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1

Bontje, Peter, Staffan Josephsson, Yumi Tamura, Yu Ishibashi, Yuki Sakane, Yasuyo Horibe, and Eric Asaba. "Cocreation from Emerging Opportunities: Occupational Therapists’ Perspectives on Supporting Older Persons, in Japan." Occupational Therapy International 2022 (July 21, 2022): 1–10. http://dx.doi.org/10.1155/2022/5495055.

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Introduction. Practices of occupational therapists, particularly those supporting older persons with physical impairments, remain overly focused on remediating impairments, and implementation of occupation-centered practices remains fraught with difficulties. In Japan, this issue exists across the continuum from acute care to rehabilitation settings and into the community. This is despite the existence of international models and frameworks that place occupation at the core of the profession. Accordingly, there is a need to better understand how occupational therapists respond to the call for occupation-centered practices across the said continuum of care with this population. The aim of this study was at exploring and understanding occupational therapists’ experiences of supporting the resumption of occupations among older persons with physical impairments, in Japan. Methods. Embedded in a constructivist world view, this was a qualitative focus group study. Four focus groups (two in urban areas and one each in rural and semirural areas), consisting of seven or eight occupational therapists with at least three years of relevant practice experience, convened twice to narrate and explore their support of older persons. All were participating voluntarily with confidentiality of their participation being guaranteed by the researchers. They met for a third time to verify emerging analytic results. Data were analysed using a reflective thematic analysis. Results. Identified were three themes, namely, calling forth powers of occupations, imagining client’s future, and cocreating plots, which we synthesized into recurring cocreations from emerging opportunities. Discussion. Supporting the resumption of occupations among older persons with physical impairments hinges on repeated processes of identifying possibilities for occupation, followed by actions to bring these (e.g., images of clients’ future) into reality. Occupations’ healing properties (i.e., occupations’ powers) can be used to assist clients in experiencing health and well-being. The results suggest a reframing of occupational therapy practices as recurring processes of recognizing opportunities for occupation, followed by actions whereby these possibilities are turned into reality. Occupational therapy effectiveness might be enhanced when goals and methods are repeatedly and creatively aligned with the evolving plots cocreated between the client, therapist, and stakeholders.
2

Haltiwanger, Emily, Ivelisse Lazzarini, and Homer Nazeran. "Application of Nonlinear Dynamics Theory to Neuro-Occupation: A Case Study of Alcoholism." British Journal of Occupational Therapy 70, no. 8 (August 2007): 349–57. http://dx.doi.org/10.1177/030802260707000805.

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Nonlinear dynamics systems theory, also referred to as chaos theory, is infiltrating the biomedical and social sciences, including the practice of occupational therapy. Consequently, the Neuro-occupation model has emerged for the treatment of different illnesses, in which a therapist strives to apply the benefits of this theory. This model provides occupational therapists with a method of anticipating the natural flux between underlying or hidden order and chaos in occupations, which allows individuals to function at their highest level. These occupations typically involve the interaction of numerous variables over time. By considering a nonlinear dynamics approach in illnesses such as alcoholism, occupational therapists may understand how meaningful occupations serve as a catalyst to facilitate change, which may assist in better understanding the effect of the therapeutic relationship with the clients they serve. This paper explains the nonlinear dynamics of the interventions in a single case study on alcoholism using the Neuro-occupation model.
3

Fisher, Sarah. "The Canadian Occupational Performance Measure: Does it Address the Cultural Occupations of Ethnic Minorities?" British Journal of Occupational Therapy 68, no. 5 (May 2005): 224–34. http://dx.doi.org/10.1177/030802260506800506.

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This study is the first to examine the cultural sensitivity of the Canadian Occupational Performance Measure (COPM), as reported by occupational therapists who have used it with people from an ethnic minority background. The research was conducted as part of a Master's degree, held in Boston, USA, and funded by the Elizabeth Casson Trust, UK. Twenty-five practising occupational therapists from North America answered an emailed survey and, from this sample, three were interviewed by telephone. The findings showed that the practitioners perceived the COPM as able to address the cultural occupations of ethnic minorities; however, they felt that including examples of cultural occupations and children's occupations and modifying the rating scales would improve the tool. Two of the three therapists interviewed worked with children and, because of this, there was a focus on children's occupations that was only revealed in the second part of the research. The nature of the tool, its ability to focus on occupation and the therapist's interview skills were identified as the reasons that the COPM is effective in addressing the cultural occupations of ethnic minorities. Additional research is needed using a larger sample to validate these findings.
4

Lim, Sok Mui, and Sylvia Rodger. "An Occupational Perspective on the Assessment of Social Competence in Children." British Journal of Occupational Therapy 71, no. 11 (November 2008): 469–81. http://dx.doi.org/10.1177/030802260807101104.

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Maintaining relationships and interacting socially are essential aspects of the occupational performance of childhood and adolescence. Social participation occurs during many childhood occupations, such as play and school work. Occupational therapists assess and treat children with difficulties in social participation. Rather than assessing a child's social skills deficits in isolation, the use of occupation-based theoretical models guides clinicians to consider the individual in his or her environments and during occupations. Familiarity with existing models of social competence and available assessment tools provides occupational therapists with the basis for a comprehensive assessment of children. This paper presents an occupational therapy model (the Model of Human Occupation), models of social competence from cognate fields and a range of assessment tools in order to guide occupational therapists in assessing and treating children with social participation difficulties in a more occupation-centred manner. The paper also presents a rationale for the use of multiple methods for a comprehensive assessment of a child's social competence.
5

Ramano, E., W. Pretorius, M. de Jager, T. Oldfield, D. Scriba, and B. Moriti. "Occupational therapists' perceived ability to treat and assist bereaved individuals to find new meaning in life through engagement in therapeutic activities." South African Journal of Occupational Therapy 52, no. 3 (December 2022): 34–43. http://dx.doi.org/10.17159/2310-3833/2022/vol52n3a5.

