TAP offers families knowledge of their relative's capabilities and easy-to-use activities. The program was well received by caregivers. Prescribed activities appeared to be pleasurable and engaging to individuals with dementia. TAP merits further evaluation to establish efficacy with larger more diverse populations and consideration as a nonpharmacological approach to manage behavioral symptoms.

RE-AIM indicators suggest moderate translational success. As ESP was reimbursed through Medicare B, its delivery may be sustainable and meet the needs of family caregivers of dementia patients receiving therapies at home.

This chapter explores the development of the Jefferson Health Mentors Program over the past decade and the challenges and solutions to continue to provide a relevant interprofessional curriculum.

Background Earlier detection of children at risk for neurodevelopmental disorders is critical and has longstanding repercussions if not addressed early enough. Objectives To explore the supporting or facilitating characteristics of paediatric primary care models of care for early detection in infants and toddlers at risk for neurodevelopmental disorders, identify practitioners involved, and describe how they align with occupational therapy’s scope of practice. Methods A scoping review following the Joanna Briggs Institute framework was used. PubMed Central, Cumulative Index to Nursing & Allied Health Literature, and Scopus databases were searched. The search was conducted between January and February 2022. Inclusion criteria were: children aged 0–3 years old; neurodevelopmental disorders including cerebral palsy (CP) and autism spectrum disorder (ASD); models of care used in the paediatric primary care setting and addressing concepts of timing and plasticity; peer-reviewed literature written in English; published between 2010 and 2022. Study protocol registered at https://doi.org/10.17605/OSF.IO/MD4K5 Results We identified 1,434 publications, yielding 22 studies that met inclusion criteria. Models of care characteristics included the use of technology, education to parents and staff, funding to utilize innovative models of care, assessment variability, organizational management changes, increased visit length, earlier timeline for neurodevelopmental screening, and collaboration with current office staff or nonphysician practitioners. The top 4 providers were paediatricians, general or family practitioners, nurse/nurse practitioners, and office staff. All studies aligned with occupational therapy health promotion scope of practice and intervention approach yet did not include occupational therapy within the paediatric primary care setting. Conclusions No studies included occupational therapy as a healthcare provider that could be used within the paediatric primary care setting. However, all studies demonstrated models of care facilitating characteristics aligning with occupational therapy practice. Models of care facilitating characteristics identified interdisciplinary staff as a major contributor, which can include occupational therapy, to improve early detection within paediatric primary care.

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Date Presented 03/28/20 Two OT students initiated services in a geriatric primary-care clinic, where they worked with an interprofessional team. To assess the team’s perceptions of OT services, three surveys were modified to include quantitative and qualitative questions. Results indicate that OT services were well-received and add to overall patient care and service delivery. This research supports OT in geriatric primary care. Primary Author and Speaker: Pari Kumar Additional Authors and Speakers: Hannah Sclarsky, Tracey Earland

Date Presented 04/22/2023 Improving future pediatricians’ perception of OT using virtual game-based simulations may foster interprofessional collaboration in pediatric primary care, thus potentially creating a collaborative role for OT in primary care early intervention. Primary Author and Speaker: Jessica Trio Contributing Authors: Maureen Johnson, Tracey Vause Earland

Background: Pediatric primary care well-child visits commonly result in referrals for occupational therapy. However, only a small percentage of children under age three, at risk for developmental delays, receive an intervention. Healthcare providers’ limited knowledge and perception of occupational therapy and interprofessional collaboration may cause referral barriers. Pediatric medical residency education offers opportunities to impart information about available resources and benefits of early occupational therapy intervention and interprofessional collaboration through game-based simulations (virtual escape room). This pilot study explored the effects of participating in a virtual escape room simulation on pediatric medical residents’ knowledge and perception of occupational therapy's importance and treatment value, interprofessional collaboration, and likeliness to refer clients to occupational therapy. Methods: A three-hour educational activity, including a one-hour lecture, one-hour virtual escape room simulation, and one-hour debriefing, were measured using a pre-post survey study design completed by first-year postgraduate pediatric medical residents (n=6) as part of their pediatric residency orientation. Post-surveys also included a participant satisfaction questionnaire. Results: No significant difference was found in the pre-post-survey of knowledge and perception toward occupational therapy and interprofessional collaboration using the Wilcoxon Signed-Rank testing. However, using descriptive data, pre-post-survey responses to three statements regarding attitude toward occupational therapy revealed improved positive responses. Descriptive statistics were calculated, and the mean score for six statements regarding participant satisfaction was 4.83 using a five-point Likert scale, with 0 indicating low levels and 5 indicating high levels of satisfaction. Conclusion: Although the small sample size may account for no significant difference in knowledge and perception, descriptive analysis of this educational activity’s components revealed an improvement in pediatric medical residents’ perception of occupational therapy as an important healthcare profession, the profession’s overall value, and potential future referrals for services. These findings suggest that medical education simulations may improve residents’ knowledge and perception of interprofessional collaboration and inclusion of occupational therapists in primary care well-child visits, especially with early intervention. In addition, participant satisfaction with the escape room simulation was high overall.