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Advancing occupational therapy scoping reviews: Recommendations to enhance quality and methodological rigour
IF 1.6 4区 医学 Q2 REHABILITATION Pub Date : 2025-02-20 DOI: 10.1111/1440-1630.70003
Ted Brown, Louise Gustafsson, Carol McKinstry, Luke Robinson

Introduction

Scoping reviews are an increasingly popular methodological approach to collate evidence and synthesise knowledge in many fields including occupational therapy. However, many are published with potential methodological weaknesses. To address this issue, nine methodological recommendations that authors could adopt to improve the quality and rigour of published scoping reviews are proposed based on the authors' opinions and the published evidence.

Overview

It is suggested that when authors are completing a scoping review, they can consider completing one or more of the following methodological guidelines: (1) refer to the Levac et al.'s (2010) scoping review recommendations, the JBI Scoping Review Protocol, and the PRISMA Extension for Scoping Reviews (PRISMA-ScR) Checklist as methodological guides; (2) include grey literature as a standard component search strategy approach; (3) include thesis and dissertations as recognised sources of evidence; (4) apply a recognised research methodology critical appraisal/quality assessment tools and scales to evidence selected for inclusion in scoping reviews; (5) assign a level of evidence (LoE) framework to the selected evidence; (6) apply a recognised qualitative knowledge syntheses approach to the data extracted; (7) report the steps taken to ensure the trustworthiness of the qualitative knowledge synthesis approach used; (8) include consumer, stakeholder and community consultation; and (9) apply a scoping review-specific critical appraisal/quality assessment tool as a quality assurance activity. The authors are not proposing that the nine recommendations are mandatory, but instead they are methodological guidelines that scoping review authors can incorporate if they choose.

Consumer and Community Involvement

Consumers and community members were not involved in the writing of the manuscript.

Conclusion

Adopting the suggested methodological recommendations as a regular part of completing occupational therapy-related scoping reviews will increase their quality, precision, and rigour.

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引用次数: 0
Correction to ‘A systematic review of psychometric properties of questionnaires assessing activities of daily living among older adults with neurocognitive disorders’
IF 1.6 4区 医学 Q2 REHABILITATION Pub Date : 2025-02-17 DOI: 10.1111/1440-1630.70004

Osman, A., Radman, D., Belchior, P., & Gélinas, I. (2025). A systematic review of psychometric properties of questionnaires assessing activities of daily living among older adults with neurocognitive disorders. Australian Occupational Therapy Journal, 72(1), e13013. https://doi.org/10.1111/1440-1630.13013

There is an error in the author order ‘Alia Osman, Dennis Radman, Patricia Belchior, Isabelle Gélinas’. It should be ‘Alia Osman, Patricia Belchior, Dennis Radman, Isabelle Gélinas’.

We apologise for this error.

