
Developmental Coordination Disorder: Mental health of Canadian Parents and Children
Tiffany Wu & Nufar Berko Gabay | Dr. Jill Zwicker, Erin Klein
Room 1002 (LSC 2) | 9:40 – 10:00 AM
Background: DCD is a prevalent neurodevelopmental condition that significantly affects a child’s physical, social, and emotional well-being. While international evidence highlights increased mental health concerns among children with DCD and their families, Canadian data remain limited. There is a growing need for parent perspectives on the impacts of DCD on their and their children’s mental health and family challenges when raising a child with or at risk for DCD. Purpose: This study aimed to explore parent perspectives on the socio-emotional and mental health of children with suspected or diagnosed DCD and the impact on family well-being and caregiver burden across Canada. Method: A national online cross-sectional survey was distributed to parents of children aged 5–18 years with suspected or diagnosed DCD. Data were analyzed using descriptive statistics, chi-square tests, and content analysis of open-text responses. Findings: There were 488 respondents. Most parents (90%) expressed concerns about their child’s socio-emotional health (anxiety, sadness, peer exclusion, and low self-esteem). Nearly half (45%) of parents rated their own mental health as fair or poor, reporting emotional fatigue, guilt, and isolation. Family participation was often limited due to the child’s difficulties. No differences were found across Canada. Conclusion: Findings highlight the need for OT services that reflect both physical and mental health needs of children and families.

The Icelandic Prevention Model for Substance Use: A Scoping Review
Alanna Stobbe, Cassidy Fleming, Sabrina Moore | Dr. Skye Barbic
Room 1410 | 9:40 – 10:00 AM
The Icelandic Prevention Model (IPM) is a community-based youth substance use prevention model that was implemented in Iceland in the 1990s in response to high rates of youth substance use. Planet Youth, the organization developed to implement the model in other global contexts, markets it on the basis of being an evidence based approach that has been implemented in hundreds of communities globally. The primary purpose of this scoping review was to evaluate existing literature on the IPM’s effectiveness in various contexts in order to help understand the model’s potential applicability and scaling in Canada. We conducted a scoping review of all peer-reviewed literature and studies published in the last 35 years in English or French that evaluated or discussed the implementation of the IPM. The search was performed on June 4, 2025 using key databases (Embase, CINAHL, MEDLINE, PsycInfo, Web of Science), yielding 40 results for full text review. This was supplemented by a Google Scholar hand search in June 2025. Limited research is available to describe the components of the IPM, effectiveness, and impact on youth. These insights are necessary for local stakeholders, including funders and community-based organizations, who may be supporting the large-scale implementation of the IPM in Canada under an assumption that it supports the well-being of youth. This review highlights the need for further research on the Icelandic Prevention Model to fully understand its components and effectiveness, thereby enabling stakeholders, particularly community-based organizations, to optimize youth substance use prevention strategies in Canada.

The Effect of Calmer on Physical Growth in Preterm Infants: A Randomized Controlled Pilot Trial
Rachel Pigeon, Devanshi Gupta, Magalee Blumenkrans | Dr. Liisa Holsti, Dr. Manon Ranger, Deepshikha Garga
Room 1416 | 9:40 – 10:00 AM
Background: Calmer is a patent medical device that seeks to supplement Skin-to-Skin Holding (SSH), an essential intervention that impacts preterm infant growth and development in the NICU at BC Women’s and Children’s Hospital (BCWH) . Calmer simulates SSH by providing heartbeat sounds, breathing motion, and a skin-like surface. Purpose: To gather pilot data to evaluate the impact of Calmer on body weight, head circumference, and time mothers spend SSH with their premature infants in the BCWH NICU, compared to premature infants with standard NICU care. This qualitative study aims to explore whether using Calmer as an adjunct to SSH, during times when caregivers are not available, improves preterm infant physical growth, findings that have long-term implications. The results of this pilot study will inform the future design of a larger RCT. Hypothesis: Preterm infants receiving Calmer, compared to preterm infants receiving standard NICU care, will demonstrate higher average total weight gain, head circumference, and no difference between groups in the time parents hold their infants skin-to-skin. Method: 22 infants were randomly assigned to either standard care (n = 11, regular SSH) or Calmer treatment (n = 11). The study measured average infant weight gain, head circumference, Calmer usage time, and the duration and frequency of skin-to-skin contact by mothers in both Calmer and control groups over a 3-week period. Findings: No differences were found between groups for any outcome measure (total weight gain and head circumference) or SSH duration. Conclusion: Calmer intervention did not impede the amount or duration of SSH provided to NICU infants. Additional research, with a larger sample size, is needed to determine effects of Calmer on weight gain, head circumference, and SSH in the NICU over longer periods.

Artificial Intelligence and Rural Occupational Therapy: Perspectives from BC Clinicians
Camden Lindsay, Jup Sandhu, Karn Athwal | Dr. Brodie Sakakibara, Jacob Bosancich
Room 1510 | 9:40 – 10:00 AM
Background. Artificial Intelligence (AI) has the potential to transform healthcare by enhancing assessment, monitoring, and intervention. However, rural occupational therapists (OTs) in British Columbia face barriers such as limited access to technology, insufficient training, and concerns about bias and data privacy that hinder its integration. Purpose. This study explored the perspectives of rural OTs in British Columbia on integrating AI into practice, with a focus on assessments, interventions, and ethical considerations. Method. A concurrent nested mixed-methods design was used. An online survey was distributed to OTs working in the Island, Northern, and Interior Health regions. Quantitative data were analyzed using SPSS, and qualitative data from interviews underwent thematic analysis. Findings. Thirty-one participants completed the survey, and 11 participated in interviews. Three themes emerged: “Cautious Engagement with AI” described limited exposure and the need for clearer education and support; “Complementing, Not Replacing” emphasized that AI should support, not replace, clinical reasoning and therapeutic relationships; and “Toward Equitable AI Integration Across Practice Settings” highlighted concerns about privacy, consent, cultural safety, and access in rural areas. Conclusion. To ensure AI aligns with core OT values, the profession must prioritize ethical guidance, professional development, and advocacy for equitable access, particularly in rural settings.

