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Concussion can cause changes in emotion and functioning. Symptoms, whether resolving in a few days or persisting for months, can disrupt academic life, causing disengagement or poor performance. Lingering symptoms, impact on quality of life and academics, and coping strategies utilized by students in the management of concussion will be identified. The potential role of OT faculty as consultants to the Office of Disabilities for environmental adaptations to optimize engagement is discussed.
The Australian OT academic workforce has been impacted by an increased number of education programs and student enrollment. Only half have a PhD or professional doctorate, and there is only a small number in academic leadership. Most academics were motivated to become academics to teach students. Job satisfaction was influenced negatively by the number of years in current position, particularly dissatisfaction with pay, operating conditions, and promotion opportunities.
Transition Age Youth with Epilepsy (TAYWE) struggle to gain the skills necessary to effectively manage self-care routines. A mobile health system may be an effective means of providing remote support and increasing self-management skills, while providing caregivers with the ability to monitor health status and activities. This presentation shares the qualitative results gathered via focus groups from both TAYWE and their caregivers to help design an innovative mHealth system to support their needs.
This study presents a qualitative study examining the common treatment interventions used in the treatment of pediatric feeding therapy disorders. The study uses a phenomenological tradition to identify four themes that emerged in defining treatment interventions and evaluating success of interventions from the perspective of the therapist.
Due to societal changes in the paternal role affecting family dynamic, it is imperative for OTs to explore and understand the role fathers have in relations with their child, especially in joint play. OTs are involved in supporting children’s development and can incorporate fathers in promoting joint play by assessing the type and quality of the support they provide to their child as well as its effect on the child’s behavior.
This systematic review evaluates the effectiveness of intervention at improving dietary intake in children with autism. Overall, limited to moderate evidence supported behavior modification and desensitization practices within interdisciplinary feeding teams to increase food variety directed at improving dietary status. The impact of intervention on a child’s dietary status in addition to feeding behaviors should be considered when working with children with autism and feeding challenges.
Culture plays an important role in daily life and is expressed in family and educational values and practices. This study examined the impact of culture and gender on children’s participation in preschool activities. One hundred twenty children from two subcultural groups were observed. A significant gender and culture interaction effect was found in play and social areas. These findings suggest that cultural values may influence gender expectations, as well as children’s participation in daily activities.
This research studied a developmental and relationship-based intervention that provided parents with the capacity to co-regulate their toddlers and support their development of empathy. This intervention was provided to mothers who have adopted toddlers with a history of substance exposure or neonatal abstinence syndrome (NAS). As rates of children with substance exposure and NAS increase, OTs will find interventions such as this one useful and effective in helping these children and their families.
The OT project used a mixed design to determine the impact of consultation OT services in a faith-based preschool. Teachers were educated on motor-skill development and methods to create motor opportunities within classroom routines. Postproject, teachers indicated improved confidence to incorporate motor activities into preschool routines. The project identified that community-based preschools should be an area of focus for OT practitioners.
This is a case study of a seven year old attending sessions once a week for six weeks with play in a nonpreferred wet food item followed by the presentation of the same wet food for eating using the Sequential Oral Sensory (SOS) approach. Data was collected by coding the SOS hierarchy steps, and results showed the child increased the variety of novel foods in the diet, decreased negative behaviors at mealtime, and accepted the nonpreferred wet food at home closer to the times of direct intervention.
Observations were completed in six kindergarten classrooms on two separate days to determine the time kindergarten children spend on fine motor and handwriting activities. The results found that children spent 29.67% of the time engaged in fine motor activities (academic and nonacademic), of which 30.75% of the time was spent in handwriting activities. The kindergarteners spent 12.29% of the total observed time engaging in handwriting activities.
Infants who sustain brachial plexus injury are at risk for neuromuscular and sensibility deficits contributing to prehensile dysfunction. OTs practicing in early intervention often have limited resources available to improve muscle activation. Yet our experimental program offers a solution, since infant-initiated muscle activation or arm movement will trigger a toy to move, reinforcing them to move again. If done repeatedly, this program could contribute to their recovery.
Interactive technology is becoming increasingly relevant and more widely used in elementary schools and various treatment settings as 21st-century learning continues to evolve. This session will demonstrate how OTs can use their expertise in fine-motor development to develop Tier 1 supports that utilize a combination of interactive technology and traditional fine-motor activities to help children develop fine-motor skills while keeping up with the 21st-century learning model.
The purpose of this study was to examine the impact of nature-based interventions on physiological and emotional responses in at-risk preadolescent youth. Preliminary results indicate a decrease in resting heart rate and an increase in positive emotional states following the interventions. Inclusion of nature-based activities in OT interventions for at-risk youth can contribute to advancements in occupational justice and engagement for this population.
College students with disabilities have poorer retention and graduation rates than their peers without disabilities. The academic success of college students with disabilities can be enhanced by the provision of specialized academic supports. A coaching intervention provided by OTs allowed college students with disabilities to meet 66% of their self-identified academic goals. The students clearly articulated the benefits of this intervention to their success.
This quantitative research explored the impact of an occupation-based transition to college program for young adults with autism (n = 13). It consisted of seven 45-minute sessions held once per week. Eight out of 13 participants demonstrated improved confidence as a future college student. Participants showed similarities in making the decision to apply to and attend college. Practitioners are encouraged to research the impact of programming to support individuals during the transition process.
Adults with DCD only or DCD with co-occurrence reported significantly lower success in past (late adolescent) social relationships, compared to typically developing adults. Yet in adulthood, the DCD-only group did not differ significantly from the typically developing group in social relationships. Adults with DCD appear to have more positive social experiences than they did in adolescence. The results suggest a unique contribution of different patterns of neurodevelopmental co-occurrence with DCD in adulthood.
Community participation promotes quality of life and transition to adulthood for adolescents with ASD. This study describes community participation and environmental barriers to and supports of adolescents with ASD compared to typically developing peers using the Participation and Environment Measure—Children and Youth. Results can inform intervention, resource allocation, and policy decisions to best meet the needs of adolescents with ASD.
The ParentShip protocol is a multidimensional intervention for parents of adolescents with high-functioning autism spectrum disorder. Results from a pilot study display a significant improvement in adolescents’ participation and heightened parental resilience. Preliminary feasibility supports ParentShip as a strength-based family-centered intervention program. OT practitioners can benefit from this structured protocol, which enables parents to achieve their prioritized goals.
Despite the increasing number of adults aging with intellectual disabilities and dementia, there is limited research that examines this group’s lived experience, specifically considering participation in meaningful activities and tasks across various environments. This study aims to improve understandings of the impact of the environment on participation for this population and inform development of effective supports and services.
This mixed-methods study utilized quantitative and qualitative data, with a constant comparative and simple thematic analysis, to describe current sexual-health-education practices for individuals with IDD, as well as to identify the gaps, barriers, and recommendations for sexual-health education. The results of this study indicate the need for a collaborative approach to providing sexual-health information and describe OT’s role.
OTs often struggle to target toilet training in interventions, as there is currently no verifiable means to measure progress of the tasks associated with mastering the activities of daily living of toileting and toilet hygiene. This makes the pragmatics of reimbursement and goal writing difficult for many therapists. The purpose of this study is to validate an instrument that measures the developmental progression of toilet-training skills among children with autism spectrum disorder ages two to six years old.
Sleep is a vital occupation supporting health and well-being for all persons across the life span. This study examined the experience of sleep for families of young adult children with ASD through a qualitative phenomenological approach. Results revealed that family life revolves around the needs of the young adult child with autism. While the pervasive influence of autism on everyday family life has been established, this study was the first to unveil persistence during the occupation of sleep.
The purpose of this study was to explore caregivers’ experiences and current practices while transporting children with ASD. Statistically significant findings suggest a correlation between caregivers limiting travel distance or participation in activities when transporting a child with ASD who displays behavioral safety concerns. This suggests that caregivers of children with ASD are more likely to experience decreased occupational participation.
This study examined the impact of AT paired with individualized support on occupational engagement in higher education (HE). Findings indicate that individualized support paired with AT use increases self-efficacy and continued engagement with AT. This data shows that individualized support by an OT paired with AT may decrease AT abandonment and enhance academic occupational engagement in HE, specifically in self-reported academic performance and satisfaction.
This project identifies the importance of having advanced training for administration of assessments to have accurate and reliable results. With the identified gap in training for the ARAT assessment, a training program was created and tested pre- and posttraining with 15 participants. The interrater reliability results indicated that posttraining scores had greater accuracy in scoring. These results indicate a positive effect on accuracy of assessments with the application of training.
The positive impact of occupation and well-being has been documented throughout the literature, however, the direct link of using OBP and improvement of client outcomes has not been well established. This research study considered what OBP is, what the constructs are that comprise it, and how facilitators and barriers impact its use. Four main constructs of OBP were discovered, as well as the theory of OT’s dynamic use of OBP.
The objective of this study was to develop and test the acceptability and usability of a mobile application directory of OTs who provide home modifications in the United States. Preliminary results show the mobile application demonstrates good preliminary acceptability and usability to OTs. The mobile application shows promise as a new tool to help increase access to home modification interventions provided by OTs.
The area of OT has been extended to preventive approaches from rehab. With regard to the increasing aging population, health professionals are trying to find effective approaches to maintaining and enhancing the health of healthy older adults. Although the concept of OB has a potential for preventive intervention, little is known about the scientific relationship between OB and health-related variables in older adults.
Prison-reform initiatives are expected to increase the number of released inmates. There are few OTs working in this setting, and the number of practitioners considering employment in this setting is unknown. Two research studies will be presented related to this issue. Both are first steps toward understanding the attitudes of those in our profession about rehabilitation of inmates as well as factors associated with willingness to work in the prison system.
Falling is the second leading cause of unintentional injury leading to death or reduced mobility and independence in older adults. Age, gender, and cognitive decline are established risk factors for falls in older adults. This study examined risk factors specific to older adults with neurocognitive disorders and found complex medication regime, type of living situation, mobility impairments, use of gait devices, and type of leisure activities were associated with an increase in falls.
The study examined Medicare quality-measure data to determine the amount of rehabilitation services needed (e.g., therapy intensity and the length of stay) to maximize the improvement in self-care skills for older adults with an orthopedic hip condition in skilled-nursing facilities. Findings of the study can serve as a reference for OTs to plan intervention and justify the resources necessary to increase clients’ independence.
Due to an anticipated increase in the older adult population, a survey research design was used to compare quality of life of older adults who live at home and are active in the community versus those who live in a long-term care facility. Data indicates that older adults who age in place and are active in the community report a higher quality of life. Additionally, socioeconomic status is a predictor of quality of life. The results of this study provide insight in gearing direction to care for older adults.
Using big data visual analytics and a total of 86,887 readmitted Medicare beneficiaries living with stroke, a number of biclusters consisting of patient subgroups and their co-occurring multiple chronic comorbidities were determined. This technique informed a multimorbidity self-management program to support patients managing their health after stroke.
In PD, cognitive impairments are seen in 40 to 80% of people, which affects their occupational performance. Studies indicate that dance has effects on cognition, thus this review was conducted to investigate the effectiveness of dance on cognition in PD. Seven studies were identified for review. Several dance forms were used, with tango the most common. Results suggest that dance can improve aspects of cognition, including memory, attention, and executive functions.
Weakness of the affected UE is common poststroke. However, it is important to be aware that the less-affected UE is also mildly affected poststroke. In this longitudinal study, we revealed that the motor and functional ability of the less-affected UE improved significantly during the first six months poststroke. The impact of this UE on bilateral functioning needs to be further investigated.
The goal of the study was to evaluate the long-term implications of breast cancer on upper-extremity function, participation, and perceived quality of life among Israeli women and to examine the utilization of OT services in the rehabilitation process. The study included two steps: (1) an online survey and (2) face-to-face in-depth evaluation. Women with breast cancer reported a wide range of impairments that are within the domain of OT, but only a small minority received OT services.
People with poststroke aphasia typically experience poorer outcomes than those with stroke without aphasia. OT students in an SRSC complete training designed to minimize communication barriers and improve care for persons with aphasia. Outcomes in the SRSC were compared between clients with (n = 6) and without poststroke aphasia (n = 13). Data analyses indicated that the two groups made similar progress, suggesting that comparable care was delivered.
Through qualitative synthesis of findings from 10 grounded-theory studies on perceptions of QOL of engaged patients with chronic conditions, the authors propose the theory of occupational autonomy, which defines QOL as one’s ability to participate in one’s valued, desired, or chosen occupations, providing powerful support for AOTA’s Vision 2025, which stresses OT’s role in maximizing “health, well-being, and QOL for all people, populations, and communities. ”
OTs are uniquely qualified to address mental-health needs and functional implications. A pilot wellness program co-led by integrative health and therapists utilized breath management, visualization, mindfulness, and cognitive behavioral methods to promote healthy coping mechanisms. It was developed as an adjunct therapy and a nonpharmacological modality to enhance quality of life and promote a safe transition to community for adult patients on an acute rehabilitation unit.
The purpose of this phenomenological study was to gain insight into the caregiver stress experience when assisting with activities of daily living (ADL) for a person with a stroke. Caregivers reported physical and emotional or psychological stressors related to providing ADL assistance during the occupation of caregiving and requested more support at home. OT practitioners are uniquely suited to address the support needs of caregivers and have the potential to make a positive impact on their lives.
In this study, fMRI was evaluated as a predictor of individual response to a rehabilitation program. Initial functional connectivity (FC) and acute change in FC after the first therapy session were associated with change in upper-extremity motor function from baseline to one-month follow-up after six-weeks of therapy. This result encourages a large study to examine if fMRI FC is predictive of patients’ responsiveness to an intervention, thus promoting individualized treatment.
Ninety percent of OTs use sensory-based interventions to manage sensory-processing disorder (SPD) in school settings (Ahn et al., 2004). Although sensory diets, a sensory-based intervention, are widely used in school-based settings to manage SPD, the current evidence on sensory diets is sparse (Case-Smith et al., 2015). This topic discusses the results of this study, which investigated the effectiveness of sensory diets on children’s classroom behaviors.
The BRIDGE program is presented to “bridge” the social needs of children with sensory-processing and integration challenges by providing services in dyads, triads, or quartets. This 12-session program focused on six themes: whole body listening, personal space, turn-taking, trading objects or toys, listening and communicating personal ideas, and sportsmanship. Data suggest an improvement in social skills as well as a reduction in the impact of the child’s behavior on the activities of the family.
The 2011 Survey of Pathways to Diagnosis and Services includes 15 sensory items that could inform tailored therapeutic interventions established by OTs. However, these items have not been validated as a measure. Based on psychometric analyses, this study concluded that all 15 items were adequately explained by the general sensory factor and one of four sensory factors: (1) sensory seeking; (2) sensory avoidant; (3) disorganized/overreactive; and (4) repetitive behaviors.
This single group pre- and posttest study explored the impact of OT intervention on sedentary behavior among office workers. Statistically significant improvement was noted for energy and fatigue, emotional well-being, subjective sleep, and calories burned (p < 0.05). OT practitioners can utilize holistic ergonomic interventions and client-centered goals to reduce sedentary behavior and improve occupational performance among office workers.
RTW is an essential target for many stroke survivors. As yet, the prevalence of RTW poststroke in developing countries such as Jordan is unknown. Additionally, more research is required to identify factors that contribute to RTW poststroke. This study aims to: (1) determine the prevalence of RTW among stroke survivors in Jordan, and (2) determine the predictors of RTW from a holistic perspective using the Occupational Therapy Practice Framework (OTPF), 3rd edition.
This project explores the impact of a service-learning pilot program, LEGO club, on OT and speech-language pathology graduate students’ self-efficacy in clinical and interpersonal collaboration skills. Students facilitated weekly LEGO club sessions with pediatric clients with and without social-skills deficits and reflected on their professional growth throughout the program.
Effective education is situated in the local culture and context; however, it is not known how OT educators create a curriculum that is responsive to the local culture and context. This ethnographic case study demonstrated that educators responded to local cultural and contextual factors and student-learning needs specific to the Caribbean by using localizing strategies. Localizing strategies were processes and approaches that made the curriculum relevant to the local community.
Identifying children’s conduct problems is helpful for clinicians planning further intervention. We have developed the comprehensive COPS and established its expert validity. This study aimed to establish its construct validity and Rasch reliability. After analysis, the remaining 23 items were unidimensional and had high Rasch reliability. Thus, clinicians can administer the COPS to accurately and precisely assess children’s conduct problems.
Peer-mediated interventions are effective for children with ASD. We investigated the difference in play performance of 68 children with ASD playing with a sibling versus a nonsibling peer. Test of Playfulness scores were significantly higher with a nonsibling play partner. Two social items explained much of the difference: "support of playmate" and "response to play cues," indicating these need to be a focus of intervention for sibling dyads.
Maternal supportive behavior and self-reflection are essential for healthy and sustained relationships with a child. It is imperative for OTs to be able to identify differences in how mothers support their children in joint play, as well as how they perceive these experiences. This study describes three case studies that illustrate differences and a possible relationship between how mothers support their children during joint play and each mother’s reflective capacity.
Individuals with ASD frequently have difficulty with executive function (EF) and fitness. EF contributes to success in school and work and allows people to manage the stresses of and barriers to daily life activities. Participation in a daily physical exercise program significantly improved executive function and fitness among adolescents with ASD, suggesting the importance of developing, enabling, and supporting daily physical activity programs in school practice.
The purpose of this study was to determine the average change score on the VMI that would represent a clinically important change in functional skills. Anchor-based methods were used to compare VMI change scores to Likert scale ratings of children’s performance in fine-motor tasks, handwriting, and activities of daily living. Results indicated that children with improvements in functional skills had VMI scores that declined. These findings question the utility of VMI scores as indicators of progress in children.
This study presents the relationships between different types of feeding challenges for children with ASD to specific sensory patterns, parenting stress, and overall adaptive behaviors. The findings of this study suggest children with ASD demonstrate unique patterns of feeding challenges and sensory responses that are significantly connected to parenting stress and adaptive behavior and can inform the development of targeted family-centered feeding interventions.
The requirements for handwriting continue to increase for children entering kindergarten. There is a general lack of consensus on a quantitative measure of handwriting, specifically in the preschool age group. Just Write! is a tool written by the researchers to measure functional handwriting and is showing promising results in the initial standardization phase. Participants will gain an understanding of the need for this tool as well as the current actions being taken to standardize the tool.
This qualitative research study sought to understand the knowledge of school personnel concerning adolescent drug use and the role of OT in school-based drug prevention. Understanding of the role of OT was gathered, and facilitators of and barriers to school-based prevention were identified. Results of this study can be used to increase knowledge of OT among school personnel and articulate OT’s distinct value in school systems, particularly regarding drug-prevention programs.
Children with FASD experience self-regulation deficits. This study identified the effects of the Alert Program on children with FASD. All participants had sensory, emotional, and behavioral regulation deficits identified by the Behavior Rating Inventory of Executive Function 2 (BRIEF 2) and Sensory Profile 2. Results on the BRIEF 2 were both clinically and statistically significant with a specific increase in behavioral and emotional regulation skills.
The purpose of this study was to investigate both teacher and parent perspectives on services provided to and needs of children with ADHD. Through this research, we explored perceived needs, current services implemented, the effectiveness of current strategies, and resource and educational needs of teachers and parents. The research identified gaps in services and education from both the teacher and parent perspectives that align with the services that can be readily provided by an OT.
AOTA’s position statement, Vision 2025, promotes OT practitioners working within family systems (AOTA, 2017; Somers, 2016). OT practitioners can minimize the adverse effects of sibling aggression to prevent injuries and promote healthy child development (AOTA, 2017). Education about sibling aggression in OT programs and continuing education, the level of education, and years of experience predicted OT practitioners’ confidence to address sibling aggression with the families that they serve.
Inclusive community programs can have effects on the children who participate in them, their parents, and the community. This qualitative study analyzed the characteristics of an inclusive musical theater program, DreamCatchers, and the evolving of the behaviors and mind-sets of the children and their parents. This program had an overall positive effect on the children’s behaviors and creation of friendships, parents’ perceptions of their children’s abilities, and community perspective on disability.
Successful occupational and role performance for students with LD or ADHD can be fostered through the incorporation or strengthening of a broad range of skills and attributes. Seventeen skills and attributes used by undergraduates with LD or ADHD across six contexts and environments of young adulthood are delineated. Findings provide anticipatory guidance for OTs working with adolescents and inform the creation or improvement of interventions.
