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Examination of Total Hours of Volunteering or Informal Helping Among Older Adults and Risk of Future Functional Disability Using Data From a Large Panel Study. 老年人志愿服务或非正式帮助的总时数与未来功能残疾风险的检验
IF 2.1 4区 医学 Q1 REHABILITATION Pub Date : 2026-03-01 DOI: 10.5014/ajot.2026.051162
Raymond Hernandez, Stefan Schneider, Bart Orriens, Elizabeth Zelinski
<p><strong>Introduction: </strong>To assist with aging in place, occupational therapy practitioners consider a range of factors that can affect future functional ability. Engagement in volunteering has often been associated with improved future functional ability, but the effect of total helping hours inclusive of volunteering and informal helping has received less attention.</p><p><strong>Objective: </strong>To examine whether total hours helping others, inclusive of formal volunteering and informal helping, was associated with better future functional status.</p><p><strong>Design: </strong>Time-to-event analysis (Cox regression) was conducted on data collected between May 2015 and August 2023 from the Understanding America Study (UAS), a U.S. internet-based longitudinal panel.</p><p><strong>Participants: </strong>UAS participants age 65 yr and older who did not report difficulties with activities of daily living (ADLs) at baseline (N = 2,434).</p><p><strong>Measures: </strong>Measures used included self-reports of ADL status, total hours helping others (i.e., volunteering, informal helping), an approximate indicator of physical capacity (i.e., level of engagement in moderate physical activity), an approximation of mental capacity (i.e., speed of digital device use), and self-reports of preexisting conditions.</p><p><strong>Results: </strong>More hours helping others was associated with a subsequently lower risk of developing ADL difficulty at older ages, but the effect was no longer significant after accounting for differences in baseline cognitive capacity, physical capacity, and preexisting conditions.</p><p><strong>Conclusions and relevance: </strong>Findings suggest that past helping behaviors may influence future functional status by improving intrinsic capacity and general health. To support aging in place, occupational therapy practitioners may consider encouraging older adult clients to engage in more hours formally or informally helping others. Plain-Language Summary: Older adults often prefer aging in place, but functional limitations can prevent this from being possible. Among older adults, volunteering has consistently been associated with improved functional status in the future. Informal helping, or helping people outside of one's household in a way that is not structured by an institution (e.g., a charity), has some evidence supporting its association with better physical functioning. In this article, we examine the effect of total time spent formally or informally helping others on future risk of developing difficulty with an activity of daily living. Among adults age 65 and older, more total time helping others was associated with lower risk of developing difficulty with an activity of daily living at older ages. The effect was no longer significant after accounting for an individual's baseline physical and mental capacity and general health. This may suggest that past helping behaviors could influence future functional status
