5,953 results match your criteria American Journal Of Occupational Therapy[Journal]


AOTA's Top 5 Choosing Wisely Recommendations.

Am J Occup Ther 2019 Mar/Apr;73(2):7302420010p1-7302420010p9

Melissa Stutzbach, MS, OTR, is Program Manager, Education and Young Professional Development; Staff Liaison, Assembly of Student Delegates; and Contributor, Evidence-Based Practice Project, American Occupational Therapy Association, Bethesda, MD.

Health care spending in the United States continues to grow at an unsustainable rate. In 2015, spending increased 5.8%, to reach $3. Read More

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http://dx.doi.org/10.5014/ajot.2019.732001DOI Listing
March 2019
11 Reads

Occupational Therapy Can Benefit From an Interprofessional Rehabilitation Treatment Specification System.

Am J Occup Ther 2019 Mar/Apr;73(2):7302347010p1-7302347010p6

Susan H. Lin, ScD, OTR/L, is Adjunct Assistant Professor, MGH Institute of Health Professions, Boston, MA.

To advance evidence-based practice across rehabilitation professions, clinicians, and researchers could benefit from a structured way to clearly describe the treatment interventions used by their discipline. Development of the Rehabilitation Treatment Specification System is an interprofessional effort to use a theory-driven and systematic approach to define, specify, and quantify the complex nature of rehabilitation treatments. In this article, we introduce this novel approach and provide a case example that illustrates application to clinical practice. Read More

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http://dx.doi.org/10.5014/ajot.2019.030189DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6436114PMC
March 2019
1 Read

Tailored Activities to Reduce Neuropsychiatric Behaviors in Persons With Dementia: Case Report.

Am J Occup Ther 2019 Mar/Apr;73(2):7302205160p1-7302205160p9

Laura N. Gitlin, PhD, is Dean and Distinguished University Professor, College of Nursing and Health Professions, Drexel University, Philadelphia, PA.

Importance: Neuropsychiatric behaviors of persons with dementia, including agitation, aggression, and rejection of care, are almost universal; occur throughout the disease process; and have negative consequences for both persons with dementia and their caregivers. Nonpharmacological approaches are now recognized as first-line treatment to address these behaviors. One promising approach is activity tailored to the person's interests, abilities, and physical and social environment. Read More

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http://dx.doi.org/10.5014/ajot.2019.029546DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6436117PMC
March 2019
2 Reads

Measuring Reliability of Movement With Accelerometry: Fitbit Versus ActiGraph.

Am J Occup Ther 2019 Mar/Apr;73(2):7302205150p1-7302205150p6

Marsha Neville, PhD, OT, is Associate Professor, School of Occupational Therapy, Texas Woman's University, Dallas.

Objective: We sought to determine the reliability of the Fitbit Flex™ compared with the ActiGraph Bluetooth Smart wGT3X-BT wireless activity monitor and to contribute to the clinical utility of accelerometry measurement of upper extremity (UE) movement.

Method: Two studies were conducted at different sites with healthy adult participants. In Study 1, participants wore both accelerometers on both wrists during everyday activities for a 24-hr period. Read More

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http://ajot.aota.org/article.aspx?doi=10.5014/ajot.2019.0306
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http://dx.doi.org/10.5014/ajot.2019.030692DOI Listing
March 2019
2 Reads

Vehicle Modification Prescription: Australian Occupational Therapy Consensus-Based Guidelines.

Am J Occup Ther 2019 Mar/Apr;73(2):7302205140p1-7302205140p10

Katrina Lavender, BApp Sci (OT), was Research Assistant, La Trobe University, Melbourne, Victoria, Australia, at the time of the study.

Vehicle modifications are often essential to ensure that drivers with disabilities can drive independently and safely. Occupational therapy driver assessors and driver rehabilitation specialists routinely prescribe vehicle modifications on the basis of individualized evaluations and support by rehabilitation interventions. After a literature review and consultation with stakeholders, we identified a resource gap in information to support an evidence-based process for vehicle modification prescription. Read More

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http://ajot.aota.org/article.aspx?doi=10.5014/ajot.2019.0243
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http://dx.doi.org/10.5014/ajot.2019.024331DOI Listing
March 2019
2 Reads

Early Identification of Sensory Processing Difficulties in High-Risk Infants.

Am J Occup Ther 2019 Mar/Apr;73(2):7302205130p1-7302205130p9

Lucy Jane Miller, PhD, OTR/L, is Founder, Sensory Therapies and Research (STAR) Institute for Sensory Processing Disorder, Greenwood Village, CO.

Objective: Our objective was to determine the extent to which young children at high risk for sensory processing difficulties differed from those who were at low risk.

Method: We compared high- versus low-risk young children using standardized measures. High-risk participants had older siblings identified as having sensory processing difficulties after a comprehensive occupational therapy evaluation (n = 13); low-risk participants (n = 16) had typically developing siblings and no family history of sensory or other neurological disorders. Read More

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http://ajot.aota.org/article.aspx?doi=10.5014/ajot.2018.0284
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http://dx.doi.org/10.5014/ajot.2018.028449DOI Listing
March 2019
7 Reads

Adapted Feeding Utensils for People With Parkinson's-Related or Essential Tremor.

Am J Occup Ther 2019 Mar/Apr;73(2):7302205120p1-7302205120p9

Joyce Starr, MS, OTR, was Graduate Student, Occupational Therapy Program, State University of New York (SUNY) Downstate, Brooklyn, at the time of the study.

