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Transfer of skills acquired through Cognitive Orientation to daily Occupational Performance (CO-OP) approach in children with executive functions deficits following acquired brain injury 后天性脑损伤后执行功能缺陷儿童通过认知取向到日常职业表现（CO-OP）方法获得的技能转移
IF 1.8 4区 医学 Q2 REHABILITATION
Australian Occupational Therapy Journal
Pub Date : 2025-07-30 DOI: 10.1111/1440-1630.70040
Clarisse Vezinat, Hélène Lebrault, Hugo Câmara-Costa, Rose Martini, Mathilde Chevignard

Introduction

Children with acquired brain injury (ABI) often have executive function (EF) deficits that affect their ability to carry out activities efficiently. Cognitive Orientation to daily Occupational Performance (CO-OP) is a cognitive approach to problem-solving. It has demonstrated effectiveness in a variety of populations, most recently with children with EF deficits following ABI. One of the challenges of rehabilitation is transferring skills acquired during sessions into everyday life. The literature suggests that CO-OP enables transfer of skills to untrained tasks, but research on transfer following its use with children with ABI is limited. The aims of this study were (1) to determine whether skills acquired during CO-OP transfer to new untrained activities, (2) to study the possible influence of parental involvement in CO-OP on children's attainment of transfer goals, and (3) to determine if the degree of difference between trained and untrained goals is associated with achievement of transfer.

Methods

A quasi-experimental design was used. Eleven children with EF deficits following ABI took part in the study. At the end of CO-OP intervention, children identified three new goals. These ‘transfer’ goals were assessed at baseline (immediately post-intervention) and at 2-, 4- and 6-month, using the Goal Attainment Scale (GAS) and the self- and parent-rated Canadian Occupational Performance Measure (COPM). Children did not receive any specific intervention during this time.

Consumer and Community Involvement

There was no consumer and community involvement.

Results

At 6 months, GAS indicated that 22 of 32 transfer goals had improved by at least one level. COPM showed a significant increase in (1) child perception of performance and satisfaction for 24/31 and 25/31 goals, respectively, and (2) parent perception of performance and satisfaction for 19/29 of goals.

Conclusion

This study showed that CO-OP facilitates transfer of acquired skills to new, untrained activities, even after the end of the intervention.