The study’s findings highlight common themes that emerged from pediatric OTs’ experiences using mobile apps for promoting children’s developmental skills. The findings are important to the science of mobile technology development and aid in understanding the ways in which mobile technology can be designed and used to support OTs to better enhance children’s development.
Transmission of Zika virus from a mother to an infant results in a spectrum of mild to severe deficits. Using a rhesus macaque model, the impact of Zika on gait development was examined using the Noldus Catwalk XT. Infants exposed to the Zika virus in utero, compared to control animals, used a less mature gait over the first month of life, specifically related to their use of diagonal walking patterns.
The purpose is to begin to address the lack of consistent guidelines for when and how families should begin to introduce complementary foods for children with Down syndrome. Semistructured interviews with 22 parents and 8 primary-care physicians were conducted and analyzed. Results indicated no formal guidelines exist for this realm, and yet, 17 of 22 children with Down syndrome have experienced some level of feeding difficulty. Guidelines for feeding progression for this population are needed to improve feeding outcomes.
OT can support adults with intellectual disabilities and autism, yet VM is under-utilized and under-researched by OT. This mixed-methods research revealed (1) quantitative results: with VM intervention, client performance increased while staff assistance decreased; and (2) qualitative themes from the client-lived experience: what worked, what could be changed, and where else VM could be used. Implications for OT include broadening the use of VM for ASD intervention.
Transition-age youth with intellectual and developmental disabilities experience key educational disparities when compared to peers without disabilities due to stigma regarding their abilities, a lack of opportunities, and a lack of adequate accommodations in higher education. This session presents survey data gathered to inform development of a postsecondary IHE program on a university campus and to define the role of OT in IHE.
This presentation will explore the meaning and importance of spirituality, as well as provide insight into the current landscape of spirituality in practice through the perspectives of OT practitioners across diverse settings.
A survey of OTs found participants used EBP less than once in the previous eight weeks. The most supportive factors of EBP use were doctoral-level education and high self-reflection behavior. Organizational factors of time, access to articles, and organizational support were marginally supportive. Future research should focus on exploring how self-reflection behavior acts as a support to EBP and the construction of models that integrate reflective practice with EBP in practice.
IS aims to bridge the research–practice gap and 17-year odyssey by utilizing IS theories, models, and frameworks. IS facilitates the identification of implementation-based strategies to promote rapidity and scalability of evidence-based practice. We mapped the IS theories, models, and frameworks included in OT published research.
This scoping review analyzed OT practice in justice-based systems as depicted in 140 sources appearing in publications between 1943 and early 2019. This analysis may inform students, practitioners, and researchers and support efforts defining a distinct role for OTs in justice-based systems. Results may help define competencies or practice guidelines or inform the development of practices and programs addressing the needs of individuals involved in the criminal justice system.
Racial bias is defined as the negative evaluation of a group and its members relative to another and can exist on explicit and implicit levels. This is an exploratory study to examine the presence of implicit and explicit racial bias among OT professionals across the United States. The results (n = 201) highlight the presence of implicit and explicit racial biases among OT professionals in the United States and the need for further education on racial bias.
DRF is one of the most common fractures. Distal radius fracture complications frequently occur and hinder effective hand use. A wide range of complications are often experienced, including pain, impaired range of motion (ROM), and reduced grip and pinch strength. This study intended to evaluate the functional recovery outcomes beyond six months post-DRF. Furthermore, it intended to investigate the possible associated factors that affect the functional recovery of the hand.
This scoping review identified that people with disabilities require capability-focused knowledge networks, actions, and advocacy to enable emergency preparedness. OTs are uniquely positioned to collaboratively address unmet emergency-preparedness support needs.
This study conducted a program evaluation survey of an equine-assisted activities and therapy (EAAT) program to gain a deeper understanding of participants’ experiences, thoughts, beliefs, and judgments about progress with occupational performance goals and overall satisfaction. Evidence obtained through this study can be used by stakeholders including OT practitioners to better understand possible benefits from participating in an EAAT program and inform future programming.
A community adaptive sports and recreation program promotes social, physical, and emotional health and well-being for people with disabilities. Since the program’s inception, many participants have voluntarily submitted letters and stories describing the program’s impact on their daily lives. This research qualitatively examined the significance of engagement in this program on participants’ health and well-being by analyzing their true lived experiences, expressed in their own words.
This phenomenological study examined the lived healthcare experiences of individuals with mental-health diagnoses. Study results describe the many challenges and barriers experienced by clients when navigating the system, impeding their health outcomes. Participants discussed the successful strategies they employ to improve their experiences. The unique role of OT when partnering with this population to enhance their health navigation and literacy skills will be discussed.
Functional literacy is the ability to interpret written words to carry out instrumental activities of daily living, including money and health management, public transportation use, and meal preparation. This study demonstrated that a functional literacy program, embedded in community-based daily activities, could enhance the occupational participation of a group of sheltered homeless adults. OT practitioners can address functional literacy in similar clients with poor literacy skills resulting from disability.
This study examined the impact of smartphone addiction on freshman college student grade point averages (GPAs). A correlational analysis examined the GPAs of 65 college students and compared it to their self-reported Smartphone Addiction Inventory scores. While there appears to be an association between increased addiction and decreased GPA, these were not statistically significant. These findings can help explore smartphone addiction and its impact on academic performance.
The prevalence of opioid abuse has increased dramatically in recent years. This is especially the case in rural segments of the United States. This study examined the depth of opioid abuse among clients of OTs in West Virginia. Results suggest a significant percentage come into contact with clients known to be or suspected of abusing opioids, but lack sufficient training in both recognizing the signs of substance abuse and providing clinical support or assistance.
Through an online survey of open-ended questions, this qualitative study explored coping strategies used by people with chronic pain who are gainfully employed. Participants were recruited via social media. Qualitative data was analyzed using grounded theory until saturation was reached. Multiple researchers and data collection from multiple sources ensured triangulation, rigor, and trustworthiness of data. This study informs OTs of coping strategies to help their pain patients remain employed.
Frailty can increase the likelihood of hospital readmission and the transition from home to assisted care, decrease life satisfaction, and reduce lifespan. This small study examined how perceptions of frailty of older adults changed when they participated in a six-part OT-led community education program. The repeated-measures analysis revealed a reduction in frailty-risk identification, improvement in walking speed, and increased grip strength for occupational engagement.
The study aimed to identify how past life experiences affect social participation among older adults residing in an assisted-living facility. Ten older adults residing in an assisted-living facility participated in semistructured interviews to share information on their experiences. The topic will advance the field of OT by providing practitioners with the ability to intertwine meaningful activities and life experiences of older adults to promote social participation.
As the need for education of caregivers for people with dementia increases, OT is well suited to fill the demand using an understanding of the whole person, need for meaningful occupation, and interaction with the environment. At this time, the contribution of OT is not well understood or sought after by families, physicians, and other practitioners. With evidence gained from validated research, the role of OT in dementia care is strengthened.
The Tile Tray is a new assessment of functional cognition for people with reduced hand function, based on the Recessed Tile Box of the Allen Diagnostic Module–2. This study compared the Tile Tray and the LACLS-5 in community-dwelling US elders. A moderate positive correlation between the two assessments was found overall and was strongest for participants who scored 5.0 or less on the Allen Cognitive Scale. Participants found the Tile Tray easier to manipulate by a three-to-one margin.
This Participatory Action Research aimed to increase the quality of life among community-dwelling adults through participation in a reflection-based problem-solving intervention. It explored the effects of group activity on functional mobility, social interactions, and emotional health in community-dwelling adults residing in subsidized housing. In a nine-week intervention, participants showed an 87% increase in functional movement scores on the TUG and social interactions.
The purpose of this study was to quantify active ROM required for individuals with rheumatoid arthritis using built-up spoons with electrogoniometry. Statistical analysis provided quantitative evidence supporting our hypothesis that using a built-up handle requires less active ROM for grasp. Clinical implications suggest that built-up handles may be used for other conditions with limited hand and wrist ROM, not just RA, increasing participation and independence in daily activities.
Lifestyle Redesign is a manualized OT intervention that has shown significant clinical benefits for people with chronic pain. This occupation-based intervention has been translated, adapted in French, and tested with French-Canadian patients in the context of the Canadian healthcare system.
Roger’s Diffusion of Innovation theory was used to examine the extent to which practitioners have adopted the use of constraint-induced or modified constraint-induced movement therapy, both well supported by research, into neurorehabilitation practice. Though perceived to be effective, few use either, even with eligible clients. Findings of this study provide insight into strategies that may increase consumer access to evidence-based practice to improve occupational performance and participation after stroke.
The decision-making processes of five long-standing caregivers of stroke survivors, when choosing to use community resources to manage their roles, were studied using qualitative methods supported by quantitative data. Prioritizing self-help, negotiating relationships, assessing the “fit ” of resources and supports, and navigating uncertainty were themes that influenced the decisions made by the caregivers. Strategic decisions made by caregivers can ease the burdens associated with this role.
Cancer is a chronic disease that impacts function, and OT can help these individuals re-engage in meaningful occupations. This exploratory study evaluated occupational performance challenges identified by women impacted by cancer and their relationship to demographics. Results showed that challenges were identified in all areas of occupation and that age, race, and medications did not impact occupational challenges, highlighting a need for OT to intervene in this population across demographics.
We completed a pilot study of an eight-week Merging Yoga and OT for Parkinson’s Disease program (MY-OT for PD). MY-OT for PD was a fall-risk self-management program that merged community-based yoga and group OT. Participants served as their own controls during the pilot study. During the intervention period (as compared to the control period), participants experienced reduced self-reported falls, improved fall management and prevention, and improved balance.
This study explored the feasibility of using wearable activity monitors in people with mild cognitive impairment and correlations between the activity monitor data and self-reported physical activity and functional measures.
The vaping epidemic continues to grow in the United States, reaching 2,000 cases, and is poorly understood. This poster will describe in a case-study format the efficacy of OT intervention for an adult patient with vaping-induced ARDS.
Neglect is a common impairment following stroke. Currently, there is a lack of evidence regarding the impact of neglect on performance of instrumental activities of daily living, participation, safety, perceived quality of life, and caregiver burden. This study examined the experience of living with poststroke neglect. These findings can help clinicians better understand the long-term needs of stroke survivors with neglect and the daily challenges they face.
Imperceptible vibratory stimulation of the wrist was evaluated as an adjunct to poststroke upper-extremity rehabilitation. Using stimulation during six-week task-practice therapy was feasible and safe. Promising improvement in function was retained at one-month follow-up. The improvement was greater than those reported in literature with similar therapy. This result encourages a large randomized controlled trial to examine the efficacy of using the stimulation during therapy in improving outcomes.
Although there are beneficial effects of person-centered goal-setting interventions for adults with chronic health conditions and disabilities, it has not been fully implemented in clinical practice. This study provides insights into current person-centered goal-setting interventions and future directions. A future person-centered goal-setting intervention should incorporate diverse intervention components that address all goal-setting phases and encourage clients’ engagement in goal-setting phases.
This study is exploring the functional outcomes of OT interventions that are used within an interdisciplinary team to rehabilitate clients who underwent elective joint-replacement surgeries. This systematic review supports the inclusion of OT services within an interdisciplinary team for elective joint-replacement surgery and shows evidence that OT can improve functional outcomes, well-being, and rate of recovery.
OTPs in four countries completed an online survey related to their perceptions, practices, and decision-making processes when using evidence to inform sensory-based interventions. This study examined OTPs’ awareness of sensory-based literature, knowledge base of existing evidence, and how evidence-based practice intervention skills were obtained. This session will discuss survey outcomes and the implications for future practice, as well as provide a current list of sensory-based evidence for participants.
OTs are obliged to adhere to evidence-based principles. This qualitative study investigated OTs’ choices to implement sensory-based therapies in the face of conflicting evidence related to these approaches. Primary motivations related to the sensory processing difficulties not being adequately addressed by other interventions. Passionate beliefs in the effectiveness of sensory-based therapies, grounded in a nontraditional hierarchy of evidence, were identified.
Healthcare professionals are vulnerable to stress overload and its manifestations. This study investigated the impact of MSC training on people working in healthcare. Overall self-compassion and subscale scores showed significant improvement. Participants indicated that self-compassion and positive mind states were integrated into their lives. OTs should integrate MSC as an intervention for their clients and themselves.
In today’s technology-based world, prolonged device use is common among college students. This quantitative study explores the effect of two weeks of mindfulness meditation on body awareness in college students. Based on preliminary data analysis, there is an increase in both mindfulness and body awareness in the target population. These current findings support the advancement of the profession, in that mindfulness meditation can maximize health, well-being, and quality of life for all people.
This project identified the leadership characteristics that master’s-level OT students demonstrate during their Level II fieldwork. Fieldwork educators reported that their students are effective communicators, show respect for employees, and respond to constructive criticism. Areas of improvement for the students include seeking out resources to drive action for change, taking risks by sharing new approaches, and taking on leadership roles by implementing new protocols.
A grounded theory study explored reflective practice experiences of OTs from a national survey. Findings indicated reflection was triggered by challenges to knowledge, communication, safety, and ethics. Depth of reflection was associated with critical analysis, engagement in EBP activities, and actions taken to change practice. Future research needs to investigate integration of reflective practice with EBP and to examine curricular and philosophical barriers to integration.
This grounded theory naturalistic study explores and analyzes the experiences of eight expert clinicians as they transitioned to academia during the first three years. Three themes (self, person, and place) and one meta-theme (cultural fit) emerged from over 13 hours of semistructured interviews. Using the information presented and the proposed model, new faculty experiences may assist educational institutions to successfully recruit and retain new full-time faculty members.
At the same time as technology advances, it is important to apply ICT-based intervention to the elderly before they enter a post-aged society. Most domestic studies on ICT are case studies or single-group pretest experiments, and few randomized controlled trials exist. Therefore, this study aims to identify the trend and effect of ICT-based interventions by systematically reviewing randomized controlled trials among studies published in foreign journals on ICT-based interventions for the elderly.
This study is to evaluate the effectiveness of digital learning environments as an approach to teach client-centered care and professional behaviors as measured by learning outcomes and influenced by learner satisfaction using a quasi-experimental quantitative research design. The information presented will encourage discussion and further exploration of the use of digital platforms to enhance critical professional skills as well as provide opportunities for remediation.
The NOMAS is a clinical tool commonly used to evaluate the oral-motor skills of neonates. This study is to examine its predictability in feeding performance using newly organized items. The results showed that in addition to the adjusted age and weight at observed feed, jaw depression and jaw initiation were the significant predictors for successful bottle feed. Participants will discuss implications of findings and the need for standardized assessment in neonate feeding.
The influence of infant equipment (walkers, jumpers, exersaucers, high chairs, etc.) use on early motor development is unclear. The results of this study suggest that greater use of equipment during infancy is related to fewer motor behaviors that represent developmentally important milestones. OT is well positioned to provide caregivers and their infants with resources to help establish habits and routines that support motor development through occupational engagement.
The purpose of this poster is to review two case reports highlighting the use of evidence-based practice, an interdisciplinary approach, and standardized assessments in maximizing motor recovery and measuring outcomes for pediatric patients with AFM.
This preliminary data analysis identifies a parent-empowerment strategy that may be important for encouraging children to try new foods. Parents who reported having clear rules and routines for their family demonstrated approximately nine times greater odds that their child would willingly try new foods. Educating parents to emphasize clear rules and routines, specifically during mealtimes, may create a predictable mealtime experience and allow children to feel comfortable exploring novel foods.
OTs can create systemic change and improve transition stakeholders’ understanding of OT’s role in postsecondary transition planning. Continuing education (CE) courses, seminars, and evidence-based modules can be strategically conducted to inform transition stakeholders about OT’s role in transition. The results of this research demonstrate that if CE opportunities are conducted in a systematic fashion, therapists and transition providers will embrace OT’s role in transition.
This study evaluated the feasibility, acceptability, and preliminary effects of PEM+, a web-based care-planning application that was designed with and for caregivers to help OTs enact family-centered and participation-focused care with children and families. Results indicate that PEM+ has potential as an innovative option for improving caregiver confidence when creating participation-focused care plans in OT.
This scoping review found 27 articles relating health literacy to EI. Analysis resulted in multiple themes, including a need for training to improve communication skills of EI providers, revision of written EI materials needed to increase effectiveness, and recommendations for making the EI system more accessible. Use of health-literacy principles by OT practitioners working in EI programs could improve access, utilization, and child outcomes for families.
College students with LD or ADHD face challenges related to managing evolving everyday life demands and LD- or ADHD-related symptomatology. This analysis delineates topics discussed in psychoeducational groups and the ways in which participants personalized the knowledge gained. Findings elucidate ways that personalized knowledge potentiates occupational performance for young people with LD or ADHD transitioning to adult roles.
This study investigated the impact of the Wolf School’s Immersion Model on school-age children with complex learning profiles in a special education program. We hypothesized that scores on the Social–Emotional Questionnaire (SEQ) and clinical measures will show significant improvement after attending the program. Significant gains were measured in multiple areas of social–emotional skill development using the Wolf School Immersion Model.
The relationships between COPM outcome scores and severity levels on the Gross Motor Function Classification System (GMFCS) and the Manual Ability Classification System (MACS)/Mini-Manual Ability Classification System (Mini-MACS) were examined. The findings may have meaningful impact in providing evidence for future research studies as well as best practices in OT services for individuals with cerebral palsy.
The purpose of this research study was to investigate home-program compliance of parents and caregivers of children receiving occupational, physical, and speech therapy in outpatient pediatric clinics following an educational program on Kleim’s tenets of neuroplasticity and the health belief model. Overall, parents and caregivers showed an increased understanding of neuroplasticity and its impact on home programming.
This phenomenological study sought to understand the perspectives of adolescents ages 16 to 21 with IDD who are transitioning out of an educational setting, as well as the perspectives of their parents. Results indicate that parents of adolescents with IDD do not feel adequately supported by the transition team. Themes related to team interaction, emotions, and communication will be discussed. Implications for the role of OT in successful transition will be shared.
We will share methods and lessons learned from engaging stakeholders in three US regions and connecting them nationally to build research capacity and partnerships. Research-capacity building is aimed at identifying stakeholder-driven priorities and outcomes in relation to organization-level OT interventions, how these interventions facilitate community participation, and ultimately impact health and well-being of individuals with intellectual and developmental disabilities.
This study examines sensory functions in children with ITW and establishes a framework to detect sensory differences underlying ITW. Our results showed that ITW is related to sensory-processing differences, particularly in the area of vestibular processing. A small number of participants also showed differences in tactile and proprioceptive processing. Identifying sensory functions that underpin toe walking will contribute to targeted treatments for ITW.
People with IDD and their caregivers have lacked the opportunity for meaningful research participation and the chance to be engaged partners in the research process. This capacity-building study collaborated with Special Olympics to develop a skilled community of stakeholders to participate in the development and evaluation of health outcomes for research.
Understanding the relationship between sensory and emotion processing is a vital concern for evidence-based practice in therapy for ASD. In an ASD sample, we observed a correlation between alexithymia, a hypo-responsive sensory profile, and reduced brain activity in an empathy-processing region during emotional face processing. This work offers insights for OTs to identify individuals who may benefit from sensory-based therapy for social-emotional processing.
Better awareness of peers with disabilities in the school system allows for a positive classroom environment and learning experience for all children. Increased awareness provides the possibility that school systems could modify their curricula to better suit individuals with disabilities. In the school system, OTs help children participate in their school activities, including socialization with peers.
Systems of support for adults with intellectual and developmental disabilities are moving from institutional, congregate-based settings to the community. Understanding a person’s unique strengths, hopes, and dreams for the future can help guide provision of community-based supports that align with their choices. Person-centered planning (PCP) is embraced by many state agencies across the United States. OTs have unique skill sets and can play a vital role in the PCP process.
A qualitative, phenomenological approach explored OTs’ perceptions of interprofessional collaboration in schools in the United States. Semistructured interviews with 11 participants from all US regions yielded five themes: collaboration is elusive, time is a barrier, administrative support is key, trust yields success, and collaboration is a personal choice. Implications include finding consistent language to define collaboration and the need for continuing education to adopt a collaborative model.
In our poster, we describe the experiences and meanings of international pro bono service work for OTs and OTAs, of which no published research exists. Semistructured interviews were done with eight people who had been on at least two trips. The EPP method of data analysis was done and summaries and themes across participants were generated. As OT expands globally, the results of our study can help increase understanding of how OTs practice as global citizens.
