Rehabilitation and Therapy Commons^™

The Need For ‘Soft Skills’ In Occupational Therapy Curricula: A Descriptive Analysis Of French Students’ Internship Comments, Cynthia Engels, Nadia Oubaya, Aliki Thomas

The Open Journal of Occupational Therapy

A competent occupational therapist needs soft skills. Although the French national occupational therapy (OT) curriculum lists 10 competences to be acquired, they do not include soft skills. The objectives of this study were to (a) Identify the proportion of soft skills in OT students’ internship comments written by internship tutors and (b) characterize the mentioned soft skills to help determine whether and which soft skills should be included in the new OT curriculum nationwide in France. This was a qualitative descriptive analysis of tutors’ comments on internship evaluations based on the framework method. Of the 1060 internship reports, 1035 (98%) …

Occupational Therapy Guidelines For Rehabilitating People With Spinal Metastasis: Pathophysiology And Biomechanics, Julie H. Hunley, Ying Guo

The Open Journal of Occupational Therapy

Occupational therapists are increasingly treating people living with metastatic spinal cancer because of advancements in cancer treatment. Specific occupational therapy guidance for serving this growing and vulnerable population is limited. This paper provides evidence for occupational therapists to expand their understanding of the pathophysiological and biomechanical reasons for spinal precautions and the importance of individualizing interventions for people with metastatic spinal cancer. Metastatic lesions can compromise bone integrity, increasing the risk of pain, fractures, and spinal cord compression, leading to irreversible neurological damage. Daily life activities create large forces in the spine, putting people with spinal metastasis at high risk …

Improving Relationship-Based Feeding Of Infants And Young Children With Disabilities: Developing A Guideline For Practice, Patricia Henton, Tsu-Hsin Howe

The Open Journal of Occupational Therapy

Feeding is a significant co-occupation of young children and their caregivers, unfolding in a social context. While addressing feeding challenges comprehensively because multiple contributing factors, the social-emotional dimension is often overlooked. This paper proposes a relationship-based feeding guideline to help occupational therapists incorporate this critical component. Centered on the child-caregiver dyad, the guideline prioritizes supporting the developmental, social-emotional, and environmental needs of the child. The guideline employs a biopsycho-ecological framework and family-centered approach, emphasizing caregiver training for promoting positive interaction. Actively involving caregivers and employing caregiver-child coaching facilitates the learning of developmentally appropriate feeding strategies that are then applied at …

Integrative Neural Networks Frame Of Reference: Application In Practice, Glenda E. Hux, Sarah Schoen

The Open Journal of Occupational Therapy

The INN Frame of Reference supports occupational engagement in caregivers of children and youth with complex health care needs. It guides the occupational therapist from evaluation to intervention providing a structure to identify challenges in occupational engagement. It describes the process of selecting evidence-based interventions to mitigate the impact of prolonged stress on the “whole” parent across contexts. The theoretical base outlines the mechanisms of action that support physiological, affective/cognitive, and social/spiritual health, and the concepts related to intervention. The completion of an occupational profile and the INN Evaluation Checklist sets the stage for data-driven decision making. The occupational therapist …

Integrative Neural Networks: A Novel Frame Of Reference To Support Occupational Engagement In Caregivers, Glenda E. Hux, Sarah A. Schoen

The Open Journal of Occupational Therapy

The Integrative Neural Networks (INN) frame of reference is an integrated approach to support occupational engagement in parents and primary caregivers of children and youth with complex health care needs (CYSHCN) guided by principles of family-centered care. Given the potential influence of prolonged, cumulative, and or repeated stress on physiological, affective/cognitive, and social/spiritual health, it is imperative that occupational therapists partner with parents and primary caregivers to positively impact occupational engagement across contexts. Further, this frame of reference provides an avenue to identify potential health and occupational disparities historically under-recognized as independent from the needs of the child. Based on …

Effects Of Yoga On The Mental Health Of Women With Gynecological Cancers: A Systematic Literature Review, Sabina Khan, Christianah Edema

The Open Journal of Occupational Therapy

Background: The diagnosis and treatment of gynecological cancers have substantial psychological impacts. Occupational therapists use relaxation and mindfulness techniques to manage pain, distress, and other mental health symptoms associated with cancer. This review aimed to evaluate the impact of yoga on the mental health and quality of life of women diagnosed with gynecological cancers.

