Importance: Evidence of the effectiveness of cognitive activity and preparatory tasks in improving the cognitive skills and functional performance of people with cognitive decline is limited. Objective: To examine the efficacy of a high-ecological cognitive intervention. Design: Quasi-experimental, pretest–posttest design with nonequivalent control. Setting: Community. Participants: Older adults with mild cognitive impairment from two senior centers. Intervention: Twelve 90-min weekly group sessions of a high-ecological cognitive intervention using simulated everyday cognitive tasks (experimental group) and of nutrition education (active control group). Outcomes and Measures: Cognitive skills were measured with the Color Trails Test (CTT), the Contextual Memory Test (CMT; Immediate Recall [CMT–Im] and Delayed Recall [CMT–De] tasks), and the Wechsler Adult Intelligence Scale–Fourth Edition Digit Span subtest (Digits Forward and Digits Backward). Cognitive–functional performance was measured with the Rivermead Behavioural Memory Test–Third Edition (RBMT–3; Immediate Recall [RBMT–3–Im] and Delayed Recall [RBMT–3–De] tasks) and the Cognitive Failures Questionnaire (CFQ). Results: Thirty-seven participants (M age = 70.84 yr; 70.3% women) met the inclusion criteria for analysis (20 participants in the intervention group, 17 participants in the control group). Multivariate linear regression showed that the intervention group improved significantly more than the control group on the CTT, CMT–Im, and RBMT–3–Im but not on the CMT–De, RBMT–3–De, and CFQ. Conclusions and Relevance: Twelve 90-min weekly group sessions of a high-ecological cognitive intervention improved attention, executive function, immediate memory, and objective cognitive–functional performance with immediate-memory task demands. What This Article Adds: Carefully designed and structured simulated everyday cognitive tasks can be used as a cognitive training agent to improve both cognitive skills and objective cognitive–functional performance. The effectiveness of group-based cognitive interventions depends on the skills of occupational therapy practitioners in activity analysis and grading.

Importance: The recovery model in mental health involves person-driven care and informed decision making to enhance engagement in meaningful activities and inclusion in society. To facilitate the recovery process, occupational therapy practitioners must support their clients in understanding how their participation in meaningful occupation is intimately related to their health and well-being. Objective: To explore whether engaging in an occupational reflection intervention on an inpatient psychiatric unit can support the recovery of adults living with serious mental illness (SMI). Design: Using a phenomenological design, we conducted semistructured interviews to assess whether participation in an occupational reflection intervention supported recovery. Setting: An inpatient psychiatric unit at a university medical center. Participants: We recruited 10 adults living with SMI using purposive sampling. Intervention: Participants engaged in a structured occupational reflection intervention using the Occupational Experience Profile (OEP). The OEP is a time-use diary that captures respondents’ subjective experiences of pleasure, productivity, restoration, and connection in relation to their participation in occupations over 24 hr. Study participants engaged in collaborative analyses regarding their OEP results to explore their subjective experiences in relation to their occupational participation. Outcomes and Measures: Participant self-report during interviews. Results: Engaging in structured reflection affected participants’ experiences of recovery by promoting insight into and awareness of how occupations affect mental health, encouraging positive reframing of occupational experience, and facilitating identification of strategies to support recovery and meaningful participation after discharge. Conclusions and Relevance: Occupational reflection can promote the recovery of adults living with SMI. What This Article Adds: A structured occupational reflection intervention can help adults living with SMI in inpatient psychiatric units to understand the close relationship between their participation in occupations and their health. This process provides valuable insight to clients regarding how to support their recovery through engagement in meaningful occupation.

