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

Implementation of Stroke Prevention Intervention Make My Day in Swedish Primary Healthcare. 卒中预防干预在瑞典初级卫生保健中的实施

IF 1.7 3区医学

Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie Pub Date : 2026-03-05 DOI: 10.1177/00084174261421395

Emelie Mälstam, Eric Asaba, Elisabet Åkesson, Susanne Guidetti, Ann-Helen Patomella

{"title":"Implementation of Stroke Prevention Intervention Make My Day in Swedish Primary Healthcare.","authors":"Emelie Mälstam, Eric Asaba, Elisabet Åkesson, Susanne Guidetti, Ann-Helen Patomella","doi":"10.1177/00084174261421395","DOIUrl":"https://doi.org/10.1177/00084174261421395","url":null,"abstract":"Background. Studying the implementation of occupation-based stroke prevention interventions in primary healthcare is necessary and will provide insights of interventions' feasibility in clinical practice. Purpose. To explore the implementation of the Make My Day (MMD) stroke prevention intervention in Swedish primary healthcare with health professionals (HPs) and among persons at risk for stroke. Method. The Medical Research Councils process evaluation framework domains, implementation, mechanisms of impact and context, guided investigation of the implementation. Data were collected through logbooks, fieldnotes, and interviews. Descriptive statistics were used to analyze process data while thematic analysis was applied to explore experiences of and interactions with the MMD intervention and contextual influences. Results. There was a high belief in using engaging occupations to facilitate lifestyle habit change among HP's and persons at risk for stroke. The HP's complementary competencies, sharing experiences within groups and digital self-monitoring was valued. Time constraints and age differences in groups impacted MMD delivery. Reaching a representative sample, and different Swedish primary healthcare settings was challenging. Conclusion. The occupation-based framework and intervention implementation was feasible yet sustainability in Swedish primary healthcare requires securing HP staff and time to deliver prevention like MMD, and reaching hard-to-reach groups in the study population.","PeriodicalId":49097,"journal":{"name":"Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie","volume":" ","pages":"84174261421395"},"PeriodicalIF":1.7,"publicationDate":"2026-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147357215","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: Expérience et influence de la formation Lifestyle Redesign® chez les ergothérapeutes francophones du Canada. 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 1.7 3区医学

Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie Pub 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: Expérience et influence de la formation Lifestyle Redesign® chez les ergothérapeutes francophones du Canada.","authors":"Marie-Hélène Lévesque, Mélanie Levasseur","doi":"10.1177/00084174261423600","DOIUrl":"https://doi.org/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":"84174261423600"},"PeriodicalIF":1.7,"publicationDate":"2026-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","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":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Prescribing Assistive Technology for Cognition to Support Aging in Place: OTs' Perspective. 处方辅助技术的认知，以支持老化到位：OTs的观点。

IF 1.7 3区医学

Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie Pub Date : 2026-03-01 Epub Date: 2025-08-08 DOI: 10.1177/00084174251362524

Amel Yaddaden, Julie Legault, Carolina Bottari, Quoc Dinh Nguyen, Nathalie Bier

{"title":"Prescribing Assistive Technology for Cognition to Support Aging in Place: OTs' Perspective.","authors":"Amel Yaddaden, Julie Legault, Carolina Bottari, Quoc Dinh Nguyen, Nathalie Bier","doi":"10.1177/00084174251362524","DOIUrl":"10.1177/00084174251362524","url":null,"abstract":"Background. 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. Purpose. 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. Methods. 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. Findings. 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. Conclusions. Understanding how OTs choose and apply ATCs provides insights to optimize their use in geriatric care, promoting safer, independent living for older adults.","PeriodicalId":49097,"journal":{"name":"Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie","volume":" ","pages":"49-61"},"PeriodicalIF":1.7,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12881141/pdf/","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":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Shattering Silence, Shattering Unity. 致编辑的信：打破沉默，打破团结。

IF 1.7 3区医学

Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie Pub Date : 2026-03-01 Epub Date: 2026-01-08 DOI: 10.1177/00084174251401845

Ellen Modlin, Maya Wolf, Lola Halperin, Lisa Handler, Wendy B Stav

引用次数: 0

Opposing Genocide is a Moral and Professional Obligation for all Health Workers. 反对种族灭绝是所有卫生工作者的道德和专业义务。

IF 1.7 3区医学

Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie Pub Date : 2026-03-01 Epub Date: 2026-01-08 DOI: 10.1177/00084174251401855

Mohammad Zubairi, Ali Iqbal, Catherine M Clase, Aliya A Khan

引用次数: 0

Navigating Cognitive Screening and Service Delivery for Sensory Impairment in Occupational Therapy. 导航认知筛选和服务提供的感觉障碍的职业治疗。

IF 1.7 3区医学

Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie Pub Date : 2026-03-01 Epub Date: 2025-07-30 DOI: 10.1177/00084174251361594

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":"10.1177/00084174251361594","url":null,"abstract":"Background. Cognitive screening tools rely on vision and hearing. However, sensory impairments, alone or in combination, can hinder the accurate identification of cognitive difficulties. Purpose. 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. Method. An online survey of Canadian occupational therapists gathered cross-sectional data on their approaches in their practice. Results. 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. Conclusion. 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.","PeriodicalId":49097,"journal":{"name":"Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie","volume":" ","pages":"79-92"},"PeriodicalIF":1.7,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12881157/pdf/","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":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

