Conference program
Virtual 2020 will be taking place during Central Standard time. Be sure to add/subtract time based on your time zone: | Pacific Daylight Time (PDT) | Mountain Daylight Time (MDT) | Central Standard Time (CST) | Central Daylight Time (CDT) | Eastern Daylight time (EDT) | Atlantic Daylight Time (ADT) | Newfoundland Daylight Time (NDT) |
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T79 Addressing the vocational needs of youth with juvenile idiopathic arthritis
Uploaded poster (CST| HSC): N/A | Poster presentation
Participation and inclusion | Child/youth
Sabrina Cavallo (Université de Montréal | Montréal) sabrina.cavallo@umontreal.ca, Nadia Simard-Villa Université de Montréal
Rationale: Those living with juvenile idiopathic arthritis (JIA) report restrictions in participation in meaningful vocational activities compared to peers, however relevant interventions remain understudied. Objectives: The aim of this scoping review was to describe interventions facilitating socio-professional integration in the context of transition from pediatric to adult care for young people with juvenile idiopathic arthritis (JIA). Methods: Electronic databases (Medline, Embase, PsycInfo, CINAHL) were searched for articles published between January 2000 to June 2019. Articles were retained if they described interventions addressing or having an effect on the socio-professional integration (e.g. work, school, interpersonal relationships and independent living) of young people and adults living with JIA aged between 8 and 40 years. Results: One thousand and thirty-four articles were found through electronic and reference search. Forty-one full articles were reviewed to assess for eligibility. Eighteen articles met inclusion criteria and findings were reviewed. Interventions found to potentially facilitate socio-professional integration were grouped into 3 distinct types: self-management, transition from pediatric to adult care, and occupational performance and participation. Most interventions addressed aspects of socio-professional integration but none made it their primary focus. A number of positive effects were reported: improved socio-professional integration, less school absenteeism, greater presence in physical education classes, and more favorable work experiences. Conclusion: Findings demonstrate that socio-professional integration is often not the main intervention goal in transition care in JIA. Our research emphasizes the importance of setting up an intervention adapted to the needs of young people with JIA and their families.
Participation and inclusion | Child/youth
Sabrina Cavallo (Université de Montréal | Montréal) sabrina.cavallo@umontreal.ca, Nadia Simard-Villa Université de Montréal
Rationale: Those living with juvenile idiopathic arthritis (JIA) report restrictions in participation in meaningful vocational activities compared to peers, however relevant interventions remain understudied. Objectives: The aim of this scoping review was to describe interventions facilitating socio-professional integration in the context of transition from pediatric to adult care for young people with juvenile idiopathic arthritis (JIA). Methods: Electronic databases (Medline, Embase, PsycInfo, CINAHL) were searched for articles published between January 2000 to June 2019. Articles were retained if they described interventions addressing or having an effect on the socio-professional integration (e.g. work, school, interpersonal relationships and independent living) of young people and adults living with JIA aged between 8 and 40 years. Results: One thousand and thirty-four articles were found through electronic and reference search. Forty-one full articles were reviewed to assess for eligibility. Eighteen articles met inclusion criteria and findings were reviewed. Interventions found to potentially facilitate socio-professional integration were grouped into 3 distinct types: self-management, transition from pediatric to adult care, and occupational performance and participation. Most interventions addressed aspects of socio-professional integration but none made it their primary focus. A number of positive effects were reported: improved socio-professional integration, less school absenteeism, greater presence in physical education classes, and more favorable work experiences. Conclusion: Findings demonstrate that socio-professional integration is often not the main intervention goal in transition care in JIA. Our research emphasizes the importance of setting up an intervention adapted to the needs of young people with JIA and their families.
