{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T14:34:20Z","timestamp":1777905260350,"version":"3.51.4"},"reference-count":36,"publisher":"Springer Science and Business Media LLC","issue":"6","license":[{"start":{"date-parts":[[2025,8,5]],"date-time":"2025-08-05T00:00:00Z","timestamp":1754352000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2025,8,5]],"date-time":"2025-08-05T00:00:00Z","timestamp":1754352000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"name":"SUPSI - University of Applied Sciences and Arts of Southern Switzerland"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Eur Geriatr Med"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Delirium is a frequent and serious condition in older adults in long-term care (LTC), often underdiagnosed and insufficiently addressed despite its significant impact on morbidity and mortality. Occupational therapists (OTs) may play a key role in non-pharmacological prevention and treatment approaches, yet their specific contribution may remain unclear and undervalued in clinical practice.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This study explored the perceptions of geriatricians and OTs regarding the role of OT in delirium care in LTC settings across three European countries.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A qualitative, multi-site study was conducted through semi-structured interviews with six geriatrician\u2013occupational therapist dyads working in LTC settings in Italy, Spain, and Switzerland. Transcripts were analyzed thematically through inductive coding.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Three main conceptual categories emerged: (1) the perceptions of the OT\u2019s role by geriatricians, (2) the goals and interventions of OTs in delirium care, and (3) barriers and facilitators to OT involvement. Geriatricians with greater familiarity with OTs recognized their role in prevention through environmental modifications and meaningful activity promotion, whereas others saw OTs\u2019 contributions as overlapping with physiotherapy. OTs often lacked standardized tools and specific training for delirium care, and caregiver involvement was minimal. Barriers included time constraints, unclear interprofessional roles, and limited geriatric training; facilitators included strong interdisciplinary collaboration and supportive teams.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Enhancing the role of occupational therapy in delirium care requires clearer interprofessional definitions, dedicated training, and structural support in LTC. Structured collaboration between geriatricians and OTs may improve prevention and management outcomes for delirium in older adults.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s41999-025-01282-0","type":"journal-article","created":{"date-parts":[[2025,8,5]],"date-time":"2025-08-05T07:37:40Z","timestamp":1754379460000},"page":"1971-1981","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Geriatricians and occupational therapists\u2019 perspectives on the role of occupational therapy in delirium care in long-term care settings: a multi-site study"],"prefix":"10.1007","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2355-4922","authenticated-orcid":false,"given":"Christian","family":"Pozzi","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Giulia","family":"Borgonovo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Juan Antonio Lopez","family":"Segura","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6976-5154","authenticated-orcid":false,"given":"ABirgitta","family":"Gunnarsson","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Laura N.","family":"Gitlin","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2025,8,5]]},"reference":[{"key":"1282_CR1","doi-asserted-by":"publisher","first-page":"90","DOI":"10.1038\/s41572-020-00223-4","volume":"6","author":"JE Wilson","year":"2020","unstructured":"Wilson JE, Mart MF, Cunningham C, Shehabi Y, Girard TD, MacLullich AMJ et al (2020) Delirium Nat Rev Dis Primer 6:90. https:\/\/doi.org\/10.1038\/s41572-020-00223-4","journal-title":"Delirium Nat Rev Dis Primer"},{"key":"1282_CR2","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/afac051","volume":"51","author":"A Anand","year":"2022","unstructured":"Anand A, Cheng M, Ibitoye T, Maclullich AMJ, Vardy ERLC (2022) Positive scores on the 4AT delirium assessment tool at hospital admission are linked to mortality, length of stay and home time: two-centre study of 82,770 emergency admissions. 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