Helen Weatherly, Oliver Cook, Charlotte Davies, Phillip Whitehead
{"title":"College of Occupational Therapy - Research Priority 10: What is the cost-effectiveness of Occupational Therapy services? Making the economic case for Occupational Therapy.","authors":"Helen Weatherly, Oliver Cook, Charlotte Davies, Phillip Whitehead","doi":"10.1177/03080226241304253","DOIUrl":"10.1177/03080226241304253","url":null,"abstract":"","PeriodicalId":49096,"journal":{"name":"British Journal of Occupational Therapy","volume":"88 6","pages":"329-332"},"PeriodicalIF":1.3,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12103677/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144152629","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}
Soledad Sánchez-Zamorano, Samanta Rolack-Jaramillo, MaríaPaz Ossandón-Pérez, Pedro Moruno-Miralles
{"title":"Exploring professional reasoning in occupational therapy: A scoping review of recent research.","authors":"Soledad Sánchez-Zamorano, Samanta Rolack-Jaramillo, MaríaPaz Ossandón-Pérez, Pedro Moruno-Miralles","doi":"10.1177/03080226241310724","DOIUrl":"10.1177/03080226241310724","url":null,"abstract":"<p><strong>Background: </strong>Professional reasoning in occupational therapy has become a key line of research. Updating and analyzing recent publications is crucial for the discipline. The objective of the research was to describe new findings and changes in the characteristics of research on professional reasoning in occupational therapy between 2019 and 2023.</p><p><strong>Method: </strong>A scoping review was used with the aim of identifying the development and scope of the literature on professional reasoning in occupational therapy from 2019 to 2023. The review was conducted in five stages following the PRISMA-ScR guidelines.</p><p><strong>Results: </strong>Seventy-six articles were described in terms of their nature and volume under the following categories: specific fields of practice, educational strategies for professional reasoning, theoretical discussions, and instruments related to professional reasoning. New findings include two professional reasoning modalities, five practice-related areas, and intervention programs that had not been previously described. Additionally, there has been an increase in the use of mixed methods.</p><p><strong>Conclusion: </strong>This scoping review identifies the nature and volume of literature on professional reasoning in recent years. The study reveals consolidated research lines focused on practice and teaching, alongside new findings and changes observed in recent studies.</p>","PeriodicalId":49096,"journal":{"name":"British Journal of Occupational Therapy","volume":"88 6","pages":"333-343"},"PeriodicalIF":1.3,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12103667/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144152630","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":"Primary care occupational therapist's methods of outcome evaluation: Do they align to value-based healthcare?","authors":"Laura Ingham, Alison Cooper, Catherine Purcell","doi":"10.1177/03080226251320185","DOIUrl":"10.1177/03080226251320185","url":null,"abstract":"<p><strong>Introduction: </strong>Occupational therapy roles are increasing across General Practice in primary care. The evidence base is growing; however, the best way to evaluate outcomes and the impact of practice in this setting remains unclear. Consideration for how methods used align to ambitions of value-based healthcare is also required. This study explored evaluation methods used by occupational therapists, providing services to General Practice in Wales within the context of value-based healthcare.</p><p><strong>Method: </strong>An online focus group was conducted with 13 members of a Welsh Primary Care Occupational Therapy network. Mixed methods were used and Mentimeter results and findings from group discussion were analysed through content and framework analysis.</p><p><strong>Results: </strong>A multifaceted but inconsistent approach to evaluation was reported. Methods used, strengthened by professional core values, broadly aligned practice to shared ambitions of value-based healthcare. The use of validated patient rated scales were most commonly used to evaluate patient experience, whilst cost-effectiveness was least well considered.</p><p><strong>Conclusion: </strong>Further research is required to understand occupational therapy evaluation in this setting to identify what is needed by stakeholders to determine impact and establish value. This could inform care at both an individual level and across populations if consistent data are collected at scale.</p>","PeriodicalId":49096,"journal":{"name":"British Journal of Occupational Therapy","volume":"88 6","pages":"362-378"},"PeriodicalIF":1.3,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12103676/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144152635","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}
Dominique Van de Velde, Dagje Boeykens, Vanessa Gauwe, Greet Steyaert, Liesbeth Ryssen, Mike Jarrey, Pauline Boeckxstaens, Peter Pype, Patricia De Vriendt
