6,094 results match your criteria Am J Occup Ther[Journal]


Occupational Therapy in the Promotion of Health and Well-Being.

Am J Occup Ther 2020 May/Jun;74(3):7403420010p1-7403420010p14

A balanced pattern of occupations enhances the health and fulfills the needs of individuals, families, communities, and populations (American Occupational Therapy Association [AOTA], 2014b; Hocking, 2019; Meyer, 1922). Occupations are personalized "everyday activities that people do as individuals, in families, and with communities to occupy time and bring meaning and purpose to life" (World Federation of Occupational Therapists, 2012, para. 2). Read More

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http://dx.doi.org/10.5014/ajot.2020.743003DOI Listing

Occupational Therapy Practice Guidelines for Early Childhood: Birth-5 Years.

Am J Occup Ther 2020 May/Jun;74(3):7403397010p1-7403397010p42

Karrie L. Kingsley, OTD, OTR/L, is Associate Professor, Chan Division of Occupational Science and Occupational Therapy, University of Southern California, Los Angeles.

Importance: This Practice Guideline provides stakeholders with a condensed summary of a large number of effectiveness studies. It is a valuable tool for facilitating decision making related to occupational therapy interventions for children ages birth-5 yr.

Objective: Early childhood (birth-5 yr) is a critical period in which the foundation of key life occupations is developed (e. Read More

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http://dx.doi.org/10.5014/ajot.2020.743001DOI Listing

Impact of Nontraditional Level I Fieldwork on Critical Thinking.

Am J Occup Ther 2020 May/Jun;74(3):7403345010p1-7403345010p7

LaVonne Fox, PhD, OTR/L, is Master in Education Instructor/Developer, Turtle Mountain Community College, Belcourt, ND.

Importance: Level I fieldwork is an integral part of occupational therapy education, yet limited research exists on how it affects the development of critical thinking skills.

Objective: To compare the influence of a nontraditional Level I fieldwork experience with that of a traditional Level I fieldwork experience on the development of critical thinking.

Design: Nonrandomized, pretest-posttest design. Read More

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http://dx.doi.org/10.5014/ajot.2020.036350DOI Listing

Population Health Content in Entry-Level Occupational Therapy Programs.

Am J Occup Ther 2020 May/Jun;74(3):7403205160p1-7403205160p9

Robert J. Kleinhoff, OTR/L, is Occupational Therapist, Encore Rehabilitation Services, Avon, OH.

Importance: If occupational therapy is to play an important role in improving population health, it is important to understand how academic programs are preparing new occupational therapists for this role.

Objective: To determine current and desired coverage of population health concepts in entry-level occupational therapy programs.

Design: Online survey administered to occupational therapy program directors. Read More

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http://dx.doi.org/10.5014/ajot.2020.036392DOI Listing

Online Journal Clubs to Enhance Fieldwork Educator Competency in Support of Student Experiential Learning.

Am J Occup Ther 2020 May/Jun;74(3):7403205150p1-7403205150p9

William E. Janes, OTD, MSCI, OTR/L, is Assistant Research Professor and Academic Fieldwork Coordinator, Department of Occupational Therapy, University of Missouri School of Health Professions, Columbia;

Importance: Fieldwork educators receive little or no formal training for student supervision and have sought inexpensive, flexible, online options for role-specific continuing education.

Objective: To investigate the use of online journal clubs to enhance fieldwork educator role competency.

Design: Mixed-methods study with a prospective cohort design; 5-wk intervention with 6-mo follow-up. Read More

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http://dx.doi.org/10.5014/ajot.2020.035733DOI Listing

Women's Experiences After Ovarian Cancer Surgery: Distress, Uncertainty, and the Need for Occupational Therapy.

Am J Occup Ther 2020 May/Jun;74(3):7403205140p1-7403205140p9

Kemi M. Doll, MD, MSCR, is Assistant Professor, Department of Obstetrics and Gynecology, University of Washington, Seattle. At the time of the study, she was Postdoctoral Fellow, Department of Health Policy and Management, Gillings School of Global Public Health, University of North Carolina at Chapel Hill.

Importance: Despite the growing literature on the association of functional, physical, and quality-of-life (QOL) deficits with poor postoperative outcomes, there is a gap in the literature identifying women's occupational performance needs after ovarian cancer surgery.

Objective: To describe the experiences of women hospitalized after ovarian cancer surgery to identify potential areas for intervention. Goals were to (1) identify functional needs and limitations at time of discharge as measured by the typical acute care occupational therapy evaluation and semistructured interview and (2) understand the women's perspectives of their needs for occupational therapy and a safe return to home. Read More

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http://dx.doi.org/10.5014/ajot.2020.036897DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7198238PMC

Adapting Strategy Training for Adults With Acquired Brain Injury: A Feasibility Study in a Chinese Population.

Am J Occup Ther 2020 May/Jun;74(3):7403205130p1-7403205130p10

Feng-Hang Chang, ScD, OTR/L, is Associate Professor, Graduate Institute of Injury Prevention and Control, College of Public Health, and Associate Professor, Department of Physical Medicine and Rehabilitation, School of Medicine, Taipei Medical University, Taipei, Taiwan;

Importance: Before introducing strategy training into a cross-cultural (Chinese) context, it is necessary to evaluate its feasibility.

