Research Projects

Kinematic and User Experience Outcomes With 3D-Printed Versus Thermoplastic Wrist Orthoses: A Pilot Investigation

Olivia Cook & Kasey Walker | Dr. Pedro Almeida

Room TBD | Time TBD

Introduction: Three-dimensional (3D) printing has emerged as an affordable and accessible alternative for fabricating assistive technology such as hand orthosis. Despite increasing discussion and interest in this technology, there is inconclusive and vague data on the feasibility of pre-fabricated 3D-printed orthoses for the upper extremity. While focusing on biomechanics through a clinical research approach, this study aimed to analyze movement functionally through an occupational lens.
Objective: The aim of this study was to compare movement quality, hand function, and personal preferences between two prefabricated 3D-printed splints to determine whether prefabricated 3D splints are a viable option for splinting for individuals with barriers to accessing hand therapy services. Methods: This cross-sectional pilot study compared three splint designs (Two prefabricated, 3D-printed splints and a traditional thermoplastic splint) in 10-15 healthy adult participants. Participant recruitment was completed using a convenience sample. Four trials were completed: a control trial with no splint, a trial with splint A (prefabricated 3D-printed), a trial with splint B (prefabricated 3D-printed), and a trial with splint C (traditional thermoplastic). All motion-captured data were post-processed to determine movement quality within the upper extremity. As a final measure, participants completed a brief survey on their personal preferences for the splints, including comfort, style, and wearability. Implications: Findings from this preliminary study may inform future large-scale research and guide best practices for 3D-printed splint design, potentially broadening access to effective and affordable orthotic solutions in hand rehabilitation. Through further research on 3D-printed splints, clients could have increased access to the technology required to heal upper extremity injuries in rural and remote areas.

Comparing In-Person and Online Pain Management in Rural and Remote Regions: A Prospective Study in Northern British Columbia

Madeline Bourke & Anelia Ivanova | Dr. Pedro Almeida

Room TBD | Time TBD

Background: Chronic pain affects one in five Canadians, limits participation in daily and meaningful occupations, and is disproportionately burdens rural and remote populations. While occupational therapy–led self-management delivered via telehealth appears comparable to in-person care for key outcomes, differences in engagement and persistent access barriers raise equity concerns in rural contexts.
Objective: (1) To compare changes in pain self-efficacy, pain acceptance, and sleep between in-person and online delivery of a pain management program; (2) to examine feasibility and engagement across modalities; and (3) to explore moderators related to rurality and digital access that may influence outcomes.
Methods: Quasi-experimental, non-randomized comparative cohort at a specialty pain clinic located in a rural region in Northern Canada. Adults with chronic pain enrol in either in-person or online cohorts and complete assessments at baseline, post-intervention, and follow-up. Measures include the Pain Self-Efficacy Questionnaire (PSEQ), Chronic Pain Acceptance Questionnaire (CPAQ), Pain & Sleep Questionnaire (PSQ-3), plus indices of engagement (attendance, attrition) and access. Expected Results: Both modalities are expected to improve PSEQ, CPAQ, and PSQ-3 scores from baseline, with a small-to-moderate advantage favouring in-person delivery at post-intervention. Higher attendance and lower attrition are anticipated in the in-person cohorts; modality differences may narrow after adjustment for engagement and access factors. Conclusion: Findings will inform equity-oriented service planning, strengthening local in-person capacity while refining online delivery strategies to better serve rural and remote populations.

Strengthening rural orthotics education for hand and upper limb care: A collaborative initiative in Northern British Columbia

Brooke Molby & Rachael McPhail | Dr. Pedro Almeida

Room TBD | Time TBD

Background: Splinting is a fundamental component of occupational therapy practice yet remains underrepresented in many services, with disproportionate gaps in rural and remote regions. Occupational therapists (OTs) across Northern British Columbia (BC) experience limited access to materials, training, and clinical mentorship, constraining timely, high-quality care. Objective: To (1) describe current splinting practices and barriers, (2) co-create a regionally tailored educational resource, and (3) evaluate preliminary changes in self-reported knowledge, confidence, and splinting competence among OTs working in rural settings. Design: Three-phase, mixed-methods pilot study. Setting/Participants: Registered OTs practising ion Northern Health Authority. Methods: Phase 1: Online needs-assessment survey quantifying orthoses fabricated, training access, and perceived barriers. Phase 2: Development of a regionally tailored educational resource with concise modules, video instructions and printable aids, iteratively reviewed by OTs for content validity and usability. Phase 3: Pre–post evaluation using brief surveys assessing knowledge, confidence, and self-rated competence, plus acceptability/feasibility indices (completion, time-on-task, perceived usefulness). Outcomes & Analysis: Descriptive statistics with appropriate paired comparisons for pre-post change; qualitative data analysed thematically to refine the resource. Anticipated Results: We expect to identify high-priority splinting needs and barriers (materials, equipment, mentorship, training access) and observe improvements in self-reported knowledge, confidence, and competence following the educational resource. Implications for OT Practice: Findings will inform a scalable, rural-ready splinting education package to improve access, equity, and sustainability of splinting services across Northern BC.

Keywords: Splinting/orthoses; occupational therapy; rural health; continuing education; mixed-methods; capacity building

Unlearning ableism: Exploring neurodiversity affirming practice for neurodivergent youth

Meghan Dunn & Chelsea Hoyle | Dr. Skye Barbic

Room TBD | Time TBD

Background: Neurodiversity affirming practice seeks to foster healthcare environments that respect and accommodate the diverse needs, preferences, and identities of neurodivergent individuals. Integrated Youth Services (IYS) offer youth centralized access to a range of health and social services, including occupational therapy, at no cost. While neurodivergent youth frequently utilize IYS, there is a lack of empirical evidence defining what constitutes neurodiversity affirming practices within these settings and how such practices can best support meaningful engagement in care and daily occupations. This project seeks to understand the health service access needs of neurodivergent youth who have accessed IYS to identify and describe affirming and non-affirming practices. The goal is to generate knowledge that can guide service providers in delivering inclusive, affirming care. Methods: Self-identified neurodivergent youth aged 18–24 who have accessed IYS were invited to participate in semi-structured interviews exploring their experiences of affirming and non-affirming care. We analyzed data using an inductive thematic approach to identify core patterns and insights across participants’ narratives. Results: Findings (n = 16) indicate that participants valued flexible, responsive, personalized, and collaborative approaches within IYS. However, several noted that some staff appeared underprepared or dismissive of complex neurodivergent needs. Participants also described ease of service navigation when providers identified and recommended additional health or social services within IYS. These findings will inform approaches to enhance inclusivity and promote occupational engagement for neurodivergent youth. Conclusions: This study contributes foundational knowledge to an underexplored area, advancing understanding of neurodivergent youths’ perspectives to inform more affirming, evidence-based occupational therapy practice in IYS.

“I’m more motivated than ever to pursue health care”: Diversifying health professions though a summer program

Nicole Arsenault, Leah Harrison & Savannah Miles | Dr. Laura Bulk, Dr. Tal Jarus

Room TBD | Time TBD

Introduction: The underrepresentation of healthcare professionals from equity-denied groups perpetuates inequities in educational opportunities, healthcare delivery, and health outcomes. Addressing this timely issue is essential as updated professional competencies outline Canadian occupational therapists’ responsibility to promote equity in practice. To this end, the University of British Columbia established a summer program to foster sustained interest in healthcare careers among equity-denied youth in 2022. Objectives: To 1) evaluate the short-term effectiveness of the Interior summer program, and 2) explore participants’ perspectives on diversity in health professions. Methods: Five youth attended a week-long summer program. Data were collected using mixed-methods including pre- and post-program surveys measuring interest in applying to health professions educations programs and a post-program focus group exploring students’ perspectives on diversity in healthcare. Mann-Whitney U tests were used to analyze potential changes in interest. Qualitative data underwent reflexive thematic analysis. Findings: Our analysis of qualitative data revealed two themes, each with three subthemes. The first being participants’ journey to health professions which reflects exploration of their future paths to healthcare careers through subthemes of openness to nonlinear paths, cultivating connections and curiosity, prioritizing balance, and building confidence and capacity. The second theme brings together participants’ reflections on the value of diversity in healthcare at both personal and systemic levels through subthemes of community is important, representation fosters belonging, and being part of the change. Quantitative analysis is underway. Conclusion: Initial findings indicate that the summer program was effective at fostering sustained interest in healthcare careers and that diversity in healthcare is valued by prospective students. Our results suggest that the D’HoPE Interior program represents an opportunity to address the critical underrepresentation of equity-denied youth within healthcare professions educational programs and a key opportunity to improve equity in occupational therapy and beyond.

Student and Preceptor Perceptions of Occupational Therapy Student-Led Clinic Efficacy

Jada Leys & Emma Kearns | Alexis Davis

Room TBD | Time TBD

Background: Student-led clinics (SLCs) have been implemented across Canada to address the growing need for fieldwork placements within rapidly expanding professional programs. SLCs offer a unique learning environment for students to build clinical competencies while fostering autonomy, independence, and confidence in practice. Despite their prevalence in occupational therapy education, there is limited research that explores the experiences of students and preceptors within these SLCs. Study Purpose: This study explores the perceived efficacy of student-led clinics through the learning and teaching experiences of Occupational Therapy students and their preceptors to determine the extent of which SLC placements foster student autonomy, confidence, clinical skills, and overall readiness for professional practice. Methods: Online surveys were distributed to current students and graduates in occupational therapy programs at the University of Alberta and the University of British Columbia who had completed a fieldwork placement at a SLC in British Columbia. Descriptive statistics were used to summarize response trends. Results: Preliminary survey results suggest that students experienced improved confidence in their clinical skills after attending a SLC. Participant reports also indicate that SLCs support student independence and autonomy. Practice Implications: Results from this study will provide insight on the experiences of occupational therapy students and preceptors in the context of SLCs. Findings from this study will inform the ongoing development and expansion of SLC models in occupational therapy education across Canada.

