OCCUPATIONAL THERAPY

Research for occupational therapy

Papers an occupational therapist can act on, across daily living, mental health, hand therapy, paediatrics and rehabilitation, each read in full rather than from its abstract.

10,853 PAPERS · PAGE 6 OF 218 · NEWEST FIRST

• PTOTRNRCT2021A Cluster Randomized Controlled Trial Testing the Impact of Function and Behavior Focused Care for Nursing Home Residents With Dementia.Journal of the American Medical Directors AssociationA nursing home program increased resident activity and reduced resistiveness to care at 4 months, but these gains disappeared by 12 months. There were no improvements in daily function, mood, or agitation. The intervention requires ongoing staff mentoring to sustain changes.
• PTOTSLPSystematic Review2021A Scoping Review: Family and Child Perspectives of Clinic-Based Obesity Treatment.Journal of pediatric nursingFamilies reported that generic advice and inconvenient clinic logistics drove dropout, while specific meal plans, tailored exercise guidance, and support between visits helped them stay engaged. Mothers' perspectives dominated the data, with little input from fathers or children.
• PTOTSLPRNSurvey2020Factors Affecting Quality of Life Among the Elderly in Long-Term Care Hospitals.The journal of nursing research : JNRDepression and care dependency were the strongest links to lower quality of life in 202 elderly inpatients. Nurse-patient interaction scores did not predict quality of life. Family visits and cognitive status also correlated with well-being in this convenience sample.
• OTRNQualitative2021Socioeconomic impact of breast cancer on young women in Ghana: A qualitative study.Nursing openYoung women in Ghana with breast cancer described stigma, secrecy, lost work and unaffordable treatment. Some refused surgery or could not start chemotherapy because beliefs and cost interfered with treatment. Ask about fears and money before assuming they ignore advice.
• OTRNQualitative2021What constitutes feeling safe at home? A qualitative interview study with frail older people receiving home care.Nursing openFrail older people defined safety at home as maintaining independence and control, not just receiving care. They felt unsafe when staff disrupted routines or lacked continuity. Trust depended on staff competence, language skills, and having enough time to build relationships.
• OTSurvey2021Design and validation of a scale to measure worry for contagion of the COVID-19 (PRE-COVID-19).Enfermeria clinicaA brief worry-about-catching-COVID-19 scale was clear and relevant for adults in Peru, and higher worry tracked with more anxiety, lower well-being, and poorer self-rated health. It measures worry, not proof that reducing worry improves function.
• PTOTSLPRNSystematic Review2021Social Connection in Long-Term Care Homes: A Scoping Review of Published Research on the Mental Health Impacts and Potential Strategies During COVID-19.Journal of the American Medical Directors AssociationAcross long-term care home studies, better social connection was commonly linked with less depression, better mood and fewer responsive behaviors, but evidence was uneven and mostly observational. Twelve low-cost strategies were identified, not proven.
• OTRNQualitative2021Exploring the impact of endometriosis on women's lives: A qualitative study in Iran.Nursing openIranian women with endometriosis described disabling pelvic pain, menstrual bleeding, marital strain, sexual pain, psychological distress, social isolation, and self-care strategies like heat and traditional remedies.
• PTOTRNSystematic ReviewAnxiety Symptoms After Orthopedic Injury: A Systematic Review.Journal of trauma nursing : the official journal of the Society of Trauma NursesAfter limb or pelvic fractures, clinically significant anxiety symptoms were common, from 11.5% to 55.7% during admission and 20% to 39% years later, and were associated with depression, PTSD, and pain.
• PTOTRNCohort2021Predictors and short-term outcomes of post-stroke fatigue in initial phase of transition from hospital to home: A prospective observational study.Journal of advanced nursingFatigue in the acute phase, within 2 weeks of admission, predicted fatigue one month after discharge. Persistent fatigue was associated with depression, insomnia, sarcopenia risk, and lower quality of life, but this study did not test treatment.
• PTOTRNOther2021Chronic Pain Management during the Covid-19 Pandemic: A Scoping Review.Pain management nursing : official journal of the American Society of Pain Management NursesOnly expert guidance and recommendations were found for chronic pain care during the pandemic, not tested patient outcomes. It suggests telemedicine, pain-severity triage, infection precautions, and opioid precautions.