Objective: To examine the feasibility of applying strategy training to improve participation outcomes of rehabilitation patients in Taiwan and evaluate the potential intervention effects.

Design: A single-group, repeated-measures study. Read More

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http://dx.doi.org/10.5014/ajot.2020.035923DOI Listing

Exploring Culture and Therapeutic Communication: Therapeutic Mode Use by Occupational Therapists in the United States and Singapore.

Am J Occup Ther 2020 May/Jun;74(3):7403205120p1-7403205120p11

Helene Polatajko, PhD, is Professor, Department of Occupational Science and Occupational Therapy, University of Toronto, Toronto, Ontario, Canada.

Importance: According to the Intentional Relationship Model, six therapeutic modes characterize client-therapist interactions in occupational therapy: advocating, collaborating, empathizing, encouraging, instructing, and problem solving. However, whether these modes hold across cultural contexts is not clear.

Objective: To compare therapeutic mode use in occupational therapy interactions in the United States and Singapore. Read More

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http://dx.doi.org/10.5014/ajot.2020.033936DOI Listing

Use of Electrical Stimulation for People With Spinal Cord Injury: A Survey of Occupational Therapy Practitioners.

Am J Occup Ther 2020 May/Jun;74(3):7403205110p1-7403205110p7

Jane E. Sullivan, PT, DHS, MS, is Professor, Department of Physical Therapy and Human Movement Sciences, Feinberg School of Medicine, Northwestern University, Chicago.

Importance: When working with clients who have experienced spinal cord injury (SCI), occupational therapy practitioners can face challenges in achieving desired results during functional activity when using electrical stimulation (ES) interventions. In an effort to understand current practice, a survey study was conducted.

Objective: For people with SCI, ES elicits positive physiological effects; however, no implementation guidelines exist for upper extremity application of ES for this population. Read More

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http://dx.doi.org/10.5014/ajot.2020.035584DOI Listing

Sport as a Leisure Occupation in Occupational Therapy Literature: A Scoping Review.

Am J Occup Ther 2020 May/Jun;74(3):7403205100p1-7403205100p10

Katherine L. Baldock, PhD, is Senior Lecturer, School of Health Sciences, Division of Health Sciences, University of South Australia, Adelaide, South Australia, Australia, and Researcher, Australian Centre for Precision Health, University of South Australia, City East Campus, Adelaide, South Australia, Australia;

Importance: The focus of occupational therapy is often on personal care, life skills, and daily living. Sport, as a type of leisure activity, can also provide benefits to health and well-being. Occupational therapy practitioners should therefore promote the role of sport in the lives of clients. Read More

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http://dx.doi.org/10.5014/ajot.2020.035949DOI Listing

Validity and Reliability of the Traffic Sign Naming Test (TSNT) and Written Exam for Driving Decisions (WEDD) as Measures of Fitness to Drive Among Older Adults.

Am J Occup Ther 2020 May/Jun;74(3):7403205090p1-7403205090p10

David B. Carr, MD, is Professor, Department of Medicine and Neurology, Washington University School of Medicine, St. Louis, MO.

Importance: Occupational therapists need valid and reliable tools to help determine fitness to drive of older drivers with medical conditions such as dementia.

Objective: To establish the validity and reliability of the Traffic Sign Naming Test (TSNT) and Written Exam for Driving Decisions (WEDD) as measures of fitness to drive of adults with and without dementia.

Design: Cross-sectional. Read More

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http://dx.doi.org/10.5014/ajot.2020.034389DOI Listing

Effectiveness of Nighttime Orthoses in Controlling Pain for Women With Hand Osteoarthritis: A Randomized Controlled Trial.

Am J Occup Ther 2020 May/Jun;74(3):7403205080p1-7403205080p10

Jamil Natour, MD, PhD, is Physician, Rheumatology Division, Escola Paulista de Medicina, Universidade Federal de São Paulo, São Paulo, Brazil;

Importance: Hand osteoarthritis is a musculoskeletal problem that is associated with hand pain, stiffness, functional limitation, decreased grip strength, and reduced quality of life.

Objective: To evaluate the effectiveness of nighttime orthoses on the second or third finger of the dominant hand in controlling pain in women with symptomatic osteoarthritis (OA) in the interphalangeal joint.

Design: Randomized controlled trial. Read More

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http://dx.doi.org/10.5014/ajot.2020.033621DOI Listing

Validation of the Mandarin Version of the Activity Measure for Post-Acute Care (AM-PAC) "6-Clicks" Among Patients in Acute Rehabilitation.

Am J Occup Ther 2020 May/Jun;74(3):7403205070p1-7403205070p9

Feng-Hang Chang, ScD, OTR/L, is Associate Professor, Graduate Institute of Injury Prevention and Control, College of Public Health, Taipei Medical University, Taipei City, Taiwan, and Associate Professor, Department of Physical Medicine and Rehabilitation, School of Medicine, Taipei Medical University, Taipei City, Taiwan;

Importance: A standardized functional measure that can be used across rehabilitation care settings in Taiwan is urgently needed.

Objective: To generate a Mandarin version of the Activity Measure for Post-Acute Care (AM-PAC) "6-Clicks" for patients in acute care.