儿童获得性脑损伤（ABI）往往有执行功能（EF）缺陷，影响其有效开展活动的能力。日常职业绩效认知取向（CO-OP）是一种解决问题的认知方法。它已在各种人群中证明了有效性，最近在ABI后出现EF缺陷的儿童中得到证实。康复的挑战之一是将在治疗期间获得的技能应用到日常生活中。文献表明，CO-OP可以将技能转移到未经训练的任务中，但对ABI儿童使用后的转移研究有限。本研究的目的是(1)确定在CO-OP过程中获得的技能是否会转移到新的非训练活动中，(2)研究父母参与CO-OP对儿童实现迁移目标的可能影响，(3)确定训练目标和非训练目标之间的差异程度是否与迁移的实现有关。方法采用准实验设计。11名在ABI后出现EF缺陷的儿童参加了这项研究。在CO-OP干预结束时，孩子们确定了三个新的目标。这些“转移”目标在基线（干预后立即）和2个月、4个月和6个月时进行评估，使用目标实现量表（GAS）和自我评定和父母评定的加拿大职业绩效量表（COPM）。在此期间，孩子们没有接受任何具体的干预。消费者和社区参与没有消费者和社区参与。结果在6个月时，GAS显示32个转移目标中有22个至少提高了一个水平。COPM显著提高了(1)儿童对24/31和25/31目标的绩效感知和满意度，以及(2)家长对19/29目标的绩效感知和满意度。本研究表明，即使在干预结束后，CO-OP也有助于将已获得的技能转移到新的、未经训练的活动中。
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引用次数: 0
Occupational therapy-led environmental assessment and modification—A quantitative evaluation of a pilot implementation study in a regional/rural setting 职业治疗主导的环境评估和修改——对区域/农村环境中试点实施研究的定量评估
IF 1.6 4区 医学 Q2 REHABILITATION
Australian Occupational Therapy Journal
Pub Date : 2025-07-14 DOI: 10.1111/1440-1630.70039
Alison Pighills, Susan Melchert, Tessa Brondello, Alicia Eden, Erin Rickman, Anna Tynan
<div> <section> <h3> Introduction</h3> <p>Environmental assessment and modification is an effective fall prevention intervention for high-risk older people, which has not yet been adopted in routine occupational therapy practice.</p> </section> <section> <h3> Methods</h3> <p>A pilot pre-post quantitative implementation study was carried out in a regional hospital and health service, within a community-based occupational therapy service, in Queensland between 2019 and 2022, involving 279 occupational therapy medical chart audits of people aged ≥65 at high risk of falls, clinical practice observations of 9 participating occupational therapists, and 32 staff questionnaires.</p> </section> <section> <h3> Consumer and Community Involvement</h3> <p>Occupational therapists were included as co-researchers, but there was no health consumer or community involvement in the study.</p> </section> <section> <h3> Results</h3> <p>Baseline fall rates were higher than anticipated, with 71% of clients sustaining ≥1 fall in the year preceding intervention and 52% sustaining ≥2 falls. Sixty per cent of people with ≥3 of the 5 identified fall risk factors died during the study period. Implementation outcomes included penetration, fidelity, acceptability, and sustainability.</p> <section> <h3> Penetration</h3> <p>A fall prevention environmental assessment was provided when indicated in 80% of cases during and immediately after implementation. This increased to 97% 2 years after implementation.</p> </section> <section> <h3> Fidelity</h3> <p>When intervention was indicated, the occupational therapists delivered a high-intensity fall prevention environmental intervention, as per protocol, in 100% of cases.</p> </section> <section> <h3> Acceptability</h3> <p>Staff surveys revealed a marginal, non-statistically significant, increase in staff knowledge, attitude, confidence, and experience in fall prevention between the baseline and follow-up periods.</p> </section> <section> <h3> Sustainability</h3> <p>Medical chart audits revealed that implementation was sustained for 30 months and beyond post implementation.<
环境评价与改造是一种有效的预防高危老年人跌倒的干预措施，在常规的职业治疗实践中尚未被采用。方法于2019年至2022年在昆士兰州一家地区医院和卫生服务机构开展了一项量化实施前的试点研究，该研究涉及279名年龄≥65岁的跌倒高风险人群的职业治疗医疗图表审计，9名参与职业治疗师的临床实践观察。32份员工问卷。职业治疗师作为共同研究人员，但没有健康消费者或社区参与研究。结果基线跌倒率高于预期，71%的患者在干预前一年跌倒≥1次，52%跌倒≥2次。在研究期间，在5个确定的跌倒危险因素中，有≥3个因素的人死亡的比例为60%。实施结果包括渗透性、保真度、可接受性和可持续性。在实施期间和实施后立即对80%的病例进行了预防跌倒环境评估。实施两年后，这一比例增加到97%。当需要干预时，职业治疗师根据协议对100%的病例进行了高强度的预防跌倒环境干预。工作人员调查显示，在基线和随访期间，工作人员在预防跌倒方面的知识、态度、信心和经验有了边际的、非统计上显著的增加。可持续性医疗图表审计显示，实施后持续了30个月甚至更长时间。结论本项目证明了环境评估和修改是按方案进行的，嵌入临床实践，并在实施后持续进行。随着时间的推移，职业治疗师在决定谁应该接受干预方面的准确性也在提高。这项试验的结果将为2025年开始的一项国家执行研究的设计提供参考。检查老年人的家是否有跌倒风险，可以帮助他们降低约38%的跌倒几率，尤其是如果他们更容易摔倒的话。人们面临更高的风险可能是因为他们完成某些任务的方式，任务本身，环境中的危害，健康问题，或者这些事情的混合。职业治疗师通过观察老年人的日常活动来进行评估，比如穿衣服或做家务。这有助于找出可能导致跌倒的原因。然后治疗师与患者讨论他们认为哪些活动最危险，询问他们关于如何保持安全的想法，并帮助他们制定计划。治疗师也会在稍后进行检查，帮助将计划付诸实施。在这项研究中，我们训练治疗师做这种跌落检查。我们考察了职业治疗师是否遵循了培训，是否有合适的人接受了评估，以及项目结束后是否仍在使用评估。我们发现，治疗师在接受培训时，会与最需要他们的人一起进行评估。在项目结束后，治疗师也继续进行评估。这可能有助于减少跌倒。
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引用次数: 0
Telehealth versus in-person delivery of an occupational therapy home visiting service: A cost analysis 远程医疗与亲自交付的职业治疗家访服务：成本分析
IF 1.6 4区 医学 Q2 REHABILITATION
Australian Occupational Therapy Journal
Pub Date : 2025-07-08 DOI: 10.1111/1440-1630.70036
Feby Savira, Suzanne Robinson, Rebecca Grant, Toni Heinemann, Lisa Barry, Rachel Lommerzheim, Kristie Harper

