{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T07:28:25Z","timestamp":1786692505306,"version":"build-2736575974"},"reference-count":23,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2019,3,1]],"date-time":"2019-03-01T00:00:00Z","timestamp":1551398400000},"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":[[2019,3]]},"abstract":"<jats:p>\n                    <jats:bold>OBJECTIVE.<\/jats:bold>\n                    Our objective was to evaluate the effectiveness of four adapted feeding utensils with participants with essential tremor (ET) or tremor related to Parkinson\u2019s disease (PD).\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>METHOD.<\/jats:bold>\n                    Participants performed a simulated feeding task under five conditions: (1) standard spoon (control condition), (2) weighted spoon with standard handle, (3) weighted spoon with built-up handle, (4) swivel spoon, and (5) Liftware Steady\u2122 spoon, a product using active tremor cancellation technology. Participants rated each adapted utensil in comparison with the standard spoon regarding performance, ease of use, speed, neatness, and aesthetics.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>RESULTS.<\/jats:bold>\n                    Participants preferred the Liftware Steady spoon and weighted spoon with standard handle. Friedman\u2019s test did not reveal statistically significant differences in ratings between the two preferred utensils.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>CONCLUSION.<\/jats:bold>\n                    Participants had varied reactions to the different adaptive utensils and gave different reasons for preferences. These findings support the need for people with tremor related to ET or PD to have access to trial use of all four devices assessed in this study.\n                  <\/jats:p>","DOI":"10.5014\/ajot.2019.030759","type":"journal-article","created":{"date-parts":[[2019,3,12]],"date-time":"2019-03-12T11:30:36Z","timestamp":1552390236000},"page":"314-323","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":29,"title":["Adapted Feeding Utensils for People With Parkinson\u2019s-Related or Essential Tremor"],"prefix":"10.1177","volume":"73","author":[{"given":"Joyce","family":"Sabari","sequence":"first","affiliation":[{"name":"Joyce Sabari, PhD, OTR, FAOTA, is Professor Emeritus, Occupational Therapy Program, State University of New York (SUNY) Downstate, Brooklyn;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dimitre G.","family":"Stefanov","sequence":"additional","affiliation":[{"name":"Dimitre G. Stefanov, PhD, is Biostatistician, Scientific Computing Center, State University of New York (SUNY) Downstate, Brooklyn."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Judy","family":"Chan","sequence":"additional","affiliation":[{"name":"Judy Chan, MS, OTR, was Graduate Student, Occupational Therapy Program, State University of New York (SUNY) Downstate, Brooklyn, at the time of the study."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lorraine","family":"Goed","sequence":"additional","affiliation":[{"name":"Lorraine Goed, MS, OTR, was Graduate Student, Occupational Therapy Program, State University of New York (SUNY) Downstate, Brooklyn, at the time of the study."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joyce","family":"Starr","sequence":"additional","affiliation":[{"name":"Joyce Starr, MS, OTR, was Graduate Student, Occupational Therapy Program, State University of New York (SUNY) Downstate, Brooklyn, at the time of the study."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2019,3,12]]},"reference":[{"key":"e_1_3_1_2_1","doi-asserted-by":"publisher","DOI":"10.3988\/jcn.2007.3.2.82"},{"key":"e_1_3_1_3_1","first-page":"28","article-title":"The Clinical Global Impressions Scale: Applying a research tool in clinical practice","volume":"4","author":"Busner J.","year":"2007","unstructured":"Busner J., , & Targum S. D. (2007). The Clinical Global Impressions Scale: Applying a research tool in clinical practice. Psychiatry, 4, 28\u201337.","journal-title":"Psychiatry"},{"key":"e_1_3_1_4_1","volume-title":"Practical nonparametric statistics","author":"Conover W. J.","year":"2010","unstructured":"Conover W. J. (2010). Practical nonparametric statistics (3rd ed.). New York: Wiley.","edition":"3"},{"key":"e_1_3_1_5_1","unstructured":"Depra D.