Otjr-Occupation Participation and Health最新文献

Depressive symptoms contribute to frailty and care dependency. Participation in meaningful activities is key for preventing depressive symptoms, yet its link to occupational participation remains unclear. This study examined the relationship between occupational participation factors and depressive symptoms in older adults. This cohort study included 278 participants. Occupational participation was measured using the Self-reported Occupational Performance Inventory, and depressive symptoms were measured using the Geriatric Depression Scale. Multiple regression analysis was conducted. Occupational control (β = -0.20, p = .004) and balance (β = -0.18, p = .008) in leisure were negatively correlated with depressive symptoms. Satisfaction with performance correlated negatively with depressive symptoms in leisure (β = -0.15, p = .034) and self-care (β = -0.14, p = .029). Managing leisure activities by ensuring control, balance, and satisfaction is essential for preventing depressive symptoms in older adults.

Caregiver education is a vital component of inpatient rehabilitation for brain injury, yet the most effective ways of delivering education are not well established. A secondary analysis of 139 adult patients was conducted to determine if duration and types of education were correlated with functional outcomes and postdischarge health services. Most caregivers (94.2%) received training during the admission. Education involving hands-on training with patient care was associated with reduced levels of postdischarge health services (discharge to subacute nursing facility, or home with health care organization), (odds ratio [OR]: 0.20, [95% CI: 0.07 to 0.55], p = .002). In addition, patients with caregivers who were approved to provide hands-on assistance outside of therapy had a reduced need for postdischarge services (OR: 0.46, [0.21 to 0.97], p = .04), and higher functional independence levels at discharge (OR: 2.19, [1.14 to 4.19], p = .019). Strategies that actively engage caregivers should be prioritized.

Standardized outcome measures, like the Fugl-Meyer Assessment of the Upper Extremity (FMA-UE), support stroke rehabilitation; however, occupational therapy practitioners report minimal use due to limited knowledge, time, and administrative support. The objective of this study was to examine practitioners' perceived acceptability, appropriateness, and feasibility of using the FMA-UE, attitudes toward standardized outcome measures, and strategies to support use. A cross-sectional survey was conducted using the Acceptability of Intervention Measure, Intervention Appropriateness Measure, Feasibility of Intervention Measure, and Evidence-Based Practice Attitudes Scale. Spearman correlations assessed relationships among variables. Practitioners (n = 102) perceived the FMA-UE as acceptable, appropriate, and feasible. Acceptability (r = .34, p < .001), appropriateness (r = .35, p < .001), and feasibility (r = .32, p < .01) were significantly correlated with openness to FMA-UE use. Despite positive perceptions of the FMA-UE and outcome measures, consistent implementation remains limited. Further research should examine strategies to enhance use.

Limited evidence exists on sexual misconduct and inappropriate client sexual behavior (ICSB) in occupational therapy, warranting investigation of prevalence and impact. The objective of the study was to examine sexual misconduct and ICSB prevalence and perceptions in U.S. occupational therapy. Investigators conducted a nonexperimental, concurrent mixed methods study in July 2023, adapting Roush et al.'s questionnaire for occupational therapy practitioners and students with Level II Fieldwork experience. There were 356 respondents. The majority of respondents (63.4%) had experienced ICSB, and 26.6% were aware of sexual misconduct in the workplace. Practitioners perceived these occurrences as wrong or concerning, based on responses to vignettes and survey questions. In open-ended answers, respondents noted that ICSB occurred on a continuum from innuendo to assault; and that consensual and nonconsensual sexual behaviors in the workplace were disruptive and concerning. Professional guidelines and preventive strategies for sexual misconduct and ICSB are critically needed in practice and education.

Understanding factors associated with subjective cognition in middle-aged and older adults is important. The objective of this study was to investigate the extent to which community participation, health conditions, and demographics increase the risk of subjective cognitive decline (SCD) in adults aged 45 and older, as well as how these factors are associated with self-perceived executive ability in those with SCD. A cross-sectional study was conducted with 93 community-dwelling participants, categorized into those with SCD (N = 42) and those without SCD (N = 51). Logistic and multivariable linear regression models were built. The results showed that depressive symptoms and concerns about executive ability significantly increased the risk of SCD in the logistic model. The linear model indicated that lower levels of community participation and education were associated with greater concerns about executive ability among those with SCD. Conclusion: Addressing depressive symptoms and executive ability in SCD is crucial; occupational therapy should facilitate community participation to support those with SCD.

