Occupational Therapy International最新文献

{"title":"Exploring Challenges: A Qualitative Study on Occupational Therapy in Acute Psychiatric Inpatient Settings.","authors":"Zahra Nobakht, Shokoufeh Ahmadi, Morvarid Ahadi, Ghazaleh Mandani, Mohsen Eslampanah","doi":"10.1155/oti/5521839","DOIUrl":"10.1155/oti/5521839","url":null,"abstract":"<p><strong>Objective: </strong>Occupational therapy plays a crucial role in the rehabilitation and recovery of individuals facing acute psychiatric challenges. However, the practice within acute psychiatric inpatient settings is often fraught with unique challenges that can hinder effective intervention. This qualitative study is aimed at exploring the multifaceted obstacles and challenges that occupational therapists encounter in these environments.</p><p><strong>Method: </strong>This study utilized a qualitative approach with conventional content analysis. A total of 14 participants were involved, comprising active and experienced therapists, individuals currently hospitalized in acute settings, and psychiatrists. After obtaining ethical approval and informed consent, in-depth, unstructured interviews were conducted in accordance with the research objectives. Purposeful sampling and maximum diversity strategies were employed to select and invite participants, who subsequently underwent in-depth, semistructured interviews. The interviews were meticulously recorded and subsequently transcribed. The transcribed texts were subjected to analysis through the inductive qualitative content analysis.</p><p><strong>Results: </strong>The challenges associated with implementing occupational therapy interventions in acute psychiatric inpatient settings were categorized into five main areas: patient engagement, therapist safety concerns, burnout and high work pressure, lack of standard facilities and space, and unawareness of the need for such interventions.</p><p><strong>Discussion: </strong>Considering the various challenges faced by occupational therapists in acute psychiatric inpatient settings, a comprehensive and coordinated approach is essential. Issues such as patient engagement, therapist safety concerns, burnout and high work pressure, lack of standard facilities, and unawareness of the need for such interventions all impact the effectiveness of therapy. Ongoing training and education, coupled with supervision and mentorship, can empower therapists and promote self-care practices to mitigate burnout. Fostering interdisciplinary collaboration, conducting regular meetings to discuss patient progress, and ensuring role clarity among team members are essential to facilitate comprehensive care. Providing adequate facilities and resources, ensuring safe working conditions, and raising awareness about the importance of occupational therapy are crucial.</p>","PeriodicalId":49140,"journal":{"name":"Occupational Therapy International","volume":"2026 1","pages":"e5521839"},"PeriodicalIF":2.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13272631/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148266742","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":"Participation Education Intervention for People With SCI From LMIC: A Pilot Randomized Clinical Trial.","authors":"Moussa Kleib Abumostafa, Nicola Ann Plastow, Maggi Savin-Baden","doi":"10.1155/oti/8774897","DOIUrl":"10.1155/oti/8774897","url":null,"abstract":"<p><strong>Introduction: </strong>Spinal cord injury (SCI) is associated with inequality-related participation restrictions. Participation education has been proposed as an intervention to promote participation in daily occupations. This pilot randomized clinical trial (RCT) evaluates the feasibility and minimal effect of the SADL-eM, a participation educational intervention, on the participation of people with spinal cord injury (PW-SCI) in daily occupations.</p><p><strong>Methods: </strong>A two-arm pilot RCT included 32 PW-SCI from three inpatient rehabilitation settings in the Gaza Strip aged 18-65 years. Eligible cases were randomized equally into two groups. Both groups received standard care. The intervention group also used the SADL-eM during occupational therapy sessions. Participation and adherence were assessed at baseline and after 6 weeks. The Arabic version of the Spinal Cord Independence Measure-Self Reported (SCIM-SR-Ar) was the primary outcome measure.</p><p><strong>Results: </strong>Demographic and injury characteristics were homogenous at baseline (p > 0.05). There was no difference between groups at baseline (p < 0.05). Comparing intervention to standard care, the SADL-eM was insignificant after 6 weeks of intervention (p > 0.05) while the inpatient rehabilitation improved participation in daily occupations (16.06%-17.00%) in the total sample (p ≤ 0.001).</p><p><strong>Conclusion: </strong>There was an improvement in all outcome measures used; however, the SADL-eM did not reach significance. The intended RCT has major barriers, for example, a low recruitment rate. Community settings can be unique for such an RCT.</p><p><strong>Trial registration: </strong>ClinicalTrials.gov identifier: NCT04735887.