引言:为了帮助老年人,职业治疗从业者考虑了一系列可能影响未来功能能力的因素。参与志愿服务通常与未来功能能力的提高有关,但包括志愿服务和非正式帮助在内的总帮助时间的影响却很少受到关注。目的:探讨帮助他人的总时间,包括正式志愿服务和非正式帮助,是否与更好的未来功能状态有关。设计:对2015年5月至2023年8月期间从了解美国研究(UAS)收集的数据进行了时间-事件分析(Cox回归),这是一个基于美国互联网的纵向面板。参与者:年龄在65岁及以上的UAS参与者,基线时没有报告日常生活活动(adl)困难(N = 2434)。测量方法:使用的测量方法包括ADL状态的自我报告,帮助他人的总时间(即志愿服务,非正式帮助),身体能力的近似指标(即参与适度体育活动的水平),心理能力的近似值(即数字设备的使用速度),以及先前存在的疾病的自我报告。结果:帮助他人的时间越长,在老年时发生ADL困难的风险越低,但在考虑了基线认知能力、身体能力和既往状况的差异后,这种影响不再显著。结论和相关性:研究结果表明,过去的帮助行为可能通过改善内在能力和整体健康来影响未来的功能状态。为了适当地支持老龄化,职业治疗从业者可能会考虑鼓励老年客户参与更多的时间来正式或非正式地帮助他人。简单的语言总结:老年人通常更喜欢原地变老,但功能限制可能会阻止这种可能性。在老年人中,志愿活动一直与未来功能状态的改善有关。一些证据表明,非正式帮助,或以非机构(如慈善机构)组织的方式帮助家庭以外的人,与更好的身体功能有关。在这篇文章中,我们研究了正式或非正式帮助他人的总时间对未来日常生活活动发展困难风险的影响。在65岁及以上的成年人中,帮助他人的总时间越多,老年人在日常生活活动中出现困难的风险就越低。在考虑了个人的基线身心能力和一般健康状况后,这种影响不再显著。这可能表明过去的帮助行为可以通过改善内在能力和整体健康来影响未来的功能状态。
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引用次数: 0
Cognitive Impairments and Health System Outcomes in Inpatient Rehabilitation: A Comparison of Patients With Stroke and Those With Type II Diabetes Mellitus. 住院康复患者的认知障碍和健康系统结果:卒中患者和II型糖尿病患者的比较
IF 2.1 4区 医学 Q1 REHABILITATION Pub Date : 2026-03-01 DOI: 10.5014/ajot.2026.051328
Jessica Edelstein, Bethany Rajaratnam, Audrey Rozell, William McCall, Hallie Zeleznik, Elizabeth Skidmore
<p><strong>Importance: </strong>Cognitive impairment is associated with poor outcomes in inpatient rehabilitation (IPR) but may be underrecognized among patients without neurologic diagnoses.</p><p><strong>Objective: </strong>To compare cognitive impairment prevalence between IPR patients with ischemic stroke and patients with Type II diabetes mellitus (T2DM) without a cerebrovascular diagnosis and to examine associations with functional outcomes and readmissions.</p><p><strong>Design: </strong>This observational, cross-sectional study used retrospective electronic medical record data collected from 2019 to 2022.</p><p><strong>Setting: </strong>Single inpatient rehabilitation facility in an academic health system.</p><p><strong>Participants: </strong>The sample consisted of 360 patients admitted to IPR, including 147 patients with ischemic stroke without T2DM and 213 patients with T2DM without a neurologic diagnosis.</p><p><strong>Outcomes and measures: </strong>Cognitive status was assessed at admission using the Montreal Cognitive Assessment (MoCA). Outcomes included discharge self-care and mobility (Section GG), within-stay readmission, and 30-day postdischarge readmission.</p><p><strong>Results: </strong>Mild cognitive impairment was more prevalent among patients with T2DM than among patients with stroke at admission. Patients with stroke had lower mean MoCA scores at admission and discharge. Diagnosis was not associated with discharge self-care, discharge mobility, or readmission outcomes. Higher admission functional status and lower disease burden were associated with better functional outcomes, and higher admission mobility was associated with lower odds of within-stay readmission.