Objective: Our objective was to evaluate the effectiveness of four adapted feeding utensils with participants with essential tremor (ET) or tremor related to Parkinson's disease (PD).

Method: Participants performed a simulated feeding task under five conditions: (1) standard spoon (control condition), (2) weighted spoon with standard handle, (3) weighted spoon with built-up handle, (4) swivel spoon, and (5) Liftware Steady™ spoon, a product using active tremor cancellation technology. Participants rated each adapted utensil in comparison with the standard spoon regarding performance, ease of use, speed, neatness, and aesthetics. Read More

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http://dx.doi.org/10.5014/ajot.2019.030759DOI Listing

Participation in Peer-Play Activities Among Children With Specific Learning Disability: A Randomized Controlled Trial.

Am J Occup Ther 2019 Mar/Apr;73(2):7302205110p1-7302205110p9

Masoume Zarei, MSc, OTR, is PhD Candidate, Occupational Therapy Department, School of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, Iran.

Objective: Children with a specific learning disability (SLD) have deficits in social and academic competence and executive function (EF). In this study, we used the Model of Human Occupation to investigate the effect of peer-play activities on occupational values and competence as well as EF skills (i.e. Read More

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http://dx.doi.org/10.5014/ajot.2018.028613DOI Listing
March 2019
1 Read

"The Bigger Picture": Occupational Therapy Practitioners' Perspectives on Disability Studies.

Am J Occup Ther 2019 Mar/Apr;73(2):7302205100p1-7302205100p10

Jacqueline Kish, MS, OTR/L, is PhD Candidate, Department of Disability and Human Development, University of Illinois at Chicago.

Objective: This qualitative study explored occupational therapy practitioners' perspectives about integrating principles from the field of disability studies (DS) into clinical education and practice.

Methods: After a conference presentation about DS, three simultaneous focus groups were conducted with 27 occupational therapy practitioners. A constant comparative, grounded-theory approach was used to identify themes across groups. Read More

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http://dx.doi.org/10.5014/ajot.2019.030163DOI Listing

Occupational Therapists' Perceptions of Online Competence Assessment and Evidence-Based Resources.

Am J Occup Ther 2019 Mar/Apr;73(2):7302205090p1-7302205090p8

Christine T. Myers, PhD, OTR/L, is Clinical Associate Professor and Program Director, Department of Occupational Therapy, University of Florida, Gainesville;

Objective: This study explored U.S. occupational therapists' perceptions of online competence assessment and associated evidence-based resources. Read More

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http://dx.doi.org/10.5014/ajot.2019.029322DOI Listing

Handgrip Strength: A Comparison of Values Obtained From the NHANES and NIH Toolbox Studies.

Am J Occup Ther 2019 Mar/Apr;73(2):7302205080p1-7302205080p9

Kimberly A. Grogan, MS, OTR/L, is Clinician, Northern Suburban Special Education District, Highland Park, IL.

Importance: Handgrip dynamometry is probably the most commonly used method to characterize overall human muscle strength.

Objective: To compare and summarize grip strength measurements obtained from two population-based studies.

Design: Secondary data analysis. Read More

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http://dx.doi.org/10.5014/ajot.2019.029538DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6436115PMC
March 2019
2 Reads

Evaluation of the Reliability and Validity of the Brazilian Version of the Here's How I Write: A Child's Self-Assessment and Goal Setting Tool.

Am J Occup Ther 2019 Mar/Apr;73(2):7302205070p1-7302205070p10

Lívia de Castro Magalhães, PhD, OTR, is Professor, Department of Occupational Therapy, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil;

Objective: Our objective was to translate the Here's How I Write: A Child's Self-Assessment and Goal Setting Tool (HHIW) to Portuguese; adapt it to the Brazilian culture; and analyze its reliability, validity, and clinical feasibility.

Method: The study was developed in two steps: adaptation of the HHIW to Brazilian Portuguese, followed by experimental application to examine its validity and reliability. The participants were 60 children and their teachers, divided into two groups: Group 1, whose members had handwriting difficulties, and Group 2, whose members did not. Read More

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http://dx.doi.org/10.5014/ajot.2019.025387DOI Listing

Scoring, Clinical Utility, and Psychometric Properties of the In-Home Medication Management Performance Evaluation (HOME-Rx).

Am J Occup Ther 2019 Mar/Apr;73(2):7302205060p1-7302205060p8

Susan Stark, PhD, OTR/L, FAOTA, is Associate Professor of Occupational Therapy, Neurology, and Social Work, Program in Occupational Therapy, Washington University in St. Louis, St. Louis, MO.

Importance: Forty percent to 75% of community-dwelling older adults are not able to adhere to their medication routine. A medication management assessment can correctly identify the reasons for nonadherence and the barriers contributing to it.

Objective: To further develop the HOME-Rx, an in-home medication management assessment, by modifying scoring metrics, improving clinical utility, and establishing psychometric properties. Read More

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http://dx.doi.org/10.5014/ajot.2019.029793DOI Listing
March 2019
1 Read

Reliability and Validity of a Functional Cognition Screening Tool to Identify the Need for Occupational Therapy.

Am J Occup Ther 2019 Mar/Apr;73(2):7302205050p1-7302205050p10

Gordon Muir Giles, PhD, OTR/L, FAOTA, is Professor, Samuel Merritt University, Oakland, CA, and Director of Neurobehavioral Services, Crestwood Behavioral Health, Inc., Sacramento, CA.