</p>","PeriodicalId":49140,"journal":{"name":"Occupational Therapy International","volume":"2026 1","pages":"e8774897"},"PeriodicalIF":2.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13191764/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147984166","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":"Implementing Evidence-Based Somatosensory Rehabilitation After Stroke: Reported Practice, Documented Practice, and Barriers.","authors":"Anna Joy, Katherine E Harding, Leeanne M Carey","doi":"10.1155/oti/6622035","DOIUrl":"10.1155/oti/6622035","url":null,"abstract":"<p><strong>Introduction: </strong>Occupational therapists play a key role in assessing and treating somatosensory impairments post stroke including proprioception (limb position sense), touch, and temperature discrimination. Although research evidence and clinical guidelines offer strategies for assessing and treating this condition, there is limited information on how well these strategies are being implemented in routine practice. We aimed to describe the current practice of occupational therapists in somatosensory assessment and treatment of the upper limb of stroke survivors and to understand barriers and enablers to evidence-based care.</p><p><strong>Methods: </strong>This observational study encompassed (1) a cross-sectional survey measuring self-reported use of somatosensory assessment and treatment strategies and perceived barriers to implementation and (2) a medical file audit to report on the use of somatosensory assessment and treatment with stroke patients. Data were analyzed descriptively, with enablers and barriers to evidence use classified using the three domains of the Capability, Opportunity, Motivation-Behavior (COM-B) change model.</p><p><strong>Results: </strong>Of 50 files audited, 26 patients had documented upper limb impairment. Of these, 54% had sensation assessed. Treatment strategies were documented for 7 out of 12 patients with identified impairment. These findings aligned with therapist self-report, indicating that most clinicians used sensory assessment and treatment strategies less than once per month. Therapists reported capability (lack of skills and skill confidence) and opportunity (lack of time and opportunity to practice skills) as barriers to evidence-based practice. Occupational therapists expressed motivation to change and improve their skills in evidence-based sensory assessment and treatment.</p><p><strong>Conclusion: </strong>Our findings highlight ongoing gaps between evidence and practice. Therapists report being motivated to provide evidence-based care but require support to overcome barriers, such as training and access to resources. Medical record audits aligned with survey findings; however, there were differences between reported and documented use and scope of sensory assessment and treatment in practice.</p>","PeriodicalId":49140,"journal":{"name":"Occupational Therapy International","volume":"2026 1","pages":"e6622035"},"PeriodicalIF":2.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13576632/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148971991","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 Group Interventions Within the Area of Time Use and Occupational Balance: A Scoping Review.","authors":"Maria Lönn, Katrin Häggström Westberg, Ann-Caroline Holst, Lena-Karin Erlandsson","doi":"10.1155/oti/9972405","DOIUrl":"10.1155/oti/9972405","url":null,"abstract":"<p><strong>Introduction: </strong>Group interventions are one mode of delivery that supports individuals experiencing challenges related to time management and occupational imbalance in their recovery. However, research on available group interventions, their key components, and how to evaluate their potential effects on time use and occupational balance is scarce.</p><p><strong>Aims/objective: </strong>This study is aimed at contributing to the development of evidence-based occupational therapy interventions by describing research that evaluates group interventions for adults within the scope of time use and occupational balance.</p><p><strong>Materials and methods: </strong>A scoping review was conducted using four databases. Records published between 2014 and 2024 were identified, and data from the identified group interventions were extracted and summarized. The outcomes and instruments in the different articles were categorized according to Wilson and Cleary's conceptual model of patient outcomes.</p><p><strong>Results: </strong>Thirty-one articles describing 13 different group interventions were included. The most commonly addressed measures within the time use and occupational balance domain were value or satisfaction measures (for occupations), performance measures (including aspects such as activity level, performance, and competence), and occupational balance measures.</p><p><strong>Conclusions: </strong>The lack of consensus regarding outcome measures for occupational therapy group interventions highlights the need to clarify and relate key concepts within the domain of time use and occupational balance.