Introduction

It is important to understand the cost implications of occupational therapy home visiting services, delivered using different modalities, supporting patients after discharge from the hospital. This study aimed to compare the costs of an occupational therapy home visiting service delivered via telehealth compared to services delivered in person, including the costs associated with any resultant adverse events.

Methods

Cost analysis was conducted using data from a retrospective cohort study of adult patients recently discharged from two hospitals who received an occupational therapy home visiting service, including environmental assessment, provision of equipment, and home modifications. Health-care system costs were quantified and compared between telehealth and in-person delivery over the period 2020–2022. Total costs, cost per person, and cost savings, as well as contributors to cost savings, are reported.

Consumer and Community Involvement

This cost analysis study had no consumer or community involvement.

Results

Cost data were reviewed for a total of 537 patients (telehealth, n = 271, including 56 ‘hybrid’ patients; face-to-face, n = 266). In-person group had a greater number of overall encounters compared to the telehealth group, particularly with more frequent use of emergency and inpatient care. Telehealth resulted in a 34% cost reduction compared to in-person care, equivalent to $4 million in savings to the health-care system or a saving of $1186 per telehealth encounter. Telehealth savings were derived from lower number of inpatient and emergency encounters, as well as reduced patient-related travel expenses. For repeat emergency and inpatient encounters, the total cost was $601,909 (82%) less for fall events and $31,772 (33%) less for delirium events, whereas the cost was higher for pressure injury events ($430,161 vs. $29,313 in in-person group).

Conclusion

Telehealth occupational therapy home assessments yielded cost savings over traditional in-person visits, attributed to fewer inpatient and emergency visits and lower travel costs. The cost-saving effect was observed for fall and delirium events, but not for pressure injury events, suggesting it may not be appropriate for all conditions.

