Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie最新文献_第3页

Shattering Silence, Inviting Dialogue: Anti-Oppressive Occupational Therapy During the Genocide of Palestinians. 打破沉默，邀请对话：巴勒斯坦种族灭绝期间的反压迫职业疗法：打破沉默，邀请对话。

IF 1.7 3区医学

Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie Pub Date : 2026-03-01 Epub Date: 2025-07-09 DOI: 10.1177/00084174251356348

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.","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":"Background. 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. Purpose. 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. Key issues. 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. Implications. 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.","PeriodicalId":49097,"journal":{"name":"Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie","volume":" ","pages":"5-19"},"PeriodicalIF":1.7,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12881138/pdf/","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":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Upholding Pluralism in Occupational Therapy: A Response to Recent Calls for Political Alignment. 坚持职业治疗的多元化：对最近政治结盟呼声的回应。

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: 10.1177/00084174251401852

Annette Majnemer, Cynthia Perlman, Barbara Mazer, Pamela Wener, Judith Friedland, Noa Hitterman, Melanie Kasner, Marlene Stern, Serena-Lee Segal, Andrea Harowitz, Joanna Johnston, Rena Birnbaum, Sheryl Shuchat, Sheryl Singer, Yonit Nisan, Michelle Jacobs, Laura Bowman, Sheila Fishman, Sara Lazareck, Jackie Partnoy, Ashley Yousseim, Anna Ballon, Cary Kogan

引用次数: 0

Interrater Reliability of the Canadian Occupational Performance Measure (COPM) Within Geriatric Rehabilitation. 老年康复背景下加拿大职业表现指标（COPM）的交叉可靠性：加拿大职业表现指标（COPM）在老年康复背景下的交叉可靠性。

IF 1.7 3区医学

Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie Pub Date : 2026-03-01 Epub Date: 2025-07-08 DOI: 10.1177/00084174251352333

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.","authors":"Dionne Plecht, Anouk van Luijk, Judith Hoek, Wilco P Achterberg, Margot W M de Waal","doi":"10.1177/00084174251352333","DOIUrl":"10.1177/00084174251352333","url":null,"abstract":"Background. 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. Purpose. To assess the interrater reliability of the COPM in routine GR practice. Method. 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. Findings. 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 (N = 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. Conclusion. 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.","PeriodicalId":49097,"journal":{"name":"Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie","volume":" ","pages":"119-127"},"PeriodicalIF":1.7,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12881150/pdf/","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":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Risks and Benefits of Humour Use With Individuals After Stroke. 中风后个人使用幽默的风险和益处：中风后个人使用幽默的风险和益处。

IF 1.7 3区医学

Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie Pub Date : 2026-03-01 Epub Date: 2025-10-29 DOI: 10.1177/00084174251362332

Marisa L Kfrerer, Debbie Laliberte Rudman, Julie Aitken Schermer, Carrie Anne Marshall

{"title":"The Risks and Benefits of Humour Use With Individuals After Stroke.","authors":"Marisa L Kfrerer, Debbie Laliberte Rudman, Julie Aitken Schermer, Carrie Anne Marshall","doi":"10.1177/00084174251362332","DOIUrl":"10.1177/00084174251362332","url":null,"abstract":"Background. Previous research addressing the use of humour in rehabilitation has demonstrated positive benefits that have potential to contribute to collaborative relationship-focused practice. Some research points toward the multidimensional functions of humour in stroke practice, although little is known about the use of humour within occupational therapy specifically. Purpose. This study aims to uncover Canadian occupational therapists' perspectives on the risks and benefits of humour use with people who have sustained a stroke. Method. Through a Delphi study consisting of three rounds of surveys, occupational therapists identified and ranked risks and benefits of using humour. Findings. Consensus was reached on a total of 32 benefits, highlighting the role of humour in building rapport, enhancing communication, promoting emotional well-being, and increasing client motivation and engagement in therapy. These findings underscore the potential of humour to build relational capital and thereby potentially facilitate positive rehabilitation outcomes in ways consistent with collaborative relationship-focused practice. Two risks associated with humour use also gained consensus, focusing on comprehension/interpretation challenges and differences in humour preferences between clients and therapists. Conclusion. This study contributes evidence-informed insights to guide clinical practice and education, advancing our understanding of humour use as a relational practice of use in promoting collaborative relationship-focused practice for individuals post-stroke.","PeriodicalId":49097,"journal":{"name":"Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie","volume":" ","pages":"62-78"},"PeriodicalIF":1.7,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12881146/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145402488","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

