Australian Occupational Therapy Journal最新文献

{"title":"Comparison of CO-OP and goal-directed training on occupational performance and functional status in children with cerebral palsy: Three-armed randomised trial","authors":"Zeynep Kolit, Rüya Gül Temel, Gamze Ekici","doi":"10.1111/1440-1630.70033","DOIUrl":"https://doi.org/10.1111/1440-1630.70033","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Cerebral palsy (CP) is a neurological disorder that impacts motor skills and daily functioning in children. While conventional occupational therapy aims to improve these areas, newer approaches like ‘Cognitive Orientation to Daily Occupational Performance’ (CO-OP) and ‘Goal-Directed Training’ (GDT) show promise. However, their comparative effectiveness in enhancing occupational performance and functional status in children with CP remains underexplored. This study aimed to investigate and compare the effects of the CO-OP and GDT on the occupational performance and functional status of children with CP.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Sixty children were randomly assigned to three intervention groups: CO-OP approach in addition to conventional occupational therapy (COT) (Group A; <i>n</i> = 20), GDT in addition to COT (Group B, <i>n</i> = 20), and only COT (Group C; <i>n</i> = 20). The outcomes regarding occupational performance via the Canadian Occupational Performance Measure and functional status via the Paediatric Evaluation of Disability Inventory were evaluated by the blind evaluators before and after the interventions. All participants received two sessions per week over a 12-week period.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Consumer and Community Involvement</h3>\u0000 \u0000 <p>No consumer and community involvement in these studies.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>All groups demonstrated statistically significant improvements in occupational performance and functional status (<i>p</i> < 0.001). Between-group comparisons revealed that Group A achieved greater improvements in occupational performance and functional status, which particularly in the areas of self-care, mobility, and total Paediatric Assessment of Disability Inventory (PEDI) scores (<i>p</i> < 0.05), compared to the other groups.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Although significant gains were achieved on occupational performance and functional status levels of both the CO-OP approach and GDT, it was revealed that the group receiving the CO-OP approach had superior effects.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> PLAIN LANGUAGE SUMMARY</h3>\u0000 \u0000 <p>Cerebral palsy (CP) is a condition that affects how children move and use their muscles. It can make everyday tasks like getting dressed or playing more difficult. Occupationa","PeriodicalId":55418,"journal":{"name":"Australian Occupational Therapy Journal","volume":"72 3","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/1440-1630.70033","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144256408","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":"Addressing client spirituality in occupational therapy practice: A qualitative study","authors":"Heather So, Lynette Mackenzie, Chris Chapparo, Judy Ranka, Mary Ann McColl","doi":"10.1111/1440-1630.70034","DOIUrl":"https://doi.org/10.1111/1440-1630.70034","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Aspects of spirituality are commonly brought up by clients during times of sickness, disability, and impending death. However, much of the research on how to address spirituality in Australian health care has been conducted by professionals outside of occupational therapy. In this context, this study aimed to examine how Australian occupational therapists address spirituality in their clinical practice.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This study undertook an interpretive phenomenological qualitative approach to thematically analyse 23 individual interviews of Australian occupational therapists from multiple practice settings.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Consumer and Community Involvement</h3>\u0000 \u0000 <p>As the target participants were occupational therapists, consumers and the community were not involved in the design of the research.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Findings</h3>\u0000 \u0000 <p>The three themes that emerged from this study were the following: (i) participants employed flexible approaches when asking about clients' spirituality; (ii) clients raised a diverse range of spiritual topics; and (iii) occupational therapists provided varied responses to address client spirituality.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The findings suggest that spirituality is a rich and varied part of occupational therapy practice. Many participants had developed creative ways to integrate spirituality into their practice, often without formal training. Therapists' preferred methods for asking clients about their spirituality were generally informal and flexible in nature. Additionally, clients introduced a range of positive and challenging topics, whereas some did not bring up spirituality at all. Therefore, occupational therapists may benefit from using open questions that encourage exploration. The varied responses to client spirituality offer an opportunity for therapists to reflect on how best to support it. This may involve increasing self-awareness of their personal beliefs, establishing referral pathways to spiritual experts, and creating guidelines for self-disclosure and participation in spiritual practices. Improving professional resources on addressing spirituality could further assist occupational therapists in asking about and responding to the spirituality of their clients.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> PLAIN LANGUAGE SUMMAR","PeriodicalId":55418,"journal":{"name":"Australian Occupational Therapy Journal","volume":"72 3","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/1440-1630.70034","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144256409","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 therapists in acute mental health inpatient settings: A systematic scoping review","authors":"Adele Adelle, Kris Bedford, Sabrina McMahon, Carolyn Dun, Rachael Starbuck, Nastaran Doroud","doi":"10.1111/1440-1630.70032","DOIUrl":"https://doi.org/10.1111/1440-1630.70032","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Occupational therapists play an important role in offering interventions in acute mental health inpatient settings through use of individualised, activity-based, sensory, and group approaches. They may face challenges, however, to implement evidence-based interventions due to high caseload, consumers' short duration of stay, and general limited understanding of the value of occupational therapy interventions. This scoping review aimed to address this gap by answering the following question: ‘What evidence is available for occupational therapy interventions within acute mental health inpatient settings?’