Objectives: This study aims to examine the treatment effects of Positive Occupation-Based Practice (POBP) in individuals with mental illness using the Engagement Estimation System (EES) of the Assessment of Positive Occupation 15 (APO-15) in a single-group, pre/post-comparison design in a multicenter study.

Method: This study was a collaboration between day hospitals (two facilities) and psychiatric hospitals (three facilities). The sample consisted of a diverse group of participants, aged 20-80 years, diagnosed with psychiatric disorders and recruited with the consent of their treating physicians. This study examined the treatment effects of POBP with EES applied as an adjunct to day hospital or psychiatric occupational therapy in a single-group, pre/post-comparison design. Participants were asked to attend the standard program and the EES-applied POBP program at each facility. The intervention period was 5 months, starting from baseline, with an additional 1-month follow-up period after completion of the intervention. In this study, the Subjective Well-being Scale was used as the primary outcome measure. In addition, the Positive and Negative Affect Schedule and the APO-15 were used as secondary outcome measures.

Results: The study included 18 participants. Basic participant information included diagnosis (12 schizophrenia, 5 depression, 1 organic psychosis), gender (9 male, 9 female), age (57.61 [±13.25]), and living environment (12 community, 6 hospital). EES-applied POBP showed a statistically significant therapeutic effect on 7 of the 9 factors in the three outcome measures.

Conclusion: The EES-applied POBP may contribute to the effective enhancement of subjective well-being and positive emotions in individuals with mental illness.

Background: This study aimed to identify factors correlating with the continued employment of people with mental disorders who were hired after the launch of the Employment Support Programme in Cooperation with the Public (ESPCP) employment service.

Methods: A survey was conducted with 60 participants who were hired within 12 months after the launch of the ESPCP to determine whether they had retained that job or had changed jobs during the 12-month period after being hired. Factors relating to continued employment were then examined using binary logistic regression.

Results: The participants were classified into two groups: the job-retention (n = 43) and job-turnover (n = 6) groups. Of the participants in the job-retention group, 79.07% used psychiatric day care after securing their jobs. Psychiatric day care was extracted as a predictive factor for continued employment in a logistic regression model, whose variables included psychiatric day care, outreach services, and agency-based counselling services (odds ratio = 1.02, 95% confidence interval = 1.00-1.04, p = 0.04). The job-turnover group included those who wanted to change jobs and those who quit owing to their condition worsening. Two of the four participants whose conditions worsened had adjusted their medication use based on their own judgment.

Conclusions: The use of psychiatric day care is associated with job retention of people with mental disorders post-ESPCP. Preventing turnover requires paying attention to job satisfaction, desire to change jobs, medication adherence, and follow-up when unable to attend the psychiatric day-care centre.

Purpose: To determine the relationship between qualitative factors of motivation for rehabilitation and participants' performance of and satisfaction with self-determined goals, healthrelated quality of life, and functional independence in first-episode stroke patients in a convalescent ward.

Methods: Participants were first-stroke patients admitted to the A Hospital during November 2022–August 2023. Training Motivation Scale score was used as an explanatory variable to assess motivation quality. Canadian Occupational Performance Measure (COPM), MOS 36-Item Short-Form Health Survey (SF-36), and Functional Independence Measure (FIM) scores at baseline and discharge evaluations were used as objective variables for comparison.

Results: Significant differences were found on two factors related to the amount of change in the SF-36 role/social health component score: the controlled motivation score at baseline (p < 0.01) and the amount of change in the controlled motivation score (p < 0.05). Univariate logistic regression analysis showed a significant association between improvement above the minimum important change in COPM-P score and an increase in the controlled motivation score (odds ratio 6.67, 95% confidence interval 1.05-42.40, p = 0.04), but no increase in the non-motivation score (odds ratio 13, 95% confidence interval 1.27-133, p = 0.03). There was no relationship between motivation for rehabilitation and improvement in FIM score.

