Occupational Therapy International最新文献

{"title":"Exploring Vocational Training Interventions for Adults With Autism Spectrum Disorders: A Scoping Review.","authors":"Haura Alia Herlitasari, Dini Fajariani, Reiko Miyamoto","doi":"10.1155/oti/7704446","DOIUrl":"10.1155/oti/7704446","url":null,"abstract":"<p><p>Adults with autism spectrum disorder (ASD) continue to face substantial barriers to obtaining and sustaining employment, including challenges related to social communication, understanding workplace expectations, and navigating job interviews, which contribute to underemployment and reduced quality of life. This scoping review mapped the contemporary evidence (2015-2025) on vocational training and employment-related interventions for autistic adults, with particular attention to intervention types, strengths/limitations, professional roles, and contextual factors shaping implementation. Following the Arksey and O'Malley framework and PRISMA reporting guidance, we searched PubMed, MEDLINE and Web of Science in two stages (June 2024; updated November 2025), combining ASD terms with vocational rehabilitation/employment and training terms. Records were deduplicated and screened in Rayyan using predefined eligibility criteria (adults ≥ 18 years with ASD; English-language empirical studies of vocational training interventions). The search identified 1117 records; after removing 434 duplicates, 683 records underwent title/abstract screening, 191 full texts were assessed, and 26 studies were included. Most studies were published from 2019 to 2025 (73.1%) and conducted in the United States (53.8%), followed by Japan (15.4%) and Australia (11.5%). Primary investigators most often represented psychology/psychiatry/clinical sciences (38.5%). Interventions were commonly delivered in workplace/community settings (57.7%), with highly variable dose: Among studies reporting calendar duration, the median was 23.0 weeks (range: 0.71-312), and among those reporting contact hours, the median was 32.0 h (range: 2-900). Qualitative synthesis identified three recurring themes: (1) integrated supported employment and work-based learning pathways (e.g., internship-to-employment models, customized employment, and IPS-informed approaches), (2) targeted work-readiness and discrete skill acquisition interventions (notably job interview and workplace social communication training, including technology-mediated formats), and (3) implementation context, stakeholder perspectives, and sustainability considerations. Overall, the evidence base is expanding but remains heterogeneous in intervention reporting and outcome measurement, underscoring the need for clearer specification of intervention components, professional roles, and occupationally meaningful outcomes.</p>","PeriodicalId":49140,"journal":{"name":"Occupational Therapy International","volume":"2026 1","pages":"e7704446"},"PeriodicalIF":2.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13053649/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147629267","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":"Fundamental Motor Skills in Children With Specific Learning Disorder.","authors":"Ming-Chih Sung, Chien-Yu Pan, Wen-Fan Chen, Chia-Liang Tsai, Ting-Yi Lu, Chu-Yang Huang","doi":"10.1155/oti/2230534","DOIUrl":"10.1155/oti/2230534","url":null,"abstract":"<p><strong>Background and purpose: </strong>This study investigated fundamental motor skills in children with specific learning disorder (SLD) compared with their typically developing (TD) peers, focusing on individual skill mastery and performance patterns across diagnostic subtypes.</p><p><strong>Methods: </strong>A total of 90 children (45 SLD and 45 TD) aged 8-11 years participated. Fundamental motor skills were assessed using the process-oriented Test of Gross Motor Development-2 (TGMD-2).</p><p><strong>Results: </strong>Results demonstrated that children with SLD exhibited significantly lower motor skills proficiency than TD peers, with significantly lower scores found across most locomotor (running, galloping, hopping, jumping, and sliding) and object control (batting, catching, throwing, and rolling) skills. The SLD group was significantly less likely to demonstrate mature movement patterns in 9 out of 12 skills, and the majority of children with SLD were categorized in the \"Poor\" or \"Below average\" performance ranges, underscoring a critical qualitative deficit in motor execution. However, no significant differences in gross motor performance were observed among the SLD subtypes (dyslexia, dyscalculia, dysorthographia, and mixed).</p><p><strong>Conclusion: </strong>These findings highlight a pervasive fundamental motor skills deficit that warrants routine motor assessment for children with SLD to inform targeted, process-oriented interventions aimed at mitigating long-term developmental risks.