Digital Commons Network^™

Osces’ Impact On Occupational Therapy Student Learning: Insights From Second- And Third-Year Focus Groups, Craig R. St. Jean, Karin Werther, Mary R. Roberts

The Open Journal of Occupational Therapy

Background: Objective Structured Clinical Examinations (OSCEs) are widely used in health programs to assess clinical skills. We present results of a qualitative study investigating occupational therapy students’ perceptions of OSCEs’ impact on their learning and readiness for clinical practice.

Method: Six second and six third year students in the University of Alberta’s Master of Science in Occupational Therapy program were interviewed in separate focus groups. Independent reviewers applied thematic analysis to the focus group transcripts to identify, analyze, and report themes in the data.

Results: Five themes were constructed from the data: from learning to action, transition …

Examining Minimal Important Change Of The Self-Assessment Scale Of Clinical Reasoning In Occupational Therapy, Sho Maruyama, Reiko Miyamoto, Satoru Amano, Takuto Nakamura, Peter Bontje

Journal of Occupational Therapy Education

The purpose of the study was to establish and quantify the minimal important change (MIC) value necessary to determine gains or losses in clinical reasoning during student fieldwork assignments as measured by the Self-Assessment of Clinical Reasoning in Occupational Therapy (SA-CROT). This multicenter prospective longitudinal study was conducted with students on their occupational therapy fieldwork in Japan. Two anchor-based methods were used to estimate the MIC values: a receiver operating characteristic-based method and a predictive modeling-based method. The MIC was adjusted based on the percentage of participants who exhibited improvement. Administered were the SA-CROT and the Global Rating of Change …

Reliability And Construct Validity Of The Single-Leg Landing Error Scoring System (Sl-Less) In Physically Active Females, Jennifer E. Earl-Boehm, Madison Mach, Erin Lally, Maegan O'Connor, Hayley Ericksen

Journal of Sports Medicine and Allied Health Sciences: Official Journal of the Ohio Athletic Trainers Association

PURPOSE Single-leg landings are common in sport and often result in injury, however a rubric to evaluate biomechanics during single-leg jump landing (SLL) does not exist. The Single-Leg Landing Error Scoring System (SL-LESS) is a rubric developed to evaluate movement during SLL. The purpose of this study was to 1) determine inter- and intra-rater reliability of the SL-LESS, 2) and determine the content and construct validity of the SL-LESS when evaluating SLL

METHOD 28 healthy females completed SLL on two days while 2D and 3D data were recorded. 3D angles were trunk flexion/lateral-flexion, pelvic tilt/contralateral drop, hip flexion/adduction, and knee …

Letter To The Editor: Re: Burke, Bundy, & Lane (2023) Article “If Reasoning, Reflection, And Evidence-Based Practice Are Essential To Practice, We Must Define Them”, Angela Benfield, Mark V. Johnston

The Open Journal of Occupational Therapy

The purpose of this letter to the editor is to suggest using modern test theory to support developing empirical definitions of these complex terms.

Predictors Of Daily Activity Performance Of Children With Autism And Its Association To Autism Characteristics, Neta Katz Zetler, Eynat Gal, Batya Engel Yeger

The Open Journal of Occupational Therapy

Background: The daily activity performance of children with autism spectrum disorder (ASD) is a central focus of occupational therapists. Yet, the existing performance-based assessments of basic and instrumental daily activities in children are limited and their application on children with ASD is scarce. The purpose of this study is to examine if daily activity performance of children with ASD is impaired as compared to children with typical development (TD), and to examine possible predictors of daily activity performance in children with ASD.

Method: The participants included 39 children with ASD and 40 children with TD, 6–10 years of …

Assessment And Diagnostic Practices Relating To Autism Spectrum Disorder In The United States And Mexico, Maria Valdez, Jessica R. Stewart, Wan-Lin Chang, Ruth Crutchfield, Ralph Carlson

Internet Journal of Allied Health Sciences and Practice

Purpose: The present study examined and compared professional assessment and diagnostic practices relating to autism spectrum disorder (ASD) in Mexico and the United States (U.S.). This information is of great importance because there is an extremely limited amount of information pertaining the assessment and diagnostic practices for ASD in Mexico and little is known about how these practices compare to those in the U.S. Methods: Archival data from a survey investigating ASD in the U.S. and Mexico was used for this study. Participants included 29 professionals from the U.S. and 7 professionals from Mexico. Professionals were from a variety of …

“Assessment Of Student Readiness For Clinical Education In Mixed-Mode Curriculum Delivery: A Case Study”, Laura W. White, Kelly E. Jordan, Heidi Mcdermott

Physical Therapy Faculty and Staff publications

Purpose – The purpose of this case study is to describe a simulation-based assessment designed to assure student readiness for a first full-time clinical experience in an entry-level Doctor of Physical Therapy program that transitioned to mixed-mode instruction during the COVID-19 pandemic.

