Occupational Therapy International最新文献

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Best Practices for Supporting Occupational Therapy Students With Disabilities During Clinical Education: Results From a Three-Round Delphi Study. 在临床教育中支持职业治疗学生的最佳实践:来自三轮德尔菲研究的结果。
IF 2.2 4区 医学
Occupational Therapy International Pub Date : 2026-01-01 DOI: 10.1155/oti/6675487
Courtney Gohean, Katie McLaughlin, Aster Harrison
{"title":"Best Practices for Supporting Occupational Therapy Students With Disabilities During Clinical Education: Results From a Three-Round Delphi Study.","authors":"Courtney Gohean, Katie McLaughlin, Aster Harrison","doi":"10.1155/oti/6675487","DOIUrl":"10.1155/oti/6675487","url":null,"abstract":"<p><strong>Introduction: </strong>Disabled occupational therapy students face systemic barriers in clinical education. Although legal mandates require reasonable accommodations, implementation is often inconsistent, and few standardized guidelines exist for fieldwork education. This study is aimed at establishing best practices for supporting occupational therapy and occupational therapy assistant students with disabilities during fieldwork.</p><p><strong>Materials and methods: </strong>A three-round Delphi study was conducted with a panel of 30 experts, including disabled occupational therapy students, disabled occupational therapy practitioners, academic fieldwork coordinators (AFWCs), fieldwork educators (FWEs), disability services staff, and researchers. In Round 1, participants answered open-ended questions about challenges, accommodations, and environmental supports. Responses were analyzed using conventional content analysis. In Rounds 2 and 3, participants rated the importance and feasibility of proposed practices using a 7-point Likert scale. Practices with a median importance score of ≥ 6 and an interquartile range (IQR) < 2 were considered to have reached consensus.</p><p><strong>Results: </strong>Forty-one best practices and 12 suggested available accommodations reached consensus for importance. The best practices were organized into six thematic categories: (1) facilitating communication, collaboration, and transparency; (2) advance planning; (3) normalizing and affirming accommodations; (4) education of key stakeholders; (5) individualized and flexible approaches; and (6) addressing structural barriers and institutional ableism.</p><p><strong>Discussion: </strong>Findings highlight the need for structured, inclusive approaches to disability accommodations in occupational therapy clinical education. Key recommendations include proactive communication, early planning, stakeholder education, and flexible implementation of supports. Many best practices emphasize cultural shifts towards disability affirmation, universal design for learning, and structural change-rather than relying solely on individualized accommodations.</p>","PeriodicalId":49140,"journal":{"name":"Occupational Therapy International","volume":"2026 1","pages":"e6675487"},"PeriodicalIF":2.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13535157/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148876381","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}
引用次数: 0
Occupational Therapy Neurorehabilitation Practice in Middle East and North Africa (MENA): A Scoping Review. 职业治疗神经康复实践在中东和北非(MENA):一个范围审查。
IF 2.2 4区 医学
Occupational Therapy International Pub Date : 2026-01-01 DOI: 10.1155/oti/5266195
Abdulrahman Abdulaziz Abdulrahman Bin-Juwayr, Jacqueline Wesson, Anne Cusick
{"title":"Occupational Therapy Neurorehabilitation Practice in Middle East and North Africa (MENA): A Scoping Review.","authors":"Abdulrahman Abdulaziz Abdulrahman Bin-Juwayr, Jacqueline Wesson, Anne Cusick","doi":"10.1155/oti/5266195","DOIUrl":"10.1155/oti/5266195","url":null,"abstract":"<p><strong>Objective: </strong>This scoping review aims to map published research evidence about occupational therapy (OT) neurorehabilitation practice in the Middle East North Africa (MENA) region. A secondary aim was to identify what, if any, functional cognition assessments were used by occupational therapists (OTs).</p><p><strong>Methods: </strong>Following JBI scoping review guidelines, a structured search was conducted across five databases: CINAHL, Embase, Medline, Scopus and Web of Science, concluding in July 2025. Citation chaining expanded the search. Screening and data extraction were managed using Covidence. Descriptive tables and narrative synthesis summarised findings.