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Articles 1021 - 1050 of 1694
Full-Text Articles in Medicine and Health Sciences
Anti-Racism And Occupational Therapy Education: Beyond Diversity And Inclusion, Julia Sterman, Janet Njelesani, Shanteria Carr
Anti-Racism And Occupational Therapy Education: Beyond Diversity And Inclusion, Julia Sterman, Janet Njelesani, Shanteria Carr
Journal of Occupational Therapy Education
There is a pressing need to address racism within healthcare education; however, occupational therapy educators lack a compilation of discipline-specific knowledge of anti-racist actions. The objective of this study was to examine anti-racist instructional practices for educators to employ in occupational therapy education. We conducted a scoping review and systematically searched six electronic databases to identify and synthesize anti-racist educational practices within the occupational therapy literature. The 20 included articles identified that educators should: use collaborative, anti-racist teaching strategies throughout the curriculum; engage in reflexivity including how intersecting identities impact occupational engagement; decolonize curricula through including Indigenous content and non-Western …
Addressing Sexuality: The Comfort And Preparedness Of Occupational Therapy Students, Claire Lynch, Annette V. Joosten
Addressing Sexuality: The Comfort And Preparedness Of Occupational Therapy Students, Claire Lynch, Annette V. Joosten
Journal of Occupational Therapy Education
Undergraduate sexual health education has the potential to increase confidence and the likelihood that healthcare professionals address sexual health in practice. This study explored Australian final year occupational therapy students’ perceptions about their education, and their preparedness and comfort to address sexuality in their final practice placements and into their future careers. An online questionnaire with three sections for (a) demographics; (b) the students' attitudes towards sexual health (SA-SH) questionnaire, which is a 22-item Likert scale about student attitudes toward sexual health issues in their future profession; and (c) nine open questions regarding students’ comfort and preparedness to address sexuality …
Professional Behavior Attributes: A Survey Of Occupational Therapy Faculty Perspectives, Taylor A. Gurley, Kate E. Decleene Huber, Angella Chen, Kristen Dyson, Hannah Hackman, Paige Mcintire, Erika Wilson
Professional Behavior Attributes: A Survey Of Occupational Therapy Faculty Perspectives, Taylor A. Gurley, Kate E. Decleene Huber, Angella Chen, Kristen Dyson, Hannah Hackman, Paige Mcintire, Erika Wilson
Journal of Occupational Therapy Education
Professionalism in occupational therapy has been challenging to define due to differing values and behaviors across contexts and professions. There is a difference between how occupational therapy students and faculty view and comprehend professionalism suggesting that occupational therapists may not have an established sense of professionalism when entering the health care field for the first time. The study's purpose was to examine occupational therapy faculty’s perceptions of essential professional behavior attributes that students should possess to succeed in occupational therapy practice. This study utilized a survey methodology to anonymously collect opinions from 150 occupational therapy faculty members across the United …
Level Ii Fieldwork Educators' Perceived And Experienced Challenges With Using The Collaborative Fieldwork Supervision Model, Oaklee Rogers, Cherie Graves, Tamara Turner, Debra J. Hanson, Marilyn G. Klug
Level Ii Fieldwork Educators' Perceived And Experienced Challenges With Using The Collaborative Fieldwork Supervision Model, Oaklee Rogers, Cherie Graves, Tamara Turner, Debra J. Hanson, Marilyn G. Klug
Journal of Occupational Therapy Education
Fieldwork shortages have been noted in the literature for some time. With the ever-changing healthcare system and an increasing number of students in occupational therapy programs, the scarcity of fieldwork placements is dire. Rooted in adult learning principles, the collaborative fieldwork supervision model is one approach to fieldwork education that may alleviate the shortage of placements, while also supporting student learning. This model is designed to have one fieldwork educator supervising two or more students throughout a fieldwork experience. The strengths and challenges of this model are well documented, although it is unclear if the identified challenges are the same …