</p>","PeriodicalId":49140,"journal":{"name":"Occupational Therapy International","volume":"2026 1","pages":"e2230534"},"PeriodicalIF":2.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13244066/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148200830","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":"Rasch Validation of the FRTVMI in Arab Adolescents: Cultural and Gender Considerations in Visual-Motor Assessment.","authors":"Ehab Mohamed Naguib Omara, Amthal H Al-Huwailah, Mahmoud Mohamed Emam, Atef Mosaad Elsherbiny, Asma A Al-Attiyah, Ali Mahdi Kazem, Al-Ghaliya Harith Sulaiman Al Hinai","doi":"10.1155/oti/8417993","DOIUrl":"10.1155/oti/8417993","url":null,"abstract":"<p><p>This study examined the construct validity of the Full Range Test of Visual-Motor Integration (FRTVMI) among adolescents aged 11-16 years in Oman, Qatar, and Kuwait using the Rasch measurement model. A total of 2464 students were selected through cluster random sampling to ensure national representation. Rasch analysis evaluated the unidimensionality, item fit, local independence, scalability, and reliability of the test. Results indicated strong evidence of unidimensionality, high item reliability, and satisfactory person reliability across samples. However, notable discrepancies in item difficulty ordering emerged between countries and relative to the original test manual, suggesting cultural and educational influences on item performance. Differential item functioning (DIF) analysis identified several gender-biased items-most prominently in the Kuwaiti sample-raising concerns about test fairness. While the FRTVMI demonstrates strong psychometric properties, the findings highlight the need for culturally responsive adaptations and further research to enhance its validity and equity across diverse populations in the Gulf region.</p>","PeriodicalId":49140,"journal":{"name":"Occupational Therapy International","volume":"2026 1","pages":"e8417993"},"PeriodicalIF":2.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13092505/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147724478","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":"The Psychometric Properties of the Cone Evasion Walk Test in Patients With Knee Osteoarthritis.","authors":"Kevser Sevik Kacmaz, Bayram Unver, Vasfi Karatosun","doi":"10.1155/oti/3339937","DOIUrl":"10.1155/oti/3339937","url":null,"abstract":"<p><strong>Background: </strong>Knee osteoarthritis can impair mobility, gait, and balance and increase the risk of falls. The Cone Evasion Walk Test (CEW) is a comprehensive test that evaluates mobility, dynamic balance, and fall risk by assessing the ability to walk and turn in all directions while evading obstacles. It incorporates cognitive, sensory, visual, and various neuromusculoskeletal functions. This study was aimed at estimating the validity, reliability, and feasibility of the CEW in patients with knee osteoarthritis.</p><p><strong>Methods: </strong>Thirty-six patients with knee osteoarthritis underwent two CEW trials on the same day. The Timed Up and Go Test and the Western Ontario and McMaster Universities Arthritis Index (WOMAC) were used. The intraclass correlation coefficient (ICC 2,1), standard error of measurement (SEM95), and smallest detectable change (SDC95) were calculated to assess reliability and measurement precision. Spearman's correlations determined concurrent validity. The feasibility of the CEW was assessed based on completion rate, adherence, acceptability, practicality, and adverse effects.</p><p><strong>Results: </strong>The CEW demonstrated almost perfect within-day (intrasession) reliability and moderate concurrent validity (r = 0.58 [95% CI: 0.317, 0.766], p < 0.001). The ICC (2,1), SEM95, and SDC95 for the CEW were 0.97 (0.87-0.99), 0.73 (0.59-0.95), and 2.02 (1.63-2.63), respectively, with 95% CI. The CEW was also found to be highly feasible.</p><p><strong>Conclusion and implications of key findings: </strong>The findings support the use of the CEW to assess patients with knee OA. Our analysis revealed within-day (intrasession) reliability, moderate concurrent validity, and high feasibility of the CEW. Given its convenience, short administration time, and minimal space and equipment requirements, the CEW may be used by occupational therapists as a complementary performance-based measure within a broader occupation-centered assessment to identify mobility-related safety barriers and monitor interventions aimed at supporting participation in daily activities and community mobility.</p>","PeriodicalId":49140,"journal":{"name":"Occupational Therapy International","volume":"2026 1","pages":"e3339937"},"PeriodicalIF":2.