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Examination Of Performance Validity And The Relationship To Cognition And Symptoms In Schizophrenia Spectrum Disorders, Erick A. Rogers
Examination Of Performance Validity And The Relationship To Cognition And Symptoms In Schizophrenia Spectrum Disorders, Erick A. Rogers
UNLV Theses, Dissertations, Professional Papers, and Capstones
Approximately one-in-five individuals with psychotic disorders (i.e., schizophrenia spectrum disorders [SSD]) fail performance validity indicators (PVIs) during neurocognitive testing. Ensuring the validity of neurocognitive test results is necessary if the test scores are to be of use for diagnostic consideration, intervention selection and planning, predicting outcomes, and following changes in cognition over time in response to intervention, spontaneous recovery, or disease progression. PVIs are designed to require only a minimum level of engagement with the evaluation, which means nearly everyone is expected to “pass,” even those with moderate to severe brain damage. Traditional interpretations of PVI failure suggest a noncredible …
Babywearing's Influence On Parent And Infant Heart Rates, Joo-Hee Han
Babywearing's Influence On Parent And Infant Heart Rates, Joo-Hee Han
UNLV Theses, Dissertations, Professional Papers, and Capstones
Babywearing is the practice of carrying an infant in a baby carrier close to the body. It provides an environment that allows the bodies of the parent and infant to be close together. The closeness of parent and infant improves the well-being and coregulation of the parent and infant, which could be estimated with heart rate (HR). Few studies have examined mother-infant dyads, but even fewer have examined father-infant dyads. This study examined mother-infant and father-infant dyads, especially for infants with neonatal abstinence syndrome (NAS). The significance of studying babywearing in this vulnerable population is that if babywearing is associated …
Ga(Y)Zing Backward: Queer Desire In Ovid, Shakespeare, And Scaimma, Falynn Blayre Brickler
Ga(Y)Zing Backward: Queer Desire In Ovid, Shakespeare, And Scaimma, Falynn Blayre Brickler
UNLV Theses, Dissertations, Professional Papers, and Capstones
As Ovidian myth is a central influence on queer stories throughout time, I am interested in how the female/sapphic gaze impacts the retellings of these narratives. In this thesis, I analyze the action of the gaze as an expression of desire and discuss its multiple meanings in both text and performance. Through tracing the gaze within the queer/sapphic narratives of Shakespeare’s Twelfth Night and Sciamma’s Portrait of a Lady on Fire, I show that the gaze is an intersecting act through which non-normative desire is conveyed. In constructing the gaze as an ephemeral action of queer desire in practice, I …
Perceived Usefulness, Ease Of Use, And Satisfaction Of A Swaddle Bathing Educational Guide Among Parents/Guardians Of Nicu Premature Infants, Makenzie Leigh Hogbin
Perceived Usefulness, Ease Of Use, And Satisfaction Of A Swaddle Bathing Educational Guide Among Parents/Guardians Of Nicu Premature Infants, Makenzie Leigh Hogbin
UNLV Theses, Dissertations, Professional Papers, and Capstones
The current availability of high-quality and comprehensive educational resources made available to parents and guardians with infants admitted to the Neonatal Intensive Care Unit is limited in terms of content and provision. Additionally, there exists a plethora of information regarding the impact of the sensory environment on premature and critically ill infants as well as interventions to mitigate these effects that are not efficiently conveyed to their families. Previous research asserts that consistency with the application of sensory interventions with these infants bodes well for positive outcomes, leading one to believe that caregivers may benefit from learning these strategies so …
Driving And Community Mobility: An Online Educational Program For Generalist Occupational Therapy Practitioners, Gerard Blanco
Driving And Community Mobility: An Online Educational Program For Generalist Occupational Therapy Practitioners, Gerard Blanco
UNLV Theses, Dissertations, Professional Papers, and Capstones
Driving is an important daily activity that often goes unnoticed, yet it enables individuals to engage in crucial tasks such as grocery shopping, going to work, and participating in social activities. Occupational therapy (OT) practitioners must recognize and address the significance of driving in their daily routines to promote clients' independence and fulfillment. However, despite being well-equipped to assist clients with driving-related issues, many practitioners avoid or neglect this area of occupation. A reluctance to addressing driving and community mobility (DCM) can arise from a lack of confidence, available resources, support, or fear of losing a client's trust. These barriers …