Cohort Analysis Of Four Graduating Classes Of Occupational Therapy Students' Knowledge Of Aging, Lavona Traywick, Brittany N. Saviers, Terry Wayne Griffin, Teressa Brown
Cohort Analysis Of Four Graduating Classes Of Occupational Therapy Students' Knowledge Of Aging, Lavona Traywick, Brittany N. Saviers, Terry Wayne Griffin, Teressa Brown
Journal of Occupational Therapy Education
At the same time that the number of senior adults in the United States is steadily rising, there is also a rising shortage of allied health care professionals, including occupational therapists, to meet the current and expected needs of the senior adult population. There are national standards that all occupational therapy programs must meet; however, there is not a set national curriculum. It is assumed that students will enter their respective occupational therapy programs with a base knowledge of aging due to prerequisite requirements. To test that assumption, with Institutional Review Board approval, over four consecutive years 192 first-year, first-semester …
Validation Of Objective Structured Clinical Examination (Osce) Based On The Occupational Therapy Practice Framework (Otpf): A Pilot Study, Marzieh Pashmdarfard, Afsoon Hassani Mehraban, Narges Shafaroodi, Kamran Soltani Arabshahi, Soroor Parvizy, Akram Azad, Samaneh Karamali Esmaeili
Validation Of Objective Structured Clinical Examination (Osce) Based On The Occupational Therapy Practice Framework (Otpf): A Pilot Study, Marzieh Pashmdarfard, Afsoon Hassani Mehraban, Narges Shafaroodi, Kamran Soltani Arabshahi, Soroor Parvizy, Akram Azad, Samaneh Karamali Esmaeili
Journal of Occupational Therapy Education
Fieldwork education is an integral part of the educational process in occupational therapy and assessing student competency at the end of fieldwork is important. The aim of this study was to design and conduct an Objective Structured Clinical Examination (OSCE) based on the Occupational Therapy Practice Framework (OTPF) for occupational therapy students on Level II fieldwork in Iran. A seven-station OSCE was designed and conducted with 13 students. Face and content validity of the exam scenarios and grading checklists was assessed via faculty review. The correlation between scores from each station and total OSCE scores were obtained to assess construct …
Copilot – Development And Implementation Of International Cooperative Online Intercultural Learning, Liliya Todorova, Elisabeth Fattinger, Elisabeth Url, Siska Vandemaele, Ulla Pott, Helen Strebel, Claudia Merklein De Freitas, Anja Christopher, Sabine Hendriks, Maria Prellwitz
Copilot – Development And Implementation Of International Cooperative Online Intercultural Learning, Liliya Todorova, Elisabeth Fattinger, Elisabeth Url, Siska Vandemaele, Ulla Pott, Helen Strebel, Claudia Merklein De Freitas, Anja Christopher, Sabine Hendriks, Maria Prellwitz
Journal of Occupational Therapy Education
This article presents the products and evaluation results of COPILOT (Cooperative Online Peer-assisted and Intercultural Learning in Occupational Therapy), an Erasmus+ funded project undertaken by a consortium of six European universities from 2018 to 2021, which addresses the need for internationalization and intercultural learning by developing competences graduates will need in the future. Internationalization has become one of the main avenues to developing global learning in higher education. Online education has a significant role in providing opportunities for internationalization online without the high cost of travel that might deter some students. The interest in online intercultural exchange has been significantly …
Occupational Therapy Students’ Perceived Preparedness To Work With Transgender Clients, Meredith Rosol, Karissa Rogers, Raigan Borsh, Rachel Pavlinec, Marion Russell, Asa N. Russell
Occupational Therapy Students’ Perceived Preparedness To Work With Transgender Clients, Meredith Rosol, Karissa Rogers, Raigan Borsh, Rachel Pavlinec, Marion Russell, Asa N. Russell
Journal of Occupational Therapy Education
In order to be a successful practitioner, an occupational therapist must have proper knowledge for treating diverse populations, including clients who are transgender. However, many occupational therapy (OT) programs do not teach content that is specific to the transgender population. This study utilized a complementary mixed-methods design to determine how prepared occupational therapy students perceived themselves to be for working with transgender clients. Entry-level masters and doctoral level occupational therapy students from accredited OT programs across the United States that had completed at least their first Level II fieldwork were recruited to participate. Eighty-five occupational therapy students completed the quantitative …
