Occupational Therapy International最新文献

{"title":"Interprofessional Collaboration Between Nurses and Occupational Therapists Enhances Independence and Reduces Disposable Absorbent Product Use in Older Patients.","authors":"Ken Kondo, Naoto Noguchi, Ryoto Akiyama, Takahiro Otsuka, Chidawan Suyakong, Shunya Honda, Naomi Tajima, Waka Murata, Bumsuk Lee","doi":"10.1155/oti/4450215","DOIUrl":"10.1155/oti/4450215","url":null,"abstract":"<p><strong>Introduction: </strong>The prospective, historically controlled study evaluated whether a collaborative practice (CP) model between nurses and occupational therapists improves activities of daily living (ADLs) and reduces the use of disposable absorbent products and physical restraints in hospitalized older patients.</p><p><strong>Methods: </strong>Data from the historical control group (<i>n</i> = 72), who received usual care, were collected from medical records, and the intervention group (<i>n</i> = 46), who participated in the CP-based intervention, was recruited in a community-based care ward in a regional hospital. The CP model was designed to facilitate collaborative planning for improving ADLs between nurses and occupational therapists. Outcome measures included disposable absorbent product use, physical restraint use, and the functional independence measure (FIM). Assessments were conducted at admission and discharge. Propensity score matching was applied to balance baseline characteristics between groups and to reduce potential confounding factors.</p><p><strong>Results: </strong>Propensity score matching generated 45 pairs (\"historical controls,\" <i>n</i> = 45, and \"interventions,\" <i>n</i> = 45). Although physical restraint use was reduced in both groups (<i>p</i> ≤ 0.007), the use of disposable absorbent products in the intervention group was significantly reduced compared to the historical control group (<i>p</i> = 0.020). Additionally, significant interaction effects were observed between time and group for all FIM scores, indicating greater improvements in ADLs in the intervention group, with moderate to large effect sizes (<i>p</i> ≤ 0.013, partial <i>η</i> ² ≥ 0.068).</p><p><strong>Conclusions: </strong>This study demonstrated the positive impact of a CP model between nurses and occupational therapists in improving ADLs and reducing disposable absorbent product use in older patients. These findings suggest that this model of CP enhances the quality of geriatric care. <b>Trial Registration:</b> UMIN Clinical Trials Registry number: UMIN000047072.</p>","PeriodicalId":49140,"journal":{"name":"Occupational Therapy International","volume":"2026 ","pages":"4450215"},"PeriodicalIF":2.2,"publicationDate":"2026-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12765810/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145913496","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Scoping Review of Occupational Therapy for Distal Radius Fractures, Including Complications.","authors":"Yuki Inoue, Junichiro Muranaka, Yuko Shigeta, Kohei Ikeda, Masatoshi Gocho, Satoshi Sasada","doi":"10.1155/oti/9148924","DOIUrl":"10.1155/oti/9148924","url":null,"abstract":"<p><p>This scoping review is aimed at identifying and mapping occupational therapy-related assessments and interventions reported in prospective interventional studies and case reports on distal radius fractures, including studies addressing complications. Additionally, the review sought to summarize the current evidence in this field and identify areas requiring further research. Five studies met the inclusion criteria. Most studies primarily emphasized impairment-level outcomes, such as range of motion and grip strength, whereas activity, participation, occupational performance, and psychosocial aspects were addressed less frequently. Only a limited number of studies reported complications, and the included studies generally employed relatively narrow eligibility criteria. These findings suggest that existing evidence may have limited applicability to the broader population of patients with distal radius fractures, particularly those with complications. Future research should include broader patient populations and incorporate occupation-focused approaches to better address activity, participation, and occupational performance in distal radius fracture rehabilitation.</p>","PeriodicalId":49140,"journal":{"name":"Occupational Therapy International","volume":"2026 1","pages":"e9148924"},"PeriodicalIF":2.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13375618/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148473873","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Autistic Adult Online Interoception Feasibility Pilot Program.","authors":"Sophia Graziosi, Emily Oliver, Victoria Arline, Kelly Mahler, Karen Ratcliff, Loree Pryor, Claudia Hilton","doi":"10.1155/oti/4437761","DOIUrl":"10.1155/oti/4437761","url":null,"abstract":"<p><p>Interoception differences are known to co-occur with autism and result in difficulty recognizing and addressing internal signals, which can produce barriers to daily living and quality of life (QoL). Limited supportive services have addressed these needs in autistic adults, and occupational therapists are well prepared to provide interventions to address these challenges. The objectives of the study were to: (1) examine feasibility of an 8-week online interoception program for autistic adults and (2) examine quantitative changes after participation in the program. The program was adapted from the Interoception Curriculum for 10 autistic adults. Outcome measures included standardized questionnaires for interoception, anxiety, alexithymia, QoL, and self-designed questionnaires for program evaluations. Researchers were supported throughout the process by a paid autistic occupational therapist to guide development of the research question, methodology, and adaptation of support materials to incorporate lived experience and community engagement. Preintervention and postintervention scores were compared for interoceptive awareness, alexithymia, anxiety, and QoL, which showed insignificant improvements in all areas with a range of small to large effect sizes over the 8 weeks. Participants reported positive feelings about the program and would recommend it to others. Results support the feasibility of an online interoception program for autistic adults.