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Artificial Intelligence And Occupational Therapy – What We Can Learn From Each Other Podcast

Artificial Intelligence And Occupational Therapy – What We Can Learn From Each Other Podcast
Karen Jacobs, EdD, OT, OTR, CPE, FAOTA, Alyson Stover, MOT, JD, OTR/L, BCP, Dennis Cleary, MS, OTD, OTR/L, FAOTA
July 25, 2024

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Editor's note: This text-based course is a transcript of the Artificial Intelligence And Occupational Therapy – What We Can Learn From Each Other Podcast, Karen Jacobs, EdD, OT, OTR, CPE, FAOTA; Alyson Stover, MOT, JD, OTR/L, BCP; and Dennis Cleary, MS, OTD, OTR/L, FAOTA.

**Please use the handout to complete the exam.

Learning Outcomes

  • After this course, participants will be able to:
    • examine artificial intelligence applications occupational therapy practitioners may or have used in practice.
    • analyze ethical considerations of using artificial intelligence in practices and how those concerns might be mitigated.
    • distinguish at least one way that artificial intelligence could be used in the learner’s occupational therapy practice.

Podcast Discussion

Dennis: Thank you all for joining us. I'm very excited to be joined by Dr. Karen Jacobs and Dr. Alyson Stover. Thank you so much for joining me today on the podcast. We're going to be talking about artificial intelligence and occupational therapy. Alyson, could you just tell us a little bit about your background and what brought you into the field of occupational

Alyson: Thank you for having us on the podcast. This is exciting. I'm from Pittsburgh, Pennsylvania, a place where family is everything and everyone is always in each other's business. I grew up with many aunts and uncles who were like second moms and dads, and cousins who were really just extra siblings to me.

As the oldest cousin of my generation, I was very close to the youngest cousin. When I was about 12 and she was between four and five, she experienced a traumatic brain injury that put her in a coma. When she woke up, the doctors told us she would remain in a vegetative state for the rest of her life, and they didn't expect that to be very long. This was devastating for all of us.

However, as time went on and Robin began rehabilitation, we saw her start to emerge from that state. She wasn't the same as she was before the injury, but she was becoming a new version of herself. We took turns bringing her to various appointments and therapy sessions to support my aunt and uncle. Out of all the therapies, occupational therapy was the one that truly gave me my cousin back.

I remember playing Twister or the memory game with her as part of her therapy, or taking her on walks after church, letting her lead the way to see if she could remember how to get to the park. Occupational therapy didn't just help Robin regain her skills; it also restored our relationship and allowed us to enjoy our time together as we used to. It gave me my cousin back and also let me return to the role of the older cousin who plays games and goes on adventures with her.

From that experience, I knew I wanted to become an occupational therapist. I wanted to give back to a profession that not only helped Robin recover but also restored our family dynamic. Since I was 11 years old, I've been determined to contribute to this incredible field, helping others the way occupational therapy helped us.

Dennis: Wonderful. It sounds like you got a merit badge as an occupational therapy wannabe at a young age. That's a great story. Karen, how about you? What helped you get interested in occupational therapy?

Karen: Dennis, thank you for having us on the Continued podcast. I love Alyson's story. Mine's a bit different. Picture a 21-year-old who just finished undergrad in preschool primary education and psychology, but who also had another aspect to her life: she was a leather craftsperson.

I was at a fair in St. Louis, where I went to school for undergrad, setting up my leather booth next to a potter. Once my booth was set up, I, loving to talk and introduce myself, walked over to the potter's booth, which was beautiful. She was sitting there with an anatomy book, which piqued my curiosity.

I introduced myself and asked, "Why are you studying anatomy?" She replied, "I'm becoming an occupational therapist." Naturally, I asked, "What is that?" She explained it to me and then invited me to visit her school after the show, saying, "I have to continue dissecting my cadaver, and we can talk some more."

Instantly, we became friends and have maintained that friendship on and off over the years. Learning about occupational therapy from Michelle pulled together my love of arts and crafts, my love of science, and my passion for working with people. She inspired me to explore this profession further.

I completed some prerequisites, moved to Boston, and continued my studies there. I applied to Boston University in 1977 and was accepted. Learning about the profession at a time when the evidence was just beginning to develop to where we are now has been an amazing experience.

Dennis: I am a seasoned therapist myself. So I certainly had my courses in pottery and leather working. Now they may be just a drop in the bucket of our curriculum; whereas before, it was much more significant. It's always fun when occupational therapy practitioners are able to use some of the more traditional crafts to help us in terms of therapeutic modalities.