</p><p><strong>Results: </strong>Sixty-seven studies met the inclusion criteria. Most (71.6%) were published in the last decade, mostly in high-ranking journals. Iran, Israel and Saudi Arabia accounted for 80.5% of studies, and OTs were first or last authors in 47.7%. Services were mainly hospital based (inpatient 47.7%, outpatient 46%), with 59.7% involving multidisciplinary teams. Stroke dominated diagnoses (64.8%), whereas dementia was the least (1.3%). Intervention effectiveness was addressed in 35.8% of studies, including 16.4% randomised controlled trials. Home visits were rarely used. Sixty-nine standardised assessments were reported, most commonly FIM, FM-UE, BI, COPM, MMSE, MoCA and LOTCA. No home safety assessments were identified. Only two functional cognition tools were identified, with limited evidence of translation or cultural adaptation. Narrative synthesis revealed that OT neurorehabilitation research in MENA is growing. This aligns with the expansion of WFOT-accredited OT programmes in MENA, which has increased research output from university-affiliated OTs.</p><p><strong>Conclusion: </strong>This study revealed an emerging and rapidly expanding evidence base about OT neurorehabilitation in MENA. It highlights the need for more research about OT for conditions other than stroke. It shows that most research evidence is generated by university-affiliated OTs, and more practitioner and practice research could be done, for example, home visits. Research about functional cognition is limited, and further investigation about awareness and use is needed.</p>","PeriodicalId":49140,"journal":{"name":"Occupational Therapy International","volume":"2026 1","pages":"e5266195"},"PeriodicalIF":2.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13191774/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147984163","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}
引用次数: 0
Exploring Competencies That Prepare Occupational Therapy Students for Acute Mental Health Practice: A Document Analysis. 探索职业治疗学生为急性心理健康实践做准备的能力:一项文献分析。
IF 2.2 4区 医学
Occupational Therapy International Pub Date : 2026-01-01 DOI: 10.1155/oti/5063621
Phakeme Z Mkhize, December M Mpanza, Deshini Naidoo
{"title":"Exploring Competencies That Prepare Occupational Therapy Students for Acute Mental Health Practice: A Document Analysis.","authors":"Phakeme Z Mkhize, December M Mpanza, Deshini Naidoo","doi":"10.1155/oti/5063621","DOIUrl":"10.1155/oti/5063621","url":null,"abstract":"<p><p>Occupational therapy graduates in South Africa are increasingly required to practice in acute mental health settings, yet the extent to which current curricula prepare them adequately remains underexplored. This study examined the competencies required for acute mental health occupational therapy practice through a comparative document analysis of four national and international frameworks: the WFOT Minimum Standards (2016), HPCSA Minimum Standards (2024), WHO Recommendations for Occupational Therapy Practice in Mental Health (2024), and WHO mhGAP Intervention Guide (2016), mapped against the University of KwaZulu-Natal (UKZN) exit-level outcomes (2024). Seven core competency domains were identified across the frameworks. The UKZN outcomes demonstrated strong alignment in cultural competence and interdisciplinary collaboration, partial alignment in recovery-oriented practice, assessment skills, therapeutic use of self, and professional resilience, and confirmed gaps in condition-specific knowledge, risk assessment, trauma-informed care, crisis intervention, and transition planning. These findings demonstrate that acute mental health competency preparation cannot be achieved through alignment with any single regulatory document, including the HPCSA framework. This therefore calls for both urgent curriculum reform and strengthening of accreditation standards across all South African occupational therapy programs.</p>","PeriodicalId":49140,"journal":{"name":"Occupational Therapy International","volume":"2026 1","pages":"e5063621"},"PeriodicalIF":2.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13202098/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148018480","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}
引用次数: 0
