Leah G Taylor, Aidan Loh, Liliana Alvarez, Kelly P Arbour-Nicitopoulos, Shauna M Burke, Patricia Tucker
{"title":"The Canadian 24-Hour Movement Guidelines for Preschoolers With Disabilities: Occupational Therapists' Perspectives.","authors":"Leah G Taylor, Aidan Loh, Liliana Alvarez, Kelly P Arbour-Nicitopoulos, Shauna M Burke, Patricia Tucker","doi":"10.1177/00084174251363008","DOIUrl":"https://doi.org/10.1177/00084174251363008","url":null,"abstract":"<p><p><b>Background:</b> This study explores occupational therapists' (OTs) perceptions of using the Canadian 24-Hour Movement Guidelines for the Early Years in their practice with preschool-aged clients (aged 3-4 years) with developmental disabilities. <b>Method:</b> This study captured perspectives of the guidelines from OTs working in Canada via in-depth, virtual interviews (<i>n</i> = 11). Applied, deductive thematic analysis situated in the knowledge, attitudes, behavior framework, which provides a structured approach to understanding and addressing healthcare practitioners' perspectives on implementing guidelines in practice, was conducted. <b>Findings:</b> Eight themes were identified: awareness and familiarity; agreement; outcome expectancy; self-efficacy; motivation; external-clients; external-guideline use; and external-environment. The results illustrate that while OTs may be motivated to incorporate the guidelines, concerns regarding their rigidity and applicability to diverse client needs hinder application in practice. <b>Conclusion:</b> The study highlights the need for additional resources and training to enhance OTs' ability to adapt and apply the guidelines effectively, ensuring they meet the individual needs of children with developmental disabilities. This research underscores the potential for OTs to play a crucial role in promoting healthful movement behaviors in early childhood through the tailored application of the guidelines.</p>","PeriodicalId":49097,"journal":{"name":"Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie","volume":" ","pages":"84174251363008"},"PeriodicalIF":1.7,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144762082","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}
Eliane Dionne, Annette Majnemer, Miriam H Beauchamp, Marie Brossard-Racine
{"title":"Occupational Therapy for Children with DCD and Academic Difficulties: A Pan-Canadian Survey.","authors":"Eliane Dionne, Annette Majnemer, Miriam H Beauchamp, Marie Brossard-Racine","doi":"10.1177/00084174251359768","DOIUrl":"https://doi.org/10.1177/00084174251359768","url":null,"abstract":"<p><p><b>Introduction.</b> Children with Developmental Coordination Disorder (DCD) often experience academic challenges. Although children with DCD are frequently referred to Occupational Therapy (OT) to help alleviate some of their motor and functional challenges, the actual practices of OTs regarding academic activities remain underexplored in this group. <b>Objectives.</b> This study aimed to describe the nature and extent of Canadian OT practices regarding academic activities in children with DCD. <b>Methods.</b> A survey was sent to pediatric OTs through national and provincial OT associations and licensing organizations, to gather information on assessment and intervention practices related to core academic activities in children with DCD. <b>Findings.</b> A total of 229 OTs completed the survey (170 females, 74%). Occupational Therapies reported assessing or providing intervention for academic activities, most frequently handwriting (96% assessed and 85% intervened), writing (74% and 65%), mathematics (72% and 68%), and reading (66% and 59%). With respect to intervention services, up to 78% of OTs provided direct intervention, compared to 51% for indirect or consultative services. <b>Conclusion.</b> Most Canadian pediatric OTs typically assess and provide intervention for handwriting and, to a lesser extent, other academic activities. These practices vary depending on work setting and experience.</p>","PeriodicalId":49097,"journal":{"name":"Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie","volume":" ","pages":"84174251359768"},"PeriodicalIF":1.7,"publicationDate":"2025-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144745658","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":"Embracing Moss Bag Nurturance: A Step Towards Decolonizing Occupational Therapy and Research.","authors":"Katelyn Favel, Tara Pride","doi":"10.1177/00084174251362357","DOIUrl":"https://doi.org/10.1177/00084174251362357","url":null,"abstract":"<p><p><b>Introduction.</b> Occupational therapy (OT), a profession deeply entrenched in colonial ideologies, also holds the potential to re-imagine healthcare in collaboration with Indigenous communities. <b>Purpose.</b> This review aims to (1) identify decolonizing practices in OT that can be applied at micro, meso, and macro levels of service delivery and (2) elevate the voices and viewpoints of Indigenous scholars. <b>Method.</b> I conducted a literature review based on a decolonized and relationship-focused approach, using the work of Tynan and Bishop. Seventeen articles were reviewed and guided by moss bag teachings. <b>Findings.</b> By encouraging actions people can do to enact decolonization practices, we hope that non-Indigenous people can critically think about ways in which to challenge coloniality and enact meaningful, relational, and respectful relationships. (1) micro: Before building relationships, occupational therapists need to understand their work environment to create meaningful connections and improve service delivery. (2) meso: occupational therapists in leadership should support Indigenous occupational therapists and fairly compensate them to respect Indigenous knowledge genuinely. (3) macro: occupational therapists involved in creating knowledge must recognize and promote Indigenous knowledge to benefit Indigenous OT students and communities. This paper is not meant to be a prescriptive \"what not to do\" as this varies across each unique situation. <b>Conclusion.