Scandinavian Journal of Occupational Therapy最新文献

{"title":"Tactics and Strategies Operating in Everyday Life Among Women with Experiences of Forced Migration.","authors":"Sarah Scheer, Eric Asaba, Thomas Buerk, Manuel Guerrero, Margarita Mondaca","doi":"10.1007/s44474-026-00011-5","DOIUrl":"10.1007/s44474-026-00011-5","url":null,"abstract":"<p><p>Nearly half of those who experience forced migration worldwide are women. These women often experience disempowerment and face distinct challenges in building their daily lives and participating in society. Factors such as gender, education, economic resources, age, and status intersect to shape their experiences. In this paper intersectionality and an occupational perspective on everyday life are used to analyse participation of women with forced migration experiences (WFMEs). A tactic-strategy continuum was applied to explore challenges and power dynamics in urban everyday lives among participants, focusing on how intersectionality shapes their engagement in new communities. Qualitative interviews were conducted in Sweden and Germany and analysed using reflexive thematic analysis. The findings are presented as four main themes highlighting experiences of intersectional power dynamics. Women employed tactics to move from uncertainty towards hope, which is illustrated through both disruptions and ongoing risks of precariousness, as well as the use of everyday occupations, such as bicycling and gardening. Social or strategic actions, such as building solidarity and individual negotiations, are presented as forms of tactics to manage uncertainty and hope. The findings indicate diverse use of power strategies and tactics which are used in the daily lives of WFMEs. Occupational therapists have the expertise to support WFMEs in rebuilding their daily lives within a new society. They can do so by using tactics such as bicycling and engaging in solidarity, which can help address power imbalances created by intersectional structural dynamics.</p>","PeriodicalId":49570,"journal":{"name":"Scandinavian Journal of Occupational Therapy","volume":"33 1","pages":""},"PeriodicalIF":1.7,"publicationDate":"2026-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13652877/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149149195","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":"Opportunities and Challenges for Health-Promoting Interventions for Older Adults: A Focus Group Study with Professionals in Municipal Health and Social Care.","authors":"Linnea Körlof, Anneli Nyman, Ellinor Larsson, Gunilla Isaksson","doi":"10.1007/s44474-026-00008-0","DOIUrl":"10.1007/s44474-026-00008-0","url":null,"abstract":"<p><strong>Background: </strong>An aging population and an ongoing transition toward person-centered and integrated care highlight the need for health-promoting interventions for older adults, requiring new approaches within municipal health and social care.</p><p><strong>Aim: </strong>The aim of this study was to explore and describe how professionals in municipal health- and social care discuss opportunities and challenges within their organization related to health-promoting interventions directed at older adults.</p><p><strong>Material and methods: </strong>A qualitative focus group design was used. Twenty-two participants, including occupational therapists, development managers, area managers, operations managers, and case managers from seven municipalities, participated in five focus group discussions. Data were analyzed inductively using a focus group analysis approach.</p><p><strong>Results: </strong>One overarching theme was identified: Creating organizational readiness for health-promoting interventions, comprising three subthemes: Supportive structures for health-promoting work within the organization are needed, A shared health-promoting focus and new collaborations are required, and New working methods are necessary to facilitate health promotion. These subthemes are interrelated together dynamically shape organizational readiness for health-promoting interventions.</p><p><strong>Conclusions and significance: </strong>Taken together, The results indicate that organizational readiness within municipal health and social care is currently insufficient for health-promoting interventions to permeate practice yet has inherent potential to be actively created. Creating such readiness therefore requires coordinated, long-term efforts across the organization. For occupational therapy, these results underscore the importance of engaging in ongoing dialogue, both within the profession and across organizational levels, on how their competencies can be utilized and translated from reactive into more proactive and health-promoting approaches into everyday practices.</p>","PeriodicalId":49570,"journal":{"name":"Scandinavian Journal of Occupational Therapy","volume":"33 1","pages":""},"PeriodicalIF":1.7,"publicationDate":"2026-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13578084/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148978589","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":"Association Between Smartphone Application Diversity and Occupational Participation Among Community-Dwelling Older Adults: A Cross-Sectional Study.","authors":"Suguru Shimokihara, Kazuki Yokoyama, Hikaru Ihira, Yuriko Matsuzaki-Kihara, Atsushi Mizumoto, Hideyuki Tashiro, Hidekazu Saito, Keitaro Makino, Shunpei Katsuura, Masayuki Kobayashi, Kiyotaka Shimada, Kosuke Yama, Ryo Miyajima, Takeshi Sasaki, Nozomu Ikeda","doi":"10.1007/s44474-026-00007-1","DOIUrl":"10.1007/s44474-026-00007-1","url":null,"abstract":"<p><strong>Purpose: </strong>As digital technologies become increasingly embedded in daily life, evidence remains limited regarding how smartphone use relates to occupational participation among community-dwelling older adults. This study examined the association between smartphone application diversity and occupational participation in later life.