Otjr-Occupation Participation and Health最新文献

Few studies capture Orthodox Jewish mothers' awareness of occupational therapy's (OT) role in supporting their complex needs. This study explored Orthodox Jewish mothers' knowledge of OT's potential role in supporting their distinct maternal wellness and needs. The study recruited a convenience sample at an urban motherhood center. Likert-type-style survey questions provided quantitative information (N = 36), analyzed via descriptive statistics; in-person focus groups yielded qualitative content (N = 10), thematically analyzed. Most mothers perceived utility of pediatric OT. Fewer than half had knowledge of OT with adults/mothers. Mothers generally reported strong health and role-capacity in surveys, yet qualitative themes included misconception about OT's scope, challenges in occupational balance and lack of self-care. Orthodox Jewish mothers were unfamiliar with OT's role in supporting mothers/adults. Poor occupational balance and limitations in self-care were identified. Research limitations included a small/specific sample size and potential researcher biases.

Resilience assessments tailored for Eastern health care students remain limited, despite the importance of resilience for their well-being and professional development. The Kawa model offers a culturally adapted framework that addresses this gap. This study evaluates the Resilience Scale for University Youths (RSUY) tailored for health care undergraduates. A psychometric assessment design was employed, with scale development following a seven-step process incorporating cultural and professional elements. A total of 207 undergraduates completed an online survey, with data analysis including reliability testing, exploratory factor analysis (EFA), and confirmatory factor analysis (CFA). The 21-item scale demonstrated internal consistency (α = .86) and supported convergent and discriminant validity. The five-factor structures, Harmony, Riverside & Bottom, Driftwood, Rocks, and Space, explained 55.29% of the variance CFA confirmed model fit, supporting both convergent and discriminant validity. RSUY is a valid, reliable tool for assessing resilience in health care youth and may inform future culturally relevant support strategies.

Children with sensory processing challenges (SPCs) present occupational performance limitations across environments. However, little is known about children's perspectives. Client-centered pediatric occupational therapy must be informed by a child-focused approach in research. This study explored the lived experience of school-age children with SPCs in a real-life context. A qualitative study design with interpretive phenomenology as the methodological framework was utilized. Five children with SPCs (aged 7-12) participated in photo-elicitation interviews. An inductive, iterative data analysis was conducted. Five themes were identified: The (hidden) struggle in doing; The struggle to persist in doing; Doing with others and belonging: Can I belong?; Needing extra support in their school learning; and Making, building, creating: when I am in charge. Children with SPCs experience hidden difficulties. Key aspects to consider are children's awareness of their own needs, their emotional well-being, sense of belonging, and active inclusion in the implementation of school support.

Media use is a meaningful occupation for adolescents. Black adolescents may be at risk for exposure to racial microaggressions through engagement in this occupation. Racial microaggressions are subtle forms of discrimination that negatively impact health. This study aimed to examine the impact of exposure to racial media microaggressions on mental and behavioral health outcomes among Black adolescents. A 14-day daily diary protocol was used to administer measures on racial media microaggressions, depression, anxiety, aggression, and cannabis use. Neither concurrent nor lagged-day associations between racial media microaggressions and symptoms of anxiety, depression, or cannabis use were significant. The concurrent effect of racial media microaggressions on aggression was non-significant, but the next-day lagged effect of racial media microaggressions on aggression at both the within- (estimate = 0.610, SE = 0.281, t = 2.170, p = .030) and between-person (estimate = -.364, SE = 0.182, t = -2.004, p = .046) levels was statistically significant. Findings indicated that exposure to racial media microaggressions impacted Black adolescent behavioral health.

Positive occupational engagement supports mental health and well-being in individuals with schizophrenia, yet few standardized tools assess this construct. To adapt and psychometrically validate the Turkish version of the Assessment of Positive Occupation-15 (APO-15) in schizophrenia. A methodological study was conducted with 263 participants (97 with schizophrenia, 166 healthy adults). Cross-cultural adaptation followed standard procedures. Confirmatory factor analysis (CFA), internal consistency (Cronbach's α), test-retest reliability, and correlations with the Recovery Assessment Scale (RAS) and Motivational Persistence Scale (MPS) were. CFA supported a four-factor structure with acceptable fit. The scale showed strong internal consistency (α = .818) and excellent test-retest reliability (ICC = .814). APO-15 scores correlated moderately with RAS and MPS. Receiver Operating Characteristic (ROC) analysis identified a cut-off score of 47.5. The Turkish APO-15 is a valid and reliable tool for assessing positive occupational engagement in schizophrenia and can inform occupational therapy interventions.

