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Canadian Journal of Occupational Therapy
Journal Prestige (SJR): 0.626  Citation Impact (citeScore): 1 Number of Followers: 191  Hybrid journal (It can contain Open Access articles)ISSN (Print) 0008-4174 - ISSN (Online) 1911-9828 Published by Sage Publications  [1176 journals]
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- Introduction to the Special Issue on Occupational Participation in Times
of Adversity-
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Authors: Rose Martini, Catherine L. Backman
Pages: 120 - 124
Abstract: Canadian Journal of Occupational Therapy, Volume 90, Issue 2, Page 120-124, June 2023.
Citation: Canadian Journal of Occupational Therapy
PubDate: 2023-05-15T06:47:30Z
DOI: 10.1177/00084174231167273
Issue No: Vol. 90, No. 2 (2023)
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- Quality of Physical Activity Participation Among Adults with Disabilities
Through Pandemic Restriction-
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Authors: Gordon Tao, Gurkaran Singh, Ethan Simpson, Alfiya Battalova, Isabelle Rash, Somayyeh Mohammadi, Julia Schmidt, Jaimie Borisoff, Ben Mortenson, William C. Miller
Pages: 161 - 172
Abstract: Canadian Journal of Occupational Therapy, Volume 90, Issue 2, Page 161-172, June 2023.
Background. Physical activity (PA) is essential for maintaining well-being in adults with disabilities. This population experienced reduced PA during the COVID-19 pandemic; yet, the impact on quality of PA participation remains unclear. Purpose. This secondary analysis explored how pandemic restrictions impacted six experiential dimensions of quality of PA participation among adults with disabilities. Methods. An exploratory sequential mixed-methods design, including semi-structured interviews (n = 10) and self-reported surveys (n = 61), was conducted in May-2020 and February-2021. Quality of PA participation was measured using the Measure of Experiential Aspects of Participation (MeEAP). Participants included community-dwelling adults over 19 years of age (mean 59.2 ± 14.0 years) living with stroke, spinal cord injury, or other physical disabilities. Findings. Directed content analysis identified three themes related to adjusting PA participation for restrictions, motivation barriers, and valuing social support. These themes highlighted five factors, such as resilience, as potential quantitative predictors of quality of PA participation. While paired correlations with MeEAP scores were observed, these factors were not statistically predictive in multiple regression analysis (adjusted R2 = −0.14, F(10,50) = 0.92, p = .53). Implications. The interplay between Meaning, Autonomy, Engagement, and Belongingness dimensions of quality of PA participation was complex, with an emphasized role for mental health, in adults with disabilities.
Citation: Canadian Journal of Occupational Therapy
PubDate: 2023-05-15T06:47:32Z
DOI: 10.1177/00084174231160954
Issue No: Vol. 90, No. 2 (2023)
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- Exploring Distress and Occupational Participation Among Older Canadians
During the COVID-19 Pandemic-
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Authors: Elisabeth Vesnaver, Nicholas Dietrich, Renata Kirkwood, Jinhui Ma, Rhianna Guennel, Marla Beauchamp, Heather Keller, Luciana Macedo, Janie Astephan Wilson, Brenda Vrkljan
Pages: 173 - 184
Abstract: Canadian Journal of Occupational Therapy, Volume 90, Issue 2, Page 173-184, June 2023.
Background. The coronavirus disease 2019 (COVID-19) pandemic disrupted daily life with corresponding implications on levels of distress. Purpose. To describe factors associated with high distress among community-dwelling older adults during the first lockdown and explore how occupational participation was managed. Methods. A mixed methods design whereby multivariate regression analysis of a survey (N = 263) identified factors associated with high distress, as per the Impact of Events of Scale-Revised (IES-R). Follow-up interviews with a sub-sample of those surveyed who reflected a range of IES-R scores were conducted (N = 32). Findings. Those with lower resilience and anxiety/depression had 6.84 and 4.09 greater odds respectively of high distress. From the interviews, the main theme, “Lost and Found,” and subthemes (Interruption and Disruption; Surving, not Thriving; Moving Forward, Finding Meaning) highlighted the process and corresponding stages, including adaptive strategies, by which participants navigated changes in their occupational participation. Implications. While the results suggest that many older adults, including those with high distress, were able to manage daily life under lockdown, some experienced ongoing challenges in doing so. Future studies should focus on those who experienced or who are at-higher risk for such challenges to identify supports that mitigate adverse consequences if another event of this magnitude occurs again.
Citation: Canadian Journal of Occupational Therapy
PubDate: 2023-05-15T06:47:25Z
DOI: 10.1177/00084174231165832
Issue No: Vol. 90, No. 2 (2023)
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- Building Families’ Capacities: Community Forums with Parents and
Occupational Therapists-
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Authors: Marie Grandisson, Sarah Martin-Roy, Justine Marcotte, Élise Milot, Rébecca Girard, Emmanuelle Jasmin, Cynthia Fauteux, Julie Bergeron
Pages: 197 - 207
Abstract: Canadian Journal of Occupational Therapy, Volume 90, Issue 2, Page 197-207, June 2023.
