The effect on the health-related quality of life (QOL) after discharge was investigated postoperatively in patients with glioblastoma who underwent occupation-based practice (OBP) using the Aid for Decision-Making in Occupation Choice (ADOC) and the Classification and Assessment of Occupational Dysfunction to facilitate their return to important occupations. Additionally, housework-, work-, and leisure-related occupations were identified in ADOC than in ADLs. The health-related QOL and occupational dysfunction tended to improve after discharge; however, the QOL decreased in patients who could not return to important occupations because of higher brain dysfunction. Although there were no statistically significant differences in the health-related QOL or occupational dysfunction over time, the use of ADOC allowed more intensive interventions for important tasks. The OBP for patients with glioblastoma is useful because it allows for more intensive intervention in important tasks during hospitalization.

The patient had dementia with overlapping diseases and behavioral and psychological symptoms of dementia (BPSD), making it difficult to share her goals. In this study, occupations that respect the patient’s will were extracted using the Aid for Decision-making in Occupation Choice (ADOC) for patients with multiple diseases presenting with dementia. A complex intervention based on the extracted occupations was implemented in stages using music therapy, exercise training, and activities of daily living (ADL) practice. Music therapy was introduced first to stabilize psychiatric symptoms. As a result, BPSD were reduced, leading to active exercise training. The use of ADOC in dementia patients with BPSD facilitates the choice of occupations that can be made according to their own will, and psychiatric symptoms may have been stabilized early by incorporating these tasks into the occupational therapy program. Complex interventions should be introduced according to the mental and physical functional aspects of the patient.

The participants were 41 patients with stroke who underwent driving aptitude evaluation at our outpatient driving clinic and 28 healthy employees of our hospital. Patients with stroke were divided into two groups; with and without problems in resuming driving. The two groups and healthy group were compared. The group with problems had significantly lower scores in three out of 10 hazardous situations, which corresponded to multiple hazards. Conversely, the healthy group lost points in situations involving potential hazards, more so for men than for women. In the simulator-based assessment of patients with stroke, the situation and context of the hazardous situation and sex should be considered if deciding whether the patient can drive.

An intervention based on the occupational therapy intervention process model (OTIPM) was conducted with a client with autism spectrum disorder and inattentive characteristics who attended psychiatric day care and wished to return to school while living alone. The AMPS and ACQ-OP were used to assess the household chores that were important to clients living alone. The assessment results were shared with the client and primary staff (nurses), and the intervention was conducted using an acquisition model. The client was able to return to school while living alone after reassessment and intervention using a compensatory model. The OTIPM intervention changed the support provided by primary staff. If occupational therapists focus their assessment and intervention on the performance of tasks to promote the participant’s activity and participation, it contributes to the collaboration of meaningful work with the client and collaborative multidisciplinary cooperation.