Australian Occupational Therapy Journal最新文献

{"title":"Supporting parents with disability and other challenges through occupational therapy: What is needed?","authors":"Anne Honey,&nbsp;Fidaa Almomani,&nbsp;Yu-Wei Ryan Chen,&nbsp;Yvonne Codd,&nbsp;Junghun A. J. Kim,&nbsp;Masafumi Kunishige,&nbsp;Rodolfo Morrison,&nbsp;Veronica O. Mara,&nbsp;Jessica Peterson,&nbsp;Evelina Pituch,&nbsp;John V. Rider,&nbsp;Muhammad Hibatullah Romli,&nbsp;Deena Rozen,&nbsp;Rachel Sabbah,&nbsp;Hassan I. Sarsak,&nbsp;Elaine Saunders,&nbsp;So Sin Sim,&nbsp;Hwei Lan Tan,&nbsp;Wing Tung Wong,&nbsp;Farahiyah Wan Yunus,&nbsp;Margaret McGrath","doi":"10.1111/1440-1630.70026","DOIUrl":"https://doi.org/10.1111/1440-1630.70026","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Parenting is a highly valued and challenging occupational role in which many parents experience challenges. Yet the involvement of occupational therapy in supporting parenting for adults with disability and other challenges is relatively low. This paper explores what is needed to increase occupational therapy support for parents with disability and other challenges.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>An international online survey was developed based on previous literature and refined via cognitive interviews. It was reviewed by international occupational therapy academics from 11 countries and translated into eight languages. The survey sought the experiences and views of occupational therapists who work with adult populations about supporting parenting occupations. For this paper, fixed-choice and free-text responses illuminating what is needed to increase the provision of that support were analysed. A mixed methods design was used, combining descriptive statistics and interpretive content analysis. Multivariate multinominal logistic regression analyses were used to assess associations between needs identified and participant and practice characteristics.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Consumer and Community Involvement</h3>\u0000 \u0000 <p>This survey and paper were developed with input from occupational therapists and occupational therapy academics from 13 countries.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Participants (n = 1347) identified six types of factors needed to increase occupational therapy support for parenting occupations in adult populations. These were supportive institutional structures; training, resources and assessments; and recognition of occupational therapists' suitability to support parenting both within and outside the profession. Responses varied somewhat by country, setting, population, previous training and clinical experience.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Increasing occupational therapy support for parents with a variety of disabilities and other challenges requires efforts from individual occupational therapists, professional bodies, organisations and educators.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55418,"journal":{"name":"Australian Occupational Therapy Journal","volume":"72 3","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/1440-1630.70026","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144118201","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":"Trauma-informed or sensory-based practices in preschool settings: A scoping review","authors":"Rebecca Hockey,&nbsp;Kelsey Philpott-Robinson,&nbsp;Kirsti Haracz,&nbsp;Karen Ray","doi":"10.1111/1440-1630.70027","DOIUrl":"https://doi.org/10.1111/1440-1630.70027","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;Trauma is prevalent among preschool children and can significantly impact development, mental health, and engagement in childhood occupations. Evidence suggests trauma affects sensory processing, impacting engagement in everyday activities. Preschool settings may offset the impacts of trauma with social and developmental opportunities. Occupational therapy may provide interventions for trauma in preschools at both organisational and individual levels. Evidence for trauma-informed (organisational) preschool approaches is limited but growing; however, little is known about the use of sensory-based (individual) practices. The purpose of this study was to review trauma-informed and sensory-based practices in preschool settings, including implementation and evaluation.&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;The Preferred Reporting Items for Systematic Reviews and Meta-Analyses Scoping Review (PRISMA-ScR) guided the search of six databases for peer-reviewed primary studies of trauma-informed and/or sensory-based practices with children and/or educators in preschool settings.&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;No consumers were involved in study design or analysis.