There’s a new therapeutic modality that I’m really interested in, and that’s why you’re here. Could you talk a little bit about artificial intelligence? And How would you define artificial intelligence for our listeners out there who might be a little unsure or even nervous about it?

Karen: I'll define it and then make it more down to earth. Artificial intelligence is the science of making machines, especially computers, do things that would require intelligence if done by humans. The underlying aspect of AI is machine learning, which allows AI to handle new situations and tasks that we may not have been able to use it for before.

AI is used in so many different ways in our everyday lives, often without us realizing it. For example, if I say, "Hey, Siri," my phone starts responding, or if we use Alexa to control our smart home devices. These are simple examples of AI at work. It's all around us, seamlessly integrated into our daily routines.

We have been using AI for a long time. In fact, artificial intelligence beginnings were in the 1950s. ChatGPT brought it to the limelight for many people.

I'm a professor at Boston University and one of my roles is the Associate Dean of Digital Learning and Innovation. I learned about AI before the rise of ChatGPT and recognized the importance of our faculty and students becoming literate in AI—not just generative AI, but understanding what AI fundamentally is.

Working with some colleagues, we secured a small grant to create online training in artificial intelligence for our students and colleges in health and rehabilitation sciences. This includes occupational therapy, physical therapy, speech, nutrition, and other sciences, so we had to make it very broad. We also developed an online training program for faculty in collaboration with the Center for Teaching and Learning at BU to help everyone develop this foundational knowledge.

Over a year ago, as all of this was happening, a colleague reached out to me and said, "I'd love to tell you about what I'm doing in artificial intelligence." He was working with a company called Korro AI, which is passionate about child development. They created an app designed for occupational therapy practitioners to use with pediatric clients, probably ages 4 to 12. When they asked if I was interested in learning more, I immediately said yes.

The owner of the company demoed the app for me, and I was fascinated by what I saw. Korro AI uses computer vision to analyze a child's movement and provides incredibly detailed and insightful feedback, far beyond what the naked eye or other occupational therapy practitioners could see. I realized that AI could act as a force multiplier in occupational therapy by providing objective data that we could use to tailor our therapy sessions. It doesn't replace the occupational therapy practitioner but enriches what we are doing and works alongside us.

I was so impressed that I offered to be an advisor to the company, but I also wanted to do some research. That's where I introduced Alyson. We are conducting a research study—a clinical trial—at Alyson's clinic, Capable Kids, and at Galant Therapy Services in Maine. We're looking at the feasibility of integrating Korro AI into traditional occupational therapy. For about 10 to 15 minutes at the beginning of weekly therapy sessions, we introduce the AI, then continue with our traditional therapy methods.

Now, I'll turn this over to Alyson to talk about what spurred her interest as well.

Alyson: Yes, thank you, Karen. Much like many of our listeners and both you and Dennis, I’ve seen how technology is always a component of occupational therapy treatment and intervention. If we think about technology in its simplest sense, even the idea of things like how an individual communicates via text message versus WhatsApp or how they turn on their TV, there’s so much evolving technology in people's everyday lives. This profoundly affects human function but also requires very little change from the individual. It's where I believe occupational therapy truly demonstrates its distinct value in adapting to the environment.

I've always been interested in how we could utilize technology as a mechanism to transform environments so people could continue participating in activities they find meaningful or acceptable. When Karen approached me, I was at an intersection of having just emerged from the acute and surprising phases of the pandemic as a small business owner. I own a private pediatric practice in a rural county in Northwestern Pennsylvania, and many of my clients, around 80%, have Medicaid coverage in some form.

Prior to the pandemic, Medicaid could deny our services if they were delivered remotely. Teletherapy or remote therapy was still seen as very introductory or experimental. However, when the emergency orders started to roll out in March, we had already been discussing what a telehealth platform would look like because we are in a rural county. We had committed to trialing one of the platforms because we saw the need to advocate for better access to services for our community.

When the stay-at-home orders were issued, about 90% of our clients still wanted therapy services but didn't want to leave their homes. Additionally, several school districts we serviced requested our continued care through telehealth, recognizing our ability to provide uninterrupted services. Unlike many small businesses that struggled, we didn't have to lay off or reduce hours for our staff because we were already prepared for telehealth. The new regulations allowing Medicaid and Medicare to cover telehealth services enabled us to maintain stability for our staff and clients.

