David L. Nelson, PhD, OTR/L, FAOTA, is Professor, Department of Occupational Therapy, School of Allied Health, Medical College of Ohio, Toledo, Ohio 43699

Deborah A. Lenhart, OTR/L, is Occupational Therapist, Heartland Rehabilitation, Toledo, Ohio. At the time of this study, she was Assistant Director, Occupational Therapy Department, St. Francis Health Care Centre, Green Springs, Ohio