{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,4]],"date-time":"2026-09-04T08:16:00Z","timestamp":1788509760513,"version":"build-2803163510"},"reference-count":58,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2026,5,29]],"date-time":"2026-05-29T00:00:00Z","timestamp":1780012800000},"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":[[2026,7]]},"abstract":"<jats:p>\n                    <jats:bold>Importance:<\/jats:bold>\n                    Child refugees face high developmental risks, often linked to disruptions in their everyday activities, an issue that may be addressed through occupation-centered interventions.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Objective:<\/jats:bold>\n                    To examine the existing evidence on the effects of occupation-centered interventions targeting displaced families and children on children\u2019s participation in everyday activities.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Data Sources:<\/jats:bold>\n                    Randomized controlled trials (RCTs), quasi-experimental studies, pre\u2013post designs, and qualitative research on family- and child-focused occupation-centered interventions, written in English, and published between January 2000 and August 2024, were extracted from PubMed, Scopus, EBSCO, and PsycINFO.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Study Selection and Data Collection:<\/jats:bold>\n                    Seven RCTs, five non-RCTs, two qualitative studies, and one mixed-method study met the inclusion criteria. The studies\u2019 participants were refugee or asylum-seeking minors and adults. Children\u2019s participation in any occupation was assessed before and after administration of occupation-centered interventions. The Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRSIMA) methodology was followed. Quality appraisal was performed with the Cochrane risk-of-bias tool, the Furlan 12-Question Tool, a Joanna Briggs Institute critical appraisal tool, the GRADE-Confidence in the Evidence from Reviews of Qualitative Research tool, and the Mixed Methods Appraisal Tool.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Findings:<\/jats:bold>\n                    Findings for outcomes concerning participation in all domains of occupations were inconsistent. The limited number of studies and their methodological constraints inhibited conclusive findings.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Conclusions and Relevance:<\/jats:bold>\n                    Interventions centered on occupation may benefit refugee children\u2019s participation in everyday activities. Rigorous and context-sensitive future research is needed to strengthen the evidence, particularly for occupation-centered interventions.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Plain-Language Summary:<\/jats:bold>\n                    Occupation-centered interventions use everyday activities to help children and adults live healthy and meaningful lives. This review looks at whether these approaches help refugee children take part in their daily activities. Current research shows they may help to improve refugee children\u2019s participation, but more studies are needed to draw stronger conclusions. Refugee children may benefit from interventions that respect their cultural and social backgrounds, just as taking part in familiar and meaningful activities supports their development, well-being, and sense of belonging in a new community.\n                  <\/jats:p>","DOI":"10.5014\/ajot.2026.051469","type":"journal-article","created":{"date-parts":[[2026,5,29]],"date-time":"2026-05-29T16:08:53Z","timestamp":1780070933000},"page":"714-725","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Occupation-Centered Interventions to Enhance Participation in Everyday Activities for Refugee Children: A Systematic Review"],"prefix":"10.1177","volume":"80","author":[{"given":"Pavlina","family":"Psychouli","sequence":"first","affiliation":[{"name":"Pavlina Psychouli, PhD, OT, is Associate Professor in Occupational Therapy and Neurorehabilitation, Department of Health Sciences, European University Cyprus, Nicosia, Cyprus;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ioulia","family":"Louta","sequence":"additional","affiliation":[{"name":"Ioulia Louta, MSc, OT, is Clinical Project Coordinator and Research Associate, Department of Health Sciences, European University Cyprus, Nicosia, Cyprus."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Constantina","family":"Christodoulou","sequence":"additional","affiliation":[{"name":"Constantina Christodoulou, MSc, OT, is Clinical Educator, Department of Health Sciences, European University Cyprus, Nicosia, Cyprus."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Evangelia","family":"Andreou","sequence":"additional","affiliation":[{"name":"Evangelia Andreou, BSc, OT, is Occupational Therapist, Dikaioma Elpidas for People with Disabilities, Larnaca, Cyprus."