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INTRODUCTION: Previous studies on bereavement have focused on the implications for bereaved individuals from behavioural and psychological perspectives. Limited literature discusses occupational therapists' perceived ability to treat bereaved individuals and how activities can be used to create new meaning to their lives. METHOD: A descriptive qualitative design was employed in the study to elicit occupational therapists' perceived ability to treat bereaved individuals find new meaning in their life. Thirty-five occupational therapists were recruited, and nine participated in two focus groups. Data collected were thematically analysed. FINDINGS: Three themes emerged, namely: (1) activities used in occupational therapy creates opportunities for new meaning to life after loss of a loved one, (2) appropriate occupational therapists' helping skills and professional behaviour to assist and treat the bereaved, and (3) perceived barriers to positive outcomes in treating the bereaved. CONCLUSION: Bereaved individuals often have impaired performance in occupations and emotional processing. The effects of bereavement were addressed using the appropriate occupational therapist helping skills and professional behaviour to guide holistic, occupation-based and client-centred treatment. Bereaved individuals were treated through purposeful activities, facilitation of therapeutic groups and self-management skills training which seemed to create opportunities for new meaning in their life. Occupational therapists need to be cognisant of the barriers that negatively influence the positive outcome of occupational therapy services.
6

Ikiugu, Moses N. "A Proposed Conceptual Model of Organizational Development for Occupational Therapists and Occupational Scientists." OTJR: Occupation, Participation and Health 28, no. 2 (March 2008): 52–63. http://dx.doi.org/10.3928/15394492-20080301-03.

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This article proposes that the idea of meaningful occupations can be used by occupational therapists and occupational scientists to create organizational development interventions to help build sustainable business organizations. Review of recent organizational development literature indicates a trend toward an increasing lack of concern for individual employee needs. A conceptual model of organizational development that reinstates focus on the well-being of the individual as a basis for building sustainable organizations in which employee and organizational goals match is proposed for use by occupational therapists and occupational scientists who may be interested in contributing to this area of human endeavor. An occupation-based worker evaluation formula based on participation in occupations that are meaningful to an employee is suggested.
7

Johnston, Diane, and Christine Mayers. "Spirituality: A Review of How Occupational Therapists Acknowledge, Assess and Meet Spiritual Needs." British Journal of Occupational Therapy 68, no. 9 (September 2005): 386–92. http://dx.doi.org/10.1177/030802260506800902.

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The importance of considering an individual's spirituality and the confusion over definition have been emphasised by the interest shown in this subject over the past decade. A working definition to help to reduce confusion was presented at the College of Occupational Therapists' annual conference in 2004 and it was felt that it would be useful both to review the attitudes and practices of occupational therapists in this area and to evaluate how they assess and meet spiritual needs. It appeared that practical spiritual needs were often thought of only in terms of religious and cultural traditions or rituals and, as a result, the potential of everyday meaningful occupations was not considered fully. Therefore, the use of occupation was reviewed in relation to meeting spiritual needs. Finally, the perceived barriers to incorporating spirituality into practice were investigated. The review showed that: ▪ Although a majority of participants recognise the importance of spirituality to health and illness and the potential benefits to treatment, the number of therapists actually incorporating spiritual needs into daily practice does not demonstrate this recognition ▪ Some occupational therapists feel confident about addressing and assessing spiritual concerns explicitly, but this tends to be situation based and dependent on factors such as client-therapist relationship, therapist awareness of spiritual issues and the expression of spiritual need by the client ▪ Further exploration of the potential of everyday occupations that address the spiritual needs of both religious and non-religious clients needs to be undertaken ▪ Spirituality needs to be addressed more fully in undergraduate occupational therapy programmes.
8

Adamson, Barbara J., Gael Sinclair-Legge, Anne Cusick, and Lena Nordholm. "Attitudes, Values and Orientation to Professional Practice: A Study of Australian Occupational Therapists." British Journal of Occupational Therapy 57, no. 12 (December 1994): 476–80. http://dx.doi.org/10.1177/030802269405701206.

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In recent years, the biomedical approach in the delivery of health care has been challenged by the ‘new public health’ model which promotes a humanistic, holistic approach to health care. Whilst occupational therapy has traditionally embraced this latter approach, evidence suggests that within the profession there is concern that technical advances (for example, the introduction of increasingly sophisticated equipment) have eroded many of the characteristics of a humanistic orientation to therapy. The extent to which occupational therapists endorse this new model was addressed in a survey of attitudes of practising occupational therapists (n = 378). A 22-item questionnaire, including aspects of therapist's knowledge and techniques, client characteristics, client-therapist relationships and approaches to professional practice, was modified and adapted for use with occupational therapists. The findings indicated that attitudes reflecting the new public health model — emphasising client-therapist interaction, client responsibility and holistic attitudes toward health care — prevailed, together with the therapist's knowledge and skills. Age and years of professional experience yielded significant differences, with older (30 or more years of age) and more professionally experienced (6 or more years) therapists endorsing a humanistic approach to therapy to a greater extent and with a greater emphasis on promoting the resources of the client than their younger and less professionally experienced counterparts. Recommendations for the education of occupational therapists and for professional practice are made, together with suggestions for further research.
9

Godfrey, Alice. "Policy Changes in the National Health Service: Implications and Opportunities for Occupational Therapists." British Journal of Occupational Therapy 63, no. 5 (May 2000): 218–24. http://dx.doi.org/10.1177/030802260006300506.