Conclusions: These findings suggest that focusing on controlled motivation as a qualitative aspect of motivation for rehabilitation promotes patients' motivation to reacquire roles and social life activities, positively affects their goal performance, and improves quality of life.

Objective: A comprehensive overview of prognosis prediction studies on activity and participation among stroke survivors in Japan is currently lacking. This scoping review aimed to identify outcome measures, study characteristics, gaps, and issues in prognosis prediction studies focusing on activity and participation among patients with stroke in Japan. The study sought to provide guidance for future research.

Methods: The PubMed and Ichushi-web databases were searched. Two reviewers independently selected studies according to set inclusion and exclusion criteria. After study selection, author names, publication year, aims, study type, study design, study scale, setting, sample size, outcomes, main analysis methods, and main findings were extracted, categorized, and summarized.

Results: Eighty-three articles were finally included. The most frequently covered outcomes were activity of daily living (ADL) scores, such as the Functional Independence Measure (34 studies, 39.5%), followed by walking (26 studies, 30.2%). On the other hand, only few studies covered outcomes related to instrumental ADL and social activities, such as return to work and driving resumption. Although the number of studies has been increasing in recent years, 85.5% of the studies were conducted at single centers. Furthermore, only approximately 15% of the studies examined the validity of prediction models and indicators using a validation group.

Conclusions: In the future, prognosis prediction studies focusing on multiple aspects of activity and participation, such as instrumental ADL and social activities are required in Japan. Equally important is the generation of high-quality evidence, a goal achievable by promoting multicenter studies and validating existing predictive models and indicators.

Background: There is a paucity of reports on task-oriented training in adult day-care centers for patients with chronic stroke.

Purpose: This study aimed to compare upper-extremity performance pre-, post-implementation, and after 6 months of the program in patients with chronic stroke at our adult day-care center.

Methods: Ten patients with chronic stroke underwent a voluntary upper-extremity functional training program comprising task-oriented training and transfer package. The frequency of training was 3 hours per day, 1 day per week, for 6 months. Main outcome measures included the Fugl-Meyer Assessment (FMA), Action Research Arm Test (ARAT), Box and Block Test (BBT), and Motor Activity Log (MAL). Repeated measures of one-way ANOVA were conducted for pre-, post-intervention, and after 6 months of upper-extremity functional assessments.

Results: There were significant improvements in all upper-extremity function assessments pre- and post-intervention (p < .05, effect size (f) = .75–1.04). Conversely, there was no significant improvement between post-intervention and after 6 months.

Conclusion: Our functional training program affected motor function, performance of the paralyzed upper-extremity, and participation status of the paralyzed upper-extremity in daily life. These results highlight the effectiveness of this program in patients with chronic stroke who are less affected by spontaneous recovery.

Introduction: Goal setting and goal-directed approaches are integral components of client-centered practice in pediatric occupational therapy, but the effectiveness of these approaches has yet to be systematically analyzed. This meta-analysis aimed to determine the effectiveness of goal setting and goal-directed approaches in pediatric occupational therapy practice.

Methods: We conducted a meta-analysis by searching multiple databases (PubMed, Scopus, Web of Science, ProQuest Central, CINAHL, and AMED) using the PRISMA checklist, the Cochrane Handbook for Systematic Reviews of Interventions, and the Revised Cochrane risk-of-bias tool for randomized trials template.

Results: Of the 14 studies identified, seven were included in the meta-analysis. The results indicated that a goal-directed approach had small to moderate clinical effects on the Canadian Occupational Performance Measure performance and satisfaction scores. The approach also had a moderate effect on parental self-efficacy, although there was no significant difference between groups in this outcome. However, no significant clinical effect of the goal-directed approach was seen in body structures and function.

Conclusion: The study's findings suggest that goal-directed approaches can improve parents' perception of their child's development and self-efficacy but may not significantly affect performance or body structures and function. Further research is necessary to develop evidence-based goal-setting approaches in pediatric occupational therapy practice.