</p><p><strong>Conclusions and relevance: </strong>Routine, diagnosis-agnostic cognitive screening identified high rates of cognitive impairment across diagnostic groups in IPR. Occupational therapy practitioners should incorporate systematic cognitive screening and follow-up functional cognition assessment to guide intervention planning and discharge preparation. Plain-Language Summary: Many people receiving inpatient rehabilitation experience problems with thinking and memory that can affect daily activities and recovery. These problems are often expected after stroke but may be overlooked in people with other health conditions, such as diabetes. This study compared cognitive impairment and rehabilitation outcomes in people with stroke and people with Type II diabetes who did not have a stroke. The study found that mild cognitive impairment was common in both groups, including many people with diabetes. Whether a person had a stroke or diabetes did not explain differences in functional outcomes or hospital readmissions. Instead, a person's functional ability at admission and overall health burden were more strongly related to outcomes. These findings suggest that occupational therapy practitioners should routinely screen cognition for all patients in inpatient
重要性:认知障碍与住院康复(IPR)的不良预后相关,但在没有神经学诊断的患者中可能未被充分认识。目的:比较IPR合并缺血性脑卒中患者与无脑血管诊断的II型糖尿病(T2DM)患者的认知功能障碍患病率,并探讨其与功能结局和再入院的关系。设计:这项观察性横断面研究使用了2019年至2022年收集的回顾性电子病历数据。环境:一个学术卫生系统内的单一住院康复设施。参与者:样本包括360例入院的IPR患者,包括147例无T2DM的缺血性卒中患者和213例无神经学诊断的T2DM患者。结果和测量方法:入院时使用蒙特利尔认知评估(MoCA)评估认知状态。结果包括出院自我护理和活动能力(GG部分)、住院内再入院和出院后30天再入院。结果:入院时,轻度认知障碍在T2DM患者中比在卒中患者中更为普遍。卒中患者入院和出院时MoCA平均评分较低。诊断与出院自我护理、出院活动能力或再入院结果无关。较高的入院功能状态和较低的疾病负担与较好的功能结局相关,较高的入院流动性与较低的住院再入院几率相关。结论和相关性:常规的、诊断不可知性的认知筛查确定了知识产权诊断组中认知障碍的高发率。职业治疗从业者应结合系统的认知筛查和随访功能认知评估来指导干预计划和出院准备。简单的语言总结:许多接受住院康复治疗的人都会遇到思维和记忆方面的问题,这些问题会影响日常活动和康复。这些问题通常在中风后出现,但在患有其他健康状况(如糖尿病)的人群中可能被忽视。这项研究比较了中风患者和没有中风的2型糖尿病患者的认知障碍和康复结果。研究发现,轻度认知障碍在两组人中都很常见,包括许多糖尿病患者。一个人是否患有中风或糖尿病并不能解释功能结果或再入院的差异。相反,一个人入院时的功能能力和整体健康负担与结果的相关性更强。这些发现表明,职业治疗从业者应该对所有住院康复患者进行常规的认知筛查,而不仅仅是那些有神经系统诊断的患者。早期识别认知障碍可以支持治疗计划、日常功能和安全出院。
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引用次数: 0
Identity Development for LGBTQIA+ Autistic Adults in the United States: A Mixed-Methods Study. 美国LGBTQIA+自闭症成人的身份发展:一项混合方法研究
IF 2.1 4区 医学 Q1 REHABILITATION Pub Date : 2026-03-01 DOI: 10.5014/ajot.2026.051171
Elizabeth K Schmidt, Jess Bauzá de García, Sage Michaud Espinosa, Lindsey Clausen
<p><strong>Importance: </strong>Development of lesbian, gay, bisexual, transgender, queer/questioning, intersex, asexual, and other gender and sexual minority (LGBTQIA+) identities and a disability identity is critical for positive mental health outcomes for LGBTQIA+ autistic individuals.</p><p><strong>Objective: </strong>To understand identity development and evaluate the resonance of support among a large sample of LGBTQIA+ autistic adults.</p><p><strong>Design: </strong>A sequential mixed-methods, participatory approach.</p><p><strong>Setting: </strong>Data collection for both phases occurred remotely.</p><p><strong>Participants: </strong>LGBTQIA+ autistic adults completed the qualitative phase and the survey (Ns = 57 and 107, respectively).</p><p><strong>Outcomes and measures: </strong>Phase 1, the qualitative phase, included semistructured interviews and focus groups based on queer, crip, and intersectionality theories. Questions related to identity exploration and development. Themes regarding barriers and supports were used to develop a survey, used in Phase 2, to collect quantitative data to confirm the resonance of the findings.</p><p><strong>Results: </strong>Participants described exposure, personal research, trial and error, and individuals external to the LGBTQIA+ and autistic communities as contributing to their evolving identities. If these contributing factors were positive, people described experiencing narrative gain, whereby they felt a sense of relief and pride over their identities, and if they were negative participants reported going through a journey toward self-acceptance.