重要的是要了解使用不同方式提供的职业治疗家访服务的成本影响，支持出院后的患者。本研究旨在比较通过远程医疗提供的职业治疗家访服务与亲自提供的服务的成本，包括与任何由此产生的不良事件相关的成本。方法采用回顾性队列研究的数据，对最近从两家医院出院的接受职业治疗家访服务的成年患者进行成本分析，包括环境评估、设备提供和家庭改造。对2020-2022年期间远程医疗和现场服务的医疗保健系统成本进行了量化和比较。报告了总成本、人均成本、成本节约以及成本节约的贡献者。消费者和社区参与这项成本分析研究没有消费者或社区参与。结果537例患者(远程医疗，n = 271，包括56例“混合型”患者；面对面，n = 266)。与远程保健组相比，面对面组的总体就诊次数更多，特别是更频繁地使用急诊和住院治疗。与面对面护理相比，远程保健的成本降低了34%，相当于为保健系统节省了400万美元，或每次远程保健就诊节省了1186美元。远程保健节省的原因是住院和急诊次数减少，以及与病人有关的差旅费用减少。对于重复急诊和住院患者，跌倒事件的总成本减少了601,909美元（82%），谵妄事件的总成本减少了31,772美元（33%），而压力损伤事件的成本更高（430,161美元，而现场组为29,313美元）。结论远程医疗职业治疗家庭评估比传统的现场就诊节省了成本，原因是住院和急诊次数较少，旅行成本较低。在跌倒和谵妄事件中观察到成本节约效果，但在压力损伤事件中没有观察到成本节约效果，这表明它可能并不适用于所有情况。职业治疗师帮助病人在住院后在家康复。他们评估家庭安全，并提供教育和设备，如轨道和淋浴椅。通常，他们会去病人家里，这既昂贵又耗时。这项研究探讨了远程医疗是否可以成为一种更便宜的选择。患者在出院后的2020年至2022年期间接受了职业治疗。我们从医院收集了服务提供的费用，任何健康服务的使用，我们看这些病人出院后是否有任何问题，比如跌倒，压力伤害，或者精神错乱以及这些的费用。总体而言，远程医疗便宜34%，为医疗系统节省了约400万美元，即每次就诊1186美元。大部分的节省来自于更少的医院就诊和更少的旅行。但对于压力伤害，远程医疗最终花费更多。这表明，远程医疗可能不是所有情况下的最佳选择。远程保健有助于提供职业治疗家访服务，而且费用较低；然而，我们需要确保这是针对正确的病人。
{"title":"Telehealth versus in-person delivery of an occupational therapy home visiting service: A cost analysis","authors":"Feby Savira,&nbsp;Suzanne Robinson,&nbsp;Rebecca Grant,&nbsp;Toni Heinemann,&nbsp;Lisa Barry,&nbsp;Rachel Lommerzheim,&nbsp;Kristie Harper","doi":"10.1111/1440-1630.70036","DOIUrl":"https://doi.org/10.1111/1440-1630.70036","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>It is important to understand the cost implications of occupational therapy home visiting services, delivered using different modalities, supporting patients after discharge from the hospital. This study aimed to compare the costs of an occupational therapy home visiting service delivered via telehealth compared to services delivered in person, including the costs associated with any resultant adverse events.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Cost analysis was conducted using data from a retrospective cohort study of adult patients recently discharged from two hospitals who received an occupational therapy home visiting service, including environmental assessment, provision of equipment, and home modifications. Health-care system costs were quantified and compared between telehealth and in-person delivery over the period 2020–2022. Total costs, cost per person, and cost savings, as well as contributors to cost savings, are reported.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Consumer and Community Involvement</h3>\u0000 \u0000 <p>This cost analysis study had no consumer or community involvement.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Cost data were reviewed for a total of 537 patients (telehealth, n = 271, including 56 ‘hybrid’ patients; face-to-face, n = 266). In-person group had a greater number of overall encounters compared to the telehealth group, particularly with more frequent use of emergency and inpatient care. Telehealth resulted in a 34% cost reduction compared to in-person care, equivalent to $4 million in savings to the health-care system or a saving of $1186 per telehealth encounter. Telehealth savings were derived from lower number of inpatient and emergency encounters, as well as reduced patient-related travel expenses. For repeat emergency and inpatient encounters, the total cost was $601,909 (82%) less for fall events and $31,772 (33%) less for delirium events, whereas the cost was higher for pressure injury events ($430,161 vs. $29,313 in in-person group).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Telehealth occupational therapy home assessments yielded cost savings over traditional in-person visits, attributed to fewer inpatient and emergency visits and lower travel costs. The cost-saving effect was observed for fall and delirium events, but not for pressure injury events, suggesting it may not be appropriate for all conditions.</p>\u0000 </section>\u0000 \u0000 <sec","PeriodicalId":55418,"journal":{"name":"Australian Occupational Therapy Journal","volume":"72 4","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/1440-1630.70036","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144574102","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