Examination of the Reliability and Responsiveness of a Japanese Version of the Movement Imagery Questionnaire for Children: Toward Application in Children With Developmental Coordination Disorder. 日文版儿童运动想像问卷的信度和反应性检验:在发展性协调障碍儿童中的应用。
IF 2.2 4区 医学
Occupational Therapy International Pub Date : 2026-01-01 DOI: 10.1155/oti/1095914
Akira Nakashima, Miyu Murata, Honoka Makiyama, Kohei Fukuda, Kyosuke Kawaguchi, Toshio Higashi, Ryoichiro Iwanaga
{"title":"Examination of the Reliability and Responsiveness of a Japanese Version of the Movement Imagery Questionnaire for Children: Toward Application in Children With Developmental Coordination Disorder.","authors":"Akira Nakashima, Miyu Murata, Honoka Makiyama, Kohei Fukuda, Kyosuke Kawaguchi, Toshio Higashi, Ryoichiro Iwanaga","doi":"10.1155/oti/1095914","DOIUrl":"10.1155/oti/1095914","url":null,"abstract":"<p><strong>Objective: </strong>Developmental coordination disorder (DCD) is a neurodevelopmental condition marked by impaired motor coordination despite the absence of an underlying neurological condition affecting movement (e.g., cerebral palsy, muscular dystrophy, and degenerative disorder). Motor imagery training (MIT) has recently gained attention as a rehabilitation approach for children with DCD. Effective implementation of MIT requires accurate assessment of motor imagery (MI) abilities; however, no comprehensive evaluation tool for children exists in Japan. This study is aimed at developing a Japanese version of the Movement Imagery Questionnaire for Children (MIQ-C) and examining its reliability and responsiveness.</p><p><strong>Methods: </strong>Thirty-three children (18 males and 15 females; mean age 10 ± 0.9 years) participated. Internal consistency was assessed using Cronbach's alpha. Test-retest and interrater reliability were examined using intraclass correlation coefficients. Responsiveness was evaluated by examining changes in MIQ-C scores before and after training tasks.</p><p><strong>Results: </strong>The Japanese version of the MIQ-C demonstrated strong internal consistency (Cronbach's α = 0.82). Test-retest and interrater reliability showed moderate to strong agreement. No significant changes were observed in response to specific tasks, supporting appropriate responsiveness.</p><p><strong>Conclusions: </strong>The Japanese version of the MIQ-C is a reliable and valid instrument for assessing MI abilities in Japanese children, providing a useful tool to support the implementation of MIT in clinical and educational settings.</p>","PeriodicalId":49140,"journal":{"name":"Occupational Therapy International","volume":"2026 1","pages":"e1095914"},"PeriodicalIF":2.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13239226/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148145239","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}
引用次数: 0
Factors Influencing the Multicultural Competence of Occupational Therapists in South Korea. 影响韩国职业治疗师多元文化能力的因素
IF 2.2 4区 医学
Occupational Therapy International Pub Date : 2026-01-01 DOI: 10.1155/oti/3677844
Oan Na Lee, Gyeong-A Park
{"title":"Factors Influencing the Multicultural Competence of Occupational Therapists in South Korea.","authors":"Oan Na Lee, Gyeong-A Park","doi":"10.1155/oti/3677844","DOIUrl":"10.1155/oti/3677844","url":null,"abstract":"<p><strong>Purpose: </strong>Multicultural competence is an essential skill for healthcare professionals, particularly in multicultural contexts. It is important to examine the factors that influence multicultural competence among health professionals. This study aimed to investigate the effect of various factors on multicultural competence of occupational therapists in South Korea.</p><p><strong>Methods: </strong>A total of 153 occupational therapists (aged 23-55 years) in South Korea completed a set of self-report questionnaires, including the Scale of Ethnocultural Empathy (SEE), Big Five Inventory (BFI), Rosenberg Self-Esteem scale (RSES), and Cultural Competence Assessment Inventory (CCAI). Data were analyzed using IBM SPSS Statics Version 27.0. To examine the relationships among demographic variables, multicultural empathy, personality traits, self-esteem, and multicultural competence, descriptive statistics, Pearson correlation analysis, and multiple regression analysis were conducted.</p><p><strong>Results: </strong>Openness, multicultural empathy, self-esteem, and English proficiency were significant positive predictors of multicultural competence, explaining 52.8% of its variance. These findings indicate that personal and experiential factors substantially contribute to enhancing multicultural competence among occupational therapists.