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13359115/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148431362","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":"Integrative Health and Wellness Coaching in Occupational Therapy-A Scoping Review.","authors":"Alyssa M Smith, Kelli Kauffroath, Karen Westervelt, Victoria Priganc","doi":"10.1155/oti/5937689","DOIUrl":"10.1155/oti/5937689","url":null,"abstract":"<p><strong>Background: </strong>Integrative health and wellness coaching (HWC) is an emerging evidence-based profession that promotes healthy behavioral change to reduce lifestyle disease risk factors. This scoping review identifies parallels between occupational therapy and HWC.</p><p><strong>Purpose: </strong>The purpose of this study is to examine the following question: Are HWC practices already being implemented in occupational therapy, and if so, how?</p><p><strong>Data sources: </strong>Searches were conducted for peer-reviewed articles published from 2013 to 2025.</p><p><strong>Study selection and data collection: </strong>Inclusion criteria included articles published in English and the use of health promotion interventions by occupational therapists or an interprofessional team of healthcare providers including occupational therapists.</p><p><strong>Findings: </strong>Twenty-five articles fit the inclusion criteria. This includes qualitative and quantitative studies highlighting occupational therapists using HWC skills and strategies within their health promotion interventions. Multiple lifestyle disease risk factors were targeted through healthy behavior changes including increasing physical exercise, education regarding nutrition, and goal setting. These health-promoting interventions were provided across a spectrum of diagnoses and clinical settings.</p><p><strong>Conclusions: </strong>Results demonstrated a connection between HWC and the holistic and health-promoting practices of occupational therapy. This review adds important evidence to the literature supporting the use of HWC skills in occupational therapy practice.</p>","PeriodicalId":49140,"journal":{"name":"Occupational Therapy International","volume":"2026 1","pages":"e5937689"},"PeriodicalIF":2.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13106873/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147786761","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":"Occupational Therapy Referral Pathways for Upper Limb Conditions in Tygerberg, South Africa: Stakeholder Perspectives.","authors":"Truwin Appel, Hilletje de Villiers, Buhlebethu Fihlani, Cherise Reyneke, Khanyisa Tshalala, Susan de Klerk","doi":"10.1155/oti/5528214","DOIUrl":"10.1155/oti/5528214","url":null,"abstract":"<p><p>Effective referral pathways to occupational therapy are essential for continuity of care and recovery following upper limb injury or condition. Although challenges within South Africa's public healthcare referral systems are recognised, patients' experiences remain underexplored. This study explored patients' experiences of occupational therapy referral pathways within the Tygerberg substructure and identified factors influencing access to care. A qualitative descriptive design was used, with semistructured interviews conducted with seven purposively sampled participants. Data were analysed thematically using Braun and Clarke's framework. Three themes emerged: challenges in healthcare accessibility and referral processes; environmental, administrative and communication barriers affecting access to occupational therapy; and factors facilitating access and positive rehabilitation experiences. Findings highlighted the influence of health literacy, communication, transport, distance, community safety and referral delays on access to services. Despite these barriers, participants reported positive perceptions of occupational therapy and its outcomes. The findings emphasise the need for patient-centred referral pathways, improved patient education and enhanced communication within public healthcare rehabilitation services.</p>","PeriodicalId":49140,"journal":{"name":"Occupational Therapy International","volume":"2026 1","pages":"e5528214"},"PeriodicalIF":2.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13639392/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149117332","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":"Impact of Caregiver Burden and Care Recipients' Activities of Daily Living Abilities on Caregivers' Occupational Dysfunction.","authors":"Keisuke Fujii, Kyosuke Yorozuya, Shumpei Kagayama, Takuya Onaka, Sachiko Miyazaki, Kento Noritake, Yuki Fukumoto","doi":"10.1155/oti/1257069","DOIUrl":"10.1155/oti/1257069","url":null,"abstract":"<p><strong>Introduction: </strong>Caregiver stress is primarily caused by family and social life disruptions that limit the caregivers' abilities to engage in meaningful activities, leading to occupational dysfunction. We are aimed at determining the proportion of occupational dysfunction among primary caregivers, its association with caregiver burden, and examining the effects of caregiver burden and care recipients' activities of daily living (ADL) abilities on primary caregivers' occupational dysfunction.