Occupational Therapy Commons^™

Occupational Therapy Holistic Admissions At A Public, Urban Research University: Process, Outcomes, And Transitions, Ashley Stoffel, Dalmina Arias, Toni Van Denend, Caitlin Smith, Jenica Lee, Maria Larson, Gail Fisher

The Open Journal of Occupational Therapy

Implementing a holistic admissions process reflecting the mission of the university provides the means to expand enrollment of students from diverse backgrounds who have life experiences and values that are well matched to the communities they serve. This article explores the historical significance, outcomes, and transitions of a holistic admissions process in a public, urban research university.

The holistic admission process outlined in this article offers a balanced and equitable approach to student selection by considering a broad array of backgrounds, experiences, and attributes beyond traditional metrics, such as grades. With a commitment to inclusivity, access, and belonging, the department …

Feasibility Of Therapeutic Drumming Intervention For Autistic Youth: An Exploratory Study, Zahava L. Friedman, Dina Prisco, Jorge Ochoa, Talia Nuesi, Carmen Guarino, Patricia Higgins, Danielle Centi

The Open Journal of Occupational Therapy

Background: There is a need to identify a wider variety of neurodiversity-affirming interventions within the scope of occupational therapy. Therapeutic drumming, percussive music-making as a therapeutic intervention, holds potential for occupational therapy practice, though few studies have explored its efficacy with this population. The purpose of this study was to explore the design and effectiveness of therapeutic drumming for autistic youth from perspectives of drumming facilitators to identify relevant outcome variables and usefulness in the study and practice of therapeutic drumming.

Methodology: This exploratory feasibility study recruited twelve facilitators and 10 autistic youth. An occupational therapy graduate student …

Service Disruptions In Early Intervention Amid Covid-19: Understanding Challenges Faced By Families And Providers, Tiana T. Nguyen, Samantha Mong, Juliana Lainez, Domenique Embrey

The Open Journal of Occupational Therapy

Background: Infants at risk for developmental delays require early intervention (EI) services to support their development. However, many families face barriers to receiving services, which were exacerbated by the COVID-19 pandemic.

Objective: This qualitative study examined how COVID-19 impacted access to EI therapy services from the perspectives of families and EI providers in the San Francisco Bay Area. The study aimed to identify existing barriers and new pandemic-specific challenges to inform strategies for improving continuity and quality of EI care during future service disruptions.

Methods: Semi-structured virtual interviews were conducted with caregivers of eligible infants and EI providers. …

Theme Park Experiences Of Families With A Disabled Child Regarding Accessibility And Participation: Mixed Methods Study, Kylie Allan, Karen Park

The Open Journal of Occupational Therapy

Background: Despite the large number of children with disabilities, there is little research focused on the experiences families with a child who has a disability have while at theme parks. Both play and leisure participation offer meaningful opportunities for self-expression and can support skill acquisition and building social connections, particularly in family-oriented environments, like amusement parks.

Methods: Using environmental assessments, surveys, and semi-structured interviews, this mixed-methods study explored the experiences of these families, specifically looking at accessibility and participation in the theme park environment. Thirty-seven parents and guardians completed the online survey, while 10 individuals also elected to …

The Impact Of Computer Training On Confidence And Occupational Participation In Community-Dwelling Older Adults, Alicia Jones, Joseph A. Scazzero, Rosanne Dizazzo-Miller

The Open Journal of Occupational Therapy

Background: It is fundamental to understand why older adults choose and use technology to fully understand how to meet the needs of an aging population in a technologically advanced society. This research aimed to design and implement a holistic technology training program for older adults that explores using a laptop beyond basic internet use.

Method: A pre-post mixed-method survey study took place at a local senior center. A classroom-style program was designed to deliver information and instruction using a digital device. An 11-item survey on attitudes toward technology using a 7-point Likert scale with qualitative responses was used to collect …

A Retrospective Study Correlating Omsq-12 And Quickdash Scores Of Post-Operative Upper Extremity Patients, Sabrina Nassir, Mariem Metry, Yuju R. Huang

The Open Journal of Occupational Therapy

Background: This retrospective study aimed to identify a correlation between the Örebro Musculoskeletal Screening Questionnaire (ÖMSQ-12) and Quick Disabilities of the Arm, Shoulder, and Hand (DASH) of postoperative male patients with elbow and or wrist/hand conditions. The study aimed to discover how an individual’s comorbidities affect overall functionality over 6 weeks of treatment at Select Physical Therapy Hand Therapy in Orange, CA.

