Importance: Occupational therapy can play a role in primary care management of chronic diseases among older adults. Objective: To assess the feasibility of delivering a primary care occupation-focused intervention (Integrated PRimary care and Occupational therapy for Aging and Chronic disease Treatment to preserve Independence and Functioning, or i-PROACTIF) for older adults with chronic disease. Design: Feasibility study comparing i-PROACTIF with complex care management using a two-group randomized controlled trial design with data gathered at baseline and during and after the 8-wk intervention. Setting: Family medicine clinic serving an urban, low-income, working-class community. Outcomes and Measures: Feasibility indicators were recruitment, retention, utility of clinical assessments, and acceptability of interventions assessed through feedback surveys completed by patients and primary care providers (PCPs). Patient outcomes, including perspectives on chronic illness care, occupational performance, and overall well-being, were collected using standardized, validated measures and analyzed descriptively. Participants: Eighteen adult volunteers, ages ≥50 yr, with heart disease, arthritis, and uncontrolled diabetes completed the study. Ten PCPs completed feedback surveys. Intervention: i-PROACTIF focuses on preserving functional independence, is based on the Person–Environment–Occupation framework, and consists of two assessment sessions and six weekly treatment sessions. Results: Recruitment goals were achieved, with an 86% retention rate. Clinical measures unearthed deficits in areas that were unreported or underreported by patients. Participants reported being extremely satisfied with the intervention. Physicians and nurses also supported the intervention. Both groups showed improved scores on most outcomes. Conclusion and Relevance: Delivering and evaluating i-PROACTIF was feasible and acceptable. Future efficacy trials are needed before it can be used in clinical settings. What This Article Adds: The results of this study can inform future occupational therapy interventions and clinical trials in primary care for older adults with chronic conditions.

Date Presented 04/04/19 This presentation will share findings from a descriptive, mixed-methods study involving clinical and health services experts, physical rehabilitation practitioners, and patients with limited English proficiency (LEP). The study identified clinical indicators and challenges related to optimal delivery of physical rehabilitation services for patients with LEP. Professional, practice, and policy implications of these findings will be discussed. Primary Author and Speaker: Mansha Mirza Additional Authors and Speakers: Elizabeth Harrison

Date Presented 4/9/2016 We present the implementation and evaluation of a family-centered, participation-oriented intervention for Latino immigrant families with preschool age children with autism spectrum disorder. Our presentation holds lessons for individual practitioners, and the occupational therapy field, to work with diverse, underserved groups. Primary Author and Speaker: Mansha Mirza Additional Author and Speaker: Sandra Magaña Contributing Authors: Ashley Stoffel, Esmeralda Vazquez

Date Presented 4/7/2016 We present findings from a systematic review of interventions for supporting parents of children with special health care needs to manage their child’s health care. Our poster is in line with principles of family-directed care and will benefit occupational therapists working with vulnerable children and families. Primary Author and Speaker: Mansha Mirza Additional Author and Speaker: Amy Krischer Contributing Authors: Sandy Magaña, Melinda Stolley, Molly Martin

Date Presented 4/8/2016 We present findings from a mixed-methods study of the experiences of low-income African-American and Latino parents of children with special health care needs. Our poster is in line with principles of family-directed care and will benefit occupational therapists working with underserved children and families. Primary Author and Speaker: Mansha Mirza Additional Authors and Speakers: Jessica Pinto, Amy Krischer Contributing Author: Melinda Stolley