Importance: The Centers for Medicare & Medicaid Services (CMS) has identified the need to assess functional cognition as part of the postacute care planning process.

Objective: We examined the reliability, validity, and clinical utility of the Menu Task (MT) as a screening measure of functional cognition to assess the need for occupational therapy services.

Design: Cross-sectional study testing a convenience sample of community-dwelling older adults (n = 130) and adults hospitalized for elective orthopedic surgery (n = 60). Read More

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http://dx.doi.org/10.5014/ajot.2019.028753DOI Listing
March 2019
2 Reads

Sensory Features and Family Functioning in Families of Children With Autism and Developmental Disabilities: Longitudinal Associations.

Am J Occup Ther 2019 Mar/Apr;73(2):7302205040p1-7302205040p14

Grace T. Baranek, PhD, OTR/L, FAOTA, is Associate Dean, Chair, and Mrs. T. H. Chan Professor of Occupational Science and Occupational Therapy, Mrs. T. H. Chan Division of Occupational Science and Occupational Therapy, University of Southern California, Los Angeles. At the time of this study, she was Professor and Associate Chair for Research, Department of Allied Health Sciences, University of North Carolina at Chapel Hill.

Importance: Children with autism spectrum disorder (ASD) and other developmental disabilities (DD) commonly display unusual responses to sensory input. Previous work has suggested concurrent associations linking sensory features with aspects of family functioning, including activity participation and caregiver strain. What is unknown, however, is the extent to which sensory features affect family functioning over time, as well as the influence of received services on these relationships. Read More

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http://ajot.aota.org/article.aspx?doi=10.5014/ajot.2018.0273
Publisher Site
http://dx.doi.org/10.5014/ajot.2018.027391DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6436113PMC
March 2019
9 Reads

Feeding Patterns and Parental Perceptions of Feeding Issues of Preterm Infants in the First 2 Years of Life.

Am J Occup Ther 2019 Mar/Apr;73(2):7302205030p1-7302205030p10

Tien-Ni Wang, PhD, OT, is Associate Professor, School of Occupational Therapy, College of Medicine, National Taiwan University, Taipei;

We explored parental feeding practices, feeding issues during the first 2 yr of life, and the relationship between feeding issues and levels of maternal distress in preterm infants. Four hundred twenty mothers (239 with preterm infants, 181 with full-term infants) participated in the study. The Behavior-Based Feeding Questionnaire for Infants With Premature History and the Parenting Stress Index-Chinese Version were used as the two outcome measures. Read More

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http://dx.doi.org/10.5014/ajot.2019.029397DOI Listing

A Touch-Observation and Task-Based Mirror Therapy Protocol to Improve Sensorimotor Control and Functional Capability of Hands for Patients With Peripheral Nerve Injury.

Am J Occup Ther 2019 Mar/Apr;73(2):7302205020p1-7302205020p10

Li-Chieh Kuo, PhD, is Professor, Department of Occupational Therapy, College of Medicine, National Cheng Kung University, Tainan, Taiwan, and Professor, Medical Device Innovation Center, National Cheng Kung University, Tainan, Taiwan;

Importance: To develop a practical program in the early phase after nerve repair for more rapid return of function.

Objective: To investigate the effects of touch-observation and task-based mirror therapy on the sensorimotor outcomes of patients with nerve repair.

Design: An assessor-blinded study with a randomized controlled design. Read More

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http://dx.doi.org/10.5014/ajot.2018.027763DOI Listing

Cognitive, Emotional, and Physical Functioning as Predictors of Paid Employment in People With Stroke, Traumatic Brain Injury, and Spinal Cord Injury.

Am J Occup Ther 2019 Mar/Apr;73(2):7302205010p1-7302205010p15

Allen W. Heinemann, PhD, ABPP-RP, FACRM, is Professor, Department of Physical Medicine and Rehabilitation, Northwestern University Feinberg School of Medicine, Chicago, and Director, Center for Rehabilitation Outcomes Research, Shirley Ryan AbilityLab, Chicago.

Objective: Our objective was to examine demographic, cognitive, emotional, and physical factors that predict return to paid employment for people after neurological injury.

Method: Four hundred eighty adults with stroke (n = 149), traumatic brain injury (n = 155), and spinal cord injury (n = 176) completed an occupational outcome questionnaire and physical, emotional, and cognitive assessments at three rehabilitation facilities.

Results: Odds of employment were predicted by being married or partnered, having more education, requiring fewer prompts for task sequencing, and having higher inhibitory control (but were not predicted by specific type of injury). Read More

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http://dx.doi.org/10.5014/ajot.2019.031203DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6436116PMC

Policy and Payment Changes Create New Opportunities for Occupational Therapy in Acute Care.

Am J Occup Ther 2019 Mar/Apr;73(2):7302109010p1-7302109010p8

Ricardo D. Ramirez, BA, is Master of Science Student, Department of Occupational Therapy, University of Illinois at Chicago.

Importance: Changes in health care policy and payment over the past decade have resulted in a greater emphasis on cost effectiveness, quality outcomes, and the health care consumer's experience. Payers' response to the new policies and their expectations have created expanded opportunities for occupational therapy practitioners in health care overall but particularly in acute care hospitals.

Objective: The objective of this article is to empower occupational therapy directors, practitioners, educators, and students to be proactive in a rapidly changing acute care setting. Read More

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http://dx.doi.org/10.5014/ajot.2018.732002DOI Listing

Occupational Therapy Interventions for Children and Youth With Challenges in Sensory Integration and Sensory Processing: A Clinic-Based Practice Case Example.