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Recent changes in the philosophy and structure of the National Health Service give greater emphasis to the prevention of ill health within locally defined communities. Occupational therapists, by virtue of their unique philosophy, have an opportunity to influence primary care strategy and practice by highlighting the links between environment, occupation and health. The recent changes in the structure of the National Health Service are described and the philosophy of occupational therapy is discussed in relation to these changes. This description provides the basis for recommendations as to how occupational therapists can work to build a recognition of the fundamental importance of adaptive occupation to individual health and, hence, to health at a community and population level. Working at a community and population level will require occupational therapists to strengthen links with health promotion and public health in order to help promote health through meaningful occupations within local settings.
10

Hammell, Karen. "Book Marks: Occupation for Occupational Therapists." Canadian Journal of Occupational Therapy 74, no. 4 (October 2007): 325. http://dx.doi.org/10.1177/000841740707400404.

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11

Kaunnil, Anuchart, Supalak Khemthong, Sarinya Sriphetcharawut, Peeradech Thichanpiang, Veerawat Sansri, Surachart Thongchoomsin, Kannika Permpoonputtana, and Cristina R. Smith. "Occupational therapists’ experiences and perspectives towards occupation-based practice in Thailand: A mixed-methods study." British Journal of Occupational Therapy 84, no. 1 (April 8, 2020): 54–64. http://dx.doi.org/10.1177/0308022620910402.

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Introduction Occupation-based practice is a core tenet of occupational therapy. This study explores perspectives and experiences with occupation-based practice among Thai occupational therapists. Method Using mixed methods, a focus group was conducted with eight occupational therapists, and the results were interpreted using thematic analysis. A questionnaire survey was also completed concerning practitioner perspectives ( n = 216). Findings Three major themes were identified: (a) perspectives on occupation-based practice were related to practice areas and felt to strengthen the identity of occupational therapy (52% strongly agree), leading to improved services and better outcomes for clients (44% strongly agree); (b) approaches focused on activities of daily living were appropriate for cross-practice areas; and (c) occupation-based practice is consistent with integrated medical sciences and occupations for clients (52% strongly agree). Conclusion Implementing occupation-based practice will be of value to clients, provide benefits as a compass to direct processes, and enhance clinical reasoning and outcomes.
12

Fortune, Tracy. "Occupational Therapists: Is Our Therapy Truly Occupational or are We Merely Filling Gaps?" British Journal of Occupational Therapy 63, no. 5 (May 2000): 225–30. http://dx.doi.org/10.1177/030802260006300507.

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This article is concerned with role identity and its relationship to the professional thinking and action of occupational therapists. In this informed viewpoint, the notion that occupational therapists could be perceived as gap fillers is explored, based on empirical data that focused on the roles adopted and the guiding philosophies enacted by occupational therapists working in child and adolescent mental health. Following the presentation of interview data from four occupational therapists, two cogent issues are presented and discussed. The first issue posits that a failure to ground practice in occupational philosophies contributes to perpetuating an incoherent role identity. The second issue discusses whether the recovery of an occupational paradigm in practice can liberate occupational therapists from role incoherence and enable them to reclaim their identity as therapists of occupation.
13

Mills, Katherine, and Angela Payne. "Enabling occupation at the end of life: A literature review." Palliative and Supportive Care 13, no. 6 (June 15, 2015): 1755–69. http://dx.doi.org/10.1017/s1478951515000772.

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ABSTRACTObjective:Occupation, or meaningful activity, can contribute to the well-being and quality of life of all individuals. It is thus a logical tautology that occupation should be enabled for those at the end of life. Our present review examines current provision of these processes by Occupational Therapist, who can be much-valued members of multidisciplinary palliative care teams.Method:Following a literature search and critical selection, 10 global papers were identified examining occupation and occupational therapy at the end of life in the acute, hospice, and community environments.Results:Universally, there appeared to be a dearth of therapists working in end-of-life care. Provision of palliative care in hospitals was found to be compensatory or rehabilitative. Hospice therapy emerged as pleasingly occupational, though the number of hospice places was disappointingly few. Community literature was sparse, so it proved challenging to draw definitive conclusions. Promising research refracted light on occupation at home; however, it also revealed stretched domiciliary services, where clients are not well informed about the potential scope of occupational therapy.Significance of Results:A “good death” involving a quality end-of-life experience is the foundational goal overarching all therapy and medicine in the provision of palliative care. Arguably, an occupation-focused approach provided by therapists meets client needs to enable meaningful experiences in the limited time left to them. Current occupational therapy practice environments are not necessarily achieving these goals in commensurate fashion. There is a need to promote the role of occupational therapy and circumscribe what therapists can offer. Further research is necessitated across all environments and future funding for therapist positions in palliative teams. End-of-life care can be complex and challenging; however, therapists can facilitate fulfillment of client-centered occupational goals. In engaging with personally constructed nuances of meaning, quality of life can be improved in those deserving of a significant and emotionally rich daily existence during their final days.
14

Atwal, Anita, Sharon Owen, and Richard Davies. "Struggling for Occupational Satisfaction: Older People in Care Homes." British Journal of Occupational Therapy 66, no. 3 (March 2003): 118–24. http://dx.doi.org/10.1177/030802260306600306.

