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The Perceptions of Different Disciplines on Early Childhood Interprofessional Teams Involving Occupational Therapy Services 不同学科对涉及职业治疗服务的幼儿跨专业团队的看法
Pub Date : 2024-06-14 DOI: 10.46409/001.emuz1342
Jessica Martinez-Peraza, Natalie Milliken, Bonnie Riley
This phenomenological study was conducted to explore how professionals identify the roles of occupational therapy practitioners and other pediatric professionals on early childhood interprofessional teams. The use of surveys and interviews revealed three themes: 1) the role of occupational therapy encompasses more than what is perceived to be their role, 2) collaboration must be initiated, as it can be influenced by the setting, and 3) different professionals have the shared goal of promoting child health outcomes, but conflict can arise during collaboration. It was recognized that early childhood professionals would like to collaborate more with each member on the interprofessional team, but external influences and different settings for providing early childhood services may impact the ability to collaborate. This study discusses implications for occupational therapy professionals working in early childhood and the possibilities for future research.
这项现象学研究旨在探讨专业人员如何确定职业治疗从业人员和其他儿科专业人员在幼儿跨专业团队中的角色。通过调查和访谈,我们发现了三个主题:1)职业治疗师的角色不仅仅是人们认为的角色;2)合作必须是主动的,因为它可能受到环境的影响;3)不同的专业人员都有促进儿童健康的共同目标,但在合作过程中可能会出现冲突。我们认识到,幼儿专业人员希望与跨专业团队中的每个成员进行更多合作,但外部影响和提供幼儿服务的不同环境可能会影响合作能力。本研究讨论了对在幼儿期工作的职业治疗专业人员的影响以及未来研究的可能性。
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引用次数: 0
Entry-Level Occupational Therapy Student Volunteer Activities During COVID-19 and Beliefs about Practitioner Roles in Crisis Management 入门级职业治疗学生在 COVID-19 期间的志愿者活动以及对从业人员在危机管理中的角色的看法
Pub Date : 2024-06-12 DOI: 10.46409/001.qsnp4386
O. Biller, F. Calingo, Tina DeAngelis, Maclain Capron
Background: Due to the global novel coronavirus disease 2019 (COVID-19) pandemic, many students in entry-level occupational therapy programs faced changes to their daily roles, habits, and routines. To understand beliefs about OT practitioner roles in a public health crisis, a cross-sectional study was designed to understand occupational therapy students (OTS) and occupational therapy assistant students (OTAS) volunteer activities during the COVID-19 pandemic.Methods: A survey was developed and distributed in April 2020, and closed after five weeks. Quantitative data was analyzed in Statistical Package for Social Sciences (Version 27) and open response data was categorized in Microsoft Excel.Results: Respondents included students from entry-level OT/OTA accredited programs such as occupational therapy doctorate, entry level master’s, bachelor’s to master’s and occupational therapy assistant (n=853, 2.8% of OTS/OTAS population). Nearly all respondents endorsed that OT practitioners have at least one role during a crisis (n=851, 99.8%) and after a crisis (n=848, 99.4%) like COVID-19. A minority of students volunteered in response to COVID-19 (n=60, 7.0%). Volunteer activities addressed clinical work, food insecurity, loneliness, social justice, healthcare workers, COVID-19 transmission, and personal protective equipment. Inspirations for volunteering included altruism, justice, personal responsibility, changes to routines, calls to action, and fulfilling obligations.Discussion: It is hoped that this study serves as a springboard for future research related to the OTS/OTAS response to COVID-19. Educators can prepare students for future public health emergencies by exposing them to information regarding OT’s role in disaster management.
