Occupational Therapists as Street-Level Bureaucrats: Leveraging the Political Nature of Everyday Practice.
Abstract BACKGROUND.: As front-line service providers who often work in systems regulated by governmental bodies, occupational therapists can be conceptualized as "street-level bureaucrats" (Lipsky, 1980/2010) who effect and are affected by policy. PURPOSE.: Drawing on understandings from a study of long-term unemployment, this article proposes that occupational therapists, as street-level bureaucrats, respond to inter-related policies and systems in ways that can perpetuate, resist, or transform opportunities for doing and being. KEY ISSUES.: By highlighting practitioners' everyday negotiation...
Source: Canadian Journal of Occupational Therapy - December 20, 2019 Category: Occupational Health Authors: Aldrich RM, Rudman DL Tags: Can J Occup Ther Source Type: research

Supporting Independence at Home of People with Autism Spectrum Disorder: Literature Review.
ot É Abstract BACKGROUND.: The integration of a life environment enabling people with autism spectrum disorder (ASD) to fully exercise their independence must be well prepared. PURPOSE.: Review and describe interventions intended to develop the independence at home of people with ASD. METHOD.: The PRISMA method was used to perform a systematic review based on 19 keywords, grouped under three concepts: (a) population age (adolescents and adults), (b) diagnosis (ASD), and (c) independence. FINDINGS.: Seven effective interventions were identified in the 20 selected articles: (a) video self-model...
Source: Canadian Journal of Occupational Therapy - December 12, 2019 Category: Occupational Health Authors: Marcotte J, Grandisson M, Piquemal C, Boucher A, Rheault MÈ, Milot É Tags: Can J Occup Ther Source Type: research

Quality of life: A universal or a disability specific concept?
Abstract BACKGROUND.: Quality of life (QoL) is an important outcome of occupational therapy practice. Autism spectrum disorder (ASD) is a neurodevelopmental disorder that impacts the individual throughout their lifespan and may substantially affect QoL. Measuring QoL of people with ASD presents a challenge and a debate whether to use general versus disability-specific adapted measures. PURPOSE.: This paper aims to (a) revisit the construct of QoL and discuss specific dilemmas pertaining to its measurement, and (b) discuss implications to the assessment of QoL in individuals with ASD while highlighting the pot...
Source: Canadian Journal of Occupational Therapy - December 4, 2019 Category: Occupational Health Authors: Erez AB, Gal E Tags: Can J Occup Ther Source Type: research

Thank You! ∼ Merci!
Thank You! ∼ Merci! Can J Occup Ther. 2019 Dec;86(5):344 Authors: PMID: 31769317 [PubMed - in process] (Source: Canadian Journal of Occupational Therapy)
Source: Canadian Journal of Occupational Therapy - November 28, 2019 Category: Occupational Health Tags: Can J Occup Ther Source Type: research

"I'm not alone": women's experiences of recovery oriented occupational therapy groups following depression.
"I'm not alone": women's experiences of recovery oriented occupational therapy groups following depression. Can J Occup Ther. 2019 Oct 09;:8417419878916 Authors: Woolley H, Levy E, Spector S, Geneau N, Castro A, Rouleau S, Roy L Abstract BACKGROUND.: Occupational therapy groups have been carried out as interventions in mental health settings across a variety of populations. Limited research explores the lived experience of individuals with depression following participation in recovery oriented occupational therapy groups. PURPOSE.: To better understand how recovery oriented occupationa...
Source: Canadian Journal of Occupational Therapy - October 9, 2019 Category: Occupational Health Authors: Woolley H, Levy E, Spector S, Geneau N, Castro A, Rouleau S, Roy L Tags: Can J Occup Ther Source Type: research

Corrigendum.
Authors: PMID: 31465240 [PubMed - as supplied by publisher] (Source: Canadian Journal of Occupational Therapy)
Source: Canadian Journal of Occupational Therapy - August 29, 2019 Category: Occupational Health Tags: Can J Occup Ther Source Type: research

Advancing reconciliation in scholarship of occupational therapy and Indigenous Peoples' health.
PMID: 31460779 [PubMed - as supplied by publisher] (Source: Canadian Journal of Occupational Therapy)
Source: Canadian Journal of Occupational Therapy - August 28, 2019 Category: Occupational Health Authors: Restall G, Phenix A, Valavaara K Tags: Can J Occup Ther Source Type: research