From Co-Learning to Capacity Building: Understanding the Perceived Influence of Internarional Fieldwork Placements on Host Sites

Kelly Chan & Ivana Abrigo | Alexis Davis

Room TBD | Time TBD

Background: International fieldwork placements play a key role in fostering cultural exchange and co-learning in global health settings. While host preceptors often view co-learning with students as a central aspect of their involvement in international fieldwork placements, it remains unclear whether this influences capacity building at host sites over time. Purpose: This study aims to: (1) study host sites’ experiences of co-learning with Canadian occupational therapy students and (2) explore how these experiences influence on their professional practice, roles, or broader context in the long term. Method: A qualitative design guided by constructivist-grounded theory, was used to understand participants’ perspectives and experiences. Semi-structured interviews were conducted over Zoom with host site preceptors who have supervised Canadian student occupational therapists during international fieldwork placements within the past 10 years. Data were analyzed using inductive thematic analysis to identify patterns and themes emerged from the interviews; with the use of Quality Evaluation Strategy Tool (QUEST) as a guiding conceptual framework to evaluate how reciprocal learning influences professional practice and capacity building within host sites. Findings: Findings show that reciprocal learning fosters host preceptors’ professional growth and contributes to reflection on practice. Common themes included that supervising a Canadian occupational therapy students helps develop cultural humility, innovative contributions, and partnership collaborations. Challenges included cultural differences and language barriers. Conclusion: Focusing on host preceptors’ perspective helps to illustrate how international fieldwork placements increased awareness of global health and promote greater participation in international placements among health professional students, thereby contributing to the long-term establishment and sustainability of global OT partnerships.

Leadership Development in Student Occupational Therapists

Marieke De Vynck & Sydney Warburton | Tanya Fawkes

Room TBD | Time TBD

Background: Occupational therapists (OTs) in Canada must demonstrate leadership as outlined in the national competencies for the profession. Developing leaders in the field of OT has been a continuous goal for the profession at large for years. Previous research has demonstrated that OTs have high transformational leadership skills, but there is a gap in the literature as to how OTs develop these skills. Research Question: How do student occupational therapists develop their leadership skills? Methods: This mixed-methods study is the second phase of an existing research project. The quantitative component employed a longitudinal design utilizing the Multifactor Leadership Questionnaire (MLQ) to compare data on the leadership traits of UBC student OTs over time. The qualitative component used an interpretive phenomenological lens to interpret data collected from semi-structured interviews with student OTs. Thematic analysis was used to identify major themes that arose relating to the development of their leadership qualities. Results: Leadership scores for transformational, transactional, and laissez-faire leadership styles did not change significantly from student OTs’ first to third clinical placement. Participants scored highest on transformational leadership compared to the other styles at both time points. Data collected during qualitative interviews showed that student OTs’ past experiences were a major contributor to the development of their leadership skills. In addition, exposure to other leaders, to different contexts, and to foundational OT values was found to influence leadership development. Finally, the opportunities presented over the course of students’ education influenced their leadership development. The opportunity to practice their skills and to be independent were highlighted along with the caveat that the group dynamics present in any given setting affected their ability to demonstrate and grow their leadership. Conclusions: This research supports existing literature that OTs display high transformational leadership traits. Student OTs enter the MOT program with a foundation of leadership skills, and experiences during the program fine tune these skills, but do not increase them a significant amount. There is an opportunity for the MOT curriculum to more intentionally target leadership as a learning objective to create a larger change in leadership development during the program.

Facilitators and barriers to implementation of early intensive manual therapy (EIMT) for young children with cerebral palsy (CP) across British Columbia (BC)

Clara Sui & Jennifer Farinha | Dr. Stephanie Glegg

Room TBD | Time TBD

Study Purpose: To identify patterns in perceived barriers and facilitators to the delivery of EIMT expressed by OTs in BC. Based on these identified patterns, recommendations for implementation strategies were developed in the context of the BC healthcare system, building on findings from current literature that describe the benefits of providing EIMT for infants and toddlers with CP.   Research Questions: (1). In BC, what do OTs who provide early intervention for infants and toddlers with CP perceive as facilitators and barriers to the implementation of EIMT?  (2.) What are the subjective experiences of OT respondents in BC and are there differences in facilitators and barriers expressed by respondents experienced in EIMT and those not experienced in EIMT?  (3.) Based on subjective survey responses from OTs in BC providing EIMT, what is the prevalence of specific barriers and facilitators?   Methods: Secondary analysis is being conducted on data collected from fourteen OTs in BC during Phase One of the INTERPLAY study by Vurrabindi et al. (2025). The Consolidated Framework for Implementation Research (CFIR) by Damschroder et al. (2022) was used to guide identification and organization of facilitators and barriers shaping delivery of EIMT, as perceived by responding OTs above. Based on priority facilitators and barriers, interventions are being generated and operationalized into the Aims, Ingredients, Mechanisms, and Delivery (AIMD) implementation science framework by Colquhuon et al. (2017). The Capability, Opportunity, Motivation, and Behaviour (COM-B) model and accompanying Behavioural Change Wheel (BCW) by Michie et al. (2011) is also supporting characterization and design of interventions. Results: While secondary analysis is ongoing and results are not yet finalized at the current stage of the project, some emerging trends in barriers/facilitators are being identified. For example, most (85%) responding OTs agreed that clients lacked the equipment and/or materials (e.g. appropriate seating, toys) for practicing EIMT at home. At the same time, 92 % of respondents perceived a strong relationship with coworkers/managers, and that EIMT aligned with the goals/purposes of their workplace. Also, considering that 92% of respondents perceived an OT or therapy assistant being expected to coach caregivers to be the primary providers of EIMT, strategies for collaborative, family-centered coaching practices are being mapped. Interventions may involve not only OTs and caregivers, but also other interest-holders. For example, to increase clients’ access to materials and equipment, target interventions may involve local advocacy groups, private funders, and/or different levels of government. Conclusion: Results may inform actionable strategies involving OTs in BC and/or other interest-holders (e.g. healthcare administration, local government, private funders) that increase access to EIMT for infants and toddlers with CP.

Skill Building Needs of Dementia Caregivers in Small Communities in British Columbia

Natasha Hayes & Emma Jinnouchi | Dr. Julia Henderson

Room TBD | Time TBD

Introduction: Research suggests that informal caregivers for people living with dementia experience higher levels of distress and burden correlated with their care recipient’s dementia symptoms, signaling a need for increased support and resources for these caregivers (Frias et al., 2020). Targeted and tailored interventions are recommended to meet the unique needs of dementia caregivers (Atoyebi et al., 2022), however there is limited Canadian research on caregiver experiences outside of major cities (Branger et al., 2014). Objectives: The purpose of this study was to explore how informal caregivers of people living with dementia in four smaller communities in British Columbia (BC) describe the skills and supports they currently have and need in their caregiving roles and occupations. Methods: Guided by interpretive description methodology (Thorne, 2025), this study interviewed 11 informal caregivers using semi-structured interviews and held two member-reflection focus groups in the communities of Comox, Courtney, Gibsons, and Sechelt, B.C. Reflexive thematic analysis (Braun & Clarke, 2022) was used to analyze interview and focus group data and generate themes. Results: Themes included “adapting to loss and change”, “multiple barriers to support”, “drawing on personal strengths”, and “needing timely and practical support” and described participants’ caregiving experiences, occupations, and perceived skill-building and support needs. Conclusion: Findings identify dementia caregiver skill-building and support needs in the communities of study, reveal potential roles for health care workers, and inform future development and implementation of caregiver programs and services in these communities.

Keywords: dementia, caregivers, supports, skill-building, small communities

Validating the OptiDev: Screening child development post-sepsis in Uganda

Taylor Deering & Mckenzie Turner | Dr. Liisa Holsti

Room TBD | Time TBD

Background: Sepsis is a leading cause of childhood illness and mortality worldwide, with the highest burden in low- and middle-income countries (LMICs). For those who survive, it can cause long-term neurodevelopmental (ND) delays (Wiens, 2021). ND screening in LMICs such as Uganda is limited by the lack of culturally-appropriate, accessible tools for healthcare providers and caregivers without specialized training in child development. Occupational therapists can improve outcomes by using ND screening for early identification to refer children for treatment and to provide data which can be used to advocate for increased rehabilitation services in low-resourced areas. Objective: To determine the concurrent validity of the OptiDev, a low-cost, and user-friendly developmental screening tool for children 0 to 5 years in Uganda, by comparing its scores against the Bayley Scales of Infant Development III (BSID-III), the gold standard neurodevelopmental assessment tool. Methods: This project is a prospective cohort study done in collaboration with Harvard researchers studying child wellbeing in Uganda. Both the OptiDev & BSID-III were administered and scored at two ages in children born full-term in Uganda, seen at 24 months and 36 months for developmental follow-up. Kendall rank correlation tests were conducted using R software to compare OptiDev total scores with BSID-III composite scores across the cognitive, language, and motor domains for each age group. Results: A total of 473 participants were included in the study. Weak to moderate correlations were found between the OptiDev and each BSID-III domain across all age groups. Conclusions: There was some correlation between all OptiDev items and the cognitive, motor, and language domains of the BSID-III, although the measures did not completely overlap, as expected for a new assessment tool. These findings provide preliminary evidence supporting the concurrent validity of the OptiDev as a developmental screening tool for children aged 24 and 36 months in Uganda. Future directions include examining domain-specific correlations between the OptiDev and BSID-III scales, as well as reviewing items within the 24 and 36 month age ranges to determine whether revisions to the OptiDev are needed to improve validity.

