{"title":"Evaluating a Family Capacity-Building Service: Are We Doing More Good Than Harm?","authors":"Marie Grandisson, Myriam Chrétien-Vincent, Gabrielle Pratte, Cynthia Fauteux, Justine Marcotte, Emmanuelle Jasmin, Élise Milot, Julie Bergeron","doi":"10.1177/00084174251323729","DOIUrl":"10.1177/00084174251323729","url":null,"abstract":"<p><p><b>Background.</b> Parents of children with special needs are more likely to experience stress and have health-related problems. Pediatric occupational therapy interventions that build parents' capacity are often considered to be effective. It remains unclear how they can be offered without overburdening parents. <b>Purpose.</b> The purpose of this article is to share the findings from the evaluation of a flexible capacity-building occupational therapy service with seven families. <b>Method.</b> A convergent parallel mixed methods design was used to document parents' and occupational therapists' perspectives on the services, including outcomes, strengths, weaknesses, opportunities, and threats. <b>Findings.</b> Parents reported understanding their children better, having more positive attitudes toward the challenges experienced, feeling more confident that they could help them, and having more satisfactory family routines. The importance for therapists to develop nonjudgmental collaborative relationships, to be flexible and to use the time available to help families with what matters the most in their daily lives came out particularly loudly. <b>Conclusion.</b> This study provides a concrete example of how it is possible to build families' capacities without overburdening them. It also provides guidance to establishments wishing to take a step back to think about how they build families' capacities.</p>","PeriodicalId":49097,"journal":{"name":"Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie","volume":" ","pages":"113-125"},"PeriodicalIF":1.6,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12117127/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143626576","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}
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":"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":"94-101"},"PeriodicalIF":1.6,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12117131/pdf/","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":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Lori Rosenberg, Shira Zecharia, Yafit Gilboa, Anat Golos
{"title":"Preparing Adults with Cerebral Palsy to Move from Assisted to Independent Living.","authors":"Lori Rosenberg, Shira Zecharia, Yafit Gilboa, Anat Golos","doi":"10.1177/00084174241274743","DOIUrl":"10.1177/00084174241274743","url":null,"abstract":"<p><p><b>Background.</b> To evaluate effectiveness of The Greenhouse for autonomy and independence to prepare adults with severe cerebral palsy (CP) for the transition from assisted to independent living. The intervention combines weekly individual sessions using Pathways and Resources for Engagement and Participation together with weekly group sessions. <b>Method.</b> Seven adults with severe CP ages 23-45 years (M = 35; SD = 10) participated in the 20-week program. An Interrupted Time Series quasi-experimental design was used, assessing the intervention effect over time. The Canadian Occupational Performance Measure was administered bi-weekly from baseline to post-intervention to assess activity performance. Functional Independence Measure (FIM), Wheelchair use Confidence scale (WheelCon) and Impact on Participation and Autonomy (IPA) were administered baseline (4 weeks pre-intervention), mid and post-intervention, using Freidman test. Interviews were conducted four weeks after intervention. <b>Findings.</b> All participants' activity performance improved over time with significant clinical improvement in 95% of COPM goals. Significant improvement was seen in FIM (χ<sup>2 </sup>= 8.07, p = .018) and WheelCon (χ<sup>2 </sup>= 7.18, p = .028) though not in IPA. Participants described being better prepared, however more aware of challenges. <b>Conclusion.</b> The findings suggest the program may be effective to help adults with severe CP attain goals related to independent living and enhance function.</p>","PeriodicalId":49097,"journal":{"name":"Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie","volume":" ","pages":"85-93"},"PeriodicalIF":1.6,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12117132/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142141520","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":"Perspectives of Rehabilitation Professionals on Long COVID Interventions to Facilitate Return-to-Work.","authors":"Cassandra MacKinnon, Cassandra Castro-Barquero, Alexandra Kontis, Vanessa Patrice, Mayoore Nadarajah, Tania Janaudis-Ferreira","doi":"10.1177/00084174241312510","DOIUrl":"10.1177/00084174241312510","url":null,"abstract":"<p><p><b>Background.