Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie最新文献_第2页

How Much is Universal Accessibility Actually Taught in Canadian Occupational Therapy Programs? 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 2.3 3区医学

Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie Pub Date : 2026-09-01 Epub 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?","authors":"Alicia Ruiz-Rodrigo, David Gotti, Ernesto Morales, François Routhier","doi":"10.1177/00084174251340647","DOIUrl":"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":"284-293"},"PeriodicalIF":2.3,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13400796/pdf/","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":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Transforming Learners: Integrating Indigenous Content into a Canadian Occupational Therapy Program. 转化学习者：将原住民内容融入加拿大职业治疗计划。

IF 2.3 3区医学

Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie Pub Date : 2026-07-31 DOI: 10.1177/00084174261471454

Tara Pride, Debbie Laliberte Rudman, Amy Bombay, Carolyn Melro

{"title":"Transforming Learners: Integrating Indigenous Content into a Canadian Occupational Therapy Program.","authors":"Tara Pride, Debbie Laliberte Rudman, Amy Bombay, Carolyn Melro","doi":"10.1177/00084174261471454","DOIUrl":"https://doi.org/10.1177/00084174261471454","url":null,"abstract":"BackgroundSince the release of the Truth and Reconciliation Commission of Canada's Calls to Action in 2015, many post-secondary programs, including occupational therapy, have increased the integration of Indigenous content in curricula. However, limited research has examined how this influences learners' beliefs and attitudes, making it difficult to assess progress toward reconciliation.PurposeTo better understand the effects of Indigenous curricular content on learners' beliefs and attitudes.MethodA pre-post survey was administered to first-year occupational therapy learners as part of an ongoing program evaluation. This evaluation followed the introduction of 17 h of Indigenous content delivered across five courses.FindingsPost content integration, some learners demonstrated decreased perceived professional responsibility as future health professionals and reduced support for social action and related policies, alongside a small increase in blaming attitudes toward Indigenous Peoples. No statistically significant changes were observed in causal beliefs. Learners with higher blaming attitudes were less likely to endorse support for social action or feel responsibility to enact change.ImplicationsBy sharing this evaluation, we aim to foster dialogue among programs regarding successes, challenges, and resource needs, identify strengths and areas for improvement, and underscore the importance of ongoing critical evaluation given the potential for unintended backfire effects.","PeriodicalId":49097,"journal":{"name":"Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie","volume":" ","pages":"84174261471454"},"PeriodicalIF":2.3,"publicationDate":"2026-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148649611","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

Understanding Intersectionality in Occupational Therapy Education: Insights from Learners' Experiences. 理解职业治疗教育中的交叉性：来自学习者经验的见解。

IF 2.3 3区医学

Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie Pub Date : 2026-07-30 DOI: 10.1177/00084174261471449

Evan Hallam-Zhou, Meghna Amwan, Sampurna Gurung, Holly Reid, Suzanne Huot

{"title":"Understanding Intersectionality in Occupational Therapy Education: Insights from Learners' Experiences.","authors":"Evan Hallam-Zhou, Meghna Amwan, Sampurna Gurung, Holly Reid, Suzanne Huot","doi":"10.1177/00084174261471449","DOIUrl":"https://doi.org/10.1177/00084174261471449","url":null,"abstract":"BackgroundOccupational therapy education in Canada must remain responsive to the complex, intersectional realities and identities shaping learners' experiences and the populations they serve.PurposeThis qualitative study examined how current students (five participants) and recent graduates (three participants) from a Master of Occupational Therapy at The University of British Columbia understood, experienced, and applied intersectionality theory within personal and pedagogical contexts.MethodSemistructured interviews with eight participants were analysed using interpretive description and reflexive thematic analysis.FindingsFour themes emerged: (1) learning about intersectionality, (2) personal explorations of identity, (3) the value of intersectionality in occupational therapy practice, and (4) re-envisioning intersectionality in occupational therapy education. Findings underscore the importance of knowledge gained through lived experiences, the impact of curriculum design on professional identity development, and the urgent need for experiential and critically reflexive pedagogy.ConclusionThis study contributes to the growing literature on intersectionality in occupational therapy and provides concrete recommendations for curriculum transformation within the context of Canadian occupational therapy programmes.","PeriodicalId":49097,"journal":{"name":"Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie","volume":" ","pages":"84174261471449"},"PeriodicalIF":2.3,"publicationDate":"2026-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148622219","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