T86 The impact of treatment adherence in pediatric concussion rehabilitation
Uploaded poster (CST| HSC): N/A | Poster presentation
Rehabilitation | Child/youth
Monique Gill (University of Toronto) moniquekaur.gill@mail.utoronto.ca, Madison Lazarou University of Toronto madison.lazarou@mail.utoronto.ca, Josh Shore University of Toronto josh.shore@mail.utoronto.ca, Nick Reed University of Toronto nick.reed@utoronto.ca, Anne Hunt University of Toronto anne.hunt@utoronto.ca
Introduction. Current best practice of concussion in youth consists of a brief period of physical and cognitive rest followed by gradual return to activity. There is evidence to support that active rehabilitation approaches, involving low-intensity sub-symptomatic exercise, may be helpful in promoting concussion recovery in youth. However, there is limited research regarding the relationship between treatment adherence and functional recovery in youth who participate in active rehabilitation programs. Objectives. The purpose of this study is to explore the relationship between treatment adherence to a prescribed active rehabilitation program and functional recovery in youth. Methods. A descriptive exploratory design will be used to analyze data from a prospective repeated measures study that used a six-week active rehabilitation intervention. Participants are youth (10-18 yrs.) diagnosed with a concussion by a physician who continue to experience symptoms at least two weeks post injury, and who completed the full six-week active rehabilitation program. Study measures include demographic data forms, daily treatment logs and the Canadian Occupational Performance Measure. Data will be analyzed using descriptive statistics. Practice implications. Findings from this study may improve our understanding of how treatment adherence to active rehabilitation programs impacts concussion recovery in youth. Conclusion. Results may serve to inform future research and care in determining the most effective dosages of active rehabilitation programs and to support individualizing interventions for youth to promote concussion recovery.
Rehabilitation | Child/youth
Monique Gill (University of Toronto) moniquekaur.gill@mail.utoronto.ca, Madison Lazarou University of Toronto madison.lazarou@mail.utoronto.ca, Josh Shore University of Toronto josh.shore@mail.utoronto.ca, Nick Reed University of Toronto nick.reed@utoronto.ca, Anne Hunt University of Toronto anne.hunt@utoronto.ca
Introduction. Current best practice of concussion in youth consists of a brief period of physical and cognitive rest followed by gradual return to activity. There is evidence to support that active rehabilitation approaches, involving low-intensity sub-symptomatic exercise, may be helpful in promoting concussion recovery in youth. However, there is limited research regarding the relationship between treatment adherence and functional recovery in youth who participate in active rehabilitation programs. Objectives. The purpose of this study is to explore the relationship between treatment adherence to a prescribed active rehabilitation program and functional recovery in youth. Methods. A descriptive exploratory design will be used to analyze data from a prospective repeated measures study that used a six-week active rehabilitation intervention. Participants are youth (10-18 yrs.) diagnosed with a concussion by a physician who continue to experience symptoms at least two weeks post injury, and who completed the full six-week active rehabilitation program. Study measures include demographic data forms, daily treatment logs and the Canadian Occupational Performance Measure. Data will be analyzed using descriptive statistics. Practice implications. Findings from this study may improve our understanding of how treatment adherence to active rehabilitation programs impacts concussion recovery in youth. Conclusion. Results may serve to inform future research and care in determining the most effective dosages of active rehabilitation programs and to support individualizing interventions for youth to promote concussion recovery.
T89 Experiences of becoming a mother in the Neonatal Intensive Care Units: A review
Uploaded poster (CST| HSC): N/A | Poster presentation
Mental health | Community/population
Olivia Citter, Parisa Ghanouni
Background: Only 38% of mothers who deliver babies admitted to the Neonatal Intensive Care Unit (NICU) are able to hold them within the first hour following birth. For the majority, this separation leaves women feeling responsible for their child’s ill health and powerless in their recovery. Exploring how these feelings and becoming a mother in the NICU impacts one’s occupational role of mothering may assist occupational therapists in better supporting mothers during their child’s NICU stay and following discharge.Objective: To examine mothers’ lived experiences of their child’s NICU stay and how it may impact their occupational role of mothering. Method: Six online databases (CINAHL, PubMed, PsycINFO, Gender Studies Database, Sociological Abstracts, Social Services Abstracts) were searched using key words retrieving 352 articles. A total of 12 studies were retained for appraisal after screening title, abstract, and full text reviews. Results: Thematic analysis identified three themes: (1) struggling to claim the maternal role, (2) lack of “psychological readiness”, and (3) seeking connection with one’s child. Conclusions: This review offers a valuable new perspective to the research base, as there are currently no other articles or reviews on this topic, written from an Occupational Therapy point of view. This simple shift in perspective may allow Occupational Therapists working in the NICU to enable women to engage more fully in the occupations associated with becoming a mother. There is strong quality evidence outlining women’s experiences of mothering in the hospital, however there is very little outlining women’s experiences following NICU discharge.