An interpretive phenomenological analysis of the experiences of disability service providers supporting people from culturally and linguistically diverse backgrounds, and how these are shaped by disability policy within Australia 对残障服务提供者支持来自不同文化和语言背景的人的经验进行解释性现象学分析，以及这些经验如何受到澳大利亚残障政策的影响
IF 1.6 4区 医学 Q2 REHABILITATION
Australian Occupational Therapy Journal
Pub Date : 2025-07-07 DOI: 10.1111/1440-1630.70038
Natalie Chu, Rosalind Bye, David Lim
<div> <section> <h3> Introduction</h3> <p>People from culturally and linguistically diverse (CALD) backgrounds constitute a significant portion of Australia's population but have disproportionately lower access to disability services compared to people from non-CALD backgrounds. While their service needs have been well documented, research on the impact of disability policy has not. This study explored the experiences of service providers who support people from CALD backgrounds living with physical disability in New South Wales (NSW) to understand their experiences of delivering disability services to this client group and how these experiences are influenced by Australian disability policy.</p> </section> <section> <h3> Consumer and Community Involvement</h3> <p>Three instances of consumer feedback influenced revisions to interview questions and study design. Two were within a university context, and one was with a community group that focusses on people from CALD backgrounds living with disability.</p> </section> <section> <h3> Methods</h3> <p>Recruitment of disability service providers was undertaken using a broad approach, via contact with numerous disability service provider organisations in NSW. Overall, seven service providers were recruited, which included three disability support workers, three occupational therapists, and a nurse. Participants engaged in a semi-structured interview over video conference. Their accounts were transcribed and analysed using interpretive phenomenological analysis.</p> </section> <section> <h3> Findings</h3> <p>Four groups of experiential themes arose from the analysis. More time is required when working with people from CALD backgrounds; Person centred care can be facilitated by policy, community engagement, and expertise; a fragmented sector superimposed on intersectionality; and integrated care is facilitated by community engagement, networks, and relationship building.</p> </section> <section> <h3> Conclusion</h3> <p>This research identified key themes that reflected service providers experiences. It illustrates how Australian disability policy shapes service provision for this cohort, and how policy improvements have the capacity to enhance service provision.</p> </section> <section> <h3> PLAIN LANGUAGE SUMMARY</h3> <p>People from CALD backgrounds make up a large part of Australia's population but use di
来自不同文化和语言背景的人占澳大利亚人口的很大一部分，但与非不同文化和语言背景的人相比，他们获得残疾服务的机会更少。虽然他们的服务需要有充分的记录，但对残疾政策影响的研究却没有。本研究探讨了新南威尔士州（NSW）的服务提供者为来自CALD背景的身体残疾人士提供服务的经验，以了解他们向这一客户群体提供残疾服务的经验，以及这些经验如何受到澳大利亚残疾政策的影响。消费者与社区参与消费者反馈的三个实例影响了访谈问题和研究设计的修订。其中两个是在大学背景下进行的，另一个是在一个社区团体中进行的，该团体专注于来自CALD背景的残疾人。方法通过与新南威尔士州众多残疾服务提供者组织的联系，采用广泛的方法招募残疾服务提供者。总共招募了七名服务提供者，其中包括三名残疾人支持工作者，三名职业治疗师和一名护士。参与者通过视频会议进行了半结构化采访。他们的叙述被转录并使用解释现象学分析进行分析。从分析中产生了四组经验主题。与CALD背景的人一起工作需要更多的时间；政策、社区参与和专业知识可以促进以人为本的护理；重叠在交叉性上的破碎的扇区；社区参与、网络和关系建设促进了综合护理。本研究确定了反映服务提供商经验的关键主题。它说明了澳大利亚残疾政策如何影响为这一群体提供的服务，以及政策改进如何有能力加强服务提供。来自CALD背景的人占澳大利亚人口的很大一部分，但使用残疾服务的频率较低。关于残疾政策如何影响他们的研究很少。这项研究调查了新南威尔士州的服务提供者，他们帮助来自CALD背景的身体残疾人士了解他们的经历和残疾政策的作用。该研究发现了四个关键点。服务提供者认为他们需要更多的时间与来自CALD背景的人一起工作，政府政策可以对此产生影响。另一个原因是服务提供者的文化技能和知识是有帮助的，残疾人政策允许人们选择他们的提供者，这一点也有帮助。另一个原因是残疾人部门组织混乱，经历多种形式不利的人发现这更加困难。来自家庭、朋友和社区的最后的文化敏感支持是很重要的，残疾政策的某些部分比其他部分更鼓励这一点。为这些问题找到政策解决方案，仍需进一步研究。
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引用次数: 0
Co-designing approaches to enhance falls management after spinal cord injury in an Australian spinal injuries unit 共同设计的方法，以加强跌倒管理后脊髓损伤在澳大利亚脊髓损伤单位
IF 1.6 4区 医学 Q2 REHABILITATION
Australian Occupational Therapy Journal
Pub Date : 2025-07-07 DOI: 10.1111/1440-1630.70037
Kathryn Marshall, Jacki Liddle, Louise Gustafsson, Rachael Watson, Freyr Patterson, Jennifer Fleming