The purpose of this quantitative study was to assess if a four-month-long training and coaching program could improve interprofessional collaboration in a sample of 27 pairs of teachers and OTs. A paired-sample t-test found statistical significance between pre- and posttest scores, indicating improvement in communication, role perception, and conflict resolution. This study provides an effective training and coaching sequence to improve collaboration in school-based settings.
This research examined workplace factors that influence the delivery of OT services. Change, challenges, productivity, performance expectations, absenteeism, stress, quality, and service delivery were examined. The purpose of this research was to determine if and how the identified work-related factors help or hinder the optimal delivery of OT services. Managers could foster discussions about these factors with OT practitioners to enhance service delivery and quality.
We investigated whether using ADLs as a means of treatment in the home environment for six weeks could improve cognition and visual perception in patients with stroke. Twenty-four patients were randomized to receive home-based ADL and hospital-based traditional rehabilitation. Our findings showed that there was a statistically significant improvement and small effect size in visual perception. No significant improvement was found in cognition, but small effect size was noticed.
This is a randomized controlled trial (N = 37) in which individualized OT interventions were provided for three months to support caregiving challenges faced by caregivers of people with dementia. The interventions included illness education, training for safe transfers, medication and appointment organization, exercise methods, and more. These were effective in decreasing depression and mental fatigue and increasing confidence to provide for the next six months, despite the worsening cognitive status of their care recipients.
The aim of this broad qualitative study was to determine the utility and validity of the OCIA in mental-health settings. Thematic analysis of interviews reported themes of usefulness in clinical practice, suitable environments for tool use, educational use for students and healthcare professionals, training module revisions, and continual modifications.
This presentation introduces the concept of occupational resilience in occupational science. Drawing from study outcomes revealing enduring performance of music by refugees in challenging circumstances, authors posit that focusing on the talents, skills, and aspirations of individuals enables researchers to recognize successful performance of occupation amid challenges. To advance the debate regarding performance of occupations in problematic situations, occupational resilience is a vital new concept.
OT and spiritual-care staff supported a weekly group at accessible nature spaces over 12 weeks for forensic mental-health clients (n = 9) in Ontario, Canada. Outcomes were measured qualitatively consistent with interpretative phenomenological analysis. Themes highlighted freedom, connection to nature, unguarded reflection and relaxation, and strengthened human connections. Analysis of eco inputs in supporting mental-illness recovery has been limited; this study supports that conversation.
The Traditional Chinese version of the Revised Self-Efficacy Scale showed adequate goodness of fit when applied to schizophrenic patients in Taiwan. That means this scale can measure the subjective feelings of self-efficacy in schizophrenic people, specifically relating to their positive and negative symptoms and interpersonal deficits. Future studies would be suggested to apply the same validation method for this disease-specific self-efficacy scale in other cultures.
This qualitative study explored the self-efficacy of OTs who may treat students exposed to a school shooting as well as which perceived treatment strategies the practitioners may utilize that potentially affect the clients’ mental-health outcomes. The results indicate a need for future research exploring entry-level OT curriculum and the need to further explore different factors, such as years of experience in relation to self-efficacy and trauma.
This presentation reports outcomes of a program designed for adults with substance-abuse disorder living in supported housing. Interventions stressed practical competencies and building functional habits and routines, including self-directed goal setting, to support participants’ recovery and capacity to transition to independent community housing. Collaboration with case managers and housing specialists enhanced outcomes and simultaneously built evidence for the distinct value of OT interventions.
Three national surveys in the United States, China, and Korea were used to examine the social, contextual, and behavioral factors that influence health status across three Asian populations.
AVs may provide numerous societal benefits, including reducing road fatalities, improving participation, and providing equity of services to the medically at-risk and economically disadvantaged. However, societal benefits will not occur if individuals do not accept and adopt this technology. Therefore, the aim was to design a survey that would assess users’ perceptions of AVs. Although further validation is required, this survey may provide insight into users’ perceptions of AVs.
This study suggests that older adults in assisted living face a decline in meaningful leisure participation. OT practitioners can play a vital role in easing the transition into assisted living by ensuring that residents are still able to partake in their meaningful occupations, despite changes to their environment, social supports, or physical abilities. OT practitioners can also provide consultation to ensure that the activities offered meet the needs of the individuals and the community.
This study examined the differences between two groups of caregivers following a novel intervention. Caregivers who reported clinically significant change scores on the COPM satisfaction scale engaged in more social activities and made comments indicating they had moved beyond the burdens of caregiving than caregivers who did not. These findings suggest the importance of addressing caregivers’ social participation to possibly increase caregiver satisfaction and decrease burden.
An exploratory cross-sectional research design investigated group differences between family caregivers (FCGs) and people with dementia (PWD) in measures of fitness and cognition. Findings showed at least 40% of PWD performed below the threshold of functional mobility in every measure tested. At least 6.7% of FCGs performed below the threshold for functional mobility in five of the six measures. Despite being younger than 60 years old, FCGs still showed a risk for loss of functional mobility.
Falls are a costly, often preventable problem that increases with age. Community fall-prevention events provide an excellent route for community, student, and professional education. Community members reported high levels of satisfaction with the event (means 3.6 to 3.8 out of 4). Knowledge and awareness of community resources and the STEADI toolkit improved for both students and volunteer professionals. OT practitioners are ideally situated to help implement these events.
This ongoing interpretive descriptive study explores hand therapists’ perspectives and practice patterns relative to upper-extremity pain. As per preliminary findings, participants emphasized biological contributions to pain but also acknowledged psychological influences and articulated a functional approach. The findings highlight the need for additional discussion of the value and role of biopsychosocial approaches to pain that extend beyond chronic low-back pain to the upper extremity.
The lymphatics’ role in edema has been reported. It is unclear how this evidence translates into hand-therapy practice. Survey research explored edema education and management. Frequencies were examined using ChiSquare and Fisher’s Exact tests. Most OTs received edema education outside of academic programs, through on-the-job training, or through continuing education. OT educators can support bringing this knowledge into academic programs to help bridge science and clinical practice.
This research examined how client and healthcare factors affected UE outcomes. A quantitative study was conducted with consecutive sampling of more than 500 participants with UE conditions over an 18-month period. UE therapy outcomes were assessed every four weeks using GROC and QuickDASH scores, both of which improved significantly. This study can inform OT’s working with UE conditions about factors that can impact decisions regarding treatment planning and implementation.
In adults with first carpometacarpal degenerative joint disease, does a dynamic stabilization home exercise program (HEP) decrease pain and increase function more than a traditional HEP? Research is needed to assess if this approach will lead to greater function and less pain than the currently accepted approach. It is important for OTs to have a holistic approach that includes traditional joint protection, orthosis use, and self-management of HEPs.
This poster describes how the Medical Research Council’s process-evaluation guidelines were applied in a clinical trial undertaken to evaluate a complex intervention designed to reduce falls among full-time wheelchair or scooter users with MS. Preliminary process-evaluation findings relevant to implementation and mechanisms of impact based on post-intervention surveys and interview data from both participants and interventionists will be presented.
This study is the first to compare RSAs to other existing geographic tools to understand healthcare utilization for stroke. The study’s findings suggest RSAs are the relatively optimal tool in suburban and rural but not urban regions. Our findings provide OTs with information to better understand regional variations in health outcomes and rehabilitation-services provision for patients living with stroke.
This exploratory study found frailty and instrumental activities of daily living (IADL) performance worsen for head and neck cancer patients after radiation treatment. A moderate negative correlation was identified between frailty status and IADL performance. This conclusion indicates a need for OT services to address and reduce functional deficits in this population.
Tasks requiring intra- and interlimb coordination (ILC) can be difficult for persons with hemiparesis. Clinical tools are often not sensitive to small changes in ILC that can occur with recovery or rehabilitation. Our goal is to develop a quantitative measure of upper-extremity ILC and validate it against clinical tools. Future implementation of this sensor-based system would allow OTs to better quantify ILC in the community and home settings.
A major concern for upper-limb prosthesis users noted by prosthetists and OTs is rate of prosthesis rejection. The creation of the video program is one strategy to counteract this concern. The purpose of the program is to provide clients with an additional resource to learn and relearn how to complete daily tasks with their prosthesis. The program in place was designed to determine how effective and helpful the videos are for prosthesis users visiting Össur Touch Solutions.
Neglect is a common impairment following stroke. It is important that clinicians assess stroke survivors for neglect, but comprehensive assessment guidelines do not exist. This study provides evidence regarding the concurrent validity of behavioral and virtual reality neglect assessments. These findings can help clinicians select a valid, sensitive, and feasible assessment that can be used in clinical practice.
Despite the coexistence of sensory modulation disorder (SMD), anxiety, and altered interoceptive awareness (AIA) in adults, correlations between these constructs are limited in existing literature. This study examined a sample of over 150 typical adults and found moderate correlations between SMD, anxiety, AIA, and quality of life. Understanding correlations between these constructs may contribute to a better understanding of impact on occupations and more efficacious OT interventions.
Gravitational insecurity presents significant challenges throughout the lifespan. This poster examines performance of typical adults on a standardized assessment of gravitational insecurity originally designed for children, to determine if adaptation to its use was needed for use with adults. Age, self-reported fearfulness to movement, and performance on individual items were all examined as factors potentially impacting use of the assessment with adults.
This qualitative study illustrated how a Level I fieldwork experience in Ecuador contributed the professional skill sets of participating OT students in the areas of critical thinking, occupation-based practice, and importance of nonverbal communication when working with a non-English-speaking population.
Participation in fieldwork is critical to the development of clinical-reasoning skills in OT practitioner students. Little is known about what contributes to the development of clinical-reasoning skills in OT assistants (OTAs) in comparison to OT students. To fill this gap, a mixed-method study was conducted to identify the learning activities that OTA and OT students experienced during their Level II fieldwork and their relative contributions to clinical-reasoning development.
A simulation-based training model, the Professional ACEs-Informed Training for Health Professionals was evaluated using a pre-and-post design. The model emphasizes trauma-informed care and simulation to educate students. The study evaluated students’ levels of self-efficacy and knowledge. The results support brief didactics combined with simulation to train OT students on adverse childhood experiences and trauma-informed care, supporting AOTA research priorities.
There is a need for a formal curriculum evaluation of the OT program in Haiti for future reapproval by the World Federation of Occupational Therapists (WFOT). This project aimed to develop an overall framework for curriculum evaluation using WFOT’s standards and curriculum-evaluation tools to evaluate courses within the program. The four components of this project include: a WFOT knowledge, skills, and attitudes (KSA) table; a program document review; and a faculty and student survey.
Trampoline exercise is a movement-based program that has been proposed as beneficial for children with autism or sensory-processing and integration challenges. Data is presented from a pretest–posttest study of motor and psychosocial changes in children who participated in a structured trampoline exercise group. Results suggest this is a potentially effective school- or community-based method to address both the motor and social needs of children with autism and sensory-processing challenges.
Developmental drawings can be a predictor of school readiness. This descriptive study compared rural children’s drawings to the national norm. Sixty percent of the children scored below average, with 36% producing no identifiable human trait in their drawing. Identification of delays that impact school readiness at a community level is important for OT practitioners to consider as they expand their practice to provide health promotion and prevention interventions at the community level.
Researchers conducted a systematic review that analyzed leisure participation among individuals with ASD between the ages of 6 and 22. Physical, recreational, and social leisure were examined. Results showed that as individuals transition from childhood to adolescence, there is a decline in the amount of leisure participation. Clinicians can utilize these results to guide their practices and maximize outcomes within this population to increase leisure engagement.
This efficacy study examined the impacts of an evidence-based stress-management program on emotional self-efficacy and well-being in elementary schoolchildren. Preliminary data collected from 176 fourth to sixth graders showed that emotional self-efficacy significantly correlated with and predicted life satisfaction. Age was unrelated to emotional self-efficacy; there was a significant difference between fourth grade and sixth grade in the emotional self-efficacy but not life satisfaction scales.
This pilot research compared the efficacy of a standard teaching zippering vest to a specially designed teaching zippering vest with a related story in the acquisition of zippering skills among 28 preschoolers. The study used a two-group (control/comparison) pre–post test experimental design. Results indicate that both groups developed their skills further with added practice; however, children in the comparison group did statistically significantly better than those in the control group.
The aim of this study was to help educators and clinicians better understand the participation levels of children with ASD in different classroom settings. This study explored the relationships between the participation levels of those children in inclusive settings and the amount of weekly school time spent in resource rooms. No statistically significant relationship was found. This study provides professionals with a comprehensive way to assess participation levels in resource rooms.
The aims were to determine if two models of pediatric constraint-induced movement therapy (CIMT) could be delivered with acceptable fidelity in Vietnam and if CIMT could improve the motor skills of Vietnamese children with hemiplegic cerebral palsy. Therapists successfully partnered with families to implement CIMT and children in both low- and high-dose CIMT groups showed improvements in performance of everyday activities. This study provides insight into how pediatric CIMT can be provided in areas where resources may be limited (rural areas).
A noninvasive application of vagal nerve stimulation, taVNS, stimulates the auricular branch of the vagal nerve. In a first-in-neonates application, infants who received taVNS for oral feeding dysfunction also showed improvements in head control and brain neuroimaging of major white-matter tracts. These exploratory results are promising and promote future studies of taVNS to improve motor abilities in infants with feeding difficulties or motor disorders.
Coaching is a family-centered model of intervention where therapists guide parents through the problem-solving process to attain self-identified goals for their child. This study reveals that in early intervention, coaching is beneficial to caregivers in various roles to improve satisfaction with the child’s self-care performance and caregiver confidence. Caregivers can take an active, collaborative role in the shared decision-making process for their child’s healthcare with positive outcomes.
A metacognitive model was developed based on functional cognition and the existing literature, with the aim of promoting independence in everyday functioning among individuals with ASD. This study examines an application of the proposed model among adolescents with ASD, in the context of conducting a shopping errand in the community. Results show evidence of significantly greater improvement for the group receiving the functional cognitive intervention in comparison to the control group.
This translational research study examines data collected from 179 interdisciplinary AAC evaluations for children with disabilities during a single calendar year. The study examines the complex needs of children who receive AAC evaluations and identifies OT’s distinct role in accommodating motor and sensory limitations that inhibit a child’s ability to access a device. Results indicate that children benefit from interdisciplinary AAC evaluations and describe device features OT’s can recommend.
This abstract describes the social characteristics observed between students with ASD and their typically developing peers in an inclusive, interest-based after-school club. The results of this study can inform the profession and related fields of the impact that inclusive, strengths-based contexts have on facilitating social interactions and promoting meaningful participation in nonacademic occupations for children with ASD.
Adolescents with handwriting difficulties are referred to OT services due to inadequate writing process (speed and space) or product (illegibility). Executive function (EF) components are one of the underlying mechanisms of handwriting. The results indicate that EF levels of adolescents with handwriting difficulties were correlated only with product legibility. The results emphasize the importance of using a standardized tool to evaluate legibility in this population.
Graduate students from diverse disciplines participated in an online course to prepare professionals to serve individuals with ASD. Three years of data revealed measurable gains in interprofessional competencies, including values and ethics, roles and responsibilities, communication, and teamwork. ASD knowledge achievements were assessed quantitatively and qualitatively. The presenters are committed to overcoming interprofessional education barriers and to advancing interprofessional, team-based best practice.
Variants in the HNRNPH2 gene are associated with a neurodevelopmental disorder, including developmental delay, intellectual disability, autism and autistic features, tone abnormalities, and other multisystem problems. A battery of OT assessments to explore OT needs were added to an HNRNPH2 natural history study. Findings indicate further research is necessary in the implementation of OT-based assessments that possess heightened sensitivity to discern disease-specific qualities for this condition.
The study examined what factors contribute to normal and negative sleeping patterns during acute-care hospitalization while determining the area of sleep most greatly impacted. Participants completed an online questionnaire focused on the areas of rest, sleep preparation, and sleep participation while in the hospital. The study shows rest as the greatest area of sleep impacted. Identifying interruptions and how they affect the occupation of sleep allows OTs to facilitate changes in this setting.
The purpose of this study was to compare perceived PA levels as reported by college students to actual PA levels measured by an actigraph. Preliminary analysis of 15 participants showed weekly averages of moderate PA that meet the activity guidelines by the US Surgeon General. Additional findings regarding the accuracy of self-reported data will also be presented.
This mixed-method study examines fall prevention from the perspective of caregivers of community-dwelling older adults. Both qualitative and quantitative questions were used to explore the caregivers’ unique perspectives on home safety, number of recent falls, and hospitalizations. A high correlation was found between caregivers’ perceptions of safety and the number of falls. The study suggests ideas for OTs to increase safety for older adults aging in place at home.
Nova Scotia, Canada, established its first problem-solving court in 2009 in response to an over-representation of people with mental illness in prisons. This research project examines the ideological foundations of the Nova Scotian problem-solving court programs. Findings indicate that the ideological foundations of these programs are consistent with the values and principles underpinning OT, making OTs a critical presence on these multidisciplinary teams.
Emotional intelligence, attachment style, and resilience worked together to predict time perception, which predicts academic achievement in doctoral students. OT academicians can use these results to enhance admission criteria and help at-risk students in online distance doctoral programs.
This study used an interpretive phenomenological analysis approach to examine the lived experiences of primary caregivers of nonkinship foster children. The study specifically addressed facilitators and barriers the parents face when supporting the positive mental health of the foster children in their care. This information will help advance OT initiatives aimed at supporting children and their families involved in the foster-care system.
This study used smartphone-based EMA to investigate moment-to-moment associations between poststroke depressive symptoms and daily functioning. We found that fatigue and lack of interest can be target symptoms to improve daily functioning among stroke survivors. Improving self-appraisals of daily functioning can be an effective way to manage depressive symptoms. EMA can be a useful tool to track real-time target symptoms in naturalistic contexts.
The meaning of driving for older adults was investigated using qualitative, in-depth interviews. Eleven adults, currently driving and residing in suburban low-income housing, were interviewed twice. After verbatim transcription of their first interviews, their second interviews confirmed and expanded on the data. Six unique themes emerged: driving integrated into identity; driving is meaningful and important; barriers to driving; supports for driving; driving cessation; and alternative transportation options.
This cross-sectional exploratory study considers the community mobility and participation of older adults with dementia following a comprehensive driving evaluation. Older adults who stop driving go through changes that may cause health decline. Results of this study show the importance of socially aligned activities and their impact on quality of life, as well as effective areas for OT intervention to minimize the poor outcomes associated with driving retirement.
Veterans with mild cognitive impairment (MCI) or early Alzheimer’s disease and related dementias were asked to identify possible technological solutions to increase independence of those living at home with MCI or dementia. Most did not identify technology that could assist with future cognitive challenges. Understanding this poor insight and difficulty with forward thinking may inform OT practice when collaborating with families for dementia management.
This study compares aggregate data from two cohorts of older adults moving into independent living at an LPC to determine differences in acuity levels. Scores from established measures of cognition and physical quality of life, percent needing hospitalization, and percent moving to a higher level of care were compared. Results show residents are moving in at higher levels of acuity, thus demonstrating a need for OT intervention with older adults for better transition to LPCs.
Physical activity is a key component of primary and secondary stroke prevention. However, stroke survivors frequently do not meet physical activity guidelines, and calls have been made for the use of mobile and wireless devices, i.e., mobile health, to support participation in physical activity. The current study explores the perspectives of stroke survivors and health professionals on the use of mobile health to support engagement in physical activity.
This single-group pre/double posttest study sought to enhance the use of occupation-centered practice by providing occupation-based kits and professional development. Five OTs were assessed using the Occupation-Centered Intervention Assessment during three phases of the study. A comparison revealed therapists became significantly less occupation-centered as the study progressed. A predominant factor was increasing acuity among the clients, which interfered with participation in therapy sessions.
The current guideline criteria for diagnosing people with PD with MCI include neuropsychological tests to assess cognitive functioning. Assessments that reflect real-life confrontations can identify functional cognitive decline. OTs can contribute in implementing evaluations and developing performance-based interventions to promote daily life performance and quality of life and prevent the onset of increased disability.
The goal of the study was to examine the implications of a variety of hand-related diagnoses using the broad prospective of the International Classification of Functioning. The hand-condition group reported significantly (p < .05) lower perceived QOL, higher levels of disability, and reduced hand strength and dexterity in comparison to a healthy control group. Personal factors, hand function, and pain explained 29% of the variance in QOL. The results support the application of a broader biopsychosocial approach in hand-therapy practice.