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In the United Kingdom, a wide range of health care reforms has been introduced to enhance the wellbeing of older people. These reforms should ensure that both the public and the private sectors deliver best practice to older people. The role of the occupational therapist with older people is well established in a variety of health and social care settings but there is a noticeable absence of input in care homes, despite evidence that has demonstrated the importance of occupations for wellbeing. The Canadian Occupational Performance Measure (COPM) was used in a research study to determine the types of occupation that seven older people perceived as important, their perceptions of their performance and their perceived level of satisfaction. It was found that these older people most valued leisure and self-care occupations, although occupations related to productivity were also cited. A perceived high performance rating often transferred to a high satisfaction rating and a perceived low performance rating to a low satisfaction rating. The challenge for occupational therapists is to implement occupation-based therapy that meets all the needs of older people. Furthermore, there is a requirement to develop the evidence base and to look at strategies to promote occupation in order to ensure occupational satisfaction for all.
15

Ward, Kristine, Jennifer Mitchell, and Pollie Price. "Occupation-Based Practice and its Relationship to Social and Occupational Participation in Adults with Spinal Cord Injury." OTJR: Occupation, Participation and Health 27, no. 4 (October 2007): 149–56. http://dx.doi.org/10.1177/153944920702700405.

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The objective of this study was to increase the evidence regarding the use of occupation-based practice and its effects on social and occupational participation in adults with spinal cord injury. Three individuals who had experienced a spinal cord injury 2 to 5 years previously, lived in the community, and received services from one of the two selected occupation-based occupational therapists participated in the study. Using a qualitative ethnographic design, they participated in one semi-structured, open-ended interview that contained questions designed to elicit experiences of life satisfaction, participation in meaningful occupations, social roles and responsibilities, and participation in occupational therapy. Data were analyzed using thematic analysis, narrative analysis, literature review, and narrative smoothing. Seven occupation-based approaches appeared to directly support the participants' current level of occupational and social participation. This study provides occupational therapists with a more practical understanding of how to apply these approaches in their own practices.
16

Wilcock, Ann A. "Occupational Science: Bridging Occupation and Health." Canadian Journal of Occupational Therapy 72, no. 1 (February 2005): 5–12. http://dx.doi.org/10.1177/000841740507200105.

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Background. The paper is based on a keynote address delivered at the 2004 CAOT Conference in Charlottetown, Prince Edward Island Occupational therapists are widely associated with a medical model of health care in which recognition of how engagement in occupation contributes to health status is poorly understood. Occupational science as the study of people as occupational beings has the potential to increase such understanding. Purpose. This paper considers some aspects of the relationship between health and the occupations of older people to highlight avenues for change and the research required to support them. Method. The paper is structured around a simple verse of dialogue between a healthy old man and an occupational therapist. Explanation of the dialogue draws upon historical and current literature as well as occupational science research to provide a rationale for future practice based on broader concepts of occupation for health. Results and Practice Suggestions. The dialogue promotes the need for discussion about health and about the health notion of Active Ageing. It highlights professional language as one impediment to change and suggests that research concerning occupation as it relates to population health is a primary requirement for the future of occupational therapy.
17

Brown, Helen Viola, and Vivien Hollis. "The Meaning of Occupation, Occupational Need, and Occupational Therapy in a Military Context." Physical Therapy 93, no. 9 (September 1, 2013): 1244–53. http://dx.doi.org/10.2522/ptj.20120162.

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Despite occupational therapists having strong historical ties to the Canadian military, there are currently no uniformed occupational therapists and only a few permanent occupational therapists employed by Canadian Forces. Occupational therapy is provided, in the main, through civilian occupational therapists. Occupational therapists have unique skills that can contribute to the existing Canadian Forces Physical Medicine and Rehabilitation Services Department. To establish the depth and scope of their work, this article explains the theoretical underpinnings of occupational therapy. Examples are provided of possible occupational therapy for populations of Canadian Forces members: (1) those with transient, intermittent injuries; (2) those returning from overseas missions with very serious injuries or severe injuries; and (3) those with permanent injuries who are transitioning from the Canadian Forces into the civilian workforce. Interventions for mental health issues are interwoven with those targeting physical issues. The article suggests that occupational therapists employed on a permanent basis by the Canadian Forces can contribute in a more comprehensive manner to the wider rehabilitation of Canadian Forces members. The article has applicability to occupational therapy military services in other countries.
18

Fitzpatrick, Niall, and Scott Presnell. "Can Occupational Therapists be Hand Therapists?" British Journal of Occupational Therapy 67, no. 11 (November 2004): 508–10. http://dx.doi.org/10.1177/030802260406701107.

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19

Cole, Marilyn B., and Karen C. Macdonald. "Retired occupational therapists' experiences in volunteer occupations." Occupational Therapy International 18, no. 1 (November 18, 2010): 18–31. http://dx.doi.org/10.1002/oti.307.

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20

Vella, Anthony. "OCCUPATIONAL THERAPISTS DO…" Australian Occupational Therapy Journal 25, no. 2 (August 27, 2010): 24. http://dx.doi.org/10.1111/j.1440-1630.1978.tb00659.x.

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21

Joice, Anne, and Denise Coia. "A Discussion on the Skills of the Occupational Therapist Working within a Multidisciplinary Team." British Journal of Occupational Therapy 52, no. 12 (December 1989): 466–68. http://dx.doi.org/10.1177/030802268905201205.

