Otjr-Occupation Participation and Health最新文献

Community advisory boards (CABs) can improve the relevance and impact of research. CABs often guide timebound research projects or inform strategy at large institutions. By contrast, we developed a CAB for collaborative neurorehabilitation research as an arm of a research laboratory. Community members (e.g., stroke survivors, care partners, therapists) engage in research and community initiatives around a shared vision. Existing CAB literature and implementation resources primarily describe project and institutional CABs, with less evidence of alternative CAB models. Therefore, this article describes the development of an ongoing CAB partnership and the evaluation of community member engagement over time. Two years after establishing the NPNL Stroke Advisory Board, we describe the Board's activities, evaluation process, and early successes and challenges with the intention of promoting transparency of community-engaged approaches and empower similar partnerships to form.

Occupational therapists recognize parenting as within their scope; however, little is known about how this translates to practice with adult clients with disabilities or other challenges. We sought to describe contemporary global occupational therapy practice for parenting with adult clients, including assessment and interventions. A cross-sectional e-survey designed for the study was implemented in eight languages. Participants were recruited using convenience sampling. Responses were received from 1,357 occupational therapists across 42 countries. Of these, 43.1% (n = 586) frequently ask their clients who are parents about parenting roles and occupations, while 34.2% (n = 465) frequently or very frequently address parenting concerns. Assessments typically relied on informal approaches or the use of broad measures of occupational performance. The most frequently reported parenting intervention was the provision of education and training in parenting skills. Occupational therapy practice for parenting remains underdeveloped, with limited evidence of comprehensive occupational therapy assessment or intervention.

People with mental health issues are three times more likely to be unemployed. The purpose of this community-engaged research project was to address an issue brought up by our community partner that people with mental health challenges were restricted from participating in employment. A photovoice study was conducted to answer the research question: what facilitating factors and hindering factors of employment were encountered by people with mental health challenges? Seven participants recruited by our community partner completed three rounds of photo assignments and group meetings. Study findings revealed that mental health conditions presented challenges in finding, acquiring, and retaining employment, and that self-management strategies and a safe work environment were critical to facilitate employment participation. A community advisory group was informed about the study findings. We then hosted photovoice exhibit events to increase awareness about the employment issue for community people. Recommendations for conducting community-engaged research are discussed.

Background: Health behaviors significantly influence health outcomes after cancer. However, few studies have tested occupational therapy (OT) self-management training to catalyze health behavior change.

Objectives: To establish proof of concept of a 12-week OT intervention designed to improve occupational performance and/or satisfaction in cancer survivors.

Methods: This single-arm, prospective study used the Canadian Occupational Performance Measure to measure change in occupational performance and satisfaction related to health behaviors in a convenience sample of 20 cancer survivors.

Results: Both occupational performance and occupational satisfaction scores increased for all participants (n = 20) post-intervention. A total of 18 participants (86%) demonstrated a clinically significant change in performance scores (≥2), and 19 participants (95%) demonstrated a clinically significant change in satisfaction scores (≥2).

Conclusion: OT, when leveraged for a health self-management intervention, may result in improvements in both occupational performance and satisfaction related to health behavior in cancer survivors.

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.