British Journal of Occupational Therapy最新文献

{"title":"Future trends and challenges in occupational therapy: Insights from a Delphi study.","authors":"Gözde Önal, Turan Emre Özdemir","doi":"10.1177/03080226251368235","DOIUrl":"https://doi.org/10.1177/03080226251368235","url":null,"abstract":"<p><strong>Introduction: </strong>Occupational therapy is evolving rapidly due to technological advances and demographic and sociocultural changes. Recognizing emerging trends is fundamental to developing responsive educational programs, evidence-based practices, and adaptive health policies. This study explores expert perspectives across five themes: (1) Future Technologies, (2) Neuroscience and Biotechnology Integration, (3) Technology-Based Therapy Approaches, (4) Sociocultural and Demographic Impacts, and (5) Innovative Educational Methods.</p><p><strong>Method: </strong>A three-round Delphi study was conducted with 36 occupational therapy professionals. The sample included 12 academicians (mean age (<i>M</i>) = 34.5, 67% female), 12 clinicians (<i>M</i> = 31.2, 75% female), and 12 final-year interns (<i>M</i> = 23.1, 92% female). The mean professional experience was 6.0 years for academicians and 5.8 years for clinicians. Thematic analysis and Kendall's W were used to evaluate consensus.</p><p><strong>Results: </strong>Participants emphasized the importance of integrating virtual reality/augmented reality interventions, artificial intelligence-supported assessments, and telehealth into occupational therapy practice. Neuroplasticity-based interventions and simulation-based learning were highlighted for future competence. Ethical concerns regarding artificial intelligence, as well as cost and digital literacy barriers, were also noted.</p><p><strong>Conclusion: </strong>To meet future challenges, occupational therapists should enhance digital competencies, ensure accessibility, and develop inclusive, culturally responsive practices. Findings inform clinical, educational, and policy strategies in occupational therapy.</p>","PeriodicalId":49096,"journal":{"name":"British Journal of Occupational Therapy","volume":"89 2","pages":"102-115"},"PeriodicalIF":0.9,"publicationDate":"2025-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12858763/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146108090","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 Lithuanian Occupational Balance Questionnaire.","authors":"Laura Žlibinaitė, Evelina Lamsodienė, Milda Gintilienė, Gabrielė Mozerytė, Carita Håkansson, Petra Wagman, Serkan Pekçetin","doi":"10.1177/03080226251363732","DOIUrl":"https://doi.org/10.1177/03080226251363732","url":null,"abstract":"<p><strong>Introduction: </strong>Occupational balance is an important concept in occupational therapy. However, no validated Occupational balance assessments currently exist in Lithuania. This study aimed to examine the psychometric properties of the Lithuanian version of the Occupational Balance Questionnaire 11 (OBQ11-LT).</p><p><strong>Method: </strong>A total of 127 healthy adults completed the OBQ11-LT to evaluate construct validity. Of these, 53 participants were randomly assigned to complete the questionnaire again after 7-10 days to assess test-retest reliability. Construct validity was examined using exploratory and confirmatory factor analyses. Test-retest reliability was evaluated using the intraclass correlation coefficient (ICC) for both total scores and individual items. Internal consistency was assessed with Cronbach's alpha.</p><p><strong>Findings: </strong>The model demonstrated acceptable fit (χ²(45) = 719.79, <i>p</i> < 0.001; CFI = 0.933; TLI = 0.909; RMSEA = 0.106). The ICC between test and retest OBQ11-LT total score was 0.924. Total scores showed a significant statistical relationship (<i>p</i> < 0.01), indicating good reliability. Cronbach's alpha for the OBQ11-LT total score was 0.915, indicating acceptable internal consistency.</p><p><strong>Conclusion: </strong>OBQ11-LT demonstrates good reliability and validity for assessing occupational balance in general populations. Its psychometric properties are suitable for practice and research, making it a valuable tool for studying occupational balance in similar contexts and broadening the research areas for Lithuanian occupational therapists.</p>","PeriodicalId":49096,"journal":{"name":"British Journal of Occupational Therapy","volume":"89 2","pages":"94-101"},"PeriodicalIF":0.9,"publicationDate":"2025-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12858774/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146108125","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 the emotional labour of occupational therapists when interacting with clients.","authors":"Rebecca F Hings, Katarzyna Furmaniak, Carolyn Dunford, Christopher Rd Wagstaff, Alessandro Quartiroli","doi":"10.1177/03080226251363728","DOIUrl":"10.1177/03080226251363728","url":null,"abstract":"<p><strong>Introduction: </strong>Occupational therapy is an inherently emotional endeavour for both clients and therapists. Despite navigating diverse and challenging work environments, relatively little is known about how occupational therapists are expected to manage and express their emotions in line with job-related emotion norms. The aim of this study was to explore the emotional labour experiences of occupational therapists when interacting with clients.