Medicine and Health Sciences Commons^™

Incorporating Occupation-Based Activities Into Treatment For Adolescents With Substance Use Disorders To Increase Self-Efficacy, Brea E. Westberg

Occupational Therapy Capstone Presentations

In 2022, over 48.7 million people aged 12 and older reported having a substance use disorder in the past year. Adolescents are increasingly becoming involved in substance use behaviors that impact their lives daily. There is limited evidence for providing mental health interventions, including those provided by occupational therapy practitioners, to adolescents with SUDs within the substance use treatment setting. Self-efficacy is an important part of the substance use recovery process. Therefore, the purpose of the capstone project was to determine the effects on self-efficacy after incorporating occupation-based activities into programming for adolescents in treatment for SUDs. The Model of …

Development And Implementation Of A Training Manual For Increased Utilization Of The Universal Exercise Unit (Ueu), Anya Marie Jones

OTD Capstone Projects

This doctoral capstone project was completed in partnership with Rehab Without Walls (RWW) Neuro Solutions in Hendersonville, TN; an outpatient clinic dedicated towards serving adults with various neurological conditions, including stroke, spinal cord injury, traumatic brain injury, cerebral palsy, and more. The focus of this project was to develop a training manual for the therapists at RWW to improve occupation-based utilization of the Universal Exercise Unit (UEU). Through the lens of the Ecology of Human Performance (EHP) model and Albert Bandura’s theory of behavior change, each therapist’s performance range (i.e., ability to perform tasks) depended on both the context (the …

Exploring Caregivers Of Individuals With Dementia’S Self-Efficacy: A Qualitative Study, Julia Seymour Otd, Kristin Domville Drot, Mot, Otr/L, Cody Cox Otd, Med, Otr/L, Plcc

Spring 2024 Virtual OTD Capstone Symposium

A qualitative research study was done by conducting in-person and virtual interviews with past and current caregivers of individuals with dementia. This study was done to get a better understanding of caregiver self-efficacy, and how Occupational Therapy can be a solution and an advocate for caregivers.

The Ci-Asd Program: Implementation Of Contextual Interventions For Autism Spectrum Disorder (Ci-Asd) With Latino Families (Preliminary Report), Gabriel Gonzalez, Erik Pérez, Angela Blackwell

Spring 2024 Virtual OTD Capstone Symposium

Children diagnosed with Autism Spectrum Disorder (ASD) experience sensory processing differences that affect their participation in daily activities and routines. Autism affects an estimated 1 in 36 children in the U.S. However, Latino children are diagnosed two years later than white children. Latino families still have the greatest disparities in accessing ASD resources throughout the U.S. compared to white families. The lack of ASD services and resources led to decreased parental self-efficacy, quality of life, and increased child behavioral problems.

Contextual Interventions Adapted for Autism Spectrum Disorder (CI-ASD) are an emerging intervention for occupational therapy (OT) practitioners. Recent literature shows …

Attitudes And Self-Efficacy Of Swimming Coaches Towards The Inclusion Of Swimmers With Autism Spectrum Disorder, Eleftheria Kasagianni, Dimitrios Kokaridas, Panagiotis Varsamis, Vasilis Tsimaras

International Journal of Aquatic Research and Education

The purpose of this study was to investigate the attitudes and self-efficacy of swimming coaches regarding the inclusion of swimmers with autism spectrum disorder (ASD). The sample consisted of 150 Greek swimming coaches with an average age of 29.58 years. Each participant completed the Swimming Coaches Attitudes towards Inclusion Questionnaire for perceptions assessment and the Biddle and Goudas (1997) self-efficacy questionnaire. The statistical analysis used SPSS 27 to calculate Cronbach’s alpha, Pearson product-moment correlations, independent t-tests, and ANOVA. The findings of the study showed that the swimming coaches expressed positive attitudes and a high percentage of perceived self-efficacy towards the …

The Effects Of Debriefing Methods On Athletic Training Students’ Self-Efficacy, Amy Brzoska, Lori Kupczynski, Julie L. Murphy

Internet Journal of Allied Health Sciences and Practice

Purpose: Simulation-based education is a teaching method used successfully in nursing and medical education, as well as in the military and aviation fields. It provides students with safe learning environments and opportunities to practice skills not seen or used during clinical rotations. Debriefing is an essential component of simulation where learning occurs while also fostering critical thinking, clinical reasoning, and promoting self-efficacy with clinical skills. However, the evidence rarely indicates which debriefing method is best at increasing clinical evaluation skills self-efficacy. The purpose of this study was to compare the effects of debriefing methods on students’ clinical evaluation self-efficacy. Methods: …

