{"title":"From Hospital to Home: Validating a Cognitive-Functional Evaluation of Elders (COFEE-HD).","authors":"Yael Zilbershlag","doi":"10.1177/00084174241240226","DOIUrl":"10.1177/00084174241240226","url":null,"abstract":"<p><p><b>Background.</b> Increase in hospitalizations of older adults emphasizes the need for efficient hospital discharge planning to enable optimal reentry upon returning home. Yet few assessments offer an extensive picture of the older adult's functional-cognitive state. A comprehensive assessment for discharge planning together with a written summary can be beneficial to the older adult and family. <b>Purpose.</b> This quantitative study compared a modified version of a previously validated tool COFEE (cognitive OT functional evaluation of elders), for use in the hospital, HD (hospital discharge) with standard hospitals assessments. <b>Methods.</b> Of the 77 participants recruited in hospital, home assessments were conducted 4 months later on 64 participants. <b>Findings.</b> The COFEE-HD scores (physical functioning, personal and environmental safety and meta cognitive functioning) were significantly correlated with standard hospital measures and with the home assessment. <b>Implications.</b> The COFEE-HD was found to have a high level of validity in a hospital setting, and the resulting evaluation can provide important insights into function, safety and cognitive function for post-discharge behaviors.</p>","PeriodicalId":49097,"journal":{"name":"Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie","volume":" ","pages":"244-255"},"PeriodicalIF":1.6,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141089175","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}
Julia Elizabeth Grace Foster, Michelle Borgal, Sarah Wise, Colleen Erin McGrath, Rosemary Lysaght
{"title":"Essential Occupational Therapy Competencies for Low Vision and Blindness.","authors":"Julia Elizabeth Grace Foster, Michelle Borgal, Sarah Wise, Colleen Erin McGrath, Rosemary Lysaght","doi":"10.1177/00084174241262246","DOIUrl":"https://doi.org/10.1177/00084174241262246","url":null,"abstract":"<p><p><b>Background.</b> The prevalence of low vision and blindness in persons across the lifespan means that occupational therapists will encounter these conditions across all areas of practice. Practitioners must be equipped with competencies necessary to recognize and respond to vision loss-related concerns. <b>Purpose.</b> This study sought to identify essential occupational therapy competencies when providing services to people with low vision and blindness. <b>Method.</b> The study employed a three-phase modified Delphi methodology administered through online surveys and focus group. Respondents included people with low vision or blindness, professionals with special expertise in low vision/blindness, and occupational therapists in other practice areas. Data were analyzed using an iterative, consensus-generating strategy involving quantitative analysis of competencies, qualitative input, and expert panel review. <b>Findings.</b> The process yielded a 51-item competency framework organized into six domains. <b>Implications.</b> The framework provides the foundation for a common curriculum for Canadian occupational therapy programs and for the creation of educational resources.</p>","PeriodicalId":49097,"journal":{"name":"Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie","volume":" ","pages":"84174241262246"},"PeriodicalIF":1.6,"publicationDate":"2024-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142082375","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Miri Tal-Saban, Shahar Zaguri-Vittenberg, Yonat Ivzori
{"title":"Enhancing Occupational Therapists' Intervention Capabilities With Adolescents With Neurodevelopmental Disorders.","authors":"Miri Tal-Saban, Shahar Zaguri-Vittenberg, Yonat Ivzori","doi":"10.1177/00084174241272010","DOIUrl":"https://doi.org/10.1177/00084174241272010","url":null,"abstract":"<p><p><b>Background.</b> Adolescents with neurodevelopmental disorders (NDDs) have an increased risk of participation limitations. Occupational therapy faces knowledge-to-practice gaps among this population. <b>Purpose.</b> To examine the effectiveness of a continuing-education program for occupational therapists working with adolescents with NDDs. <b>Methods.</b> The study used a mixed-method design, including pre-post comparisons of competence and sense of self-efficacy of occupational therapists to work with adolescents with NDDs. Interviews regarding the program's perceived contribution to practice were conducted. <b>Results.</b> Post-program results showed significantly (<i>p </i>< .001) higher professional competence and self-efficacy for interventions and evaluation skills with NDD's adolescents and transition programs as well as higher knowledge about adolescence and NDDs characteristics. Contrary, there was no change in competence and self-efficacy regarding client-centred interventions with adolescents. Program participants increased their professional confidence and incorporated evidence-based methods into routine practice. <b>Conclusions and Implications.</b> The continuing-education program that was examined expanded the occupational therapy practitioner's knowledge and professional skills, resulting in a change in their capacity to practice with adolescents narrowing the knowledge-to-practice gap. Future studies involving the client perspective, regarding their participation may validate and support continuing-education program for occupational therapists.</p>","PeriodicalId":49097,"journal":{"name":"Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie","volume":" ","pages":"84174241272010"},"PeriodicalIF":1.6,"publicationDate":"2024-08-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141908068","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Janine Farragher, Jane A Davis, Chandra Thomas, Pietro Ravani, Braden Manns, Meghan J Elliott, Brenda R Hemmelgarn
