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Authors:Mary Egan; Dorothy Kessler, Patrick Duong, Kaitlyn Duquette, Nalia Gurgel-Juarez, Lindsey Sikora, Elizabeth Linkewich Abstract: Canadian Journal of Occupational Therapy, Ahead of Print. Background.Stroke rehabilitation includes both restorative and adaptive interventions. There are few specific guidelines regarding adaptive interventions.Purpose.To determine the effectiveness of adaptive interventions on participation outcomes generally, ... Citation: Canadian Journal of Occupational Therapy PubDate: 2025-07-01T07:51:49Z DOI: 10.1177/00084174251352305
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Authors:Cara L. Brown; Gabrielle Bacon, Tessa Bruce, Sydney Meyer, Lovejot Mann, Harriet Awuku Abstract: Canadian Journal of Occupational Therapy, Ahead of Print. Introduction.Racism is ingrained within the Canadian healthcare system, resulting in health inequities for Black, Indigenous, and people of colour (BIPOC) service users, healthcare workers, and students. Occupational therapy students spend a large amount ... Citation: Canadian Journal of Occupational Therapy PubDate: 2025-06-02T07:59:41Z DOI: 10.1177/00084174251346555
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Authors:Alicia Ruiz-Rodrigo; David Gotti, Ernesto Morales, François Routhier Abstract: Canadian Journal of Occupational Therapy, Ahead of Print. Background.The environment is essential to occupational participation. However, the involvement and training of occupational therapists in universal accessibility (UA) seems limited.Purpose.To explore the content on UA taught in university occupational ... Citation: Canadian Journal of Occupational Therapy PubDate: 2025-06-02T07:58:55Z DOI: 10.1177/00084174251340647
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Authors:Christina MacDonald; Esme Kurulak, Roseleen John Abstract: Canadian Journal of Occupational Therapy, Ahead of Print. Background.Current health and occupational therapy literature lacks discussion on textured hair care as a meaningful occupation. In the Canadian context, this topic remains unexplored.Purpose.The purpose of this study is to explore textured hair care as a ... Citation: Canadian Journal of Occupational Therapy PubDate: 2025-05-21T10:59:17Z DOI: 10.1177/00084174251340644
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Authors:Kaarina Valavaara; Jay MacDonald, Pamela Barnes, Emilie Bourque, Sierra Rowe, Tal Jarus Abstract: Canadian Journal of Occupational Therapy, Ahead of Print. Background.Occupational therapists have a responsibility to strive for culturally safer assessments with Indigenous Peoples.Purpose.Explore occupational therapists’ approaches related to culturally safer assessment strategies with Indigenous Peoples, ... Citation: Canadian Journal of Occupational Therapy PubDate: 2025-05-21T10:58:38Z DOI: 10.1177/00084174251336547
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Authors:Yael Mayer; Fernanda Mira, Shahbano Zaman, Tal Jarus Abstract: Canadian Journal of Occupational Therapy, Ahead of Print. Background.Fieldwork is essential in postsecondary health professions programs and can present challenges for disabled students. Fieldwork coordinators, responsible for student placements, play a pivotal role in supporting disabled students. However, ... Citation: Canadian Journal of Occupational Therapy PubDate: 2025-04-29T07:18:37Z DOI: 10.1177/00084174251331923
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Authors:Katelyn Bridge; Dorothy Kessler, Tricia Morrison, Michel Lacerte Abstract: Canadian Journal of Occupational Therapy, Ahead of Print. Background.Motor vehicle accident (MVA) injuries can result in persistent impairments which contribute to chronic pain, mental health symptoms, and decreased quality of life. Occupational therapists play a key role in the rehabilitation of those injured ... Citation: Canadian Journal of Occupational Therapy PubDate: 2025-04-23T06:54:55Z DOI: 10.1177/00084174251336049
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Authors:Batya Engel-Yeger Abstract: Canadian Journal of Occupational Therapy, Ahead of Print. Background.Developmental coordination disorder (DCD) may persist into adulthood, reduce function, participation, and quality of life (QOL). The negative impacts of DCD are mainly studied in children.Purpose.To explore the interrelations between factors ... Citation: Canadian Journal of Occupational Therapy PubDate: 2025-04-21T08:51:58Z DOI: 10.1177/00084174251333392
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Authors:Parmeet Matharu; Elizabeth Pertsev, Patricia Chai, Denise Cheung, Miini Teng, Julia Schmidt, Tal Jarus Abstract: Canadian Journal of Occupational Therapy, Ahead of Print. Background:Technology is rapidly being developed to improve healthcare outcomes. However, the attitudes and perceptions of occupational therapists (OTs) on artificial intelligence (AI) in healthcare are not yet known.Purpose:This study aims to: explore ... Citation: Canadian Journal of Occupational Therapy PubDate: 2025-04-14T05:44:57Z DOI: 10.1177/00084174251327301