Background. Parents of a child considered to have special needs are at greater risk of stress and exhaustion. Although many occupational therapy interventions can help these children, they often require significant time and energy from families. Purpose. To document the perspectives of parents and occupational therapists regarding ways to offer services that help build families’ capacities without overloading them. Method. A qualitative descriptive design guided online community forums with 41 parents and occupational therapists in Quebec, Canada. Findings. Nine key principles to build the capacities of families without overburdening them were identified. These include being sensitive to possible negative impacts of services, avoiding overwhelming the family with information or recommendations, taking the needed time, highlighting the positive, and offering flexible conditions for services. Implications. Our findings help identify how capacity-building rehabilitation services can be offered to families to optimize positive outcomes and minimize harms.
Citation: Canadian Journal of Occupational Therapy
PubDate: 2023-05-15T06:47:35Z
DOI: 10.1177/00084174231160972
Issue No: Vol. 90, No. 2 (2023)
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- Loss-of-Set and Strategy Application on the Menu Task: An Exploratory
Study-
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Authors: Gordon Muir Giles, Timothy S. Marks, Dorothy Farrar Edwards
Abstract: Canadian Journal of Occupational Therapy, Ahead of Print.
Background. The Menu Task (MT) is an occupational therapy screening measure designed to identify people in need of functional cognitive (FC) assessment. Purpose. To explore whether test-taker strategy selection on the MT is clinically informative. Methods. Using a cross-sectional design we administered assessments of FC including the MT and the After MT interview, cognitive screening measures, and self-report instrumental activities of daily living assessment to a convenience sample of 55 community-dwelling adults. After MT interviews responses were qualitatively characterized as (a) loss of set (e.g., not recognizing that food preferences are irrelevant to task performance), (b) calorie counting, or (c) planning. Findings. Loss of set was associated with poorer performance on most study measures, calorie counting was associated with superior performance on most study measures, and no differences were observed relating to planning. Implications. Determining the test-takers approach to the MT adds information to that provided by the MT itself.
Citation: Canadian Journal of Occupational Therapy
PubDate: 2023-05-23T05:19:59Z
DOI: 10.1177/00084174231175018
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- The Experience of Pregnancy-Related Lumbopelvic Pain: A Qualitative
Evidence Synthesis-
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Authors: Luciana Buin, Regina Helena Vitale Torkomian Joaquim, Jenny Strong, Katie Robinson
Abstract: Canadian Journal of Occupational Therapy, Ahead of Print.
Background. Pregnancy-related lumbopelvic pain is common and can impact quality of life. Purpose. To synthesize existing qualitative research on people's experiences of pregnancy-related lumbopelvic pain in pregnancy and during the postpartum period. Method. A keyword search of four electronic databases between 2000 and 2022 was completed. Included studies were appraised and synthesized using a meta-ethnographic approach. Findings. Twenty-three studies were included. Analysis identified four core themes: (1) uncertainties about pregnancy-related lumbopelvic pain, (2) struggles to attain achieve treatment and pain management, (3) profound activity consequences, and (4) emotional wellbeing, relationship, and identity impacts of pregnancy-related lumbopelvic pain. Implications. The occupational therapy role with this population has not to our knowledge yet been described. Given the centrality of occupational disruption to the experience of this population we argue that developing and evaluating occupational therapy interventions to address functional, work, parenting and wellbeing outcomes for this population is warranted and should be prioritized.
Citation: Canadian Journal of Occupational Therapy
PubDate: 2023-05-12T05:47:51Z
DOI: 10.1177/00084174231172037
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- 5Minutes4Myself: Development of a Wellness Program for Caregivers of
Children with Autism-
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Authors: Elizabeth A. Larson
Abstract: Canadian Journal of Occupational Therapy, Ahead of Print.
Background. Many caregivers of autistic children experience increased stress, and diminished health often due to the caregiving demands. Purpose. The project aim was to design a feasible and sustainable wellness program tailored to these caregivers’ lives. Methods. In this collaborative research-informed project, participants (N = 28) were mostly female, white, and well-educated. In focus groups, we delineated lifestyle issues, then designed, delivered and assessed an initial program with one cohort; and repeated this process with a second group. Findings. Focus group data were transcribed then coded qualitatively to inform following steps. Data analysis identified lifestyle issues key to program design, desired program elements, and after program delivery, affirmed elements and recommended changes. The team used meta-inferences to guide program revisions after each cohort. Implications. Caregivers viewed resulting 5Minutes4Myself program as filling a significant service gap; its hybrid design used in-person coaching and a habit-building app with mindfulness content to support lifestyle change.
Citation: Canadian Journal of Occupational Therapy
PubDate: 2023-04-28T05:08:01Z
DOI: 10.1177/00084174231172036
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- Occupation in the Anthropocene and Ethical Relationality
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Authors: Niki Kiepek
Abstract: Canadian Journal of Occupational Therapy, Ahead of Print.