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michaella","family":"Louka","sequence":"additional","affiliation":[{"name":"Michaella Louka, BSc, OT, is Occupational Therapist, Potential Therapy Center, Deryneia, Cyprus."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Efrosini","family":"Panagiotou","sequence":"additional","affiliation":[{"name":"Efrosini Panagiotou, BSc, OT, is Occupational Therapist, Enarxis Center of Special Therapies, Limassol, Cyprus."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,5,29]]},"reference":[{"key":"e_1_3_3_2_1","doi-asserted-by":"publisher","DOI":"10.5014\/ajot.2020.038067"},{"key":"e_1_3_3_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/cad.20228"},{"key":"e_1_3_3_4_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, 7412410010. https:\/\/doi.org\/10.5014\/ajot.2020.74S2001","journal-title":"American Journal of Occupational Therapy,"},{"key":"e_1_3_3_5_1","doi-asserted-by":"publisher","DOI":"10.1080\/01942638.2017.1365324"},{"key":"e_1_3_3_6_1","doi-asserted-by":"publisher","DOI":"10.1177\/23315024241306416"},{"key":"e_1_3_3_7_1","doi-asserted-by":"publisher","DOI":"10.11124\/JBIES-22-00430"},{"key":"e_1_3_3_8_1","doi-asserted-by":"publisher","DOI":"10.3390\/children9040485"},{"key":"e_1_3_3_9_1","doi-asserted-by":"publisher","DOI":"10.1037\/0002-9432.78.1.121"},{"key":"e_1_3_3_10_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pmed.1004046"},{"key":"e_1_3_3_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ssmmh.2022.100153"},{"key":"e_1_3_3_12_1","doi-asserted-by":"publisher","DOI":"10.5014\/ajot.2020.038687"},{"key":"e_1_3_3_13_1","doi-asserted-by":"publisher","DOI":"10.1080\/13642987.2022.2057962"},{"key":"e_1_3_3_14_1","doi-asserted-by":"crossref","first-page":"e3779","DOI":"10.1590\/2526-8910.ctoen391037792","article-title":"Challenges for an occupational-therapeutic practice that promotes autonomy and emancipation","volume":"32","author":"Cavicchioni S. C.","year":"2024","unstructured":"Cavicchioni S. C., , & Pan L. C. (2024). Challenges for an occupational-therapeutic practice that promotes autonomy and emancipation. Cadernos Brasileiros de Terapia Ocupacional, 32, e3779. https:\/\/doi.org\/10.1590\/2526-8910.ctoen391037792","journal-title":"Cadernos Brasileiros de Terapia Ocupacional"},{"key":"e_1_3_3_15_1","doi-asserted-by":"publisher","DOI":"10.1080\/11038128.2022.2072384"},{"key":"e_1_3_3_16_1","doi-asserted-by":"publisher","DOI":"10.15453\/2168-6408.1147"},{"key":"e_1_3_3_17_1","first-page":"351","volume-title":"Human occupation","author":"Davis J. A.","year":"2025","unstructured":"Davis J. A., H\u00e5kansson C., , & Walder K. (2025). Occupational concepts: Occupational engagement, occupational balance, occupational adaptation, and participation. In Brown T., Isbel S., Gustafsson L., Gutman S., Dirette D. P., Collins B., , & Barlott T. (Eds.), Human occupation (pp. 351\u2013368). Routledge. https:\/\/doi.org\/10.4324\/9781003504610"},{"key":"e_1_3_3_18_1","doi-asserted-by":"publisher","DOI":"10.1177\/1054773818808114"},{"key":"e_1_3_3_19_1","doi-asserted-by":"publisher","DOI":"10.1002\/capr.12354"},{"key":"e_1_3_3_20_1","doi-asserted-by":"publisher","DOI":"10.5014\/ajot.2023.050139"},{"key":"e_1_3_3_21_1","first-page":"1","volume-title":"Play and learning in early childhood settings: International perspectives","author":"Fleer M.","year":"2009","unstructured":"Fleer M. (2009). A cultural-historical perspective on play: Play as a leading activity across cultural communities. In\u00a0Pramling-Samuelsson I., & Fleer M. (Eds.), Play and learning in early childhood settings: International perspectives\u00a0(pp. 1\u201317). Springer Netherlands."},{"key":"e_1_3_3_22_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-319-77416-9_32"},{"key":"e_1_3_3_23_1","doi-asserted-by":"publisher","DOI":"10.1097\/BRS.0b013e3181b1c99f"},{"key":"e_1_3_3_24_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10567-021-00375-z"},{"key":"e_1_3_3_25_1","doi-asserted-by":"publisher","DOI":"10.1007\/s44155-024-00088-y"},{"key":"e_1_3_3_26_1","doi-asserted-by":"publisher","DOI":"10.3390\/children9101434"},{"key":"e_1_3_3_27_1","doi-asserted-by":"publisher","DOI":"10.1080\/19411243.2021.1975603"},{"key":"e_1_3_3_28_1","doi-asserted-by":"publisher","DOI":"10.3233\/EFI-180221"},{"key":"e_1_3_3_29_1","unstructured":"Howlett F. K. (2022). \u201c It\u2019s like hope in a dark room\u201d: A phenomenological study of occupational therapy students\u2019 experiences of participating in students as co-researcher projects with asylum seekers and refugees [Unpublished doctoral thesis]. York St. John University York