</p>","PeriodicalId":49140,"journal":{"name":"Occupational Therapy International","volume":"2026 1","pages":"e9972405"},"PeriodicalIF":2.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13305142/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148333772","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":"Rewiring the Senses: The Impact of Sensory Integration Therapy on Balance and Cognition in Cerebral Palsy.","authors":"Hande Yılmaz, Feyza Şule Badıllı Hantal","doi":"10.1155/oti/3715445","DOIUrl":"10.1155/oti/3715445","url":null,"abstract":"<p><strong>Aim: </strong>The aim of this study was to investigate the effects of sensory integration therapy on balance, functional independence, functional mobility, sensory processing, and cognitive function in children with cerebral palsy.</p><p><strong>Methods: </strong>Twenty-two children with cerebral palsy attending a rehabilitation center participated in the study. Participants were randomly assigned to the study group (two females, nine males; 7.3 ± 1.7 years) and the control group (four females, seven males; 8.3 ± 1.4 years). Sociodemographic data were collected using a structured questionnaire. Balance was assessed with the Pediatric Berg Balance Scale, functional mobility with the Timed Up and Go Test, functional independence with WeeFIM, sensory processing with the Sensory Profile, and cognitive function with Dynamic Occupational Therapy Cognitive Assessment for Children (DOTCA-Ch). Both groups received balance and coordination exercises (1 session/week, 45 minutes), while the study group additionally received individualized sensory integration therapy (1 session/week, 45 min) for 12 weeks.</p><p><strong>Results: </strong>Both groups showed improvement in all measured variables after the intervention. Although both groups demonstrated improvements in Berg Balance Scale and Timed Up and Go Test scores following the intervention, no statistically significant between-group differences were observed (p > 0.05). Significant differences (p < 0.05) were found between groups in WeeFIM, DOTCA-Ch, and specific subscales of the Sensory Profile (sensory seeking, emotional response, inattention, sensory sensitivity, and perceptual fine motor domains).</p><p><strong>Conclusion: </strong>Consistent with the hypothesis, sensory integration therapy combined with balance and coordination exercises was associated with improvements in balance, functional mobility, independence, sensory processing, and cognitive function in children with cerebral palsy. However, these findings should be interpreted cautiously because formal group × time interaction analyses were not performed.</p>","PeriodicalId":49140,"journal":{"name":"Occupational Therapy International","volume":"2026 1","pages":"e3715445"},"PeriodicalIF":2.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13250692/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148213073","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, Validity, and Responsiveness of the Visual Perceptual and Fine Motor Function Tests in School-Aged Children With Mild Intellectual Disabilities.","authors":"Ying-Chun Chou, Yi-Wen Chen, Yee-Pay Wuang","doi":"10.1155/oti/5560931","DOIUrl":"10.1155/oti/5560931","url":null,"abstract":"<p><strong>Introduction: </strong>Deficits in visual perception and fine motor performance are common in school-aged children with mild intellectual disabilities (MID). Assessment tools with sound psychometric properties are essential for occupational therapy practice and research.</p><p><strong>Objectives: </strong>This study examined the reliability (internal consistency and test-retest reliability), criterion validity and responsiveness of three commonly used assessments: the Test of Visual Perceptual Skills, Fourth Edition (TVPS-4), the Jebsen-Taylor Hand Function Test (JTHFT), and the Block and Box Test (BBT) in school-aged children with MID.</p><p><strong>Methods: </strong>A total of 234 children with MID (134 females, age range: 73-144 months) were assessed at three time points: two preintervention assessments within 14 days (T1 and T2), and one postintervention assessment (T3) following a 4-month occupational therapy program.</p><p><strong>Results: </strong>The TVPS-4 total score demonstrated excellent reliability and good criterion validity. The minimum detectable change (MDC) was 13.89 and the minimal clinically important difference (MCID) was 19.97. The JTHFT showed excellent reliability and criterion validity for both hands. The MDC was 3.66 and 4.67 s for dominant and nondominant hands; the MCID was 8.55 and 6.98 s, respectively. In contrast, the BBT exhibited only fair test-retest reliability and weak validity and responsiveness.</p><p><strong>Conclusions: </strong>The TVPS-4 and JTHFT demonstrated adequate reliability, validity, and responsiveness at both the group and individual levels, supporting their clinical utility for evaluating intervention outcomes and monitoring meaningful changes in visual-perceptual and hand function among school-aged children with MID. This study was approved by the Institutional Review Board of Kaohsiung Medical University Hospital (KMUHIRB-SV(II)-20190087).