Australian Occupational Therapy Journal最新文献

{"title":"Measurement properties of the Spanish version of the Engagement in Meaningful Activities Survey in parents of children with developmental challenges","authors":"Paula Noce,&nbsp;Rocío Muñoz-Sánchez,&nbsp;Iris Juárez-Leal,&nbsp;Jessica Piñero-Peñalver,&nbsp;Mónica Siendones-Molina,&nbsp;Miriam Hurtado-Pomares,&nbsp;Eva-María Navarrete-Muñoz,&nbsp;Desirée Valera-Gran","doi":"10.1111/1440-1630.70106","DOIUrl":"10.1111/1440-1630.70106","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Parents of children with developmental challenges often face constraints that reduce engagement in meaningful activities (MAs). This study evaluated the measurement properties of the Spanish version of the Engagement in Meaningful Activities Survey (EMAS) in this population.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A convenience sample of 688 Spanish parents (468 mothers and 220 fathers) of children with developmental challenges completed the Spanish EMAS, the Occupational Balance Questionnaire (OBQ), the Parental Stress Scale (PSS; Baby's Rewards [PSS-BR] and Stressors [PSS-S]), the Hospital Anxiety and Depression Scale (HADS-A and HADS-D), and the Psychological Well-Being Scale (PWBS). Internal consistency, test–retest reliability, structural validity, and construct validity were examined.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Consumer and Community Involvement</h3>\u0000 \u0000 <p>There was no consumer or community involvement in this study.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>EMAS scores averaged 31.1 (standard deviation [SD] = 7.1) for mothers and 33.4 (SD = 6.4) for fathers, with no floor or ceiling effects. Internal consistency was high (α = 0.88 for mothers; α = 0.86 for fathers). Test–retest reliability in mothers (n = 75) was moderate (intra-class correlation coefficient [ICC] = 0.59, 95% confidence interval [CI]: 0.42, 0.72; rs = 0.62). A two-factor structure showed acceptable fit. Construct validity was supported through correlations with OBQ (rs_m [mothers] = 0.61; rs_f [fathers] = 0.63), HADS-A (rs_m = −0.41; rs_f = −0.36), HADS-D (rs_m = −0.50; rs_f = −0.47), PSS-BR (rs_m = 0.37; rs_f = 0.31), PSS-S (rs_m = −0.25; rs_f = −0.26), and PWBS (rs_m = 0.46; rs_f = 0.52).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The Spanish EMAS shows robust measurement properties for assessing engagement in MAs among parents of children with developmental challenges. Its use may support family-centred interventions and research.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55418,"journal":{"name":"Australian Occupational Therapy Journal","volume":"73 4","pages":""},"PeriodicalIF":2.1,"publicationDate":"2026-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148378234","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":"Occupational therapists' experiences in Australia's primary mental health funding scheme: Navigating complexity in a constrained system","authors":"Arabella Hely,&nbsp;Claire Pearce","doi":"10.1111/1440-1630.70104","DOIUrl":"https://doi.org/10.1111/1440-1630.70104","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Occupational therapists in the Australian context provide significant value to mental health, including through Better Access, a Medicare initiative that gives individuals access to up to 10 sessions with a psychologist, social worker, or occupational therapist following a referral from a medical practitioner. However, the experiences of occupational therapists working under the initiative are not widely understood, with no recent occupational therapy-specific research. This study aims to explore the experiences of occupational therapists working under Better Access, their distinct role, and how the system shapes the care clients receive.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>The study used a qualitative, inductive approach. Thirteen occupational therapists who work with people funded by Better Access participated in 30-minute, semi-structured interviews. Data were analysed via thematic analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Consumer and Community Involvement</h3>\u0000 \u0000 <p>The lead researcher for this study has lived experience of mental illness and Better Access, but further consumer and community involvement was not undertaken.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Findings</h3>\u0000 \u0000 <p>Analysis generated themes highlighting the complexity of occupational therapy practice within a psychology-centric system. Participants described how occupational therapists drew on specialised skills to support clients with complex needs, yet worked within structural constraints such as restrictive practice rules, session caps, and limited remuneration. Themes also reflected the undervaluation of occupational therapy and the need for ongoing advocacy to ensure equitable access to services, appropriate funding, and recognition of the profession's contribution.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The design of Better Access restricts the ability of occupational therapists to provide meaningful and sustainable occupational therapy services. Findings provide further evidence that longstanding issues identified in early research have persisted and that the burden occupational therapists face of consistently advocating for the profession and their clients is symptomatic of broader structural inequities. Findings highlight the need for systemic reform.