Occupational Therapy Educators’ Self-Efficacy To Teach In A Blended Curriculum, Inti A. Marazita, Amy Adcock, Mary Shotwell

Journal of Occupational Therapy Education

Educational trends have influenced occupational therapy education as evidenced by the adoption of new teaching methods such as blended learning. Blended learning is a combination of both synchronous and asynchronous learning that occurs online as well as portions of the learning occurring in a brick-and-mortar. As more occupational therapy programs design their curriculum to include blended learning, it is essential to understand occupational therapy educators' self-efficacy related to their skills and capabilities to teach in such an innovative format. Little is known regarding occupational therapy educators' self-efficacy to teach in a blended curriculum. This qualitative study aimed to examine the …

Improving Hand Recovery In Tetraplegia Through The Use Of Meaningful Occupations: A Qualitative Case Series, Amanda C. Glueck, Casey E. Humphrey, Elizabeth Salmon Powell, Cassandra Catherine Ginn, Melba G. Custer, Camille L. Skubik-Peplaski

Internet Journal of Allied Health Sciences and Practice

Purpose: This qualitative descriptive study explored participants’, with chronic spinal cord injury (SCI), experiences with meaningful intensive task specific training (ITST). Methods: Three participants completed 24-ITST upper extremity motor therapy intervention sessions. Qualitative interviews were completed at three time points for a case series: baseline, within 7 days of the completion of the final ITST intervention session, and within one month of the final ITST intervention session for a total of 9 interviews. Results: Three themes were identified including: Quality of Movement Enhances Normal Use of Hands, Empowering Through Education and Motivation to Participate and Enhance Quality of Life. Through …

Effects Of A Mindfulness Intervention To Improve Teachers’ Well-Being, Andrea P. Almaguer-Botero, Eva L. Miller, Roy K. Chen, Ralph Carlson

School of Rehabilitation Services & Counseling Faculty Publications and Presentations

Teacher attrition has increased by 50% over the past 15 years. The purpose of this study was to determine whether a mindfulness-based intervention would be effective for reducing stress and increasing mindfulness, self-efficacy, job satisfaction, and well-being among teachers at Title I (low-income) schools. The researchers evaluated the effects of a mindfulness intervention created specifically for teachers using a four-way ANOVA (2 × 3 × 2 × 5) with two between subjects’ factors, groups and levels, and two within subjects/repeated measures factors, pretest-posttest and scales. While the study did not show significant effects for mindfulness, stress, self-efficacy, and well-being, teachers …

Self-Efficacy With Telehealth Examination: The Doctor Of Physical Therapy Student Perspective, Derrick F. Campbell, Jean-Michel Brismee, Brad Allen, Troy L. Hooper, Manuel A. Domenech, Kathleen J. Manella

HPD Articles

Introduction: The shift to telehealth exposed gaps in our understanding of how physical therapy students perceive patient assessment in a remote situation using the examination component of the patient/client management (PCM) model. The purpose of the study was to compare Doctor of Physical Therapy (DPT) students’ self-efficacy performing patient assessment using the examination component of the PCM model using telehealth compared with conventional examination. To achieve the purpose of this study, the Physical Therapist Self-Efficacy (PTSE) scale was used. More specifically, self-efficacy in clinical reasoning was measured using the following items: (1) PTSE total score (2) performance of tests …

Self-Efficacy With Telehealth Examination: The Doctor Of Physical Therapy Student Perspective, Derrick F. Campbell, Jean-Michel Brismee, Brad Allen, Troy Hooper, Manuel A. Domenech, Kathleen J. Manella

Philippine Journal of Physical Therapy

Introduction: The shift to telehealth exposed gaps in our understanding of how physical therapy students perceive patient assessment in a remote situation using the examination component of the patient/client management (PCM) model. The purpose of the study was to compare Doctor of Physical Therapy (DPT) students’ self-efficacy performing patient assessment using the examination component of the PCM model using telehealth compared with conventional examination. To achieve the purpose of this study, the Physical Therapist Self-Efficacy (PTSE) scale was used. More specifically, self-efficacy in clinical reasoning was measured using the following items: (1) PTSE total score (2) performance of tests …

The Impact Of Community Of Inquiry And Self-Efficacy On Student Attitudes In Sustained Remote Health Professions Learning Environments, Amanda K. Burbage, Yuane Jia, Thuha Hoang