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引用次数: 0
Assessment of older adults' decision-making capacity for independent living: Findings from a nominal group technique meeting in Ireland
IF 1.6 4区 医学 Q2 REHABILITATION Pub Date : 2025-02-16 DOI: 10.1111/1440-1630.70005
Ruth Usher, Tadhg Stapleton
<div> <section> <h3> Introduction</h3> <p>Occupational therapists are one of the nominated professions who can assess decision- making capacity in according to recent Irish legislation. However, the process of implementing this legislation into practice remains unclear for therapists. The aim of this study was to form a consensus on recommended procedures for occupational therapists when assessing older adults' decision-making capacity for independent living.</p> </section> <section> <h3> Methods</h3> <p>A nominal group technique was employed to identify and rank critical dimensions of capacity assessment. Twenty occupational therapists from a range of Irish practice settings participated in a 1-day consensus meeting.</p> </section> <section> <h3> Results</h3> <p>Key triggers indicating the need for capacity assessment related to independent living were risk, reduced insight and conflicting stakeholder perspectives on older person's needs (strong consensus). Capacity assessment should consider observations of function, cognitive assessment, and home-based assessment (strong consensus). Strategies to maximise the older person's participation in the capacity assessment and enable occupational therapists to embed will and preference within the capacity assessment process were identified.</p> </section> <section> <h3> Conclusion</h3> <p>Findings represent a hierarchical organisation of key components to be considered in capacity assessment of independent living and highlight the role of occupational therapy in assessing and enhancing older adults' decision-making capacity.</p> </section> <section> <h3> Consumer and Community Involvement</h3> <p>No consumers/patients of occupational therapists were involved in the study.</p> </section> <section> <h3> PLAIN LANGUAGE SUMMARY</h3> <p>Many older people want to stay in their own homes for as long as they can. Occupational therapists assist the person to make this decision.</p> <p>This study looked at how occupational therapists in Ireland help older people make this decision. Twenty therapists agreed on the best way to check if someone can decide to live independently.</p> <p>Sometimes, tests are needed because of safety risks, confusion, or family disagreements. Therapists watch how people do daily tasks, test their thinking, and check their home
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引用次数: 0
The effects of crafts-based interventions on mental health and well-being: A systematic review
IF 1.6 4区 医学 Q2 REHABILITATION Pub Date : 2025-02-16 DOI: 10.1111/1440-1630.70001
Elise Bromann Bukhave, Jennifer Creek, Anne Kirketerp Linstad, Tove Faber Frandsen
<div> <section> <h3> Introduction</h3> <p>A recent upsurge of interest in the health benefits of crafts for mental health and well-being has not been supported by systematic reviews of the effectiveness of crafts-based interventions, prior to this review.</p> </section> <section> <h3> Methods</h3> <p>Five databases were searched: Scopus, CINAHL (EBSCO), APA PsycInfo (EBSCO), Eric (EBSCO), and ProQuest Dissertations and Theses. No date limitations were applied. The search was carried out in January 2024 and supplemented by citation searches in June 2024.</p> </section> <section> <h3> Results</h3> <p>The initial search yielded 14,115 papers; the citation search produced 226 additional references. Nineteen studies in total met the inclusion criteria.</p> <p>Across the 19 studies, there is a wide variety of research designs and a range of crafts used as media for therapy. Interventions were delivered or supervised by either art therapists, nurses, or occupational therapists. Only nine studies report the theoretical basis for the intervention. Treatment duration varies from 10 min to 16 weeks.</p> <p>Quality assessment revealed the quality of the studies varies considerably, with some studies of high-quality and many suffering from methodological weaknesses. Common issues relating to risk of bias include failure to blind assessors; incomplete data and lack of clarity about how the intervention was administered.</p> <p>All the studies report short-term improvements in the outcomes measured, which include anxiety, stress, depression, interest in life, self-efficacy, social skills, sociability, mood, well-being, self-esteem, life satisfaction, health-related quality of life, and hopelessness.</p> <p>Due to the wide variation in interventions, research designs, outcomes, outcome measures, and research quality, it is difficult to draw firm conclusions about the effectiveness of crafts-based interventions.</p> </section> <section> <h3> Conclusion</h3> <p>There is some evidence that crafts-based interventions may benefit mental health and well-being, but more high-quality research is needed, including on the mechanisms through which crafts-based interventions operate.</p> </section> <section> <h3> Consumer and community involvement</h3> <p>No consumer or community involvement.</p> </section> <sectio
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引用次数: 0
Influence of personalised citizen assistance for social participation (APIC) on health, social participation, and life satisfaction: Perspectives from older adults and attendants
IF 1.6 4区 医学 Q2 REHABILITATION Pub Date : 2025-02-13 DOI: 10.1111/1440-1630.70000
Janie Gobeil, Marie-France Dubois, Mélanie Levasseur
<div> <section> <h3> Introduction</h3> <p>The personalised citizen assistance for social participation (APIC) is promising to foster health and social participation of older adults with disabilities, especially when working in collaboration with occupational therapists. When implemented by community organisations, little is known about the influence of APIC on older adults, including perspectives of older adults and attendants. This study aimed to explore the short-term influence of APIC on physical and mental health, social participation, and life satisfaction of older adults with disabilities by considering the perspectives of older adults and their attendant.</p> </section> <section> <h3> Methods</h3> <p>A mixed methods study was carried out by a team, including two occupational therapists. Twelve attendants were interviewed, and 12 older adults completed questionnaires about their health, social participation, and life satisfaction before and after the APIC.</p> </section> <section> <h3> Results</h3> <p>Improvements in mental health, social participation, and life satisfaction were found. The influence of APIC was generally more subtle than expected and greatly affected by older adults' personal and environmental factors.</p> </section> <section> <h3> Consumer and community involvement</h3> <p>This study was possible because of the collaboration between researchers, health-care professionals, community organisations, volunteers, and older adults.</p> </section> <section> <h3> Conclusion</h3> <p>The APIC might have a limited influence on the physical health of older adults with disabilities. Future studies examining the effects of this intervention on different levels of disabilities are recommended to target the best suited population.</p> </section> <section> <h3> PLAIN LANGUAGE SUMMARY</h3> <p>The personalised citizen assistance for social participation (APIC) is a 12-month intervention in which an older adult with disabilities (i.e., having difficulty to perform daily activities) meets weekly with a volunteer to experiment social activities. Although promising, little is known about the influence of APIC on older adults. This study explores the influence of APIC on the health, social participation (i.e., involvement in activities that provide interactions with others), and life satisfaction of older adults with disabilities. The perspective
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引用次数: 0
Content validity of the Handwriting Assessment Battery (HAB-v6) for use with adults with acquired brain injury (ABI): An international Delphi study
IF 1.6 4区 医学 Q2 REHABILITATION Pub Date : 2025-02-03 DOI: 10.1111/1440-1630.13012
Christiana D'Cunha, Lauren J. Christie, Annie McCluskey, Liana S. Cahill