Professional identity and emerging occupational therapy practice: An autoethnography.
Abstract BACKGROUND.: Research about occupational therapy practice in the community with people who have been imprisoned remains limited and may be considered an emerging area of practice. PURPOSE.: This paper provides a critical, first-person account about emerging occupational therapy practice with men transitioning to the community post-imprisonment. The practice context is described and reflected on from the lens of a new graduate. METHODS.: Autoethnography draws meaning from reciprocal interactions between an individual and a culture. Data was collected by the primary author through reflective journ...
Source: Canadian Journal of Occupational Therapy - August 20, 2019 Category: Occupational Health Authors: Zubriski S, Norman M, Shimmell L, Gewurtz R, Letts L Tags: Can J Occup Ther Source Type: research

Autism spectrum disorder: How can occupational therapists support schools?
ute;, Desmarais C Abstract BACKGROUND.: Children with autism spectrum disorder (ASD) face multiple occupational challenges in their school, and school staff need additional support to increase their participation. PURPOSE.: The aim of this study is to identify how Response to Intervention (RTI) could be used by occupational therapists to support school personnel who work with children with ASD. METHOD.: In a descriptive qualitative study, three discussion groups were undertaken with occupational therapists and school staff members in Quebec, Canada, to identify the main concerns regarding the participati...
Source: Canadian Journal of Occupational Therapy - August 11, 2019 Category: Occupational Health Authors: Grandisson M, Rajotte É, Godin J, Chrétien-Vincent M, Milot É, Desmarais C Tags: Can J Occup Ther Source Type: research

Addressing clients' sexual health in occupational therapy practice.
This study aims to describe occupational therapists' perspectives regarding clients' sexual health. METHOD.: This exploratory study surveyed Canadian occupational therapists using an online questionnaire that collected information on beliefs, knowledge, comfort, barriers, and facilitators with regard to addressing sexuality. Descriptive analysis was conducted on questionnaire data, and content analysis was used to organize respondents' comments. FINDINGS.: While most respondents believed that addressing sexuality was within their scope, few actually did so in practice. Participants reported comfort with sexuality...
Source: Canadian Journal of Occupational Therapy - June 20, 2019 Category: Occupational Health Authors: Young K, Dodington A, Smith C, Heck CS Tags: Can J Occup Ther Source Type: research

[Overview of the assessment practices of occupational therapists working in Quebec].
Levasseur M Abstract BACKGROUND.: In occupational therapy practice, client assessments are essential for establishing treatment priorities and determining the effectiveness of interventions. However, occupational therapists' assessment practices are not well documented. PURPOSE.: This work aimed to provide an overview of the assessment practices of Quebec occupational therapists based on the person-environment-occupation components and clienteles. METHOD.: A cross-sectional survey was conducted using an online survey that was sent to occupational therapists in Quebec. FINDINGS.: In paediatrics, occu...
Source: Canadian Journal of Occupational Therapy - June 12, 2019 Category: Occupational Health Authors: Gobeil J, Larivière N, Carrier A, Bier N, Bottari C, Veillette N, Rouleau S, Gélinas I, Provencher V, Couture M, Levasseur M Tags: Can J Occup Ther Source Type: research

Does training in a top-down approach influence recorded goals and treatment plans?
This study aimed to examine the characteristics of goals and treatment plans in occupational therapy before and after CO-OP KT. METHOD.: A descriptive secondary analysis of medical record data was employed. FINDINGS.: Post intervention, there was a change in goal specificity ( p = .04) and therapist-client goal alignment ( p = .05). Occupation-based goals were often paired with a bottom-up, impairment-based treatment. Top-down treatments, when present, lacked the same detail given to bottom-up plans. IMPLICATIONS.: CO-OP KT seemed to lead to more specific goals, but matching top-down treatment plans were not...
Source: Canadian Journal of Occupational Therapy - June 6, 2019 Category: Occupational Health Authors: Jutzi KSR, Linkewich E, Hunt AW, McEwen S Tags: Can J Occup Ther Source Type: research

Everyday technologies and public space participation among people with and without dementia.
ky C Abstract BACKGROUND.: Occupational therapists support everyday technology use; however, it is necessary to consider the challenges that people with dementia encounter with everyday technologies when participating in various places within public space. PURPOSE.: The purpose of the study was to explore stability and change in participation in places visited within public space in relation to the relevance of everyday technologies used within public space. METHOD.: People with dementia ( n = 35) and people with no known cognitive impairment ( n = 34) were interviewed using the Participation in Activiti...
Source: Canadian Journal of Occupational Therapy - May 29, 2019 Category: Occupational Health Authors: Gaber SN, Nygård L, Brorsson A, Kottorp A, Malinowsky C Tags: Can J Occup Ther Source Type: research