</p><p><strong>Conclusion: </strong>Training programs aimed at improving multicultural competence should incorporate approaches that enhance occupational therapists' English proficiency, multicultural empathy, openness, and self-esteem. Strengthening these personal and experiential attributes can promote higher levels of multicultural competence and enable occupational therapists to deliver culturally sensitive and effective care in diverse clinical settings.</p>","PeriodicalId":49140,"journal":{"name":"Occupational Therapy International","volume":"2026 1","pages":"e3677844"},"PeriodicalIF":2.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13355288/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148425615","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}
引用次数: 0
"My Sensory Experiences Tool": A Neurodiversity-Affirming Therapeutic Tool to Support the Sensory Challenges and Preferences of Autistic Children and Adults. “我的感官体验工具”:一种神经多样性确认治疗工具,以支持自闭症儿童和成人的感官挑战和偏好。
IF 2.2 4区 医学
Occupational Therapy International Pub Date : 2026-01-01 DOI: 10.1155/oti/4779496
Jill Ashburner, Victoria Tomkins, Cerys Downing, Emily Rietberg, Jessica Hill, Jodie Copley, Natasha Bobir
{"title":"\"My Sensory Experiences Tool\": A Neurodiversity-Affirming Therapeutic Tool to Support the Sensory Challenges and Preferences of Autistic Children and Adults.","authors":"Jill Ashburner, Victoria Tomkins, Cerys Downing, Emily Rietberg, Jessica Hill, Jodie Copley, Natasha Bobir","doi":"10.1155/oti/4779496","DOIUrl":"https://doi.org/10.1155/oti/4779496","url":null,"abstract":"<p><strong>Background: </strong>My Sensory Experiences Tool (MYSET) is a picture-based card-sort tool designed to support conversations with autistic people about their sensory experiences with a view to enabling better understanding and accommodation of their sensory challenges.</p><p><strong>Purpose: </strong>This study aimed firstly to describe MYSET and the considerations that guided the development of the tool, and secondly to explore the perceptions of autistic people, family members and professional practitioners of the usefulness of MYSET and ways it could be improved.</p><p><strong>Method: </strong>We gathered the perspectives of 18 professional practitioners, five autistic individuals and four family members through semi-structured interviews and focus groups. The data was analysed through inductive content analysis.</p><p><strong>Findings: </strong>The participants perceived that MYSET enabled the gathering of individualised qualitative information about the person's sensory experiences. MYSET was also perceived to be accessible, including people ranging in age from 5 years to adulthood and people with abilities ranging from mild intellectual disability to average/high IQ. The tool facilitates conversations about the links between the person's sensory responses and their daily life experiences. A key perceived outcome of MYSET was the enhancement of others' capacity to understand and accommodate the autistic person's sensory challenges. The tool was refined in response to participant feedback.</p><p><strong>Conclusion: </strong>MYSET enables the gathering of detailed, individualised qualitative data on the sensory experiences of an autistic person and the collaborative design of accommodations that are compatible with their lifestyle.</p>","PeriodicalId":49140,"journal":{"name":"Occupational Therapy International","volume":"2026 1","pages":"e4779496"},"PeriodicalIF":2.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148551121","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Performance of Daily Living Activities of Autistic Children With Sensory Processing Difficulties: Caregivers' Perceptions. 有感觉加工困难的自闭症儿童的日常生活活动表现:照顾者的感知。
IF 2.2 4区 医学
Occupational Therapy International Pub Date : 2026-01-01 DOI: 10.1155/oti/5556699
Luiza Salomão Tazinaffo, Bianca Brunelli Wolf, Amanda Mota Pacciulio Sposito