Introduction

Occupational therapists are responsible for assessing adult handwriting following stroke and other acquired brain injuries. The Handwriting Assessment Battery (HAB) was developed for use as a diagnostic assessment tool and outcome measure. The current study aimed to investigate the content validity of version six of the Handwriting Assessment Battery (HAB-v6).

Methods

A three round, online-Delphi study was conducted with an international group of expert clinicians and academics experienced in adult handwriting assessment and/or retraining. In round one, participants rated the importance of HAB-v6 domains and the six subtests and recommended modifications to administration and/or scoring procedures. In rounds two and three, participants were re-presented with several HAB-v6 domains where consensus was not reached and rated the importance of suggested modifications from round one. Quantitative data were analysed using descriptive statistics. Qualitative data were analysed using content analysis.

Consumer and Community Involvement

Consumers and community members were not involved in this study.

Results

Fifteen participants from the United States of America, the United Kingdom, Canada, Israel, and Australia completed round one of the Delphi, 11 participants completed round two, and 15 participants completed round three. In round one, high consensus (>70% participant agreement) was achieved regarding the importance of 5/6 subtests of the HAB-v6; suggestions were made to modify three subtests and add new subtests. In round two, high consensus (>70% agreement) was achieved on three proposed revisions: adding two subtests and modifying instructions for the copying subtest. In round three, low consensus regarding inclusion of the dots drawing subtest remained.

Conclusion

Based on the Delphi process, the content of five of six subtests of the HAB-v6 are valid for use by occupational therapists and others to measure adult handwriting performance, with the exception of the dots subtest, where consensus was not reached.

