Alexandra Lecours, Andrée-Anne Drolet, Lily Bellehumeur-Béchamp, Marie-Josée Drolet, Claude Vincent, Samuel Turcotte, Dimitri Léonard
{"title":"Caractériser l'intersectionnalité au travail: des repères opérationnels pour soutenir les ergothérapeutes.","authors":"Alexandra Lecours, Andrée-Anne Drolet, Lily Bellehumeur-Béchamp, Marie-Josée Drolet, Claude Vincent, Samuel Turcotte, Dimitri Léonard","doi":"10.1177/00084174251383837","DOIUrl":"https://doi.org/10.1177/00084174251383837","url":null,"abstract":"<p><p><b>Description.</b> Occupational therapists support individuals and organizations in achieving healthy participation in the workplace. In this context, it is important to consider multiple identities, such as gender, ethnicity, or disability, when analyzing occupational inequalities and injustices that people encounter at work. The concept of intersectionality has the potential to support occupational therapists, but it remains difficult to recognize in practice. <b>Purpose.</b> The purpose of the study was to identify the operational characteristics of the concept of intersectionality at work. <b>Methodology.</b> Based on a scoping review design, 29 documents from various disciplines were selected. Data were extracted using a structured grid and analyzed using a thematic approach. <b>Results.</b> The results identified five operational characteristics of the concept: the interrelation of identities, the interaction between disadvantages and privileges, power dynamics, idiosyncratic subjective experience, and the relationship to oneself and others. Our results also reveal that these characteristics must be considered within their context, particularly their historical context. <b>Conclusion.</b> This study provides occupational therapists with a framework for analyzing and intervening in complex situations, thereby helping to promote equitable participation in the workplace.</p>","PeriodicalId":49097,"journal":{"name":"Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie","volume":" ","pages":"84174251383837"},"PeriodicalIF":1.7,"publicationDate":"2025-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145337866","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}
Kelsey L Friesen, Lacee Many Grey Horses, Katelyn Favel, Tim Barlott
{"title":"Navigating Reconciliation in Occupational Therapy: Alberta Practitioners' Experiences and Insights.","authors":"Kelsey L Friesen, Lacee Many Grey Horses, Katelyn Favel, Tim Barlott","doi":"10.1177/00084174251382341","DOIUrl":"https://doi.org/10.1177/00084174251382341","url":null,"abstract":"<p><p><b>Background.</b> The 2015 Truth and Reconciliation Commission of Canada issued Calls to Action, urging Canadians, including health-care providers, to address colonial harms and pursue reconciliation. Occupational therapists, guided by the Canadian Association of Occupational Therapist's Position Statement, are called to provide culturally safer care. However, little is known about how they engage in reconciliation in practice. <b>Purpose.</b> This study examines how occupational therapists integrate reconciliation into their practice and identifies influencing factors. <b>Method.</b> Reflexive thematic analysis was applied to data from semi-structured interviews with 11 occupational therapists. Discussions explored reconciliation efforts and related challenges. <b>Findings.</b> Occupational therapists foster reconciliation through building relationships with Indigenous communities and engaging in lifelong learning, such as accessing Indigenous knowledge and resources. Key barriers include gaps in foundational education and difficulties translating rhetoric into meaningful action. Participants stressed the need to deconstruct Western paradigms and adopt culturally responsive, non-Western approaches. Relationality, community engagement, and continuous learning emerged as central to reconciliation and culturally safer care. <b>Conclusion.</b> This study contributes to the national dialogue on truth and reconciliation by offering a foundation to understand truth and reconciliation in the context of occupational therapy. This may help to address systemic and anti-Indigenous racism in the profession.</p>","PeriodicalId":49097,"journal":{"name":"Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie","volume":" ","pages":"84174251382341"},"PeriodicalIF":1.7,"publicationDate":"2025-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145240177","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}
