Otjr-Occupation Participation and Health最新文献

Background: The Neonatal Eating Outcome Assessment determines feeding performance based on the infant's postmenstrual age (PMA).

Objective: To examine item-level measurement properties of this assessment's rating scale.

Methodology: In this retrospective study, Rasch analysis was completed on clinical data from the Neonatal Eating Outcome Assessment for 100 infants (52 preterm and 48 full-term) using Winsteps version 3.93.1. Instead of PMA-based scores, ordered letters converted to numerical scores were analyzed.

Results: Analysis demonstrated that Section I (Pre-Feeding Skills) represents a separate construct from Sections II and III (Oral Feeding and End of Feeding, respectively). Sections II and III were adequately unidimensional to complete Rasch analysis. These sections fit the Rasch model overall, but rating scale category underuse was common, which may be attributed to sample characteristics.

Implications: This analysis supports using validated ordered letter scoring of Sections II and III to measure oral feeding performance in preterm and full-term newborns.

The involvement of occupational therapy (OT) providers in work and industry (W&I) has noticeably diminished despite the historical and ontological connection between work and occupation. Clear career expectations are necessary to introduce and retain the OT workforce in this underrepresented yet essential practice area. This study aimed to describe OT practitioners' experiences exploring and developing careers in the W&I practice area. We used an inductive thematic analysis in a multi-step, iterative process to explore experiences shared through comments and stories in response to an open-ended question in a cross-sectional online survey. Four semantic-level themes emerged, including career pathways, accumulation of expertise, professional identity, and challenges in W&I practice. Novel career paths revealed in the article underlined the limited recognition of W&I practice in OT. Structured career planning support is needed to promote the growth of this practice area.

This study investigated the changes in caregiver burden during the coronavirus disease 2019 (COVID-19) pandemic. The study sample included 827 caregivers for older adults (65+) from the National Health and Aging Trends Study (NHATS) COVID-19 data set. We used paired t-tests to analyze data. The caregivers' assistance in basic and instrumental activities of daily living for care recipients, as well as the amount of time they provided, increased significantly (all ps < .001) during the pandemic compared with before. Approximately, 40% of caregivers reported changes in the amount of assistance they provided during the pandemic. Financial, emotional, and physical difficulties among caregivers have increased, with emotional difficulties being the most frequently reported. The majority of caregivers reported not utilizing any social services during the pandemic. The pandemic may have heightened the caregiver burden. It is important to ensure that caregivers have access to and utilize social services in a physically and psychologically safe manner.

It is unknown if an online tool is wanted by therapists and parents of individuals with unilateral cerebral palsy (UCP) to support implementation of goal-directed home programs, and if wanted, the recommended features for the tool. The objective was to explore the experiences of therapists and parents who have implemented home programs, seek guidance on translating a paper-based home program toolbox into a mobile website, and develop the website. Qualitative descriptive methodology guided data collection using semi-structured interviews and thematic analysis, validated with field notes and member checking. A team science, iterative approach was used to integrate the themes into the development of the mobile website. Five primary themes including recommendations for the functionality, features, content, and naming of the mobile website were identified. Parents and therapists value home programs. Participants provided recommendations regarding content and features, and the GO Move mobile website was developed based on the recommendations.

Background: Type 1 diabetes management for young children requires caregiver involvement to prevent serious health complications. Objectives: Explore the lived experience of rural caregivers' health management routines and perceptions of an occupation-based coaching (OBC) intervention.

Methodology: Following a 12-week, OBC telehealth intervention designed to promote diabetes management and caregiver psychosocial well-being, researchers interviewed eight rural caregivers to explore their perceived quality of life utilizing a phenomenological approach.

Findings: Three themes emerged related to caregivers' OBC intervention needs: occupational deprivation and decreased well-being; longing for connection with social supports; and desire for knowledgeable, relatable, and accessible providers. Two themes emerged related to their experiences postintervention: satisfaction with diabetes management and psychosocial support and renewed hope for childhood normalcy.

Conclusion: Despite drastic shift in family routines after a child's T1D diagnosis, caregivers reported acceptability of OBC for improving health management routines in a rural community following OBC intervention.

Social networking services (SNSs) are useful tools; however, problematic use leads to mental health problems. This study aimed to examine whether SNS addiction is associated with occupational dysfunction while considering the effects of depression. This cross-sectional study included 268 undergraduates who responded to the questionnaire on the frequency and time of SNS use, the Center for Epidemiologic Studies Depression Scale (CES-D), SNS-X scale, and the Classification and Assessment of Occupational Dysfunction (CAOD). Hierarchical multiple regression analysis showed effect of the SNS-X score for Instagram was significant (β = 0.174, p = .001) adjusted by the CES-D total score. However, the effect of frequency and time of SNS use were not significant. This suggests that SNS addiction, and not SNS use, is a factor associated with occupational dysfunction that should be emphasized and depression.

Participation strategies used by young people (YP) are understudied. This study aimed to identify strategies used by YP with and without physical disabilities to promote participation at home, school, community, and workplace. In this qualitative descriptive study, 106 participants ages 12 to 30 ($\overline{x}$ = 22.7) years, with (n = 52) and without (n = 54) physical disabilities, reported up to three strategies to facilitate their participation in four settings using the Youth, Young-Adult Participation and Environment Measure. A total of 1,235 strategies were analyzed using inductive content analysis. As a result, 11 categories emerged; seven were environment-focused and four were person-focused. Both groups used time management, built on intrinsic factors, and utilized social support across all settings. At school, those with disabilities uniquely benefited from accommodative institutional environments. They also reported more strategies involving advocacy, analyzing a situation, and seeking accommodative physical and social environments. The findings illustrate a range of participation strategies YP use that may inform ways to promote participation more effectively.

Background: Many children with sensory processing differences receive occupational therapy services using sensory integration therapy (SIT). Studies exist to demonstrate the effects of this intervention on the child receiving the service. However, children exist as part of a family unit. There is limited research to examine the effect of SIT on the family.

Objectives: The purpose of this study was to explore the perceptions and experiences of caregivers as to the impact on families of children who received SIT.

Methodology: Qualitative, phenomenological methodology was utilized.

Results: Results revealed four themes: family routines, parent response/reaction to sensory, modified participation in family activities needs, and improved regulation leading to increased family participation outside the home.

Conclusion: This study indicates that parents perceive positive effects on participation of the family unit and for the child receiving SIT therapy.