{"title":"Performance of Daily Living Activities of Autistic Children With Sensory Processing Difficulties: Caregivers' Perceptions.","authors":"Luiza Salomão Tazinaffo, Bianca Brunelli Wolf, Amanda Mota Pacciulio Sposito","doi":"10.1155/oti/5556699","DOIUrl":"10.1155/oti/5556699","url":null,"abstract":"<p><strong>Background: </strong>Sensory integration difficulties are common among autistic children and can significantly affect their occupational performance, particularly in activities of daily living (ADLs). Despite the increasing recognition of these challenges, few studies have specifically examined how sensory and praxis difficulties interfere with functional autonomy in daily routines.</p><p><strong>Objective: </strong>This study is aimed at analyzing caregivers' perceptions of sensory processing difficulties and their impact on the performance of autistic children in basic ADLs.</p><p><strong>Methods: </strong>A qualitative, descriptive study was conducted with caregivers of children aged 3-8 years diagnosed with autism spectrum disorder (ASD), recruited from a private pediatric rehabilitation clinic in Brazil. Data were collected through semistructured interviews focusing on children's engagement in and performance of ADLs. Interviews were audio-recorded, transcribed verbatim, and analyzed using thematic content analysis with the support of MAXQDA software to systematically identify and categorize recurring sensory and motor-related difficulties reported by caregivers.</p><p><strong>Results: </strong>Caregivers consistently reported that sensory processing difficulties had a significant negative impact on multiple domains of daily living activities, notably feeding, personal hygiene, dressing, bathing, and toileting, resulting in a restricted active and independent participation. Sensory modulation difficulties, including patterns of hyperresponsiveness and hyporesponsiveness, affected performance across all assessed activities. Sensory discrimination difficulties were particularly evident in dressing and toileting tasks. Praxis-related difficulties were identified in all children and manifested as challenges in ideation, motor planning, and motor execution, which collectively compromised functional performance across daily activities and increased dependence on caregivers during daily routines.</p><p><strong>Conclusions: </strong>Sensory processing difficulties involving modulation, discrimination, and praxis substantially limit functional independence and occupational engagement in children with ASD. These findings highlight the importance of individualized occupational therapy interventions tailored to each child's sensory and motor profile, with the aim of supporting participation, autonomy, and engagement in everyday activities.</p>","PeriodicalId":49140,"journal":{"name":"Occupational Therapy International","volume":"2026 1","pages":"e5556699"},"PeriodicalIF":2.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13140374/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147516167","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}
引用次数: 0
Feasibility of a Home-Based Occupational Positioning Program for Children With Spastic Cerebral Palsy: A Preliminary Study. 痉挛性脑瘫儿童家庭职业定位方案的可行性:初步研究。
IF 2.2 4区 医学
Occupational Therapy International Pub Date : 2026-01-01 DOI: 10.1155/oti/2343887
Meimanat Akbari, Malek Amini, Jamileh Abolghasemi, Akram Azad, Amirhossein Shafizadeh
{"title":"Feasibility of a Home-Based Occupational Positioning Program for Children With Spastic Cerebral Palsy: A Preliminary Study.","authors":"Meimanat Akbari, Malek Amini, Jamileh Abolghasemi, Akram Azad, Amirhossein Shafizadeh","doi":"10.1155/oti/2343887","DOIUrl":"10.1155/oti/2343887","url":null,"abstract":"<p><strong>Purpose: </strong>The primary aim was to assess the feasibility of a home-based occupational positioning program for children with spastic cerebral palsy (SCP), focusing on compliance, dosage, and satisfaction. A secondary aim was to explore its preliminary effectiveness on self-care, mobility, social function, gross motor function, and goal attainment.</p><p><strong>Methods: </strong>This single-group feasibility study, conducted prior to a larger RCT, included five children aged 3.5-6 years with SCP (GMFCS III-IV) without severe intellectual disability, and aimed at assessing feasibility while exploring preliminary effects. The home-based occupational positioning program involved general and customized booklet-based training, two in-home sessions using Goal Attainment Scaling (GAS) to establish the home program, and 12 weekly remote sessions. Feasibility outcomes were assessed by compliance, dosage, and satisfaction, while preliminary effectiveness was evaluated using the PEDI (self-care, mobility, and social function), Gross Motor Function Measure (GMFM-88), and GAS.