</b> Effective actions must be implemented at all levels of service provision, recognizing that all clinicians, researchers, and educators are urged to transform and challenge the normative and colonial status quo ingrained in the OT profession.</p>","PeriodicalId":49097,"journal":{"name":"Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie","volume":" ","pages":"84174251362357"},"PeriodicalIF":1.7,"publicationDate":"2025-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144745656","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}
Shirley Dumassais, Jennifer Campos, Margaret Kathleen Pichora-Fuller, Joseph B Orange, Marie Savundranayagam, Paul Mick, Natalie A Phillips, Walter Wittich
{"title":"Navigating Cognitive Screening and Service Delivery for Sensory Impairment in Occupational Therapy.","authors":"Shirley Dumassais, Jennifer Campos, Margaret Kathleen Pichora-Fuller, Joseph B Orange, Marie Savundranayagam, Paul Mick, Natalie A Phillips, Walter Wittich","doi":"10.1177/00084174251361594","DOIUrl":"https://doi.org/10.1177/00084174251361594","url":null,"abstract":"<p><p><b>Background.</b> Cognitive screening tools rely on vision and hearing. However, sensory impairments, alone or in combination, can hinder the accurate identification of cognitive difficulties. <b>Purpose.</b> We investigated how occupational therapists adapt the administration of cognitive screening tests to clients who present with vision and/or hearing impairments as well as their self-perceived satisfaction with comprehensive service delivery with this population. <b>Method.</b> An online survey of Canadian occupational therapists gathered cross-sectional data on their approaches in their practice. <b>Results.</b> Occupational therapists reported a range of environmental and person-level accommodations. However, the type and number of accommodations provided, as well as satisfaction with service delivery, did not vary by years of experience or work setting, regardless of the sensory group (hearing, vision, or both). More challenges were observed when screening the cognition of clients with dual sensory impairment, as indicated by fewer reported assessment modifications and lower self-satisfaction with service-delivery skills. <b>Conclusion.</b> The results of the current study highlight the need to develop standardized and effective strategies to enhance cognitive screening for individuals with sensory impairments, along with initiatives for education and training for occupational therapists.</p>","PeriodicalId":49097,"journal":{"name":"Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie","volume":" ","pages":"84174251361594"},"PeriodicalIF":1.7,"publicationDate":"2025-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144745657","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":"Erratum to \"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":"","doi":"10.1177/00084174251361650","DOIUrl":"https://doi.org/10.1177/00084174251361650","url":null,"abstract":"","PeriodicalId":49097,"journal":{"name":"Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie","volume":" ","pages":"84174251361650"},"PeriodicalIF":1.7,"publicationDate":"2025-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144734695","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}
Marla G J Calder, Natasha E Hanson, Samantha A Fowler, Krista C MacMillan, Emma J Croken
{"title":"Investigating Technology as a Possible Bridge to Age-in-Place.","authors":"Marla G J Calder, Natasha E Hanson, Samantha A Fowler, Krista C MacMillan, Emma J Croken","doi":"10.1177/00084174251358043","DOIUrl":"https://doi.org/10.1177/00084174251358043","url":null,"abstract":"<p><p><b>Background.</b> Technology can be a bridge to support the strategy of aging-in-place and enable older adults to remain at home and live more independently. <b>Purpose:</b> To investigate the impact of occupational therapist-led smart home technology educational sessions for older adults. <b>Method:</b> A concurrent embedded mixed methods design was used, wherein a descriptive qualitative sub-study was embedded within the predominant quasi-experimental quantitative design. Technology use, independence, social isolation, and experiences were documented. <b>Findings:</b> Thirty-nine older adults participated in the learning program and 14 participants completed semi-structured interviews. Most participants discussed being interested in purchasing technology in the future. Of those that purchased technology, they predominantly felt the technology helped them to feel safer in their homes and regarding their health. All participants stated that they learned about technologies they did not know were available and that the course was helpful. <b>Conclusion:</b> Educating older adults about the benefits and uses of smart home products contributed to the purchase or intent to purchase these products among most participants. The ability for this technology to address home safety and health monitoring is important for health providers and home modification experts to keep in mind while informing policymakers supporting aging-in-place.</p>","PeriodicalId":49097,"journal":{"name":"Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie","volume":" ","pages":"84174251358043"},"PeriodicalIF":1.7,"publicationDate":"2025-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144734696","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}
