Occupational Therapy Interventions for Children with Attention Deficit Hyperactivity Disorder: A Systematic Review

This systematic review examined evidence published 2005–2015 for occupational therapy interventions for children with Attention Deficit Hyperactivity Disorder (ADHD). We identified 590 abstracts with 17 full-text articles eligible for review. Fourteen articles were included in the final analysis with two level I studies, two level II studies, eight level III studies, and two level IV studies. Occupational therapy interventions focused on play, sensory, motor, and cognitive skills. While the interventions yielded good results, there were limitations in study design, interventions, and outcome measures. Future research should include larger sample size, randomization, control groups, and interventions that can be replicated.     

Family Therapy in the Forbidden City: A Review of Chinese Journals From 1978 to 2006

This article provides a glimpse into the development of family therapy in China, by reviewing family therapy articles written in Chinese and published in journals in China that are not, therefore, readily accessible to the international community. A content analysis of journals published between 1978 and 2006 revealed 199 family therapy articles in 109 Chinese journals. Most of the studies were conducted by psychiatry or medical professionals, and were based on general systems theory or a systemic family therapy model. The articles focused on the promotion of family therapy theories and interventions in China, but did not specify the application of theory to specific clientele or symptoms. After the year 2000, a threefold increase in the number of family therapy publications was noted. These papers included the introduction of additional theories, but did not include critical assessment of the applicability of Western family therapy models to Chinese families. The researchers noted an absence of articles that identified Chinese approaches to family therapy, and a paucity of papers on gender, professional reflection, and the therapy process. The article concludes that there is room for improvement in the quality of family therapy publications in China, and that gains may be made by interdisciplinary collaboration among academics and practitioners.     

Effectiveness of Occupational Therapy Interventions for Students with Mental Illness Transitioning to Higher Education: A Systematic Review

This systematic review examined the available evidence for occupational therapy interventions for students with any mental illness transitioning to post-secondary education. Seven articles were included. The evidence of occupational therapy interventions for this population supported the use of supported education programs consisting of goal setting, skill development, and cognitive training, as well as student-directed planning. Quantity of high levels of research was limited. Articles included were not exclusively related to transition into post-secondary education, but also focused on vocation and supported education. Additional research is needed to determine the best practice in transition services for individuals with any mental illness.     

Vocational behavior and career development, 1979: A review

Selected books and articles published in 1979 are summarized in this review of the literature on vocational behavior and career development. The articles are in journals representing the fields of vocational psychology, sociology, and organizational behavior. The topics covered include: perspectives on work; assessment measures; vocational aspirations-choice; job seeking and recruitment; occupational careers; motivations, needs, and goals; worker adjustment; work and the social structure; and interventions. The paper concludes with observations on literature trends and research needs.     

Encouraging Occupation: A Systematic Review of the Use of Life Review and Reminiscence Therapy for the Treatment of Depressive Symptoms in Older Adults

The present systematic review investigates the efficacy of both life review and reminiscence therapy interventions in the treatment of depressive symptoms in older adults. A systematic review of the literature was conducted using three databases: Cumulative Index of Nursing and Allied Health Literature (CINAHL), PubMed, and PsycINFO. Six studies met the inclusion criteria, and pertinent variables were extracted for data analysis. In all six articles, the reminiscence therapy or life review intervention was found to be effective in the treatment of depressive symptoms in older adults. These interventions are appropriate for use in occupational therapy practice, as occupational therapists are well-equipped to treat the psychosocial needs of individuals.     

A Bibliometric Analysis of the Quantitative Mental Health Literature in Occupational Therapy

ABSTRACT

A bibliometric analysis was performed to examine the impact and use of the peer-reviewed occupational therapy intervention effectiveness literature addressing adults with mental illness, 2000–2016. Of 2,597 articles, 68 were quantitative studies assessing an intervention for adults with mental illness. These studies had a collective citation count of 1,455 and were published in 29 journals in 14 countries. The majority (n?=?36; 52.94%) were randomized controlled and two-group controlled studies. The most commonly assessed interventions were life skills and community reintegration (n?=?20, 29.41%) and supported employment (n?=?16, 23.52%). Sixty-five (95.58%) studies found statistically significant results on the primary or secondary outcomes.     

Understanding the Mental Health Travails of Custodial Grandparents

Grandcarers are at-risk of poor mental health outcomes. Current knowledge of the support needs of grandcarers is fragmented. To help fill this knowledge gap qualitative analysis was undertaken on 49 interviews conducted with custodial grandparents. The findings reveal that conflicted occupational roles coupled with the complexity of the stressors facing grandcarers both contribute to their social isolation and to their self-doubts about their ability to adequately attend to their grandchildren’s needs. Greater awareness among occupational therapists (OTs) of custodial grandparents’ mental health travails and an increased understanding of key occupational therapy (OT) practice initiatives are central to addressing grandcarers’ mental health travails.     