Development Of A Post-Op Transgender Care Program For Acute Occupational Therapy Practice, Marieliz Llanos
Development Of A Post-Op Transgender Care Program For Acute Occupational Therapy Practice, Marieliz Llanos
UNLV Theses, Dissertations, Professional Papers, and Capstones
Transgender people have experienced adverse health outcomes and barriers to care, ranging from the inability to provide a safe environment for inclusive and equitable care, lack of social support, and limited cultural competency and healthcare provider training. Furthermore, the scarcity of research in transgender care within the field of occupational therapy contributes to the disconnect between the needs of the transgender and gender-diverse (TGD) populations and the lack of preparedness in addressing the occupational performance deficits of transgender clients and individuals undergoing the transitioning process contribute to disparities that are reflected deeply in the experiences of these individuals. In the …
No Scrubs: Nursing Applicant Trajectories After Rejection, Jennifer Torgerson
No Scrubs: Nursing Applicant Trajectories After Rejection, Jennifer Torgerson
UNLV Theses, Dissertations, Professional Papers, and Capstones
There is a nursing shortage in the United States which has become even more apparent during the COVID-19 pandemic. Despite qualified applicants, thousands of students are turned away from educational programs each year as programs reach capacity limits. The rejection may have social, psychological, and economic consequences for the student. Students faced with rejection need to make decisions whether to continue their pursuit of nursing or go a different direction. This exploratory quantitative study aims to understand the trajectories of students that are not admitted into a capacity restricted nursing program at a community college in the Southwestern United States. …
Fear Of Recurrence As A Mediator Of Illness Perception And Perceived Stress In Acute Myocardial Infarction Survivors, Sarah E. Zvonar
Fear Of Recurrence As A Mediator Of Illness Perception And Perceived Stress In Acute Myocardial Infarction Survivors, Sarah E. Zvonar
UNLV Theses, Dissertations, Professional Papers, and Capstones
Purpose: The primary objective of this study is to evaluate fear of recurrence as a mediator of illness perception and perceived stress. This research will determine how illness perceptions and fear of recurrence affect perceived stress in the acute myocardial infarction (AMI) population. Other aims will observe how demographics predict patients who may experience increased fear of recurrence and stress in the AMI population, how the variables of fear of recurrence change over time, and if fear of recurrence is still a significant mediator after controlling for depression and anxiety.Rational/ Conceptual Basis/ Background: Acute myocardial infarctions (AMIs) are often accompanied …
Utilizing An Interdisciplinary Approach: Education Of Early Progressive Mobility Protocol In The Icu/Acute Setting, Mary Ashley Galan-Gornal
Utilizing An Interdisciplinary Approach: Education Of Early Progressive Mobility Protocol In The Icu/Acute Setting, Mary Ashley Galan-Gornal
UNLV Theses, Dissertations, Professional Papers, and Capstones
Prior to the COVID-19 pandemic, Early Progressive Mobility (EPM) was used more frequently in an interdisciplinary approach to improve patient outcomes. The aim is to create a protocol that takes an interdisciplinary approach and makes use of early progressive mobility. In the acute setting, occupational therapists are equipped to promote quality of life and independence both, during and after hospitalization, which is critical for early mobilization being beneficial for patients who are able to participate in therapy.This Doctoral Capstone project was aimed at demonstrating the value of occupational therapists in the intensive care unit (ICU)/acute setting by utilizing EPM in …
Effectiveness Of A Workshop For Improving Awareness And Identification Of Racial Microaggressions Among Occupational Therapy Faculty And Students, Hannah Kalegzabher
Effectiveness Of A Workshop For Improving Awareness And Identification Of Racial Microaggressions Among Occupational Therapy Faculty And Students, Hannah Kalegzabher
UNLV Theses, Dissertations, Professional Papers, and Capstones
As a professor or student in occupational therapy (OT), an important role is advocating for students and clients. Taking action is important to practice and promote justice, equity, diversity, and inclusion (JEDI) within the profession. This quality improvement project aimed to determine the effectiveness of a racial microaggression workshop for OT, OT assistant (OTA) students, and faculty to improve awareness and ability to identify racial microaggressions to support Black, Indigenous, People of Color (BIPOC). Participants were recruited by convenience sampling through email to members of the Coalition of Occupational Therapy Advocates for Diversity (COTAD) and COTAD-Educators (COTAD-ED). The workshop was …
