Background People with visual impairment (VI) face barriers to participating in physical activity (PA). While research has explored ways to improve PA accessibility and documented short-term benefits, its long-term impact, particularly from an occupational perspective, remains underexplored. Aims/Objectives To examine the long-term influence of a group-based PA programme for people with VI, exploring its impact on daily life and sustained wellness. Methods This qualitative study involved semi-structured interviews with 11 respondents who had participated in a 10-week PA programme. Data were collected two months and four months post-programme to assess lasting effects, and reflexive thematic analysis was applied. Results Three overarching themes were identified: ‘I have a healthier body and mind’, ‘I perform better in my day-to-day life’, and ‘My connection with others is growing’, reflecting participants’ perceived improved health, enhanced daily activity engagement, and strengthened social connections. Conclusions and Significance The influence of PA programmes for people with VI expands and becomes progressively more pronounced over time. This study underscores the role of structured PA programmes in fostering long-term positive changes. It highlights the importance of considering long-term PA outcomes in occupational therapy practice for people with VI.

Background The Swedish Government is implementing a Transition To Integrated and Person-Centred Care, with telehealth as a key component. This transition affects both patients and healthcare professionals, including occupational therapists. However, knowledge about occupational therapists’ views on telehealth in their practice is limited. Objective To explore and describe how occupational therapists within regional primary care reason about telehealth in an occupational therapy practice context. Material and methods A qualitative interview study was conducted, using semi-structured interviews with 14 occupational therapists. Data was analysed using systematic text condensation. Results The occupational therapists reasoned about telehealth in three main areas: Through the lens of the patient, Through the lens of their profession, and In relation to the context. Conclusions The study indicates that conventional occupational therapy is not always feasible through telehealth. To fully utilize telehealth, the occupational therapists see a need to adopt new ways of working. They emphasized the importance of retaining in-person meetings, and that further developed telehealth could constitute a valuable complement to the service they provide. Significance These insights regarding telehealth could guide the profession and support development in relation to the transition to integrated care and person-centred care, ultimately benefiting those who need occupational therapy.

Background Levels of sickness absence due to common mental disorders (CMD) vary between industrial sectors and managers are key for prevention and rehabilitation. Objective To assess industry differences in managers’ experiences and ratings of work capacity in employees with depression and anxiety Material and methods Differences between industries in managers’ (n = 1819) experiences were investigated by chi-squared tests and managers’ ratings were analysed through MANCOVA. Results The proportion of managers who had experienced several employees with depression and anxiety was higher in municipalities and counties, and in industries with people as the main work object such as education, health and social care settings, compared with other industries. There was no significant effect of industry on managers’ ratings of how work capacity is affected by depression and anxiety Conclusions Having experienced several employees with common mental disorders is more common among managers of female dominated service sectors, but managers rate capacity to work in employees with depression and anxiety similarly, irrespective of industrial sector. Significance It is important that managers receive the support they need to handle employees with reduced work capacity due to CMD, however, support does not need to be tailored to different industries.

Background Chronic fatigue impacts individuals’ ability to engage in daily activities and their quality of life. The Activity Calculator is a method for fatigue management in relation to occupational participation that aims to: 1. Help patients to find a balance between what they want to do and what they are able to do. 2. Help patients to obtain congruence between occupational participation and their values and personal meaning. Aims Elaborate on a theoretical foundation for the Activity Calculator by addressing three concepts: occupational adaptation, patterns of daily occupational, and occupational balance. Results The three concepts are presented, and it is discussed how the concepts may serve as a theoretical foundation for the Activity Calculator when used in an occupational therapy intervention. The concept occupational adaptation is discussed as a transactional process, but also as an outcome as expressed by the two aims of the Activity Calculator. Conclusion The three addressed concepts seem to serve as a suitable theoretical foundation of the Activity Calculator. Significance The developed theoretical foundation makes it possible to evaluate the effects of the Activity Calculator in future research.

Background Three Danish versions of the Clinical Assessments of Modes (CAM) have been adapted for practice: CAM–Client Time 1 (D-CAM-C1), CAM–Client Time 2 (D-CAM-C2) and CAM–Therapist (D-CAM-T), collectively referred to as D-CAMQs. Evidence on clinical utility is limited. Aims/Objectives To explore clinical utility of the D-CAMQs. Material and Methods Occupational therapists (OTs) and clients were recruited. Clients completed D-CAM-C1 before and D-CAM-C2 after therapy; OTs completed D-CAM-T after therapy. Surveys addressed appropriateness, accessibility, practicability and acceptability. Results Eleven OTs and 47 clients (23–97 years, mostly neurological conditions) participated. Clients rated all six therapeutic modes as relevant, with ‘Instructing’ most and ‘Advocating’ least important. Group patterns of perceived mode use were similar for clients and OTs. However, correlations between preferred and perceived use were moderate (r s = 0.26–0.48), and client–therapist agreement was weak to trivial. Most clients found D-CAMQs appropriate and beneficial (≥57% to a great extent). OTs expressed mixed views, particularly regarding appropriateness and time investment. Both groups found instructions clear and acceptability high (>80%). Conclusion and Significance D-CAMQs appear useful for supporting therapeutic dialogue in Danish practice. Client-therapist discrepancies and varying OT perceptions highlight the need for further research. Small sample size represents a limitation.

