Ideas at Play: An Occupational Therapy (OT) Podcast

Send us a Text or Voicemail “You gain what you train” — but what does that actually look like session to session? In this episode, Michele and Lacy review a case study that has all the ingredients of a solid motor learning intervention for self-feeding with a spoon. We talk through how the intervention was built, what actually improved (and what didn't), and where the study's limitations leave room to make this more practical — think play, caregiver coaching, adaptive tools. We share our own thoughts in the Research Review and encourage you to read the original article too. Jajal, R. N., Vaghela, M. R., & Patel, B. N. (2026). Establishing independent spoon feeding through a structured motor-based shaping protocol in a child with developmental delay. International Journal for Multidisciplinary Research (IJFMR), 8 (2), 1–13. https://doi.org/10.36948/ijfmr.2026.v08i02.73433 Stay informed, stay curious, and stay playful! ✏️ Sign up for our newsletter by clicking here. 📧 Email us a question or comment at IdeasAtPlayPodcast@gmail.com 👉 Find us on Instagram @ideas.at.play

Send us a Text or Voicemail Daily living skill performance can be hard to learn for autistic teens, even when their cognition is average or above average. This episode covers a randomized controlled trial testing a manualized program that teaches laundry, cooking, and money management to autistic adolescents, compared head-to-head with the well-respected PEERS program. We cover the results and how an OT lens could take this already-strong intervention even further. We share our own thoughts in the Research Review and encourage you to read the original article too. Duncan, A., Meinzen-Derr, J., Ruble, L., Fassler, C., & Stark, L. J. (2023). A randomized clinical trial targeting daily living skills in autistic adolescents without an intellectual disability before the transition to adulthood. Journal of Developmental & Behavioral Pediatrics, 44 (9), e590–e596. https://doi.org/10.1097/DBP.0000000000001222 Stay informed, stay curious, and stay playful! ✏️ Sign up for our newsletter by clicking here. 📧 Email us a question or comment at IdeasAtPlayPodcast@gmail.com 👉 Find us on Instagram @ideas.at.play

Send us a Text or Voicemail Down syndrome is one of the most common diagnoses OTs work with, yet the research base behind it is surprisingly small. This week, Lacy and Michele discuss a new AJOT scoping review featuring some of the most unexpected interventions they've ever covered, from elephants to qigong massage to traditional dance. Behind the fun, though, is a bigger story about where this research is happening, and where it's falling short. We share our own thoughts in the Research Review and encourage you to read the original article too. Long, K. L., Barrios Lago, M. S., & Nelson, E. L. (2026). Occupational therapy interventions in Down syndrome: A scoping review. American Journal of Occupational Therapy, 0 (0). https://doi.org/10.1177/19437676261464084 Stay informed, stay curious, and stay playful! ✏️ Sign up for our newsletter by clicking here. 📧 Email us a question or comment at IdeasAtPlayPodcast@gmail.com 👉 Find us on Instagram @ideas.at.play

Send us a Text or Voicemail Picture a beach in Aotearoa New Zealand — a gnarled pōhutukawa tree perfect for climbing, a rope swing hanging over the sand, and a stick sized exactly to a child's height, ready for a game passed down through generations. In this milestone 80th episode, we sit down with, Susi King, a Playmaker from New Zealand to explore how culture, land, and indigenous wellbeing frameworks shape pediatric OT practice on the other side of the world. And, hear about the new burnout-day tradition she shares with her whole team and the talking button she never travels without. Stay informed, stay curious, and stay playful! ✏️ Sign up for our newsletter by clicking here. 📧 Email us a question or comment at IdeasAtPlayPodcast@gmail.com 👉 Find us on Instagram @ideas.at.play

Send us a Text or Voicemail A 6 year-old can't hold onto multi-step directions long enough to follow them — not because he isn't listening, but because his working memory drops the information before he can act on it. This week, Michele brings a real case to the table and digs into a 2024 study comparing two cognitive strategies — enactment and visualization — to see which one actually helps kids with autism and intellectual disability with working memory. Spoiler: one of them is the clear winner, and it's not the one you'd expect if you've ever thought about autistic kids as natural visual thinkers. We share our own thoughts in the Research Review and encourage you to read the original article too. Xie, T., Ma, H., Wang, L., & Du, Y. (2024). Can enactment and motor imagery improve working memory for instructions in children with autism spectrum disorder and children with intellectual disability? Journal of Autism and Developmental Disorders, 54 (1), 131–142. https://doi.org/10.1007/s10803-022-05780-z Stay informed, stay curious, and stay playful! ✏️ Sign up for our newsletter by clicking here. 📧 Email us a question or comment at IdeasAtPlayPodcast@gmail.com 👉 Find us on Instagram @ideas.at.play