So when Karen came to me with the opportunity to explore this incredible product from Korro AI, I was very interested. I had heard that Ryan Gallant at Gallant Therapy Services was also considering it, and I thought, "This is a game changer." It represented a proactive approach to transforming therapy with technology, rather than reacting to an emergency like the pandemic. I was eager to bring this technology into our clinic, not just for our therapists but for the clients who would benefit from this kind of innovative change.

Dennis: If we all remember back to those initial two weeks of lockdown and what that turned into, I have an assessment that we made telehealth-enabled right before COVID hit. We went from about 2,000 users to about 12,000 users simply because there were so few options. While it's hard to say anything good came out of COVID or the lockdowns, it did transform occupational therapy practice in terms of our willingness to explore different approaches. I believe artificial intelligence could be a beneficial development that has emerged from that transformation.

I married very well—my wife is a faculty member at a university in South Bend, Indiana, working in education and technology. She developed a rubric for evaluating technology that she shared with me around the dinner table. It includes the four E's: Is the technology efficient? Is it engaging? Is it equitable? And is it effective? This rubric helps determine whether a technology is worth adopting.

When we think about efficiency and artificial intelligence, it seems like a no-brainer. Karen, could you talk about how AI might help us as occupational therapy practitioners be more efficient in our practice?

Karen: I congratulate your wife. This rubric is great for us, and we'll integrate it into our curriculum at BU. 

Dennis: The book's coming out, I think, in the fall or spring. 

Karen: That's great. Well, efficiency is really important because I see great potential to increase our efficiency as occupational therapy practitioners. Documentation is such an important area, and we can use artificial intelligence to help us with that. I asked people how they used AI in this area, and they shared that it's helping them be more productive. It's assisting with general writing tasks, transcribing interviews, creating case studies, and, in some cases, even writing documents.

One key aspect of AI's efficiency is that it provides objective data, which can help us potentially shorten the time spent on documentation. However, it's crucial to always check the accuracy of the information we obtain from AI.

I think AI can certainly enhance engagement in many ways. For faculty members, AI can help with automating grading, making the process more engaging for both faculty and students. It can generate discussion prompts, creating more dynamic discussions for online and in-class debates. 

AI can also assist with simulations and role-playing, providing scenarios that enhance experiential learning and critical thinking. These are just some examples of how AI can make the educational experience more engaging.

Dennis: Great. Alyson, do you have any examples of how AI can be engaging? 

Alyson: Absolutely. In the research Karen mentioned earlier, we will have more specific data as we navigate through the statistical analysis, which is certainly not my area of expertise. However, I can share some anecdotal evidence and a case study that emerged from this.

What we are finding with the use and integration of the Korro AI app is that the carryover from what we do in the clinic to utilizing the app at home is profound. Traditionally, we saw about a 10% or sometimes less rate of homework carryover. But now, we’re observing children exceeding the amount of time and attention they devote to their homework. Their desire to participate in the activities we give them has significantly increased.

AI creates an opportunity to learn alongside the individual, constantly adjusting the complexity level to keep them engaged. This makes the activities not only fun but also more appealing, encouraging children to do them more often. As a result, we’re seeing skill acquisition happening more consistently when kids come back to the clinic, demonstrating significant progress.

Dennis: It's almost like a home occupations program in some ways, really enhancing that carryover. My primary area of practice is with individuals with intellectual and developmental disabilities, often those with more significant disabilities. I always say the least effective I ever am as a practitioner is when I'm alone in the room with someone. I need to influence their context so that family members or staff members can support them in their learning, not just during that 30, 45, or hour-long therapy session but throughout their entire day.

The goal is to integrate occupational therapy concepts into their daily routines, making it a seamless part of their lives. It seems like Korro AI can help achieve this by providing tools and resources that extend the reach of our therapy beyond the clinic, continuously engage the clients, and support skill development in their natural environments.

Alyson: It really ties into the equity piece. As I mentioned, I'm in a rural county that was heavily affected by the opioid epidemic, particularly in the early stages when overdose deaths were rampant. This crisis impacts the entire community. We have a high number of children in homes with caregivers or in foster care, sometimes formally, sometimes informally. Many children are in single-parent homes.

As occupational therapy practitioners, we often encounter parents or caregivers who are already stretched thin. When they rush to make it to a therapy appointment, they might use that brief window to do essential tasks like grocery shopping because it's the only time they have. If we then ask them to complete several tasks at home, it's not that they don't want to or would rather watch TV; it's about integrating those tasks into an already overwhelming routine.