背景:由于2019年新型冠状病毒病(COVID-19)在全球大流行,许多职业治疗入门课程的学生面临着日常角色、习惯和常规的改变。为了了解在公共卫生危机中对职业治疗师角色的看法,我们设计了一项横断面研究,以了解职业治疗专业学生(OTS)和职业治疗助理专业学生(OTAS)在 COVID-19 大流行期间的志愿者活动:方法:于 2020 年 4 月编制并分发了一份调查问卷,并于 5 周后结束。定量数据用社会科学统计软件包(27 版)进行分析,开放式回答数据用 Microsoft Excel 进行分类:受访者包括入门级职业治疗师/职业治疗助理认证项目的学生,如职业治疗博士、入门级硕士、学士到硕士以及职业治疗助理(n=853,占 OTS/OTAS 人口的 2.8%)。几乎所有的受访者都赞同职业治疗师在危机期间(n=851,99.8%)和危机之后(n=848,99.4%)至少有一个类似 COVID-19 的角色。少数学生针对 COVID-19 开展了志愿活动(n=60,7.0%)。志愿活动涉及临床工作、食品不安全、孤独、社会正义、医护人员、COVID-19 传播和个人防护设备。志愿服务的动机包括利他主义、正义、个人责任、改变生活习惯、行动号召和履行义务:希望本研究能成为今后研究 OTS/OTAS 应对 COVID-19 的跳板。教育工作者可以让学生了解 OT 在灾难管理中的作用,从而为未来的公共卫生突发事件做好准备。
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引用次数: 0
Incorporating Animal-Assisted Therapy (AAT) to Improve Handwriting Skills in Pediatric Occupational Therapy 结合动物辅助疗法(AAT)提高儿科职业疗法中的手写技能
Pub Date : 2024-06-11 DOI: 10.46409/001.srpu3923
Jessica Simon, Jessica McHugh
Within the field of occupational therapy, animal-assisted therapy (AAT) is becoming more widely recognized and utilized as a supplement to traditional therapeutic interventions. As this area is still an emerging area of practice within occupational therapy, research is necessary to better understand the effect of AAT on children’s progress toward various goals. The purpose of this research study was to analyze the effectiveness of using Animal-Assisted Therapy to improve children's performance with and engagement in handwriting activities in outpatient pediatric occupational therapy. This study utilized a Quasi-experimental design, assigning participants to two groups. One group participated in handwriting activities while using AAT, and the other participated in handwriting activities via traditional occupational therapy. Each participant completed the Evaluation Tool of Children’s Handwriting (ETCH) for a pre-and post-test assessment. For five weeks, each child participated in approximately 15 minutes of handwriting during their occupational therapy sessions. A paired samples t-test found that pre-and post-test assessments indicated significant differences on three subtests on the ETCH for both groups respectively. Additionally, an independent samples t-test determined that both satisfaction scores and time engaged in handwriting activities were significantly different between the AAT group and the therapist-led group. The findings of this research demonstrate that progress toward handwriting-related goals can be made with consistent intervention during occupational therapy sessions regardless of the intervention techniques being used. However, using AAT can greatly increase children’s satisfaction and enjoyment with handwriting and increase the time they are willing to engage in these types of activities.
在职业疗法领域,动物辅助疗法(AAT)正得到越来越广泛的认可,并被用作传统治疗干预措施的补充。由于这一领域仍是职业疗法中的新兴实践领域,因此有必要开展研究,以更好地了解动物辅助疗法对儿童实现各种目标的影响。本研究旨在分析在门诊儿科职业治疗中使用动物辅助疗法来提高儿童手写活动的表现和参与度的有效性。本研究采用准实验设计,将参与者分为两组。一组在使用 AAT 的同时参与手写活动,另一组通过传统的职业疗法参与手写活动。每位参与者都要完成儿童手写评估工具(ETCH)的前后测试评估。在为期五周的职业治疗过程中,每个孩子都参加了大约 15 分钟的手写活动。配对样本 t 检验发现,测试前后的评估结果表明,两组儿童在 ETCH 的三项子测试中分别存在显著差异。此外,通过独立样本 t 检验确定,AAT 组和治疗师主导组的满意度得分和参与手写活动的时间均有显著差异。这项研究结果表明,在职业治疗过程中,无论使用哪种干预技术,只要坚持不懈地进行干预,就能在实现手写相关目标方面取得进展。不过,使用 AAT 可以大大提高儿童对手写的满意度和乐趣,并增加他们愿意参与这类活动的时间。
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引用次数: 0
Occupational Therapy’s Opportunity to Impact Care at the End of Life 职业疗法影响生命末期护理的机会
Pub Date : 2024-01-20 DOI: 10.46409/001.pygh3803
Macey Genzlinger, Mackenzie Feldhacker
Navigating and managing the end of life can be difficult. The focus of occupational therapy in care at the end of life is to aid the patient and caregiver through these challenges by facilitating improved safety, comfort, and quality of life through the participation in meaningful occupations. Despite the ways that occupational therapy benefits these patients, occupational therapy involvement in care at the end of life is misunderstood, under-researched, and underutilized. There is a general lack of awareness regarding this topic and a stigma that occupational therapy focuses only on rehabilitation and therefore does not belong in care at the end of life. To combat these issues, there needs to be additional education and training for all healthcare professionals, including occupational therapy practitioners, about occupational therapy’s role in care at the end of life. Occupational therapy professionals in this area of practice must strive to educate others and advocate for their role to improve the understanding of this practice area and thus positively impact more patients and families.