</p><p><strong>Conclusions and relevance: </strong>Occupational therapy practitioners can support LGBTQIA+ autistic adults in the identity development process by fostering connections with other LGBTQIA+ autistic individuals, providing accessible sexual health education supporting personal research and providing accessible resources, offering opportunities to explore identities through creative means, and creating supportive environments and safe spaces for self-exploration. Plain-Language Summary: Identity development is the process of understanding who you are. Occupational therapy practitioners can help support positive identity development for LGBTQIA+ autistic clients. In Phase 1 of the study, we talked to 57 LGBTQIA+ autistic people and asked them how they learned they were LGBTQIA+ and autistic. We used what we learned from those people to create survey questions, and we asked another 107 LGBTQIA+ autistic people whether the findings from our conversations in Phase 1 resonated with them as well. LGBTQIA+ autistic participants reported that they found it helpful to be exposed to people with diverse LGBTQIA+ and autistic identities; to be connected with articles, blogs, and people online who held diverse LGBTQIA+ and autistic identities; and to trial different identities. They also said it was helpful if people who were not LGBTQIA+ or autistic were
重要性:女同性恋、男同性恋、双性恋、跨性别、酷儿/质疑、双性人、无性恋和其他性别和性少数群体(LGBTQIA+)身份和残疾身份的发展对LGBTQIA+自闭症患者的积极心理健康结果至关重要。目的:了解LGBTQIA+成年自闭症患者的认同发展情况,评价其支持共鸣。设计:顺序混合方法,参与式方法。设置:远程收集两个阶段的数据。参与者:LGBTQIA+自闭症成人完成定性阶段和调查(Ns分别为57和107)。结果和措施:第一阶段,定性阶段,包括半结构化访谈和基于酷儿、瘸子和交叉性理论的焦点小组。与身份探索和发展有关的问题。关于障碍和支持的主题被用来制定一项调查,用于第二阶段,以收集定量数据,以确认调查结果的共鸣。结果:参与者描述了接触、个人研究、尝试和错误,以及LGBTQIA+和自闭症群体之外的个体对他们身份的演变做出了贡献。如果这些因素是积极的,人们会描述经历叙事增益,由此他们对自己的身份感到宽慰和自豪,如果他们是消极的,参与者报告说他们经历了一段自我接受的旅程。结论和相关性:职业治疗从业者可以通过促进与其他LGBTQIA+自闭症个体的联系,提供可获得的性健康教育,支持个人研究,提供可获得的资源,提供通过创造性手段探索身份的机会,创造支持性环境和安全的自我探索空间,来支持LGBTQIA+自闭症成人的身份发展过程。简单的语言总结:身份发展是理解你是谁的过程。职业治疗从业者可以帮助支持LGBTQIA+自闭症客户的积极认同发展。在研究的第一阶段,我们采访了57名LGBTQIA+自闭症患者,询问他们是如何得知自己是LGBTQIA+和自闭症的。我们用我们从这些人身上学到的东西来制作调查问题,我们问了另外107名LGBTQIA+自闭症患者,我们在第一阶段的谈话结果是否也引起了他们的共鸣。LGBTQIA+自闭症参与者报告说,他们发现接触具有不同LGBTQIA+和自闭症身份的人是有帮助的;与持有不同LGBTQIA+和自闭症身份的文章、博客和在线人士建立联系;并尝试不同的恒等式。他们还表示,如果不是LGBTQIA+或自闭症的人在这个过程中给予支持,那将会很有帮助。当人们得到更多的帮助时,他们会更好地接受自己。当人们得到的帮助减少时,他们说他们必须学会接受自己。定位声明:在本文中,我们使用术语LGBTQIA+(女同性恋、男同性恋、双性恋、变性人、酷儿/质疑、双性恋、无性恋以及其他性别和性少数身份)来指代一系列被边缘化的性取向(如女同性恋、男同性恋、双性恋、无性恋)、性别认同(如变性人、非二元性、无性别)和性别特征的生物学变异(如双性人)。我们认识到这些身份是不同的,但往往是相互关联的,除非另有说明,我们使用LGBTQIA+包容性地反映参与者的自我认同。第一作者是一位白人、异性恋、顺性别女性,有广泛性焦虑症的病史。第二作者是一名混血、酷儿、顺性别的女性,她患有多重神经发散性疾病,包括自闭症、注意缺陷多动障碍和创伤后应激障碍。第三位作者是一个白人,酷儿,非二元自闭症患者。第四位作者是一位异性恋的白人女性。研究小组在进行研究方面具有丰富的经验和专业知识。第一作者拥有博士学位,是一名持牌职业治疗师,第二作者在研究实验室工作多年,担任研究助理和协调员,是一名持牌职业治疗师,第三作者具有定量设计和统计分析的背景,担任研究助理,第四作者在研究生期间担任研究助理,是一名持牌职业治疗师。
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引用次数: 0
Timing and Intensity of Rehabilitation Services During Acute Stroke Hospitalization: Impacts on Functional Recovery and Community Discharge. 急性脑卒中住院期间康复服务的时间和强度:对功能恢复和社区出院的影响。
IF 2.1 4区 医学 Q1 REHABILITATION Pub Date : 2026-03-01 DOI: 10.5014/ajot.2026.051362
Jessica Edelstein, Amanda Hoffman, Darcie M Luby, Joseph Rosenthal, James E Graham

