Date Presented Accepted for AOTA INSPIRE 2021 but unable to be presented due to online event limitations. Celiac disease is a chronic condition, treated by a strict lifelong gluten-free diet. Adolescents need to gain independence and assume responsibility for self-managing their diet while participating in daily food-related activities. Maintaining health, well-being, and quality of life and developing self- and illness identity are central developmental tasks during adolescence. OTs have an important role in addressing and promoting health management needs. Primary Author and Speaker: Sonya Meyer Additional Authors and Speakers: Liron Lamash

Date Presented Accepted for AOTA INSPIRE 2021 but unable to be presented due to online event limitations. Executive functions, including attention and regulation, are relevant to successful participation in complex occupations. A scoping review was conducted to summarize and evaluate current evidence for the impact of mindfulness on the attention and regulation skills of preadolescents and adolescents. Findings suggest early promise of mindfulness interventions in improving these skills in the target population. However, firm conclusions cannot be drawn due to low trustworthiness of the evidence. Primary Author and Speaker: Rebecca Mariel Rutta Additional Authors and Speakers: Shamta Kumar, Varada Pisharody, and Kaitlyn Cecilia Irwin Contributing Authors: Nancy Baker, Elizabeth Marfeo, and Margaret Morris

Date Presented 04/7/21 A descriptive study using the Adolescent/Adult Sensory Profile compared the scores of people recovering from addiction with the profile scores of the normative sample and found a preference for sensation avoiding among people recovering from addiction. This knowledge indicates a need for sensory-informed interventions to enhance self-regulation and occupational performance in home, work, and community environments for people recovering from addictions. Primary Author and Speaker: Catana Brown Additional Authors and Speakers: Julie L. Watson Contributing Authors: Jennifer O'Connor Duffy

Date Presented Accepted for AOTA INSPIRE 2021 but unable to be presented due to online event limitations. Youth who reside in congregate-care foster homes are at greater risk of developing physical, emotional, and behavioral problems. Many of these children could benefit from OT services but are not yet identified because of a lack of assessment. Data from this study suggest sensory modulation challenges are common in this population and may contribute to observed behavior problems. Critical information is provided to advocate for OT services in the foster care system. Primary Author and Speaker: Amy Armstrong-Heimsoth Additional Authors and Speakers: Sarah A. Schoen Contributing Authors: Tessa Burt

Date Presented Accepted for AOTA INSPIRE 2021 but unable to be presented due to online event limitations. A metacognitive model was developed based on functional cognition and the existing literature, with the aim of promoting independence in everyday functioning among individuals with autism spectrum disorder (ASD). This study examines an application of the proposed model among adolescents with ASD, in the context of conducting a shopping errand in the community. Results show evidence of significantly greater improvement for the group receiving the functional cognitive intervention in comparison with the control group. Primary Author and Speaker: Liron Lamash Additional Authors and Speakers: Naomi Josman

Date Presented Accepted for AOTA INSPIRE 2021 but unable to be presented due to online event limitations. Handwriting difficulties (HD) are a top reason for referral to OT. Executive function (EF) was described as an underlying mechanism of daily functioning and HD. This study found differences between handwriting of adolescents with HD and their peers with other daily function difficulties but no relation between EFs and legibility. The Handwriting Legibility Scale is suggested for evaluation of legibility in adolescents. Primary Author and Speaker: Liat Hen-Herbst

Date Presented Accepted for AOTA INSPIRE 2021 but unable to be presented due to online event limitations. This project brings to our attention OT's important role in meeting the ever-changing service needs of individuals with autism spectrum disorder (ASD) as they transition into adulthood. Comparative analysis of pretest, posttest, and maintenance assessment scores offers insight into changes and begins an important discussion of how we can improve and sustain adaptive life skills in adolescents with ASD for the long-term goal of changing their trajectory for greater independence. Primary Author and Speaker: Elizabeth Grant Additional Authors and Speakers: Shirley O'Brien, Geela Spira Contributing Authors: Scott Tomchek

Date Presented Accepted for AOTA INSPIRE 2021 but unable to be presented due to online event limitations. Adolescents on the autism spectrum have difficulties initiating social interactions, which affects their peer engagement. This study investigated the characteristics of unresponded social initiation among adolescents on the spectrum and their typically developing peers. We investigated the rated characteristics of unresponded initiations among 12 students (six with autism; sixth to seventh grade) and explored the effects of the student group, peer group, and purpose and type of initiations. Primary Author and Speaker: Yu-Lun Chen Additional Authors and Speakers: Kristie Patten

Date Presented Accepted for AOTA INSPIRE 2021 but unable to be presented due to online event limitations. Power Fun, a therapeutic powered mobility summer camp, provides a pragmatic solution to promote mobility for children with severe cerebral palsy. This session presents the Power Fun protocol and the results of a repeated-measures mixed-methods validation study (N = 24). These showed significant improvement in powered mobility skills, attainment of most functional goals, and social change after participation, making it an evidence-based intervention for children with severe disabilities. Primary Author and Speaker: Lori Rosenberg Additional Authors and Speakers: Yafit Gilboa Contributing Authors: Adina Maeir

Date Presented Accepted for AOTA INSPIRE 2021 but unable to be presented due to online event limitations. Adolescents with autism spectrum disorder (ASD) show poor independence in daily activities. The self-report Daily Routine and Autonomy Questionnaire (DRA) identifies adolescents' actual versus desired independence in daily routines and promotes setting and achieving goals. This research assesses the DRA with adolescents with ASD. Results indicate moderate to high internal reliability and significantly higher desire for independence than independence level, indicating potential goals they can set. Primary Author and Speaker: Liron Lamash Additional Authors and Speakers: Naomi Josman

