Australian Occupational Therapy Journal最新文献

{"title":"Online gaming for autistic youth: Exploring the impact on participation from the perspectives of autistic adolescents and their caregivers","authors":"Maya Hayden-Evans,&nbsp;Tahlia Inkster,&nbsp;Isabella Fimmano,&nbsp;Zoe Smith,&nbsp;Jessica Leamon,&nbsp;Sonya Girdler,&nbsp;Ben Milbourn","doi":"10.1111/1440-1630.70132","DOIUrl":"10.1111/1440-1630.70132","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>The rise in the number of adolescents diagnosed with autism spectrum disorder has highlighted the need for strength-based approaches to support them. The accessibility of online gaming has made it a popular avenue for autistic adolescents to socialise and connect with others while enhancing skill development. This study aimed to explore online gaming from the perspectives of autistic adolescents and their caregivers, including the impact gaming may have on daily participation and functioning.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This study employed a mixed methods research design. Both autistic adolescents and their caregivers completed online surveys comprising a combination of Likert-scale and open-ended questions. The survey responses were descriptively and thematically analysed.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Consumer and Community Involvement</h3>\u0000 \u0000 <p>Survey questions were reviewed by volunteer staff (including autistic staff members) of a local autistic community coding club to ensure readability and accessibility of the survey.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>In total, 45 participants (23 caregivers and 22 autistic adolescents) responded to the survey. Themes relating to online gaming were identified, including social communication, emotion regulation, and skill development while also highlighting caregiver concerns of online safety and excessive screen use. Most autistic adolescents reported feeling happy when playing online games and most caregivers agreed online gaming supported their child to build better relationships with others. Over half of autistic adolescents agreed that online gaming helped them feel more confident in social situations with others.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Allied health professionals, including occupational therapists, may utilise online gaming, incorporating strength-based learning and skill development, when working alongside autistic adolescents and their caregivers to facilitate social participation and promote online safety.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55418,"journal":{"name":"Australian Occupational Therapy Journal","volume":"73 5","pages":""},"PeriodicalIF":2.1,"publicationDate":"2026-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13686341/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149240549","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":"What is known about pressure injury prevention and management approaches among individuals with mobility impairments participating in disability sport? A scoping review","authors":"Callum Parker,&nbsp;Sjaan Gomersall,&nbsp;Emma Beckman,&nbsp;Sean Tweedy,&nbsp;Jessica Hill","doi":"10.1111/1440-1630.70128","DOIUrl":"10.1111/1440-1630.70128","url":null,"abstract":"&lt;div&gt;\u0000 \u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Introduction&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Pressure injuries are a significant health concern for individuals with mobility impairments, impacting participation and quality of life. Sport is a meaningful leisure occupation for many but poses unique occupational, physical, and environmental challenges which increase the risk of pressure injuries. Occupational therapists can support those with mobility impairments in balancing pressure injury risk and participation in sport; however, little is known about effective management in sport. This scoping review aimed to map existing evidence on pressure injury prevention and management approaches among individuals with mobility impairments participating in disability sports.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Methods&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;A systematic search of six databases, grey literature, policy documents, and guidelines was conducted in August 2025. Sources were included if they addressed individuals of any age, participating in sports using adaptive equipment and reported prevention or management approaches for pressure injuries. Findings were synthesised using the International Classification of Functioning, Disability and Health (ICF) framework.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Consumer and community involvement&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Consumers and community members were not involved in this scoping review.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Results&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Ten sources met inclusion criteria, with representation from eight disability sports: seven quantitative studies, one mixed methods study, one position statement, and one clinical guideline. Owing to the immaturity of the field, both the clinical guideline and position statement drew on minimal evidence specific to sport, limiting their applicability.