</b> The severe functional impact of long COVID presents a significant challenge for clients seeking to return to work. Despite emerging clinical management guidelines, long COVID remains a concern in the rehabilitation field. There is a need to establish optimal practices for sustainable rehabilitation paths that enhance the recovery of clients with long COVID, all while understanding the challenges faced by rehabilitation professionals working with this population. <b>Purpose.</b> This study aimed to explore the perspectives of rehabilitation professionals intervening in long COVID rehabilitation with the goal of returning to work. <b>Methods.</b> A qualitative study was conducted involving online semi-structured interviews with rehabilitation professionals in Quebec from public and private sectors across various regions who had experience treating individuals with long COVID. Thematic analysis was employed for data analysis. <b>Findings.</b> Nine rehabilitation professionals participated in the study, yielding five themes: (a) reassessment of RTW goals; (b) education and self-management as primary interventions; (c) gradually reintegrating daily activities and life habits; (d) progression of interventions and dealing with post-exertional malaise (PEM); and (e) challenges in long COVID rehabilitation. <b>Conclusion.</b> Education, gradual activation and self-management appear as central components in supporting patient recovery, however, achieving return to work remains challenging without proper accommodations.</p>","PeriodicalId":49097,"journal":{"name":"Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie","volume":" ","pages":"126-134"},"PeriodicalIF":1.6,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12117121/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143025240","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}
Katie Lee Bunting, Becky Meyer, Katie Janzen, Gaby Lieberman, Kaitlyn Willick, Jane A Davis
{"title":"Therapeutic-Use-of-Self as Relational Pedagogy in Occupational Therapy Education: A Qualitative Description Study.","authors":"Katie Lee Bunting, Becky Meyer, Katie Janzen, Gaby Lieberman, Kaitlyn Willick, Jane A Davis","doi":"10.1177/00084174241293541","DOIUrl":"10.1177/00084174241293541","url":null,"abstract":"<p><p><b>Background.</b> Amid growing calls for relational teaching approaches in higher education to improve student learning outcomes and student and educator well-being, a need remains for effective relational pedagogies. Therapeutic-use-of-self (TUS) is an occupational therapy skill that centers the client-occupational therapist relationship, yet there is a dearth of research exploring its application as a pedagogy. This presents an opportunity for a widely used occupational therapy skill, TUS, to be adapted as a much-needed relational pedagogy. <b>Objective.</b> We explored the experience of TUS as a relational pedagogy in occupational therapy education from educator and student perspectives. <b>Method.</b> This qualitative description study borrowed from the evocative methodology of collaborative autoethnography. We, six researcher-participants, across two Canadian entry-to-practice occupational therapy programs, engaged in five discussions exploring the relationship between participant stories and contexts. Reflective memoing and reflexive thematic analysis were applied for analysis. <b>Findings.</b> Four themes were described: (a) education as transaction, (b) authenticity in learning, (c) experiencing TUS, and (d) relationship as resistance. <b>Conclusion.</b> With an emphasis on authenticity, empathy, power equity, and critical reflexivity, TUS challenges status quo approaches to education. Although neoliberalism challenges the feasibility of relational pedagogy in higher education, TUS holds promise as a relational and critical pedagogy.</p>","PeriodicalId":49097,"journal":{"name":"Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie","volume":" ","pages":"102-112"},"PeriodicalIF":1.6,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12117125/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142577053","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}
Lina Ianni, Chantal Camden, Wenonah Campbell, Heather Colquhoun, Dana Anaby