Design: Mixed-methods study with a cross-sectional design. Read More

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http://dx.doi.org/10.5014/ajot.2019.035725DOI Listing

Student Technology Acceptance of 3D Printing in Occupational Therapy Education.

Am J Occup Ther 2020 May/Jun;74(3):7403205060p1-7403205060p7

Steven San, DrOT, OTR/L, is Occupational Therapist, EBS Healthcare, Philadelphia.

Importance: Reports on the integration of 3D printing in occupational therapy education and changes in student acceptance of technology over time are lacking.

Objective: 3D printing technology applications may offer effective solutions to increase client participation in occupations. However, the use of these applications in occupational therapy practice requires attention to occupational therapy students' perception of the technology's usefulness and ease of use. Read More

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http://dx.doi.org/10.5014/ajot.2020.035402DOI Listing

Psychometric Evaluation of the Participation and Sensory Environment Questionnaire-Home Scale (PSEQ-H).

Am J Occup Ther 2020 May/Jun;74(3):7403205050p1-7403205050p9

Beth Pfeiffer, PhD, OTR/L, BCP, FAOTA, is Associate Professor, Department of Health and Rehabilitation Sciences, Temple University, Philadelphia.

Importance: The impact of sensory processing challenges on occupational participation is underrepresented by existing measurement tools even though these outcomes are highly prioritized by families. The Participation and Sensory Environment Questionnaire-Home Scale (PSEQ-H) is a parent-report assessment designed to evaluate the impact of the sensory environment on young children's participation in home-based activities.

Objective: To describe the psychometric evaluation of the PSEQ-H, including the tool's structural validity; item difficulty, discrimination, and bias; reliability; and construct validity. Read More

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http://dx.doi.org/10.5014/ajot.2020.036509DOI Listing

When It's Impossible to Ignore: Development and Validation of the Sensory Habituation Questionnaire.

Am J Occup Ther 2020 May/Jun;74(3):7403205040p1-7403205040p10

Ayelet Ben Sasson, ScD, OT, is Professor, Department of Occupational Therapy, Faculty of Social Welfare and Health Sciences, University of Haifa, Mount Carmel, Israel.

Importance: Sensory overresponsivity (SOR) in adults is frequently overlooked and misdiagnosed. In some cases, the sensory symptoms are attributed to psychopathology or negative emotionality. Developing sound tools for examining various dimensions of sensory overresponsivity in adults, particularly sensitivity versus habituation, can more precisely guide scientific and intervention efforts. Read More

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http://dx.doi.org/10.5014/ajot.2020.033878DOI Listing

Evaluation of the Jail-Based Occupational Therapy Transition and Integration Services Program for Community Reentry.

Am J Occup Ther 2020 May/Jun;74(3):7403205030p1-7403205030p11

Karen F. Barney, PhD, OTR/L, FAOTA, is Professor Emerita, Department of Occupational Science and Occupational Therapy, Doisy College of Health Sciences, Saint Louis University, St. Louis, MO.

Importance: Transition and integration reentry services continue to grow in carceral settings; however, related provision of occupational therapy is limited.

Objective: To examine the implementation fidelity of an occupational therapy-administered interprofessional reentry program initiated in an urban jail.

Design: Retrospective, mixed quantitative and qualitative design. Read More

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http://dx.doi.org/10.5014/ajot.2020.035287DOI Listing

Total Worker Health Needs Assessment to Identify Workplace Mental Health Interventions in Rural and Urban Jails.

Am J Occup Ther 2020 May/Jun;74(3):7403205020p1-7403205020p12

Monica M. Matthieu, PhD, LCSW, is Associate Professor, School of Social Work, College for Public Health and Social Justice, Saint Louis University, St. Louis, MO.

Importance: Jail officers are an underserved population of public safety workers at high risk for developing chronic mental health conditions.

Objective: In response to national calls for the examination of stressors related to the unique work contexts of correctional facilities, we implemented a pilot study informed by the Total Worker Health (TWH) strategy at two urban and two rural jails.

Design: Participatory teams guided areas of interest for a mixed-data needs assessment, including surveys with 320 jail officers to inform focus groups (N = 40). Read More

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http://dx.doi.org/10.5014/ajot.2019.036400DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7198237PMC

Meditation-Based Interventions for Adults With Dementia: A Scoping Review.

Am J Occup Ther 2020 May/Jun;74(3):7403205010p1-7403205010p14

Elizabeth Marfeo, PhD, MPH, OT, is Assistant Professor, Boston School of Occupational Therapy, Tufts University, Medford, MA.

Importance: With the high prevalence and cost of dementia care worldwide, a need exists to develop cost-effective and evidence-based treatment for people with dementia. Meditation, which has been demonstrated to have positive effects on brain health, may be a viable intervention option.

Objective: To investigate how meditation-based interventions affect health and quality-of-life (QOL) outcomes for adults with dementia. Read More

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http://dx.doi.org/10.5014/ajot.2020.037820DOI Listing

Occupational Therapy's Value in Provision of Quality Care to Prevent Readmissions.

Am J Occup Ther 2020 May/Jun;74(3):7403090010p1-7403090010p9

Christina Metzler is Consultant, Washington, DC.