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Conclusion&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Evidence on pressure injury prevention and management in disability sport is largely focused on the body functions and structures domain, with limited consideration for activities, participation, and environmental factors that influence risk. The evidence base remains underdeveloped, limiting occupational therapists' access to evidence-informed strategies for pressure injury prevention and management in this population. Future research should prioritise occupational analyses of sports participation, mapping tasks, environments, and equipment interfaces across different sports and athlete groups. Generating sport-specific evidence will enable robust guidelines and occupation-based intervention","PeriodicalId":55418,"journal":{"name":"Australian Occupational Therapy Journal","volume":"73 5","pages":""},"PeriodicalIF":2.1,"publicationDate":"2026-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/1440-1630.70128","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149139162","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 Justice PLUS: From theoretical salience to practical application—An analysis of community narratives from a bushfire event","authors":"Eliza Huppatz,&nbsp;Carol McKinstry,&nbsp;Gail Whiteford,&nbsp;Emma George","doi":"10.1111/1440-1630.70131","DOIUrl":"10.1111/1440-1630.70131","url":null,"abstract":"&lt;div&gt;\u0000 \u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Introduction&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Emerging scholarship highlights the dominance of Western epistemologies in disaster research, limiting diversity and participation in knowledge production. The occupational therapy profession faces similar critiques of epistemic and hegemonic blind spots, prompting calls for critical reflection on professional assumptions. Drawing on narratives and guided by Whiteford's Occupational Justice PLUS model, we explore how learnings from community members' responses to a bushfire event could broaden our understanding of occupational, epistemic, and hermeneutic justice in the context of disasters and, more broadly, other injustices.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Methods&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;This qualitative study used a phenomenological hermeneutical approach to explore narratives of disaster recovery. Data included a written narrative from ‘Doing Our Best’ and the film ‘We Are Conjola’. Analysis followed Lindseth and Norberg's three-step process: naïve reading, structural analysis of themes, and comprehensive interpretation informed by literature and theories.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Findings&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Findings revealed interconnected injustices. Occupational injustice arose from restricted access to resources during bushfire response and recovery, with community-led initiatives critical to restoring occupational justice. Epistemic injustice was evident in government disregard for climate science and Indigenous knowledge, compounded by media erasure, prompting the community to create its own narrative through film. Hermeneutic injustice occurred when aspects of social identity were obscured from collective understanding; residents responded through artistic expression to reclaim identity, share lived experience, and communicate systemic failures.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Discussion&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Community-driven action addressed occupational, epistemic, and hermeneutic injustices following the Conjola bushfire. These findings highlight the relevance of the Occupational Justice PLUS model for disaster contexts, emphasising the need for occupational therapists to adopt critical, justice-oriented approaches that privilege community voice and foster community-led action in disaster recovery and knowledge creation.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Conclusion&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Advocacy for community voice and future research on applying the Occupational Justice PLUS model are essential to support inclusive, community-driven recovery and stre","PeriodicalId":55418,"journal":{"name":"Australian Occupational Therapy Journal","volume":"73 5","pages":""},"PeriodicalIF":2.1,"publicationDate":"2026-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13644539/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149129317","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":"Effects of the Cognitive Orientation to Daily Occupational Performance approach on occupational performance and related outcomes in children with disabilities: A systematic review and meta-analysis","authors":"Gülşah Zengin Yazıcı,&nbsp;Kardelen Yıldırım,&nbsp;Müberra Tanrıverdi","doi":"10.1111/1440-1630.70129","DOIUrl":"10.1111/1440-1630.70129","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>The Cognitive Orientation to Daily Occupational Performance (CO-OP) approach is a cognitive strategy-based, occupation-focussed intervention designed to improve functional performance in children with neurodevelopmental conditions. Although CO-OP has been increasingly used in paediatric rehabilitation, evidence from randomised controlled trials examining its effectiveness across different populations and outcomes has not been comprehensively synthesised. This systematic review and meta-analysis examined the effects of CO-OP on occupational performance and related outcomes in children with disabilities.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>Randomised controlled trials involving children aged 3–18 years were identified through PubMed, Scopus, and CENTRAL. Seventeen eligible reports representing 13 distinct trial cohorts were included. Risk of bias was assessed using RoB 2. Where clinically appropriate, COPM Performance and Satisfaction outcomes were synthesised using random-effects meta-analysis; other outcomes were synthesised using a SWiM-informed approach. Certainty of evidence was assessed using GRADE.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Consumer and Community Involvement</h3>\u0000 \u0000 <p>There was no consumer or community involvement in the conduct of this systematic review.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>In five trials comparing CO-OP with active alternative interventions, meta-analysis did not demonstrate clear superiority for COPM Performance (MD = 1.03, 95% CI [−0.38, 2.44], <i>I</i>² = 77.7%) or Satisfaction (MD = 1.53, 95% CI [−0.13, 3.19], <i>I</i>² = 75.1%); certainty was very low. Low-certainty evidence from inactive/waitlist comparisons and trials adding CO-OP to background rehabilitation suggested improvements in individualised occupational performance. Evidence for generalised motor capacity, functional status, broader participation-related outcomes, and executive functioning was limited or inconsistent. Neuroimaging findings were exploratory.