Importance: Improving functional recovery and supporting safe discharge pathways after stroke are key priorities in acute care, yet the delivery of rehabilitation services during hospitalization remains poorly understood.

Objective: To examine the associations between rehabilitation service delivery factors and two outcomes, functional status at discharge and community discharge.

Design: Retrospective observational study using electronic medical record (EMR) data (2018-2021). Regression analyses were stratified by occupational therapy (OT) and physical therapy (PT) cohorts.

Setting: Thirteen-hospital health system in Colorado.

Participants: Adults hospitalized with ischemic stroke who received occupational therapy (n = 713) or physical therapy (n = 979).

Outcomes and measures: Primary outcomes were (1) discharge function using Activity Measure for Post-Acute Care "6-Clicks" scores and (2) community discharge (yes or no). Independent variables included time to evaluation, time to treatment, and daily therapy intensity.

Results: Among OT recipients, each additional day of delay between evaluation and the first therapy session was associated with lower odds of community discharge (odds ratio [OR] = 0.927, p = .032) whereas greater therapy intensity was associated with higher odds (OR = 1.396, p = .034). These same factors were also associated with higher discharge function (p < .05). In the PT model, earlier evaluation was significantly associated with improved discharge mobility (p = .006), although no other therapy factors were significant.

Conclusions and relevance: Findings suggest that timely and intensive OT services during acute hospitalization may improve functional outcomes and increase community discharge rates. EMR-derived therapy metrics provide clinically relevant insight and may inform hospital-based rehabilitation strategies. Plain-Language Summary: This study looked at how early and intensive occupational therapy during a hospital stay for stroke affects a person's ability to function and return home. Using hospital records from more than 1,600 patients, the study found that patients who received earlier and more intense OT were more likely to regain independence and go home rather than to a facility. These results suggest that not just receiving therapy but how and when it is delivered plays a big role in recovery. This could help hospitals better support patients during stroke recovery.

重要性:改善中风后的功能恢复和支持安全出院途径是急性护理的关键优先事项,但在住院期间提供康复服务仍然知之甚少。目的:探讨康复服务提供因素与出院和社区出院功能状态的关系。设计:回顾性观察研究,使用电子病历(EMR)数据(2018-2021)。回归分析按职业治疗(OT)和物理治疗(PT)队列分层。环境:科罗拉多州有13家医院的卫生系统。参与者:接受职业治疗(n = 713)或物理治疗(n = 979)的缺血性中风住院患者。结果和测量:主要结果是(1)使用急性后护理活动测量“6- click”评分的出院功能和(2)社区出院(是或否)。自变量包括评估时间、治疗时间和每日治疗强度。结果:在接受门诊治疗的患者中,评估和第一次治疗之间每延迟一天,社区出院的几率就会降低(比值比[OR] = 0.927, p = 0.032),而治疗强度越大,社区出院的几率就越大(OR = 1.396, p = 0.034)。这些因素也与较高的放电功能相关(p < 0.05)。在PT模型中,早期评估与改善的出院流动性显著相关(p = 0.006),尽管没有其他治疗因素显著相关。结论和相关性:研究结果表明,在急性住院期间及时和强化的OT服务可以改善功能结局并提高社区出院率。emr衍生的治疗指标提供了临床相关的见解,并可能为基于医院的康复策略提供信息。简单的语言总结:这项研究着眼于中风住院期间早期和强化的职业治疗如何影响患者的功能和回家的能力。通过对1600多名患者的医院记录进行分析,该研究发现,接受更早、强度更大的治疗的患者更有可能重获独立,回家而不是去医院。这些结果表明,不仅仅是接受治疗,治疗的方式和时间在康复中也起着重要作用。这可以帮助医院在中风康复期间更好地支持患者。
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引用次数: 0
Development of a Practical Guide for Pediatric Constraint-Induced Movement Therapy: Enhancing Understanding and Informed Decision-Making. 儿童约束诱导运动治疗实用指南的发展:加强理解和知情决策。
IF 2.1 4区 医学 Q1 REHABILITATION Pub Date : 2026-01-01 DOI: 10.5014/ajot.2025.051397
Lauren Leonardi, Stephanie DeLuca, Mary Rebekah Trucks, Dory A Wallace, Catherine R Hoyt