PEDI-CAT: Does it capture the needs of children with DCD?
Meaghan Hall & Julee MacLean | Dr. Jill Zwicker, Erin Klein
Room LSC 2 | 10:05 – 10:25 AM
Introduction: Affecting 1 in 20 Canadian children, Developmental Coordination Disorder (DCD) is a common but under-recognized neurodevelopmental disorder that affects a child’s ability to learn motor skills and perform daily activities. Without intervention, DCD persists into adulthood. Currently, most children with/at risk of DCD do not receive early intervention as standard of care. Some agencies use the PEDI-CAT to determine eligibility for services, but it is unknown if this tool is sensitive enough to detect daily life impacts of DCD. Objectives: This study aims to: (1) assess the responsiveness and sensitivity of the PEDI-CAT to detect functional deficits of children with DCD; and (2) examine concurrent validity of the PEDI-CAT compared to DCD-specific measures. Methods: This retrospective study will analyze data from 75 participants (4-15 years) who were assessed by an occupational therapist to inform DCD diagnosis by a pediatrician. Assessments included the (Little) DCD Questionnaire (DCDQ), Movement Assessment Battery for Children (MABC-2), and PEDI-CAT. Spearman correlations and chi-square analyses will assess the relationships between PEDI-CAT scores and DCD diagnosis, DCDQ scores, and MABC-2 scores. Results: Data from this study will inform whether the PEDI-CAT can detect functional deficits in children with DCD. Conclusion: Best practice for children with/at risk for DCD is access to early identification and early intervention to alter the known negative developmental trajectory of these children. Study findings will provide preliminary evidence to either support or refute use of the PEDI-CAT in determining eligibility for occupational therapy services for this under-served clinical population.

Understanding Practitioner Experiences in the Inpatient Upper Limb Rehabilitation Group at GF Strong
Mallory Thorpe & Kirsten Christensen Anderson | Dr. Julia Schmidt, Jasleen Grewal, Nicole Gingrich
Room 1410 | 10:05 – 10:25 AM
Background. Acquired brain injury (ABI) can cause significant upper limb impairment, greatly impacting an individuals’ ability to perform daily activities. While programs like the Graded Repetitive Arm Supplementary Program (GRASP) aid upper limb recovery, their eligibility criteria often exclude patients with severe impairments. GF Strong Rehabilitation Centre developed an upper limb group therapy program to meet the needs of inpatients with significant functional limitations following ABI. However, little research has explored how group programs for highly impaired individuals are implemented in practice.
Objective. The aim of this study was to explore clinician experiences and perceptions of a group-based inpatient upper limb rehabilitation program for individuals with severe upper extremity impairment following ABI. Method. A qualitative design was used. Three clinicians from GF Strong participated in semi-structured interviews, which were audio-recorded, transcribed, and analyzed using inductive thematic analysis. Two researchers independently coded transcripts to minimize bias.
Results. Findings revealed that the group program fostered social connection through peer interaction and therapeutic relationships with rehabilitation assistants. Clinicians also reported increased therapy efficiency via extended patient therapy time, improved workload management, and enhanced interdisciplinary collaboration. Additionally, they emphasized the need to tailor group interventions to meet individual patient needs within the group context.
Conclusion. Despite the small sample size, this study provides preliminary insights into implementing inclusive upper limb rehabilitation for individuals with severe ABI-related impairments. Findings may guide future program development and support evidence-based clinical practice.
Keywords: acquired brain injury, upper limb rehabilitation, qualitative research, group therapy, clinician
experiences, thematic analysis

Implementation of a Group Intervention Supporting Functional Cognition in Multiple Sclerosis
Abbey Flintoff, Sophie Ebsary, Robert King | Dr. Susan Forwell, Denise Kendrick
Room 1416 | 10:05 – 10:25 AM
Background: Individuals with multiple sclerosis (MS) commonly experience cognitive impairments that impact their ability to perform everyday activities. Cognitive rehabilitation can enhance cognitive function and teach effective compensatory strategies to offset this impact. This study aims to investigate the effectiveness of the Cognition in Everyday Occupation for Persons with Multiple Sclerosis (CEO-MS) group based, occupation-focused program.
Methods: Objectives: 1. Increase participants’ knowledge and ability to self-manage cognitive symptoms of MS; 2. Increase participant engagement in everyday activities; 3. Determine CEO-MS acceptability within the MS population. A quantitative pretest-posttest design with washout was used to evaluate the outcomes of the CEO-MS program. Six participants with mild to moderate cognitive impairment were recruited. Characterization included the Symbol Digits Modalities Test (SDMT). Outcome measures included the Canadian Occupational Performance Measure (COPM), Multifactorial Memory Questionnaire (MMQ), and questionnaires across four timepoints. Data was analyzed using the Wilcoxon signed-rank test and IBM SPSS.
Results: Results indicated no significant differences during the washout phase (p>0.05). Results showed that all participants scored below age-adjusted norms on the SDMT (STDEV = –0.5 to –2). The COPM showed significant improvements in both performance and satisfaction scores (p<0.05). Preliminary results for the MMQ demonstrated improvement in the Ability subscale, while Strategy and Satisfaction subscales showed no significant changes.
Conclusions: The CEO-MS program fills a gap in occupation-focused intervention and was well received by the participant population. Future goals include accessibility and availability of the CEO-MS program to individuals experiencing cognitive symptoms of MS.

Rural Realities: Voices on Health Profession Education Barriers
Lauren Cape & Megan Kehler |
Dr. Laura Yvonne Bulk, Dr. Elly Park, Michael Lee, Jeff Boniface, Dr. Nassim Adhami, Dr. Tal Jarus
Room 1510 | 10:05 – 10:25 AM
Introduction: Students from northern communities are underrepresented in health professions education
(HPE) programs, coinciding with a historical pattern of underserved healthcare needs in these areas.1 These
interrelated issues stem from various factors, notably the necessity for residents to leave their communities
for education. Rural students face unique barriers to entering HPE that urban counterparts do not, such as
separation from family and support systems.2 Moreover, those who leave their communities for education
are less likely to return home after graduation, opting to remain in the city where they studied due to social
connections formed during their studies.3 To address these issues, some HPE programs are now available
in Northern BC areas. However, it remains uncertain whether residents have the capacity to access these
opportunities.Objectives: The goals of this study are to 1) understand the perspective of Northern residents
regarding their knowledge of, interest in, and barriers to HPE programs, and 2) assess how Northern
residents would like unmet needs in these areas addressed. Methods: Northern residents aged 15+
completed an online survey exploring their knowledge of and barriers to pursuing HPE and how they think
identified needs can best be supported. Results: Northern residents reported many barriers existed for
pursuing HPE and provided suggestions on how to make HPE more feasible. Conclusions:The results of this
study will guide the development of sessions designed to support the unique needs of Northern residents
interested in HPE programs, aiming to increase the number of health professionals in underserved Northern
communities.
References
Weber, B. W. (2024). Rural healthcare provider recruitment: Time to focus on opportunities rather than
scarcity: Rural & Remote Health. Rural & Remote Health, 24(1), 99–102. https://doi.org/10.22605/RRH8481
Maurice, S., Mytting, K., Gentles, J. Q., Roots, R., Constantin, A. G., Kruger, S. L., Sim, S., Brock, W., Oyedele,
O., Soles, J. A., & Snadden, D. (2019). The Healthcare Travelling Roadshow: A qualitative study of a rural
community engagement initiative in Canada: Rural & Remote Health. Rural & Remote Health, 19(3), 1–10.
https://doi.org/10.22605/RRH5238
Grimes, L. E., Arrastía-Chisholm, M. A., & Bright, S. B. (2019). How Can They Know What They Don’t Know?
The Beliefs and Experiences of Rural School Counselors about STEM Career Advising. Theory & Practice in
Rural