Increasing Self-Perceived Competence In Performing Independent Living Skills Among Unhoused Youth And Young Adults, Stacie M. Gomez
Increasing Self-Perceived Competence In Performing Independent Living Skills Among Unhoused Youth And Young Adults, Stacie M. Gomez
UNLV Theses, Dissertations, Professional Papers, and Capstones
Purpose: The aim of this project is to determine if the development and implementation of an independent living skills workshop would improve the perceived competence of unhoused youth in performing independent living skills.Methods: The Casey Life Skills Short Assessment was used as a pre-test and post-test. It was found that unhoused young adults generally scored low on finding affordable housing, budgeting, banking skills, education training, and feeling a sense of pride in their lives. A four-week independent living skills program was designed and implemented, which included workshops focused on identified needs. The data was analyzed using a Paired Samples t-Test …
Stepping On - Virtual Fall Prevention For Older Adults, Sean Conners, Tyler Greener, Kaitlyn Johnson
Stepping On - Virtual Fall Prevention For Older Adults, Sean Conners, Tyler Greener, Kaitlyn Johnson
UNLV Theses, Dissertations, Professional Papers, and Capstones
Three student learners in a doctoral physical therapy program completed a service-based learning project dedicated to reducing falls in the elderly. The program, called Stepping On, is a fall prevention initiative supported by the Wisconsin Institute for Healthy Aging (WIHA) whose goal is to identify risk factors for falls in the older population and provide exercises and recommendations to reduce falls. The eleven volunteer participants in this student learners’ Stepping On program completed online fall prevention classes and provided feedback at the completion of the program. Participants reported being more conscientious while walking and noted improved balance and flexibility.
Trust In Southern Nevada Health District By The Southern Nevada Population During The Covid-19 Pandemic, Edom Gelaw
Trust In Southern Nevada Health District By The Southern Nevada Population During The Covid-19 Pandemic, Edom Gelaw
UNLV Theses, Dissertations, Professional Papers, and Capstones
While various studies worldwide investigated trust in relation to health care, government and compliance with public health guidelines, literature remains scarce in relation to the Southern Nevada Health District (SNHD), its population and the services the organization offered during the COVID-19 pandemic. This study helps fill this gap and serves as a foundation for future research and a guide for service evaluations and improvements at SNHD. As trust towards local health districts by the community they serve remains an important component of public health for collaborative work, SNHD saw the need for evaluating trust by its population based on the …
Association Between Rural Background And Physical Therapist Practice Location, Caitlin Parker, Jace-Anne Sharp
Association Between Rural Background And Physical Therapist Practice Location, Caitlin Parker, Jace-Anne Sharp
UNLV Theses, Dissertations, Professional Papers, and Capstones
Purpose/Hypothesis To examine the association between physical therapists’ rural background and their decision to practice in a rural setting. We hypothesized that years of rural upbringing and size of hometown would be related to rural practice. Number of Subjects 257 physical therapists who graduated from one of two physical therapy programs in the Western United States between 2000 and 2020. Materials and Methods A survey was emailed to 19 physical therapy schools consisting of questions regarding participants’ background, demographics, and job history. We collected total number of years of practice and total years of rural practice. Length of practice varied, …
Health Literacy And The Feasibility Of Using Video-Based Education In The Emergency Department, Jenifer Carvell
Health Literacy And The Feasibility Of Using Video-Based Education In The Emergency Department, Jenifer Carvell
UNLV Theses, Dissertations, Professional Papers, and Capstones
Background: The Department of Health and Human Services (HHS) defines health literacy as the degree to which an individual has the capacity to find, understand, and use information and services to inform health-related decisions and actions for themselves and others. In the emergency department (ED), it is estimated that the prevalence of inadequate health literacy can reach as high as 88 percent. There is a need to implement literacy-sensitive interventions in the ED. Purpose: The purpose of this project was to engineer an intervention that explored the feasibility of the use of personal technology to deliver video-based education to adult …