{"title":"Goals should be defined as CLEVER before specifying them into SMART goals: A phenomenological hermeneutical study to facilitate the implementation of goal-oriented care in primary care.","authors":"Dominique Van de Velde, Dagje Boeykens, Vanessa Gauwe, Greet Steyaert, Liesbeth Ryssen, Mike Jarrey, Pauline Boeckxstaens, Peter Pype, Patricia De Vriendt","doi":"10.1177/03080226241311683","DOIUrl":"10.1177/03080226241311683","url":null,"abstract":"<p><strong>Background: </strong>Goal-oriented care is prominent in primary care settings due to the rising number of people living with (multiple) chronic conditions. Before goal-oriented care can be fully implemented, a better understanding about the concept of goals needs to be gained. This study aimed to elicit in-depth knowledge through the narratives of people with (multiple) chronic conditions regarding their view on goal setting.</p><p><strong>Method: </strong>In a qualitative research design within a phenomenological-hermeneutical paradigm, 15 in-depth interviews were performed with people living with (multiple) chronic conditions (mean age 65; 38-81) based on a homogeneous sampling strategy.</p><p><strong>Results: </strong>This study revealed that goal setting starts from talking about everyday activities embedded in a real-life context. A well-defined goal should consist of the context, the life narrative of the patient, the engagement towards a particular goal, the reason why this goal is important in terms of underlying values, the emotions going along the activity, and the relevance for the patient. This leads to CLEVER goals.</p><p><strong>Conclusion: </strong>These findings prompt a reconsideration of traditional goal setting in healthcare, which typically adheres to SMART. Based on the participants' experiences, goals should be defined as CLEVER first before they can be transposed into SMART goals.</p>","PeriodicalId":49096,"journal":{"name":"British Journal of Occupational Therapy","volume":"88 6","pages":"379-389"},"PeriodicalIF":1.3,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12103685/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144152632","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":"Validity and reliability of the Turkish version of \"The Occupational Circumstances Assessment Interview and Rating Scale\" in rheumatic diseases.","authors":"Gokcen Akyurek, Gonca Bumin, Gozde Onal, Bilal Unal, Derya Gokmen, Abdulsamet Erden, Umut Kalyoncu","doi":"10.1177/03080226251322370","DOIUrl":"10.1177/03080226251322370","url":null,"abstract":"<p><strong>Introduction: </strong>Rheumatic diseases significantly impact daily activities, emphasizing the need to understand their occupational profiles. Identifying these profiles using the Occupational Circumstances Assessment Interview and Rating Scale can aid in tailoring treatment approaches. This study aimed to evaluate the validity and reliability of the Turkish version of Occupational Circumstances Assessment Interview and Rating Scale in rheumatic diseases.</p><p><strong>Method: </strong>The scale's internal construct validity was examined using the Rasch measurement model. Convergent validity of Turkish version of Occupational Circumstances Assessment Interview and Rating Scale was evaluated through Spearman's correlation coefficient, assessing associations with the Community Integration Questionnaire, World Health Organization Disability Assessment Schedule, Second Version and Canadian Occupational Performance Measure.</p><p><strong>Results: </strong>Correlation analyses demonstrated a positive correlation between Turkish version of Occupational Circumstances Assessment Interview and Rating Scale Rasch-transformed scores and Canadian Occupational Performance Measure total (<i>r</i> = 0.208; <i>p</i> = 0.009), along with negative correlations with Community Integration Questionnaire (<i>r</i> = -0.210; <i>p</i> = 0.008) and World Health Organization Disability Assessment Schedule, Second Version (<i>r</i> = -0.539; <i>p</i> < 0.000).</p><p><strong>Conclusion: </strong>Findings confirm Turkish version of Occupational Circumstances Assessment Interview and Rating Scale as a valid and reliable tool for assessing the occupational profiles of individuals with rheumatic diseases. It can guide treatment plans and help develop effective strategies to enhance daily life participation.</p>","PeriodicalId":49096,"journal":{"name":"British Journal of Occupational Therapy","volume":"88 6","pages":"344-351"},"PeriodicalIF":1.3,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12103684/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144152637","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}
Timothy L Hodgson, Phoebe Cartwright, Joseph Dodd, Annabelle Hippisley