Mental health | Community/population
Olivia Citter, Parisa Ghanouni
Background: Only 38% of mothers who deliver babies admitted to the Neonatal Intensive Care Unit (NICU) are able to hold them within the first hour following birth. For the majority, this separation leaves women feeling responsible for their child’s ill health and powerless in their recovery. Exploring how these feelings and becoming a mother in the NICU impacts one’s occupational role of mothering may assist occupational therapists in better supporting mothers during their child’s NICU stay and following discharge.Objective: To examine mothers’ lived experiences of their child’s NICU stay and how it may impact their occupational role of mothering. Method: Six online databases (CINAHL, PubMed, PsycINFO, Gender Studies Database, Sociological Abstracts, Social Services Abstracts) were searched using key words retrieving 352 articles. A total of 12 studies were retained for appraisal after screening title, abstract, and full text reviews. Results: Thematic analysis identified three themes: (1) struggling to claim the maternal role, (2) lack of “psychological readiness”, and (3) seeking connection with one’s child. Conclusions: This review offers a valuable new perspective to the research base, as there are currently no other articles or reviews on this topic, written from an Occupational Therapy point of view. This simple shift in perspective may allow Occupational Therapists working in the NICU to enable women to engage more fully in the occupations associated with becoming a mother. There is strong quality evidence outlining women’s experiences of mothering in the hospital, however there is very little outlining women’s experiences following NICU discharge.
T94 Dissemination of strategy adoption guidelines for dementia-related wandering
Friday (CST| HSC): 14:00-14:25 | Poster presentation
Environment | Older Adult
Noelannah Neubauer (University of Alberta | Edmonton) noelanna@ualberta.ca, Lili Liu University of Waterloo lili.liu@uwaterloo.ca
Introduction: To address risks associated with critical dementia-related wandering, three guidelines were developed for use by persons living with dementia, their care partners, and professional staff, to choose wander-management strategies. This evidence-based research incorporates knowledge mobilization approaches that directly involve the three types of stakeholders in deploying and applying the guidelines in the real world. Objectives: To evaluate the knowledge mobilization of three guidelines on wander-management strategies, and to further deploy these guidelines to organizations across Canada. Methods: Steering committees and partnerships with multiple organizations were established across Canada for consultation. Guidelines were then shared among these organizations via. google slides. Participants across Canada completed an online or paper-based survey to provide feedback on the guidelines. The guidelines were translated from English to French using a forward-translation method. Results: The English-version of the guidelines was adopted across ten organizations representing three Canadian provinces, Alberta, Saskatchewan, and Ontario. End users disseminating the guidelines included Alzheimer Societies and occupational therapists in facility and community settings. It took 24 months from the development of the guidelines to the launch of the guidelines to the public. Participants were very satisfied with the guidelines (average Likert score of 4.27 ± 0.73) and agreed they were easy to navigate, easy to understand, and the information provided was useful. Conclusion: Following a stakeholder-driven approach to guideline development and dissemination were successful methods for reducing the time for this work to become practice. This can replace conventional methods where guidelines can quickly become outdated.