This narrative review examined the evidence within the scope of OT practice addressing client development of self-advocacy, synthesizing the content of effective OT interventions addressing client development of self-advocacy to identify common features vital to successful outcomes. Additionally, this study aims to determine the quality of available empirical evidence of OT interventions designed to promote and support client self-advocacy.
Even though the mental-health needs of clients are considered to be a priority, many OT practitioners are dissatisfied with their ability to completely address the psychosocial needs of individuals poststroke (Simpson et al., 2018). Thus, the purpose of this study was to examine the client’s perspective regarding the extent to which OT practitioners and other healthcare professionals addressed the psychosocial needs of individuals after a stroke and during the rehabilitation process.
This study examines the opinions on the development of an experiential learning model to treat patients with acquired brain injury (ABI). The model of utilizing student-run, university-based clinics has displayed better or comparable quality of patient care than traditional healthcare clinics. This model of care could meet several academic and professional goals of students as well as programs as well as impact community engagement and improve care for this population.
This study is a longitudinal, randomized clinical trial exploring the benefits of two wheelchair-mounted dynamic arm supports (KINOVA O540 and JAECO WREX) in nonambulatory individuals with DMD experiencing upper-extremity weakness. Data collected will provide information about upper-extremity movement patterns and performance, as well as participant-reported outcomes regarding function, goal attainment, independence, quality of life, and user satisfaction.
Music therapy has been demonstrated to improve poststroke motor performance. Our preliminary data from a three-week home-based music training suggest that the incorporation of mobile-health technology with piano therapy may provide an effective, acceptable, and motivating in-home training for stroke survivors to regain their motor capability. This research is currently in progress and recruiting more participants to obtain a solid conclusion.
The purpose of this study was to explore the incidence of and relationship between tactile sensitivities and self-regulation difficulties in children with and without a sensory processing disorder (SPD). Thirty-nine percent of children reported significant tactile sensitivities, and those with an SPD had more self-regulation difficulties. Findings support OTs to enhance well-being by addressing tactile sensitivities and self-regulation of children with and without SPDs.
This qualitative study explored perceptions of pain by autistic adults through an online survey of open-ended questions via Qualtrics. Autistic adults were recruited from four Internet support communities. Qualitative data was analyzed using grounded theory coding methods until saturation was reached. Multiple researchers and data from multiple sources ensured rigor, trustworthiness, and triangulation. This study provides pain-perception consideration for the treatment of autistic adults.
This study focused on item development of an interoceptive measure grounded in Dunn’s Sensory Processing Framework and participation. Items were identified that correlated with their intended subscale. The resulting subscales had good internal consistency (α = .63 to .88). These initial findings will be valuable for the further development of an interoception scale that OTs can use for intervention planning.
We explored the experiences of clients and their therapists using strategy training in outpatient settings in Taiwan with qualitative data to understand the benefits and challenges that they perceived during the intervention. Findings of this study support the use of strategy training in individuals with chronic stroke and brain injury and indicate potential challenges that OTs may encounter as delivering strategy training to clients in outpatient settings in Taiwan.
This presentation will describe a novel educational intervention, a peer-led skills practical examination, to facilitate student learning of psychosocial interventions. We will also describe the results of a small, quasi-experimental study that investigates students’ self-perceived confidence and knowledge before and after this educational intervention.
OT programs include clinical practice as a vital aspect of preparation for professional practice. The CAST program was developed to enhance OT students’ perceived readiness for their practice placement. This study evaluated the effectiveness of the CAST program as a useful prefieldwork program for fostering students’ feelings of competency and readiness for their practice placements.
OTs and service dogs specialize in helping people to live their lives as independently as possible. The purpose of this study was to determine if a program combining service-dog education and information about careers in OT would improve understanding of service dogs and increase knowledge and peak interest in OT careers for 7th through 12th grade students. The Professor Paws Project model of combining service-dog education with OT career education is a successful model.
With the rigor of OT programs increasing to meet the demands of healthcare, students are reporting stress and anxiety at an increasing rate. Infusing mindful-based interventions within didactic training and fieldwork education can have a positive effect on the OT student and ultimately carry over to therapeutic client interactions. Educators within academia and clinical settings can utilize evidence-based interventions on grit, gratitude practice, and growth mindset.
During transition from early intervention to the public school system, the responsibility to advocate shifts to the parent. Parents need knowledge of special-education programming to advocate properly. A study examining parents’ knowledge of the transition found gaps in knowledge of special-education programming. The study also identified education level as a relevant factor to knowledge levels. OTs should empower parents to advocate for the educational needs of the child.
This project brings to our attention OT’s important role in meeting the ever-changing service needs of individuals with autism spectrum disorder (ASD) as they transition into adulthood. Comparative analysis of pretest, posttest, and maintenance assessment scores offers insight into changes and begins an important discussion of how we can improve and sustain adaptive life skills in adolescents with ASD for the long-term goal of changing their trajectory for greater independence.
This study merges implementation science with a qualitative, comparative case-study design to examine implementation of a recess-based intervention designed to promote free play for children with disabilities. We found that factors such as school culture and climate impacted implementation more than financing, resources, or expertise did. School-based implementation research of this nature is fundamental for examining the translational potential of OT interventions.
This study examines the relationship between parent needs and their child’s quality of life (QoL) during the child’s cancer treatment, which is a critical period for families. A pilot survey study examined 11 parents of children undergoing cancer treatment. A statistically significant moderate correlation was found between emotional stability and overall QoL with parent needs. Results provide valuable insight for OT involvement because the parent’s needs can influence the child’s QoL during treatment.
This study aims to better understand the unique needs of young adults ages 18 to 35 and to inform the development of social-skills programs targeted to fit the specific challenges of this population. Four themes emerged, including the intrinsic value of friendship and friendship as a partnership.
This mixed-methods study explored the benefits of an equine-assisted interactive vaulting program for children with disabilities. The program consisted of groundwork, gymnastic movements on horseback, and group problem-solving. Statistically significant improvements in nine areas of executive function were identified by instructor ratings, and parent interviews revealed themes of developing skills for social engagement, fostering relationships, and evolving emotional and behavioral repertoire.
Collaboration between teachers and OTs improves student performance and promotes positive student outcomes in school-based OT (Kennedy and Stewart, 2012). Collaboration with OTs was valued by 85.1% of respondents, and 62% of respondents considered OT’s goal in the schools to be focused on fine motor skills. This survey shows that general education teachers value collaboration with OTs but do not fully understand the role of OT, which may limit the effectiveness of collaboration.
The findings of the study show that ToM is a developing social cognitive ability in school-age children and includes the components of lie, white lie, irony, and faux pas, and that it is related to everyday social communication and interaction performance. Understanding the relation between ToM and social performance can help clinicians to improve the ToM abilities of children with social performance difficulties in specific social contexts.
Children with ASD often exhibit challenging eating behaviors that lead to later health consequences. We used medical records to examine how behavioral parent concerns and behavioral symptoms are linked to picky eating in ASD. Our findings point to distinct behaviors associated with picky eating.
The purpose of the study was to examine the effectiveness of a parent-mediated, in-home feeding intervention (parent-training, direct intervention, and parent coaching) over six months for families with children with ASD. The findings support preliminary evidence of the intervention at improving eating skills and mealtime behaviors in children with ASD and the need for more targeted feeding interventions for children with ASD that involve the parents within the natural context of the home.
The results of this study showed that self-care and visual perception in preschool children with ASD significantly differed from typically developing peers. Self-care performance was significantly correlated with visual perception, indicating that preschool children with ASD had greater self-care performance when they demonstrated better visual perception skills.
Our results show that a slower response speed, not accuracy, on executive function (EF) tasks is related to better social interaction in school-age children with ASD. Children with ASD reduce their response speed to maintain good accuracy. Therefore, the response speed could be a correlate of social motivation and communication for school-age children with ASD and should be included in their evaluation for better intervention planning.
Adolescents with ASD have difficulties initiating social interactions, which affects their peer engagement. This study aimed to identify features of missed social initiation (initiations receiving no response) in adolescents with ASD and typical development (TD). We observed social initiations of 11 students (ASD = 6; TD = 5, 6th to 7th grade) in an inclusive after-school club. Participants’ missed social initiations and their recipients, purposes, and types were analyzed.
Individuals with intellectual disabilities have a high risk of obesity. The effectiveness of community-based interventions at improving obesity-related outcomes was assessed. Results showed low to moderate evidence for nutritional, physical activity, and health knowledge and self-efficacy outcomes and low evidence for physical fitness. OTs are well-suited to align community-based interventions with meaningful outcomes to improve the health and well-being of people with intellectual disabilities.
This study describes the impact of an educational intervention that promotes effective communication of patient hygiene routines among interdisciplinary teams. Results showed that the intervention group was two times more likely to bathe in the bathroom than in a chair or bed. Findings suggest that OT plays an integral role in the education of interprofessional team members on bathing procedures, particularly for those with limited mobility and independence.
This study addresses a gap in knowledge regarding OT in hospice care. We examined patient profiles and services provided and compared demographics and outcomes for patients with versus without OT in the context of hospice care. We analyzed the de-identified data retrieved from a large national survey: The National Home and Hospice Care Survey (NHHCS) of 2007.
This systematic review examined OTs’ practices at the community level by locating and appraising current research evidence and describing practice roles and opportunities. Internationally, OTs practice with communities in diverse settings to improve community-level health, well-being, and inclusion. Practice can be strengthened through advocacy, education, and policy change, as well as rigorous research that defines community and describes community engagement.
Masters-level students established an eight-week parent-training module in collaboration with the Good Beginnings for Babies program, which provides support, counseling, advocacy, and education for pregnant and parenting teens. They assessed the babies utilizing PDMS-2 prior to and at termination of the trainings, with significant improvements in scores at post-test. They noticed barriers, such as a lack of toys and space and found that immigration concerns led parents to not seek services for their children.
This research poster describes a randomized controlled trial evaluating the effectiveness of a manualized OT intervention for improving medication management in a primary-care setting. Implications for research and clinical practice are discussed.
A growing body of evidence suggests that individuals who engage in a short-term visit to an urban park experience physiological and psychological restorative benefits. This study was designed to identify factors associated with the improvement in subjective well-being immediately after a short-term visit to an urban park in an uncontrolled condition, and to determine the optimal park-visit duration that can provide an improvement in subjective well-being.
An RCT that assesses the efficacy of weighted blankets on anxiety for patients with severe anorexia nervosa (AN) and avoidant restrictive food intake disorder (ARFID) in an inpatient medical setting. The results demonstrate clinical significance, advancing the field of OT as it supports the use of a sensory intervention to positively impact psychological and emotional states of a patient population with limited evidence to support best practices.
The Let’s Get Organized–Swedish Part 1 pilot study shows feasibility for use in psychiatric and habilitation outpatient services. Participants took part in a 10-week manual-based group intervention for 1 ½ hours weekly. Each session has a separate theme, a common structure and goal (to implement use of a calendar), and cognitive strategies for managing time. This study uses OT standardized tools to measure results that were promising and need confirmation in further studies.
This qualitative study explored the perceptions and social participation experiences of adults residing in an ALF. Four themes emerged: impressions and social transition, social connections impacting relationships, motivation as key to socialization, and resident-perceived barriers to socialization. Findings implicate the need for change within the ALF setting to best facilitate the social participation and minimize the social isolation of its residents.
This presentation will discuss the results of a qualitative research study investigating the benefits of the CarFit program and an educational session for the older driver, including whether they help prepare individuals for driving cessation. Findings revealed that participants gained valuable information on proper vehicle configuration and community resources. It was also discovered that driving cessation can be an emotional topic for older drivers, impacted by a variety of factors.
We assessed the effects of forming multiple intentions, task switching, and encoding strategies during intention formation on PM performance in PD. We found that PD participants were preferentially impaired in forming multiple intentions at once and that encoding strategies were particularly effective for addressing this deficit. These findings identify a novel PM deficit in PD and support clinical use of encoding strategies.
Frailty is a state of vulnerability in older adults for adverse outcomes. We aimed to screen for frailty and understand its impact on daily living and participation. A cross-sectional study used a phone survey (Stage I—1,571 participants) and house visits (Stage II—120 participants). Older adults with frailty were significantly different from the nonfrail participants in all demographic and daily activities characteristics. Frailty significantly influenced instrumental activities of daily living and participation.
This case series examined differences in participation in OT sessions involving AAT versus no AAT. Nine children with neurological conditions completed three similar activities, once with and once without AAT. Repetitions and length of engagement were recorded for each activity. No consistent differences between the conditions were recorded, perhaps because the integration of a dog added a dynamic component, affecting how activities were completed.
Therapists’ effective use of communicative and relational strategies optimizes patient engagement in spinal cord injury rehabilitation. However, few studies have described patients’ and therapists’ shared and differing beliefs about how therapists use these strategies. Thus, the purpose of this qualitative study is to describe patients’ and therapists’ shared and contrasting perspectives of effective communicative and relational strategies that optimize patient engagement.
One-third of the survey respondents reported engaging in new leisure activities after stroke, as a response to lifestyle change. These new leisure activities represented a greater emphasis on physical, mental, and spiritual health, supported by family and friends. During client-centered goal-setting, OT practitioners may consider incorporating new leisure activities to promote health for stroke survivors.
Coping strategies are found to predict success in rehabilitation. Research is lacking in identifying the specific coping strategies used to adjust to sensory changes. This study seeks to understand how individuals handle sensory changes after stroke. Researchers used a qualitative descriptive method using semistructured interviews to collect data. Results from this study can be utilized to inform OTs about what strategies are being used by stroke survivors to cope with sensory changes.
This systematic review examined the associations of illness perceptions with the engagement of daily routine activities in individuals with chronic illness and physical disability. Information synthesized from previous literature showed that, in general, individuals’ illness perceptions are positively associated with engagement in daily routine activity.
Cancer-related cognitive decline is not well understood in the oncology population, and evaluation for cognitive dysfunction while inpatient is not routine. The aims of this project are to: (1) identify the prevalence of CRCD in an inpatient hospital utilizing the Trail Making Test Part B, and (2) identify differences between individuals experiencing CRCD and those scoring within normal limits.
This qualitative study used an online survey of open-ended questions using Qualtrics to explore fibromyalgia patients’ perceptions of alternative treatments to decrease pain and improve function. Participants were recruited from online sources. Qualitative data was analyzed using grounded theory. Multiple researchers and data collection from multiple sources ensured triangulation, rigor, and trustworthiness. This study informs OTs of alternative treatments to help manage this chronic condition.
Regaining adequate hand function for participation is a challenge for many stroke survivors. Eleven participants completed 12 grasp, transport, and release training sessions with a user-driven hand robot that provides active-assist for finger extension. Mean gain of 2.63 points (P = .03) on the Fugl-Meyer was observed, with most gains in the distal subscale (2.27 points, P < .001). This intervention is a promising adjunct to conventional therapy to promote typical grasp patterns and functional use.
In this study, we will systematically analyze tDCS-based cognitive rehabilitation studies applied to stroke patients in Korea and foreign countries abroad and calculate their effect sizes through meta-analysis. Through this study, tDCS was found to be effective for attention and memory. We have found that the application methods of tDCS differ, suggesting that we need to pay attention to research of formalized tDCS protocols and to foster experts.
Americans with disabilities encounter barriers to using electronics. This may preclude the ability to manage one’s health. Lack of provider intervention that addresses barriers to health management is an occupational injustice to people with disabilities. OT has a vital role in assessing technology use, assessing health literacy, creating interventions, and tracking health outcomes. This study examines electronic health literacy and technology use on an acute rehab unit.
This study describes adults with IDD in acute-care hospital settings and identifies differences in their experience compared to patients without IDD. Comparisons between the two samples showed differences in the length of stay, frequency to discharge environments, and number of OT visits per day. This study impacts the field of OT by increasing awareness of the utilization patterns of healthcare services for patients with IDD.
Chronic pain impacts multiple aspects of an individual’s life, including participation in meaningful occupations. Mindfulness techniques such as yoga, meditation, journaling, and variations on mindfulness-based stress-reduction (MBSR) programs have been shown to positively affect the relationship an individual has with chronic pain, thereby increasing opportunities for participation in meaningful occupations.
ICAPs have been shown to increase quality of life for persons with aphasia. Twenty-two OT students have co-led a six-week ICAP alongside communication science and disorders students at a graduate school. Qualitative data from student reflections show that OT students appraise ICAP participation as highly beneficial to prepare for clinical practice. Data highlight a desire for formal interdisciplinary collaboration within the ICAP.
Limited diversity among OT students and practitioners has been identified as a problem for the future of the profession. This study reports results of a survey of perceptions of diversity and inclusion among OT students. Findings indicate that students who represent diversity may trust program policies and practices significantly less than nondiverse students. Programs should work to improve inclusion and engagement among all students.
Student teaching clinics (STCs) are a means of providing hands-on learning opportunities to students. With increased utilization of STCs in OT, it is essential to examine student learning outcomes. In this study, the NBCOT Aspire OTR Self-Assessment was used to monitor perceived changes in student readiness for entry-level practice. Students demonstrated statistically significant changes in their perceived readiness for entry-level practice following participation in an STC.
Maternal caregiving, reflective functioning, and support during joint play were examined in an explanatory, sequential, mixed-methods study. Maternal caregiving predicated reflective functioning, which in turn predicted maternal support during joint play. Balancing of task-oriented and process-oriented behaviors framework explained dyadic synchrony observed during joint play. This study deepens our understanding of family relations and their effects on children’s emotional and social development.
The purpose of this study was to evaluate gaps between parent and provider perceptions of the family-centeredness of services, and the contribution of the service setting (outpatient versus schools) to these gaps. Findings indicated significant gaps between parents and providers, and between practice settings, in all assessed domains. These gaps suggest areas of opportunity for OTs to enhance their practice in order to foster more effective partnerships with parents.
Adolescents divide their time among occupation domains essential for developing daily life management and well-being into adulthood. The Time Organization and Participation Scale (TOPS) assesses self-perception and emotional implications of time-organization abilities. This study’s results present TOPS’s internal reliability for adolescents and their parents and identify gender-related differences. Time organization should be considered for assessing and developing interventions among adolescents.
This study presents the results of a survey exploring practice trends, caseloads, service delivery models, and job satisfaction of school-based OT practitioners (OTPs) and how they relate to best practice. Findings indicate that most OTPs do not adhere to best-practice guidelines, such as providing contextually based interventions. Practitioners cited a lack of procedural knowledge and decreased advocacy skills as barriers to implementation of a workload approach that aligns to best practice.
A new SPAN website and goal-planning app was created and tested. Three usability trials were conducted with (1) OT students, (2) youth with traumatic brain injury, and (3) young adult brain tumor survivors. Ratings of useful or higher were found. Computer or laptop navigation was easy, but it was harder to view and type on smartphones. Minor technical problems and the need for clearer instructions are being addressed in preparation for a larger SPAN intervention trial.
Schools need support to facilitate the participation of children with ASD in all school-related activities. A descriptive, qualitative study aimed to identify how OTs could help build school capacity to facilitate the participation of these children through a multitier approach. Focus groups were carried out with OTs and school staff. Concerns about children’s participation and recommendations to develop school capacity will be shared.
The National Professional Development Center on ASD completed a review of literature published between 1990 and 2011 and identified 27 evidence-based practices for individuals with autism spectrum disorder from birth through age 21. The NCAEP is now conducting an updated review of the literature. Findings from the updated review that are relevant to OT domain and practice will be shared and discussed.
The purpose of this study is to describe the effects of the Mealtime PREP feeding intervention for a child with ASD. We observed improved mealtime behaviors, including a higher percentage of time spent at the table during meals and increased mealtime overall. Our study highlights the potential benefits of structured mealtime routines and positive behavior management for young children with ASD.
The analysis in this paper tests the utility of the FYI 3.1 as an autism screening tool and how that utility varies over age. Initial screening was done on a community sample of 1,893 children between 8 and 16 months of age. Sensitivity and positive predictive value were tested over a range of specificity from 85 to 99%.
A randomized controlled feasibility trial was conducted to explore the feasibility of using a web platform to support parents of children with developmental coordination disorder. The web platform included informational resources, a forum, and a private forum or videoconference with an OT. Parents mainly used the resources and forum sections. To enhance participation, parents suggested adding scheduled meetings. Using web platforms to support parents is feasible yet challenging.
Through a mixed-methods approach, this study observes and analyzes the impacts of an outdoor-adaptive activity-day event on the quality of life of the families of the child participants with various disabilities. Four domains were identified through an extensive literature review highlighting (1) self-efficacy, (2) performance skills, (3) social participation, and (4) family cohesion. Results from this study support the impact outdoor-adaptive activities have on these four domains.