Reference:
Wiens, M. O., Kissoon, N., & Holsti, L. (2021). Challenges in pediatric post-sepsis care in resource-limited settings: A narrative review. Translational Pediatrics, 10(10), 2666–2677. https://doi.org/10.21037/tp-20-390

Caregiver Perceptions of Multidisciplinary Service Delivery for Children with ADHD

Bea Chemtov & Heather MacDonald | Dr. Liisa Holsti

Room TBD | Time TBD

ADHD: Is the most common neurodevelopmental disorder in children, affecting 50,000-70,000 children and youth in BC, and 1.5 million Canadians (MCFD, 2024). SCHOOL-AGE CHILDREN: Experience academic distress, difficulties with social interactions, trouble regulating emotions, handwriting, and general play; the primary occupation of childhood (Faraone & Larsson, 2019). EXPRESSION: Inattention, hyperactivity, impulsivity, and emotional dysregulation. ADHD SUPERPOWERS: Hyperfocus, resilience, creativity, spontaneity, innovative problem-solving skills (Chatterjee, 2025). OBJECTIVES: To explore caregivers’ perspectives and experiences with service delivery during intake on a newly implemented multimodal approach to tertiary service delivery at the B.C. Children’s Hospital Tertiary ADHD Clinic. To assess the perceived communication methods between the team and caregivers. To determine whether this model helped to simplify a normally complex and lengthy process, reducing barriers to accessing services. QUALITATIVE (MULTIPLE) CASE STUDY DESIGN: Adopting a constructivist methodology aimed at gaining an in-depth contextual understanding of caregivers’ lived experience. PARTICIPANTS: Inclusion criteria: (1) parents of children aged 6-18, (2) comfortable communicating in English, (3) recently accessed BCCH ADHD clinic services, (4) competent to give informed consent. METHODS AND PROCEDURES: Purposive sampling of (n=3-6) parents/primary caregivers who opted for a PT-CCC assessment. Semi-structured interviews using UBC secure Zoom platform. Initial emerging themes: BARRIERS TO ACCESS CARE & CAREGIVER ADVOCACY The parent described challenges encountered before entering the clinic (e.g., wait times, lack of information, feeling dismissed) that required ongoing caregiver advocacy to access services. REASSURANCE AND SUPPORT FROM THE CLINIC: The parent described feeling reassured that his concerns were valid and were appropriately addressed by clinicians. He also described the reassurance he received from the caregiver support group within the ADHD clinic. EXPERIENCE OF COORDINATED CARE: The parent described a feeling of cohesion between team members. COMMUNICATION WITH CLINIC AND COMMUNITY: The parent described the importance of clear communication with a single point of contact and the relief of having that person lead communication with community supports.

Immigrants’ occupational experiences with remote and hybrid employment in Canada

Veronica Hernandez-De Paoli & Jessie Kwan | Dr. Suzanne Huot

Room TBD | Time TBD

Introduction: Remote and hybrid work models have become more common in the post-COVID-19 era than in previous times. The rise of remote work has transformed traditional employment structures, with significant implications for remote and hybrid immigrant workers in Canada. The benefits of these work models have been shown to include increased autonomy and flexibility. Yet, the blurring of spatial, temporal and social boundaries has brought about unique challenges to workers’ occupational engagement, including Canadian immigrant workers who face additional barriers related to immigration status, expectations surrounding ‘soft skills’, and limited opportunities for social connection. While immigrants contribute to the Canadian economy as the main source of population growth, there is a lack of research focusing on their perceptions and experiences of remote and hybrid work in the Canadian labour market, particularly in relation to their roles and occupations across home and work contexts. Objective: This study explores how spatial, temporal, and social boundaries between home and work environments shape the occupational experiences of immigrant remote and hybrid workers in Canada. Methods: An instrumental case study was conducted using qualitative semi-structured interviews with 13 immigrant remote and hybrid workers in Canada. Verbatim transcripts were thematically analyzed as part of a secondary analysis. Results: Findings emerging from the thematic analysis demonstrate that participants experienced unique challenges due to the blurring of spatial boundaries (e.g., overlap between living and working spaces), temporal boundaries (e.g., working unpaid overtime hours), and social boundaries (e.g., limited opportunities to develop professional networks) in relation to their work settings that were primarily home-based. These findings further highlight themes of loneliness, lack of connection and support, impact on quality of work and increased stress. Conclusion: This deepened understanding of immigrants’ work-related needs and challenges can inform the development of tailored services better supporting their occupational engagement within the Canadian economy, particularly in relation to those working in remote and hybrid arrangements as they continue to evolve.

Integrating Virtual Reality into Constraint-Induced Movement Therapy (CIMT) for Children with Cerebral Palsy: A Feasibility Study.

Carmen Lee & Caitlin Chiu | Dr. Tal Jarus

Room TBD | Time TBD

Introduction: Constraint-induced movement therapy (CIMT) has commonly been used in occupational therapy (OT) interventions for children and youth with hemiplegic cerebral palsy (HCP). Integrating the use of virtual reality (VR) with CIMT practices has been suggested to improve senses of embodiment, participant adherence and engagement among pediatric populations. However, despite evidence suggesting the effectiveness of VR-CIMT, there is a gap in knowledge on the feasibility of this approach. Objectives: To evaluate the feasibility of delivering a VR-CIMT protocol through a newly developed game to children and youth with HCP in an outpatient hospital rehab setting. Methods: Three youth with HCP participated in nine biweekly VR-CIMT sessions. A descriptive approach was used to measure quantitative feasibility components, such as technological feasibility, safety, protocol consistency, time needed for session completion and participant engagement pre, during, and post-intervention sessions. Results for feasibility components were analyzed and compared to pre-determined parameters for success. Additionally, content analysis was used to assess qualitative feasibility components, including family perspectives on logistical demands, participant acceptability, and perceived benefits, and therapists’ perspectives post-intervention. Practice Implications: This study contributes to knowledge on the practicality of emerging VR technology used to enhance traditional OT and CIMT interventions, to create more meaningful treatment experiences for children with HCP. Understanding the barriers and facilitators of VR-CIMT interventions could inform the potential for implementation in practice. Conclusions: Findings on the feasibility of using VR-CIMT interventions could help OT’s clinical decision-making for treatment recommendations for youth with HCP. 

AI-based clients in occupational therapy education: Student and faculty insights

Autumn Uy & Kendall Ferguson | Dr. Tal Jarus

Room TBD | Time TBD

Background: Artificial intelligence (AI) is a growing advancement of technology in society, impacting many broad systems including healthcare.  Within health professions education, AI is being used as a chatbot, mimicking a client interaction with natural text and auditory responses (Mardani et al., 2020). By using chatbots as virtual clients in education, students can practice client interactions in a low-stakes environment without fear of making errors or being assessed. This allows them to develop their clinical reasoning, decision-making, and interpersonal skills (Seetharaman, 2023). The use of AI has potential to facilitate learning and warrants further investigation in occupational therapy education. Objectives: We aim to understand the impact of an AI chatbot on student engagement in occupational therapy (OT) education, namely case-based group tutorials (SGT), as well as student perspectives on the use of AI in education after experiencing it. Methods: Using a mixed methods approach, pre- and post-test surveys will be used to quantitatively assess change in perspectives. Focus groups can offer deeper insight into the experiences of both faculty and students after using this technology. Preliminary Results: Through the student pre- and post-surveys, we have found general trends in the following: decreased comfort of using AI in an educational setting; increased understanding of how AI could be integrated into the OT program; and unchanged participation in SGT. We anticipate focus group findings will further outline these findings. Conclusion: In a rapidly changing professional landscape, we need to critically integrate and understand constraints of AI (Rowe & Ward, 2025). Additionally, students need to stay up to date with technological advances to feel ready to enter fieldwork placements and their careers.  

References: Rowe, M., & Ward, G. (2025). Artificial intelligence in occupational therapy: From competition to collaboration. British Journal of Occupational Therapy, 03080226251325325. https://doi.org/10.1177/03080226251325325 Seetharaman, R. (2023). Revolutionizing Medical Education: Can ChatGPT Boost Subjective Learning and Expression? Journal of Medical Systems, 47(1), 61. https://doi.org/10.1007/s10916-023-01957-w Mardani, M., Cheraghian, S., Naeeni, S. K., & Zarifsanaiey, N. (2020). Effectiveness of virtual patients in teaching clinical decision-making skills to dental students. Journal of Dental Education, 84(5), 615–623. https://doi.org/10.1002/jdd.12045

Environmental Scan of Sustainable Practices in Technology-Based Occupational Therapy Interventions.

Wenqi Zhang & Xinping (Katherine) Wang | Dr. Tal Jarus, Dr. Ben Mortenson

Room TBD | Time TBD

Background: There is a growing recognition of the importance of sustainability across health-related disciplines, including occupational therapy. Occupational therapists are also increasingly using emerging technologies such as 3D printing, artificial intelligence, and virtual reality in day-to-day practice. Despite this growing integration of technology, there remains a critical gap in understanding how environmental, economic, and social sustainability are conceptualized and applied by occupational therapists within technology-based interventions. Purpose: The purpose of this study is to explore occupational therapists’ perceptions and experiences of sustainability in the context of technology-based interventions in Canada. By identifying how occupational therapists define, navigate, and apply sustainability across different areas of practices, this research aims to understand real-world implementation challenges (i.e. environmental, economic, and social challenges) and opportunities of technology-based occupational therapy. Method: This study adopts a qualitative descriptive design. Data are collected via semi-structured Zoom interviews and evaluated using a systematic thematic analysis approach. We have recruited 8 licensed occupational therapists in Canada, who have a minimum of two years of clinical experience and work in settings where technology-based interventions are used or recommended. Conclusion: By exploring occupational therapists’ experiences across diverse areas of practice, sustainability was identified as a multidimensional concept that includes environmental responsibility, sustainable intervention delivery, and long-term workforce well-being. Sustainability was also closely associated with client-centred and evidence-informed care, with an emphasis on encouraging clients and families to maintain positive outcomes beyond therapy sessions. Participants identified several barriers to sustaining practice using technology-based intervention, including limited funding, increasing workplace demands, staff burnout, geographical barriers, and inconsistent institutional support. Overall, findings suggest that while occupational therapists value sustainability, the understanding and integration of sustainable technology-based occupational intervention into real-world practice vary across settings and are often shaped by individual experiences and backgrounds, available resources, and workplace culture.