A limited understanding of trends in occupational therapy (OT) research publications exists. This study aimed to evaluate trends in OT research publications, in PubMed (2001-2020), compared to physiotherapy and rehabilitation. A method of secondary analysis of publication trends in the PubMed database was used. Medical subject headings for OT, physiotherapy, and rehabilitation were combined with search filters (e.g., population age, study design, and OT practice area). Linear regressions were computed to analyze changes in yearly growth. OT research publications increased by 5.86 per year and comprised less than 2.5% of rehabilitation research publications yearly. Knowledge synthesis was the predominant OT study design (2.94% yearly increase; p < .001). Intellectual/cognitive conditions and emergent practice areas in OT research publications increased over time (both p = .007). OT research publications were relatively evenly distributed across population age. OT research publications are increasing over time but lag relative to physiotherapy and rehabilitation broadly. Our findings may inform future OT research priorities.

Background: Occupational therapy graduate students report poor well-being during their educational experience.

Objective: This convergent mixed-methods study (quantitative approach presented) examined the effectiveness of an occupation-based intervention in promoting well-being.

Methodology: Forty-one entry-level doctorate students (intervention = 18, control = 23) completed four standardized measures at three timepoints. The manualized intervention included six 45-minute virtual synchronous sessions, once per week. Data were analyzed using two-way mixed analysis of variance (ANOVA).

Results: Statistically significant differences in well-being (p = .024, ${\eta }_p^2$ = .09), self-compassion (p = .006, ${\eta }_p^2$ = .12), and engagement in meaningful occupations (p = .014, ${\eta }_p^2$ = .10) between groups, indicating intervention effectiveness.

Conclusion: Intervention study participants were self-compassionate and intentional about promoting their well-being; therefore, increasing their participation in a variety of meaningful occupations moved them toward more occupational balance and improved well-being. This occupation-based intervention could be offered to promote student well-being through engagement in meaningful occupations.

Autistic children participate less and have fewer opportunities to develop participation skills than nonautistic peers. The extent to which occupation-based coaching (OBC), a metacognitive strategy training intervention, affects participation in school-age autistic children is unknown. We conducted a single-group pretest-posttest design to evaluate the feasibility and preliminary effect of telehealth OBC for autistic children (n = 13) and primary caregivers (n = 12). Participants completed eight telehealth OBC sessions to address activity-based goals; they completed child, caregiver, and family outcomes pre- and post-intervention. Recruitment, retention, caregiver measure completion, and intervention adherence rates exceeded feasibility benchmarks. OBC had large effects on child performance (Hedge's g = 1.65) and satisfaction (Hedge's g = 1.89), a moderate effect on child sleep disturbance (Hedge's g = 0.60), and small effects on child participation (Hedge's g = 0.23) and family quality of life (Hedge's g = 0.26). Further research in a large-scale study is warranted with changes to better support child measure completion and enhance the study protocol.

Although physical activity has been shown to influence physical, social, and emotional well-being, individuals experiencing quadriparesis often lack knowledge of and access to adaptive sporting programs. The purpose of this study was to explore the perceptions about wheelchair rugby's impact on community participation and well-being for individuals with quadriparesis and to identify functional barriers to participation. Qualitative semistructured interviews were used to explore the perception of participation in wheelchair rugby on community participation and well-being for adults with quadriparesis. Participants perceived that their participation in sports had positive benefits on community participation and well-being. In addition, participants identified barriers to participation for individuals with quadriparesis. Practitioners working with individuals with quadriparesis should consider sports participation when designing interventions and education.

Limited interventions address severe upper extremity (UE) hemiparesis. The feasibility of mental practice (MP) in acute inpatient rehabilitation (AIR) is unexplored. The purpose of this pilot study was to assess the effect of MP on severe UE hemiparesis and the feasibility of MP in AIR. Single-group, pretest-posttest. Eleven patients ages 18-90, <1-month post-stroke, with UE hemiparesis completed an MP protocol, 5 days/week for 2 weeks. The Wolf Motor Function Test (WMFT) and Fugl Meyer Assessment (FM) assessed UE functional abilities and impairments. The patients and 17 occupational therapists working in AIR were surveyed to determine the feasibility of MP. Wilcoxon signed-rank test showed a statistically significant difference in FMA and WMFT scores pretest to posttest. The feasibility survey results found MP to be appropriate and feasible, with lower scores in acceptability. MP appears to be feasible and appropriate to address severe UE hemiparesis in the AIR setting.