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55418,"journal":{"name":"Australian Occupational Therapy Journal","volume":"73 4","pages":""},"PeriodicalIF":2.1,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/1440-1630.70104","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148357933","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":"Updating and validating the Domestic and Community Skills Assessment","authors":"Neil Woodroffe,&nbsp;Kate E. Webster,&nbsp;Siann Bowman","doi":"10.1111/1440-1630.70100","DOIUrl":"10.1111/1440-1630.70100","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>This study outlines the revision and content validity process for the Domestic and Community Skills Assessment, Third Edition (DACSA-3). The DACSA-3 is an occupational therapy instrumental activities of daily living (IADL) assessment, which can be used to assess a person with a mental health condition.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>The DACSA-3 was developed by considering past development and research, technology changes, and current occupational therapy theories. Nine content experts (occupational therapists with mental health experience) were involved in a qualitative and quantitative review of the DACSA-3 to establish content validity using the content validity ratio (CVR) and content validity index (CVI), with recommended minimum thresholds of 0.78.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Consumer and community involvement</h3>\u0000 \u0000 <p>The DACSA-3 was reviewed by two content reviewers (professionals with lived mental health experience) to ensure that recovery oriented language was included.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The Initial Interview was retained and updated. The Supporting Interview was removed, because it lacked construct validity. The Observation Checklist was renamed to Context List and updated to include environmental and personal factors that may influence task performance. The Objective Assessment subtests were updated and reduced from 17 to 14 subtests. The money handling, personal presentation, and postage handling subtests were removed, because they were no longer relevant or did not fit the occupational category of IADL. The scoring criteria for each subtest were improved by aligning with the rating scale definitions to prevent discrepancies between ratings and clinical judgement. The CVR of DACSA-3 items ranged from 0.78 to 1.00, and the CVI of the DACSA-3 was 0.98.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The DACSA-3 is a revised, contemporary occupational therapy assessment of IADL, which has content validity. The CVR and CVI exceeded the minimum recommended thresholds, and thus, the content validity of the DACSA-3 was established. Modifications were made to the DACSA-3 to reduce the administration time and it no longer contains a screening tool.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55418,"journal":{"name":"Australian Occupational Therapy Journal","volume":"73 3","pages":""},"PeriodicalIF":2.1,"publicationDate":"2026-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/1440-1630.70100","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148266940","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":"Correction to \"The personal and professional characteristics of students who were successful in occupational therapy practice education: A scoping review\".","authors":"","doi":"10.1111/1440-1630.70096","DOIUrl":"10.1111/1440-1630.70096","url":null,"abstract":"","PeriodicalId":55418,"journal":{"name":"Australian Occupational Therapy Journal","volume":"73 3","pages":"e70096"},"PeriodicalIF":2.1,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13484036/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147965566","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"'A safe place for developing skills': Stakeholder perspectives on simulation-based learning in occupational therapy education.","authors":"Andreja Bartolac, Claire Sangster Jokić, Heli Arokki, Hilal Bostanci Seçkin, Ahmet Emir, Anu Kuikkaniemi, Laurence Magerat, Katrin Pechstadt, Julia Unger, Kuni Vergauwen","doi":"10.1111/1440-1630.70086","DOIUrl":"10.1111/1440-1630.70086","url":null,"abstract":"<p><strong>Introduction: </strong>This qualitative study explored stakeholder perspectives on simulation-based learning (SBL) in occupational therapy education across five European countries: Austria, Belgium, Croatia, Finland, and Turkey. The study aimed to examine the potential of SBL as a teaching, learning, and assessment methodology.</p><p><strong>Methods: </strong>A qualitative study was conducted using five focus groups, one in each participating country. Altogether, 35 stakeholders participated in the study.</p><p><strong>Consumer and community involvement: </strong>No consumer or community involvement was engaged in the conduction of this study nor preparation of the work.</p><p><strong>Findings: </strong>Thematic analysis of transcripts revealed four overarching themes: (1) Occupational therapy competencies best suited for SBL; (2) experiences and perceptions of SBL methodologies in occupational therapy education: Perceived educational value for competency development; (3) rationale for SBL in occupational therapy education; and (4) requirements and challenges associated with implementation of SBL, highlighting both the perceived value and the logistical, institutional, and pedagogical challenges of integrating SBL into curricula.