Australian Occupational Therapy Journal最新文献

{"title":"The tensions between risk and choice: Perspectives of Australian occupational therapists about informed choice when working with older people.","authors":"Sathya Viswanathan, Sarah McMullen-Roach, Scott Weeks, Carolyn M Murray","doi":"10.1111/1440-1630.70098","DOIUrl":"10.1111/1440-1630.70098","url":null,"abstract":"<p><strong>Introduction: </strong>Aged care in Australia is under scrutiny. In 2021, the Royal Commission into Aged Care Quality and Safety highlighted the need for increased informed choice. Occupational therapists working within residential and community aged care have a responsibility to provide informed choice to their clients. Knowing more about the perspectives of occupational therapists about informed choice with older people will provide insights into practice that may direct future training needs and best practice recommendations. This study therefore aimed to explore perspectives of Australian occupational therapists about informed choice when working with older people.</p><p><strong>Methods: </strong>A qualitative descriptive research design was employed. Through purposive and snowball sampling, 10 Australian occupational therapists who work in the aged care sector were recruited. They worked in both residential and community aged care. Data were collected face-to-face and via tele-conferencing using semi-structured interviews; data were analysed using reflexive thematic analysis.</p><p><strong>Consumer and community involvement: </strong>Consumers of occupational therapy services were not involved, but this is a recommendation for future research.</p><p><strong>Findings: </strong>The findings reflected tensions reported in the literature of managing multiple decision-makers and fluctuating decision-making capacity alongside professional responsibilities. Theme 1 described methods for raising client awareness of options, negotiating choices, exercising caution, and supporting dignity or risk. Theme 2 described the communication skills employed for promoting informed choice, and Theme 3 described the need for collaborative decision-making. The final theme outlined the value of workplace policies, procedures, and documents for informed choice.</p><p><strong>Conclusion: </strong>Occupational therapists in aged care approach their practice using a person and family centred lens. They employ skilful communication, negotiation, and problem solving. However, tensions exist between managing professional responsibilities around risk and supporting informed choice. Aged care is complex, with ongoing need for training and supervision, and a community of practice for idea sharing and collective problem-solving.</p>","PeriodicalId":55418,"journal":{"name":"Australian Occupational Therapy Journal","volume":"73 3","pages":"e70098"},"PeriodicalIF":2.1,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13193376/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147984365","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":"Drag as a meaningful occupation: A scoping review.","authors":"Louis-Pierre Auger, Victoria Richard, Anastasija Ivanova, Shelby Walker, Sarah Cherrier, Julie Masse","doi":"10.1111/1440-1630.70093","DOIUrl":"10.1111/1440-1630.70093","url":null,"abstract":"<p><strong>Introduction: </strong>Drag is a form of entertainment in which performers caricature or challenge gender norms. It is increasingly present in the media and research and seems to involve multiple interrelated activities. The objective of this study was to explore the scope of empirical research regarding the experience of drag performers and its relations with health and wellbeing from an occupational perspective.</p><p><strong>Methods: </strong>A scoping review was conducted in MEDLINE, Embase, CINAHL, PsycInfo, Gender Studies Database, and Social Sciences Abstracts from their inception to May 2025 to scope for empirical studies. The search strategy consisted of keywords related to 'drag'. Two independent reviewers screened titles, abstracts, and full texts. The data of the included studies were extracted and analysed based on the four dimensions and 15 components of the 'Do-Live-Well' (DLW) framework.</p><p><strong>Consumer and community consultation: </strong>Consumer and community were not involved.</p><p><strong>Results: </strong>Among the 5132 references screened, 34 studies were included. Disparities were observable in the coverage of the different components of the DLW. The most frequently DLW components discussed were as follows: 'social forces' (33/34), 'developing and expressing identity' (27/34), 'connecting with others' (25/34), and 'meaning' (21/34). The least DLW components discussed were as follows: 'balance' (1/34), 'control/choice' (3/34), 'experiencing pleasure and joy' (5/34), and 'activating the body, mind, and senses' (6/34).</p><p><strong>Conclusions: </strong>Findings from empirical research highlight how the occupation of drag plays an important role in the development and expression of personal identity for performers and in the creation of social bonds with their peers, the audience, and the community in a context where stigmatisation is present. Studies focussing on the factors influencing engagement in drag, such as the associated abilities, tasks, activities, routines, and life balance, are yet to be explored to deepen our understanding of doing drag on health and wellbeing.