Design/methodology/approach – A cohort of 40 second-year physical therapy students whose content delivery mode, assessment methods and curricular sequence deviated from the curricular plan participated in a new assessment using standardized patients. The assessment was developed to preferentially address the knowledge, skills, abilities and professional behaviors (KSAs) that were typically assessed with other methods before the pandemic.

Findings …

Reliability And Utility Of A Lumbopelvic-Hip Complex Stability Assessment In Individuals With Patellofemoral Pain, Erika Zambarano, Neal Glaviano, Amanda Murray

Journal of Sports Medicine and Allied Health Sciences: Official Journal of the Ohio Athletic Trainers Association

OBJECTIVE
Lumbopelvic-hip complex (LPHC) stability is related to altered movement patterns that are present in individuals with PFP. Current studies measuring LPHC function in PFP primarily assess endurance and not stability. A test of isolated LPHC stability, the Seated Trunk Control Test (STCT) was recently developed and test-retest reliability for the STCT has been shown to be excellent in a healthy population. To improve the clinical usefulness of the STCT, we aimed to establish test-retest reliability for individuals with PFP. We hypothesized the STCT would show good-to-excellent reliability. We also compared STCT performance between healthy individuals and those with PFP. …

Orofacial Myofunctional Assessments In Adults With Malocclusion: A Scoping Review, Samantha C. Washington, Jayanti Ray

International Journal of Orofacial Myology and Myofunctional Therapy

Background: Breathing, chewing, swallowing, sleep, and speech disorders are known to be associated with malocclusions. Assessment protocols using non-instrumental evaluation of orofacial myofunctional disorders (OMD) in adults with malocclusions are almost nonexistent. Purpose: This scoping review aimed to determine the existence of scientific evidence demonstrating the areas of non-instrumental assessment of OMD in adults with malocclusion. Another purpose was to identify the protocols for assessing the nature of orofacial myofunctional assessments in adults with malocclusion. Methods: An electronic search was performed in the databases: MEDLINE, EBSCOhost, PsycINFO, CINAHL, Cochrane Library, Health & Medical Collection, Medline, Nursing and Allied Health Database, …

Perceptions Of Tongue-Bulb Comfort And Stability With And Without Anti-Slip Patches During Assessments Of Tongue Strength And Endurance, Heidi A. Vanravenhorst-Bell, Lucy M. Cook

International Journal of Orofacial Myology and Myofunctional Therapy

Purpose: The Iowa Oral Performance Instrument (IOPI) is commonly used to measure tongue strength and endurance. The tongue, however, is reported to periodically move from its intended placement on the IOPI bulb during measurement. This study sought to determine one’s perception of tongue-to-bulb slippage with and without two anti-slip patches (Patch1 – flexible fabric, Patch2 – hypoallergenic micropore fabric) and whether measures of tongue strength and endurance differed across the three IOPI bulb conditions.

Method: 40 healthy adults were randomly assigned to perform tongue strength and endurance procedures by elevating either the anterior (n = 22) or posterior ( …

Home Use Of An Upper Extremity Exoskeleton In Children With Sma: A Pilot Study, Tracy M. Shank, Tariq Rahman

The Open Journal of Occupational Therapy

Background: People with spinal muscular atrophy (SMA) often have arm weakness resulting in restricted independence and challenges with activities of daily living. An upper extremity (UE) orthosis, the Wilmington Robotic Exoskeleton (WREX), which augments arm movement by providing gravity assistance, was provided to a small cohort of subjects for 1 year. Resulting changes in the subjects’ performance were assessed.