Addressing Vision Impairments Following Neurological Injuries: A Vision Protocol For Occupational Therapists, Dyrin Cordero
Addressing Vision Impairments Following Neurological Injuries: A Vision Protocol For Occupational Therapists, Dyrin Cordero
UNLV Theses, Dissertations, Professional Papers, and Capstones
Vision impairments have a high prevalence in adults with a stroke or traumatic brain injury (TBI), potentially affecting up to 90% of this population. However, these impairments are often overlooked during the rehabilitation process due to a lack of education and training provided to occupational therapists (OTs). Limited research also contributes to no standardized best practice guidelines for OTs to follow (Aravich & Troxell., 2021). This issue is important to occupational therapy practitioners because vision impairments negatively affect a person's capacity for recovery, quality of life, safety, and mental health (Berger et al., 2016). Occupational therapists aim to utilize holistic …
Mental Health Education Protocol For Staff Members In An Inpatient Rehabilitation Center, Charles Nicholas Salvatera
Mental Health Education Protocol For Staff Members In An Inpatient Rehabilitation Center, Charles Nicholas Salvatera
UNLV Theses, Dissertations, Professional Papers, and Capstones
Mental health illnesses have a significant impact on the lives of individuals and society. Despite the availability of effective treatments, many people with psychosocial issues or cognitive impairments do not receive the right care. This highlights the importance of timely care and effective help-seeking opportunities. Increased mental health literacy and supportive behaviors in the social networks of people with mental health disorders can be achieved by providing hospital staff with education on mental health disorders. It is believed that improvements in these areas increase the likelihood that people will seek effective assistance. When healthcare providers are educated about mental health …
The Efficacy Of An Educational Toolkit To Enhance Knowledge Of Pediatric Reflux Management Among Occupational Therapists, Kelly Cullerton
The Efficacy Of An Educational Toolkit To Enhance Knowledge Of Pediatric Reflux Management Among Occupational Therapists, Kelly Cullerton
UNLV Theses, Dissertations, Professional Papers, and Capstones
This manuscript describes a quality improvement project completed by a student in the University of Nevada Las Vegas Occupational Therapy Doctorate Program. The project tests the efficacy of an educational toolkit for occupational therapists staffed at an acute care hospital in Las Vegas, Nevada, to increase their perceived knowledge of and ability to educate families on conservative management techniques for pediatric reflux management. Results indicate that the toolkit demonstrated efficacy in achieving this objective. The toolkit provided useful staff education and parent handouts for the occupational therapists to utilize in patient care as appropriate. This project’s ultimate aim was to …
An Examination Of The Association Of Religiosity, Purity Culture, And Religious Trauma With Symptoms Of Depression And Anxiety, Kaelyn R. Griffin
An Examination Of The Association Of Religiosity, Purity Culture, And Religious Trauma With Symptoms Of Depression And Anxiety, Kaelyn R. Griffin
UNLV Theses, Dissertations, Professional Papers, and Capstones
While no consistent definition yet exists for religious trauma, religious abuse is typically defined as a misuse of authority by a spiritual leader to coerce, control, or exploit those under their leadership, which may in turn lead to the experience of religious trauma. Numerous studies suggest that experiencing abuse within a religious environment is a both global phenomenon and common experience. The impact of religious abuse has recently gained greater media attention, specifically related to the social and psychological impact of leaving high-cost religious groups (i.e., those with rigid rules or groups from which departure leads to isolation and rejection …
Creating A Web Resource On Sense Of Belonging For Underrepresented Occupational Therapy Students In Graduate Programs, Owen Uyiosa Lawani
Creating A Web Resource On Sense Of Belonging For Underrepresented Occupational Therapy Students In Graduate Programs, Owen Uyiosa Lawani
UNLV Theses, Dissertations, Professional Papers, and Capstones
Underrepresented students (URS) in graduate occupational therapy (OT) programs often struggle with a sense of not belonging due to a lack of representation in their cohort and curriculum. This has been evident among students who are from racial/ethnic backgrounds, first-generation college students (FGCS), and have had low-income experiences. Research has shown that a sense of belonging (SB) is important for URS' ability to cope with everyday stressors in higher education.This capstone project focused on developing a web-based resource addressing the perceived SB among URS in graduate OT programs. Data was collected from participants at the University of Nevada Las Vegas …