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":"<p><p><b>Background.</b> 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. <b>Purpose.</b> 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. <b>Key issues.</b> 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. <b>Implications.</b> 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.</p>","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}
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":"<p><p><b>Background.</b> 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. <b>Purpose.</b> To assess the interrater reliability of the COPM in routine GR practice. <b>Method.</b> 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. <b>Findings.</b> 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 (<i>N</i> = 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. <b>Conclusion.</b> 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.</p>","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}
{"title":"Evaluating a Family Capacity-Building Service: Are We Doing More Good Than Harm?","authors":"Marie Grandisson, Myriam Chrétien-Vincent, Gabrielle Pratte, Cynthia Fauteux, Justine Marcotte, Emmanuelle Jasmin, Élise Milot, Julie Bergeron","doi":"10.1177/00084174251323729","DOIUrl":"10.1177/00084174251323729","url":null,"abstract":"<p><p><b>Background.</b> Parents of children with special needs are more likely to experience stress and have health-related problems. Pediatric occupational therapy interventions that build parents' capacity are often considered to be effective. It remains unclear how they can be offered without overburdening parents. <b>Purpose.</b> The purpose of this article is to share the findings from the evaluation of a flexible capacity-building occupational therapy service with seven families. <b>Method.</b> A convergent parallel mixed methods design was used to document parents' and occupational therapists' perspectives on the services, including outcomes, strengths, weaknesses, opportunities, and threats. <b>Findings.</b> Parents reported understanding their children better, having more positive attitudes toward the challenges experienced, feeling more confident that they could help them, and having more satisfactory family routines. The importance for therapists to develop nonjudgmental collaborative relationships, to be flexible and to use the time available to help families with what matters the most in their daily lives came out particularly loudly. <b>Conclusion.</b> This study provides a concrete example of how it is possible to build families' capacities without overburdening them. It also provides guidance to establishments wishing to take a step back to think about how they build families' capacities.</p>","PeriodicalId":49097,"journal":{"name":"Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie","volume":" ","pages":"113-125"},"PeriodicalIF":1.6,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12117127/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143626576","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Katie Lee Bunting, Becky Meyer, Katie Janzen, Gaby Lieberman, Kaitlyn Willick, Jane A Davis
{"title":"Therapeutic-Use-of-Self as Relational Pedagogy in Occupational Therapy Education: A Qualitative Description Study.","authors":"Katie Lee Bunting, Becky Meyer, Katie Janzen, Gaby Lieberman, Kaitlyn Willick, Jane A Davis","doi":"10.1177/00084174241293541","DOIUrl":"10.1177/00084174241293541","url":null,"abstract":"<p><p><b>Background.</b> Amid growing calls for relational teaching approaches in higher education to improve student learning outcomes and student and educator well-being, a need remains for effective relational pedagogies. Therapeutic-use-of-self (TUS) is an occupational therapy skill that centers the client-occupational therapist relationship, yet there is a dearth of research exploring its application as a pedagogy. This presents an opportunity for a widely used occupational therapy skill, TUS, to be adapted as a much-needed relational pedagogy. <b>Objective.</b> We explored the experience of TUS as a relational pedagogy in occupational therapy education from educator and student perspectives. <b>Method.</b> This qualitative description study borrowed from the evocative methodology of collaborative autoethnography. We, six researcher-participants, across two Canadian entry-to-practice occupational therapy programs, engaged in five discussions exploring the relationship between participant stories and contexts. Reflective memoing and reflexive thematic analysis were applied for analysis. <b>Findings.</b> Four themes were described: (a) education as transaction, (b) authenticity in learning, (c) experiencing TUS, and (d) relationship as resistance. <b>Conclusion.</b> With an emphasis on authenticity, empathy, power equity, and critical reflexivity, TUS challenges status quo approaches to education. Although neoliberalism challenges the feasibility of relational pedagogy in higher education, TUS holds promise as a relational and critical pedagogy.</p>","PeriodicalId":49097,"journal":{"name":"Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie","volume":" ","pages":"102-112"},"PeriodicalIF":1.6,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12117125/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142577053","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}