• OTRNCohort2021Hospitalized older adult: predictors of functional decline.Revista latino-americana de enfermagemIn hospitalized adults aged 70 or older, restraint, cognitive deficit, recent hospitalization, social support before admission, and no partner predicted decline during stay. Delirium, older age, and high risk predicted worse function after discharge.
• OTCohort2021Social relationships and survival in the older adult cohort.Revista latino-americana de enfermagemOlder adults who went out daily had 39% lower death risk, and party attendance had 17% lower risk, after accounting for other factors. Functional difficulty with daily activities was linked to 95% higher risk. These are associations, not proof.
• OTSurvey2021Spouse and Adult-Child Dementia Caregivers in Chinese American Families: Who Are More Stressed Out?Journal of the American Medical Directors AssociationSpouse caregivers of people with dementia in Chinese American families reported higher burden and depressive symptoms than adult-child caregivers. Care tasks did not differ after controls. Wives reported the highest burden and depressive symptoms.
• PTOTRNCohort2021Fragility hip fractures in the COVID-19 pandemic: A local experience in the United Kingdom.International journal of orthopaedic and trauma nursingIn 34 older hip fracture patients during UK lockdown, 48% were operated within 36 hours and 30-day mortality was 20%; timing was not significantly linked to stay or death.
• PTOTRNCohort2021Mobility and Self-Care are Associated With Discharge to Community After Home Health for People With Dementia.Journal of the American Medical Directors AssociationIn home health, people with dementia had lower successful discharge to community: 71% versus 81% without dementia. Greater dependence in mobility or self-care was the strongest observed risk factor.
• OTOther2021Comparison of Behavioral Concerns Priorities among Iranian Adolescent Boys, Parents and Teachers: Reporting the Results of a Modified Delphi.International journal of community based nursing and midwiferyIranian adolescent boys rated lack of planning and prioritization as their top concern; teachers rated controlling crisis highest; parents rated resilience highest. Wasting time at cyberspace was a top concern for students and parents.
• OTSurvey2021Exploring Differences in Perceived Satisfaction, Resilience, and Achievement Between Hispanic and Non-Hispanic White Childhood Cancer Survivors.Journal of pediatric health care : official publication of National Association of Pediatric Nurse Associates & PractitionersHispanic childhood cancer survivors reported lower resilience and achievement than non-Hispanic White survivors, while satisfaction did not differ. The study did not test causes or whether support improves these outcomes.
• PTOTRNOther2021Daytime activity and sleep are associated with motor function in older intensive care unit survivors.Heart & lung : the journal of critical careOlder ICU survivors with less daytime activity had weaker grip and slower pegboard dexterity; more daytime sleep/rest was also linked to worse grip and dexterity. These are associations, not proof that changing activity or sleep improves function.
• PTOTSLPRNCohort2021Appropriateness of Long-Term Acute Care Hospital Transfer: A Multicenter Study of Medicare ACO Beneficiaries.Journal of the American Medical Directors AssociationOnly 31.4% of LTACH transfers were clinically appropriate. Most inappropriate transfers involved wound care or IV infusions manageable in skilled nursing facilities. Current Medicare payment criteria poorly distinguish appropriate cases, though stricter ICU stay requirements improve identification.
• PTOTSystematic Review2021Self-management interventions in systemic sclerosis: A systematic review.Research in nursing & healthSelf-management programs for adults with systemic sclerosis varied widely. Effects on patients' confidence and overall health were inconsistent. Many studies were small and of poor quality, so no program can be recommended as proven.
• PTOTRNSurvey2021Fear of Falling among Community-dwelling Sedentary and Active Older People.Investigacion y educacion en enfermeriaFear of falling did not differ between active and sedentary older adults. Sedentary participants had higher depression screening scores, but this survey cannot show that activity changed either outcome.
• OTSurvey2021Wound Bed Preparation 2021.Advances in skin & wound careWound care leaders and trained students agreed with every Wound Bed Preparation statement. This is consensus guidance, not proof that using it improves healing.
• PTOTRNOther2021Back pain and heart failure in community-dwelling older adults: Findings from the Health ABC study.Geriatric nursing (New York, N.Y.)Older adults with back pain reported more falls, worse function, depression and fatigue. Women with heart failure were more likely to report back pain; cognition did not differ.
• OTQualitative2021COVID-19 Pandemic: Experiences of People with Visual Impairment.Investigacion y educacion en enfermeriaPeople with visual impairment described pandemic isolation as both a chance to strengthen family ties and a loss of work, mobility, and independence. They relied on technology, but gaps in devices, training, and accessible platforms limited its help.