Introduction

Persons with spinal cord injury (SCI) are at risk of falls because of changes in sensation and motor function. While research exists on the consumer and clinician perspective of falls and fall prevention, these groups have not been brought together to determine how to effectively address this issue. The study aimed to co-design approaches to enhance falls management including prevention of falls and post fall management, after SCI in inpatient spinal rehabilitation.

Methods

Using an experience-based co-design process, six consumers and eight clinicians, including occupational therapists, each participated in multiple focus groups and/or individual interviews. Data were collected over three cycles and were used to (1) share and explore the experience and perspectives of falls after SCI, (2) determine possible approaches to enhance services currently offered, and (3) develop and refine principles to enhance falls management. Data analysis followed an interpretive description approach with constant comparative analysis. Following each cycle, researchers engaged in discussion, generated themes, and tested ideas in the following cycle.

Consumer and community involvement

This research was completed with people with lived experience of SCI. Co-investigators with lived experience of SCI were involved in the planning and conduct of the study.

Findings

It was agreed that falls management is required lifelong for persons with SCI, although the important role of inpatient preparation was highlighted. Different perspectives were shared with consensus met on key issues and actions to address falls in the inpatient setting. Practice principles produced included getting everyone on the same page, learning to move safely through experience-based learning, understanding it is more than just falls, and the need for individualised practice.

Conclusion

This work has combined experiences and perspectives from consumers and clinicians with approaches developed for future service improvement to enhance falls management for people with SCI in inpatient spinal rehabilitation

