Miri Tal-Saban, Shahar Zaguri-Vittenberg, Yonat Ivzori
{"title":"Enhancing Occupational Therapists' Intervention Capabilities With Adolescents With Neurodevelopmental Disorders.","authors":"Miri Tal-Saban, Shahar Zaguri-Vittenberg, Yonat Ivzori","doi":"10.1177/00084174241272010","DOIUrl":"10.1177/00084174241272010","url":null,"abstract":"<p><p><b>Background.</b> Adolescents with neurodevelopmental disorders (NDDs) have an increased risk of participation limitations. Occupational therapy faces knowledge-to-practice gaps among this population. <b>Purpose.</b> To examine the effectiveness of a continuing-education program for occupational therapists working with adolescents with NDDs. <b>Method.</b> The study used a mixed-method design, including pre-post comparisons of competence and sense of self-efficacy of occupational therapists to work with adolescents with NDDs. Interviews regarding the program's perceived contribution to practice were conducted. <b>Results.</b> Post-program results showed significantly (<i>p </i>< .001) higher professional competence and self-efficacy for interventions and evaluation skills with NDD's adolescents and transition programs as well as higher knowledge about adolescence and NDDs characteristics. Contrary, there was no change in competence and self-efficacy regarding client-centred interventions with adolescents. Program participants increased their professional confidence and incorporated evidence-based methods into routine practice. <b>Implications.</b> The continuing-education program that was examined expanded the occupational therapy practitioner's knowledge and professional skills, resulting in a change in their capacity to practice with adolescents narrowing the knowledge-to-practice gap. Future studies involving the client perspective, regarding their participation may validate and support continuing-education program for occupational therapists.</p>","PeriodicalId":49097,"journal":{"name":"Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie","volume":" ","pages":"39-49"},"PeriodicalIF":1.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141908068","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}
Jiayi Du, Alexander Bird, Giovanna Boniface, Jeffrey Boniface, W Ben Mortenson
{"title":"The Perceived Role of Occupational Therapists in Climate Change.","authors":"Jiayi Du, Alexander Bird, Giovanna Boniface, Jeffrey Boniface, W Ben Mortenson","doi":"10.1177/00084174241259304","DOIUrl":"10.1177/00084174241259304","url":null,"abstract":"<p><p><b>Background.</b> In 2022, the World Health Organization (WHO) predicted that climate change would cause thousands of additional deaths per year from malnutrition, malaria, diarrhea, and heat stress alone between the years of 2030 and 2050. With such health consequences and environmental changes, climate change is impacting human occupations globally. However, there is a gap in the literature regarding the occupational therapists' role in climate change, particularly in the Canadian context. <b>Purpose.</b> Our research aimed to explore what is the perceived role of occupational therapists in climate change and climate action from the perspective of Canadian occupational therapists and international experts. <b>Method.</b> This qualitative study used interpretive description methodology. We recruited 12 occupational therapists, including 4 research experts in the field. We conducted semi-structured interviews with each participant. Data were analyzed thematically. <b>Findings.</b> This study uncovered three themes that focused on the complex interconnections between climate challenges and climate actions that occupational therapists are wrestling with personally, clinically, and professionally. Specifically, this study emphasized the importance of supporting individual occupational therapists with their personal challenges, integrating climate actions into clinical practices, and incorporating climate change and climate justice into occupational therapy curricula and professional advocacy. <b>Implications.</b> The environment, including the planet's ecosystem, is a fundamental component in many models of occupational therapy practice. This research provides a rich understanding in the themes of occupational therapists' perceptions of climate change and climate actions, particularly within a Canadian context.</p>","PeriodicalId":49097,"journal":{"name":"Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie","volume":" ","pages":"60-70"},"PeriodicalIF":2.3,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11898387/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141301911","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}
Julia Elizabeth Grace Foster, Michelle Borgal, Sarah Wise, Colleen Erin McGrath, Rosemary Lysaght
{"title":"Essential Occupational Therapy Competencies for Low Vision and Blindness.","authors":"Julia Elizabeth Grace Foster, Michelle Borgal, Sarah Wise, Colleen Erin McGrath, Rosemary Lysaght","doi":"10.1177/00084174241262246","DOIUrl":"10.1177/00084174241262246","url":null,"abstract":"<p><p><b>Background.</b> The prevalence of low vision and blindness in persons across the lifespan means that occupational therapists will encounter these conditions across all areas of practice. Practitioners must be equipped with competencies necessary to recognize and respond to vision loss-related concerns. <b>Purpose.</b> This study sought to identify essential occupational therapy competencies when providing services to people with low vision and blindness. <b>Method.</b> The study employed a three-phase modified Delphi methodology administered through online surveys and focus group. Respondents included people with low vision or blindness, professionals with special expertise in low vision/blindness, and occupational therapists in other practice areas. Data were analyzed using an iterative, consensus-generating strategy involving quantitative analysis of competencies, qualitative input, and expert panel review. <b>Findings.