Date Presented Accepted for AOTA INSPIRE 2021 but unable to be presented due to online event limitations. Participants with postconcussion syndrome were taught breathing exercises and given a heart rate variability (HRV) monitor to promote reduced anxiety. Outcome measures included the Perceived Stress Scale, HRV, and anxiety tracking. Each measure improved for participants by the study's conclusion. Primary Author and Speaker: Kelsee Hove Contributing Authors: Callie Lodden, Emily Mock, Mariah Roe, Lindsey Schulz, and Jillian Jones

Date Presented Accepted for AOTA INSPIRE 2021 but unable to be presented due to online event limitations. A quantitative study was conducted to determine if a correlation existed between dynamic grip strength and hand function in healthy subjects across the life span. Outcomes were measured using the Baltimore Therapeutic Equipment grip tool and the Jebsen Hand Function Test. An insufficient statistical correlation existed between timed Jebsen Hand Function results and dynamic hand strength values to support the use of test results as a clinical indicator of functionality or intervention planning. Primary Author and Speaker: Cindy W. Poole

Date Presented 04/13/21 This mixed-methods systematic review explored the effectiveness of OT with adults who experienced intimate partner violence. Of 61 studies screened, 36 were removed, and 20 were further excluded with inclusion criteria. Five studies showed significant skill improvement in individuals who received OT interventions using a combination of individual and group sessions focused on instrumental activities of daily living, trauma symptom reduction, life skills, and mother–child relationships. Primary Author and Speaker: Heather Javaherian-Dysinger Additional Authors and Speakers: Shannon L. Scott Contributing Authors: Michelle Bradshaw

Date Presented 04/8/21 Long-term follow up of 64 children with sensory processing challenges found over half scored as typical on an adult sensory history 8–32 years later. Adult anxiety and depression was common, especially in females, and was correlated with the most severe adult sensory processing challenges. This study provides preliminary prognosis information for childhood sensory processing challenges. Primary Author and Speaker: Teresa A. May-Benson Additional Authors and Speakers: Christy S. Horner, Ryan Heuer, Kerri Reid, Kara Reed, Rebecca Denton, and Kristine Ramsey

Date Presented Accepted for AOTA INSPIRE 2021 but unable to be presented due to online event limitations. Adults living with serious mental illness (SMI) experience a reduced life expectancy of 10–25 years when compared with similar-aged peers. The I-HOPE (Integrating Healthy Habits Optimized by Community Participation and Engaged Learning) intervention was developed to address the wellness needs of adults with SMI in a community-based setting. This interprofessional study collected pilot data to determine the feasibility of future studies. Primary Author and Speaker: Jessica Dawn Tsotsoros Additional Authors and Speakers: Kaylee Peterson, Alexis Blasi, and Sarah Smith Contributing Authors: Peyton Pielsticker, Ken Randall, Cindy Hickl, and Sarah McClanahan

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 04/20/21 Most research studying fall experiences and fall prevention program preferences focuses on older adults, overlooking the falls that occur in midlife. This pilot study gathered preliminary data on fall experiences, consequences, and fall prevention preferences of adults in midlife. Almost all participants experienced functional consequences from their fall and had interest in learning about fall prevention, suggesting that fall prevention programs could be beneficial for middle-aged adults. Primary Author and Speaker: Meredith H. Lee Additional Authors and Speakers: Rachel Reed Contributing Authors: Samantha Grant, Jodi Thomas, and Roy St. Laurent

Date Presented Accepted for AOTA INSPIRE 2021 but unable to be presented due to online event limitations. This descriptive, qualitative study describes the OT process used by expert practitioners for adults with persistent mild traumatic brain injury symptoms in outpatient concussion clinics. OTs are uniquely trained to return persons to their everyday activities, without requiring a military or sport background. This evidence empowers practitioners to advocate for the client and for the professional to be part of the rehabilitation team and raise the perceived value of the profession. Primary Author and Speaker: Mary Ann B. Roelke Contributing Authors: Vanessa Jewell

Date Presented Accepted for AOTA INSPIRE 2021 but unable to be presented due to online event limitations. For young adults and adults with autism, the outcomes related to independence, social relationships, employment status, and living arrangements have been poor. This session will share research using PhotoVoice to explore the lived experience of young adults with autism in a community-based independent-living residence. Challenges and opportunities for independence as seen through photos and reflections on the OT role will be shared. Primary Author and Speaker: Paula J. Thompson-Costello Additional Authors and Speakers: Mackenzie Traub, Eleanor Sweeney, Mallory Schrier, and Hannah R. Dau

