You've heard that a picture is worth a thousand words, but what about a thousand prompts? When it comes to helping autistic kids master daily living skills like brushing teeth, washing hands, and tying shoes, the visual support debate is real: static pictures or dynamic videos? Occupational therapists Michele and Lacy discuss research that puts these two visual strategies head-to-head, revealing insights about which kids thrive with which approach. Spoiler alert: it's not a simple winner! Plus, get the scoop on Boom Whackers (yes, that's a real thing), safety tips for teaching knife skills in OT sessions, and how Michele's pool therapy days changed after multiple "code brown" incidents.

We share our own thoughts in the Research Review and encourage you to read the article too.

Benson, J. D., Cartwright, A., Szucs, K. A., Smitsky, D., Chippich, E., & Roebuck, L. (2024). Effectiveness of video prompting versus picture prompting in improving daily living skills of autistic children. American Journal of Occupational Therapy, 78(3), 7803205030. https://doi.org/10.5014/ajot.2024.050514

KEYWORDS: Occupational therapy; evidence-based practice; OT; OT ideas; Peds OT; pediatric occupational therapy; picture schedule; video prompts; ADLs; Activities of Daily Living; autism; intervention; visual supports

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When you think of therapy in the swimming pool, swim lessons probably come to mind. However, occupational therapy practitioners use water for so many life skills! This week, Michele dives into research from Spain that reveals how aquatic therapy can be beneficial for autistic children in OT settings. The results? Better school performance, improved social competence, and happier kids overall. Plus, Michele shares her own terrifying pool story of a little girl who loved staying under the water for a long time and the treatment strategy to ensure her safety.

We share our own thoughts in the Research Review and encourage you to read the article too.

Güeita-Rodríguez, J., Ogonowska-Slodownik, A., Morgulec-Adamowicz, N., Martín-Prades, M. L., Cuenca-Zaldívar, J. N., & Palacios-Ceña, D. (2021). Effects of aquatic therapy for children with autism spectrum disorder on social competence and quality of life: A mixed methods study. International journal of environmental research and public health, 18(6), 3126. Effects of Aquatic Therapy for Children with Autism Spectrum Disorder on Social Competence and Quality of Life: A Mixed Methods Study

KEYWORDS: Occupational therapy; evidence-based practice; OT; OT ideas; Peds OT; pediatric occupational therapy; autism; aquatics; swim; social skills; quality of life; aquatic therapy

Thank you to our sponsor OccupationalTherapy.com!  Use the code PLAY25 to support the show and get a free month of continuing education access when you sign up today at our podcast link  https://fas.st/t/Fe79v8vU

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Ready for an ADHD intervention that tackles the root problem of time management? This Swedish research hands occupational therapy practitioners a comprehensive protocol that includes both remediation and compensation strategies for time processing difficulties. We unpack the three core components of time processing ability and explore a manualized program blending environmental modifications with daily skill-building sessions. Plus, Lacy shares a Failed It story about shoes that went missing, and Michele explains a fantastic Nailed It experience with her strategy for diffusing a power struggle during an OT evaluation. 

We share our own thoughts in the Research Review and encourage you to read the article too.

Wennberg, B., Janeslätt, G., Gustafsson, P. A., & Kjellberg, A. (2019). Occupational performance goals and outcomes of time-related interventions for children with ADHD. Scandinavian Journal of Occupational Therapy, 28(2), 158–170. https://doi.org/10.1080/11038128.2020.1820570 

Researchers and occupational therapists Dr. Gunnel Janeslätt and Dr. Birgitta Wennberg from the Center for Clinical Research Dalarna, Sweden, were pleased that their research was featured on this podcast and wanted to share that the OT intervention program "More Control of Time" is now a manual-based OT intervention method and they offer training to OT practitioners. They also emphasized that it is also important to assess the level of time-processing and daily time management to design the intervention, adding time assistive products. More information about the assessment Kit for assessing time processing ability (KaTid) can be found on the website www.katid.eu (personal communication, June 6, 2025).