Perceived Value & Usefulness Of The Entry-Level Occupational Therapy Doctoral Capstone, Erika L. Kemp, Anna Domina, Sara Stephenson, Amanda Start
Perceived Value & Usefulness Of The Entry-Level Occupational Therapy Doctoral Capstone, Erika L. Kemp, Anna Domina, Sara Stephenson, Amanda Start
Journal of Occupational Therapy Education
The doctoral capstone is the culminating experiential learning component of the entry-level occupational therapy doctorate degree, however there is limited literature regarding its usefulness or value as perceived by graduates. This qualitative descriptive study used focus groups with a semi-structured interview guide to ask participants about the value and usefulness of their doctoral capstones. A total of 200 recent occupational therapy doctorate (OTD) graduates from three OTD programs in the Midwest and Southwest were contacted and 21 consented to participate. Researchers identified several themes that were relevant to both occupational therapy practitioners and occupational therapy programs. The four themes that …
First Year Occupational Therapy Students’ Engagement In Learning Activities: A Qualitative Study, Mona Asbjørnslett, Helen Bull, Gry Mørk, Tore Bonsaksen
First Year Occupational Therapy Students’ Engagement In Learning Activities: A Qualitative Study, Mona Asbjørnslett, Helen Bull, Gry Mørk, Tore Bonsaksen
Journal of Occupational Therapy Education
When students enter a bachelor program in occupational therapy, they engage in a variety of learning activities. To explore students’ perceptions of learning activities, this qualitative study investigated the experiences of six first year students participating in an occupational therapy study program at a Norwegian university. The students took part in two focus group interviews. The interview analysis focused on meaning and ended up with three main themes: 1) Getting to know each other through collaborative learning activities, 2) Engaging in classroom learning activities, and 3) Approaching the syllabus and doing assignments. The study concludes that early engagement in social …
Using Self-Assessment And Reflection To Develop Self-Efficacy In Occupational Therapy Assistant Fieldwork Students, Kristy Meyer, Julie Hunley
Using Self-Assessment And Reflection To Develop Self-Efficacy In Occupational Therapy Assistant Fieldwork Students, Kristy Meyer, Julie Hunley
Journal of Occupational Therapy Education
Many occupational therapy students navigate the transition to the Level II fieldwork experience effortlessly, while others require support due to a lack of perceived self-efficacy. This perception dramatically impacts fieldwork performance and challenges academic fieldwork coordinators to support students struggling to believe in their own capabilities. This study utilized a quantitative quasi-experimental research design with a purposive sample of 16 occupational therapy assistant students to determine if an educational intervention increased perceived self-efficacy and overall confidence. Data collected from the Student Confidence Questionnaire (SCQ) pre, and post-intervention provided insight into the students’ report of perceived self-efficacy and overall confidence during …
A Snapshot Of How Entry-Level Occupational Therapy Programs Collect And Use Doctoral Capstone Outcomes, Andrew D. Rivera, Theresa Delbert, Whitney Lucas Molitor, Anne F. Kiraly-Alvarez, Danielle Friberg, Anna Domina, Autumn Clegg
A Snapshot Of How Entry-Level Occupational Therapy Programs Collect And Use Doctoral Capstone Outcomes, Andrew D. Rivera, Theresa Delbert, Whitney Lucas Molitor, Anne F. Kiraly-Alvarez, Danielle Friberg, Anna Domina, Autumn Clegg
Journal of Occupational Therapy Education
Entry-level occupational therapy doctorate (OTD) programs are required to gather program evaluation data regarding the doctoral capstone for accreditation purposes. This study aims to describe the processes used by a sample of OTD programs to gather doctoral capstone outcome data and to determine the type of data collected in order to understand the perspectives regarding doctoral capstone outcomes by doctoral capstone coordinators (DCCs) within the United States. The investigators used purposeful sampling to recruit DCCs at accredited entry-level OTD programs in the United States. The most common outcome data collected included information about the doctoral capstone experience from students, student …