PLAIN LANGUAGE SUMMARY

This work asked people with spinal cord injury an

由于感觉和运动功能的改变，脊髓损伤（SCI）患者有跌倒的危险。虽然从消费者和临床医生的角度对跌倒和预防跌倒进行了研究，但这些群体还没有被聚集在一起决定如何有效地解决这个问题。该研究旨在共同设计方法，以加强跌倒管理，包括预防跌倒和跌倒后管理，脊髓损伤后住院康复。方法采用基于经验的共同设计过程，6名消费者和8名临床医生（包括职业治疗师）分别参加多个焦点小组和/或个人访谈。数据是在三个周期内收集的，用于(1)分享和探索脊髓损伤后跌倒的经验和观点，(2)确定加强现有服务的可能方法，以及(3)制定和完善加强跌倒管理的原则。数据分析采用解释性描述方法，并进行不断的比较分析。在每个循环之后，研究人员参与讨论，产生主题，并在下一个循环中测试想法。消费者和社区参与本研究是由有脊髓损伤经历的人完成的。有SCI生活经验的共同研究者参与了研究的计划和实施。尽管强调了住院准备的重要作用，但人们一致认为脊髓损伤患者终身需要跌倒管理。会议分享了不同的观点，并就解决住院环境中跌倒的关键问题和行动达成了共识。产生的实践原则包括让每个人都在同一页上，通过基于经验的学习学习安全移动，理解它不仅仅是跌倒，以及个性化实践的必要性。结论本研究结合了消费者和临床医生的经验和观点，为未来的服务改进开发了方法，以加强住院脊髓康复中脊髓损伤患者的跌倒管理，本研究询问了脊髓损伤患者和医院工作人员关于医院跌倒的情况。它希望找到改善人们在医院和出院时如何计划和处理跌倒的方法。一系列一对一和小组访谈发现了医院现在如何帮助跌倒的人以及如何使其更好的问题。我们了解到脊髓损伤的人和在医院工作的人都需要一起工作。此外，脊髓损伤的人想要练习为摔倒做准备和处理的任务。他们想要学习如何变得自信，并希望教育是专门为他们设计的。这项研究显示了医院如何改善他们对跌倒的处理。
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引用次数: 0
Oral Presentations Thursday 26 June 2025 口头报告2025年6月26日星期四
IF 1.6 4区 医学 Q2 REHABILITATION
Australian Occupational Therapy Journal
Pub Date : 2025-06-23 DOI: 10.1111/1440-1630.70023
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引用次数: 0
Oral Presentations Wednesday 25 June 2025 口头报告2025年6月25日星期三
IF 1.6 4区 医学 Q2 REHABILITATION
Australian Occupational Therapy Journal
Pub Date : 2025-06-23 DOI: 10.1111/1440-1630.70021
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引用次数: 0
Posters 海报
IF 1.6 4区 医学 Q2 REHABILITATION
Australian Occupational Therapy Journal
Pub Date : 2025-06-23 DOI: 10.1111/1440-1630.70024
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引用次数: 0
Connect and collaborate—Building relationships to shape the future of occupational therapy together 连接和合作-建立关系，共同塑造职业治疗的未来
IF 1.6 4区 医学 Q2 REHABILITATION
Australian Occupational Therapy Journal
Pub Date : 2025-06-23 DOI: 10.1111/1440-1630.70035
Courtenay Harris, Justin Scanlan

As we write this Editorial during National Reconciliation week, we have been reflecting on this year's theme of Bridging Now to Next, and what role we have in honouring the truths of the past to build a more united and respectful nation. What is clear to us as we reflect on a brighter future for all peoples is that at the very core of any path forward are the strong respectful relationships that we build with each other and our communities (Wright et al., 2023).

Considering the relationships we have in our everyday life as occupational therapists, we are mindful that it is only through our relationships with clients, their families, our interprofessional colleagues, stakeholders, and research participants and teams, that we are afforded experiences and opportunities to create new knowledges and new practices that we can share in such environments as a scientific conference.

As we prepare for, and eagerly await, the upcoming 31st National Occupational Therapy Australia Conference and Exhibition, we are looking forward to bringing to life the conference theme of ‘Connect and Collaborate’. In doing so, we can continue to build the relationships we need to make the difference for our local, national, and global communities. In connecting and collaborating, we have the opportunity to listen and learn from each other, to celebrate occupational therapy, and to continue to inspire the transformative profession we all are passionate about.

We invite you to embrace the conference theme not just over the 3 days we gather in Adelaide, but well beyond. Let the knowledge you gain and the relationships you build ripple outwards—merging into waves of influence that positively impact on the future of occupational therapy and the health and social care of our communities.

This conference will showcase work from clinicians, researchers, educators, engineers, artists, advocates, students, and thought leaders from a myriad of professional backgrounds from across Australia and globally. These cross-sector collaborations and diversity of expertise and experience reminds us that the success of occupational therapy is not only in individual expertise but also in our collective commitment to collaborate with others in our client centred care.

This conference has been designed to provide many opportunities to explore, challenge, and reimagine the boundaries of our practice. The conference theme of connection and collaboration is reflected in every keynote, session, and conversation throughout the program. Furthermore, workshops, interactive learning sessions, and networking events provide fertile ground for collaboration. We hope that the presentations provoke reflection and spark innovation, as the informal conversations—over coffee, in hallways, or in the exhibition space—nurture a culture of mentorship, dialogue, and shared growth.