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引用次数: 0
A systematic review of psychometric properties of questionnaires assessing activities of daily living among older adults with neurocognitive disorders
IF 1.6 4区 医学 Q2 REHABILITATION Pub Date : 2025-01-23 DOI: 10.1111/1440-1630.13013
Alia Osman, Dennis Radman, Patricia Belchior, Isabelle Gélinas
<div> <section> <h3> Introduction</h3> <p>Mild cognitive impairment (MCI) and Alzheimer's disease (AD) lead to decline in performance in activities of daily living (ADLs). Multiple questionnaires assess this construct among older adults. The objective of this study was to review existing literature studying psychometric properties of questionnaires assessing performance in ADLs of older adults living with MCI and AD specifically.</p> </section> <section> <h3> Methods</h3> <p>A systematic review was conducted across Medline, CINAHL and PsychINFO using a combination of keywords related to ADLs, psychometrics, MCI and AD. Studies were included if they met the following criteria: assessments of performance of ADLs for older adults living with AD or MCI, reporting a minimum of one measurement property (e.g. internal consistency), primary research articles, published before June 2023 in English or French. Data extraction and analysis were conducted by two researchers. The methodological quality of psychometric properties was assessed using the COSMIN checklist.</p> </section> <section> <h3> Consumer and Community Involvement</h3> <p>No consumer or community involvement occurred.</p> </section> <section> <h3> Results</h3> <p>A total of 2539 articles were screened and filtered down to 50 articles including 24 questionnaires respecting inclusion criteria. Of these questionnaires, the three most validated were the Amsterdam Instrumental activities of daily living, the disability assessment for dementia (DAD), and the Bayer ADL scale. Overall, for these three questionnaires, internal consistency, reliability and structural validity were the most studied psychometric properties while criterion validity and hypothesis testing were the least.</p> </section> <section> <h3> Conclusion</h3> <p>This study reveals the Amsterdam IADLs as the most validated questionnaire across psychometric properties and the DAD as the most validated across languages. Considering the increasing prevalence of older adults with MCI or AD, questionnaires established on strong measurement properties are valuable tools to evaluate decline in ADL performance and plan suitable interventions. This review provides evidence for clinicians and researchers for the selection of questionnaires to evaluate this population.</p> </section> <section> <h3> PLAIN LANGUAGE SUMMARY</h3> <p>Cognitive impair
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引用次数: 0
‘Occupational experience’ in occupational therapy and occupational science literature: A scoping review
IF 1.6 4区 医学 Q2 REHABILITATION Pub Date : 2025-01-22 DOI: 10.1111/1440-1630.13011
Jennifer Budman, Shahar Zaguri-Vittenberg
<div> <section> <h3> Introduction</h3> <p>‘Occupational experience’ (OE) is widely used within the occupational therapy profession. However, it lacks a clear and unified definition in the profession's consensus practice frameworks and seminal models. Therefore, this study aimed to examine how OE has been defined and described in both occupational therapy and occupational science literature.</p> </section> <section> <h3> Methods</h3> <p>A scoping review was performed, with a search conducted in ProQuest, PsycINFO, EMBASE, PubMed, Academic Research Premier, Scopus and Web of Science. The search strategy included a combination of the terms ‘occupational experience’ and either ‘occupational therapy’ or ‘occupational science’. Inclusion criteria consisted of research articles in English that included OE as one of the central foci. Articles were chosen by the research team in collaboration with a medical librarian.</p> </section> <section> <h3> Consumer and Community Involvement</h3> <p>No consumer and community involvement was included in this study.</p> </section> <section> <h3> Results</h3> <p>Seventy-three articles were included, mostly investigating OE in a targeted group or a specific aspect of experience, primarily among Western high-income-countries. Only 14 articles provided definitions of OE, with the most frequent being ‘subjective dimension of occupation/participation’. Six themes emerged: (1) OE as a subjective component of occupation, (2) OE consisting of interrelated experiential facets, (3) OE in relation to meaning, (4) OE in relation to self-identity, (5) OE in relation to context and environment and (6) OE in relation to health outcomes.</p> </section> <section> <h3> Conclusions</h3> <p>The results point to largely incongruous definitions and descriptions of OE in the literature.</p> </section> <section> <h3> PLAIN LANGUAGE SUMMARY</h3> <p>This study looked at how “occupational experience” (OE) is described in occupational therapy and occupational science. We reviewed 73 research articles. Most of these articles focused on OE in specific groups, like asylum seekers, or on types of experiences, like the feeling of “flow.” Most of the research was done in Western countries. The most common definition of OE was “a person's experience of doing an activity.” We also found six main ideas about OE. These show that OE is personal, can include
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引用次数: 0
The role of occupational therapy in providing vocational rehabilitation for people living with inflammatory arthritis: A scoping review 职业治疗在炎性关节炎患者提供职业康复中的作用:范围综述。
IF 1.6 4区 医学 Q2 REHABILITATION Pub Date : 2025-01-21 DOI: 10.1111/1440-1630.13014
Susan Somerville, Yvonne Codd, Rosemary J. Gowran
<div> <section> <h3> Introduction</h3> <p>Inflammatory arthritis significantly impacts work participation resulting in cost to individuals, employers, and society. Vocational rehabilitation seeks to address this need, but its pathways, interventions, and efficacy continue to be under investigation. Contributing variables are complex, identifying the need for a conceptual framework to guide practice. Occupational therapy addresses this complexity, providing theoretical frameworks such as the Person-Environment-Occupation-Performance (PEOP) model to understand the occupation of work supporting well-being and design interventions. The aim of this scoping review is to map the role of occupational therapy in providing vocational rehabilitation for people living with inflammatory arthritis.</p> </section> <section> <h3> Methods</h3> <p>A scoping review following Arksey and O'Malley's (2005) stages was completed. Major databases and grey literature were systematically searched, and hand-searches completed. Descriptive and thematic analysis mapped the findings to the PEOP model framework.</p> </section> <section> <h3> Consumer and Community Involvement</h3> <p>There was no consumer or community involvement in this review.</p> </section> <section> <h3> Results</h3> <p>Fourteen studies were included. Major themes aligned to the PEOP model with further analysis synthesised in subthemes. A majority of person-related interventions to support work performance was observed. This framework identifies the domains of focus in vocational rehabilitation and current gaps. Work instability, employment retention, and self-efficacy were used to measure effectiveness.</p> </section> <section> <h3> Conclusion</h3> <p>This scoping review presents the evidence regarding vocational rehabilitation for the inflammatory arthritis population in the context of occupational therapy theory to provide a framework for clinical practice. A current focus on person-focused interventions was identified. The PEOP model provides a clear framework to understand the complexity and nuances of vocational rehabilitation across the domains. Outcome measures for vocational rehabilitation are heterogenous and require further exploration as capturing the intricacy of achieving balance with work participation remains unclear. Further research into vocational rehabilitation programs incorporating all domains of the PEOP model is needed. Consideration of work performance measurements to inform effectiveness and the resulting impact on a person's well-being is required.</p> </section> <
简介:炎症性关节炎显著影响工作参与,导致个人、雇主和社会的成本。职业康复旨在解决这一需求,但其途径、干预措施和效果仍在调查之中。贡献变量是复杂的,确定需要一个概念框架来指导实践。职业治疗解决了这种复杂性,提供了理论框架,如人-环境-职业-绩效(PEOP)模型,以理解支持福祉的工作职业和设计干预措施。本综述的目的是绘制职业治疗在炎性关节炎患者提供职业康复中的作用。方法:根据Arksey和O'Malley(2005)的阶段完成范围综述。系统检索了主要数据库和灰色文献,并完成了手工检索。描述性和专题分析将结果映射到PEOP模型框架。消费者和社区参与:本综述中没有消费者或社区参与。结果:纳入14项研究。主要主题与PEOP模型一致,并在子主题中进行进一步分析。观察到大多数与人有关的支持工作绩效的干预措施。该框架确定了职业康复的重点领域和目前的差距。工作不稳定性、就业保留和自我效能感是衡量有效性的标准。结论:本综述综述了在职业治疗理论背景下炎性关节炎人群职业康复的证据,为临床实践提供了一个框架。目前的重点是以人为本的干预措施。PEOP模型为理解跨领域职业康复的复杂性和细微差别提供了一个清晰的框架。职业康复的结果测量是异质的,需要进一步探索,因为捕获实现平衡与工作参与的复杂性仍然不清楚。需要进一步研究纳入PEOP模型所有领域的职业康复方案。需要考虑工作绩效测量,以告知有效性及其对个人福祉的影响。
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引用次数: 0
Sensory processing patterns and their relationships to coping and occupational engagement in mental health service users 心理健康服务使用者的感觉加工模式及其与应对和职业投入的关系
IF 1.6 4区 医学 Q2 REHABILITATION Pub Date : 2025-01-21 DOI: 10.1111/1440-1630.13016
Klara Forsberg, Daniel Sutton, Sigrid Stjernswärd, Catana Brown, Ulrika Bejerholm, Elisabeth Argentzell

