Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie最新文献

Shattering Silence, Inviting Dialogue: Anti-Oppressive Occupational Therapy During the Genocide of Palestinians: Briser le silence, inviter au dialogue : l'ergothérapie anti-oppressive pendant le génocide des Palestiniens. 打破沉默，邀请对话：巴勒斯坦种族灭绝期间的反压迫职业疗法：打破沉默，邀请对话。

IF 1.6 3区医学

Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie Pub Date : 2025-07-09 DOI: 10.1177/00084174251356348

Hiba Zafran, Brenda L Beagan, Dominique Shephard, Heidi Lauckner, Karen Whalley Hammell, Katie Lee Bunting, Marie-Lyne Grenier, Pier-Luc Turcotte, Sara Abdo, Tal Jarus

{"title":"Shattering Silence, Inviting Dialogue: Anti-Oppressive Occupational Therapy During the Genocide of Palestinians: Briser le silence, inviter au dialogue : l'ergothérapie anti-oppressive pendant le génocide des Palestiniens.","authors":"Hiba Zafran, Brenda L Beagan, Dominique Shephard, Heidi Lauckner, Karen Whalley Hammell, Katie Lee Bunting, Marie-Lyne Grenier, Pier-Luc Turcotte, Sara Abdo, Tal Jarus","doi":"10.1177/00084174251356348","DOIUrl":"10.1177/00084174251356348","url":null,"abstract":"Background. Occupational therapists are obligated to promote human rights and are required to advocate for the profession's statements concerning social justice to align with its actions. Purpose. This Commentary provides an anti-oppressive perspective, developed from the different positions and identities of authors currently living in Canada, contending that the practices of occupational therapists cannot be viewed as disconnected from global conflicts such as the genocide of Palestinians, and providing guidance for those seeking to align their actions with the profession's espoused values and obligations. Key issues. Identifying anti-oppression as an ethical, moral, and professional imperative, this commentary articulates a principled examination of a complexified issue; providing suggestions for how occupational therapists, as individuals and as a profession, can engage in anti-oppressive practices through: (a) commitment to learning, (b) reflexive and reflective personal work, (c) the use of guiding frameworks, (d) building community, and (e) compassionate actions. Implications. Noting that there is never a neutral or apolitical position in the face of injustice, the paper invites dialogue, and provides suggestions and guidance for occupational therapists seeking to align their actions with their professional obligations in supporting human and occupational rights locally and globally.","PeriodicalId":49097,"journal":{"name":"Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie","volume":" ","pages":"84174251356348"},"PeriodicalIF":1.6,"publicationDate":"2025-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144592788","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}

引用次数: 0

Interrater Reliability of the Canadian Occupational Performance Measure (COPM) Within Geriatric Rehabilitation: Fiabilité interévaluateurs de la Mesure canadienne du rendement occupationnel (MCRO) dans le contexte de la réadaptation gériatrique. 老年康复背景下加拿大职业表现指标（COPM）的交叉可靠性：加拿大职业表现指标（COPM）在老年康复背景下的交叉可靠性。

IF 1.6 3区医学

Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie Pub Date : 2025-07-08 DOI: 10.1177/00084174251352333

Dionne Plecht, Anouk van Luijk, Judith Hoek, Wilco P Achterberg, Margot W M de Waal