Reviving Nostalgia for an Era of Practice: An Illustration of the Therapeutic Use of Projective Methods/Media in Occupational Therapy

Projective methods have long had their roots in psychosocial occupational therapy and they remain valuable to the profession. In this article, the author hopes to reawaken interest for an era of practice that was strongly influenced by psychoanalytic theories. She critiques the conceptual models that inform their use in mental health and argues the importance of having a sound theoretical stance in light of the profession’s unique value in this area. She articulates the methods’ clinical utility and relevance to occupational therapy practice and recovery-oriented care. Using a clinical illustration, she demonstrates the potency of the unfolding process between therapist, client and activity.     

Expression of Concern

‘How Leader‐Member Exchange Influences Effective Work Behaviors: Social Exchange and Internal‐External Efficacy Perspectives’ by Fred O. Walumbwa, Russell Cropanzano, and Barry M. Goldman DOI: 10.1111/j.1744‐6570.2011.01224.x ‘Leadership in Action Teams: Team Leader and Members’ Authenticity, Authenticity Strengths, and Team Outcomes’ by Sean T. Hannah, Fred O. Walumbwa, and Louis W. Fry DOI:10.1111/j.1744‐6570.2011.01225.x Concern has been raised in relation to five articles published in Personnel Psychology between 2007 and 2011. The substance of the complaint is that the fit statistics reported in the articles contain numerous errors. The journal has conducted an investigation into the matter, including seeking the opinion of a third party. In the case of three of the articles, any errors or omissions were either reconciled or determined not to significantly affect the articles’ findings or conclusions. In the case of the two articles listed above, published online on 22 August 2011 in Wiley Online Library, and in Volume 64, pp. 739–770 and 771–802, respectively, the journal concluded that there may be errors in some of the reported fit statistics, but it is difficult to understand the nature of the potential errors and their implications unless the raw data is made available. Unfortunately, the journal was not provided with the raw data, despite repeated requests to the authors. In the case of the second article (Hannah et al., 2011), a governmental agency confirmed that they collected the data and controlled its storage, but no longer maintained the data after five years and thus could not make it available. Thus, consistent with guidelines published by the Committee on Publication Ethics (COPE), this Expression of Concern is issued by agreement of the Editor, Bradford S. Bell, and Wiley Periodicals, Inc. to make our readers aware of the potential issues with the results reported in these articles. Dr. Walumbwa, a co‐author on the five respective articles, has requested that readers be informed that he was responsible for the analyses. The journal has updated its article submission process such that authors will now have to explicitly agree to retain their raw data for a minimum of 5 years after publication of the research and to provide their data for verification when requested by the journal and editor, providing confidentiality of participants can be protected and legal rights concerning proprietary data do not preclude their release.     

An Exploration of Coaching Research in Journal of Applied Sport Psychology from 1989 to 2017

This article seeks to examine the treatment of coaching research within Journal of Applied Sport Psychology (JASP) and, specifically, to explore whether the Association for Applied Sport Psychology’s mission in recognizing the coach as a performing “other” is being adopted in the field. The study followed a 3-phase design. In Phase 1, an exhaustive search was conducted to identify all coach-related research published in JASP from 1989 to 2017. Phase 2 consisted of accessing the 101 identified articles from a total of 690 articles that had been published in JASP during the review period. In Phase 3, articles were categorized into the multidisciplinary sport and exercise psychology (M-SEP) and contemporary multidisciplinary sport and exercise psychology (C-SEP) periods, and analysis of the articles was completed. Main results indicated that articles that focused on coach perceptions about different topics related primarily to SEP decreased in focus from 40% in the M-SEP period to 23% in the C-SEP period. A prominent focus in both periods was the impact of coaches (often interpersonal behaviors) on their athletes’ performance (M-SEP?=?35%, C-SEP?=?46%). A coach performance focus was coded in only 10% of articles in both periods. Articles decreased in their explicit discussion of how research applied to consulting from 60% to 44% across periods. The findings suggest that currently the literature in JASP does not directly provide SEP professionals with effective knowledge application for working with coaches as a performer within the sport context. This review emphasizes the lack of research positioning of coach as a performing “other” within JASP and may increase awareness of viewing the coach as a performer within the field of applied sport psychology.

