Scandinavian Journal of Occupational Therapy最新文献

{"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":"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}

{"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":"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}

{"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":"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}

{"title":"Test-retest reliability and construct validity of a Japanese version of the Satisfaction with Daily Occupations and Occupational Balance for people with mental illness.","authors":"Tomoe Ebisu, Tatsuhiko Masuzawa, Kayano Yotsumoto, Takeshi Hashimoto, Elisabeth Argentzell, Mona Eklund","doi":"10.1080/11038128.2025.2526427","DOIUrl":"10.1080/11038128.2025.2526427","url":null,"abstract":"<p><strong>Background: </strong>Japan lacks efficient assessment tools for occupational balance (OB) in people with mental illness (MI).</p><p><strong>Aims/objectives: </strong>We investigated the test-retest reliability and construct validity of a Japanese version of the Satisfaction with Daily Occupations and Occupational Balance (SDO-OB-J) for people with MI.</p><p><strong>Methods: </strong>SDO-OB-J interviews were conducted twice at a 2-week interval.</p><p><strong>Results: </strong>Fifty-three participants joined. Regarding test-retest reliability, the weighted kappa coefficients were 0.75 for total activity level, 0.85 for total activity satisfaction, and 0.54 for general OB. Concerning construct validity, activity level and activity satisfaction had no significant correlation with global functioning, neurocognition, or mental-related quality of life (QOL). Physical-related QOL had a significant correlation only with activity satisfaction. General OB responses showed no neurocognitive differences, and the in-balance group had higher mental-related QOL than the under-occupied group.</p><p><strong>Conclusions: </strong>Weighted kappa coefficients were classified as substantial for activity level, almost perfect for activity satisfaction, and moderate for general OB. Activity level demonstrated discriminant validity with global functioning, neurocognition, and QOL. Activity satisfaction displayed discriminant validity with global functioning and neurocognition and convergent validity with physical-related QOL. General OB showed construct validity. The SDO-OB-J showed good test-retest reliability and construct validity in people with MI.</p><p><strong>Study registration id: </strong>UMIN000050730.</p>","PeriodicalId":49570,"journal":{"name":"Scandinavian Journal of Occupational Therapy","volume":"32 1","pages":"2526427"},"PeriodicalIF":1.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144545833","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":"Rituals, roles, and realities: A conceptual framework for maternal occupational identity in faith-based minority contexts.","authors":"Jennifer Budman, Helen Bourke-Taylor","doi":"10.1080/11038128.2025.2558742","DOIUrl":"https://doi.org/10.1080/11038128.2025.2558742","url":null,"abstract":"<p><strong>Background: </strong>Maternal occupational identity is shaped by sociocultural values, spiritual worldviews, and systemic structures. However, these influences are often underrepresented in existing occupational science models, particularly for women in traditional, faith-based communities.</p><p><strong>Objective: </strong>This article presents a conceptual framework to support a more culturally responsive understanding of maternal occupational identity in structured religious contexts.</p><p><strong>Method: </strong>The framework was developed through reflective thematic synthesis of two qualitative studies with ultra-Orthodox Jewish mothers, triangulated with conceptual insights from relevant literature and theoretical perspectives, including occupational identity theory, role theory, and occupational justice, and further examined in relation to the Model of Human Occupation and the Kawa Model.</p><p><strong>Findings: </strong>The framework comprises five interrelated domains: (1) Spiritual Meaning and Obligation, (2) Communal Structures and Expectations, (3) Family Dynamics and Resources, (4) Health and Well-being Outcomes, and (5) Negotiation and Adaptation.</p><p><strong>Conclusion: </strong>While preliminary, this framework offers a foundation for exploring how maternal occupational identity is shaped within religious and communal environments. It invites further research and culturally sensitive practice that acknowledge diverse maternal experiences.</p>","PeriodicalId":49570,"journal":{"name":"Scandinavian Journal of Occupational Therapy","volume":"32 1","pages":"2558742"},"PeriodicalIF":1.3,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145082355","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":"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":"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}

{"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":"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}