Purpose.Occupations have “implications for individuals, societies, and the earth”. This article focusses on implications of occupation in relation to the earth and examines the potential to expand occupational justice beyond anthropocentric viewpoints to honour interspecies justice. Approach. A ‘theory as method’ approach is used to explore the literature. Transgressive decolonial hermeneutics informs analysis. Key issues. The discussion advances understandings about human occupation in relation to more-than-humans, intersections with human occupations and animals, and ethical relationality. Implications. Occupational justice includes honouring interdependence of species, engaging in occupations in ways that are sustainable, considering future generations, and refraining from occupations that have a destructive or detrimental impact on the earth and more-than-humans. The profession has a collective responsibility to honour Indigenous worldviews and Indigenous sovereignty, recognising and welcoming the potential for Western conceptualisations of occupation to be transformed.
Citation: Canadian Journal of Occupational Therapy
PubDate: 2023-04-19T04:57:36Z
DOI: 10.1177/00084174231169390
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- Functional ability, psychological factors, and rehabilitation outcomes
after elective total hip replacement-
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Authors: Orit Segev-Jacubovski
Abstract: Canadian Journal of Occupational Therapy, Ahead of Print.
Background. The role of positive psychological factors in acute rehabilitation after total hip replacement (THR) is unclear. Purpose. (a) Examine the trajectory of functional ability among older adults after THR from presurgery to discharge from acute rehabilitation and (b) determine which physical and psychological factors at admission would predict functional ability at discharge and length of stay in rehabilitation. Methods. This prospective cohort study included 30 participants (age M = 76.20 years) from an inpatient geriatric rehabilitation center. They completed the Geriatric Depression Scale and Positive Affect questionnaire. The FIM® Motor domain of Functional Independent Measure (mFIM) was recorded presurgery, at admission, and upon discharge. Findings. Functional ability improved at discharge; however, the presurgery functional ability was not regained. Positive affect explained the length of stay in rehabilitation above and beyond the presurgery mFIM. Implications. Occupational therapists should improve ways to enhance self-care and positive affect in acute rehabilitation.
Citation: Canadian Journal of Occupational Therapy
PubDate: 2023-04-19T04:51:36Z
DOI: 10.1177/00084174231168018
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- Changes in Daily Occupations Patterns, Optimism, and Positive Affect
During COVID-19 Lockdown-
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Authors: Orit Segev-Jacubovski
Abstract: Canadian Journal of Occupational Therapy, Ahead of Print.
Background. The COVID-19 outbreak caused an initial 2-week lockdown throughout Israel. Purpose. To identify (1) changes in time-usage patterns of daily occupations during the first COVID-19 lockdown, by gender and employment status, and (2) correlations among optimism, positive affect, and daily occupations during the lockdown. Method. In a voluntary, anonymous, retrospective, online cross-sectional survey, 481 participants completed the Life Orientation Test, Positive Affect Questionnaire, and Occupational Questionnaire. Findings. During lockdown, participants spent more time in recreation, rest, and sleep regardless of their employment status, and more women than men lost their employment. Both before and during lockdown, women spent significantly higher percentage of time performing everyday tasks but reported less rest and sleep than men. Recreation was associated with positive affect. Conclusion. The COVID-19 pandemic created a temporary occupational disruption. Although people devoted their time differently, the lockdown forced people to find ways to continue engaging in their occupations.
Citation: Canadian Journal of Occupational Therapy
PubDate: 2023-03-29T07:38:25Z
DOI: 10.1177/00084174231166260
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- Meaningful Activity, Psychosocial Wellbeing, and Poverty During COVID-19:
A Longitudinal Study-
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Authors: Carrie Anne Marshall, Rebecca Gewurtz, Julia Holmes, Brooke Phillips, Suliman Aryobi, Tracy Smith-Carrier
Abstract: Canadian Journal of Occupational Therapy, Ahead of Print.
Background: Only a few studies have explored experiences of meaningful activity and associations with psychosocial wellbeing during COVID-19. None reflect a Canadian context or focus on persons living in poverty. Purpose: To identify experiences and associations between meaningful activity and psychosocial wellbeing for persons living in poverty during the first year of COVID-19. Method: We delivered a quantitative survey at three time points during the first year of the pandemic supplemented by qualitative interviews at Time(T) 1 and 1 year later at T3. Findings: One hundred and eight participants completed T1 surveys, and 27 participated in qualitative interviews. Several statistically significant correlations between indices of meaningful activity engagement and psychosocial wellbeing were identified across T1–T3. Meaningful activity decreased from T1–T3 [X2 (2, n = 49) = 9.110, p
Citation: Canadian Journal of Occupational Therapy
PubDate: 2023-03-24T04:44:52Z
DOI: 10.1177/00084174231160950
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- Management of chronic pain by occupational therapist: A description of
practice profile-
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Authors: Émilie Lagueux, Julie Masse, Raphaël Pagé, Béatrice Marin, Yannick Tousignant-Laflamme
Abstract: Canadian Journal of Occupational Therapy, Ahead of Print.