Lay Summary: This study was a review of research articles published within the Journal of Applied Sport Psychology (JASP) between 1989 and 2017. Only research with a main focus in coaching was included in the review. A multiple-step process was used to examine the articles and pinpoint the type of research about coaches that was being published in JASP. Results showed a large focus on how coaches contribute to their athletes’ performance, however, a lack of research examining aspects of the coach themselves and how they might enhance their own performance as a coach.     

The Kawa River Model: Applying Theory to Develop Interventions for Combat and Operational Stress Control

This article proposes the implementation of the occupational therapy Kawa (Japanese for river) model to promote “culturally relevant” client-centered care for combat and operational stress control services provided in the military context. Currently, the occupational therapy literature lacks a culturally sensitive approach to address the military service members’ experiences with combat and operational stress. A review of the Kawa model features are provided within a case study for a military service member affected by combat and operational stress. This theoretical article offers a pragmatic method for infusing occupational therapy theory to address the cultural aspects of military service members in recovery.     

Review and reflections on 40 years of family therapy development in Taiwan

Although the systemic approach is considered to fit Chinese culture, the development of family therapy in Taiwan is recent, starting in 1969, and growing as a treatment modality in Taiwan for the past two decades. To examine this development, this article reviewed 127 locally published family therapy studies published during the years 1969–2009. Content analysis was used to examine these articles and the results clearly showed an increase in the amount of publications during this period. The focus of the studies also shifted from theoretical issues to practical concerns. An analysis of 15 of these articles, which were case reports, suggested a preference for local common practice, for example, a focus on therapist manoeuvres rather than the clients' perspectives, which might have hindered the development of successful practice. The availability of only certain forms of training might also have contributed to the clinical focus of family therapy in Taiwan. The article suggests that greater interest in the therapy process in future will enhance local practitioners' clinical efficacy.     

Personalized Occupational Transformations: Narratives from Two Occupational Therapists’ Experiences with Complex Therapeutic Processes

Recovery and occupation-centered practices with persons with severe psychiatric disabilities involve many dynamic issues and processes. This study aimed to develop an understanding of how the therapeutic process unfolds in occupational therapy among persons with severe psychiatric disabilities living in sheltered or supported housing. Repeated interviews were conducted with two occupational therapists working in sheltered and supported housing facilities. Narrative analysis was used to analyze their stories. The findings reveal “personalized occupational transformations” describing significant events of interaction establishing therapeutic processes to promote personal agency and social recovery while targeting meaningful activities based on each resident’s wishes.     

Creative Occupational Therapist: It's About the Client Using Focus Groups to Explore Creativity in Occupational Therapy

Although creativity is an important aspect of occupational therapy theory and practice, there have been few studies that would explore this concept in the context of the occupational therapy process. This was the first qualitative study of creativity in occupational therapy in Slovenia. It was conducted as part of a larger mixed-methods study and included 22 experienced occupational therapists who participated in four focus groups. The focus of the study was on the exploration of different factors that could contribute to creativity and creative strategies in occupational therapy, in either a positive or a negative way. Since occupational therapy promotes a client-centered therapy approach, the role of the client as the motivating factor was of particular interest to our study. Six factors that can influence the creativity of occupational therapists emerged from the qualitative analysis (Strauss & Corbin, 1990). While the client was identified as the key factor, the potential of other factors was also recognized. This qualitative study increased the understanding of the concept of creativity and creative behavior in occupational therapy, and also provided empirical material that formed the basis for the development of a questionnaire on creativity in occupational therapy.     

Teaching and learning the esoteric: an insight into how reflection may be internalised with reference to the occupational therapy profession

This paper is concerned with the ways in which reflective practice is learnt, taught and assessed within the profession of occupational therapy. It utilises individual experiences of reflection of both students and staff members in university and practice placement settings. The discussion places reflection within learning a profession’s way of being and individual learner’s relation to this ‘sense of being’. It concludes that the ‘rote’ way in which reflection is currently used to demonstrate evidence of reflective practice is detrimental to the development of a reflective professional, in this instance, an occupational therapist.     

Matthews Model of Clinical Reasoning: A Systematic Approach to Conceptualize Evaluation and Intervention

Clinical reasoning is a complex process required for effective therapeutic encounters. Its development is poorly understood. The clinical reasoning process is placed in a historical context based on the occupational therapy literature. An emerging model of clinical reasoning is proposed. This model of clinical reasoning provides a unique perspective in order to compartmentalize the person, environment, and occupation constructs around the person’s life story, connect it directly to the occupational therapy practice framework, and determine treatment priorities, emphasizing a client-centered perspective. A client-centered model of clinical reasoning supports efforts to provide effective intervention.