Search Results (5)

In health professions education, the hidden curriculum is a set of implicit rules and expectations about how clinicians act and what they value. In fields that are very homogenous, such as rehabilitation professions, these expectations may have outsized impacts on students from minoritized backgrounds. This qualitative study examined the hidden curriculum in rehabilitation graduate programs—speech-language pathology, occupational therapy, and physical therapy—through the perspectives and experiences of 21 students from minoritized backgrounds. Semi-structured interviews explored their experiences with their programs’ hidden curricula. These revealed expectations about ways of being, interacting, and relating. Three overarching themes emerged, each reflecting tensions between conflicting values: (i) blend in but stand out; (ii) success lies in individualism, while de-prioritizing the individual; and (iii) fix the field, using your identities as a tool. When the expectations aligned with students’ expectations for themselves, meeting them was a source of pride. However, when the social expectations clashed with their own culture, dis/ability, gender, or neurotype, these tensions became an additional cognitive burden, and they rarely received mentorship for navigating it. Health professions programs might benefit from fostering students’ critical reflection on their hidden curricula and their fields’ cultural norms to foster greater belonging, agency, and identity retention. Full article

Autistic children often have impaired self-regulation which can impact daily functioning and life outcomes. Occupational Therapy Using Zones of Regulation™ Concepts in an Equine Environment (OT-ZOR-Equine) is a standardized intervention that integrates both the Zones of Regulation™ curriculum and horses into occupational therapy to address self-regulation in autistic children. We aimed to assess the acceptability of OT-ZOR-Equine to participating autistic children. A qualitative descriptive research study was conducted with six autistic children ages 7–9 years who received ten weeks of OT-ZOR-Equine. Children participated in semi-structured interviews that used questions guided by the Theoretical Framework of Acceptability. We analyzed interview transcripts using directed content analysis. Autistic children found OT-ZOR-Equine to be generally acceptable. The children especially enjoyed horse riding but found the Zones of Regulation™ curriculum and certain aspects of riding to be less acceptable. Tailoring OT-ZOR-Equine to integrate each client’s preferences and needs may make this intervention more acceptable to autistic children. The findings of this study support the continued use of and research on OT-ZOR-Equine or similar occupational therapy interventions that integrate horses to influence self-regulation in autistic children. Full article

Mothers of children with autism spectrum disorder (ASD) face considerable psychological distress. Cognitive behavioral therapy (CBT) has shown promise in reducing caregiver burden, but evidence in the Arab world is lacking. Problem-solving appraisal training may optimize CBT’s benefits. This study evaluated a tailored CBT program emphasizing the role of problem-solving appraisal in managing distress through the process of CBT. Sixty mothers were randomly allocated in a 1:1 ratio to either the CBT intervention group or the control group. The CBT group received 3-month sessions incorporating problem-solving appraisal training within a CBT curriculum from October 2022 to April 2023. Problem-solving techniques are focused on equipping individuals with the skills to identify, approach, and effectively resolve problems, leading to a reduction in stress levels and an improved capacity to cope with difficult situations. All mothers completed assessments of socio-demographics such as age, level of education, marital status, occupation, and adequacy of family income, the Depression Anxiety Stress Scale (DASS-21) and the Problem-Solving Inventory (PSI) before and after the program. The CBT group showed significant pre-to-post reductions in depression, anxiety, stress, and general psychological distress compared to controls (all p < 0.05). They also exhibited significant improvements in problem-solving confidence, approach-avoidance style and personal control (all p < 0.05). The customized CBT program markedly improved psychological well-being for mothers of children with ASD in Egypt. Incorporating problem-solving techniques may optimize CBT’s benefits cross-culturally. These findings have implications for the implementation of evidence-based support programs for families impacted by ASD worldwide. Full article

South Africa has a colonial and apartheid past of social injustice, epistemological oppression, and exclusion. These mechanisms are historically inscribed in the designs, practices, and content of higher education—including in occupational therapy curriculum. If these historical markers are not consciously interrogated, patterns of reproduction are reified along the fault lines that already exist in society. The focus of this article is to demonstrate how an archaeological Foucauldian method was crafted from foundational Foucauldian archaeology analytics and existing approaches of Foucauldian discourse analysis to unearth the rules of the formation of the occupational therapy profession. These rules pertain to the formation of (a) the ‘ideal occupational therapist’; (b) who had a say about the profession; (c) the ways of preferred reasoning; and (d) underlying theoretical themes and perspectives about the future. Data sources for this archaeology analytics included commemorative documents of universities on the origin of their programmes; historical regulatory documents; and the South African Journal of Occupational Therapy archive from the period 1953–1994. The analysis rendered two subthemes for each of the rules of formation including ‘white exceptionalism’, white male national, and international, regulatory bodies, the profession’s know-how practical knowledge, and its need for recognition within a bio-medical paradigm. Unearthing the historical markers of a curriculum and viewing it as discourse may enable a conscious reconfiguration thereof. Full article

Pedagogical practices contribute to enhancing professional intelligence which is an indicator of maturity and development of professional identity. The research guiding question was: What are the pedagogical practices involved in occupational therapy students’ professional identity formation? A scoping review using a six-stage methodological framework was used to capture a variety of evidence describing how professional identity has been conceptualised and integrated into the occupational therapy curriculum while noticing a link to professional intelligence. Databases included were: Ovid MEDLINE, CINAHL, PsycINFO, ProQuest ERIC, Scopus, Web of Science, CSIC, Dialnet, PubMed, Pubmed Central, OTDBASE and Scielo. Qualitative content analysis was used to categorise learning outcomes into five components of professional identity that were associated with the pedagogical practices identified in the studies. n = 58 peer-reviewed journal articles were recorded. The articles were classified as intervention studies (n = 31; 53.4%), reviews (n = 12; 20.7%) and theoretical articles (n = 15; 25.9%). To ensure the feasibility of collecting and reporting results, we narrowed the focus to n = 31 intervention studies that provided information on pedagogical practices and learning outcomes on professional identity forging in students. This scoping review illustrates the variety of contexts in which students learn, the multiple dimensions of identity establishment, and the variety of pedagogical practices. These findings can be used to adapt and design focused formative curricula that support the development of professional identity. Full article