl":"10.5014/ajot.2024.050706","url":null,"abstract":"<p><strong>Importance: </strong>The scope of early intervention (EI) programs, which mostly focus on motor skills, needs to be expanded.</p><p><strong>Objective: </strong>To examine the effects of an EI on developmental domains and parent-child interactions.</p><p><strong>Design: </strong>Randomized controlled study.</p><p><strong>Participants: </strong>Children ages 24-36 mo with developmental delay (DD; intervention group, n = 30; control group, n = 40).</p><p><strong>Setting: </strong>Pediatric occupational therapy unit of Hacettepe University.</p><p><strong>Intervention: </strong>The intervention group received an intervention that used the Goal Activity and Motor Enrichment (GAME) approach and a home program, whereas the control group received a home program only. Both groups received the same intervention dosage.</p><p><strong>Outcomes and measures: </strong>Developmental domains were assessed using the Bayley Scales of Infant and Toddler Development Third Edition (Bayley III) and the Ages and Stages Questionnaires (ASQ). Sensory processing was assessed with the Infant/Toddler Sensory Profile 2 (ITSP-2), social-emotional development with the ASQ:Social-Emotional (ASQ:SE), and parent-child interaction with the Parenting Interactions with Children: Checklist of Observations Linked to Outcomes (PICCOLO™). A compliance checklist was used to determine compliance with the home program.</p><p><strong>Results: </strong>A significant between-groups difference was found on all Bayley III and PICCOLO subscales and on the Gross Motor, Fine Motor, Problem-Solving, and Social-Emotional domains of the ASQ and ASQ:SE in favor of the intervention group (p < .05). The intervention group showed more typification (normal sensory processing) in sensory quadrants and general processing. Both groups were 100% compliant with the home program.</p><p><strong>Conclusions and relevance: </strong>The GAME-based intervention for children with DD, including sensory and cognitive activities, is effective in improving developmental domains and parent-child interactions. Plain-Language Summary: The scope of early intervention programs mostly focuses on motor skills and needs to be expanded to include the essential roles of children's sensory and cognitive abilities. This study provides important insights into early interventions by occupational therapists and the impact on children with developmental delay and parent-child interactions. We found that the Goal Activity and Motor Enrichment (GAME) intervention for children with developmental delay, which includes sensory and cognitive activities, is effective in improving developmental domains and parent-child interactions.</p>","PeriodicalId":48317,"journal":{"name":"American Journal of Occupational Therapy","volume":"78 6","pages":""},"PeriodicalIF":2.1,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142477973","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}