Occupational Therapy International最新文献

{"title":"A Scoping Review of Occupational Imbalance Among Korean High School Students: Insights Through the PEO Model.","authors":"Ji-Eun Choi, Yu-Jin Jung, Mi-Jin Kwon, Myung-Hwa Lee, Soo-Jin Park, Sun-Joung Leigh An","doi":"10.1155/oti/7917526","DOIUrl":"10.1155/oti/7917526","url":null,"abstract":"<p><strong>Background: </strong>Korean high school students (KHSSs) face immense academic pressures due to the College Scholastic Ability Test (CSAT), a national milestone that determines their future academic and career paths. While extensive societal and governmental support is provided to optimize conditions for examinees, the overwhelming focus on exam preparation disrupts students' daily routines, leading to significant occupational imbalances that adversely affect their physical, mental, and emotional well-being.</p><p><strong>Aim: </strong>This study was aimed at analyzing the factors contributing to occupational imbalance among KHSS using the person-environment-occupation (PEO) model and explore occupational therapy interventions and recommendations to address these challenges.</p><p><strong>Methods: </strong>A scoping review was conducted, synthesizing research published between 2015 and 2024 in Korean and English. Sixteen studies focusing on KHSS were included, retrieved from databases such as KISS, RISS, DBpia, Web of Science, and PubMed.</p><p><strong>Results: </strong>Using the PEO model, two key themes were identified. The first, preparation for the CSAT, includes reliance on after-school private education, nighttime self-study routines, and unhealthy coping mechanisms such as excessive caffeine use and limited leisure. The second, educational and social climate, reflects the influence of Confucian cultural values that emphasize academic achievement and a hypercompetitive environment fostering peer comparison and anxiety. These factors create a misalignment between KHSS' personal needs (person), high-pressure environments (environment), and disrupted daily routines (occupation), resulting in significant physical, emotional, and mental strain.</p><p><strong>Conclusion: </strong>Addressing these imbalances requires systemic policy reforms to reduce academic pressures, alongside occupational therapy interventions such as stress management programs, lifestyle redesign, advocacy, education, and training programs. Collaboration with psychologists for additional counseling is crucial to support emotional well-being. These combined strategies can foster resilience, holistic development, and a healthier balance between academic and personal life.</p>","PeriodicalId":49140,"journal":{"name":"Occupational Therapy International","volume":"2026 1","pages":"e7917526"},"PeriodicalIF":2.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13090154/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147718802","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":"Understanding Factors That Influence the Recruitment and Retention of Male Occupational Therapists in Aotearoa New Zealand.","authors":"Simon Leadley, Patrick Broman, Darren Mills, Daniel Sutton","doi":"10.1155/oti/8701982","DOIUrl":"10.1155/oti/8701982","url":null,"abstract":"<p><p>Low levels of recruitment and retention of men in the occupational therapy profession have been a long-standing issue. This study examined the recruitment and retention of men in occupational therapy in Aotearoa New Zealand, with the aim to better understand what factors have been influencing this issue. The study employed an interpretive descriptive qualitative methodology. Focus groups were conducted with male occupational therapy students and practitioners. A thematic analysis approach was utilised. Strategies to ensure rigour and address cultural and ethical considerations were used throughout study. Two key themes emerged: Identity and Diversity. The first theme, Identity, highlighted limited public awareness about occupational therapy and its altruistic and pragmatic nature. It also drew attention to its perception as a predominantly female and white profession. These factors were identified as barriers to attracting and retaining men. Participants reflected on the transformative potential of occupational therapy, its hands-on approach to problem-solving, and the need for better promotion of the profession to appeal to men. The second theme, Diversity, addressed the lack of gender, ethnic, and cultural representation within occupational therapy. It also highlighted the advantages that greater diversity brings to practice. Participants emphasised that diverse perspectives are crucial for meeting the needs of Aotearoa New Zealand's population. The wide range of roles and career opportunities within occupational therapy were also identified as factors that could encourage more men into the profession.</p>","PeriodicalId":49140,"journal":{"name":"Occupational Therapy International","volume":"2026 1","pages":"e8701982"},"PeriodicalIF":2.