{"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":"https://doi.org/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}
{"title":"The relevance of employing a three-perspective view on occupational balance among people with depression and/or anxiety disorders.","authors":"Mona Eklund, A Birgitta Gunnarsson","doi":"10.1080/11038128.2025.2474853","DOIUrl":"https://doi.org/10.1080/11038128.2025.2474853","url":null,"abstract":"<p><strong>Background: </strong>Assessing perceptions of occupational balance is essential in both clinical occupational therapy and research. Attempts to characterise occupational balance often arrive at multi-faceted explanations, including a <i>variety of occupations</i>, <i>personal satisfaction</i>, and <i>time allocation</i>.</p><p><strong>Aim: </strong>This study aimed to deepen the understanding of occupational balance as a phenomenon and investigate the relevance and usability of the Satisfaction with Daily Occupations and Occupational Balance (SDO-OB), which assesses occupational balance from the multi-faceted perspective mentioned above.</p><p><strong>Methods: </strong>A cross-sectional and longitudinal design was employed. Patients undergoing the treatment method Tree Theme Method<sup>™</sup> for depression and/or anxiety completed the SDO-OB and a background questionnaire. Conventional statistical analyses were used.</p><p><strong>Results: </strong>Variety of occupations and personal satisfaction remained stable between baseline and follow-up, while participants' time allocation shifted from underoccupied towards balanced in the home and maintenance domain. All three perspectives of occupational balance were intercorrelated at baseline, and baseline scores on variety of occupations and on time allocation in work, leisure, and household domains were associated with personal satisfaction at follow-up.</p><p><strong>Conclusion and significance: </strong>The three perspectives appeared to represent a unified phenomenon-occupational balance-while still offering unique insights. The SDO-OB seems relevant for both clinical occupational therapy and research.</p><p><strong>Trial registration: </strong>Clinical Trials.gov: NCT01980381.</p>","PeriodicalId":49570,"journal":{"name":"Scandinavian Journal of Occupational Therapy","volume":"32 1","pages":"2474853"},"PeriodicalIF":1.9,"publicationDate":"2025-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143659596","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}
{"title":"Experiences of a digital group intervention 'the health web': a case study of older adults.","authors":"Linnea Körlof, Ellinor Larsson, Gunilla Isaksson, Anneli Nyman","doi":"10.1080/11038128.2025.2477115","DOIUrl":"https://doi.org/10.1080/11038128.2025.2477115","url":null,"abstract":"<p><strong>Background: </strong>Within the development of new interventions, it is of highly important to address social participation since it is associated with improved physical and mental health. Therefore, a new intervention in occupational therapy, 'The health Web' was developed.</p><p><strong>Aim: </strong>The aim of this study was to explore and describe how older adults experienced the intervention process of 'The Health Web' provided by an occupational therapist, and whether the intervention has the potential to promote social participation.</p><p><strong>Material and methods: </strong>An exploratory descriptive case study was designed. Five older adults and an occupational therapist were included. Interviews, self-assessments, registration forms and field-notes were used to collect data. The data were analysed using pattern-matching.</p><p><strong>Results: </strong>The results consist of two cases: <i>A) Continuous engagement promoted the development of strategies</i> and: <i>B) Uneven engagement inhibited the development of strategies</i>. Each case is described with three categories representing the experienced intervention process of the older adults in the respective case.</p><p><strong>Conclusions and significance: </strong>The results suggest that the intervention has some potential to support older adults' in using strategies supporting social participation. This study provides valuable insights for the continued development of the intervention.</p>","PeriodicalId":49570,"journal":{"name":"Scandinavian Journal of Occupational Therapy","volume":"32 1","pages":"2477115"},"PeriodicalIF":1.9,"publicationDate":"2025-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143659594","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}
Josefine Lampinen, Ingeborg Nilsson, Mia Conradsson, Håkan Littbrand, Anna Sondell, Yngve Gustafson, Jerry Öhlin, Nina Lindelöf