Importance: Constraint-induced movement therapy (CIMT) is an intervention for hemiplegic cerebral palsy (CP) that has a strong evidence base. CIMT has been shown to be effective in improving functional use of the more impaired upper extremity, yet has not become standard practice. Toolkits have been effectively used in various settings to increase intervention implementation; however, no guide currently exists to support clinical decision-making related to CIMT.

Objective: To provide an overview of the development of a practical guide for pediatric CIMT (pCIMT) that will aid therapists, other health care professionals, and families with children who may be eligible for pCIMT.

Design: Model development research.

Setting: Virtual communication secured in accordance with the Health Insurance Portability and Accountability Act of 1996 (Pub. L. 104-191).

Participants: Content experts (N = 12) with expertise related to pCIMT, hemiplegic CP, and occupational therapy who were recruited via purposive sampling to develop the practical guide.

Outcomes and measures: Development of the practical guide followed a toolkit developmental model. Field notes were used to record all verbal and written feedback provided by content experts.

Results: The participants provided recommendations to include in the guide during the developmental phase. In two rounds of the expert review phase, they recommended revisions related to readability, content, and visuals. The final practical guide included six sections.

Conclusions and relevance: A practical guide was developed to support occupational therapists, health care professionals, and caregivers in making an informed decision about whether pCIMT is the right intervention for a particular child. Plain-Language Summary: Hemiplegic cerebral palsy is the most common motor disability that affects children, and it often causes difficulty moving one side of the body. Pediatric constraint-induced movement therapy (pCIMT) is an evidence-based intervention to help children use their more affected side. However, pCIMT is not widely available. With guidance from key informants, we designed a practical guide to support health care professionals and families in determining whether pCIMT could be an appropriate intervention. A three-phase toolkit development model was followed to design the practical guide. In this article, we report on Stages 1 and 2 (the development and expert review phases). Twelve experts and caregivers informed the development of the six sections of the practical guide. Future research should proceed to Stage 3 (the evaluation phase) to evaluate the effectiveness of the practical guide and identify implementation strategies for the guide to support pCIMT usage.

