Objective: To assess the effectiveness and feasibility of behavioral sleep intervention for medicated children with ADHD. Method: Six medicated children (five boys, one girl; aged 6-12 years) with ADHD participated in a 4-week sleep intervention program. The main behavioral strategies used were Faded Bedtime With Response Cost (FBRC) and positive reinforcement. Within a case-series design, objective measure (Sleep Disturbance Scale for Children [SDSC]) and subjective measure (sleep diaries) were used to record changes in children’s sleep. Results: For all six children, significant decrease was found in the severity of children’s sleep problems (based on SDSC data). Bedtime resistance and mean sleep onset latency were reduced following the 4-week intervention program according to sleep diaries data. Gains were generally maintained at the follow-up. Parents perceived the intervention as being helpful. Conclusion: Based on the initial data, this intervention shows promise as an effective and feasible treatment.

This study determined the effect of Occupational Performance Imitation Intervention (OPII) on three imitation learning among autism using a case series design. Six children with autism participated in this study with aged between four to six and half years. These children randomly divided into three groups. In each group received different types of stimulation, which included visual imitation, auditory imitation and visuoauditory imitation. Total 15 weeks of a programme conducted with one week of a pre-test, ten weeks of intervention and follow-up conducted after three weeks of post intervention. The finding indicates all three groups showed improvements in after received OPII. In future need to examine the well-designed study with larger sample size.

Evidence on cognitive abilities and driving activity's self-confidence associated with difficulty in performing driving among post-stroke patients is still insufficient. Therefore, the cross-sectional study was conducted to investigate the association between post-stroke survivors' cognitive abilities and driving activity's self-confidence among post-stroke patients. The findings indicated a significant association (p<0.05) between cognitive ability with age and driving status. Moreover, driving status shows a significant association (p <0.05) with self-confidence. Therefore, an occupational therapist must conduct an off-road evaluation identifying an individual's cognitive capacity and self-confidence associated with the post-stroke patient's driving performance.

The Snoezelen room is known as a multisensory room. Snoezelen's environment could improve the behavior and quality of life with mental retardation and mental illness. This paper explores the elements of the snoezelen environment that aid the autistic space. The environment promotes a sense of enjoyment and relief from tension and pressure, consequent improvement in general behavior. The finding for this literature review summarizes the narrative studies, highlighting the key elements that support creating this environment. The snoezelen environment may provide direct and indirect stimulation that offers a sensory approach.

Background: Fear of falling (FOF) is a significant concern among older adults, especially after total knee arthroplasty (TKA). FOF can limit daily activities, reduce quality of life, and hinder recovery. This study aimed to investigate the prevalence, severity, and impacts of FOF in patients undergoing TKA and identify factors contributing to increased FOF. Methods: A prospective observational study was conducted at King Abdulaziz Medical City in Riyadh, Saudi Arabia, from April 2024 to December 2024. This study included 52 participants aged 20 to 75 years who had undergone primary TKA. Data were collected at two time points: after TKA and at three months post-surgery. The Short Falls Efficacy Scale-International (SFES-I) was used to assess the severity of FOF, and the Short Form 36 (SF-36) was used to measure the quality of life. Descriptive statistics, t-tests, and logistic regression were used for analysis. Results: This study included 52 participants (mean age: 63.77 ± 6.65 years; 82.7% female). Post-TKA, all participants exhibited high FOF (mean SFES-I score: 56.75 ± 8.30). After three months, the mean SFES-I score decreased significantly to 49.04 ± 12.45 (t = 4.408, p < 0.05). Post-TKA, SF-36 showed significant improvements in the physical function, role of physical limitations, bodily pain, vitality, social function, role of emotional limitations, and mental health subdomains. Bilateral total knee arthroplasty, body mass index, and some SF-36 subcomponents—such as general health, vitality, and role of emotional limitations—were identified as factors leading to increased FOF. Conclusions: FOF remains prevalent and severe in TKA patients, even at three months post-surgery, affecting rehabilitation outcomes. Early identification and tailored interventions for FOF should be considered essential components of comprehensive TKA recovery programs.

Parents play a vital role in shaping occupational therapy (OT) outcomes for children with autism spectrum disorder (ASD), yet their experiences remain underexplored. This qualitative study at WQ Park Health and Rehabilitation Centre used Interpretative Phenomenological Analysis (IPA) to investigate parental perspectives. Semi-structured interviews with ten parents of children with mild ASD revealed three key themes: balancing hopes with therapy realities, fostering trust and collaboration with therapists, and overcoming systemic barriers such as cost and accessibility. Findings emphasize the importance of family-centered, collaborative OT practices that empower parents, enhance understanding, and ensure continuity of care beyond child-focused outcomes.