Financial Management Activity Process: Qualitative inquiry of adults with acquired brain injury.
Abstract BACKGROUND.: Little is known about the financial management occupations of people living with brain injury, despite the importance of these to adult autonomy. PURPOSE.: This work aims to develop a conceptual framework for financial management after adulthood acquired brain injury. METHOD.: This qualitative study used grounded theory methods. Data included semistructured interviews of 10 adults living with brain injury and two close others who assist with financial management occupations. Analysis included initial and focused coding, memo writing, constant comparison, theoretical sampling of ques...
Source: Canadian Journal of Occupational Therapy - May 19, 2019 Category: Occupational Health Authors: Engel LL, Beaton DE, Green RE, Dawson DR Tags: Can J Occup Ther Source Type: research

Meaningful occupations of young adults with muscular dystrophy and other neuromuscular disorders.
Abstract BACKGROUND.: Youth with Duchenne muscular dystrophy (DMD) and other neuromuscular disorders are living well into adulthood and often need help engaging in meaningful occupations. PURPOSE.: Our purpose was to explore enablers and barriers to engaging in meaningful occupations, from the perspectives of youth, parents, and practitioners. METHOD.: This qualitative study involved 26 participants (11 parents, eight youth ages 19 to 28 [mean = 22.3 years], seven practitioners). Data were obtained from semistructured interviews and analyzed using an interpretive descriptive approach. FINDINGS.: You...
Source: Canadian Journal of Occupational Therapy - May 16, 2019 Category: Occupational Health Authors: Lindsay S, Cagliostro E, McAdam L Tags: Can J Occup Ther Source Type: research

Continuing competency in ethical decision making: An interpretive description of occupational therapists' perspectives.
Abstract BACKGROUND.: Competency in ethical decision making is a criterion for ethical practice, and it is expected to advance with ongoing professional development. However, research exploring continuing competency needs of occupational therapists regarding ethical decision making is limited. PURPOSE.: The purpose of this study was to explore potential gaps and directions for development related to continuing competency in ethical decision making from the perspective of practicing occupational therapists. METHOD.: Interpretive description informed secondary data analysis of professional narratives from ...
Source: Canadian Journal of Occupational Therapy - May 15, 2019 Category: Occupational Health Authors: VanderKaay S, Jung B, Letts L, Moll SE Tags: Can J Occup Ther Source Type: research

Occupational performance and multisensory stimulation during post-traumatic amnesia: An observational and randomized controlled trial protocol.
This study aims to describe a study protocol to (a) track person factors of OP throughout PTA and (b) assess the feasibility of a randomized controlled trial (RCT) protocol comparing an occupation-based multisensory stimulation and environmental enrichment intervention with usual care during PTA. METHOD.: A prospective observational study will be conducted with an embedded Phase II RCT with 30 participants in PTA. Participants will be randomly assigned to group and regularly assessed on PTA and OP measures. Feasibility aspects will be recorded in a logbook. All measures will be repeated at PTA resolution and 1 month l...
Source: Canadian Journal of Occupational Therapy - May 14, 2019 Category: Occupational Health Authors: Walsh H, Fleming J, Silvestre Edo C, Bernabeu Guitart M, Murillo N Tags: Can J Occup Ther Source Type: research

Investigating the provision of occupational therapy services: A case study.
This study aimed to uncover what is known about the case of occupational therapy in the context of mental health services in Saskatchewan. METHOD.: An instrumental case study design was employed, applying a critical interpretive approach and thematic analysis to examine 40 publicly available documents. FINDINGS.: Three main themes (with subthemes) were identified: access (representation, funding, rural communities), awareness (comprehension, value, collaboration), and advocacy (leadership, education). IMPLICATIONS.: This study illuminates how restricted access to, limited awareness of, and ineffective advoca...
Source: Canadian Journal of Occupational Therapy - May 13, 2019 Category: Occupational Health Authors: Carey A, Cockburn L, Langlois S Tags: Can J Occup Ther Source Type: research

A description of teachers' approach to handwriting instruction in primary schools.
This study aimed to describe elementary school teachers' current instructional approach to handwriting throughout the school year. METHOD.: A descriptive study design utilizing a survey approach to data collection was selected for this study. The survey was completed by 399 teachers. Survey responses were collated and descriptive statistics were used for analysis. FINDINGS.: The heterogeneity of responses illustrates that many teachers are unaware of the best practices to implement to promote students' acquisition of handwriting. IMPLICATIONS.: As occupational therapists, knowing that the school environment ...
Source: Canadian Journal of Occupational Therapy - May 13, 2019 Category: Occupational Health Authors: Cantin N, Hubert J Tags: Can J Occup Ther Source Type: research

