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2026

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Toward A Critical Occupational Therapy Education: A Discrit-Informed Framework, Robert Niewiadomski, Chia-Yang Chiang Jan 2026

Toward A Critical Occupational Therapy Education: A Discrit-Informed Framework, Robert Niewiadomski, Chia-Yang Chiang

Journal of Occupational Therapy Education

Occupational therapy has long articulated commitments to equity, inclusion, and occupational justice, yet its dominant educational approaches often remain focused on interpersonal competence rather than structural analysis. This conceptual paper argues that contemporary occupational therapy education is insufficiently equipped to prepare practitioners to address the sociopolitical forces shaping occupational participation. Drawing on disability critical race theory (DisCrit), critical pedagogy, intersectionality, and occupational justice scholarship, the authors propose the Critical Occupational Therapy Education (COTE) framework as a structural, justice-oriented reorientation for occupational therapy education. COTE positions racism and ableism as interlocking systems that shape professional norms, knowledge production, and access to …

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Teaching Crisis Co-Regulation In Occupational Therapy: A Pilot Study Of A Simulation-Based Role-Play, Carli Dimeo, Allen Keener, Elizabeth G. Hunter Jan 2026

Teaching Crisis Co-Regulation In Occupational Therapy: A Pilot Study Of A Simulation-Based Role-Play, Carli Dimeo, Allen Keener, Elizabeth G. Hunter

Journal of Occupational Therapy Education

Health professions educators have identified a need for tools to assess student competence in de-escalation and co-regulation. Despite the importance of proficiency with these clinical skills, there is little evidence examining effective approaches for teaching and assessing these skills in occupational therapy students. This pilot study utilized a simulation-based role-play experience to determine the feasibility of a teaching method for occupational therapy students to apply these skills in psychosocial scenarios. Activities were conducted as a required component of a Psychosocial and Community Practice course. Prior to the simulation, students completed instruction addressing emotional regulation and co-regulation. Students then practiced these …

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The Editors' Perspective: A New Era For Jote, Dana M. Howell, Renee Causey-Upton, Cynthia L. Hayden Jan 2026

The Editors' Perspective: A New Era For Jote, Dana M. Howell, Renee Causey-Upton, Cynthia L. Hayden

Journal of Occupational Therapy Education

No abstract provided.

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Perceived Applicant Experiences Applying To Hybrid Doctor Of Occupational Therapy Programs, Jackson M. Miller, Melissa Yeung, Jason Hughes, Noah Zebrak Jan 2026

Perceived Applicant Experiences Applying To Hybrid Doctor Of Occupational Therapy Programs, Jackson M. Miller, Melissa Yeung, Jason Hughes, Noah Zebrak

Journal of Occupational Therapy Education

Hybrid Doctor of Occupational Therapy (OTD) programs have expanded rapidly across the United States, yet little is known about how applicants experience the admissions process or what influences their decisions to apply and enroll. The purpose of this qualitative descriptive study was to explore enrolled students’ retrospective accounts of applying to hybrid OTD programs, with particular attention to the factors influencing their decision-making, the support systems they relied upon throughout the admissions process, and the barriers they encountered. Eight students enrolled in hybrid OTD programs across the United States participated in semi-structured interviews conducted via Zoom. Interview transcripts were member …

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Preparing Clinician-Educators: Otd Students' Perceptions Of An Intraprofessional Teaching–Learning Experience, Dianna Lunsford, Anne M. Moscony, Blair Carsone Jan 2026

Preparing Clinician-Educators: Otd Students' Perceptions Of An Intraprofessional Teaching–Learning Experience, Dianna Lunsford, Anne M. Moscony, Blair Carsone

Journal of Occupational Therapy Education

Professional communication and the educator role are essential entry-level competencies in occupational therapy. To date, and to the authors' knowledge, no published study has used an inductive qualitative approach to examine how entry-level occupational therapy doctoral students describe and make meaning of a structured teaching-learning assignment that pairs them with occupational therapy assistant students and casts them in the role of teacher and evaluator. This retrospective qualitative study examined occupational therapy doctoral students' perceptions of a structured peer teaching–learning assignment grounded in the Learning by Teaching framework. Participants included entry-level occupational therapy doctoral students in their final year of study …