</p><p><strong>Method: </strong>Fourteen qualified occupational therapists (11 female and 3 male) took part in a semi-structured interview about practice-related emotion norms, emotion regulation and emotion performance demands. Data were analysed using reflexive thematic analysis.</p><p><strong>Findings: </strong>Two overarching themes captured the complexities of emotional labour when interacting with clients including (1) navigating subjective emotion norms, and, (2) negotiating authentic and inauthentic emotions to nurture the therapeutic relationship. Prioritizing client needs informed how and what emotions were expressed and regardless of the emotional labour strategies adopted, therapists strived for perceptions of sincerity in their relationships with clients.</p><p><strong>Discussion: </strong>The enactment of emotional labour when interacting with clients is critical to delivering therapy and meeting professional standards. The findings have implications for practitioners (e.g. reflective practice, self-care), managers (e.g. supervision) and organizations (e.g. support structures, education) and point to fruitful avenues for research.</p>","PeriodicalId":49096,"journal":{"name":"British Journal of Occupational Therapy","volume":"89 1","pages":"36-45"},"PeriodicalIF":0.9,"publicationDate":"2025-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12745613/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145866044","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":"Service user perspectives on the value and effectiveness of occupational therapy following intervention for severe depression.","authors":"Lynn Christie, Deborah Davys, Penny A Cook","doi":"10.1177/03080226251363731","DOIUrl":"https://doi.org/10.1177/03080226251363731","url":null,"abstract":"<p><strong>Introduction: </strong>Depression is characterised by loss of interest in activities and difficulty carrying out everyday tasks. Occupational therapy supports people to participate in the activities they want or need to do; however, there is limited evidence on the perceived effectiveness of occupational therapy for people with depression.</p><p><strong>Methods: </strong>The study aims/objectives were to identify service user perspectives on (i) the effectiveness of individualised occupational therapy in enabling improvement in occupational functioning and participation, and (ii) the most effective components of occupational therapy. Semi-structured interviews with community-dwelling adults diagnosed with severe, and predominantly enduring, depression and an identified occupational need, who had received occupational therapy, were analysed thematically. Participants ( <i>n</i>  = 7) were derived from a larger mixed-methods study.</p><p><strong>Findings: </strong>Three key themes were identified: Occupational therapy is about doing everyday activities which supports positive change; occupational therapy is client-centred which supports progress; the skills, attributes and characteristics of occupational therapists are important.</p><p><strong>Conclusions: </strong>Compelling narratives of how occupational therapy improves participation were evident, providing detailed information on the perceived effectiveness of occupational therapy. This research supports the evidence base for occupational therapy in mental health by mapping the perceived mechanisms of change, or aspects of occupational therapy participants found most helpful.</p>","PeriodicalId":49096,"journal":{"name":"British Journal of Occupational Therapy","volume":"89 2","pages":"83-93"},"PeriodicalIF":0.9,"publicationDate":"2025-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12858772/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146108062","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":"Acceptability and feasibility of online occupational performance coaching for parents of children with disabilities in the UK.","authors":"Tai Frater, Carolyn Dunford, Silvia Zumaglini, Fiona Graham, Dido Green","doi":"10.1177/03080226251340508","DOIUrl":"10.1177/03080226251340508","url":null,"abstract":"<p><strong>Introduction: </strong>Occupational performance coaching is a collaborative, strengths-based approach used by occupational therapists working with children and families. This study evaluates the acceptability and feasibility of delivering an online occupational performance coaching programme for parents of children with disabilities in the United Kingdom.</p><p><strong>Method: </strong>Mixed-methods feasibility study. Eight UK-based families with children with disabilities participated in four to eight online coaching sessions. The Canadian Occupational Performance Measure was used to measure changes in occupational performance. The Parenting Stress Index Fourth Edition (short form) was used to measure changes in parental stress. Six parents were interviewed, and four therapists participated in a focus group to explore their experiences of the programme.</p><p><strong>Results: </strong>Parents and therapists reported a high level of acceptability for the telehealth coaching intervention. Parents reported positive changes in occupational performance (mean difference 3.29; <i>p</i> = 0.01) occupational satisfaction (mean difference 3.99; <i>p</i> = 0.01). Parents' average total stress decreased by 12.5 points with greatest reductions in the parental distress subscale. Therapist fidelity to intervention was relatively low.