Methods: A systematic search of five databases was conducted from their inception to the present. Grey literature was searched via Google Scholar and relevant conference proceedings. Eligible studies reported on the effect of yoga on mental health symptoms in women with gynecological cancers. A …

Uncovering Occupational Therapy’S Role In Addressing Postpartum Anxiety: A Scoping Review, Felicia Markfield, Carlin D. Reaume

The Open Journal of Occupational Therapy

Background: Occupational therapists are qualified to provide needed support for individuals experiencing postpartum anxiety. Postpartum depression is a more well known and researched disorder; however, postpartum anxiety is theorized to be more prevalent and less discussed (Nakić et al., 2018; Zappas et al., 2021). The objective of this scoping review is to find the themes in the literature highlighting the unique settings, assessments, and interventions used to support individuals with postpartum anxiety.

Methods: A literature search was conducted from Scopus, Sage Journals, OTSeeker, Science Direct, and EBSCO databases. Twenty articles were found and selected for review.

Results: …

Evaluation Of Receptiveness And Barriers To Including Occupational Therapists On Primary Care Teams, Jacquelyn P. Nash, Sue Dahl-Popolizio, Dayna Maureen Maniccia, Debra Collette

The Open Journal of Occupational Therapy

Background: Although primary care providers (PCP) and occupational therapists recognize occupational therapists can be on the primary care (PC) team to address lifestyle management related to chronic conditions, health literacy, and behavioral health, few occupational therapists work in this setting; PC remains an emerging practice area.

Method: We sought to determine if receptiveness to adding occupational therapists to PC teams has changed. We modified surveys from a 2017 study and added interviews to answer the following questions regarding occupational therapists in PC: (1) What are PCPs' and occupational therapists’ perceptions? (2) What are PCPs' comfort levels in delegating patient appointments …

An Interdisciplinary Functional Exercise Program For Individuals With Parkinson’S Disease: A Case Series, Lauren Turbeville, Caroline Adams, Amy Wedge, Kailey Smitherman, Kathrin Rothermich

The Open Journal of Occupational Therapy

Background: Traditional exercise programs are beneficial in managing Parkinson’s disease (PD). Little research exists on interdisciplinary, functional exercise programs designed and implemented by licensed therapists.

Method: Our case series presents the development, implementation, and results of an interdisciplinary functional exercise program for individuals with PD and the effects this program had on daily functioning and quality of life. Participants were recruited via flyers, email, and phone communication, and consented to data collection for our objectives. Participants attended two sessions per week for 8 weeks. Sessions addressed fine and gross motor skills, dexterity, cognition, functional strength, gait, balance, and …

Guidelines For Analyzing Health Care Policies, Kieran Fogarty, Diane Powers Dirette

The Open Journal of Occupational Therapy

No abstract provided.

Following Painting's Quiet Call To Adventure, Kelly Allen

The Open Journal of Occupational Therapy

Yael Goverover, OTR/L, Ph.D., professor and post-professional program director of occupational therapy at New York University at Steinhardt (NYU), provided the cover art for the summer issue of the Open Journal of Occupational Therapy. This oil painting on canvas, titled, Still Life, 2024, features an arrangement of everyday objects with vibrant tones of gold, yellow, orange, and green found in the vase, and a coffeepot, fruits, and botanicals set against a backdrop of scarlet and striped patterned fabrics. She created this piece while on sabbatical in Israel as she studied under the tutelage of a seasoned oil …

Letter To The Editor: Embedding Indigenous Knowledges In Occupational Therapy: ‘Nothing About Us Without Us.’, Chontel Gibson, Isla Emery-Whittington, Lavonne Fox, Tirritpa Ritchie, Kaarina Valavaara, Angela Phenix, Tara Pride

The Open Journal of Occupational Therapy

As a collective of Indigenous occupational therapists, we write this letter not only in response to McColl et al.'s (2024) Letter to the Editor, but as a call to action for the profession, to enhance its ability to apply decoloniality and Indigenous human rights via strengths-based approaches.