Environment | Older Adult
Noelannah Neubauer (University of Alberta | Edmonton) noelanna@ualberta.ca, Lili Liu University of Waterloo lili.liu@uwaterloo.ca
Introduction: To address risks associated with critical dementia-related wandering, three guidelines were developed for use by persons living with dementia, their care partners, and professional staff, to choose wander-management strategies. This evidence-based research incorporates knowledge mobilization approaches that directly involve the three types of stakeholders in deploying and applying the guidelines in the real world. Objectives: To evaluate the knowledge mobilization of three guidelines on wander-management strategies, and to further deploy these guidelines to organizations across Canada. Methods: Steering committees and partnerships with multiple organizations were established across Canada for consultation. Guidelines were then shared among these organizations via. google slides. Participants across Canada completed an online or paper-based survey to provide feedback on the guidelines. The guidelines were translated from English to French using a forward-translation method. Results: The English-version of the guidelines was adopted across ten organizations representing three Canadian provinces, Alberta, Saskatchewan, and Ontario. End users disseminating the guidelines included Alzheimer Societies and occupational therapists in facility and community settings. It took 24 months from the development of the guidelines to the launch of the guidelines to the public. Participants were very satisfied with the guidelines (average Likert score of 4.27 ± 0.73) and agreed they were easy to navigate, easy to understand, and the information provided was useful. Conclusion: Following a stakeholder-driven approach to guideline development and dissemination were successful methods for reducing the time for this work to become practice. This can replace conventional methods where guidelines can quickly become outdated.
T98 Mental health of youth with physical disabilities: A scoping review
Uploaded poster (CST| HSC): N/A | Poster presentation
Mental health | Child/youth
Shalini Lal (University of Montreal | Montreal) shalini.lal@umontreal.ca, Stephanie Tremblay, Melina Mauger-Lavigne, Dana Anaby
Introduction: Youth with childhood-onset of physical disabilities face multiple challenges in transitioning to adulthood and may be at risk of developing a mental illness; however, limited efforts have been made to synthesize knowledge about the co-occurrence of mental health problems in this population. Objectives: 1) to better understand the co-occurrence, impact, and type of mental health problems experienced by youth with childhood-onset of physical disabilities; and, 2) to better understand their access to mental health services. Methods: A scoping review based on Arksey and O’Malley’s framework was used. Four databases (Medline, PsycINFO CINAHL, Embase) were consulted. The search was limited to French or English articles from 2007 to 2019. Studies were included if they addressed: 1) young people between the ages of 13 and 24 with a childhood-onset of physical disability (e.g., cerebral palsy, spina bifida, juvenile idiopathic arthritis, and Duchenne’s muscular dystrophy) and 2) the topic of mental health assessment, treatment, or access to services. Results: 33 peer-reviewed studies were included. Preliminary results indicate that the most common mental health problems were symptoms of depression, followed by attention deficit disorders, autism spectrum disorder, and anxiety. A significant proportion of these youth did not have access to mental health services. The impact of co-occurring mental and physical problems on functioning will be described. Conclusions: The findings highlight the importance for occupational therapists working in physical rehabilitation to be aware of, and be able to address, the mental health needs of young people with childhood-onset physical disabilities.
Mental health | Child/youth
Shalini Lal (University of Montreal | Montreal) shalini.lal@umontreal.ca, Stephanie Tremblay, Melina Mauger-Lavigne, Dana Anaby
Introduction: Youth with childhood-onset of physical disabilities face multiple challenges in transitioning to adulthood and may be at risk of developing a mental illness; however, limited efforts have been made to synthesize knowledge about the co-occurrence of mental health problems in this population. Objectives: 1) to better understand the co-occurrence, impact, and type of mental health problems experienced by youth with childhood-onset of physical disabilities; and, 2) to better understand their access to mental health services. Methods: A scoping review based on Arksey and O’Malley’s framework was used. Four databases (Medline, PsycINFO CINAHL, Embase) were consulted. The search was limited to French or English articles from 2007 to 2019. Studies were included if they addressed: 1) young people between the ages of 13 and 24 with a childhood-onset of physical disability (e.g., cerebral palsy, spina bifida, juvenile idiopathic arthritis, and Duchenne’s muscular dystrophy) and 2) the topic of mental health assessment, treatment, or access to services. Results: 33 peer-reviewed studies were included. Preliminary results indicate that the most common mental health problems were symptoms of depression, followed by attention deficit disorders, autism spectrum disorder, and anxiety. A significant proportion of these youth did not have access to mental health services. The impact of co-occurring mental and physical problems on functioning will be described. Conclusions: The findings highlight the importance for occupational therapists working in physical rehabilitation to be aware of, and be able to address, the mental health needs of young people with childhood-onset physical disabilities.
