{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,24]],"date-time":"2026-08-24T03:19:12Z","timestamp":1787541552444,"version":"build-2736575974"},"reference-count":46,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T00:00:00Z","timestamp":1787011200000},"content-version":"vor","delay-in-days":17,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Aus Occup Therapy J"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Fetal Alcohol Spectrum Disorder (FASD) describes a spectrum of birth defects and developmental disabilities resulting from prenatal alcohol exposure. With a prevalence rate of 3.64%, developing an FASD\u2010informed occupational therapy workforce is essential across all practice contexts. Since the Australian diagnostic guidelines were introduced in 2016 and updated in 2025, awareness has grown. This study aimed to explore Australian occupational therapists' awareness, knowledge, and practice regarding FASD.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>A cross\u2010sectional survey of 90 occupational therapists assessed knowledge, awareness, and confidence regarding FASD via a 22\u2010item online questionnaire. Chi\u2010square tests examined associations between key variables; effect sizes were estimated using Cram\u00e9r's V. Inductive content analysis was performed on open\u2010ended responses.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Consumer and Community Involvement<\/jats:title>\n                    <jats:p>The survey was designed for occupational therapists practising in Australia to obtain information on current practice contexts and was piloted by occupational therapists working with the FASD community.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Despite 93.3% agreeing FASD knowledge is important, confidence and preparedness were markedly low. Only 26.7% had completed professional development, 37.8% reported easy access to reliable information, and 66.7% were unprepared to discuss FASD concerns. Professional development was strongly associated with confidence in recognising FASD (66.7% vs. 12.1%, P\u2009&lt;\u20090.001, V\u2009=\u20090.517) and confidence working with adolescents and children. Clinical experience showed a categorical threshold effect: 40.7% with experience reported confidence in recognising FASD versus 0% without. Access to reliable information was a significant predictor of preparedness (58.8% vs. 17.9%, P\u2009=\u20090.008). Qualitative findings highlighted an absence of FASD\u2010specific guidance, with occupational therapists drawing on frameworks and knowledge from other diagnoses.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This study indicates a need for occupational therapy\u2010specific FASD research and practice guidance. Access to reliable information and professional development is critical to building workforce confidence and preparedness in FASD recognition and management.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/1440-1630.70118","type":"journal-article","created":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T12:02:51Z","timestamp":1787054571000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Fetal Alcohol Spectrum Disorder Awareness, Knowledge, and Practice Among Australian Occupational Therapists: A Cross\u2010Sectional Survey"],"prefix":"10.1111","volume":"73","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9996-3728","authenticated-orcid":false,"given":"Laine","family":"Chilman","sequence":"first","affiliation":[{"name":"School of Health University of the Sunshine Coast  Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-5678-9047","authenticated-orcid":false,"given":"Daniel","family":"Meloncelli","sequence":"additional","affiliation":[{"name":"School of Health University of the Sunshine Coast  Queensland Australia"},{"name":"QCIF Digital Research Ltd  Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-8255-8963","authenticated-orcid":false,"given":"Alison","family":"Houghton","sequence":"additional","affiliation":[{"name":"School of Health University of the Sunshine Coast  Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2646-7536","authenticated-orcid":false,"given":"Asmita","family":"Mudholkar","sequence":"additional","affiliation":[{"name":"Central Queensland Centre for Rural and Remote Health James Cook University  Emerald Queensland Australia"},{"name":"La Trobe Rural Health School La Trobe University  Bendigo Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3586-2458","authenticated-orcid":false,"given":"Catherine","family":"Hilly","sequence":"additional","affiliation":[{"name":"School of Allied Health, Australian Catholic University and Healthy Brain and Mind Research Centre Australian Catholic University  Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,8,18]]},"reference":[{"key":"e_1_2_14_2_1","volume-title":"Australian clinical practice guidelines for the assessment and diagnosis of fetal alcohol spectrum disorder","author":"Australian Guidelines Development Group","year":"2024"},{"key":"e_1_2_14_3_1","volume-title":"Modified Monash model","author":"Australian Government","year":"2023"},{"key":"e_1_2_14_4_1","volume-title":"Occupational Therapy Board of Australia: National registration 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