Giovanna Tornatore, Hannah Gullo, Jennifer Fleming
{"title":"Technology-Enabled Upper Limb Rehabilitation for Neurological Impairment: A Feasibility Randomized-Controlled Trial Protocol.","authors":"Giovanna Tornatore, Hannah Gullo, Jennifer Fleming","doi":"10.1177/00084174251316105","DOIUrl":"10.1177/00084174251316105","url":null,"abstract":"<p><p><b>Background.</b> Technology-enabled upper limb (UL) rehabilitation improves therapy intensity and impairment outcomes, however clinical usage remains low and evidence for functional outcomes is limited. While benefits of single-mode technologies have been demonstrated, a combination of technology modes or \"hybrid\" approach is an emerging option with shoulder to fingertip capability. Investigation of this approach within a hospital setting is warranted to inform occupational therapy practice with neurological patients. <b>Purpose.</b> This study examines feasibility of hybrid technology-enabled UL rehabilitation for in-patients with neurological impairments. <b>Method and Analyses.</b> A Phase II feasibility randomized controlled trial (RCT) will compare usual care versus hybrid technology intervention using three technology modes (robotics, virtual reality, sensor-based therapy) plus usual care. Pre-post outcomes for UL impairment, activity, participation and self-reported function will be analyzed using 2 × 2 repeated measures ANOVA. Effect sizes will inform a power analysis for a full-scale RCT. Field observations and participant surveys will capture feasibility factors. It is anticipated hybrid technology for UL neurorehabilitation will be feasible in a hospital setting and show preliminary effectiveness for improving UL use in daily activities. <b>Ethics and Dissemination.</b> Ethics granted from RBWH Human Research Ethics Committee (HREC/2020/QRBW/67076) and The University of Queensland (2021/HE002211).</p>","PeriodicalId":49097,"journal":{"name":"Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie","volume":" ","pages":"196-207"},"PeriodicalIF":1.7,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143626577","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}
Leah G Taylor, Matthew Bourke, Liliana Alvarez, Kelly P Arbour-Nicitopoulos, Shauna M Burke, Patricia Tucker
{"title":"Exploring occupational therapists' use of movement guidelines for young children with disabilities.","authors":"Leah G Taylor, Matthew Bourke, Liliana Alvarez, Kelly P Arbour-Nicitopoulos, Shauna M Burke, Patricia Tucker","doi":"10.1177/00084174251318200","DOIUrl":"10.1177/00084174251318200","url":null,"abstract":"<p><p><b>Background.</b> Children with developmental disabilities are less likely than their peers without disabilities to meet the Canadian 24-Hour Movement Guidelines which provide daily recommendations for time spent in physical activity, sedentary behaviour, and sleep. Occupational Therapists (OTs) are well-positioned to support the engagement of preschoolers with developmental disabilities in movement but little is known about if, and how, they might use these guidelines. <b>Purpose.</b> This study examined knowledge, awareness, and guideline-, client-, and environment-related factors influencing the use of the guidelines by OTs working with children (aged 3-4 years) with developmental disabilities. The secondary purpose was to explore relationships between these factors and OT education and experience. <b>Method.</b> The validated Clinician Guideline Determinants Questionnaire (<i>n </i>= 51 items) was administered via Qualtrics to a sample of Canadian pediatric OTs. Descriptive statistics were employed. <b>Findings.</b> Participants <i>(n </i>= 28 OTs) reported moderate to high agreement with the guidelines varying by movement type. Participants agreed they possessed the skills, knowledge, and external support to use the recommendations in practice but were less likely to agree with having training, implementation tools, and self-efficacy to implement the guidelines. <b>Conclusion</b>. Canada's 24-Hour Movement Guidelines hold potential for use by OTs, but capacity-building is required to support implementation.</p>","PeriodicalId":49097,"journal":{"name":"Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie","volume":" ","pages":"185-195"},"PeriodicalIF":1.7,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12326028/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143392290","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}
Parmeet Matharu, Elizabeth Pertsev, Patricia Chai, Denise Cheung, Miini Teng, Julia Schmidt, Tal Jarus