Background. Current state of knowledge regarding occupational therapy's contribution to chronic pain (CP) management has evolved over the past decade. Yet, has this been transferred to clinical practice' Purpose. Describe the current state of practice of CP management-specific occupational therapy. Method. An online survey was sent to occupational therapists working with CP patients. Findings. Of the 90 respondents (11.9%), 42.2% worked in primary care and 52.2% in secondary care. They reported that their primary role aimed at enabling occupation and providing vocational rehabilitation. The Canadian Model of Occupational Performance and Engagement (CMOP-E) (87.8%), semi-structured interview (86.7%), and education on energy conservation (65.6%) and postural hygiene (60.0%) were the most frequently reported conceptual model, assessment, and intervention methods. Implications. Results illustrate the diversity of current occupational therapy practice in CP management and suggest opportunities for improvement to ensure best practices are adopted, by emphasizing an occupation-based vision of health and well-being.
Citation: Canadian Journal of Occupational Therapy
PubDate: 2023-03-20T07:07:49Z
DOI: 10.1177/00084174231162709
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- Occupational Performance Coaching for Children With Neurodisability: A
Randomized Controlled Trial Protocol-
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Authors: Fiona P. Graham, Jonathan A. Williman, Laura N. Desha, Deborah Snell, Bernadette Jones, Tristram R. Ingham, Anna Latu, Jasjot K. Maggo, Annemarei Ranta, Jenny Ziviani
Abstract: Canadian Journal of Occupational Therapy, Ahead of Print.
Background. Occupational Performance Coaching (OPC) is a goal-oriented approach in which client agency takes precedence in goal selection, analysis, choice of action, and evaluation of success. The intended outcomes of OPC are improved occupational performance and participation in clients’ life situations. Randomized clinical trials are needed to determine the effectiveness of OPC. Purpose. This study protocol outlines a randomized controlled trial (RCT) of OPC compared to usual care with caregivers of children with neurodisability in improving child, caregiver, and family occupational performance. Method. A single-blind, 2-arm parallel-group, cluster RCT of OPC compared to usual care is planned. Therapists delivering the intervention (N = 14) are randomized to “OPC training” or “usual care” groups. The primary outcome is occupational performance improvement in caregiver (N = 84) identified goals. Implications. Findings will provide translational evidence of the effectiveness of OPC and clarify intervention processes. Areas of future OPC research and development will be indicated.
Citation: Canadian Journal of Occupational Therapy
PubDate: 2023-03-15T07:48:14Z
DOI: 10.1177/00084174231160976
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- Technology for Adults with Intellectual Disability: Secondary Analysis of
a Scoping Review-
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Authors: Khalilah R. Johnson, Meghan G. Blaskowitz, Wanda J. Mahoney
Abstract: Canadian Journal of Occupational Therapy, Ahead of Print.
Background. Technologies are embedded in all daily life activities and are utilized by occupational therapy practitioners to facilitate participation; evidence on technology for adults with intellectual disability (ID) can support practice with the population. Purpose. Summarize the evidence on technology to support adults with ID. Method. Secondary analysis of a scoping review of articles published between 2002 and 2018. Articles in the original scoping review addressed participation, assessment, or interventions with adults with ID.
Authors completed a secondary analysis of 159 articles to identify articles with information on technology. Findings. In total, 56 articles met the inclusion criteria. Technology categories were cognitive supports, mainstream technologies, supplemental communication, aids for daily living, seating and mobility, control interfaces, and preparatory technologies. Implications. This secondary analysis demonstrates the range of evidence identifying technology as a key support, the impacts of the proliferation of technologies, and the need for occupational therapy practitioners to advocate for accessible technologies.
Citation: Canadian Journal of Occupational Therapy
PubDate: 2023-03-13T08:13:31Z
DOI: 10.1177/00084174231160975
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- Traduction de l'Occupational Balance Questionnaire en français et sa
validation-
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Authors: Nadine Larivière, Anne Martine Bertrand, Joliane Beaudoin, Annie Giroux, Karine Grenier, Raphaëlle Page, Cindy Perrin, Carita Håkansson
Abstract: Canadian Journal of Occupational Therapy, Ahead of Print.
RésuméDescription. Des questionnaires visant à mesurer l’équilibre occupationnel ont été créés ces dernières années, mais ceux disponibles en français sont limités. But. Cette étude visait à traduire et adapter transculturellement l’Occupational Balance Questionnaire et à examiner la cohérence interne, la fidélité test-retest et la validité convergente de la version en français. Méthodologie. Une validation a été effectuée auprès de personnes adultes au Québec (n = 69) et en Suisse romande (n = 47). Résultats. La cohérence interne est bonne dans les deux régions (α > 0,85). La fidélité test-retest est satisfaisante au Québec (ICC = 0,629 ; p
Citation: Canadian Journal of Occupational Therapy
PubDate: 2023-02-17T12:10:15Z
DOI: 10.1177/00084174231156288
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- Feasibility of Mindfulness-Based Intervention for Veterans Managing
Chronic Pain-
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Authors: Shu-Ping Chen, Huei-Tsz Liu, Joanne C. Appelt, Bonnie L. Klassen, Lili Liu, Janet L. Smith, Antonio Miguel-Cruz
Abstract: Canadian Journal of Occupational Therapy, Ahead of Print.
