Otjr-Occupation Participation and Health最新文献

Understanding the experiences of stroke survivors with sleep disturbances is essential for developing effective interventions for addressing post-stroke sleep disturbances. To explore the experiences, coping strategies, and wishes and needs of stroke survivors with sleep disturbances. Semi-structured interviews were conducted with 15 community-dwelling stroke survivors experiencing sleep disturbances. The thematic content analysis was used to identify key themes. Nine themes about experiences emerged: (a)impact of stroke on sleep, (b)sleep aggravating factors, (c)sleep enhancing factors, (d)sleep disturbances, (e)consequences of sleep disturbances, (f)medication, (g)napping, (h)sleep partner, and (i)help-seeking behaviors. Three themes about coping strategies emerged: (a)adaptive strategies, (b)maladaptive strategies, and (c)health care provider recommended strategies. Three themes reflected wishes and needs: (a)sleep interventions and knowledge of sleep and stroke, (b)health care system communication and support, and (c)medication and equipment usage. These findings emphasize the need for tailored, multifaceted interventions and improved health care support to address post-stroke sleep disturbances effectively.

The ABILHAND is among the most widely used questionnaires in upper limb rehabilitation. This study aimed to evaluate whether self-report procedure of the ABILHAND-Stroke is concordant with performance observation-based procedure. Two assessments were performed with each patient on the same day using the Beninese version of the ABILHAND. Intraclass correlation coefficient (ICC2,1) and Bland-Altman plot were used to evaluate the agreement and the relationships between ABILHAND measures. A total of 123 people with chronic stroke were included in the study. ICC was .77 (95% confidence interval [CI] = [.67, .82]) with p < 10^-6 demonstrating a good concordance between both assessment methods despite significant difference between patients' mean measures (self-report = -0.06 ± 2.64 logit; performance-based = 1.28 ± 3.57 logit; p value < .0001). Results confirmed the concordance of the self-report regarding the performance-based measures. In clinical routine self-report of ABILHAND scale might be useful for initial screening purposes while for further investigation the performance observation-based procedure should be preferred.

The transition into adulthood can be an arduous time for young adults with intellectual and developmental disabilities (IDD) who face new responsibilities and significant shifts in services they receive. Peer support by someone with shared lived experience of disability can provide relevant and effective transition services. An inclusive team of researchers, which engaged people with lived experience in all research activities, conducted an environmental scan including a scoping review, focus groups (5 groups, n = 28 participants), and interviews (n = 19) to identify services and research priorities from the perspective of key community members (i.e., young adults with IDD, parents, peer supporters, researchers and service providers). Crosswalked data from the three sources demonstrated community-driven transition service priorities of independent living skills, person-centered approaches, and post-secondary experiences with peer support identified as a capacity builder. Priorities of key community members can be leveraged for existing transition and peer support interventions.

Occupational therapists' (OTs') role in addressing pelvic floor dysfunction (PFD) is documented, yet their perception of their unique contribution has not been well explored. The purpose of this study is to elucidate OTs' perspectives about their therapeutic approach in PFD. This exploratory, qualitative descriptive study included an online demographic survey to purposively recruit and screen OTs. Thirteen one-on-one semi-structured interviews were audio-recorded and transcribed. We used an in-vivo coding approach, categorized codes with similar concepts, and generated themes. Participants' stories mostly reflected clinical scenarios with adult female clients. Two themes describe how OTs believe their role in PFD is unique: (a) OTs use a whole-person approach which considers mental, physical, and environmental impacts on functioning and (b) OTs use occupation-focused interventions to empower clients to manage their own health. OTs' holistic and psychosocial-focused approaches may complement existing biomechanical techniques. The inclusion of OTs into multidisciplinary teams may positively impact client outcomes.

Occupational dysfunction affects daily life and well-being, requiring valid assessment tools. Cross-cultural adaptation ensures their applicability across populations. This study adapts the Classification and Assessment of Occupational Dysfunction into Turkish (CAOD-T) and evaluates its validity, reliability, psychometric evaluation and clinical compatibility. A total of 224 participants were recruited, including 179 individuals without disabilities and 45 individuals with physical disabilities. Construct validity was tested via confirmatory factor analysis (CFA). Known-groups validity compared scores between groups. Reliability was assessed using Cronbach's alpha, intraclass correlation coefficient (ICC), and McDonald's ω. Sensitivity and specificity were analyzed via receiver operating characteristic (ROC) analysis. CFA confirmed the four-factor structure (comparative fit index [CFI] = 0.934, root mean square error of approximation [RMSEA] = 0.0373). CAOD-T demonstrated strong internal consistency (α = .758), test-retest reliability (ICC = .756), and clinical compatibility (area under the curve [AUC] = 0.953, sensitivity = 93.3%, specificity = 91.11%). CAOD-T is a valid, reliable, and clinically applicable tool for assessing occupational dysfunction in Turkish populations. Future studies should explore its use across different age groups and cultures.