AI can help by providing support that walks alongside both the occupational therapy practitioner and the client. This creates an equitable opportunity where some individuals, despite their overwhelming responsibilities, can still engage in therapy activities. AI, like what we've seen with the Korro app, levels the playing field. It allows those who are pressed for time or lack resources to access the same skill development opportunities as those who have more time and financial resources.

This approach effectively provides an additional caregiver, reducing burnout for primary caregivers and increasing opportunities for skill development and independence in our clients. Consider how common tools like Siri or alarms help us manage daily tasks, like reminding us to take medication. Now imagine taking that a step further—AI can act as a personal assistant for everyone, enhancing their ability to participate in therapy.

Through the pandemic, we saw that, despite discrepancies, there are ways to provide access to technology. Whether through school districts or community agencies, we have infrastructures that can get this technology into the hands of those who need it. This ensures that we support an overburdened healthcare delivery system without adding to the strain.

Dennis: It's just such a great opportunity for us to be advocates. It's incredibly important for us to be at the table when it comes to deciding whether or not to use artificial intelligence and evaluating its effectiveness. I have an assessment and job-matching tool, and we're adding an artificial intelligence component to it. You'll assess an individual, and then it will give you recommendations. Karen, I think you'll be particularly interested in this because it provides a sort of tailored guidance based on the assessment results.

Karen: Yes, I'm excited.

Dennis: The best fit for them in terms of employment, but especially for folks with intellectual and developmental disabilities, we have to be very careful that it's not a race to the bottom. If they don't have great technology skills, we shouldn’t just say they need to work in areas where technology isn’t required. We know people can learn technology skills, or we can figure out how to do adaptations and ask for accommodations. We're trying to figure out how to weight those factors so that we recognize the human potential to learn and grow.

This is where we need to train artificial intelligence, and I think occupational therapists can be really good at this. Claire's final "E" is effectiveness, and it's one of the most crucial. We need to know if AI produces an outcome that is as effective or more effective than traditional approaches in occupational therapy.

Alyson, do you have any ideas on how we can gauge effectiveness, or can you describe how your study looks at effectiveness?

Alyson: I just want to share a story of our use with Korro and how we've really seen this transform our effectiveness. I would say, maybe I'm biased, but I would say that the best occupational therapy practitioners in all the world work at Capable Kids. They have incredible skills and deliver outstanding and optimal services. What we have found is that what Korro can see and give us very consistent objective data on is actually then giving us almost this third-eye vision of something about the body we don't know that then transforms how we're able to intervene.

For instance, we have been working with a child for many years who experienced a severe car accident. The left side of his body is incredibly weakened, with limited mobility. We’ve always aimed to continuously engage his left hand as much as possible, doing some strengthening, stretching, and using it as an assist. We were making progress, which felt good, even though it was slow, as it often is in pediatrics.

However, the Korro app revealed that we were not utilizing his left arm to its full capacity. When he engaged in play, he could move his left arm in ways we didn't realize he could. He could sustain performance in activities with his left arm, and the app showed us the effort produced by his left arm versus his right arm. We realized we had been underutilizing his left arm.

We then transformed our entire plan of care and treatment approach, considering tasks he struggled with and reintegrating his left arm to be more of an active participant. We saw more rapid progress in difficult areas because we had better objective data on when and how he was using his left arm, his endurance, and his attention during activities. This improved his independence in tasks that were previously challenging.

As occupational therapy practitioners, we focus on human function. To determine if AI is effective, we look at whether it produces the desired outcomes—greater participation in human function by the individual. AI benefits from occupational therapy’s lens on human function to assess its own effectiveness. We continue using the same outcome measures, but with AI, we see if we achieve these outcomes faster, with greater satisfaction, independence, and consistency. The effectiveness piece becomes clearer with AI, making it one of the easiest aspects to evaluate.

Dennis: Awesome. Karen, in terms of artificial intelligence, is there anything you're most excited about in terms of how we could have this collaboration between artificial intelligence and occupational therapy?

Karen: I want to build on what Alyson shared and what you mentioned as well. I envision us as leaders in healthcare, particularly in the field of artificial intelligence. We need to work with companies to develop the tools we might want to use, think about the tools we need, and approach companies with our ideas.

I’d like to see us as clinical advisors, much like I am for Korro AI. I want to see more occupational therapy practitioners in these roles, sitting at the table and saying, "I have an idea for this. Let’s see how we can develop and collaborate." This is where we need to be. Reflecting on my role as an advisor for Korro AI, it’s personally important to me because the product was designed by occupational therapy practitioners, along with data scientists and a visionary for child development. That kind of collaboration is crucial.