Background. Chronic pain impacts people's activity participation, productivity, mental health, and sense of wellbeing. Purpose. This study aimed to (1) evaluate the feasibility of the Mindfulness-Based Chronic Pain Management (MBCPMTM) program on reducing pain perception and enhancing the quality of life, and (2) understand veterans’ experience with the program. Method. The pretest-posttest single-group, mixed-methods design was used. Thirty-one veterans were offered the 12-week intervention. The Pain Catastrophizing Scale (PCS) and the Patient-Reported Outcomes Measurement Information System-29 were administered before and after the program. Focus groups and individual interviews were conducted to understand the experience. Findings. Participants’ PCS scores improved (Z = −3.116, p = .002), but the pain intensity did not change significantly. Themes from qualitative data include: (1) We are not alone! (2) I have a sense of awareness, choices, and control; and (3) It does work! Implications. The study shows preliminary feasibility of MBCPMTM for veterans. This promising effect supports future rigorous testing of this intervention.
Citation: Canadian Journal of Occupational Therapy
PubDate: 2023-02-15T03:57:48Z
DOI: 10.1177/00084174231156276
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- Efficacy and Feasibility of the CO-OP Approach in Parkinson's Disease: RCT
Study Protocol-
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Authors: Sarah J. Davies, Hannah L. Gullo, Emmah Doig
Abstract: Canadian Journal of Occupational Therapy, Ahead of Print.
Background. Parkinson's disease (PD) leads to cognitive dysfunction which limits participation and occupational performance. Cognitive Orientation to Daily Occupational Performance (CO-OP) approach is effective in other adult neurological populations and warrants investigation in PD. Purpose. To describe a study protocol evaluating the preliminary efficacy and feasibility of CO-OP approach in PD. Method. A randomised controlled trial (RCT) with adults with PD was assigned to either: CO-OP training-intensive (CO-OP-I, 20 sessions) or waitlist control (WLC) followed by CO-OP-standard (CO-OP-S, 10 sessions). Outcomes. Occupational performance and satisfaction of adults with PD in chosen goals. Measures will be obtained at baseline, post-intervention, and 3-month follow-up. Implications. As the first RCT focused on CO-OP in PD, this trial will provide evidence for the potential of this approach in PD and lay the groundwork for future large-scale trials. Trial Registration. New Zealand Clinical Trials Registry, ACTRN12621001483842. Registered November 1, 2021; retrospectively registered 3 months after commencement.
Citation: Canadian Journal of Occupational Therapy
PubDate: 2023-02-14T07:22:17Z
DOI: 10.1177/00084174231156287
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- Perception of COVID-19 Impact on Canadian Occupational Therapy Curricula:
Academic and Fieldwork-
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Authors: Diane MacKenzie, Rose Martini, Mary Roduta Roberts, Margaret Anne Campbell-Rempel, Christine Ausman
Abstract: Canadian Journal of Occupational Therapy, Ahead of Print.
Background. Delivery of occupational therapy education programs in Canada faced significant disruptions and adaptations because of the COVID-19 pandemic. Curriculum changes were made rapidly under extreme conditions. Purpose. To document and explore changes to curricula (academic and fieldwork), instructional, and assessment methods implemented by Canadian occupational therapy programs in response to the pandemic and capture their perceived impact on student learning. Method. This convergent mixed method design study employed a cross-sectional descriptive survey followed by a member check focus group. Participant recruitment targeted Canadian occupational therapy university program directors, curriculum chairs, and fieldwork coordinators. Findings. Results highlight curriculum modifications included shifting from in-person to online delivery and re-sequencing or deferring in-person components. Fieldwork placements were similarly affected and included adoption of simulations and telepractice. Implications. The development of interpersonal “soft skills” are perceived as being the most disrupted, but the impact of student learning on actual practice is not yet known.
Citation: Canadian Journal of Occupational Therapy
PubDate: 2023-02-13T05:13:25Z
DOI: 10.1177/00084174231152059
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- An Exploratory Study: Undergraduates’ Perspectives on how Threshold
Concepts Influence Professional Identity-
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Authors: Shenae E. O’Mahony, Annette V. Joosten, Jennifer O’Brien
Abstract: Canadian Journal of Occupational Therapy, Ahead of Print.
Background. Threshold concepts are key to professional identity development, transforming the way individuals think, act, and perceive the world. Purpose. To understand how occupational therapy students describe their professional identity, its importance, and how threshold concepts contribute to identity. Method. Mixed-method survey of final-year occupational therapy students (n = 58) at an Australian University. Findings. (i) High agreement on most identity and threshold questions; but up to 24% uncertain about confidence/competence in understanding specific concepts; (ii) occupation-focus is unique to our professional identity; (ii) identity develops over time; (iii) occupation-based, client-centered, and evidence-based practices are central to thinking like and becoming an occupational therapist; and (iv) practice education provides context for threshold concepts to be transformative. Implications. Identity is defined by a focus on occupation and its relationship to health. Traversing threshold concepts through academic and practice education is essential to developing professional identity.
