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To explore the impact of complex trauma on occupations and daily functioning in childhood through empirical studies and asses the extent and state of available evidence. The five-stage scoping review framework by Arksey and O'Malley and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews (PRISMA-ScR: Tricco et al.) were followed. EMBASE, MEDLINE, CINAHL, PsychINFO, and Web of Science databases were systematically searched. Included studies were empirical research published in English up to December 2022, reporting on the impact of complex trauma on daily functioning or occupations in children experiencing such trauma, defined as prolonged exposure to interpersonal trauma arising within the primary caregiving system. Eight studies were included. They reported impacts on personal and instrumental activities of daily living, sleep, education, work, play, leisure, and social participation. Some domains lacked comprehensive investigation, and studies lacked descriptions of specific effects on these areas. The review reveals a lack of robust empirical evidence on the impact of complex trauma on occupations and daily functioning in childhood, with limited depth for comprehensive analysis on the extent of children's occupational life impact. Further research is warranted to address identified gaps. [ABSTRACT FROM AUTHOR]

This article explores the disability related identity experiences of young people with hemiplegic cerebral palsy. Using a narrative inquiry methodology, 25 young people between 18 and 29 years participated in in-depth interviews. Their narratives highlighted growing perceptions of difference and how the negative actions and attitudes of a few people in their past continued to shadow their current lives. Influenced by perceived negative attitudes of others to disability and their own internalisation of these, the young people conceptualise a binary of normalcy and difference, finding themselves liminally positioned, somewhere in between, and mostly seeking to avoid a disability association. In new social situations, the young people reported engaging in disability identity management work, while often resisting having disability as part of their identity. These can be conceptualised as acts of resilience and of resistance in the face of oppressive social forces. There is a powerful counter narrative in a sub group of the participants who were actively engaged with peers with experience of disability. For these young people, the inclusion of disability within social identities became possible. The findings of this study have implications for our understandings of managing identities in young lives, particularly for those in marginal positions. [ABSTRACT FROM AUTHOR]

Confidence levels of 136 Irish occupational therapists were measured before and after an evidence based practice training course. Ranked scores on the evidence based practice confidence scale showed statistically significant improvement in all areas between pre and post course. Goals set by therapists to integrate EBP into their practice following the course were analysed and grouped into categories which included: 1) getting ready to use evidence based practice, 2) examining current and best practices, and 3) promoting a culture of evidence based practice in the workplace. Course feedback using Likert scales identified satisfaction with course content and delivery method. [ABSTRACT FROM AUTHOR]

The Miller Function and Participation Scales (Miller, 2006) is a standardised assessment tool for occupational therapists and other professionals involved in early education. It is designed for ages 2 years 11 months to 7 years 11 months and measures both performance in visual, fine and gross motor tasks and perceived participation in home and school based activities. This review provides an overview of the assessment and a qualitative appraisal of the assessment components. [ABSTRACT FROM AUTHOR]

AbstractAimsMethodsResultsConclusionsTo measure the quality of life in children with impaired walking who receive a mobility assistance dog (MAD).The parents of ten children who received a MAD completed the cerebral palsy quality of life questionnaire, before receiving their dog and at one, three, and six-month follow-up. Data were analyzed to assess changes for each participant and to the group.The group showed a positive change in the domains of social well-being and acceptance, feelings about functioning, and emotional well-being and self-esteem after six months. Children with less impairment (GMFCS I–II) showed a change in social-wellbeing and acceptance, feelings about functioning, participation, physical health, and emotional-wellbeing and self-esteem after six months. Children with more impairment (GMFCS III–IV) showed no change at any timepoint measured.This novel therapeutic area of receiving a MAD demonstrated some positive quality of life changes after six months for a small group of children with impaired walking. These are preliminary findings in a small sample and this intervention would benefit from further study. [ABSTRACT FROM AUTHOR]