{"title":"Evaluating a Family Capacity-Building Service: Are We Doing More Good Than Harm?","authors":"Marie Grandisson, Myriam Chrétien-Vincent, Gabrielle Pratte, Cynthia Fauteux, Justine Marcotte, Emmanuelle Jasmin, Élise Milot, Julie Bergeron","doi":"10.1177/00084174251323729","DOIUrl":"10.1177/00084174251323729","url":null,"abstract":"<p><p><b>Background.</b> Parents of children with special needs are more likely to experience stress and have health-related problems. Pediatric occupational therapy interventions that build parents' capacity are often considered to be effective. It remains unclear how they can be offered without overburdening parents. <b>Purpose.</b> The purpose of this article is to share the findings from the evaluation of a flexible capacity-building occupational therapy service with seven families. <b>Method.</b> A convergent parallel mixed methods design was used to document parents' and occupational therapists' perspectives on the services, including outcomes, strengths, weaknesses, opportunities, and threats. <b>Findings.</b> Parents reported understanding their children better, having more positive attitudes toward the challenges experienced, feeling more confident that they could help them, and having more satisfactory family routines. The importance for therapists to develop nonjudgmental collaborative relationships, to be flexible and to use the time available to help families with what matters the most in their daily lives came out particularly loudly. <b>Conclusion.</b> This study provides a concrete example of how it is possible to build families' capacities without overburdening them. It also provides guidance to establishments wishing to take a step back to think about how they build families' capacities.</p>","PeriodicalId":49097,"journal":{"name":"Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie","volume":" ","pages":"113-125"},"PeriodicalIF":1.6,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12117127/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143626576","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Janine Farragher, Jane A Davis, Chandra Thomas, Pietro Ravani, Braden Manns, Meghan J Elliott, Brenda R Hemmelgarn
{"title":"Occupational Priorities of People on Hemodialysis Who Participated in Energy Management Education.","authors":"Janine Farragher, Jane A Davis, Chandra Thomas, Pietro Ravani, Braden Manns, Meghan J Elliott, Brenda R Hemmelgarn","doi":"10.1177/00084174241271205","DOIUrl":"10.1177/00084174241271205","url":null,"abstract":"<p><p><b>Background.</b> People with kidney failure who undergo hemodialysis treatment and experience chronic fatigue identify negative effects on occupational performance and participation as a key aspect of their illness experience. <b>Purpose.</b> To describe the occupational performance and participation problems of people treated with hemodialysis who live with debilitating fatigue. <b>Method.</b> Fifteen participants, who were randomized to participate in an energy management intervention as part of a randomized controlled trial, completed two occupation-based assessments at baseline and chose three priority occupational performance or participation problems to address as goals during the intervention. Results were analyzed using descriptive statistics (counts and percentages). <b>Findings.</b> Fifteen participants (mean age 60, 53% male) completed the occupation-based assessments. Participants stated that they wanted or needed more energy for a median of 22 of 55 occupations. Going out for food/drinks (<i>n</i> = 11), going to a movie/concert/performance (<i>n</i> = 10), and food preparation/clean-up (<i>n</i> = 10) were the top occupations for which participants required more energy. Prioritized occupational performance and participation problems most often fell within the household management (14 goals), self-care (6 goals), and hobbies (5 goals) domains. <b>Conclusion.</b> Occupational performance and participation problems are extensive among people treated with hemodialysis who live with debilitating fatigue. There is a clear need for occupation-based interventions that optimize occupational performance and participation in this population.</p>","PeriodicalId":49097,"journal":{"name":"Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie","volume":" ","pages":"94-101"},"PeriodicalIF":1.6,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12117131/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141903379","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Lori Rosenberg, Shira Zecharia, Yafit Gilboa, Anat Golos
{"title":"Preparing Adults with Cerebral Palsy to Move from Assisted to Independent Living.","authors":"Lori Rosenberg, Shira Zecharia, Yafit Gilboa, Anat Golos","doi":"10.1177/00084174241274743","DOIUrl":"10.1177/00084174241274743","url":null,"abstract":"<p><p><b>Background.</b> To evaluate effectiveness of The Greenhouse for autonomy and independence to prepare adults with severe cerebral palsy (CP) for the transition from assisted to independent living. The intervention combines weekly individual sessions using Pathways and Resources for Engagement and Participation together with weekly group sessions. <b>Method.</b> Seven adults with severe CP ages 23-45 years (M = 35; SD = 10) participated in the 20-week program. An Interrupted Time Series quasi-experimental design was used, assessing the intervention effect over time. The Canadian Occupational Performance Measure was administered bi-weekly from baseline to post-intervention to assess activity performance. Functional Independence Measure (FIM), Wheelchair use Confidence scale (WheelCon) and Impact on Participation and Autonomy (IPA) were administered baseline (4 weeks pre-intervention), mid and post-intervention, using Freidman test. Interviews were conducted four weeks after intervention. <b>Findings.