Method: Five subjects with SMA were asked to use the WREX system for 1 year. Data were collected at baseline and at 6-month intervals. Evaluation tools used were UE range of motion (ROM), the Box and Block Test, the …

Examining Criteria For Defining Persistent Post-Concussion Symptoms In Children And Adolescents, Grant L. Iverson, Justin E. Karr, Bruce Maxwell, Ross Zafonte, Paul D. Berkner, Nathan E. Cook

Psychology Faculty Publications

Researchers operationalize persistent post-concussion symptoms in children and adolescents using varied definitions. Many pre-existing conditions, personal characteristics, and current health issues can affect symptom endorsement rates in the absence of, or in combination with, a recent concussion, and the use of varied definitions can lead to differences in conclusions about persistent symptoms and recovery across studies. This study examined how endorsement rates varied by 14 different operational definitions of persistent post-concussion symptoms for uninjured boys and girls with and without pre-existing or current health problems. This cross-sectional study included a large sample (age range: 11–18) of girls (n = …

Physical Therapists' Assessment Of Patient Self-Efficacy For Home Exercise Programs, Kelsey J. Picha, Alison Snyder Valier, Nicholas R. Heebner, John P. Abt, Ellen L. Usher, Gilson J. Capilouto, Timothy L. Uhl

Athletic Training and Clinical Nutrition Faculty Publications

Background: Patient adherence to home exercise programs (HEPs) is low, and poor patient self-efficacy is a barrier clinicians can influence. However, little evidence suggests that clinicians assess level of patient self-efficacy before prescribing HEPs.

Purpose: To determine the importance of patient self-efficacy to physical therapists (PTs) when addressing patient barriers, determine how PTs assess and use patient self-efficacy for HEPs, and describe the barriers facing PTs when assessing patient self-efficacy for HEPs.

Study Design: Survey.

Methods: Practicing PTs were recruited from the American Physical Therapy Association's Orthopedic Section and emailed the electronic survey.

Results: Email invitations were sent to 17730 …

Evaluation Of Participation And Environments For Individuals With Disabilities: An Evidence-Based Practice Project Bailey, Bailey Allen, Abby Anderson, Natalie Bruno, Sydney Grohman, Katie Martinek, Cassidy Mattson, Maddie O'Reilly, Zachary Wells, Julie D. Bass

Graduate Occupational Therapy Research and Projects

This Evidence-Based Practice (EBP) project considered the following question: What measures are available to evaluate participation and environmental supports and barriers for individuals with disabilities and what are their psychometric properties?

Exploring Associations Between Health Literacy And Visual Impairment In Older Adults With Age-Related Macular Degeneration (Amd), Jennifer Fortuna

The Open Journal of Occupational Therapy

Background: Age-related macular degeneration (AMD) is the leading cause of vision loss for Americans 65 years of age and older. Central vision loss makes reading challenging. Health literacy assessments that measure skills in basic literacy are often too demanding for people with AMD. The impact of central vision loss on functional health literacy has yet to be explored in the literature.

Methods: A between-subjects study design was employed to explore associations between functional health literacy and visual acuity in older adults with AMD. The Short Test of Functional Health Literacy in Adults (S-TOFHLA) was used to measure health …

Mental Health Assessments In Icu And Acute Care, Carolynn M. Keane, Megan Altom, Taylor Harrell, Erica Smith, Danielle Woodward

Master of Occupational Therapy Student Critically Appraised Topics

The purpose of our critically appraised topic is to provide a brief summary of assessments that may be relevant to the burn unit or ICU setting, including their validity, reliability, specificity, sensitivity, and limitations. We had a total of eight articles with the following study designs: Systematic Review (2 articles), Longitudinal Study (1 article), Comparative Analysis (1 article), Correlational Analysis (2 articles) and Methodological (2 articles). These articles looked at the reliability, validity, specificity, and sensitivity of the following assessments: Abbreviated Burn Specific Anxiety Scale (A-BSPAS), Beck Depression Inventory-II, Brief Coping Orientation to Problems Experience (B-COPE), Concise Mental Health Checklist …

Evaluating Fitness-To-Drive Among Individuals With Sensory Deficits: A Retrospective Chart Review, Caroline Clark

OTD Capstone Projects

Objective: To explore the diagnostic validity of clinical assessments for sensation in determining fitness-to-drive recommendations in active drivers with sensory deficits.

Methods: Retrospective chart review was conducted using a purposive sampling approach of patients’ medical records from the Vanderbilt Driver Evaluation and Rehabilitation Program in Nashville, Tennessee. Medical records for patients assessed from 12/01/2017 through 12/31/2019, ages 18 or older, with lower extremity sensory deficit(s) identified in the referring and/or treatment diagnoses, medical history, and/or the occupational therapy evaluation problem list were eligible for review. A total of 288 patient medical records were reviewed, but only 40 patient medical …

Development Of The Occupational Performance Inventory Of Sexuality And Intimacy (Opisi): Phase One, Beth Ann Walker, Kasey Otte, Kelsey Lemond, Pamela Hess, Kandyse Kaizer, Tori Faulkner, Davis Christy

The Open Journal of Occupational Therapy

Background: The occupational therapy profession needs a framework to guide understanding of the occupational nature of sexuality and intimacy, assessment, intervention design, and measurement of outcomes. This study aimed to define the occupational nature of sexuality and intimacy and develop a theoretical and occupation-based screen, in-depth self-assessment, and performance measure.