Am J Occup Ther 2019 Jan/Feb;73(1):7301395010p1-7301395010p9

Roseann Schaaf, PhD, OTR/L, FAOTA, is Professor, Department of Occupational Therapy, and Faculty of the Faber Institute for Neuroscience, Thomas Jefferson University, Philadelphia, PA.

Evidence Connection articles provide case examples of how practice decisions may be informed by findings of systematic reviews sponsored by the American Occupational Therapy Association (AOTA) Evidence-Based Practice (EBP) Project. This Evidence Connection article describes a case report of a child with a diagnosis of autism spectrum disorder who has difficulties in function and participation related to challenges in sensory integration. This article is the first in a two-part series, and it focuses on occupational therapy provided to the child by a clinic-based therapist in collaboration with the child's school-based occupational therapist. Read More

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http://dx.doi.org/10.5014/ajot.2019.731002DOI Listing
March 2019
1 Read

Role of Occupational Therapy Practitioners in Mass Market Technology Research and Development.

Am J Occup Ther 2019 Jan/Feb;73(1):7301347010p1-7301347010p6

Roger O. Smith, PhD, OT, FAOTA, is Professor, Department of Occupational Science and Technology, University of Wisconsin-Milwaukee.

Performance of many activities of daily living and instrumental activities of daily living involve technology, such as an electric toothbrush or a self-checkout register at the grocery store. Unfortunately, more than 60 million people with disabilities in the United States struggle to use these technologies because of inaccessible designs. Occupational therapy practitioners have a unique expertise in the design of accessible equipment. Read More

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http://dx.doi.org/10.5014/ajot.2019.028167DOI Listing

Interprofessional Education Among Occupational Therapy Programs: Faculty Perceptions of Challenges and Opportunities.

Am J Occup Ther 2019 Jan/Feb;73(1):7301345010p1-7301345010p6

Gianluca De Leo, PhD, MBA, is Associate Professor, Department of Interdisciplinary Health Sciences, College of Allied Health Sciences, Augusta University, Augusta, GA.

Objective: We investigated occupational therapy faculty beliefs about and perceptions of interprofessional education (IPE) and to identify differences in faculty positions on IPE between programs affiliated with an on-campus academic health care center (AHC) and programs not affiliated with an on-campus AHC.

Method: Online surveys were distributed by email to 1,466 faculty at programs accredited by the Accreditation Council for Occupational Therapy Education. The results were described using descriptive statistics and cross-tabulations. Read More

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http://dx.doi.org/10.5014/ajot.2019.030304DOI Listing

Systematic Review of Yoga and Balance: Effect on Adults With Neuromuscular Impairment.

Am J Occup Ther 2019 Jan/Feb;73(1):7301205150p1-7301205150p11

Karen Aranha, PhD, OTR, is Assistant Professor, Occupational Therapy Department, Texas Tech University, Lubbock.

This systematic review examines the efficacy of yoga as a neuromuscular intervention for community-dwelling populations at risk for falls to determine its utility for use in occupational therapy intervention. Populations included older adults and adults with traumatic brain injury (TBI), cerebrovascular accident (CVA), dementia and Alzheimer's disease (AD)-type dementia, multiple sclerosis (MS), and Parkinson's disease (PD). Benefits of yoga include improved posture control, improved flexibility of mind and body, relaxation, and decreased anxiety and stress. Read More

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http://dx.doi.org/10.5014/ajot.2019.028944DOI Listing
March 2019
6 Reads

Care Transition Processes to Achieve a Successful Community Discharge After Postacute Care: A Scoping Review.

Am J Occup Ther 2019 Jan/Feb;73(1):7301205140p1-7301205140p9

Marla Robinson, Msc OTR/L, BCPR, FAOTA, is Assistant Director, Department of Therapy Services, The University of Chicago Medical Center, Chicago, IL.

Readmissions to health care facilities are undesirable outcomes that indicate the quality of the care transitions. Although there is a growing evidence-base for preventing readmissions, the focus has been on acute care. Postacute care (PAC) patients are often excluded from these studies, and thus there is limited evidence guiding practitioners' efforts to facilitate an effective community transition after PAC rehabilitation. Read More

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http://ajot.aota.org/article.aspx?doi=10.5014/ajot.2019.0051
Publisher Site
http://dx.doi.org/10.5014/ajot.2019.005157DOI Listing
March 2019
23 Reads

Exploring Sensory Processing Dysfunction, Parenting Stress, and Problem Behaviors in Children With Autism Spectrum Disorder.

Am J Occup Ther 2019 Jan/Feb;73(1):7301205130p1-7301205130p10

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

Objective: We examined problem behavior in preschool- and school-age children with autism spectrum disorder and assessed whether sensory processing dysfunction (SPD) and parenting stress were differentially associated with problem behaviors in these groups of children.

Method: Participants were 101 preschool- and 61 school-age children. An independent t test was used to examine group differences in problem behaviors. Read More

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http://dx.doi.org/10.5014/ajot.2019.027607DOI Listing
March 2019
1 Read

Examining Clinical Meaningfulness in Randomized Controlled Trials: Revisiting the Well Elderly II.

Am J Occup Ther 2019 Jan/Feb;73(1):7301205120p1-7301205120p13

Alisha Ohl, PhD, is Assistant Professor, Occupational Therapy Department, Clarkson University, Potsdam, NY.

