Claire C Jacek, Kassandra M Fritz, Monique E Lizon, Tara L Packham
{"title":"Knowledge Gaps Regarding Indigenous Health in Occupational Therapy: A National Survey.","authors":"Claire C Jacek, Kassandra M Fritz, Monique E Lizon, Tara L Packham","doi":"10.1177/00084174231197622","DOIUrl":"10.1177/00084174231197622","url":null,"abstract":"<p><p><b>Background.</b> There is a need for the occupational therapy profession to respond to the Truth and Reconciliation Commission of Canada Calls to Action and work towards supporting the health and well-being of Indigenous Peoples. <b>Purpose.</b> (1) To determine the knowledge gaps of occupational therapists about Indigenous health and (2) to create recommendations to address identified gaps and inform responses from the profession. <b>Method.</b> A national needs survey was created and distributed to occupational therapists across Canada to determine the knowledge of occupational therapists about Indigenous health. Survey results were analyzed using thematic analysis and descriptive statistics. <b>Findings.</b> Data collected from 364 survey responses informed six distinct themes representing knowledge gaps of occupational therapists related to Indigenous health as follows: lack of foundational knowledge, power relations, lifelong learner, need for appropriate tools/approaches, respectful collaboration, and environmental influences. <b>Implications.</b> The project offers insight into the role of the occupational therapy profession in the process of reconciliation. Insights are focused on decolonizing occupational therapy practice, building trusting relationships with Indigenous Peoples, and the provision of appropriate training for occupational therapists to engage in culturally safer practices.</p>","PeriodicalId":49097,"journal":{"name":"Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie","volume":" ","pages":"65-77"},"PeriodicalIF":1.8,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10903141/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10484272","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":"Occupation in the Anthropocene and Ethical Relationality.","authors":"Niki Kiepek","doi":"10.1177/00084174231169390","DOIUrl":"10.1177/00084174231169390","url":null,"abstract":"<p><p><b>Purpose.</b> Occupations have \"implications for individuals, societies, and the earth\". This article focusses on implications of occupation in relation to <i>the earth</i> and examines the potential to expand occupational justice beyond anthropocentric viewpoints to honour interspecies justice. <b>Approach.</b> A 'theory as method' approach is used to explore the literature. Transgressive decolonial hermeneutics informs analysis. <b>Key issues.</b> The discussion advances understandings about human occupation in relation to more-than-humans, intersections with human occupations and animals, and ethical relationality. <b>Implications.</b> Occupational justice includes honouring interdependence of species, engaging in occupations in ways that are sustainable, considering future generations, and refraining from occupations that have a destructive or detrimental impact on the earth and more-than-humans. The profession has a collective responsibility to honour Indigenous worldviews and Indigenous sovereignty, recognising and welcoming the potential for Western conceptualisations of occupation to be transformed.</p>","PeriodicalId":49097,"journal":{"name":"Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie","volume":" ","pages":"44-55"},"PeriodicalIF":1.8,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10903124/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9489024","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":"Efficacy and Feasibility of the CO-OP Approach in Parkinson's Disease: RCT Study Protocol.","authors":"Sarah J Davies, Hannah L Gullo, Emmah Doig","doi":"10.1177/00084174231156287","DOIUrl":"10.1177/00084174231156287","url":null,"abstract":"<p><p><b>Background.</b> Parkinson's disease (PD) leads to cognitive dysfunction which limits participation and occupational performance. Cognitive Orientation to Daily Occupational Performance (CO-OP) approach is effective in other adult neurological populations and warrants investigation in PD. <b>Purpose.</b> To describe a study protocol evaluating the preliminary efficacy and feasibility of CO-OP approach in PD. <b>Method.</b> A randomised controlled trial (RCT) with adults with PD was assigned to either: CO-OP training-intensive (CO-OP-I, 20 sessions) or waitlist control (WLC) followed by CO-OP-standard (CO-OP-S, 10 sessions). <b>Outcomes.</b> Occupational performance and satisfaction of adults with PD in chosen goals. Measures will be obtained at baseline, post-intervention, and 3-month follow-up. <b>Implications.</b> As the first RCT focused on CO-OP in PD, this trial will provide evidence for the potential of this approach in PD and lay the groundwork for future large-scale trials. <b>Trial Registration.</b> Australian New Zealand Clinical Trials registry, ACTRN12621001483842. Registered November 1, 2021; retrospectively registered 3 months after commencement.</p>","PeriodicalId":49097,"journal":{"name":"Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie","volume":" ","pages":"363-373"},"PeriodicalIF":1.8,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10647899/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9558076","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}
Tal Jarus, Leanne L Leclair, Setareh Ghahari, Shu-Ping Chen, Ada Leung, Lynn Shaw
