{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T18:57:45Z","timestamp":1791485865833,"version":"4.3.4"},"reference-count":38,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2026,8,22]],"date-time":"2026-08-22T00:00:00Z","timestamp":1787356800000},"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":[[2026,12]]},"abstract":"<jats:sec>\n                    <jats:title>Importance:<\/jats:title>\n                    <jats:p>Postpartum musculoskeletal disorders are prevalent, yet ergonomic approaches often overlook the temporal organization of mother\u2013infant co-occupations. Examining weekly care patterns may help identify patterns relevant to occupational therapy assessment and future intervention research.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>To examine associations between weekly co-occupational exposure patterns and musculoskeletal disability among postpartum women.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design:<\/jats:title>\n                    <jats:p>Cross-sectional study using a 7-day co-occupational participation log.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting:<\/jats:title>\n                    <jats:p>Community-based online recruitment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants:<\/jats:title>\n                    <jats:p>\n                      Primiparous postpartum women (\n                      <jats:italic toggle=\"yes\">N<\/jats:italic>\n                      \u2009=\u2009101).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Outcomes and Measures:<\/jats:title>\n                    <jats:p>Weekly exposure indicators were cumulative care load, sustained care intensity, and relative care predominance. Region-specific disability was assessed using the QuickDASH, Neck Disability Index (NDI), and Oswestry Disability Index (ODI).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>All three exposure indicators were positively correlated with musculoskeletal disability. In adjusted analyses, cumulative care load was consistently associated with higher ODI, NDI, and QuickDASH scores, whereas sustained care intensity was associated with higher ODI and NDI scores. Relative care predominance was not independently associated with outcomes after adjustment. Adjusted models explained 32.3% to 37.8% of outcome variance.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions and Relevance:<\/jats:title>\n                    <jats:p>Weekly accumulation of high-load care days was the most consistent indicator of musculoskeletal disability across body regions; prolonged uninterrupted care bouts were additionally relevant for neck and low back disability. Temporal care patterns may be relevant to postpartum occupational therapy assessment and future intervention research.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/19437676261480598","type":"journal-article","created":{"date-parts":[[2026,8,22]],"date-time":"2026-08-22T15:44:34Z","timestamp":1787413474000},"page":"1045-1053","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Co-Occupational Participation and Musculoskeletal Health in Mothers: A 7-Day Diary Study"],"prefix":"10.1177","volume":"80","author":[{"ORCID":"https:\/\/orcid.org\/0009-0003-0284-1161","authenticated-orcid":false,"given":"Gamze","family":"Ayas","sequence":"first","affiliation":[{"name":"Hacettepe University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5806-6518","authenticated-orcid":false,"given":"Esra","family":"Ak\u0131","sequence":"additional","affiliation":[{"name":"Hacettepe University"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,8,22]]},"reference":[{"key":"e_1_3_3_2_1","doi-asserted-by":"publisher","DOI":"10.1089\/bfm.2022.0105"},{"issue":"2","key":"e_1_3_3_3_1","first-page":"7412410010","article-title":"Occupational therapy practice framework: Domain and process (4th ed.)","volume":"74","author":"American Occupational Therapy Association","year":"2020","unstructured":"American Occupational Therapy Association. (2020). Occupational therapy practice framework: Domain and process (4th ed.). American Journal of Occupational Therapy, 74(Suppl. 2), Article 7412410010. https:\/\/doi.org\/10.5014\/ajot.2020.74S2001","journal-title":"American Journal of Occupational Therapy"},{"key":"e_1_3_3_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/BRS.0b013e31817144e1"},{"key":"e_1_3_3_5_1","doi-asserted-by":"publisher","DOI":"10.1177\/1539449220905791"},{"issue":"5","key":"e_1_3_3_6_1","first-page":"1038","article-title":"Development of the QuickDASH: Comparison of three item-reduction approaches","volume":"87","author":"Beaton D. E.","year":"2005","unstructured":"Beaton D. E., Wright J. G., Katz J. N., & Upper Extremity Collaborative Group. (2005). Development of the QuickDASH: Comparison of three item-reduction approaches. The Journal of Bone and Joint Surgery, 87(5), 1038\u20131046. https:\/\/doi.org\/10.2106\/JBJS.D.02060","journal-title":"The Journal of Bone and Joint Surgery"},{"key":"e_1_3_3_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.apergo.2023.104029"},{"key":"e_1_3_3_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.infbeh.2021.101586"},{"key":"e_1_3_3_9_1","doi-asserted-by":"publisher","DOI":"10.5014\/ajot.2020.034827"},{"key":"e_1_3_3_10_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-022-14148-3"},{"key":"e_1_3_3_11_1","doi-asserted-by":"publisher","DOI":"10.1080\/14427591.2023.2236117"},{"key":"e_1_3_3_12_1","doi-asserted-by":"publisher","DOI":"10.18203\/2394-6040.ijcmph20222573"},{"issue":"8","key":"e_1_3_3_13_1","first-page":"271","article-title":"The