British Journal of Occupational Therapy最新文献

Introduction: Play is a crucial occupation of children's that requires reliable and valid assessment. This study aimed to investigate validity and reliability of the parent version of the Pretend Play Enjoyment Developmental Checklist (PPE-DC).

Methods: This cross-sectional psychometric study included 10 Iranian occupational therapists from paediatric clinical practice (mean age of 36.5 years) with an average of 14.5 years of experience. Thirty parents and their neurodivergent children (6 girls; mean = 55.90 months; SD = 14.25) and 30 parents and their neurotypical children (14 girls; mean age = 53.4 months; SD = 20.45) participated. Parents filled in the PPE-DC, and a trained therapist assessed children with the Child-Initiated Pretend Play Assessment (ChIPPA) within 10 days of parents filling in the PPE-DC.

Results: The content validity ratio was 1. Content validity index was >0.8. There were significant differences for all parent PPE-DC scores between neurotypical and neurodivergent children (p < 0.001). For concurrent validity, there were moderate significant relationships between the ChIPPA and PPE-DC items. Test-retest reliability was excellent (intraclass correlation coefficient > 0.99).

Conclusion: The PPE-DC Parent version is a reliable and valid parent's measurement of their child's level of complexity of play skills.

Introduction: Occupational justice addresses social, political and economic factors influencing occupational participation as a human right. Implementing occupational justice is challenging due to institutional, personal, environmental and cultural barriers, and may be further complicated in non-Western contexts. Early career occupational therapists often struggle to apply these principles while transitioning from education to practice, despite their desire to advocate for justice-focused practices.

Methods: This qualitative descriptive study, grounded in social constructivism, explored the experiences of early career occupational therapists applying occupational justice in Singapore. Using snowball sampling of 2020 and 2021 graduates, participants engaged in one-time semi-structured interviews, which were transcribed verbatim and thematically analysed.

Findings: Of 140 potential participants, 10 responded and completed the study. Four themes were developed: (1) Feeling uncertain about occupational justice, (2) Perceived relevance in the Singaporean context, (3) Early career challenges and (4) Aspiration to be agents of change.

Conclusion: Early career occupational therapists expressed uncertainty in applying occupational justice concepts, often confusing them with occupation-centred practice. Despite recognising individual influences, they felt ill-prepared to tackle systemic barriers and advocate for broader social change. However, participants were aware and willing to support occupational justice ideals, suggesting a need for more guidance to integrate individual therapeutic goals with societal advocacy.

Introduction: Although occupational therapists work within mental health settings, there is limited research regarding their role in seclusion. This study aims to explore occupational therapists' experiences of delivering occupational therapy in seclusion whilst working as part of a multi-disciplinary team.

Method: An exploratory qualitative approach using a semi-structured virtual interview approach was adopted. A convenience sample of six participants with experience of working in inpatient mental health seclusions settings were recruited at a national level. Interviews were recorded, transcribed verbatim and analysed using reflexive thematic analysis.

Findings: Four key themes were identified: (1) the perception of seclusion as a punitive approach, (2) the role of occupational therapy in improving the patient's journey through seclusion, (3) grading and adapting occupations to manage risk and increase engagement, and (4) promoting the role of occupational therapy in seclusion.

Conclusion: Occupational therapists can play an important role in improving the experience of patients in seclusion. They have unique skills that enable them to work in this challenging environment. It has also highlighted the lack of understanding about occupational therapy within the multi-disciplinary team and how important it is for occupational therapists to promote their role.

Introduction: The measurement of handgrip strength is widely accepted for assessing and evaluating hand function. Age and gender are known factors that correlate directly with the handgrip strength. This review aimed to identify whether other biological and functional factors influence adult handgrip strength and if so, which are the most important.

Method: A systematic review was performed on studies that examined handgrip strength in relation to biological and functional factors including anthropometric characteristics, occupation, hand dominance and ethnicity within a working-aged population.

Results: The search retrieved 19 studies which were critiqued using the McMasters Critical Appraisal Tool. This review concludes an individual's height, hand length, hand width/palm width, forearm circumference and hand dominance along with their occupation influence handgrip strength in addition to the established categories of age and gender. It is recommended that future research examines how these factors influence handgrip strength to allow for improved interpretation of handgrip strength in comparison to normative data sets.

Introduction: There is a growing body of evidence regarding the contribution to the management of chronic pain by occupational therapists. However, there is limited research available regarding contemporary practice in the United Kingdom (UK).

Method: An on-line questionnaire was circulated via social media, profession specific publications and specialist interest groups. Responses were requested from UK-based Health and Care Professions Council registered occupational therapists who identified working with those living with chronic pain and their friends, family and supporters.

Findings: A total of 26 occupational therapists responded. Occupational therapists are working in diverse service settings, offering a range of interventions and recognised the unique contribution by occupational therapists to this area of practice. Perceived barriers to delivering intervention included staffing levels, understanding of the occupational therapists' role and suggestions for additional interventions were stated.

Conclusion: This research increases understanding of UK-based occupational therapist's current practice in pain management and views of their role. It provides considerations for further research including how to increase awareness of occupational therapy's contribution to this area of practice, exploring the occupational needs of individuals and those of friends, family and supporters to ensure intervention is designed to best meet the needs of this population.

Aim: This study examined the viewpoints of occupational therapy educators in higher education regarding ableism and its impact on occupational therapy practice. It forms part of a wider study which also explored occupational therapy student perspectives, published separately.

Method: An online survey involved the administration of Likert-scales and open-ended survey questions, enabling a comprehensive examination of occupational therapy educators' perspectives on ableism in occupational therapy.

Findings: The sample comprised 32 teaching staff actively engaged in occupational therapy degree-level education. Most participants (72%) perceived occupational therapy as inherently ableist. Content analysis showed variations in how respondents understood the term 'ableism', and this appeared to be a compounding factor in respondents' views as to whether the profession is ableist. Most (89%) respondents agreed that the profession focuses on independence, affirming past critiques. Themes, including cultural sensitivity, challenges with engaging in disability studies, and power dynamics within occupational therapy education, emerged.

Conclusion/impact: This study provides insight into educators' opinions of occupational therapy practices and their promotion of ableism. Future qualitative research should aim to unravel additional understanding of ableism within occupational therapy, including its origins, so future systemic changes required to address the harm of ableism can begin to be addressed.

[This corrects the article DOI: 10.1177/03080226241229298.].