T55 Children using speech generating devices talk about interests and future
Pre-recorded (CST| HSC): | Paper presentation
Participation and inclusion | Child/youth
Kristina Marchiori (Queens University | Toronto) 15km33@queensu.ca, Jade Haas Queens University jade.haas@queensu.ca, Sarah Tomczak Queens University s.tomczak@queensu.ca, Beata Batorowicz Queens University beata.batorowicz@queensu.ca
Introduction: Children who use augmentative and alternative communication (AAC) are rarely asked to expressed their views (Batorowicz et al., 2014). Especially, we do not know how children using communication aids talk with their peers and familiar adults about things important to them. Objectives: The objectives of this study were to explore: a) interactions of children with and without disabilities with peers, parents, and therapists/teachers; and b) interests and life aspirations expressed by children of varying physical and communication abilities. Methods: Participants were 13 children aged 5 to 14, six with typical development and seven with physical disabilities who used AAC; matched on age and gender. The children conversed with peers, parents or therapists/teachers about their future and things they like to do. In total, 28 interactions were videotaped with two cameras and transcribed verbatim. To analyse data, the research team followed the six stages described by Braun and Clarke (2006). Results: Four themes represented the children’s interactions. Two were about the conversational content: a) Career aspirations and dreams, and b) Preferred activities and food, and two themes concerned the process of conversation: c) Partners contributions, and d) Using Speech Generating Devices. We will discuss these themes, subthemes, and provide exemplars. Conclusions: This study provides insight into the interests and dreams of all children and also the challenges in conversation experienced by children using AAC. The findings highlight the crucial role that the communication aids and partners play in interactions.
Participation and inclusion | Child/youth
Kristina Marchiori (Queens University | Toronto) 15km33@queensu.ca, Jade Haas Queens University jade.haas@queensu.ca, Sarah Tomczak Queens University s.tomczak@queensu.ca, Beata Batorowicz Queens University beata.batorowicz@queensu.ca
Introduction: Children who use augmentative and alternative communication (AAC) are rarely asked to expressed their views (Batorowicz et al., 2014). Especially, we do not know how children using communication aids talk with their peers and familiar adults about things important to them. Objectives: The objectives of this study were to explore: a) interactions of children with and without disabilities with peers, parents, and therapists/teachers; and b) interests and life aspirations expressed by children of varying physical and communication abilities. Methods: Participants were 13 children aged 5 to 14, six with typical development and seven with physical disabilities who used AAC; matched on age and gender. The children conversed with peers, parents or therapists/teachers about their future and things they like to do. In total, 28 interactions were videotaped with two cameras and transcribed verbatim. To analyse data, the research team followed the six stages described by Braun and Clarke (2006). Results: Four themes represented the children’s interactions. Two were about the conversational content: a) Career aspirations and dreams, and b) Preferred activities and food, and two themes concerned the process of conversation: c) Partners contributions, and d) Using Speech Generating Devices. We will discuss these themes, subthemes, and provide exemplars. Conclusions: This study provides insight into the interests and dreams of all children and also the challenges in conversation experienced by children using AAC. The findings highlight the crucial role that the communication aids and partners play in interactions.
F71 CORECOM – One Competency Document for Occupational Therapists in Canada | CANCOM - Un document de compétences unique pour les ergothérapeutes au Canada
Friday (CST| HSC): 15:15-16:25 | Extended discussion
General/professional issues | Non-specific to Client Group
Eva Schausberger, Guy Fortier (CamProf team)
Look into the future and help to shape it, at the CORECOM session.
The CORECOM project started in March 2019 and will finish in March 2021. The consultants, CamProf Inc, will present this consultation session as part of the preparation for the Validation Survey of all occupational therapists in May and early June.