Acute discharge planning: The Functional Assessment of Cognitive Tasks (FACT)

Eric Wu & Richard Long | Jay MacDonald

Room TBD | Time TBD

Background: Acute care occupational therapists (OTs) play a critical role in evaluating patients’ cognition to support effective discharge planning (Giles et al., 2020). However, current standardized assessments are viewed as insufficient, lacking contemporary relevance, adaptability, and sociocultural sensitivity (Goodchild et al., 2024). Furthermore, real-world applicability is limited, often overlooking patients’ functional abilities and contextual factors. The Functional Assessment of Cognitive Tasks (FACT) was created as a modern, non-standardized tool for acute care OTs to screen a patient’s functional cognition, providing more insightful information to inform discharge planning. Objectives: This project will explore the perspectives of acute care OTs on the utility of the FACT in clinical practice. Methods: A survey will be disseminated to OTs working in acute care settings within the local health authority. Quantitative data will be analyzed using descriptive statistics, and thematic analysis will be conducted on responses to evaluate perceptions of the FACT, its impact on discharge decision-making, and areas for refinement. Results: Data collection is currently underway. Findings will inform future improvements to the FACT, providing OTs with tangible changes to practice processes. By synthesizing the experiences of OTs using the tool in acute settings, we aim to identify practitioner needs and address perceived deficits in current practice methods. Conclusion: This project aims to catalyze change in an OT practice area that is crucial yet under-researched. Tools like the FACT can transform the role of OT in acute care by providing a relevant, socioculturally sensitive, and adaptable tool to inform discharge planning.

Exploring the experiences of newly graduated occupational therapists being supported by a new graduate educator; successes and opportunities for growth.

Maria Alaia & Jaci Benson | Jay MacDonald

Room TBD | Time TBD

Background. Transitioning from student to practicing occupational therapist is often stressful, marked by perceived lack of practical skills, increased responsibility, unmet support needs, and reduced role clarity. These factors can contribute to burnout, self-doubt, and attrition from the profession. Mentorship can facilitate a smoother transition and promote professional growth and competence. This study explores the experiences of newly graduated occupational therapists enrolled in a new graduate program, which uniquely combines dedicated mentorship through a new graduate educator with skill-building workshops. Objectives. To explore how participation in the new graduate program influences newly graduated occupational therapists’ self-efficacy, transition experience, and perceptions of effective mentorship. Methods. We conducted semi-structured Zoom interviews with occupational therapists currently or recently enrolled in the new graduate program (within 18 months post-graduation) regarding their experiences. A qualitative phenomenological design with a constructivist lens guided data collection and thematic analysis of the audio-transcribed interviews. Practice implications. Findings refine mentorship initiatives and support the development of other similar programs. Supporting new occupational therapists can strengthen retention and professional competence early in their careers, ensuring a more resilient and sustainable occupational therapy workforce. Conclusion. By exploring new graduates’ experiences in this program, distinctive for its dedicated mentorship alongside skill-building workshops, this study investigates how the program’s structured support enhances self-efficacy, competence, and professional identity during the transition to practice. Our findings strengthen support for mentorship models designed to empower the next generation of occupational therapists.

Exploring Occupational Therapy from the perspective of people using substances

Megan Mackay & Dominique Donaghy-Klomp | Jay MacDonald

Room TBD | Time TBD

Background: Substance use disorders and opioid-related deaths was declared a public health crisis in Canada in 2016. While the effects of substances range greatly, illicit/licit substance use becomes a serious concern when it impacts one’s daily activities and participation in meaningful occupations. Occupational therapy plays a critical role in supporting people who use substances using a client-centered approach. However, there is a notable absence of the client’s perspective in the current substance use literature. Purpose: To gain a comprehensive understanding of the experiences of people using illicit/licit substances while accessing occupational therapy services. Methods: This community-based participatory pilot project involved 1-5 adults with lived experience using illicit/licit substances while accessing occupational therapy. Participants were recruited through community health clinics and semi-structured interviews took place on zoom. Thematic analysis was used to analyze and derive meaning from participants’ experiences. Findings: A case study of one person who uses substances unveils themes that can be used to inform occupational therapy practice reform and facilitate a more impactful approach to care in mental healthcare settings and beyond. Systematic stigma regarding illicit/licit substance use created barriers throughout the research process that impacted the ability to hear the voices of people with lived experience using substances. Conclusion: This research has been designed to explore the role of Occupational Therapists in the context of substance use. Learning from lived experience of clients is fundamental to occupational therapy ways of knowing, and this research aims to amplify the voices of a historically underrepresented group.

Keywords: illicit/licit substance use, qualitative research, thematic analysis, case study, lived experiences.

Ride Into Wellness: Exploring the Relationship Between Adaptive Cycling

Ezra Persad & Evan Thomas | Dr. William Miller

Room TBD | Time TBD

Study Purpose: Adaptive sports provide meaningful opportunities for leisure participation and may contribute to improved psychosocial well-being and quality of life for individuals with disabilities. While adaptive cycling has been studied in relation to physiological and biomechanical outcomes, there remains a gap in the literature exploring the psychosocial outcomes of summer based adaptive sports, particularly adaptive cycling. This study examines the relationship between adaptive cycling participation and perceived life satisfaction among people with mobility impairments.

Research Questions:

1. Is participation in adaptive cycling associated with perceived life satisfaction among individuals with mobility impairments?
2. Do frequency, intensity, and duration of adaptive cycling predict life satisfaction outcomes?
3. How do participants describe the impact of adaptive cycling on their overall well-being and quality of life?

Methods: This study uses a cross-sectional correlational design. Participants were recruited through Bowhead Corp’s customer network and completed an online survey consisting of demographic questions, adaptive cycling participation measures, and the Satisfaction With Life Scale (Diener et al., 1985). Quantitative analyses will examine relationships between adaptive cycling participation variables and life satisfaction outcomes. Qualitative responses will also be analyzed thematically to further explore participants’ lived experiences and perceptions of adaptive cycling. Results: Data collection is now complete however data analysis is still underway. Findings are expected to provide insight into whether adaptive cycling participation is associated with increased life satisfaction and enhanced psychosocial well-being among people with mobility impairments. Conclusion: This study aims to contribute to the growing body of evidence supporting adaptive sports as an accessible and meaningful avenue for promoting psychosocial well-being and quality of life among individuals with mobility impairments. Findings may help inform future occupational therapy, recreation, and adaptive sport initiatives.

Understanding the Experiences and Perspectives of Female Adaptive Cyclists

Rachel Smith & Emily Martindale | Dr. William Miller

Room TBD | Time TBD

Study Purpose: This study was designed in partnership with Bowhead Corp to explore the experiences of adaptive cycling from the perspective of women. Research Questions: What are women’s experiences participating in adaptive cycling? How do women perceive participation in adaptive cycling? Methods: This qualitative study utilized semi-structured online interviews and a demographic questionnaire with 12 individuals who self-identify as women who use Bowhead adaptive mountain bikes across North America. Participants were recruited through Bowhead Corp who served as a third party. An open coding approach was used along with an interpretive description approach to analyze the data. Thematic analysis was used to reveal main themes and patterns along with subthemes through the participants’ experiences. Results: The results from our qualitative data analysis will support informing the research questions and create main themes. Conclusion: These findings will contribute to addressing the gaps in the literature regarding adaptive sports and will inform future research that supports and enhances leisure-time physical activity for women using adaptive equipment.

PleasureABLE 2.0: Co-desgining an Updated Version of a Knowledge Translation Manual to Facilitate Participation in Sexual Activities for People with Spinal Cord Injuries

Sophie Brumwell & Julia Quattrociocchi | Dr. William Miller

Room TBD | Time TBD

Background: Sexual health is a fundamental component of well-being and quality of life, yet sexual participation is often disrupted for individuals with spinal cord injury (SCI). Despite the recognized importance of sexual rehabilitation, there remains a lack of inclusive, accessible sexual education resources for clients and clinicians. The original PleasureABLE manual (2009) provided practical guidance on adaptive sexual devices for people with disabilities, but requires updating to align with current innovations in technology, clinical practice, and lived experiences of people with disabilities. Objective: This study aims to co-design and explore the usability and relevance of the PleasureABLE 2.0 manual with people with SCI, their partners, and rehabilitation clinicians. Methods: Using a qualitative descriptive design, data was collected through two separate focus groups consisting of individuals with SCI and their partners (n=8) and rehabilitation clinicians (n=6). Participants reviewed the PleasureABLE 2.0 prototype and provided feedback during their respective sessions. Data was analyzed using inductive qualitative content analysis. Results: Four main categories emerged through qualitative content analysis. Shared perspectives amongst individuals with SCI and their partners and rehabilitation clinicians indicated accessibility, inclusivity and representation, redefining sexuality and intimacy, and manual length as key elements impacting manual relevance and utility. Differences in perspectives also emerged: individuals with SCI emphasized representation, peer perspectives, humor, and practical guidance grounded in lived experience, while clinicians focused on client readiness, communication, and implementation in practice. Conclusions: The PleasureABLE 2.0 manual shows strong potential as a knowledge translation tool for sexual rehabilitation education. Integrating both lived experience and clinician perspectives will support the development of a resource that is meaningful, engaging, and accessible for end users.

Virtual Reality as a tool for anxiety regulation during injections for spasticity management

Aimee Epp, Ziyanna Vallani & Megan Woerler | Dr. William Miller

Room TBD | Time TBD

Spasticity is a common and disabling symptom among individuals with neurological conditions such as multiple sclerosis, spinal cord injuries, traumatic brain injuries, cerebral palsy, and stroke, often affecting mobility, activities of daily living, independence, and overall quality of life. Botulinum toxin (BoNT) injections are widely used to manage spasticity; however, needle-related anxiety can negatively impact treatment experiences and adherence. While virtual reality (VR) is a non-pharmacological tool that has shown to reduce anxiety and pain through immersive distraction, research examining its use during BoNT injections in adults remains limited. This mixed-methods cross-sectional study aims to explore the experiences of adults using VR during BoNT injections for spasticity management and examine changes in self-reported anxiety levels before and after the procedure. Adult participants receiving BoNT injections at the GF Strong Spasticity Clinic will engage with non-immersive VR content during treatment. Quantitative data will include demographic information and anxiety ratings collected using an 11-point Likert Scale, while qualitative data will be gathered through semi-structured interviews and analyzed using thematic analysis. Findings demonstrated that VR contributed to reduced self-reported anxiety levels during the procedure, and most participants reported that they would be willing to use VR again for future injections. However, participants and researchers also identified technical difficulties and emphasized the importance of tailoring VR content to individual interests and preferences rather than using a standardized experience for all users.