Objective: Randomized controlled trial (RCT) interventions often rely on p values, where statistical significance is assumed to provide evidence of an intervention effect. This study provides a secondary data analysis of the Well Elderly II RCT using multiple approaches that examine clinical meaningfulness.

Method: We reanalyzed the Well Elderly II RCT using effect size, standard deviation, standard error of measurement, minimal difference, a fragility index, an assessment of poor scores at baseline, and an analysis with a small subgroup of participants removed. Read More

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http://dx.doi.org/10.5014/ajot.2019.030874DOI Listing
March 2019
6 Reads

Relaxation Interventions for Antepartum Mothers on Hospitalized Bedrest.

Authors:
Jenna Yeager

Am J Occup Ther 2019 Jan/Feb;73(1):7301205110p1-7301205110p7

Jenna Yeager, PhD, OTR/L, is Associate Professor, Department of Occupational Therapy and Occupational Science, Towson University, Towson, MD;

Women with a high-risk pregnancy on hospitalized bedrest engaged in relaxation interventions, including guided imagery, visual imagery, and listening to music. Qualitative interviews gathered their perspectives on the effects of hospitalized bedrest on well-being and the subjective experiences related to the relaxation interventions. Benefits identified included improved physical well-being and sleep. Read More

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http://dx.doi.org/10.5014/ajot.2019.025692DOI Listing

Resting-State Electroencephalography in Participants With Sensory Overresponsiveness: An Exploratory Study.

Am J Occup Ther 2019 Jan/Feb;73(1):7301205100p1-7301205100p11

Tami Bar-Shalita, PhD, is Lecturer, Department of Occupational Therapy, School of Health Professions, Sackler Faculty of Medicine and Sagol School of Neuroscience, Tel Aviv University, Tel Aviv, Israel;

Objective: People with sensory overresponsiveness (SOR) perceive nonpainful stimuli as noxious and demonstrate hyperalgesia and lingering sensation to laboratory pain stimuli. Electroencephalography (EEG) of cortical activity at rest is widely used to explore endophenotypes but has not yet been tested in people with SOR. Therefore, we investigated the characteristics of resting-state EEG in participants with SOR. Read More

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http://dx.doi.org/10.5014/ajot.2019.029231DOI Listing

Measuring Physical Activity in Spinal Cord Injury Using Wrist-Worn Accelerometers.

Am J Occup Ther 2019 Jan/Feb;73(1):7301205090p1-7301205090p10

Aaron J. Zynda, BS, CCRP, is Clinical Research Coordinator, Sports Medicine, Texas Scottish Rite Hospital for Children, Dallas.

Objective: Our objective was to evaluate interunit agreement and construct validity of two activity monitors (Actiwatch Score and PRO-Diary) in people with and without spinal cord injury.

Method: Thirty-eight participants (19 with spinal cord injury; 19 age- and sex-matched controls; mean age = 49 yr) wore both monitors and completed tasks during one visit ranging in physical intensity. To compare activity by group and monitor, we conducted t tests. Read More

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http://dx.doi.org/10.5014/ajot.2019.027748DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6402414PMC
March 2019
2 Reads

Feasibility of, Adherence to, and Satisfaction With Video Game Versus Traditional Self-Training of the Upper Extremity in People With Chronic Stroke: A Pilot Randomized Controlled Trial.

Am J Occup Ther 2019 Jan/Feb;73(1):7301205080p1-7301205080p14

Debbie Rand, PhD, OT, is Senior Lecturer and Chair, Department of Occupational Therapy, The Stanley Steyer School of Health Professions, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel;

Objective: We compared the feasibility of, adherence to, and satisfaction with a newly developed upper extremity (UE) self-training protocol using commercial video games with a traditional self-training program for people with chronic stroke.

Method: Twenty-four participants with mild to moderate UE weakness were randomized to a video game (n = 13) or traditional (n = 11) self-training program. Participants were requested to train 60 min/day, 6×/wk. Read More

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http://dx.doi.org/10.5014/ajot.2019.026799DOI Listing

Parents' Strategies to Support Mealtime Participation of Their Children With Autism Spectrum Disorder.

Am J Occup Ther 2019 Jan/Feb;73(1):7301205070p1-7301205070p10

Erin Bradley, MS, is Graduate Student, Occupational Therapy Program, Midwestern University, Downers Grove, IL.

Objective: We identified and described the strategies parents use to support the mealtime participation of their child with autism spectrum disorder (ASD).

Method: Twelve families with children with ASD (ages 2-7 yr) participated in videotaped mealtime observations. Qualitative content analysis was used to identify strategies families used to facilitate participation. Read More

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http://dx.doi.org/10.5014/ajot.2019.024612DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6402415PMC
March 2019
1 Read

Feasibility and Effects of the CO-OP Approach™ in Postconcussion Rehabilitation.

Am J Occup Ther 2019 Jan/Feb;73(1):7301205060p1-7301205060p11

Nick Reed, PhD, OT Reg. (Ont.), is Senior Clinician Scientist and Codirector, Concussion Centre and Holland Chair in Acquired Brain Injury, Bloorview Research Institute, Holland Bloorview Kids Rehabilitation Hospital, Toronto, Ontario, Canada, and Associate Professor, Department of Occupational Science and Occupational Therapy and Rehabilitation Sciences Institute, University of Toronto, Toronto, Ontario, Canada.