{"title":"Opinions and Perspectives of Canadian Occupational Therapists on Artificial Intelligence.","authors":"Parmeet Matharu, Elizabeth Pertsev, Patricia Chai, Denise Cheung, Miini Teng, Julia Schmidt, Tal Jarus","doi":"10.1177/00084174251327301","DOIUrl":"10.1177/00084174251327301","url":null,"abstract":"<p><p><b>Background:</b> Technology is rapidly being developed to improve healthcare outcomes. However, the attitudes and perceptions of occupational therapists (OTs) on artificial intelligence (AI) in healthcare are not yet known. <b>Purpose:</b> This study aims to: explore Canadian OTs' (a) understanding and knowledge on AI, (b) opinions and perspectives on AI, and (c) perceptions of potential benefits and risks AI might bring to occupational therapy practice in Canada. <b>Method:</b> A sequential explanatory mixed method approach was used to gather perspectives of Canadian registered OTs. Two hundred and eighty-two survey respondents and 15 focus group participants took part in the study. <b>Findings:</b> Three main themes emerged: \"AI Knowledge and Implementation,\" \"Use of AI in Occupational Therapy,\" and \"Human vs. Machine.\" OTs have various levels of understanding of AI, and its capabilities within practice and are open to AI use in practice. Although ethical concerns must be addressed, OTs do not perceive AI to pose a threat to employment. <b>Conclusion:</b> OTs have the ability to implement and guide policy changes for technology adoption, and understanding their current perspectives creates opportunities to advocate for change in the field. Further education is needed to better prepare professionals for clinical usage of AI.</p>","PeriodicalId":49097,"journal":{"name":"Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie","volume":" ","pages":"241-249"},"PeriodicalIF":1.7,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144036257","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}
A Yaddaden, J Legault, C Bottari, Q D Nguyen, N Bier
{"title":"Prescribing Assistive Technology for Cognition to Support Aging in Place: OTs' Perspective.","authors":"A Yaddaden, J Legault, C Bottari, Q D Nguyen, N Bier","doi":"10.1177/00084174251362524","DOIUrl":"https://doi.org/10.1177/00084174251362524","url":null,"abstract":"<p><p><b>Background.</b> With a rapidly aging population, ensuring the safety and independence of older adults, particularly those with cognitive impairments, is a key public health priority. Occupational therapists (OTs) play a crucial role by recommending assistive technologies for cognition (ATCs) to support this population. However, little is known about how OTs choose ATCs, and the rehabilitation strategies involved in their implementation. <b>Purpose.</b> This study examines OTs' perspectives on prescribing ATCs to support aging in place, focusing on (1) factors influencing ATC recommendations and (2) effective rehabilitation strategies. <b>Methods.</b> We conducted a descriptive qualitative study with 15 geriatric-focused OTs across three focus groups. Discussions were analyzed through three steps: coding, refining, and creating data matrices. <b>Findings.</b> OT recommendations are influenced by client factors (e.g., learning ability), specific tasks (e.g., medication management), and contextual elements (e.g., financial support). OTs employ cognitive rehabilitation, practice simulations, and caregiver collaboration strategies to support ATC integration. <b>Conclusions.</b> Understanding how OTs choose and apply ATCs provides insights to optimize their use in geriatric care, promoting safer, independent living for older adults.</p>","PeriodicalId":49097,"journal":{"name":"Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie","volume":" ","pages":"84174251362524"},"PeriodicalIF":1.7,"publicationDate":"2025-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144800721","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}
Sarah Ninan Fenn, Stephen Isbel, Claire Pearce, Daniela Castro de Jong
{"title":"Establishing Therapeutic Relationships with Immigrant Families of Disabled Children: A Scoping Review.","authors":"Sarah Ninan Fenn, Stephen Isbel, Claire Pearce, Daniela Castro de Jong","doi":"10.1177/00084174251363011","DOIUrl":"https://doi.org/10.1177/00084174251363011","url":null,"abstract":"<p><p><b>Background.</b> Cultural approaches are used to acknowledge the diversity and the social positioning individuals bring into the therapeutic relationship. <b>Purpose.</b> This scoping review describes the utilization of cultural approaches to build and sustain therapeutic relationships between immigrant families of disabled children and occupational therapists. <b>Method.</b> This scoping review was based on the methodological framework developed by Arksey and O'Malley. Six databases were searched, and 24 articles published between 2010 and 2025 were included. <b>Results.</b> Cultural competence, cultural sensitivity and cultural humility were the cultural approaches mentioned in 15 studies, with nine not mentioning a specific cultural approach to facilitate the therapeutic relationship. All the studies outlined strategies to facilitate the relationship. Various culturally appropriate communicative and collaborative strategies were used to (i) establish rapport and trust (ii) align goals and intervention and (iii) facilitate advocacy and participation. These strategies were independently described and were not specific to any approach. <b>Conclusion.</b> Facilitating the therapeutic relationship with immigrant families of disabled children does not align specifically with any of the cultural approaches within occupational therapy. This reinforces the need to focus not on the cultural approaches, but on refining the strategies required to facilitate the therapeutic relationship.</p>","PeriodicalId":49097,"journal":{"name":"Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie","volume":" ","pages":"84174251363011"},"PeriodicalIF":1.7,"publicationDate":"2025-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144785772","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}
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}