&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;Eighteen studies were included in this review (US publications n = 17). Studies involved preschool children (n = 7), preschool educators (n = 8), or both preschoolers and educators (n = 3). Included studies reported on trauma-informed practices (n = 11), sensory-based interventions (n = 6), or a combination of both (n = 1). Intervention implementation was multi-disciplinary; however, occupational therapy was minimally represented. Interventions were for specific durations (defined) or integrated into daily routines (embedded), with defined interventions used predominantly for sensory-based practices. Interventions were predominantly applied class and/or school-wide (n = 9). Evaluation encompassed child, staff, and organisational outcomes; however, follow-up evaluations were infrequent.&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;Further research on trauma-informed and/or sensory-based practices in preschool settings is needed, focussing on implementation methods and long-term follow-up evaluations. Limited implementation of interventions by occupational therapists highlights an opportunity to play a more active role in future research, including consultation ","PeriodicalId":55418,"journal":{"name":"Australian Occupational Therapy Journal","volume":"72 3","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/1440-1630.70027","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144117981","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 Rural Hand Therapy Project: A mixed methods study in a regional health service","authors":"Susan Williams,&nbsp;Gillian Doherty,&nbsp;Gail Kingston,&nbsp;Anna Tynan","doi":"10.1111/1440-1630.70018","DOIUrl":"https://doi.org/10.1111/1440-1630.70018","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;Rural occupations carry a high risk of hand injury. In rural locations, provision of hand injury rehabilitation often falls to generalist occupational therapists. However, these therapists' capacity to provide hand injury assessment and treatment is limited. The Rural Hand Therapy Project (RHTP) was developed to improve access to hand therapy for patients living in rural areas by supporting rural generalist occupational therapists to provide hand therapy. The aim of this study was to investigate the impact, acceptability and experience of the RHTP for patients and clinicians.&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 convergent mixed methods design was used. Adult outpatients with a hand injury, referred by a regional hospital orthopaedic department, were reviewed pre-intervention and post-intervention via patient questionnaires and chart audits. The intervention was the method of hand therapy provision measured as the standard model of care (regional specialised service) and alternate model of care (RHTP). The outcome measures recorded patients' perspectives of treatment efficacy using the DASH, PSQ-18 and the SF-36. Semistructured interviews were conducted to evaluate the clinicians' experience of the RHTP.&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;No consumers were involved in the study conceptualisation or analysis.&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;Sixty-seven people were eligible and 52 people completed the study. Data were available for 33 patients treated via the standard model of care and for 19 patients treated via the RHTP. No significant difference was found between the two groups with regard to patient satisfaction, level of improvement and fidelity of service. The qualitative data obtained from interviews with eight clinicians revealed four major themes: a rural generalist that provides specialist care; increasing rural demand; flexible and proactive care; and ‘if we stopped it now, we would go backward’.&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;This study demonstrated that the RHTP provided similar outcomes for hand therapy care for rural and remote patients when compared to their regional counterparts. Consideration of context and potential unintended impacts are important in implementation.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; PLAIN LANGUAGE SUMMARY&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Hand injury treatment can be hard to access in rural areas compared to less rural areas. The Rural Hand Thera","PeriodicalId":55418,"journal":{"name":"Australian Occupational Therapy Journal","volume":"72 3","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143892854","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":"Exploring first-year occupational therapy students' perspectives of an On-Country experience: A study from an Australian undergraduate program","authors":"Kieva Richards,&nbsp;Kirk Reed,&nbsp;Ange Parrish","doi":"10.1111/1440-1630.70019","DOIUrl":"https://doi.org/10.1111/1440-1630.70019","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;In Australia, poor health outcomes for Aboriginal and Torres Strait Islander peoples have been well-documented. This often results from colonising practices embedded in systemic, environmental, economic, and social factors leading to marginalisation. To address these injustices, directives to enshrine cultural safety in health-care education/training have been proposed to ensure the development of a culturally safe workforce. Several frameworks have been developed to support tertiary education providers to decolonise curricula. However, with little published about occupational therapy curricula, how and whether occupational therapy students and/or graduates are culturally safe is not known. The purpose of this study is to capture the experiences of students that attended an inaugural On-Country experience embedded within a first-year, undergraduate occupational therapy unit (subject).