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13400705/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148585927","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 Formulation: A Scoping Review of Its Development and Use.","authors":"Lorrae Mynard, Ellie Fossey, Genevieve Pepin, Louise Farnworth","doi":"10.1155/oti/2011857","DOIUrl":"10.1155/oti/2011857","url":null,"abstract":"<p><strong>Introduction: </strong>Occupational formulation offers a way to synthesise assessment information to understand a person's occupational participation and needs. Although increasingly recognised in professional guidelines, there has been limited exploration of its development and application in occupational therapy.</p><p><strong>Methods: </strong>A scoping review was conducted following Arksey and O'Malley's framework and PRISMA-ScR guidelines. Comprehensive searches were undertaken across five databases (AMED, CINAHL, Emcare, PsycInfo and Google Scholar), a global theses repository, and multiple grey literature sources. Inclusion criteria focused on English sources describing the use by occupational therapists of formulation or conceptualisation related to occupational concepts. One hundred and two eligible sources were identified, from which data were extracted, tabulated and synthesised narratively.</p><p><strong>Results: </strong>The reviewed sources spanned 2002-2025, mainly originating from the United Kingdom and United States, and mental health settings. Sources included some evaluations and practice reflections but limited empirical research. Four strands of occupational formulation development were identified: formulation associated with the Model of Human Occupation, descriptions of the occupational therapy practice process, psychological formulation approaches and bespoke occupational approaches. Identified key features of occupational formulation were as follows: its grounding in occupational theory, inclusion within the practice process between assessment and goal development/therapy planning, collaborative emphasis, narrative approach, provision of a structure and being an ongoing process. Reported purposes included synthesising assessment findings, supporting reasoning, supporting shared understanding and therapy planning, enhancing communication and promoting an occupational focus. Benefits for the person, therapeutic relationship, occupational therapist and team were reported.</p><p><strong>Discussion: </strong>Occupational formulation is both a process and a written product that can strengthen occupational therapy practice by linking theory to practice, enhancing reasoning and supporting collaborative care. Definitions are proposed to support consistent use in research and practice.</p><p><strong>Conclusion: </strong>Occupational formulation shows promise for enhancing occupational therapy practice. Further research should evaluate its effectiveness across diverse practice settings and populations.</p>","PeriodicalId":49140,"journal":{"name":"Occupational Therapy International","volume":"2026 1","pages":"e2011857"},"PeriodicalIF":2.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13282183/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148284646","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 in the Intensive Care Unit: A Retrospective Cohort Study.","authors":"So Hyun Jeon, Sung Eun Hyun, Chae Hyeon Lee, Yeong Ae Yang","doi":"10.1155/oti/4043807","DOIUrl":"10.1155/oti/4043807","url":null,"abstract":"<p><strong>Importance: </strong>Determining whether individualized occupational therapy (OT) can be feasibly and safely provided to intensive care unit (ICU) patients is essential.</p><p><strong>Objective: </strong>The aim of this study is to investigate the feasibility and safety of providing individualized OT programs in the ICU based on functional assessment outcomes.</p><p><strong>Design: </strong>This study was designed as a retrospective cohort study.</p><p><strong>Setting: </strong>The study was conducted in the ICU of a tertiary university hospital.</p><p><strong>Participants: </strong>Patients referred for ICU rehabilitation who met predefined ICU OT inclusion and exclusion criteria and initiated ICU OT between February 2021 and December 2023 were included.</p><p><strong>Intervention: </strong>Based on functional evaluation, each patient's individualized OT program was classified into cognitive training, functional and activities of daily living (ADLs) training, or a combination of cognitive training and functional and ADL training.</p><p><strong>Outcomes and measures: </strong>Feasibility was assessed based on eligibility, initiation and interruption rates, time to OT initiation, missed or deferred sessions, and adherence to the intervention framework. Safety was evaluated by whether OT sessions were discontinued or prescriptions were terminated owing to adverse events based on predefined criteria during OT delivery.</p><p><strong>Results: </strong>Among 828 patients referred for ICU rehabilitation, 184 (22%) met eligibility criteria, and 158 patients initiated the ICU OT program. Among these, 55 patients (34.8%) completed all prescribed OT sessions, whereas 103 (65.2%) did not, yielding a program interruption rate of 65.2%. The median time from OT prescription to the first session was 1 day. No sessions were canceled owing to patient refusal, and only one session (0.15%) was deferred because of agitation. Only one adverse event (hypotension) occurred during OT delivery.</p><p><strong>Conclusion and relevance: </strong>Individualized ICU OT can be feasible and safe to be implemented for ICU patients who meet predefined eligibility criteria when interventions are guided by structured functional assessments and clearly defined criteria for treatment discontinuation or termination.