Occupational Therapy Approaches to Exposure Therapy for Trauma-Related Anxiety Disorders

Orissa Grewal & Bethany Lim | Dr. William Miller

Room TBD | Time TBD

Background: Trauma-related anxiety disorders, including post-traumatic stress disorder (PTSD), can significantly impact individuals’ participation in work, self-care, and community life (Fox et al., 2019). In British Columbia, occupational therapists (OTs) frequently work with clients experiencing psychological injuries through systems such as WorkSafeBC and ICBC. Although exposure therapy is recognized as an evidence-based intervention for trauma-related disorders (Peterson et al., 2019), there is limited research exploring how OTs conceptualize and implement exposure-based approaches within their scope of practice. Greater understanding of OT-led exposure interventions may strengthen clinical reasoning, interprofessional collaboration, and OT service justification within compensation-based rehabilitation systems. Study Purpose: The purpose of this study is to explore how OTs in British Columbia understand, design, and implement exposure therapy interventions when working with individuals experiencing trauma-related anxiety disorders. The study will specifically examine OT approaches to in-vivo and graded exposure within WorkSafeBC and ICBC-funded rehabilitation contexts. Research Questions: How do occupational therapists experience and conceptualize exposure therapy in trauma rehabilitation practice? How are exposure-based interventions designed and implemented by occupational therapists working with traumatically injured clients? What strategies, adaptations, and challenges do occupational therapists encounter when implementing in-vivo exposure therapy with clients presenting avoidance behaviours? Methods: Guided by a constructivist lens, this qualitative study used an interpretive phenomenological approach. Approximately 14 OTs who practice in British Columbia were recruited through purposive and snowball sampling methods. Participants were required to have  experience working with clients with trauma-related disorders referred through WorkSafeBC and ICBC mental health streams. Data collection involved semi-structured one-on-one interviews conducted via Zoom. Interviews explored therapists’ understanding, training, and implementation of exposure therapy approaches, including in-vivo exposure and adaptations of prolonged exposure models. Data was analyzed using Braun and Clarke’s (2006) thematic analysis approach to identify patterns and themes within OT practice. Results: Preliminary findings suggest that OTs have an important role in providing exposure-based interventions for individuals with traumatic injuries. Emerging themes include therapists’ experiences and training with exposure therapy, how interventions were implemented in practice, and considerations related to client needs and funder expectations (WorkSafeBC and ICBC). Conclusion: This study aims to provide insight into occupational therapy approaches to exposure therapy in trauma rehabilitation. Findings may help clarify the OT role in exposure-based interventions, inform evidence-based practice, and support education, policy development, and interprofessional collaboration within trauma rehabilitation settings.

Measuring the Impact of Peer Support for People with Lower Limb Amputations.

Hannah Conlan & Kimia Elmi | Dr. William Miller

Room TBD | Time TBD

Can you teach a Robot Dog new tricks? Exploring perspectives of wheelchair users on the usability, acceptability, and potential benefits of a robotic dog?

Michelle Li & Amara Chiarella | Dr. Ben Mortenson

Room TBD | Time TBD

Introduction: There is a rapid advancement in robotic dogs in the areas of industrial inspections, search and rescue, security patrolling, and emotional companionship. However, little is known about their capabilities to support occupational performance in helping wheelchair users with activities of daily living (ADLs). Objectives: Our objective was to explore wheelchair users’ perspectives on the use of robot dogs as assistive technology. Specifically, the feasibility and usability of these devices in terms of their functionality in physical and emotional support, ADLs, and the potential of it as a powered mobility device. Methods: This study used semi-structured interviews and focus groups, encompassing the views of 16 wheelchair users to explore their perceptions of quadruped robot dogs. The study employed Thorne’s (2025) interpretive description methodology with a constructivist paradigm. The data was analyzed using Thorne’s interpretive analytic process and guided by the Human Activity Assistive Technology (HAAT) model and the Person-Environment-Occupation Model. Results: The findings highlighted that wheelchair users’ perceived benefits in using the robotic dogs to replicate service dog functions, such as physical support in ADLs and IADLs. Additionally, the participants discussed benefits around using it as a transfer tool and potentially a mobility device. A few participants expressed hesitation about the device in regard of the durability of the robot dog when it came to battery life and outdoor terrain. Conclusion: This study continues to provide novel insights into wheelchair users’ perspectives on robotic dogs as assistive devices. These findings will inform the refinement of potential future robotic dog prototypes as assistive technology in people’s daily lives, which occupational therapists may have the potential to prescribe in the future. Furthermore, this research lays the groundwork for broader investigations into the role of quadruped robots for mobility support.

Stories in Motion: Lived Experiences of Adapted Cycling in Vancouver

David Liira & Jacob Lee | Dr. Ben Mortenson

Room TBD | Time TBD

Purpose: Despite the global reach of Cycling Without Age, little research has examined the lived experiences of participants at the local level in Vancouver. The goal of this study was to explore the experiences of Vancouver Cycling Without Age (VCWA) participants and to examine the perceived benefits, challenges, and overall impact of participation in the program. Research Question: What are the experiences of Vancouver Cycling Without Age program participants? Method: Participants included passengers, pilots, and a long-term care staff member associated with the VCWA program. Participant observations (n = 68) and semi-structured interviews (n = 8) were completed using a naturalistic inquiry approach. Data was analyzed through multiple kinds of coding by using a hybrid approach to thematic analysis that included elements of reflexive and code book approaches. Results: We identified five main themes: “Facilitating a Positive Experience for All” emphasized joy, inclusivity, and meaningful participation; “Accessing the Outdoors” highlighted freedom, nature, and escape from routine; “Building Social Connections” focused on relationships and community engagement; “Where the Rubber Meets the Road” addressed practical challenges such as safety and time constraints; and “Strength in Numbers” emphasized the importance of volunteers, organizational support, and equitable access to outdoor recreation.Conclusion: Findings suggest that VCWA offers meaningful opportunities for outdoor engagement and social connection for older adults and individuals with disabilities, while fostering inclusive community participation. By addressing operational barriers while preserving the experiential and relational benefits of the program, VCWA has the potential to scale its impact and further promote adapted outdoor recreation, health, and well-being for older adult and adapted populations in Vancouver.

Understanding motivation to seek help for subjective cognitive changes

Harseerat Lalli & Karen Johal | Dr. Ben Mortenson, Dr. Julia Henderson

Room TBD | Time TBD

Background: Subjective cognitive changes or self-perceived cognitive decline, such as increased forgetfulness, in older adults 55+ and associated worry can be among the earliest clinical symptoms of mild cognitive impairment (MCI) or the emergence of dementia. Cognitive changes can affect occupational engagement, psychosocial well-being, and quality of life. Early intervention has been shown to delay or prevent the onset of dementia; however, less than 20% of individuals experiencing subjective cognitive changes seek formal help. Understanding what prompts help-seeking can inform early intervention practices in occupational therapy. Objective: To understand factors influencing decision-making and motivation to pursue early intervention to address subjective cognitive changes among adults 55 and over. Method: A cross-sectional online survey was conducted. Participants were recruited via social media posts, community organizations and centers, and research recruitment platforms, like Reach BC. Data were analyzed using descriptive statistics and thematic analysis. Data are reported according to the Checklist for Reporting Results of Internet E-Surveys. Results: Findings suggest causal beliefs, stigma, and positive vs. negative views on healthcare, influence decision making regarding help-seeking for cognitive changes. For instance, some early signs of cognitive decline were perceived as a natural part of aging by about 55% of recorded respondents. Notably, preliminary findings highlight that approximately 60% of respondents would not seek formal help for cognitive changes as they believe their problems are temporary. Similarly, fear of judgement stops almost 30% of respondents from seeking help. Lastly, participant responses highlighted the following preliminary themes influencing help-seeking and improving cognitive health: occupational engagement and retaining occupational participation. Respondents participated in physical activity and brain challenging activities, such as word games and walking, if they noticed they were becoming more forgetful or distracted. Conclusions: By highlighting factors that promote or impede early intervention for subjective cognitive impairment, this study will support risk reduction and inform development of accessible programs and services, potentially delaying dementia onset and reducing healthcare expenditures.

Nature-Based Therapy: Exploring Perspectives of Adults Living with Mental Health Conditions and Clinicians on the Use of Nature and Its Impact on Mental Health and Well-Being

Eliza Oesterling & Shea Silverman | Dr. Ben Mortenson

Room TBD | Time TBD

Introduction: Nature-based therapies (NBTs) are rehabilitative interventions that integrate activities, storytelling, and adapted experiences within natural environments to promote physical, mental, and social health outcomes. NBTs offer a promising yet under-utilized approach to addressing growing mental health concerns in Canada, where one in five Canadians experience mental health challenges annually (CAMH, 2025). Objectives: This study explored perspectives from two populations; adults living with mental health conditions and their experiences in nature, and mental health clinicians providing NBTs. Gathering both perspectives aimed to provide a holistic understanding of NBTs to inform their integration in mental healthcare. Methods: This qualitative study used online, semi-structured interviews for data collection. Reflexive thematic analysis and interpretive description were used to analyze interview transcripts to identify key concepts and shared meaning across clinician and client perspectives (Braun and Clarke, 2022). Results: Thirteen participants were included in the study; eight adults with mental health conditions and five mental health clinicians. The results identified personal components impacting one’s engagement with nature, the perceived benefits and drawbacks to nature exposure, and barriers or contextual factors influencing participation. Conclusion: The results provided valuable insights into how occupational therapists can apply nature-based approaches to enhance mental health outcomes, supporting the development of this emerging practice area.

