{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T06:59:35Z","timestamp":1785394775873,"version":"3.55.0"},"reference-count":47,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,7,29]],"date-time":"2026-07-29T00:00:00Z","timestamp":1785283200000},"content-version":"vor","delay-in-days":209,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"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":["Occupational Therapy International"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>The primary aim was to assess the feasibility of a home\u2010based occupational positioning program for children with spastic cerebral palsy (SCP), focusing on compliance, dosage, and satisfaction. A secondary aim was to explore its preliminary effectiveness on self\u2010care, mobility, social function, gross motor function, and goal attainment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This single\u2010group feasibility study, conducted prior to a larger RCT, included five children aged 3.5\u20136 years with SCP (GMFCS III\u2013IV) without severe intellectual disability, and aimed at assessing feasibility while exploring preliminary effects. The home\u2010based occupational positioning program involved general and customized booklet\u2010based training, two in\u2010home sessions using Goal Attainment Scaling (GAS) to establish the home program, and 12 weekly remote sessions. Feasibility outcomes were assessed by compliance, dosage, and satisfaction, while preliminary effectiveness was evaluated using the PEDI (self\u2010care, mobility, and social function), Gross Motor Function Measure (GMFM\u201088), and GAS.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      All participants completed the study without adverse events or attrition. Mean compliance was 96.4\n                      <jats:italic>%<\/jats:italic>\n                      \u00b1 4.93\n                      <jats:italic>%<\/jats:italic>\n                      , average satisfaction was 9.8 \u00b1 0.44 on a 10\u2010point scale, and the average daily program time was 5.35 \u00b1 3.11\u2009h. Significant improvements (\n                      <jats:italic>p<\/jats:italic>\n                      &lt; 0.05) were observed by Wilcoxon signed\u2010rank test in self\u2010care, mobility, and social function, as well as in GMFM\u201088 and GAS scores.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The home\u2010based occupational positioning program showed high feasibility, likely supported by family engagement, collaborative goal setting, real\u2010life implementation, caregiver education, and consistent remote support. Preliminary findings suggested potential benefits for self\u2010care, mobility, social function, gross motor function, and goal attainment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Trial Registration<\/jats:title>\n                    <jats:p>Iranian Registry of Clinical Trials: IRCT20231012059697N1<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1155\/oti\/2343887","type":"journal-article","created":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T06:18:52Z","timestamp":1785392332000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Feasibility of a Home\u2010Based Occupational Positioning Program for Children With Spastic Cerebral Palsy: A Preliminary Study"],"prefix":"10.1155","volume":"2026","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9551-2396","authenticated-orcid":false,"given":"Meimanat","family":"Akbari","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3846-667X","authenticated-orcid":false,"given":"Malek","family":"Amini","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3898-2217","authenticated-orcid":false,"given":"Jamileh","family":"Abolghasemi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7544-4878","authenticated-orcid":false,"given":"Akram","family":"Azad","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-4287-4802","authenticated-orcid":false,"given":"Amirhossein","family":"Shafizadeh","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,7,29]]},"reference":[{"key":"e_1_2_11_1_2","doi-asserted-by":"publisher","DOI":"10.21037\/tp.2020.01.01"},{"key":"e_1_2_11_2_2","doi-asserted-by":"publisher","DOI":"10.2174\/1874205X01509010045"},{"key":"e_1_2_11_3_2","doi-asserted-by":"publisher","DOI":"10.5014\/ajot.2012.003921"},{"key":"e_1_2_11_4_2","volume-title":"Case-Smith\u2032s Occupational Therapy for Children and Adolescents","author":"O\u2032Brien J. 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