度过和管理生命末期是一件困难的事情。职业疗法在临终关怀中的重点是帮助病人和照护者应对这些挑战,通过参与有意义的职业活动来提高安全性、舒适度和生活质量。尽管职业疗法能使这些患者受益,但职业疗法在生命末期护理中的参与却被误解、研究不足、利用率低。人们普遍缺乏对这一主题的认识,并认为职业疗法只关注康复,因此不属于生命末期护理。为了解决这些问题,需要对包括职业疗法从业人员在内的所有医疗保健专业人员进行更多的教育和培训,让他们了解职业疗法在生命末期护理中的作用。从事该领域工作的职业治疗专业人员必须努力教育他人,宣传他们的作用,以提高人们对该领域工作的认识,从而对更多患者和家庭产生积极影响。
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引用次数: 0
What is Task-Oriented Training? A Scoping Review 什么是任务导向型培训?范围审查
Pub Date : 2024-01-16 DOI: 10.46409/001.dpyw4980
Erin Halford, Samantha Jakubiszak, Kassidy Krug, Amanda Umphress
Task-Oriented Training (TOT) is an proven stroke rehabilitation intervention with significant evidence-based research that supports its effectiveness. The absence of a clear definition has led to variability in research reporting and subsequent confusion with practical implementation. A consistent definition seeks to remedy this ambiguity to facilitate knowledge translation. The objective of this study was to determine a comprehensive definition of TOT that encapsulates previous definitions and descriptions in the literature. In order to derive this definition, a two stage scoping review process was conducted across four databases searching for articles on the use of TOT in adult stroke rehabilitation therapy.The analysis of this scoping review included 174 articles. Commonly found words used to define TOT included: repetitive, functional, task practice, task specific, task oriented, intensity, and client-centered. Other salient words that aligned with the principles of neuroplasticity and key components of TOT were meaningful, progressive, graded, variable, and feedback. Based on these findings, a comprehensive proposed definition is as follows: Task-oriented training is an effective stroke rehabilitation intervention that focuses on the use of client-centered, repetitive practice of activities that are of high intensity and meaningful to the client. In conclusion, although similar principles were described in the TOT literature, there was no consistent and comprehensive definition of TOT. This scoping review identified key concepts from TOT methodology, and discussion sections in rehabilitation literature to generate a proposed comprehensive definition of TOT to guide research and practice.