Send us a Text or Voicemail Can a therapist facilitate meaningful handwriting improvement through telehealth? A recent randomized controlled trial out of Ankara, Turkey put that question to the test with kids ages six to eight with the inattentive type of ADHD — and the results are not what Lacy and Michele expected. Listen to hear what the researchers actually did over eight weeks of telehealth sessions and why the approach "shouldn't" have worked. Plus: a Nailed It story with an escalating four-year-old and a floor-mat find that solved a years-long clinic space war. We share our own thoughts in the Research Review and encourage you to read the original article too. Kaplan Kılıç, B., Bumin, G., & Öğütlü, H. (2025). Effect of telerehabilitation on handwriting performance in children with attention deficit hyperactivity disorder: Randomized controlled trial. Child: Care, Health and Development, 51 (e70055). https://doi.org/10.1111/cch.70055 Stay informed, stay curious, and stay playful! ✏️ Sign up for our newsletter by clicking here. 📧 Email us a question or comment at IdeasAtPlayPodcast@gmail.com 👉 Find us on Instagram @ideas.at.play

Send us a Text or Voicemail Michele found 74 outcome measures to consider for her autistic preschoolers! She and Lacy discuss the top measures from the recent scoping review: which tools show up most in the research, which ones earn a five-star rating for covering the most ground, and where our biggest blind spot as OTs is hiding. Plus, hear about a fun self-care app that may help you as we head into the new school year. We share our own thoughts in the Research Review and encourage you to read the original article too. Ghahramani, S., Hassani Mehraban, A., Alizadeh Zarei, M., & Ghahramani, S. (2024). Occupational therapy outcome measures in preschool children with autism spectrum disorders: A scoping review. OTJR: Occupational Therapy Journal of Research , 44 (4), 568–576. https://doi.org/10.1177/15394492241246547 Stay informed, stay curious, and stay playful! ✏️ Sign up for our newsletter by clicking here. 📧 Email us a question or comment at IdeasAtPlayPodcast@gmail.com 👉 Find us on Instagram @ideas.at.play

Send us a Text or Voicemail Too cartoonish. Too advanced. Too many worksheets — nothing fit, so Lacy built her own money management program from scratch. This week she's breaking down exactly how she did it: from backwards design to key ingredients and changes made along the way, it's a behind-the-scenes look at turning a need into a working program. Plus, a listener question worth its own deep dive on neurodiversity affirming practice. Request the money management program discussed by using this form. Stay informed, stay curious, and stay playful! ✏️ Sign up for our newsletter by clicking here. 📧 Email us a question or comment at IdeasAtPlayPodcast@gmail.com 👉 Find us on Instagram @ideas.at.play

Send us a Text or Voicemail “Sensory” is everywhere in pediatric OT, but how do you actually know if and when to try a sensory activity schedule? How do you set one up? When do you know if it is working — or if you're just guessing and hoping? This week, Michele walks through her real system for building a sensory activity schedule from the ground up, from figuring out what a kid actually needs, to adapting it to classrooms or homes, to knowing exactly when to call it a win (or cut your losses). Use this link to request the research cheat sheet for sensory activity schedules. Stay informed, stay curious, and stay playful! ✏️ Sign up for our newsletter by clicking here. 📧 Email us a question or comment at IdeasAtPlayPodcast@gmail.com 👉 Find us on Instagram @ideas.at.play

Send us a Text or Voicemail Ep. 74 Michele and Lacy continue their Summer of Discovery series. This time, Lacy shares what she's learned from supervising more than 50 fieldwork students, from building a program to knowing exactly when to loop in the academic fieldwork coordinator (a lesson she learned the hard way, twice). Lacy walks through how she structures orientation, communication, and supervision to turn nervous students into confident new therapists — and shares the one rule she gives every student on their first day. *Student name "Dylan" in the Failed It segment is a pseudonym. Stay informed, stay curious, and stay playful! ✏️ Sign up for our newsletter by clicking here. 📧 Email us a question or comment at IdeasAtPlayPodcast@gmail.com 👉 Find us on Instagram @ideas.at.play