Neuro-occupation: A self-organizing approach to conflate the brain, context, and occupation.
This article traces the self-organization approach, an assumption of complex systems, to understand how the concepts can be conflated. METHOD.: Deductive category application, a qualitative descriptive method for tracing theoretical assumptions, was drawn from the lived experiences of 11 Iranian participants with cerebrovascular accidents. Matrix construction aided collection of data for analysis. FINDINGS.: The self-organization approach, underpinning neuro-occupation, was shown to be traceable, explaining how occupational participation may be influenced by the brain circular causality and perturbations provided...
Source: Canadian Journal of Occupational Therapy - May 8, 2019 Category: Occupational Health Authors: Derakhshanrad SA, Piven E Tags: Can J Occup Ther Source Type: research

Adaptations to support occupational engagement with age-related vision loss: A metasynthesis study.
Abstract BACKGROUND.: Age-related vision loss (ARVL) is a progressive process that adversely affects older adults' occupational engagement. As such, older adults often employ a variety of psychological adaptation strategies. PURPOSE.: The purpose of this study was to identify those psychological adaptation strategies employed by older adults aging with ARVL. METHOD.: This metasynthesis searched and identified 21 qualitative articles that described a link between psychological adaptation strategies and occupational engagement. FINDINGS.: The psychological strategies identified were categorized into f...
Source: Canadian Journal of Occupational Therapy - May 6, 2019 Category: Occupational Health Authors: McGrath CE, Corrado AM Tags: Can J Occup Ther Source Type: research

Assessment priorities in cerebral palsy using ICF core set by Iranian occupational therapists.
This study defines assessment priorities in children with cerebral palsy (
Source: Canadian Journal of Occupational Therapy - May 2, 2019 Category: Occupational Health Authors: Raji P, Mehraban AH, Ahmadi M, Schiariti V Tags: Can J Occup Ther Source Type: research

An occupational therapy community development practice process.
This study sought to describe Canadian occupational therapists' CD practice processes. METHOD.: Using interpretive description, Canadian occupational therapists engaged in CD practice participated in an initial interview and follow-up interview or focus group. Content analysis was used to analyze the data. FINDINGS.: Eight occupational therapists participated in describing a process that focused on five key elements: (1) getting to know the community, (2) getting the ball rolling/planning together, (3) building (upon) occupational opportunities, (4) revisiting the approach, and (5) striving for sustainability. Th...
Source: Canadian Journal of Occupational Therapy - April 29, 2019 Category: Occupational Health Authors: Leclair LL, Lauckner H, Yamamoto C Tags: Can J Occup Ther Source Type: research

Examining the intersection of policy and occupational therapy: A scoping review.
We present the descriptive information of the included articles according to policy type, sphere of action, stage of policy development, level, and actors. The qualitative analysis uncovered two broad concepts: "awareness" about the relationship between policy and practice and messages pertaining to "action." IMPLICATIONS.: There are numerous areas for further research into the policy-occupational therapy nexus, as policy has numerous pathways to shape practice. Practitioners will benefit from better understanding these pathways and actively engaging to align policy with the values of the professio...
Source: Canadian Journal of Occupational Therapy - April 25, 2019 Category: Occupational Health Authors: Lencucha R, Shikako-Thomas K Tags: Can J Occup Ther Source Type: research

The making of occupation-based models and diagrams: History and semiotic analysis.
This article briefly examines the scientific history of occupation-based model development in the 1950s before addressing the process of conceptual model making in occupational therapy. Using the theory of semiosis, it explains and takes a critical perspective on conceptual model building in occupational therapy. KEY ISSUES.: Since the surge of development in the mid-1970s, models have grown and undergone some revision. However, while the profession has often contested the definitions of its core terms, it has not challenged the accepted models and diagrams that present the constituents of practice. IMPLICATIONS....
Source: Canadian Journal of Occupational Therapy - April 25, 2019 Category: Occupational Health Authors: Reid HAJ, Hocking C, Smythe L Tags: Can J Occup Ther Source Type: research

"We need more things for us": Being low income and underoccupied in older age.
"We need more things for us": Being low income and underoccupied in older age. Can J Occup Ther. 2019 Apr 25;:8417419838360 Authors: Heatwole Shank KS, Kenley B, Brown S, Shipley J, Baum M, Beers C Abstract BACKGROUND.: Low-income older adult populations have increased vulnerability to occupational engagement barriers and poor health outcomes while aging in community settings. PURPOSE.: The purpose of this study was to examine the relationship between community navigation and well-being for low-income older adults. METHOD.: Community-dwelling older adults ( N = 10) were recruited f...
Source: Canadian Journal of Occupational Therapy - April 25, 2019 Category: Occupational Health Authors: Heatwole Shank KS, Kenley B, Brown S, Shipley J, Baum M, Beers C Tags: Can J Occup Ther Source Type: research