• PTOTRNNarrative Review2021Early mobilization and physical exercise in patients with COVID-19: A narrative literature review.Complementary therapies in clinical practiceNo randomized trials of early mobilization or exercise in hospitalized COVID-19 patients were found. Published guidance recommends low-intensity activity for mild and stable cases, with stopping rules for oxygen saturation drop, fever, breathlessness, chest pain, or instability.
• PTOTSLPRNQualitative2021Post-treatment head and neck cancer survivors' approaches to self-management: A qualitative study.European journal of oncology nursing : the official journal of European Oncology Nursing SocietyAfter treatment, head and neck cancer survivors managed symptoms in three fluid ways: building routines, accepting what could not be changed, or acting only when symptoms appeared. Their choice depended on the problem, certainty about cause, and daily burden.
• PTOTRNCohort2021The Adverse Effects of the COVID-19 Pandemic on Nursing Home Resident Well-Being.Journal of the American Medical Directors AssociationNursing home residents' depression, unplanned weight loss, cognitive scores and incontinence worsened during the pandemic. Pressure ulcers and activities of daily living scores did not change. Some worsening occurred even in residents who never tested positive.
• OTCohort2021Biopsychosocial characteristics associated with engagement in art making among older adults.Geriatric nursing (New York, N.Y.)Among 731 older adults, engagement in art making was linked to female sex, higher education, extraversion, openness to experience, and a positive attitude toward the arts. Biological factors like age, chronic health conditions, and physical function were not associated with participation.
• PTOTRNCohort2021Recovery from Coronavirus Disease 2019 among Older Adults in Post-Acute Skilled Nursing Facilities.Journal of the American Medical Directors AssociationOlder adults recovering from COVID-19 in skilled nursing facilities generally regained function and returned home, with no significant difference in discharge rates compared to non-COVID patients. However, those with moderate-to-severe frailty started lower and ended with significantly less independence than non-frail peers.
• PTOTSLPQualitative2021Exploring a Nursing Home-Specific, Interdisciplinary, Function-Focused, Communicative Framework Based on Situation, Background, Assessment, and Recommendation.The journal of nursing research : JNRNursing home staff described SBAR communication as a way to share subtle functional changes, such as walking difficulties or eating problems. Nurses acted as the central hub, receiving most referrals to assess medical needs before directing care to therapists or support staff.
• PTOTRNSurvey2021Health Promoting Behaviors, Health Needs and Associated Factors among Older Adults in Jordan: A Cross-Sectional Study.International journal of community based nursing and midwiferyJordanian older adults scored low on exercise and nutrition but high on self-actualization. Those with chronic diseases, lower income, or who were unmarried had poorer health behaviors. Married and higher-income participants engaged more in physical activity and healthy eating.
• OTRNSystematic Review2021Tai Chi Interventions Promoting Social Support and Interaction Among Older Adults: A Systematic Review.Research in gerontological nursingGroup tai chi showed mixed social support results: four studies with social additions such as mentors, music, peer practice, or small-group attention and four without reported improvement, while two did not. Evidence was low.
• OTSLPRNSystematic Review2021Telemedicine and Dementia Care: A Systematic Review of Barriers and Facilitators.Journal of the American Medical Directors AssociationVideo dementia care was feasible and often acceptable, but home use relied on care partners, staff, and equipment; hearing and vision problems were common barriers, and no included study adapted technology for them.
• OTRNQualitative2021Community-dwelling older adults who are low-income and disabled weathering financial challenges.Geriatric nursing (New York, N.Y.)Low-income disabled older adults described financial strain as a constant balancing act. They tracked bills, cut basics, and coped largely by themselves while reporting depression, fear, headaches, high blood pressure, and sleep problems. Safety-net systems were not always helpful.
• PTOTQualitative2021A qualitative investigation of activity measurement and change following a mind-body activity program for chronic pain.Complementary therapies in clinical practicePatients with chronic pain found the hip accelerometer mostly unobtrusive, but clothing, bathroom use, and forgetting could reduce wear. Some also changed activity when measured, so device weeks may not reflect usual habits.
• OTRNOther2021Self-care related to the performance of occupational roles in patients under antineoplastic chemotherapy treatment.Revista latino-americana de enfermagemPatients with more interference from chemotherapy symptoms in daily life had higher self-care scores. Valuing the role of friend and volunteer also predicted better self-care. Worker and domestic roles showed the greatest performance loss.
