title: Broadening the occupational therapy toolkit: an executive functioning lens for occupational therapy with children and youth.
abstract: OBJECTIVE
  Attention to executive functioning (EF) and its effect on occupational performance is increasing in the occupational therapy literature. This study explored occupational therapists' perceptions of how EF is recognized and addressed within occupational therapy for children and youth.
  
  
  METHODS
  Inductive qualitative content analysis was used to analyze the in-depth interview data from 13 occupational therapists with a range of practice contexts and experience.
  
  
  RESULTS
  EF should be explicitly considered during clinical reasoning. System and professional barriers create challenges to occupational therapists, constraining their ability to recognize, label, and address EF performance issues. Occupational therapists who have integrated EF into their practice perspective have acquired knowledge and skills through interprofessional collaborations, client interactions, and professional development opportunities.
  
  
  CONCLUSIONS
  Occupational therapists working with children and youth need an occupational EF framework and practice resources if they are to integrate an EF lens to more broadly enable occupational performance.
authors.affiliation: Heidi Cramm, PhD, OT Reg (Ont), is Assistant Professor, School of Rehabilitation Therapy, Queen's University, Louise D. Acton Building, 31 George Street, Kingston, ON K7L 3N6 Canada; heidi.cramm@queensu.ca.
authors.forename: Heidi
authors.initials: H
authors.lastname: Cramm
authors.forename: Terry
authors.initials: T
authors.lastname: Krupa
authors.forename: Cheryl
authors.initials: C
authors.lastname: Missiuna
authors.forename: Rosemary M
authors.initials: RM
authors.lastname: Lysaght
authors.forename: Kevin C H
authors.initials: KC
authors.lastname: Parker
mesh_terms: D000293:Adolescent; D001289:Attention Deficit Disorder with Hyperactivity / Q000523:psychology / Q000628:therapy*; D002648:Child; D002653:Child Behavior Disorders / Q000628:therapy; D056344:Executive Function; D005260:Female; D006801:Humans; D007400:Interprofessional Relations; D008297:Male; D009788:Occupational Therapy / Q000379:methods; D024382:Professional Role; D036301:Qualitative Research; D013647:Task Performance and Analysis