{"title":"Oculomotor deficits in children with sensory processing difficulties.","authors":"Timothy L Hodgson, Phoebe Cartwright, Joseph Dodd, Annabelle Hippisley","doi":"10.1177/03080226251321342","DOIUrl":"10.1177/03080226251321342","url":null,"abstract":"<p><strong>Background: </strong>Atypically developing children often present with a variety of sensory processing difficulties which have been proposed to reflect abnormal development of pathways integrating sensation and action. A brain system in which the process of sensorimotor integration is particularly well understood is the oculomotor system, but no studies to date have used computerised eye tracking to assess eye movements in children with sensory processing difficulties.</p><p><strong>Method: </strong>Ten children with sensory processing difficulties completed a battery of oculomotor tasks comprising pro-saccades, anti-saccades, smooth pursuit tracking and sustained fixation. Eye movements were recorded using a high-resolution eye tracker.</p><p><strong>Results: </strong>Compared to age-matched controls, children with sensory processing difficulties were found to make more directional errors in the anti-saccade task and less-accurate smooth pursuit and sustained fixation.</p><p><strong>Conclusion: </strong>Consistent differences were found in oculomotor ability in children with sensory processing difficulties which are likely to impact children's ability to process and respond to visual information within home and school contexts. Further research is needed to understand the relationship between oculomotor deficits in children with sensory processing difficulties and the presence/absence of neurodevelopmental diagnoses. Eye tracking may be of value in the future for assessment and objective evaluation of interventions for sensory processing difficulties such as sensory integration therapy.</p>","PeriodicalId":49096,"journal":{"name":"British Journal of Occupational Therapy","volume":"88 6","pages":"352-361"},"PeriodicalIF":1.3,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12103675/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144152633","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":"An exploration of women's occupational participation and identity during menopause: Descriptive qualitative study.","authors":"Róise Daly, Sinéad M Hynes","doi":"10.1177/03080226241310032","DOIUrl":"https://doi.org/10.1177/03080226241310032","url":null,"abstract":"<p><strong>Background: </strong>The menopause transition is a significant stage of a woman's life, marking the transition from reproductive to postreproductive life. Occupational identity often shifts in response to life transitions but this has not been explored in relation to menopause. Therefore, our study aims to explore women's experiences of menopause through an occupational perspective, in relation to occupational participation and occupational identity.</p><p><strong>Method: </strong>A descriptive qualitative design was implemented. Semistructured interviews were completed with five perimenopausal women online via Microsoft teams. Reflexive thematic analysis was employed to analyse data gathered.</p><p><strong>Findings: </strong>The findings of this study revealed that a lack of understanding and awareness during the initial stages of menopause negatively affected women's well-being. Women faced disruptions to their engagement in meaningful occupations, which in turn, impacted their occupational competence and occupational identity. The experience of menopausal-related changes influenced women's sense of self-efficacy in engaging in occupations and roles that aligned with their occupational identity.</p><p><strong>Conclusion: </strong>Women face significant occupational disruption during the menopause transition. Negative impacts on occupational identity and participation were evident from the participants. This study explores menopausal women's experiences from an occupational perspective and findings offer potential direction for future research.</p>","PeriodicalId":49096,"journal":{"name":"British Journal of Occupational Therapy","volume":"88 5","pages":"272-280"},"PeriodicalIF":1.3,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12046163/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144053111","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":"Exploring ableism and occupational therapy: Occupational therapy students' perspectives.","authors":"Hannah Darton, Alison Wadey, Alison Laver-Fawcett","doi":"10.1177/03080226241309469","DOIUrl":"https://doi.org/10.1177/03080226241309469","url":null,"abstract":"<p><strong>Aim: </strong>To explore occupational therapy students' perspectives on ableism and its implications for occupational therapy practice. This formed part of a wider study that also explored occupational therapy educators' perspectives.</p><p><strong>Method: </strong>An online survey was used to collect students' perspectives, using a mixture of Likert scales and open-ended questions.</p><p><strong>Findings: </strong>The sample comprised 56 occupational therapy students from the United Kingdom (<i>n</i> = 36), United States of America (<i>n</i> = 16) and Canada (<i>n</i> = 4) enrolled in a mixture of undergraduate (<i>n</i> = 13) and postgraduate (<i>n</i> = 43) pre-registration degree programmes. Thirty-four percent of respondents perceived occupational therapy as inherently ableist. This rose to 50% after respondents were presented with a comprehensive definition of ableism. Students reported witnessing and/or experiencing ableism within education (63%) and practice placements (55%). Eighty-six percent of students recognised they may hold unconscious ableist views, and 96% agreed they would like more support to engage in disability studies.