Continuing the legacy of innovation introduced by Natasha Lannin and the 2011 con

当我们在全国和解周期间撰写这篇社论时，我们一直在思考今年的主题“衔接现在与下一个”，以及我们在尊重过去的真相以建立一个更加团结和尊重的国家方面所发挥的作用。当我们反思全人类更光明的未来时，我们清楚的是，任何前进道路的核心都是我们与彼此以及我们的社区建立的牢固的尊重关系（Wright et al., 2023）。考虑到我们作为职业治疗师在日常生活中所拥有的关系，我们注意到只有通过我们与客户、他们的家庭、我们的跨专业同事、利益相关者、研究参与者和团队的关系，我们才能获得经验和机会，创造新的知识和新的实践，我们可以在科学会议这样的环境中分享。在我们为即将到来的第31届澳大利亚全国职业治疗会议和展览做准备和热切等待的同时，我们期待着将“连接和协作”的会议主题变为现实。通过这样做，我们可以继续建立我们需要的关系，为我们的地方、国家和全球社区带来改变。在联系和合作中，我们有机会倾听和相互学习，庆祝职业治疗，并继续激励我们所有人都热爱的变革职业。我们邀请您不仅在我们聚集在阿德莱德的3天内，而且在更长时间内接受会议主题。让你获得的知识和你建立的关系向外涟漪-合并成对职业治疗的未来以及我们社区的健康和社会护理产生积极影响的影响浪潮。本次会议将展示来自澳大利亚和全球各地无数专业背景的临床医生、研究人员、教育工作者、工程师、艺术家、倡导者、学生和思想领袖的作品。这些跨部门合作以及专业知识和经验的多样性提醒我们，职业治疗的成功不仅在于个人专业知识，还在于我们在以客户为中心的护理中与他人合作的集体承诺。这次会议旨在提供许多机会来探索、挑战和重新构想我们的实践边界。连接和协作的会议主题反映在整个计划的每个主题演讲，会议和对话中。此外，研讨会、交互式学习会议和网络活动为协作提供了肥沃的土壤。我们希望这些展示能引发反思和激发创新，就像在咖啡边、走廊里或展览空间里的非正式对话一样，培养一种指导、对话和共同成长的文化。延续了Natasha Lannin和2011年会议委员会提出的创新传统，今年的计划包括数百个演讲，海报和“影响见解”，所有这些都经过严格的同行评审，以确保科学卓越和实际相关性。其结果是，这个项目不仅鼓舞人心，而且植根于前沿研究和现实世界的影响。我们在整个项目中看到了联系和合作：在神经多样性确认实践的会议上，在护理人员和客户的生活经验中，以及在辅助技术的共同设计中。无论是通过沉浸式虚拟现实、人工智能、自然游戏、育儿、倡导自我同情和幸福、文化响应式护理、课程和临床安置倡议，还是协作式心理健康实践，职业治疗师都在打造新的途径，为个人和社区的护理建立有意义的联系。2025计划有多种主题，如下面的图1整理的会议计划词云所示。2025年会议还解决了我们在日常实践中面临的许多紧迫挑战。诸如劳动力短缺、职业倦怠和NDIS不断变化的需求等主题将不仅作为运营问题呈现，而且还将围绕它们对我们个人的影响进行富有同情心的讨论。此外，分享其他复杂的环境挑战，如气候变化、卫生不平等和技术破坏，将有助于为未来建立一个更强大、更有弹性的职业。我们也很高兴能够在会议上花时间来庆祝职业治疗师通过一系列奖项为每个环境带来的创造力，奉献精神和爱心。最佳论文、最佳学生论文和最佳海报奖突出了卓越和创新。
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引用次数: 0
Oral Presentations Friday 27 June 2025 口头报告2025年6月27日星期五
IF 1.6 4区 医学 Q2 REHABILITATION
Australian Occupational Therapy Journal
Pub Date : 2025-06-23 DOI: 10.1111/1440-1630.70022
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引用次数: 0
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