Oswestry low back pain disability questionnaire","volume":"66","author":"Fairbank J. C.","year":"1980","unstructured":"Fairbank J. C., Couper J., Davies J. B., O'Brien J. P. (1980). The Oswestry low back pain disability questionnaire. Physiotherapy, 66(8), 271\u2013273.","journal-title":"Physiotherapy"},{"key":"e_1_3_3_14_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyt.2024.1461705"},{"key":"e_1_3_3_15_1","doi-asserted-by":"publisher","DOI":"10.2147\/JHL.S550777"},{"key":"e_1_3_3_16_1","first-page":"42","article-title":"Health problems experienced by women during the first year postpartum: A systematic review","volume":"7","author":"Gmelig Meyling M. M.","year":"2023","unstructured":"Gmelig Meyling M. M., Frieling M. E., Vervoort J. P. M., Feijen-de Jong E. I., Jansen D. E. M. C. (2023). Health problems experienced by women during the first year postpartum: A systematic review. European Journal of Midwifery, 7, Article 42. https:\/\/doi.org\/10.18332\/ejm\/173417","journal-title":"European Journal of Midwifery"},{"key":"e_1_3_3_17_1","doi-asserted-by":"publisher","DOI":"10.1123\/jab.2023-0127"},{"key":"e_1_3_3_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbiomech.2025.112797"},{"issue":"4","key":"e_1_3_3_19_1","first-page":"187","article-title":"Laktasyon d\u00f6nemindeki kad\u0131nlar\u0131n bel ve boyun a\u011fr\u0131 seviyelerinin incelenmesi [investigation of low back and neck pain levels in women during lactation]","volume":"5","author":"Kayac\u0131 H. T.","year":"2018","unstructured":"Kayac\u0131 H. T., Hosbay Z., Tanr\u0131verdi M. (2018). Laktasyon d\u00f6nemindeki kad\u0131nlar\u0131n bel ve boyun a\u011fr\u0131 seviyelerinin incelenmesi [investigation of low back and neck pain levels in women during lactation]. Celal Bayar \u00dcniversitesi Sa\u011fl\u0131k Bilimleri Enstit\u00fcs\u00fc Dergisi, 5(4), 187\u2013191. https:\/\/dergipark.org.tr\/tr\/download\/article-file\/614488.","journal-title":"Celal Bayar \u00dcniversitesi Sa\u011fl\u0131k Bilimleri Enstit\u00fcs\u00fc Dergisi"},{"key":"e_1_3_3_20_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0297859"},{"key":"e_1_3_3_21_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10067-010-1470-y"},{"key":"e_1_3_3_22_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12891-024-08186-3"},{"key":"e_1_3_3_23_1","doi-asserted-by":"publisher","DOI":"10.18203\/2320-1770.ijrcog20242105"},{"key":"e_1_3_3_24_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00737-023-01332-1"},{"key":"e_1_3_3_25_1","doi-asserted-by":"publisher","DOI":"10.1080\/07380577.2025.2465968"},{"key":"e_1_3_3_26_1","doi-asserted-by":"publisher","DOI":"10.1093\/inthealth\/ihac050"},{"key":"e_1_3_3_27_1","doi-asserted-by":"publisher","DOI":"10.1080\/14427591.2009.9686656"},{"key":"e_1_3_3_28_1","doi-asserted-by":"publisher","DOI":"10.1080\/11038128.2020.1766107"},{"key":"e_1_3_3_29_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12891-024-07785-4"},{"key":"e_1_3_3_30_1","doi-asserted-by":"publisher","DOI":"10.5014\/ajot.2025.050806"},{"key":"e_1_3_3_31_1","doi-asserted-by":"publisher","DOI":"10.3390\/jcm14093034"},{"key":"e_1_3_3_32_1","doi-asserted-by":"publisher","DOI":"10.1177\/15394492241234846"},{"key":"e_1_3_3_33_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13006-020-00347-z"},{"key":"e_1_3_3_34_1","doi-asserted-by":"publisher","DOI":"10.15453\/2168-6408.2150"},{"key":"e_1_3_3_35_1","doi-asserted-by":"publisher","DOI":"10.3390\/healthcare13172193"},{"issue":"7","key":"e_1_3_3_36_1","first-page":"409","article-title":"The Neck Disability Index: A study of reliability and validity","volume":"14","author":"Vernon H.","year":"1991","unstructured":"Vernon H., Mior S. (1991). The Neck Disability Index: A study of reliability and validity. Journal of Manipulative and Physiological Therapeutics, 14(7), 409\u2013415.","journal-title":"Journal of Manipulative and Physiological Therapeutics"},{"key":"e_1_3_3_37_1","doi-asserted-by":"publisher","DOI":"10.3233\/WOR-203117"},{"key":"e_1_3_3_38_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.msksp.2020.102154"},{"key":"e_1_3_3_39_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.BRS.0000113869.13209.03"}],"container-title":["American Journal of Occupational Therapy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/19437676261480598","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/19437676261480598","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/19437676261480598","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T17:56:07Z","timestamp":1791482167000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/19437676261480598"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8,22]]},"references-count":38,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2026,12]]}},"alternative-id":["10.1177\/19437676261480598"],"URL":"https:\/\/doi.org\/10.1177\/19437676261480598","relation":{},"ISSN":["1943-7676","1943-7676"],"issn-type":[{"value":"1943-7676","type":"print"},{"value":"1943-7676","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8,22]]}}}