People with lived experiences are often excluded from development of solutions and decision-making related to health research and policy. To describe and demonstrate how high-quality engagement supports partner and project outcomes. The ultimate project outcome was to identify health priorities desired by people with intellectual and/or developmental disability (IDD) and the people who support achieving those priorities, including caregivers, clinicians, and payers/regulators. This capacity-building project implemented and evaluated methods of engagement of IDD self-advocates, caregivers/partners, clinicians, payers/regulators, and researchers. Our reliance on a variety of engagement approaches, but particularly graphic illustration and other visual engagement, yielded productive conversations to advance areas of priority. Partners felt satisfied with engagement and continued to participate at multiple points throughout the 2-year project. We identified nine illustrated priority health outcomes useful for research, practice, and policy change. Our engagement and priority-setting approach resulted in findings that partners found compelling personally and professionally.

Equivalent psychometric properties of translated measurement are critical to guarantee the effectiveness of a measure in a different language. This study translated, adapted, and evaluated the Engagement in Meaningful Activities Survey in Bahasa Indonesia (EMAS-BI). Factor analysis and convergent validity were employed in data collected from a cross-sectional study involving Indonesian college students. Exploratory factor analysis indicated a three-factor structure that was substantiated by confirmatory factor analysis. A second-order, unidimensional model fit the data equally well. A sufficient validity and reliability were reported using model fit, intraclass correlation, and Cronbach's alpha. Meaningful activities were positively correlated with quality of life and flourishing, but negatively correlated with depression. EMAS-BI has good psychometric properties based on the samples collected from Indonesian college student population. Future study should assess EMAS psychometric properties in other populations in Indonesia.

People with multiple sclerosis (PwMS) face significant challenges in community participation. While existing efforts primarily target individual-level barriers, broader system-level support remains underexplored. The objective of this study was to identify actionable system-level changes that support PwMS in community participation. Using a community-engaged research approach, we conducted an online community engagement meeting (CEM) with diverse MS community members. A community advisory board was involved in planning, implementation, and dissemination. The CEM featured a research presentation and facilitated discussions to identify potential solutions. Participants completed a post-event feedback survey. Twenty-one participants proposed specific recommendations for bridging information gaps, improving MS care, enhancing environmental accessibility, and combating ableism. Eleven survey respondents reported meaningful participation in the CEM. The recommendations were shared directly with a policymaker. This study provides an example of engaging community members in an action-oriented dissemination activity, generating insights that can inform future support efforts by professionals and policymakers.

Background: Unmet type 1 diabetes (T1D) needs in rural communities require collaborative academic-community partnerships to develop and test novel health care strategies. Objectives: The purpose of this community-based participatory project was to (a) build a robust community-academic research partnership, (b) complete individual and community-level research capacity building, and (c) develop a rural T1D patient-centered research agenda. Methodology: We implemented a four-strategy stakeholder engagement plan by (1) assessing capacities for active collaboration; (2) identifying partners within new and established networks; (3) reframing the health issue for research; and (4) developing and nurturing the partnerships. Findings: We successfully met the project objectives and continue to conduct impactful interprofessional, community-engaged research projects grounded in our co-developed research agenda that addresses lifestyle changes after T1D diagnosis, lack of access to care, and reinforce resourcefulness and technology use in rural communities.Conclusion: Developing a stakeholder engagement plan before research implementation can promote sustainable community-academic research collaborations.

Artificial intelligence (AI) is increasingly integrated into occupational therapy, enhancing rehabilitation, assessment, and assistive technologies. However, its applications and challenges remain underexplored. This scoping review maps AI applications in occupational therapy, identifying benefits and challenges to inform practice and research. Following the Arksey and O'Malley framework and Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews (PRISMA-ScR) guidelines, a systematic search of six databases identified studies published between 2015 and 2025. Data were analyzed using a mixed inductive-deductive qualitative content analysis approach. AI is primarily applied in motor rehabilitation, functional assessment, assistive technology, and telerehabilitation. Robotic therapy and machine learning-driven assessments improve intervention precision and accessibility. Challenges include high costs, limited therapist training, and ethical concerns. AI offers promising advancements for occupational therapy but requires strategic implementation. Future research should address ethical considerations, therapist training, and AI applications beyond rehabilitation to optimize integration into practice.