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Occupational therapists who have experience of working in multidisciplinary teams will be aware of the advantages and disadvantages. A frequent area of confusion and sometimes conflict lies in defining the role of the individual disciplines. This article looks at the history and the philosophy of occupational therapy and discusses the skills contributed by the occupational therapist working within a multidisciplinary team in mental health. It divides the skills of the occupational therapist into: practices restricted to occupational therapists; those expected of occupational therapists; those shared with other disciplines; and specialist skills acquired through individual interest and enthusiasm. The authors hope that it will encourage occupational therapists working in multidisciplinary teams to define more clearly, and with greater confidence, their skills in their areas of work.
22

Golledge, Janet. "Distinguishing between Occupation, Purposeful Activity and Activity, Part 1: Review and Explanation." British Journal of Occupational Therapy 61, no. 3 (March 1998): 100–105. http://dx.doi.org/10.1177/030802269806100301.

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Part 1 of this article explores how occupational therapists use the terms occupation, purposeful activity and activity. A literature review of the topic is presented, followed by a personal reflection and definition. It is hoped that this will provide an illustrative example of how the terms could be used and may assist occupational therapy students and occupational therapists to appreciate the potential differences. It is suggested that the terms occupation and purposeful activity should be used to reflect more accurately what occupational therapists do in their professional practice.
23

Feighan, Mike, and Anne E. Roberts. "The value of cycling as a meaningful and therapeutic occupation." British Journal of Occupational Therapy 80, no. 5 (January 12, 2017): 319–26. http://dx.doi.org/10.1177/0308022616679416.

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Introduction Occupational therapists believe that meaningful occupations are linked to an individual’s health and wellbeing, and there is a growing literature exploring the personal meaning of specific occupations. However, few of these studies have focused on the personal meaning of active sporting occupations and their therapeutic benefits. This study aimed to explore the personal meanings attributed to the occupation of cycling, with a view to providing occupational therapists and others with an understanding of its therapeutic potential. Method Following approval by an ethics committee, seven men and women who cycled regularly took part in semi-structured interviews. These interviews were audio-recorded and transcribed. Interpretative phenomenological analysis was used to interpret the data. Findings The findings describe how and why cycling was meaningful. Cycling altered their mind-set and their emotions, contributed towards their identity and connected them to others. These themes concur with the findings of other studies and provide a rationale for their use therapeutically. Conclusion This study contributes to what is known about the value people derive from cycling, and its impact on their health and wellbeing. Occupational therapists can use this information for individual and group therapy as well as for guidance on the health and wellbeing of communities.
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Khanzada, Faizan Jameel. "OCCUPATION-BASED INTERVENTION IN STROKE REHABILITATION: PERSPECTIVES OF OCCUPATIONAL THERAPY PRACTITIONERS." Pakistan Journal of Rehabilitation 10, no. 2 (July 6, 2021): 43–49. http://dx.doi.org/10.36283/pjr.zu.10.2/009.

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BACKGROUND AND AIMS The occupation-based intervention has shown effective recovery in overall disability of stroke survivors, yet the concept is unexplored among Pakistani occupational therapists. Therefore, this study is aimed to explore their perception regarding occupation-based intervention in stroke rehabilitation. METHODOLOGY A self-administered questionnaire designed in Google Docs was distributed online via email and social media applications to record participants’ responses regarding occupation-based approaches in post-stroke rehabilitation. RESULTS A total number of 150 occupational therapists were enrolled in the study comprised 135 females and 15 males from 18 to 44 years of age. It was revealed that 53.3% therapists had taken an average of 45 minutes of clinical practice sessions on occupation-based intervention, 64.7 % believed to be well trained in the occupation-based approach. Moreover, 69.3% stated that their professional practice in post-stroke rehabilitation is generally based on the biomedical model, yet 39.3% of therapists have no clarity of this concept. CONCLUSION It was concluded that most occupational therapists understand the concept of occupation-based intervention. However, only a few were trained and implementing the approach in stroke rehabilitation, while the rest were found to have insufficient knowledge regarding this practice.
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Occupational Therapists, World Federation Of. "World Federation of Occupational Therapists' Position Statement on Telehealth." International Journal of Telerehabilitation 6, no. 1 (September 3, 2014): 37–40. http://dx.doi.org/10.5195/ijt.2014.6153.

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The purpose of this document is to state the World Federation of Occupational Therapists’ (WFOT) position on the use of telehealth for the delivery of occupational therapy services. Telehealth is the use of information and communication technologies (ICT) to deliver health-related services when the provider and client are in different physical locations. Additional terms used to describe this service delivery model include: tele-occupational therapy, telerehabilitation, teletherapy, telecare, telemedicine, and telepractice, among other terms. Telehealth may be used by occupational therapy practitioners for evaluation, intervention, monitoring, supervision, and consultation (between remote therapist, client, and/or local health-care provider) as permitted by jurisdictional, institutional, and professional regulations and policies governing the practice of occupational therapy.Occupational therapy services via telehealth should be appropriate to the individuals, groups and cultures served,and contextualized to the occupations and interests of clients. Important considerations related to licensure/registration, collaboration with local occupational therapists, client selection, consent to treat, professional liability insurance, confidentiality, personal and cultural attributes, provider competence/standards of care, reimbursement/payer guidelines, and authentic occupational therapy practice are discussed.
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Leonard, Conor. "An Evaluation of the Prioritisation of Referrals by Leeds Social Services Senior Occupational Therapists." British Journal of Occupational Therapy 56, no. 12 (December 1993): 448–50. http://dx.doi.org/10.1177/030802269305601207.