</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This review used Arksey and O′Malley's (2005) scoping review framework. The review question was identified by occupational therapists from two leading mental health settings in Melbourne, Victoria. Three electronic databases, citation searches, and hand searching were used to locate studies that were independently screened by authors. Studies within adult acute inpatient mental health units that examined interventions designed or delivered by occupational therapists were selected. These studies were data extracted, and findings were thematically synthesised.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Consumer and community involvement</h3>\u0000 \u0000 <p>There was no consumer and community involvement.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Findings</h3>\u0000 \u0000 <p>Twenty-one studies relevant to the review question were identified. The findings from these studies were synthesised into five themes: (a) consumers' experiences of occupational therapy interventions; (b) enabling activity engagement and choice; (c) restoring function; (d) reduced need for restrictive practices; and (e) sensory modulation. These themes are discussed in relation to environmental and occupational factors, occupational therapy approaches, and contributions to consumers' recovery.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The findings from this review highlighted the pivotal role of occupational therapists in acute inpatient mental health settings in addressing occupational deprivation and functional decline; reducing the need for restrictive practices; enabling self-management strategies to reduce distress; and fostering personal recovery. Understanding of and promoting the unique value of occupational therapy interventions is essential to ensure effective multidisciplinary care within acute mental health settings. Future ","PeriodicalId":55418,"journal":{"name":"Australian Occupational Therapy Journal","volume":"72 3","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/1440-1630.70032","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144256410","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":"Sustainability of a rehabilitation self-management program (‘My Therapy’) 6 months post implementation","authors":"Sara L. Whittaker,&nbsp;Keith D. Hill,&nbsp;Nicholas F. Taylor,&nbsp;Christina L. Ekegren,&nbsp;Natasha K. Brusco","doi":"10.1111/1440-1630.70030","DOIUrl":"https://doi.org/10.1111/1440-1630.70030","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>The aim of this study was to explore sustainability of a self-management program in inpatient rehabilitation (‘My Therapy’) 6 months following a randomised controlled trial.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A patient audit of rehabilitation hospital medical records was completed to determine program reach and an electronic survey of occupational therapists/physiotherapists to understand perceptions of program sustainability.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Consumer and community involvement</h3>\u0000 \u0000 <p>This study included a lived experience consumer as part of the trial steering committee.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Of 185 patients audited, the program reach was 41%. Of 13 therapists surveyed, most reported they knew how to deliver self-management programs (93%), that they provided My Therapy as part of usual care ‘some of the time’ (77%), and that appointing a My Therapy clinical champion on the ward supported sustained implementation (77%). They also reported reduced confidence delivering ‘My Therapy’ with patients who were not motivated or when time was limited.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Six months post-trial, a self-management program was still being delivered by therapists in rehabilitation. Ongoing support strategies are required to sustain self-management programs.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> PLAIN LANGUAGE SUMMARY</h3>\u0000 \u0000 <p>Doing exercises and practising tasks is an important part of rehabilitation. A self-management program called ‘My Therapy’ enables patients to do exercises or tasks on their own. Patients doing My Therapy completed an extra 26 minutes of exercises or tasks each day. This study in Melbourne, Australia, found out if the program was still being used 6 months later. We also found out what therapists thought about the program. Less than half of patients were doing My Therapy at 6 months. Therapists reported they liked their patients doing the program. However, they found it harder to deliver to patients who lacked motivation. It was also hard to deliver when the therapist felt they had little time.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55418,"journal":{"name":"Australian Occupational Therapy Journal","volume":"72 3","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/1440-1630.70030","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144244770","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":"Similar but different: A qualitative study of occupational therapists' transformational experiences during practice education","authors":"Anne-Maree Caine,&nbsp;Olympia Nicolson,&nbsp;Matthew Molineux","doi":"10.1111/1440-1630.70028","DOIUrl":"https://doi.org/10.1111/1440-1630.70028","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;Practice education is a key component in the education of occupational therapists, and yet there is limited understanding of the long-term impact of practice education experiences. This study explored transformational experiences on practice education to better understand their long-term impact. Transformational experiences are those that cause a profound and fundamental change in a person's view of themselves and/or the profession. The aim of this study was to explore the transformational experiences, both positive and negative, of occupational therapists while they were on practice education as students.&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 phenomenological research design was used to understand the lived experiences of occupational therapists who had undergone transformational experiences while students on practice education. Data were collected using semi-structured interviews from 11 participants who had graduated at least 5 years prior to this study. Data analysis was completed using interpretative phenomenological analysis.&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 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;An overarching theme of &lt;i&gt;similar but different&lt;/i&gt; was identified, which recognised that while each experience was unique there were some shared elements: the experiences were challenging, emotionally laden, took time to process and had long-term impacts. Positive and negative experiences were precipitated by a challenge of some kind. Participants experienced a wide spectrum of emotions at the time of the event and for some the emotional response lasted long afterwards. It took time and reflection to process their experiences, and they often required help to develop insights into the experience and its impact. Long-term impacts were experienced personally and professionally.