Interpretive description is a qualitative research methodology. The aim of this study was to map the use of interpretive description in occupational therapy research and understand its implementation. Peer-reviewed studies were located from Australia/New Zealand Reference Centre (ANZRC), Cumulative Index to Nursing and Allied Health Literature (CINAHL), Medline, Proquest, Pubmed, and Google Scholar. Eligible studies focused on occupational therapy/science research, by occupational therapists, using interpretive description. Data extracted were location, research question/aim, methods, explicit use of credibility criteria, explicit disciplinary positioning, authors' and participants' ethnicities stated, and number of citations. Forty-two articles were included, published between 2014 and 2023. Use of interpretive description has steadily increased, most commonly using semi-structured interviews, exploring peoples' experiences to inform and influence practice. Reported positioning of the researcher(s) in terms of reflexivity, culture, and disciplinary perspective was limited. Occupational therapy researchers using interpretive description should position themselves in terms of discipline, culture, and theoretical lens effectively, adhere to credibility criteria and utilize opportunities for diverse data collection methods.

Schizophrenia is marked by significant cognitive deficits affecting daily life and quality of life. Occupational therapy (OT) employs various strategies to enhance cognitive, social, and daily functioning through structured meaningful occupations. To examine the effectiveness of OT interventions targeting cognitive functions in adults with schizophrenia. A systematic review was conducted, including 15 studies published between 2013 and February 2025, sourced from PubMed, Cochrane Library, and CINAHL databases. Key interventions included combined individual and group OT, targeted cognitive interventions, aerobic exercise (dance) interventions, integrated therapies, functional skill training, and self-management programs. These approaches significantly improved attention, memory, executive function, and processing speed. OT is a valuable intervention for cognitive enhancement in schizophrenia. Integrating diverse OT interventions into clinical practice is recommended. Future research should explore long-term studies, larger sample sizes, and the cost-effectiveness of interventions to improve the evidence base and practical implementation.

People with serious mental illness (SMI) encounter restrictions in the quantity of their community participation. Less is known about the quality of their participation. We aimed to explore the relationship between symptoms of SMI and the daily experience (i.e., loneliness and enjoyment) of community participation. We examined daily community participation among people with SMI using ecological momentary assessment surveys. We built multilevel models to examine the associations between symptoms of SMI and loneliness or enjoyment during community participation. Our analysis included 183 people among four participant groups: bipolar disorder (n = 44), major depressive disorder (n = 46), schizophrenia/schizoaffective disorder (n = 40), and control (n = 53). People with schizophrenia engaged in more unstructured activities (e.g., socializing) than people among other groups. Symptom association varied across diagnostic groups. To support tailored intervention development, researchers and practitioners should consider the context of participation and the clinical characteristics of the client.

While engagement in meaningful activities is associated with well-being, the influence of gender on this relationship is unknown. The study aims to (a) examine the difference between meaningful engagement and well-being for individuals who identify as men and women and (b) explore the association between engagement and well-being in men and women. In this observational study, 256 community-dwelling individuals completed meaningful engagement and well-being measures. Between-group t tests indicated no significant differences between men and women for engagement (t = 0.595, p = .552) and well-being (t = 0.818, p = .414). There were fair, positive correlations (rs = .376; p < .01) between engagement and well-being for men and moderate positive correlations (rs = .567; p < .01) between engagement and well-being for women. Self-identified gender may influence the relationship between engagement in meaningful activities and the sense of well-being it provides.

Changing demographics with an increased proportion of older adults indicate the need to develop new health-promoting interventions where the potential of digitization is considered. The aim was to explore and create an understanding of how social online meetings are experienced by older adults. Interviews with older adults generated data that were analyzed using a grounded theory approach. The participants were interviewed after participating in a digital health promotion group initiative provided in a municipality context. A core conceptual category and three subcategories reflected an intertwined process of discovering facets of social participation where internal reflections on personal values and needs were nurtured by an external driven process of becoming part of a group in an online context. Occupational therapists and other health and social care professionals need to consider the various facets of social participation when supporting older adults active and healthy aging.