{"title":"Informal caregivers' perspectives on participation in a dementia rehabilitation programme.","authors":"Josefine Lampinen, Ingeborg Nilsson, Mia Conradsson, Håkan Littbrand, Anna Sondell, Yngve Gustafson, Jerry Öhlin, Nina Lindelöf","doi":"10.1080/11038128.2025.2463374","DOIUrl":"https://doi.org/10.1080/11038128.2025.2463374","url":null,"abstract":"<p><strong>Background: </strong>There is limited experience in combining interdisciplinary rehabilitation for persons with dementia and caregiver support.</p><p><strong>Aim: </strong>To explore how informal caregivers perceive participation in a person-centred, multidimensional, interdisciplinary rehabilitation programme targeting community-dwelling older adults with dementia and their informal caregivers, and how the programme has influenced their everyday life.</p><p><strong>Material and methods: </strong>Fourteen informal caregivers, aged 45-84 years, participated in a qualitative interview following a randomised controlled pilot study. Transcribed interviews were analysed using qualitative content analysis.</p><p><strong>Results: </strong>The analysis resulted in seven categories and three themes: <i>feeling</i> <i>challenged and boosted</i> <i>to face an uncertain future</i>, <i>perceiving supportive activities as sources of</i> <i>both</i> <i>joy and frustration in everyday life</i> and <i>finding relief in recognising their relative's former self.</i></p><p><strong>Conclusions and significance: </strong>Combining interdisciplinary rehabilitation for adults with dementia with education and support for caregivers was perceived as viable and valuable for the informal caregivers. They felt strengthened by the rehabilitation and better prepared for their uncertain future. However, participation also challenged everyday routines, but the benefits appeared to outweigh the strain.</p>","PeriodicalId":49570,"journal":{"name":"Scandinavian Journal of Occupational Therapy","volume":"32 1","pages":"2463374"},"PeriodicalIF":1.9,"publicationDate":"2025-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143416020","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}
{"title":"Occupational therapists' experiences of hegemony in a mental health setting: A practice-based enquiry.","authors":"MaryBeth Gallagher, Nancy Bagatell","doi":"10.1080/11038128.2025.2456462","DOIUrl":"https://doi.org/10.1080/11038128.2025.2456462","url":null,"abstract":"<p><strong>Background: </strong>Despite valuing occupation, occupational therapists report barriers to enacting occupation-based practice. One barrier noted in the literature is hegemony, the dominance of one social group's ideas over others. Specifically, biomedical and business models dominating healthcare are reported to significantly impact occupational therapists.</p><p><strong>Objective: </strong>To describe how occupational therapists experience and manage hegemony in an acute mental health setting in the United States.</p><p><strong>Methods: </strong>A community of practice scholars composed of nine occupational therapists participated in a practice-based enquiry. Scholars recorded their reflections on their practice and engaged in collective research discussions. All data were transcribed and analysed using narrative and thematic processes.</p><p><strong>Results: </strong>Data analysis resulted in three themes that reflect the shifting and varying narratives of the community of practice scholars: (1) making waves; (2) staying afloat; and (3) sailing away.</p><p><strong>Conclusions and relevance: </strong>The findings highlight the varied experiences and changing responses of the therapists as they gained awareness of hegemony in an acute mental health setting. While some therapists remained passive and 'stayed afloat' and others left the practice site or 'sailed away', others were empowered to 'make waves' and advocate for change and counter hegemony.</p>","PeriodicalId":49570,"journal":{"name":"Scandinavian Journal of Occupational Therapy","volume":"32 1","pages":"2456462"},"PeriodicalIF":1.9,"publicationDate":"2025-01-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143030073","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}
Helga Sif Pétursdóttir, Eva Halapi, Björg Thordardottir
{"title":"Icelandic translation, adaptation and validation of the Parental Burnout Assessment (PBA-IS).","authors":"Helga Sif Pétursdóttir, Eva Halapi, Björg Thordardottir","doi":"10.1080/11038128.2025.2453479","DOIUrl":"https://doi.org/10.1080/11038128.2025.2453479","url":null,"abstract":"<p><strong>Background: </strong>As parental burnout is increasingly recognised for its severe impact on parents and children, identifying factors that exacerbate or alleviate this condition is crucial. Reliable assessment tools in clinical settings are essential to detect those at risk of or experiencing burnout, enabling timely intervention.</p><p><strong>Aims/objectives: </strong>This study aims to adapt the Parental Burnout Assessment for use in Iceland and evaluate its psychometric properties while exploring how personal and socio-demographic factors influence parental burnout.</p><p><strong>Materials and methods: </strong>A sample of 1,110 parents participated. Descriptive statistics analysed the main dataset characteristics, and confirmatory factor analysis evaluated the psychometric properties of the adapted version.</p><p><strong>Results: </strong>Satisfactory structural validity and internal consistency (α 0.96) of the PBA-IS was demonstrated. Factors influencing parental burnout included marital status, number of children, perceived support, and personal causation.