任务导向训练(TOT)是一种行之有效的脑卒中康复干预措施,有大量循证研究支持其有效性。由于缺乏明确的定义,导致研究报告的多变性以及随后在实际实施中的混乱。一致的定义旨在纠正这种模糊性,促进知识转化。本研究的目的是确定一个全面的 TOT 定义,以囊括以往文献中的定义和描述。为了得出这一定义,我们在四个数据库中进行了两阶段的范围界定审查,搜索有关在成人中风康复治疗中使用 TOT 的文章。用于定义 TOT 的常见词汇包括:重复性、功能性、任务实践、特定任务、任务导向、强度和以客户为中心。其他符合神经可塑性原则和 TOT 关键组成部分的突出词汇包括:有意义、渐进、分级、可变和反馈。基于这些研究结果,我们提出了一个全面的定义如下:任务导向训练是一种有效的脑卒中康复干预措施,其重点是以客户为中心,重复练习对客户有意义的高强度活动。总之,尽管任务导向训练文献中描述了类似的原则,但对任务导向训练并没有一致且全面的定义。本次范围界定审查确定了 TOT 方法中的关键概念以及康复文献中的讨论部分,从而提出了 TOT 的全面定义,以指导研究和实践。
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引用次数: 0
Resilience Development in Children with Adverse Childhood Experiences: The Role of the Occupational Therapist and the Interdisciplinary Team 童年不良经历儿童的心理弹性发展:职业治疗师和跨学科团队的作用
Pub Date : 2022-09-22 DOI: 10.46409/001.yhfa8315
Kayla Frederick
Research has revealed adverse childhood experiences (ACEs) can have a negative effect on a child’s development and put a child at an increased risk of physical and mental health problems in adulthood (Anda et al., 2006; Felitti et al., 1998; Gilbert et al., 2015; Putamen, 2006). Some children have been able to counteract the negative effects of ACEs and achieve positive life outcomes using a principle called resilience (Zolkoski & Bullock, 2012). The current study utilized a virtual survey to examine current interventions used by occupational therapists (OTs) and other members of the interdisciplinary team to assist children in overcoming the negative effects of ACEs. The results of the study found that occupational therapists and the wider interdisciplinary team have utilized the following interventions to assist children in developing resilience: facilitating the development of self-regulation skills and problem-solving skills, utilizing sensory based interventions, utilizing group therapy, utilizing principles of a trauma-informed approach, and referring the child to other professional services (e.g. social worker or psychological services). While many of these interventions were supported by scholarly research, OTs and members of the interdisciplinary team neglected to address multiple key protective factors in childhood resilience. Professionals working with children with ACEs may benefit from additional training in the area of childhood resilience.
研究表明,不良的童年经历会对儿童的发展产生负面影响,并使儿童在成年后面临更大的身心健康问题风险(Anda等人,2006年;Felitti et al., 1998;Gilbert et al., 2015;壳,2006)。一些孩子已经能够利用一种叫做弹性的原则来抵消ace的负面影响,并获得积极的生活结果(Zolkoski & Bullock, 2012)。目前的研究利用虚拟调查来检查职业治疗师(OTs)和跨学科团队的其他成员目前使用的干预措施,以帮助儿童克服不良经历的负面影响。研究结果发现,职业治疗师和更广泛的跨学科团队利用以下干预措施来帮助儿童发展复原力:促进自我调节技能和解决问题技能的发展,利用基于感官的干预措施,利用团体治疗,利用创伤知情方法的原则,并将儿童转介给其他专业服务(例如社会工作者或心理服务)。虽然这些干预措施中的许多都得到了学术研究的支持,但临床医生和跨学科团队的成员忽视了解决儿童复原力中的多个关键保护因素。与ace儿童打交道的专业人员可能会从儿童适应力方面的额外培训中受益。
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引用次数: 0
Assessing the Effectiveness of the MOVER Program for Treating Attention Deficit in Children (MOVER: Movement Opportunities Through Vestibular Engagement Rhythm) 评估MOVER项目治疗儿童注意缺陷的有效性(MOVER:通过前庭接触节奏的运动机会)
Pub Date : 2022-09-22 DOI: 10.46409/001.gafy4217
Lindsay Williams`, Camille Skubik-Paplaski
Background: The purpose of this study was to investigate the effects of participation in a movement- to music program on the attention span of elementary school-aged children who have attention deficits. The hypothesis was that participants would demonstrate improved attention on the Test of Sustained Selective Attention (TOSSA) (Kovacs, 2015).Methods: This quantitative study involved nine children who participated in four movement-to-music sessions with a staggered stop over a period of six weeks. The study incorporated a single group pre-test/post-test design, and a non-parametric Sign Test was utilized to analyze data from the TOSSA subcategories of concentration, detection, response inhibition, and test-taking time tolerance. Supporting qualitative data was also collected through peer debriefing, field notes, and a reflexive journal.Results: TOSSA results found that the movement-to-music program can significantly improve the attention of children who have attention deficits.Discussion: This study demonstrated positive implications for occupational therapy practice and for policy change regarding the inclusion of vestibular/proprioceptive movement opportunities available for children, especially those who have attention deficits.