</p><p><strong>Conclusion: </strong>Findings confirmed the relevance of SBL for enhancing professional competencies in occupational therapy education and offered rich, context-specific insights shaped by diverse educational and health-care systems. While the limited sample size restricts generalizability, the study provides foundational knowledge for future research and development. Importantly, it underscores the need for adequate resources, structured facilitator training, and strategic planning to ensure the successful implementation of SBL in occupational therapy education. These results contribute to a growing body of evidence supporting simulation as a transformative educational approach that bridges theory and practice, ultimately advancing occupational therapy education and professional preparedness.</p>","PeriodicalId":55418,"journal":{"name":"Australian Occupational Therapy Journal","volume":"73 3","pages":"e70086"},"PeriodicalIF":2.1,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147789953","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":"Workplace peer support for continuing professional development in occupational therapy: A grounded theory.","authors":"Emmanuelle Moreau, Annie Rochette, Aliki Thomas, Marie-Ève Caty, Brigitte Vachon","doi":"10.1111/1440-1630.70091","DOIUrl":"10.1111/1440-1630.70091","url":null,"abstract":"<p><strong>Introduction: </strong>Occupational therapists engage in continuing professional development (CPD) through various means, including workplace experiences. Workplace discussions between peers can promote reflection and foster learning. However, the specific contribution of peer support in occupational therapists' CPD remains underexplored. This study aimed to explore the role of peer support in clinical occupational therapists' CPD.</p><p><strong>Methods: </strong>A constructivist grounded theory approach was employed to develop an explanatory, substantive theory of the peer support process among occupational therapists working in clinical settings. Participants were occupational therapists who had received or provided peer support within the past 2 years. Semi-structured interviews lasting approximately 60 minutes were conducted. Qualitative data were analysed using a constant comparative method involving initial, focussed, and theoretical coding.</p><p><strong>Consumer and community involvement: </strong>There is no consumer or community involvement.</p><p><strong>Findings: </strong>The 15 occupational therapists recruited had either only received (n = 4) or both offered and received (n = 11) peer support. Clinical reasoning, emotional support, professional growth, and career trajectories all acted as triggers for engaging in peer support. Analysis of participants' interview data informed the conceptualisation of peer support as an ongoing, non-linear process shaped by three interrelated sets of conditions: (1) mobilisation (timely access, being grounded in practice, and access to relevant peer expertise), (2) interaction (navigating hierarchy, feeling safe, and dialogical conditions), and (3) practice context (workplace culture and protected time). Engagement in peer support was associated with a range of CPD-related outcomes, including broadening perspective, embracing risk-taking and practice-based experimentation, building self-efficacy, and transferring professional knowledge.</p><p><strong>Conclusion: </strong>The theory explains how the process of peer support contributes to multiple effects of CPD and fosters transformative learning at individual and organisational levels.</p>","PeriodicalId":55418,"journal":{"name":"Australian Occupational Therapy Journal","volume":"73 3","pages":"e70091"},"PeriodicalIF":2.1,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13142077/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147846742","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Occupational therapists' perceptions of artificial intelligence: Potential, preparedness, and training needs.","authors":"Claire Del Rio, Helen Nelson, Danielle Hitch","doi":"10.1111/1440-1630.70090","DOIUrl":"10.1111/1440-1630.70090","url":null,"abstract":"<p><strong>Introduction: </strong>Artificial intelligence (AI) is transforming health care, yet its impact on occupational therapy remains underexplored. This study investigated occupational therapists' perceptions of AI's potential, preparedness, and training needs and differences across therapist groups in a tertiary health service.</p><p><strong>Methods: </strong>A cross-sectional online survey was conducted with 53 occupational therapists, including the Shinners Artificial Intelligence Perception tool and the AI Literacy Scale. Quantitative data were analysed descriptively and with exploratory inferential statistics, with content analysis applied to qualitative responses.</p><p><strong>Consumer and community involvement: </strong>There was no consumer and community involvement in this study.</p><p><strong>Findings: </strong>Participants reported low AI knowledge (M = 1.32), skills (M = 1.21), and confidence (M = 1.30). They acknowledged the potential for AI to enhance care but perceived limited preparedness for its implementation (M = 2.45), particularly in relation to training gaps and ethical concerns. Knowledge, skills, and confidence were strongly correlated, but service area or years of experience did not exert any significant influence. Participants wanted training about occupational therapy applications and how to use AI ethically and efficiently.