We already see occupational therapy practitioners taking on these roles, but I want to see more. Alyson and I are working on enhancing a revolution in occupational therapy and AI, encouraging people to open themselves up to the possibilities of artificial intelligence in our field. We’ve started a community of practice to facilitate this exchange, allowing us to dream about the future and explore the vast opportunities AI can offer.

At this point, we can’t even fully imagine how artificial intelligence will impact child development or the broader scope of our work. The possibilities are wide open, and I encourage everyone to join us in this journey and community of practice. 

Dennis: Do you want to just talk about that and where people might be able to get connected to this community of practice?

Karen: Absolutely. Dennis, I shared a story with you a while ago. Many years ago, I helped start something called OT4OT, which stands for Online Technology for Occupational Therapy, though many thought it stood for Occupational Therapy for Occupational Therapy. An international group of occupational therapy practitioners wanted to provide foundational knowledge in this area. We even hosted 24-hour virtual conferences long before Zoom became popular.

Within the OT4OT suite of Facebook groups, we started one called AI4OT. I want to invite your listeners to consider joining that group. Just go on Facebook, search for AI4OT, and request to join. This group allows us to exchange information and learn from each other.

We've also started a community of practice for people using Korro AI and those who become certified in the app. Alyson and I have mentioned Korro AI multiple times. One suggestion we made to the company to ensure consistency in its use was to require certification for anyone using the app. Alyson created a certification process, and I can provide the link where you can learn more about it. Those who get certified are part of our Korro AI community of practice.

There are many ways for us to learn, use, and grow together. To learn more about Korro AI and the certification process, visit [ot.korro.ai]. This platform offers great opportunities for us to advance our practice and embrace the potential of AI in occupational therapy.

Dennis: Wonderful. Thanks so much for that. Can you talk a little bit about any concerns that we might have about artificial intelligence and occupational therapy, Alyson?

Alyson: Thank you for that question, Dennis. Sometimes, when we're excited about new developments, we avoid addressing the harder questions. My primary concern for AI in occupational therapy is that we might not be adequately involved in its development. As both you and Karen have mentioned, if we are not part of developing these processes and deeply considering what effectiveness and equity mean, there’s a real danger in creating algorithms and machine learning principles that don’t fully encompass human function.

Without the occupational therapy perspective, key considerations about human potential and adaptability might be missed. For example, just because an individual may not initially have certain technology skills, it doesn’t mean they can never work in a technology-driven area. Without our lens, these nuances may not be captured, and we would be doing a disservice to both the development and implementation of AI in healthcare.

It's crucial for occupational therapy practitioners to be involved in shaping these technologies to ensure they truly enhance human function and equity. AI in healthcare is progressing rapidly, and our active participation is essential to ensure it is used effectively and ethically.

This isn't something that we can say, "Well, maybe it's not going to happen," or, "This is a piece that we don't want to be a part of," or, "It's just a small group." This is a global transformation. My concern is that if occupational therapy does not become involved, then AI can never maximize its true potential in delivering the type of care that truly helps individuals experience health and wellness. We would do a disservice to the technology and, more importantly, to the people who will be engaging with that technology.

Dennis: I think, especially as we look generationally, younger individuals and their parents are already accustomed to technology. We must catch the wave and be on it with them instead of acting like a concrete block trying to stop it. Over time, water wears down rock or concrete, not vice versa.

To get a bit philosophical, Karen, what can occupational therapy learn from artificial intelligence?

Karen: I want to build on the question you had previously because I think this is really important. We must develop moral courage in this rapidly evolving AI within occupational therapy. It requires a commitment from all of us to continuous learning and ethical practice.

I’d like to share how I approach this personally. I stay informed and abreast of the latest developments in AI, which helps me understand its implications and anticipate potential issues. Engaging in communities of practice and attending courses are crucial. For example, when prompt engineering first emerged, I became certified and took many courses to stay informed about this tool.

Reflective practice is also essential. Regularly reflecting on our work and decisions helps us stay aligned with our ethical principles and professional standards. Seeking diverse perspectives by talking to colleagues from different backgrounds broadens our understanding of how AI might affect various populations. This is important because bias in AI is a real concern, and we need to advocate for its ethical use.

Supporting transparency in AI systems is vital. Understanding AI's decision-making processes helps address bias and ensure accountability. We must hold AI developers and users, including ourselves, accountable for the outcomes of their systems and ensure they are used responsibly.