Health care systems are prioritizing the quality of outcomes over the quantity of services provided, and health care payers and other stakeholders are focusing on preventing hospital readmissions. This priority supports the effort to reduce the cost of health care by avoiding the most expensive care type and improving the quality of health care by promoting sustained return to the community and remaining in the community. Occupational therapy practitioners have expertise that is critically important in this effort. Read More

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http://dx.doi.org/10.5014/ajot.2020.743002DOI Listing

Erratum.

Authors:

Am J Occup Ther 2020 May/Jun;74(3):740303010p1

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http://dx.doi.org/10.5014/ajot.2020.743errDOI Listing

Occupational Therapy Practice Guidelines for Older Adults With Low Vision.

Am J Occup Ther 2020 Mar/Apr;74(2):7402397010p1-7402397010p23

Stacy Smallfield, DrOT, OTR/L, BCG, FAOTA, is Associate Professor of Occupational Therapy and Medicine and Assistant Director of Entry-Level Programs, Program in Occupational Therapy, Washington University School of Medicine, St. Louis, MO.

Importance: The aging of the population is generating increased demand for occupational therapy practitioners to address the occupational performance of those experiencing low vision.

Objective: This Practice Guideline, which is informed by systematic reviews on interventions for older adults with low vision, is meant to serve as a reference for occupational therapy practitioners to guide best practice in service delivery, improve quality of care, enhance consumer satisfaction, and justify occupational therapy services to external stakeholders. Interventions included in this guideline address performance of activities of daily living (ADLs) and instrumental activities of daily living (IADLs), reading, and leisure and social participation. Read More

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http://dx.doi.org/10.5014/ajot.2020.742003DOI Listing

Occupational Therapy Interventions for Older Adults With Low Vision.

Am J Occup Ther 2020 Mar/Apr;74(2):7402390010p1-7402390010p5

Jennifer Kaldenberg, DrPH, MSA, OTR/L, SCLV, FAOTA, is Clinical Assistant Professor of Occupational Therapy, Boston University, College of Health and Rehabilitation Sciences: Sargent College, Boston, MA.

Evidence Connection articles provide clinical application of systematic reviews developed in conjunction with the American Occupational Therapy Association's (AOTA's) Evidence-Based Practice Project. Findings from the systematic review of occupational therapy for older adults with low vision were published in the January/February 2020 issue of the American Journal of Occupational Therapy (AJOT) and in AOTA's Occupational Therapy Practice Guidelines for Older Adults With Low Vision, published in the March/April 2020 issue of AJOT. In this article, we describe a case report of an older adult with low vision who was referred to outpatient occupational therapy services because of a recent progression of her age-related macular degeneration that led to a decline in functional independence. Read More

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http://dx.doi.org/10.5014/ajot.2020.742004DOI Listing

Fine Motor Activities in Elementary School Children: A Replication Study.

Am J Occup Ther 2020 Mar/Apr;74(2):7402345010p1-7402345010p7

David Schelly, PhD, is Assistant Professor, Occupational Therapy Department, Clarkson University, Potsdam, NY.

Importance: The educational landscape is continually changing in response to legislation and the adoption of new standards, such as the Common Core. Currently, little is known about how these changes have influenced the school day.

Objective: To examine the motor and technology requirements of kindergarten, second-, and fourth-grade general education classrooms. Read More

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http://dx.doi.org/10.5014/ajot.2020.035014DOI Listing

Spatial Attention Disregard in Children With Hemiplegic Cerebral Palsy.

Am J Occup Ther 2020 Mar/Apr;74(2):7402205090p1-7402205090p9

Chien-Te Wu, PhD, is Assistant Professor, School of Occupational Therapy and Graduate Institute of Brain and Mind Sciences, College of Medicine, National Taiwan University, Taipei City, Taiwan, and Occupational Therapist, Department of Psychiatry, National Taiwan University Hospital, Taipei City, Taiwan;

Importance: Children with hemiplegic cerebral palsy (CP) demonstrate spatial attention disregard, but the rehabilitation approach to CP is traditionally motor oriented.

Objective: To explore spatial attention disregard in children with hemiplegic CP and its relationship to their motor performance in daily activities.

Design: Cross-sectional study. Read More

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http://dx.doi.org/10.5014/ajot.2020.038851DOI Listing

Improving Temporomandibular Range of Motion in People With Duchenne Muscular Dystrophy and Spinal Muscular Atrophy.

Am J Occup Ther 2020 Mar/Apr;74(2):7402205080p1-7402205080p10

Sabrina W. Yum, MD, is Attending Physician, Neurology Department, Children's Hospital of Philadelphia, Philadelphia, PA, and Assistant Professor of Neurology, Perelman School of Medicine, University of Pennsylvania, Philadelphia.

Importance: People with Duchenne muscular dystrophy (DMD) and spinal muscular atrophy (SMA) develop impaired oral function because of reduced temporomandibular joint range of motion (ROM), which affects feeding and oral hygiene activities of daily living (ADLs).

Objective: To assess whether the TheraBite, an intraoral stretching device, improves ROM.

Design: Case series, with intervention duration varying from 7 to 30 mo. Read More

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http://dx.doi.org/10.5014/ajot.2020.030825DOI Listing

Brain Mapping Performance as an Occupational Therapy Assessment Aid in Attention Deficit Hyperactivity Disorder.