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Leeds occupational therapy section formally adopted a priority system for referrals in 1989. Written priority guidelines defined three levels of priority: immediate need (P1), urgent need (P2) and non-urgent (P3). Senior occupational therapists assign priority to referrals which they subsequently allocate to field workers. P1 and P2 referrals are visited by occupational therapists and P3 referrals by occupational therapy assistants. This study attempted to discover if the priority assigned by the senior occupational therapists was accurate. The senior occupational therapists were asked to allocate a number of referrals from each priority level to the occupational therapists without indicating what priority they considered the referral to be. The occupational therapists were asked to visit the client and record the priority of the case on the basis of their home assessment, using the written guidelines. The priorities assigned were compared and agreement was measured by use of the kappa statistic. The senior occupational therapists allocated 264 study referrals. Occupational therapist information was gathered on 216 of these. The occupational therapists and senior occupational therapists agreed on 64.4% of the P1s, 40.3% of the P2s and 47.4% of the P3s. The kappa statistics indicate that the level of agreement was poor to fair. Further information should be gathered on those referrals considered to be either P2 or P3 by the senior occupational therapists to allow more accurate prioritisation.
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Ambrosio, L., A. Pereira, F. Coelho, and L. Magalhães. "Brazilian occupational apartheid: historical legacy and prospects for occupational therapists." South African Journal of Occupational Therapy 52, no. 3 (December 2022): 82–89. http://dx.doi.org/10.17159/2310-3833/2022/vol52n3a10.

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BACKGROUND: Since the colonization of Brazil in 1500, systemic, institutional, and relational racism has produced inequalities for its black and indigenous people. This legacy perpetuates white supremacy and intensifies social inequalities. PURPOSE: This Opinion Piece aims to raise reflexivity on racism in Brazil and its impacts on the occupations of black people within the context of occupational apartheid. KEY ISSUES: We start exploring social justice and occupational justice concepts to map a methodological path for the theoretically informed discussion. Then, we discuss the concept of collective occupations as a possibility for intervention in the face of racial inequalities and introduce some occupational therapy practices to exemplify strategies to tackle the identified challenges. IMPLICATIONS: We conclude by showing that the field of ethnic-racial relations is still only minimally explored in Brazilian occupational therapy. We also point out some possibilities for further studies in the area.
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Joss, Malcolm. "The Importance of Job Analysis in Occupational Therapy." British Journal of Occupational Therapy 70, no. 7 (July 2007): 301–3. http://dx.doi.org/10.1177/030802260707000705.

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Occupational therapists can play a major role in the work rehabilitation process through the assessment and rehabilitation of clients for a return to work (Gibson and Strong 2003). The challenge facing the occupational therapist is identifying if the client's current functional abilities are a suitable match for the demands of the job. Ideally, the occupational therapist should assess the demands of the job that the client is required to perform as well as completing an assessment of the client's work abilities. The purpose of this opinion piece is to highlight to occupational therapists the importance of job analysis in all specialties within vocational rehabilitation and to illustrate the process used by the occupational therapists in the Occupational Health and Safety Advisory Service.
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Rostami, Hamid Reza, Malahat Akbarfahimi, Amin Ghaffari, Mohammad Kamali, and Mehdi Rassafiani. "Relationship between Work-Related Quality of Life and Job Satisfaction in Iranian Occupational Therapists." Occupational Therapy International 2021 (September 18, 2021): 1–6. http://dx.doi.org/10.1155/2021/6692752.

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Objective. This study is aimed at exploring the relationship between the work-related quality of life and job satisfaction among Iranian occupational therapists. Methods. In an analytical-descriptive, cross-sectional study, 322 occupational therapists were recruited through a convenient sampling. Inclusion criteria consisted of age between 22 and 50 years, at least one-year work experience, 24 hours of working per week as an occupational therapist, and membership of Iranian Occupation Therapy Association. After signing the informed consent and completing demographic information, each participant completed the Minnesota Satisfaction Questionnaire- Short Form (MSQ-SF) and work-related quality of life scale. Results. The highest quality of working life belonged to occupational therapists who were female, married, with an annual salary of more than 40000$ (compared to below 20000 $), and those with work experience between 5 and 12 years. There was a positive and significant relationship between work-related quality of life and job satisfaction. Work-related quality of life scores could significantly predict MSQ-SF scores ( β 1 = 0.54 , p < .001 ). Conclusions. The significantly positive relationship between work-related quality of life and job satisfaction suggests the importance of organizational programs for enhancing factors of work-related quality of life in order to improve job satisfaction and quality of life among Iranian occupational therapists.
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Sessions, Dee. "A Survey of NHS Community Occupational Therapy Services for Adult Physical Disability." British Journal of Occupational Therapy 59, no. 3 (March 1996): 119–24. http://dx.doi.org/10.1177/030802269605900306.

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This article presents the results of an informal survey to investigate the services that are provided for adults with a physical disability by community occupational therapists within the National Health Service (NHS). The findings include a brief history of the service, staffing, location, referring agencies and range of provision. Respondents' perceptions of the division of responsibility between NHS community occupational therapists and social services occupational therapists are highlighted. Information is also provided on the input of the community occupational therapist to day hospitals for elderly care and to student placement in the community. Finally, innovative schemes provided by community occupational therapists are listed.
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Hoss, PhD, CTRS, FACHE, FDRT, Mary Ann Keogh. "The recreational therapy work force: One county’s view." American Journal of Recreation Therapy 11, no. 4 (October 1, 2012): 38–46. http://dx.doi.org/10.5055/ajrt.2012.0033.