Who let the dogs in? Staff experiences of having a facility support dog in their workplace
Jalie Carmody & Stephanie King | Dr. Jill Zwicker, Dr. Elisha Williams, Caitlyn DeBruyne
Room LSC 2 | 10:45 – 11:05 AM
Rationale: We had the unique opportunity to evaluate the impact of a facility support dog who works with an occupational therapist providing services to clients in varied settings. While support dogs have well documented therapeutic benefits across a variety of health conditions, few studies have explored the impact of facility support dogs on the staff and administrators working at the facilities.
Objective: To explore staff’s indirect experiences with a facility support dog and the perceived effects it has on them, their co-workers, and their workplace.
Methods: We conducted semi-structured interviews of staff and administrators impacted by a facility support dog across a variety of settings where the occupational therapist works. Thematic analysis and interpretive description were used to analyze and interpret the data with a clinical lens.
Results: Participants reported improved mood and morale at their workplace following an interaction with the facility support dog. They reported similar observations in their coworkers, their work environment, and their clients. some challenges were reported in how to navigate having a facility support animal in the workplace.
Conclusion: Facility support dogs not only have a potential positive impact on their clients, but also on the administration, staff, and personnel with whom they come into contact. There is opportunity for occupational therapists to include facility support dogs into their scope of practice to expand the impact of their services. Our study suggests that the presence of facility support dogs can lead towards healthier and happier workforces and merits the continuation of research to support their therapeutic presence in work environments.

Assessing Community-Based Occupational Therapy for Mental Health and Concussions
Dana Anderchek, James Krause, Tim Henderson | Dr. Julia Schmidt, Catherine Sykes
Room 1410 | 10:45 – 11:05 AM
Introduction: Mental health disorders and concussions are common conditions that affect the lives of many Canadians leading to functional impairment, decreased quality of life, and difficulty returning to work (increased absence, increased cost). Community-based OT services provide individualized and context-specific interventions that support recovery by improving functional outcomes, supporting community living, reducing healthcare costs, and enhancing overall quality of life; however, little is known on the impact of these services. Objectives: This study explored the impact of community-based OT services for individuals with mental health disorders and concussions by assessing changes in reported symptomatology and functional outcomes following intervention. Methods: A retrospective chart review was conducted using 164 client files from a community OT provider between January 2021 and November 2024. Demographic and health outcome data were extracted. Paired-sample t-tests, Wilcoxon signed-rank tests, one-way ANOVA, and independent-samples t-tests were used to evaluate pre–post changes and group differences. Pearson and Spearman correlations were used to assess associations between outcomes. Average treatment cost was estimated by multiplying the hours of mean number of OT sessions by standard feepayer rates. Findings: Participants showed statistically significant improvements in community reintegration (RNLI: p < .001), depression (PHQ-9: p < .001), and anxiety (GAD-7: p < .001). RPQ-13 scores improved significantly (p = .011), as did Burns Anxiety Inventory scores (p = .002). RNLI improvement varied slightly by diagnosis, with a significant difference found between participants with and without concussion (p =.045); no other group differences were significant. Conclusion: Findings provide critical first-step data about the impact of community-based OT services.

Employment Support Needs for People Living with Multiple Sclerosis: Client Perspectives
Corrina Hornidge, Sarah Peardon, Katie Woznow | Dr. Susan Forwell, Denise Kendrick
Room 1416 | 10:45 – 11:05 AM
Introduction: MS involves demyelination of the central nervous system and is often diagnosed in adults during their working years. People with MS (PwMS) experience barriers in employment, leading to higher rates of exiting the workforce. There is a gap in effective interventions to support this population to maintain employment. Using an occupational therapy lens, this study aimed to understand the unmet employment support needs of PwMS.
Objectives: The objectives for this study were to understand the challenges related to employment, the current state of support, and the unmet needs of PwMS related to employment.
Methods: This mixed methods study employed a survey and semi-structured interviews. Participants were recruited through the UBC MS Clinic and were eligible if they were working or were on temporary medical leave. Data was analyzed using descriptive statistics and thematic analysis.
Results: 141 participants completed the survey, and 6 participants completed a semi-structured interview. 63% of respondents reported physical fatigue as their primary symptom impacting employment. Barriers to employment identified were related to perceptions and flexibility in the workplace, while supports identified were related to person-centered interventions. Four themes originated from the interviews, including uncertainty about the future, flexibility in the workplace, education for employers/employees, and feeling supported by colleagues.
Conclusions: These findings will guide development of clinical interventions that will provide employment-focused support to PwMS. These interventions should provide flexibility for in-person, virtual, individual, and group-based formats to meet the needs of this population.

Diversifying Health Professions: The Impact of Mentorship for Equity-Denied Youth
Megan Behm, Hannah Chute, Lauren Saletsky | Dr. Nassim Adhami, Dr. Tal Jarus, Dr. Laura Yvonne Bulk, Jeff Boniface
Room 1510 | 10:45 – 11:05 AM
Introduction: Equity-denied groups (EDGs) are continually underrepresented in healthcare professions, limiting culturally safe care and equitable health outcomes (Stanford, 2020; Wilbur et al., 2020). Barriers such as unequal access, lack of financial support, limited exposure to health education programs, and lack of mentorship/networking opportunities, make it challenging for individuals from EDGs to maintain a sustained interest in health professions (Lugo et al., 2023). Mentorship programs can help address these barriers by providing guidance and offering support to equity denied youth (Zhou et al., 2021).
Objectives: 1) To evaluate the impacts of the D’HoPE program on EDG youth’s sustained interest in health professions education (HPE). 2) To understand the specific impacts of the mentorship program on sustained interest.
Methods: Fifty youth in EDGs, who participated in a summer intensive program, were invited to participate. Of those individuals, n=11 participated in pre- and post-program surveys, and n=7 participated in focus groups, which aimed to discover the impact of the D’HoPE program on sustained interest in HPE. Pre-post data were collected using mixed methods.
Results: We identified 3 themes: Experiential and individualized learning as a catalyst; Building confidence and agency through overcoming barriers; and Developing identity and future orientation that contributed to sustained interest in health professions education.
Conclusion: Findings suggest that the D’HoPE program has the potential to foster sustained interest in HPE by combining early exposure immersive experiences (summer program) and individualized attention and
follow up (mentorship).