{"title":"Profiling the Research Activities of Canadian Occupational Therapy and Occupational Science Faculty Members.","authors":"Tal Jarus, Leanne L Leclair, Setareh Ghahari, Shu-Ping Chen, Ada Leung, Lynn Shaw","doi":"10.1177/00084174221145820","DOIUrl":"10.1177/00084174221145820","url":null,"abstract":"<p><p><b>Background.</b> There is a lack of knowledge on the scope and nature of the research by faculty members in occupational science (OS) and/or occupational therapy (OT) programs in Canada. <b>Purpose.</b> To describe the research activities of faculty members in these programs and directions. <b>Method.</b> A cross-sectional survey was distributed to 173 faculty members across all 14 Canadian OT that addressed: 1) research topics and methods, 2) populations, and 3) funding. <b>Findings.</b> Based on respondents (<i>N</i> = 121), research is focused on a range of topics and populations with most conducting qualitative research. Many conduct research examining the effectiveness of interventions, with few respondents focused on OS research. Federal and provincial grants agencies were the largest source of funding. <b>Implications.</b> Research topics studied were not always proportional to practice although emerging areas were being investigated that can expand the evidence base and scope of practice. Despite limited occupation-specific funding options, respondents were accessing funding from varied sources. Collaborations among faculty members, clinicians, and individuals with lived experience can create priorities for future OS and/or OT research in Canada.</p>","PeriodicalId":49097,"journal":{"name":"Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie","volume":" ","pages":"344-352"},"PeriodicalIF":1.8,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10647890/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10555953","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":"Functional Ability, Psychological Factors, and Rehabilitation Outcomes After Elective Total Hip Replacement.","authors":"Orit Segev-Jacubovski","doi":"10.1177/00084174231168018","DOIUrl":"10.1177/00084174231168018","url":null,"abstract":"<p><p><b>Background.</b> The role of positive psychological factors in acute rehabilitation after total hip replacement (THR) is unclear. <b>Purpose.</b> (a) Examine the trajectory of functional ability among older adults after THR from presurgery to discharge from acute rehabilitation and (b) determine which physical and psychological factors at admission would predict functional ability at discharge and length of stay in rehabilitation. <b>Methods.</b> This prospective cohort study included 30 participants (age M = 76.20 years) from an inpatient geriatric rehabilitation center. They completed the Geriatric Depression Scale and Positive Affect questionnaire. The FIM® Motor domain of Functional Independent Measure (mFIM) was recorded presurgery, at admission, and upon discharge. <b>Findings.</b> Functional ability improved at discharge; however, the presurgery functional ability was not regained. Positive affect explained the length of stay in rehabilitation above and beyond the presurgery mFIM. <b>Implications.</b> Occupational therapists should improve ways to enhance self-care and positive affect in acute rehabilitation.</p>","PeriodicalId":49097,"journal":{"name":"Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie","volume":" ","pages":"405-412"},"PeriodicalIF":1.8,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10647893/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9489023","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}
Khalilah R Johnson, Meghan G Blaskowitz, Wanda J Mahoney
{"title":"Technology for Adults with Intellectual Disability: Secondary Analysis of a Scoping Review.","authors":"Khalilah R Johnson, Meghan G Blaskowitz, Wanda J Mahoney","doi":"10.1177/00084174231160975","DOIUrl":"10.1177/00084174231160975","url":null,"abstract":"<p><p><b>Background.</b> Technologies are embedded in all daily life activities and are utilized by occupational therapy practitioners to facilitate participation; evidence on technology for adults with intellectual disability (ID) can support practice with the population. <b>Purpose.</b> Summarize the evidence on technology to support adults with ID. <b>Method.</b> Secondary analysis of a scoping review of articles published between 2002 and 2018. Articles in the original scoping review addressed participation, assessment, or interventions with adults with ID. Authors completed a secondary analysis of 159 articles to identify articles with information on technology. <b>Findings.</b> In total, 56 articles met the inclusion criteria. Technology categories were cognitive supports, mainstream technologies, supplemental communication, aids for daily living, seating and mobility, control interfaces, and preparatory technologies. <b>Implications.</b> This secondary analysis demonstrates the range of evidence identifying technology as a key support, the impacts of the proliferation of technologies, and the need for occupational therapy practitioners to advocate for accessible technologies.</p>","PeriodicalId":49097,"journal":{"name":"Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie","volume":" ","pages":"395-404"},"PeriodicalIF":1.6,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10647906/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9086816","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}
Gordon Muir Giles, Timothy S Marks, Dorothy Farrar Edwards
{"title":"Loss-of-Set and Strategy Application on the Menu Task: An Exploratory Study.","authors":"Gordon Muir Giles, Timothy S Marks, Dorothy Farrar Edwards","doi":"10.1177/00084174231175018","DOIUrl":"10.1177/00084174231175018","url":null,"abstract":"<p><p><b>Background.</b> The Menu Task (MT) is an occupational therapy screening measure designed to identify people in need of functional cognitive (FC) assessment. <b>Purpose.</b> To explore whether test-taker strategy selection on the MT is clinically informative. <b>Methods.</b> Using a cross-sectional design we administered assessments of FC including the MT and the After MT interview, cognitive screening measures, and self-report instrumental activities of daily living assessment to a convenience sample of 55 community-dwelling adults. After MT interviews responses were qualitatively characterized as (a) loss of set (e.g., not recognizing that food preferences are irrelevant to task performance), (b) calorie counting, or (c) planning. <b>Findings.</b> Loss of set was associated with poorer performance on most study measures, calorie counting was associated with superior performance on most study measures, and no differences were observed relating to planning. <b>Implications.</b> Determining the test-takers approach to the MT adds information to that provided by the MT itself.</p>","PeriodicalId":49097,"journal":{"name":"Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie","volume":" ","pages":"413-422"},"PeriodicalIF":1.8,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9507090","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}