Methods: Data collected from male workers' compensation patients (N = 43) aged 20-50 years with elbow and/or wrist/hand conditions from January 1, 2021, to January 1, 2025, were included. Throughout a patient's therapy experience, they are …

The Content Validity Of The Functional Cognition Index In Instrumental Activities Of Daily Living (Fci-Iadl) As A Screening Tool For Mild Cognitive Impairment (Mci) In Older Adults In Singapore, Namrata P. Sadarangani, Phyllis Simon

The Open Journal of Occupational Therapy

Background: Mild Cognitive Impairment (MCI) is a syndrome that is considered a transition phase between healthy cognitive aging and dementia. The person may have subjective memory complaints, substantiated by family or caregiver and/or impaired executive function, that lead to difficulties performing complex Instrumental Activities of Daily Living (IADLs). Our objective was to develop a tool to assess functional cognition in IADLs as a screen for MCI in older adults.

Method: A Qualtrics survey questionnaire was rated by 15 content experts on the relevance of the 22 test item questions to the cognitive domains being measured using a 4-point …

Reframing Occupational Therapy In A Reactive Health System Through Prevention And Caregiver Training, Rosanne Dizazzo-Miller

The Open Journal of Occupational Therapy

This article explores the expanding role of occupational therapy in chronic disease management, prevention, and caregiver supported care. Occupational therapy is uniquely positioned to support health promotion and caregiver training but remains underused in prevention-focused health care models. Current literature from the Open Journal of Occupational Therapy highlights the importance of caregiver training, the systemic barriers limiting occupational therapy's role in chronic disease management, and the need for the profession to embrace a broader role within this area of practice.

The Occupation Of Dance And Its Potential Effects On Trauma, Magan Higgins Gramling

The Open Journal of Occupational Therapy

Trauma is a complex phenomenon. Because of its subjective nature, it can be defined in a variety of ways depending on the health care provider being asked. Though there are various forms of trauma, most definitions are comprised of components that establish its broad understanding of an emotional response to a disturbing incident. Trauma is a subjective experience and can occur in any setting, to any person. How trauma is stored in the body is less subjective though, with most experts understanding it not only lives in the brain, but also in the very cells affecting health and wellness on …

Perspectives On An Unconventional Partnership Between Occupational Therapists And Pediatric Dental Professionals, Marissa Holsonback, Reeti Douglas, Leslie Gazdeck

The Open Journal of Occupational Therapy

Pediatric clients with disabilities are at increased risk for dental problems, including periodontal disease. Developmental delay and sensory processing dysfunction hinder acceptance of the stimulating dental environment and engagement in oral care routines at home. This health disparity is magnified by many dental professionals’ lack of training and confidence with children who have special needs. The holistic occupational therapy scope of practice is inclusive of oral care, pediatric diagnoses, sensory integration, and behavior management, allowing occupational therapists to collaborate with pediatric dental professionals to address the oral health disparity. This perspective manuscript provides occupational therapists with an evidence-supported understanding of …

Occupational Therapy Fieldwork Educators’ Perceptions Of Ot Student Rapport-Building Abilities During Level Ii Fieldwork, Carson Elwell, Tylar Fallaw, Ryan Harley, Abby Key, Kathleen Maley, Ryan M. Carrick

The Open Journal of Occupational Therapy

Background: The aim of this study was to inform Occupational Therapy (OT) practice and future OT educational content through identification of rapport- building components. Fieldwork educators are uniquely positioned to assess OT students’ abilities and readiness for client rapport building during fieldwork.

Methods: A descriptive survey of 55 fieldwork educators (FWEs) investigated skills that FWEs consider necessary for OT students to build client rapport at a Level II fieldwork experience. A Qualtrics survey assessed FWEs’ perceptions of OT student rapport- building readiness components at the beginning of Level II fieldwork.