Occupation-Based Practice Needs Occupation-Based Assessments: The Loss Of The Amps Family Assessments And How We Move Forward From Here, Leon Kirschner

The Open Journal of Occupational Therapy

The Occupational Therapy Domain and Process identifies participation in life activities as a key aspect of occupational therapy’s domain. It also identifies assessment as a key process in our practice. Still, few commonly used assessments use real, meaningful activities in real context to identify what factors are affecting performance. The AMPS family of assessments were among the only assessments used for these purposes. Because of a series of factors, these assessments recently became unavailable for new users and are no longer supported by a central organization. This paper explores the strengths and needs for these types of assessments, the factors …

The Urgent Need For Global Nuclear Disarmament: An Occupational Therapy Perspective, Ryan Thomure, Leon Kirschner, Robert Croonquist

The Open Journal of Occupational Therapy

The risk of nuclear war, exacerbated by recent global conflict, poses an existential threat to humanity and undermines the ability of individuals and communities to engage in meaningful occupation. This article argues that occupational therapists and occupational therapy assistants have a role to play in supporting global nuclear disarmament and that such efforts align with both our ethical responsibilities and scope of practice. It explores the profound impact of nuclear weapons on health and well-being, emphasizing the relevance of this issue to occupational therapy. The article outlines practical strategies for occupational therapists to engage in advocacy, including public education campaigns, …

Environmental Advocacy As An Occupation: Perceived Self-Efficacy And Occupational Justice In Community Programming, Emma Sims, Laura H. Vanpuymbrouck

The Open Journal of Occupational Therapy

Background: Current occupational therapy literature demonstrates a gap in knowledge of environmental advocacy as an occupation, which directly impacts occupational justice in those experiencing environmental racism or discrimination. This study’s purpose was to provide foundational information on the importance of advocacy work in the sphere of environmental and occupational justice through the lived experiences of those directly involved in community environmental advocacy.

Method: Qualitative data was collected via three focus groups using semi-structured interviews focused on perceptions of participant experiences in environmental advocacy occupations. Thematic analysis was used to identify themes relating to research questions.

Results: When …

Benefits Of Strategic Memory Advanced Reasoning Training (Smart) In Occupational Therapy Graduate Students, Asha K. Vas, Lori G. Cook, Wanyi Wang, Alisha Schaefer

The Open Journal of Occupational Therapy

Occupational therapists engage in critical thinking to integrate knowledge into clinical application. Academic curricula offer critical thinking strategies to facilitate flexible thinking and innovation to optimize clinical outcomes. Prior research has demonstrated that a gist-based reasoning program called Strategic Memory Advanced Reasoning Training (SMART) is beneficial in improving critical thinking skills in both healthy and clinical populations. The current study examined the benefits of the SMART program in masters-level occupational therapy (OT) students. Fourteen students between the ages of 22 and 45 (M = 25.71, SD = 6.34) completed the research study. The SMART program teaches strategies of strategic attention, …

Best Practices For Managing Cultural Taxation, Elizabeth Ching

The Open Journal of Occupational Therapy

The majority of faculty in higher education in the US identify racially as White. Cultural Taxation is a term from 1994 that refers to a common practice in which minoritized racial groups have more responsibilities expected from them than their White counterparts. Since occupational therapy (OT) education is a microcosm of higher education in the US, this affects Black, Indigenous, People of Color (BIPOC) faculty in occupational therapy as well. Recent Supreme Court rulings allow some states like Florida and Texas to eliminate their Diversity, Equity, and Inclusion (DEI) Departments in higher education institutions. With DEI efforts being cut or …

Prevalence Of Incivility And Bullying In Occupational Therapy Fieldwork, Edwin Myers, Kaitlyn Cremer

The Open Journal of Occupational Therapy

The prevalence of incivility and bullying in the domain of occupational therapy warrants attention. The long-term effects of incivility and bullying can be profound and multifaceted. These may include job dissatisfaction, depressive symptoms, heightened hostility, and an increased likelihood of malpractice. Despite the implications of such behavior, there remains a noticeable gap in existing literature. This study investigated the prevalence of incivility and bullying occurring during occupational therapy (OT) fieldwork. The Negative Acts Questionnaire-Revised (NAQ-R) was completed by 702 occupational therapists, occupational therapy assistants, and students regarding their fieldwork experiences. Over 80% of participants reported being exposed to bullying or …

Occupational Therapy Students’ Perceptions Of Using Chatgpt For An Academic Course Assignment, Diane Tom, Robyn Wu, Chi-Kwan Shea