School of Allied Health Professions Faculty Publications

Background: Sustained remote learning environments, like those experienced in late 2020 due to the COVID-19 pandemic, share characteristics with online courses but were not intentionally designed to delivered virtually. The purpose of this study was to investigate the impact of Community of Inquiry, a widely used online learning environment framework, and self-efficacy on perceived student attitudes within sustained remote learning environments. Methods: An interinstitutional team of health professions education researchers collected survey data from 205 students representing a wide range of health professions in five U.S. institutions. Latent mediation models under structural equation modeling framework were used to examine whether …

Life Skills Intervention For Formerly Incarcerated Individuals At Maricopa Reentry Center, Dalenna Bellum

OT Student Capstones

The rates of incarceration quickly rose in the United States in the late 1900’s in response to change in legislation in favor of more tough on crime movements and policy. In addition to these movements and other social, environmental, and demographic factors, certain groups of individuals faced increased risk for incarceration and increased challenges before, during, and after incarceration. The purpose of this doctoral capstone experience and report is to explore challenges during community reentry after incarceration that can lead to re-arrest, or recidivism. This is a crucial time because without the appropriate tools, resources, and supports, the individual is …

Increasing Self-Efficacy And Engagement In Occupational Therapy Education Through The Use Of An Unfolding Case Study Curricular Design, Michael J. Jensen

Journal of Occupational Therapy Education

The unfolding case study, which has the case study client evolve over time, has been shown to positively influence both academic and affective performance, though to this point has not been studied in terms of development of self-efficacy in clinical skills or engagement with course content. This study used a quasi-experimental design as well as retrospective data analysis to examine two case study designs (one static or unchanging and one unfolding) within an occupational therapy doctorate program. The study found that occupational therapy students (n = 16) reported a statistically significant difference in the development of clinical skill self-efficacy (p < .05) after engaging in a semester long unfolding case study compared to a semester long static case study. Additionally, the study found that occupational therapy students (n = 47) demonstrated greater engagement with the online curricular content supporting the unfolding case study compared to the static case study (p < .001). The findings of the study suggest that there may be benefits to using an unfolding case study as a curricular design strategy in relation to increased clinical skill self-efficacy and enhanced engagement with course content.

Community-Dwelling Older Adults’ Perceived Self-Efficacy And Readiness For Discharge After Receiving Occupational Therapy Services At A Skilled Nursing Facility (Snf)., Shih-Ni N. Lai

Occupational Therapy Doctorate Capstone Projects

Abstract

Background: Older adults who plan to go home from a SNF after having injuries have increased concerns about their transition and feel they have limited knowledge and information on community resources. There is research on the critical roles of occupational therapy in preparing community-dwelling older adults to transition home from SNF. However, limited research on community-dwelling older adults' perception of their self-efficacy and discharge preparedness after receiving occupational therapy services at SNF.

Purpose: This project examines the perceptions of community-dwelling older adults’ preparedness and self-efficacy after receiving occupational therapy services in a SNF to increase their quality of life …

Evidence-Based Practice Confidence And Behavior Throughout The Curriculum Of Four Physical Therapy Education Programs: A Longitudinal Study, Wendy Romney, Nancy M. Salbach, Susan B. Perry, Judith E. Deutsch

Physical Therapy Faculty Publications

Background

Evidence-based practice (EBP) is a foundational process taught in health professional education, yet it is unclear when EBP confidence and skills are obtained. Increases in EBP confidence and behaviors from the start of physical therapy programs to post graduation have been reported in studies that evaluated a single program or used non-valid questionnaires. This study aimed to describe changes in EBP confidence and behavior using validated questionnaires of students from four physical therapy education programs throughout their curriculum and one year post graduation.

Methods

One hundred and eighty-one students from a potential pool of 269 (67.3%) consented to participate. …

Scuba Diving Social Identity, Type Of Experience, Sociopsychobio Health, Health-Related Quality Of Life, Self-Efficacy, Disability Level, And Personality Among People With Physical Impairments: A Mixed Methods Study, Tania Santiago Perez

All Dissertations

The most common type of disability in the US is mobility or physical impairment, occurring in one in seven adults. Globally, musculoskeletal and neurological conditions account for nearly two-thirds (65.6%) of total physical rehabilitation needs. Approaches that promote healthy community living, rehabilitation, and reduce relapse and rehospitalization among people with physical impairments are critical. Participation in recreational activities and identification with social recreational groups may promote the health, quality of life, and functional abilities of people with physical impairments, contributing to reducing their hospitalization and healthcare needs. This explanatory sequential mixed methods research study had two aims. Using the experience-type …

Evaluating The Effectiveness Of Restorative Justice Rehabilitative Services Available In Northeast Tennessee For Mothers Diagnosed With Substance Use Disorder, Claire Roberson