</p>","PeriodicalId":49140,"journal":{"name":"Occupational Therapy International","volume":"2026 1","pages":"e4043807"},"PeriodicalIF":2.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13181319/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147965280","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":"Lived Experiences of Occupational Therapy Students From Under-Represented Backgrounds in Professional Educational Programs: A Scoping Review.","authors":"Alesia Ford, Diane L Smith, Tamara Wanklyn, Danielle Hitch","doi":"10.1155/oti/8173486","DOIUrl":"10.1155/oti/8173486","url":null,"abstract":"<p><strong>Objective: </strong>The aim of this scoping review is to describe the experiences of occupational therapy students from diverse backgrounds during professional education. The objective is to identify common facilitators, barriers, or strategies that impact their safety and inclusion in professional education and ultimately the workforce and to highlight any gaps in the literature.</p><p><strong>Introduction: </strong>Occupational therapy lacks diversity in its workforce, which is predominantly White and female in many countries. Increased workforce diversity is a priority for the occupational therapy profession to enhance the provision of culturally competent care and address health inequity and access barriers. Therefore, recruiting and retaining occupational therapy students from diverse backgrounds in a safe and inclusive academic environment is important for the entire profession.</p><p><strong>Methods: </strong>A scoping review of sources exploring the lived experiences of occupational therapy students from one or more diverse backgrounds was undertaken. The sources used qualitative or mixed methods approaches and were published in English since 2014. Databases searched via the EBSCOHost platform included Medline, CINAHL, AMED, Pubmed, SocINDEX, ERIC, and CENTRAL via Cochrane. Citation searching was conducted on included papers using the Connected Papers platform. Articles were screened by two independent researchers by title and abstract, and then by full text, before relevant data were extracted. The initial title search identified 1494 articles from databases and 85 additional sources from citation searching. After applying the inclusion criteria and removing duplicates, 1020 articles were subjected to further screening, and 165 studies were selected for full-text review.</p><p><strong>Results: </strong>The final number of studies included in the scoping review was 24. Thematic analysis identified evidence relating to barriers and facilitators in the systemic and organizational context, departmental and peer supports, and the students' lived experiences of professional programs. Strategies suggested to address these barriers include purposeful mentoring, increased knowledge of the student's culture, and increased accessibility.</p><p><strong>Conclusion: </strong>There has been an increase in the amount of research published regarding diversifying student populations. The experiences of diverse occupational therapy students during professional education are influenced by multiple individual, group, organizational, and systemic factors. More research is needed to evaluate the effectiveness of these strategies.</p>","PeriodicalId":49140,"journal":{"name":"Occupational Therapy International","volume":"2026 1","pages":"e8173486"},"PeriodicalIF":2.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13483094/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148800486","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 People With Long COVID Accessing Rehabilitation Services: A Qualitative Study.","authors":"Daria St-Jean, Stephanie Haynes, Venezia Ficara, Anna Streib, Fatimata Ouédraogo, Anne-Marie Spiridigliozzi, Rosa Minichiello, Debbie Ehrmann Feldman, Barbara Mazer","doi":"10.1155/oti/4676712","DOIUrl":"10.1155/oti/4676712","url":null,"abstract":"<p><strong>Purpose: </strong>Long COVID is associated with a range of physical, cognitive, and/or psychological symptoms that significantly affect daily functioning. These individuals require rehabilitation services to address their limitations. This study explored the experiences of people with long COVID regarding access to and receipt of rehabilitation services.</p><p><strong>Methods: </strong>This qualitative study recruited 12 individuals with long COVID from a population-based survey among the population of Laval (Quebec). Semistructured telephone interviews were conducted, recorded, transcribed verbatim, and analyzed using inductive thematic content analysis. Relevant elements were extracted, coded, and organized into themes/subthemes.</p><p><strong>Results: </strong>Twelve participants (seven females; five males) participated in the study. We identified three main themes, each with subthemes: (1) impact of long COVID on personal and professional life (e.g., professional life, leisure activities, and social life); (2) rehabilitation services (access barriers, perceptions of services received); and (3) psychosocial support (lack or presence of support). Access to rehabilitation services was hampered by several barriers: difficulties obtaining referrals, financial constraints, lack of awareness among health professionals, and service shortages. Participants who accessed rehabilitation services reported satisfaction with care they received and appreciated the multidisciplinary approach.