{"title":"Facilitators and Barriers to Implementing French-Canadian Lifestyle Redesign<sup>®</sup> in Occupational Therapy Practice.","authors":"Marie-Hélène Lévesque, Nathalie Delli-Colli, Yves Couturier, Nadine Larivière, Johanne Filiatrault, Valérie Poulin, Véronique Provencher, Dominique Giroux, Émilie Lagueux, Mélanie Levasseur","doi":"10.1177/00084174251381405","DOIUrl":"https://doi.org/10.1177/00084174251381405","url":null,"abstract":"<p><p><b>Background.</b> Although Lifestyle Redesign<sup>®</sup> is an important preventive occupational therapy approach fostering meaningful routines to support health and well-being, little data exists to support its implementation in new sociocultural contexts. <b>Purpose.</b> To explore facilitators and barriers to a future implementation of the French-Canadian Lifestyle Redesign<sup>®</sup> (Remodeler sa vie<sup>®</sup>) in occupational therapy practice, as perceived by occupational therapists (OTs), occupational therapy students, decision makers and community partners. <b>Method.</b> Guided by the Consolidated Framework for Implementation Research, this action-research study involved 58 purposefully selected participants trained in the approach. Eleven focus groups were conducted using three semi-structured interview guides and facilitation tools. <b>Findings.</b> Participants (86.2% women, aged 20 to 72; mean = 43.2, SD = 12.5) identified 36 influential factors, with public sector OTs facing the most barriers. Key facilitators included the approach's strong evidence base, its relevance to aging populations, key actors' openness and engagement, and new social trends. Barriers stemmed from the approach's complexity, resource constraints, socio-political challenges, implementation efforts and uncertainty about older adults' engagement in this approach. Equitable access to the approach was a common concern. <b>Conclusion.</b> By addressing the factors influencing the implementation of Remodeler sa vie<sup>®</sup>, this study advances knowledge on integrating preventive approaches to promote healthy aging in Canada and internationally.</p>","PeriodicalId":49097,"journal":{"name":"Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie","volume":" ","pages":"84174251381405"},"PeriodicalIF":1.7,"publicationDate":"2025-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145226135","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}
{"title":"A Citation Analysis of the Concept of Occupational Possibilities: Une analyse des citations du concept de possibilités occupationnelles.","authors":"Debbie Laliberte Rudman, Agnes Mathew, Maathangi Kuruparan","doi":"10.1177/00084174251381997","DOIUrl":"https://doi.org/10.1177/00084174251381997","url":null,"abstract":"<p><p><b>Background.</b> The concept of occupational possibilities has been integrated within guiding documents for Canadian occupational therapy to turn attention towards implicit and explicit root factors producing occupational inequities. <b>Purpose.</b> This mixed-methods citation analysis examined how the concept of occupational possibilities has been used in occupation-focused scholarship, attending to the knowledge generated and how its critical intents are enacted. <b>Method.</b> Peer-reviewed articles citing one or both of the two seminal publications regarding occupational possibilities were included. A descriptive analysis of 93 articles was conducted, along with a qualitative analysis of 43 articles that extensively integrated the concept. <b>Findings.</b> The concept of occupational possibilities has been increasingly used in scholarship since 2016 in ways that have deepened understanding of the discursive, systemic and structural forces perpetuating occupational inequities, and countered individualistic conceptualizations of occupational \"choice.\" This scholarship has identified key starting points for promoting equity through transforming occupational possibilities. <b>Conclusion.</b> There is an emerging body of knowledge that can inform reconfigurations of occupational therapy scholarship, education and practice in ways aligned with contemporary calls to counter occupational inequities through diversifying occupational possibilities, with such reconfigurations requiring sustained engagement in collective critical reflexivity to ensure disruption of oppressive power relations.</p>","PeriodicalId":49097,"journal":{"name":"Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie","volume":" ","pages":"84174251381997"},"PeriodicalIF":1.7,"publicationDate":"2025-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145226353","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}
Aliza Asbell-Yehuda, Parastoo Sharif-Esfahani, Elizabeth Anne Kinsella, Cori Schmitz, Rosemary Lysaght, Andrea Duncan, Kirsten Smith