</b> The process yielded a 51-item competency framework organized into six domains. <b>Implications.</b> The framework provides the foundation for a common curriculum for Canadian occupational therapy programs and for the creation of educational resources.</p>","PeriodicalId":49097,"journal":{"name":"Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie","volume":" ","pages":"50-59"},"PeriodicalIF":1.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142082375","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":"Occupational Therapy Statement of Commitment to Indigenous Peoples in Canada Déclaration D'Engagement Des Ergothérapeutes À L'égard Des Peuples Autochtones Du Canada.","authors":"","doi":"10.1177/00084174241307161","DOIUrl":"10.1177/00084174241307161","url":null,"abstract":"","PeriodicalId":49097,"journal":{"name":"Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie","volume":" ","pages":"4-17"},"PeriodicalIF":1.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143400436","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":"Thank You ! Merci !","authors":"","doi":"10.1177/00084174241289322","DOIUrl":"10.1177/00084174241289322","url":null,"abstract":"","PeriodicalId":49097,"journal":{"name":"Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie","volume":" ","pages":"304"},"PeriodicalIF":1.6,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142478691","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":"Mobilizing Critical Occupational Therapy Praxis to Promote Structural Justice, Equity, and Rights.","authors":"Gayle Restall","doi":"10.1177/00084174241277950","DOIUrl":"10.1177/00084174241277950","url":null,"abstract":"<p><p>[Formula: see text]<b>Background</b>. Societal structures and systems compel occupational therapists, at times, to behave in ways that perpetuate injustices. Justice theorists have described how Global North social structures have created the conditions for oppression of some groups while enabling additional groups to have unearned privileges. Mobilizing critical occupational therapy praxis is an essential response. <b>Purpose</b>. This lecture addresses three questions: why should occupational therapists integrate structural justice, equity, and rights into their everyday practices?; what gives occupational therapy the potential to be a structural justice-, equity-, and rights-oriented profession?; and, how can occupational therapy mobilize critical praxis that will promote structural justice, equity, and rights? <b>Key issues</b>. Occupational therapy's embeddedness in structures of injustice and therapists' obligations to integrate justice, equity, and rights into their everyday practices are increasingly evident. A focus on occupational participation, growing critical consciousness, socially transformative practices, and capacity for collective action position occupational therapy to be a structural justice-oriented profession. Critical reflexivity and reflection; justice-, equity-, and rights-based lenses; and acts of resistance and disobedience to oppressive systems can help mobilize critical praxis. <b>Implications</b>. Occupational therapists have individual and collective opportunities for exercising the moral imagination and moral courage to mobilize critical occupational therapy praxis.</p>","PeriodicalId":49097,"journal":{"name":"Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie","volume":" ","pages":"305-324"},"PeriodicalIF":2.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11852522/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142394595","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}
Caroline Elfassy, Clarice Ribeiro Soares Araújo, Tessah Dunn, Sarah Cachecho, Rose Elekanachi, Johanne Higgins, Laurie Snider, Noemi Dahan-Oliel
{"title":"Pediatric Performance-Based Outcome Measures for Upper Extremity Function: A Scoping Review and Linking to the International Classification of Functioning, Disability, and Health.","authors":"Caroline Elfassy, Clarice Ribeiro Soares Araújo, Tessah Dunn, Sarah Cachecho, Rose Elekanachi, Johanne Higgins, Laurie Snider, Noemi Dahan-Oliel","doi":"10.1177/00084174241233513","DOIUrl":"10.1177/00084174241233513","url":null,"abstract":"<p><p><b>Background.</b> Performance-based outcome measures (PBOMs) are objective measures that assess physical capacity or performance in specific tasks or movements. <b>Purpose.</b> 1) to identify which PBOMs are most frequently reported to evaluate upper extremity (UE) function in pediatric rehabilitation 2) to determine the link between constructs of the ICF and meaningful concepts extracted from each identified PBOM. <b>Methods.</b> Pediatric UE PBOMs were searched in four databases. The selection of outcome measures included an initial title and abstract screening, followed by full-text review of the articles to be included based on identified selection criteria. Two reviewers were appointed to link the meaningful concepts identified in the outcome measures independently and a third reviewer was consulted in case of ambiguity to make a final decision. <b>Findings.</b> After the initial screening, 1786 full-text articles were reviewed, 1191 met the inclusion criteria, in which 77 outcome measures were identified and 32 were included in the linking process. From the included 32 outcome measures, 538 items were extracted and linked to the ICF. The most commonly cited measures included Assisting Hand Assessment, Jebsen-Taylor Hand Function Test, Melbourne Assessment of Unilateral Upper Limb. The Activity and Participation domain represented 364 codes followed by the Body Functions domain domain which represented 174 codes. <b>Implications.