Method: The Occupational Performance Inventory of Sexuality and Intimacy (OPISI) was developed following DeVellis’s (2017) guidelines for scale development that involved mapping the construct, generating an item pool, determining the format for measurement, and reviewing the initial item pool.

Results: The Occupational Therapy Sexual Assessment Framework (OTSAF) was developed to …

Schizophrenia Spectrum Disorders: Linking Motor And Process Skills, Sensory Patterns, And Psychiatric Symptoms, Lola Halperin, Janet Falk-Kessler

The Open Journal of Occupational Therapy

Background: Consistent evidence suggests sensory abnormalities and skill deficits in people with Schizophrenia Spectrum Disorder (SSD). Further exploration of their sensory patterns and performance skills is warranted to promote community participation among these individuals.

Method: This study examined sensory patterns and motor and process skills in relationship to psychiatric symptoms in adult patients with SSD. Participants were evaluated using the Adolescent/Adult Sensory Profile, the Assessment of Motor and Process Skills, and the Brief Psychiatric Rating Scale.

Results: Of the 18 participants, the majority showed sensory differences, deficits in motor and process skills, and the presence of moderate …

Exploration Of Self-Perceived Leadership Practices Of Entry-Level Doctoral Students During The Doctoral Capstone Experience, Tracey E. Recigno, Sara Benham, Adele Breen-Franklin

Journal of Occupational Therapy Education

There is limited literature reporting the methodology of leadership advancement in entry-level Doctoral-Degree-Level Educational Programs through the Capstone Experience. The purpose of this study was to explore if self-perceived leadership practices increase after the Capstone Experience utilizing a one group, pretest-posttest design. Sixteen students completed the Student Leadership Practices Inventory (SLPI) from pretest to posttest. Self-perceived leadership practices of the fourth-year cohort of doctoral students increased significantly, t (15) = 5.42, p= 0.00007, with a large effect size (d= 1.355). Students enrolled in the community-based track were 31.25% of the sample, compared to 68.75% enrolled in the …

Occupational Therapy Students’ Perceptions Of Osce: A Qualitative Descriptive Analysis, Nancy E. Krusen, M. Nicole Martino

Journal of Occupational Therapy Education

Objective Structured Clinical Examinations (OSCE) are commonly used across health professions educational programs to evaluate student clinical competencies. OSCE are multiple, brief stations representing common practice scenarios. The purpose of the study was to evaluate student perceptions of OSCE. The researchers implemented 17 OSCE stations with 40 second year occupational therapy students to assess clinical competencies prior to fieldwork. Applying a qualitative descriptive methodologic approach, researchers analyzed station rating data, Qualtrics survey Likert-type items, and Qualtrics survey open-ended responses. Number of station rating responses varied widely, due to perceived time press. Station rating responses confirmed the more robust 80% response …

Assessment Practices Followed By Speech-Language Pathologists For Clients With Suspected Speech Sound Disorder In Taiwan: A Survey Study, Yen-Ning Chang, Li-Li Yeh

Rehabilitation Practice and Science

Speech sound disorder (SSD) is one of the most frequently occurring types of human communication disorders. Approximately one-fourth of the clients of speech-language therapy clinics are diagnosed with SSD by speech-language pathologists (SLPs). Thus, investigating the professional development of SSD assessment by SLPs across various working contexts in Taiwan is important. The present study used a specifically designed questionnaire on SSD assessment. A sample size of 150 SLPs, who comprised 18% of all SLPs in Taiwan (the northern, middle, southern, and eastern regions), were invited to fill in the questionnaire anonymously. The questionnaire contained the following topics: time spent for …

Screening And Assessment In Trauma-Informed Care: An Evidence-Based Practice Project, Megan Bender, Beka Bickel, Ashley Hoffmann, Emily Howard, Mykayla Laurie, Yer Lee, Rachael Nelson, Ciara Nervick, Julie D. Bass

Graduate Occupational Therapy Research and Projects

This Evidence-Based Practice (EBP) project examined the following question: What interprofessional and occupational therapy screening and assessment measures are used in trauma-informed care and what are their psychometric characteristics?

Handwriting Performance Of Typical Second-Grade Students As Measured By The Evaluation Tool Of Children's Handwriting - Manuscript And Teacher Perceptions Of Legibility, Diane M. Long, James Conklin

The Open Journal of Occupational Therapy

Background: The purpose of the study was to describe scores achieved by typical second-grade students on the Evaluation Tool of Children’s Handwriting – Manuscript and to compare scores with teacher perceptions.