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Maladaptive Mindsets In Occupational Therapy Education: A Scoping Review, Steven D. Taff, Lauren Werning, Kim L. Lipsey, Gregory O. Costas, Maribeth Clifton Jan 2026

Maladaptive Mindsets In Occupational Therapy Education: A Scoping Review, Steven D. Taff, Lauren Werning, Kim L. Lipsey, Gregory O. Costas, Maribeth Clifton

Journal of Occupational Therapy Education

In educational settings, maladaptive mindsets refer to negative and counterproductive thoughts or beliefs that can adversely impact one’s ability to learn, engage, and respond to challenges. This scoping review aimed to examine how maladaptive mindsets are represented in occupational therapy education literature and their reported impacts on student learning, mental health, and well-being. Following PRISMA-ScR and established scoping review methodologies, a comprehensive search of six databases yielded 497 unique articles from the last two decades. Only four of the articles met inclusion criteria after screening and full text review. Data was extracted from the four selected articles and analyzed using …

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Playfulness, Leisure Motivation, And Coping Skills As Contributors To Graduate Health‑Professions Academic Performance, Amiya Waldman-Levi, Ruth Peer, Noah Frydman, Piermiline Datilus, Suzan Khavkin, Anita Bundy Jan 2026

Playfulness, Leisure Motivation, And Coping Skills As Contributors To Graduate Health‑Professions Academic Performance, Amiya Waldman-Levi, Ruth Peer, Noah Frydman, Piermiline Datilus, Suzan Khavkin, Anita Bundy

Journal of Occupational Therapy Education

Poor mental health affects graduate allied health students’ academic performance. Playfulness, leisure motivation, coping skills, and engagement in leisure activities may contribute to coping with academic stressors. The purpose of this study was to understand the role of leisure participation, playfulness, coping strategies, and anxiety on academic performance of entry-level graduate health professions students. We used a mixed method, exploratory, correlational cross-sectional design to study the relationships between anxiety, playfulness, leisure motivation, coping skills, and academic performance (grade point average) among 108 entry-level occupational therapy, physical therapy, and speech-language pathology students. Measures included the Intrinsic Leisure Motivation Scale, Adult Playfulness …

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Students’ Perceptions Of The Value And Challenges Of Oral Assessment In An Undergraduate Occupational Therapy Programme, Alexa M. Andrew, Rachel Sayers, Kristy Richards Jan 2026

Students’ Perceptions Of The Value And Challenges Of Oral Assessment In An Undergraduate Occupational Therapy Programme, Alexa M. Andrew, Rachel Sayers, Kristy Richards

Journal of Occupational Therapy Education

Oral assessments are used in undergraduate occupational therapy programs to facilitate students’ ability to articulate their professional reasoning in relation to a case scenario. Oral assessments are seen by assessors/lecturers as crucial preparation for fieldwork placement. Oral assessments are known to provoke anxiety among students. The aim of this research was to explore students’ perspectives of the value and challenges of the oral assessment. The method was qualitative and focus groups and individual interviews were used to collect data. Thematic analysis of the transcripts was conducted using a semantic approach. Four themes emerged as a result of the data analysis: …

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Understanding Self-Directed Learning Development In Occupational Therapy Students: A Mixed Methods Approach, Adrianne Osmundson, Jenna Heffron Jan 2026

Understanding Self-Directed Learning Development In Occupational Therapy Students: A Mixed Methods Approach, Adrianne Osmundson, Jenna Heffron

Journal of Occupational Therapy Education

Occupational therapy students enter graduate school at different stages of self-directed learning (SDL) readiness, and SDL skills must be explicitly taught. However, limited consensus exists on how SDL skill development should be incorporated into educational experiences. A retrospective parallel convergent mixed methods study was conducted to elicit an understanding of SDL development in a single cohort of master’s level occupational therapy students (n = 29) who participated in weekly SDL labs during their graduate education. The SDL labs were designed using Knowles’ (1975) seminal definition of SDL related to individuals taking the initiative to determine their needs, goals, strategies, and …