Psychometric properties of home accessibility assessment tools: A systematic review.
This study provides a critical appraisal of objective accessibility measures of the home environment. METHOD.: A systematic review was undertaken for which three databases-CINAHL, PubMed, and Embase-were searched to identify accessibility measures of the home environment and evaluate their psychometric properties. Two authors independently assessed the quality of selected studies using the critical appraisal form for psychometric articles. FINDINGS.: Ten studies discussing seven accessibility measures were identified and selected for this review. No measures showed strong evidence of both good reliability and val...
Source: Canadian Journal of Occupational Therapy - April 25, 2019 Category: Occupational Health Authors: Patry A, Vincent C, Duval C, Careau E Tags: Can J Occup Ther Source Type: research

A comparison of bibliometric indicators in occupational therapy journals published in English.
Abstract BACKGROUND.: The use of bibliometrics to evaluate the quality and impact of refereed journals has increased along with access to electronic databases and citation counts. PURPOSE.: This analysis compared and contrasted the range of publication metrics available for English-language occupational therapy journals. METHOD.: Bibliometric data were sourced for 23 English-language occupational therapy journals, including data from the Journal Citation Reports (JCR) 2- and 5-year impact factor, JCR Immediacy Index, Eigenfactor Score, Article Influence Score, Scopus Source Normalized Impact per Paper, S...
Source: Canadian Journal of Occupational Therapy - April 25, 2019 Category: Occupational Health Authors: Brown T, Gutman SA Tags: Can J Occup Ther Source Type: research

A randomized controlled trial protocol investigating effectiveness of an activity-pacing program for deconditioned older adults.
This study will examine the effectiveness of occupational therapy with activity pacing during rehabilitation for deconditioned older adults. METHOD.: A randomized controlled trial is proposed with inclusion criteria of older adults, 65+ years old, living independently in the community prior to admission, with adequate cognition and language to participate in the intervention. Participation, health status, self-efficacy in daily activities, self-efficacy in activity pacing techniques, and symptom management (pain and fatigue) will be measured at admission, discharge, and 3 months postdischarge. IMPLICATIONS.: Dete...
Source: Canadian Journal of Occupational Therapy - April 24, 2019 Category: Occupational Health Authors: Timmer AJ, Unsworth CA, Browne M Tags: Can J Occup Ther Source Type: research

Indigenous perspectives on health: Integration with a Canadian model of practice.
Abstract BACKGROUND.: The Canadian Association of Occupational Therapists and the Truth and Reconciliation Commission recommend change within the Canadian health care system, respecting and valuing Indigenous health and healing practices. Adjusting the lens through which occupational therapists practice to incorporate Indigenous views of health and wellness is one potential change. PURPOSE.: This critical interpretive synthesis of the literature incorporates Indigenous perspectives on health and wellness into the Canadian Model of Occupational Performance and Engagement (CMOP-E) framework, strengthening that ...
Source: Canadian Journal of Occupational Therapy - April 24, 2019 Category: Occupational Health Authors: Fijal D, Beagan BL Tags: Can J Occup Ther Source Type: research

Sensory modulation, physical activity and participation in daily occupations in young children.
This study aimed to examine the PA pattern and its association with daily life participation of children with sensory processing challenges. METHOD.: Forty-four children ages 5 to 7 years were divided into the study group (children with sensory processing challenges; n = 22; 16 males) and an age-matched typically developing control group ( n = 22; nine males). Parents completed the Short Sensory Profile, a demographic questionnaire, Participation in Childhood Occupations Questionnaire, and Participation in Physical Activity and Sedentary Behavior Questionnaire-Modified. Data were analyzed using descriptive statistics ...
Source: Canadian Journal of Occupational Therapy - April 24, 2019 Category: Occupational Health Authors: Hertzog D, Cermak S, Bar-Shalita T Tags: Can J Occup Ther Source Type: research

Occupational therapy and posttraumatic stress disorder: A scoping review.
Abstract BACKGROUND.: People who are diagnosed with posttraumatic stress disorder (PTSD) can experience disruptions in their daily occupations. Occupational therapists may assist clients with PTSD to reengage in meaningful occupations. PURPOSE.: This scoping review aims to identify and describe the ways occupational therapy addresses PTSD in clinical practice. METHOD.: Scholarly databases were searched for documents relating to occupational therapy and PTSD. Two reviewers independently applied selection criteria and systematically extracted information. Data were extracted and synthesized in a narrative ...
Source: Canadian Journal of Occupational Therapy - April 23, 2019 Category: Occupational Health Authors: Edgelow MM, MacPherson MM, Arnaly F, Tam-Seto L, Cramm HA Tags: Can J Occup Ther Source Type: research