&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 reflexive thematic analysis method to recruit undergraduate students enrolled in a first-year occupational therapy unit, which incorporated an immersive On-Country learning experience. Data were collected from students via online blog posts, which prompted participants to describe their observations and reflections pre and post the On-Country experience. Data were analysed using Braun and Clarke's six stage thematic analysis process to generate themes.&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;This study was conducted and authored with input from two diverse Aboriginal and Torres Strait Islander people—the facilitator and a colleague of mixed heritage. The tailored On-Country experience was facilitated by the Wadawurrung Traditional Owners Corporation.&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;Analysis of the responses revealed three overarching themes: (1) Creation of a learning experience; (2) an awareness of embarking on a journey to being culturally safe practitioners and recognition of an emerging occupational therapy lens; and (3) engagement and connection to clinical practice.&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;Students expressed enhanced awareness and reflexivity in that they examined themselves, their history and recognised the influential value this had on health and wellbeing. This awareness can be used as a tool/opportunity to inform curriculum design and promote development of professional ","PeriodicalId":55418,"journal":{"name":"Australian Occupational Therapy Journal","volume":"72 3","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/1440-1630.70019","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143888951","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":"Changes in lifespace and participation in community-based occupations of people with acquired brain injury: A mixed methods exploration 6 months following occupational therapy driving assessment","authors":"Louise Bassingthwaighte,&nbsp;Louise Gustafsson,&nbsp;Matthew Molineux","doi":"10.1111/1440-1630.70017","DOIUrl":"https://doi.org/10.1111/1440-1630.70017","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;Changes arising from acquired brain injury may influence how individuals engage in valued community-based occupations such as driving. ‘Lifespace’ describes the area within which a person lives their life and represents opportunity for participation in out-of-home occupations. This study explored lifespace trajectory from pre- to 6 months post-occupational therapy driver assessment, to understand how, why, where, and with whom access and participation in community-based occupations is influenced by assessment outcome.&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;Adults with acquired brain injury referred for occupational therapy driver assessment were recruited to the mixed methods study involving a travel diary, lifespace assessment, and semi-structured interviews. Qualitative analysis was guided by interpretive description.&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;No consumer and community involvement&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;Overall, 38 participants (55.3% male) aged 26 to 65 years reported increased lifespace 6 months following the conduct of an occupational therapy driver assessment. There was increased engagement in leisure pursuits (175%), work (23%), and social participation (21%) with reduced participation in health management (−50%) and instrumental activities of daily living (−15.4%) occupations post-OTDA. However, lifespace was significantly related to driver status, with those who had returned to driving more likely to access their community with greater frequency and less support (&lt;i&gt;p&lt;/i&gt; &lt; 0.001). Non-drivers experienced a deteriorating restricted lifespace. Analysis of semi-structured interviews (n = 12) created three broad themes that largely differed according to driver status: (i) ‘Being me’—reconstructing occupational identity, (ii) opportunities for participation and the influence of choice, and (iii) ‘Having connection’ and impacts on wellbeing.