Another critical aspect is involving the clients we serve. Educating them about AI and involving them in decision-making processes, as Alyson is doing with the Korro study in her clinic, is essential. This includes informing parents about how AI is being used in their children’s therapy and integrating it with traditional occupational therapy.

These are all important aspects that occupational therapy practitioners can learn and participate in with artificial intelligence. By embracing these practices, we can ensure that AI is used ethically and effectively in our field.

Dennis: Yes, absolutely. Alyson, we're always talking about training artificial intelligence. If an occupational therapy practitioner is going to train artificial intelligence, what do you think we can teach it? What does artificial intelligence have to learn from our profession?

Alyson: I love this question. I think I'll go back to some words that I continue to say. What I think occupational therapy can teach artificial intelligence is about human function. We are the only profession that incorporates those three essential elements of participation: the person, the occupation (what they're actually doing), and the environment.

AI can learn from us that just because an individual doesn't have a specific technology skill to engage in a certain assessment or task, that doesn't mean we need to eliminate technology from any type of future engagement ideas when we look at participation. This is what AI can learn from us. It can learn how to measure human function comprehensively. Understanding all the elements integrated into determining participation is crucial.

This goes back to what we've been discussing: occupational therapy must be at the forefront of helping to design these artificial intelligence tools and resources. Without our perspective, there will always be a missing element of participation. This is where principles like end-user or user design come into play. We've always been user-centered in our design.

These are the critical elements we need to teach AI processes to ensure they fully understand and enhance human function.

Dennis: I remember when apps became a big thing on iPhones and iPads. We were really encouraged to start becoming app developers ourselves. At this time, it's almost about how we can do that on an even larger and higher level. This has tremendous potential to help people and change their lives.

I just did an eight-hour training last week for job coaches on task analysis. A large part of it was incorporating artificial intelligence into the task analysis. For anyone out there, just use ChatGPT or whatever your favorite AI tool is. It's beautifully set up to do task analysis, but we need to train it.

It's really important, and it changes on an ongoing basis. The stressful thing about that is when I first started, I presented with an AI expert. We met in January, and he said, "Let's meet again in June," about two months before our presentation, because AI will be totally different in the next six months. That was a little stressful for me to figure out. His big advice was to ask AI to create a task analysis and even a picture task analysis. They’re getting to the point where you can do video modeling task analyses. But it's the human part that's crucial. You need to pull it out of the tool and actually go through it because sometimes it's wrong. We need to be our fact-checkers to ensure we don't have "fake news" task analyses running out there.

It's the yin and the yang—the beautiful part of artificial intelligence and its potential, but also the need for human oversight. Alyson, as you said, we need to be at the table, influencing what AI is learning and how we use it. I might borrow your idea that we’re the original universal design people as well.

Karen, do you have any advice for seasoned practitioners when it comes to artificial intelligence and how we might figure out how to learn it and use it effectively?

Karen: Thank you, and that was so kind to use the word "seasoned practitioners." One of the exciting parts of this OTAI revolution that Alyson and I are building momentum for is that we come from two different generations. I'm happy to share that I'm in my 70s, and I will always make sure that I'm learning because I want to help enhance clients' outcomes and ensure that the occupational therapy profession stays up-to-date and evidence-based.

My advice is to keep learning and continuously explore what is out there. Join the OT AI revolution, sign up for our community of practice, and be brave. We can all learn new things. I encourage people to reach out to me personally. I'd love to share what I'm doing and what Alyson and I are doing together. We can grow this community and make a real difference.

We can guide AI with empathy, respect, and a commitment to the clients we serve and their well-being at any age.

Dennis: I'm a seasoned practitioner, too. Wonderful. Alyson, do you have any parting words for us?

Alyson: I want to say thank you. This conversation feels like one I could have forever. It's so enjoyable. I would just reiterate what Karen said: reach out to me, reach out to Karen. It takes an act of bravery to engage in these spaces, especially proactively, before we have all the research and evidence. It's hard to be an early adopter, and it takes courage. So don't do it alone.

Become a member of AI4OT. Contact Karen and me, email us, and check out the Korro AI website. Do whatever it takes to remind yourself that you don't have to do this alone. We are a community, and together, we can achieve incredible efficiency, skill, and the optimal ability to really improve the experience for everyone.

Dennis: Well, wonderful. Thank you both so much for your time and your passion for this. Your efforts are really helping to move our profession forward in relation to artificial intelligence. I truly appreciate your time. Before we fully wrap up, I want to mention something about transparency. As Karen said, it's crucial. I did ask ChatGPT some questions, and a few of them, not all, made it into this show. 