</b> All participants' activity performance improved over time with significant clinical improvement in 95% of COPM goals. Significant improvement was seen in FIM (χ<sup>2 </sup>= 8.07, p = .018) and WheelCon (χ<sup>2 </sup>= 7.18, p = .028) though not in IPA. Participants described being better prepared, however more aware of challenges. <b>Conclusion.</b> The findings suggest the program may be effective to help adults with severe CP attain goals related to independent living and enhance function.</p>","PeriodicalId":49097,"journal":{"name":"Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie","volume":" ","pages":"85-93"},"PeriodicalIF":1.6,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12117132/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142141520","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Perspectives of Rehabilitation Professionals on Long COVID Interventions to Facilitate Return-to-Work.","authors":"Cassandra MacKinnon, Cassandra Castro-Barquero, Alexandra Kontis, Vanessa Patrice, Mayoore Nadarajah, Tania Janaudis-Ferreira","doi":"10.1177/00084174241312510","DOIUrl":"10.1177/00084174241312510","url":null,"abstract":"<p><p><b>Background.</b> The severe functional impact of long COVID presents a significant challenge for clients seeking to return to work. Despite emerging clinical management guidelines, long COVID remains a concern in the rehabilitation field. There is a need to establish optimal practices for sustainable rehabilitation paths that enhance the recovery of clients with long COVID, all while understanding the challenges faced by rehabilitation professionals working with this population. <b>Purpose.</b> This study aimed to explore the perspectives of rehabilitation professionals intervening in long COVID rehabilitation with the goal of returning to work. <b>Methods.</b> A qualitative study was conducted involving online semi-structured interviews with rehabilitation professionals in Quebec from public and private sectors across various regions who had experience treating individuals with long COVID. Thematic analysis was employed for data analysis. <b>Findings.</b> Nine rehabilitation professionals participated in the study, yielding five themes: (a) reassessment of RTW goals; (b) education and self-management as primary interventions; (c) gradually reintegrating daily activities and life habits; (d) progression of interventions and dealing with post-exertional malaise (PEM); and (e) challenges in long COVID rehabilitation. <b>Conclusion.</b> Education, gradual activation and self-management appear as central components in supporting patient recovery, however, achieving return to work remains challenging without proper accommodations.</p>","PeriodicalId":49097,"journal":{"name":"Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie","volume":" ","pages":"126-134"},"PeriodicalIF":1.6,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12117121/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143025240","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Katie Lee Bunting, Becky Meyer, Katie Janzen, Gaby Lieberman, Kaitlyn Willick, Jane A Davis
{"title":"Therapeutic-Use-of-Self as Relational Pedagogy in Occupational Therapy Education: A Qualitative Description Study.","authors":"Katie Lee Bunting, Becky Meyer, Katie Janzen, Gaby Lieberman, Kaitlyn Willick, Jane A Davis","doi":"10.1177/00084174241293541","DOIUrl":"10.1177/00084174241293541","url":null,"abstract":"<p><p><b>Background.</b> Amid growing calls for relational teaching approaches in higher education to improve student learning outcomes and student and educator well-being, a need remains for effective relational pedagogies. Therapeutic-use-of-self (TUS) is an occupational therapy skill that centers the client-occupational therapist relationship, yet there is a dearth of research exploring its application as a pedagogy. This presents an opportunity for a widely used occupational therapy skill, TUS, to be adapted as a much-needed relational pedagogy. <b>Objective.</b> We explored the experience of TUS as a relational pedagogy in occupational therapy education from educator and student perspectives. <b>Method.</b> This qualitative description study borrowed from the evocative methodology of collaborative autoethnography. We, six researcher-participants, across two Canadian entry-to-practice occupational therapy programs, engaged in five discussions exploring the relationship between participant stories and contexts. Reflective memoing and reflexive thematic analysis were applied for analysis. <b>Findings.</b> Four themes were described: (a) education as transaction, (b) authenticity in learning, (c) experiencing TUS, and (d) relationship as resistance. <b>Conclusion.</b> With an emphasis on authenticity, empathy, power equity, and critical reflexivity, TUS challenges status quo approaches to education. Although neoliberalism challenges the feasibility of relational pedagogy in higher education, TUS holds promise as a relational and critical pedagogy.</p>","PeriodicalId":49097,"journal":{"name":"Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie","volume":" ","pages":"102-112"},"PeriodicalIF":1.6,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12117125/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142577053","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Lina Ianni, Chantal Camden, Wenonah Campbell, Heather Colquhoun, Dana Anaby