</p><p><strong>Conclusion: </strong>Occupational therapists are optimistic about AI but need targeted education to enhance their literacy and practice, integrated within overall workforce development strategies.</p>","PeriodicalId":55418,"journal":{"name":"Australian Occupational Therapy Journal","volume":"73 3","pages":"e70090"},"PeriodicalIF":2.1,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13142078/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147846689","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 facilitators and barriers to effective practice among new graduate occupational therapists working with children and families: A scoping review.","authors":"Amanda Barnes, Laura Burritt, Laine B Chilman, Pamela J Meredith","doi":"10.1111/1440-1630.70092","DOIUrl":"10.1111/1440-1630.70092","url":null,"abstract":"<p><strong>Introduction: </strong>Over the past three decades, occupational therapy literature has increasingly explored how new graduate occupational therapists transition into different areas of practice. However, limited evidence exists on the facilitators and barriers influencing new graduates' ability to work effectively in paediatric practice. In Australia, more new graduate occupational therapists are working with children and families, particularly in private settings that have expanded following the introduction of the National Disability Insurance Scheme (NDIS). In this context, understanding how new graduates develop competence is important for supporting effective practice in paediatric settings. The aim of this scoping review is to identify and synthesise the existing literature on the skills, attributes, facilitators, and barriers that influence new graduate occupational therapists' ability to work effectively with children and young people aged 0-18 years.</p><p><strong>Methods: </strong>This scoping review followed Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) and Joanna Briggs Institute guidance. Databases were systematically searched for studies describing occupational therapists with less than three years of experience working with children and young people. One reviewer screened all titles, with independent screening of an initial sample by a second reviewer to ensure consistent interpretation of the eligibility criteria. Data were extracted using a piloted tool, and included studies were independently appraised for evidence level and quality. Findings were synthesised using conventional content analysis.</p><p><strong>Consumer and community involvement: </strong>This scoping review had no consumer or community involvement.</p><p><strong>Results: </strong>Of 3040 records identified, 13 met the inclusion criteria and were included in this scoping review. Four clusters were identified: (1) preparedness for the role; (2) setting or context matters; (3) support and continuing professional development; and (4) the new graduate experience.</p><p><strong>Conclusion: </strong>This scoping review provides a greater understanding of the experiences of new graduate occupational therapists working with children and families, and the workforce factors that enable or hinder effective practice and transition into paediatric roles. These findings are particularly relevant to contemporary Australian paediatric practice, where the introduction of the NDIS has influenced aspects of workforce and supervision structures. Findings also highlight priorities for education, supervision, and workforce planning to support new graduate occupational therapists working with children and families.</p>","PeriodicalId":55418,"journal":{"name":"Australian Occupational Therapy Journal","volume":"73 3","pages":"e70092"},"PeriodicalIF":2.1,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13112326/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147790023","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Occupational therapy intervention for children with developmental coordination disorder: A survey of occupational therapists in Australia.","authors":"Jacqui Hunt, Jill G Zwicker, Annette Raynor, Erin Godecke","doi":"10.1111/1440-1630.70097","DOIUrl":"10.1111/1440-1630.70097","url":null,"abstract":"<p><strong>Introduction: </strong>Developmental coordination disorder (DCD), a common neurodevelopmental condition, is associated with persistent motor and psychosocial difficulties impacting participation and quality of life. International guidelines recommend activity-/participation-focused, task-specific interventions; however, little is known about how Australian occupational therapists translate these recommendations into clinical practice. This study aimed to describe current Australian occupational therapy intervention for children with (or suspected to have) DCD and identify factors that shape occupational therapists' intervention choices.</p><p><strong>Methods: </strong>A cross-sectional online survey was distributed to Australian occupational therapists via professional organisations/social media September-October 2020. Eligible participants were registered occupational therapists with ≥15% children in their caseload. Quantitative data were analysed using descriptive statistics and regressions. Open-ended responses were examined using inductive content analysis.