While her journal concentrates on her efforts to teach weaving, carving, metal work, pottery, carpentry, basket weaving, and her best known accomplishment, the hooked mats that have become famous for their strong designs and meticulous craftsmanship, she also describes the local people and customs of St Anthony and life in the household of the Grenfell workers. After she left Newfoundland, Luther became one of the pioneers of occupational therapy in the United States, spending the rest of her professional life as director of occupational therapy at the Butler Hospital in Providence, Rhode Island.