{"title":"Occupational Therapist-Teacher Collaboration in Inclusive Education in Québec: A Qualitative Descriptive Study.","authors":"Lina Ianni, Chantal Camden, Wenonah Campbell, Heather Colquhoun, Dana Anaby","doi":"10.1177/00084174241310078","DOIUrl":"10.1177/00084174241310078","url":null,"abstract":"<p><p><b>Background:</b> In inclusive schools, collaboration between occupational therapists (OTs) and teachers has the potential to build capacities among these school-team members working with students with disabilities. Current evidence supports multi-tiered delivery models, such that OT interventions are integrated within the context of school life. Collaboration, however, is a complex multifaceted phenomenon that poses systemic, organizational, or interpersonal challenges. <b>Purpose:</b> This qualitative descriptive study explored the perspectives on current and ideal collaborative practices and associated contextual barriers and facilitators related to collaboration, as described by elementary teachers and OTs. <b>Method:</b> Two focus groups were conducted with OTs (<i>n</i> = 5) and elementary teachers (<i>n</i> = 6) working in inclusive schools in Québec (Canada) in French and English language settings. Qualitative data were transcribed and analyzed thematically. <b>Findings:</b> Four thematic categories were identified: Organization of services scaffolds collaborative practices; varying perspectives of the OT role influence collaboration; establishing and navigating collaborative relationships; and considerations for optimal collaboration. <b>Conclusion:</b> These findings have practice and policy implications regarding the organization of OT services as well as team professional development. Understanding these challenges is fundamental to tailoring future knowledge translation interventions to optimize school collaboration.</p>","PeriodicalId":49097,"journal":{"name":"Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie","volume":" ","pages":"135-147"},"PeriodicalIF":1.6,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12117133/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143053939","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Exploring Textured Hair Care as a Meaningful Occupation: A Thematic Analysis.","authors":"Christina MacDonald, Esme Kurulak, Roseleen John","doi":"10.1177/00084174251340644","DOIUrl":"https://doi.org/10.1177/00084174251340644","url":null,"abstract":"<p><strong>Background: </strong>Current health and occupational therapy literature lacks discussion on textured hair care as a meaningful occupation. In the Canadian context, this topic remains unexplored.</p><p><strong>Purpose: </strong>The purpose of this study is to explore textured hair care as a meaningful occupation through experiences and perceptions of Canadian occupational therapists and occupational therapist assistants who identify as Black or Mixed race.</p><p><strong>Method: </strong>A qualitative thematic design was adopted; 11 occupational therapists and one occupational therapist assistant were interviewed. Interviews were transcribed and subsequently coded. Themes and subthemes were identified using thematic analysis. Seven participants engaged in a focus group to confirm preliminary findings.</p><p><strong>Findings: </strong>Five main themes were identified: textured hair is diverse, personal perceptions of textured hair, societal perceptions of textured hair, barriers to participating in textured hair care and addressing knowledge gaps in the profession. All themes are accompanied by subthemes.</p><p><strong>Conclusion: </strong>All participants acknowledged textured hair as a meaningful yet under-addressed occupation. This study begins a critical conversation based on lived experiences with textured hair to promote culturally safer research, education, and practice.</p>","PeriodicalId":49097,"journal":{"name":"Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie","volume":" ","pages":"84174251340644"},"PeriodicalIF":1.6,"publicationDate":"2025-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144121278","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Kaarina Valavaara, Jay MacDonald, Pamela Barnes, Emilie Bourque, Sierra Rowe, Tal Jarus
{"title":"Occupational Therapists' Experiences of Assessments With Indigenous Peoples: A Storytelling Approach.","authors":"Kaarina Valavaara, Jay MacDonald, Pamela Barnes, Emilie Bourque, Sierra Rowe, Tal Jarus","doi":"10.1177/00084174251336547","DOIUrl":"https://doi.org/10.1177/00084174251336547","url":null,"abstract":"<p><strong>Background: </strong>Occupational therapists have a responsibility to strive for culturally safer assessments with Indigenous Peoples. <b>Purpose.</b> Explore occupational therapists' approaches related to culturally safer assessment strategies with Indigenous Peoples, including their perspectives, recommendations, and challenges. <b>Method.</b> Occupational therapists working with Indigenous Peoples across Canada were invited to participate in online surveys and virtual storytelling groups. Data was analyzed with descriptive statistics and thematic analysis. Member checking and collaboration with Indigenous project members consolidated final themes. <b>Findings.</b> Forty-three participants completed surveys and 16 participated in storytelling groups, with three distinct themes emerging: importance of building relationships, the complex nature of obtaining consent, and how systemic barriers negatively affect occupational therapists' capacity to provide culturally safer assessments. Findings are presented in a composite conversation between an occupational therapist and an Indigenous Knowledge Keeper. <b>Conclusion.