Results: Data from 55 responses revealed that …

The Use Of Gamification In Occupational Therapy Education, Chris Mulligan, Leslie Bennett, Donald F. Graves

The Open Journal of Occupational Therapy

Gamification is an approach to game-based learning, also called educational games. These fun supplemental tools are infused into K-12 and higher education curriculums. This study aimed to discover faculty and student perspectives and explore gamification or game-based learning in accredited occupational therapy graduate programs through the lens of faculty (n = 47) and students (n =54). The primary researcher distributed two anonymous surveys: Survey 1 to current faculty and Survey 2 to students in occupational therapy programs, examining their use of game-based learning tools. The findings revealed that most faculty (n = 38, 85%) and students (n = 48, 92%) …

Occupational Therapy Student Performance In Level Ii Fieldwork Before And During A Global Pandemic, Ann M. Marsico, Cara A. Lekovitch, Ketki Raina

The Open Journal of Occupational Therapy

The COVID-19 pandemic disrupted academic curricula and clinical settings, creating uncertainty about its impact on occupational therapy (OT) student learning, fieldwork performance, and competence. This study examined OT student performance during Level II fieldwork and the support required from the Academic Fieldwork Coordinator (AFWC) across prepandemic (2019), emerging (2020), and postemergence (2021–2022) periods in an accredited entry-level OT doctorate (OTD) program. The study used a retrospective observational study and employe secondary data analysis using the American Occupational Therapy Association Fieldwork Performance Evaluation (AOTA FWPE) from 2019–2022. Two-hundred and two OTD students from four cohorts at one institution participated. Student performance …

Exploring Stress Contagion: The Effect Of Faculty Stress Levels On Occupational Therapy Graduate Students, Dana Kolbfleisch

The Open Journal of Occupational Therapy

Research has indicated a relationship between faculty and students as it pertains to stress levels and subsequent well-being in occupational therapy (OT) programs (Grab et al., 2021), a potential indication of a stress contagion effect. This research aimed to determine if faculty stress levels affect student stress levels in OT graduate programs. The researcher used an ecological correlational study design with a nonprobability convenience sampling procedure. Faculty and students (n = 19 and n = 165, respectively) from 367 accredited OT graduate programs across the United States completed a survey consisting of demographic questions and the PSS-10. In addition, OT …

A Study Of Artificial Intelligence (Ai) Use Among Entry-Level Occupational Therapy Doctoral Students, Gustavo Reinoso, Rachel Allen-Mchugh, Thomas Decker, Yolanda Griffiths, Stacey Huffman-Main, Leslie Jackson, Ashley Murray, Jamie Rognes, Christine Urish

The Open Journal of Occupational Therapy

Artificial intelligence (AI) is increasingly integrated into higher education, yet little research explores its use among entry-level occupational therapy doctoral (OTD) students. This study developed a scale to assess AI usage and perceptions, examining differences across academic years. Eighty OTD students from a mid-sized urban university completed a 44-item survey refined using a Delphi method with nine faculty experts. Exploratory factor analysis identified three subscales—Efficiency and Adaptability, Academic Integrity Concerns, and the Student-Professor Divide—accounting for 46.04% of the variance (Cronbach’s α = .72–.93). Multivariate analysis of variance revealed significant effects of academic year on subscale scores (Wilks’ Λ = .822, …

Ethically Integrating Ai In Occupational Therapy Education: Enhancing Learning And Practice For The Future, Amy Sadek, Sabrina Gowette

The Open Journal of Occupational Therapy

Artificial intelligence (AI) has been around since the 1950s and is gaining traction in higher education and among health care professions. In this era of technology, it is imperative we equip both educators and students to have tech centric skills to support learning, improve efficiency, and enhance skills. Faculty and students alike need to be able to understand the ethics behind using digital information, such as that from AI tools and sources. As educators and students become more reliant on technology, and specifically AI, it is imperative not to lose the human connection in education. Educators are an integral part …

Doing Drag: Exploring The Experiences Of Drag As An Occupation For Performers In California, Alicia Montes, Anna Ranario, Lilibeth Rosales, Eileen Spahle, Nathan Gelman, Laura Greiss Hess, Karen Mccarthy

The Open Journal of Occupational Therapy

Background: Drag is a performative art where individuals explore identity, challenge societal norms, and foster community through exaggerated gendered performance. Drag in the United States is facing potential restrictions and remains underexplored in occupational science and occupational therapy literature.