{"title":"Spaces of Belonging: Educational Researchers' Experiences in an Online Community of Practice.","authors":"Aliza Asbell-Yehuda, Parastoo Sharif-Esfahani, Elizabeth Anne Kinsella, Cori Schmitz, Rosemary Lysaght, Andrea Duncan, Kirsten Smith","doi":"10.1177/00084174251377843","DOIUrl":"https://doi.org/10.1177/00084174251377843","url":null,"abstract":"<p><p><b>Background.</b> The Research on Education Committee of the Association of Canadian Occupational Therapy University Programs (ACOTUP) hosts an educational research community of practice (CoP). Occupational therapy educators across Canada meet through this CoP to network and advance research on education. While the literature has noted benefits of participating in a CoP for the professional development of occupational therapists, there is a paucity of studies focusing on educational researchers' participation in a CoP. <b>Purpose.</b> This study aimed to examine CoP members' perceptions of the value of, and barriers to, participation in an educational research CoP. <b>Method.</b> A mixed methods design, consisting of an online survey followed by focus groups, was employed to gain insight into participants' perspectives and experiences of involvement in the CoP. Data were analyzed inductively and deductively using collaborative qualitative analysis. <b>Findings.</b> Members identified benefits of participation arising from networking and being a part of a supportive community. They described gaining new insights, social relationships, and inspiration to continue their pedagogical research. The data also highlighted limitations to participation and suggested ways to enhance meaningful engagement within a CoP. <b>Conclusion.</b> The CoP provides value to educators and researchers in supporting their pedagogical practices and professional careers. This knowledge could be leveraged to support its members and other CoPs.</p>","PeriodicalId":49097,"journal":{"name":"Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie","volume":" ","pages":"84174251377843"},"PeriodicalIF":1.7,"publicationDate":"2025-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145201904","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}
{"title":"The Lifestyle Redesign Approach to Reducing Screen Time among Young People.","authors":"Emmanuelle Jasmin, Mélanie Levasseur, Mélanie M Couture, Mélissa Généreux, Caroline Fitzpatrick","doi":"10.1177/00084174251365684","DOIUrl":"https://doi.org/10.1177/00084174251365684","url":null,"abstract":"<p><p><b>Background.</b> Excessive screen time is a real public health issue among young people given its negative consequences. It is important to rely on proven interventions to better support young people in adopting a healthy and meaningful lifestyle. The Lifestyle Redesign occupational therapy approach could help achieve this, but it has not yet been documented or explored with this population. <b>Purpose.</b> To demonstrate the relevance of adapting and testing the Lifestyle Redesign approach with young people who spend excessive amounts of time in front of screens, in the hopes of inspiring research or innovation projects in youth practice settings. <b>Key issues.</b> Many young people spend too much time using screens during their leisure activities. During adolescence, young people tend to increase their screen time during leisure activities, while also isolating themselves socially, struggling with boredom, and replacing physical activity with sedentary activities. Therefore, effective interventions would help to improve the life balance of these young people. <b>Implications.</b> A project to adapt and test the Lifestyle Redesign approach for young people would address this need. This project could include young people aged 10 to 12, their parents, and key partners. Drawing on other evidence-based practices related to commitment and screen time reduction would be beneficial to the intervention, which should also target, among other things, developing young people's repertoire of interests.</p>","PeriodicalId":49097,"journal":{"name":"Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie","volume":" ","pages":"84174251365684"},"PeriodicalIF":1.7,"publicationDate":"2025-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145016433","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":"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":"229-240"},"PeriodicalIF":1.7,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12326027/pdf/","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":"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":"10.1177/00084174251340644","url":null,"abstract":"<p><p><b>Background.</b> Current health and occupational therapy literature lacks discussion on textured hair care as a meaningful occupation. In the Canadian context, this topic remains unexplored. <b>Purpose</b>. 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. <b>Method</b>. 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. <b>Findings</b>. 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. <b>Conclusion</b>. 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":"219-228"},"PeriodicalIF":1.7,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12326022/pdf/","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":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Samantha A Oostlander, Camille Joanisse, Michael S Mulvey, Sarah Fraser, Martine Lagacé, Louise Bélanger-Hardy, Linda Garcia, Annie Robitaille, Margaret Gillis, Jill Courtemanche, Tracey L O'Sullivan