Am J Occup Ther 2020 Mar/Apr;74(2):7402205070p1-7402205070p7

Yodchanan Wongsawat, PhD, is Associate Professor, Faculty of Engineering, Department of Biomedical Engineering, Mahidol University, Salaya, Nakhon Pathom, Thailand;

Importance: Brain mapping performance (BMP) may provide strong predictors to analyze primary functional outcomes and support occupational therapy with clients with attention deficit hyperactivity disorder (ADHD).

Objective: To clarify the value of quantitative electroencephalography to indicate BMP in children with ADHD.

Design: One-year cross-sectional study. Read More

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http://dx.doi.org/10.5014/ajot.2020.035477DOI Listing

Reliability and Validity of the Chinese Version of the Infant/Toddler Sensory Profile.

Am J Occup Ther 2020 Mar/Apr;74(2):7402205060p1-7402205060p10

Jeng-Yi Shieh, MD, is Physiatrist, Department of Physical Medicine and Rehabilitation, National Taiwan University Hospital, Taipei, Taiwan.

Importance: In Chinese-speaking societies, a reliable and valid measure is needed to enable early identification of young children's challenges in sensory processing.

Objective: To examine the psychometric properties of the Chinese version of the Infant/Toddler Sensory Profile (ITSP-C) when used with Taiwanese children.

Design: Prospective study. Read More

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http://dx.doi.org/10.5014/ajot.2020.036566DOI Listing

Interrater Reliability and Concurrent Validity of the Neonatal Eating Outcome Assessment.

Am J Occup Ther 2020 Mar/Apr;74(2):7402205050p1-7402205050p11

Michael Wallendorf, PhD, is Research Statistician, Division of Biostatics, Washington University School of Medicine, St. Louis, MO.

Importance: Few neonatal feeding assessments are currently available, and the Neonatal Eating Outcome Assessment is the only one that identifies feeding impairment while considering the developmental changes that occur from preterm birth to term-equivalent age.

Objective: To determine the interrater reliability and concurrent validity of the Neonatal Eating Outcome Assessment.

Design: Prospective, observational study. Read More

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http://dx.doi.org/10.5014/ajot.2020.039578DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7090272PMC

Pediatric Persistent Pain: Associations Among Sensory Modulation, Attachment, Functional Disability, and Quality of Life.

Am J Occup Ther 2020 Mar/Apr;74(2):7402205040p1-7402205040p11

Jenny Strong, PhD, is Emeritus Professor, School of Health and Rehabilitation, University of Queensland, Brisbane, Queensland, Australia.

Importance: Although attachment is associated with sensory modulation among children and adolescents and insecure attachment is associated with pain severity among adolescents, relationships among sensory modulation, attachment, and function have not previously been demonstrated in a clinical sample of children and adolescents with complex persistent pain.

Objective: To investigate relationships among sensory modulation, attachment, function, and quality of life (QOL) in a pediatric population with persistent pain.

Design: Cross-sectional quantitative design. Read More

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http://dx.doi.org/10.5014/ajot.2020.033308DOI Listing

Parents' Perspectives: An Expanded View of Occupational and Co-Occupational Performance in the Neonatal Intensive Care Unit.

Authors:
Ashlea D Cardin

Am J Occup Ther 2020 Mar/Apr;74(2):7402205030p1-7402205030p12

Ashlea D. Cardin, OTD, OTR/L, BCP, CNT, is Assistant Professor, Occupational Therapy Department, Missouri State University, Springfield;

Importance: One limitation of occupation-based neonatal practice is the lack of clarity surrounding what parent and infant occupations exist in the neonatal intensive care unit (NICU). Without clear definitions and examples of these constructs, occupational therapists may not recognize or value them as part of practice.

Objective: To explore concepts of occupational and co-occupational performance in the NICU and provide richly expanded descriptions of parent and infant occupations in this setting. Read More

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http://dx.doi.org/10.5014/ajot.2020.034827DOI Listing

Scoping Review of School-to-Work Transition for Youth With Intellectual Disabilities: A Practice Gap.

Am J Occup Ther 2020 Mar/Apr;74(2):7402205020p1-7402205020p23

MJ Mulcahey, PhD, OTR/L, FASIA, is Professor of Occupational Therapy and Director, Center for Outcomes and Measurement, Jefferson College of Rehabilitation Sciences, Thomas Jefferson University, Philadelphia, PA.

Importance: Youth with intellectual disabilities (ID) have persistently poor work outcomes. Occupational therapy can support school-to-work transition but is underrepresented in transition practice.

Objective: To identify and describe interventions within the scope of occupational therapy for youth with ID who are transitioning from school to work. Read More

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http://dx.doi.org/10.5014/ajot.2019.035220DOI Listing

Weighted Blanket Use: A Systematic Review.

Am J Occup Ther 2020 Mar/Apr;74(2):7402205010p1-7402205010p14

Philip S. Mehler, MD, FACP, FAED, is Medical Director, ACUTE Center for Eating Disorders, Denver Health and Hospital Authority, Denver, CO.

Importance: Sensory integration modalities, such as weighted blankets, are used in occupational therapy practice to assist with emotional and physical regulation. However, the research related to the use and effectiveness of weighted blankets is sparse.