Background The number of nursing home residents with obesity is increasing. Despite the complex physical and social challenges that nursing home residents with obesity face daily, there is a lack of knowledge of how they experience things seen from their perspective. Objectives This study explored how nursing home residents with obesity experience everyday life. Materials and Methods 11 nursing home residents living with obesity were interviewed. A phenomenological analysis ad modum Giorgi was applied. Results Three themes encapsulated essential aspects of the nursing home residents’ experiences of living with obesity: (1) From cake to crispbread – living and coping with an oversized body. (2) It keeps me in shape – wanting to keep going. (3) She is the best at making low-fat food for me – navigating the possibilities and barriers in the social and institutional environment of the nursing homes. Conclusion Participants’ oversized bodies shaped their daily life and thoughts, often involving concerns about bodily appearance and desires to maintain or lose weight. The findings highlight the need for occupational therapists to support residents’ everyday strategies for managing life with obesity, including habitual change and environmental adaptation. Significance Nursing home staff should support residents in maintaining self-reliance, routines, and targeted weight management

Purpose Relational pedagogy foregrounds the interpersonal, ethical, and dialogical dimensions of teaching and learning by positioning the quality of educational relationships as central. However, competitive and performance-oriented cultures in higher education risk marginalising these dimensions, and the application of relational pedagogy in occupational therapy education remains underexplored. This paper aimed to describe and discuss the relevance and application of relational pedagogy within Swedish occupational therapy education. Methods A discussion paper informed by interviews and reflections with senior lecturers at a Swedish university. Interview data were analysed using qualitative content analysis, refined through collegial discussion, engagement with previous literature, and reflexive notes informed by the author’s teaching experience. Results and discussion Two categories were identified: 1) Learning as a co-created occupation, and 2) A foundation for deep learning and professional development. Relational pedagogy was operationalised through dialogical routines and shared pedagogical cultures, and hindered by high workloads, and reduced relational attunement in digital or hybrid learning environments. Conclusions Relational pedagogy aligns closely with occupational therapy’s core values, but sustained implementation requires institutional recognition of the time and emotional labour involved, alongside a shift from individualistic and technical approaches towards a pedagogy that embed care, dialogue, and mutual engagement within educational practice.

Background Return to work after stroke is a key goal in rehabilitation for people of working age. However, post-stroke fatigue is a common and complex symptom, and how it affects sustainable return-to-work and everyday life remains insufficiently explored. Aims/Objectives To describe how persons of working age who experience fatigue after stroke perceive their prerequisites for sustainable return-to-work in the context of everyday life. Material and Methods Forty-eight working-age individuals with stroke participated. Data were collected via the Worker Role Interview (WRI) and a survey. WRI data were analysed using qualitative abductive content analysis and descriptive statistical analysis were conducted. Results Upon returning to work, participants found themselves in an everyday life where fatigue affected their work ability. The process was marked by uncertainty, ongoing challenges handling work demands under reduced capacity, and inconsistent support. The stroke marked the beginning of a complex, emotionally charged process as participants sought to navigate their new self and redefine their occupational identity. Conclusions/significance Sustainable return-to-work when experiencing post-stroke fatigue requires person-centred rehabilitation that integrates work and everyday life. Flexible work environments are essential, along with close employer collaboration to ensure understanding of the work situation.

Background Occupational balance (OB) is a subjective feeling of having the right amount and variety of occupations. Aims/objectives The study aims to translate the Occupational Balance Questionnaire (OBQ11) into Chinese (OBQ11-C) and to examine its psychometric properties for people with depression in Taiwan. Material/methods The OBQ11 was translated and reviewed by 10 experts. Subjects with depression were referred from two psychiatric outpatient clinic in central Taiwan. Cognitive debriefing involved 10 subjects, while 161 subjects (average age = 39.2 ± 14.0, 66.5% female) were assessed for reliability and validity using classical test theory by PASW 20.0 and Rasch analysis by Winsteps 5.3.0. Results The OBQ11-C showed good content validity, internal consistency (Cronbach’s alpha = 0.90), item–total correlation (0.49–0.77) and test–retest reliability (intraclass correlation coefficient = 0.90). Rasch analysis results supported the four-point Likert scale, unidimensionality, item separation (3.95), item reliability (0.94), person separation (2.87) and person reliability (0.89), and may have cultural and population differences compared with other language versions. Conclusions The OBQ11-C is a valid tool for assessing OB in Chinese-speaking individuals, particularly those with depression in Taiwan. Significance This study validates a tool designed to assess OB as a foundation for creating individualised, occupation-based programmes for individuals with depression.

Background Performance of activities of daily living (ADL) tasks is essential for most people’s everyday lives. However, there is limited information regarding which ADL tasks and how their performances are typically impacted among persons with Long COVID. Aim To explore the types of ADL tasks typically affected and how the quality of ADL task performance is impacted in persons with long COVID and to explore relationships between ADL ability and health-related, social, or personal factors. Material and methods This cross-sectional study involved individuals participating in a municipality-based rehabilitation program for persons with Long COVID. Data on ADL ability and health-related, social, and personal factors were gathered. Results The sample included n = 30 individuals with Long COVID. The participants reported decreased quality of ADL task performance related to both Personal ADL and Instrumental ADL tasks. A moderate relationship was identified between participants′ ADL-I ability measures and ratings of fatigue. None of the remaining health-related, social and personal variables were related to ADL ability. Conclusions Individuals diagnosed with Long COVID reported decreased quality of performance in both PADL and IADL tasks, with increased time and effort being the primary issues. The most prevalent symptom, fatigue, was moderately related to participants’ ADL ability.