Objective: We determined the feasibility and effects of the Cognitive Orientation to daily Occupational Performance (CO-OP) Approach on activity performance and satisfaction, symptoms, and mood of adolescents with persistent postconcussion symptoms.

Method: In a prospective case series, 3 participants with persistent symptoms 3 mo after concussion and difficulties resuming activities were taught to use a metacognitive strategy (Goal-Plan-Do-Check) to work toward occupation-based goals in a 7-wk intervention (10 sessions, 30-60 min each). Participants were assessed pre- and postintervention and at 3-mo follow-up. Read More

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http://dx.doi.org/10.5014/ajot.2019.027995DOI Listing
March 2019
9 Reads

Understanding Characteristics and Experiences of Drivers Using Vehicle Modifications.

Am J Occup Ther 2019 Jan/Feb;73(1):7301205050p1-7301205050p9

Natasha Kinsman, MND, is Research Assistant, Department of Public Health, College of Science, Health and Engineering, La Trobe University, Melbourne, Victoria, Australia.

Little is known about characteristics and driving patterns of drivers with physical disabilities who use vehicle modifications (VMs). We gathered information about, and from, drivers with disabilities who use VMs to better understand their needs and to inform current occupational therapy driver rehabilitation practice. A prospective descriptive cross-sectional analysis of 97 drivers with physical disabilities who used VMs identified that most participants were dependent on wheelchairs for personal mobility and that access to key destinations without independent driver mobility was difficult or impossible. Read More

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http://dx.doi.org/10.5014/ajot.2019.023721DOI Listing

Mindfulness-Based Yoga for Youth With Persistent Concussion: A Pilot Study.

Am J Occup Ther 2019 Jan/Feb;73(1):7301205040p1-7301205040p11

Nick Reed, MScOT, OT Reg. (Ont.), PhD, is Clinician Scientist and Occupational Therapist, Concussion Centre, Bloorview Research Institute, Holland Bloorview Kids Rehabilitation Hospital, Toronto, Ontario, Canada, and School of Graduate Studies Appointment, Rehabilitation Sciences Institute, and Associate Professor, Department of Occupational Science and Occupational Therapy, University of Toronto, Toronto, Ontario, Canada.

Objective: We explored the potential impact of mindfulness-based yoga (MBY) for youth with persistent concussion by examining occupation-based and neurophysiological outcomes.

Method: In this case series design study, 6 youths ages 13-17 yr with concussion symptoms for >4 wk participated in an 8-wk MBY intervention, 1×/wk for 45 min. Participation, self-efficacy, and heart rate variability (24 hr) were collected before, after, and 3 mo after the intervention. Read More

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http://dx.doi.org/10.5014/ajot.2019.027672DOI Listing
March 2019
7 Reads

Development of a Questionnaire to Evaluate Out-of-Home Participation for People With Dementia.

Am J Occup Ther 2019 Jan/Feb;73(1):7301205030p1-7301205030p10

Louise Nygård, PhD, is Professor, Division of Occupational Therapy, Department of Neurobiology, Care Science and Society (NVS), Karolinska Institutet, Stockholm, Sweden.

Objective: We describe the development of a questionnaire, Participation in Activities and Places Outside Home (ACT-OUT), for older adults with cognitive impairment and align it to people with mild- to moderate-stage dementia.

Method: ACT-OUT was developed in a cross-cultural collaboration in combination with three rounds of cognitive interviews in Switzerland with 26 older adults without cognitive impairment and five older adults with dementia. Qualitative data from the interviews were analyzed using a constant comparison approach. Read More

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http://dx.doi.org/10.5014/ajot.2019.027144DOI Listing

Interventions to Address the Needs of Adults With Postconcussion Syndrome: A Systematic Review.

Am J Occup Ther 2019 Jan/Feb;73(1):7301205020p1-7301205020p12

Jeff D. Radel, PhD, is Associate Professor, Department of Occupational Therapy Education, School of Health Professions, University of Kansas Medical Center, Kansas City.

Postconcussion syndrome (PCS) affects physical, cognitive, and emotional functioning. Existing reviews of interventions to address PCS are limited to psychological and rehabilitation interventions and to child and adolescent populations. We conducted a systematic review integrating current evidence about interventions for adults with PCS. Read More

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http://ajot.aota.org/article.aspx?doi=10.5014/ajot.2019.0289
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http://dx.doi.org/10.5014/ajot.2019.028993DOI Listing
March 2019
10 Reads

Comparative Assessment of Two Robot-Assisted Therapies for the Upper Extremity in People With Chronic Stroke.

Am J Occup Ther 2019 Jan/Feb;73(1):7301205010p1-7301205010p9

Hsin-pei Yin, MD, is Attending Physician and Chair, Department of Physical Medicine and Rehabilitation, Lo-Sheng Sanatorium and Hospital, Ministry of Health and Welfare, Taoyuan County, Taiwan.

Objective: We investigated the effects on motor and daily function of robot-assisted therapies in people with chronic stroke using the Bi-Manu-Track (BMT) and InMotion 3.0 (IMT) compared with control treatment (CT).

Method: In this comparative efficacy trial, 30 participants were randomized to receive BMT, IMT, or CT. Read More

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http://dx.doi.org/10.5014/ajot.2019.022368DOI Listing
March 2019
2 Reads

Engaging Patient Stakeholders in Planning, Implementing, and Disseminating Occupational Therapy Research.