Date Presented 04/13/21 The purpose of this phenomenological study was to highlight the lived experience of adolescents with autism spectrum disorder who participated in equine-assisted activities and therapies (EAA/T) using semistructured interviews and thematic analysis. Research questions explored the client's perception of skills learned and whether clients recognized the generalization of skills. Implications for OT and conceptualizing the links between OT and EAA/T will be presented. Primary Author and Speaker: Emily Mahoney Additional Authors and Speakers: Elizabeth Torrez, Mekenzie Keenportz, Kelly Maki, Tara Rudkoski, and Katie Hawk

Date Presented 04/9/21 The Pediatric Evaluation of Disability Inventory-Patient Reported Outcome (PEDI-PRO) is a self-report of functional performance designed for transition-age youth with developmental disabilities (DD) ages 14–22. We evaluated the usability of the PEDI-PRO software in clinical practice and established the reliability and accessibility of the PEDI-PRO user interface. Results indicate that the PEDI-PRO software is easy to use in clinical practice, and the accessibility features appear to support reliable reporting of daily activities, social–cognitive, and mobility function by youth with DD. Primary Author and Speaker: Jessica Kramer

Date Presented Accepted for AOTA INSPIRE 2021 but unable to be presented due to online event limitations. The Occupational Interview for Adolescents: Strengths, Difficulties, and Resources was developed for understanding the occupational strengths and difficulties of adolescents and their attributions of successes and difficulties. Typical adolescents described themselves as having difficulties in leisure, education, and self-care. The results of the study point to a need for occupational health promotion programs for typical adolescents. Primary Author and Speaker: Miri Tal-Saban Additional Authors and Speakers: Adina Maeir

Date Presented Accepted for AOTA INSPIRE 2021 but unable to be presented due to online event limitations. It is important for humans to efficiently detect changes occurring around them for social interaction, learning, and movement, as well as survival and protection (Kessler, 2006). Adolescents with attention deficit hyperactivity disorder demonstrate strengths and difficulties in change detection that may affect areas of everyday participation. OTs have an important role in defining these areas, facilitating information processing to enhance adaptive responses, and developing occupational-based interventions. Primary Author and Speaker: Michal Hochhauser Contributing Authors: Adi Aran, Ouriel Grynszpan

Date Presented 04/8/21 Pediatric chronic headache and its associated hypersensitivities to light and sound significantly disrupt participation in daily occupations. This study examined the effectiveness of auditory and visual desensitization through an exposure approach. Promising results indicate significant reduction in symptoms and significant improvement in functioning. OTs should strongly consider using desensitization to treat and manage pediatric headache–related hypersensitivities. Primary Author and Speaker: Megan Silvia Additional Authors and Speakers: Erin Foster Contributing Authors: Beau M. Ances

Date Presented 04/13/21 Informal caregivers are at risk for experiencing stress, anxiety, and other concerns that influence quality of life and that have a direct effect on the care recipient. Preliminary evidence suggests that Health Coaching in Context may help address the needs of mothers who are caring for a child with spinal cord injury. Using this client-centered and solution-focused approach, OTs develop a partnership that is connected by authenticity and trust through the use of skillful, constructive dialogue. Primary Author and Speaker: Bernadette Alpajora Additional Authors and Speakers: Rochelle Mendonca

Date Presented Accepted for AOTA INSPIRE 2021 but unable to be presented due to online event limitations. OTs, residency, and fieldwork students implemented targeted group programming at area high schools to address functional transition needs for individuals with developmental and learning disabilities to prepare them for life after high school. The needs unique to these students at this critical life transition, the challenges experienced when providing services to these populations, and the current methods used to assess and document outcomes will be discussed. Primary Author and Speaker: Jennifer A. Merz Additional Authors and Speakers: Bonnie Nakasuji Contributing Authors: Kimberly Mollo

Date Presented Accepted for AOTA INSPIRE 2021 but unable to be presented due to online event limitations. Understanding the mechanisms of emotion production and emotion processing is important for addressing social communication deficits in individuals with autism spectrum disorder (ASD). Our results suggest that prompted emotional expressions in individuals with ASD are considered less genuinely expressed than those of their typically developing peers. This authenticity is related to neural responses in social processing brain regions. These findings offer insight for OTs to better treat and develop therapies to address social communication deficits in individuals with ASD. Primary Author and Speaker: Emily Kilroy Additional Authors and Speakers: Sharada Krishnan Contributing Authors: Christiana Butera, Laura Harrison, Aditya Jayashankar, Anusha Hossain, Alexis Nalbach, and Lisa Aziz-Zadeh

Date Presented Accepted for AOTA INSPIRE 2021 but unable to be presented due to online event limitations. Celiac disease is a chronic condition, treated by a strict lifelong gluten-free diet. Children and adolescents with celiac disease face ongoing challenges of making daily dietary choices. As children grow, they need to become more involved in the decision-making process and take on self-management responsibilities. OTs have an important role in promoting self-management of celiac disease and the decision-making process during the transition years from adolescence to young adulthood. Primary Author and Speaker: Sonya Meyer Contributing Authors: Elena Lionetti, Carlo Catassi

Date Presented Accepted for AOTA INSPIRE 2021 but unable to be presented due to online event limitations. The OT-ParentShip protocol is a multidimensional intervention for parents of adolescents with high-functioning autism. Results from a pilot study display a significant improvement in adolescents’ participation and heightened parental resilience. Preliminary feasibility supports OT-ParentShip as a strength-based family-centered intervention program. OT practitioners can benefit from this structured protocol, which enables parents to achieve their prioritized goals. Primary Author and Speaker: Batel Wachspress Additional Authors and Speakers: Einav Kahlon, Adina Maeir, Itai Berger, and Tal Mazor-Karsenty