</p><p><strong>Methods: </strong>A cross-sectional, facility-based survey was used to investigate the proportion of occupational dysfunction among primary caregivers and its association with caregiver burden. A path analysis was conducted to assess the impact of caregiver burden and care recipients' ADL on occupational dysfunction among primary caregivers. This study included 75 daycare rehabilitation user/primary caregiver pairs. Occupational dysfunction, caregiver burden, and ADL were assessed using the Classification and Assessment of Occupational Dysfunction scale, Zarit burden interview (Japanese version), and the Barthel index, respectively. The impact of caregiver burden and care recipients' ADL on primary caregivers' occupational dysfunction was assessed using correlation and path analyses.</p><p><strong>Results: </strong>The mean age of the primary caregivers and care recipients was 65.2 ± 9.8 years (72.0% were female) and 82.4 ± 7.1 years (48.0% being female), respectively, and 45.3% of the caregivers exhibited occupational dysfunction. Path analysis indicated that a decline in the care recipients' ADL was associated with an increased caregiver burden and subsequently related to higher occupational dysfunction. The model fit indices were as follows: χ² (df = 1) = 0.010, p = 0.091, GFI = 1.000, AGFI = 0.999, CFI = 1.000, and RMSEA = 0.000.</p><p><strong>Conclusions: </strong>Lower ADL abilities among care recipients were associated with higher caregiver burden and greater occupational dysfunction among primary caregivers. These findings indicate that interventions aimed at reducing caregiver burden and addressing caregiver support needs warrant further investigation.</p>","PeriodicalId":49140,"journal":{"name":"Occupational Therapy International","volume":"2026 1","pages":"e1257069"},"PeriodicalIF":2.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13162228/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147876228","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 of Teachers and Occupational Therapists in Identifying Activity Problems Among Primary School Students With Developmental Difficulties in Indonesia: A Focus Group Interview.","authors":"Putri Ashari, Cahya Ramadani Renhoran, Dwi Ayu Nur Komariyah, Yu Ishibashi","doi":"10.1155/oti/4812427","DOIUrl":"10.1155/oti/4812427","url":null,"abstract":"<p><strong>Background: </strong>An interprofessional approach integrating the perspectives of teachers and school-based occupational therapists is crucial for identifying and addressing complex activity problems among students with developmental difficulties. Nonetheless, the process through which professionals jointly perceive and describe these problems remains underexplored in Indonesia.</p><p><strong>Objective: </strong>This study is aimed at describing the experiences of Indonesian teachers and occupational therapists in identifying activity problems among primary school students with developmental difficulties.</p><p><strong>Methods: </strong>This descriptive qualitative study included 15 participants (seven teachers, one assistant teacher, and seven occupational therapists) who were purposively sampled and invited to participate in four online focus group interviews. Data were analyzed using inductive content analysis supported by member checking, peer debriefing, and an audit trail to ensure trustworthiness.</p><p><strong>Results: </strong>Two primary descriptive themes were identified as follows: (i) \"holistic approaches to the management of student activity problems\" and (ii) \"students' functional participation challenges at school.\" The participants perceived those restrictions on students' participation in expected activities resulted from the dynamic interplay between student capacities and contextual environmental constraints.</p><p><strong>Conclusions: </strong>These findings underscore the value of integrating diverse professional perspectives to capture the complex, transactional nature of students' functional participation challenges in educational environments. School-based occupational therapy practices should adopt holistic, collaborative approaches that empower school personnel and align with each school's context. Further studies are necessary to develop contextually relevant assessments, protocols, and support programs addressing participation restrictions in Indonesian school settings.</p>","PeriodicalId":49140,"journal":{"name":"Occupational Therapy International","volume":"2026 1","pages":"e4812427"},"PeriodicalIF":2.