&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 students have transformational experiences on practice education. These can be ordinary or extraordinary and therefore unique to each student, making them difficult to predict. The findings highlight the value of practice educators and university educators checking in with students to support them to reflect on and process transformational experiences.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; PLAIN LANG","PeriodicalId":55418,"journal":{"name":"Australian Occupational Therapy Journal","volume":"72 3","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-06-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/1440-1630.70028","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144244677","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":"Building consensus on prescribing self-directed occupational therapy activities: A Delphi study","authors":"Anna Joy,&nbsp;Alicia Devlin,&nbsp;Natasha A. Lannin,&nbsp;Libby Callaway,&nbsp;Sara L. Whittaker,&nbsp;Natasha K. Brusco","doi":"10.1111/1440-1630.70029","DOIUrl":"https://doi.org/10.1111/1440-1630.70029","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;Occupational therapy practice focuses on occupation-based interventions, considering the interaction between the person, environment, and task. In Australia, combining supervised therapy with self-directed practice is feasible, even for health-care consumers with cognitive impairments. This study aims to explore the self-practice programs developed by occupational therapists and delivered in inpatient rehabilitation and develop core recommendations for such interventions.&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;Ethical approval for this Delphi consensus study was granted by Monash University Human Research Ethics Committee. The study involved an online survey and two focus groups with Australian occupational therapists. Participants were recruited via snowball sampling and required to meet specific experience criteria. Content analysis was used to analyse data, and consensus was reached on core recommendations for prescribing self-practice in inpatient rehabilitation.&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;Occupational therapists who prescribe self-practice to health-care consumers were the community of interest and directly involved in the Delphi consensus process to inform study findings. Consumers using self-practice activities were not included in the study.&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;In Round 1 of the Delphi process, 21 occupational therapists participated in an anonymous online survey about prescribing self-practice in inpatient rehabilitation. The survey identified key recommendations across various categories. Round 2 focus groups further refined these recommendations, and Round 3 achieved consensus, incorporating additional feedback and suggestions for implementing self-practice programs. It found variability in implementation, with neurological and general rehabilitation health-care consumers most likely to receive self-practice tasks.&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 Australian study explored how occupational therapists prescribe self-practice during inpatient rehabilitation. The study emphasised the importance of clinical reasoning and environmental factors, offering recommendations to guide goal-focused, client-centred self-practice interventions for better health-care consumer outcomes.&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 3","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-06-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/1440-1630.70029","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144244676","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":"Peer-mentorship among people with lower limb amputations living in small communities","authors":"Jessica R. Trimble,&nbsp;Jessica M. Jessamine,&nbsp;Ken Bettin,&nbsp;William C. Miller,&nbsp;Julian B. Sernik,&nbsp;Brodie M. Sakakibara","doi":"10.1111/1440-1630.70031","DOIUrl":"https://doi.org/10.1111/1440-1630.70031","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;Peer-mentorship, when a peer shares a connection to a group provides knowledge, empathy, and validation through the unique perspective of their lived experience of practical and social–emotional knowledge following disease or disability. However, there is a paucity of research on peer-mentorship among individuals with lower limb amputations particularly those who live in small communities. This study aimed to investigate peer-mentorship among individuals with lower limb amputations in small communities during pre-amputation procedures and adjustment to life post-amputation.&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;Qualitative description, semi-structured telephone interviews were conducted with peer-mentors or mentees who experienced lower limb amputation in a small community.&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;One member of the research team was a person with lived experience, and another member of the research team was a clinician (orthopaedic surgeon). Both team members contributed to the study concept, design and analysis of the data and have read and approved the final manuscript. The team member with lived experience additionally supported participant recruitment.&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;Four themes emerged: ‘satisfying an unmet need’ explores the desire to learn from others who have similar experiences living with lower limb amputation; ‘improving independence’ describes the unique guidance offered by peer-mentors for returning to daily activities; ‘friendship’ considers peer-mentors' therapeutic delivery including its long-lasting guidance and connection; ‘advocating for support and resources’ examines how peer-mentors fulfil supportive roles such as health-care navigation.&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;Results demonstrate peer-mentorship's role in improving independence and social support and providing advocacy during adjustment to lower limb amputation among people residing in small communities.&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;People who have had their leg amputated need support programs. This is very true for people living in small communities. In this study, we talked to people who have had a leg amputated and who live in a small community. We wanted to know their thoughts about peer-","PeriodicalId":55418,"journal":{"name":"Australian Occupational Therapy Journal","volume":"72 3","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/1440-1630.70031","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144214010","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":"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}