Objective: This study aimed to determine the purpose of occupational therapy for patients with cerebrovascular disorders in Japan and analyze case studies registered with the “Japan Association of Occupational Therapists' Case Report Registration System.”

Methods: The analyzed cases were selected from the database, and case studies on cerebrovascular disorders registered between 2017 and 2021 were extracted. A topic model was used to analyze the text from the “purpose of report” section of these publicly available case studies. The recovery status was set as an external variable, and topic characteristics for each recovery status were examined.

Results: A total of 352 case studies (80, 201, and 71 in the acute, recovery, and maintenance phases, respectively) were included. In the acute phase, motor function-related topics were the most prominent, followed by those related to daily living. In the recovery phase, topics related to interventions for improving the activities of daily living, including those addressing higher brain dysfunction and using the Modified Total Dose of Laughter Protocol, were extracted. During the maintenance phase, topics related to interventions aimed at improving activity participation levels, including returning to work, were extracted. Distinctive topics related to driving, returning to work, and improving upper limb function were identified with no significant deviation.

Conclusion: This study elucidated the objectives of occupational therapy interventions for cerebrovascular diseases and highlighted key topics across different recovery phases. Further analyses of a broader range of diseases may uncover additional aspects of occupational therapy practices in Japan.

Objective: To investigate mental practice (MP) with inverse video in combination with functional electrical stimulation in a patient with left-sided hemiplegia with severe upper limb paralysis using a single-case design.

Methods: In a single case, the total intervention period for the ABA approach was 9 weeks. The participants were patients with stroke and motor paralysis in their upper extremities who could perform MP, and those who consented to the intervention study were recruited. The duration of each phase was 3 weeks, and each session lasted for 60 min/day. Neuromuscular stimulation and peg manipulation, among others, were performed in period A, while MP was performed using inverse video and functional electrical stimulation in period B. The effectiveness of the ABA approach was analyzed using the 2-standard deviation (2-SD) band method.

Results: The mean values of each efficacy index in period B were as follows: Fugl–Meyer Assessment-upper extremity, 50.3; Motor Activity Log (Amount of Use subscale), 3.8 and Motor Activity Log (Quality of Movement subscale), 3.8; and Action Research Arm Test (left), 44.0, which were higher than the mean + 2-SD values in period A. Furthermore, a significant improvement was observed in the paralyzed upper limb with the application of the integrated volitional control electrical stimulator (IVES) plus MP intervention using inverted video.

Conclusion: The synergistic effect of IVES and MP intervention using laterally inverted video resulted in an improvement in the function of the paralyzed upper limb.

Objectives: Rehabilitation of inpatients with Parkinson's disease (PD) with occupational dysfunction associated with disease progression is important to prevent decreased quality of life (QOL) in the community. However, the factors associated with changes in QOL before and after hospitalization are not clear. The purpose of this study was to clarify changes in the QOL, occupational dysfunction, and apathy of inpatients with PD before and after hospitalization, and to identify factors associated with changes in QOL.

Methods: This prospective case series study included inpatients with PD for whom occupational therapy was prescribed. The assessment items included the 39-item Parkinson's Disease Questionnaire (PDQ-39), Classification and Assessment of Occupational Dysfunction (CAOD), and Apathy Scale (AS). These assessments were performed at the time of hospitalization and at 1 month post discharge. A generalized linear mixed model (GLMM) was used to identify factors of change in QOL.

Results: Twelve patients were included in the analysis (age, 75.3 ± 6.5 years; duration of illness, 56.2 ± 39.2 months; most common H&Y Stage, II and III) and all were discharged home. CAOD was a significant explanatory factor for change in QOL at hospitalization and 1 month after discharge (p = 0.034).

Conclusions: CAOD was demonstrated to be related to changes in the QOL of inpatients with PD. It was suggested that focusing on and supporting patients' occupational dysfunction contributes to their QOL in the community after discharge from hospital.