Evidence-based practice, supporting the role of the occupational therapy assistant in most settingsJorge SamaKeiser UniversitySay no to plagiarism. Get a tailor-made essay on "Why Violent Video Games Shouldn't Be Banned"? Get an original essay Abstract Occupational therapy practitioners are the perfect solution for delivering interventions, supported by the most up-to-date evidence-based practice for each case applied. The role of occupational therapy professionals must be in line with new trends and appropriate services with clients. Traditional settings such as hospital rehabilitation facilities and emerging settings where technology bring enormous support to the intervention, as far as stroke survivors are concerned; both contexts are involved in the assessment, treatment and recovery process. Current research describes evidence-based review analysis and correlates findings from articles that can directly validate clinical practices by combining them with scientific evidence and clinical experience; taking into account the customer's self-determination. Evidence-based practice, supporting the role of the occupational therapy assistant in most settings The occupational therapy assistant (OTA) plays an essential role while working in traditional or emerging settings, for example, in an inpatient setting. rehabilitation facilities, hospitals, clinics, schools and treatment centers (Stevens, 2010). Occupational therapy staff, particularly OTA, bring intervention services to inpatient rehabilitation facilities (IRFs); These traditional settings are “free-standing facilities or rehabilitation units that provide intensive rehabilitation services to clients after an injury, illness, or surgery” (Sechrist, 2016, p.451), OTA also works with clients, families, or healthcare professionals to determine what activities are needed to increase their quality of life. Current research proposes the correct interventions to improve activities of daily living, if the review of evidence-based practice gives a positive outcome in the quality of the research, the proposed interventions will validate their application on adult stroke patients. Clients at inpatient rehabilitation facilities must be able to participate in a minimum of three hours of therapy per day (Spaulding, 2016). Another useful approach for treating stroke patients is related to technology. Due to the great technological boom, new trends in the use of therapies have emerged, which have a positive effect on the development of customers. This emerging context is changing the way we interact, communicate and live our daily lives, occupational therapy professionals will want to create innovative ways to use new technologies in their practice as an applicable emerging context. According to the theme of therapy, technology has improved effectively compared to what has been done so far, for example exercise games promote good heart rate and movement, the increasing use of smartphones and tablets facilitates fine motor skills, sequencing and running text messages. vocal programs. (Ifejika & Barrett, 2011). Over the past few decades, mechanically assisted robotic training therapies have been developed for stroke rehabilitation to improve arm function (Ifejika & Barrett, 2011). As an emerging area, there is still much to be done, occupational therapy practitioners should advocate for creating and publishing more evidence-based practices atrecognized and accessible sources, both websites and databases. Several evidence-based practices reveal that clients could benefit from the right interventions. The American Occupational Therapy Association has worked hard in promoting official sites to help occupational therapy (OT) and OTAs provide the most accurate evidence-based databases to ensure quality in the delivery of services provided by OT professionals. (Arbesman, Lieberman, &Berlanstein, 2015)According to the National Stroke Association (2018) a stroke is a brain attack. It can happen to anyone at any time. It occurs when blood flow is interrupted and does not enter the brain area; brain cells don't get enough oxygen and start to die. Occupational therapy treatment uses targeted activities to restore and maximize independence in activities of daily living (ADL), helps prevent disability, and keeps people healthy. Includes experience with functional tasks to improve coordination, balance, cognition, strength and range of motion. (CMS.gov, 2012). For clients who have suffered a stroke, these are some of the most effective interventions for improving activities of daily living. Occupation-based interventions to improve activities of daily living (ADL), repetitive task practice to improve arm and hand function, visual scanning training to improve performance and compensate for unilateral neglect and action observation combined with task practice to promote self-directed independent practice. (Nilsen, Gillen, & Lieberman, 2015). After the application of the above-mentioned interventions, adult stroke patients are expected to show functional increase and be able to achieve their personal independence. This evidence-based review primarily examined the evidence supporting occupations mentioned in patients after stroke. Some studies met the inclusion criteria to support the relationship between proposed interventions to improve activities of daily living (Wolf et al., 2015), if the evidence-based practice review gives a positive result in the quality of the research, the proposed interventions will validate their application on adult stroke patients. Appropriate terminology was selected to obtain pertinent and relevant articles in databases such as PsycINFO, CINAHL, AgeLine and OT Seeker. The use of inclusion and exclusion criteria facilitates the organization of the review process which included 12,674 abstracts and citations and 273 articles resulted in the final review after their validation according to objectivity and quality. Studies with level I, II, III evidence were included, while level IV and V evidence was not found (Arbesman et al., 2015). As a result of the evidence-based review, evidence related to motor disorders showed a relationship with task-oriented training (TOT) using objects in natural environment, TOT combined with cognitive strategies and reinforcement (Arbesman et al., 2015) . Furthermore, occupation categories such as ADL, IADL, leisure, social participation, and rest and sleep were selected based on the service delivery context (Arbesman et al., 2015). Taking into account that occupational therapy professionals work with clients, families or caregivers to determine what activities are necessary to improve their quality of life, the analysis produced a positive result according to the evidence-based practices found and confirmed that the The use of the proposed interventions is effective and applicable to adult stroke patients, improving their daily living activities in hospital or rehabilitation facilities..