Exploring the Lived Experiences of Canadian Occupational Therapists in International Fieldwork. 探索加拿大职业治疗师在国际实地工作中的生活经验。

IF 2.3 3区医学

Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie Pub Date : 2026-07-30 DOI: 10.1177/00084174261449995

Jasmine Kwasnica, Alexandra Akl, Jenilyn Byce, Andrea Duncan, Jeffrey Boniface, Alexis Davis

{"title":"Exploring the Lived Experiences of Canadian Occupational Therapists in International Fieldwork.","authors":"Jasmine Kwasnica, Alexandra Akl, Jenilyn Byce, Andrea Duncan, Jeffrey Boniface, Alexis Davis","doi":"10.1177/00084174261449995","DOIUrl":"https://doi.org/10.1177/00084174261449995","url":null,"abstract":"Background: International fieldwork placements (IFPs) may cultivate personal and professional competencies within healthcare education. Limited research explores how IFPs shape the development of Canadian occupational therapists in the early stages of their careers. Purpose: To explore how Canadian occupational therapists make sense of their IFP experience in relation to their transition from student to practitioner and their current professional practice. Method: Data were collected through semi-structured individual interviews which sought to encourage reflection and dialogue about participants' IFP experiences, post-graduation transitions, and lasting impacts. Interpretative phenomenological analysis (IPA) was used to co-construct meaning from participants' narratives and identify convergent and divergent experiences. Findings: Eight participants completed IFPs in partnership with low-income countries; one completed the placement virtually. Four key themes were identified: Self-Efficacy, Resourcefulness, Relational Growth, and Cultural Responsiveness. These themes reflect participants' engagement with complex intercultural contexts, personal and professional growth, and critical reflection on their evolving identities as occupational therapists. Conclusion: Our study provides insight into how IFPs influence occupational therapists, particularly in shaping professional identity and informing culturally responsive practices. Findings highlight the value of IFPs in occupational therapy education and may inform curriculum design, student selection, and strategies to improve accessibility.","PeriodicalId":49097,"journal":{"name":"Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie","volume":" ","pages":"84174261449995"},"PeriodicalIF":2.3,"publicationDate":"2026-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148622234","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

Role of Occupational Therapy for Persons Experiencing Long COVID: A Rapid Review. 职业治疗对长期COVID患者的作用：快速回顾。

IF 2.3 3区医学

Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie Pub Date : 2026-07-14 DOI: 10.1177/00084174261461430

Anna Kyungeun Kang, Tina Le Huynh, Todd Tran, Amanda Mofina

{"title":"Role of Occupational Therapy for Persons Experiencing Long COVID: A Rapid Review.","authors":"Anna Kyungeun Kang, Tina Le Huynh, Todd Tran, Amanda Mofina","doi":"10.1177/00084174261461430","DOIUrl":"10.1177/00084174261461430","url":null,"abstract":"BackgroundIndividuals with long COVID experience persisting symptoms that affect daily life, particularly functional performance. Occupational therapists are well positioned to support this population given their expertise across broader health domains.PurposeThis rapid review describes the existing literature on the role of occupational therapy for adults and older adults with long COVID across the healthcare continuum.MethodsA search was conducted across MEDLINE (Ovid), EMBASE, and CINAHL (Ebsco) databases from January 1, 2020, to December 4, 2024.FindingsTwenty-one articles were included for data extraction. The occupational therapy role involved addressing key long COVID symptoms (e.g., fatigue, weakness, and cognitive impairments) that influenced daily occupational performance. Occupational therapy interventions were primarily delivered in rehabilitation settings and included retraining in activities of daily living, cognitive rehabilitation, physical and breathing exercises, patient education, return-to-work planning, and psychosocial support.ConclusionThe occupational therapy role involved addressing long COVID symptoms to regain functional independence to enable occupational engagement, primarily through patient education. Studies focused more on interprofessional, team-based interventions, versus occupational therapy-specific interventions in isolation. This highlights the need for further research on the unique role of occupational therapy within interprofessional teams and along the care continuum for more generalizable findings.","PeriodicalId":49097,"journal":{"name":"Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie","volume":" ","pages":"84174261461430"},"PeriodicalIF":2.3,"publicationDate":"2026-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148438682","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