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Professional Identity Building Scale (Pibs) Development: Measuring Self-Authorship And Dimensions Of Professional Identity In Graduate Students, Anne M. Haskins, Sarah Nielsen, Nicole C. Harris, Adrienne M. Salentiny, Marilyn G. Klug Jan 2026

Professional Identity Building Scale (Pibs) Development: Measuring Self-Authorship And Dimensions Of Professional Identity In Graduate Students, Anne M. Haskins, Sarah Nielsen, Nicole C. Harris, Adrienne M. Salentiny, Marilyn G. Klug

Journal of Occupational Therapy Education

Grounded professional identity is needed for individuals to function successfully within their professions. The purpose of this study was to develop and test a new instrument intended to measure the professional identity of graduate students. Within a recursive methodological design, we developed a 71-item Professional Identity Building Scale (PIBS) based on a new conceptualized combination of Baxter Magolda’s Epistemological Reflection Model phases and Villanueava and Nadelson’s dimensions of professional identity. We pilot tested 129 occupational therapy graduate students at two sites in two states, adjusted the instrument and then retested the PIBS with data from 347 respondents in the same …

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Exploring The Influence Of A Longitudinal Small-Group Mentorship Course On Occupational Therapy Graduates’ Professional Identity Formation, Tosh Whitley, Lovejot Mangat, Susan G. Rappolt, Daniela Testani, Siobhan Donaghy, Lynn Cockburn, Sylvia Langlois, Ruheena Sangrar, Eric Lee, Rachel Roby, Erin Knobl, Susan Hannah, Anne Fourt, David Gerstle, Naomi Davids-Brumer, M. Shone Joos Jan 2026

Exploring The Influence Of A Longitudinal Small-Group Mentorship Course On Occupational Therapy Graduates’ Professional Identity Formation, Tosh Whitley, Lovejot Mangat, Susan G. Rappolt, Daniela Testani, Siobhan Donaghy, Lynn Cockburn, Sylvia Langlois, Ruheena Sangrar, Eric Lee, Rachel Roby, Erin Knobl, Susan Hannah, Anne Fourt, David Gerstle, Naomi Davids-Brumer, M. Shone Joos

Journal of Occupational Therapy Education

Professional identity formation is a critical aspect in facilitating the transition of healthcare professionals into entry-level practice. Previous literature has highlighted the benefits of mentorship in shaping professional identity formation among healthcare learners. However, few studies have explored longitudinal small-group mentorship courses on professional identity formation in entry-level occupational therapists. The aim of this study was to explore the perspectives of graduates on whether pre-certification mentorship influenced their professional identity formation. Online surveys, comprising open-ended and fixed-choice questions, were collected from graduates of a professional Master of Science in Occupational Therapy (MScOT) program across four cohorts (2020-2023) who completed a …

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Implementing Entrustable Professional Activities: Evaluation And Insights From Undergraduate Occupational Therapy Clinical Practice Education In Singapore, Heidi, Siew Khoon Tan, Gabriel, Wu-Xin Kwek, Corrine, Kar Ling Hoo, Florence, Wai Fong Cheong, Muhammad Rahizan Zainuldin Jan 2026

Implementing Entrustable Professional Activities: Evaluation And Insights From Undergraduate Occupational Therapy Clinical Practice Education In Singapore, Heidi, Siew Khoon Tan, Gabriel, Wu-Xin Kwek, Corrine, Kar Ling Hoo, Florence, Wai Fong Cheong, Muhammad Rahizan Zainuldin

Journal of Occupational Therapy Education

Competency-based education is widely adopted in occupational therapy programs, yet translating broad competency frameworks into authentic clinical assessment remains challenging. Entrustable Professional Activities (EPAs) offer an outcome-oriented approach by integrating multiple competencies into observable clinical tasks. This study evaluated the implementation of a nationwide EPA framework alongside an established competency-based assessment tool within an undergraduate occupational therapy clinical practice education program in Singapore. Guided by the 2018 Ottawa Consensus Framework for Good Assessment, this qualitative evaluation study conducted seven focus group discussions with 18 occupational therapy clinical educators and 12 students who experienced the integrated EPA and competency-based assessment system. …