References: Braun, V., & Clarke, V. (2022). Toward good practice in thematic analysis: Avoiding common problems and be(com)ing a knowing researcher. International Journal of Transgender Health, 24(1), 1–6. https://doi.org/10.1080/26895269.2022.2129597

Centre for Addiction and Mental Health (CAMH). “Mental Illness and Addiction: Facts and Statistics.” CAMH, 2025, www.camh.ca/en/driving-change/the-crisis-is-real/mental-health-statistics.

Exploring circular economy awareness among Canadian occupational therapists

Emma Fok, Adam Canete & Nathan Lirenman | Dr. Ben Mortenson

Room TBD | Time TBD

Introduction: The health care sector contributes approximately 4-6% of global greenhouse gas emissions, largely through resource-intensive practices (Watts et al., 2021).   Occupational therapists have an opportunity to take a leadership role in implementing  circular economy principles which emphasize reuse, repair, and resource efficiency (Oldfrey et al., 2021) into healthcare delivery; however, little is known about how these principles are understood or applied within Canadian occupational therapy practice. Objective: To review Canadian occupational therapists’ knowledge of sustainability and circular economy principles, examine the extent to which these are applied in equipment prescription and identify perceived barriers and facilitators to their implementation in clinical practice. Methods: Our study utilized an online cross-sectional survey of Canadian occupational therapists, based on the Total Design Method (Dillman et al., 2014). The survey includes open and closed questions exploring personal experiences, awareness, and implementation, barriers, and facilitators of circular economy principles. The closed responseutilized an online cross-sectional survey of Canadian occupational therapists, based on the Total Design Method (Dillman et al., 2014). The survey includes open and closed questions exploring personal experiences, awareness, and implementation, barriers, and facilitators of circular economy principles. The closed responses will be analyzed with descriptive statistics, and the qualitative responses will be analyzed using content analysis. Results: Respondents identified cost to the client or payer as a major factor influencing equipment prescription, while the environmental impact of equipment had much more mixed results. Furthermore, the survey found moderate levels of agreement with statements about implementation of circular economy practices. Canadian occupational therapists in our survey indicated that they had received limited formal or informal education regarding sustainability in equipment prescription. Time and resource constraints were identified as a significant barrier to implementing circular economy principles in occupational therapy practice. Finally, education on sustainable equipment practices and the development of a centralized database of rental or reuse programs were identified as potentially useful strategies for supporting the implementation of circular economy principles in occupational therapy practice. Conclusion: This study will offer foundational insights into how Canadian occupational therapists engage with circularity and sustainability principles. This will help identify potential areas to improve equipment provision in a way that embraces environmental stewardship and supports future workforce development and policy planning.

Facilitator input for Small Group Tutorials.

Georgina Vaca Padilla & Elizabeth Jones | Dr. Elly Park

Room TBD | Time TBD

Purpose: This study aimed to explore the experiences of occupational therapist SGT facilitators, offering insights from their perspectives grounded in the context of occupational therapy education. It sought to gain a deeper understanding of their lived experiences, including their reflections, challenges, and the meanings they draw from inhabiting the facilitator role. Methods: This qualitative study utilised surveys with open-ended responses to gather the lived experiences of SGT facilitators. The questions were designed to allow the freedom to reflect and respond based on facilitators’ own experiences and perspectives. The data was analyzed using reflexive qualitative analysis. Results: In early stages of data analysis, participants’ responses consistently express the meaningfulness of the facilitator role both personally and professionally. They value taking part in the safe space created for student-directed, collaborative, discovery-based learning as they contribute to shaping future practitioners. This space is ideal for developing clinical thinking alongside the soft skills critical for occupational therapists, both of which may be more challenging to transmit in a classroom environment. Participant responses suggest that SGT groups tend to rely more on non-verbal cues, relationships, and personal history into which the linear, theory-based learning from the classroom is then applied. This is invaluable for professional development of the OT, and facilitators describe joy in tangibly witnessing growth as they enter student’s worlds in a way that is not possible as classroom instructors. Nevertheless, the unique format of SGT comes with challenges: Distinctive didactic skills and adaptations are needed for facilitators to maximize student learning, while typical evaluation methods seem unsuitable. Conclusion: The value of SGT, as expressed through facilitators’ voices, lies in its unique and rich capacity to provide both facilitators and students with a safe space to learn and develop skills within these small groups. Within the complexities of occupational therapy services, growth and skill development become tangible through the process of collaboration, reflection, and practice. Knowledge is not only acquired but lived, emerging through the experience of applying it in real practice.

Occupational therapists’ experiences providing intersectionality-informed care in British Columbia

Emily Propp & Jenna Sedgwick | Dr. Elly Park

Room TBD | Time TBD

Introduction: Intersectionality, as a theory (Crenshaw, 1989), has gained increasing recognition in understanding and addressing systemic barriers, discrimination, and systems of privilege and oppression. Despite increased calls for integrating intersectionality and reflexivity into research, practice, and education to promote occupational equity, gaps persist. Taking an intersectionality-informed approach to occupational therapy (OT) is crucial to providing critically reflexive client care. However, there is a tendency to overemphasize intersections of individual identities (e.g., gender, class, and race) while overlooking how social positions intersect within larger systems of power and influence the care occupational therapists (OTs) deliver. Further, there is no known literature exploring OTs’ perspectives on how intersectional identities and contexts shape their experiences delivering OT services. This study aims to understand OTs’ experiences delivering care within the context of clients’ intersecting identities and systems-level influences, and to identify strategies OTs use to advance intersectionality-informed practice. Objectives: 1) Explore how OTs navigate systemic barriers that arise due to clients’ social positions; and 2) Advance understanding of the influence of clients’ intersecting identities on the care OTs provide within the British Columbia (BC) healthcare system. Methods: Semi-structured interviews were conducted with OTs from various regions and practice settings across BC. Interpretive description was used to code and analyze the data. Practice Implications: By developing practice-focused recommendations, this study aimed to establish a foundation for promoting intersectionality-informed OT service provision in BC. Conclusion: Findings revealed novel insights into the relationships between social positioning, systems of power, and the facilitators and barriers to enacting intersectionality-informed OT services

Reference: Crenshaw, K. (1989). Demarginalizing the intersection of race and sex: A black feminist critique of antidiscrimination doctrine, feminist theory and antiracist policies. University of Chicago Legal Forum. 1, 139–167. 

Food for thought: Staff perspectives on shared dining on a rehabilitation unit of an acute hospital

Danika Pal & Fiona King | Dr. Elly Park

Room TBD | Time TBD

Background and Aims: While the research regarding mealtime programs in institutional settings has predominantly focused on malnutrition, efficiency, and safety, shared dining supports positive rehabilitation outcomes such as increased independence, self-initiation of eating as a therapeutic activity, social engagement, and general wellbeing (Markovski et al., 2017; Pashley et al., 2025). Support from staff is necessary to carry out this process, yet the perspectives of rehabilitation staff have been minimally investigated (Pashley et al., 2025). To address this gap, this study will explore the perceived barriers and potential facilitators for staff when implementing and sustaining a shared dining space on an inpatient rehabilitation unit within an acute hospital. Methods: Informed by interpretive description methodology and constructivism, we have been conducting semi-structured qualitative interviews with staff working on a rehabilitation unit of an acute hospital. We will then use reflexive thematic analysis to draw out themes, supported by participant quotes. Results: The results of this study will determine the views of hospital staff on shared dining experiences and identify potential avenues for exploration. Determining recommendations directly from staff will inform future actions that balance physical, social, and mental health patient outcomes with health care worker support. Conclusion: This research contributes to the understanding of how shared dining experiences can support authentic occupational goals and positive health outcomes for patients, from the health care providers upon which this service depends.

References: Markovski, K., Nenov, A., Ottaway, A., & Skinner, E. (2017). Does eating environment have an impact on the protein and energy intake in the hospitalized elderly? Nutrition & Dietetics, 74(3), 224–228. https://doi.org/10.1111/1747-0080.12314 

Pashley, A., Young, A., Doig, E., Moore, J., & Wright, O. (2025). In-depth exploration of ‘therapeutic mealtime experiences’ in inpatient rehabilitation: Mixed-methods multiple case studies. Disability and Rehabilitation, 1–15. https://doi.org/10.1080/09638288.2025.2512055 

Pashley, A., Young, A., Doig, E., Moore, J., & Wright, O. R. (2025). Flexible, adaptable, and supportive systems: Qualitative description of factors underpinning an ideal mealtime delivery in rehabilitation care settings. Disability and Rehabilitation, 47(22), 5859–5870. https://doi.org/10.1080/09638288.2025.2471573 

Exploring the Experiences of People with Brain Injury Working in a Supported Cafe: A Mixed-Methods Study

Kaila Fisher & Arden Sauer | Dr. Julia Schmidt

Room TBD | Time TBD

Study Purpose: Our study’s purpose is to explore the experience of employees and affiliates working at a supported employment cafe that employs individuals with acquired brain injury. Research Question: What are the experiences of people with ABI working in a supported work environment? Methods: Our study used semi-structured in person interviews, a demographic questionnaire, and a five-point Likert scale questionnaire to obtain qualitative and quantitative data about participants’ experience working at the cafe. There were 8 employees and 6 partners of the café interviewed in this study. Participants were recruited through circulating a study flyer at the cafe and through email/invitation by partners of the cafe. Data was analyzed using an open coding method through a Constructivist lens, employing a reflexive thematic analysis to identify recurring themes and patterns in the data. Results: The results of this study will provide qualitative and quantitative data that inform our research question. The qualitative data will identify overarching themes of participants’ experiences, while the quantitative data will present Likert scale results related to job satisfaction. Conclusion: Findings will further inform and add to research regarding supported employment for individuals with ABI, specifically from the point of view of the employees and partners.