Objective: To identify, evaluate, and synthesize the current literature to help develop the impetus needed to launch a research study into the effectiveness of using weighted blankets to decrease anxiety and insomnia. Read More

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http://dx.doi.org/10.5014/ajot.2020.037358DOI Listing

Effectiveness of Social Skills Interventions Incorporating Peer Interactions for Children With Attention Deficit Hyperactivity Disorder: A Systematic Review.

Am J Occup Ther 2020 Mar/Apr;74(2):7402180070p1-7402180070p19

Claudia Hilton, PhD, MBA, OTR, FAOTA, is Associate Professor, Department of Occupational Therapy, University of Texas Medical Branch, Galveston;

Importance: Few studies examining the use of peers during interventions have been published, and no systematic review has been conducted to evaluate the available literature.

Objective: To examine the effectiveness of social skills interventions incorporating peers for children with attention deficit hyperactivity disorder (ADHD) to improve social interactions.

Data Sources: A search of five databases (CINAHL, PubMed, Web of Science, Google Scholar, and PsycINFO) produced 697 articles. Read More

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http://dx.doi.org/10.5014/ajot.2020.040212DOI Listing

Interventions Within the Scope of Occupational Therapy Practice to Improve Motor Performance for Children Ages 0-5 Years: A Systematic Review.

Am J Occup Ther 2020 Mar/Apr;74(2):7402180060p1-7402180060p40

Margaret Bassi, OTD, OTR/L, is Occupational Therapist, Division of Clinical Therapies, Nationwide Children's Hospital, Columbus, OH.

Importance: Occupational therapy practitioners need updated information about which interventions may improve motor skills for young children.

Objective: To identify the effectiveness of occupational therapy interventions to promote motor development and prevent delay for children ages 0-5 yr.

Data Sources: Six databases (CINAHL, MEDLINE, PsycINFO, ERIC, Cochrane, and OTseeker) were searched for articles published from January 2010 to March 2017. Read More

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http://dx.doi.org/10.5014/ajot.2020.039644DOI Listing

Interventions Supporting Mental Health and Positive Behavior in Children Ages Birth-5 Yr: A Systematic Review.

Am J Occup Ther 2020 Mar/Apr;74(2):7402180050p1-7402180050p29

Lindy L. Weaver, PhD, MOT, OTR/L, is Assistant Professor, Division of Occupational Therapy, Ohio State University, Columbus;

Importance: It is critical for providers to use evidence-based interventions to address mental health and behavioral barriers to occupational performance during early childhood.

Objective: To identify evidence-based interventions within the scope of occupational therapy practice to improve mental health and positive behavior for children ages 0-5 yr and their families.

Data Sources: PsycINFO, Cochrane, ERIC, MEDLINE, and OTseeker databases were searched for publications from 2010 through March 2017. Read More

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http://dx.doi.org/10.5014/ajot.2020.039768DOI Listing

Occupation- and Activity-Based Interventions to Improve Performance of Instrumental Activities of Daily Living and Rest and Sleep for Children and Youth Ages 5-21: A Systematic Review.

Am J Occup Ther 2020 Mar/Apr;74(2):7402180040p1-7402180040p32

Patricia Laverdure, OTD, OTR/L, BCP, FAOTA, is Assistant Professor and Program Director, Occupational Therapy Department, Old Dominion University, Norfolk, VA.

Importance: Practitioners seek evidence from intervention effectiveness studies to provide best-practice services for children.

Objective: To examine the effectiveness of occupation- and activity-based interventions to improve instrumental activities of daily living (IADLs) and sleep outcomes for children and youth ages 5-21 yr.

Data Sources: MEDLINE, PsycINFO, CINAHL, ERIC, OTseeker, and Cochrane Database of Systematic Reviews. Read More

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http://dx.doi.org/10.5014/ajot.2020.039636DOI Listing

Interventions Within the Scope of Occupational Therapy to Improve Children's Academic Participation: A Systematic Review.

Am J Occup Ther 2020 Mar/Apr;74(2):7402180030p1-7402180030p32

Amanda Sarafian, EdD, OTR/L, is Associate, Programs in Occupational Therapy, Department of Rehabilitation and Regenerative Medicine, Vagelos College of Physicians and Surgeons, Columbia University, New York.

Importance: Occupational therapy practitioners evaluate students' ability to participate in school and may provide services to improve learning, academic performance, and participation.

Objective: To examine the effectiveness of interventions within the scope of occupational therapy practice to improve academic participation of children and youth ages 5-21 yr.

Data Sources: We searched MEDLINE, PsycINFO, CINAHL, OTseeker, and Cochrane databases for articles published from 2000 to 2017 using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Read More

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http://dx.doi.org/10.5014/ajot.2020.039016DOI Listing

Activity- and Occupation-Based Interventions to Support Mental Health, Positive Behavior, and Social Participation for Children and Youth: A Systematic Review.

Am J Occup Ther 2020 Mar/Apr;74(2):7402180020p1-7402180020p28

Joanna Seber, OTD, OTR/L, is Adjunct Instructor, MSOT Program, Lewis University, Romeoville, IL. At the time of the study, she was a postprofessional OTD student (maiden name Swanton) at the University of Illinois at Chicago.

Importance: Children and youth are often challenged to maintain well-being, positive behavior, and social participation.