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?" 错误到“加拿大职业治疗项目实际教了多少普遍可及性？”加拿大职业治疗项目在多大程度上教授了普遍可及性？”

IF 1.7 3区医学

Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie Pub Date : 2026-03-01 Epub Date: 2025-07-28 DOI: 10.1177/00084174251361650

引用次数: 0

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

IF 1.7 3区医学

Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie Pub Date : 2026-03-01 Epub Date: 2025-07-01 DOI: 10.1177/00084174251352305

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

{"title":"Adaptive Interventions for Enhancing Participation Poststroke: A Systematic Review and Meta-Analysis.","authors":"Mary Egan, Dorothy Kessler, Patrick Duong, Kaitlyn Duquette, Nalia Gurgel-Juarez, Lindsey Sikora, Elizabeth Linkewich","doi":"10.1177/00084174251352305","DOIUrl":"10.1177/00084174251352305","url":null,"abstract":"Background: Stroke rehabilitation includes both restorative and adaptive interventions. There are few specific guidelines regarding adaptive interventions.Purpose: To determine the effectiveness of adaptive interventions on participation outcomes generally, and more specifically by theoretical focus of the intervention.Method: Systematic review. Relevant databases were searched for randomized controlled trials of adaptive interventions that included a participation measure. Data were extracted and Hedges' g was calculated for all interventions and then by intervention classification.Results: Fourteen named interventions were examined in 24 studies. When all interventions were considered, the following was observed: a medium effect on person-specific participation goals that approached significance (0.60; [95% CI: -0.06; 1.26], p = .07), a negligible and non-significant effect on broad participation (0.10; [95% CI: -0.13; 0.33], p = .37), and a small to medium significant effect on instrumental activities of daily living (IADL; 0.37, [95% CI: 0.12; 0.62] p = .004). Studies evaluating person-specific participation were dominated by learning-focused interventions, while studies evaluating broad participation and IADL were dominated by coping-focused interventions.Conclusion: Learning- or motivation-focused approaches appear to have an important impact on person-specific participation goals. Future research should focus on clarifying the effectiveness of these interventions and improving impact on broader participation.","PeriodicalId":49097,"journal":{"name":"Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie","volume":" ","pages":"104-118"},"PeriodicalIF":1.7,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12881158/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144530673","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Breaking the Silence on Genocide in Gaza: Kudos from Jewish Health Professionals. 打破对加沙种族灭绝的沉默：犹太卫生专业人员的赞扬。

IF 1.7 3区医学

Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie Pub Date : 2026-03-01 Epub Date: 2026-01-08 DOI: 10.1177/00084174251409230

Daniel Rosenbaum, Annalee Yassi, Jaques Belik, Michaela Beder, Samantha Green, Michelle Cohen

引用次数: 0

Cognitive Orientation to Daily Occupational Performance (CO-OP) in Parkinson's: Randomized Trial Findings. 帕金森病患者日常职业表现的认知取向：随机试验结果。

IF 1.7 3区医学

Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie Pub Date : 2026-03-01 Epub Date: 2025-03-26 DOI: 10.1177/00084174251327307

Sarah Davies, Emmah Doig, Matthew Gullo, Hannah Gullo

{"title":"Cognitive Orientation to Daily Occupational Performance (CO-OP) in Parkinson's: Randomized Trial Findings.","authors":"Sarah Davies, Emmah Doig, Matthew Gullo, Hannah Gullo","doi":"10.1177/00084174251327307","DOIUrl":"10.1177/00084174251327307","url":null,"abstract":"Background: People with Parkinson's disease (PwPD) experience increasing disability due to progressive motor and non-motor symptoms. Comprehensive rehabilitation approaches are needed to maximize their daily functioning. CO-OP targets daily functioning and has established efficacy in populations with similar symptom profiles.Purpose: To explore the potential of CO-OP for PwPD, a feasibility randomized controlled trial (RCT) was conducted.Methods: Consenting PwPD (n = 20) were recruited to a parallel group, assessor masked RCT. Following baseline assessment, participants were randomized to CO-OP (20 sessions:10-weeks) or a waitlist control (WLC; 0 sessions: 10 weeks). Goal attainment, functional and cognitive status, quality of life, self-efficacy, transfer, and maintenance were measured. Data were analyzed using descriptive statistics and multiple regression analysis.Results: Effort (M = 3.02/5) and enjoyment (M = 3.15/5) ratings; homework completion (M = 91%) and protocol adherence (M = 82%) indicate that CO-OP is feasible. CO-OP was superior to the WLC on Canadian Occupational Performance Measure (COPM) performance (p=<.001), COPM satisfaction (p=<.001), and Performance Quality Rating Scale (PQRS; p=<.001) but not the Goal Attainment Scale (GAS; p = .123).Conclusions: Addressing a critical gap in Parkinson's disease management, findings suggest that CO-OP is implementable, feasible, and potentially beneficial for PwPD. Further research is warranted to further establish efficacy.","PeriodicalId":49097,"journal":{"name":"Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie","volume":" ","pages":"34-48"},"PeriodicalIF":1.7,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12881151/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143711683","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