Ideas at Play: An Occupational Therapy (OT) Podcast

13 Episodes
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By: Michele Alaniz & Lacy Wright

Welcome to Ideas at Play, the go-to podcast for busy pediatric occupational therapy professionals! Whether you're in school-based settings, early intervention, or outpatient practice, we bring you evidence-based strategies, practical tips, and engaging discussions to support your OT practice with children, teens, and young adults.Each episode features:A deep dive into recent pediatric OT research and how to apply it."Nailed It or Failed It," where we share what’s working—and what isn’t—in our pediatric OT practice.Real-world examples and listener questions about all things pediatric occupational therapy.Shout outs to People, Places, and Products that fill our...

Ep. 12 Shooting for Better Sleep: How Playing Basketball Improves Sleep & Executive Function
Last Wednesday at 10:00 AM

Could better sleep for autistic children be as simple as shooting some hoops? In this episode, occupational therapists, Michele Alaniz and Lacy Wright, dive into fascinating research showing how a structured basketball intervention significantly improves sleep quality and executive function in children with autism. Learn how this intervention increases melatonin and boosts BDNF, enhancing neuroplasticity while being incredibly fun. Perfect for OT practitioners looking for innovative, effective approaches that can be implemented in clinics, schools, or home settings. Game-changing therapy doesn't get more playful than this!


We share our own thoughts in...


Ep. 11 Handwriting & OT: Guiding Principles for Today and the Future (with AI)
04/30/2025

Up to 10% of children have difficulty with handwriting, yet only 12% of teachers feel adequately trained to teach it. This week, we break down the six evidence-based principles (plus one essential bonus) that should guide all handwriting instruction and occupational therapy intervention. We examine why focusing on the occupation of writing outperforms a sensory-motor approach, how immediate feedback accelerates progress, and why explicit instruction matters so much. Plus, get a glimpse into how AI technologies like Kaligo and Psymark are revolutionizing how OTs, teachers, and families can collaborate to support children's handwriting development in the digital age.

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Ep. 10 Tubes & Tables: Supporting Mealtime with Medically Fragile Kids (special guest episode)
04/23/2025

What happens when a child isn't able eat? In this milestone 10th episode, Michele and Lacy explore the complex world of pediatric occupational therapy and feeding with medically fragile children and our guest, Yovana Harris, BA, COTA/L.  She shares both "Nailed It" and "Failed It" experiences, explains her “just give them the food” feeding philosophy, and gives a shout-out to her favorite OT feeding resources. Learn why building trust with parents becomes the foundation for effective OT intervention and how finding moments of joy at mealtime can be life-changing, even when full oral feeding isn't always possible. With...


Ep. 9 VR and Pediatric Brain Injury (3 Takeaways to Apply Across OT Settings)
04/16/2025

Ever wonder how virtual reality could change your pediatric occupational therapy practice? Michele and Lacy dive into a randomized control trial where VR helped kids with brain injuries make progress in just four weeks of OT intervention! Hear about 3 game-changing elements occupational therapists can implement: instant feedback, kids actually wanting to do more repetitions in therapy, and automatic adjustments for that perfect "just right challenge" every OT strives for. No fancy equipment? No problem - these main ideas work in many OT settings. You'll also hear about a creative occupational therapy "Nailed It!" moment where a high schooler...


Ep. 8 Ayres SI in Brazil: 3 Tools to Boost Your OT Practice
04/09/2025

Did you know that up to 16% of children have sensory processing challenges that impact their daily lives? In this evidence-packed episode, pediatric occupational therapists Michele and Lacy break down a groundbreaking randomized control trial from Brazil on Ayres Sensory Integration (ASI) that every peds OT needs to know about. Discover three practical tools that will transform your OT practice: data-driven decision making, the ASI fidelity measure, and goal attainment scaling. Plus, find out why golden retrievers and toddlers don't always mix in therapy sessions!

We share our own thoughts in the Research Review and encourage...


Ep. 7 Parent-Powered Potty Training: The 4-Step Coaching Model in Telehealth
04/02/2025

Forget everything you thought you knew about toilet training—this evidence-based pediatric occupational therapy approach is changing the game. In this episode, we dive into a hybrid telehealth intervention that transformed toilet training success rates through occupation-based coaching strategies that every peds OT should know. Learn the 4-step  framework that empowers parents to become the experts in their child's potty training journey, showing significant improvement in just 12 weeks! We'll break down practical occupational therapy ideas that therapists are using to guide families through this challenging milestone and reveal which resources parents actually use (spoiler: it's not the handouts!). Whe...