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>CO-OP may improve individualised, goal-oriented occupational performance compared with inactive controls or when added to background rehabilitation. However, current evidence does not establish clear superiority over other active interventions. Further adequately powered trials examining participation, generalisation, and longer term outcomes are needed.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55418,"journal":{"name":"Australian Occupational Therapy Journal","volume":"73 5","pages":""},"PeriodicalIF":2.1,"publicationDate":"2026-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149118985","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":"Choosing the first job: Insights from new graduate occupational therapists from a regional Australian university","authors":"Louise Myles,&nbsp;Jackie Eagers,&nbsp;Karen Salata,&nbsp;Katie Headrick","doi":"10.1111/1440-1630.70130","DOIUrl":"10.1111/1440-1630.70130","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>There is an increase in the number of graduates entering the occupational therapy workforce with graduates having to navigate both broader systemic influences and personal preferences in their decision-making process. This study investigated how and why occupational therapy graduates from a regional Australian university selected their first job as practising occupational therapists.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>An online exploratory, cross-sectional survey design was utilised to collect quantitative and qualitative data from new graduate occupational therapists. Descriptive statistics were used to analyse quantitative responses. Free-text responses were interpreted using reflexive thematic analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Consumer and Community Involvement</h3>\u0000 \u0000 <p>There was no consumer or community involvement.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A total of 30 new graduate occupational therapists completed the survey. The most commonly reported practice areas of work were disability, health and aged care. The most commonly reported practice settings were community, clinic and hospital. Participants rated work–life balance, professional development opportunities and interpersonal relationships as the most important factors that are considered when seeking their first job. Proactive and multifaceted processes, combining practical job-seeking strategies, reflective decision-making and the use of professional networks, were used to navigate the employment process.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Job selection was influenced more by relational, developmental and lifestyle workplace factors than by specific practice settings. Understanding these factors is important for informing occupational therapy education and recruitment strategies.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55418,"journal":{"name":"Australian Occupational Therapy Journal","volume":"73 5","pages":""},"PeriodicalIF":2.1,"publicationDate":"2026-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13623504/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149083020","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":"A qualitative description of the daily living functioning of people diagnosed with borderline personality disorder from consumer, carer and clinician perspectives","authors":"Dillon Tepper,&nbsp;Ben Sellar,&nbsp;Sheryl Shipley,&nbsp;Rachel Smith,&nbsp;Carolyn Murray M","doi":"10.1111/1440-1630.70127","DOIUrl":"10.1111/1440-1630.70127","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Borderline personality disorder (BPD) is a severe and prevalent mental illness. Longitudinal research consistently demonstrates that people diagnosed with BPD experience persistent functional impairment despite current psychotherapeutic treatment. Functional impairment is typically defined in terms of performance in vocational and relational domains. However, functional recovery across multiple domains of functioning should also be considered, such as leisure, self-care, health and household management. This study aimed to describe the daily living functioning of people diagnosed with BPD from multistakeholder perspectives.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This qualitative descriptive study used semi-structured interviews with 22 participants, including consumers (<i>n</i> = 4), carers (<i>n</i> = 5) and clinicians (<i>n</i> = 13). Data were analysed using reflexive thematic analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Consumer and community involvement</h3>\u0000 \u0000 <p>Consumer, carer and clinician consultants reviewed a draft of the interview guide and provided feedback on the terminology, question ordering and provision of practical examples. Their feedback was incorporated and amendments were made prior to data collection.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Findings</h3>\u0000 \u0000 <p>Five themes were generated: (1) structured routines, (2) extremes of doing, (3) a lot of energy required to manage in daily life, (4) doing when disconnected from values and identity and (5) doing through others. People diagnosed with BPD experienced challenges establishing and maintaining structured routines, engaged in boom-and-bust activity patterns, expended considerable energy managing emotions and interpersonal interactions, struggled to identify values to derive meaning from daily activities and relied on others to initiate and complete daily activities.