</p><p><strong>Methods: </strong>This cross-sectional study used health checkup data collected during 2024-2025. Occupational participation was assessed using the Self-Completed Occupational Performance Index (SOPI), which covers leisure, productivity, and self-care domains. Participants were classified into high application diversity (HAD) and low application diversity (LAD) groups based on the number of 12 smartphone applications used daily. Group differences were tested, and adjusted regression models with bootstrap resampling were used to assess independent associations and robustness.</p><p><strong>Results: </strong>Among 97 participants, 67 were classified into the HAD group and 30 into the LAD group. Participants with HAD had higher total SOPI scores than those with LAD. In domain-specific analyses, application diversity was independently associated only with productivity-related occupational participation (adjusted β = 2.17, 95% CI: 0.49-3.86), and this association was supported by bootstrap results.</p><p><strong>Conclusions: </strong>Greater diversity in smartphone application use was associated with more favorable engagement in productivity-related occupations among community-dwelling older adults. These findings suggest that application diversity may be a meaningful indicator of how digital technologies are integrated into productive roles and responsibilities in later life.</p>","PeriodicalId":49570,"journal":{"name":"Scandinavian Journal of Occupational Therapy","volume":"33 1","pages":""},"PeriodicalIF":1.7,"publicationDate":"2026-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13574877/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148972059","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":"Balancing Act: An Occupational Lens on the Process of Becoming an Elite Athlete.","authors":"Jamie Wilson, Ivanka Prichard, Jasmine Petersen, Brad Stenner","doi":"10.1007/s44474-026-00006-2","DOIUrl":"10.1007/s44474-026-00006-2","url":null,"abstract":"<p><strong>Background: </strong>In 2023, the International Olympic Committee identified youth elite athletes as a 'neglected population' and called for further research into their wellbeing. To date, limited research has explored the experiences of youth athletes, and existing studies predominantly utilise psychological perspectives.</p><p><strong>Aim: </strong>To use an occupational perspective to explore the process of becoming an elite athlete, drawing on the current experiences of youth athletes and retrospective accounts from experienced athletes.</p><p><strong>Methods: </strong>A convergent mixed-method design, combining data from a cross-sectional questionnaire (N = 39), and semistructured individual interviews (N = 8) with athletes.</p><p><strong>Results: </strong>Quantitatively, gender and sport type (individual vs team) were associated with mental health outcomes across the sample, with females and athletes competing in individual sports reporting poorer mental health outcomes. Enthusiastic commitment was positively correlated with grit and negatively correlated with depression. Qualitative data identified six key factors impacting occupational balance, including elite as a time commitment, relocation for recognition, athletes as a commodity, meaningful relationships supporting life balance, access to formal support and superhuman barriers to help-seeking.</p><p><strong>Conclusion: </strong>These findings highlight the intricate and complex nature of athlete wellbeing during the transition process and promote occupational balance and occupational science as a nuanced perspective for identifying and addressing opportunities for imbalance for the athlete population.</p><p><strong>Significance: </strong>This study used an occupational lens to shine a light on the process of becoming an elite athlete and why it is important to support youth athletes, not just in sport but in life. The findings emphasise opportunities for occupational therapy to contribute to sport as an emerging practice domain.</p>","PeriodicalId":49570,"journal":{"name":"Scandinavian Journal of Occupational Therapy","volume":"33 1","pages":""},"PeriodicalIF":1.7,"publicationDate":"2026-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13645898/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149129035","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":"Correction to: Return to Work with Fatigue After Stroke: A Complex Occupational Adaptation Process.","authors":"Jessica Vollertsen, Mathilda Björk, Anna-Karin Norlin, Elin Ekbladh","doi":"10.1007/s44474-026-00005-3","DOIUrl":"10.1007/s44474-026-00005-3","url":null,"abstract":"","PeriodicalId":49570,"journal":{"name":"Scandinavian Journal of Occupational Therapy","volume":"33 1","pages":""},"PeriodicalIF":1.7,"publicationDate":"2026-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13437661/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148671145","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":"Implementation of an Occupation-Based Practice Strategy in a Metropolitan Health Service: A Case Study.","authors":"Jennifer Wort, Danielle Hitch, Chelsea Baxter","doi":"10.1007/s44474-026-00004-4","DOIUrl":"10.1007/s44474-026-00004-4","url":null,"abstract":"<p><strong>Background: </strong>Occupation-Based Practice (OBP) is fundamental to occupational therapy, enhancing consumer engagement and outcomes, yet implementation is challenging due to local environments and dominance of impairment-based interventions.