{"title":"Interrater Reliability of the Canadian Occupational Performance Measure (COPM) Within Geriatric Rehabilitation: Fiabilité interévaluateurs de la Mesure canadienne du rendement occupationnel (MCRO) dans le contexte de la réadaptation gériatrique.","authors":"Dionne Plecht, Anouk van Luijk, Judith Hoek, Wilco P Achterberg, Margot W M de Waal","doi":"10.1177/00084174251352333","DOIUrl":"https://doi.org/10.1177/00084174251352333","url":null,"abstract":"Background. The Canadian Occupational Performance Measure (COPM) is used by occupational therapists (OTs) to identify problems in the occupational performance of patients, and its use is currently expanding within geriatric rehabilitation (GR). However, due to the complexity of the target group concerns have been raised regarding consistency of administration between OTs. Purpose. To assess the interrater reliability of the COPM in routine GR practice. Method. In two GR wards with patients aged 65 years and older, two different OTs administered the COPM to the same patient. We calculated the overlap in prioritized occupational problems, as well as the intraclass correlation coefficients (ICC) of the COPM-Performance and COPM-Satisfaction scores. Findings. Twenty-six participants, mean age 79 (SD 7.6) with largely orthopaedic and neurological diagnoses, were assessed twice within 2-5 days (mean 3, SD 0.9). We identified a total of 355 problems, mostly in the domain selfcare (N = 222). For the 112 prioritized problems, two OTs had a 65% overlap. ICC values for COPM-Performance and COPM-Satisfaction were 0.566 and 0.567, respectively. Conclusion. In GR, the COPM has moderate IRR and a moderate percentage of overlapping prioritized occupational performance problems. Therapists should be aware of the potential scoring problem within GR and should invest in training.","PeriodicalId":49097,"journal":{"name":"Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie","volume":" ","pages":"84174251352333"},"PeriodicalIF":1.6,"publicationDate":"2025-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144585464","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}

引用次数: 0

Adaptive Interventions for Enhancing Participation Poststroke: A Systematic Review and Meta-Analysis. 增强脑卒中后参与的适应性干预：一项系统回顾和荟萃分析。

IF 1.6 3区医学

Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie Pub Date : 2025-07-01 DOI: 10.1177/00084174251352305

Mary Egan, Dorothy Kessler, Patrick Duong, Kaitlyn Duquette, Nalia Gurgel-Juarez, Lindsey Sikora, Elizabeth Linkewich

{"title":"Adaptive Interventions for Enhancing Participation Poststroke: A Systematic Review and Meta-Analysis.","authors":"Mary Egan, Dorothy Kessler, Patrick Duong, Kaitlyn Duquette, Nalia Gurgel-Juarez, Lindsey Sikora, Elizabeth Linkewich","doi":"10.1177/00084174251352305","DOIUrl":"https://doi.org/10.1177/00084174251352305","url":null,"abstract":"Background: Stroke rehabilitation includes both restorative and adaptive interventions. There are few specific guidelines regarding adaptive interventions.Purpose: To determine the effectiveness of adaptive interventions on participation outcomes generally, and more specifically by theoretical focus of the intervention.Method: Systematic review. Relevant databases were searched for randomized controlled trials of adaptive interventions that included a participation measure. Data were extracted and Hedges' g was calculated for all interventions and then by intervention classification.Results: Fourteen named interventions were examined in 24 studies. When all interventions were considered, the following was observed: a medium effect on person-specific participation goals that approached significance (0.60; [95% CI: -0.06; 1.26], p = .07), a negligible and non-significant effect on broad participation (0.10; [95% CI: -0.13; 0.33], p = .37), and a small to medium significant effect on instrumental activities of daily living (IADL; 0.37, [95% CI: 0.12; 0.62] p = .004). Studies evaluating person-specific participation were dominated by learning-focused interventions, while studies evaluating broad participation and IADL were dominated by coping-focused interventions.Conclusion: Learning- or motivation-focused approaches appear to have an important impact on person-specific participation goals. Future research should focus on clarifying the effectiveness of these interventions and improving impact on broader participation.","PeriodicalId":49097,"journal":{"name":"Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie","volume":" ","pages":"84174251352305"},"PeriodicalIF":1.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144530673","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}

引用次数: 0

Supporting Students in Relation to Racism: Occupational Therapy Fieldwork Educator Perspectives: Soutien aux personnes étudiantes en matière de racisme : perspectives du personnel responsable de l'enseignement clinique. 支持学生与种族主义有关的问题：职业治疗实地工作教育者的观点：支持学生与种族主义有关的问题：临床教学人员的观点。