Experiences and Perceptions of Occupational Therapists Providing Virtual Care to Clients Living in Rural and Remote Communities in BC
Samantha Doyle, Jacqueline Hunter, Hollis Owens | Dr. Elisha Williams and Dr. Femke Hoekstra
Room LSC 2 | 11:10 – 11:30 AM
Occupational therapy (OT) has the opportunity to change how care and services are delivered in rural and remote communities. Many of these communities lack access to OT services, contributing to health inequities. Research shows that virtual care (VC) in rural communities has positive impacts across various populations and indicates barriers and facilitators experienced by those delivering care. The objective was to 1) explore experiences and perceptions of OTs providing VC in rural and remote BC communities; and 2) understand perceived barriers and facilitators to deliver this care. Registered BC OTs (n=10) who provide virtual care participated in semi-structured interviews. A thematic analysis was completed for aim 1, and the Consolidated Framework for Implementation Research (CFIR) guided the analysis for aim 2. Interview themes included 1) virtual services are increasing access to care in rural and remote BC through addressing OT shortages and weather/geographic challenges; 2) a hybrid model of care is preferred; and 3) rural and remote clients are more receptive to using virtual care but experience technological limitations. The CFIR analysis reveals policies for public and private practice, along with accessibility for the provider and recipient where the appropriate infrastructure, space, and resources are necessary components to care delivery. Reported effects of screen-time burnout contribute to a preference for providers to deliver care through a hybrid model. The results inform the enhancement of virtual OT services, therefore contributing to equitable access to healthcare in rural and remote BC communities.

Exploring Motivation to Increase Engagement in Telerehabilitation Among Stroke Survivors
Kyla Rupert, Claire Mundy, Luisa Schwarz | Dr. Brodie Sakakibara, Dr. Elise Wiley, Dr. Jill Williamson
Room 1410 | 11:10 – 11:30 AM
Introduction: Telerehabilitation (TR) is a promising option for stroke recovery, but motivational barriers, such as limited access to technology, reduced social interaction, and uncertainty about personal relevance, can hinder participation. This study aims to explore factors influencing stroke survivors’ motivation to engage in TR before starting a program and to identify ways to improve TR services.
Methods: A qualitative descriptive study was conducted with eight community-dwelling stroke survivors aged 65 and older. Semi-structured interviews, guided by Self-Determination Theory, explored participants’ experiences and motivations related to TR. Demographic data were analyzed using descriptive statistics, and interview transcripts underwent deductive thematic analysis.
Results: Themes related to autonomy included: (1) control and choice in rehabilitation, and (2) alignment with personal values and identity. Competence-related themes included: (1) technology competence impacts engagement, and (2) perceived competence and motivation for progress in recovery. Relatedness themes included: (1) social support throughout recovery, and (2) strong therapeutic relationships with healthcare providers. Other themes reflected how access, convenience, and personal or health-related barriers shaped engagement.
Conclusion: Stroke survivors’ motivation to engage in TR is shaped by perceived choice, technology confidence, social connection, and logistical access. Early, personalized interventions targeting these factors may support more meaningful and sustained participation in TR.

Employment Needs of Persons with MS: A Healthcare Provider’s Perspective
Rhiaanah Villalobos, Stacia Young, Karman Litt | Dr. Susan Forwell, Denise Kendrick
Room 1416 | 11:10 – 11:30 AM
Introduction: Persons with MS (PwMS) are often diagnosed during their prime working years, resulting in high unemployment. This stems from functional, neurological, cognitive, and environmental challenges. Despite a high prevalence of MS in Canada, healthcare providers (HCPs) have limited understanding of how to support PwMS with employment goals.
Objectives: To explore HCP perspectives on employment barriers and facilitators among PwMS and to understand the current state of practice among HCPs when addressing employment goals.
Methods: This study used a descriptive cross-sectional survey design. A Qualtrics survey was used to collect data on HCP perspectives regarding employment barriers faced by PwMS, as well as interventions, assessments and gaps in services. Recruitment occurred through email invitations sent to 28 Canadian MS clinics. Numeric data was analyzed using descriptive statistics.
Results: Fatigue and cognitive symptoms were identified as the greatest barriers to employment for PwMS. These barriers were identified at both individual and systemic levels, underscoring the need for targeted strategies to enhance vocational support within healthcare settings. Half of the participants felt that employment issues were being addressed effectively for patients. There was variability among clinicians regarding their ability to address patients’ employment-related goals.
Conclusion: Employment barriers for PwMS persist and are not entirely well addressed within the current healthcare system. Education for healthcare professionals working with PwMS may lead to their improved ability to support patients with employment retention.

Creative Explorations of Belonging in Distributed Learning Sites
Kelsey Strom, Gina Boyle, Manoji-Tharaka Gamaralalage | Dr. Laura Yvonne Bulk, Katie Lee Bunting, Dr. Julia Henderson
Room 1510 | 11:10 – 11:30 AM
Sense of belonging is critical in university education, particularly in health professional programs with distributed learning sites, where collaboration and interpersonal relationships are central to learning. Understanding factors that influence belonging is especially important. This study explored how graduate students and faculty in a health professional program with distributed learning sites at a Canadian University perceive and describe sense of belonging. The researchers identified potential barriers and facilitators and examined how belonging develops throughout the program. Using qualitative methods, researchers conducted individual interviews and collected participant-created visual artworks reflecting perceptions of belonging. Through a co-constructed process of thematic analysis, the researchers collaboratively interpreted participants’ narratives, identifying relationships as central to participants perceived sense of belonging. Key subthemes included student peer relationships, student-faculty relationships, and faculty-staff relationships. Smaller cohorts fostered stronger interpersonal connections, while geographical separation between cohorts brought about experiences of relationship fragmentation. Visual artworks mirrored these dynamics, combining abstract and representational techniques to illustrate disconnection, cohesion, and the complex nature of distributed learning. While faculty and students noted the challenges in building relationships across sites, they also emphasized the power of intentional, sustained connections in fostering belonging. These findings highlighted the importance of meaningful relationships in cultivating sense of belonging in distributed learning environments. Integrating visual artwork into data collection offered a unique lens for participants to express the emotional and social dimensions of their experiences. In distributed health professional programs, sense of belonging is fostered through meaningful relationships and is essential for student and faculty engagement and success.