背景:本研究的目的是探讨参与运动-音乐节目对有注意力缺陷的小学学龄儿童注意广度的影响。假设是参与者会在持续选择性注意测试(TOSSA)中表现出改善的注意力(Kovacs, 2015)。方法:这项定量研究涉及9名儿童,他们在六周的时间里参加了四次运动到音乐的课程,其中交错停止。本研究采用单组测试前/测试后设计,并采用非参数符号检验对TOSSA浓度、检测、反应抑制和测试时间容忍等子类别数据进行分析。支持性定性数据也通过同行汇报、实地记录和反思性日志收集。结果:TOSSA结果发现,动作-音乐节目能显著提高注意缺陷儿童的注意力。讨论:本研究证明了职业治疗实践和政策改变的积极意义,包括为儿童提供前庭/本体感觉运动机会,特别是那些有注意力缺陷的儿童。
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引用次数: 0
Avian Assisted Intervention During Covid-19 Pandemic Restrictions 在Covid-19大流行限制期间禽类辅助干预
Pub Date : 2022-06-10 DOI: 10.46409/001.izct3587
Sandia Wood, Mary Thelander Hill
Occupational Deprivation has been a present risk [ER1] for people in inpatient hospital settings such as Skilled Nursing Facilities (SNF) during the Coronavirus Disease 2019 (COVID-19) pandemic restrictions. Clients have described their days as “boring” and “unfulfilling.” Clients experiencing extended in-patient hospitalization, who already might experience great interruptions to their treasured roles, routines, and occupations, were further restricted from recreational and social opportunities usually present in those settings. This work describes the translation of the animal assisted intervention evidence base to an occupational therapy student-developed program at a SNF to address this deficit. A vibrant avian therapy partner gave moments of joy for clients whose activities were heavily restricted during widespread social isolation of the COVID-19 containment efforts. Connections to performance skills in the Occupational Therapy Practice Framework (AOTA, 2020). are discussed
在2019冠状病毒病(COVID-19)大流行限制期间,职业剥夺一直是住院医院环境(如熟练护理机构(SNF))中的人们面临的风险[ER1]。客户们形容他们的日子“无聊”、“没有成就感”。经历了长期住院治疗的客户,他们可能已经经历了对他们所珍视的角色、日常生活和职业的巨大干扰,在这些环境中通常存在的娱乐和社交机会进一步受到限制。这项工作描述了将动物辅助干预证据基础转化为SNF职业治疗学生开发的项目,以解决这一缺陷。一位充满活力的鸟类治疗伙伴为客户带来了欢乐的时刻,他们的活动在COVID-19遏制工作的广泛社会隔离期间受到严重限制。职业治疗实践框架(AOTA, 2020)中与绩效技能的联系。讨论了
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引用次数: 0
Examining the Effects of Passenger Conversation on Older Adult Driving 研究乘客谈话对老年人驾驶的影响
Pub Date : 2022-06-10 DOI: 10.46409/001.jimw7567
Allison Green, Meg Tedder, Amanda Mohler, Amanda Carpenter
Older adults have impaired driving performance compared to other age groups, and auditory stimuli has adverse effects on driving performance (Karthaus & Falkenstein, 2016). Therefore, the purpose of this study was to expand knowledge of driving and passenger conversation within the older adult population. Participants (n = 17) completed a drive of 7.8 miles on a driving simulator twice; once without conversation and again with conversation. Both drives used the same simulated driving tasks to examine driving performance with and without conversation. Participants exhibited poorer driving performance from the first drive without conversation to the second drive with conversation, specifically in time over the speed limit and average speed. Descriptive statistics also indicated that participants demonstrated poorer driving performance between the first drive and the second drive. Taken together, these findings indicated that passenger conversation negatively impacted driving performance in older adults. Therefore, older adults should be cautious about engaging in conversation while driving, as it can impair their safety.
