Date Presented Accepted for AOTA INSPIRE 2021 but unable to be presented due to online event limitations. This mixed-methods case study examines use of a harness system in a community garden for persons poststroke.No studies exist on this topic. Two persons participated.Multiple pretest–posttest measures, observations, and poststudy interviews were conducted. Both showed improvement in balance and mobility, and Person 2's spirituality improved. Persons described enhanced confidence in functional mobility, ability to problem solve, and use of the hemiplegic upper extremity. Research in natural environments is needed. Primary Author and Speaker: Beth Ekelman Contributing Authors: Kelly Bishop, Erica Hughes, Allison Kienzle, Alicia Loreta, Marissa Melaragno, Shay Smallman, Jason Uth, Morgan Vaughn, and Jessica Zdanowicz

Date Presented 04/13/21 Results of a qualitative phenomenological study of the influence of spirituality on the lived experience of Christians during the rehabilitation process are shared. Findings show the pervasive impact of spirituality on occupational participation, performance, and engagement and align with the concepts of Humbert’s conceptual model of spirituality. This study of spirituality as expressed from a specific worldview perspective advances the provision of holistic, culturally relevant OT services. Primary Author and Speaker: Debra Hanson Contributing Authors: Heather Roberts, Angela Shierk

Date Presented Accepted for AOTA INSPIRE 2021 but unable to be presented due to online event limitations. This phenomenological study explores the meaning and importance of spirituality and provides insight into the current landscape of spirituality in practice through the perspectives of OT practitioners across diverse settings. Primary Author and Speaker: Loree T. Pham Additional Authors and Speakers: Regina Sarnicola, Christina Villasenor, and Tiffanie Vu

Date Presented Accepted for AOTA INSPIRE 2021 but unable to be presented due to online event limitations. This study surveyed 101 Asian-American caregivers of elderly people on factors that influence perceived caregiver burden. Spirituality was found to be a statistically significant predictor of caregiver burden. Furthermore, mental health help-seeking attitudes were negatively correlated with caregiver burden. This research informs OTs of the value of incorporating spirituality and mental health education with family caregivers to provide holistic, culturally competent services. Primary Author and Speaker: Yan-hua Huang Additional Authors and Speakers: Ciara Nagao, Kelsey Michelle Santos, and Madison Werchowsky

There are many unanswered questions about the concept of spirituality and its relationship to occupational performance. The role of occupational therapists in addressing clients’ spiritual needs is unclear, and the inclusion of spirituality as a topic in the educational curricula of occupational therapy students requires further attention. Focus groups and surveys were used in this phenomenological study to explore the lived experiences of 11 occupational therapy students participating in a 3-month graduate seminar entitled “Spirituality in Occupational Therapy Practice.” The study was designed to help occupational therapy faculty better understand how students experience the relationship between occupational therapy and spirituality, and how educational programs can better prepare students to translate theoretical frameworks into practice. Findings explored the students’ evolving belief systems, and began to reveal a diversity of beliefs and practices in the occupational therapy community related to spirituality. Implications for theory and practice are offered.

This qualitative study examined the experiences of occupational therapists working in palliative care. Multiple qualitative interviews were conducted with each of eight occupational therapists working with people who are terminally ill. The interviews were transcribed verbatim and analyzed for recurring and unique themes. Five themes emerged: satisfaction, hardship, coping, spirituality, and growth. Common themes, while resonating through all participants’ stories, were experienced in a uniquely personal way by each participant. The result was the discovery of an individualized “personal–professional connection” for each participant. The exploration of personal–professional connections can contribute to the understanding of occupational therapy practice in palliative care. Furthermore, these individual stories may resonate for other occupational therapists and inspire personal and professional reflection; validation of feelings and issues can arise from parallel comparisons. Therapists may in turn gain insight into the relationship between their own personal and professional experiences.

Objective. This study examined (a) occupational therapists’ attitudes about spirituality in practice on the basis of whether they identified themselves as religious, (b) whether their personal definition of spirituality related to their religiousness, (c) whether their definition related to their attitude about spirituality in practice, and (d) the methods they used to address the spiritual needs of clients. Method. An attitude questionnaire was developed and mailed to 396 American occupational therapists. Fifty-two percent (n = 206) of the mailed questionnaires were analyzed. Results. Overall, participants indicated a slightly positive attitude toward spirituality in occupational therapy practice. Participants who considered themselves to be religious indicated a more positive view toward spirituality in practice than those who did not consider themselves to be religious. Religiousness accounted for only 28% of the variance in choice of spirituality definition, indicating that additional variables account for what determines therapists’ definitions of spirituality. No relationship was found between personal definition choice and attitude regarding spirituality in practice. The three methods most commonly used to address the spiritual needs of their clients were to (a) pray for a client, (b) use spiritual language or concepts with a client, and (c) discuss with clients ways that their religious beliefs were helpful. Conclusion. Therapists’ conceptualization of spirituality and attitudes about spirituality in occupational therapy practice are quite diverse.

Objective. What is the role of occupational therapists with regard to clients’ spirituality? What activities address spirituality in occupational therapy? Whom do practitioners think should be responsible for helping clients with their spiritual needs? The objectives of this study were to address these and other related questions by validating a previously used questionnaire and establishing a baseline of occupational therapists’ opinions and practices about spirituality and therapy on which future research can be built. Method. A previously piloted questionnaire was revised to investigate the opinions of 500 U.S. registered occupational therapists about spirituality and therapy. The 54% return rate yielded a sample of 270 respondents. Results. Nearly 79% of the respondents agreed that the questionnaire accurately measured their opinions about therapy and spirituality. Spirituality is an important part of life for 89% of the respondents, helps 79% with daily job responsibilities, and is viewed as a very important dimension of health and rehabilitation by 84%. However, 63% were either undecided or disagreed that addressing spirituality was within the scope of occupational therapy practice. Conclusion. In general, the respondents reported that spirituality is important and helpful in their personal lives and a very important dimension of the health and rehabilitation of their clients. However, less than 40% of the respondents indicated that addressing clients’ spiritual needs was within the scope of their professional practice, and the majority (82%) reported that their academic training did not prepare them to address the spiritual needs of clients. The questionnaire, now validated with a national sample, may be used for follow-up studies to further investigate the role of spirituality in health and rehabilitation.