Understanding the Experiences and Impact of Peer Support for People with Brain Injury on Care Partners

Areesha Sagani & Priyanka Pitteea | Dr. Julia Schmidt

Room TBD | Time TBD

Study Purpose: This study explores how peer support programs for individuals with acquired brain injury (ABI) influence the experiences of informal care partners, including the impact on caregiving experiences, emotional well-being, and perceived support. Findings from this study aim to inform the development of peer support interventions that are more inclusive of caregivers’ needs and better support both members of the caregiving dyad. Research Questions: What is the experience and impact of peer support for people with ABI on care partners? Methods: This qualitative study used semi-structured interviews with informal care partners of individuals participating in the PAIR peer support program. Interviews were conducted virtually and analyzed using thematic analysis to identify patterns and themes related to caregiving experiences, perceived impacts of peer support, and changes in daily life and coping. Results: Preliminary findings from early coding suggest that care partners value opportunities for connection, shared understanding, and emotional validation through peer support involvement. Emerging themes include reduced feelings of isolation, increased hope and reassurance, appreciation for lived experience, and the importance of consistent and accessible support systems. Care partners also reflected on the emotional complexities of caregiving and perceived meaningful benefits of peer support participation for the individuals with ABI. Conclusion: Preliminary analysis suggests that peer support programs for individuals with ABI may positively influence care partners’ emotional well-being and caregiving experiences. The findings may help inform the development of more inclusive, family-centered peer support interventions that better address the needs of both individuals with ABI and their care partners.

Evaluation of the Implementation of a Peer-Support Program for People with Brain Injury in BC – A Community Facilitators Perspective

Danika Rahnborn & Rachael Zhang | Dr. Julia Schmidt

Room TBD | Time TBD

Study purpose:  This study aimed to understand the perspectives and experiences of community and hospital research facilitators who were involved as partners in a larger peer support research study.  Research questions: - What are barriers or facilitators of partnering in research, particularly with peer support research? – What is the impact of this peer-support program on both peer-support receivers and peer-support workers, from the perspective of a collaborator? – Was delivery of this program effective? Sustainable? – What are your lessons learned from delivering the peer mentorship program? – What, if anything, could improve this peer support program? Methods:  This study used a mixed-methods design consisting of baseline outcome measures taken within 2 months of being part of the study, as well as outcomes measures and semi-structured interviews completed upon end of partnership. Nine facilitators were recruited from hospitals and community organizations across British Columbia through non-probability sampling. Facilitators acted as partners in research, helping to screen individuals with brain injury who may be interested in receiving peer support. Qualitative data will be coded by manifest content analysis and inductive coding. Results:  Findings will consist of facilitators’ reported experiences and their perspectives of their role and involvement in the research process and in the implementation of the peer support program. Conclusion: Study results will provide further knowledge of partnerships between researchers and facilitators in the hospital and community, to implement peer-support programs across BC. 

Unseated Potential: Exploring Seating Competencies and Service Models Among Occupational Therapists in Island Health

Sahba Kamalian & Larena Hammond-Mailey | Dr. Elisha Williams

Room TBD | Time TBD

Background: In response to a lack of local seating specialists in Central and Northern regions of Vancouver Island, Island Health implemented the Queen Alexandra (QA) Virtual Seating Clinic Pilot. This initiative sought to expand access to expert consultation through telehealth, enabling Community Health Services (CHS) clinicians to engage in virtual case-based collaboration with seating specialists. Despite initial interest and introductory training, clinician uptake of the pilot remained minimal, with only nine virtual sessions recorded in 2023 and a single session in 2024. This limited engagement highlights broader systemic challenges, including occupational therapists’ foundational knowledge gaps, reduced confidence in managing complex seating cases, and the insufficient integration of telehealth models into routine clinical workflows. This study aims to assess seating-related knowledge and clinical competency among occupational therapists working across community, long-term care, acute, and outpatient settings. It also seeks to enhance competency, increase use of virtual seating services, and identify effective service delivery models from other rural or underserved regions. Methods:  A cross-sectional mixed-methods design will be used. Qualitative and quantitative data will be collected through an anonymous survey distributed to occupational therapists in various practice settings. Descriptive and thematic analyses will identify barriers and educational needs related to seating and mobility practice. Practice Implications: Findings will inform strategies to strengthen foundational seating knowledge, build clinical confidence, and integrate virtual consultation into routine workflows. Practical implications include developing sustainable, contextually relevant education and service-delivery models. Conclusion: Results will guide evidence-informed capacity-building initiatives to promote equitable access to specialized seating and mobility services and improve participation outcomes across the health region.

Prevalence of Upper Extremity Injuries in Northern British Columbia: An Exploratory Study

Casey Cooper & Bryn Morgan | Dr. Elisha Williams

Room TBD | Time TBD

Introduction: Upper extremity function is essential for participation in activities of daily living and engagement in meaningful occupations. Compared to urban populations, rural and remote populations experience higher injury rates, greater injury severity, and more complex trauma presentations (Bang et al., 2019). Despite Northern Health serving a population of more than 300,000 people, region-specific data describing upper extremity injury patterns in Northern British Columbia (BC) remains limited. Understanding these injury profiles is important for informing occupational therapy (OT) service planning and addressing healthcare inequities experienced by northern and rural communities. Objective: This study aimed to describe and compare hospitalization rates for upper extremity injuries in Northern Health (NH), Vancouver Coastal Health (VCH), and British Columbia overall. Specific attention was given to anatomical site, injury type, external cause, intent, place of occurrence, temporal trends, and seasonality. Methods: A descriptive analysis of aggregate population-level data was conducted using hospitalization data from the BC Injury Research and Prevention Unit’s Injury Data Online Tool (iDOT). Crude hospitalization rates per 100,000 people and age-standardized rates based on the 2011 Canadian Standard Population were used to compare injury rates across regions. Results: Hospitalization rates for wrist and hand injuries were 2.3 times higher in NH compared to VCH. NH demonstrated higher rates of crushing injuries, traumatic amputations, open wounds, and muscle/tendon injuries. Increased rates were also observed for machinery-related injuries, off-road motor vehicle incidents, cut/pierce injuries, and struck-by/against injuries. Industrial and construction settings were more common places of injury occurrence in NH, alongside higher rates of injuries related to self-harm and assault. Wrist and hand injury rates in NH peaked in individuals aged 15–24 years and again in adults aged 75–85+ years. Seasonal trends were similar across regions, with hospitalization rates increasing during the summer months. Conclusion: Northern BC demonstrated a larger and qualitatively different profile of hospitalized upper extremity injuries compared to more urban regions, particularly for wrist and hand injuries. These findings highlight the need for region-specific injury prevention initiatives, rural trauma pathways, and expanded OT capacity integrated within interprofessional healthcare teams. Understanding the profile of upper extremity injuries in northern populations can support evidence-informed healthcare planning, guide targeted OT interventions, and help address broader healthcare disparities experienced by rural and remote communities.
References Bang, F., McFaull, S., Cheesman, J., & Do, M. T. (2019). The rural-urban gap: differences in injury characteristics. Écart entre milieu rural et milieu urbain : différences dans les caractéristiques des blessures. Health promotion and chronic disease prevention in Canada: research, policy and practice, 39(12), 317–322. https://doi.org/10.24095/hpcdp.39.12.01

Predictive Value of General Movements Assessment for Developmental Coordination Disorder

Meghan Lindsay & Korynn Weber | Dr. Jill Zwicker

Room TBD | Time TBD

Background: The General Movements Assessment (GMA)’s Revised Motor Optimality Score (MOS-R) is a neuromotor screening tool that supports early identification of motor difficulties in premature infants. Developmental coordination disorder (DCD) is a neurodevelopmental condition that affects motor skills and occupational participation, and being born prematurely has been identified as a significant risk factor. While the MOS-R is well established for predicting cerebral palsy, its predictive validity for DCD remains unknown. Objectives: To determine the sensitivity, specificity, and predictive validity of the MOS-R (total score and each of the subcategories) for DCD diagnosis at age 4-5 years. Methods: This retrospective cohort study included children born at ≤ 29 weeks’ gestational age or ≤ 1200g who completed the MOS-R at 14-20 weeks’ corrected age and a DCD evaluation at 4-5 years (n=116). Data were split into three categories: “DCD,” “at-risk for DCD,” and “non-DCD,” and analyzed using descriptive statistics, chi-square analyses, and measures of predictive validity. Findings: No significant relationship was identified between the MOS-R and DCD outcomes (p = 0.10). No significant relationship was identified between the MOS-R’s five subcategories and DCD outcomes (p = 0.07-1.00). The GMA’s MOS-R has low predictive validity for DCD diagnosis at 4-5 years. Conclusion: This study contributes to a gap in early identification of DCD by exploring the predictive value of an infant motor assessment used by occupational therapists. Our results suggest that clinicians should be cautious in using the MOS-R as a standalone tool for predicting DCD.

Clinical characteristics associated with feeding outcomes in medically-complex tube-fed infants

Josie Kay & Brecken Sales | Dr. Jill Zwicker

Room TBD | Time TBD

Introduction: Extremely premature, low birthweight, and medically-complex infants often experience feeding challenges and may require enteral feeding. Occupational therapists support these infants to transition from tube to oral feeding. However, the clinical characteristics of infants who successfully wean off tube feeding and those who require longer term enteral feeding are largely unknown. This knowledge would help to inform clinical reasoning and to support evidence-based practice of neonatal and pediatric occupational therapists. Objectives: The purpose of this study is to: (1) describe feeding and clinical characteristics of tube-fed infants at 4 months corrected age (CA); (2) identify which characteristics predict continued tube feeding at 8 months CA. Methods: This retrospective cohort study utilized data from the BC Women’s Hospital Neonatal Follow-Up Program (NFUP) charts and databases. Medically-complex infants followed by NFUP and tube-fed at 4 months CA (n = 68) were included. Clinical and feeding characteristics at 4 months and 8 months CA were analyzed using descriptive statistics and logistic regression to predict feeding status at 8 months CA. Results: Permanent feeding tubes at 4 months CA, more medical diagnoses, respiratory diagnoses, low scores on neurological assessments at 8 months CA, and requirement of home oxygen were predictive of continued need for tube feeding at 8 months CA. Conclusions: This research provides empirical data about the relationship between clinical characteristics and feeding outcomes in extremely preterm and medically-fragile infants. Data can help clinicians understand an infants’ potential long term feeding outcomes, and support decisions about tube types and tube weaning interventions.