</p>","PeriodicalId":49140,"journal":{"name":"Occupational Therapy International","volume":"2026 1","pages":"e4437761"},"PeriodicalIF":2.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13279365/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148279365","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Promoting Participation in African High Schools: A Scoping Review.","authors":"Lomarie Thesnaar, Monique De Wit, Fasloen Adams, Nicola Ann Plastow","doi":"10.1155/oti/1536306","DOIUrl":"10.1155/oti/1536306","url":null,"abstract":"<p><p>Learning is the primary occupation of adolescents in high schools, although they engage in a much wider range of occupations at school. Recent systematic and scoping reviews from high-income countries (HICs), classified by the World Bank, with the United States as the most prominent, provide evidence to support the role of occupational therapy in school participation for adolescents with developmental, health, and environmental barriers. However, participation for high school learners in the African context differs from that of learners from an HIC context, due to the unique challenges faced by learners in Africa. These challenges include poverty, educational challenges (e.g., early school dropout and teacher shortfall), infrastructure and resource shortages, cultural expectations and inequalities (e.g., family and gender norms), conflict, and instability. A scoping review was conducted to map interventions that promote participation in schools internationally and to evaluate their suitability for the African context. The Preferred Reporting Items for Scoping Reviews and Meta-Analyses (PRISMA) extension guidelines were used to guide this review. Sources about the nature of school-based interventions for adolescents (12-18 years) that indicated a clear link between the intervention and participation in schools, published in English (with no restriction on years) and peer-reviewed, were included. A total of 2689 studies (excluding duplicates) were identified, and 15 were included. Framework analysis was used to evaluate the suitability of interventions, including the characteristics of the evidence, community-based practice, practice approaches, sustainability, cultural norms, and spirituality. Four interventions were identified as suitable for the African context: a recovery program for adolescents with substance use disorders, a social cognitive intervention to promote social skills in adolescents with autism, a transition readiness service to promote work participation, and coping strategies to promote adolescents' mental health in schools. Recommendations were made to include spirituality when delivering interventions for adolescents in African schools.</p>","PeriodicalId":49140,"journal":{"name":"Occupational Therapy International","volume":"2026 1","pages":"e1536306"},"PeriodicalIF":2.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13373314/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148457494","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Preschool Hand Function Assessment Instruments: A Scoping Review With Targeted Analysis of Performance-Based Instruments.","authors":"Marieta Visser, Robyn Smith, Daleen Casteleijn","doi":"10.1155/oti/4114099","DOIUrl":"10.1155/oti/4114099","url":null,"abstract":"<p><p>Hand function is a critical determinant of preschool children's participation in everyday occupations. Accurate hand function assessment is vital for guiding interventions, yet assessment practices are highly variable. Despite the abundance of instruments, only a few standardised performance-based tools assess all hand function components. No comprehensive mapping exists of key preschool instrument specifications to guide clinicians and researchers, particularly those working in diverse contexts. The study mapped all published hand function-relevant instruments used with children aged 3-5 years, including pathology-specific measures, proxy-report tools, classification systems, and multidomain developmental assessments. Employing scoping review methodology, 13 databases were searched, and all retrieved sources up to September 2024 were managed on Covidence. Two independent reviewers conducted title, abstract and full-text screenings based on eligibility criteria. The search found 810 sources, with 84 meeting inclusion criteria, identifying 62 instruments. Most were performance-based (n = 46; 74.2%), followed by proxy measures (n = 11), classifications (n = 3) and two unspecified. Over a third targeted children with health conditions, whilst 22 covered both typical and atypical development. Sources from the Global South and LMICs were notably scarce. Performance-based measures were examined in greater depth, with only one addressing all hand function domains. Findings highlight the need for a standardised, culturally adaptable performance-based tool that reflects preschool children's real-world occupations and is applicable across diverse settings. This review offers a structured foundation for developing or adapting such a tool, bridging current gaps in assessment practice in both high- and low-resource environments.