Investigating Technology as a Possible Bridge to Age-in-Place. 研究技术作为就地老化的可能桥梁。

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: 10.1177/00084174251358043

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":"10.1177/00084174251358043","url":null,"abstract":"Background. 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. Purpose: To investigate the impact of occupational therapist-led smart home technology educational sessions for older adults. Method: 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. Findings: 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. Conclusion: 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.","PeriodicalId":49097,"journal":{"name":"Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie","volume":" ","pages":"93-103"},"PeriodicalIF":1.7,"publicationDate":"2026-03-01","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}

引用次数: 0

Finally; Dialogue. 最后;对话。

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: 10.1177/00084174251408864

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

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 1.7 3区医学

Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie Pub 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":"https://doi.org/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":"84174261421403"},"PeriodicalIF":1.7,"publicationDate":"2026-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","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":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Evaluating the Practice Resource for Driving After Stroke-2: A Multiple-Baseline Study. 评估第2次划水后驾驶的练习资源：一项多基线研究。

IF 1.7 3区医学

Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie Pub Date : 2026-02-24 DOI: 10.1177/00084174261424561

April Vander Veen, Jeffrey Holmes, Patricia Tucker, Liliana Alvarez

{"title":"Evaluating the Practice Resource for Driving After Stroke-2: A Multiple-Baseline Study.","authors":"April Vander Veen, Jeffrey Holmes, Patricia Tucker, Liliana Alvarez","doi":"10.1177/00084174261424561","DOIUrl":"https://doi.org/10.1177/00084174261424561","url":null,"abstract":"Background. Occupational therapists have identified a critical need for resources to support addressing driving after stroke. A previous feasibility study found that the Practice Resource to Address Driving After Stroke (PReDAS) was a useful practice resource. However, more robust research is needed to examine how use of the PReDAS-2 may support professional development. Purpose. To evaluate the relationship between use of the PReDAS-2 and self-reported clinical reasoning and self-efficacy of occupational therapists for addressing driving in acute care settings. Method. A concurrent, multiple baseline design was employed. Visual and Tau-U analyses were conducted. Findings. Occupational therapists' self-reported clinical reasoning and self-efficacy to address driving after stroke improved with use of the PReDAS-2. Visual and Tau-U analyses indicated a large treatment effect of the PReDAS-2 for self-reported clinical reasoning (Tau-U = 0.7) and self-efficacy (Tau-U = 0.9). Conclusion. The present study provides preliminary evidence that the PReDAS-2 increases self-reported clinical reasoning and self-efficacy for addressing driving. Making the PReDAS-2 available to occupational therapists seeking to supplement their clinical practice may be warranted. Further research is necessary to determine if the PReDAS-2 should be recommended for use in acute care settings.","PeriodicalId":49097,"journal":{"name":"Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie","volume":" ","pages":"84174261424561"},"PeriodicalIF":1.7,"publicationDate":"2026-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147285806","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

Wheeled Mobility, Seating, and Bathroom Device Use by Children With Cerebral Palsy. 脑瘫儿童轮式移动、座椅和浴室设备的使用。

IF 1.7 3区医学

Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie Pub Date : 2026-02-20 DOI: 10.1177/00084174261421406