</p>","PeriodicalId":55418,"journal":{"name":"Australian Occupational Therapy Journal","volume":"73 3","pages":"e70093"},"PeriodicalIF":2.1,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13142079/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147846662","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":"Implementation and outcomes of a novel occupational therapy service in a nursing home.","authors":"Brie Bobinskas, Alice Pashley, Helen Holloway, Claire Pearce, Diane Gibson, Nathan D'Cunha, Kasia Bail, Stephen Isbel","doi":"10.1111/1440-1630.70089","DOIUrl":"10.1111/1440-1630.70089","url":null,"abstract":"<p><strong>Introduction: </strong>Occupational therapy plays a vital role in enhancing engagement and quality of life for people living in nursing homes. However, in Australia, funding for occupational therapy in nursing homes is limited, and its scope is restricted. The Enhancing Allied Health for Older People (EAHOP) trial aimed to assess the feasibility and impact of embedding a multidisciplinary allied health model, including occupational therapy, in a nursing home. This paper describes the occupational therapy implementation and outcomes of the EAHOP trial.</p><p><strong>Methods: </strong>A convergent mixed-evaluation was conducted. Twenty-seven residents at an Australian nursing home received occupational therapy by occupational therapists and occupational therapy students. The Canadian Occupational Performance Measure (COPM) was used to set goals and evaluate changes in occupational performance. Data included median therapy minutes per resident and service occasions. Qualitative data were gathered using semi-structured and unstructured interviews and analysed using content analysis.</p><p><strong>Consumer involvement: </strong>The EAHOP trial included a Stakeholder Committee that included residents of the nursing home who were participants in the trial. This group advised the research team on all aspects of the intervention throughout the trial.</p><p><strong>Results: </strong>Residents received a median of 895 minutes of occupational therapy and 203 minutes from allied health assistants for a 1-to-36-week programme where the intervention period varied according to individual need. This equated to a median of 3.9 minutes/resident/day. COPM scores showed clinically meaningful improvements in performance and satisfaction. Interventions addressed diverse occupational performance issues across self-care, productivity, and leisure. Qualitative findings supported these outcomes, highlighting the benefits of the service and identifying barriers and implementation challenges.</p><p><strong>Conclusion: </strong>Embedding a comprehensive occupational therapy service within a multidisciplinary team model is both feasible and beneficial in a nursing home. The improvements in occupational performance and satisfaction, along with the diversity of interventions required, highlight the important contribution of occupational therapy in a nursing home.</p>","PeriodicalId":55418,"journal":{"name":"Australian Occupational Therapy Journal","volume":"73 3","pages":"e70089"},"PeriodicalIF":2.1,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13112328/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147789998","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":"Burnout in Australian occupational therapists: A systematic review.","authors":"Alicia Brown, Kristy Coxon, Liz Thyer","doi":"10.1111/1440-1630.70099","DOIUrl":"10.1111/1440-1630.70099","url":null,"abstract":"<p><strong>Introduction: </strong>Recent data from the 2024 Australian Health Practitioner Regulation Agency (Ahpra) Occupational Therapy workforce survey indicated that the primary reason occupational therapists were considering leaving the profession was mental burnout. The second most commonly reported reason was a lack of professional satisfaction and feeling as though work was no longer fulfilling (Ahpra, 2024). The aim of this systematic review was to synthesise prevalence and incidence data of burnout among occupational therapists practising in Australia.</p><p><strong>Methods: </strong>This systematic review was registered via PROSPERO and conducted in line with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines and Joanna Briggs Institute (JBI) manual for evidence synthesis. Six databases (CINAHL, Medline, Embase, Scopus, PsychINFO, and ERIC) were systematically searched from 1970 to present. Quality appraisal of the included studies was completed using the Joanna Briggs Institute Prevalence Critical Appraisal Tool.</p><p><strong>Consumer and community involvement: </strong>As this was a systematic review of previously published literature, no consumer or community involvement was required.</p><p><strong>Results: </strong>Only seven studies using two burnout measures, published between 1983 and 2025, met the inclusion criteria. Moderate burnout was reported in mean results across burnout measure subsets. The highest scoring sub-category was exhaustion. Factors contributing to burnout were numerous, with the most common being high work and client loads, younger age, and working in roles not specific to occupational therapy.