Admission Predictors of Student Success on Occupational Therapy Fieldwork Placements
Emma Pederson & Katelyn Bligh | Dr. Elisha Williams, Alexis Davis, Jeff Boniface
Room LSC 2 | 11:35 – 11:55 AM
Introduction: The selection process for Canadian MOT programs has become increasingly competitive, with programs using various admission criteria such as GPA, personal statements, CVs, and interviews (Oranye, 2016). However, the link between these factors and success in fieldwork placements is not well understood. This study aims to explore the correlation between the differing MOT admission processes and success in the fieldwork program of OT. Objectives: This study aims to examine the relationship between pre-admission GPA and fieldwork performance and determine whether interview scores more effectively predict fieldwork success in MOT programs, with the goal of identifying more accurate admission criteria for selecting successful students. Methods: This retrospective cohort study will analyze existing data from three Canadian MOT programs, comparing pre-admission GPA and interview scores to senior level fieldwork performance. Data will be collected from MOT students who graduated between 2021-2024, and statistical analyses will be used to assess correlations between admission criteria and CBFE-OT scores. Results: We anticipate that pre-admission GPA will not strongly predict fieldwork performance, as fieldwork success involves skills beyond just academic achievement (Stier et al., 2021). The implications of this study suggest that admission interviews may offer better predictive value for fieldwork success, supporting a more holistic approach to admission selection. Conclusions: This study may prompt re-evaluation of current admission practices, helping MOT programs select students more likely to succeed both academically and in fieldwork placements, ultimately contributing to a stronger OT workforce.

Implementing Innovation in Healthcare: A Needs Assessment
Kuljit Samra & Leah Roberts | Dr. Stephanie Glegg
Room 1410 | 11:35 – 11:55 AM
Study Purpose: This study was designed to conduct a local implementation needs assessment with clinicians and leaders at BC Children’s Hospital (BCCH).
Research Questions: What is the potential for partnerships between clinical programs and implementation science researchers at BCCH’s Research Institute to support implementation? What best practices and/or innovations would healthcare providers and leaders like to see implemented at BCCH? What are the perceived barriers and facilitators of implementation?
Methods: This needs assessment used semi-structured online interviews with 14 healthcare providers and leaders from different BCCH clinical programs. Participants were recruited through email directories and snowball sampling. Data on barriers and facilitators of implementation were coded deductively to the domains of the Theoretical Domains Framework (TDF). Thematic analysis was used to discover themes/patterns of meaning within key domains.
Results: The key TDF barrier/facilitator domains included Knowledge, Emotions, and Environmental Context and Resources. Knowledge domain themes related primarily to the lack of knowledge about implementation science (IS) and how to locate resources. Themes within the Emotions domain ranged from excitement to overwhelm with respect to implementation, demonstrating the variability in positive and negative affect among participants. Environmental Context and Resources themes included limited time and funding, the importance of leadership support, and staffing concerns such as provider shortages.
Conclusion: Study results provide a foundational understanding of the factors influencing implementation across these programs. Findings will inform the design of an IS Hub at the Research Institute to support clinical innovation implementation at BCCH.

Finding Occupational Comfort: Media Depictions and Implications for Well-Being
Gabriela Willick, Chloë Korol-Filbey, Taylor Westwood | Dr. Julia Henderson, Dr. Susan Forwell
Room 1416 | 11:35 – 11:55 AM
Introduction: “Occupational comfort” is a developing concept that has been unexplored in occupational science and therapy. It offers a point of reference that captures, for example, an ease, a calmness, a quieting feeling, that can be experienced on its own or during occupation. As a new area, we start with understanding and defining the concept and its influence on daily occupations. Objective: This study aims to contribute to the development of a definition of “occupational comfort” by identifying themes that emerge in adults aged 18-35 and how they experience comfort through engagement in occupation. Methods: The discourse portraying potential examples of occupational comfort in Canadian Newspapers among adults navigating social and economic landscapes was examined. Using the ProQuest Newspapers platform (a domain dedicated to archiving newspapers and searching selected topics over time), search terms included comfort, connection, hobbies, productivity, enjoyment, and engagement. The articles that emerged were then evaluated by title and then by full article. The final capture included articles where three authors agreed on inclusion. A thematic analysis was then conducted to identify and describe common elements related to occupational comfort and its impact on daily engagement. Results: Preliminary findings suggest that occupational comfort is complex and closely linked to convenience, social connection, self-soothing, and economic balance. Anticipated results will identify how these themes shape individuals’ engagement in meaningful activities. Conclusion: Findings may inform how experiences of comfort influence behaviours, decision-making, and motivation to engage in occupation.
Keywords: Comfort, occupation, connection, hobbies, productivity, economic-balance, engagement, convenience, decision-making, motivation.

Student Stories of Distributed Learning and Engagement: Where do we go from here?
Morgan Lord, Skylar Derech, Krista Burtis | Dr. Elly Park, Dr. Laura Yvonne Bulk, Katie Lee Bunting
Room 1510 | 11:35 – 11:55 AM
Introduction: To meet the growing need for occupational therapists, particularly in underserved geographical locations, Canadian occupational therapy (OT) education programs are expanding using a distributed learning (DL) approach. DL consists of in-person instruction occurring synchronously across multiple urban and rural sites. Beeson and colleagues (2019) have identified a relationship where students’ sense of community and connection positively shapes their learning engagement, yet we still do not know how DL affects this relationship. With the increasing adoption of DL in Canadian OT education, understanding how a student’s sense of community and connection impacts their learning engagement is critical. Objectives: We aim to develop a deeper understanding of how a sense of community and connection shapes student learning engagement in one Canadian DL OT education program. Methods: This study is grounded in social constructivism to acknowledge learning occurs through interactions between community, culture, and social contexts. Narrative inquiry will capture the nuanced and contextual lived experiences of participants through storytelling. Purposive sampling was used to recruit participants with the criteria of one from each distributed site. Results: The participants’ narratives provide in-depth, personal perspectives about how, within a DL program, their sense of community and connection impacts their learning and engagement in profound and unexpected ways. Conclusion: By identifying significant dimensions of student experience, this research aims to inform intentional pedagogical choices and directions within DL education. Gaining this knowledge can offer a starting point to best support student learning engagement in DL OT education across Canada.