重要性:约束诱导运动疗法(CIMT)是偏瘫性脑瘫(CP)的一种干预措施,具有强有力的证据基础。CIMT已被证明在改善上肢功能使用方面是有效的,但尚未成为标准做法。工具包已在各种情况下有效使用,以加强干预措施的实施;然而,目前尚无指南支持与CIMT相关的临床决策。目的:概述儿科CIMT (pCIMT)实用指南的发展,这将有助于治疗师、其他卫生保健专业人员和有可能符合pCIMT条件的儿童的家庭。设计:模型开发研究。环境:根据1996年《健康保险流通与责任法案》(Pub。l . 104 - 191)。参与者:内容专家(N = 12),他们具有与pCIMT、偏瘫CP和职业治疗相关的专业知识,通过有目的的抽样招募来制定实用指南。结果和措施:实践指南的开发遵循工具包开发模型。现场记录用于记录内容专家提供的所有口头和书面反馈。结果:参与者提供了建议,包括在发展阶段的指南。在两轮专家评审阶段,他们提出了与可读性、内容和视觉效果相关的修订建议。最后的实践指南包括六个部分。结论和相关性:制定了一份实用指南,以支持职业治疗师、卫生保健专业人员和护理人员对pCIMT是否适合特定儿童的干预做出明智的决定。摘要:偏瘫性脑瘫是影响儿童的最常见的运动障碍,它经常导致身体一侧活动困难。儿童约束诱导运动疗法(pCIMT)是一种基于证据的干预措施,以帮助儿童使用其更受影响的一侧。然而,pCIMT并没有广泛使用。在关键信息提供者的指导下,我们设计了一份实用指南,以支持卫生保健专业人员和家庭确定pCIMT是否可以作为适当的干预措施。遵循一个三阶段工具包开发模型来设计实用指南。在本文中,我们报告了阶段1和阶段2(开发和专家评审阶段)。12位专家和护理人员为编写实用指南的六个部分提供了信息。未来的研究应进入第三阶段(评估阶段),以评估实用指南的有效性,并确定指南的实施策略,以支持pCIMT的使用。
{"title":"Development of a Practical Guide for Pediatric Constraint-Induced Movement Therapy: Enhancing Understanding and Informed Decision-Making.","authors":"Lauren Leonardi, Stephanie DeLuca, Mary Rebekah Trucks, Dory A Wallace, Catherine R Hoyt","doi":"10.5014/ajot.2025.051397","DOIUrl":"10.5014/ajot.2025.051397","url":null,"abstract":"<p><strong>Importance: </strong>Constraint-induced movement therapy (CIMT) is an intervention for hemiplegic cerebral palsy (CP) that has a strong evidence base. CIMT has been shown to be effective in improving functional use of the more impaired upper extremity, yet has not become standard practice. Toolkits have been effectively used in various settings to increase intervention implementation; however, no guide currently exists to support clinical decision-making related to CIMT.</p><p><strong>Objective: </strong>To provide an overview of the development of a practical guide for pediatric CIMT (pCIMT) that will aid therapists, other health care professionals, and families with children who may be eligible for pCIMT.</p><p><strong>Design: </strong>Model development research.</p><p><strong>Setting: </strong>Virtual communication secured in accordance with the Health Insurance Portability and Accountability Act of 1996 (Pub. L. 104-191).</p><p><strong>Participants: </strong>Content experts (N = 12) with expertise related to pCIMT, hemiplegic CP, and occupational therapy who were recruited via purposive sampling to develop the practical guide.</p><p><strong>Outcomes and measures: </strong>Development of the practical guide followed a toolkit developmental model. Field notes were used to record all verbal and written feedback provided by content experts.</p><p><strong>Results: </strong>The participants provided recommendations to include in the guide during the developmental phase. In two rounds of the expert review phase, they recommended revisions related to readability, content, and visuals. The final practical guide included six sections.</p><p><strong>Conclusions and relevance: </strong>A practical guide was developed to support occupational therapists, health care professionals, and caregivers in making an informed decision about whether pCIMT is the right intervention for a particular child. Plain-Language Summary: Hemiplegic cerebral palsy is the most common motor disability that affects children, and it often causes difficulty moving one side of the body. Pediatric constraint-induced movement therapy (pCIMT) is an evidence-based intervention to help children use their more affected side. However, pCIMT is not widely available. With guidance from key informants, we designed a practical guide to support health care professionals and families in determining whether pCIMT could be an appropriate intervention. A three-phase toolkit development model was followed to design the practical guide. In this article, we report on Stages 1 and 2 (the development and expert review phases). Twelve experts and caregivers informed the development of the six sections of the practical guide. Future research should proceed to Stage 3 (the evaluation phase) to evaluate the effectiveness of the practical guide and identify implementation strategies for the guide to support pCIMT usage.</p>","PeriodicalId":48317,"journal":{"name":"American Journal of Occupational Therapy","volume":"80 1","pages":""},"PeriodicalIF":2.1,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145702527","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Sensory Processing and Participation Across Contexts: Strengthening the Evidence Base. 跨情境的感觉处理和参与:强化证据基础。
IF 2.1 4区 医学 Q1 REHABILITATION Pub Date : 2026-01-01 DOI: 10.5014/ajot.2026.051542
Amber M Angell, Jewel Crasta, Leah I Stein Duker, Brittany M St John

This special section of the American Journal of Occupational Therapy presents important international developments in occupational therapy research related to sensory processing and participation across a range of contexts and occupations. Taken as a whole, this collection of articles provides evidence that sensory processing differences affect children across the developmental continuum, transcending specific diagnostic criteria and significantly influencing participation in diverse occupational environments. Although this may not seem like a novel insight to experienced occupational therapy practitioners, its significance lies in strengthening the empirical support underlying these practice-based "commonsense" claims.