Citation: Canadian Journal of Occupational Therapy
PubDate: 2023-02-13T02:46:25Z
DOI: 10.1177/00084174231154747
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- Losing Life's Sparkle: Experiences of Canadian Choral Musicians During the
COVID-19 Pandemic-
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Authors: Mary Jo A. Lozano, Stephanie L. Churcher, Madison J. Kirchner, Teri M. Slade
Abstract: Canadian Journal of Occupational Therapy, Ahead of Print.
Background. Singing in choirs, which previous research has identified as supporting wellbeing, has been restricted and altered during the COVID-19 pandemic. Purpose. The purpose of this study is to investigate and describe the experience of music-making for musicians in professional and semi-professional choirs in Canada 18–22 months into the COVID-19 pandemic. Method. Semi-structured interviews were conducted with 11 participants and analyzed using interpretive description. Findings. Four themes: (1) increased negative feelings associated with the music-making experience due to COVID-19 restrictions, (2) isolation and disconnection, (3) recognizing how music-making aids in their own mental health, the participants used music-making to help their communities cope with the pandemic, and (4) adapting in response to COVID-19 reinforced music-making's importance. Implications. Understanding how the COVID-19 pandemic has altered Canadian choral musicians’ experience of music-making can help occupational therapists in supporting choral musicians return to this meaningful occupation.
Citation: Canadian Journal of Occupational Therapy
PubDate: 2023-01-23T07:49:59Z
DOI: 10.1177/00084174221145823
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- Profiling the Research Activities of Canadian Occupational Therapy and
Occupational Science Faculty Members-
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Authors: Tal Jarus, Leanne L. Leclair, Setareh Ghahari, Shu-Ping Chen, Ada Leung, Lynn Shaw
Abstract: Canadian Journal of Occupational Therapy, Ahead of Print.
Background. There is a lack of knowledge on the scope and nature of the research by faculty members in occupational science (OS) and/or occupational therapy (OT) programs in Canada. Purpose. To describe the research activities of faculty members in these programs and directions. Method. A cross-sectional survey was distributed to 173 faculty members across all 14 Canadian OT that addressed: 1) research topics and methods, 2) populations, and 3) funding. Findings. Based on respondents (N = 121), research is focused on a range of topics and populations with most conducting qualitative research. Many conduct research examining the effectiveness of interventions, with few respondents focused on OS research. Federal and provincial grants agencies were the largest source of funding. Implications. Research topics studied were not always proportional to practice although emerging areas were being investigated that can expand the evidence base and scope of practice. Despite limited occupation-specific funding options, respondents were accessing funding from varied sources. Collaborations among faculty members, clinicians, and individuals with lived experience can create priorities for future OS and/or OT research in Canada.
Citation: Canadian Journal of Occupational Therapy
PubDate: 2023-01-20T05:46:57Z
DOI: 10.1177/00084174221145820
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- Revisiting the Do-Live-Well Health Promotion Framework: A Citation Content
Analysis-
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Authors: Kennedy A. Hamilton, Lori J. Letts, Nadine Larivière, Sandra E. Moll
Abstract: Canadian Journal of Occupational Therapy, Ahead of Print.
Background. The Do-Live-Well (DLW) framework was first published in 2015 and aimed to fill a theoretical gap in the health promotion literature related to the links between occupational patterns and health. However, the extent of uptake and use of the framework since publication is unknown. Purpose. To explore and reflect on the adoption and application of DLW in the literature. Method. Citation content analysis of two seminal DLW publications was conducted from 2015 to November 2022 across six databases. Findings. Seventeen citations directly applied DLW to inform research (n = 10), practice (n = 5) and knowledge translation (n = 2). Implications. The findings highlight uptake of the framework in a range of settings, and how it can inform an occupation-based understanding of health and well-being. Ongoing knowledge dissemination, development of practice tools, and research to update evidence and examine relevance are needed to further advance the utility and application of the framework.
Citation: Canadian Journal of Occupational Therapy
PubDate: 2023-01-10T05:37:42Z
DOI: 10.1177/00084174221149268
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- Occupational therapy for improving occupational performance in COPD
patients: A scoping review-
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Authors: Grégoire Goubeau, Stéphane Mandigout, Thierry Sombardier, Benoit Borel
Abstract: Canadian Journal of Occupational Therapy, Ahead of Print.
Background. Chronic obstructive pulmonary disease (COPD) is a multisystemic chronic condition which may induce significant consequences in daily life activities. Preserving activities of daily living in COPD is therefore a common treatment goal among people living with COPD, which leaves ample opportunity for occupational therapy interventions to comprise part of their rehabilitation. However, the question of how exactly occupational therapists can and do contribute to pulmonary rehabilitation remains underexplored. Purpose. To reveal the contribution of occupational therapy intervention in the pulmonary rehabilitation on improving the occupational performance of patients with COPD. Method. A scoping review was performed by selecting articles focusing on occupational therapy in pulmonary rehabilitation for patients with COPD. A total of four databases were surveyed for article selection. Findings. Among nine studies selected, seven studies reported a significant improvement in the occupational performance of patients with occupational therapy. However, two studies did not observe differences between the groups regarding occupational performance. Implications. Occupational therapy in pulmonary rehabilitation seems to contribute to the improvement of occupational performances of patients with COPD. Nevertheless, research focused on this field needs to be further developed to support the positive impact of occupational therapy in COPD management.