Crossing Borders: The Role of International Fieldwork in Shaping Canadian Occupational Therapists
Jasmine Kwasnica, Alexandra Akl, Jenilyn Byce | Alexis Davis, Dr. Andrea Duncan, Jeff Boniface
Room LSC 2 | 12:00 – 12:20 PM
Background. International Fieldwork Placements (IFPs) play a valuable role in cultivating personal and professional competencies within healthcare education. However, limited research explores how IFPs shape the development of Canadian occupational therapists in the early stages of their careers. Understanding these impacts can inform curriculum design and better prepare future clinicians for diverse and global practice contexts. Purpose. To explore and understand how Canadian occupational therapists make sense of their IFPs in relation to their transition from student to practitioner and their current professional practice. Method. Experiential data were collected through semi-structured individual interviews with Canadian occupational therapists (n=8), recruited through professional networks and LinkedIn. Interviews encouraged in-depth reflection and dialogue about participants’ IFP experiences, post-graduation transitions, and lasting impacts. Interpretative Phenomenological Analysis (IPA) was used to co-construct meaning from participants’ narratives and identify convergent and divergent experiences. Findings. All participants completed IFPs in partnership with low-income countries; one completed the placement virtually. IPA revealed four key themes: Self-Efficacy, Resourcefulness, Relational Growth, and Cultural Responsiveness. These themes reflect participants’ engagement with complex intercultural contexts, personal and professional growth, and critical reflection on their evolving identities as occupational therapists. Conclusion. Our study provides insight into the lasting impacts of IFPs on occupational therapists, particularly in shaping professional identity and informing culturally responsive practices. Findings highlight the value of IFPs in occupational therapy education and may inform curriculum design, student selection, and strategies to improve accessibility.

Skin Tone and Early Detection of Pressure Injuries at Vancouver Coastal Health Long Term Care Homes
Allison Zipursky, Sophia Choinicki | Dr. William Miller, Jill Wong
Room 1410 | 12:00 – 12:20 PM
PURPOSE: To investigate if individuals with darker skin tones living in Vancouver Coastal Health (VCH) long term care (LTC) homes are at higher risk of developing pressure injuries (PIs), and to investigate to what extent the Munsell Color Chart can be used to identify skin tone. METHOD: Using a cross-sectional research design, the skin tone of nineteen participants from five VCH LTC homes were visually assessed using the Munsell Color Chart and divided into light, medium, or dark skin tone categories. PI history from participants’ charts and outcome scales from their Resident Assessment Instrument – Minimum Data Set were collected. RESULTS: Eight participants had a stage 1 PI, and one participant had a stage 2 PI in the last year, all with light skin tone. Two participants had medium skin tone but no history of PIs in the last year. No participants presented with dark skin tone. CONCLUSION: Our data set supports the research suggesting that stage 1 PIs are more likely to be detected in people with light skin tone, likely missing the early stages of PIs in people with darker skin tone. Further research is needed to identify if people with darker skin tone living in VCH LTC homes are at higher risk of developing stage 2-4 PIs.

Changing Home: Collaborative Keeping of Cherished Objects During Home Disbandment
Selina Rattana, Joelle Rivera, Tim Pak | Dr. Julia Henderson, Dr. Susan Forwell
Room 1416 | 12:00 – 12:20 PM
Introduction: As older adults age, various life and health changes may result in the decision to downsize and move from their long-term home. This occupational transition can be difficult as individuals must choose what to bring to their new environment, often resulting in the loss of cherished objects that carry complex meanings1. Cherished objects have important connections to meaningful occupations, occupational roles, and occupational identity 2,3. Described as the “material convoy”4, these objects connect owners to previous experiences, evoking memories and stories4,5,6, and can be considered occupational and life course data. Objectives: The study aims to understand the meaning of transitioning from a long-term home and occupation-related meanings older adults attach to cherished objects they must divest of in this process. Methods: Arts-based narrative inquiry and collaborative creative engagement7 was used to capture experiences of older adult (aged 65+) home transition and downsizing. Participant interviews, fieldnote observations, and collaborative creation, were used to develop thematic narratives describing the meaning of cherished objects and deeper contextual understandings of older adults’ occupations across the life course and as they change homes. Findings: A case study of one older adult male presents his narrative of preparing for home transition. Complex feelings surrounding the meanings of objects and downsizing are shared, along with a wish to create a guide for sorting through his possessions. Conclusions: The case study illustrates how leaving a long-term home can be a complex, emotional transition, and how collaboratively created keepsakes of cherished objects can support this occupational transition.

Exploring Changes in Leadership Qualities Among First-Year Occupational Therapy Students Following Coursework and Fieldwork Placement
Behrouz ‘Bruce’ Danesh | Tanya Fawkes, Dr. Laura Yvonne Bulk
Room 1510 | 12:00 – 12:20 PM
Background. Leadership skills are increasingly recognized as essential for occupational therapists (Hitch et
al., 2020), yet there is limited research examining how these capabilities develop during education (Copley
et al., 2019). As healthcare environments require practitioners who can lead change, understanding
leadership development becomes crucial for curriculum planning and professional preparation. Purpose. To
examine differences in leadership styles between student occupational therapists at program entry and
after their first fieldwork placement, with particular theoretical interest in transformational leadership given
its alignment with occupational therapy values. Method. This cross-sectional study used the Multifactor
Leadership Questionnaire (MLQ-5X) to measure leadership styles in first-year Master of Occupational
Therapy students from 96 students across three UBC campuses. Data were collected from 25 students at
program entry and 15 post-placement, treated as independent groups due to unmatched participant
identifiers. Mann-Whitney U tests examined differences in transformational, transactional, and laissez-faire
leadership scores between groups. Findings. No statistically significant differences were found between
pre- and post-placement groups for transformational leadership (p=0.63), transactional leadership (p=0.31),
or laissez-faire leadership (p=0.93), with small effects, across all dimensions. Conclusion. Results provide
baseline data on leadership characteristics in entry-level occupational therapy students and inform future
longitudinal research needed for development of leadership curriculum.
Key words: transformational leadership, occupational therapy education, professional development, clinical
fieldwork

A Comparison of Canadian Occupational Therapy Fieldwork Programs and their Success in Preparing Graduating Students for Entry-level Competence
Iman Ajeti, Dana Barlaan, Kiran Nijjar | Alexis Davis, Tanya Fawkes, Jeff Boniface
Room LSC 2 | 1:55 – 2:15 PM
Background: Experiential learning in fieldwork provides occupational therapy (OT) students with the opportunity to develop the competencies required for entry-level clinicians. However, despite the 1000-hour fieldwork standard established by the World Federation of Occupational Therapists, Canadian university programs for OT vary in the allocation of these hours in terms of duration and frequency of placements. Possible differences in student performance based on these variations across the country remain unclear.
Purpose: This study aims to compare Canadian OT fieldwork programs and how they contribute to the development of entry-level graduate competencies.
Method: Of the 9 OT programs contacted, survey data from 7 schools were collected, while 4 schools provided the most senior Competency-Based Fieldwork Evaluation (CBFE) scores of students in the competencies of Clinical Reasoning, Practice Knowledge and Facilitating Change. Score comparison through Kruskal-Wallis test and content analysis of survey responses were used to assess fieldwork program differences.
Findings: Despite identical CBFE medians across competencies, preliminary analysis revealed statistically significant differences in scores between schools, suggesting that variations in fieldwork program design may influence performance outcomes.
Conclusion: Fieldwork programs play an essential role in developing student proficiency in skills critical for practice. The findings of this study highlight the aspects of fieldwork programs that best facilitate this. These can inform
universities in making future decisions when implementing a fieldwork program design most optimal for advancing students toward entry-level competency.

