Australian Occupational Therapy Journal最新文献

{"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, Louise Gustafsson, Matthew Molineux","doi":"10.1111/1440-1630.70017","DOIUrl":"https://doi.org/10.1111/1440-1630.70017","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>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.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>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.</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> Results</h3>\u0000 \u0000 <p>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 (<i>p</i> < 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.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>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, Kristie J. Harper, Shuang Shuang Han, Leyla Osborne, Georgia Alcock, Susan L. Taylor","doi":"10.1111/1440-1630.70015","DOIUrl":"https://doi.org/10.1111/1440-1630.70015","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>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.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>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.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Forty-seven researchers and 78 non-researchers participated in the online survey. There were significant differences between groups for traits of love of learning (<i>P</i> = 0.01), curiosity (<i>P</i> = 0.03), and creativity (<i>P</i> = 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.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>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.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Consumer and Community Involvement</h3>\u0000 \u0000 <p>Clinicians were involved in the development stage with five clinicians providing feedback on the survey tool.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> PLAIN LANGUAGE SUMMARY</h3>\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, Lynette Mackenzie","doi":"10.1111/1440-1630.70009","DOIUrl":"https://doi.org/10.1111/1440-1630.70009","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>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.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>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.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A total of 101 surveys were returned: 97% (<i>n</i> = 97) were female, the mean age was 39 years, 52% (<i>n</i> = 52) were located in capital cities, and most worked in disability care (47%, <i>n</i> = 47) or aged care (46%, <i>n</i> = 46) and worked full time (60%, <i>n</i> = 60). Only 5% (<i>n</i> = 5) identified that they never worked alone. Of those who experienced violence at least occasionally, 74% (<i>n</i> = 74) reported verbal aggression, 27% (<i>n</i> = 27) physical aggression from clients or family members, 20% (<i>n</i> = 20) physical aggression using objects, 43% (<i>n</i> = 43) verbal sexual aggression, 46% (<i>n</i> = 46) unwanted sexual attention, and 3.2% (<i>n</i> = 3) sexual assault. Moderate to very high distress was exhibited by 26% (<i>n</i> = 26) of respondents, and 71% (<i>n</i> = 71) exhibited moderate to high emotional exhaustion.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Consumer and Community Involvement</h3>\u0000 \u0000 <p>As the target participants were occupational therapists, consumer and community involvement was not sought.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>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}

{"title":"Cultural safety and First Nations health content within tertiary education for undergraduate health-care students: A scoping review","authors":"Vicki Tillott,&nbsp;Stuart Barlo,&nbsp;Michelle Donelly,&nbsp;Beth Mozolic Staunton,&nbsp;Tarunna Sebastian","doi":"10.1111/1440-1630.70011","DOIUrl":"https://doi.org/10.1111/1440-1630.70011","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;Many health professional university programs have integrated content on First Nations health into their curricula in response to the serious health inequities between First Nations and non-First Nations peoples.&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 scoping review was conducted, aiming to provide a deeper understanding of the various ways that tertiary education institutions are incorporating content on First Nations health and cultural safety into health professional education curricula, and how learning outcomes related to cultural capability are assessed.&lt;/p&gt;\u0000 \u0000 &lt;p&gt;Online databases were used to identify papers published globally between 1995 and 2021, from which 28 were selected.&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;First Nations co-authors, working alongside occupational therapy academics, have ensured that the meaning and context of the relevant studies have been thoroughly understood and that appropriate terminology has been used throughout the review.&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;There is considerable variability in the way that content on First Nations health is delivered and assessed within the tertiary sector for health-care students, internationally. There are limited assessment tools that provide a comprehensive understanding of the ability to work in a culturally safe manner with First Nations peoples.&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;The importance of having an understanding of First Nations peoples and health is recognised, with many institutions now, including this information into the university curricula as one method to positively impact the health outcomes of First Nations peoples, as well as in response to health professional accreditation and registration requirements.&lt;/p&gt;\u0000 \u0000 &lt;p&gt;There remains variability with regard to how this content is delivered and assessed. Despite encouraging data on learning outcomes, it remains unclear whether this intervention has an impact on the health-care practices of graduates once they enter the workforce. Further research into the impact of this strategy is warranted in order to determine its effectiveness.&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;Many university programs for health professionals are","PeriodicalId":55418,"journal":{"name":"Australian Occupational Therapy Journal","volume":"72 2","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/1440-1630.70011","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143689288","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":"Upper limb training for young children with unilateral cerebral palsy using video coaching: An explorative retrospective clinical study","authors":"Anke P. M. Verhaegh,&nbsp;Steven Teerenstra,&nbsp;Maria W. G. Nijhuis-van der Sanden,&nbsp;Pauline B. M. Aarts,&nbsp;Michèl A. A. P. Willemsen,&nbsp;Brenda E. Groen","doi":"10.1111/1440-1630.70008","DOIUrl":"https://doi.org/10.1111/1440-1630.70008","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;Young children with unilateral cerebral palsy (CP) received a home-based training program using video coaching for parents. The primary aim of our study was to evaluate the effectiveness of unilateral training on the use of the affected arm and hand during bimanual activities and to explore factors that affect treatment response. Secondary, we evaluated whether effects were retained after an 8-week break, and if data were available, we explored the effects of a second uni- or bimanual training block. Furthermore, adherence was evaluated.&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;Explorative retrospective clinical study evaluating the effectiveness of the first 8-week training block on the (Mini-) Assisting Hand Assessment ((Mini-) AHA) unit score in 81 children aged 8–36 months. Pre- and post-intervention (T0–T1) and 8-week follow-up measurements (T2) were evaluated, and factors influencing treatment response were explored, using linear mixed models (LMM). Additionally, effects of a second training block were explored in 31 of the original 81 children, contingent upon data availability, with T3–T4 measurements included. Adherence, measured as percentage of treatment duration, was explored.