{"title":"Evaluating 'livsdesigneren': An occupational therapy intervention for stress reduction.","authors":"Dan Ravn, Anette Enemark Larsen","doi":"10.1080/11038128.2025.2570539","DOIUrl":"https://doi.org/10.1080/11038128.2025.2570539","url":null,"abstract":"<p><strong>Background: </strong>Of the European workforce, 28% are affected by stress, posing severe health and economic challenges. Despite existing interventions, the multidimensional nature of stress remains inadequately addressed, thus the Livsdesigner-program (LD) was developed as a method for stress reduction and enhanced well-being through planning, prioritizing, and adjusting daily occupations.</p><p><strong>Aims: </strong>(a) to assess if participants perceived stress reduction and enhanced well-being, and (b) to explore the participants' experiences with the program.</p><p><strong>Methods: </strong>Two groups of participants, Working group (WG) and Non-Working group (NWG), participated in a mixed method with a convergent parallel design. Aim a) was measured using Cohen's 10-item Perceived Stress Scale and World Health Organization-Five Well-Being Index. Aim b) was explored with qualitative interviews including Content Validity Index questionnaire.</p><p><strong>Results: </strong>Based on the measurements' calculations, clinical significance were observed in both groups: in the WG, seven out of nine participants achieved stress reductions, and seven out of nine demonstrated increased well-being; in the NWG, two out of seven participants achieved stress reduction, while five out of seven demonstrated increased well-being. The participants valued the LD, highlighting the focus on occupational planning.</p><p><strong>Conclusions: </strong>The LD showed promising results for the WG, while the NWG demonstrated greater variability over time.</p>","PeriodicalId":49570,"journal":{"name":"Scandinavian Journal of Occupational Therapy","volume":"32 1","pages":"2570539"},"PeriodicalIF":1.3,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145233536","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":"Comprehensive assessment as part of the assistive technology service delivery process.","authors":"Rina Juel Kaptain, Michelle Riisager, Christina Juul, Morten Rye Olsen, Eva Ejlersen Wæhrens","doi":"10.1080/11038128.2025.2451287","DOIUrl":"https://doi.org/10.1080/11038128.2025.2451287","url":null,"abstract":"<p><strong>Background: </strong>The assistive technology (AT) service delivery process is complex and includes a comprehensive assessment of the citizen's situation to inform decision making. This assessment is required by Danish law to ensure that citizens receive solutions matched to their needs, including other services than the AT.</p><p><strong>Aim: </strong>To investigate how Danish occupational therapists, involved in the AT service delivery process, perform the comprehensive assessment.</p><p><strong>Material and methods: </strong>The study is a cross-sectional survey. The target population was occupational therapists providing AT through the AT service delivery process in municipal units. Data were analysed using descriptive statistics.</p><p><strong>Results: </strong>The sample included <i>n</i> = 206 Danish occupational therapists completing the questionnaire. Participants represented the five regions in Denmark. Variations were seen across age, years of working experience, and years in current position. Fifty nine percent of the participants often used telephone interviews, and 74% reported to do home visits to gather information as part of the assessment process. During home visits, participants typically combined methods of interview and observation. Most participants reported not using standardised assessment tools, or not using them in their full length. Almost 80% reported having no guidelines about tool(s) to be used at their workplace. Overall, participants were satisfied with the assessment process.</p><p><strong>Conclusions: </strong>When Danish occupational therapists perform comprehensive assessments to ensure that citizens receive solutions matched to their needs, including other services than the AT, the assessment approach and methods employed vary across therapists, since local guidelines for assessment and the use of standardised assessment tools are sparse.</p><p><strong>Significance: </strong>To support a high-quality comprehensive assessment process, also ensuring a sustainable client-centred process, a standard minimum guideline is recommended within the Danish AT service delivery system.</p>","PeriodicalId":49570,"journal":{"name":"Scandinavian Journal of Occupational Therapy","volume":"32 1","pages":"2451287"},"PeriodicalIF":1.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142957826","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":"Cross-cultural validation of the German Paediatric Evaluation Disability Inventory - Computer Adaptive Test: A comparative study with American normative standard scores.","authors":"Christina Schulze, Myrthe Mali, Anders Kottorp","doi":"10.1080/11038128.2025.2505417","DOIUrl":"https://doi.org/10.1080/11038128.2025.2505417","url":null,"abstract":"<p><p>The Paediatric Evaluation of Disability Inventory (PEDI), has been revised as a computer adaptive test; the PEDI-CAT. Many items have been added making it relevant for children and youth from birth to 20 years of age. The PEDI-CAT measures performance in the Functional Skills domains of Daily Activities, Mobility and Social/Cognitive. The PEDI-CAT's Responsibility domain measures the extent to which the caregiver or child takes responsibility for managing complex, multi-step life tasks. In this exploratory study the normative scores of children with typical development of Switzerland (<i>n</i> = 51) and Germany (<i>n</i> = 61) were compared with the American normative sample to investigate its applicability. The mean age of the children was 5.78 years with a standard deviation of 1.39 years and a range of 4.10 years. Statistically significant differences in comparison with the mean normative scores with moderate to strong effect were found in all domains. Still, 95% or more of all scores from the participants were within a 2 standard deviation range from the mean normative scores. The results indicate that the normative scores should right now be applied to the German version of the PEDI-CAT with caution. Further studies are needed to further investigate applicability of the normative values.</p>","PeriodicalId":49570,"journal":{"name":"Scandinavian Journal of Occupational Therapy","volume":"32 1","pages":"2505417"},"PeriodicalIF":1.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144210063","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}