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Occupational Therapy Assistant Students’ Perceptions Of Level I Fieldwork Instructional Methods: A Mixed Methods Study, Tiffany L. Benaroya, Susan M. Higgins Jan 2026

Occupational Therapy Assistant Students’ Perceptions Of Level I Fieldwork Instructional Methods: A Mixed Methods Study, Tiffany L. Benaroya, Susan M. Higgins

Journal of Occupational Therapy Education

Level I fieldwork is a cornerstone of occupational therapy assistant (OTA) education. Placement shortages have prompted OTA programs to expand instructional methods beyond traditional methods to include standardized patients, faculty-led site visits, simulated and virtual environments, and non-traditional placements. Limited research has examined OTA student perceptions of these instructional methods. Therefore, this study explored OTA student preferences, recommendations for future use, and perceived strengths and challenges of Level I fieldwork instructional methods. Nineteen OTA students completed surveys in Fall 2023 and Fall 2024 in this retrospective mixed methods study. Students ranked instructional methods directly experienced in Level I fieldwork: traditional …

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Nbcot First-Time Pass Rates At A Hispanic-Serving Institution: The Role Of Academic Metrics And Primary Language, Timothy Tu Jan 2026

Nbcot First-Time Pass Rates At A Hispanic-Serving Institution: The Role Of Academic Metrics And Primary Language, Timothy Tu

Journal of Occupational Therapy Education

This retrospective study examined academic and demographic predictors of first-time success on the National Board for Certification in Occupational Therapy (NBCOT) exam among graduates (N = 82) from the classes of 2019 through 2022 at a Hispanic-Serving Institution. Despite demographic growth, Hispanic and linguistically diverse practitioners remain underrepresented in the profession. Analyzed variables included self-reported primary language, undergraduate GPA (UGPA), prerequisite GPA (PGPA), Graduate Record Examination (GRE) scores, and Occupational Therapy Knowledge Exam (OTKE) performance. Univariate and multivariate logistic regression analyses were conducted using SPSS 31. Three factors significantly predicted first-time NBCOT pass status: UGPA (p = .010), OTKE scores …

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Sustaining A High-Fidelity Simulation Assessment For Fieldwork Readiness: A Process Description And Quality Assurance Process, Mary K. Thelander, Sue Iliff, Geneva L. Nolan, Heidi M. Sanders Jan 2026

Sustaining A High-Fidelity Simulation Assessment For Fieldwork Readiness: A Process Description And Quality Assurance Process, Mary K. Thelander, Sue Iliff, Geneva L. Nolan, Heidi M. Sanders

Journal of Occupational Therapy Education

Occupational therapy students often report feeling underprepared for the complex and integrative demands of Level II fieldwork, prompting increased use of simulation-based approaches to support clinical readiness. This process description outlines the design, implementation, and sustained quality assurance of the Occupational Therapy Student Performance Assessment (OTSPA), a multimodal, high-fidelity simulation required before fieldwork in a Southwestern occupational therapy graduate program. Grounded in a problem-based learning framework, the OTSPA integrates multiple levels of simulation fidelity and requires students to complete a full-cycle clinical experience, including referral review, interaction with a standardized patient, documentation, and intervention planning. Faculty evaluate performance using structured, …

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Reimagining Level I Fieldwork: A Virtual Home-Based Observation Model In Occupational Therapy Education, Tara Mansour, Colleen Muse, Nicole Williams, Rachel Pittmann Jan 2026

Reimagining Level I Fieldwork: A Virtual Home-Based Observation Model In Occupational Therapy Education, Tara Mansour, Colleen Muse, Nicole Williams, Rachel Pittmann

Journal of Occupational Therapy Education

Fieldwork is essential to occupational therapy education, yet placement demand and constraints on clinician capacity require programs to consider innovative approaches to practice-based learning. Home-based practice is especially difficult to offer as a traditional Level I placement because of travel and space constraints inherent to how services are delivered. This educational innovation describes and evaluates a structured virtual home-based Level I fieldwork model implemented through a partnership between an entry-level occupational therapy program and a national rehabilitation provider. Students completed five live virtual observations of services delivered in clients' living environments. The model, now in its fifth year, incorporated prebriefing, …

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