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Authors:Sarah Davies; Emmah Doig, Matthew Gullo, Hannah Gullo Abstract: Canadian Journal of Occupational Therapy, Ahead of Print. Background.People with Parkinson's disease (PwPD) experience increasing disability due to progressive motor and non-motor symptoms. Comprehensive rehabilitation approaches are needed to maximize their daily functioning. CO-OP targets daily functioning and ... Citation: Canadian Journal of Occupational Therapy PubDate: 2025-03-26T07:04:40Z DOI: 10.1177/00084174251327307
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Authors:Yasmine Frikha; Andrew Freeman, Nancy Côté Abstract: Canadian Journal of Occupational Therapy, Ahead of Print. Background.Given the well-documented professional identity challenges experienced by occupational therapists, reinforcing the profession's identity (collective and individual) is crucial for navigating changing environments and optimizing its ... Citation: Canadian Journal of Occupational Therapy PubDate: 2025-03-20T04:56:10Z DOI: 10.1177/00084174251327348
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Authors:Giovanna Tornatore; Hannah Gullo, Jennifer Fleming Abstract: Canadian Journal of Occupational Therapy, Ahead of Print. Background.Technology-enabled upper limb (UL) rehabilitation improves therapy intensity and impairment outcomes, however clinical usage remains low and evidence for functional outcomes is limited. While benefits of single-mode technologies have been ... Citation: Canadian Journal of Occupational Therapy PubDate: 2025-03-13T02:13:43Z DOI: 10.1177/00084174251316105
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Authors:Marie Grandisson; Myriam Chrétien-Vincent, Gabrielle Pratte, Cynthia Fauteux, Justine Marcotte, Emmanuelle Jasmin, Élise Milot, Julie Bergeron Abstract: Canadian Journal of Occupational Therapy, Ahead of Print. Background.Parents of children with special needs are more likely to experience stress and have health-related problems. Pediatric occupational therapy interventions that build parents’ capacity are often considered to be effective. It remains unclear ... Citation: Canadian Journal of Occupational Therapy PubDate: 2025-03-13T02:13:25Z DOI: 10.1177/00084174251323729
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Authors:Andrea Mandzuk, Pamela Wener; Pamela Wener Abstract: Canadian Journal of Occupational Therapy, Ahead of Print. Background. Occupational therapists have been writing about and practicing psychotherapy for almost a century. However, questions about competence and tensions regarding psychotherapy in occupational therapy persist both within and outside the profession. Purpose. To explore the scope of the existing literature on psychotherapy competence written by occupational therapists and/or pertaining to occupational therapy research or practice. Method. A secondary analysis of the 207 articles included in the scoping review by Marshall and colleagues was conducted. Using inductive and deductive approaches, data from 207 articles were screened, extracted, and analyzed to identify themes related to competence in psychotherapy. Findings. The 104 articles included spanned from 1927 to 2020; 50% were non-empirical. The narrative synthesis had one overall theme, Professional Identity, and three subthemes: Competence, Attaining and Maintaining Competence, and The Great Debate. There was no consistent pathway outlined for occupational therapists to attain psychotherapy competence, which may contribute to role confusion and dissonance. Conclusion. This review revealed the reciprocal relationship between professional identity and psychotherapy competence in occupational therapists. Future research should explore how the use of psychotherapy competence pathways impacts professional identity and contributes to practice competence. Citation: Canadian Journal of Occupational Therapy PubDate: 2025-02-18T06:20:13Z DOI: 10.1177/00084174251319768
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Authors:Marie-Josée Drolet, Valérie Lafond; Valérie Lafond Abstract: Canadian Journal of Occupational Therapy, Ahead of Print. Background: The relevance of supporting sustainability within occupational therapy is increasingly demonstrated and argued for. However, difficulties persist in supporting sustainability in practice, which presents occupational therapists with an occupational paradox. Why is sustainability still so difficult to include into occupational therapy practice' Purpose: The objective was to analyse certain assumptions underlying the profession that may constitute potential obstacles to the inclusion of sustainability in practice. Method: To identify and critically examine these assumptions, a philosophical analysis of five key concepts of the profession was carried out based on a triangulation of two philosophical methods. Findings: The results reveal that the five concepts analysed—person, occupation, environment, health, and justice—may act as barriers to support sustainability within the practice. Conclusion: A paradigm shift is therefore relevant, even necessary in the current climate emergency to mitigate its impacts. This is especially relevant as the climate crisis poses the greatest threat to health and endangers the ability of humans to engage in occupations essential for well-being and survival. Citation: Canadian Journal of Occupational Therapy PubDate: 2025-02-18T05:56:13Z DOI: 10.1177/00084174251317022