</p><p><strong>Conclusion: </strong>Moderate levels of burnout have been identified in Australian occupational therapists over the last five decades. Further research, such as longitudinal and larger scale studies, is required to gain a deeper understanding of burnout to assist in the development of protective strategies to prevent burnout and increase the career span of occupational therapists practising in Australia.</p>","PeriodicalId":55418,"journal":{"name":"Australian Occupational Therapy Journal","volume":"73 3","pages":"e70099"},"PeriodicalIF":2.1,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148018989","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":"A systematic review of nonpharmacological interventions to improve trauma symptoms and mother-infant bonding for women who experience birth trauma.","authors":"Sorcha Odgers, Helen Bourke-Taylor, Monica Leo, Anoo Bhopti, Loredana Tirlea","doi":"10.1111/1440-1630.70095","DOIUrl":"10.1111/1440-1630.70095","url":null,"abstract":"<p><strong>Introduction: </strong>Childbirth trauma affects a significant number of women and their families worldwide, with a broad range of prevalence estimations in Australia from 28% to 45%. Birth trauma has been found to influence the early mother-infant relationship. The role of occupational therapy within the perinatal context is emerging, although evidence of occupation-based interventions for women following birth trauma is sparse. This study aimed to (1) synthesise the literature on non-pharmacological interventions that address both childbirth-related trauma symptoms and the mother-infant relationship and (2) summarise the reported efficacy of the interventions on reducing trauma symptoms and improving the mother-infant relationship.</p><p><strong>Methods: </strong>Six databases were searched in December 2024. The search retrieved 1532 results, and after duplicate removal, 1476 articles were retrieved, and ultimately six articles were included. The quality of the included studies was appraised for methodological quality according to the Cochrane handbook for assessing risk of bias. Data were extracted in January 2025 and included information on study locations, design, participants, time between childbirth and recruitment, intervention and outcomes, key findings, and limitations.</p><p><strong>Consumer and community involvement: </strong>This systematic review involved no consumer or community involvement.</p><p><strong>Results: </strong>Six studies met inclusion criteria. None of the retrieved studies trialled occupation-based interventions. Psychology and midwifery were the most represented groups in the intervention design and delivery. A range of outcome measures and timepoints were used. Both mother-infant bonding and trauma symptoms improved over time across the intervention and control groups. Evidence was limited to support any specific intervention for trauma symptoms or mother-infant bonding following birth trauma.</p><p><strong>Conclusions: </strong>Birth trauma is an emerging field of research. From an occupational therapy perspective, there is a scarcity of evidence on interventions that are designed around occupational participation or mother-infant co-occupation. Further research into occupation-based support for women after birth trauma is recommended.</p>","PeriodicalId":55418,"journal":{"name":"Australian Occupational Therapy Journal","volume":"73 3","pages":"e70095"},"PeriodicalIF":2.1,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13185088/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147977402","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":"","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":55418,"journal":{"name":"Australian Occupational Therapy Journal","volume":"73 3","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-05-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148092793","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":"","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":55418,"journal":{"name":"Australian Occupational Therapy Journal","volume":"73 3","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148091049","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":"","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":55418,"journal":{"name":"Australian Occupational Therapy Journal","volume":"73 3","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148088332","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":"","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":55418,"journal":{"name":"Australian Occupational Therapy Journal","volume":"73 3","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148086355","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":"","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":55418,"journal":{"name":"Australian Occupational Therapy Journal","volume":"73 3","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-05-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148083632","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}