IF 1.6 3区医学

Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie Pub Date : 2025-06-02 DOI: 10.1177/00084174251346555

Cara L Brown, Gabrielle Bacon, Tessa Bruce, Sydney Meyer, Lovejot Mann, Harriet Awuku

{"title":"Supporting Students in Relation to Racism: Occupational Therapy Fieldwork Educator Perspectives: Soutien aux personnes étudiantes en matière de racisme : perspectives du personnel responsable de l'enseignement clinique.","authors":"Cara L Brown, Gabrielle Bacon, Tessa Bruce, Sydney Meyer, Lovejot Mann, Harriet Awuku","doi":"10.1177/00084174251346555","DOIUrl":"https://doi.org/10.1177/00084174251346555","url":null,"abstract":"Introduction: Racism is ingrained within the Canadian healthcare system, resulting in health inequities for Black, Indigenous, and people of colour (BIPOC) service users, healthcare workers, and students. Occupational therapy students spend a large amount of their training with fieldwork educators within these environments. Purpose. Explore the experiences of occupational therapy fieldwork educators in relation to supporting students witnessing or experiencing racism during fieldwork education. Methods. Using an interpretive description research design, with a semi-structured interview guide, we conducted individual and group interviews with nine occupational therapy fieldwork educators with a minimum of two years of clinical experience. Data analysis included data immersion, independent coding by multiple team members, and grouping and collapsing data to develop categories. Findings. All participant educators discussed racism with students, but had varying levels of comfort doing so. The participants used reflection as a tool to support students learning about racism. Participants were \"self-taught\" regarding racism and wanted help to develop their own, as well as their students' skills in responding to racism. Conclusion. Health organizations and universities need to work in an integrated way to prioritize anti-racism education for all occupational therapy students and practitioners, and to develop multipronged systems for the disclosure and addressing of racism.","PeriodicalId":49097,"journal":{"name":"Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie","volume":" ","pages":"84174251346555"},"PeriodicalIF":1.6,"publicationDate":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144200599","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}

引用次数: 0

How much is Universal Accessibility Actually Taught in Canadian Occupational Therapy Programs?: Dans quelle mesure l'accessibilité universelle est-elle enseignée dans les programmes canadiens d'ergothérapie? 加拿大职业治疗项目实际教授了多少普遍可及性？：加拿大职业治疗项目在多大程度上教授普遍可及性？

IF 1.6 3区医学

Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie Pub Date : 2025-06-02 DOI: 10.1177/00084174251340647

Alicia Ruiz-Rodrigo, David Gotti, Ernesto Morales, François Routhier

{"title":"How much is Universal Accessibility Actually Taught in Canadian Occupational Therapy Programs?: Dans quelle mesure l'accessibilité universelle est-elle enseignée dans les programmes canadiens d'ergothérapie?","authors":"Alicia Ruiz-Rodrigo, David Gotti, Ernesto Morales, François Routhier","doi":"10.1177/00084174251340647","DOIUrl":"https://doi.org/10.1177/00084174251340647","url":null,"abstract":"Background: The environment is essential to occupational participation. However, the involvement and training of occupational therapists in universal accessibility (UA) seems limited. Purpose. To explore the content on UA taught in university occupational therapy programs in Canada. Method. This study adopts a mixed methodology. A survey, including mostly quantitative data, was distributed to occupational therapy programs across Canada, and course syllabi related to UA, providing qualitative data, were requested. Analysis included descriptive statistics and content descriptive analysis. Findings. Thirteen out of 14 programs responded to the survey and five provided course syllabi. While all programs cover UA content, only seven offer specific courses on accessibility. Internships related to UA are offered by seven programs. Some gaps identified include limited knowledge, lack of in-depth content, and limited interprofessional collaboration. There are variations in emphasis on UA and teaching approaches. Boundaries between universal approaches and knowledge of specific disability groups are poorly delineated. UA is unanimously considered essential in the training of occupational therapists. Conclusion. The content in UA is heterogeneous across programs. Consensual definitions of accessibility concepts related to occupational therapy are needed to better define the role of the occupational therapist in this area.","PeriodicalId":49097,"journal":{"name":"Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie","volume":" ","pages":"84174251340647"},"PeriodicalIF":1.6,"publicationDate":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144200598","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}