Learning From Children's Perspectives: Occupational Therapists' Reflections on Their Therapeutic Relationship. 从儿童的角度学习：职业治疗师对其治疗关系的反思。

IF 2.3 3区医学

Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie Pub Date : 2026-07-09 DOI: 10.1177/00084174261445814

Sandrine Gagné-Trudel, Pierre-Yves Therriault, Noémi Cantin

{"title":"Learning From Children's Perspectives: Occupational Therapists' Reflections on Their Therapeutic Relationship.","authors":"Sandrine Gagné-Trudel, Pierre-Yves Therriault, Noémi Cantin","doi":"10.1177/00084174261445814","DOIUrl":"10.1177/00084174261445814","url":null,"abstract":"BackgroundIn occupational therapy with children, the therapeutic relationship is a fundamental and complex component. However, for a long time, little was known about how children experienced the therapeutic relationship. New findings about children's experiences offer valuable insights for occupational therapists to reflect upon.PurposeThis study aimed to explore occupational therapists' perspectives on their therapeutic relationships with children, building on emerging evidence from children's experiences.MethodA qualitative interpretive description design was used, involving four 1-hr online focus groups with a total of 29 occupational therapists from Québec (Canada). Data were analyzed using an interpretive approach outlined by Baribeau to identify emerging themes.FindingsThree key themes were developed: (a) the therapeutic relationship is an important process shaped by occupation and collaboration with families and partners; (b) children are often excluded from decision-making and have limited opportunities to share their views within the therapeutic relationship; and (c) the relationship can be improved through strategies such as supporting children's expression of their emotions and perspectives and following their lead.ConclusionThe emerging evidence from children's experiences has prompted important reflections among participants. A key reflection concerns the importance of creating space for children's active participation and expression within the therapeutic relationship.","PeriodicalId":49097,"journal":{"name":"Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie","volume":" ","pages":"84174261445814"},"PeriodicalIF":2.3,"publicationDate":"2026-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148413170","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

Artificial Intelligence Use Among Occupational Therapy Students in Academic and Fieldwork Education. 职业治疗专业学生在学术和实习教育中的人工智能应用。

IF 2.3 3区医学

Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie Pub Date : 2026-06-30 DOI: 10.1177/00084174261462869

Monisha Dhindsa, Catherine Boyle, Anne W Hunt

{"title":"Artificial Intelligence Use Among Occupational Therapy Students in Academic and Fieldwork Education.","authors":"Monisha Dhindsa, Catherine Boyle, Anne W Hunt","doi":"10.1177/00084174261462869","DOIUrl":"https://doi.org/10.1177/00084174261462869","url":null,"abstract":"Background: Artificial intelligence (AI) use is rapidly emerging in health care and health professions education; there is limited literature to guide its use in occupational therapy (OT) education. Understanding OT students' current knowledge and usage of AI in their education programs may offer insights for curriculum development.Purpose: To explore how OT students in Canada are using AI to support their learning.Methods: An exploratory qualitative descriptive design was used. OT students (N = 12) from Master's level programs in Canada participated in semi-structured interviews. Data was analyzed using conventional content analysis.Findings: Two main themes emerged: (1) \"I use [AI] to get the ball rolling,\" which describes how students used AI for course content navigation and administrative tasks to improve efficiency, organization and reduce cognitive load; (2) \"It's not good or bad, it's hard to say,\" which reflects the tension that students experience recognizing AI's potential, but also hesitancy with concerns about its accuracy, wariness due to their self-perceived knowledge limitations, and potential for academic misconduct.Conclusion: OT students are integrating AI into their academic routines with hesitancy and caution, suggesting the need for AI literacy and guidance within OT their professional education.","PeriodicalId":49097,"journal":{"name":"Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie","volume":" ","pages":"84174261462869"},"PeriodicalIF":2.3,"publicationDate":"2026-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148354289","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