Partnering community pediatricians and occupational therapists to facilitate diagnosis of developmental coordination disorder: An effective model of care?

Amy Williams & Holly Bennett | Dr. Jill Zwicker

Room TBD | Time TBD

Background: Developmental Coordination Disorder (DCD) affects one in 20 Canadian children and often leads to long-term physical, psychosocial, and functional challenges impacting movement, social participation, and emotional well-being. Despite its high prevalence, DCD is widely under-recognized and under-diagnosed. Early identification is pivotal; however, fragmented referral pathways and limited physician awareness delay diagnosis and contribute to inequities in timely care. Objectives: To evaluate the effectiveness of the Joining Up Motor Assessments with Pediatricians (JUMP) program, a collaborative model integrating occupational therapy assessments with community pediatric evaluations, and whether this supports timely and accurate diagnostic services. This study will also explore caregiver satisfaction, diagnostic outcomes, and pediatrician uptake of this model. Methods: A retrospective design will be used to analyze clinical data from ~200 children (ages 3–16 years), including standardized motor assessments, diagnostic determinations, and caregiver satisfaction surveys. Descriptive and inferential statistics will summarize demographics, diagnostic outcomes, parent satisfaction, and examine level of agreement between occupational therapy and pediatrician assessment outcomes. Results: The JUMP model is anticipated to facilitate timely and accurate DCD diagnoses, enhance caregiver satisfaction, and strengthen collaboration between community pediatricians and occupational therapists. Findings are expected to demonstrate feasibility, acceptability, and potential to streamline diagnostic pathways for equitable access to coordinated, evidence-informed care. Conclusion: This study aims to generate evidence supporting a collaborative model that facilitates DCD diagnosis in a seamless diagnostic pathway. Findings from this work will be used to advocate for occupational therapy assessments to be publicly funded as standard of care for DCD diagnostic evaluations.

Understanding “Integration” within Integrated Youth Services through an Occupational Therapy Lens

Jade Yau & Phylicia Lam | Dr. Skye Barbic

Room TBD | Time TBD

Background: Integrated Youth Services (IYS) models have emerged as an effective approach to addressing the needs of youth ages 12-24. In British Columbia, the IYS initiative Foundry aims to enhance youth well-being through coordinated access to mental health, substance use health, physical/sexual health, peer support, and social services. “Integration” is interpreted inconsistently across sectors, creating ambiguity in practice and policy. Even within established models such as Foundry, integration is conceptualized and enacted in diverse ways, making it critical to explore how system leaders understand and enact this concept. Objectives: To explore how leaders across Foundry understand and define “integration” within IYS and examine how these interpretations align with Fulop et al.’s (2005) Healthcare Integration Framework. This framework is well-established and conceptualizes integration across multiple domains, including service, organizational, clinical, functional, normative, and systemic levels. A secondary objective is to consider the implications of these interpretations for occupational therapy practice within IYS, particularly regarding youth participation, interprofessional collaboration, and service accessibility. Methods: Using purposive sampling, we invited 14 executive, clinical, and operational leaders from Foundry to participate in semi-structured Zoom interviews guided by the Fulop Integration Framework. Data were analyzed thematically to identify how integration is understood, enacted, and experienced across local contexts. Results: Preliminary findings suggest that understandings of integration vary by geography, partnerships, and community priorities. For occupational therapists, these findings highlight opportunities to advocate for coordinated, trauma-informed, and strengths-based systems that support youth participation in meaningful occupations and promote equity. Conclusion: This study clarifies interpretations of integration in IYS, guiding implementation improvements and highlighting occupational therapy’s role in advancing youth well-being.

Perceptions of Early Career Early Childhood Educators on Disability, Inclusion, and Participation.

Simmy Purewal & Baldip Shergill | Dr. Laura Bulk

Room TBD | Time TBD

Purpose: To explore early career Early Childhood Educators (ECEs) perceptions of meaningful participation for children with disabilities and how their understandings may inform their capacity to provide inclusive spaces. Theoretical framework: This study examines meaningful participation through the lens of Occupational Science, which explores what people do, why they do it, and the significance they attach to the activity, thus influencing their wellbeing. Specifically, we will explore how the ECE’s occupational identity shapes their perceptions. This perspective aligns closely with principles of disability inclusion in early childhood education, where meaningful participation is emphasized. Methods: This study follows a qualitative approach using semi-structured interviews via Zoom; data analysis was guided using Braun and Clarke’s (2006) thematic six-step approach. Results: Preliminary findings revolve around the themes pertaining to an ECE’s pedagogy, environmental factors that shape perceptions, and how education and experience influences their perceptions. Educational importance of the study: This study has the potential to deepen the theoretical understanding of how ECEs perceive meaningful participation and inclusion for children with disabilities. This study also has the potential to inform practices in early childhood education that promote inclusive spaces for all children.
Please come join us for our presentation to learn more!

Usability of a Novel Alternative to the Universal Cuff: The OmniCuff

Naomi Choong & Taylor Sewell | Dr. Ben Mortenson

Room TBD | Time TBD

Background: The universal cuff has long been used to facilitate independence for individuals with limited hand function; however, its versatility is limited as it accommodates only some items and makes switching between objects difficult. To address these limitations, a novel hand-worn adapter with a magnetic latch called the OmniCuff was developed. The OmniCuff connects directly to interchangeable items, allowing users to access, hold, and switch between items while performing activities. Despite its potential, research on the OmniCuff is limited. Objective: To evaluate the usability and impact of the OmniCuff on functional independence, occupational performance, and user satisfaction among individuals with tetraplegia. Methods: A mixed-methods, pre-post intervention study was conducted using a concurrent triangulation design. Six participants with tetraplegia trialed the OmniCuff at home for two weeks for their chosen occupations. Standardized assessments (e.g. Canadian Occupational Performance Measure) and semi-structured interviews were used to measure study variables and explore participant experiences. Results: Preliminary findings reveal variable experiences and perceptions of the OmniCuff, highlighting positive components, barriers to functional use, and suggestions for improvement. Anticipated findings will help inform occupational therapists and clients with limited hand function about the potential use of the OmniCuff in clinical and home settings to support independence in meaningful occupations. Conclusion: This will be the first independent product evaluation and formal usability study of the OmniCuff. This study will provide insights into its potential as a more versatile alternative to the universal cuff while contributing to the development of assistive technology that better meets client needs.

Health-related occupational disruptions and grief: Learning from experiential experts

Kirstin Malmas & Ashley Sherlow | Dr. Laura Bulk

Room TBD | Time TBD

Study Purpose: This study examines how individuals with acquired disabilities, illnesses, or health conditions experience grief related to occupational disruptions. Findings are intended to explore how occupational therapy (OT) curricula might incorporate this knowledge to support clients’ experiences of grief. Research Questions: How do individuals with acquired disabilities or health conditions experience grief related to their occupational disruptions, and what strategies and resources do they find helpful in navigating grief? How might OT curricula incorporate strategies and interventions that support individuals’ experiences of grief related to occupational disruption after acquiring a disability or health condition? Methods: Qualitative data was collected through semi-structured interviews with 14 individuals who experienced occupational disruption related to acquired disabilities, illnesses, or chronic health conditions. Researchers used Braun and Clarke’s (2006) thematic analysis to construct relevant themes. Participants were then invited to an online focus group to corroborate or suggest revisions to themes. Results: Participants’ narratives demonstrated how changes in occupational capacity reverberated across identity, routines, relationships, and experiences of belonging. Participants described strategies used to manage grief, made recommendations for people navigating similar grief, and suggested opportunities for OT support. Conclusions: Changes in daily activities often lead to grief related to lost time, reduced independence, and limited ability to engage in meaningful activities. A broader understanding of grief is needed for individuals to navigate the complex adjustment process associated with disability and chronic illness. There is a distinct opportunity for OTs to support their clients in navigating the psychosocial/social-emotional experiences that arise from changes to their health condition. This study provides descriptive information that can inform the proposal and development of occupational therapy curricula.

Experiences of Indigenous Clients with Occupational Therapy

Danielle Jensen & Nicole Poynton | Jay MacDonald

Room TBD | Time TBD

Objectives: To explore and document the experiences of Indigenous Peoples with OT in Northern British Columbia (BC), and to bring Indigenous voices to the forefront of our study. Introduction: Indigenous Peoples in Canada experience culturally unsafe care and disproportionate health inequities, driven by systemic racism and discriminatory practices embedded within healthcare systems and among healthcare providers. Previous research has explored Indigenous experiences with occupational therapy (OT); however, these studies rarely include Indigenous voices or Indigenous researchers. In addition, northern communities are the most underserved and under researched region in BC. By centering Indigenous voices, this study may strengthen the literatures understanding of what culturally safe care looks like in OT practice. The findings may support OTs in developing meaningful, responsive and relevant service delivery for Indigenous communities in Northern BC. Methods: This qualitative study design utilized snowball and purposive sampling. Participants would engage in a semi-structured interview exploring OT services in Northern BC and discussion about suggestions to further develop OT services with Indigenous knowledge and perspectives to advance culturally safer, rights-based care. Results and Practice Implications: This study is ongoing and does not currently include Indigenous voices. The barriers preventing Indigenous Peoples from participating in this research mirror those preventing access to healthcare. This is not a recruitment failure; it is a finding. We identified two essential themes when researchers are attempting to collaborate with Indigenous communities. 1. Relationship-building must come before research as connection is foundational within Indigenous communities. Partnering with organizations already trusted by communities can help establish the safety and trust that conventional recruitment approaches cannot. 2. Indigenous-led research teams are better positioned to build trust, create culturally safer spaces, and reduce the power dynamics that conventional research approaches often overlook. However, allies have a responsibility to actively support this work by following Indigenous leadership, challenging institutional barriers at a systemic level, and ensuring the research team reflects a genuine commitment to relational accountability rather than token inclusion.