Here are other related articles:

Ahlström, S. W., & Almqvist, L. (2023). The experiences and the meaning of using MyTime in the preschool context from the perspective of children in need of special support, 5–6 years of age. Child: Care, Health and Development, 49, 1096–1103. https://doi.org/10.1111/cch.13121

Ahlström, S. W., Janeslätt, G., & Almqvist, L. (2022). Feasibility of an intervention to facilitate time and everyday functioning in preschoolers. Scandinavian Journal of Occupational Therapy, 29(4), 337–352. https://doi.org/10.1080/11038128.2021.1981434

 Janeslätt, G., Ahlström, S. W., & Granlund, M. (2019). Intervention in time-processing ability, daily time management and autonomy in children with intellectual disabilities aged 10–17 years – A cluster randomised trial. Australian Occupational Therapy Journal, 66, 110–120. https://doi.org/10.1111/1440-1630.12547

Wallin Ahlström, S., Janeslätt, G., Gustavsson, C., Harder, M., & Almqvist, L. (2024). Intervention in time processing ability and everyday functioning for preschool children in need of special support: A randomized controlled study. Journal of Occupational Therapy, Schools, & Early Intervention.

Thank you to our sponsor OccupationalTherapy.com!  Use the code PLAY25 to support the show and get a free month of continuing education access when you sign up today at our podcast link  https://fas.st/t/Fe79v8vU

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As occupational therapy practitioners, we spend our careers working in teams—yet most of us learned to hate group work in OT/OTA school. Sound familiar? We're breaking down brand-new research from the Journal of OT Education that studied how to build better teams to avoid group disasters. Whether you're an OT/OTA student dreading your next group project, an educator trying to build the best groups for an assignment, a new grad navigating clinic dynamics, or an experienced occupational therapy practitioner leading interdisciplinary teams, you'll discover evidence-based strategies to use tomorrow. Plus, get tips on how to practice and use therapeutic use of self in the process.

We share our own thoughts in the Research Review and encourage you to read the article too.

Scheidler, B., Layne, K., Gillard, M., & Doucet, B. M. (2025). Intentional Grouping: Impacts on Cognitive and Social Presence in a Hybrid Classroom. Journal of Occupational Therapy Education, 9(2), 10.

KEYWORDS: Occupational therapy; OT; evidence-based practice; OT ideas; Peds OT; pediatric occupational therapy; group projects; intentional grouping; therapeutic use of self

Thank you to our sponsor OccupationalTherapy.com!  Use the code PLAY25 to support the show and get a free month of continuing education access when you sign up today at our podcast link  https://fas.st/t/Fe79v8vU

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Ever wonder what your pediatric OT clients will say about you when they grow up? In this episode, Lacy & Michele explore qualitative research where autistic adults share what they wish their childhood occupational therapists had known. Their insights challenge us to embrace neurodiversity by accepting (rather than “fixing”) autism, adapting environments instead of forcing compliance, and prioritizing client autonomy. These perspectives offer occupational therapy practitioners a roadmap to more effective, ethical, and empowering therapy approaches. Plus, Lacy shares a hilarious Failed It and Michele discovers a new pop-tube.

We share our own thoughts in the Research Review and encourage you to read the article too.

Sterman J, Gustafson E, Eisenmenger L, Hamm L, Edwards J. Autistic Adult Perspectives on Occupational Therapy for Autistic Children and Youth. OTJR. 2022;43(2):237-244. doi:10.1177/15394492221103850

KEYWORDS: Occupational therapy; evidence based practice; OT; OT ideas; peds OT; pediatric occupational therapy; Autism; neurodiversity; qualitative research

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Step into the NICU where beeping monitors meet tiny fighters and discover how sensory connections are changing the game for premature infants. We unpack the SENSE program that's putting occupational therapists at the forefront of preemie care, revealing why those first touches, sounds, and movements matter more than you think. Join Lacy and Michele as they take a deep dive into co-occupation. Whether you're a clinician seeking evidence-based strategies or simply fascinated by early development, you'll discover why co-occupation isn't just a clinical term—it's the powerful connection that shapes developing brains and strengthens families during their most challenging early moments together. Plus, learn about post-rotary nystagmus from a listener's question and hear why bubble tongs are such a versatile and fun therapy tool.

We share our own thoughts in the Research Review and encourage you to read the article too.