Immigrants’ occupational experiences in remote and hybrid work in Canada
Alexa Krywulak, Selvana Soreal, Vaida Kiaulakyte | Dr. Suzanne Huot, Dr. Samantha Jackson
Room 1410 | 1:55 – 2:15 PM
Introduction: During the COVID-19 pandemic, the increase in remote and hybrid work (RHW) positions opened new opportunities in the labour market for diverse populations in Canada, including immigrants. This change altered traditional workspaces for these employees, reshaping the interplay between daily activities, and blurring the spatial and temporal boundaries between occupational roles. Although immigrants are a vital part of Canada’s economy, the experiences of immigrants in RHW remain understudied in occupation-focused scholarship.
Objective: To explore the contextual factors shaping the employment experiences of immigrants in RHW and how these influence their daily occupations more broadly.
Methods: The study used an intrinsic case study approach. Participants were recruited through snowball sampling and included immigrants living in Canada who worked in remote or hybrid arrangements for at least 3 months. Data were collected through semi-structured interviews and eighteen verbatim transcripts were analyzed through thematic analysis.
Results: Three themes with sub-themes were developed to reflect immigrants’ occupational experiences in RHW: multifaceted isolation; the double-edged sword of flexibility; and unique contextual barriers to occupational participation. Findings demonstrate a preference for hybrid work due to limited socialization and networking opportunities in remote work settings and to facilitate occupational balance.
Conclusion: This novel study uniquely highlights immigrants’ RHW experiences through an occupational lens, revealing both benefits and challenges of RHW arrangements. Findings may inform employers and policymakers in supporting occupational balance and participation among immigrant remote and hybrid workers.

Integrating AI in Occupational Therapy: Developing and Evaluating a Remote, Self-Administered AI-Powered Occupational Therapy Initial Assessment: A Randomized Crossover Study
Heather Cathcart, Savannah Grasza, Kayla Williams | Dr. Miini Teng, Dr. Tal Jarus
Room 1416 | 1:55 – 2:15 PM
Introduction: The use of artificial intelligence (AI) in healthcare is rapidly evolving, yet research on remote AI-administered assessments remains limited. In occupational therapy (OT), where therapeutic rapport and client-centeredness are essential, it is important to explore how AI can be integrated without compromising these core values.
Objectives: This study aimed to evaluate an in-house developed remote, AI-administered OT initial assessment and compare it to a human-administered OT initial assessment.
Methods: A crossover design was used with 30 participants randomly assigned to complete both assessment types. After each assessment, participants completed surveys on usability, perceived compassion, goal-setting experience, and participated in reflective interviews. Data were analyzed using descriptive and inferential statistics and thematic analysis.
Findings: Participants (63% female, 30% male, 6.7% non-binary) were compared across demographics between groups except for education level. Both assessments were rated similarly for time, satisfaction, and usefulness. However, the human-administered assessment was strongly preferred for goal clarity, relevance, attainability, and motivation. Overall, 93% favored the human assessment, while 7% had no preference. Thematic analysis revealed four key themes: 1) “You kind of come in with an attitude of not trusting the AI”, 2) “Quick problem solving, but not much more”, 3) “Compassion is more than saying the right thing”, 4) “The human questions had more depth and purpose”.
Conclusion: While AI-administered OT assessments show promise for efficiency and accessibility, participants overwhelmingly valued the depth, compassion, and goal relevance of human-administered assessments. These findings suggest that AI tools may best serve as supplements rather than replacements in OT practice.

Exploring Older Adults’ Perspectives of Health, Well-being, and Healthy Aging
Mackenzie Graves, Justin Singh, Ryan To | Dr. Julia Henderson, Dr. Liisa Holsti
Room 1510 | 1:55 – 2:15 PM
Introduction: As lifespan increases across Canada, appropriate healthy aging assessments are necessary to ensure that healthspan keeps pace. However, existing healthy aging assessments operate from a medical model, overlook subtle health changes that could inform preventative approaches, and are not co-designed with older adults.
Objective: To inform future development of assessment tools and services that operate from a holistic, person-centered model; are multifactorial; incorporate the perspectives of older adults; and detect subtle indicators of healthy aging.
Methods: A two-phase study was conducted. Phase 1 consisted of an integrative review of Canadian research literature to identify existing CGAs and their features. Phase 2 consisted of a semi-structured focus group, in which 3 older adults shared their perspectives on health, wellbeing, and healthy aging.
Findings: Phase 1 revealed that few articles describe CGAs in sufficient detail to inform the development of future assessment tools. Those that do either name a specific CGA present in the literature or specify the subscales used to assess each domain of the CGA. Phase 2 revealed seven themes, split into two domains, representing how older adults conceptualize healthy aging and how healthcare can support their aging process. Themes include continuing to grow with age, viewing aging as a positive experience, and the benefits of person-centered healthcare.
Conclusion: The information gleaned from this study will inform the development of future assessment tools and services for older adults by (1) outlining the structure and content of existing CGAs and (2) ensuring that future assessment tools incorporate older adults’ perspectives.

Climate-Specific Health Literacy in Canadian Occupational Therapists
Alex Horner & Juan Diaz Nieto | Dr. Ben Mortenson, Jeff Boniface, Giovanna Boniface
Room LSC 2 | 2:20 – 2:40 PM
Climate change has been described as the biggest threat to global health because of heat-related illness, malnutrition, water scarcity, and the many other impacts that are the result of climate change. Even more troubling, the most vulnerable populations are bearing the brunt of these negative effects (Romanello et al., 2023). Climate-health literacy is the ability to discover, obtain, comprehend, appraise, and communicate information about the effects of climate-related changes on health and make informed choices based on that information (Raile, 2024). Currently, little is known about the health literacy of Canadian occupational therapists. The objective of this study is to determine the level of climate-related health literacy amongst occupational therapists in Canada and describe any gaps between knowledge and action within their practice. Respondents completed an online questionnaire that includes a climate health literacy measure, and open-ended questions about the relationship between occupational therapy practice and climate-health, and requirements to achieve sustainable work practices. This research improves our understanding of the current state of climate-specific health literacy among Canadian occupational therapists and identify gaps to tailor interventions to increase occupational therapists’ levels of climate-specific health literacy. By determining Canadian occupational therapist climate-health literacy, our study helps to inform future interventions to support climate action within the field.