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Authors:Leah G. Taylor, Matthew Bourke, Liliana Alvarez, Kelly P. Arbour-Nicitopoulos, Shauna M. Burke, Patricia Tucker; Matthew Bourke, Liliana Alvarez, Kelly P. Arbour-Nicitopoulos, Shauna M. Burke, Patricia Tucker Abstract: Canadian Journal of Occupational Therapy, Ahead of Print. Background. Children with developmental disabilities are less likely than their peers without disabilities to meet the Canadian 24-Hour Movement Guidelines which provide daily recommendations for time spent in physical activity, sedentary behaviour, and sleep. Occupational Therapists (OTs) are well-positioned to support the engagement of preschoolers with developmental disabilities in movement but little is known about if, and how, they might use these guidelines. Purpose. This study examined knowledge, awareness, and guideline-, client-, and environment-related factors influencing the use of the guidelines by OTs working with children (aged 3–4 years) with developmental disabilities. The secondary purpose was to explore relationships between these factors and OT education and experience. Method. The validated Clinician Guideline Determinants Questionnaire (n = 51 items) was administered via Qualtrics to a sample of Canadian pediatric OTs. Descriptive statistics were employed. Findings. Participants (n = 28 OTs) reported moderate to high agreement with the guidelines varying by movement type. Participants agreed they possessed the skills, knowledge, and external support to use the recommendations in practice but were less likely to agree with having training, implementation tools, and self-efficacy to implement the guidelines. Conclusion. Canada's 24-Hour Movement Guidelines hold potential for use by OTs, but capacity-building is required to support implementation. Citation: Canadian Journal of Occupational Therapy PubDate: 2025-02-11T07:37:13Z DOI: 10.1177/00084174251318200
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Authors:Lina Ianni, Chantal Camden, Wenonah Campbell, Heather Colquhoun, Dana Anaby; Chantal Camden, Wenonah Campbell, Heather Colquhoun, Dana Anaby Abstract: Canadian Journal of Occupational Therapy, Ahead of Print. Background: In inclusive schools, collaboration between occupational therapists (OTs) and teachers has the potential to build capacities among these school-team members working with students with disabilities. Current evidence supports multi-tiered delivery models, such that OT interventions are integrated within the context of school life. Collaboration, however, is a complex multifaceted phenomenon that poses systemic, organizational, or interpersonal challenges. Purpose: This qualitative descriptive study explored the perspectives on current and ideal collaborative practices and associated contextual barriers and facilitators related to collaboration, as described by elementary teachers and OTs. Method: Two focus groups were conducted with OTs (n = 5) and elementary teachers (n = 6) working in inclusive schools in Québec (Canada) in French and English language settings. Qualitative data were transcribed and analyzed thematically. Findings: Four thematic categories were identified: Organization of services scaffolds collaborative practices; varying perspectives of the OT role influence collaboration; establishing and navigating collaborative relationships; and considerations for optimal collaboration. Conclusion: These findings have practice and policy implications regarding the organization of OT services as well as team professional development. Understanding these challenges is fundamental to tailoring future knowledge translation interventions to optimize school collaboration. Citation: Canadian Journal of Occupational Therapy PubDate: 2025-01-28T09:00:56Z DOI: 10.1177/00084174241310078
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Authors:Cassandra MacKinnon, Cassandra Castro-Barquero, Alexandra Kontis, Vanessa Patrice, Mayoore Nadarajah, Tania Janaudis-Ferreira; Cassandra Castro-Barquero, Alexandra Kontis, Vanessa Patrice, Mayoore Nadarajah, Tania Janaudis-Ferreira Abstract: Canadian Journal of Occupational Therapy, Ahead of Print. Background. The severe functional impact of long COVID presents a significant challenge for clients seeking to return to work. Despite emerging clinical management guidelines, long COVID remains a concern in the rehabilitation field. There is a need to establish optimal practices for sustainable rehabilitation paths that enhance the recovery of clients with long COVID, all while understanding the challenges faced