</p><p><strong>Conclusion: </strong>The coaching programme was acceptable for parents who responded well to the intervention with noted gains in occupational performance and satisfaction. Programme delivery was feasible for therapists though further training in occupational performance coaching is recommended.</p>","PeriodicalId":49096,"journal":{"name":"British Journal of Occupational Therapy","volume":"88 9","pages":"563-573"},"PeriodicalIF":0.9,"publicationDate":"2025-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12399807/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144994022","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":"Cross-cultural adaptation and psychometric evaluations of daily living self-efficacy scale in Turkish population.","authors":"Leyla Kaya Ozturk, Damla Aygün Gürbüz, Erhan Arif Ozturk, Meral Huri","doi":"10.1177/03080226251355461","DOIUrl":"https://doi.org/10.1177/03080226251355461","url":null,"abstract":"<p><strong>Introduction: </strong>This study aimed to assess the Turkish version of the Daily Living Self-Efficacy Scale for cultural adaptation, validity, and reliability.</p><p><strong>Materials and methods: </strong>One hundred and four people with stroke (male 60; female 44) were included in the study. The Turkish Daily Living Self-Efficacy Scale was evaluated for data quality, scaling assumptions, acceptability, test-retest reliability, internal consistency, and divergent validity. The Mini-Mental State Examination, Functional Independence Measure, Epworth Sleepiness Scale, Fatigue Severity Scale, and Frenchay Activities Index tests were administered for divergent validity. Data were analyzed using descriptive statistics, Cronbach's alpha, intraclass correlation coefficients, and Pearson's correlation coefficients. The translation and cross-cultural adaptation process followed Beaton's guidelines.</p><p><strong>Results: </strong>The response rate was 100% for both test and retest, with no missing data. Following the cross-cultural adaptation, minor modifications were made to enhance cultural relevance. The Cronbach alpha coefficient for internal consistency of the Daily Living Self-Efficacy Scale was 0.979, and the intraclass correlation coefficient for test-retest reliability was 0.990. This indicated high reliability. According to the results of various validity analyses, the Daily Living Self-Efficacy Scale showed a strong correlation with the Functional Independence Measure, Mini-Mental State Examination, Fatigue Severity Scale, and Frenchay Activities Index (<i>r</i> = 0.424-0.617; <i>p</i> < 0.01).</p><p><strong>Conclusion: </strong>This study provides preliminary evidence of the validity and reliability of the Turkish Daily Living Self-Efficacy Scale.</p>","PeriodicalId":49096,"journal":{"name":"British Journal of Occupational Therapy","volume":"89 1","pages":"54-63"},"PeriodicalIF":0.9,"publicationDate":"2025-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12743911/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145858830","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":"Innovative occupational therapy service provision on college campuses: Supporting student wellbeing and success.","authors":"Eithne Hunt, Kieran Lewis, Clodagh Nolan","doi":"10.1177/03080226251351488","DOIUrl":"https://doi.org/10.1177/03080226251351488","url":null,"abstract":"","PeriodicalId":49096,"journal":{"name":"British Journal of Occupational Therapy","volume":"89 3","pages":"151-153"},"PeriodicalIF":0.9,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12929840/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147311721","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 role of sensory processing patterns on mental health in healthy adults.","authors":"Selma Ercan Doğu, Selen Aydoner Bektaş","doi":"10.1177/03080226251340287","DOIUrl":"10.1177/03080226251340287","url":null,"abstract":"<p><strong>Introduction: </strong>There are individual differences in processing sensory information. Growing evidence indicates that differences in sensory processing may contribute to a greater risk of developing mental ill-health issues. This study aimed to explore the relationship between sensory processing patterns and depression, anxiety, and stress in healthy adults.</p><p><strong>Method: </strong>This cross-sectional study included 341 healthy adults, aged between 18 and 60. Participants completed a sociodemographic form, the Adolescent/Adult Sensory Profile and the Depression Anxiety Stress Scale-21.</p><p><strong>Results: </strong>Sensory sensitivity, low registration, and sensory avoidance had positive moderate correlations with depression, anxiety, and stress (<i>p</i> < 0.001); sensory sensitivity was negatively correlated with stress (<i>p</i> < 0.05). Regression models indicated that both sensory sensitivity and low registration patterns were predictors of depression, anxiety, stress, and the total score of Depression Anxiety Stress Scale-21. The sensory avoidance predicted depression, while the sensory seeking pattern was linked only to stress.</p><p><strong>Conclusion: </strong>Passive self-regulation strategies (sensory sensitivity and low registration) may play a role in experiencing mental ill-health issues. In contrast, active self-regulation strategies (sensory avoidance and sensory seeking) may help protect against these mental health challenges. Occupational therapists can help clients manage mental health issues better by addressing sensory processing patterns. However, more evidence is required.