&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;Driver status influences the trajectory of lifespace following participation in an occupational therapy driver assessment after acquired brain injury. Drivers experienced increased lifespace with greater opportunities to control engagement in community-based occupations with flexibility and spontaneity. Non-drivers reported diminished lifespace and occupational participation trajectories and require further support to facilitate occupation","PeriodicalId":55418,"journal":{"name":"Australian Occupational Therapy Journal","volume":"72 2","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/1440-1630.70017","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143826779","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":"Differences in personality and character traits of occupational therapy researchers and non-researchers: A cross-sectional study","authors":"Clara Leong,&nbsp;Kristie J. Harper,&nbsp;Shuang Shuang Han,&nbsp;Leyla Osborne,&nbsp;Georgia Alcock,&nbsp;Susan L. Taylor","doi":"10.1111/1440-1630.70015","DOIUrl":"https://doi.org/10.1111/1440-1630.70015","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;Despite a high level of interest in research, many occupational therapists are not engaged in research activities. Understanding how occupational therapists' personality and character traits influence research engagement is crucial to designing effective research capacity building strategies. This study aimed to identify and compare personality and character traits of occupational therapy researchers and non-researchers across Australia.&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;An exploratory cross-sectional study was conducted using modified versions of the Honesty-Humility, Emotionality, eXtraversion, Agreeableness, Conscientiousness, and Openness to Experience Personality Inventory-Revised-60 (HEXACO-PI-R-60) and the Values in Action Inventory of Strengths-72 (VIA-IS-72) questionnaires. Differences in personality and character traits between researchers and non-researchers and correlations with research engagement were explored. Factor analysis was used to test the psychometric properties of the modified questionnaires.&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;Forty-seven researchers and 78 non-researchers participated in the online survey. There were significant differences between groups for traits of love of learning (&lt;i&gt;P&lt;/i&gt; = 0.01), curiosity (&lt;i&gt;P&lt;/i&gt; = 0.03), and creativity (&lt;i&gt;P&lt;/i&gt; = 0.02). These traits were significantly associated with research engagement. Participants in the non-researcher group scored higher for traits of perfectionism and organisation; however, the results were not statistically significant. Factor analysis demonstrated that the modified personality questionnaires achieved similar psychometric properties and factor matrixes compared to the original versions.&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;Occupational therapists' research engagement is influenced by their personality and character traits, specifically love of learning, curiosity, and creativity. It is, therefore, imperative to consider intrinsic values when developing future research capacity building strategies to increase research engagement and support professional practice.&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;Clinicians were involved in the development stage with five clinicians providing feedback on the survey tool.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; PLAIN LANGUAGE SUMMARY&lt;/h3&gt;\u0000 ","PeriodicalId":55418,"journal":{"name":"Australian Occupational Therapy Journal","volume":"72 2","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/1440-1630.70015","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143809690","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":"Workplace violence experienced by occupational therapists who visit people in their own homes","authors":"Atticus Maddox,&nbsp;Lynette Mackenzie","doi":"10.1111/1440-1630.70009","DOIUrl":"https://doi.org/10.1111/1440-1630.70009","url":null,"abstract":"&lt;div&gt;\u0000 \u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Background&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Workplace violence is a common experience for many health professionals. However, little is known about the experience of occupational therapists, specifically those that visit people in their own homes, and experience violence in that context. Home visiting is a fundamental component of practice for many occupational therapists and often takes place with the occupational therapist being alone. This study aimed to explore the experience of this group of occupational therapists, their responses to workplace violence such as reporting, and the impact of their experience on their wellbeing.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Method&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;A cross-sectional online survey was distributed among occupational therapists via NSW Health services and Occupational Therapy Australia with snowball sampling and links on Twitter, LinkedIn, and Facebook. The survey gathered information on demographics, work organisation, exposure to workplace violence, and strategies used to respond to this. Wellbeing was measured using the Abbreviated Maslach Burnout Inventory and the Kessler Psychological Distress Scale.