Do occupational justice concepts inform occupational therapists' practice? A scoping review.
This study aimed to answer the questions, "Do occupational justice concepts inform occupational therapists' professional actions?" and "How are occupational justice concepts connected to Brazilian ideas about social occupational therapy?" METHOD.: A secondary analysis was undertaken of a scoping review using occupational justice and related concepts as keywords. Descriptive and categorical analyses were used to classify the extract data. FINDINGS.: We selected 42 articles that specify occupational therapy practices, classified as individual approaches ( n = 13), individual-integrated-with-soci...
Source: Canadian Journal of Occupational Therapy - April 23, 2019 Category: Occupational Health Authors: Malfitano APS, de Souza RGDM, Townsend EA, Lopes RE Tags: Can J Occup Ther Source Type: research

Boredom and meaningful activity in adults experiencing homelessness: A mixed-methods study.
This study aimed to explore the nature and impact of boredom in the lives of homeless and formerly homeless persons. METHOD.: A mixed-methods design was used to engage 13 participants in a structured 92-item quantitative interview using six standardized measures, followed by a semistructured qualitative interview. Correlational analyses were performed with the data compiled from the quantitative interviews, and grounded theory strategies were used to analyze our qualitative data. The two analyses were integrated at the stage of interpretation. FINDINGS.: Boredom was described as a profound and pervasive experienc...
Source: Canadian Journal of Occupational Therapy - April 15, 2019 Category: Occupational Health Authors: Marshall CA, Davidson L, Li A, Gewurtz R, Roy L, Barbic S, Kirsh B, Lysaght R Tags: Can J Occup Ther Source Type: research

The effect of task complexity on handwriting kinetics.
This study examined the differences in handwriting performance when doing tasks with different levels of challenge from both temporal and kinetic perspectives among children in four different age groups. METHOD.: The cross-sectional design introduced a force-acquisition pen to detect differences of pen grip and writing kinetics among 170 school-age children doing writing tasks at different difficulty levels. Data were obtained on the force information of the digits and pen tip and the kinetic parameters to examine the coordination-and-control mechanism between the digits and pen. Statistical analyzes were carried out ...
Source: Canadian Journal of Occupational Therapy - March 18, 2019 Category: Occupational Health Authors: Lin YC, Chao YL, Hsu CH, Hsu HM, Chen PT, Kuo LC Tags: Can J Occup Ther Source Type: research

[Effects of Lifestyle Redesign on older adults: A systematic review].
This study aimed to synthetize the clinical effects and cost-effectiveness of the LR as well as to verify the applicability of the results in a community-based setting in Quebec. METHOD.: A systematic review of the literature was conducted, followed by a focus group with four occupational therapists. FINDINGS.: Considered as cost-effective (under $50,000 in quality-adjusted life-years), the LR offers benefits for both mental and physical health. According to occupational therapists, the LR is clearly relevant for their practice but involves some challenges. IMPLICATIONS.: The LR is an occupational therapy in...
Source: Canadian Journal of Occupational Therapy - March 18, 2019 Category: Occupational Health Authors: Lévesque MH, Trépanier J, Sirois MJ, Levasseur M Tags: Can J Occup Ther Source Type: research

LSVT BIG in late stroke rehabilitation: A single-case experimental design study.
This study explored whether the LSVT BIG program could lead to improved performance in client-identified occupations and decreased impairment late poststroke. METHOD.: A single-case experimental design with one repetition was completed. Participants were two adults who had experienced a stroke 3 and 12 years previously. Each participant selected up to six occupational goals, and the intervention was applied to half. Repeated measures were taken using the Canadian Occupational Performance Measure and the Rating of Everyday Arm-Use in the Community and Home. Additional measures of performance and impairment were applied...
Source: Canadian Journal of Occupational Therapy - March 12, 2019 Category: Occupational Health Authors: Metcalfe V, Egan M, Sauvé-Schenk K Tags: Can J Occup Ther Source Type: research

Identifying community-dwelling older adults' vision loss during mobility assessments: A scoping review.
This study aimed to identify screening and assessment approaches to identify functional vision loss to guide mobility-aid prescription. METHOD.: A scoping review following Arksey and O'Malley's five stages was undertaken using Medline and CINAHL databases. A data-charting form was used for extraction of information about each article, including the population, vision diagnosis, and the methodology for vision screening. The data regarding vision loss and mobility of older adults were summarized for each article. FINDINGS.: Twenty-three papers were included in the study, describing screening questions and questionn...
Source: Canadian Journal of Occupational Therapy - March 12, 2019 Category: Occupational Health Authors: Petty LS, Foster JEG, Rigby P Tags: Can J Occup Ther Source Type: research