A Process Framework For The Education-Focused Capstone: Supporting Expansion And Sustainable Outcomes, Sierra Clair, Sarah Corcoran, Emily Bubel, Debbie Amini
A Process Framework For The Education-Focused Capstone: Supporting Expansion And Sustainable Outcomes, Sierra Clair, Sarah Corcoran, Emily Bubel, Debbie Amini
Journal of Occupational Therapy Education
This article aims to share a process framework created to guide entry-level occupational therapy doctoral programs in operationalizing and expanding the scope of the education-focused capstone described by the Accreditation Council for Occupational Therapy Education (ACOTE®).The impetus for this work was the completion of a professional development, education-focused capstone that proved to be novel, sustainable, and transformative for the capstone team, including the student, faculty mentor, site mentor, and doctoral capstone coordinator. This capstone ultimately created a professional development course covering the social determinants of health for occupational therapy practitioners, now offered through the American Occupational Therapy Association. …
Group Action Planning To Promote Well-Being Of Non-Traditional Students In A Hybrid Program, Elena W. Espiritu
Group Action Planning To Promote Well-Being Of Non-Traditional Students In A Hybrid Program, Elena W. Espiritu
Journal of Occupational Therapy Education
Non-traditional occupational therapy students experience stress and occupational imbalance during their educational experience due to academic and non-academic factors, which decreases their well-being. Throughout the occupational therapy literature, participation in a variety of occupations is known to positively impact well-being. However, there are limited interventions available to foster occupational therapy students’ overall well-being through occupational engagement. Furthermore, there is a scarcity of interventions specifically designed to meet the unique needs of non-traditional occupational therapy students. Action planning is a structured goal setting format by which a person develops specific strategies to achieve desirable outcomes. This qualitative descriptive study described the …
The Effectiveness Of Occupation-Based Virtual Reality Intervention On Upper Extremity Functional Improvement In Post-Stroke Individuals: A Systematic Review, Darcy Bowman, Tiffani Suhm, Ann Marie Brown, Aubrey Barrett, Hannah Reilley
The Effectiveness Of Occupation-Based Virtual Reality Intervention On Upper Extremity Functional Improvement In Post-Stroke Individuals: A Systematic Review, Darcy Bowman, Tiffani Suhm, Ann Marie Brown, Aubrey Barrett, Hannah Reilley
Student Journal of Occupational Therapy
Purpose: Virtual reality (VR)-based therapy is an emerging practice in the clinical setting and still requires research documenting its efficacy. This review analyzed the effectiveness of VR-based therapy on upper extremity (UE) motor recovery in individuals with chronic stroke by analyzing multiple randomized controlled trials.
Methods: Search limits for this review consisted of articles published between January 2010 and January 2020 and available in English. Search keywords were based on language in individual databases (e.g. stroke or cerebrovascular accident, upper extremity, occupational therapy). Articles were limited to include only randomized control trials consisting of adult patients (18+) with …
Stimming Expresses Empathy, Not To Be Masked Or Persecuted: A Scoping Review And Case Study Of The “Double-Empathy Problem” Solved By Recognizing The Autism Language, Kathryn Haas
Student Capstone Papers
This article critically examines autism and autistic stimming through the lenses of neurotypicals and autistics, evaluates confines currently imposed upon autistics by neurotypical society, and synthesizes what autistic leaders have expressed about their experiences striving for inclusion (Gernsbacher, 2017; Milton, 2012). Autistic-led studies are now at the forefront of the neurodiversity movement and are growing in fervor. The following themes were identified: (a) prevalence of autism, (b) the interpretation and measurement of empathy, (c) discovery of genetic factors transformed autistics’ identity, (d) publication of non-genetic factors such as vaccines undermined the legitimacy of the autism language, (e) the problem with …
Promoting Belonging Among Occupational Therapy Students Transitioning To Doctoral Studies, Gina M. Delgado
Promoting Belonging Among Occupational Therapy Students Transitioning To Doctoral Studies, Gina M. Delgado
Department of Occupational Therapy Entry-Level Capstone Projects
No abstract provided.