与其他年龄组相比,老年人的驾驶性能受损,听觉刺激对驾驶性能有不利影响(Karthaus & Falkenstein, 2016)。因此,本研究的目的是扩大老年人驾驶和乘客对话的知识。参与者(n = 17)在驾驶模拟器上完成了两次7.8英里的驾驶;一次没有谈话,一次有谈话。两个驾驶员都使用了相同的模拟驾驶任务来测试有对话和没有对话的驾驶表现。从没有谈话的第一次驾驶到有谈话的第二次驾驶,参与者的驾驶表现都较差,特别是在超过限速和平均速度的时候。描述性统计还表明,在第一次驾驶和第二次驾驶之间,参与者表现出较差的驾驶表现。综上所述,这些发现表明,乘客交谈对老年人的驾驶表现产生了负面影响。因此,老年人在开车时应该小心交谈,因为这可能会损害他们的安全。
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引用次数: 0
Prison or paradise? Perceptions of communication between cohabitating couples during COVID-19 restrictions 监狱还是天堂?在COVID-19限制期间,对同居伴侣之间沟通的看法
Pub Date : 2022-06-10 DOI: 10.46409/001.zdjz9156
Caroline Fenker, Olivia Fisher, Amy Hodel, Clayton Lange, Jory Swider, Jena Thompson
Purpose: Due to the immediacy of the COVID-19 phenomenon, researchers recognized a need to examine the effects of restrictions on communication patterns between committed, cohabiting partners. Prior literature investigated factors contributing to communication satisfaction; however, a substantial gap remains within the occupational therapy (OT) literature. The study explored perceived satisfaction of quantity and quality of communication before and during COVID-19 restrictions between cohabitating, committed partners and its relation to occupation.Methods: A questionnaire sent via e-mail recruited subjects from an occupational therapy doctorate (OTD) program who self-identified as having quarantined with a committed partner during COVID-19 restrictions. A mixed-methods design consisted of two phases: a questionnaire which measured perceptions of quantity and quality of communication before and during COVID-19 restrictions and a virtual focus group which gathered information on lived experiences regarding communication during the same time periods.Results: The questionnaire provided quantitative data (n=12) on demographics, communication satisfaction, communication frequency, and frequency of media use. Paired sample t-tests did not show a significant difference in means before or during COVID-19 pandemic restrictions. Four themes emerged from the focus group (n= 6) including change in routines, personal reflections, and quantity and quality of communication.Conclusion: Findings suggested that quarantining with a committed partner during COVID-19 restrictions had mixed effects on quality and quantity of communication, however, satisfaction remained consistently high. Participants reported adapting to challenges created by COVID-19 restrictions by altering habits and routines specific to communication with their committed partner. The study presents information on the patterns of communication in intimate partner relationships vital to the profession of OT.
目的:由于COVID-19现象的即时性,研究人员认识到有必要研究限制对同居伴侣之间沟通模式的影响。先前文献调查了影响沟通满意度的因素;然而,在职业治疗(OT)文献中仍然存在实质性的差距。该研究探讨了同居、忠诚伴侣在COVID-19限制之前和期间对沟通数量和质量的感知满意度及其与职业的关系。方法:通过电子邮件发送问卷,从职业治疗博士(OTD)项目中招募受试者,这些受试者自我认定在COVID-19限制期间与一名忠诚的伴侣隔离。混合方法设计包括两个阶段:一份调查问卷,用于测量在COVID-19限制之前和期间对通信数量和质量的看法;一个虚拟焦点小组,用于收集在同一时间段内关于通信的生活经验信息。结果:问卷提供了人口统计学、沟通满意度、沟通频率、媒体使用频率等方面的定量数据(n=12)。配对样本t检验未显示在COVID-19大流行限制之前或期间的均值有显著差异。焦点小组(n= 6)出现了四个主题,包括日常生活的改变、个人反思、沟通的数量和质量。结论:研究结果表明,在COVID-19限制期间,与忠诚的伴侣隔离对沟通的质量和数量产生了复杂的影响,但满意度仍然很高。参与者报告说,他们通过改变与忠诚伙伴沟通的习惯和惯例,来适应COVID-19限制带来的挑战。该研究提供了亲密伴侣关系中沟通模式的信息,这对OT专业至关重要。
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引用次数: 0
期刊
Student Journal of Occupational Therapy
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