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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

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If you work with older kids, you know the feeling — suddenly your caseload has a teenager and the stakes feel higher, the clock feels shorter, and the parents feel more anxious than ever. Good news: the research has some clear direction on what actually moves the needle for autistic teens heading into adulthood. Spoiler — it might not be what you think. This week, we dig into the MAPSS program and come away with practical tools you can use in any setting.

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

Kirby, A. V., Feldman, K. J. C., Himle, M. B., Diener, M. L., Wright, C. A., & Hoffman, J. M. (2021). Pilot test of the Maximizing Adolescent Post-Secondary Success (MAPSS) intervention: Supporting parents of autistic youth. The American Journal of Occupational Therapy, 75(3), 7503180070. https://doi.org/10.5014/ajot.2021.045815

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Cerebral visual impairment (CVI) is the leading cause of low vision in children and one of the most underidentified conditions in pediatric practice. This week, we are getting into the research about CVI, sharing a free tool for collaborating with parents, and discussing 4 evidence-based interventions you can start weaving into your sessions. One of them is the most surprising and effective low-tech treatment idea we have come across in a long time.

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

Weden, K., DeCarlo, D. K., & Barstow, E. (2023). A scoping review of intervention for pediatric cerebral visual impairment: Calling all pediatric occupational therapists. Occupational Therapy in Health Care, 37(3), 326–356. https://doi.org/10.1080/07380577.2023.2172761

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Feeding therapy doesn’t have to feel like a power struggle. In this episode, we explore how shifting from pressure to partnership can improve food intake and family vibes. We discuss new research on responsive feeding for children with G-tubes and share how coaching caregivers, honoring child cues, and creating a positive mealtime environment can lead to meaningful change—without focusing on every tiny feeding skill. Real research, real strategies, and ideas you can start using right away.

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

Foster, L., Lawson, L. M., & Moreland, H. (2025). Impact of a responsive feeding intervention on children and caregivers: A nonrandomized, repeated-measures study. American Journal of Occupational Therapy, 79(5), 7905205060.

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We're celebrating episode 60 by going inside our Ideas at Work pilot group. Real therapists, real sessions, real problem-solving. We troubleshoot a tough emotional regulation session, share how one therapist used a basketball intervention, and break down how to write airtight documentation when your funding source wants to put you in a box (hint - this is where the key ingredients and mechanism of action come into play). This is evidence-based practice in the wild — messy, creative, and it works!

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Most OTs in early intervention think they're coaching, BUT the research says otherwise. In this episode, we discuss a scoping review on caregiver coaching in early intervention — the five key ingredients, why the model can be hard to do in real life, and five action steps you can take into someone's living room on a Thursday morning. Turns out coaching is a skill, not a vibe. Let's get better at it.

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

Seruya, F. M., Feit, E., Tirado, A., Ottomanelli, D., & Celio, M. (2022). Caregiver coaching in early intervention: A scoping review. American Journal of Occupational Therapy, 76(4), 7604205070. https://doi.org/10.5014/ajot.2022.049143

Williams, C. S., & Sawyer, G. E. (2023). Going beyond "I'm a coach": Adopting a caregiver coaching framework in EI. Young Exceptional Children, 27(1), 3–15. https://doi.org/10.1177/10962506231153660

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Most of us teach zippers the same way—repeat, repeat, repeat—and hope it clicks. But what if there’s a better way? In this episode, we break down a simple, creative approach to teaching zippering skills that combines OT and speech strategies to help kids learn faster. We review a pilot study using storytelling, targeted vocabulary, and a themed zipper vest—and then show you how to apply it in real sessions using child-led language, special interests, and easy take-home supports. If zipper goals feel stuck, this episode will give you a fresh, practical way to move them forward.

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

Silverman, F., & Knight, C. (2019). Facilitating zippering skills in preschoolers: An interprofessional pilot study using a pretest–posttest design. American Journal of Occupational Therapy, 73(4 Suppl. 1), 7311515317p1. https://doi.org/10.5014/ajot.2019.73S1-PO6026

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Sensory activity schedules—often called sensory diets—are used every day in school-based therapy, but how strong is the evidence behind them? In this episode, we review a recent systematic review that examined whether sensory activity schedules improve classroom participation for students with sensory processing differences. We unpack what the research found about its effect on school performance and share six practical ingredients therapists can use to build more effective sensory activity schedules.

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

Latifi, K., Patterson, K., Rider, J. V., & Lau, C. (2026). Impact of sensory activity schedules on school performance of students with sensory processing differences: A systematic review. American Journal of Occupational Therapy, 80(1), 8001185060. https://doi.org/10.5014/ajot.2025.051334

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