Richter, M., Angell, A., Kellner, P., Smith, J., & Pineda, R. (2024). Infant and Parent Outcomes Related to NICU-Based Co-occupational Engagement. OTJR : occupation, participation and health, 44(1), 3–12. https://doi.org/10.1177/15394492231160690

KEYWORDS: Occupational therapy; evidence based practice; OT; OT ideas; Peds OT; pediatric occupational therapy; NICU; co-occupation; SENSE program

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Tired of Googling for interventions that actually work? We dive into the mother of all systematic reviews covering 129 studies and 52 occupational therapy interventions across nine decades of pediatric OT research. Discover which interventions landed in the green zone (do these!), which fell into the red (avoid!), and why parent collaboration and occupation-based approaches consistently outperform bottom-up methods. Michele and Lacy discuss this evidence-based, color-coded roadmap that you can apply in your therapy sessions tomorrow. Plus they answer a listener question about the differences between sensory integration, sensory processing, sensory stimulation, and sensory desensitization.  ***In episode 20, Lacy and Michele interview one of the authors of this article, Dr.Iona Novak. She shares new intervention updates and trends she has seen since this publication.  

We share our own thoughts in the Research Review and encourage you to read the article too.

Novak, I., & Honan, I. (2019). Effectiveness of paediatric occupational therapy for children with disabilities: A systematic review. Australian occupational therapy journal, 66(3), 258-273.

KEYWORDS - Occupational therapy; OT; evidence based practice; OT ideas; Peds OT; pediatric occupational therapy; intervention; systematic review

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Could better sleep for autistic children be as simple as shooting some hoops? In this episode, occupational therapists, Michele Alaniz and Lacy Wright, dive into fascinating research showing how a structured basketball intervention significantly improves sleep quality and executive function in children with autism. Learn how this intervention increases melatonin and boosts BDNF, enhancing neuroplasticity while being incredibly fun. Perfect for OT practitioners looking for innovative, effective approaches that can be implemented in clinics, schools, or home settings. Game-changing therapy doesn't get more playful than this!

We share our own thoughts in the Research Review and encourage you to read the article too.

Tse, C. Y. A., Lee, H. P., Chan, K. S. K., Edgar, V. B., Wilkinson-Smith, A., & Lai, W. H. E. (2019). Examining the impact of physical activity on sleep quality and executive functions in children with autism spectrum disorder: A randomized controlled trial. Autism : the international journal of research and practice, 23(7), 1699–1710. https://doi.org/10.1177/1362361318823910

KEYWORDS: Occupational therapy; OT; evidence based practice; OT ideas; Peds OT; pediatric occupational therapy; executive function; sleep improvement; basketball therapy; autism intervention; inclusive sports; OT in action

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Up to 10% of children have difficulty with handwriting, yet only 12% of teachers feel adequately trained to teach it. This week, we break down the six evidence-based principles (plus one essential bonus) that should guide all handwriting instruction and occupational therapy intervention. We examine why focusing on the occupation of writing outperforms a sensory-motor approach, how immediate feedback accelerates progress, and why explicit instruction matters so much. Plus, get a glimpse into how AI technologies like Kaligo and Psymark are revolutionizing how OTs, teachers, and families can collaborate to support children's handwriting development in the digital age.

We share our own thoughts in the Research Review and encourage you to read the article too.

 Bonneton-Botté, N., Miramand, L., Bailly, R., & Pons, C. (2023). Teaching and Rehabilitation of Handwriting for Children in the Digital Age: Issues and Challenges. Children, 10(7), 1096. https://doi.org/10.3390/children10071096

The article comes from this special issue on motor learning, handwriting, and dysgraphia. Check it out!  https://www.mdpi.com/journal/children/special_issues/9F3723N2SM  

KEYWORDS: Occupational therapy; OT; evidence based practice; OT ideas; Peds OT; pediatric occupational therapy; school based; handwriting; writing; penmanship; dysgraphia

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What happens when a child isn't able eat? In this milestone 10th episode, Michele and Lacy explore the complex world of pediatric occupational therapy and feeding with medically fragile children and our guest, Yovana Harris, BA, COTA/L.  She shares both "Nailed It" and "Failed It" experiences, explains her “just give them the food” feeding philosophy, and gives a shout-out to her favorite OT feeding resources. Learn why building trust with parents becomes the foundation for effective OT intervention and how finding moments of joy at mealtime can be life-changing, even when full oral feeding isn't always possible. With remarkable candor, she discusses her journey supporting families through their most vulnerable times while also taking care of herself to avoid burnout. This episode provides valuable insights for any pediatric occupational therapist working with families through feeding challenges or with medically fragile children.

KEYWORDS: Occupational therapy; OT; evidence based practice; OT ideas; peds OT; pediatric occupational therapy; feeding; eating; medically fragile

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