</p><p><strong>Consumer and community engagement: </strong>No consumers (e.g., parents or children) or community service providers were involved in the design, implementation, analysis, or dissemination of this research. This study focused on describing occupational therapists' self-reported practice, and the survey was developed and piloted exclusively with occupational therapists.</p><p><strong>Results: </strong>One hundred seventy-five occupational therapists met inclusion criteria; 146 completed intervention questions. Most occupational therapists provided individual therapy alongside consultation with parents/educators/other health professionals, and 95% reported providing home/school programmes. Weekly, ongoing sessions were common. Most occupational therapists (97%) used some form of activity-/participation-oriented intervention. Only around half used CO-OP, while two thirds used task-specific approaches; however, more occupational therapists used process-/impairment-oriented interventions targeting body structure and function (77%) and/or interventions aimed at achieving developmental milestones (72%). Six key considerations shaping interventions choices were identified: family circumstances and relationships, practical supports, child factors, access/funding, child/family goals, and occupational therapist/peer experience.</p><p><strong>Conclusion: </strong>Australian occupational therapists integrate research evidence, clinical experience, and contextual factors when making intervention decisions for children with DCD. While many use approaches consistent with best practice guidelines, non-recommended practices remain common. Targeted DCD-specific training, improved support for evaluating practice evidence, and addressing funding barriers may align everyday practice with current guidelines.</p>","PeriodicalId":55418,"journal":{"name":"Australian Occupational Therapy Journal","volume":"73 3","pages":"e70097"},"PeriodicalIF":2.1,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148019071","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":"Occupational intersectionality: Introduction, contextualisation, and relevance to occupational therapy practice.","authors":"Ted Brown, Diane L Smith, Aiko Hoshino, Risa Takashima","doi":"10.1111/1440-1630.70094","DOIUrl":"10.1111/1440-1630.70094","url":null,"abstract":"<p><strong>Background: </strong>Intersectionality asks professionals to consider the diverse sociocultural identities and positionings that may directly or indirectly impact the day-to-day occupational lives of individuals, families, collectives, and communities. Two or more identities or diversity factors may create compounding societal positions of marginalisation, discrimination, and oppression. Intersectionality and its outcomes, when viewed through a human occupation and occupational justice perspective, are termed 'occupational intersectionality'. As a critical practice perspective, occupational intersectionality offers occupational therapists a lens to identify identities and positionings that perpetuate inequities and restrict occupational engagement and participation for individuals, families, groups, and communities.</p><p><strong>Purpose: </strong>This article will (i) review the general concept of intersectionality; (ii) introduce and define the new concept of 'occupational intersectionality'; (iii) examine its relationship to social and occupational justice, including the Participatory Occupational Justice Framework (POJF); (iv) situate occupational intersectionality within the Canadian Occupational Therapy InterRelational Practice Process (COTIPP) and the Transactional Model of Occupation (TMO); (v) illustrate its application through a vignette; and (vi) contextualise occupational intersectionality by mapping identities, positionings, and diversity factors with the key elements of the COTIPP, TMO, and POJF.</p><p><strong>Key concepts: </strong>The main concepts discussed include intersectionality, occupational intersectionality, occupational privilege and power, occupational oppression, and occupational discrimination, bias, and prejudice. The sociocultural identities and positionings that contribute to occupational intersectionality are discussed in the context of the POFJ, COTIPP, and TMO.</p><p><strong>Implications: </strong>Occupational intersectionality, as a professional stance, supports occupational therapists in recognising sociocultural identities and positionings of clients, families, groups, and communities that may hinder occupational engagement, participation, health, and wellbeing. Ongoing development, critical consideration, and practical application of occupational intersectionality are strongly recommended. Advancing this approach is essential for promoting social and occupational justice in occupational therapy practice.</p><p><strong>Consumer and community involvement: </strong>No consumer or community involvement took place in relation to the drafting of this manuscript.</p>","PeriodicalId":55418,"journal":{"name":"Australian Occupational Therapy Journal","volume":"73 3","pages":"e70094"},"PeriodicalIF":2.1,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13173395/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147935720","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}