Ep. 6 The Surprising #1 Reason OT Students Fail Fieldwork (And How You Can Help)
03/26/2025

Struggling OT Fieldwork students? The shocking truth is that occupational therapy knowledge isn't what makes or breaks fieldwork success—it's professional behaviors! Join pediatric occupational therapists, Michele and Lacy, as they unpack evidence-based strategies for fieldwork in this must-listen episode. From communication skills to time management, discover the essential professional behaviors that make or break fieldwork experiences and learn practical tools that transform OT education. Whether you're a peds OT seeking fresh ideas, a fieldwork educator, or a student preparing for practice, this episode delivers actionable insights to ensure fieldwork success.


We sh...


Ep. 5 Tier 1, Tier 2, Tier 3: Top School-Based OT Interventions That Work
03/19/2025

Overwhelmed by your school-based OT caseload? Join Drs. Michele Alaniz and Lacy Wright as they discuss three decades of research into actionable, tiered interventions that deliver measurable results. Learn why the most successful school-based OTs are shifting from traditional pull-out services to classroom-embedded support, dramatically reducing waitlists while expanding their influence. This episode unpacks game-changing approaches at every tier with concrete, research-supported strategies, specific intervention dosage guidelines, and methods to convert teachers into enthusiastic collaborators. 


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


Ep. 4 Beyond the Messy Desk: Assessing Executive Function in Adolescents
03/12/2025

Think a messy backpack or desk is just carelessness? We don’t think so. This episode cracks open the complex world of executive function in school, showing therapists how the Weekly Calendar Planning Activity assessment can unlock insights into how adolescents may be struggling to think, plan, organize, and navigate their world. Plus - Lacy and Michele answer a listener's question, exposing a sensory-based myth found on Instagram.

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

Tamm, L., Hamik, E. M., Zoromski, A. K., & Du...


Ep. 3 Scoring Success: Quality Sports Participation for Kids with Autism
03/05/2025

How can we make sports truly meaningful for children with autism? In this episode, pediatric OTs Dr. Michele Alaniz and Dr. Lacy Wright break down a comprehensive framework for quality participation in sports. Explore research-backed strategies for creating the perfect balance of challenge, autonomy, and social connection in sports programs. The hosts share their recent practice stories in "Nailed It or Failed It," introduce you to an inspiring autistic artist in Kansas, and reveal the story of their cross-country friendship and professional journey. 

We share our own thoughts in the Research Review and encourage you t...


Ep. 2 Play that Works: Engaging & Effective OT Motor Interventions for Kids with CP
02/26/2025

What if you could help children with cerebral palsy make significant motor gains with half the therapy hours while keeping both parents and kids engaged? Pediatric occupational therapists Dr. Michele Alaniz and Dr. Lacy Wright dive into the OT research comparing constraint-induced movement therapy and bimanual intensive training, revealing which approach might have the long-term edge for your pediatric therapy practice. Along the way, you'll hear Michele's inspiring OT story about a former client who now rides mountain bikes after successfully using constraint-induced movement therapy, discover practical pediatric occupational therapy strategies to overcome initial child resistance and laugh...


Ep. 1 Play With Purpose: An OT Motor Skill Intervention for Autism
02/19/2025

Did you know that over 80% of children with autism are at risk for motor impairment (Bhat, 2022)? Today, we're diving into new research that's changing how we approach motor development in autism. You'll learn five evidence-based steps you can implement immediately in your practice, including a surprising twist on video modeling that goes beyond just visual learning. Whether you're an OT or PT,  this episode will transform how you think about motor-based intervention. Join Dr. Michele Alaniz and Dr. Lacy Wright as we explore ideas that will impact your therapy sessions.


Bhat, A. (2022). M...


Welcome to Ideas at Play!
02/08/2025

Welcome to Ideas at Play, your go to podcast for practical and engaging insights into pediatric occupational therapy. We're your hosts, Michele Alaniz, OTD, OTR/L, BCP, and Lacy Wright OTD, OTR/L, BCP -  two OTs with a passion for breaking down research and helping you apply it to your practice in meaningful ways.

Every episode will take you through the latest pediatric OT research, share real world examples, and give you tools you can use right away.

Plus, we've got our favorite segment, Nailed It or Failed It, where we share what's worked a...