</b> A majority of the outcome measures identified were linked with the Mobility, Fine Hand Use of the ICF. Therefore, when selecting a PBOM, careful considerations need to be made regarding which concept of health is to be assessed.</p>","PeriodicalId":49097,"journal":{"name":"Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie","volume":" ","pages":"325-373"},"PeriodicalIF":1.6,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11852529/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140307555","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":"Looking Forward to the Next 90 years by Reimagining the Canadian Journal of Occupational Therapy Today.","authors":"Brenda Vrkljan","doi":"10.1177/00084174241266379","DOIUrl":"10.1177/00084174241266379","url":null,"abstract":"","PeriodicalId":49097,"journal":{"name":"Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie","volume":" ","pages":"228-232"},"PeriodicalIF":1.6,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141762047","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}
Carrie Anne Marshall, Corinna Easton, Elham Javadizadeh, Julia Holmes, Brooke Phillips, Roxanne Isard
{"title":"Effectiveness of Interventions for Meaningful Activity Participation in Homelessness: A Systematic Review.","authors":"Carrie Anne Marshall, Corinna Easton, Elham Javadizadeh, Julia Holmes, Brooke Phillips, Roxanne Isard","doi":"10.1177/00084174241233519","DOIUrl":"10.1177/00084174241233519","url":null,"abstract":"<p><p><b>Background.</b> Meaningful activity participation has been identified as a key outcome of services designed to support individuals during and following homelessness. Little is known about the effectiveness of interventions for promoting this outcome. <b>Purpose.</b> To identify the range and effectiveness of interventions on promoting meaningful activity participation among persons with experiences of homelessness. <b>Method.</b> We conducted a systematic review using the Joanna Briggs Institute methodology following PRISMA guidelines including a critical appraisal and narrative synthesis. <b>Findings.</b> Of 12,343 titles and abstracts screened, we included 12 studies. The authors of the included studies primarily used standardized measures of meaningful activity engagement. Critical appraisal scores ranged from 50.0 to 77.8. The most common interventions evaluated in the included studies were psychosocial interventions (<i>n</i> = 6; 50.0%), followed by case management and housing support interventions (<i>n</i> = 4; 33.3%) and Housing First (<i>n</i> = 2; 16.7%). While several interventions demonstrated effectiveness in promoting meaningful activity participation including psychosocial and case management interventions, Housing First, Critical Time Intervention, and a peer support intervention were found to be ineffective for promoting engagement in meaningful activity. <b>Conclusion.</b> Few intervention studies have been conducted that demonstrate effectiveness for promoting participation in meaningful activity for individuals during and following homelessness. Occupational therapy researchers and practitioners can build on existing evidence by developing and evaluating novel approaches by co-designing interventions in collaboration with persons with experiences of homelessness and service providers.</p>","PeriodicalId":49097,"journal":{"name":"Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie","volume":" ","pages":"256-271"},"PeriodicalIF":2.3,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11470713/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140023083","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":"Research Knowledge Translation in Sensory Integration-Based Therapy: Exploring Subjectivity of Clinical Expertise.","authors":"Diane Elizabeth Bird, Tanya Rihtman","doi":"10.1177/00084174231223875","DOIUrl":"10.1177/00084174231223875","url":null,"abstract":"<p><p><b>Background.</b> Clinical expertise is the mechanism through which practitioners implement other components of evidence-based practice (EBP). Within occupational therapy practice, intervention approaches that are both closely and loosely aligned with Ayres' Theory of Sensory Integration are widespread, offering a unique opportunity to investigate the subjective nature of clinical expertise in EBP. <b>Purpose.</b> This qualitative study explored motivations to offer sensory integration-based interventions, and factors informing occupational therapists' clinical decision making in relation to an arguably contentious evidence base. <b>Method.</b> Six post-graduate sensory integration trained UK occupational therapists participated in individual semi-structured interviews. Interviews were transcribed, member-checked and analyzed using thematic coding analysis. <b>Findings.</b> Despite sound understanding of theory and continuous efforts to develop clinical knowledge, non-traditional hierarchies of evidence notably inform clinical decisions. The clinical expertise required for integration of patient preferences, clinical state and circumstances, and research evidence is informed by pragmatic responses to facilitators and barriers across contexts, combined with unique profession-specific identity factors. <b>Implications.</b> While empirical healthcare research is ideally undertaken under controlled conditions, realities of clinical practice are rarely so clear cut. Study findings highlight important subjective factors that are central to real-world research knowledge translation and further understanding of the clinical expertise component of EBP.</p>","PeriodicalId":49097,"journal":{"name":"Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie","volume":" ","pages":"288-298"},"PeriodicalIF":1.6,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11484162/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139486621","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}