Power Fun, a therapeutic powered mobility (PM) summer camp, provides a pragmatic solution to promote independent mobility for children with severe cerebral palsy. This poster presents the protocol of Power Fun and the results of a repeated-measure mixed-method validation study (N = 24). Results showed significant improvement in PM skills, attainment of most functional goals, and social changes after participation, making it an evidence-based intervention for children with multiple, severe disabilities.
Understanding the mechanisms of emotion production and emotion processing is important for addressing social communication deficits in ASD. Our results suggest that prompted emotional expressions in individuals with ASD are considered less genuinely expressed than those of their typically developing peers. This authenticity is related to neural responses in social processing brain regions. These findings offer insight for OTs to better treat and develop therapies to address social deficits in ASD.
Video modeling is an effective and efficient intervention for adults with developmental disabilities, yet it remains underused by OT practitioners. This poster describes a single-case, A-B-A study in which three young adults participated in a video modeling intervention. Interpersonal and social skills embedded in job performance participation were targeted. Results suggested that the intervention improved participation in social skills embedded in job performance tasks.
The purpose of this study was to examine how an online training module impacts rehabilitation therapists’ perceived ability to understand, identify, and respond to microaggression. Results indicate a significant (p < 0.000) increase in participants’ understanding of microaggression.
An exploratory survey was used to determine the knowledge, attitudes, practices, and perceived barriers to EBP implementation held by OT managers. As there is no current research addressing this topic, this study fills a gap in the OT literature and knowledge base regarding EBP. The researchers found that OT managers hold positive attitudes toward EBP, have moderate levels of EBP practices, have high knowledge of EBP, and perceive moderate levels of barriers to implementation.
The purpose of this study was to explore the effectiveness of OT master’s programs in producing well-rounded therapists who will treat transgender individuals with respect and clinical competence. We compared the perceptions of program directors regarding the effectiveness of their curricula to prepare their students to effectively treat transgender individuals with the perceptions of individuals within the community regarding their own experiences with healthcare providers.
This poster presentation will review the methodology and results of a six-week online educational program focused on evidence-based practice in stroke rehabilitation to improve clinical competence and confidence in OT practitioners.
Little is known about utilization of video telehealth with older clients by OT practitioners. Of 322 OT practitioners at the Veterans Health Administration participating in a web-based survey, 41% use video telehealth with older clients. The primary facilitator reflected practitioner attitudes, while the primary barrier was institutional. Findings highlight key person-level and system-level factors in implementation of video telehealth for older clients.
This research used electronic health-record data to identify how often OT’s discharge recommendations were followed in the acute-care hospital setting. We used sensitivity, specificity, and accuracy analyses to compare the OT’s discharge recommendations on initial evaluation to the physician’s discharge instructions. Accuracy was significantly varied between younger and older adults, depending on discharge location.
This study sought to update the CHSA to ensure compliance with modern safety and technology expectations. OTs completed an online survey to suggest changes to the CHSA 4.0’s 78 criteria. Modifications included wording and content changes in more than half of the items, as well as more detailed instructions. This process resulted in the CHSA 5.0, available at: https://www.misericordia.edu/uploaded/documents/academics/ot/chsa_5.0_April_11_2019.pdf.
This study examined the association between total time to complete the WCPA and the number of cognitive strategies used and total errors on the test. Results suggest that more time taken on the WCPA may increase the number of cognitive strategies used, but it may not necessarily result in improved overall test performance. These findings support the importance of understanding factors that contribute to successful performance and interpretation of WCPA scores.
The current research investigated the relationship between breastfeeding (BF) duration and maternal quality of life (QOL). Mothers with higher QOL were more likely to breastfeed for a longer period. Physical health scores of young and older BF mothers were significantly lower than those in the general population. Lower scores in psychological health were associated with older BF mothers. Findings are an important step in the health promotion of mothers and infants.
A retrospective analysis of published studies examining sensory-processing preferences of individuals with psychiatric conditions compared the scores reported in the studies to normative values. The results revealed a pattern of greater sensory sensitivity, sensation avoiding, and low registration, and less sensation-seeking among individuals with a psychiatric condition. These findings can contribute to condition-specific sensory-based interventions in the context of occupational performance.
Individuals with serious mental illness are at increased risk for comorbidities such as cardiovascular disease, diabetes, and other metabolic syndromes, ultimately leading to premature mortality of up to 25 years. These individuals have decreased engagement in meaningful activities due to mental and physical symptoms. This feasibility study investigated the impact of a pedometer intervention on physical activity and engagement in daily activities.
The study used cross-sectional data of 1,202 community-dwelling adults age 65 and older from the Health and Retirement Study. The finding indicates that SMC have a small but significant effect on social participation among older adults. Therefore, OTs need to start considering SMC when facilitating social participation among older adults.
This study investigated the effect of yoga on mood and occupational engagement in older adults. Five participants completed a six-week yoga group. Changes in occupational performance pre- and postintervention were explored via interviews and questionnaires. Results show perceived improvement in occupational engagement and mood for four out of five participants. Preliminary findings suggest meditative movement is an effective OT intervention for improving occupational engagement.
This research project is intended to evaluate Tai Chi’s impact on balance self-efficacy in occupational performance— specifically in regard to individuals with mild cognitive impairment (MCI). On average, functional self-efficacy scores of participants with MCI increased from 59.8% to 74.6% (p-value = .00736). Results indicate that Tai Chi is an effective intervention to increase balance self-efficacy when performing daily activities in both individuals with and without MCI.
OT practitioners conduct home evaluations to assess living environments, eliminate potential environmental barriers, and empower clients to actively engage in meaningful occupations. Compliance with home-modification recommendations is a problem area. This study aimed to identify the barriers to home-modification recommendation compliance through qualitative insights from OT practitioners, community-dwelling elderly clients, and caregivers in order to facilitate productive aging in place.
As the population ages, the risk of loneliness increases. Loneliness is linked to a decrease in overall health and performance in older adults. The purpose of this study was to explore loneliness in relation to pet ownership. This research investigates alternative ways to decrease loneliness in this specific population, which can advance practice development of OT by providing practitioners a reliable method when addressing older adults who live in their communities.
The residents of long-term facilities are often content with the activity calendar or tend to isolate themselves in their rooms due to a lack of interest. This isolation and boredom tends to lead to further declines in socialization and interests. The goal of this study was to explore individuals’ interests, especially activities they may have done prior to living in the facility and may wish to actively engage in. Will engaging in purposeful activity increase the long-term resident’s quality of life?
Using 2016 and 2017 Uniform Data System for Medical Rehabilitation (UDSMR) from the United States, we examined utilization of rehabilitation services among adults admitted to inpatient rehabilitation facilities and examine patient and facility characteristics associated with variation in rehabilitation services provided for stroke, fracture of the lower extremity, and major joint replacement of the lower extremity.
This quantitative, retrospective chart review utilized letters of medical necessity written by physical therapists and OTs between 2007 and 2017 that detailed 4,525 full wheelchair recommendations. Descriptive results examined demographic factors of age, sex, and funding source in relation to type and complexity of manual wheelchairs and power mobility devices, displayed graphically. This study has strong implications for the service delivery of wheeled mobility equipment.
We examined the impact of an eight-week intervention merging yoga and OT for people with Parkinson’s disease on fatigue measures, activity and participation measures, and the relationship between the two constructs. Activity and participation scores significantly improved after the intervention. Fatigue and activity and participation were significantly correlated. Qualitative data revealed perceived improvements in fatigue management and activity and participation.
With 65% of survivors left with hemiparesis affecting activities of daily living (ADL) performance at six months poststroke, as motor control recovery plateaus at five weeks post stroke, there is a need to identify effective interventions that can begin immediately. This review asked: What is the effectiveness of action observation intervention, as compared to usual rehabilitation therapy, no treatment, or sham treatment for improving upper extremity function or ADL function in stroke survivors with motor impairment?
Research has shown that people with disabilities experience poorer access to healthcare. This study aims to explore the perceived barriers to accessing primary healthcare services for adults with disabilities in low- and middle-income countries. By identifying and targeting such barriers, OT practitioners can both contribute and lead the way to improving access to quality healthcare for not only people with disabilities, but also other vulnerable populations globally.
This pilot study describes the impact of a combined remote intervention of computerized cognitive training together with occupational-based treatment on patients with cancer-related cognitive impairment. Positive outcomes were found in occupational performance, cognitive functions, quality of life, and mood. This treatment can possibly add to the therapeutic landscape of cancer-related cognitive impairment, which currently impairs the lives of millions worldwide.
This review examines the efficacy of NIBS coupled with OT interventions. Sixty studies utilizing OT along with NIBS were included. Results support the use of NIBS as an add-on to OT interventions. Identifying the efficacy of NIBS as an adjuvant to existing therapies assists in characterizing interventions that may be useful in those clinical populations in which high-intensity therapy is not tolerable or feasible.
The purpose of this research is to present findings on the lived experience of people living with FMD. It aims to educate OT practitioners and students about FMD from the voices of those living with it. It will include an analysis of data from qualitative interviews with nine people with FMD and a discussion of the major themes identified by the research participants, including what they would like healthcare professionals to know.
Parkinson’s disease (PD) is a common neurodegenerative disorder. The Unified Parkinson’s Disease Rating Scale (UPDRS) is the gold standard for quantifying the effects of PD. The COPM is a client-centered approach, better suited to understanding the impact of PD on client occupational performance. This study supports the use of the COPM as a means to identify challenges in occupational performance that are not otherwise identified through the UPDRS.
In the emerging field of telerehab, OTs can provide rehabilitation in novel ways, such as by using apps or other technologies. Adherence to home exercise is a critical part of sustaining therapeutic gains, but often home exercise is not completed and function may decline after discharge. We show how an app was used to track home exercises, as well as facilitators of and barriers to use. Such information will be important for practitioners when considering using apps and other technologies.
The purpose of this scoping review was to evaluate the use of CBT to treat sleep disturbances in individuals with a TBI. The review, consisting of five articles, indicates that individuals with TBI who participated in CBT experienced improved sleep outcomes and a reduction in comorbid symptoms including anxiety, depression, and pain. An adequately powered randomized controlled trial using a standardized CBT-I program tailored to individuals with TBI is warranted.
Current assessments of activity poststroke occur in clinical settings. Researchers have attempted to use wearable activity monitors to assess activity in natural environments, but they are unable to distinguish between activities. We have developed an algorithm within a depth sensor that is able to distinguish between activities that occur within a kitchen setting. The purpose of this study was to test the system with individuals poststroke in an unstructured home environment.
Both mental practice and action observation are portable, easy to use, efficacious interventions shown to improve arm and hand function poststroke. We combined these no-cost interventions and found that they are even more effective when combined than when administered separately. This is a significant advancement for OT practitioners, proving efficacy of an inexpensive regimen that combines two promising interventions to significantly increase poststroke hand function.
OTs use sensory diets to manage sensory-processing disorder in children. The current evidence on the effect of sensory diets is limited. Also, findings of the studies on the effects of sensory diets are mixed (Case-Smith et al., 2015). This topic discusses the results of the study that investigated the effectiveness of sensory diets and implications for clinical application, as well as future research.
Individuals with IDD often experience sensory modulation difficulties. This study aimed to identify the effects of sensory diets on adults with IDD at a day habilitation in Texas. All participants had difficulty with sensory modulation, as determined by the Adolescent–Adult Sensory Profile (AASP) and structured observations. Sensory diets were created and are currently being implemented. Results will be analyzed and presented using visual analysis.
Through an online survey of open-ended questions, this qualitative study explored the impact of weighted blankets on sleep and autistic adults’ sensory experiences. Autistic adults were recruited from online support communities. Qualitative data was analyzed using grounded theory until saturation was reached. Multiple researchers and data sources ensure rigor and trustworthiness of data. Participants reported benefits in sleep, sensory issues, and stress reduction from weighted blanket use.
People with disabilities often cannot participate in the community due to barriers in the community environment. In this research presentation, we discuss an educational intervention designed to train entry-level OT students on community-environment accessibility evaluation. We will also describe the outcomes of this educational intervention on 41 students’ knowledge and skills.
This study illustrates how a three-week international servant leadership experience in Zambia, Africa, resulted in increased dispositional critical thinking and cultural competency skills of student OTs.
This qualitative descriptive study examined students’ perceptions of the impacts of simulation on preparation for OT Level II fieldwork. Participants indicated ways in which thoughtfully designed simulations can help enhance confidence as well as interprofessional relationships, role delineation, and communication skills. Outcomes provided insight into considerations for the design of future simulations emphasizing professional-skill development.
The purpose of this study was to determine whether the HSRT predicts student success. The data was analyzed using an ordinal logistic regression and a Spearman’s rho correlation coefficient. Statistical analyses revealed that the HSRT is not a valid predictor of student success, and there is also a weak relationship between the HSRT and student success. The HSRT can be further studied with other admission tools to determine what most accurately measures student success in a graduate OT program.
This presentation focuses on the benefits of using SAH in educating OT students about schizophrenia and related conditions. Drawing from a mixed-methods study in which participants performed student-relevant occupations paired with SAH, the author highlights the benefits of combining SAH with performance of occupations of varying degrees of difficulty. This appears to optimize learning and help build empathy toward people living with mental illness.
The purpose of this qualitative study was to explore the perceptions of OTs working in EI, regarding their understanding and implementation of family-centered practices (FCP). Nine participants shared their descriptive accounts in working with families. Four themes emerged identifying areas affecting the delivery of FCP by OTPs: confusion, insecurity, multiple roles, and systemic issues. Results highlight the need for training on FCP and in addressing systemic issues.
Instrumental Activities of Daily Living skill development and stress management are positively correlated with success in the employment setting. This research focused on young adults who had aged out of the foster-care system and who had a history of homelessness and trauma. Programming measured the impact of pre–post group-based OT on facilitating progress toward employment-related goals while decreasing perceived stress levels. Results showed positive clinical significance trending toward statistical significance.
Employment is an important occupation in adult life. However, adults with ASD have poor work outcomes. To identify the role of school supports in predicting work outcomes, we conducted secondary analysis using a nationally representative dataset. We found school supports are an important mediator of work outcomes. However, youth who were higher-functioning received fewer school supports. OTs have a role in helping youth prepare for support needs.
With a shift toward routines-based service delivery known as FGRBI in early intervention (EI) throughout the state of Iowa, there is a need to understand EI providers’ perspectives on the shift in intervention. An electronic survey sent to EI providers throughout the state yielded comprehensive results that summarized supports for and barriers to providing FGRBI in their EI practice.
The prevention of school bullying has been identified as an emerging area of practice for OT, yet there is a dearth of research on how the field is addressing this public-health epidemic. This study emphasizes the need for training, innovative interventions, and a defined role in order for OTs and assistants to be a part of the team in schools to help address bullying and create a safer environment to enable the participation of students with disabilities.
Preterm birth leads to delayed maternal identity, which is linked with poor infant outcomes and decreased infant participation in activities of daily living. It is vital that OTs address maternal role competence during the NICU stay to facilitate positive outcomes for infants and their caregivers. This research reviews the strength of occupation-based, caregiver-centered interventions in the NICU that can be utilized to promote caregiver role competence.
When children receive OT, they are expected to willingly engage in tasks that are difficult. This is often not the case. This research surveyed OTs nationwide to examine the impact of challenging behaviors on a child’s therapy participation. Results indicated that children primarily exhibit behaviors to escape the demands of therapy, with therapists expressing safety concerns, lost time, and frustration. Knowledge and feasibility of an evidence-based behavioral intervention were also explored.
Symptom severity may be an important predictor of pretend-play performance in children with ASD. In this study, we applied an elaborate pretend-play assessment to characterize the pretend play of children with ASD with different symptom-severity levels. The results demonstrate that children with very mild autistic traits display more object substitutions and higher percentages of elaborate pretend play actions than children with severe ASD during symbolic play.
The incidence of disabilities that affect communication in children is on the rise. Disabilities that affect communication often cause other developmental challenges that hinder a child’s ability to develop literacy skills. This exploratory study examines the literacy skills of 179 children who received an interdisciplinary AAC evaluation. Study results describe OT’s role in providing literacy supports to professionals who work with children that use an AAC device.
Studies have reported high prevalence of children with TS having difficulties in academic performance. The exact mechanism contributing to poor academic performance is not known. Circumstantial evidence suggests children with TS experience challenges in handwriting that may be attributed to their tics. The purpose of this study was to examine the link between TS and handwriting in children.
The study investigated the motivation for real-life social engagement in three preschool children with ASD using the experience-sampling methodology (ESM). The results showed that they had motivation for social engagement in the everyday contexts where they felt autonomous and competent and experienced social reciprocity. Further, the study demonstrated that ESM provides clinicians and caregivers a way to understand how real-life social contexts influence the children’s motivations and experiences.
The Explorer Mini is a new power mobility device designed to enhance childhood development and provide access to early mobility for infants and young children. Children with delayed motor skills risk additional cognitive, sensory, and motor delays from limited physical ability to explore through traditional locomotion of crawling or walking. This proposal describes how infants and young children responded to the first opportunity to explore their environment with the Explorer Mini.
Comorbid anxiety and hyperarousal in youths with ASD provides additional challenges to occupational participation and competence, and thus occupational adaptation. By studying the effect of anxiety and arousal on competence, we found contrary trends for controls and ASD, suggesting less resilient behavior to anxiety in ASD and lower anxiety-mediated competence in older youths with ASD. This provides foundational knowledge for the design of pragmatic OT interventions.
The results of this study indicate the need to develop interventions targeting EFP abilities for ASD. Children with ASD showed decreased valence, but not accuracy, of their positive-valence facial expressions. In ASD, there was a negative correlation between EFP accuracy and ASD symptoms related to social functioning. There were no relationships found between affect recognition accuracy and EFP accuracy.
Adaptations and programs in certain airports make air travel easier to tolerate by some individuals with ASD. These programs and adaptations should be replicated and expanded upon in airports throughout the country and ultimately throughout the world. Although airports and organizations are addressing some barriers, this research supports the necessity to create new methods to address the remaining barriers and further facilitate a more enjoyable airport experience for individuals with ASD.
Limited literature exists regarding OT’s role in the opioid crisis. To develop and support that role, it is important to understand practitioners’ perceptions and experiences in treating the population. This research study, through qualitative content analysis, explores barriers and supports to addressing opioid prevention, use, and addiction in practice. The results provide a foundation for future research establishing OT’s role in the opioid crisis.
Research within the self-perceived state of workplace competence provides areas of necessary growth in the journey of novice OT competency. Continual self-assessment is essential for attaining OT competency and impacts the profession’s role as effective leaders in the complex healthcare system. Analysis of fluctuating competence of current novice OTs provides necessary development tools in the novice OT’s transition to competent practitioner.
This presentation synthesizes the experiences of four OTs who have provided services to Deaf clients. Themes from the data include diversity of communication methods, practice considerations, and strategies for seeking cultural knowledge. The clinical experiences included in this study offer the potential for improving the cultural relevance of OT services for the Deaf population, as well as sensitizing practitioners to the needs of other cultural groups.
In this mixed-methods study, we present an evaluation of an equal online peer-mentoring program for postprofessional OT doctoral students. Findings suggest multiple benefits, including support and professional development for participants. Practical implications for implementing effective equal peer-mentoring programs will be described.
The promotion of healthy sleep in caregivers of children with disabilities is critical to the functioning of families. Navajo caregivers were interviewed about their obstacles to healthy sleep. Following educational sessions, caregivers developed Sleep Plans and included strategies to improve sleep. This study suggests that strategies that change daytime habits and bedtime routines are helpful in improving sleep quality and quantity, regardless of challenges in the sleep environment.
The value of family-centered care is identified in the literature, highlighting the need for therapists to use a variety of approaches. However, there is limited evidence as to how to best provide care with families dealing with complex contexts such as language, cultural, and social-economic differences. This session will provide the perspectives of eight OTs who identified strategies to support the primary caregiver and ways in which to build therapeutic alliances.
OTs are uniquely suited to work with individuals with HIV because of their ability to address complex medical, psychological, and social needs. However, OTs are rarely engaged in community-based HIV services. Using data from a needs assessment of individuals with HIV in Hawaii (n=398), we identify disparities related to disability and offer suggestions on how OTs can support health among this population through community-based practice.