• OTRNSystematic Review2021Informal caregivers' quality of life and management strategies following the transformation of their cancer caregiving role: A qualitative systematic review.International journal of nursing sciencesInformal caregivers described losing sleep, income and social life while hiding their own needs, and they wanted short, practical training plus support that fits their caregiving hours.
• OTRNQualitative2021Using poetry as data to explore daily and formal care decision making within African American dementia dyads.Geriatric nursing (New York, N.Y.)African American persons living with dementia were the final decision makers for daily care in all five dyads. Formal-care decisions varied, with shared decision making and dyadic communication. Ask both who decides.
• OTSurvey2021COVID-19 and the Need for Adult Day Services.Journal of the American Medical Directors AssociationAdult day programs that closed during COVID-19 reported staff cuts, caregiver distress, and participants moving to nursing homes or assisted living. These are program reports, not evidence that reopening changes patient outcomes.
• PTOTSLPRCT2021Patients' Adaptations After Acute Respiratory Distress Syndrome: A Qualitative Study.American journal of critical care : an official publication, American Association of Critical-Care NursesMany ARDS survivors used assistive devices, family help, and self-directed exercise, but most still had unresolved problems. Few sought more therapy after services ended, so ask what they are already trying.
• OTRNSystematic Review2021Intersectoral actions in decreasing social inequities faced by children and adolescents.Revista latino-americana de enfermagemChildren and adolescents in vulnerable settings were reported to have gains in school participation, nutrition, mental health access and community support when health, education and social services worked together. Most reports were qualitative, so this is not evidence these programs work.
• PTOTRNCohort2021Predicting Mortality Risk in Older Hospitalized Persons With COVID-19: A Comparison of the COVID-19 Mortality Risk Score with Frailty and Disability.Journal of the American Medical Directors AssociationAdding pre-admission disability and frailty scores to a standard COVID-19 mortality risk score improved prediction accuracy for older hospitalized patients. Functional status two weeks before admission was independently associated with survival, suggesting these factors should be routinely assessed.
• PTOTRNOther2021Using structural equation modeling in the understanding of functional disability in older adults.Revista latino-americana de enfermagemOlder adults had more difficulty with complex social activities than daily tasks or self-care. Frailty, depression, low schooling and long sitting were linked to lower function. More illnesses were associated with lower function through these factors.
• OTRNSurveyDisruptions in Care and Support for Homebound Adults in Home-Based Primary Care in New York City During the COVID-19 Pandemic.Home healthcare nowHomebound older adults in home-based primary care reported more difficulty accessing medical care, food, and paid caregivers during the pandemic. Black participants were more likely than White and Hispanic participants to report medical care access problems.
• OTRNQualitative2021Women and leprosy: interferences and experiences.Revista latino-americana de enfermagemNine women with leprosy described skin and hair changes, stigma, lost work, and rights barriers. They also adapted daily tasks and sought financial support. Nurses and OTs can ask about body image, work, income, and domestic demands.
• PTOTSLPCohort2021Incident Impaired Cognitive Function in Sarcopenic Obesity: Data From the National Health and Aging Trends Survey.Journal of the American Medical Directors AssociationOlder adults with low grip strength, with or without obesity, were at significantly higher risk of developing impaired cognitive function over 8 years. Obesity alone did not increase this risk, suggesting muscle weakness is the primary driver of cognitive decline in this population.
• OTRNNarrative Review2022A research agenda for promoting continence for people living with dementia in the community: Recommendations based on a critical review and expert-by-experience opinion.Journal of clinical nursingHome continence care for people with dementia is under-researched. The review found no robust evidence for most interventions, yet clinicians should assess causes, discuss continence, and avoid defaulting to containment alone.
• OTOther2022Content validity of the NECPAL CCOMS-ICO© in Spanish to identify palliative needs in children and adolescents with Cancer.Investigacion y educacion en enfermeriaThe revised NECPAL palliative needs tool kept the surprise question and eight items covering cancer, symptom, need and psychosocial domains for children and adolescents with cancer; weight loss, cognition and resource-use items were dropped, based on seven expert ratings.
• PTOTRNQualitativeStories of Lymphoma Survivors in Early Aftercare: A Narrative Inquiry.Cancer nursingLymphoma survivors described fatigue, reduced exercise capacity, memory and concentration problems, work and money worries, relationship strain, fear of recurrence, and other life problems during early aftercare. They valued nurse-led consultations for goals and options, not just medical checks.