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Functional recovery outcomes are important for people diagnosed with BPD. Occupational therapists are well positioned to support functional recovery for this population, which could involve exploring daily living functioning beyond a psychotherapeutic framework, including the structure of routines, sleep patterns, activity pacing, energy conservation, values identification, and the extent of carer involvement in daily activities.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55418,"journal":{"name":"Australian Occupational Therapy Journal","volume":"73 5","pages":""},"PeriodicalIF":2.1,"publicationDate":"2026-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13619876/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149076825","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":"The role of occupational therapy in the rehabilitation of adults with persistent post-concussion symptoms in Australia and New Zealand: A qualitative study","authors":"Lisa Licciardi,&nbsp;Aislinn Lalor,&nbsp;John Olver,&nbsp;Libby Callaway","doi":"10.1111/1440-1630.70126","DOIUrl":"10.1111/1440-1630.70126","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Following mild traumatic brain injury, people can experience persistent post-concussion symptoms (PPCS) that lead to the need for rehabilitation, including occupational therapy services, to support recovery. There is, however, limited literature documenting the occupational therapy role in adult PPCS rehabilitation. This study aimed to explore the role of occupational therapy, including the assessments and interventions used, in the rehabilitation of adults with PPCS in Australia and New Zealand.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A qualitative descriptive research design was employed. Occupational therapists working with adults with PPCS in Australia or New Zealand were recruited via advertisements on professional email listservs and via social media. Semi-structured interviews were undertaken via videoconference, transcribed verbatim, deidentified, and underwent member checking and reflexive thematic analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Consumer and community involvement</h3>\u0000 \u0000 <p>No consumers were involved in the study design or analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Findings</h3>\u0000 \u0000 <p>Fifteen occupational therapists were recruited from Australia (<i>n</i> = 11) and New Zealand (<i>n</i> = 4). The majority were women (<i>n</i> = 14). Interviews ranged from 48 to 127 minutes (<i>M</i> = 74 minutes), with four main themes identified: timing and reasons for occupational therapy referral; assessments and interventions used in practice; current and future occupational therapy practice opportunities; and occupational therapy practice resources that are utilised or needed.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Given that occupational therapy is increasingly being included in multi-disciplinary PPCS programs, this research provides evidence of the current and potential future scope of occupational therapy practice in adult PPCS rehabilitation. Further research exploring occupational therapy roles in other countries, and including perspectives of people with PPCS, will be of benefit to guide rehabilitation service design.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55418,"journal":{"name":"Australian Occupational Therapy Journal","volume":"73 5","pages":""},"PeriodicalIF":2.1,"publicationDate":"2026-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/1440-1630.70126","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149031702","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":"The recovery of valued occupations after intimate partner violence: A scoping review analysis using the Person Environment Occupation Performance model and an occupational justice lens","authors":"Bernadette Safe,&nbsp;Lauren Parsons,&nbsp;Rebecca Waters,&nbsp;Lydia Timms,&nbsp;Donna Chung","doi":"10.1111/1440-1630.70124","DOIUrl":"10.1111/1440-1630.70124","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Intimate partner violence has enduring impacts that persist well beyond the cessation of abuse. Recovery and healing, though recognised as a priority in the Australian Government's national policy, has received less research attention compared with prevention, early intervention, and response. Survivors experience interruptions to their occupations during abuse and face occupational injustice. There is limited understanding of how these occupations recover and whether occupational justice is restored during the recovery phase.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This scoping review aimed to (1) identify occupational focus and gaps in literature during IPV recovery and healing; (2) analyse person and environmental barriers and enablers associated with survivors' occupational recovery; and (3) examine restoration of occupational justice during recovery. The review followed the PRISMA-ScR Checklist for screening and data extraction. Comprehensive searches of databases and grey literature were conducted. The Person Environment Occupational Performance model guided keyword selection and data synthesis. There was no consumer or community involvement included.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Twenty articles were reviewed, with findings primarily centred on paid employment, reflecting the research focus on this productive occupation. Parenting and ongoing education were also examined. Barriers to occupational recovery included physical health impacts, ongoing trauma, depression and anxiety, limited social supports, discrimination, ongoing coercive control, and restricted access to housing, transport, and childcare. These results were then interpreted through an occupational justice lens, including the persisting limit to choice and control in occupations for survivors, which results in continued occupational injustices.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The review highlighted some of the complex person and environment factors affecting occupational recovery for women after IPV, particularly regarding access to meaningful paid employment. The findings underscore the need for both individualised support and broader systemic changes to achieve occupational justice and promote meaningful recovery. Further research is recommended to explore barriers and enablers beyond employment within the Australian context.