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The Occupational Outlook Handbook for 2010-2011 edition states a growth rate of approximately 15 percent for recreational therapists throughout the country through 2018. This article explores the growth rate examining one county in one state. Washington State was chosen because data for four therapist types, occupational, physical, recreational, and speech were available to view and compare. Information regarding various aspects of employment for recreational therapists is examined. Estimated occupational employment for 2018 for recreational therapists in Washington State and Spokane County are included with a comparison for occupational employment of physical, occupational, and speech therapists in the same state and county. Both the state and county projections for the growth rate for recreational therapists are above 15 percent.
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Parkinson, Sue, Kirsty Forsyth, Sharon Durose, Russell Mason, and Dick Harris. "The Balance of Occupation-Focused and Generic Tasks within a Mental Health and Learning Disability Occupational Therapy Service." British Journal of Occupational Therapy 72, no. 8 (August 2009): 366–70. http://dx.doi.org/10.1177/030802260907200807.

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A service-wide audit was conducted (audit 1, 2002) to ascertain the balance of occupation-focused versus generic tasks being undertaken by occupational therapists. This identified that 66% of all tasks were occupation focused, whereas only 41% of all assessments could be described as such. Recommendations were pursued to implement occupation-focused assessments. Audit 2 (2005) showed that the majority of assessments were occupation focused (61%), and audits 3 (2006) and 4 (2007) indicated that this increase was maintained. Audit 4 also demonstrated the negative impact of care coordination duties on an occupational therapist's ability to complete occupation-focused assessments.
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Townsend, Elizabeth. "Institutional Ethnography: A Method for Showing How the Context Shapes Practice." Occupational Therapy Journal of Research 16, no. 3 (July 1996): 179–99. http://dx.doi.org/10.1177/153944929601600303.

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The article illustrates the sociological theory and method of institutional ethnography by describing a study of occupational therapy's mental health practice. Over almost 6 months, the author collected data through observation, interviews, and review of documents. Data describe the practice of occupational therapy in seven adult mental health day programs with at least one site in each of the four provinces of Atlantic Canada. The question asked was, What are the possibilities and constraints for occupational therapists to enable the empowerment of adults who attend mental health day programs? Although developed as a feminist methodology for displaying the social organization of patriarchy, institutional ethnography is used in this study to show how the organizational context invisibly shapes occupational therapy practice. Through this method, occupational therapy ideas about occupation can be seen to be organizationally subordinated. Occupational therapists' work in enabling empowerment through occupations such as “chores” is relegated to the background to make practice fit prevailing medical and psychologic ideas about health.
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Greensmith, Clare A., and Maxine A. Blumfield. "Beginning to Look at Why Occupational Therapists Leave the Profession: A Survey Carried Out in Leicestershire." British Journal of Occupational Therapy 52, no. 10 (October 1989): 389–92. http://dx.doi.org/10.1177/030802268905201008.

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This article describes a postal questionnaire survey carried out within Leicestershire to look at reasons for occupational therapists leaving the profession. It samples the attitudes and opinions of a group of practising occupational therapists, and also includes a smaller sample of non-practising occupational therapists and their perceived reasons for leaving the profession. A profile is given of the occupational therapist who is most likely to leave, which challenges the idea that most occupational therapists leave due to personal reasons. The article discusses ways that staff with children can be encouraged to remain at work and suggests further exploration of other reasons for leaving the profession.
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Wilding, Clare. "Occupation for occupational therapists - Edited by Molineux M." Australian Occupational Therapy Journal 55, no. 4 (December 2008): 299. http://dx.doi.org/10.1111/j.1440-1630.2007.00677.x.

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36

Locas, Valérie, Cassandra Préfontaine, Nathalie Veillette, and Brigitte Vachon. "Integration of occupational therapists into family medicine groups: Physicians’ perspectives." British Journal of Occupational Therapy 83, no. 7 (December 5, 2019): 458–68. http://dx.doi.org/10.1177/0308022619883481.

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Introduction Occupational therapists remain poorly integrated into family medicine groups in Canada. Physicians are key partners because they can advocate for resources and formulate recommendations to improve the quality of services delivered in their clinics. It is important to explore their perception of the occupational therapist’s role in family medicine groups and the factors influencing their integration. Method A descriptive qualitative study was conducted. Six family physicians participated in an individual interview. Results were analysed using thematic analysis. Results Physicians consider that occupational therapists can meet the needs of diverse primary care clients. Benefits of this integration include improved clients’ functional status, early screening for developmental and age-related problems, and timely access to required care. The main barriers to integration are lack of funding, space and knowledge of the occupational therapist’s role. The strategies identified to facilitate integration are promoting and clarifying the role of occupational therapists in family medicine groups and developing effective integration models. Conclusion According to physicians, the inclusion of occupational therapists in family medicine groups could help primary care teams address many of their clients’ needs and improve the overall quality of primary care services. Targeted strategies are needed to promote the integration of occupational therapists into this practice context.
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Jung, Bonny, Sandy Sainsbury, Rosa Maria Grum, Seanne Wilkins, and Joyce Tryssenaar. "Collaborative Fieldwork Education with Student Occupational Therapists and Student Occupational Therapist Assistants." Canadian Journal of Occupational Therapy 69, no. 2 (April 2002): 95–103. http://dx.doi.org/10.1177/000841740206900205.