&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;A total of 101 surveys were returned: 97% (&lt;i&gt;n&lt;/i&gt; = 97) were female, the mean age was 39 years, 52% (&lt;i&gt;n&lt;/i&gt; = 52) were located in capital cities, and most worked in disability care (47%, &lt;i&gt;n&lt;/i&gt; = 47) or aged care (46%, &lt;i&gt;n&lt;/i&gt; = 46) and worked full time (60%, &lt;i&gt;n&lt;/i&gt; = 60). Only 5% (&lt;i&gt;n&lt;/i&gt; = 5) identified that they never worked alone. Of those who experienced violence at least occasionally, 74% (&lt;i&gt;n&lt;/i&gt; = 74) reported verbal aggression, 27% (&lt;i&gt;n&lt;/i&gt; = 27) physical aggression from clients or family members, 20% (&lt;i&gt;n&lt;/i&gt; = 20) physical aggression using objects, 43% (&lt;i&gt;n&lt;/i&gt; = 43) verbal sexual aggression, 46% (&lt;i&gt;n&lt;/i&gt; = 46) unwanted sexual attention, and 3.2% (&lt;i&gt;n&lt;/i&gt; = 3) sexual assault. Moderate to very high distress was exhibited by 26% (&lt;i&gt;n&lt;/i&gt; = 26) of respondents, and 71% (&lt;i&gt;n&lt;/i&gt; = 71) exhibited moderate to high emotional exhaustion.&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;As the target participants were occupational therapists, consumer and community involvement was not sought.&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;This study has demonstrated the exposure of occupational therapists to risks when visiting clients in their homes and identifies the need for risk management, training, and support for occupational therap","PeriodicalId":55418,"journal":{"name":"Australian Occupational Therapy Journal","volume":"72 2","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/1440-1630.70009","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143786867","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":"Exploring the multidimensional occupational participation of young adults with developmental coordination disorder","authors":"Shahar Zaguri-Vittenberg,&nbsp;Naomi Weintraub,&nbsp;Miri Tal-Saban","doi":"10.1111/1440-1630.70016","DOIUrl":"https://doi.org/10.1111/1440-1630.70016","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Developmental coordination disorder (DCD) impacts occupational participation in adulthood, yet little is known about its multidimensional pattern (including objective and subjective dimensions). This study explores the participation patterns of adults with DCD.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Fifty-five adults with DCD aged 21–35 (51% women) completed the young adults' daily activities participation scale.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Consumer and community involvement</h3>\u0000 \u0000 <p>No consumer and community involvement were included in this study.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Imbalanced patterns were noted, with a high frequency of participation but low levels of pleasure and performance in motor-related activities such as driving, cooking, and household-chores. Reduced frequency and low levels of performance, meaning, and pleasure were observed in fitness and sports, health management, shopping, bureaucratic and financial tasks, and spiritual or volunteering activities. Medium-low performance and low pleasure reported in most of the activities examined, except for interpersonal relationships and community and social life that reported with the highest level of performance, meaning, and pleasure.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Individuals with DCD may face participation challenges during adulthood, highlighting their need for occupational therapy services.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> PLAIN LANGUAGE SUMMARY</h3>\u0000 \u0000 <p>This study looked at how developmental coordination disorder (DCD) affects young adults' participation in their daily lives. The findings show that many adults with DCD have trouble with tasks like driving, finding their way, doing household chores, and taking care of themselves. However, even though they take part in social and leisure activities less often, they still enjoy these activities. Understanding these challenges can help create better support services and strategies for them. For example, occupational therapy can help people develop skills to perform daily tasks and enhance their enjoyment levels and confidence in performing these activities, leading to improved wellbeing.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55418,"journal":{"name":"Australian Occupational Therapy Journal","volume":"72 2","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/1440-1630.70016","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143793363","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":"‘I couldn't change his nappy’: New mothers' experiences of De Quervain's tendinosis and its impact on occupational performance","authors":"Caroline Khama,&nbsp;Marina Ciccarelli,&nbsp;Julie Brayshaw,&nbsp;Megan Hatfield,&nbsp;Thuy Tran","doi":"10.1111/1440-1630.70014","DOIUrl":"https://doi.org/10.1111/1440-1630.70014","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;De Quervain's stenosing tendinosis (DQST) is common in new mothers because of awkward wrist postures during repetitive mothering occupations such as nursing and lifting their baby. However, little is known about how DQST affects occupations of first-time mothers. This study aimed to explore the experiences of first-time mothers living with DQST and how it affects performance of their motherhood occupations.