</p><p><strong>Conclusions: </strong>The PBA-IS is a valid and reliable translated tool for assessing parental burnout in Iceland. Personal causation, a key concept in occupational therapy, appears pivotal in parental burnout. Occupational therapists can provide holistic support to help parents effectively manage stress.</p><p><strong>Significance: </strong>The PBA-IS enables parental burnout to be identified in Icelandic clinical settings, supporting early interventions that reduce stress, promote mental health, and enhance well-being.</p>","PeriodicalId":49570,"journal":{"name":"Scandinavian Journal of Occupational Therapy","volume":"32 1","pages":"2453479"},"PeriodicalIF":1.9,"publicationDate":"2025-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143025439","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}
Clémence Orain, Thomas Morgenthaler, Christina Schulze
{"title":"Walking, talking, playing: Children with disabilities' outdoor play in French mainstream schools.","authors":"Clémence Orain, Thomas Morgenthaler, Christina Schulze","doi":"10.1080/11038128.2025.2459150","DOIUrl":"https://doi.org/10.1080/11038128.2025.2459150","url":null,"abstract":"<p><strong>Background: </strong>Children's right to play remains underexplored in French mainstream schools. France's inclusive education policies aim to include children with disabilities in mainstream classrooms, but this transition can create challenges hindering meaningful play opportunities. This highlights the importance of gaining a deeper understanding of children's experiences of play in school playgrounds.</p><p><strong>Aim: </strong>This study explores children with disabilities' experiences and perspectives on their outdoor play in French mainstream school playgrounds.</p><p><strong>Material and methods: </strong>Walking and Talking tour interviews were conducted with thirteen children with various disabilities across six mainstream schools in western France. Data were audio-recorded, transcribed verbatim and analysed using thematic analysis.</p><p><strong>Results: </strong>(1) 'I can(not) play': Environmental Barriers and Opportunities; (2) 'I have an idea': Children's Preferences for Enriching Play and Inclusion; (3) 'Learn to Hear Me Out': Strengthening Children's Participation in Everyday School Practices including Playground Redesign.</p><p><strong>Conclusions and significance: </strong>This study highlights the barriers children with disabilities face in French mainstream school playgrounds. It emphasises the need for collaborative co-design to create inclusive and playful environments. Findings have implications for occupational science, inclusive education, school-based occupational therapy, and urban design. Future participatory research should explore the co-design of school playgrounds, involving all relevant stakeholders.</p>","PeriodicalId":49570,"journal":{"name":"Scandinavian Journal of Occupational Therapy","volume":"32 1","pages":"2459150"},"PeriodicalIF":1.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143081746","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}
Christina Jessen-Winge, Christina Skov Christensen, Eva Ejlersen Wæhrens
{"title":"The influence on daily occupations of Danish adolescents experiencing stress.","authors":"Christina Jessen-Winge, Christina Skov Christensen, Eva Ejlersen Wæhrens","doi":"10.1080/11038128.2025.2472382","DOIUrl":"https://doi.org/10.1080/11038128.2025.2472382","url":null,"abstract":"<p><strong>Background: </strong>Stress, particularly prevalent during adolescence, is linked to negative outcomes like anxiety and depression. Without support, it can impact education, employability, and social relations as it is closely associated with resilience and adaptive capacity. However, it is unknown how adolescents who experience stress perceive and engage in daily occupations.</p><p><strong>Aims/objectives: </strong>To explore occupations among adolescents aged 16-20 years, reporting feelings of stress. Specifically, to investigate if adolescents reporting feeling stressed experience challenges related to daily occupations including self-care, household chores, work/school, and leisure. Additionally, to determine, if they consider these occupations significant, and if there are differences between younger and older adolescents?</p><p><strong>Material and methods: </strong>: This study was designed as a cross-sectional online survey including Danish adolescents aged 16 to 20 years, who had experienced stress within the past month.</p><p><strong>Results: </strong>A total of 322 respondents participated in the study, reporting a range of occupations as both significant and challenging. Among these, schoolwork emerged as particularly prominent. Notable age-related differences were observed in the perceived significance of occupations.</p><p><strong>Conclusions/significance: </strong>Stressed adolescents face challenges in daily occupations across all four categories, highlighting the importance of managing time and resources to support occupational balance. Age-related differences suggest the need for context-specific support.</p>","PeriodicalId":49570,"journal":{"name":"Scandinavian Journal of Occupational Therapy","volume":"32 1","pages":"2472382"},"PeriodicalIF":1.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143544294","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}