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13411136/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148609494","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":"Reliability of Ultrasound Muscle Assessment in People With Critical Illness Performed by Occupational Therapy Students and Occupational Therapists.","authors":"Felipe Douglas Silva Barbosa, Raquel Pereira de Santana, Maria Isabel Souza Matos, Alana Rios Garcia Santos","doi":"10.1155/oti/5525893","DOIUrl":"10.1155/oti/5525893","url":null,"abstract":"<p><p>The use of ultrasound as an assessment tool by occupational therapists in the context of intensive care can support the clinical reasoning in identifying the impacts of musculoskeletal alterations on the ability to perform activities of daily living and other meaningful occupations. However, ultrasonography is not part of the core curriculum in occupational therapy education, and the knowledge and technical requirements necessary for its use by these professionals remain unclear. Therefore, the aim of this study was to analyze the intraexaminer and interexaminer reliability of ultrasound muscle assessment among occupational therapy students and occupational therapists after the completion of a standardized training program. Data collection included 8 h of examiner training and image acquisition. Three examiners were trained by an occupational therapist experienced in muscle assessment using ultrasound, including two occupational therapy undergraduate students and one occupational therapist. Each examiner performed two assessments of each muscle group, without knowing the results of their own evaluations or those of the other examiners. Participants were recruited by convenience, including adults and older people who were admitted to the intensive care unit. The sample size of this study was seven participants. For descriptive analyses, categorical variables were expressed in absolute and relative frequency. Continuous variables were presented as median and interquartile range or as mean and standard deviation. For the interobserver and intraobserver reliability analyses, the values of the intraclass correlation coefficient were performed. A total of 280 US images were analyzed. In regards to inter-examiner reliability, excellent results were found for all muscle groups (ICC: 0.785-0.986). For the intraexaminer reliability, excellent results were found in the majority of analyzes performed (ICC: 0.779-0.997), with two exceptions. Occupational therapy students and occupational therapists demonstrated excellent reliability in the ultrasound assessment of muscle thickness. These findings may support the clinical reasoning of occupational therapists to improve outcomes in occupational performance and participation of critically ill survivors.</p>","PeriodicalId":49140,"journal":{"name":"Occupational Therapy International","volume":"2026 1","pages":"e5525893"},"PeriodicalIF":2.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13140163/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147482210","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":"Outcome Measures of Fatigue in Adults With Cancer Receiving Radiation Therapy: A Scoping Review.","authors":"Courtney Apostol, Danielle Hitch","doi":"10.1155/oti/7068284","DOIUrl":"10.1155/oti/7068284","url":null,"abstract":"<p><p>Cancer-related fatigue (CRF) is a debilitating symptom experienced by many people undergoing radiation therapy, significantly impacting daily functioning and quality of life. Occupational therapists play a vital role in managing CRF, yet the lack of standardised outcome measures tailored to occupational therapy practice hinders effective assessment and intervention. This scoping review is aimed at identifying and mapping validated fatigue outcome measures suitable for outpatient radiotherapy settings and discussing their relevance to occupational therapy. Following the Arksey and O'Malley framework, a comprehensive search was conducted across MEDLINE, CINAHL, Embase, and PubMed, identifying 445 records. After screening, 12 studies published between 2010 and 2022 from seven countries were included. Breast, head and neck and prostate cancers were commonly studied, most often using prospective cohort designs. Most studies used multidimensional, self-reported outcome measures, administered at multiple times throughout radiotherapy and at follow-up. While these measures assessed physical, emotional and cognitive fatigue, few addressed activity or participation in daily life. The findings highlight a gap in outcome measures that comprehensively evaluate activity and participation. This gap limits their utility in tailoring interventions or demonstrating the impact of occupational therapy. This review underscores the need for developing or adapting CRF outcome measures that better align with occupational therapy goals to enhance clinical decision-making and research in outpatient radiotherapy settings.</p>","PeriodicalId":49140,"journal":{"name":"Occupational Therapy International","volume":"2026 1","pages":"e7068284"},"PeriodicalIF":2.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13239399/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148145158","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}