Methods: This qualitative study explored the experiences of drag performers in California, applying an occupational perspective through the framework of form, function, and meaning. Five drag performers were interviewed. Reflective thematic analysis was used to interpret qualitative data.

Findings: Identity was the central theme, interconnected with form, belonging, non-belonging, meaning and motivation, and resistive occupation. Findings highlight drag …

Addressing Feeding And Eating Issues With The Pediatric Population Using A Telehealth Service Delivery Model: A Case Report, Lyndsay Fait, Raegan Furman, Devani Emery, Bryan M. Gee

The Open Journal of Occupational Therapy

Background: This case report reviews the implementation of telehealth-based occupational therapy interventions for pediatric feeding issues in a client with autism spectrum disorder (ASD) and Avoidant/Restrictive Food Intake Disorder (ARFID). It highlights the use of a synchronous telehealth service delivery model to address sensory-based feeding issues.

Method: A single-patient case report was conducted, outlining the occupational therapy process with an 11-year-old male with ASD and ARFID who receives most nutrition through G-tube feedings and presents food selectivity. Telehealth sessions were conducted via Zoom, with occupational therapy assistant students providing interventions under faculty supervision.

Results: Telehealth interventions were successfully implemented to …

Empowering Parents Through Occupational Therapy And Primary Care Partnerships: A Feasibility Study, Maureen M. Fischer, Jennifer E. Lape

The Open Journal of Occupational Therapy

Background: Partnerships between occupational therapists and primary care providers may increase parents' accessibility to needed information to support their children’s development and promote occupational engagement. The purpose of this study was to explore the feasibility and potential impact of occupational therapy-led parent education sessions in pediatric primary care.

Method: We designed a mixed methods feasibility study with two individualized parent education sessions within 2 weeks. The study took place at a pediatric primary care practice. Convenience sampling was used to recruit nine parents who met these criteria: parent/caregiver of a child 3 years of age or under, 18 years of …

Face And Content Validity Of The Corbett-Targeted Coin Test: A Survey Of Users And Experts, Carla Floyd-Slabaugh, Jeanine Beasley, Kaitlyn Anstey, Kasey Bowman, Kaitlyn Hesse, Lauren Mannes, Samantha Vansumeren, Kirk Anderson

The Open Journal of Occupational Therapy

Background: The Corbett-Targeted Coin Test (CTCT) is unique in that it measures dexterity with in-hand manipulation and proprioceptive target placement, but it lacks established face and content validity (CV).

Methods: Two mixed methods surveys were created and piloted, one for face validity (for users of the tool) and another for CV (for content experts), each using a 5-point Likert scale and open-ended comments. Quantitative data analysis included frequencies, means, and ranges. The content validity index (CVI) was calculated for CV. Qualitative data analysis used thematic analysis.

Results: The CTCT demonstrated 97.1% endorsement among users of the tool. Each item was …

The Development Of The Retire Well Program For First Responders, Boguslawa T. Syrotiak, Noralyn Davel Pickens, Cynthia Evetts

The Open Journal of Occupational Therapy

Background: First responders experience challenges during retirement transition because of exposure to stress and trauma on the job and a high level of identification with their work. Our objective was to develop a client-centered retirement transition program for first responders and their families.

Method: Using a participatory research approach, data were collected from two focus groups of health care providers and retired first responders and analyzed using a content analysis approach.

Results: Data yielded themes and subthemes leading to the development of an outline of a retirement transition program: The Retire Well program, an occupation-based program that …

The Relationship Between Burnout, Resilience, And Locus Of Control In Occupational Therapy, Tabitha Gibbs, Miguel Garcia, Karen Menard, William O'Bannon

The Open Journal of Occupational Therapy

Background: Burnout in occupational therapists is characterized by emotional exhaustion, depersonalization, and diminished accomplishment.

Method: This non-experimental correlational study, guided by Rotter’s Locus of Control Theory and the attribution theory of motivation, analyzed the relationship between resilience, locus of control, and burnout among occupational therapists using the Brief Resilience Scale, the Internal-External Locus of Control Short Scale -4, and the Copenhagen Burnout Inventory. The sample of 83 participants was obtained via questionnaires sent to a convenience sample of occupational therapists with at least 6 months of work experience in any practice setting.