Undergraduate Honors Theses

Substance Use Disorder (SUD) has plagued families of rural Appalachia for many years, perpetuating involvement in the criminal justice system as well as generational trauma for people diagnosed with SUD and their children. This points to the necessity of a trauma-informed, restorative-justice based framework for rehabilitative services to most effectively heal families, address trauma, and re-integrate people diagnosed with SUD into society. A restorative justice-based program would provide health care services for addiction and any comorbid mental health disorders as well as teach parents how to properly provide for themselves and their families, manage finances, obtain employment, and further education. …

Student Self-Efficacy Levels For Performing Clinical Skills Learned Virtually During A Pandemic, Brittany Nash, Anita W. Mitchell, Jian Jones, Jeffery Etheridge

Journal of Occupational Therapy Education

The purpose of this study was to explore student self-efficacy for performance of clinical skills learned virtually, the effectiveness of teaching clinical skills online, the relationships between students’ feelings of self-efficacy and the performance of clinical skills, and the students’ perspectives of learning clinical skills virtually. This is a one-group mixed methods study that included twenty-one Master of Occupational Therapy students. Self-efficacy was measured using the Learning Self-Efficacy Scale (L-SES), performance was measured using an instructor-created rubric, and qualitative data was collected using open-ended questions. Students presented with higher levels of self-efficacy for range of motion (ROM) than manual muscle …

Doodling As Self-Expression: Building Self-Efficacy In Normally Functioning Adults, Journey Coward

Art Therapy | Theses and Dissertations

While previous studies identify doodling as a useful educational tool, this study sought to determine if doodling can build creative or emotional self-efficacy. Self-efficacy is an individual’s belief in their own capacity to express behaviors necessary to attain specific performance goals. The current study also sought to determine if doodling can be a form of self-care. Research collected was quantitative and qualitative using surveys to measure both creative and emotional self-efficacy along with a doodling activity. Ten participants were recruited through convenience sampling on social media and were included in the study after meeting the inclusion criteria of identifying themselves …

Changes In Study Approaches, Self-Efficacy, And Mental Health In Allied Healthcare Students During The Covid-19 Crisis, Elaina J. Dalomba, Tore Bonsaksen, Mary Jan Greer, Saji Mansur

Journal of Occupational Therapy Education

There is growing concern about student mental health, particularly during the COVID-19 crisis. Mental health factors impact self-efficacy and study behaviors, thus there is a need to explore changes in these factors during the pandemic. The aim of this study was to explore changes in allied healthcare students’ approaches to studying, self-efficacy and positive mental health before and during the COVID-19 crisis. The Approaches and Study Skills Inventory for Students, General Self-efficacy scale, Mental Health Continuum – Short Form were given to graduate students (n=26) prior to, and one year into the pandemic. Repeated measures analyses of variance were performed. …

Using Self-Assessment And Reflection To Develop Self-Efficacy In Occupational Therapy Assistant Fieldwork Students, Kristy Meyer, Julie Hunley

Journal of Occupational Therapy Education

Many occupational therapy students navigate the transition to the Level II fieldwork experience effortlessly, while others require support due to a lack of perceived self-efficacy. This perception dramatically impacts fieldwork performance and challenges academic fieldwork coordinators to support students struggling to believe in their own capabilities. This study utilized a quantitative quasi-experimental research design with a purposive sample of 16 occupational therapy assistant students to determine if an educational intervention increased perceived self-efficacy and overall confidence. Data collected from the Student Confidence Questionnaire (SCQ) pre, and post-intervention provided insight into the students’ report of perceived self-efficacy and overall confidence during …

Which Motivational Behaviors Impact Success In A Clinical Anatomy Course For Entry Level Doctor Of Physical Therapy Students?, Philip Fabrizio, Anne M.R. Agur, Shannon L. Groff

PCOM Scholarly Papers

Objectives: The motivational behavior of self-efficacy for learning and performance was correlated with academic success in Doctor of Physical Therapy (DPT) students taking clinical anatomy, the first foundational course in the program. Students’ motivation strategies have been reported to be important factors in academic success, however, these strategies have not been investigated in DPT students. Therefore, the purpose of this study was to determine if course grade in clinical anatomy was correlated with the motivation subscales of the Motivated Strategies for Learning Questionnaire (MSLQ).Materials and Methods: The MSLQ was administered to 33first-year DPT students who consented to participate in the …

Beauty That Moves: Dance For Parkinson’S Effects On Affect, Self-Efficacy, Gait Symmetry, And Dual Task Performance, Cecilia Fontanesi, Joseph F. X. Desouza

Publications and Research

Background: Previous studies have investigated the effects of dance interventions on Parkinson’s motor and non-motor symptoms in an effort to develop an integrated view of dance as a therapeutic intervention. This within-subject study questions whether dance can be simply considered a form of exercise by comparing a Dance for Parkinson’s class with a matched-intensity exercise session lacking dance elements like music, metaphorical language, and social reality of art-partaking.

