Mohammad Zubairi, Ali Iqbal, Catherine M Clase, Aliya A Khan
{"title":"Opposing Genocide is a Moral and Professional Obligation for all Health Workers.","authors":"Mohammad Zubairi, Ali Iqbal, Catherine M Clase, Aliya A Khan","doi":"10.1177/00084174251401855","DOIUrl":"10.1177/00084174251401855","url":null,"abstract":"","PeriodicalId":49097,"journal":{"name":"Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie","volume":" ","pages":"24-25"},"PeriodicalIF":1.7,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145935717","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":"10.1177/00084174251361650","url":null,"abstract":"","PeriodicalId":49097,"journal":{"name":"Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie","volume":" ","pages":"128"},"PeriodicalIF":2.3,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12881136/pdf/","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":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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":"<p><strong>Background: </strong>Stroke rehabilitation includes both restorative and adaptive interventions. There are few specific guidelines regarding adaptive interventions.</p><p><strong>Purpose: </strong>To determine the effectiveness of adaptive interventions on participation outcomes generally, and more specifically by theoretical focus of the intervention.</p><p><strong>Method: </strong>Systematic review. Relevant databases were searched for randomized controlled trials of adaptive interventions that included a participation measure. Data were extracted and Hedges' <i>g</i> was calculated for all interventions and then by intervention classification.</p><p><strong>Results: </strong>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], <i>p =</i> .07), a negligible and non-significant effect on broad participation (0.10; [95% CI: -0.13; 0.33], <i>p =</i> .37), and a small to medium significant effect on instrumental activities of daily living (IADL; 0.37, [95% CI: 0.12; 0.62] <i>p =</i> .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.</p><p><strong>Conclusion: </strong>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.</p>","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}
{"title":"Breaking the Silence on Genocide in Gaza: Kudos from Jewish Health Professionals.","authors":"Daniel Rosenbaum, Annalee Yassi, Jaques Belik, Michaela Beder, Samantha Green, Michelle Cohen","doi":"10.1177/00084174251409230","DOIUrl":"10.1177/00084174251409230","url":null,"abstract":"","PeriodicalId":49097,"journal":{"name":"Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie","volume":" ","pages":"28-29"},"PeriodicalIF":1.7,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145935753","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 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":"<p><strong>Background: </strong>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.</p><p><strong>Purpose: </strong>To explore the potential of CO-OP for PwPD, a feasibility randomized controlled trial (RCT) was conducted.</p><p><strong>Methods: </strong>Consenting PwPD (<i>n </i>= 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.</p><p><strong>Results: </strong>Effort (<i>M </i>= 3.02/5) and enjoyment (<i>M </i>= 3.15/5) ratings; homework completion (<i>M </i>= 91%) and protocol adherence (<i>M </i>= 82%) indicate that CO-OP is feasible. CO-OP was superior to the WLC on Canadian Occupational Performance Measure (COPM) performance (<i>p</i>=<.001), COPM satisfaction (<i>p</i>=<.001), and Performance Quality Rating Scale (PQRS; <i>p</i>=<.001) but not the Goal Attainment Scale (GAS; <i>p </i>= .123).</p><p><strong>Conclusions: </strong>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.</p>","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}
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":"<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":"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}
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":"<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":"119-127"},"PeriodicalIF":2.3,"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}
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":"<p><p><b>Background.</b> 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. <b>Purpose.</b> This study aims to uncover Canadian occupational therapists' perspectives on the risks and benefits of humour use with people who have sustained a stroke. <b>Method.</b> Through a Delphi study consisting of three rounds of surveys, occupational therapists identified and ranked risks and benefits of using humour. <b>Findings.</b> 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. <b>Conclusion.</b> 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.</p>","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}
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":"<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":"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}