Exploring Treatment Mechanisms of the Resilient, Empowered, Active Living-Telehealth (REAL-T) Intervention. 探索弹性，授权，主动生活远程医疗（REAL-T）干预的治疗机制。

IF 2.3 3区医学

Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie Pub Date : 2026-06-19 DOI: 10.1177/00084174261445818

Zhixin Liu, Gabrielle Granados, Pey-Jiuan Lee, John Sideris, Elizabeth A Pyatak

{"title":"Exploring Treatment Mechanisms of the Resilient, Empowered, Active Living-Telehealth (REAL-T) Intervention.","authors":"Zhixin Liu, Gabrielle Granados, Pey-Jiuan Lee, John Sideris, Elizabeth A Pyatak","doi":"10.1177/00084174261445818","DOIUrl":"10.1177/00084174261445818","url":null,"abstract":"BackgroundType 1 diabetes (T1D) is a lifelong condition affecting all aspects of life. Although Lifestyle Redesign® interventions support diabetes self-management, little is known about which intervention exposure and engagement indicators are associated with changes in glucose outcomes, quality of life (QoL), and diabetes-related distress.PurposeTo explore intervention exposure and engagement indicators associated with pre-post changes in glucose, QoL, and diabetes-related distress among individuals receiving the REAL-Telehealth (REAL-T) intervention.MethodUsing an as-treated analytic approach, data from the REAL-T randomized controlled trial were analyzed. Outcomes included changes in A1c, glycemic risk index (GRI), QoL, and diabetes-related distress. Intervention factors included the number of goals, the number of occupational therapy sessions, goal attainment, and changes in occupational performance. Hierarchical regression analyses were conducted.FindingsIn models adjusted for baseline values and relevant demographic covariates, baseline A1c and a higher proportion of goals met were associated with greater reductions in A1c. Higher baseline GRI, non-Hispanic White race/ethnicity, a higher proportion of goals met, and greater improvements in occupational performance were associated with better improvements in GRI scores. Changes in QoL and diabetes-related distress were primarily explained by baseline levels, with limited additional contribution from intervention exposure and engagement indicators.ConclusionsThis exploratory, process-focused analysis identified a limited number of intervention exposure and engagement indicators associated with outcome changes. Findings highlight the importance of process-level analyses to better understand how Lifestyle Redesign® interventions operate in real-world contexts and to inform future intervention refinement.","PeriodicalId":49097,"journal":{"name":"Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie","volume":" ","pages":"84174261445818"},"PeriodicalIF":2.3,"publicationDate":"2026-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148279609","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

Experience and Influence of Lifestyle Redesign^® Training in French-Canadian Occupational Therapists. 法国-加拿大职业治疗师生活方式重新设计®培训的经验和影响：加拿大法语职业治疗师生活方式重新设计®培训的经验和影响。

IF 2.3 3区医学

Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie Pub Date : 2026-06-01 Epub Date: 2026-03-03 DOI: 10.1177/00084174261423600