CORECOM is a national collaborative initiative to develop a single competency document that will outline entry to practice competencies and describe competencies used throughout occupational therapy practice. It will include competencies implementing the Truth & Reconciliation Commission’s recommendations.
This bilingual session will present the draft competencies and enable participants to discuss and study them and provide constructive feedback. The feedback will be used to prepare the Validation Edition of the CORECOM Competencies, which will be sent to all registered occupational therapists during the Validation Survey.
CORECOM is led by:
• Association of Canadian Occupational Therapy Regulatory Organizations (ACOTRO)
• Association of Canadian Occupational Therapy University Programs (ACOTUP)
• Canadian Association of Occupational Therapists (CAOT)
The project is funded in part by the Government of Canada’s Foreign Credential Recognition Program.
Regardez vers l'avenir et contribuez à le façonner, lors de la session de CANCOM.
Le projet CANCOM a débuté en mars 2019 et s'achèvera en mars 2021. La firme de consultants, CamProf Inc, présentera cette session de consultation dans le cadre de la préparation de l'enquête de validation de tous les ergothérapeutes, prévu en mai et début juin.
CANCOM est une initiative de collaboration nationale visant à élaborer un document de compétences unique qui décrira les compétences d'entrée à la pratique et décrira les compétences utilisées tout au long de la pratique de l'ergothérapie. Il inclura des compétences mettant en œuvre les recommandations de la Commission Vérité et Réconciliation.
Cette session bilingue présentera le projet de compétences et permettra aux participants d'en discuter et de l'étudier et de fournir des commentaires constructifs. Ces commentaires seront utilisés pour préparer l'édition de validation des compétences CANCOM, qui sera envoyée à tous les ergothérapeutes inscrits lors de l'enquête de validation.
CANCOM est dirigé par :
• Association canadienne des organismes de réglementation en ergothérapie (ACORE)
• Association canadienne des programmes universitaires en ergothérapie (ACPUE)
• Association canadienne des ergothérapeutes (ACE)
Le projet est financé en partie Programme de reconnaissance des titres de compétences étrangers du gouvernement du Canada
General/professional issues | Non-specific to Client Group
Eva Schausberger, Guy Fortier (CamProf team)
Look into the future and help to shape it, at the CORECOM session.
The CORECOM project started in March 2019 and will finish in March 2021. The consultants, CamProf Inc, will present this consultation session as part of the preparation for the Validation Survey of all occupational therapists in May and early June.
CORECOM is a national collaborative initiative to develop a single competency document that will outline entry to practice competencies and describe competencies used throughout occupational therapy practice. It will include competencies implementing the Truth & Reconciliation Commission’s recommendations.
This bilingual session will present the draft competencies and enable participants to discuss and study them and provide constructive feedback. The feedback will be used to prepare the Validation Edition of the CORECOM Competencies, which will be sent to all registered occupational therapists during the Validation Survey.
CORECOM is led by:
• Association of Canadian Occupational Therapy Regulatory Organizations (ACOTRO)
• Association of Canadian Occupational Therapy University Programs (ACOTUP)
• Canadian Association of Occupational Therapists (CAOT)
The project is funded in part by the Government of Canada’s Foreign Credential Recognition Program.
Regardez vers l'avenir et contribuez à le façonner, lors de la session de CANCOM.
Le projet CANCOM a débuté en mars 2019 et s'achèvera en mars 2021. La firme de consultants, CamProf Inc, présentera cette session de consultation dans le cadre de la préparation de l'enquête de validation de tous les ergothérapeutes, prévu en mai et début juin.
CANCOM est une initiative de collaboration nationale visant à élaborer un document de compétences unique qui décrira les compétences d'entrée à la pratique et décrira les compétences utilisées tout au long de la pratique de l'ergothérapie. Il inclura des compétences mettant en œuvre les recommandations de la Commission Vérité et Réconciliation.
Cette session bilingue présentera le projet de compétences et permettra aux participants d'en discuter et de l'étudier et de fournir des commentaires constructifs. Ces commentaires seront utilisés pour préparer l'édition de validation des compétences CANCOM, qui sera envoyée à tous les ergothérapeutes inscrits lors de l'enquête de validation.