Date Presented Accepted for AOTA INSPIRE 2021 but unable to be presented due to online event limitations. Incarceration exposes individuals to a negative combination of sensory deprivation and sensory overstimulation, which has serious health consequences. The Sensory Profile (SP) was administered to 345 men and women residing in a corrections facility and who participated in OT programming. This presentation will illustrate how the SP data discriminate and then discuss the implications for using the SP in justice settings and designing appropriate intervention based on SP data. Primary Author and Speaker: Sandra Rogers Additional Authors and Speakers: John White

Date Presented 04/21/21 This study aims to provide the needs assessment data vital to understanding the current practice climate with rural OTs who work with clients who have sustained a traumatic brain injury. The aim is to identify the perceived outcomes, provide recommendations for practice, use for various service delivery applications (e.g., telehealth), and additional evidence-based treatment, as applicable. Primary Author and Speaker: Kalyn Briggs Additional Authors and Speakers: Sharon Gutman Contributing Authors: Karl Lorenz, Maria Yefimova, Caroline Gray, Joy Goebel, and Karleen Giannitrapani

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. This qualitative, interview-based research project explores the views of adults with early-stage dementia and their care partners about technology. We describe the participants' acclaim for, expectations of, and frustrations with current technology as well as recommendations for future, helpful digital technology. This important information relates to incorporating smart assistive technologies into effective OT practice, especially for those with cognitive impairments. Primary Author and Speaker: Regula H. Robnett Additional Authors and Speakers: Susan Wehry Contributing Authors: Cory Breidt, Taylor Gallant, Kathryn Maiato, and Haley McOsker

Date Presented Accepted for AOTA INSPIRE 2021 but unable to be presented due to online event limitations. This mixed-methods study identified college student self-perceptions of readiness for independent adult living in key occupational performance areas. Results from quantitative online surveys and qualitative open-ended interviews showed that college students may benefit from training in home management, financial education, and broader exposure to government issues. College-age clients receiving OT services may also benefit from this as part of the OT intervention program. Primary Author and Speaker: Grace Fisher Additional Authors and Speakers: Keri Bremigen, Stephanie Giardina, Jessica Lane, and Syrena Riley

Date Presented 04/7/21 This study describes the feasibility of a combined telehealth intervention of computerized cognitive training together with occupation-based treatment for patients with cancer-related cognitive impairment (CRCI). The intervention was found feasible, and positive outcomes on occupational performance, cognitive functions, quality of life, and mood were revealed. This treatment can possibly add to the therapeutic landscape of CRCI, which currently impairs the life of millions worldwide. Primary Author and Speaker: Yafit Gilboa Contributing Authors: Anita Tollen, Marie Holmefur

Date Presented Accepted for AOTA INSPIRE 2021 but unable to be presented due to online event limitations. In this qualitative, phenomenological study, 15 stroke survivors indicated that performing moderate to vigorous physical activity (PA), performing activities of daily living (ADLs), and avoiding sedentary behavior were important types of PA. For adults with stroke for whom moderate PA is challenging, performing ADLs may be an acceptable alternative. OT practitioners can assist clients to decrease sedentary behavior and increase PA through the performance of meaningful activities and occupations. Primary Author and Speaker: Ryan Bailey Contributing Authors: Jennifer Stevenson

Date Presented 04/22/21 The Occupational Adaptation Practice Guide (OAPG) is an instrument used to operationalize the theory of occupational adaptation and promote client-centered care. This study assessed the usability and reliability of the OAPG in an inpatient rehabilitation setting. The results indicate a high percentage of agreement for the person and environment sections of the instrument. All respondents agreed that the OAPG promotes client-centered care, but results regarding its efficiency were mixed . Primary Author and Speaker: Jackie Green Additional Authors and Speakers: Ashley Marks, Jamison Hogan, Brett Campbell, and Dustin Cox

Date Presented Accepted for AOTA INSPIRE 2021 but unable to be presented due to online event limitations. This study describes adults with intellectual and developmental disabilities (IDD) in the acute-care hospital setting and identifies differences in their experience compared with those of patients without IDD. Comparative analysis between the two samples revealed differences in the length of stay, insurance provider, discharge environment, and number of OT visits per day. This study affects the field of OT by increasing awareness of the utilization patterns of health care services for patients with IDD. Primary Author and Speaker: Samantha Conrad Additional Authors and Speakers: Molly Bathje, Matthew Medick, and Molly Ross Contributing Authors: Louis Fogg