Shenae E O'Mahony, Annette V Joosten, Jennifer O'Brien
{"title":"An Exploratory Study: Undergraduates' Perspectives on how Threshold Concepts Influence Professional Identity.","authors":"Shenae E O'Mahony, Annette V Joosten, Jennifer O'Brien","doi":"10.1177/00084174231154747","DOIUrl":"10.1177/00084174231154747","url":null,"abstract":"<p><p><b>Background.</b> Threshold concepts are key to professional identity development, transforming the way individuals think, act, and perceive the world. <b>Purpose.</b> To understand how occupational therapy students describe their professional identity, its importance, and how threshold concepts contribute to identity. <b>Method.</b> Mixed-method survey of final-year occupational therapy students (<i>n</i> = 58) at an Australian University. <b>Findings.</b> (i) High agreement on most identity and threshold questions; but up to 24% uncertain about confidence/competence in understanding specific concepts; (ii) occupation-focus is unique to our professional identity; (ii) identity develops over time; (iii) occupation-based, client-centered, and evidence-based practices are central to thinking like and becoming an occupational therapist; and (iv) practice education provides context for threshold concepts to be transformative. <b>Implications.</b> Identity is defined by a focus on occupation and its relationship to health. Traversing threshold concepts through academic and practice education is essential to developing professional identity.</p>","PeriodicalId":49097,"journal":{"name":"Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie","volume":" ","pages":"374-383"},"PeriodicalIF":1.8,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10647904/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10692154","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":"Occupational Therapy for Improving Occupational Performance in COPD Patients: A Scoping Review.","authors":"Grégoire Goubeau, Stéphane Mandigout, Thierry Sombardier, Benoit Borel","doi":"10.1177/00084174221148037","DOIUrl":"10.1177/00084174221148037","url":null,"abstract":"<p><p><b>Background.</b> Chronic obstructive pulmonary disease (COPD) is a multisystemic chronic condition which may induce significant consequences in daily life activities. Preserving activities of daily living in COPD is therefore a common treatment goal among people living with COPD, which leaves ample opportunity for occupational therapy interventions to comprise part of their rehabilitation. However, the question of how exactly occupational therapists can and do contribute to pulmonary rehabilitation remains underexplored. <b>Purpose.</b> To reveal the contribution of occupational therapy intervention in the pulmonary rehabilitation on improving the occupational performance of patients with COPD. <b>Method.</b> A scoping review was performed by selecting articles focusing on occupational therapy in pulmonary rehabilitation for patients with COPD. A total of four databases were surveyed for article selection. <b>Findings.</b> Among nine studies selected, seven studies reported a significant improvement in the occupational performance of patients with occupational therapy. However, two studies did not observe differences between the groups regarding occupational performance. <b>Implications.</b> Occupational therapy in pulmonary rehabilitation seems to contribute to the improvement of occupational performances of patients with COPD. Nevertheless, research focused on this field needs to be further developed to support the positive impact of occupational therapy in COPD management.</p>","PeriodicalId":49097,"journal":{"name":"Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie","volume":" ","pages":"353-362"},"PeriodicalIF":1.6,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10433546","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":"Management of Chronic Pain by Occupational Therapist: A Description of Practice Profile.","authors":"Émilie Lagueux, Julie Masse, Raphaël Pagé, Béatrice Marin, Yannick Tousignant-Laflamme","doi":"10.1177/00084174231162709","DOIUrl":"10.1177/00084174231162709","url":null,"abstract":"<p><p><b>Background.</b> Current state of knowledge regarding occupational therapy's contribution to chronic pain (CP) management has evolved over the past decade. Yet, has this been transferred to clinical practice? <b>Purpose.</b> Describe the current state of practice of CP management-specific occupational therapy. <b>Method.</b> An online survey was sent to occupational therapists working with CP patients. <b>Findings.</b> Of the 90 respondents (11.9%), 42.2% worked in primary care and 52.2% in secondary care. They reported that their primary role aimed at enabling occupation and providing vocational rehabilitation. The Canadian Model of Occupational Performance and Engagement (CMOP-E) (87.8%), semi-structured interview (86.7%), and education on energy conservation (65.6%) and postural hygiene (60.0%) were the most frequently reported conceptual model, assessment, and intervention methods. <b>Implications.</b> Results illustrate the diversity of current occupational therapy practice in CP management and suggest opportunities for improvement to ensure best practices are adopted, by emphasizing an occupation-based vision of health and well-being.</p>","PeriodicalId":49097,"journal":{"name":"Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie","volume":" ","pages":"384-394"},"PeriodicalIF":1.6,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10647916/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9146310","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}