</p><p><strong>Aim: </strong>To investigate implementation of a service-wide OBP strategy in a large metropolitan tertiary health service over 6 years; understand its influence on occupational therapists; identify barriers and facilitators; and observe changes in clinician perceptions supporting sustainability.</p><p><strong>Methods: </strong>Qualitative case study at two time points. Participants were occupational therapists and allied health assistants (n = 95 in 2017; n = 39 in 2023). Data was collected through focus groups (n = 8 in 2017; n = 3 in 2023) and multiple documents. Descriptive thematic analysis identified themes and sub-themes.</p><p><strong>Results: </strong>Strategic leadership cultivated an OBP culture. Barriers included resource limitations and systemic pressures; facilitators included interdisciplinary support and professional development. Over time, perceptions shifted from conceptual understanding to practical application as OBP became integrated into service culture.</p><p><strong>Conclusion: </strong>A service-wide OBP strategy was effectively used in practice. Implementation depended on consistent application, a supportive service culture, and responsive systems. Although COVID-19 negatively impacted OBP, commitment to the strategy supported re-establishment, demonstrating sustainability.</p><p><strong>Significance: </strong>A service-wide OBP strategy increases OBP and can be sustained in a tertiary healthcare setting.</p>","PeriodicalId":49570,"journal":{"name":"Scandinavian Journal of Occupational Therapy","volume":"33 1","pages":""},"PeriodicalIF":1.7,"publicationDate":"2026-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13646015/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149128968","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 Embodied Journey Towards Recovery': A Grounded Theory of Mental Health Service Users' Experiences of a Nature-based Intervention.","authors":"Marie Gudmundsson, Anna Maria Pálsdóttir, Daniel Sutton, Ulrika Bejerholm, Elisabeth Argentzell","doi":"10.1007/s44474-026-00003-5","DOIUrl":"10.1007/s44474-026-00003-5","url":null,"abstract":"<p><strong>Background: </strong>Nature-based interventions (NBIs) have been identified to support a recovery-oriented approach for people experiencing mental health issues. However, there is still limited knowledge related to how mental health service users experience their recovery process when engaged in NBIs.</p><p><strong>Aim: </strong>To explore and explain how mental health service users experience the process of personal recovery from participating in a newly developed NBI.</p><p><strong>Materials and methods: </strong>The study was conducted using constructivist grounded theory and included 20 participants. The NBI, including equine-assisted therapy, was delivered in groups at a farm-based rehabilitation centre. Purposeful sampling was used, and in-depth interviews were performed on site. Data were analysed in an iterative, comparative process. During the analysis, NVIVO 14 was used to organise and manage the data systematically.</p><p><strong>Results: </strong>The grounded theory of the core concept 'A process of embodied recovery', described the participants' experiences of personal recovery during the NBI and included three concepts: 'Experiencing interconnection' through transactions with the environment, 'Processing inner connection' through reflection and 'Feeling intra-connected' through integration of self and body as a whole in everyday life.</p><p><strong>Conclusion and significance: </strong>The NBI provides positive multisensory experiences to support personal recovery among mental health service users. The findings hold significant implications for the advancement of recovery-oriented services in mental health care, including occupational therapy.</p>","PeriodicalId":49570,"journal":{"name":"Scandinavian Journal of Occupational Therapy","volume":"33 1","pages":""},"PeriodicalIF":1.7,"publicationDate":"2026-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13391664/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148551194","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 Therapists as Social Prescribers: Insights from Swedish Primary Care.","authors":"Emilia W E Viklund, Frida Degerstedt, Frida Jonsson, Anna Sofia Lundgren, Ingeborg Nilsson","doi":"10.1007/s44474-026-00002-6","DOIUrl":"10.1007/s44474-026-00002-6","url":null,"abstract":"<p><strong>Background: </strong>Loneliness is increasingly recognized as a public health issue, with social prescribing gaining global interest as a useful approach to address social needs by connecting patients to non-medical community resources. Occupational therapists have previously been recognized as well suited for social prescribing initiatives, yet their role remains underexplored.</p><p><strong>Aim: </strong>This study aims to explore occupational therapists' experiences of a social prescribing model as well as the professions' role in applying it in Swedish primary care to alleviate loneliness among older adults.