</p>","PeriodicalId":49140,"journal":{"name":"Occupational Therapy International","volume":"2026 1","pages":"e4114099"},"PeriodicalIF":2.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13150339/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147845089","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Systematic Review of International Evidence to Inform Occupational Therapy Practice Guidelines for Total Knee Replacement in the Korean Health System.","authors":"Junghun Aj Kim, Seong-Kyu Ha, Min-Ye Jung","doi":"10.1155/oti/5583913","DOIUrl":"10.1155/oti/5583913","url":null,"abstract":"<p><strong>Introduction: </strong>This review synthesizes international evidence on occupational therapy (OT) interventions for total knee replacement (TKR) as part of the project \"Developing Occupational Therapy Practice Guidelines for Total Knee Replacement,\" with the goal of informing practice within the Korean healthcare system. It evaluates OT interventions' effectiveness in enhancing recovery pathways amid an aging population, increasing healthcare costs, and the need for patient satisfaction and recovery.</p><p><strong>Method: </strong>Centering on OT interventions in Korea for adults with post-TKR, this review adhered to the Royal College of Occupational Therapists' guidelines and PRISMA standards and searched nine electronic databases for literature published between 2000 and November 2021. A broad stakeholder group, including medical professionals and social workers, contributed to refining the research scope of outcomes.</p><p><strong>Results: </strong>From an initial pool of 10,749 articles, 51 studies were selected, predominantly cohort studies. Analysis identified key-OT interventions improving activities of daily living, mental health, community reintegration, patient satisfaction, and notably reducing hospital stay lengths.</p><p><strong>Conclusion: </strong>This review highlights the multifaceted contributions of OT in TKR rehabilitation, with benefits observed across physical, mental, and cognitive recovery. It supports the need for policy changes to broaden the role of OT. Future research, particularly high-quality and longitudinal studies, is warranted to further strengthen the evidence base and inform the ongoing development of OT practice across diverse healthcare systems.</p>","PeriodicalId":49140,"journal":{"name":"Occupational Therapy International","volume":"2026 1","pages":"e5583913"},"PeriodicalIF":2.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13045274/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147595929","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Application of VR360 for Clinical Reasoning Development in Occupational Therapy Students in Handling Complex Behavioural Symptoms in Individuals With Dementia.","authors":"Frank Ho-Yin Lai, Ben Chi-Bun Yip, Eddie Yip-Kuen Hai, David Wai-Kwong Man","doi":"10.1155/oti/7492246","DOIUrl":"10.1155/oti/7492246","url":null,"abstract":"<p><p>Managing behavioural and psychological symptoms of dementia (BPSD) demands advanced clinical reasoning, yet traditional teaching often falls short. Virtual Reality 360° (VR360) technology offers immersive learning that may strengthen competence in dementia care. This study explored whether occupational therapy (OT) students' reasoning improved after a VR360 module addressing BPSD such as hoarding, wandering, low mood and daily living challenges. Sixty students (35 female, 25 male; undergraduate and postgraduate) participated. Using a mixed-methods, single-group pre-post design, students completed the Clinical Reasoning Assessment Tool before and after four VR360 scenarios. Large improvements emerged across domains: content (d = 1.94), procedural (d = 2.11) and conceptual (d = 2.08). Qualitative themes highlighted confidence, cue recognition, empathy and personalised care. Findings suggest VR360 is feasible and effective for OT education.</p>","PeriodicalId":49140,"journal":{"name":"Occupational Therapy International","volume":"2026 1","pages":"e7492246"},"PeriodicalIF":2.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13185750/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147976782","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Development of an ICF-Based Core Assessment Set for Psychiatric Occupational Therapy in Japan: A Three-Round Delphi Study.","authors":"Kojiro Kawano, Shigehito Shiota, Kotomi Funatsu, Chiga Murai, Takashi Tamura, Takaji Suzuki, Toshio Higashi, Shinichi Noto","doi":"10.1155/oti/5138252","DOIUrl":"10.1155/oti/5138252","url":null,"abstract":"<p><strong>Introduction: </strong>People with mental disorders have an increasing need for a comprehensive assessment tool based on the International Classification of Functioning, Disability, and Health (ICF). This study is aimed at identifying ICF categories relevant to patients with mental health in Japan using a Delphi panel of experts and provide foundational data for developing an occupational-therapy-oriented assessment tool.</p><p><strong>Methods: </strong>A three-round Delphi survey was conducted with a Japanese expert panel initially composed of 15 specialists (five psychiatrists, 10 occupational therapists). Questionnaires (mailed or web-based) were developed from the ICF Checklist, existing ICF core sets, relevant clinical guidelines, and prior research. Aggregate results were submitted to participants after each round for re-evaluation. Fourteen experts completed all rounds. Data were collected from August 2024 to January 2025. Consensus was determined according to the RAND/UCLA appropriateness method.