Development Of A Multifactorial Virtual Fall Prevention Tool For Community Dwelling Older Women, Eduardo Gutierrez, Jacob James Nogra, Carol Sparks, Bradley Voels
Development Of A Multifactorial Virtual Fall Prevention Tool For Community Dwelling Older Women, Eduardo Gutierrez, Jacob James Nogra, Carol Sparks, Bradley Voels
UNLV Theses, Dissertations, Professional Papers, and Capstones
Falls are the leading causes of injury-related death in adults over the age of 65, with women sustaining more than twice the rate of fall-related fractures as men. Reduced access to in-person falls prevention programs during the COVID-19 pandemic created a need for a user-friendly guide to existing online fall prevention resources targeted at this vulnerable population. The first aim of this study was to create and make widely available a website with evidence-based resources that address a range of modifiable fall risk factors, and the second was to test its feasibility in a convenience sample of older women. The …
Telehealth In Patients With Type 2 Diabetes Mellitus, Saghi Nassrouie
Telehealth In Patients With Type 2 Diabetes Mellitus, Saghi Nassrouie
UNLV Theses, Dissertations, Professional Papers, and Capstones
Description: Type 2 diabetes mellitus (DM2) is an epidemic that has many factors involved in its management to maintain control. Patients with DM2 require routine evaluations and blood work to provide comprehensive care. COVID-19 caused major shifts in traditional care which sparked an increase in the utilization of technology like telehealth. Telehealth can be an effective tool used to manage diabetes and help attain better glucose control, but its effectiveness during the COVID-19 pandemic warrants further investigation.Purpose: The purpose of this project was to determine if telehealth visits were more effective in reducing Hemoglobin A1c (HbA1c) in adult patients with …
Acute Effects Of Post-Activation Potentiation On Increasing Bat Velocity In Competitive Baseball Players: A Case Series, Phillipp Yu, John Macdonald, Katrina Myers
Acute Effects Of Post-Activation Potentiation On Increasing Bat Velocity In Competitive Baseball Players: A Case Series, Phillipp Yu, John Macdonald, Katrina Myers
UNLV Theses, Dissertations, Professional Papers, and Capstones
Purpose/Hypothesis: Hitting a baseball is widely considered as one of the most difficult motor tasks in sports. It requires quick decision-making and coordinated activation of key muscles to produce a precise and rapid swing. Higher bat velocity has been shown to be associated with offensive performance of baseball players, as greater bat velocities permit more time to be spent analyzing a pitch and can lead to greater outcomes when a ball is hit in play. Baseball players and coaches have traditionally sought on-deck routines to temporarily enhance bat velocity before an at-bat, primarily swinging a weight bat. However, this method …
Utilization And Perception Of Peer-Support After Lower Limb Loss In The United States: Potential Benefits On Mobility Outcomes, Moriah Maluotoga, Roopkiran Thind
Utilization And Perception Of Peer-Support After Lower Limb Loss In The United States: Potential Benefits On Mobility Outcomes, Moriah Maluotoga, Roopkiran Thind
UNLV Theses, Dissertations, Professional Papers, and Capstones
Introduction: Limb loss is a life-changing event that significantly impacts patients’ functioning as well as psychosocial well-being. Psychosocial support in the form of amputee peer-support is widely recognized as beneficial to individuals after lower limb loss (LLL). However, there is currently a lack of research on the utilization of peer-support after LLL and its perceived benefits to function. The purpose of this cross-sectional study was to examine and quantify participants’ experiences with peer-support after LLL, and how peer-support experience is associated with mobility outcomes. We hypothesized that participants with LLL would express generally positive experiences with peer-support and that it …
Implementing The Use Of Lesson Plan Templates Within The Mentorship Program For Dignity Health Hand Therapists, Ronell Matthew Sueno
Implementing The Use Of Lesson Plan Templates Within The Mentorship Program For Dignity Health Hand Therapists, Ronell Matthew Sueno
UNLV Theses, Dissertations, Professional Papers, and Capstones
Occupational therapists (OT) have a wide range of specialties following graduation, one of which is hand therapy. This specialty requires a certain level of knowledge and clinical reasoning, especially concerning hand anatomy and physiology. It is hard to transition into hand therapy as a new occupational therapist due to extensive knowledge, additional patient-care hours, specialty certifications require, and lack of opportunity. A smoother transition into the workforce can be achieved through mentorship programs that allow for meetings with mentors to ask questions and get clarification on different treatments and diagnoses. This quality improvement project focused on gaining perspectives of hand …