CANCOM est dirigé par :
• Association canadienne des organismes de réglementation en ergothérapie (ACORE)
• Association canadienne des programmes universitaires en ergothérapie (ACPUE)
• Association canadienne des ergothérapeutes (ACE)
Le projet est financé en partie Programme de reconnaissance des titres de compétences étrangers du gouvernement du Canada
S5 The role of occupational therapy in primary care: A Scoping Review
Thursday (CST| HSC): 11:00-11:25 | Paper presentation
Primary care/population health | Community/population
Leanne Leclair Leanne.Leclair@umanitoba.ca Catherine Donnelly (Queen's University | Kingston) leanne.leclair@umanitoba.ca, Leanne Leclair University of Manitoba Leanne.Leclair@umanitoba.ca, Carri Hand Western University chand22@uwo.ca, Pamela Wener University of Manitoba Pamela.Wener@umanitoba.ca, Lori Letts McMaster University lettsl@mcmaster.ca
Introduction: Occupational therapy is an emerging role in primary care, the initial point of contact within the health care system. A growing body of evidence supports occupational therapy in this area of practice. A synthesis of this evidence is needed to facilitate ongoing development of the role of occupational therapy in primary care. Objective: To describe the role of occupational therapy in primary care based on the existing literature. Method: We applied Arksey and O'Malley's (2005) methodological framework to conduct a scoping review of academic and grey literature. We searched seven databases to identify articles published from 1980 to March 2018 along with guideline databases and OT websites. Following the selection of articles, we created matrices to chart the data. The Person-Environment Occupation model (Law et al., 1996) and the Canadian Practice Process Framework (Townsend & Polatajko, 2007) were used to guide content analysis. Results: We identified 6442 publications in the initial search and 20 additional publications through hand-searching. Eighty-five articles met the inclusion criteria: 53 non-research and 32 research. Studies focused primarily on adults and older adults with physical and mental chronic conditions. Only two studies involved children. Occupational therapists integrate person, occupation and environment level interventions to enable individuals to manage conditions, promote health and prevent illness and disease. Conclusion: This scoping review provides an overview of the role and the extent of the literature available on occupational therapy in primary care. We identified gaps for future research that can help address and inform this area of practice.
Primary care/population health | Community/population
Leanne Leclair Leanne.Leclair@umanitoba.ca Catherine Donnelly (Queen's University | Kingston) leanne.leclair@umanitoba.ca, Leanne Leclair University of Manitoba Leanne.Leclair@umanitoba.ca, Carri Hand Western University chand22@uwo.ca, Pamela Wener University of Manitoba Pamela.Wener@umanitoba.ca, Lori Letts McMaster University lettsl@mcmaster.ca
Introduction: Occupational therapy is an emerging role in primary care, the initial point of contact within the health care system. A growing body of evidence supports occupational therapy in this area of practice. A synthesis of this evidence is needed to facilitate ongoing development of the role of occupational therapy in primary care. Objective: To describe the role of occupational therapy in primary care based on the existing literature. Method: We applied Arksey and O'Malley's (2005) methodological framework to conduct a scoping review of academic and grey literature. We searched seven databases to identify articles published from 1980 to March 2018 along with guideline databases and OT websites. Following the selection of articles, we created matrices to chart the data. The Person-Environment Occupation model (Law et al., 1996) and the Canadian Practice Process Framework (Townsend & Polatajko, 2007) were used to guide content analysis. Results: We identified 6442 publications in the initial search and 20 additional publications through hand-searching. Eighty-five articles met the inclusion criteria: 53 non-research and 32 research. Studies focused primarily on adults and older adults with physical and mental chronic conditions. Only two studies involved children. Occupational therapists integrate person, occupation and environment level interventions to enable individuals to manage conditions, promote health and prevent illness and disease. Conclusion: This scoping review provides an overview of the role and the extent of the literature available on occupational therapy in primary care. We identified gaps for future research that can help address and inform this area of practice.