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55418,"journal":{"name":"Australian Occupational Therapy Journal","volume":"73 5","pages":""},"PeriodicalIF":2.1,"publicationDate":"2026-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148978594","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 autistic transgender and gender diverse adults undergoing gender-affirming hormone therapy and the influence on occupational identity outcomes","authors":"Sarah Louise Miller,&nbsp;Helen Bourke-Taylor,&nbsp;Karen Dixon,&nbsp;Rita Upreti","doi":"10.1111/1440-1630.70121","DOIUrl":"10.1111/1440-1630.70121","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Autistic transgender and gender diverse (TGD) adults often report additional barriers to health-care access and occupational participation. Gender-affirming hormone therapy (GAHT) consists of hormonal medications a person may choose to take to increase alignment of physical features with their gender identity.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Consumer and Community Involvement</h3>\u0000 \u0000 <p>This research project was conducted in response to patient and clinician feedback; however, no consumers were involved in the setup or analysis of the study.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Six autistic TGD adults undergoing GAHT at a statewide tertiary gender endocrinology clinic participated in in-depth semi-structured interviews and underwent an Adolescent/Adult Sensory Profile (AASP) assessment. Secondary analysis of qualitative data utilised thematic analysis and triangulation with AASP results through the lens of the doing, being, becoming, belonging framework to understand how autistic TGD adults achieve occupational identity.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Autistic TGD adults experienced improved quality of life, mental health, and occupational identity outcomes as a result of GAHT. Being TGD and autistic posed unique challenges for autistic TGD adults in doing tasks associated with GAHT, including navigating health-care and social environments. Gender-affirming physical changes and experiences increased participants' engagement in gendered occupations and roles.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>For autistic TGD adults who choose to medically transition, GAHT can be an important gender-affirming occupation in enabling occupational identity acquisition. The results of this study highlight a role for occupational therapists within gender-affirming care settings to enhance patient care.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55418,"journal":{"name":"Australian Occupational Therapy Journal","volume":"73 5","pages":""},"PeriodicalIF":2.1,"publicationDate":"2026-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/1440-1630.70121","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148914471","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":"Chronic pain and mobile health: Are the apps that occupational therapists recommend of high quality?","authors":"Jessica Smith,&nbsp;Thuy Tran,&nbsp;Jacqui Hunt,&nbsp;Katrina Liddiard","doi":"10.1111/1440-1630.70111","DOIUrl":"10.1111/1440-1630.70111","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Chronic pain is a biopsychosocial experience that can impact peoples' ability to participate in everyday occupations. Mobile health applications, or apps, have the potential to make chronic pain services more effective and accessible. However, the quality of many health apps is not known, which creates a critical challenge for occupational therapists who aim to deliver evidence-informed intervention. This study rated the quality of apps available for Australian occupational therapists to use with clients who have chronic pain.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Consumer and Community Involvement</h3>\u0000 \u0000 <p>No consumer and community involvement.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This study used a cross-sectional descriptive design to (1) identify chronic pain-relevant apps through browser and app store searches, and through a survey of Australian occupational therapists; and (2) evaluate the quality of the apps relevant to occupational therapy practice, at a single point in time, using the Mobile Application Rating Scale.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A total of 27 eligible apps were identified (<i>n</i> = 27). The 27 apps were rated for quality. The mean Objective Quality score of all apps was 3.33/5.00 (acceptable), with a range of 2.14 (poor) to 4.13 (good). The mean Objective Subsection Quality scores were 3.88 (acceptable) for Functionality, 3.25 (acceptable) for Aesthetics, 3.23 (acceptable) for Information, and 2.96 (poor) for Engagement. The mean Subjective Quality score of all apps was 2.67 (poor), with a range of 1.00 (inadequate) to 4.25 (good).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>There was no consistent standard to the quality of chronic pain-relevant apps identified. Occupational therapists may not be identifying all high-quality chronic pain-relevant apps currently available. Findings highlight that occupational therapists lack access to an easy method to identify and verify high-quality apps for use with clients who have chronic pain. Further work is needed to ensure occupational therapists can identify and evaluate the quality of chronic pain-relevant apps in a rapidly changing field of practice.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55418,"journal":{"name":"Australian Occupational Therapy Journal","volume":"73 5","pages":""},"PeriodicalIF":2.1,"publicationDate":"2026-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13549799/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148908057","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}