Purpose: This invited article reflects upon elements of ethical behavior during the conduct of asynchronous telepractice. Method: First, telepractice is defined, followed by the typically understood definitions of synchronous telepractice, asynchronous telepractice, and hybrid telepractice (in-person plus synchronous and/or asynchronous telepractice approaches). In this in-depth examination of ethical intent and behavior, the point is made that synchronous and asynchronous telepractice can be simultaneously or sequentially linked for the same clinician–client interaction. The article then presents key elements of the Code of Ethics of the American Speech-Language-Hearing Association, along with historical underlying ethical principles. It includes practical vignettes of model ethical conduct and conduct that violates at least one principle of ethics. Conclusions: It is important to not embrace a false or superficial dichotomy between synchronous and asynchronous telepractice when considering ethical behavior. In fact, the same ethical principles apply to both.

Background: Rapid AI integration into healthcare necessitates proactive action to leverage benefits and reduce risks to clients and occupational therapy. Research on AI integration in occupational therapy shows promising outcomes. Objective: This study assessed knowledge, use, and attitudes regarding AI in occupational therapy worldwide to inform development of guidance documents and resources for future policy, professional development, and practice in occupational therapy. Methods: This cross-sectional descriptive study was conducted using a 28-item electronic survey. A global panel convened by the World Federation of Occupational Therapists (WFOT) reviewed the survey and translated it from English into French, German, and Spanish. WFOT distributed the survey via online communications and social media between September and November 2025. Analysis included descriptive statistics, nonparametric tests, and thematic analysis. Results: Responses from 884 surveys representing 81 countries were analyzed. Most respondents were occupational therapists (87.8%), and one-third had over 20 years of experience. Two-thirds (68.4%) expressed positive views toward AI integration in occupational therapy. Over half (56.3%) reported using AI at work, most often for documentation, administrative tasks, education, research, intervention planning, and communication. Respondents learned about AI through online resources, peer networks, and continuing education. Qualitative analysis revealed three themes related to equity, implementation conditions, and ethical responsibilities. Conclusions: The findings reveal high interest and increasing AI use for workflow support. Although attitudes were generally positive, respondents also raised important concerns. Professional organizations have an essential role in developing guidelines related to AI in occupational therapy, supporting education, ensuring ethical use, and advocating for research.