引用次数: 0

Evaluating a Family Capacity-Building Service: Are We Doing More Good Than Harm? 评估家庭能力建设服务：我们是否利大于弊？

IF 1.6 3区医学

Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie Pub Date : 2025-06-01 Epub Date: 2025-03-13 DOI: 10.1177/00084174251323729

Marie Grandisson, Myriam Chrétien-Vincent, Gabrielle Pratte, Cynthia Fauteux, Justine Marcotte, Emmanuelle Jasmin, Élise Milot, Julie Bergeron

{"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":"Background. 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. Purpose. The purpose of this article is to share the findings from the evaluation of a flexible capacity-building occupational therapy service with seven families. Method. 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. Findings. 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. Conclusion. 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.","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}

引用次数: 0

Occupational Priorities of People on Hemodialysis Who Participated in Energy Management Education. 参加能源管理教育的血液透析患者的职业优先级。

IF 1.6 3区医学

Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie Pub Date : 2025-06-01 Epub Date: 2024-08-07 DOI: 10.1177/00084174241271205

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":"Background. 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. Purpose. To describe the occupational performance and participation problems of people treated with hemodialysis who live with debilitating fatigue. Method. 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). Findings. 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 (n = 11), going to a movie/concert/performance (n = 10), and food preparation/clean-up (n = 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. Conclusion. 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.","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}

引用次数: 0

Preparing Adults with Cerebral Palsy to Move from Assisted to Independent Living. 让脑瘫成人做好从辅助生活转向独立生活的准备。

IF 1.6 3区医学

Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie Pub Date : 2025-06-01 Epub Date: 2024-09-05 DOI: 10.1177/00084174241274743

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":"Background. 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. Method. 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. Findings. All participants' activity performance improved over time with significant clinical improvement in 95% of COPM goals. Significant improvement was seen in FIM (χ2 = 8.07, p = .018) and WheelCon (χ2 = 7.18, p = .028) though not in IPA. Participants described being better prepared, however more aware of challenges. Conclusion. The findings suggest the program may be effective to help adults with severe CP attain goals related to independent living and enhance function.","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}

引用次数: 0

Perspectives of Rehabilitation Professionals on Long COVID Interventions to Facilitate Return-to-Work. 康复专业人员对COVID - 19长期干预措施促进重返工作岗位的看法

IF 1.6 3区医学

Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie Pub Date : 2025-06-01 Epub Date: 2025-01-23 DOI: 10.1177/00084174241312510

Cassandra MacKinnon, Cassandra Castro-Barquero, Alexandra Kontis, Vanessa Patrice, Mayoore Nadarajah, Tania Janaudis-Ferreira

{"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":"Background. 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. Purpose. This study aimed to explore the perspectives of rehabilitation professionals intervening in long COVID rehabilitation with the goal of returning to work. Methods. 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. Findings. 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. Conclusion. Education, gradual activation and self-management appear as central components in supporting patient recovery, however, achieving return to work remains challenging without proper accommodations.","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}

引用次数: 0

Therapeutic-Use-of-Self as Relational Pedagogy in Occupational Therapy Education: A Qualitative Description Study. 职业治疗教育中作为关系教学法的治疗性自我使用：定性描述研究。

IF 1.6 3区医学

Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie Pub Date : 2025-06-01 Epub Date: 2024-11-04 DOI: 10.1177/00084174241293541

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":"Background. 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. Objective. We explored the experience of TUS as a relational pedagogy in occupational therapy education from educator and student perspectives. Method. 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. Findings. Four themes were described: (a) education as transaction, (b) authenticity in learning, (c) experiencing TUS, and (d) relationship as resistance. Conclusion. 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.","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}

引用次数: 0