UI is a common pelvic-floor disorder that affects up to 50 percent of women age 50 years and older and significantly diminishes quality of life. This quantitative randomized controlled trial will assess whether a multimodal therapeutic exercise program combined with pelvic floor physical therapy is more effective than providing the standard of care. This research has the potential to expand OT scope of practice, improve QOL for women with UI, and contribute to evidence-based practice in women’s health.
UI is a common pelvic floor disorder (PFD) that affects up to 50% of women age 50 years and older and significantly diminishes quality of life. This mixed-methods project collects important information on women’s health literacy, which will contribute to the OT evidence base to inform future education-based health-promotion interventions.
Refugees across the world are an ever-growing population, including in the United States. The purpose of this study was to conduct a scoping review of research from 2014–2018 relevant to OT practice with refugee populations. Twelve peer-reviewed research articles were examined. A trend of more published evidence-based interventions emerged compared to earlier reviews, in addition to assessing needs of this nontraditional population. Implications for OT practice will be presented.
This mixed-method study explored OTs’ and non-OT clinical staff members’ perceptions and experiences of the development, implementation, and use of sensory rooms in mental-health settings. The results of the study indicate OTPs need to take an active role in the development of sensory rooms. Ongoing training is essential to maintain effective use. Additionally, sensory rooms are being used mainly as calming spaces, despite potential for other uses in mental-health settings.
LGO is a promising tool for improving time management and organizational skills. The aim of this study was to describe the experiences and meaning of attending the LGO intervention. Participants described a roller coaster process toward control in daily life where successes and setbacks were mixed. Most participants experienced meaningful and positive changes in daily life, such as getting more things done, increased control, and safety.
This study examined reliability and validity of the WCPA, an assessment of EF. Participants were 300 college students. Performance on two levels of the WCPA was compared to other EF measures and between students with and without learning differences. There were small–moderate correlations between tests with Level II and no differences between students with and without learning differences, necessitating a more challenging version of the WCPA.
This qualitative study explored autistic adults’ definitions and descriptions of resilience through an online survey of open-ended questions via Qualtrics. Autistic adults were recruited from closed, online Facebook communities and Internet forums of autistic adults. Qualitative data was analyzed using grounded theory until saturation was reached. Multiple researchers and data collection from multiple sources ensured rigor, triangulation, and trustworthiness of the data.
This study explored experiences of community participation from the perspective of individuals living with mental illness. Preliminary results revealed that study participants enjoyed certain activities in the community while experiencing stigma toward mental illness. They did not find the need to participate in the community the same way as others do. It is crucial that the client perspective is incorporated when measuring community participation as a mental-health service outcome.
This qualitative study explored pets in chronic-pain-patients’ lives, through an online survey of open-ended questions. Adult pet owners with chronic pain were recruited from Facebook pain groups. Qualitative data were analyzed using grounded theory until saturation was reached. Multiple researchers and data collection from multiple sources ensured triangulation, rigor, and trustworthiness of the data. Participants reported that pets helped improve their mood, activity, pain, and function.
This presentation will characterize our experiences integrating stakeholder engagement into a multisite pragmatic clinical trial focused on optimizing care for nursing-home residents with dementia. We will discuss our methods for building OT capacity to conduct research that includes the voices of stakeholders.
This study aims to compare the effects of dosage of sequential combination of cognitive and physical exercise training for the elderly with MCI. The high dosage (HD) group received a total of 36 training sessions and the low dosage (LD) group received a total of 12 training sessions. Both groups improved significantly in physical, cognition, and daily function. The LD group saw more benefits in general cognitive function. It is suggested that LD training was enough to improve functions in elderly with MCI.
We developed a tablet-based participation measure and compared its reliability, concordance, and acceptability to older adults in outpatient rehabilitation settings with the paper-form version. Findings of this study provide supportive evidence for administering a tablet-based participation measure to older populations in rehabilitation settings and suggest a promising measurement methodology for future OT practice.
This study examines relationships among self-perception of social support, communication, and social participation in PWA and people without aphasia (PWOA) poststroke. Results show that social support for PWA mitigates the negative impact of communication deficits on social participation. For PWOA, support facilitates social participation to a lesser degree. This indicates that OT practitioners should consider PWA’s social supports to facilitate reintegration into community living.
Postconcussion syndrome can present with a variety of negative symptoms. Implementation of biofeedback breathing protocols have demonstrated positive outcomes for anxiety, perceived stress, and heart rate variability. OTs should consider implementing this technique to better serve those with postconcussion syndrome.
Increasing ownership of smartphones among adults in the United States who are living with and without disabilities enables access to valued activities, including mobile health (mHealth) services. However, little is known about factors that impact smartphone ownership among poststroke community-dwelling adults. Therefore, this study describes factors that predict smartphone ownership among poststroke community-dwelling adults and the potential application of mHealth services to rehabilitation research and practice.
The purpose of this pilot study was to determine the feasibility and tenability of the topic to understand the lived experience of caregiving for someone with PD to understand what is needed to prevent the negative effects of caregiving and the best timing of those interventions. Five participants were recruited and participated in this pilot study. There were four themes that emerged from the data: early education, open and honest communication, ongoing support, and accepting assistance.
The study examined upper-extremity reaction times analyzed by five-year age cohorts to establish normative data for participants responding to stimuli on a touch screen and help delineate appropriate therapeutic intervention. Average reaction times ranged from 0.81 seconds to 1.09 seconds for the 200 participants. Reaction times increased with age, indicating potential correlations with functional outcomes.
A systematic review was completed on the effectiveness of CO-OP in the treatment of motor performance for adults with acquired brain injury. Three databases were searched, and 15 relevant articles were identified, critically appraised, and narratively analyzed. There is growing evidence that CO-OP is efficacious in promoting motor and functional outcomes for the stroke population. Findings also indicate transfer and generalization of the cognitive skill into everyday life for participants.
OT provided to acute palliative care (APC) clients with cancer follows an impairment-driven approach. Occupation-based problems (OBP) and COPM performance and satisfaction score changes are described among 10 clients. Self-care OBP were more common than productive and leisure. Fifty percent of the clients experienced significant COPM performance and satisfaction score changes, suggesting clients may benefit from an occupation-based approach within APC.
This quantitative cross-sectional survey design study conducted with 409 OTs investigated the influence of practice and personal context factors on the choices that OTs have in addressing upper-extremity contractures. For interventions that had a high likelihood of being used, specifically static splinting, stretching/PROM, and positioning, there were no practice context barriers found, yet it was with these interventions that there was little belief in their effectiveness.
Stroke-induced arm weakness is a leading cause of worldwide disability. OT practitioners commonly employ this modality, but it is unclear which type of electrical stimulation works best for people with stroke-induced weakness. This study compared the efficacy of three types of electrical stimulation for people zero to six months poststroke. We found that all three types of stimulation worked equally well.
Incarcerated women face challenges to community re-entry and employment, including unemployment and low wages. We explored vocational interests with women (N = 114) at a midwest US prison. Career aspirations were explored through self-reported employment history and interests, O*NET survey, and Holland codes. Findings inform the development of OT interventions and prison programming to improve postrelease employment among incarcerated women.
This qualitative study explored pain among cosmetologists via an online survey of open-ended questions. Participants were recruited from cosmetology social media platforms. Qualitative data were analyzed via content analysis. Multiple researchers and data from multiple sources helped to ensure rigor and trustworthiness of the data. The voices of cosmetologists report that they experience pain in multiple parts of the body that results from repetitive movements and extended physical positions.
The purpose of this mixed-methods study was to explore how OT students and professors view student stress caused by curricular requirements. Quantitative surveys and qualitative interviews were used to gather their perspectives. Both students and professors identified moderate to high levels of student stress affecting student relationships and well-being and suggested the need for educator awareness and curricular modification for remediation of this challenging problem.
Increased stress levels can affect undergraduate OT students’ academic performance, quality of life, mental health, and development of therapeutic relationships. In this survey study, academics and time constraints were identified by students as causing the highest levels of perceived stress. It is important for students to learn to identify stressors and how to manage them so that they can employ adequate coping skills and foster effective therapeutic rapport with clients.
This presentation describes the findings of a study exploring incoming OT graduate students’ understandings of disability and their implicit (unconscious) and explicit (conscious) attitudes toward it. The presentation will explore how students’ attitudes toward disability may be influenced by curriculum design, with discussion of strategies educators might incorporate to support or challenge their conceptual underpinnings of disability and its causes.
The primary purpose of this study was to evaluate the impact of an international fieldwork experience in Ecuador on OT students through a mixed-methods approach. Results indicate that students felt more culturally competent, had transformed personally and professionally, and were more connected with one another after the experience. Programs should strongly consider engaging students in international experiences due to the positive impact it demonstrates.
This study presents the outcomes of a case-based IPE workshop conducted with second-year doctor of OT (OTD) students and second-year medical students (MSII) using role reversal as an innovative instructional method. The significant difference found when the pre- and posttest mean overall and subscale scores on the IPEC Competency Self-Assessment Tool were compared suggests that role reversal may be an effective instructional method in IPE.
This study tested the effectiveness of instruction designed to reduce cognitive load under task- and performance-incentive conditions to understand the effects of achievement incentives on instructional effectiveness. Findings exemplified the importance of matching desired achievement levels with suitable curricular incentives and learner goal orientation, as the benefits of effective instructional design may only be known when combined with learner motivation to achieve educational outcomes.
Sexuality is a fundamental human occupation, yet research shows practitioners and clients rarely address these issues within OT practice. This presentation discusses the results of a web-based survey of 80 entry-level OT educators regarding attitudes and perceptions about teaching topics related to sexuality. The researchers aim to encourage future research and educational practices focusing on increasing the delivery of sexuality content within entry-level OT education.
Traumatic events are experienced by over 66% of children under age 16. This poster summarizes a study conducted regarding the presence of education relating to childhood trauma and trauma-informed practices in entry-level OT programs in the Midwest. The findings of this survey detail trends in program delivery, methods, and materials. This information may help programs revise curricula to incorporate this topic to prepare OT practitioners for working with this population.
We examined the psychometric properties of the Self-Efficacy for Therapeutic Use of Self questionnaire by Rasch analysis. The questionnaire was completed by 111 students across four time points. Unidimensionality was confirmed for all three parts of the questionnaire. The rating scales and person response validity need further investigation; excellent internal consistency and person/item separation was found. The study supports the psychometric properties of the questionnaire.
This study involved collecting keyboarding speed and accuracy rates from upper elementary students to determine more accurate and age-appropriate standards in schools. We determined average rates for fifth- and sixth-grade students and found a significant difference in speed by grade level. No significant differences were found between genders. The results help OTs better understand when students should initiate or discontinue keyboarding intervention in therapy.
Drowning is the number one cause of death in children with autism. OTs are uniquely positioned to develop effective water-safety interventions, but their voices has been largely absent from the literature. The purpose of this study was to evaluate the effectiveness of OT in the aquatic setting for improving water safety and social skills in children with autism.
The CKTA is an established, performance-based assessment measuring children’s executive function (EF) through a functional, kid-friendly playdough task. Task novelty is essential to assess EF. New tasks are needed to assess and document change in EF following treatment. Two tasks (mug cake and chocolate popcorn) were developed and compared to the standard playdough task to determine parallel forms reliability. Scores were consistently high on the two new tasks.
The results of a national survey of 524 OTPs’ perceptions and practice patterns on collaborating with teachers was conducted. Results indicated facilitators and barriers to collaboration. Implications relate to service delivery and knowledge. Future research should explore how to meet the needs of all students in context and to further explore opportunities to obtain evidenced-based knowledge, as well as to promote the distinct value of OT.
This presentation will provide an overview of mastery motivation, examine population metrics of the Dimensions of Mastery Questionnaire (DMQ 18) for children at high risk for developmental delays, and provide recommendations for early interventionists or parents to assist in improving overall ability by encouraging mastery motivation. This research is most applicable to those in early intervention or OTs assessing infants or toddlers in NICU follow-up clinics.
Nationally, only 10% of children eligible for EI receive services. Parents with low health literacy have difficulty accessing the EI system. Accessible written information is needed to reduce this difficulty. This study evaluated EI materials provided by one state’s Department of Public Health. Four assessment tools measured accessibility, including the CDC Clear Communication Index. None of 26 materials had adequate scores. Materials need to be revised to be effective.
Assessing families’ needs is essential for providing effective family-centered care. In this study, seven standardized measures were evaluated for their content validity and clinical utility by 71 practicing healthcare practitioners. Although all the measures were perceived as valid and useful, wide variability among practitioners’ ratings was found. Guidelines for incorporating clinical reasoning regarding conceptual and practical aspects of measures to assess family needs will be presented.
A qualitative study was done evaluating the feasibility of implementing an adapted SEL curriculum in an urban elementary school. The curriculum was adapted by OT students to meet the learning needs of individuals with unidentified disabilities.
Five schools participated in the Sydney Playground Project to increase choice, control, and inclusion of students with disabilities on the school playground. The intervention served as a catalyst to challenge teacher perceptions of children’s disabilities and increase children’s capabilities.
Interpretive phenomenological research gathered metaphors summarizing OTs lived experiences of effective OT. Data analysis identified themes of obstruction and flow; learning and growth; creative complexity; containment; and emotions and embodiment. The Rollercoaster Ride: a summative metaphor, encapsulates an occupational perspective of health. It aims to improve children’s participation by finding more effective interventions to address the negative impacts of emotional influences.
Camp Jabiru (CJ) is a naturalistic camp that provides OT through a replicable fidelity process for children with developmental differences. Campers improved their functional performance as measured by the Canadian Occupational Performance Measure (COPM) from both parent and OT ratings. COPM positive change remained stable three months postintervention. The findings suggest the OT intervention provided at CJ via a replicable process has a positive and lasting impact on occupational performance.
This study examined attentional inflexibility for children at elevated likelihood (EL) for autism spectrum disorder (ASD) through use of eye tracking. The results indicate that the EL-ASD group had significantly fewer attention shifts from an area of interest to the rest of the screen. While we only assessed a static activity, we believe attentional inflexibilities are also present during occupational engagement, which has implications for OT practice. OT strategies to address this will also be discussed.
Primary-care encounters can be challenging for adults with ASD. The purpose of this presentation is to identify challenges experienced by this population as well as strategies to mitigate these difficulties.
This study aimed to investigate the relations between EF and social interaction in preschool children. The results of the study show that accuracy in single and mixed blocks is significantly correlated with restricted interests and repetitive behaviors in preschool children with ASD. The results indicate that children with ASD who have better accuracy, not response speed, on EF tasks have less limited interests and fewer stereotyped behaviors.
The B.E.E. Program was a three-phase project that was completed to develop a community- and occupation-based program for adults with I/DD. The study examined the feasibility and acceptability of implementing this program in an established community facility. The program involved two individuals who participated in an eight-week program that targeted occupational exposure through a community volunteer experience and education sessions aimed at increasing independence with activities of daily living and instrumental activities of daily living.
A cross-sectional design, utilizing the Self-Assessment of Modes, version 2.1, with a convenience sample (n = 114) of practicing OTs with varying years of experience and practice was conducted to determine the primary preferred therapeutic mode for entry-level, intermediate-level, and advanced-level OTs, as well as the primary preferred therapeutic mode among various practice settings.
This historical qualitative research about the development and early advocacy of the Network for LGBTQIA+ Concerns in OT (formerly Network for LGB Concerns in OT) resulted in themes of confronting the profession, coming out, and changing practice. Researchers analyzed data from primary archival documents, oral histories, and one focus group of Network members. Implications for future research and the OT profession (education and practice) will be discussed.
This quasiexperimental study determined whether four homeless male veterans who partook in life-skills classes in a transitional housing program reported increased satisfaction and improved life skills according to the Canadian Occupational Performance Measure (COPM). Results of paired t-tests indicated no statistically significant change; however, all participants reported a self-perceived change of two or more points, which is clinically significant and could inform future programs and OT practice.
Limited healthcare in Punta Gorda, Belize, and surrounding villages called for an assessment of needed OT services. Interviews were conducted remotely and with a free healthcare clinic. Four main themes emerged: (1) lack of early intervention, (2) barriers to accessing school for children with developmental disabilities, (3) high caregiver burden, and (4) lack of social-emotional care. Findings support the addition of OT to the available care in rural Belize.
The collaboration between OT and engineering can bring complementary perspectives together to create assistive technology that makes significant global impacts. In Colombia, two assessments were administered to identify factors that influence participation in home and community environments for individuals with ambulatory challenges. This research project provides a foundation for OT in Colombia to work with local engineering programs to identify home and community barriers.
This poster will illustrate the results of a two x two (old/young and on-road/simulator) repeated-measures study on hazard detection. The purpose is to analyze driving performance at night by combining eye-tracking technology and driving simulation to analyze on-road scanning behavior, visual attention, glance patterns, and hazard detection. Validity of driving simulators in predicting on-road performance with older-adult drivers in a safe and cost-effective manner will be discussed.
This qualitative study explored how OT practitioners (OTPs) address community participation (CP) within their clinical practices. Three interviews yielded four themes: OT’s role in CP, professional context, professional resources, and the “how to ” of CP. Findings demonstrate that OTPs have an important role in addressing CP. This poster presentation includes an overview of strategies that can support practitioners to more effectively address CP across practice settings.
There is a need for immediate focus on options for OT utilization and practice patterns in home healthcare. New payment models have agencies looking at alternative ways to manage costs efficiently without sacrificing care. Telehealth is not a new concept, but the use in traditional home care is emerging. This study explored the combination of on-site and telehealth visits on the participants’ overall perception of and satisfaction with improvement in occupational performance.
This review identified five different types of nonpharmacological interventions aiming to alleviate poststroke depressive symptoms. These included complementary and alternative therapy, exercise, psychosocial therapy, multifactorial therapy, and cranial stimulation. The findings of the meta-analysis indicated that nonpharmacological interventions have a favorable effect on alleviating depressive symptoms after stroke at both postintervention and follow-up, especially psychosocial therapy.
Through this study, we can understand the effects of different alcohol addiction severities on the inhibition control of patients with alcohol-use disorders. Clinical staff members should consider the severity of the alcohol addiction in this clinical population and improve the executive function of the patients by reducing the severity of the alcohol addiction, thereby alleviating the limitation in daily living.
This mixed-methods study informs OT on the quality, beliefs, attitudes, and functional outcomes of sleep among a sample population of active-duty soldiers. Significant relationships were found between poor quality, increased dysfunctional beliefs about sleep, and perceived decreased daily function. An overall essence emerged that contrary to acquiring knowledge of sleep hygiene principles, limited self-efficacy obstructs the ability to implement those principles.
This qualitative study explored the effect of mindful meditation on reduction of stress in young adults through an online survey of open-ended questions using Qualtrics. Participants were recruited from a closed Facebook meditation community and various social media outlets. Qualitative data was analyzed using content analysis until saturation was reached. Multiple researchers and data collection from multiple sources ensured triangulation, rigor, and trustworthiness of the data.
To address the growing number of older adults (≥ 65 years) living with multimorbidity conditions (two or more chronic diseases), OTs will need to utilize evidence-based tools to identify and manage these conditions. In addition to traditional activities of daily living, instrumental activities of daily living, and functional performance measures, the RGA has proven to be a useful assessment tool for OTs, linked to direct intervention planning and functional outcomes.
OTs provide safety recommendations and encourage active participation in the home. This study determines the effect of participation in home repairs on falls in older Mexican Americans. Results of the analysis indicated performing recent home repairs was associated with decreased likelihood of the respondents having fallen within the last 12 months. Interventions targeting increased participation and safety with instrumental activities of daily living are needed.
The purpose of this study was to analyze the effect of functional levels, environment, and lifestyle of the elderly to their health and quality of life by using path analysis. Two hundred community-dwelling older people were involved. As a result of this research, it is evident that functional levels and physical activities affect health directly. Functional levels, activity participation, and nutrition also affect quality of life. This research can be a foundation to establish a model of the elderly’s lifestyle and health.
This study asked previous interprofessional clinical case competition participants (287 students) to complete a comprehensive survey to assess their perceptions and knowledge of geriatric care and older adult populations.
AT can help OA age in place. OT practitioners should consider how OA make decisions about AT, since OAs’ general decision-making process and strategy differs from that of younger adults. This exploratory qualitative design used semistructured interviews to explore OA decision-making regarding AT. Findings from the seven community-dwelling OAs generally supported Löckenhoff’s older-adult decision-making model.
Confirmatory factor analyses were performed on models of participation depicting multiple assessments of poststroke participation as measuring the same construct. Results suggest that the Activity Card Sort, Reintegration to Normal Living Index, and Stroke Impact Scale–Participation subscale are tapping the same construct. A professional assumption is highlighted, and similar studies are encouraged to strengthen the profession’s ability to validly demonstrate its impact on participation.