Objective: To identify evidence for occupational therapy interventions for children and youth with and at risk for mental health concerns.

Data Sources: Articles published in English-language peer-reviewed journals between January 2010 and March 2017 identified through searches of MEDLINE, PsycINFO, CINAHL, ERIC, OTseeker, and Cochrane databases. Read More

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http://dx.doi.org/10.5014/ajot.2020.038687DOI Listing

Interventions Within the Scope of Occupational Therapy Practice to Improve Activities of Daily Living, Rest, and Sleep for Children Ages 0-5 Years and Their Families: A Systematic Review.

Am J Occup Ther 2020 Mar/Apr;74(2):7402180010p1-7402180010p33

Meghan Doherty, OTD, OTR/L, is Assistant Professor, Department of Occupational Science and Occupational Therapy, Saint Louis University, St. Louis, MO.

Importance: Research studies supporting occupational therapy interventions to address feeding, toileting, and sleep can be applied to practice in early intervention and preschool settings to improve the outcomes of young children and their families.

Objective: To examine the effectiveness of interventions within the scope of occupational therapy practice to improve activities of daily living, rest, and sleep for children ages 0-5 yr and their families.

Data Sources: Five databases (MEDLINE, PsycINFO, CINAHL, OTseeker, ERIC) and Evidence-Based Medicine Reviews, Cochrane Database of Systematic Reviews, Cochrane Controlled Trials Register, and Database of Abstracts of Reviews of Effectiveness were searched for studies published between January 2000 and March 2017. Read More

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http://dx.doi.org/10.5014/ajot.2020.039545DOI Listing

Becoming Critical Consumers of Evidence in Occupational Therapy for Children and Youth.

Am J Occup Ther 2020 Mar/Apr;74(2):7402170020p1-7402170020p7

Karrie Kingsley, OTD, OTR/L, is Associate Professor of Clinical Occupational Therapy and Director of Diversity, Equity, and Access, Mrs. T. H. Chan Division of Occupational Science and Occupational Therapy, University of Southern California, Los Angeles.

This special issue of the American Journal of Occupational Therapy on interventions for children and youth highlights the current developments in and evidence for the effectiveness of occupational therapy interventions and psychometric properties of assessments for children and youth. In this guest editorial, we identify various factors that challenge the implementation of evidence-based strategies in daily clinical practice. We assert that scholars, educators, and practitioners need to address several strategic steps. Read More

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http://dx.doi.org/10.5014/ajot.2020.742001DOI Listing

Rehabilitation Is a Global Health Priority.

Am J Occup Ther 2020 Mar/Apr;74(2):7402170010p1-7402170010p3

Catherine Vallée, PhD, OT, is Director, Rehabilitation Department, Faculty of Medicine, Université Laval, Quebec City, Quebec, Canada, and Editor-in-Chief, Canadian Journal of Occupational Therapy.

Optimizing functioning at all ages is a major global public health goal. Rehabilitation is unique in its contribution to this public health agenda because of its focus on optimizing function. In this editorial, the editors of leading rehabilitation journals make the case for fully integrating rehabilitation into a nation's health system and strengthening it specifically at the primary care level to increase access and achieve its full potential. Read More

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http://dx.doi.org/10.5014/ajot.2020.742006DOI Listing

Understanding Policy Influences on Health and Occupation Through the Use of the Life Course Health Development (LCHD) Framework.

Am J Occup Ther 2020 Mar/Apr;74(2):7402090010p1-7402090010p6

Jyothi Gupta, PhD, OTR/L, FAOTA, is Professor, Chair, and Director of Residential Programs, Department of Occupational Therapy, Arizona School of Health Sciences, A. T. Still University, Mesa.

Life course health development (LCHD) is a framework that considers the transactional nature of risks and protective factors along the life trajectory and how this context influences health. Public policies, from health care to education to social services to labor laws, have many goals, including lessening and eliminating health disparities, yet inequities in health services and outcomes remain. Policy is a contextual factor that may be overlooked when examining influences on health and occupation. Read More

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http://dx.doi.org/10.5014/ajot.2020.742002DOI Listing

Not Just Mortality and Morbidity but Also Function: Opportunities and Challenges for Occupational Therapy in the World Health Organization's Rehabilitation 2030 Initiative.

Am J Occup Ther 2020 Mar/Apr;74(2):7402070010p1-7402070010p6

Catherine Vallée, PhD, OT, is Director, Rehabilitation Department, Faculty of Medicine, Université Laval, Quebec City, Quebec, Canada, and Editor-in-Chief, Canadian Journal of Occupational Therapy.

The World Health Organization's (WHO's) new focus on rehabilitation offers great opportunities for occupational therapy. Recognizing that the problems in daily function created by the aging of the world's population and the increasing prevalence of chronic health conditions require rehabilitation to be a vital part of health systems, the World Health Organization brought a variety of stakeholders together in 2017 and 2019 to help them develop the Rehabilitation 2030 initiative. Occupational therapy was represented by the World Federation of Occupational Therapists, the American Journal of Occupational Therapy, the Canadian Journal of Occupational Therapy, editorial board members of several occupational therapy journals, and other occupational therapy researchers. Read More

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http://dx.doi.org/10.5014/ajot.2020.742005DOI Listing

Occupational Therapy Interventions for Productive Aging Among Community-Dwelling Older Adults.