Occupational Therapy’S Role In Health Promotion For Youths Facing Chronic Conditions, Megan A. Moret, Megan A. Moret
Occupational Therapy’S Role In Health Promotion For Youths Facing Chronic Conditions, Megan A. Moret, Megan A. Moret
Department of Occupational Therapy Entry-Level Capstone Projects
This 17-week capstone project was completed at The Parker Place and virtually managed throughout the entirety of the experience. The Parker Place is a pediatric endocrinology and lifestyle management facility located in Annapolis, Maryland. Completing a virtual capstone project did not hinder the progress and outcomes of this experience. The Healthy Habits program was developed at this site to implement an occupational therapy role to supplement the served population’s health and wellness goals. Communication and client visits took place through passcode-protected video call sessions, phone calls, a HIPAA-compliant texting system, and email. Dr. Elizabeth Parker was the mentor for this …
Social Skills Groups For School-Age Children With Autism, Samantha Aybar
Social Skills Groups For School-Age Children With Autism, Samantha Aybar
Department of Occupational Therapy Entry-Level Capstone Projects
The present capstone project and experience aimed to develop and implement a 12-week program of social skills peer groups for school-aged children with autism at an outpatient pediatric therapy clinic. The program consisted of weekly peer group sessions targeting a range of social skill topics, such as emotional regulation, conversation skills, and collaborative play. The small group format provided an opportunity for participants to practice skills, learn from others, and obtain feedback on their performance within a supportive environment. A family-centered approach was utilized through providing parent resources, at-home activities, and a parent workshop to better support children’s social skill …
Peer-Led Building Resilience And Enhancing Social-Emotional Skills Program, Danielle K. Enrico
Peer-Led Building Resilience And Enhancing Social-Emotional Skills Program, Danielle K. Enrico
Department of Occupational Therapy Entry-Level Capstone Projects
The purpose of the Capstone experience was to develop and implement a five-week peer-led building resilience and social-emotional skills training program at a public high school. This program addressed high school students' knowledge, skills, and attitudes regarding resources, social-emotional skills, and resilience. A questionnaire was administered pre and post-program to measure effectiveness. The results indicated an increase in scores, demonstrating a clearer understanding in all three areas.
Using A Social Support Group To Educate And Empower Immigrant Latina Women, Diana N. Rendon
Using A Social Support Group To Educate And Empower Immigrant Latina Women, Diana N. Rendon
Department of Occupational Therapy Entry-Level Capstone Projects
The purpose of this capstone project was to promote mental health education and access to vulnerable South Florida Latina Women. The original intent was to establish a program providing families with mental health education, including information about common mental illnesses, signs and symptoms, community resources, and the impacts on occupations. This capstone experience was conducted with the Magnolias Women's Support Group at Caridad Center, located in Palm Beach County, Florida. The focus areas of this capstone were advocacy, policy and program development, and administration. Furthermore, this capstone project was intended to promote health literacy for underserved populations, especially immigrant women.
Nerve Impairment In Burn Injuries, Taylor A. Kowalske
Nerve Impairment In Burn Injuries, Taylor A. Kowalske
Department of Occupational Therapy Entry-Level Capstone Projects
No abstract provided.
Implementation And Efficacy Of Interprofessional Education (Ipe) Initiatives, Javed A. Mohammed
Implementation And Efficacy Of Interprofessional Education (Ipe) Initiatives, Javed A. Mohammed
Department of Occupational Therapy Entry-Level Capstone Projects
The literature demonstrates many benefits of interprofessional education (IPE) simulations in various types of formats that facilitate greater student knowledge and understanding of professions outside their own (O’Hara et al., 2018; Clauser et al., 2020; Cooper, Spencer-Dawe & Mclean, 2005; Djukic et al., 2015; Lazinski et al., 2021). The goals of my doctoral capstone experience (DCE) were to: 1) Develop IPE curriculum and active learning sessions along with assessment plans for professional programs on the Nova Southeastern University (NSU) – Tampa Bay Regional Campus with emphasis on advocacy for the occupational therapy (OT) profession, 2) Lead educational opportunities for students …
Exploring The Role Of Occupational Therapy In Long-Term Recovery For Individuals Post-Covid-19: A Doctoral Capstone Experience, Holly Bull
Department of Occupational Therapy Entry-Level Capstone Projects
No abstract provided.
Effects On Adherence And Comprehension With Video Demonstration Support Versus Traditional Home Exercise Programs: Culminating Project, Emily E. Morales
Effects On Adherence And Comprehension With Video Demonstration Support Versus Traditional Home Exercise Programs: Culminating Project, Emily E. Morales
Department of Occupational Therapy Entry-Level Capstone Projects
This culminating project examines the need for video-supported home exercise programs (HEP) in outpatient hand therapy clinics in South Jersey by developing a YouTube channel. This YouTube channel will consist of HEPs for common upper extremity diagnoses including proper demonstration of each exercise and clear concise written instructions within a playlist correlating to diagnosis. Advance clinical skill in hand therapy is the main goal for this capstone project. An analysis was completed evaluating adherence and comprehension when clients are prescribed traditional HEP to HEP supported by a video demonstration. The ultimate goal of this project was to establish an easily …
The Ot/Ota Student Response To Covid-19: A Cross-Sectional Survey Of Occupational Therapy Student Roles During Crisis Management, Frances Calingo, Msot, Olivia Biller, Tina Deangelis, Edd, Ms, Otr/L
The Ot/Ota Student Response To Covid-19: A Cross-Sectional Survey Of Occupational Therapy Student Roles During Crisis Management, Frances Calingo, Msot, Olivia Biller, Tina Deangelis, Edd, Ms, Otr/L
Department of Occupational Therapy Posters and Presentations
This exploratory cross-sectional survey study sought to understand OT/OTA student use of time and/or volunteerism efforts as a result of immediate and unexpected role changes brought on by COVID-19 as students were required to abruptly transition from in-person to virtual learning in every program in the United States (American Occupational Therapy Association [AOTA], 2020a).