If you're a member of occupationaltherapy.com, we will list the ChatGPT questions alongside the questions I came up with so you can see how I did compared to the AI. There was a summation from ChatGPT that I thought was fitting and made me feel better about our interaction with AI as occupational therapy practitioners:

"AI supports and enhances the work of human therapists, leading to improved patient outcomes and more efficient care delivery."

That's the final word from ChatGPT. Once again, Karen and Alyson, thank you so much for this conversation. I've really enjoyed it, and I'm sure our listeners have also enjoyed it.

Karen: Thank you, Dennis.

References

Please refer to the outline and handout.

Citation

Jacobs, K., Stover, A., and Cleary, D. (2024). Artificial intelligence and occupational therapy – What we can learn from each other podcast. OccupationalTherapy.com, Article 5724. Available at www.occupationaltherapy.com

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karen jacobs

Karen Jacobs, EdD, OT, OTR, CPE, FAOTA

Dr. Karen Jacobs is a distinguished occupational therapist with a career spanning over four decades. She is the Associate Dean of Digital Learning and Innovation, the Program Director of the post-professional doctorate in occupational therapy program, and a Clinical Professor of Occupational Therapy at Boston University’s Sargent College of Health and Rehabilitation Sciences. She has worked at Boston University for 41 years.

She holds a Doctor of Education (EdD) degree from the University of Massachusetts, a Master of Occupational Therapy degree from Boston University, and a Bachelor of Science degree from Washington University.

She has expertise in various areas, including ergonomics, artificial intelligence, marketing, entrepreneurship, and advocacy. Her passion for enhancing occupational performance has led to extensive research, publications, and presentations worldwide.

Dr. Jacobs has played a pivotal role in advancing backpack safety through AOTA’s National Backpack Awareness Day and promoting the recognition of occupational therapy through the creation of Occupational Therapy Global Day of Service. Both are held on World Occupational Therapy Day on October 27.

As a Fellow of the American Occupational Therapy Association (FAOTA), the Human Factors and Ergonomics Society (HFES), and the International Ergonomics Association (IEA), Dr. Jacobs has been recognized for her outstanding contributions as a scholar, professor, advocate, and mentor, who has inspired countless students and practitioners.

Throughout her career, Dr. Jacobs has held leadership positions such as the president and vice president of the American Occupational Therapy Association, contributing to the growth and development of occupational therapy at both national and international levels and received awards, including being a 2005 recipient of a Fulbright Scholarship in Iceland, the 2011 Eleanor Clarke Slagle Lectureship Award, the 2020 AOTA Oustanding Mentor Award and receiving the 2024 AOTA/AOTF Presidents' Commendation in Honor of Wilma L. West.

Her advocacy for the profession is underscored by her involvement in various organizations and committees working tirelessly to promote occupational therapy as an essential component of healthcare.

Dr. Jacobs has authored numerous publications, including books and articles, and was the founding editor-in-chief of WORK: A Journal of Prevention, Assessment & Rehabilitation in 1990.

 

 

 


alyson stover

Alyson Stover, MOT, JD, OTR/L, BCP

A childhood family trauma introduced Alyson to the power of occupational therapy. A subsequent lifetime of study and practice convinced her that consumer advocacy was every bit as essential as her technical practice of occupational therapy. She obtained her Masters in Occupational Therapy from the University of Pittsburgh (Pitt), where she later returned and obtained a juris doctorate in Law with a post-graduate certificate in Health Law. Alyson owns a private outpatient pediatric practice north of Pittsburgh, PA, and co-founded a non-profit organization that uses occupation to address community, societal, and population needs.  Integrating her lived experience with her professional training, Alyson continues to develop new programming and provide direct client care at Capable Kids. She also uses her occupational therapy lens in her private consulting business. Alyson has an appointment as an associate professor in the Department of Occupational Therapy at Pitt, as well as an appointment as affiliated faculty for the Center of Bioethics and Health Law at Pitt. At the University of Pittsburgh Alyson has served on numerous grants, including PI for the SAMHSA grant, “SBIRT-Plus Training for Students of Rehabilitation Professions,” and the Pitt CTSI grant, “Pennsylvania Ties That Heal (PATH),” examining the experiences of kindred caregivers in rural counties.  Her work at Capable Kids has also led to the awards of 3 grants, including the pilot grant, “Influencing Recovery amidst the Opioid Epidemic through Improved Mother and Infant Outcomes,” PA funded grant, “Trauma-informed Occupational Therapy for Children with Sexual Trauma Experience,” and a community collaboration grant, “Multidisciplinary Approach to Sustained Recovery for Individuals with Chronic Pain and Opioid Use Disorder.”  Her areas of practice expertise include emotional regulation and functional community participation in pediatrics and holistic, occupation-centric approaches to substance misuse and trauma. She is AOTA Board Certified in Pediatrics. Alyson has long admired occupational therapy’s approach that fully embraces the whole person and appreciates the occupational therapy practice framework’s recognition of the influence of spirituality, values, and beliefs in the individual’s experience of wellness. Her own self-care routine is inclusive of daily practice of her Christian faith. Alyson's national OT focus includes using occupational therapy as a powerful driving-force for larger healthcare change, advancing occupational therapy’s national and global relevance, and occupational therapy’s role as a leader in policy development and implementation. On July 1 2022, Alyson commenced her position as President of the American Occupational Therapy Association (AOTA). She is humbled and honored to serve in this role and is eager to hear the voices of all members of the occupational therapy community, at home and across the world.