{"title":"Occupational Priorities of People on Hemodialysis Who Participated in Energy Management Education.","authors":"Janine Farragher, Jane A Davis, Chandra Thomas, Pietro Ravani, Braden Manns, Meghan J Elliott, Brenda R Hemmelgarn","doi":"10.1177/00084174241271205","DOIUrl":"https://doi.org/10.1177/00084174241271205","url":null,"abstract":"<p><p><b>Background.</b> People with kidney failure who undergo hemodialysis treatment and experience chronic fatigue identify negative effects on occupational performance and participation as a key aspect of their illness experience. <b>Purpose.</b> To describe the occupational performance and participation problems of people treated with hemodialysis who live with debilitating fatigue. <b>Method.</b> Fifteen participants, who were randomized to participate in an energy management intervention as part of a randomized controlled trial, completed two occupation-based assessments at baseline and chose three priority occupational performance or participation problems to address as goals during the intervention. Results were analyzed using descriptive statistics (counts and percentages). <b>Findings.</b> Fifteen participants (mean age 60, 53% male) completed the occupation-based assessments. Participants stated that they wanted or needed more energy for a median of 22 of 55 occupations. Going out for food/drinks (<i>n</i> = 11), going to a movie/concert/performance (<i>n</i> = 10), and food preparation/clean-up (<i>n</i> = 10) were the top occupations for which participants required more energy. Prioritized occupational performance and participation problems most often fell within the household management (14 goals), self-care (6 goals), and hobbies (5 goals) domains. <b>Conclusion.</b> Occupational performance and participation problems are extensive among people treated with hemodialysis who live with debilitating fatigue. There is a clear need for occupation-based interventions that optimize occupational performance and participation in this population.</p>","PeriodicalId":49097,"journal":{"name":"Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie","volume":" ","pages":"84174241271205"},"PeriodicalIF":1.6,"publicationDate":"2024-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141903379","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jiayi Du, Alexander Bird, Giovanna Boniface, Jeffrey Boniface, W Ben Mortenson
{"title":"The Perceived Role of Occupational Therapists in Climate Change.","authors":"Jiayi Du, Alexander Bird, Giovanna Boniface, Jeffrey Boniface, W Ben Mortenson","doi":"10.1177/00084174241259304","DOIUrl":"https://doi.org/10.1177/00084174241259304","url":null,"abstract":"<p><p><b>Introduction.</b> In 2022, the World Health Organization (WHO) predicted that climate change would cause thousands of additional deaths per year from malnutrition, malaria, diarrhea, and heat stress alone between the years of 2030 and 2050. With such health consequences and environmental changes, climate change is impacting human occupations globally. However, there is a gap in the literature regarding the occupational therapists' role in climate change, particularly in the Canadian context. <b>Objectives.</b> Our research aimed to explore what is the perceived role of occupational therapists in climate change and climate action from the perspective of Canadian occupational therapists and international experts. <b>Methods.</b> This qualitative study used interpretive description methodology. We recruited 12 occupational therapists, including 4 research experts in the field. We conducted semi-structured interviews with each participant. Data were analyzed thematically. <b>Results.</b> This study uncovered three themes that focused on the complex interconnections between climate challenges and climate actions that occupational therapists are wrestling with personally, clinically, and professionally. Specifically, this study emphasized the importance of supporting individual occupational therapists with their personal challenges, integrating climate actions into clinical practices, and incorporating climate change and climate justice into occupational therapy curricula and professional advocacy. <b>Conclusions.</b> The environment, including the planet's ecosystem, is a fundamental component in many models of occupational therapy practice. This research provides a rich understanding in the themes of occupational therapists' perceptions of climate change and climate actions, particularly within a Canadian context.</p>","PeriodicalId":49097,"journal":{"name":"Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie","volume":" ","pages":"84174241259304"},"PeriodicalIF":1.8,"publicationDate":"2024-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141301911","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Katie Lee Bunting, Kristen Honeybourne, Michelle Wheeler, Susan J Forwell