</p><p><strong>Conclusions: </strong>Improving access to rehabilitation services for people with long COVID is essential to support their recovery, as timely and coordinated rehabilitation can facilitate reintegration into daily activities and reduce functional limitations. Strategies to enhance access include increasing health professional awareness, reducing financial and logistical barriers, and expanding service availability.</p>","PeriodicalId":49140,"journal":{"name":"Occupational Therapy International","volume":"2026 1","pages":"e4676712"},"PeriodicalIF":2.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13181215/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147965283","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":"Validity and Reliability of the Turkish Version of the My Family's Accessibility and Community Engagement (MyFACE) Tool.","authors":"Ayşe Göktaş, Esma Özkan, Tuana Harman","doi":"10.1155/oti/9345859","DOIUrl":"https://doi.org/10.1155/oti/9345859","url":null,"abstract":"<p><strong>Background: </strong>Community participation and environmental accessibility are core to inclusive practices for children with disabilities and their families.</p><p><strong>Objective: </strong>The aim was to examine the Turkish validity and reliability of My Family's Accessibility and Community Engagement (MyFACE) Scale. It was conducted with the parents and caregivers of 105 children with disabilities who continue to receive education in special education and rehabilitation centers.</p><p><strong>Methods: </strong>Data was obtained using the Participation Scale (PS), Child and Adolescent Participation Scale (CAPS), and the MyFACE.</p><p><strong>Results: </strong>Cronbach's alpha internal consistency coefficient for total scale was found to be 0.859. Through MRFA performed to determine the number of subdimensions of the MyFACE scale, a unidimensional structure consisting of nine items was obtained. The factor loadings of the items forming the single dimension ranged from 0.584 to 0.865. It was found that the factor loadings of the scale can be classified as ranging from good to excellent. According to the results of the analysis, the χ2 statistic (χ2 = 36.857, p = 0.077), χ2/sd value (0 < 1.418 ≤ 2) and fit indices TLI (0.959), CFI (0.971), GFI (0.921), and RMSEA (0.063) evaluated according to cutoff points in literature showed good fit between the model and the data set. The Cronbach alpha values for these tests were 0.894 and 0.887, respectively. When the scale was readministered to 48 participants after a certain period, the intraclass correlation coefficient (ICC) was found to be 0.980 (ICC = 0.980, p < 0.001).</p><p><strong>Conclusions: </strong>The Turkish version of the MyFACE tool can be used in clinical settings or research alongside any intervention aimed at enhancing children's participation and can help support families' participation in the community.</p>","PeriodicalId":49140,"journal":{"name":"Occupational Therapy International","volume":"2026 1","pages":"e9345859"},"PeriodicalIF":2.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13474160/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148764096","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":"Psychometric Evaluation of the Cross-Culturally Adapted Dutch-Language Version of the Participation and Environment Measure for Children and Youth (PEM-CY).","authors":"Eefje Kern, Barbara Piškur, Sarah Meuser, Rachel Teplicky","doi":"10.1155/oti/5537119","DOIUrl":"10.1155/oti/5537119","url":null,"abstract":"<p><strong>Background: </strong>Participation in meaningful activities is essential for children's development and well-being, making it a key focus of rehabilitation outcomes. The PEM-CY assesses participation frequency, involvement, and environmental support in home, school, and community settings. While it has been validated in several languages, its psychometric properties have not yet been evaluated in the Dutch context.</p><p><strong>Objectives: </strong>Therefore, the aim of our study is to assess the internal consistency, test-retest reliability, and construct validity of the Dutch PEM-CY including its ability to differentiate between children with and without disabilities and to examine associations between environmental supportiveness, participation, and parental satisfaction.</p><p><strong>Methods: </strong>A cross-sectional study involving parents of 161 Dutch children 5-17 years old with and without disabilities was conducted to psychometrically evaluate the Dutch PEM-CY in the Netherlands. Internal consistency was evaluated using Cronbach's alpha, test-retest reliability with intraclass correlation coefficients (ICCs), and construct validity through known-group comparisons and correlations between environmental supportiveness, participation outcomes, and parental desire for change.