Am J Occup Ther 2020 Jan/Feb;74(1):7401390010p1-7401390010p5

Sharon J. Elliott, DHS, GCG, OTR/L, BCG, FAOTA, is Healthy Aging Specialist, Pitt County Council on Aging, Greenville, NC.

Evidence Connection articles provide clinical application of systematic reviews developed in conjunction with the American Occupational Therapy Association's (AOTA's) Evidence-Based Practice Project. In this Evidence Connection article, we describe a case report of an older adult who was referred to outpatient occupational therapy services due to chronic back pain from herniated discs. Findings from the systematic review of occupational therapy for community-dwelling older adults were published in the July/August 2018 issue of the American Journal of Occupational Therapy (Berger et al. Read More

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http://dx.doi.org/10.5014/ajot.2020.741003DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7018457PMC

A Narrative Phenomenological Approach to Transformative Learning: Lessons From Occupational Therapy Reasoning in Educational Practice.

Authors:
Hiba Zafran

Am J Occup Ther 2020 Jan/Feb;74(1):7401347010p1-7401347010p6

Hiba Zafran, PhD, is Occupational Therapist and Psychotherapist, Assistant Professor, School of Physical and Occupational Therapy, and Curriculum Developer, Indigenous Health Professions Program, McGill University, Montreal, Quebec, Canada;

Transformative learning involves the questioning of worldviews and underpins shifts in values and identity that are integral to critical occupational therapy practices. Cognitive theories of transformative learning name, but do not address, the experiential dimensions of transformation. The aim of this article is to conceptualize transformative learning from the perspective of narrative phenomenology in occupational therapy. Read More

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http://dx.doi.org/10.5014/ajot.2020.033100DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7018461PMC

Nurturing the Prepared Mind: Research During Level II Fieldwork.

Am J Occup Ther 2020 Jan/Feb;74(1):7401345020p1-7401345020p8

Susan L. Garber, MA, OTR, FAOTA, FACRM, is Professor, Department of Physical Medicine and Rehabilitation, Baylor College of Medicine, Houston, TX.

Importance: Level II fieldwork is one of the last opportunities for students to learn from clinicians modeling how to gather practice-based data for research before independent practice.

Objective: To identify options for incorporating active research opportunities in the Level II fieldwork experience and the barriers that preclude these opportunities.

Design: Approximately 575 electronic surveys (QuestionPro), consisting of 31 questions, distributed to fieldwork sites. Read More

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http://dx.doi.org/10.5014/ajot.2019.030809DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7018468PMC

Changes in Occupational Roles and Common Mental Disorders in Mothers of Children With Congenital Zika Syndrome.

Am J Occup Ther 2020 Jan/Feb;74(1):7401345010p1-7401345010p5

Paulo Ricardo Saquete Martins-Filho, PhD, is Epidemiologist, Investigative Pathology Laboratory, Federal University of Sergipe, Aracaju, Brazil;

Importance: The functional limitations and long-term dependence of children with congenital Zika syndrome (CZS) may lead to changes in maternal occupational roles, which can have a negative impact on mothers' well-being and mental health.

Objective: To investigate changes in occupational roles and their effects on the mental health of mothers who have a child with CZS.

Design: Cross-sectional study. Read More

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http://dx.doi.org/10.5014/ajot.2019.035972DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7018466PMC

Identifying Aspiration Among Infants in Neonatal Intensive Care Units Through Occupational Therapy Feeding Evaluations.

Am J Occup Ther 2020 Jan/Feb;74(1):7401205080p1-7401205080p9

Mitzi M. Wiggin, PT, MS, is Manager, Research and Clinical Education, Texas Children's Hospital, Houston.

Importance: When a neonate's sucking, swallowing, and breathing are disorganized, oropharyngeal aspiration often occurs and results in illness, developmental problems, and even death. Occupational therapists who work in the neonatal intensive care unit (NICU) need to identify neonates who are at risk for aspirating so they can provide appropriate treatment.

Objective: To ascertain whether client factors and performance skills of infants ages 0-6 mo during occupational therapy feeding evaluations are related to results of videofluoroscopic swallowing studies (VFSSs). Read More

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http://dx.doi.org/10.5014/ajot.2020.022137DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7018452PMC

Preliminary Test of the Potential of Contact With Dogs to Elicit Spontaneous Imitation in Children and Adults With Severe Autism Spectrum Disorder.

Am J Occup Ther 2020 Jan/Feb;74(1):7401205070p1-7401205070p8

Liliana de Sousa, PhD, is Professor, Department of Behavioral Sciences, Institute of Biomedical Sciences Abel Salazar, University of Porto, Porto, Portugal.

Importance: Finding strategies to enhance imitation skills in people with autism spectrum disorder (ASD) is of major clinical relevance.

Objective: To evaluate whether contact with dogs may be a useful approach to elicit spontaneous imitation in people with ASD.

Design: Participants completed a spontaneous imitation task under three experimental conditions: after a free-play interaction with a live dog, after a free-play interaction with a robotic dog, and after a waiting period that involved no stimuli. Read More

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http://dx.doi.org/10.5014/ajot.2020.031849DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7018472PMC