Citation: Canadian Journal of Occupational Therapy
PubDate: 2022-12-28T06:27:48Z
DOI: 10.1177/00084174221148037
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- The Multiple Errands Test: A Guide for Site-Specific Version Development
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Authors: Shannon M. Scarff, Emily J. Nalder, Hannah L. Gullo, Jennifer Fleming
Abstract: Canadian Journal of Occupational Therapy, Ahead of Print.
Background. The complex and real-world nature of the Multiple Errands Test (MET) makes it a valuable and increasingly popular assessment of cognitive function. However, these same qualities make its local implementation challenging. Purpose. To produce an evidence-based guide for site-specific adaptation of the MET. Method. The CAN-IMPLEMENT© knowledge translation framework informed a structured approach to the creation of a guide to site-specific version development, informed by twenty-two published approaches to MET adaptation. Applicability of the guide was supported by a two-phase revision process, in which a site-specific hospital and community version produced from its recommendations were administered with forty-two neurologically intact participants and stakeholder feedback obtained. Findings. We offer an outline of core components which maintain the integrity of the MET, and adaptable peripheries which may be modified when required by the local setting. Implications. The proposed guide provides a systematic yet flexible guide for site-specific MET development.
Citation: Canadian Journal of Occupational Therapy
PubDate: 2022-11-30T07:44:28Z
DOI: 10.1177/00084174221142184
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- “Metacognitive Reflection and Insight Therapy” (MERIT) for the
Occupational Therapy Practitioner-
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Authors: Sally Wasmuth, Caitlin Horsford, Lisa Mahaffey, Paul H. Lysaker
Abstract: Canadian Journal of Occupational Therapy, Ahead of Print.
Background. Metacognitive Reflection and Insight Therapy (MERIT) is a manualized, evidence-based approach that supports occupational participation through its focus on the inter-related constructs of meaning making, positionality, and self-definition (Lysaker et al., 2020). MERIT's core tenets parallel the fundamentals of occupational therapy, making it an ideal guiding methodology for mental health occupational therapy practice. Purpose. We outline key constructs of MERIT and detail how occupational therapy practitioners can apply MERIT to support occupational engagement. Key Issues. Few manualized, evidence-based interventions exist to guide occupational therapy mental health practice (Kirsch et al., 2019). Detailing MERIT and its application in occupational therapy is an important first step in future studies of its feasibility, acceptability, and effectiveness in this context. Implications. MERIT provides a clear methodology for delivering mental health occupational therapy services that is amenable to large-scale hybrid implementation and effectiveness studies, thereby supporting practice and rigour in research.
Citation: Canadian Journal of Occupational Therapy
PubDate: 2022-11-25T08:52:02Z
DOI: 10.1177/00084174221142172
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- Effectiveness of Suicide Safety Planning Interventions: A Systematic
Review Informing Occupational Therapy-
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Authors: Carrie Anne Marshall, Pavlina Crowley, Dave Carmichael, Rebecca Goldszmidt, Suliman Aryobi, Julia Holmes, Corinna Easton, Roxanne Isard, Susanne Murphy
Abstract: Canadian Journal of Occupational Therapy, Ahead of Print.
Background. Suicide safety planning (SSP) is a suicide prevention approach that involves developing a collaborative plan between a service provider such as an occupational therapist and a person who is at risk of suicide. Purpose. To synthesize effectiveness studies on SSP. Method. Using the Joanna Briggs Institute methodology, we conducted a systematic review of effectiveness studies including a: (1) title and abstract screening; (2) full-text review; (3) critical appraisal; and (4) narrative synthesis. Findings. We included 22 studies. Critical appraisal scores ranged from 38.5 to 92.3 (m = 63.7). The types of interventions included were: standard and enhanced SSP (n = 11); electronically delivered SSP (n = 5); and SSP integrated with other approaches (n = 6). Only three studies identified meaningful activity as a component of SSP. Evidence across a range of studies indicates that SSP is effective for reducing suicide behavior (SB) and ideation (SI). While some studies have demonstrated effectiveness for reducing symptoms of mental illness, promoting resilience and service use, the number of studies exploring these outcomes is currently limited. Implications. Occupational therapists support individuals expressing SI, and SSP is a necessary skill for practice.
Citation: Canadian Journal of Occupational Therapy
PubDate: 2022-11-03T05:30:19Z
DOI: 10.1177/00084174221132097
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- A Unique Clinical Tool for the Evaluation of Oral Feeding Skills in
Infants-
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Authors: Sandra Fucile, Kimberly Dow
Abstract: Canadian Journal of Occupational Therapy, Ahead of Print.