</p><p><strong>Material and methods: </strong>Semi-structured individual interviews with 10 occupational therapists were conducted digitally. The data analysis was guided by reflexive thematic analysis.</p><p><strong>Results: </strong>The social prescribing model was perceived as potentially valuable to address loneliness among older adults in primary care. While occupational therapists felt that their professional expertise positioned them well to contribute to the approach, they also identified important constraints that limited their capacity in their role as social prescribers.</p><p><strong>Conclusion/significance: </strong>To realize the social prescribing model's potential in Swedish primary care, the complexity of loneliness and social activities must be acknowledged. Efforts are also needed to lower thresholds for social participation, and fostering collaboration across organizational and professional boundaries.</p>","PeriodicalId":49570,"journal":{"name":"Scandinavian Journal of Occupational Therapy","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2026-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13385134/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148473819","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":"Managing Everyday Life in Double Exposure: Frail Older People's Experiences During a Pandemic.","authors":"Katharina Sjöberg, Synneve Dahlin-Ivanoff, Katarina Wilhelmson, Isabelle Andersson Hammar","doi":"10.1007/s44474-026-00001-7","DOIUrl":"10.1007/s44474-026-00001-7","url":null,"abstract":"<p><strong>Introduction: </strong>Research has shown that older people experienced mental and physical health issues due to isolation during the Covid-19 pandemic. However, more in-depth knowledge is needed regarding the consequences for frail older people.</p><p><strong>Aim: </strong>To explore frail older people's experiences of managing everyday life in quarantine during the first year of the Covid-19 pandemic.</p><p><strong>Material and methods: </strong>Twenty people were interviewed, and the data were analyzed using qualitative content analysis.</p><p><strong>Results: </strong>The people experienced powerlessness under the restrictions and limitations in everyday life beyond control. To cope with these experiences, they accepted and trusted the restrictions and strived for meaningfulness in everyday life.</p><p><strong>Conclusions: </strong>Frail older people experienced managing everyday life in double exposure during the pandemic, where personal vulnerabilities and external restrictions intersected, limiting their ability to adapt and maintain autonomy in everyday life. Supporting meaningful routines and enabling participation are therefore central, underscoring the important role of occupational therapy in mitigating the impact of disrupted everyday life.</p><p><strong>Significance: </strong>These findings contribute to a more nuanced understanding of the needs of frail older people. This approach is essential to sustaining leisure activities, fostering social connections, and promoting health and well-being during future disruptive events.</p>","PeriodicalId":49570,"journal":{"name":"Scandinavian Journal of Occupational Therapy","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2026-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13368892/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148425858","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":"Structured assessments on the desire for activities - 'Why wish for what I can't do?'","authors":"M Granbom","doi":"10.1080/11038128.2025.2483505","DOIUrl":"10.1080/11038128.2025.2483505","url":null,"abstract":"<p><strong>Introduction: </strong>Homecare services are limited, and there is likely a gap between the everyday activities homecare users want to do and the activities they perform or receive help with. Structured assessment on the desire for engaging in activities may be useful to identify unmet occupational needs.</p><p><strong>Aim: </strong>To reflect on the experiences of using the Occupational Gaps Questionnaire (OGQ) to investigate how homecare users express the desire to do everyday activities they know they cannot perform without help, and to deepen the understanding of how the desire of doing may be restricted beyond limitations in language and cognition.</p><p><strong>Method: </strong>OGQ interviews were conducted with 11 older adults who received daily homecare. The interviews were analysed thematically.</p><p><strong>Result/discussion: </strong>The homecare users reported few occupational gaps. Activities that were previously part of their occupational repertoire and considered to be meaningful were no longer desired. The desire to engage in activities appears to be influenced by functional decline and the structural limitations of homecare. Structured assessments might not capture the full picture of what a person desires to do, however may spark valuable conversations. For person-centered eldercare, professionals must acknowledge how functional decline and structural limitations influence what older adults desire to do.</p>","PeriodicalId":49570,"journal":{"name":"Scandinavian Journal of Occupational Therapy","volume":"32 1","pages":"2483505"},"PeriodicalIF":1.9,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143711833","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}