Send us a Text or Voicemail Ep. 73. This summer, Michele and Lacy are switching things up with a six-episode series sharing programs or topics they genuinely love. The research articles may not always be front and center, but the same clinical reasoning is. First up, Michele shares the social-emotional program that's changed how she runs her social connection group where elementary-aged kids turn big feelings into something they can actually name, talk about, and work through together. We share our own thoughts in this episode and encourage you to check out the program too. A Little SPOT Series – Diane Alber Stay informed, stay curious, and stay playful! ✏️ Sign up for our newsletter by clicking here. 📧 Email us a question or comment at IdeasAtPlayPodcast@gmail.com 👉 Find us on Instagram @ideas.at.play

Send us a Text or Voicemail What do early career occupational therapists really prioritize when choosing their first OT job? Spoiler alert: salary ranks 9th out of 16 factors. In this episode, we break down a fascinating Canadian study that surveyed early career occupational therapists about what actually matters in their job search—and the findings might surprise you. We reveal the top intrinsic and extrinsic factors driving OT employment decisions, why 60% of new grad occupational therapists have jobs lined up before graduation, and how OT priorities shift between your first job and your second (or third!) job. Occupational therapy students will learn what to look for in job searches, OT employers will discover how to attract top talent, and experienced therapists can reflect on whether their current position aligns with what truly matters to them. We share our own thoughts in the Research Review and encourage you to read the original article too. Lui S, Boniface J, Boniface G, Drynan D. Employment Decisions of Newly Graduated Occupational Therapists. Canadian Journal of Occupational Therapy . 2024;92(2):76-84. doi: 10.1177/00084174241274742 Stay informed, stay curious, and stay playful! ✏️ Sign up for our newsletter by clicking here. 📧 Email us a question or comment at IdeasAtPlayPodcast@gmail.com 👉 Find us on Instagram @ideas.at.play

Send us a Text or Voicemail 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 Stay informed, stay curious, and stay playful! ✏️ Sign up for our newsletter by clicking here. 📧 Email us a question or comment at IdeasAtPlayPodcast@gmail.com 👉 Find us on Instagram @ideas.at.play

Send us a Text or Voicemail Episode 70 calls for something special! We tackle your real-world pediatric OT questions, from the buzzwords worth knowing to the advice that actually sticks. Thank you for being the heart of this podcast. Here's to 70 more! If you liked this episode, check out our first round of listener questions in episode #50. Stay informed, stay curious, and stay playful! ✏️ Sign up for our newsletter by clicking here. 📧 Email us a question or comment at IdeasAtPlayPodcast@gmail.com 👉 Find us on Instagram @ideas.at.play

Send us a Text or Voicemail Motor skill difficulties show up in nearly 9 out of 10 autistic kids, which means this question comes up in almost every caseload: what motor-based intervention actually works? This week we dig into a 2025 study that compares three different approaches head to head, and the findings remind us why skilled therapy is irreplaceable. And Michele talks about her session that ended with a Ziploc bag of very questionable slime. We share our own thoughts in the Research Review and encourage you to read the original article too. Arabi, S. M., & Kakhki, A. S. (2025). Comparing the effects of fine, gross, and fine-gross motor exercises on the motor competence of 6–12 year-old autistic children: A quasi-experimental study with a follow-up test. Acta Psychologica , 254 , 104842. https://www.sciencedirect.com/science/article/pii/S0001691825001556 Stay informed, stay curious, and stay playful! ✏️ Sign up for our newsletter by clicking here. 📧 Email us a question or comment at IdeasAtPlayPodcast@gmail.com 👉 Find us on Instagram @ideas.at.play

Send us a Text or Voicemail Ever wondered how to actually do constraint-induced movement therapy? This week, we discuss a 2025 randomized trial out of Texas Women's University that ran a pirate-themed CIMT summer camp for kids with unilateral cerebral palsy — 60 hours, 10 days, and a treasure chest at the end. Arrrrr! We cover who qualifies, what a full day at camp looks like, and whether adding virtual reality (drones! robotic exoskeletons! Wii!) actually moves the needle. Plus, the TWU protocol is free, online, and basically ready to use tomorrow. We share our own thoughts in the Research Review and encourage you to read the original article too. Roberts, H., Clegg, N. J., Wang, W., Chapa, S., Arellano, B., Trahan, M., Reyes, F., Delgado, M. R., Ram, S., & Shierk, A. (2025). Constraint Therapy with and Without Virtual Reality for Children with Unilateral Cerebral Palsy: A Randomized Trial. Children , 12 (3), 283. https://doi.org/10.3390/children12030283 Stay informed, stay curious, and stay playful! ✏️ Sign up for our newsletter by clicking here. 📧 Email us a question or comment at IdeasAtPlayPodcast@gmail.com 👉 Find us on Instagram @ideas.at.play