</b> Despite systemic pressures towards efficiency and standardized approaches, occupational therapists are attempting efforts towards culturally safer assessments by advocating for occupation-based, culturally relevant, and flexible assessment processes that respect the autonomy of Indigenous service recipients. Future research could explore the current state of curricula related to assessment practices with Indigenous Peoples in Canadian entry to practice occupational therapy programs and perspectives from Indigenous occupational therapists and service recipients.</p>","PeriodicalId":49097,"journal":{"name":"Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie","volume":" ","pages":"84174251336547"},"PeriodicalIF":1.6,"publicationDate":"2025-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144121247","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Yael Mayer, Fernanda Mira, Shahbano Zaman, Tal Jarus
{"title":"Inclusion in Fieldwork: Academic Fieldwork Coordinators' Perspectives on Accommodating Disabled Occupational Therapy Students.","authors":"Yael Mayer, Fernanda Mira, Shahbano Zaman, Tal Jarus","doi":"10.1177/00084174251331923","DOIUrl":"https://doi.org/10.1177/00084174251331923","url":null,"abstract":"<p><p><b>Background.</b> Fieldwork is essential in postsecondary health professions programs and can present challenges for disabled students. Fieldwork coordinators, responsible for student placements, play a pivotal role in supporting disabled students. However, limited research exists regarding the experiences of these coordinators in accommodating students with disabilities. <b>Purpose.</b> This mixed methods study aims to understand the perspectives of academic fieldwork coordinators in occupational therapy programs, focusing on their practices to support disabled students and promote a sense of inclusion. <b>Method.</b> Using a mixed methods approach, fifteen academic fieldwork coordinators completed a quantitative survey followed by in-depth semistructured interviews with five coordinators. <b>Results.</b> Participants' experiences presented two main themes. First, academic fieldwork coordinators constantly navigated tensions with institutional norms regarding fieldwork. Second, academic fieldwork coordinators manage fieldwork accommodations within ever-changing human dynamics and social norms, including students' decisions about disclosure. Despite these gaps, the participants emphasized opportunities for enhancing and refining occupational therapy programs by addressing challenges to improve inclusivity for students with disabilities. <b>Conclusion.</b> Addressing these accessibility issues can contribute to the overall improvement of educational practices, fostering a more inclusive learning environment. Examination of the institution's infrastructure, collaboration with disabled individuals, and greater personnel training are key in promoting a more inclusive and supportive environment for both academic fieldwork coordinators and disabled students.</p>","PeriodicalId":49097,"journal":{"name":"Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie","volume":" ","pages":"84174251331923"},"PeriodicalIF":1.6,"publicationDate":"2025-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143992262","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Katelyn Bridge, Dorothy Kessler, Tricia Morrison, Michel Lacerte
{"title":"Occupational Therapist Perspectives: Factors Influencing Recovery Following Motor Vehicle Accident Injury.","authors":"Katelyn Bridge, Dorothy Kessler, Tricia Morrison, Michel Lacerte","doi":"10.1177/00084174251336049","DOIUrl":"https://doi.org/10.1177/00084174251336049","url":null,"abstract":"<p><p><b>Background.</b> Motor vehicle accident (MVA) injuries can result in persistent impairments which contribute to chronic pain, mental health symptoms, and decreased quality of life. Occupational therapists play a key role in the rehabilitation of those injured in MVAs yet there is lack of evidence to inform occupational therapy practice. An explicit understanding of the factors influencing post-MVA recovery from occupational therapists' perspectives is needed to inform clinical service delivery. <b>Purpose.</b> This study addressed the following question: From the perspective of occupational therapists, what factors are identified as influencing recovery following a noncatastrophic injury sustained in an MVA? <b>Method.</b> An interpretive descriptive study design was used. Data were collected through semistructured interviews with 10 occupational therapists who provide auto-insurer funded occupational therapy to clients with noncatastrophic injuries from an MVA. Data were analyzed using constant comparative analysis. <b>Results.</b> Physical symptoms and accessibility, acceptance, social support, access to occupational therapy, and navigating the insurance system were factors identified as influencing post-MVA recovery. <b>Conclusion.</b> This study highlights the importance of using a biopsychosocial lens when working with clients post-MVA. Recovery post-MVA needs to be considered in the context of the insurance system, as navigating the insurance system was a predominant factor influencing recovery.</p>","PeriodicalId":49097,"journal":{"name":"Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie","volume":" ","pages":"84174251336049"},"PeriodicalIF":1.6,"publicationDate":"2025-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144040168","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}