</p><p><strong>Conclusion/impact: </strong>Findings indicated a potential link between understanding of ableism and students' views that occupational therapy is ableist. Most students were aware of the potential they hold unconscious biases and welcomed support to engage further with disability studies. Further qualitative research is needed. Following this, systemic changes to address the harm of ableism can begin to be addressed.</p>","PeriodicalId":49096,"journal":{"name":"British Journal of Occupational Therapy","volume":"88 5","pages":"281-291"},"PeriodicalIF":1.3,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12046152/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143989468","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":"'What does \"remaining living at home\" really mean?' Stakeholders' perspectives on everyday difficulties among older people with chronic conditions.","authors":"Thomas Ballmer, Brigitte Elisabeth Gantschnig","doi":"10.1177/03080226241306326","DOIUrl":"https://doi.org/10.1177/03080226241306326","url":null,"abstract":"<p><strong>Introduction: </strong>Older people with chronic conditions prioritize living arrangements that let them maintain their autonomy. However, many face activity limitations and participation restrictions. Stakeholders involved in their health and social care have a unique perspective on these challenges. The aim of this study was to examine how these stakeholders view the difficulties older people with chronic conditions living at home face in their everyday lives.</p><p><strong>Method: </strong>We conducted a qualitative descriptive study based on a focus group interview with eight stakeholders involved in health care, social care and housing for older people with chronic conditions. We transcribed the interview verbatim and analysed it using thematic analysis.</p><p><strong>Findings: </strong>We generated four themes: fear of losing autonomy, inequality along socio-economic lines, persisting and new barriers, and 'what does \"remaining living at home\" really mean?'. Participants problematized the lack of awareness among key stakeholders for older people's needs and limited housing options beyond the dichotomous choice between ageing at home and in a care home.</p><p><strong>Conclusion: </strong>Acknowledging diverse factors - fear of losing autonomy, socio-economic situation, limited awareness of key stakeholders, physical and other barriers, societal discourses - shaping older peoples' choices regarding their living arrangements informs how occupational therapists can support them.</p>","PeriodicalId":49096,"journal":{"name":"British Journal of Occupational Therapy","volume":"88 5","pages":"292-301"},"PeriodicalIF":1.3,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12046186/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144055357","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}
Hsin-Chieh Lee, Tzu-Yun Hsu, Cheng-Chieh Yu, Fen-Ling Kuo
{"title":"Efficacy of telerehabilitation in inpatients with stroke: A pilot randomized controlled trial.","authors":"Hsin-Chieh Lee, Tzu-Yun Hsu, Cheng-Chieh Yu, Fen-Ling Kuo","doi":"10.1177/03080226241299982","DOIUrl":"https://doi.org/10.1177/03080226241299982","url":null,"abstract":"<p><strong>Background: </strong>Telerehabilitation could be a substitution for regular rehabilitation in an epidemic situation. Furthermore, there is no evidence of the effectiveness of telerehabilitation in stroke inpatients.</p><p><strong>Objectives: </strong>To assess the effects of telerehabilitation on daily life function, mobility, and quality of life in stroke inpatients.</p><p><strong>Methodology: </strong>Inpatients with stroke were randomly assigned to either the telerehabilitation group (<i>n</i> = 12) or the control group (<i>n</i> = 12) for 10 treatment sessions.</p><p><strong>Results: </strong>No significant differences were found in the outcome measures. However, both groups showed significant improvements in the Modified Barthel Index and Postural Assessment Scale for Stroke scores. The telerehabilitation group improved in Functional Ambulation Categories scores, while the control group showed improvement in Patient Health Questionnaire-9 scores.</p><p><strong>Conclusion: </strong>This pilot study suggests that telerehabilitation may be a feasible alternative during the pandemic. However, due to the small sample size and the potential influence of natural recovery, the findings remain preliminary. Larger studies are necessary to more definitively assess the effectiveness of telerehabilitation compared to conventional rehabilitation.</p>","PeriodicalId":49096,"journal":{"name":"British Journal of Occupational Therapy","volume":"88 5","pages":"263-271"},"PeriodicalIF":1.3,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12046148/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143993140","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}