《美国职业治疗杂志》的这个特别部分介绍了在一系列背景和职业中与感觉处理和参与相关的职业治疗研究的重要国际发展。作为一个整体,这一系列文章提供了证据,表明感觉加工差异影响儿童的整个发展连续体,超越了特定的诊断标准,并显著影响了不同职业环境的参与。尽管对于经验丰富的职业治疗从业者来说,这似乎不是一个新颖的见解,但其意义在于加强了这些基于实践的“常识”主张背后的经验支持。
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引用次数: 0
Official Documents Available From the American Occupational Therapy Association. 官方文件可从美国职业治疗协会。
IF 2.1 4区 医学 Q1 REHABILITATION Pub Date : 2025-11-01 DOI: 10.5014/ajot.2025.79S304
{"title":"Official Documents Available From the American Occupational Therapy Association.","authors":"","doi":"10.5014/ajot.2025.79S304","DOIUrl":"https://doi.org/10.5014/ajot.2025.79S304","url":null,"abstract":"","PeriodicalId":48317,"journal":{"name":"American Journal of Occupational Therapy","volume":"79 Suppl 3","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146228994","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Feeding, Eating, and Swallowing Approaches in Occupational Therapy. 职业治疗中的喂食、进食和吞咽方法。
IF 2.1 4区 医学 Q1 REHABILITATION Pub Date : 2025-11-01 DOI: 10.5014/ajot.2025.79S305

This AOTA Position Statement defines the role of occupational therapy practitioners and describes their distinct approaches and value in the delivery of occupational therapy services for people with feeding, eating, and swallowing impairments and performance limitations.

本AOTA立场声明定义了职业治疗从业者的角色,并描述了他们在为有喂养、进食和吞咽障碍和行为限制的人提供职业治疗服务时的独特方法和价值。
{"title":"Feeding, Eating, and Swallowing Approaches in Occupational Therapy.","authors":"","doi":"10.5014/ajot.2025.79S305","DOIUrl":"https://doi.org/10.5014/ajot.2025.79S305","url":null,"abstract":"<p><p>This AOTA Position Statement defines the role of occupational therapy practitioners and describes their distinct approaches and value in the delivery of occupational therapy services for people with feeding, eating, and swallowing impairments and performance limitations.</p>","PeriodicalId":48317,"journal":{"name":"American Journal of Occupational Therapy","volume":"79 Suppl 3","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145795216","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
AOTA 2025 Annual Business Meeting Summary. aaota2025年度商务会议摘要。
IF 2.1 4区 医学 Q1 REHABILITATION Pub Date : 2025-11-01 DOI: 10.5014/ajot.2025.79S311

The 2025 AOTA Annual Business Meeting was held as a virtual event on August 20, 2025. More than 340 members registered from over 46 states and territories.

2025年AOTA年度商务会议于2025年8月20日以虚拟活动的形式举行。来自46个州和地区的340多名会员注册。
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引用次数: 0
Occupational Therapy Education Research Agenda. 职业治疗教育研究议程。
IF 2.1 4区 医学 Q1 REHABILITATION Pub Date : 2025-11-01 DOI: 10.5014/ajot.2025.79S312

This Occupational Therapy Education Research Agenda identifies seven major research goals and priorities and is intended to complement the 2011 Occupational Therapy Research Agenda, which identified five research priorities of the profession.

本职业治疗教育研究议程确定了七个主要研究目标和重点,旨在补充2011年职业治疗研究议程,该议程确定了该专业的五个研究重点。
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引用次数: 0
期刊
American Journal of Occupational Therapy
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