Am J Occup Ther 2019 Jan/Feb;73(1):7301090010p1-7301090010p9

Kristine Carandang, PhD, OTR/L, was PhD Candidate, Mrs. T. H. Chan Division of Occupational Science and Occupational Therapy, University of Southern California, Los Angeles, at the time of this work.

Patients are experts on their own lives and the ways in which an illness, injury, or disability affects their health, activity, and quality of life. With its longstanding foundations in participatory action research, patient engagement has been gaining momentum across health care and related research. This momentum is supported by investments from several key research and federal policy-related organizations, including the Patient-Centered Outcomes Research Institute, National Institutes of Health, and Agency for Healthcare Research and Quality. Read More

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http://dx.doi.org/10.5014/ajot.2019.731001DOI Listing
March 2019
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Expanding the Occupational Therapy Role to Support Transitions From Work to Retirement for People With Progressive Health Conditions.

Authors:
Cara L Brown

Am J Occup Ther 2018 Nov/Dec;72(6):7206347010p1-7206347010p5

Cara L. Brown, BMR (OT), MSc, is Instructor and PhD Candidate, Department of Occupational Therapy, College of Rehabilitation Sciences, University of Manitoba, Winnipeg, Manitoba, Canada;

Occupational therapists have an established and important role in helping people work while living with an illness or a disability. Although workplace accommodations and rehabilitation efforts can extend paid work for workers with progressive health conditions, the reality is that these populations often cease work earlier in the life trajectory than expected. Evidence suggests that transitioning out of paid work is difficult for people with disabilities. Read More

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http://dx.doi.org/10.5014/ajot.2018.028407DOI Listing
February 2019
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Within-Session Practice Effects in the Jebsen Hand Function Test (JHFT).

Am J Occup Ther 2018 Nov/Dec;72(6):7206345010p1-7206345010p5

Jill C. Stewart, PhD, PT, is Assistant Professor, Physical Therapy Program, Department of Exercise Science, University of South Carolina, Columbia.

The Jebsen Hand Function Test (JHFT) is a standardized assessment that has been used as a clinical outcome measure. To appropriately interpret the effects of an intervention on hand function (as measured by the JHFT), the extent to which this instrument shows significant practice effects must be quantified. The purpose of this study was to determine whether the JHFT is susceptible to within-session practice effects. Read More

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http://dx.doi.org/10.5014/ajot.2018.024745DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6231700PMC
February 2019

Embracing Cultural Diversity: Meaningful Engagement for Older Adults With Advanced Dementia in a Residential Care Setting.

Am J Occup Ther 2018 Nov/Dec;72(6):7206205090p1-7206205090p8

Helen Buchanan, BSc(OT), MSc(OT), PhD, is Associate Professor, Department of Health and Rehabilitation Sciences, Division of Occupational Therapy, University of Cape Town, Cape Town, South Africa;

Providing person-centered care (PCC) that focuses on meaningful engagement in residential care settings for older adults with moderate to advanced dementia is an internationally recognized challenge. In this study, we aimed to identify best-practice scenarios for supporting older adults with moderate to advanced dementia from culturally and linguistically diverse backgrounds who lived in care facilities. A mixed-methods study with a concurrent triangulation strategy was adopted. Read More

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http://dx.doi.org/10.5014/ajot.2018.027292DOI Listing
February 2019

Wrist Plane of Motion and Range During Daily Activities.

Am J Occup Ther 2018 Nov/Dec;72(6):7206205080p1-7206205080p10

Sigal Portnoy, PhD, is Lecturer, Department of Occupational Therapy, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.

Objective: The dart-throwing motion (DTM) is a multiplane wrist motion that is needed for many daily occupations. Mobilization along the DTM plane may be essential for rehabilitation after wrist injury, but DTM angles are reported for the dominant hand alone, so their relevance to injury in the nondominant hand cannot be surmised. The aim of this study was to quantify the DTM plane angles for both hands during different activities of daily living (ADLs). Read More

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http://dx.doi.org/10.5014/ajot.2018.026997DOI Listing
February 2019
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Parallel-Forms Reliability and Clinical Utility of an Application Version of the Activity Card Sort Australia (18-64).

Am J Occup Ther 2018 Nov/Dec;72(6):7206205070p1-7206205070p8

David Ireland, BEng, MPhil, PhD, is Research Scientist, Australian Ehealth Research Centre, Commonwealth Scientific and Industrial Research Organisation, Brisbane, Queensland, Australia.

Objective: This study examined the parallel-forms reliability of a web application (app) of the Activity Card Sort Australia for adults ages 18-64 and assessed its clinical utility.

Method: Forty-eight participants completed the app and card versions of the tool within a 2- to 3-wk interval and provided feedback via a purpose-designed survey. Intraclass correlation analysis tested parallel-forms reliability. Read More

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http://dx.doi.org/10.5014/ajot.2018.028688DOI Listing

Measuring Social Communication in the Community: Novel Tools for Advancing Family Participation.

Am J Occup Ther 2018 Nov/Dec;72(6):7206205060p1-7206205060p7

Lauren M. Little, PhD, OTR/L, is Assistant Professor, Department of Occupational Therapy, College of Health Sciences, Rush University, Chicago.

Natural contexts and family involvement are key features of effective intervention approaches. However, the measurement of community participation and parent engagement with children remains complex. Therefore, we examined the feasibility of combining use of the Language ENvironment Analysis (LENA) system and a global positioning system (GPS; i. Read More

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http://dx.doi.org/10.5014/ajot.2018.026310DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6231701PMC

Cognitive Contributors to Multiple Errands Test (MET) Performance.