The Open Journal of Occupational Therapy

Chat Generative Pre-Trained Transformer (ChatGPT), a natural language based artificial intelligence (AI), has been either welcomed or maligned by academia. This project aimed to: (a) provide a structured opportunity for students to use ChatGPT and critique its responses and (b) investigate student perceptions before and after using ChatGPT for a class assignment. Forty graduate occupational therapy students used ChatGPT to complete two written assignments. Pre- and post-ChatGPT assignment surveys completed by students were analyzed. After using ChatGPT to complete course assignments, students were significantly more likely to agree that: (a) ChatGPT is helpful for completing assignments, (b) ChatGPT provides accurate …

Becoming A Skater: A Mixed Methods Study Exploring Supports And Barriers To Participation In Adaptive Skateboarding, Megan Sandwith, Susan Macdermott, Amy Griswold

The Open Journal of Occupational Therapy

Background: The occupation of adaptive skateboarding expands concepts of skateboarding through modifications that support performance for individuals with disabilities. There is a gap in the literature representing the experience of individuals with disabilities who desire to participate in adaptive skateboarding. The intent of the research study was to provide a foundational understanding of the occupation of adaptive skateboarding by exploring the question: What are the supports and barriers to participation in adaptive skateboarding?

Methods:This mixed-methods study was comprised of a 14-question virtual survey, a semi-structured interview, and an optional video submission.

Results: A total of 41 participants participated …

Paving A Path From Occupational Therapy Clinician To Researcher: A Grounded Theory, Marissa J. Wuennemann, Barbara Nadeau

The Open Journal of Occupational Therapy

Background: Research is vital for continued development and support of practice for occupational therapy, yet little is known about occupational therapists currently in research roles. Occupational therapists who primarily conduct research see themselves as a unique minority in the profession. This study aimed to understand the process of occupational therapists who shift their professional identity from being a clinician to a researcher.

Method: Purposive and snowballing sampling was used to recruit occupational therapy clinicians who transitioned into roles where they spend the majority of their time conducting research. Data was collected through individual, semi-structured interviews and analyzed following …

Enhancing Occupational Therapy Practice Through A Mentorship Program: A Qualitative Study, Natalie S. King, Bryan M. Gee, Sarah A. Schoen, Mim Ochsenbein

The Open Journal of Occupational Therapy

Background: Occupational therapy entry-level education is filled with opportunities for experiential learning. Post-professionally, few opportunities exist for participation in structured mentored experiences. Mentoring in health care professions is not new; it has resurged over the past 15 years, documenting the nature of mentorship for practicing clinicians, the design of programs to promote advancement, and the effectiveness of these programs. Level I Mentorship by the STAR Institute uses a small group format and entails a blend of live and online instruction, fostering discussion and reflection rooted in on-site learning experiences. This qualitative study aims to understand participants' perceptions of STAR …

Breastfeeding Interventions For Dyads With Medical Complexity: A Mixed Methods Study, Jairrah L. Godsil, Julia R. Farrell, Julia Shin, Cary C. Moore, Yongyue Qi, Vanessa D. Jewell

The Open Journal of Occupational Therapy

Background: Breastfeeding dyads with medical complexity have lower success with direct breastfeeding. Evidence to support occupational therapists working with this population is limited. This study explored occupational therapists' experiences, training, and interventions for breastfeeding dyads with medical complexity.

Method: Occupational therapists providing clinical breastfeeding services for parents and or children with medically complex conditions participated in this study. The study employed an explanatory, sequential mixed-methods design, consisting of an online survey (N = 102) followed by two 75-min semi-structured focus groups (N = 7).

Results: Occupational therapists with more clinical breastfeeding experience (p = .003) and …

Use Of Podcasts As Emerging Technology In Occupational Therapy Education, Abbigail Kubiak, Karen Jacobs, Varsha S. Kulkarni, Maruška Vizek

The Open Journal of Occupational Therapy

Podcasts are an emerging modality with a developing evidence base to reinforce their use in educational settings; in particular, to support knowledge retention and introduce topics. This research demonstrates the potential of podcasting in an educational context. Podcasts were used to educate occupational therapy (OT) students about emerging and innovative OT career opportunities. A series of 13 standardized 20- to 30-min podcasts featuring occupational therapists in emerging and innovative practice areas (E/IPA) globally were developed. In each podcast, the occupational therapist described implicit and explicit aspects of their career experiences. The podcasts were piloted in an entry-level OT doctoral course …

A Qualitative Study Of Disabled Performance Art In Occupational Identity Formation And Empowerment, Lisa Mahaffey, Kristin Chrissos, Kate Wettergren

The Open Journal of Occupational Therapy

Background: Disabled performance artists use their occupation of performance art to challenge the attitudes of their audience toward disability, leading to a greater sense of empowerment and a strong identity as disabled people.