</p><p><strong>Results: </strong>Based on consensus, 42 ICF categories were selected: 17 body functions, 21 activities and participation, and four environmental factors. The set included a relatively large proportion of activities/participation items, reflecting the emphasis of occupational therapy on engagement and participation. Agreement rates increased across rounds, indicating improving consensus and relative stability of the selected indicators.</p><p><strong>Conclusion: </strong>This Delphi study produced a preliminary ICF set applicable to patients with mental health in Japan and offers the first step toward an ICF-based comprehensive assessment tool for occupational therapy. Future work should evaluate the reliability and validity of the extracted core set, assess its clinical utility, and incorporate perspectives of service users and families.</p>","PeriodicalId":49140,"journal":{"name":"Occupational Therapy International","volume":"2026 1","pages":"e5138252"},"PeriodicalIF":2.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13137811/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147822673","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sex Differences in Instrumental Activities of Daily Living and Transportation Modes by Driving Status Among Older Adults.","authors":"Tsutomu Sasaki, Masao Ichikawa, Kyohei Yamada, Yukiko Tomari, Daiji Kobayashi","doi":"10.1155/oti/6621910","DOIUrl":"10.1155/oti/6621910","url":null,"abstract":"<p><strong>Introduction: </strong>Planning for driving cessation is essential to support older adults' well-being and access to alternative transportation. As transportation needs vary by activity and sex, it is important to understand how these factors influence mobility after driving cessation. This study aimed to clarify sex differences in transportation modes for daily activities among older adults with different driving status.</p><p><strong>Materials and methods: </strong>This study examined transportation modes used for instrumental activities of daily living (IADLs) and the level of engagement (i.e., frequency of participation) among community-dwelling older adults, stratified by driving status (current, retired, never) and sex. Cross-sectional data were obtained from a 2023 self-administered survey of residents aged 75-80 years in Chitose City, Japan, including 916 current drivers, 238 retired drivers, and 281 never drivers.</p><p><strong>Results: </strong>Nearly all participants engaged in shopping and visiting medical facilities. Current drivers showed higher engagement in IADLs, primarily by driving themselves. Retired and never drivers engaged in fewer IADLs, particularly men, who were less likely to receive rides from others. In contrast, women were more often driven by others, especially among nondrivers. Men reported higher bicycle use across driving statuses. Multivariable analyses showed that driving status was strongly associated with essential IADLs, whereas discretionary IADLs were influenced by sex and social support.</p><p><strong>Discussion: </strong>These findings suggest that mobility support for older adults should consider both sex and driving status. Occupational therapists and policymakers should tailor interventions-such as safe bicycle use training and transportation support-to promote equitable community mobility. Supporting meaningful engagement in daily activities is vital for maintaining health, independence, and social participation after driving cessation.</p>","PeriodicalId":49140,"journal":{"name":"Occupational Therapy International","volume":"2026 1","pages":"e6621910"},"PeriodicalIF":2.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13156801/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147864695","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Experiences and Perceptions of Persons With Substance Use Disorders on Aftercare Services in KwaZulu-Natal.","authors":"Gugulethu Dladla, Neha Jivan, Mzwandile Mdletshe, Nokwazi Sizathina Mkhwanazi, Noluthando Pretty Ndlovu, Elizabeth Steynberg, Luther Lebogang Monareng, December Mandlenkosi Mpanza","doi":"10.1155/oti/9598808","DOIUrl":"10.1155/oti/9598808","url":null,"abstract":"<p><strong>Background: </strong>Aftercare is essential in sustaining recovery following substance use treatment, supporting abstinence and reintegration within the family, workplace and community. However, there is a gap between aftercare policy directives and services in South Africa, limiting access for people with substance use disorders (SUDs).</p><p><strong>Methods: </strong>This study employed a qualitative method with an exploratory research design to explore the subjective experiences and perceptions of people with SUDs using semi-structured individual in-depth interviews (n = 8). Data were analysed thematically using Braun and Clarke's six-phase analytic process.</p><p><strong>Findings: </strong>Four themes emerged from the study including the organisation of aftercare services, the role of aftercare services in recovery, enablers and barriers to engagement with aftercare services.</p><p><strong>Conclusion: </strong>People with SUDs regard aftercare services as valuable in strengthening relapse prevention and reintegration to families, work and communities, despite barriers to participation. We recommend that the capacity for aftercare provision be expanded, including over weekends, and that occupational therapists adopt a more central role in the delivery of these services.</p>","PeriodicalId":49140,"journal":{"name":"Occupational Therapy International","volume":"2026 1","pages":"e9598808"},"PeriodicalIF":2.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13343169/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148406669","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}