A Pilot Program To Inform High School Students About Allied Healthcare Professions, Nhu Mac
A Pilot Program To Inform High School Students About Allied Healthcare Professions, Nhu Mac
UNLV Theses, Dissertations, Professional Papers, and Capstones
The literature revealed the lack of diversity in the workforce, limited recruiting and retention methods, and lack of exposure to these professions as the contributions to the shortage and demand for the profession of occupational therapy (OT), physical therapy (PT), and speech- language pathology (SLP). As a result, the fourteen-week program to inform high school students about OT, PT, and SLP roles in the community and public health was implemented at Desert Pines High School in Clark County School District (CCSD) to see if it would influence their perceived attitudes, knowledge, beliefs, and the likelihood of pursuing these careers. Using …
Occupational Therapy Fieldwork In An Emerging Justice-Based Setting: Hope For Prisoners, Noah Claypool
Occupational Therapy Fieldwork In An Emerging Justice-Based Setting: Hope For Prisoners, Noah Claypool
UNLV Theses, Dissertations, Professional Papers, and Capstones
This capstone occurred through a partnership with HOPE for Prisoners in Las Vegas, Nevada. As an emerging area of practice, the occupational therapy profession needs more resources and programs focused on the justice system. The lack of evidence-based resources to support future level I fieldwork students at HOPE for Prisoners poses a barrier for students to maximize their fieldwork experience and effectively engage with the organization’s population of incarcerated and formerly incarcerated men, women, and young adults in southern Nevada.This capstone experience involved a 14-week immersion at HOPE for Prisoners, including participation in training and workshops and engagement with clients, …
Oral Prevalence Of Akkermancia Muciniphila Among Pediatric And Adult Orthodontic And Non-Orthodontic Patients, Ching Shen
UNLV Theses, Dissertations, Professional Papers, and Capstones
Akkermansia muciniphila (AM) is one of many highly abundant intestinal microbes that influences homeostasis and metabolic disorders and may also play a role in oral disorders. However, there is little evidence regarding the oral prevalence of this organism. Based upon this lack of evidence, the primary goal of this project is to survey an existing saliva repository to determine the overall prevalence of this organism and any associations with demographic or patient characteristics (age, sex, body mass index, race/ethnicity, orthodontic therapy). Using an approved protocol, a total n = 141 pediatric samples from an existing saliva repository were screened using …
A Light Gradient Boosting Machine-Enabled Model To Predict Radiation-Induced Toxicities In Cancer Patients Receiving Chemoradiotherapy, Zirui Jiang
UNLV Theses, Dissertations, Professional Papers, and Capstones
The objective of this study was to develop a predictive model that utilizes a Light Gradient Boosting Machine (Light-GBM) to accurately assess the risk of severe radiation-induced toxicities in cancer patients undergoing chemoradiotherapy. The occurrence of these toxicities can have a substantial impact on the patients' quality of life. The Light-GBM model using clinical feature alone or integrating radiomic features extracted from computed tomography (CT) images used in treatment planning with clinical features can enhance the accuracy of early prediction.The study included 179 breast cancer patients and 223 patients with nasopharynx cancer who were treated with both radiotherapy and chemotherapy …
Analyzing Equity Within The University Of Nevada, Las Vegas Physical Therapy Program Admissions Process, Rebecca Altman, Savanna Cathey, Michelle Dedmon
Analyzing Equity Within The University Of Nevada, Las Vegas Physical Therapy Program Admissions Process, Rebecca Altman, Savanna Cathey, Michelle Dedmon
UNLV Theses, Dissertations, Professional Papers, and Capstones
Purpose The purpose of this study was to analyze the admissions process of the University of Nevada Las Vegas Physical Therapy (UNLVPT) program through the lens of racial equity. Methods A retrospective cohort of UNLVPT applicants between 2014-2019 was obtained from the physical therapy centralized admissions system and the UNLVPT admissions office. Applicant and application characteristics were compared by racial group. Results: Our sample included 2937 total applicants with 212 (7.2%) that were admitted and matriculated into the program. Applicants identified as 49% White, 24% Asian, 13% multiracial, 6% Hispanic, 2% Black, 0.2% American Indian, and 6% did not report …