Introduction

Mental health service users often have sensory processing difficulties hampering their ability to cope with mental health problems and occupational engagement. However, there is little knowledge of sensory processing and its relation to these factors. Hence, this current study aims to investigate sensory processing patterns in relation to coping and occupational engagement for the target group.

Methods

This cross-sectional study involved 97 mental health service users. Sociodemographic information and self-rated questionnaires were administered; Adolescent/Adult Sensory Profile (AASP), Coping Orientation to Problems Experienced Inventory scale (short version) (Brief-COPE), and Profiles of Occupational Engagement among people with Severe mental illness (POES). Statistical analysis included descriptive statistics and multiple linear regression models.

Consumer and Community Involvement

This study sits within an RCT project where parts were designed collaboratively with research-educated service users.

Results

The result showed strong relationships between sensory processing patterns and occupational engagement. Low levels of occupational engagement were related to high levels of sensory sensitivity, sensation avoiding, and low registration. Whereas, high levels of occupational engagement were related to high levels of sensation-seeking. Concerning coping styles, high levels of emotion-focused coping were related to high levels of low registration, while high levels of avoidant coping styles were related to high levels of sensation-seeking.

Conclusion

The findings indicate that occupational engagement and coping styles are related to outcomes of the sensory profile and thus affect how a person with severe mental health problems interprets and reacts to sensory stimuli in daily life.

心理健康服务使用者通常有感觉处理困难,这阻碍了他们处理心理健康问题和职业参与的能力。然而,人们对感觉加工及其与这些因素的关系知之甚少。因此,本研究旨在探讨目标群体的感觉加工模式与应对和职业投入的关系。方法:对97名心理健康服务使用者进行横断面研究。采用社会人口统计信息和自评问卷;青少年/成人感觉特征量表(AASP)、问题应对倾向量表(Brief-COPE)和严重精神疾病患者职业投入特征量表(POES)统计分析包括描述性统计和多元线性回归模型。消费者和社区参与:本研究属于一个随机对照试验项目,其中部分是与受过研究教育的服务用户合作设计的。结果:感觉加工模式与职业投入之间存在密切关系。低水平的职业投入与高水平的感觉敏感性、感觉回避和低注册相关。然而,高水平的职业投入与高水平的感觉寻求相关。在应对方式方面,高水平的情绪聚焦型应对与高水平的低注册相关,而高水平的回避型应对与高水平的感觉寻求相关。结论:职业投入和应对方式与感觉廓形的结果相关,从而影响严重心理健康问题患者在日常生活中对感觉刺激的理解和反应。
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Australian Occupational Therapy Journal
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