{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T15:02:08Z","timestamp":1790002928693,"version":"4.0.1"},"reference-count":52,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2026,7,19]],"date-time":"2026-07-19T00:00:00Z","timestamp":1784419200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["American Journal of Occupational Therapy"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:sec>\n                    <jats:title>Importance<\/jats:title>\n                    <jats:p>Individuals with Down syndrome experience multiple conditions requiring occupational therapy intervention, but no review papers have explored the research literature to support such intervention.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To map the literature on occupational therapy interventions for individuals with Down syndrome across the lifespan and identify gaps in the evidence base for future research and education that require attention.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Data Sources<\/jats:title>\n                    <jats:p>Six databases were searched: OTSeeker, PubMed, PsychINFO, PEDro, CINAHL, and Cochrane Library for studies published on or before June 19, 2025.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study Selection and Data Collection<\/jats:title>\n                    <jats:p>This review was conducted according to PRISMA-ScR and Joanna Briggs Institute methodology for scoping reviews. Included studies had participants with Down syndrome, were published in English, contained an OT intervention, and were peer-reviewed. Excluded studies lacked participants with Down syndrome, were not in English, did not have an OT intervention, or were not peer-reviewed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Findings<\/jats:title>\n                    <jats:p>We retrieved 421 records and included 21 articles in this review. While most studies utilized rigorous designs (n\u2009=\u200916), none were designated \u201cHigh Quality\u201d due to multiple methodological flaws, such as failure to assess treatment fidelity or lack of random assignment to condition.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions and Relevance<\/jats:title>\n                    <jats:p>This review suggests a need for studies with more methodological rigor, that address adults with Down syndrome, and that detail a greater variety of interventions. Practitioners and scholars should emphasize data-driven decision making, implementation of practice guidelines for Down syndrome, and the promotion of continuing education opportunities on Down syndrome.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/19437676261464084","type":"journal-article","created":{"date-parts":[[2026,7,20]],"date-time":"2026-07-20T03:23:29Z","timestamp":1784517809000},"page":"898-907","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Occupational Therapy Interventions in Down Syndrome: A Scoping Review"],"prefix":"10.1177","volume":"80","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0957-1905","authenticated-orcid":false,"given":"Katherine L.","family":"Long","sequence":"first","affiliation":[{"name":"Florida International University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-7148-2430","authenticated-orcid":false,"given":"Mario Sergio","family":"Barrios Lago","sequence":"additional","affiliation":[{"name":"Florida International University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0058-8409","authenticated-orcid":false,"given":"Eliza L.","family":"Nelson","sequence":"additional","affiliation":[{"name":"Florida International University"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,7,19]]},"reference":[{"key":"e_1_3_2_2_1","first-page":"1","article-title":"Occupational therapy practice framework: Domain and process\u2013fourth edition","volume":"74","author":"American Occupational Therapy Association","year":"2020","unstructured":"American Occupational Therapy Association. 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