{"title":"Teaching and Evaluating an Occupational Perspective in Canada: A Descriptive Qualitative Study.","authors":"Katie Lee Bunting, Kristen Honeybourne, Michelle Wheeler, Susan J Forwell","doi":"10.1177/00084174231212759","DOIUrl":"10.1177/00084174231212759","url":null,"abstract":"<p><p><b>Background.</b> Occupation is the core domain of occupational therapy, and an occupational perspective is foundational for practice. Research has explored how an occupational perspective is taught. Yet, little has explored the Canadian occupational therapy educational context. There are national differences in core competencies and accreditation standards and nuances in how occupation is defined and what conceptual models are used. As such, a Canadian perspective may offer new understandings of value both within and outside of Canada. <b>Purpose.</b> To understand how, in Canada, educators teach and evaluate student occupational perspectives in entry-level master of occupational therapy programs. <b>Method.</b> This study used a descriptive qualitative design with an interpretive approach. Semi-structured interviews were used to gather data from 12 educators from Canadian entry-level occupational therapy programs. Reflexive thematic analysis was used for data analysis. <b>Findings.</b> Five themes were identified: (1) occupational perspectives as pedagogy (2) it's a process, not an end state; (3) \"everybody is involved\": a community of educators; (4) thinking critically; and (5) \"hard to evaluate.\" <b>Conclusion.</b> The complex, dynamic, and contextualized nature of an occupational perspective calls for critical, reflexive, communal, and innovative pedagogical and assessment approaches.</p>","PeriodicalId":49097,"journal":{"name":"Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie","volume":" ","pages":"194-202"},"PeriodicalIF":1.8,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11088204/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134650259","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Innovation and Competency Development in Occupational Therapy Fieldwork During the COVID-19 Pandemic.","authors":"Monique Gill, Anne Hunt, Andrea Duncan","doi":"10.1177/00084174231190768","DOIUrl":"10.1177/00084174231190768","url":null,"abstract":"<p><p><b>Background:</b> Occupational therapy clinical education was disrupted because of the COVID-19 pandemic. This introduced both challenges and opportunities in clinical fieldwork education and created a naturalistic opportunity to study the innovations that occurred. <b>Purpose:</b> To identify and describe fieldwork education innovations that occurred during the COVID-19 pandemic and understand how these clinical learning contexts impacted competency development in occupational therapy learners. <b>Method:</b> A qualitative multi-case study methodology was used. The participants (<i>N</i> = 28) were occupational therapy learners and preceptors who self-identified as having participated in an innovative fieldwork placement during the pandemic either as a preceptor or learner. Data were collected via in-depth interviews and analyzed to identify cases of innovation. Within and across case analyses were conducted to describe innovations and competencies addressed. <b>Findings:</b> Three cases of fieldwork innovations were identified: (a) Virtual Care; (b) Intrapreneurship; and (c) Administration. The commonly addressed competency domains across the cases were OT Expertise, Excellence in Practice, and Communication and Collaboration. The competency domain, culture, equity, and justice, was only addressed in the virtual care case. <b>Conclusion:</b> Our findings indicate that innovative fieldwork placements can support competency development in occupational therapy; however, this development is complex and contextually based.</p>","PeriodicalId":49097,"journal":{"name":"Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie","volume":" ","pages":"172-182"},"PeriodicalIF":1.8,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11088210/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9934550","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}
Evelina Pituch, Rym Ben Lagha, Marjorie Aunos, Tiffanie Cormier, Annie Carrier, Cynthia Gagnon, Véronique Gilbert, Aysha Dominique, Antoine Duquette, Marie Turcotte, Rose-Marie Wakil, Carolina Bottari