&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;Mini-AHA and AHA unit scores significantly improved between T0 and T1, but did not change between T1 and T2. In children aged 18 months and older, baseline AHA scores were related to change scores. In children aged &lt;18 months, no predictors of treatment response were identified. LMM showed significant improvement between T1–T3 and T1–T4 in Mini-AHA scores in children with a second training block. Adherence rates were 85% in the first and 81% in the second block.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Conclusions&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Our data suggest that upper limb training using video coaching can improve hand use in infants and toddlers with unilateral CP, with retained effects after an 8-week break and further enhancement following a second training block. Individual results differed, and controlled studies are needed to strengthen the evidence. High adherence rates suggest the program's feasibility.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Consumer and Community Involvement Statement&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;There was no direct consumer and community involvement in the study design.&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":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/1440-1630.70008","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143688629","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":"‘That connection with community… it is just a positive thing’: Mentoring autistic adolescents participating in community coding programmes","authors":"Ben Milbourn,&nbsp;Lilian Cairns,&nbsp;Caitlin Cartwright,&nbsp;Siobhan Painter,&nbsp;Caitlin Wedgewood,&nbsp;Sonya Girdler","doi":"10.1111/1440-1630.70012","DOIUrl":"https://doi.org/10.1111/1440-1630.70012","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Little is known regarding the experiences of mentoring autistic adolescents. The aim of the study was to explore the process of mentoring autistic youth participating in community coding programmes through the perspective of mentors and facilitators.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>A descriptive qualitative research design was used involving focus groups or one-on-one interviews with mentors (<i>n</i> = 5) and facilitators (<i>n</i> = 5) volunteering at two community coding programmes in Western Australia and Victoria. Data were thematically analysed through an iterative process.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Consumer and Community Involvement</h3>\u0000 \u0000 <p>An autistic individual was involved in piloting the discussion guide for the semi-structured interviews.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Findings</h3>\u0000 \u0000 <p>Thematic analysis identified three primary themes, including (1) the mentoring process; (2) Mentor outcomes including sub-themes of development of mentor attributes, professional development and personal wellbeing and satisfaction; and (3) support needs and opportunities.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Practical supports and training within community coding clubs may aid mentors and facilitators in supporting the needs of autistic youth in the community.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> PLAIN LANGUAGE SUMMARY</h3>\u0000 \u0000 <p>In this project, we explored the views of mentors and facilitators of community coding clubs for autistic adolescents. The community clubs were run on Saturdays for 2–4 hours during school term time. A total of 10 participants (five mentors and five facilitators) agreed to meet with the research team to discuss their experiences. We found that mentors and facilitators needed support to develop their mentoring skills which helped them to grow, made them feel better and gave them a feeling of satisfaction. Our study showed the importance of understanding autism spectrum and supporting mentors and facilitators. We showed how mentoring programmes are an emerging approach that occupational therapists can engage with to better support autistic youth with their strengths and passions.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55418,"journal":{"name":"Australian Occupational Therapy Journal","volume":"72 2","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/1440-1630.70012","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143690148","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":"Does telehealth delivery of an occupational therapy home visiting service provide a non-inferior alternative to in-person delivery of the same service? A matched cohort study","authors":"Rachel Lommerzheim,&nbsp;Feby Savira,&nbsp;Georgina Lewis,&nbsp;Grace Taylor,&nbsp;Kiran Hari,&nbsp;Shanice Pereira,&nbsp;Toni Heinemann,&nbsp;Lisa Barry,&nbsp;Rebecca Grant,&nbsp;Dave Parsons,&nbsp;Suzanne Robinson,&nbsp;Kristie Harper","doi":"10.1111/1440-1630.70013","DOIUrl":"10.1111/1440-1630.70013","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;Health services are encouraging the adoption of telehealth to improve efficiencies and health-care access for patients. Research is needed to explore clinical outcomes in telehealth occupational therapy home visiting services. The aim of this study was to determine if telehealth delivery of occupational therapy home visiting services reduces total therapy time while maintaining clinical outcomes.&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 retrospective matched cohort study to examine the impact of telehealth occupational therapy home visiting services on therapy time and clinical outcomes, compared to standard in-person therapy.&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 544 patients were included (telehealth services [case] = 216, in-person services [control] = 272, received both resulting in a hybrid service = 56). Differences in total therapy time between groups were significant: median therapy time in the telehealth (case) group was 40 minutes (IQR: 63.8) versus 160 minutes (IQR: 90) in the in-person (control) group (&lt;i&gt;P&lt;/i&gt; &lt; 0.001). Patients in the hybrid group were excluded from this comparison as received mixed care. There were no significant differences between groups regarding the incidence of adverse events such as falls, delirium, and pressure injuries (&lt;i&gt;P&lt;/i&gt; = 0.32). Fifty-six patients (20.6%) in the case group escalated to require in-person services receiving hybrid care. Factors associated with switching from telehealth to in-person services included the need for carer education and equipment assessment and provision, which resulted in greater therapy time and more occasions of service.&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;Telehealth delivery of occupational therapy home visiting services reduced therapy time and did not increase incidences of adverse events. However, telehealth delivery of services is not appropriate for all patients, and hybrid models of care must be considered.&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;Occupational therapists help patients leave the hospital and live safely at home. They visit homes to see if patients can manage on their own. Therapists may suggest changes like adding grab bars or bathing aids to make the home safer. These visits take a lot of time, so telehealth is being tested as a way to reduce the need for in-person services. This study looked at whether telehealth could save time and reduce wor","PeriodicalId":55418,"journal":{"name":"Australian Occupational Therapy Journal","volume":"72 2","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/1440-1630.70013","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143677421","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}