Issues
Letter to the Editor
Ethics Commission
Health Policy Perspective
Patient Consumerism and Its Influence on the Future of Occupational Therapy
This Health Policy Perspectives column examines how consumerism influences health care policy, in particular occupational therapy service delivery.
Research Papers
Profile of Assessments in Pediatric Occupational Therapy Practice
This article identifies the common assessment tools utilized by pediatric occupational therapists and brings awareness to the inconsistent identification and integration of occupation-based assessment tools within pediatric clinical practice.
Impact of Illness Perceptions on Poststroke Activity Engagement and the Moderating Role of Gender
How people perceived their condition following a stroke dictated their levels of activity engagement in their community of residence. The findings suggest that understanding clients’ illness perceptions may assist occupational therapy practitioners in developing comprehensive, targeted interventions to improve activity engagement and maximize recovery.
Being and Becoming an Evidence-Based Practitioner: Occupational Therapists’ Journey Toward Expertise
Although positive attitudes and self-efficacy are key to evidence-based practices (EBPs), how one becomes an evidence-based practitioner, and how expertise in EBP manifests in practice, remains unclear. This article describes how expert evidence-based occupational therapists develop their expertise.
Occupational Performance 1 Year After a Distal Radius Fracture From the Perspective of the International Classification of Functioning, Disability and Health
This study highlights the importance of a holistic approach in occupational therapy for patients with distal radius fractures (DRF) and reveals that standard measurements might overlook key challenges that they face. By adopting broader evaluative methods, occupational therapists can better address patient-specific needs and enhance their rehabilitation outcomes.
Functional Assessment of Handwriting Among Children: A Systematic Review of the Psychometric Properties
This systematic review evaluates the clinical utility and psychometric properties of handwriting assessments, which could be used to identify and evaluate specific learning disorders (e.g., dysgraphia) if an early referral to occupational therapy is carried out.
The Revised American Occupational Therapy Association Fieldwork Performance Evaluations: Evaluation of Internal Structure, Response Processes, and Precision—Part 2
This article highlights evidence demonstrating the validity and precision of the revised American Occupational Therapy Association’s Fieldwork Performance Evaluation items and supports academic and fieldwork settings for occupational therapy students and occupational therapy assistant students.
Using Artificial Intelligence to Identify the Associations of Children’s Performance of Coloring, Origami, and Copying Activities With Visual–Motor Integration
This study found that a combination of origami and copying activities had the strongest associations with children’s visual–motor integration (VMI). Teachers and clinicians can use these two activities when addressing VMI development among preschool children.
Effects of an Occupation-Based Intervention on Hand and Upper Extremity Function, Daily Activities, and Quality of Life in People With Burn Injuries: A Randomized Controlled Trial
As an occupation-based intervention, the Cognitive Orientation to daily Occupational Performance (CO-OP) protocol can improve hand performance, ability to perform daily activities, and quality of life in people with burn injuries.
Activities of Daily Living Assessment Early in Hospitalization Is Associated With Key Outcomes
This study found that early assessment of activities of daily living (ADLs) in routine care of hospitalized patients may aid in treatment and care plan decisions, particularly for inpatients who may be at higher risk for adverse outcomes.
Protocol for Forearm Pronosupination Strength Measuring in Different Postures: Reliability and Influence of Relevant Factors
The results of this study will allow occupational therapists to establish differences between patients’ functionality in comparison with healthy individuals and to design recovery treatments and facilitate performance of manual tasks, considering which are the most advantageous positions to exert force. The developed device can also be used to monitor the evolution of these torques in an objective and reliable manner.
Implementing Parent Coaching in Hospital-Based Pediatric Occupational Therapy: A Multisite Quality Improvement Project
This multisite quality improvement (QI) initiative shows that outpatient occupational therapy practitioners can implement parent coaching as a best practice with the use of a toolkit. Results suggest that education alone does not result in changes to practitioner behavior and that QI methods can help when implementing best practices in a clinical setting.
The Meaning of Occupation for Adults With Advanced Cancer: A Scoping Review
This scoping review identifies meanings of occupation linked to the health and well-being of adults with advanced cancer to develop and improve occupation-based services in oncology.
Validity of the Test of Visual Perceptual Skills–Fourth Edition in People With Schizophrenia
The Test of Visual Perceptual Skills–Fourth Edition (TVPS–4), which utilizes seven subscales, showed three sound validities (ecological, convergent, and discriminative) for comprehensively assessing visual perception in people with schizophrenia.
Interinstrument Reliability Between the Squegg® Smart Dynamometer and Hand Grip Trainer and the Jamar® Hydraulic Hand Dynamometer: A Pilot Study
The study results offer initial psychometric data for a new remote measurement device for maximal grip strength (MGS). Reliable MGS measurements are vital for occupational therapists to guide treatment interventions and to assess the impact of hand function on the daily activities of aging adults.
Adolescents’ and Adults’ Perceptions of Sensory-Based Interventions: A Qualitative Analysis
This study highlights the need for further research that addresses effective sensory-based occupational therapy interventions for adolescents and adults. It also captures which components of intervention clients deemed helpful and identifies potential targets for future intervention.
Columns: Brief Report
Adolescents’ Perspectives on Learning to Manage the Responsibilities of Adulthood
Adolescents described several approaches parents used to help them to learn to manage tasks, which may provide direction for occupational therapy clinicians working with youth who are transitioning to adulthood.
Mapping the Gap: Understanding the Need for Occupational Therapy Among Older Adults With Visual Impairment
The data provided in this study can inform resource allocation, workforce development, and entry-level occupational therapy education to address the ongoing needs of older adults with visual impairment, which limits meaningful participation in daily living.
Columns: The Issue Is . . .
Promoting Health Equity Through Holistic Admissions in Occupational Therapy Education
This Issue Is column discusses holistic admission best practices and shares diversity outcomes that have resulted from enacting these practices within the occupational therapy education program at the University of Southern California’s Mrs. T. H. Chan Division of Occupational Science and Occupational Therapy.
Going Beyond Management and Maintenance: Occupational Therapy’s Role in Primary Prevention for Adults at Risk of Obesity
This column identifies how occupational therapists are equipped to play a key role in moving health care practices away from a reactive model of care to a proactive one to support adult obesity prevention and presents intervention examples.
Evidence-Based Practice: Practice Guidelines
Occupational Therapy Practice Guidelines for Adults With Stroke
These Practice Guidelines provide a summary of strong and moderate evidence for effective interventions for adults with stroke and for their caregivers.
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