"I just love it": Avid knitters describe health and well-being through occupation.
This study aimed to understand the role of knitting in the lives of passionate knitters and their experience of how knitting contributes to health, well-being, and occupational identity. METHOD.: Principles of phenomenology guided interviews with 21 knitting-guild members (with and without health conditions) and observations at seven guild meetings as well as guided the data analysis. Eight interviewees and 24 additional guild members confirmed key findings in writing. FINDINGS.: Five main themes capture how knitting (a) "makes me happy," (b) is "the mental challenge I need," (c) is "a ho...
Source: Canadian Journal of Occupational Therapy - March 11, 2019 Category: Occupational Health Authors: Brooks L, Ta KN, Townsend AF, Backman CL Tags: Can J Occup Ther Source Type: research

[Values related to the occupational therapy profession: Identifying them to better define them].
This study identified values that are ideals that can guide occupational therapy practice and support the claims and cultural and ethical competencies of occupational therapists. PMID: 30845837 [PubMed - as supplied by publisher] (Source: Canadian Journal of Occupational Therapy)
Source: Canadian Journal of Occupational Therapy - March 7, 2019 Category: Occupational Health Authors: Désormeaux-Moreau M, Drolet MJ Tags: Can J Occup Ther Source Type: research

The "What Now?" Workbook: Its potential utility following life-changing events.
The "What Now?" Workbook: Its potential utility following life-changing events. Can J Occup Ther. 2019 Mar 05;:8417419826108 Authors: Taylor JA, Jones V, Farrell CD Abstract BACKGROUND.: Following a life-changing event, such as a serious illness, people can experience a disruption of meaning and identity, making it difficult to move forward. The "What Now?" Workbook was developed to enable exploration of the personal meanings of specific occupations to facilitate future planning. PURPOSE.: The aim of this study was to investigate the utility-usability and usefulness-of the wor...
Source: Canadian Journal of Occupational Therapy - March 5, 2019 Category: Occupational Health Authors: Taylor JA, Jones V, Farrell CD Tags: Can J Occup Ther Source Type: research

Driving while navigating: On-road driving performance using GPS or printed instructions.
Abstract BACKGROUND.: Route navigation is a high-level skill and requires intact executive functioning to successfully find one's way while driving in unfamiliar environments. PURPOSE.: Driving performances were compared while navigating using electronic devices and printed directions on unfamiliar driving routes as well as in an interactive driving simulator. METHOD.: Twenty-four participants drove two on-road routes using GPS and printed directions, and navigated using printed directions in the simulator, using a point system to evaluate performance. The two unfamiliar routes, order of simulator and on...
Source: Canadian Journal of Occupational Therapy - March 5, 2019 Category: Occupational Health Authors: Cochran LM, Dickerson AE Tags: Can J Occup Ther Source Type: research

Community-based participatory research remodelling occupational therapy to foster older adults' social participation.
This study initiated a remodelling of community occupational therapy services by (a) selecting practices fostering older adults' social participation and (b) identifying factors that could affect their integration. METHOD.: A community-based participatory research study was conducted in a large Canadian city. Four focus group meetings and seven individual interviews were held with 28 key informants. FINDINGS.: A continuum of emerging practices was identified, including personalized, group-based, and community-based interventions. Potential enablers of these practices included clinical support, better communicatio...
Source: Canadian Journal of Occupational Therapy - March 3, 2019 Category: Occupational Health Authors: Turcotte PL, Carrier A, Levasseur M Tags: Can J Occup Ther Source Type: research

Mental practice combined with repetitive task practice to rehabilitate handwriting in children.
This study examined the effectiveness of mental practice (MP) combined with repetitive task practice (RTP) to rehabilitate handwriting in children. METHOD.: Twenty typically developing first and second graders with impaired handwriting received RTP twice a week for 4 weeks, then engaged in MP combined with RTP for the same duration. Using the Minnesota Handwriting Assessment (MHA), they were assessed across four time points: baseline (1), after RTP (2), after MP combined with RTP (3), and follow-up (4). FINDINGS.: Children significantly improved and retained this increase on all variables of MHA ( p
Source: Canadian Journal of Occupational Therapy - February 28, 2019 Category: Occupational Health Authors: Saleem GT, Gillen G Tags: Can J Occup Ther Source Type: research