England. https:\/\/ray.yorksj.ac.uk\/id\/eprint\/8702"},{"key":"e_1_3_3_30_1","doi-asserted-by":"publisher","DOI":"10.1177\/1539449220960062"},{"key":"e_1_3_3_31_1","doi-asserted-by":"publisher","DOI":"10.5014\/ajot.2024.050601"},{"key":"e_1_3_3_32_1","doi-asserted-by":"publisher","DOI":"10.5014\/ajot.2021.039560"},{"key":"e_1_3_3_33_1","doi-asserted-by":"publisher","DOI":"10.1080\/11038128.2023.2294751"},{"key":"e_1_3_3_34_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13012-017-0689-2"},{"key":"e_1_3_3_35_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13012-017-0688-3"},{"key":"e_1_3_3_36_1","doi-asserted-by":"publisher","DOI":"10.26681\/jote.2021.050110"},{"key":"e_1_3_3_37_1","first-page":"20","article-title":"Social occupational therapy: Committing to social change","volume":"65","author":"Malfitano A. P. S.","year":"2018","unstructured":"Malfitano A. P. S., , & Lopes R. E. (2018). Social occupational therapy: Committing to social change. New Zealand Journal of Occupational Therapy, 65, 20\u201326.","journal-title":"New Zealand Journal of Occupational Therapy"},{"key":"e_1_3_3_38_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10560-019-00641-8"},{"key":"e_1_3_3_39_1","doi-asserted-by":"publisher","DOI":"10.1177\/03080226221109141"},{"key":"e_1_3_3_40_1","unstructured":"Menard D. (2023). The newly arrived client: applying culturally responsive occupational therapy approaches to the refugee population to promote occupational justice [Occupational Therapy Capstone University of North Dakota]. UND Scholarly Commons. https:\/\/commons.und.edu\/cgi\/viewcontent.cgi?article=1604&context=ot-grad"},{"key":"e_1_3_3_41_1","doi-asserted-by":"publisher","DOI":"10.1080\/01419870.2024.2438284"},{"key":"e_1_3_3_42_1","first-page":"e240634","article-title":"Eating, playing, living: Reflections on the daily life of refugee children","volume":"29","author":"Nagem J. C.","year":"2025","unstructured":"Nagem J. C., O., & Cid M. F. B. (2025). Eating, playing, living: Reflections on the daily life of refugee children. Interface: Comunica\u00e7\u00e3o, Sa\u00fade, Educa\u00e7\u00e3o, 29, e240634. https:\/\/doi.org\/10.1590\/interface.240634","journal-title":"Interface: Comunica\u00e7\u00e3o, Sa\u00fade, Educa\u00e7\u00e3o"},{"key":"e_1_3_3_43_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.n71"},{"key":"e_1_3_3_44_1","doi-asserted-by":"publisher","DOI":"10.1111\/jcpp.12832"},{"key":"e_1_3_3_45_1","doi-asserted-by":"publisher","DOI":"10.1037\/ort0000660"},{"key":"e_1_3_3_46_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph20196826"},{"key":"e_1_3_3_47_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ecresq.2024.07.004"},{"key":"e_1_3_3_48_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpeds.2015.11.072"},{"key":"e_1_3_3_49_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1475-3588.2011.00629.x"},{"key":"e_1_3_3_50_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1469-7610.2008.02003.x"},{"key":"e_1_3_3_51_1","doi-asserted-by":"publisher","DOI":"10.1177\/1524839915626413"},{"key":"e_1_3_3_52_1","doi-asserted-by":"publisher","DOI":"10.1111\/famp.12592"},{"key":"e_1_3_3_53_1","article-title":"RoB 2: A revised tool for assessing risk of bias in randomised trials","volume":"366","author":"Sterne J. A. C.","year":"2019","unstructured":"Sterne J. A. C., Savovi\u0107 J., Page M. J., Elbers R. G., Blencowe N. S., Boutron I., , \u2026, Higgins J. P. T. (2019). RoB 2: A revised tool for assessing risk of bias in randomised trials. BMJ, 366, I4898. https:\/\/doi.org\/10.1136\/bmj.l4898","journal-title":"BMJ"},{"key":"e_1_3_3_54_1","doi-asserted-by":"publisher","DOI":"10.1080\/14473828.2018.1539282"},{"key":"e_1_3_3_55_1","doi-asserted-by":"publisher","DOI":"10.1080\/0164212X.2023.2181911"},{"key":"e_1_3_3_56_1","unstructured":"UN Refugee Agency. (2025). UNHCR data. https:\/\/www.unhcr.org\/what-we-do\/reports-and-publications\/unhcr-data"},{"key":"e_1_3_3_57_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2352-4642(24)00130-5"},{"key":"e_1_3_3_58_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.erap.2003.12.004"},{"key":"e_1_3_3_59_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.poetic.2015.06.001"}],"container-title":["American Journal of Occupational Therapy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.5014\/ajot.2026.051469","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.5014\/ajot.2026.051469","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/research.aota.org\/ajot\/article-pdf\/doi\/10.5014\/ajot.2026.051469\/100522\/8004205030.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.5014\/ajot.2026.051469","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,4]],"date-time":"2026-09-04T07:48:13Z","timestamp":1788508093000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.5014\/ajot.2026.051469"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,5,29]]},"references-count":58,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2026,7]]}},"alternative-id":["10.5014\/ajot.2026.051469"],"URL":"https:\/\/doi.org\/10.5014\/ajot.2026.051469","relation":{},"ISSN":["1943-7676","1943-7676"],"issn-type":[{"value":"1943-7676","type":"print"},{"value":"1943-7676","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,5,29]]}}}