TSCS is a promising, noninvasive intervention aimed at increasing spinal excitability and unmasking latent function. The purpose of this study was to assess the impact of pairing TSCS with a long-term gait-training protocol on the quality of life and walking function of patients with motor iSCI. Study results indicate significant improvements in quality of life, bowel and bladder, and walking function.
Occupational contexts are sparse in studies examining sitting-interface pressures of wheelchair users. This study evaluated 48 adults’ peak and average pressures in a manual wheelchair while they completed four functional tasks in a kitchen environment based on random assignment. Statistically significant differences occurred in the tasks with different reaching patterns. The findings inform practitioners when appraising the occupational influences on sitting-interface pressures for wheelchair users.
This study examines the impact of cognition and communication on participation for people with aphasia (PWA). For participation in communication and cognitive-intensive activities among PWA, a modest amount of variance is accounted for by cognition and communication ability. Cognition is a significant independent predictor of participation in communication and cognitive-intensive activities for PWA. To facilitate community re-integration for PWA, OTs must consider internal and external factors.
Incisional pain is present after abdominal surgeries. An OT used Fitbit devices as a postoperative tool to collect data on patients’ steps walked until their first bowel movement occurred. Did the Fitbit provide motivation? This pilot study may advance the practice of OT in the acute-care setting as a tool that motivates patients and which may decrease length of hospital stay and improve the patient experience.
Current evidence on robot-assisted therapy for improved use of a paretic upper extremity during everyday activities is limited. This study used semistructured interviews to investigate participants’ experiences with a novel cognitive-strategy-based protocol for individuals who had a stroke in order to gain a better understanding of how motor skills trained through robot-assisted therapy transferred to paretic upper-extremity use during daily occupational tasks.
Performance art as an occupation for disabled artists was examined through a qualitative phenomenological design based in narrative inquiry. The research yielded three themes: (1) Belonging to a community of disability activists promotes feelings of empowerment for disabled performance artists. (2) The invisible is made visible through their craft; performance art is a means to express the inside out. (3) Space and place impact performance art. Two important subthemes will also be highlighted.
More than half of all surgical patients are age 65 and older, and research suggests that a majority of these patients will require post-acute-care rehabilitation services (PAC). Despite growing healthcare costs, characteristics influencing PAC needs in the elderly abdominal-surgery population are not well studied. This project aims to describe discharge trends, as well as factors related to requiring placement at a skilled-nursing facility in the elderly abdominal-surgery population.
Following Dupuytren’s contracture, therapists rely on clinical judgment more often than other forms of evidence, likely due to insufficient evidence. Therapists use diverse assessments based on clients’ needs. Over one-third of therapists may focus on client factors and performance skills in place of occupation-based interventions. This early evidence supports the development and investigation of evaluation and intervention protocols for persons following surgical interventions.
Despite the negative consequences often associated with this trauma, many individuals report post-traumatic growth following their spinal cord injury. The purpose of this study was to implement a qualitative research methodology in which to better understand the factors that facilitate post-traumatic growth following spinal cord injury, as well as potential clinical implications for OT practitioners.
Upper-extremity peripheral nerve disorders increase disability and cause emotional stress. Many patients with peripheral nerve disorders undergo surgical intervention, and this research tracks trajectories of disability, pain, and health postoperation (PO). Results show worsening symptoms PO, return to baseline, and finally improvement at 12 weeks. The decline PO endorses early referral to OTs for pain management education as well as activity modifications to decrease experienced disability.
USN is a common occurrence in right hemisphere stroke survivors. However, no gold standard measure of USN exists. We investigated whether eye tracking is a sensitive measure of left USN in eight people with acute right hemisphere stroke. Eye tracking was found to be more sensitive than paper-and-pencil–based tests and comparable to functional assessments of USN. We suggest that eye tracking may be a quick and effective way to screen for left USN.
This study compared reliability recordings of shoulder ranges of motion using goniometer and VR methods. The results of this study demonstrate that the use of VR can be a reliable clinical tool equal or superior to goniometer methods currently used for examinations. These results have implications for OT curricular changes in the future.
The study is a descriptive research design analyzing correlations between HDRS scores and self-reported physical activity levels. The purpose is to determine the possible relationship between self-reported physical activity and depression in individuals with Parkinson’s disease. The results can influence the field of OT by informing practice to consider tracking activity and participation to help combat depression with Parkinson’s disease.
This study used the Activity Card Sort (ACS) and the Medical Outcome Short Form 36 (SF-36) to evaluate activity participation and QoL in patients with cGVHD. The positive correlation between the ACS global score and the SF-36 physical component score (PCS) suggests that activity participation is related to physical QoL. OT consultation may improve the QoL of patients with cGVHD by facilitating meaningful activity engagement.
Individuals with adult-onset muscular dystrophies do not die from the disease but have progressive loss of occupational performance (OP) and quality of life. There is no consistent pathway for referral and access to rehab services. OTs are underutilized, even though the greatest need is improvement in OP. The lack of guidelines makes outcomes inconsistent. To work, gene therapies require muscle bulk. OTs may train clients in “muscle protection ” to maintain muscle, giving them a chance at a cure.
We report rehabilitation interventions delivered to facilitate recovery of consciousness for patients with a traumatic brain injury. Interventions reported may prompt OT practitioners to seek advanced training in preparatory stimulation methods. The results of this review identify gaps in the literature, specifically the content of OT treatment.
This paper uses confirmatory factor analysis to assess the hypothesis that tactile defensiveness in children with ASD can be separated into two distinct factors based on whether stimulation is initiated by the child or by external sources. Model fit was good using standard fit measures, suggesting that the level of control over stimuli should be considered when addressing functioning in daily life.
GI can impact participation in many daily tasks, including play, self-care, and social participation. Limited evidence exists to define specific interventions used in the treatment of GI, leaving therapists to rely on theory and tradition. This retrospective study reveals the most commonly used intervention techniques of therapists with advanced training in sensory integration in the treatment of GI in an attempt to define therapy interventions.
This research will help provide evidence for the current debate related to the doctoral mandate by comparing doctor of OT students’ and master of OT students’ levels of clinical competence based on faculty assessment and student self-perceptions during the completion of problem-based learning modules.
Investigators compared moral reasoning between OT and physical therapy students and practitioners with the Defining Issues Test-2. Investigators found a significant difference in consolidated (set) versus transitional (forming) patterns of moral reasoning in practitioners versus students. The difference occurred between second-year students and practitioners, suggesting fieldwork experiences enhanced moral reasoning patterns. Implications include providing ethics education support during fieldwork experiences.
This study examined how OT practitioners prepare for the role of fieldwork educator. Supports to facilitate the role and barriers to the utilization of fieldwork education tools were identified. Comparison of practice settings noted statistically significant differences. The results of this study will serve to inform the process by which OT practitioners engage in professional learning to support their competency as fieldwork educators.
Education of allied health professionals regarding OT services is essential for advocacy of the profession. This qualitative research project provides a feasible methodology as well as measurable outcome that is effective in improving both knowledge and confidence in making appropriate referrals to occupational or physical therapy.
The effects of human dissection on OT course grades were investigated between face-to-face and hybrid OT students. The researchers found that course grades were higher for students with hybrid learning who did not complete dissection as compared to those who were able to dissect with face-to-face learning. This information may assist OT programs in deciding whether or not to include cadaver dissection curricula.
The impact of concussion on college student athletes was explored through the lens of academic self-efficacy. Participants with concussion showed significantly lower self-efficacy in one area of academic performance (note-taking), which directly impacts perceived identity and occupational engagement. Participants highlighted the complexity of concussion rehabilitation and the gaps that exist during the recovery process as they attempt to maintain their roles of college student and athlete.
Through interprofessional education (IPE) and collaboration, a quality-improvement program conducted in a university psychology clinic served to provide PhD psychology students with an opportunity to better understand the role of OT in a community mental-health (MH) setting. This program aimed to further examine OT’s role in a MH setting, as well as the impact of IPE and collaboration on PhD psychology students’ knowledge and understanding of OT.
Although there are various measurements of self-efficacy, most of them are disease-specific or not specifically aimed at measuring symptom management. PROMIS self-efficacy can examine the current level of confidence in managing symptoms for patients with chronic conditions. We used Rasch analysis to examine the psychometrics of the PROMIS self-efficacy for managing symptoms. Clinicians can evaluate their patients’ self-efficacy for symptom management and provide evidence-based treatments.
The Americans with Disabilities Act allowed for an increased number of individuals with disabilities seeking higher education in healthcare professions. Students may require accommodations to succeed. This research explores barriers fieldwork sites identified to working with students with disabilities. This research drives a conversation about inclusivity and reasonable accommodations on fieldwork, which aligns with the pillar of AOTA’s Vision 2025 addressing equity, inclusion, and diversity.
This research explored students’ perceptions and expectations of their graduate programs. Thirteen students participated and four themes were identified. Collectively, these four themes identify with the transition of becoming graduate students and subsequently newly qualified practitioners in a profession to which they desire to feel they belong, can shape, will sustain engagement with, and can overcome challenges within. The findings highlight the importance of the students’ voices as a foundation for preparing future practitioners.
In this descriptive qualitative study, 42 families raising children with and without disabilities or chronic health conditions shared the family occupations that promoted family connection and identity. Findings include family occupation types and attributes and examine the similarities and differences among family groups. These data offer valuable practice considerations that transcend decontextualized, individualistic recommendations in order to prioritize family participation needs.
Intensive power mobility training is feasible for children with cerebral palsy ages birth to three years and can yield greater acquisition of power mobility operatory skills due to more frequent sessions, yet scheduling for these sessions can prove difficult with parents. This research study will advance professional practice because the results will add to the current literature to aid in creating a standardized intensive power mobility training protocol, as there is not currently one for this age group.
Generalization and caregiver involvement are core concepts of the CO-OP approach; however, no research to date has studied the interplay between them. Caregivers of children who received CO-OP intervention participated in an approach-specific training program that aimed to increase their self-efficacy in assisting their child to acquire new skills and measure their child’s ability to generalize the learned strategies to the home.
A descriptive correlation study examined relationships between temperament, effortful control, executive function, and sensory-processing behavior. Outcomes from three standardized questionnaires in children between 7.0 and 10.11 years indicated that statistically significant associations between typical sensory responses were related to abilities for executive function and effortful control, whereas, sensory reactivity was related to decreased abilities for executive function and effortful control.
Our longitudinal study is exploring the feasibility and reliability of using actigraphy as a meaningful outcome measure in children ages four through seven involved in a clinical trial. Our data examine activity levels and sleep patterns in boys with DMD in their natural environment throughout the drug trial. We hypothesize that using activity monitoring as an outcome measure will provide a meaningful view of daytime and nighttime activity for these young boys to show treatment effect.
This qualitative study explored the converging and diverging needs of biological and adoptive parents raising young children with or at risk for fetal alcohol spectrum disorders. Findings from this study advocate for early interventions that prioritize and promote social-emotional development of young children, are family-centered, and provide concrete assistance for family circumstances and parent well-being.
Currently, there is limited information to support decision-making for the provision of powered mobility for very young children with disabilities. To better understand the appropriate age and development for prescription of powered mobility, this research describes the progression of driving skills using a joystick control for powered mobility in typically developing children ages 12 to 24 months. This presentation discusses this research and the possible implications for evidence-based practice.
This study examines the current practices of OTs in the treatment of sleep difficulties in children. The study used a survey design to explore assessment methods, interventions, and preparedness of pediatric OTs in addressing sleep. The study lays the foundation for the need for future research in effectiveness of sleep interventions in the pediatric population.
A systematic review of literature from 2010 to 2019 yielded 2,035 studies of sensory interventions for children and youth. Using established criteria, 22 qualifying studies were identified that spanned six interventions: environmental modifications, deep touch pressure, sensory integration, sensory diet, weighted vests, and stability balls. Strong evidence supported one approach, with moderate evidence in support of three approaches. The results yielded moderate evidence against two approaches.
This single-subject study explores the effects of an OT-led handwriting intervention with a prekindergarten student. Using collaborative and coaching approaches with the teacher, intervention included 16 sessions focused on improving areas of letter formation and posture. The findings demonstrated that a structured handwriting curriculum with ongoing collaboration and coaching in a preschool setting maximized occupational performance.
The findings from this cohort of infants and toddlers are similar to the scores of the foundational or national sample within the SP2 manual and may represent increased measurement reliability of typically developing infants and toddlers. Additionally, caregiver perceptions of their child’s sensory processing may be consistent across time as the infant or toddler develops.
Students with CFM were found to have more restricted school participation, as denoted by lower frequency and level of involvement in school occupations and higher rates of parent dissatisfaction with their child’s school participation, when compared to nonaffected peers who do not receive health, education, and rehabilitation services. These results show an unmet need for school-based and participation-focused OT for students with CFM.
The results showed that children with normal verbal comprehension had better performance in ToM-related social interaction than those with delayed verbal comprehension. However, children’s symptom severities significantly predicted their ToM-related social interaction only in children who had normal verbal comprehension. This study highlighted the differential predictions of symptom severity to ToM-related social interaction by their verbal comprehension levels in children with ASD.
The Pediatric Evaluation of Disability Inventory–Computer Adaptive Test–ASD: Responsibility Scale (PEDI) targets limitations in managing daily life tasks. Adolescents (ages 14 to 22) with ASD without intellectual disability (n = 125) performed below expectations based on their intellectual level on the PEDI. Eighty-six percent of youth demonstrated borderline or significant delays in management of life tasks. If unaddressed, this challenge may create significant barriers to success in work and independent living.
Individuals over the age of 21 with intellectual and developmental disabilities lack funding for skilled OT services. As a result, they are often cared for by paraprofessionals, and the individual’s participation in meaningful occupations declines. In this study, staff at an adult day center received two training sessions on providing client-centered care. Information gathered from this study supports the need for OT as a consultative resource for educating paraprofessionals.
Sensory-processing challenges are measured by caregiver report and clinician observation and affect many people with autism spectrum disorder and their caregivers. It is unclear how caregiver stress influences the correlation between scores on caregiver reports and observational measures. The present analysis explored correlations between two formats of tools to assess sensory processing and indicated that caregiver stress moderates the association between sensory-seeking scores on the measures.
As the use of EI and self-awareness training within accredited OT programs becomes more prevalent, it will be important to describe and differentiate the benefits of and barriers to potential types of EI training. Therefore, this study examined the relationship between EI and self-awareness training. This study’s findings add new perspectives and depth to the current research and the evidence supporting the need for EI training in OT curricula.
Students with sensory-processing disorder pose unique challenges to OTs working in schools. A year-long program to promote competent utilization of sensory-based interventions in school-based practices utilized a qualitative research study as part of its program evaluation. The resulting conclusion is that professional development needs to be adapted to meet the needs of school-based OTs in order to overcome the specific barriers that limit service delivery for students.
A correlational study determined if personal contact with transgender individuals and the amount of transgender-specific education are correlated with OT students’ and practitioners’ attitudes and knowledge of transgender communities. Results indicate that contact and hours of education have a significant association with knowledge. Research into factors that relate to preparedness in working with transgender clients is a step toward addressing transgender health disparities.
This study examines whether participation in a voluntary process consultation workgroup influences therapy outcomes. Therapist engagement and internal customer-service scores improved following the workgroup intervention. Employee-driven workgroups may be an effective means of increasing hospital quality and improving therapist engagement. This is particularly important as healthcare transitions toward value-based purchasing programs.
The aim of this study was to explore current practices of OTs with children with autism spectrum disorder in Jordan for purposes of identifying educational needs and ultimately to improve service delivery. This was a survey-based study with a self-administered questionnaire. Results from 42 respondents were partially consistent with previous research and indicated the need for curricula modifications and continuing education to ensure best practices with children with autism.
Analyzing the complexities of OT treatment is critical to understanding and guiding best practice. This research presents a unique method of using the OT practice framework, the person-environment-occupation-performance model, and billing codes to examine practice in our hand-therapy student experiential-learning clinic. Results demonstrate that student therapists addressed occupations in all treatment visits and utilized a variety of intervention approaches and types.
The purpose of this pilot study was to determine the feasibility and tenability of the topic to understand caregiver needs early in the experience of caring for a person with Alzheimer’s disease. Interviews with caregivers revealed three themes. Though more research is needed, OTs can support caregivers, potentially preventing the negative physical and psychosocial outcomes they face.
The study aims to explore relationships between VCs and their lawyers and observe the characteristics of optimal relationships by interviewing both sides and getting their different perspectives. Following analysis of the results, a new concept of professionalism is offered to lawyers, based on implementing the principles of the "use of self" in legal practice and by using professional OT core values and knowledge.
This study investigated the impact of a short-term occupation-based program on pain, fatigue, and occupational performance of women with cancer that took place over one week. Activities focused on physical, emotional, sensory, and social aspects of functioning. The study demonstrated that participation in this one-week program decreases pain and fatigue and improves occupational performance and satisfaction for women with cancer living in the community.
This presentation will describe a novel assistive technology intervention: customized pillboxes. We will also describe the results of a small, randomized controlled trial that compares medication adherence and device satisfaction across the three study arms: (1) standard pillboxes, (2) individualized store-bought pillboxes, and (3) 3-D printed pillboxes.
The purpose of this qualitative study was to understand the use of commonly used baby equipment by Navajo parents. The use of traditional equipment (such as cradleboards) and modern-day equipment (such as walkers) reflects both the practical needs of caregivers to protect their babies from harm and the desire to instill in their children cherished cultural values and a sense of belonging. Culturally sensitive education for Navajo parents on safe use of cradleboards and infant walkers is needed.
Ulcerative Colitis, a chronic inflammatory bowel disease, affects all level of occupational performance and participation. Among Latinos in the RGV, it is an ever-present existence that has influenced and changed their mental state.
This phenomenological, qualitative pilot study aimed to gain insight into the lived experiences of homeless mothers participating in leisure craft groups. Information was obtained using semistructured interviews that sought to explore what meaning was derived from attendance. Informants from the study echoed content from literature regarding benefits of leisure participation. This research supports the application of occupational justice by expanding services to an under-served population.
Perinatal mental healthcare is an emerging area of practice for OTs in the UK, however research to guide practice remains scarce. A qualitative grounded theory methodology elicited data from 12 OTs using semistructured interviews. The MOHO was found to enable participants to understand the complex needs of mothers with mental illness, measure outcomes, and articulate their unique and distinct role to multiple audiences.
This study describes interoceptive processing in a sample of 706 adults, including those with no mental-health diagnosis and those with a diagnosis, including depression, anxiety, eating disorder, or attention deficit hyperactivity disorder. Significant differences on the Multidimensional Scale of Interoceptive Awareness-2 (MAIA) and the Interoception Sensory Questionnaire (ISQ) were seen across levels of mental-health wellness. Implications for future research and practice are provided.
Two OT students initiated services in a geriatric primary-care clinic, where they worked with an interprofessional team. To assess the team’s perceptions of OT services, three surveys were modified to include quantitative and qualitative questions. Results indicate that OT services were well-received and add to overall patient care and service delivery. This research supports OT in geriatric primary care.
This mixed-methods research project explored knowledge and perceptions of nursing staff about functional maintenance programs in a skilled-nursing facility and evaluated the effects of increased nursing-staff education. The study consisted of pre- and postsurvey and individual interviews. The results showed an increase in scores for both knowledge and perception questions following an in-service training session. Interviews revealed themes related to program benefits and barriers to implementation.
The purpose was to elucidate factors—specifically mobility, behavior, and travel attitudes—that mediate between personal characteristics and participation in out-of-home activities of the elderly. Driving was found to be a major mediator between personal characteristics (e.g., age and education) and participation. The findings demonstrated the multidimensional nature of participation and emphasize the role of OTs in assessing mobility behaviors and travel attitudes of the elderly.
This qualitative, interview-based research project explores the views of adults with early-stage dementia and their care partners about technology. We describe the participants’ commendations for, expectations of, and frustrations with current technology, as well as recommendations for future, helpful digital technology. This important information relates to incorporating smart assistive technologies into effective OT practice, especially for those with cognitive impairments.
A descriptive study was performed to determine the perspectives of older adults and how supports impact their occupational performance in alternative housing communities. Participants in the cohousing community used more supports than those in the village; however, participants valued having many of the supports available even when they did not use them frequently. The study expands the knowledge base of how older adults value and utilize community supports to improve occupational performance.