Roslyn W Livingstone, Debra A Field

{"title":"Wheeled Mobility, Seating, and Bathroom Device Use by Children With Cerebral Palsy.","authors":"Roslyn W Livingstone, Debra A Field","doi":"10.1177/00084174261421406","DOIUrl":"https://doi.org/10.1177/00084174261421406","url":null,"abstract":"Background. Little is known about assistive device use by young children with cerebral palsy (CP) classified as Gross Motor Function Classification System (GMFCS) III-V. Purpose. This secondary analysis examined use of mobility, adaptive seating, bathing, and toileting devices in young children participating in a larger power mobility study. Method. Data from 42 participants aged 18-87 months were gathered, using the parent-report Home Use of Technology for CHildren (HUTCH), within the first 3-4 weeks and at the end of the 6-month power mobility loan. Associations were examined between device, time spent in each device and gross motor, manual abilities, and Level of Sitting Scale functional classifications. Results. Age, gross motor function, and manual abilities were associated with use of either a stroller, tilt-in-space, or upright manual wheelchair, while age, postural, and manual abilities were associated with use of wheelchair seating rather than separate adaptive seating or a typical high-chair or booster seat. Children with greater impairments were more likely to use bathing devices, while few used toileting devices. More time was spent by children using tilt-in-space wheelchairs compared with upright wheelchairs or strollers. Conclusion. Statistically significant associations were identified between child profile and use of manual mobility, seating and bathroom devices.","PeriodicalId":49097,"journal":{"name":"Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie","volume":" ","pages":"84174261421406"},"PeriodicalIF":1.7,"publicationDate":"2026-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146259817","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 Canadian Occupational Therapists' Perceptions on Health Disparities: An Interpretative Descriptive Study. 探索加拿大职业治疗师对健康差异的看法：一项解释性描述性研究。

IF 1.7 3区医学

Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie Pub Date : 2026-02-04 DOI: 10.1177/00084174261417370

Ronessa Dass, Deedee Begin, Stephanie Di Pelino, Tara Packham, Luciana Macedo, Sandra Vanderkaay, Lyn Turkstra, Silvano Mior, Lisa Carlesso, Joy MacDermid, Kalee M Dass, Nora Bakaa

{"title":"Exploring Canadian Occupational Therapists' Perceptions on Health Disparities: An Interpretative Descriptive Study.","authors":"Ronessa Dass, Deedee Begin, Stephanie Di Pelino, Tara Packham, Luciana Macedo, Sandra Vanderkaay, Lyn Turkstra, Silvano Mior, Lisa Carlesso, Joy MacDermid, Kalee M Dass, Nora Bakaa","doi":"10.1177/00084174261417370","DOIUrl":"https://doi.org/10.1177/00084174261417370","url":null,"abstract":"Background. Many Canadians experience health disparities when accessing health care. Occupational therapists have historically advocated for the elimination of health disparities. However, occupational therapy was founded in colonial ideals and systems, which continue to perpetuate health disparities. Purpose. Understand how Canadian occupational therapists describe the challenges and opportunities involved in addressing health disparities in provision of care. Methods. We used an interpretative descriptive methodology. Criterion and snowball sampling was used to recruit participants across Canada. Data from semistructured individual interviews were analyzed using reflexive thematic analysis. Findings. A total of 11 occupational therapists (M = 1, F = 10) participated. Four central themes were identified: (1) health equity is a core principle of occupational therapy, (2) systemic barriers are central to the occupational therapy process and can affect the delivery and access of equity-centric care, (3) occupational therapists as advocates against health disparities, and (4) health disparities must be considered when hiring and retaining occupational therapists in practice. Conclusion: Our study highlights the successes and challenges of the field of occupational therapy in addressing health disparities, providing constructive suggestions to move the field forward. Our study provides important implications for research, practice, and policy; these goals are aligned with recent initiatives from the Canadian Association for Occupational Therapists.","PeriodicalId":49097,"journal":{"name":"Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie","volume":" ","pages":"84174261417370"},"PeriodicalIF":1.7,"publicationDate":"2026-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146120802","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