Background.Occupational therapy practice for oral feeding assessment is based on clinical observation of infants’ sucking, swallowing, and breathing ability, which is influenced by clinical experience and provides poor evidence on explanatory factors.Purpose.To test the clinical utility and safety of a nipple monitoring device for the quantitative evaluation of oral feeding skills.MethodSixteen infants, with no severe medical complications, participated in a pre-experimental pilot study. Oral feeding performances (duration, intake volume, and rate of transfer), and occurrence of adverse events (apnea, bradycardia, and oxygen desaturations) were recorded to ensure the tool does not interfere with infant's feeding ability or does not create any adverse effects.Findings.There was no significant difference in duration, intake volume, rate of transfer between the two monitored sessions, and no occurrence in adverse events.Implications.The findings suggest that the nipple monitoring device may be used for quantitative assessment and intervention planning of oral feeding difficulties in infants.
Citation: Canadian Journal of Occupational Therapy
PubDate: 2022-10-31T06:15:47Z
DOI: 10.1177/00084174221134738
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- Rapid Reviews to Support Practice: A Guide for Professional Organization
Practice Networks-
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Authors: Megan M. MacPherson, Rosalie H. Wang, Emma M. Smith, Gobika Sithamparanathan, Cara A. Sadiq, Anna RH Braunizer
Abstract: Canadian Journal of Occupational Therapy, Ahead of Print.
Background. Occupational Therapists, among other healthcare decision makers, often need to make decisions within limited timeframes and cannot wait for the completion of large rigorous systematic reviews and meta-analyses. Rapid reviews are one method to increase the integration of research evidence into clinical decision making. Rapid reviews streamline the systematic review process to allow for the timely synthesis of evidence; however, there does not exist a single agreed upon guide for the methodology and reporting of rapid reviews. Purpose. This paper proposes a rapid review methodology that is customized to a professional organization practice which can feasibly be used by practice networks such as those of the Canadian Association for Occupational Therapy to conduct reviews. Implications. Practice networks provide a sustainable mechanism to integrate research evidence and foster communication amongst practitioners. This guide for conducting and reporting rapid reviews can be used across Occupational Therapy practice networks and similar groups to support the consistent and timely synthesis of evidence necessary to improve evidence-informed clinical decision making.
Citation: Canadian Journal of Occupational Therapy
PubDate: 2022-10-14T05:40:04Z
DOI: 10.1177/00084174221123721
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- Children's play–work occupation continuum: Play-based occupational
therapy, play therapy and playwork-
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Authors: Ted Brown, Helen Lynch
Abstract: Canadian Journal of Occupational Therapy, Ahead of Print.
Introduction: Occupational therapists often use play-based approaches to facilitate children's occupational development and promote participation, for example, play-based occupational therapy, play therapy and playwork. However, where does play occupation fit, within these adult-guided play-based approaches in occupational therapy' Purpose: To examine and discuss the play–work occupation continuum of children to inform occupational therapy practice. Key Issues: Children's play occupations are free-selected, unstructured, internally-controlled, spontaneous and intrinsically-motivated. Yet, occupational therapists often utilize play as a therapeutic modality to support occupational development for occupations other than play. This use of play represents play-based work occupations as they are structured, externally-controlled, adult-guided, goal-focused and extrinsically-motivated. Play occupations then move from being authentic free-play to adult-guided play-based work occupations for children. Implications: When working with children and families, occupational therapists need to balance the use of self-selected, unstructured play occupations with the application of adult-guided, structured, goal-focused play-based work occupations.
Citation: Canadian Journal of Occupational Therapy
PubDate: 2022-10-12T06:30:01Z
DOI: 10.1177/00084174221130165
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- Review and Consultations of Canadian Financial Education Programs for
Individuals with Disabilities-
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Authors: Lisa Engel, Taryn Rampling, Emma J. Brautigan, Tamika Bazin, Kelsey Dilts, Taylor Williams, Thalin M. Dyck, Ellie M. Jack, Heather Colquhoun
Abstract: Canadian Journal of Occupational Therapy, Ahead of Print.
Background. Individuals or persons who live with a disability (PWD) can experience unique financial occupation challenges. Financial education programs can address some challenges. Purpose. The aim of this study was to describe and critically appraise current financial education programs for PWD in Canada. Method. This environmental scan framed by scoping review methods included a critical appraisal of Canadian programs’ online content and provider consultations. Researchers used four search methods to identify programs, interviewed service providers from four Canadian programs, and thematically analyzed interview transcripts. Findings. Researchers identified 134 programs; 50 (37.3%) included services. The online content of only 26 (19%) programs explicitly addressed accessibility; 106 (79%) programs’ content was at least college reading level. The qualitative results include three themes: (a) individualized approach, (b) “getting the word out”, and (c) service growth. Implications. There are financial education programs specific to PWD in Canada. Accessibility, individualization, advocacy, and development are needed.
Citation: Canadian Journal of Occupational Therapy
PubDate: 2022-10-12T06:28:41Z
DOI: 10.1177/00084174221129947
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