Students’ perspectives on intersectionality in Occupational Therapy education
Meg Amwan, Evan Hallam-Zhou, Sampurna Gurung | Holly Reid, Dr. Suzanne Huot
Room 1410 | 2:20 – 2:40 PM
Introduction: Crenshaw’s (1989) seminal work conceptualizes intersectionality theory as a framework for understanding how overlapping social identities—such as ethnicity, gender, (dis)ability, and sexuality—affect experiences of privilege and marginalization. There is increasing recognition of the value of an intersectionality-informed approach in examining the connections between everyday occupations and various social identities within diverse power structures. However, there is a research gap regarding students’ perspectives of intersectionality and whether or how this theory is applied within occupational therapy education. Objectives: This study elucidates how current students and recent graduates of a Master of Occupational Therapy program in Western Canada perceive intersectionality theory, its representation within the curriculum, and its personal and pedagogical impacts on students. Methods: This qualitative study utilized an interpretive description design, conducting in-depth interviews. To allow the student researchers’ positionalities and lived experiences to be taken into account, auto-ethnography was used to further ground the study in a critically reflexive approach. Reflexive thematic analysis was utilized to identify common themes. Findings: Themes address insights related to three key areas: 1) reflections on students’ own positionalities in the occupational therapy program; 2) perceived pedagogical strategies to support learning critical theory; and 3) addressing power dynamics within education and healthcare institutions as part of health professional education. Conclusion: By exploring students’ perceptions of intersectionality theory within occupational therapy curricula, education programs can work to better understand and address the gaps in applying this critical theory.

Health Profession Student Engagement with Indigenous Cultural Safety Training
Shae Carlson, Taylor Brooks, Tara Stevens | Dr. Tal Jarus, Jay Macdonald
Room 1416 | 2:20 – 2:40 PM
Indigenous Cultural Safety Training (ICST) is a critical strategy in Canadian healthcare education, driven by Indigenous communities’ advocacy and the Truth and Reconciliation Commission (TRC) Calls to Action, which stress the need for culturally safe healthcare environments. Despite the importance of ICST in addressing health disparities, non-Indigenous healthcare students show varying levels of engagement, raising concerns about healthcare programs’ ability to foster critical reflexivity and cultural humility. Objectives: This study explores factors influencing engagement with ICST among non-Indigenous health profession students at one Canadian university. Methods: A mixed methods approach is utilized, combining surveys and interviews. Surveys adapted from the Canadian Public Opinion on Aboriginal Peoples survey and the Student Emotional Learning in Cultural Safety Education Instrument measure students’ familiarity, interest, and comfort with ICST. Semi-structured interviews provide deeper insights into students’ experiences and factors influencing their engagement. ANOVA will be used to investigate engagement-level differences between professions, gender, and year of study; interviews will be thematically analyzed. Findings: This study will identify potential barriers (e.g., lack of interest, time constraints) and facilitators (e.g., faculty support, personal motivation) to engagement in ICST. Conclusion: The findings will provide information that may be useful in ICST curriculum design to better promote student engagement and prepare future healthcare practitioners to practice cultural humility and reflexivity. This study serves as a step toward the Canadian Association of Occupational Therapists’ commitment to the TRC Calls to Action and aligns with the imperative of reconciliation and systemic change to foster culturally safer care for Indigenous Peoples.

Empowering Mobility: Exploring the Decision-Making Process of Older Adults in Adopting Power Assist Devices
Kristy Choy, Zoey Xue, Elina Jiang | Dr. Ben Mortenson, Johanne Mattie, Dr. Jaimie Borisoff
Room LSC 2 | 2:45 – 3:05 PM
Introduction: Power assist devices (PADs) are powered attachments for manual wheelchairs designed to enhance users’ mobility and function. By reducing the physical strain of pushing, PADs can increase independence and improve participation in daily activities. However, little is known about the factors affecting older adults’ decisions to adopt these devices. Understanding the perceptions and decision-making processes around PAD adoption helps guide users and stakeholders toward informed choices, supports user-centred device development, and improves clinical prescribing practices. Objectives: This study aims to explore the perceived benefits and limitations of PADs in daily activities and to identify factors influencing the decision-making process for PAD adoption among older adult manual wheelchair users. Methods: Semi-structured interviews were conducted with eight participants and analyzed using reflexive and codebook thematic analysis to identify core themes in PAD use and adoption. Results: Preliminary findings suggest participants are open to using PADs but emphasize key adoption factors: ease of handling the devices, adaptability to terrain and weather, cost, and a preference for lightweight designs. They also expressed a strong need for clearer, more comprehensive information about PADs to support informed decisions. Conclusion: This research provides valuable insight into the motivators and barriers influencing PAD adoption among older adults. The findings will inform occupational therapy practices and support the development of assistive technologies that align with users’ real-world need —ultimately promoting autonomy, participation, and quality of life in this population.

Essential Skills Used by Occupational Therapists in BC: An Exploratory Study
Hayley Jeske & Jill Simpson | Jay Macdonald
Room 1416 | 2:45 – 3:05 PM
Introduction: Occupational Therapy (OT) requires highly skilled practitioners. The wide scope and variety of clinical settings within OT requires occupational therapists (OTs) to encompass skills that vary depending on their area or context of practice. While literature highlights unique demands for rural health care professionals, including enhanced strategic thinking and community engagement, the specific skills required in urban settings remain unclear. Objectives: This study aims to survey OTs in urban practice settings in British Columbia (B.C.), across various experience levels to explore skills OTs have identified as most meaningful and used most frequently in their practice. Methods: A cross-sectional design was conducted using a survey distributed to OTs in B.C. Thematic analysis was used to analyze qualitative data, while non-inferential and descriptive statistics were used for quantitative data. Results: OTs in urban practice areas of B.C. reported using a diverse and complex skillset, with notable variation in the type and frequency of skills used across practice settings, highlighting how context strongly shapes which skills are most relevant. Conclusion: Our findings confirm that OTs in urban B.C. demonstrate a broad skillset, ranging from dialectical behavioural therapy (DBT) to power wheelchair prescription, to swallowing assessments. The diversity and complexity of the profession raises important considerations for urban based practice and education. A wide skill range supports holistic care; however, it presents challenges for consistent training, supervision, and professional regulation. These results underline the need for flexible support for both new graduates and employers navigating the demands of diverse urban practice settings.