Send us a Text or Voicemail We're covering two topics that kept coming up in your emails and are linked in the literature — polyvagal theory and listening programs. Michele walks us through the principles of polyvagal theory, the recent scientific debate around it, and what a systematic review of sound-based interventions found. The polyvagal conversation is complicated and debated in neuroscience, but when it comes to the listening programs themselves, the research points somewhere surprisingly simple. Get the OT Evidence Checklist here to evaluate the evidence for and "red flags" against an intervention method/practice. We share our own thoughts in the Research Review and encourage you to read the original article too. Vincent, V., Skaczkowski, G., Hughes-Barton, D., & Gunn, K. M. (2025). Effectiveness of sound-based interventions for improving functional outcomes in children: A systematic review of the evidence. Occupational Therapy International , 2025 , Article 1693722. https://doi.org/10.1155/oti/1693722 Stay informed, stay curious, and stay playful! ✏️ Sign up for our newsletter by clicking here. 📧 Email us a question or comment at IdeasAtPlayPodcast@gmail.com 👉 Find us on Instagram @ideas.at.play

Send us a Text or Voicemail The study we've been waiting for is finally here. An NIH-funded, head-to-head RCT pits Ayres Sensory Integration against ABA for autistic children with sensory differences — and we have thoughts. We're breaking down what makes these two approaches fundamentally different (hello key ingredients and mechanism of action), what the evidence actually says, and what to tell families who are confused about the difference. Buckle up. We share our own thoughts in the Research Review and encourage you to read the original article too. Schaaf, R. C., Ridgway, E. M., Jones, E. A., Dumont, R. L., Foxe, J., Conly, T., Sancimino, C., Yi, M., Mailloux, Z., Hunt, J. M., Kirschner, L., Leiby, B. E., & Molholm, S. (2025). A comparative trial of occupational therapy using Ayres Sensory Integration and Applied Behavior Analysis interventions for autistic children. Autism Research . https://doi.org/10.1002/aur.70099 Stay informed, stay curious, and stay playful! ✏️ Sign up for our newsletter by clicking here. 📧 Email us a question or comment at IdeasAtPlayPodcast@gmail.com 👉 Find us on Instagram @ideas.at.play

Send us a Text or Voicemail Can a home program alone replace clinic-based therapy? This week, we put it to the test with a randomized controlled study on the GAME intervention (Goal, Activity, Motor, Enrichment) for toddlers with developmental delays. We discuss the steps of the GAME intervention, supportive parent coaching, and how you can implement this in your own caseload tomorrow. Plus, Michele shares about a rough consult, Lacy tries something new with student groups, and there's a tiny dragon too! We share our own thoughts in the Research Review and encourage you to read the original articles too. Gündoğmuş, E., Bumin, G., & Yalçın, S. S. (2024). Effect of Early Intervention on Developmental Domains and Parent-Child Interaction Among Children With Developmental Delay: A Randomized Controlled Study. The American journal of occupational therapy: official publication of the American Occupational Therapy Association , 78 (6), 7806205110. https://doi.org/10.5014/ajot.2024.050706 Stay informed, stay curious, and stay playful! ✏️ Sign up for our newsletter by clicking here. 📧 Email us a question or comment at IdeasAtPlayPodcast@gmail.com 👉 Find us on Instagram @ideas.at.play

Send us a Text or Voicemail If you've ever debated pencil grips or the perfect grasp pattern in an IEP meeting, this episode is for you. We take a tour of the handwriting literature — pulling from OT, education, ergonomics, and hand therapy — to find out what actually moves the needle in handwriting intervention. Learn with us as we dig into why force matters more than grip position, what the research says about weighted and adapted pencils, and why grasp patterns are way less important than we were trained to believe. Plus, we land on the nine key ingredients that the literature says actually make a difference — rooted in motor learning theory and ready to use in your next session. **Get the additional handwriting resources at this link We share our own thoughts in the Research Review and encourage you to read the original articles too. Schneider, M. K., Myers, C. T., Morgan-Daniel, J., & Shechtman, O. (2023). A scoping review of grasp and handwriting performance in school-age children. Physical & Occupational Therapy in Pediatrics, 43 (4), 430–445. https://doi.org/10.1080/01942638.2022.2151392 Stay informed, stay curious, and stay playful! ✏️ Sign up for our newsletter by clicking here. 📧 Email us a question or comment at IdeasAtPlayPodcast@gmail.com 👉 Find us on Instagram @ideas.at.play