Marie-Hélène Lévesque, Mélanie Levasseur

{"title":"Experience and Influence of Lifestyle Redesign® Training in French-Canadian Occupational Therapists.","authors":"Marie-Hélène Lévesque, Mélanie Levasseur","doi":"10.1177/00084174261423600","DOIUrl":"10.1177/00084174261423600","url":null,"abstract":"Background. While it is a well-recognized and cost-effective preventive occupational therapy (OT) intervention, the impact of the Lifestyle Redesign® training, including its French version, is unknown. Purpose. This study aimed to explore experience of French-Canadian OTs and students about the Lifestyle Redesign® training and its influence on their knowledge and behavioural intention. Method. A cross-cultural validation and action research were used including a pre-experimental component (OTs questioned before and after the training). Semi-directed focus groups were digitally audiotaped and transcribed, which then underwent thematic content analysis. Findings. Aged between 22 and 60, 24 women (20 OTs and four OT students) completed the French version of the Lifestyle Redesign® training. Participants welcomed access to a French version of the approach and reported that the themes covered were adapted to the Quebec context, but a more \"turnkey\" and socio-constructivist course should be considered. The French Lifestyle Redesign training was found to increase participants' knowledge (p < .01) but not their intention to offer the approach to their older clientele over the next year. Conclusion. Lifestyle Redesign® is a culturally promising training and its French-Canadian version can be further optimized to best support OT needs, foster adoption into practice, and address emerging realities.","PeriodicalId":49097,"journal":{"name":"Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie","volume":" ","pages":"164-181"},"PeriodicalIF":2.3,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13187230/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147345572","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

Primary Care Lifestyle Redesign^® Clinical Trial: Diabetes Outcomes, Healthcare Utilization, and Costs. 初级保健生活方式重新设计®临床试验：糖尿病结局、医疗保健利用和成本。

IF 2.3 3区医学

Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie Pub Date : 2026-06-01 Epub Date: 2026-02-25 DOI: 10.1177/00084174261421403

Valerie A Tapia, Stacey Schepens Niemiec, Jaime D Leite, Jesus Diaz, Josh Banerjee, Jagruti Shukla, Elizabeth A Pyatak

{"title":"Primary Care Lifestyle Redesign® Clinical Trial: Diabetes Outcomes, Healthcare Utilization, and Costs.","authors":"Valerie A Tapia, Stacey Schepens Niemiec, Jaime D Leite, Jesus Diaz, Josh Banerjee, Jagruti Shukla, Elizabeth A Pyatak","doi":"10.1177/00084174261421403","DOIUrl":"10.1177/00084174261421403","url":null,"abstract":"Background: In primary care (PC) clinical, healthcare utilization, and financial outcomes associated with Lifestyle Redesign® Occupational Therapy (LR-OT), a framework that incorporates healthy habits into daily routines, are not well documented in the United States. Purpose: (a) Compare clinical outcomes, healthcare utilization, and associated cost differences between patients who received LR-OT and a control group. (b) Assess the investment required integrate LR-OT into PC. Method: LR-OT was integrated into a safety-net PC clinic. In a hybrid effectiveness-implementation clinical trial (#NCT03293914), clinical (glycated hemoglobin A1c [HbA1c], blood pressure, cholesterol, and body mass index) and utilization (outpatient, emergency department [ED], hospital visits) data were extracted from medical records of provider-referred adults with diabetes (HbA1c ≥ 9.0%) who were willing to make lifestyle changes. Results: Of 155 referred patients, 142 were randomized to LR-OT (n = 73) or a control group (n = 69), and 42 completed eight LR-OT sessions within 6 months. Underpowered clinical outcomes indicated no significant change, with aggregated trends suggesting LR-OT supports sustained cardiometabolic improvement. Savings of $250,518.96 is attributed to LR-OT, driven by significant decreases in ED visits (p = .03) and hospital days (p = .03), despite nonsignificant increases in outpatient utilization. The projected cost-benefit of integrating a full-time LR-OT in PC is $352,326.72 with a 236% return on investment. Conclusion: Clinical trends and significant reductions in acute care services drove healthcare-wide cost savings, demonstrating clinical and financial value of integrating LR-OT into PC.","PeriodicalId":49097,"journal":{"name":"Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie","volume":" ","pages":"204-216"},"PeriodicalIF":2.3,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13187234/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147285735","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