&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 descriptive phenomenological study design was used. Participants were 15 first-time mothers of a child aged ≤24 months, with a current or previous diagnosis of DQST, and/or non-trauma-related symptoms of pain, tenderness, and/or swelling near the base of the thumb or wrist. Participants completed the Disabilities of the Arm, Shoulder, and Hand (DASH) questionnaire and participated in semi-structured interviews.&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;No consumer and community involvement.&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;Five themes developed from interview data: (1) My everyday life is affected; (2) not being prepared and not knowing what to do; (3) learning to modify, adapt, and carry on; (4) perceived practicality of management options; and (5) the importance of education and early intervention. DASH disability scores ranged from 50 to 80 for participants with active symptoms.&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;DQST disrupted first-time mothers' occupational performance. Participants felt that until they developed DQST, they received insufficient information about it from health professionals during pregnancy and the first-year post-birth. Pain management options were often not practical when performing motherhood occupations. New mothers would benefit from preventative perinatal education about DQST and treatment options that consider their mothering occupations.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; PLAIN LANGUAGE SUMMARY&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;New mothers can develop a common upper limb condition called De Quervain's Stenosing Tendinosis (DQST), also known as ‘mummy's thumb’, which can make daily occupations difficult. This includes bathing, dressing, and helping their babies sleep. Fifteen first-time mothers with babies under 2 years old and DQST were interviewed and filled out a functional questionnaire. The res","PeriodicalId":55418,"journal":{"name":"Australian Occupational Therapy Journal","volume":"72 2","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/1440-1630.70014","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143762080","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 use of robotic upper limb therapy in routine clinical practice for stroke survivors: Insights from Australian therapists","authors":"Nicholas Flynn,&nbsp;Elspeth Froude,&nbsp;Deirdre Cooke,&nbsp;Suzanne Kuys","doi":"10.1111/1440-1630.70010","DOIUrl":"https://doi.org/10.1111/1440-1630.70010","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;There is a limited understanding of therapist acceptance and use of robot-assisted upper limb therapy (RT-ULT) in routine practice. The aim of this study was to explore the factors that influence Australian therapist acceptance and use of RT-ULT.&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;Two discipline-specific focus groups were conducted involving occupational therapists (&lt;i&gt;n&lt;/i&gt; = 5) and physiotherapists (&lt;i&gt;n&lt;/i&gt; = 4) who had used RT-ULT. Focus group questions were developed, and transcriptions analysed using the Theoretical Domains Framework (TDF). Additionally, participants scored the overall usability of the RT-ULT device with the System Usability Scale (SUS).&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;There was no direct involvement from consumers or community in this study.&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;Nine of the 14 domains of the TDF were covered in depth by participants during the focus groups: environmental context and resources, beliefs about consequences, knowledge, skills, decision-making, reinforcement, social influences, social/professional role and identity (single domain), and beliefs about capabilities. Physiotherapists recorded higher scores of the device on the SUS than the occupational therapists.&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;Both disciplines were accepting of RT-ULT, but it was physiotherapists who predominantly used RT-ULT in part due to the device being located in the physiotherapy rehabilitation gym. Other factors facilitating RT-ULT acceptance in practice included (1) increase in repetitive, intensive independent practice for stroke survivors, (2) ease of use, (3) strong patient acceptance, and (4) implementation process being clinician-led. Functional-based UL practice took priority over RT-ULT once stroke survivors demonstrated sufficient active movement and RT-ULT was not used in isolation but part of a combination of UL interventions.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; PLAIN LANGUAGE SUMMARY&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;There is a little known about what therapists think about using robot-assisted upper limb therapy in their daily practice. The aim of this study was to explore Australian therapist perceptions of the use of robotics.&lt;/p&gt;\u0000 \u0000 &lt;p&gt;Focus groups were conducted separately with five occupationa","PeriodicalId":55418,"journal":{"name":"Australian Occupational Therapy Journal","volume":"72 2","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/1440-1630.70010","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143698774","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}