Adapting The Ceramics Process With Creative Problem-Solving, Jennifer K. Fortuna
Adapting The Ceramics Process With Creative Problem-Solving, Jennifer K. Fortuna
The Open Journal of Occupational Therapy
Madeline Kaczmarczyk, a ceramics sculptor based in Rockford, MI, provided the cover art for the Fall 2021 edition of The Open Journal of Occupational Therapy (OJOT). The piece is a wall vase made from clay, luster glaze, and glass beads. Madeline has been creating decorative ceramics for over four decades. In recent years, Madeline has found creative ways to adapt the ceramics process so she can continue creating beautiful works of art. For Madeline, ceramics is more than a means to make a living. This meaningful activity brings focus to her life.
Interpretation Of Illness And Covid-19, Stephanie Campbell
Interpretation Of Illness And Covid-19, Stephanie Campbell
The Open Journal of Occupational Therapy
Both during and following the global pandemic of Covid-19, there appears to be an increased need to rediscover purpose and promote physical and emotional well-being. The philosophy of social constructionism presents the opportunity to explore the socially inherited interpretations of illness and increase awareness of their often unconscious influence on our attitudes and choices. This article explores how application of this philosophy in occupational therapy might assist in improving outcomes for well-being.
Exploring Simulation Design For Mental Health Practice Preparation: A Pilot Study With Learners And Preceptors, Diane E. Mackenzie, Niki Kiepek, Leanne Picketts, Stephanie Zubriski, Karen Landry, Jonathan Harris
Exploring Simulation Design For Mental Health Practice Preparation: A Pilot Study With Learners And Preceptors, Diane E. Mackenzie, Niki Kiepek, Leanne Picketts, Stephanie Zubriski, Karen Landry, Jonathan Harris
The Open Journal of Occupational Therapy
The purpose of this exploratory pilot study was to determine the feasibility of delivering mental health practice simulations for occupational therapy learners, and whether different debriefing approaches yielded performance differences over successive simulations. Five clinical preceptors and nine first year MScOT students participated in this mixed-method study. In week one simulations, one student group received preceptor facilitated debriefing while the other group used self-debriefing. Both groups used the same scripted questions informed by an advocacy-inquiry approach. In the second week, both groups received the preceptor-led debriefing. Preceptors rated student performances while students self-rated their confidence, competence screen, and satisfaction using …
Occupational Therapy And Allied Health Interventions To Promote And Support Client Self-Advocacy: A Systematic Review Of The Literature, Theresa Guzaldo, Abraham Kim, Kimberly Lieberman, Erin Thrasher, Laura H. Vanpuymbrouck
Occupational Therapy And Allied Health Interventions To Promote And Support Client Self-Advocacy: A Systematic Review Of The Literature, Theresa Guzaldo, Abraham Kim, Kimberly Lieberman, Erin Thrasher, Laura H. Vanpuymbrouck
The Open Journal of Occupational Therapy
Background: Despite occupational therapy’s focus on optimizing participation in society for individuals with disability, self-advocacy has only recently (2008) become an official client factor in the Occupational Therapy Practice Framework (OTPF).
Method: This study examined the current evidence in allied health professions addressing self-advocacy skills through exploring the quality, characteristics, and effectiveness of interventions designed to promote client self-advocacy. Multiple electronic databases were used for the literature search, including: PubMed, Ebscohost, PsycINFO, Google Scholar, and Sagepub. Select professional journals were also searched. Key words used in literature review were: self-advocacy, self-determination, occupational therapy, advocacy, empowerment, interventions, allied health, …