</p><p><strong>Results: </strong>The Dutch PEM-CY demonstrated acceptable to good internal consistency (α = 0.54-0.68) and good to very good test-retest reliability (ICC = 0.60-0.80). Known-group comparisons revealed significant differences between children with and without disabilities, particularly in involvement and environmental barriers. In addition, higher perceived environmental support was significantly associated with greater involvement and less parental desire for change, but not with participation frequency. These findings support the Dutch PEM-CY's reliability and validity in assessing participation and environmental influences among Dutch children aged 5-17 years old.</p><p><strong>Conclusion: </strong>The Dutch PEM-CY is a reliable and valid instrument for assessing participation and environmental influences among Dutch children aged 5-17 years. Its ability to identify both group differences and associations with environmental support underscores its value for guiding tailored occupational therapy interventions and informing inclusive policy development.</p>","PeriodicalId":49140,"journal":{"name":"Occupational Therapy International","volume":"2026 1","pages":"e5537119"},"PeriodicalIF":2.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13140298/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147488152","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":"An Investigation of Factors Affecting Bowel Movement Hygiene in Autistic Children.","authors":"Nadine Stacey, Beverley Turtle, Jean Daly-Lynn","doi":"10.1155/oti/5464138","DOIUrl":"10.1155/oti/5464138","url":null,"abstract":"<p><p>Bowel movement hygiene is an essential life skill. Autistic children can have difficulties attaining this skill. There is limited research exploring postbowel movement hygiene (PBMH) and autism. This study explores factors of PBMH for autistic children. An online survey was developed, included open and closed questions, and distributed via Facebook groups. It was completed by N = 74 parents. Descriptive statistics and thematic analysis were used to analyze the data. Statistically significant correlations were found between variables related to the sensory and motor aspects of PBMH, scared of sitting on toilet and refusal to engage in PBMH (p ≤ 0.5). Four qualitative themes were identified: toilet paper, difficulties in reaching the bottom, health related factors, and successful strategies used by parents. Future research is needed to strengthen the validity of these findings and produce practice guidelines for occupational therapists working in this area.</p>","PeriodicalId":49140,"journal":{"name":"Occupational Therapy International","volume":"2026 1","pages":"e5464138"},"PeriodicalIF":2.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13140410/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147576134","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":"Digital Cognitive-Motor Occupational Training with QEEG Monitoring in Schizophrenia Rehabilitation: An Exploratory Neurofunctional Study.","authors":"Supalak Khemthong, Maliwan Rueankam, Winai Chatthong","doi":"10.1155/oti/1389594","DOIUrl":"10.1155/oti/1389594","url":null,"abstract":"<p><strong>Introduction: </strong>Current occupational therapy assessments for schizophrenia rely primarily on behavioral observation, with limited access to objective neurofunctional indicators of cognitive-motor engagement. Digital tools combined with neurophysiological monitoring offer new opportunities to address this gap. This study examined a digital cognitive-motor occupational training application paired with quantitative electroencephalography (QEEG) to explore neurofunctional engagement during task performance.</p><p><strong>Methods: </strong>Thirty individuals with schizophrenia completed structured occupational tasks under two conditions: with and without QEEG-based Brain Mapping Performance (BMP). Task engagement was characterized using participant-prioritized daily activities grouped into dopaminergic, serotonergic, oxytocinergic, and endorphin-related behavioral domains, conceptualized as theoretical behavioral associations rather than direct neurochemical measures. QEEG indices included theta relative power, beta relative power, and theta/beta ratio recorded from six frontal and temporal scalp sites.</p><p><strong>Results: </strong>Theta relative power was higher at frontal and central sites (Fz and Cz) during BMP-monitored conditions, reflecting executive and motor planning demands. Beta relative power varied across memory- and emotion-related task phases, indicating task-dependent modulation of cognitive effort. Engagement Intensity Scores were consistently higher in the unmonitored condition, while BMP monitoring was associated with longer task completion times and increased neurofunctional engagement.</p><p><strong>Conclusion: </strong>QEEG-guided occupational task performance reveals distinct, task-dependent neurofunctional patterns in schizophrenia rehabilitation. The integration of digital task-based assessment with neurophysiological monitoring provides exploratory neurofunctional indicators that may support individualized, functionally informed occupational therapy interventions.</p>","PeriodicalId":49140,"journal":{"name":"Occupational Therapy International","volume":"2026 1","pages":"e1389594"},"PeriodicalIF":2.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13140415/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147460759","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}