</p><p><strong>Trial registration: </strong>ClinicalTrials.gov: NCT05451238.</p>","PeriodicalId":49140,"journal":{"name":"Occupational Therapy International","volume":"2026 1","pages":"e5560931"},"PeriodicalIF":2.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13139618/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147845100","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 Interprofessional Collaboration Among Spanish Optometrists and Occupational Therapists: A Cross-Sectional Study.","authors":"María José López-de-la-Fuente, Víctor Berdejo, Laura Gonzalo-Ciria, Carmen Bilbao, Carmen López-de-la-Fuente","doi":"10.1155/oti/7088426","DOIUrl":"10.1155/oti/7088426","url":null,"abstract":"<p><strong>Introduction: </strong>Interprofessional collaboration (IPC) between optometrists and occupational therapists is key to optimising care for people with visual and functional difficulties. This study examines the experiences and perceptions of IPC among both disciplines in Spain, identifies factors shaping collaboration and compares actual collaborative practice with perceived IPC priorities.</p><p><strong>Methods: </strong>A cross-sectional study was conducted using an online survey. Participants, 138 optometrists and 148 occupational therapists, were categorised into two groups: those with prior collaborative experience (G1 = 92) and those without (G2 = 194). The survey included sociodemographic data, practice fields and perceptions of IPC. Drawing on D'Amour's model, the dimensions of shared goals and vision, internalisation, formalisation and governance-and their related indicators-were analysed. Quantitative data were examined using descriptive statistics, chi-square tests, Fisher's exact tests, Mann-Whitney U tests and Kruskal-Wallis tests. Open-ended responses were analysed descriptively.</p><p><strong>Results: </strong>Only 32.2% of participants reported prior IPC experience, and collaboration was more frequent in paediatric and private settings. Many G2 professionals indicated serving clients with low vision or acquired brain injury without collaborating, highlighting missed opportunities. G1 participants reported a positive impact on practice and professional learning and scored highly in internalisation, indicating trust and mutual understanding. Nevertheless, gaps persisted in shared goals, formalisation and governance. Occupational therapists reported a more client-centred approach than optometrists and perceived some role-boundary barriers. Limited role awareness and uncertainty about referral pathways were expressed by G2. Both groups noted a need for targeted training to support IPC.</p><p><strong>Conclusions: </strong>IPC between optometrists and occupational therapists in Spain is currently limited and mainly informal. Prior collaborative experience was associated with greater trust and clearer role understanding. Interprofessional education, clear referral pathways and organisational support are essential to strengthen IPC and ensure client-centred, comprehensive care for individuals with visual impairment.</p>","PeriodicalId":49140,"journal":{"name":"Occupational Therapy International","volume":"2026 1","pages":"e7088426"},"PeriodicalIF":2.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13458022/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148708232","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":"Nurturing Opportunities: Assessing the Challenges and Engagement of Young Persons With Disabilities in Ghana's Agribusiness Sector.","authors":"Dan F Acquaye, Juliana Asante-Dartey, Abraham Sarfo, Georgina Ama Gyan, Sylvester Kyei-Gyamfi, Nii Wellington, Frank Kyei-Arthur","doi":"10.1155/oti/2851812","DOIUrl":"10.1155/oti/2851812","url":null,"abstract":"<p><p>This study investigates the engagement of young persons with disabilities (YPWDs) in agribusiness in Ghana, where participation remains limited despite commitments to inclusive development. Using a mixed-methods design, the research incorporates quantitative survey data from 169 respondents (97 females and 72 males) and qualitative insights from in-depth interviews and focus group discussions. The findings revealed that 52.8% of currently employed YPWDs were engaged in agribusiness. These were primarily older female youth with limited formal education. Participants identified seven barriers: physical inaccessibility, stigma and discrimination, lack of land, lack of financial support, limited training opportunities, inadequate knowledge, and general disinterest in the sector. Guided by inclusive capability theory (ICT), the analysis shows how social norms, institutional gaps, and environmental factors restrict YPWDs' ability to transform interest into meaningful agricultural participation. While the findings align with global evidence on youth disengagement from agriculture, this study emphasizes the intersection of disability and age-related marginalization. It argues that addressing exclusion in agribusiness requires capability-enhancing approaches, including inclusive infrastructure, disability-responsive financing, adapted extension services, and sustained public awareness. Such measures are vital for promoting social equity and strengthening national agricultural productivity while advancing sustainable development goals.