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38

Boone, Anna E., and Lorrie A. George-Paschal. "Feasibility testing of the Occupational Adaptation Practice Guide." British Journal of Occupational Therapy 80, no. 6 (March 8, 2017): 368–74. http://dx.doi.org/10.1177/0308022616688018.

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Introduction The theory of occupational adaptation was articulated with an emphasis on client-centered and occupation-based practice. The Occupational Adaptation Practice Guide is an instrument designed to facilitate therapists’ application of this theory in evaluation and treatment planning to influence clients’ internal occupational adaptation and participation in daily life. Method The purpose of this study was to trial the instrument and to assess percentage of agreement and perceived feasibility of the Occupational Adaptation Practice Guide in an inpatient rehabilitation setting. Eight therapists completed the Occupational Adaptation Practice Guide according to a videoed case study for evaluation of percentage of agreement. Each therapist then administered the guide to separate clients and subsequently completed an open-ended questionnaire to assess acceptability and practicality feasibility. Results Percentage of agreement was 100% for motor control, perception and environmental ratings, with the cognition and psychosocial ratings each at 75%. Themes gathered from qualitative data revealed perceptions of the instrument as comprehensive and efficient. Conclusion The instrument was reported to be an efficient, thorough tool that facilitated the use of the theory of occupational adaptation.
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Kennedy, Jennifer, and Jane A. Davis. "Clarifying the Construct of Occupational Engagement for Occupational Therapy Practice." OTJR: Occupation, Participation and Health 37, no. 2 (January 16, 2017): 98–108. http://dx.doi.org/10.1177/1539449216688201.

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Occupational engagement (OE) has been presented as a core construct in occupational therapy; however, its broad conceptualization and confounding definitions are problematic. Clarifying the construct of OE would help occupational therapists to explicate the nature of their practice. The purpose of this study was to explore occupational therapists’ perspectives of the construct of OE. Qualitative descriptive methodology was used to collect data using semistructured interviews with nine practicing occupational therapists in the Greater Toronto Area. Qualitative content analysis, using an inductive approach, was employed to uncover emerging categories. Participants spoke about transitioning from therapeutic engagement to OE with a client by following a client’s path of choice. The essential elements and influencers of OE were highlighted, and the relationship between OE and occupational performance was discussed. The findings provide an initial understanding of essential elements necessary to enable clients to initiate engagement in therapy and then, subsequently, in occupations of their choice.
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Taylor, Jackie. "A Different Voice in Occupational Therapy." British Journal of Occupational Therapy 58, no. 4 (April 1995): 170–74. http://dx.doi.org/10.1177/030802269505800409.

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The majority of occupational therapists are women. The reasons for and the consequences of this situation are reflected upon In this article, in order to achieve a better understanding of the functioning of the profession within health care services. Recent feminist writings, in particular by nurses, psychologists and American occupational therapists, suggest ways in which being female and feminist can have a positive impact on the occupational therapist's work.
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George, Mike. "Nurses and occupational therapists." Nursing Standard 8, no. 43 (July 20, 1994): 22–23. http://dx.doi.org/10.7748/ns.8.43.22.s42.

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42

Babiss, Fran. "Occupational Therapists Are Invaluable." Occupational Therapy in Mental Health 29, no. 2 (April 2013): 103–5. http://dx.doi.org/10.1080/0164212x.2013.792165.

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43

PECK, CHRISTINE, and CHIA SWEE HONG. "Handbook for occupational therapists." Journal of the British Institute of Mental Handicap (APEX) 11, no. 1 (August 26, 2009): 41. http://dx.doi.org/10.1111/j.1468-3156.1983.tb00104.x.

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44

Rogers, J. C., and S. C. Dodson. "Burnout in Occupational Therapists." American Journal of Occupational Therapy 42, no. 12 (December 1, 1988): 787–92. http://dx.doi.org/10.5014/ajot.42.12.787.

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45

Painter, Jane, Duane Akroyd, Sharon Elliot, and Robert D. Adams. "Burnout Among Occupational Therapists." Occupational Therapy In Health Care 17, no. 1 (January 2003): 63–78. http://dx.doi.org/10.1080/j003v17n01_06.

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46

Verdonck, Michèle. "Occupational therapists, technology users." World Federation of Occupational Therapists Bulletin 69, no. 1 (May 2014): 6. http://dx.doi.org/10.1179/otb.2014.69.1.002.

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Painter, Jane, Duane Akroyd, Sharon Elliot, and Robert Adams. "Burnout Among Occupational Therapists." Occupational Therapy In Health Care 17, no. 1 (January 1, 2003): 63–78. http://dx.doi.org/10.1300/j003v17n01_06.

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48

Corben, Louise. "Neuropsychology for occupational therapists." Australian Occupational Therapy Journal 49, no. 1 (March 2002): 55–56. http://dx.doi.org/10.1046/j.0045-0766.2002.00290.x.

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Brownell, Scott H., and James T. Curran. "COMPUTERS AS OCCUPATIONAL THERAPISTS?" Australian Occupational Therapy Journal 25, no. 1 (August 27, 2010): 19–25. http://dx.doi.org/10.1111/j.1440-1630.1978.tb01113.x.

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50

Ballinger, Claire. "Occupational Therapists Living Life!" British Journal of Occupational Therapy 66, no. 8 (August 2003): 337. http://dx.doi.org/10.1177/030802260306600801.

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