Method: This project used a narrative approach to qualitative inquiry to explore how engagement in performance art influences occupational identity and empowers disabled artists. Personal connections and snowball sampling resulted in six self-identified disabled performance artists participating in 60- to 90-min interviews. A thematic analysis resulted in three overarching themes.

Results: (a) Belonging to a community of disability activists promotes feelings of empowerment for disabled performance …

Globally Inclusive Occupational Therapy Scholarship, Molly Bathje

The Open Journal of Occupational Therapy

Occupational therapy is a global profession and OJOT supports global scholarship through its open-access, online format. OJOT is read in over 200 countries and global/international authorship is encouraged. This article describes the global reach of OJOT and suggests how OJOT authors can embrace the opportunity and responsibility of producing scholarship that has the potential for global impact.

Modern Creativity Thriving Through The Roots Of Occupational Therapy, Kelly Allen

The Open Journal of Occupational Therapy

Peace, a client artist at Corvilla, provided the cover art for the Spring 2025 issue of the Open Journal of Occupational Therapy (OJOT). This untitled artwork is a mixed-media painting featuring a vase of daisies, hand-drawn by Peace, which was engraved into reclaimed wood with a CNC machine, painted, and hand-sanded to reveal the image through the contrast of paint and wood. This and many other artworks are produced daily and sold in the storefront of the organization. Corvilla’s art program, Studio Five9, echoes the earliest models of arts and crafts workshops found in rehabilitation facilities in the early 20th …

Empathy In Occupational Therapy: A Call For Reflection, Razan Hamed, Vikram Pagpatan

The Open Journal of Occupational Therapy

Empathy is a building block in health care professions and it has been studied for decades in social and medical sciences given its significant role in health care outcomes and client satisfaction. In a climate where societies are congested with ideological conflicts, sociopolitical issues, racism, microaggressions, and bias, we must reflect on how we are preparing our students and future occupational therapists to be empathetic communicators and clinicians. We must also capture the evolution of empathy in new generations of occupational therapy students in the era of sociopolitical change, telehealth practices, and remote learning. Empathy decline is a documented trend …

Occupational Therapy’S Role In Supporting Persons With Cognitive And Communication Impairment In Acute Hospital Settings, Molly Bathje, Carole Schwartz, Carly Ebert, Allison Harvey

The Open Journal of Occupational Therapy

It is estimated that 10.9% of adults in the United States live with a cognitive disability and 10% experience communication disorders. When hospitalized, people who have co-occurring cognitive and communication impairments (CCI) experience more hospital-related complications, longer lengths of stay, and higher risks for readmission and mortality. Co-occurring CCI refers to people who are hospitalized for a primary condition who also have a pre-existing or hospital acquired CCI.

Occupational therapists make important contributions to interprofessional care teams for persons with disabilities in hospital settings. This article explores the complexity of individual- and system-level factors contributing to poorer health outcomes for …

Accessibility Status To Pediatric Occupational Therapy Services: Views From Health Care Providers At A Rehabilitation Hospital In Rwanda, Jean Claude Tuyishime, Lizahn Gracia Cloete, Jerome Peter Fredericks

The Open Journal of Occupational Therapy

Background: Occupational therapy is a growing profession in Rwanda. Since the commencement of the occupational therapy training program at the University of Rwanda in 2014, accessibility to newly established occupational therapy services in Rwanda is unknown. This study aimed to explore health care providers’ views on access to pediatric occupational therapy services at a rehabilitation hospital in Rwanda.

Methods: An exploratory qualitative design with an interpretive descriptive approach was used. Purposive sampling was employed to select a sample of 10 health care providers working at an orthopedic and rehabilitation hospital in Rwanda. The semi-structured interviews were audio-recorded, followed by verbatim …