dennis cleary

Dennis Cleary, MS, OTD, OTR/L, FAOTA

Dr. Dennis Cleary has over 25 years of experience as an occupational therapist.  Dennis’ clinical practice has been primarily with children and adults with intellectual disabilities to encourage their full participation in all aspects of life at home, work, and in the community. He has had faculty positions at The Ohio State University and Indiana University. As a researcher, he has been on teams that have received over seven million dollars in grants from state and federal agencies, including a National Institutes of Health multisite trial of the Vocational Fit Assessment, an age-appropriate transition assessment, which he co-created. He has numerous publications and national and international presentations. Dennis is passionate about increasing the role of Occupational Therapy in transition-age service with the goal of improving outcomes and quality of life for all. 

 



Related Courses

Artificial Intelligence And Occupational Therapy – What We Can Learn From Each Other Podcast
Presented by Karen Jacobs, EdD, OT, OTR, CPE, FAOTA, Alyson Stover, MOT, JD, OTR/L, BCP, Dennis Cleary, MS, OTD, OTR/L, FAOTA
Audio
Course: #6512Level: Intermediate1 Hour
Artificial Intelligence can potentially improve Occupational Therapy practice, but there are some potential risks and ethical pitfalls. Drs. Stover and Jacobs discuss using AI in their practice and encourage others to do the same to improve patient outcomes. This is part of the Continued Learning Podcast series.

What’s Culture Got To Do With It? OT Practice With Pediatric Clients From Diverse Communities Podcast
Presented by Cristina Reyes Smith, OTD, OTR/L, Dennis Cleary, MS, OTD, OTR/L, FAOTA
Audio
Course: #5690Level: Introductory1 Hour
The meaning in occupational engagement is rooted in the client's cultural heritage. Occupational therapy practitioners must be aware of and sensitive to any client's culture, but it is especially important for pediatric practitioners at this formative stage of life. This is part of the Continued Learning Podcast series.

Nature As Co-Therapist Podcast
Presented by Amy Wagenfeld, PhD, OTR/L, SCEM, EDAC, FAOTA, Dennis Cleary, MS, OTD, OTR/L, FAOTA
Audio
Course: #6226Level: Introductory1 Hour
The evidence overwhelmingly supports the positive role of nature in health and well-being. In this course, attendees will learn about nature-based therapy and its application to clinical practice across the life course. This is part of the Continued Learning Podcast series.

Using Assistive Technology To Increase Participation In Daily Life Podcast
Presented by Theresa Berner, MOT, OTR/L, ATP, Dennis Cleary, MS, OTD, OTR/L, FAOTA
Audio
Course: #5804Level: Intermediate1 Hour
Technology has changed greatly in the last 20 years, and more assistive technology is available than ever. This podcast will explore how an occupational therapy practitioner evaluates what technology might work best to increase participation in all aspects of daily life, with a special focus on sports and leisure participation. This is part of the Continued Learning Podcast series.

Integrating Extended Reality (XR) With OT Practice Podcast
Presented by Robert Ferguson, MHS, OTR/L, Dennis Cleary, MS, OTD, OTR/L, FAOTA
Audio
Course: #5596Level: Intermediate1 Hour
Extended reality (XR) technologies and platforms and their support of ADLs and rehabilitation goals will be discussed in this course along with the facilitators and barriers of this treatment. This is part of the Continued Learning Podcast series.

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