Am J Occup Ther 2018 Nov/Dec;72(6):7206205050p1-7206205050p7

Deirdre R. Dawson, PhD, OT Reg. (Ont.), is Associate Professor, Department of Occupational Science and Occupational Therapy and Rehabilitation Sciences Institute, University of Toronto, Toronto, Ontario, Canada, and Senior Scientist, Rotman Research Institute, Baycrest Health Sciences, Toronto, Ontario, Canada;

Objective: The Multiple Errands Test (MET) was designed to measure the effect of executive dysfunction on everyday life activities, but little is known about the cognitive requirements for successful performance. This study's objective was to investigate cognitive functions associated with successful MET performance, specifically, the Baycrest-MET.

Method: Correlation analysis examined relationships between Baycrest-MET performance and neuropsychological functioning in participants with acquired brain injury (ABI; N = 27). Read More

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http://dx.doi.org/10.5014/ajot.2018.025049DOI Listing
March 2019
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Graphical Product Quality and Muscle Activity in Children With Mild Disabilities Drawing on a Horizontally or Vertically Oriented Tablet.

Am J Occup Ther 2018 Nov/Dec;72(6):7206205040p1-7206205040p7

Jason Friedman, PhD, is Senior Lecturer, Department of Physical Therapy, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.

Objective: We compared performance level and muscle activity patterns during shape copying and tracing in two positions, while sitting at a desk and while standing in front of a wall, between typically developing (TD) preschool children and children with mild disabilities (MD).

Method: Twenty-two TD children (8 boys, 14 girls; mean [M] age = 5.2 yr, standard deviation [SD] = 0. Read More

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http://dx.doi.org/10.5014/ajot.2018.027532DOI Listing

Behavioral Activation Approach to Parent Training: Feasibility of Promoting Routines of Exploration and Play During Mealtime (Mealtime PREP).

Am J Occup Ther 2018 Nov/Dec;72(6):7206205030p1-7206205030p8

Roxanna M. Bendixen, PhD, OTR/L, is Assistant Professor, Department of Occupational Therapy, University of Pittsburgh, Pittsburgh, PA.

Objective: Systematic approaches are needed to help parents with young children adopt healthy routines. This study examined the feasibility (home data collection, protocol adherence, intervention acceptance) of using a behavioral activation (BA) approach to train parents of children with sensory food aversions.

Method: Parents of young children (18-36 mo) were trained using the novel Promoting Routines of Exploration and Play During Mealtime intervention. Read More

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http://dx.doi.org/10.5014/ajot.2018.028365DOI Listing

Perception of Aversive Auditory Stimuli Is Different in Sensory Modulation Disorder and Attention Deficit Hyperactivity Disorder.

Am J Occup Ther 2018 Nov/Dec;72(6):7206205020p1-7206205020p8

Yoram Bonneh, PhD, is Visiting Scientist, Department of Optometry and Vision Science, Bar-Ilan University, Tel Aviv, Israel.

This study examined whether sensory modulation disorder-sensory overresponsivity (SMD-SOR) and attention deficit hyperactivity disorder (ADHD) have a significant effect on the perception of aversive auditory stimuli. Participants were 66 young adult women. The diagnosis of SOR was made using the Sensory Responsiveness Questionnaire, and ADHD was diagnosed by a qualified psychiatrist or neurologist using criteria from the Diagnostic and Statistical Manual of Mental Disorders (4th ed. Read More

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http://dx.doi.org/10.5014/ajot.2018.022327DOI Listing
March 2019
1 Read

Effectiveness of Modified Constraint-Induced Movement Therapy Compared With Bimanual Therapy Home Programs for Infants With Hemiplegia: A Randomized Controlled Trial.

Am J Occup Ther 2018 Nov/Dec;72(6):7206205010p1-7206205010p9

Varda Gross-Tsur, PhD, MD, is Professor of Pediatrics, Neuropediatric Unit, Department of Pediatrics, Shaare Zedek Medical Center, Jerusalem, Israel, and the Hebrew University of Jerusalem, Jerusalem, Israel.

Objective: We examined the effectiveness of modified constraint-induced movement therapy (mCIMT) in treating infants with hemiplegic cerebral palsy and compared therapy outcomes with a nonconstraining bimanual therapy (BIM) of equal intensity.

Method: In a single-blinded randomized controlled trial, 33 infants with hemiplegia (mean corrected age = 11.1 mo, standard deviation = 2. Read More

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http://dx.doi.org/10.5014/ajot.2018.025981DOI Listing
March 2019
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Neurocognitive Rehabilitation: Skills or Strategies?

Am J Occup Ther 2018 Nov/Dec;72(6):7206150010p1-7206150010p16

Gordon Muir Giles, PhD, OTR/L, FAOTA, is Professor, Samuel Merritt University, Oakland, CA, and Director of Neurobehavioral Services, Crestwood Treatment Center, Fremont, CA;

The author describes personal and professional milestones in becoming an occupational therapist and his early experience in the first behavior disorder program for neurologically based aggression in the world. A real clinical example is used to bring these early lessons into vivid focus. New evidence underlines occupational therapists' unique role in skill-habit training in clients with severe neurological impairment. Read More

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http://ajot.aota.org/article.aspx?doi=10.5014/ajot.2018.7260
Publisher Site
http://dx.doi.org/10.5014/ajot.2018.726001DOI Listing
March 2019
2 Reads