{"title":"Occupational Participation Among Older Adults During the COVID-19 Pandemic.","authors":"Samantha A Oostlander, Camille Joanisse, Michael S Mulvey, Sarah Fraser, Martine Lagacé, Louise Bélanger-Hardy, Linda Garcia, Annie Robitaille, Margaret Gillis, Jill Courtemanche, Tracey L O'Sullivan","doi":"10.1177/00084174241287297","DOIUrl":"10.1177/00084174241287297","url":null,"abstract":"<p><p><b>Background</b>. The COVID-19 pandemic led to abrupt occupational disruption for all people. However, some populations, like older adults, were disproportionately impacted particularly in the earlier waves. <b>Purpose.</b> The purpose of this study was to explore and understand how the occupational participation of community-dwelling older adults was experienced during the COVID-19 pandemic, using the Canadian Model of Occupational Participation (CanMOP) to contextualize findings. <b>Method.</b> Sixty-seven older adults participated in semi-structured interviews from September 2020 to May 2021, 37 of which also participated in a follow-up interview one-year later. <b>Findings.</b> Using reflexive thematic analysis, four themes were generated: (1) experiences of loss are complex and layered for older adults, (2) technology as a medium for occupational participation, (3) risk perception influences return to occupation, and (4) age-related challenges for older adults resuming volunteer work. <b>Conclusion.</b> Increasing frequency and severity of influenza pandemics and other disasters are a global concern, and OTs can use their skillsets to foster participation and expand occupational possibilities for older adults. The CanMOP was a helpful tool to understand the nuances underlying the participation of older adults in this context.</p>","PeriodicalId":49097,"journal":{"name":"Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie","volume":" ","pages":"161-172"},"PeriodicalIF":1.7,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12326026/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142373322","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}
Diane MacKenzie, Mary Roduta Roberts, Rose Martini, Christine Ausman, Cori Schmitz
{"title":"Post-COVID-19 Pandemic Restrictions: Follow-Up on Changes Within Canadian Academic and Fieldwork Curricula.","authors":"Diane MacKenzie, Mary Roduta Roberts, Rose Martini, Christine Ausman, Cori Schmitz","doi":"10.1177/00084174241310076","DOIUrl":"10.1177/00084174241310076","url":null,"abstract":"<p><p><b>Background.</b> COVID-19 pandemic restrictions necessitated curricular modifications in Canadian occupational therapy education. Documentation and reflection on temporary or permanent curriculum modifications and their perceived impact on student learning and outcomes is critical. <b>Purpose.</b> To explore and compare reported curricula changes (academic and fieldwork) during restricted and post-restricted delivery periods together with the perceived impact on learners. <b>Method.</b> A cross-sectional online descriptive survey was sent to key representatives from administration, curriculum, and fieldwork at all 14 accredited occupational therapy university programs in Canada. <b>Findings.</b> Overall, many pandemic-restricted curricula delivery and assessment changes shifted back toward pre-pandemic methods. Changes that were maintained were congruent with universal design or perceived limited adverse impact on learning. Both in-person and virtual learning were perceived as important for changing practice needs. Fieldwork placement recruitment remained a challenge, with some programs increasing the use of simulation. Interpersonal competency development and assessment method integrity were more visible and of concern. <b>Conclusion.</b> Interpersonal competency development and assessment method integrity were more visible and of concern. Programs demonstrated remarkable flexibility to shift, adapt, and deliver curricula, but the human cost for this accomplishment is still palpable.</p>","PeriodicalId":49097,"journal":{"name":"Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie","volume":" ","pages":"208-218"},"PeriodicalIF":1.7,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12326021/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142972966","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}