Method: As part of a larger study, the ETCH-M was administered to 74 second-grade students. Teachers scored classroom samples of handwriting assignments using a researcher-developed scale and scores were compared to ETCH-M scores to determine cutoff values for good versus poor handwriting.

Results: Mean scores for total word legibility, total letter legibility, and total numeral legibility were 88.82%, 84.30%, and 89.26%, respectively. Cutoff scores below 82% …

A Scoping Review Of Self-Awareness Instruments For Acquired Brain Injury, Danielle Mahoney, Sharon A. Gutman, Glen Gillen

The Open Journal of Occupational Therapy

Background: Self-awareness and insight are critical functions required to maintain safe and optimal participation in all daily life activities in a variety of environmental contexts. In the past two decades, occupational therapists have developed several psychometrically sound assessments designed to identify self-awareness and insight deficits in patients with neurological disorders. This scoping review identifies and evaluates key properties of such assessments to inform clinical practice.

Method: Multiple electronic databases were searched using the key search terms of “self-awareness” and “self-awareness assessment,” and “insight” and “insight assessment.” Included studies were original primary sources from the peer-reviewed journals.

Results: …

Assessments For Mild Cognitive Impairment (Mci) And Functional Cognition: An Evidence-Based Practice Project, Margaret Hiniker, Hannah Kleschult, Erica Norton, Libby Reger, Natalie Ristau, Kate Skluzacek, Seng Vang, Tiffany Vang, Julie D. Bass

Graduate Occupational Therapy Research and Projects

This Evidence-Based Practice (EBP) project addressed the following question: What occupational therapy and interdisciplinary assessments are currently used and have the best psychometric characteristics and are most effective for screening or evaluating functional cognition of individuals with mild cognitive impairment and measuring the outcomes of intervention programs for mild cognitive impairment?

Design Of An Osce To Assess Clinical Competence Of Occupational Therapy Students, Nancy E. Krusen, Debra Rollins

Journal of Occupational Therapy Education

Objective structured clinical examinations (OSCEs) are a series of controlled, timed stations in which students demonstrate clinical skills. OSCEs are commonly used within health professions education to demonstrate competence, prepare for clinical education, and conduct program evaluation. The body of literature addressing the use of OSCEs in occupational therapy (OT) is growing; however, there are no available guidelines for developing an OSCE specific to the profession. The purpose of this paper is to describe the design of an OSCE for OT students prior to fieldwork placement. Twelve OT practitioners participated in a modified-Delphi method to generate possible OSCE scenarios. The …

Perceptions Of Assessment In Norwegian Occupational Therapy Students, Tore Bonsaksen, Astrid Gramstad, Gry Mørk, Susanne G. Johnson

Journal of Occupational Therapy Education

In addition to securing minimum standards of learning among students, assessment is increasingly used as a tool to improve students’ learning. Assessment quality is measured as part of the Course Experience Questionnaire; however, the original ‘appropriate assessment’ scale has demonstrated ambiguous psychometric properties. The current study aimed to gain knowledge about occupational therapy students’ perceptions of assessment, and this was achieved by examining the factor structure and internal consistency of the six items on the ‘appropriate assessment’ scale. Students from six Norwegian universities (n = 187, response rate 61.3 %) completed the scale and reported demographic information. The factor …

The Assessment Of Swimming And Survival Skills: Is Your Programme Fit For These Purposes?, Paolo Di Paola Ba

International Journal of Aquatic Research and Education

No abstract provided.

Computerized Dynamic Posturography Testing In Concussion: A Systematic Review, Ashlynn Aoki, Whitney Peterson, Cameron Prins, Holly Roberts

Physical Therapy Research Symposium

Title: Computerized Dynamic Posturography Testing in Concussion: A Systematic Review

Purpose/Hypothesis: Computerized dynamic posturography (CDP) has been utilized within research and clinical practice for assessment of sensory deficits following concussion. However, it is unclear if current evidence on psychometric properties supports its use. The purpose of this systematic review is to compile evidence on psychometric properties of CDP for individuals following concussion.

Number/Subjects: 7 research articles including 1239 participants that met inclusion criteria.

Materials/Methods: Relevant studies published between 1980 and September 2018 extracted from the following electronic databases: PubMed, CINAHL, SPORTDiscus, ScienceDirect, Cochrane Library, ProQuest Central, and PEDro. Additional resources …