{"title":"Occupational Therapist-Teacher Collaboration in Inclusive Education in Québec: A Qualitative Descriptive Study.","authors":"Lina Ianni, Chantal Camden, Wenonah Campbell, Heather Colquhoun, Dana Anaby","doi":"10.1177/00084174241310078","DOIUrl":"10.1177/00084174241310078","url":null,"abstract":"<p><p><b>Background:</b> In inclusive schools, collaboration between occupational therapists (OTs) and teachers has the potential to build capacities among these school-team members working with students with disabilities. Current evidence supports multi-tiered delivery models, such that OT interventions are integrated within the context of school life. Collaboration, however, is a complex multifaceted phenomenon that poses systemic, organizational, or interpersonal challenges. <b>Purpose:</b> This qualitative descriptive study explored the perspectives on current and ideal collaborative practices and associated contextual barriers and facilitators related to collaboration, as described by elementary teachers and OTs. <b>Method:</b> Two focus groups were conducted with OTs (<i>n</i> = 5) and elementary teachers (<i>n</i> = 6) working in inclusive schools in Québec (Canada) in French and English language settings. Qualitative data were transcribed and analyzed thematically. <b>Findings:</b> Four thematic categories were identified: Organization of services scaffolds collaborative practices; varying perspectives of the OT role influence collaboration; establishing and navigating collaborative relationships; and considerations for optimal collaboration. <b>Conclusion:</b> These findings have practice and policy implications regarding the organization of OT services as well as team professional development. Understanding these challenges is fundamental to tailoring future knowledge translation interventions to optimize school collaboration.</p>","PeriodicalId":49097,"journal":{"name":"Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie","volume":" ","pages":"135-147"},"PeriodicalIF":1.6,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12117133/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143053939","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":"Therapists to Therapy Assistants: Experiences of Internationally Educated Physiotherapists and Occupational Therapists.","authors":"Zeal Kadakia, Ana Lopez, Maheen Shahid, Ashley Theoret, Ronessa Dass, Shaminder Dhillon, Jasdeep Dhir, Tara Packham","doi":"10.1177/00084174241255467","DOIUrl":"10.1177/00084174241255467","url":null,"abstract":"<p><p><b>Background:</b> In Canada, internationally educated physiotherapists (IEPTs) and occupational therapists (IEOTs) may work as occupational/physical therapy assistants (OTAs/PTAs) while pursuing Canadian licensure. This experience presents personal and professional opportunities and challenges. <b>Purpose:</b> We explored a) the barriers and facilitators experienced by IEPTs and IEOTs working as OTAs/PTAs while pursuing licensure in Canada and b) how might their professional identity changes during this period. <b>Methods:</b> In this cross-sectional qualitative study, we sampled IEPTs and IEOTs working as assistants using online focus groups. Reflexive thematic analysis of data was used to generate themes. <b>Findings:</b> Fourteen IEPTs or IEOTs participated reporting barriers including financial impacts while working as an OTA/PTA, discrimination, and challenges completing licensing exams. Facilitators while working as OTA/PTAs included social support, acculturation with Canadian systems, and career opportunities. Changes to professional identity encompassed accepting a new identity, reclaiming their old identity, or having a strong sense of identity within a healthcare profession. Participants advocated for bridging programs and modifications for examination processes for IEPTs and IEOTs to improve their experiences while pursuing licensure in Canada. <b>Conclusion:</b> Increased advocacy is needed to address the current experiences of IEPTs and IEOTs working as OTA/PTAs after migration.</p>","PeriodicalId":49097,"journal":{"name":"Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie","volume":" ","pages":"18-28"},"PeriodicalIF":1.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11898375/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141158074","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}
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":"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>Method.</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>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":"39-49"},"PeriodicalIF":1.6,"publicationDate":"2025-03-01","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}
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":"10.1177/00084174241259304","url":null,"abstract":"<p><p><b>Background.</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>Purpose.</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>Method.</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>Findings.</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>Implications.</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":"60-70"},"PeriodicalIF":2.3,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11898387/pdf/","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":"OA","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":"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":"50-59"},"PeriodicalIF":1.6,"publicationDate":"2025-03-01","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}