\u2008(2014 November 26). Google rolls out smart spoon by Liftware: Perfect holiday gift for people with Parkinson\u2019s hand tremor. Retrieved from http:\/\/www.techtimes.com\/articles\/20996\/20141126\/google-rolls-out-smart-spoon-by-liftware-perfect-holiday-gift-for-people-with-parkinsons-hand-tremor.htm"},{"key":"e_1_3_1_6_1","doi-asserted-by":"publisher","DOI":"10.5334\/tohm.320"},{"key":"e_1_3_1_7_1","volume-title":"Clinical rating scale for tremor: Parkinson\u2019s disease and movement disorders","author":"Fahn S.","year":"1993","unstructured":"Fahn S., Tolosa E., , & Mar\u00edn C. (1993). Clinical rating scale for tremor: Parkinson\u2019s disease and movement disorders. Baltimore: Williams & Wilkins."},{"key":"e_1_3_1_8_1","doi-asserted-by":"publisher","DOI":"10.1002\/mds.23512"},{"key":"e_1_3_1_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/ner.12324"},{"key":"e_1_3_1_10_1","doi-asserted-by":"publisher","DOI":"10.1097\/WCO.0000000000000211"},{"key":"e_1_3_1_11_1","doi-asserted-by":"publisher","DOI":"10.1177\/1756285616679123"},{"key":"e_1_3_1_12_1","doi-asserted-by":"publisher","DOI":"10.1093\/brain\/95.3.579"},{"key":"e_1_3_1_13_1","doi-asserted-by":"publisher","DOI":"10.1002\/mds.21383"},{"key":"e_1_3_1_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.parkreldis.2015.04.019"},{"key":"e_1_3_1_15_1","doi-asserted-by":"publisher","DOI":"10.1177\/0269215509342334"},{"key":"e_1_3_1_16_1","doi-asserted-by":"publisher","DOI":"10.1191\/0269215502cr521oa"},{"key":"e_1_3_1_17_1","article-title":"Tremor severity estimation using Liftware instrumented eating utensil","volume":"86","author":"Miocinovic S.","year":"2016","unstructured":"Miocinovic S., Shoeb A., Wang S., Swann N., Pathak A., , & Ostrem J. (2016). Tremor severity estimation using Liftware instrumented eating utensil. Neurology, 86(16, Suppl.).","journal-title":"Neurology"},{"key":"e_1_3_1_18_1","doi-asserted-by":"publisher","DOI":"10.1136\/jnnp.38.3.259"},{"key":"e_1_3_1_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.parkreldis.2010.12.016"},{"key":"e_1_3_1_20_1","doi-asserted-by":"publisher","DOI":"10.1002\/mds.25796"},{"key":"e_1_3_1_21_1","volume-title":"Foundations of clinical research: Applications to practice","author":"Portney L. G.","year":"2009","unstructured":"Portney L. G., , & Watkins M. P. (2009). Foundations of clinical research: Applications to practice. Englewood Cliffs, NJ: Prentice Hall."},{"key":"e_1_3_1_22_1","doi-asserted-by":"publisher","DOI":"10.1080\/14734220601103037"},{"key":"e_1_3_1_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.parkreldis.2010.08.017"},{"key":"e_1_3_1_24_1","unstructured":"Wasson P. E.\u2008(1979 December 31). Swivel spoon feeding device. Retrieved from https:\/\/www.google.com\/patents\/US4325187"}],"container-title":["American Journal of Occupational Therapy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.5014\/ajot.2019.030759","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.5014\/ajot.2019.030759","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/research.aota.org\/ajot\/article-pdf\/73\/2\/7302205120p1\/69069\/7302205120p1.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.5014\/ajot.2019.030759","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T06:50:34Z","timestamp":1786690234000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.5014\/ajot.2019.030759"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,3]]},"references-count":23,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2019,3]]}},"alternative-id":["10.5014\/ajot.2019.030759"],"URL":"https:\/\/doi.org\/10.5014\/ajot.2019.030759","relation":{},"ISSN":["1943-7676","1943-7676"],"issn-type":[{"value":"1943-7676","type":"print"},{"value":"1943-7676","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,3]]}}}