by rehabilitation professionals working with this population. Purpose. This study aimed to explore the perspectives of rehabilitation professionals intervening in long COVID rehabilitation with the goal of returning to work. Methods. A qualitative study was conducted involving online semi-structured interviews with rehabilitation professionals in Quebec from public and private sectors across various regions who had experience treating individuals with long COVID. Thematic analysis was employed for data analysis. Findings. Nine rehabilitation professionals participated in the study, yielding five themes: (a) reassessment of RTW goals; (b) education and self-management as primary interventions; (c) gradually reintegrating daily activities and life habits; (d) progression of interventions and dealing with post-exertional malaise (PEM); and (e) challenges in long COVID rehabilitation. Conclusion. Education, gradual activation and self-management appear as central components in supporting patient recovery, however, achieving return to work remains challenging without proper accommodations. Citation: Canadian Journal of Occupational Therapy PubDate: 2025-01-23T10:23:59Z DOI: 10.1177/00084174241312510
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Authors:Diane MacKenzie, Mary Roduta Roberts, Rose Martini, Christine Ausman, Cori Schmitz; Mary Roduta Roberts, Rose Martini, Christine Ausman, Cori Schmitz Abstract: Canadian Journal of Occupational Therapy, Ahead of Print. Background. COVID-19 pandemic restrictions necessitated curricular modifications in Canadian occupational therapy education. Documentation and reflection on temporary or permanent curriculum modifications and their perceived impact on student learning and outcomes is critical. Purpose. To explore and compare reported curricula changes (academic and fieldwork) during restricted and post-restricted delivery periods together with the perceived impact on learners. Method. A cross-sectional online descriptive survey was sent to key representatives from administration, curriculum, and fieldwork at all 14 accredited occupational therapy university programs in Canada. Findings. Overall, many pandemic-restricted curricula delivery and assessment changes shifted back toward pre-pandemic methods. Changes that were maintained were congruent with universal design or perceived limited adverse impact on learning. Both in-person and virtual learning were perceived as important for changing practice needs. Fieldwork placement recruitment remained a challenge, with some programs increasing the use of simulation. Interpersonal competency development and assessment method integrity were more visible and of concern. Conclusion. Interpersonal competency development and assessment method integrity were more visible and of concern. Programs demonstrated remarkable flexibility to shift, adapt, and deliver curricula, but the human cost for this accomplishment is still palpable. Citation: Canadian Journal of Occupational Therapy PubDate: 2025-01-13T07:27:15Z DOI: 10.1177/00084174241310076
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Authors:Andrew R. Freeman, Nadine Larivière, Judith Baillet, Rachel Beauchemin, Étienne Lavoie-Trudeau, Myriam Martel, Mégan St-François; Nadine Larivière, Judith Baillet, Rachel Beauchemin, Étienne Lavoie-Trudeau, Myriam Martel, Mégan St-François Abstract: Canadian Journal of Occupational Therapy, Ahead of Print. Background. Given the necessity to demonstrate that occupational therapy services are a good use of resources, understanding the state of economic evidence is essential. Purpose. This article presents a rapid review of this evidence. Method. Relevant articles were identified using SCOPUS. Eligible studies included economic analyses of interventions that included occupational therapy and were published in English or French after 1999. The findings were synthesized and then appraised using the Quality of Health Economic Studies (QHES) template. Results. The 135 studies identified were conducted in 23 countries and most commonly: with adults/older adults; in home, inpatient, outpatient, and rehabilitation centre settings; with individuals with cerebrovascular accident and orthopaedic conditions. The specific occupational therapy role was specified in 60% of the studies. Approximately 50% of the investigations used a randomized controlled trial and a cost effectiveness analysis, and 40% used a societal economic perspective. The average QHES score was 74.4/100 (reasonable quality). Implications. This review has revealed areas of relative strength, some important gaps, and potential directions for future action. Economic evidence that specifically identifies the occupational therapy contribution must continue to be gathered. The profession should consider the strategic alignment of its economic research (e.g., home care) to maximize its impact. Citation: Canadian Journal of Occupational Therapy PubDate: 2025-01-07T06:57:55Z DOI: 10.1177/00084174241306983
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