</p>","PeriodicalId":49096,"journal":{"name":"British Journal of Occupational Therapy","volume":"88 9","pages":"553-562"},"PeriodicalIF":0.9,"publicationDate":"2025-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12398664/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144975857","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":"Impact of severity of multiple sclerosis on caregivers' occupational performance and coping strategies.","authors":"Setareh Ghahari, Fatemeh Motaharinezhad, Minasadat Mirshoja, Zahra Ebrahiminezhad","doi":"10.1177/03080226251342022","DOIUrl":"10.1177/03080226251342022","url":null,"abstract":"<p><strong>Background: </strong>Due to the unpredictable and progressive nature of multiple sclerosis, the impact of MS is felt beyond the diagnosed individual, extending to the caregivers supporting them. This study aimed to explore how multiple sclerosis severity affects caregivers' occupational performance outcomes, including the role of coping strategies in these outcomes.</p><p><strong>Methods: </strong>In this cross-sectional study, caregivers participated in three groups. Group 1 (<i>n</i> = 64), caregivers of patients with mild MS severity; Group 2 (<i>n</i> = 45), caregivers of patients with moderate multiple sclerosis severity; and Group 3 (<i>n</i> = 32), caregivers of patients with severe multiple sclerosis severity. Caregivers were assessed using a sociodemographic information form, the Canadian Occupational Performance Measure, and the Coping with Multiple Sclerosis Caregiving Inventory.</p><p><strong>Findings: </strong>A total of 282 participants, including 141 multiple sclerosis patients and 141 caregivers, were enrolled. Caregivers reported low-to-average occupational performance, with the greatest challenges in self-care, leisure, and productivity. Significant inverse correlations were found between multiple sclerosis severity and both occupational performance and caregiver satisfaction. Caregivers of patients with severe multiple sclerosis faced more difficulties, particularly in Avoidance, Practical Assistance, and Satisfaction. Multiple regression showed that caregiver satisfaction was influenced by age, caregiving duration, and patient gender.</p><p><strong>Conclusion: </strong>This study revealed the significant impact of multiple sclerosis severity on caregivers' occupational performance and coping strategies, highlighting the need for effective interventions such as caregiver training programs, psychological support, and respite care, especially for those with advanced multiple sclerosis. Policymakers must focus on creating robust caregiver support systems to alleviate the socioeconomic impact of multiple sclerosis on families and communities.</p>","PeriodicalId":49096,"journal":{"name":"British Journal of Occupational Therapy","volume":"88 9","pages":"587-594"},"PeriodicalIF":0.9,"publicationDate":"2025-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12399837/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144994067","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":"Association between perceived occupational performance and satisfaction and balance, gait, and fear of falling in older adults with mild cognitive impairment.","authors":"Güllü Aydın-Yağcıoğlu, Kübra Ersoy, Selin Başak Arslaner, Berkan Torpil","doi":"10.1177/03080226251340858","DOIUrl":"10.1177/03080226251340858","url":null,"abstract":"<p><strong>Introduction: </strong>Mild cognitive impairment impairs activities of daily living, independence and social participation in older adults. This study investigated the association between perceived occupational performance and balance, gait and fear of falling in older adults with mild cognitive impairment.</p><p><strong>Method: </strong>The study included 36 older adults over the age of 65 with mild cognitive impairment . Balance and gait of the older adults were assessed with the Tinetti balance and gait test, fear of falling with the Tampa Scale for Kinesiophobia and occupational performance with the Canadian Occupational Performance Measure. The relationship between Canadian Occupational Performance Measure and other parameters was analysed by Spearmen's test.</p><p><strong>Results: </strong>The mean age of the participants was 75.13 ± 6.92 years. There was a moderate positive correlation between the satisfaction parameter of the Canadian Occupational Performance Measure and the Tinetti gait test (<i>r</i> = 0.54, <i>p</i> < 0.01) and the Tinetti total score (<i>r</i> = 0.41, <i>p</i> < 0.05). There was no relationship between the other parameters.</p><p><strong>Conclusion: </strong>Current findings suggest that older adults with mild cognitive impairment have different perceptions of activities of daily living and that gait problems of individuals with mild cognitive impairment affect perceived occupational satisfaction more than balance and fear of falling.<i>Clinical Trial Number</i>: NCT06513325.</p>","PeriodicalId":49096,"journal":{"name":"British Journal of Occupational Therapy","volume":"88 9","pages":"581-586"},"PeriodicalIF":0.9,"publicationDate":"2025-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12398665/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144975939","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}