Results: The results of this study …

Exploring Quality Of Life After Traumatic Brain Injury: Insights From The Peo Model, Natalie S. King, Bryan M. Gee, Mary Shotwell, Mark A. Campbell

The Open Journal of Occupational Therapy

Background: Traumatic brain injury (TBI) is a major global health concern, affecting millions of people each year. TBI often results in long-term physical, cognitive, and emotional impairments that can drastically reduce survivors' quality of life (QOL). These impairments influence daily activities, emotional well-being, social participation, and overall life satisfaction, highlighting the importance of a comprehensive approach to rehabilitation. This study seeks to provide deeper insights into the factors that influence the QOL for TBI survivors.

Methods: This research employed a phenomenological qualitative approach to understand how survivors navigate their post injury lives. Fourteen TBI survivors, aged 18 to …

Notes From Wfot: The Shared Experiences Of The Network Of Occupational Therapy Journal Editors, Diane Powers Dirette

The Open Journal of Occupational Therapy

No abstract provided.

Reconstructing Life One Clay Pot At A Time, Kelly Allen

The Open Journal of Occupational Therapy

Kate Lewis, a ceramicist and teaching artist based in Grand Rapids, MI, created the artwork for the Winter 2026 issue of the Open Journal of Occupational Therapy (OJOT). The image features a collection of heart-shaped ceramic pinch pots, produced after she was told she may never be able to move her left arm again. She created them on the recommendation of an occupational therapist who understood the value of meaningful occupations for recovery. These vessels represent a pivotal shift in Kate’s rehabilitation from Complex Regional Pain Syndrome (CRPS). Diagnosed in 2018 after sustaining an injury to her wrist, the minor …

Meeting Population Health Needs: Are Occupational Therapy Health Promotion Programs Scalable?, Tracy Chippendale, Szu-Wei Chen

The Open Journal of Occupational Therapy

No abstract provided.

Facilitators And Barriers To Sustainable Global Rehabilitation Projects, Fredrick Pociask, Rosanne Dizazzo-Miller

The Open Journal of Occupational Therapy

The sustainability of projects addressing significant rehabilitation needs in lower-resource countries is considered one of the most critical outcomes of these initiatives. While some information is available from public health and medical projects on promoting sustainability, less evidence exists on facilitators and barriers to the sustainability of global rehabilitation development projects. Interviews with eleven medical and rehabilitation professionals, each with over 8 years of experience in global project development, contributed to the discussion of barriers and facilitators for sustainability with direct implications for occupational therapy practice and research. The presence of established professional standards was a distinctive facilitator, and disruptions …

Brain Gains: A Review Of Remediation Treatment Strategies Using Exercise Following Traumatic Brain Injury, Jessica Smith, Kristin Biggins, Loriann Helgeson

The Open Journal of Occupational Therapy

In this Opinions in the Profession article, we explore remediation treatment strategies using exercise for recovery from post-traumatic brain injury and aim to justify the use of such treatment in the occupational therapy profession to increase skills for functional gain. Common treatment strategies used by occupational therapists after brain injury are compensatory strategies, indicating the client learns a new way to perform the task. Though effective, it is also necessary to consider how remediation and neuroplasticity are essential. Teaching new approaches to complete tasks results in functional gains; however, focusing on foundational skills using exercises to relearn motor patterns to …

Professional Standards As Gateways, Not Barriers, In Occupational Therapy, Ryan Thomure

The Open Journal of Occupational Therapy

No abstract provided.

Understanding Graduate Occupational Therapy Educators’ Use Of Trauma-Informed Approaches In The Classroom, Sean M. Brim

The Open Journal of Occupational Therapy

Traumatic events can alter the brain structure and affect cognitive capacities and academic performance. Educators at all grade levels are responsible for supporting students through trauma-informed approaches. Previous trauma-informed research focused on K–12 education levels. The experience of graduate-level occupational therapy educators who have applied trauma-informed approaches to improve student learning have not been explored. This general qualitative study explored the experiences of occupational therapy educators who used trauma-informed approaches. The conceptual framework was the trauma-informed care model. Ten graduate-level occupational therapy educators with at least 1 year of teaching experience were recruited and participated in semi structured interviews. Data …