Measuring the impact of driving status: The Centre for Research on Safe Driving-Impact of Driving Status on Quality of Life (CRSD-IDSQoL) tool.
ard M Abstract BACKGROUND.: Driving an automobile is often considered an activity of daily living and is crucial to quality of life for many individuals. Following driving cessation, quality of life may become compromised. PURPOSE.: The Centre for Research on Safe Driving-Impact of Driving Status on Quality of Life (CRSD-IDSQoL) was designed to measure various elements of quality of life and how those elements are affected by driving status. METHOD.: The CRSD-IDSQoL was cross-sectionally administered to a convenience sample of 114 individuals (mean age 65.8 years). Exploratory factor analysis was used to...
Source: Canadian Journal of Occupational Therapy - February 20, 2019 Category: Occupational Health Authors: Patterson L, Mullen N, Stinchcombe A, Weaver B, Bédard M Tags: Can J Occup Ther Source Type: research

Workplace mental health: Current practice and support needs of Ontario occupational therapists.
Abstract BACKGROUND.: Workplace mental health (WMH) is an important and expanding practice area for occupational therapists. PURPOSE.: This cross-sectional study explores the current practices and support needs of Ontario-based occupational therapists in WMH. METHOD.: Registrants from the provincial association who provide mental health and/or work-related services were invited to participate. Ninety-three therapists completed an online survey; 10 participated in follow-up focus groups. Analysis involved descriptive statistics of the survey data and content analysis of the focus group data. FINDINGS...
Source: Canadian Journal of Occupational Therapy - January 8, 2019 Category: Occupational Health Authors: Moll SE, Heino CM, LeBlanc AH, Beck LB, Kalef LM Tags: Can J Occup Ther Source Type: research

[Occupational therapy and community integration of adults with neurlogical conditions: A scoping review].
ent C Abstract BACKGROUND.: Although community integration (CI) is the ultimate goal of rehabilitation, it is rarely achieved in clinical settings. PURPOSE.: The purpose of this study was to (a) synthesize the state of occupational therapy knowledge related to CI for people with neurological issues and to (b) illustrate how CI is conceptualized within the literature. METHOD.: A scoping review was completed using two reviewers, resulting in the selection of 47 articles pertaining to four study populations. Themes common across all client populations were identified through content analysis, and an iterati...
Source: Canadian Journal of Occupational Therapy - January 1, 2019 Category: Occupational Health Authors: Turcotte S, Vallée C, Vincent C Tags: Can J Occup Ther Source Type: research

Attributes of evidence-based occupational therapists in stroke rehabilitation.
mas A Abstract BACKGROUND.: A better understanding of the features characterizing expert evidence-based occupational therapists in stroke rehabilitation is needed to inform the design of educational and knowledge translation interventions aimed at addressing research-practice gaps. PURPOSE.: The study aimed to identify the attributes of evidence-based occupational therapy stroke rehabilitation experts from the perspective of their peers. METHOD.: Forty-six occupational therapy clinicians and managers completed an online questionnaire asking them to nominate "outstanding" and "expert eviden...
Source: Canadian Journal of Occupational Therapy - November 19, 2018 Category: Occupational Health Authors: Hallé MC, Mylopoulos M, Rochette A, Vachon B, Menon A, McCluskey A, Amari F, Thomas A Tags: Can J Occup Ther Source Type: research

User perspective on receiving adaptive equipment after stroke: A mixed-methods study.
This study aimed to identify the AE that people typically use after a stroke and the outcomes achieved as a result, and to explore people's experiences obtaining and using AE, to inform both practice and policy in this field. METHOD.: A mixed-methods study, involving a postal questionnaire and interviews, used descriptive statistics and grounded theory to analyze the quantitative and qualitative data, respectively. FINDINGS.: Questionnaire data ( n = 258) revealed mobility AE was issued most frequently, with increased safety as the primary reported outcome. Interview data ( n = 15) indicated relationships with he...
Source: Canadian Journal of Occupational Therapy - November 18, 2018 Category: Occupational Health Authors: Boland P, Levack WMM, Graham FP, Perry MA Tags: Can J Occup Ther Source Type: research

Linking occupational therapy models and assessments to the ICF to enable standardized documentation of functioning.
This study aims to bridge the gap between the ICF and occupational therapy specific concepts, represented by occupational therapy models and their derived assessments. METHOD.: Occupational therapy assessments in relation to their models were systematically linked to the ICF, and a compatibility analysis was conducted. To strengthen reliability of the linkings, feedback from the respective assessment hosts was obtained. FINDINGS.: Linking tables were developed for the Assessment of Motor and Process Skills, the Canadian Occupational Performance Measure, and the Model of Human Occupation Screening Tool. Similariti...
Source: Canadian Journal of Occupational Therapy - November 15, 2018 Category: Occupational Health Authors: Maritz R, Baptiste S, Darzins SW, Magasi S, Weleschuk C, Prodinger B Tags: Can J Occup Ther Source Type: research