Emi Patmisari, Yunong Huang, Carla McLaren, Pankhuri Bhatia, Mark Orr, Sumathi Govindasamy, Emily Hielscher, Helen McLaren
{"title":"Review of community-based interventions for people with serious mental illness, focusing on learning instrumental activities of daily living and enhancing wellbeing.","authors":"Emi Patmisari, Yunong Huang, Carla McLaren, Pankhuri Bhatia, Mark Orr, Sumathi Govindasamy, Emily Hielscher, Helen McLaren","doi":"10.1080/11038128.2025.2468421","DOIUrl":"https://doi.org/10.1080/11038128.2025.2468421","url":null,"abstract":"<p><p>This review synthesises evidence on community-based interventions designed to support individuals with serious mental illness (SMI) in learning instrumental activities of daily living (IADLs). Given the increasing prevalence of SMI affecting over 500 million people worldwide, and associated functional impairments, effective interventions are critically needed. This review of thirty studies represented a range of global contexts and intervention types, which were categorised into simple IADLs (e.g. household chores), complex IADLs (e.g. financial management), and recreational IADLs (e.g. leisure activities). Findings demonstrated that community-based interventions significantly improved IADLs, promoting functional independence and overall well-being. Thematic analysis identified five key mechanisms for success: individualised goal-setting, structured programs with practical learning, engagement of support systems, integration into daily life, and use of innovative technologies. The review highlighted that personalised and practical IADL interventions, supported by robust community and technological resources, were most effective. When effective, interventions enhance practical skills of individuals while also contributing to emotional well-being, social connections, and personal fulfilment. Despite promising results, the review notes variability in study designs and outcomes, suggesting a need for consistent and long-term evaluations. Nonetheless, review insights offer valuable guidance for designing future interventions to better support autonomy and community integration of individuals with SMI.</p>","PeriodicalId":49570,"journal":{"name":"Scandinavian Journal of Occupational Therapy","volume":"32 1","pages":"2468421"},"PeriodicalIF":1.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143450712","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}
Maria Landén, Agneta Siebers, Björn Börsbo, Kersti Samuelsson
{"title":"Nineteen years of constraint-induced movement therapy: A practice-based, retrospective, observational study.","authors":"Maria Landén, Agneta Siebers, Björn Börsbo, Kersti Samuelsson","doi":"10.1080/11038128.2025.2471357","DOIUrl":"https://doi.org/10.1080/11038128.2025.2471357","url":null,"abstract":"<p><strong>Background: </strong>Despite its proven efficacy and recommendations in national clinical guidelines, Constraint-Induced Movement Therapy (CIMT) is rarely implemented, sustained over time, nor evaluated in regular clinical practice.</p><p><strong>Aims: </strong>To evaluate the effects of CIMT that has been delivered in a clinical setting over a sustained period of time, and to study the relationship between patient characteristics and outcomes.</p><p><strong>Material and methods: </strong>This practice-based, retrospective, observational study utilised a before-and-after design. Eighty-seven patients with neurological disorders participated. Outcome measures, including the Patient-Specific Functional Scale (PSFS), Motor Activity Log, the Box and Block Test, BL Motor Assessment, active range of motion and modified Ashworth Scale, were recorded before treatment, after treatment, and six months post-intervention.</p><p><strong>Results: </strong>Significant improvements with effect sizes <i>r</i> = 0.24-0.61 were observed across all variables at follow up, with 71% of patients demonstrating clinically relevant progress in activity performance (PSFS). Time since injury, rather than age, sex, diagnosis or initial function, influenced outcomes.</p><p><strong>Conclusions: </strong>CIMT in a clinical setting is effective for a wide range of patients, and manageable to deliver over a sustained period of time.</p><p><strong>Significance: </strong>Therapists engaged in neurological rehabilitation should consider this evidence-based method to enhance patients' activity performance in areas of importance.</p>","PeriodicalId":49570,"journal":{"name":"Scandinavian Journal of Occupational Therapy","volume":"32 1","pages":"2471357"},"PeriodicalIF":1.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143598137","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}