</p>","PeriodicalId":49140,"journal":{"name":"Occupational Therapy International","volume":"2026 1","pages":"e2851812"},"PeriodicalIF":2.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13375445/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148473925","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":"Critical Reflection on the Use in Canada of the Canadian Model of Occupational Performance and Engagement.","authors":"Annie Rochette","doi":"10.1155/oti/1400316","DOIUrl":"10.1155/oti/1400316","url":null,"abstract":"<p><strong>Background: </strong>Through the teaching of the Canadian Model of Occupational Performance and Engagement (CMOP-E), a number of repeated challenges were witnessed. The purpose was to critically reflect, through dialogue, on potential additions to align with societal evolution.</p><p><strong>Process: </strong>The application of the CMOP-E was discussed with occupational therapy students for over more than 20 years of teaching at both the undergraduate level and the professional master's level in occupational therapy. Three key issues repeatedly emerged and triggered an in-depth reflection. The content of this reflection was discussed with a variety of senior academics holding expertise in the CMOP-E.</p><p><strong>Key issues: </strong>Arguments supporting the idea that it would be of value to make explicit the concept of \"identity\" within the spirituality dimension are proposed. The environment should be considered at three levels: micro, meso, and macro levels, and a reflection is presented on the space that should be allowed for \"virtual\" as another category of environment. Lastly, \"relationships\" should be explicitly considered as a domain of occupation and not as an affective state or the social environment.</p><p><strong>Implications: </strong>Making these three \"additions\" to the description of the model will help to clarify how the CMOP-E can be used in contemporary practice.</p>","PeriodicalId":49140,"journal":{"name":"Occupational Therapy International","volume":"2026 1","pages":"e1400316"},"PeriodicalIF":2.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13273834/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148266781","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":"Factors Influencing Engagement in Work-Related Activities Among People With Dementia or Mild Cognitive Impairment: A Cross-Sectional Study.","authors":"Erika Kamo, Yuma Sonoda, Takuma Yuri, Kayano Yotsumoto, Hisatomo Kowa","doi":"10.1155/oti/5966517","DOIUrl":"10.1155/oti/5966517","url":null,"abstract":"<p><strong>Introduction: </strong>People with dementia or mild cognitive impairment (MCI) desire social connection and meaningful contribution, despite often being excluded from work-related activities. The impact of engagement in work-related activities on the mental well-being of people with dementia or MCI remains underexplored.</p><p><strong>Objective: </strong>The aim of this study is to investigate the factors influencing engagement in work-related activities among people with dementia or MCI.</p><p><strong>Design: </strong>Cross-sectional study.</p><p><strong>Setting: </strong>Seven-day care centers in Japan.</p><p><strong>Participants: </strong>Sixty-three day care center members with dementia or MCI who had participated in work-related activities for at least 6 months.</p><p><strong>Measures: </strong>Well-being assessed by the World Health Organization-Five Well-Being Index (WHO-5); engagement evaluated by the Assessment of Quality of Activities (A-QOA), an occupational therapists-developed observational assessment tool; and confounders of engagement.</p><p><strong>Results: </strong>Among the 63 participants (age: median: 83 years, interquartile range [IQR]: 61, 94; Mini-Mental State Examination-Japanese score: median: 19 points, IQR: 4, 27), 74.6% were female. A significant correlation was observed between the WHO-5 and A-QOA (ρ = 0.433, p < 0.001). Stepwise multiple regression analysis revealed a significant association between the A-QOA and WHO-5 (β = 0.480, p < 0.001), frequency of participation (β = 0.337, p = 0.003), and hearing loss-related social limitations (β = 0.286, p = 0.01).</p><p><strong>Conclusion: </strong>Greater engagement in work-related activities was associated with better well-being, higher frequency of participation, and hearing loss-related social limitations. Implementation of and support for personalized work-related activities, considering these factors for people with dementia or MCI, could enhance their engagement and promote their mental well-being.</p>","PeriodicalId":49140,"journal":{"name":"Occupational Therapy International","volume":"2026 1","pages":"e5966517"},"PeriodicalIF":2.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13090680/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147717500","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}