As the population ages, bundled payment initiatives are being used to optimize quality and cost outcomes. Currently, research on these new models does not describe OT’s value. In response, this presentation will describe current evidence on the total joint arthroplasty bundled-payment initiative, articulate OT’s value throughout the care continuum, and generate recommendations for practice and research.
This study identified compensatory strategies used by individuals with glaucoma who drove safely and those who failed an on-road driving test. Participants completed vision tests, a compensatory driving strategies questionnaire, and an on-road driving assessment. Preliminary results indicate that individuals with glaucoma who failed the on-road assessment modified their driving, used selected vehicular technology more frequently, and were older than those who passed.
Participation is a primary focus of OT and neurorehabilitation; however, there is a gap in understanding the association of depression and aging with participation. Therefore, this study aimed to (1) determine differences in participation between individuals with and without depression within the same age groups and (2) determine the differences in participation across age groups for individuals who are depressed and for individuals who are not depressed.
Stroke self-management programs provide a comprehensive approach to managing the day-to-day aspects of living with the effects of stroke. The impact of these programs on participants has not been previously explored. This presentation will share the results of a qualitative study exploring the process of adaptation as described by five stroke survivors following their participation in a stroke self-management program.
Over half of the participants in this sample had cognitive impairment according to an objective screener. Reduced reported functional cognition was associated with reduced participation independent of the effects of other disease-related factors, such as pain, sleep, and depressive symptoms. These findings provide rationale for further and more comprehensive investigation into cognitive impairment and its functional relevance in SLE.
Individuals with PD often experience cognitive deficits that can cause functional limitations and reduced quality of life. Cognitive self-efficacy (CSE), the belief in one’s own cognitive capacities, may impact how a person with PD performs and participates in cognitively challenging occupations or responds to cognitive interventions. Investigating CSE among individuals with PD would be important to effectively address functional cognitive performance and improve quality of life.
Being physically active is important for health and well-being; however, adults frequently do not engage in recommended levels of physical activity. This paper presents a systematic review and meta-ethnography of adults’ experiences using mobile health applications to support participation in physical activity. The findings will advance the ability of OTs to effectively use these novel interventions where service users aspire to increase their physical activity levels.
As the population ages and stroke prevalence rises, there will be an increased need for therapeutic interventions in the home that can help improve motor recovery in stroke survivors. A home-based video game protocol can help satisfy this need. This study evaluates the feasibility of and adherence to a home-based video game protocol designed specifically for stroke survivors. This has implications for the field of OT in the home, through telerehabilitation, and in clinics.
Cognitive difficulties are commonly reported by individuals with chronic pain. An interdisciplinary pain rehabilitation program (IPRP) that includes OT can be an effective strategy for improving cognitive performance. This case series examines change in cognitive performance for two individuals following a three-week IPRP. OTs provide group-based education with an emphasis on function. This approach successfully enhances cognitive performance and can potentially be used as an OT treatment in other settings.
A quantitative study was conducted to determine if a correlation existed between dynamic grip strength and hand function in healthy subjects across the life span. Outcomes were measured using the BTE grip tool and the Jebsen Hand Function Test. An insufficient statistical correlation existed between timed Jebsen hand-function results and dynamic hand-strength values to support the use of test results as a clinical indicator of functionality or intervention planning.
This study identified the most prevalent wrist conditions by injury, type, and diagnosis for US service members. The results support the need for prevention efforts based on the most prevalent wrist conditions. The type of injury and diagnosis play a major role in treatment planning, which determines the length of treatment. Lastly, the study highlights the importance of consistent documentation and standard assessment completion for an accurate depiction of the effectiveness of OT treatment.
HSCT is a lengthy and debilitating cancer treatment. Caregivers of HSCT recipients report distress and reductions in their own self-care. A caregiver wellness intervention based on behavioral activation was developed and implemented in order to assess its feasibility and acceptability. Future research will explore the efficacy of the intervention, which is well-suited for delivery by OTs working in cancer rehabilitation.
With an increased emphasis on evidence-based practice, documentation, and justification of services in the current healthcare system, this feeding group study serves as a model of the effectiveness of interdisciplinary collaboration, demonstrating the value of OT services to proficiently address feeding skills that strongly impact a stroke patient’s functional performance, return to the community, and quality of life.
A novel care model was created to assess the effectiveness of OT as a nonpharmacologic, multicomponent intervention in the prevention and treatment of delirium in hospitalized patients. Given that “only 12 to 35% of delirium cases are recognized,” patients with “altered mental status” received priority evaluation from OT (Ramirez, 2014). Preliminary research has been promising and indicates benefits of OT utilization as an effective discipline in the treatment of delirium.
The purpose of this study was to determine the effectiveness of an online education program to improve the participants’ comfort and confidence when addressing sexuality. The study was a pretest–posttest design completed over six weeks and included 21 OT practitioners. The results indicated that the practitioners had improved comfort and confidence when addressing sexuality, had decreased concerns about addressing sexuality, and had an increased rate of addressing sexuality.
Recent literature has defined therapist-led and therapist-supported categories of how OTPs provide sensory supports. This session will provide an overview of how, when, and where school-based OTPs support children with sensory-processing difficulties. Discussion will include how OTPs gained their sensory knowledge, utilize current terminology, and are able to implement physical and process elements of ASI fidelity components.
The EASI is a new, comprehensive assessment of sensory, motor, and praxis functions. In order to enhance clinical utility within pediatric practices, concurrent and construct validity of the vestibular and proprioceptive tests were examined. Results showed that the EASI is a valid measure of vestibular and proprioceptive constructs.
The study’s aim is to assess sustained attention in the presence of different tactile stimuli among children with and without sensory modulation disorder. The Short Sensory Profile 2 was used for group allocation. Sustained attention was measured by an electrophysiological tool. Significant differences in sustained attention were found between different tactile stimuli and between groups. The results enable development of tailored interventions that rely on the child’s brain engagement.
Long-term follow-up of 64 children with sensory-processing challenges found that over half scored as typical on an adult sensory history 8 to 32 years later. Adult anxiety and depression was common, especially in females, and was correlated with the most severe adult sensory-processing challenges. This study provides preliminary prognosis information for childhood sensory-processing challenges.
This research provides an exploration into the use of virtual reality–based tools for assessment in stroke. As these tools become more widely used in practice, it is imperative that OT practitioners are able to utilize data effectively in clinical decision-making.
The study’s aim was to investigate the feasibility and effectiveness of cognitive-control training using mobile phones to improve resilience and QOL among soldiers in the Israeli Defense Forces. A group of 154 combat-unit soldiers were recruited and randomized to a controlled clinical trial group and an active control group. No significant effects of training on QOL, resilience, or mental health were found. The study’s results encourage OTs to develop accessible, occupation-based interventions for enhancing resilience.
We conducted a phase I pilot randomized controlled trial examining the preliminary efficacy of combining brain and hand stimulation to improve hand function in individuals with moderate to severe chronic stroke. Our findings suggest that the combined brain and hand stimulation shows promise in improving hand movement, function, and participation in daily tasks in this population. Future studies are warranted to examine the efficacy of this intervention.
Thirteen participants with cervical SCI used a soft robotic glove in a variety of tests compared to their baseline function. Results included a 50% improvement on the Jebsen-Taylor Hand Function Test from baseline to glove trial and significant increases in grasp and pinch forces with the active glove. The glove was controlled by the participants with an external button pushed by the nontested hand. In the future, this device could be portable and used in the home or community.
This descriptive, cross-sectional study aims to characterize current need and utilization of driver rehabilitation services among a nationally representative sample of community-dwelling older adults. Overall findings suggest that the need for driver rehabilitation services is unmet within this population. Results from this study provide empirical evidence to support future OT practice and policy recommendations to improve older adult community mobility and participation.
Driving is an occupation that is highly dependent on the interaction between the person and the environment. Mobile EEG is a tool that can overcome limitations to brain imaging methods that restrict measuring occupational performance in natural contexts. This study describes a case example using mobile EEG in a driving assessment with an individual following a right hemispheric stroke with mild residual hemispatial neglect.
The naturalistic driving observation is an appropriate method for assessing fitness-to-drive of elderly drivers. By utilizing this unique assessment, real-life driving performance is captured, enabling the reduction of test-related discomfort associated with the current gold standard test of driving ability, the standard on-road driving evaluation. OTs could consider incorporating this assessment that is structured, score-based, and individualized for each driver.
This study determined the predictive validity of the total number of errors (i.e., adjustment to stimuli errors and gap-acceptance errors) made in either residential, suburban, city, or highway environments on drivers with MS failing (versus passing) the University of Western Ontario on-road assessment. Study findings indicate that quantifying the total number of errors made in suburban and city environments may help determine failing versus passing outcomes for drivers with MS.
Attention, sensory processing, and social skills each represent targets for OT intervention in ASD, and understanding the complex interrelationships between these constructs will allow therapists to design more efficient interventions. Study results indicate that sensory processing, specifically low registration, fully mediated the relationship between attentional abilities and social responsiveness in 24 young adults with ASD and 24 age-matched neurotypical peers.
Children with ASD participated less frequently in a fewer number of activities than children with typical development. However, children with ASD had more enjoyment and school and community participation than children with typical development. OTs should evaluate and support participation for all children.
The purpose of this presentation is to share the results of a two-year priority-setting PCORI engagement award conducted in collaboration with the autistic adult community. Engagement lessons learned will inform future research activities with this population. Products shared include an engagement and compensation guide and examples of effective engagement activities.
A program was launched in 2016 to draw a portrait of the social participation of adults with ASD and identify barriers and facilitators to their social participation. We conducted an online survey with 16- to 40-year-old adults with ASD (n = 201) and with parents of adults with ASD (n = 107). Areas investigated included: education, work, leisure, housing, and responsibility from the Human Development Model conceptual framework—Disability Creation Process (HDM-DCP).
The results of a four-week quasi-experimental pretest-posttest research study examining the effectiveness of an OT-HAWP on health-related quality of life, fatigue, sleep quality, and self-perceived satisfaction or performance of daily activities of cancer survivors in the community setting will be presented. Understanding these results allows OTs to consider practicing this effective intervention and to discern their role within an emerging practice area in cancer survivorship.
This longitudinal study examined the factors associated with participation in meaningful activities following breast cancer. The findings emphasized the participation restrictions women face, even six years after diagnosis, in activities with high physical demands. Also, associations between participation and physical and cognitive symptoms were found. The findings highlight the need and were the basis for developing a unique, occupation-based intervention following breast cancer.
This mixed-methods study classified new residents in an ALF for frailty and explored each resident’s occupational needs upon their transition to the ALF. Results revealed a spectrum of personal narratives, functional abilities, and psychosocial needs among new residents. Findings implicate the need for standardized data collection upon admission, followed by program development or refinement, to best meet the needs of new ALF residents.
This scoping review aimed to examine how the term self-care has been used in prominent OT literature (1922 through 2018). Results demonstrate that of 1,254 included articles, 54.9% use the term self-care ambiguously. In provided examples, authors primarily apply the term to basic activities of daily living, compared to broader definitions from the wellness literature. Findings serve as a call for the profession to redefine self-care to promote population health and well-being.
This study investigated the relationship between sensory reactivity and FDD. Parents of three- to six-year-old children with and without FDD completed two questionnaires: the Toileting Habit Profile Questionnaire-Revised and the Short Sensory Profile. Children with FDD had higher levels of sensory hyper-reactivity. Screening for sensory hyper-reactivity may be important when working with children with FDD who have difficulty participating in toileting routines.
This panel will discuss a research study measuring the effects of intensive, group-based CIMT for children with hemiplegia who are ages nearly two to six years old. Results produced many statistically significant improvements in unilateral function, bimanual coordination, and occupational performance, including social participation.
Circadian rhythms are physical, mental, and behavioral changes that follow a daily cycle. They help influence sleep and wake patterns and can be useful in identification of maladaptive sleep patterns that are known to exacerbate symptoms of rare disease. This research explored circadian rhythms and sleep in young males with Duchenne muscular dystrophy and age-matched unaffected males. Understanding circadian rhythms is pivotal for successful sleep intervention.
Using a quasiexperimental design, the feasibility of the Stroll Safe outdoor fall-prevention program was examined. Process, scientific, management, and resource assessments were conducted. Results reveal that the program is feasible to implement among active, community-dwelling older adults. Further study using an efficacy trial is warranted. This study helps to build the body of knowledge in outdoor fall prevention, an area of research and practice that is critical to productive aging.
Individuals with intellectual or developmental disabilities have unmet transportation needs, which limits their community mobility. Access to transportation is linked to community participation and independence in adult outcomes. The purpose of this study was to examine the implementation feasibility of Community Mobility Plans, an individualized OT intervention.
People with DD often face transportation challenges that impede community participation. The purpose of this study was to examine the impact of a comprehensive intervention program on the travel skills of individuals with DD to increase community mobility.
This study carried out a performance-based task combined with an eye-tracker device for both a control group and a group of people coping with severe mental illnesses. This was done in order to better understand difficulties in task performance and to deepen OTs’ and cognitive scientists’ understanding of client factor and to identify interventions in the most favorable way for the individual. Preliminary results show a difference between the groups in both observational and objective findings.
The purpose of this study was to develop evidence concerning the costs and benefits of hiring and accommodating workers with mental illness. We conducted interviews with accommodated workers, co-workers, supervisors and managers, and other workplace stakeholders within five organizations. The findings provide a compelling business case for hiring and accommodating people living with mental illness and suggest opportunities for OT practice.
Schizophrenia is commonly understood as a mental illness, but a growing body of evidence indicates that it is a complex neurological condition that profoundly impacts motor performance and learning. Thus, functional skills and participation are significantly affected. This scoping review aims to understand motor-learning processes in adults with schizophrenia with the goal of expanding our ability to support functional skill development in this population.
Celiac disease is a chronic condition that’s treated by a strict, lifelong, gluten-free diet. Children and adolescents with celiac face ongoing challenges of making daily dietary choices. As children grow, they need to become more involved in the decision-making process and take on self-management responsibilities. OTs have an important role in promoting self-management of celiac disease and the decision-making process during the transition years from adolescence to young adulthood.
STEP is a novel infant motor skills test that is an efficient developmental assessment for preterm infants. STEP scores are related to MRS metabolite N-acetylaspartate (NAA) and multiple white matter (WM) tract fractional anisotropy (FA) values. Neuroimaging data in a model with STEP scores strongly predict 12-month Bayley outcomes. Performance on the STEP relates to CNS structural and metabolic integrity, and combining neuroimaging with STEP assessment can predict long-term motor development.
A comparison between children with and without PTS symptoms, found that children with PTS symptoms are at increased risk for sensory processing deficits in various sensory modalities, over and above the core symptoms of PTSD. These results emphasis that sensory processing should be incorporated into the routine evaluation of this population and point to the importance of occupational therapy trauma-informed intervention programs, emphasizing the sensory component of regulation
Utilizing a stepped wedge randomized control and repeated measures design, this study indicated improved occupational performance and participation outcomes for incarcerated women with intellectual and developmental disabilities (IDD). The outcomes of this study have strong potential utility for enhancing the rehabilitation of incarcerated individuals with IDD and advocating for the consistent inclusion of OT within criminal justice service-provider teams.
Veterans entering college experience transition challenges that may affect their academic success and well-being. Photovoice, interviews, and focus groups were used to explore the patterns of occupational engagement of female college-student veterans, as well as supports and barriers to their well-being. This presentation will highlight the results as depicted in Photovoice pieces and their corresponding narratives, in addition to transcription of interviews and focus groups.
This mixed-methods research examined the impact of sensory-based OT intervention on youth in a juvenile correctional facility through record review data analysis and interviews with incarcerated youth. Youth had a significantly lower rate of violence following OT intervention and other positive behavioral and emotional changes. The findings support the effectiveness of sensory-based OT and its significance for this underserved population.
This study investigated QoL factors for persons with ALS and their caregivers as a unit. People ALS and their caregivers completed the Schedule for the Evaluation of Quality of Life—Direct Weight jointly to identify QoL factors most important to the dyad. The three most commonly chosen QoL factors include family, spirituality, and leisure. Identifying key QoL factors will allow OTs to provide improved client- and family-centered care that is more holistic.
Adults with CP are experiencing physiological changes earlier than adults without CP. This study examines how these changes impact participation in occupation. Findings indicate that adults with CP experienced significant changes in routine, social networks, and identity and received little support for managing these changes. These findings are significant for OTs, who can support these adults and promote continued participation in occupation.
We present evidence from a one-year longitudinal study of the prospective associations between depression and functional status in 1,219 stroke survivors after hospital discharge. Cross-lagged analyses found reciprocal relationships between depression and functional status over time. Our results not only aid in the identification of targets for intervention, but they also offer insight into how and when to intervene for stroke survivors transitioning to community settings.
Early ACEs have implications relating to mental, behavioral, and developmental disabilities and lifelong health. This secondary data analysis of the NSCH demonstrates the relationship between ACEs and symptom severity for children with pediatric disability in the United States. Our results show that as adverse childhood experiences increase, symptom severity increases, emphasizing the importance of understanding underlying contextual factors in early intervention.
The PEDI-PRO is a self-report of functional performance designed for transition-age youth with DD ages 14 through 22. We evaluated the usability of the PEDI-PRO software in clinical practice and established the reliability and accessibility of the PEDI-PRO user interface with transition-age youth with DD. Clinicians report high usability, and the accessibility features appear to support reliable reporting of daily activities, social and cognitive, and mobility function by youth with DD.
The purpose of this study was to examine internal consistency, factor structure, test–retest reliability, and scale distribution of the PES-C in children between the ages of two and seven. The PES-C measures a parent’s effort to support their child’s participation in daily activities in natural community environments.
A 2005 special issue of the American Journal of OT was dedicated to the growing influence of disability studies on the profession. Authors from this journal reflected upon how shifting perspectives of disability might inform future research and intervention design. This study sought out these authors to explore their current perspectives on disability studies within the profession using thematic analysis to understand if or how suggestions and recommendations from the 2005 manuscript have been attended to.
This research describes occupational-performance limitations experienced by postsecondary students following concussion. Students reported occupational-performance limitations in education, vocation, and social activities. All students reported performance limitations; no statistically significant differences were found between student athletes and nonathletes. The results indicate that there is a role for OT in postconcussion care to address occupational-performance limitations.
Researchers introduce a unique finding, a cultural shift, that occurs during cancer survivorship. This shift includes “funneling effects, ” such as changes in client factors, changes in perspective, and the experience of distress, all of which influence occupational engagement. Specifically, occupations were either lost, gained, or modified. Understanding the impact a cultural shift has on occupational engagement during survivorship underpins OT’s ability to build client-centered interventions.
This pilot study evaluated the effectiveness of Project FUSE, a collaborative program exposing students to trade skills in a supportive and inclusive environment. Findings suggest Project FUSE is a promising program for the development of preemployment skills and independent-living abilities in adolescents with autism. Basic social processes were achieved within a therapeutic group environment.
PANDAS is the sudden onset of obsessive-compulsive disorder or tics following streptococcal infection in a previously healthy child. We will discuss our qualitative phenomenology study of six families with a child with PANDAS whose symptoms developed prior to beginning school and consider how symptoms affected families. We will discuss implications of results for OT practitioners.
Development in the first years of life is often characterized by a child’s aptitude for completing discrete tasks, such as walking or stacking blocks. Real-life participation requires the child to incorporate skills into everyday activities. The ITACS is a newly developed assessment that measures a child’s engagement in daily activities. This presentation will provide an overview of the ITACS and discuss its initial psychometrics.
This study evaluated the feasibility, acceptability, and value of implementing the Young Children’s Participation and Environment Measure (YC-PEM) as an evidence-based, family-centered, and electronic participation-focused assessment option within an early-intervention setting. Results support the implementation of YC-PEM as a feasible, acceptable, and valued option for engaging families in planning family-centered and participation-focused early-intervention services.
We present on a research project that used telehealth to support parents of children with autism spectrum disorder (ASD) to toilet train their children. Among n=15 children with ASD, results of the 12-week intervention showed significant gains in goal attainment scaling, the Canadian Occupational Performance Measure, and the Toileting Behavior Questionnaire. Children with ASD benefit from an OT telehealth intervention to increase this essential adaptive behavior.
We conducted a systematic review and meta-analysis to evaluate the effectiveness of theory-based digital self-management interventions in people with neurological conditions. Results support the use of theory-based digital self-management interventions to reduce depression, fatigue, and anxiety and to enhance self-efficacy.