{"title":"\"What Services?\": Stakeholders' Perceived Unmet Support Needs for Parents With Neurological Disorders.","authors":"Evelina Pituch, Rym Ben Lagha, Marjorie Aunos, Tiffanie Cormier, Annie Carrier, Cynthia Gagnon, Véronique Gilbert, Aysha Dominique, Antoine Duquette, Marie Turcotte, Rose-Marie Wakil, Carolina Bottari","doi":"10.1177/00084174231190765","DOIUrl":"10.1177/00084174231190765","url":null,"abstract":"<p><p><b>Background.</b> Knowledge about the needs of parents with neurological disorders who take care of young children is limited. <b>Purpose.</b> The overall aim of this qualitative study was to explore the perceived unmet parent needs, current supports, and potential solutions to optimize supports of parents with neurological disorders in early childhood in a Canadian setting. <b>Method.</b> Focus groups and individual interviews with parents (<i>n</i> = 8), spouses (<i>n</i> = 5), rehabilitation clinicians (<i>n</i> = 8), community partners (<i>n</i> = 7), and researchers (<i>n</i> = 7) were conducted with a total of 35 participants recruited using convenience sampling. Inductive iterative thematic analysis was performed. <b>Findings.</b> The participants identified the need for society to officially recognize parenting with disabilities, adjust public policies, increase the scope of public programs, consider child development and family well-being, and have barrier-free communities. <b>Conclusion.</b> Providing customized solutions that will adequately fill perceived service gaps is of utmost importance to address these families' needs.</p>","PeriodicalId":49097,"journal":{"name":"Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie","volume":" ","pages":"160-171"},"PeriodicalIF":1.8,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11088212/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9957448","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}
Rebecca Greene, Iris C Levine, Manon Guay, Alison C Novak
{"title":"Biomechanical Demands and User Preference Associated with Wall-Mounted and Rim-Mounted Grab Bars.","authors":"Rebecca Greene, Iris C Levine, Manon Guay, Alison C Novak","doi":"10.1177/00084174231186066","DOIUrl":"10.1177/00084174231186066","url":null,"abstract":"<p><p><b>Background.</b> Grab bars are used to support bathing tasks. Sometimes, temporary rim-mounted grab bars may be preferred over permanent wall-mounted grab bars. <b>Purpose.</b> We compared postural requirements, applied loads, and user perceptions between two configurations of rim-mounted grab bars, a vertical wall-mounted grab bar, and a no-grab bar condition. <b>Method.</b> Ten adults entered and exited a simulated bathing environment. Trunk flexion was evaluated via 3D kinematics, while load cells mounted to the grab bars facilitated the evaluation of applied loads. Participants rated each condition on perceived safety, comfort, effectiveness, and ease of use. <b>Findings.</b> Rim-mounted grab bars resulted in greater trunk flexion and greater applied loads and were less favorably perceived. <b>Implications.</b> The rim-mounted grab bars included in this study may induce challenging postural demands and loading scenarios, and occupational therapists should consider whether they meet the needs of their clients.</p>","PeriodicalId":49097,"journal":{"name":"Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie","volume":" ","pages":"183-193"},"PeriodicalIF":1.8,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11088220/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9882830","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}
Erica Dove, Kelly Hennessy, Athena Kirou-Mauro, Lorna Aitkens, Andrea Duncan, Anne Agur, Emily S Ho
{"title":"Gross and Applied Anatomy Pedagogical Approaches in Occupational Therapy Education: A Scoping Review.","authors":"Erica Dove, Kelly Hennessy, Athena Kirou-Mauro, Lorna Aitkens, Andrea Duncan, Anne Agur, Emily S Ho","doi":"10.1177/00084174231197614","DOIUrl":"10.1177/00084174231197614","url":null,"abstract":"<p><p><b>Introduction.</b> With technological advancements, anatomy teaching approaches in occupational therapy education have expanded. However, uncertainty remains regarding the approaches that best optimize academic and practice outcomes in student occupational therapists (OTs). <b>Purpose.</b> This scoping review mapped the pedagogical approaches used to teach musculoskeletal anatomy to student OTs. <b>Methods.</b> A scoping review was conducted, with a consultation exercise involving Canadian occupational therapy educators. Six databases were searched, with terms related to student OTs, anatomy, and education. Included articles were available in English, full text; featured empirical research of any study design and/or gray literature; featured a pedagogical approach used to teach anatomy; and targeted student OTs with the pedagogies. <b>Results.</b> Twenty-eight reports between 1978 and 2021 were included. Although technology-based pedagogies became more common with time, historically used pedagogies (e.g., lectures and labs) remained prominent and most common. Narrative synthesis regarding the effectiveness of anatomy pedagogical approaches identified five main factors: (a) anatomy competency; (b) teaching method diversity; (c) learner psychological considerations; (d) interprofessional education; and (e) optimal academic outcomes. <b>Implications.</b> This review demonstrates the importance of anatomy knowledge to occupational therapy education and practice. A diversity of pedagogical approaches, with and without technology, may foster better outcomes by addressing diverse learning needs.</p>","PeriodicalId":49097,"journal":{"name":"Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie","volume":" ","pages":"136-148"},"PeriodicalIF":1.8,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11088213/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10173371","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}