</p><p><strong>Results: </strong>All participants completed the study without adverse events or attrition. Mean compliance was 96.4% ± 4.93%, average satisfaction was 9.8 ± 0.44 on a 10-point scale, and the average daily program time was 5.35 ± 3.11 h. Significant improvements (p < 0.05) were observed by Wilcoxon signed-rank test in self-care, mobility, and social function, as well as in GMFM-88 and GAS scores.</p><p><strong>Conclusion: </strong>The home-based occupational positioning program showed high feasibility, likely supported by family engagement, collaborative goal setting, real-life implementation, caregiver education, and consistent remote support. Preliminary findings suggested potential benefits for self-care, mobility, social function, gross motor function, and goal attainment.</p><p><strong>Trial registration: </strong>Iranian Registry of Clinical Trials: IRCT20231012059697N1.</p>","PeriodicalId":49140,"journal":{"name":"Occupational Therapy International","volume":"2026 1","pages":"e2343887"},"PeriodicalIF":2.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13420267/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148622248","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}
引用次数: 0
Predictors of Return to Driving in Patients With Acquired Brain Injury: A Systematic Review With Meta-Analysis. 获得性脑损伤患者重返驾驶的预测因素:一项meta分析的系统综述。
IF 2.2 4区 医学
Occupational Therapy International Pub Date : 2026-01-01 DOI: 10.1155/oti/9280995
Sujin Hwang, Chiang-Soon Song
{"title":"Predictors of Return to Driving in Patients With Acquired Brain Injury: A Systematic Review With Meta-Analysis.","authors":"Sujin Hwang, Chiang-Soon Song","doi":"10.1155/oti/9280995","DOIUrl":"10.1155/oti/9280995","url":null,"abstract":"<p><strong>Objectives: </strong>This review aimed to comprehensively synthesise evidence on the therapeutic efficacy of driving rehabilitation for patients with acquired brain injury (ABI) and identify and analyse key predictors of successful return-to-driving.</p><p><strong>Methods: </strong>A comprehensive literature search was conducted using four databases: PubMed, Embase, Web of Science and ProQuest. Eleven studies (four randomised controlled trials and seven cross-sectional studies) were included in the final analysis. Reporting completeness and methodological quality were assessed using PRISMA checklists. A random-effects model was used to calculate the standardised mean differences (SMDs) and odds ratios (ORs).</p><p><strong>Main findings: </strong>A qualitative analysis of cross-sectional studies identified cognitive processing speed, reaction time and functional independence as frequently reported predictors of returning to driving, with a pooled meta-analysis further highlighting lower initial injury severity (higher GCS scores) as a significant predictor of returning to driving. The meta-analysis revealed that simulator- and VR-based training significantly reduced driving errors (SMD = -1.19, 95% confidence interval [CI]: -1.75 to -0.64; p < 0.0001). The intervention significantly increased the likelihood of passing the on-road driving test by approximately 3.37 times (OR = 3.37, 95% CI: 1.36-8.35).</p><p><strong>Conclusion: </strong>The results of this review suggest that simulator-based interventions may positively impact driving performance and current cognitive and functional activities, as well as psychological self-efficacy, and facilitat a successful return to driving in patients with ABI. These findings provide a baseline for developing clinical guidelines for the safe resumption of driving.</p>","PeriodicalId":49140,"journal":{"name":"Occupational Therapy International","volume":"2026 1","pages":"e9280995"},"PeriodicalIF":2.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13250249/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148212994","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}
引用次数: 0
Occupational Performance and Quality of Life in Individuals With Cardiovascular Conditions: A Cross-Sectional Study. 心血管疾病患者的职业表现与生活质量:一项横断面研究。
IF 2.2 4区 医学
Occupational Therapy International Pub Date : 2026-01-01 DOI: 10.1155/oti/4141955
Ala'a Jaber, Raja'a Alzoubi, Sukainah Rawashdeh, Ala'a Oteir, Mohammad Nazzal, Saad Al-Naasan, Noor Ismael
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