Methods: In this repeated-measure design, 7 adults with Parkinson’s were tested four times; (i) before and (ii) after a Dance for Parkinson’s class, as well as (iii) before and (iv) after a …

Changing The Perspective In Management Of A Progressive Neurological Disorder: Developing Interventions To Target Multifactorial Components Of Parkinson’S Disease With Emphasis On Improving Clinical Meaningful Outcomes, Jordana Christine Lockwich

Theses and Dissertations--Rehabilitation Sciences

Neurological disorders are currently the leading source of disability in the United States with Parkinson’s disease (PD) having the fastest growing incidence rate (Abate et al., 2017). PD is the second most common degenerative disease in older adults above 60 years old (Tysnes & Storstein, 2017) and epidemiology reports predict that the number of PD cases has doubled to 6 million since 1990 (Dorsey, Sherer, et al., 2018) It is estimated that PD prevalence will continue to rise with a projected 60,000 new cases in the United States by 2030 (Dorsey, Elbaz, et al., 2018) and has the potential to …

A Smartphone-Based Support Group For Alcoholism: Effects Of Giving And Receiving Emotional Support On Coping Self-Efficacy And Risky Drinking, Woohyun Yoo, Dhavan V. Shah, Ming-Yuan Chih, David H. Gustafson

Health and Clinical Sciences Faculty Publications

The purpose of this study was to investigate the nature and effects of exchanging emotional support via a smartphone-based support group for patients with alcohol dependence. Of the 349 patients who met the Diagnostic and Statistical Manual of Mental Disorders (4th ed.) criteria for alcohol dependence, 153 patients participated in the discussion group within the Addiction-Comprehensive Health Enhancement Support System, a smartphone application aimed at reducing relapse. This was developed to prevent problem drinking by offering individuals in recovery for alcohol dependence automated 24/7 recovery support services and frequent assessment of their symptom status as part of their addiction care. …

Application Of Self-Efficacy Training In Group Aural Rehabilitation: An Interprofessional Collaborative Model, Stephen D. Roberts, Nancy A. Delich

JADARA

Few studies have explored self-efficacy training with persons with hearing loss (PHLs), yet alone with their communication partners (CPs). The purpose of this mixed-method study was to examine the impact of self-efficacy training as a framework for an Interprofessional Psychosocial Group Aural Rehabilitation (IPGAR) workshop with PHLs and their CPs. Four PHLs and their four CPs consented to participate in the IPGAR workshop that employed interventions including short lectures, psychosocial exercises, communication strategies training, speech perception training, adaptive/stress reduction exercises, and group discussions relevant to mutually established shared goals for each couple. The participants reported improved communication abilities in the …

Occupational Therapy Students’ Self-Efficacy For Therapeutic Use Of Self: Development And Associated Factors, Chia-Wei Fan, Tove Carstensen, Milada C. Småstuen, Farzaneh Yazdani, Brian Ellingham, Tore Bonsaksen

Journal of Occupational Therapy Education

Occupational therapy students need to develop self-efficacy for therapeutic use of self in practice. This longitudinal study examined Norwegian occupational therapy students’ self-efficacy for therapeutic use of self over a 16-month period and investigated predictors of their end-point self-efficacy. One hundred and eleven students from two universities completed a self-efficacy questionnaire related to the use of self after a workshop, and at 3-month, 10-month, and 16-month follow-up. The students’ self-efficacy development was analyzed with linear mixed effect models, while factors associated with self-efficacy were investigated with linear regressions. The students from both universities showed a linear increase in self-efficacy for …

The Association Of Working Alliance, Outcome Expectation, Adherence And Self-Efficacy With Clinical Outcomes For Achilles Tendinopathy: A Feasibility Cohort Study (The Map Study), Adrian Mallows, Jo Jackson, Chris Littlewood, James Debenham

Physiotherapy Papers and Journal Articles

Introduction: This study evaluated the feasibility of a large longitudinal cohort study utilizing an online platform to investigate the association and predictive relationship of working alliance, outcome expectations, adherence and self-efficacy with outcome in Achilles tendinopathy. The objectives were: (1) to determine the recruitment and retention rate and (2) to carry out preliminary data analysis of the selected variables and clinical outcomes.

Methods: A multi-centred, longitudinal feasibility cohort study was used. Eligible participants were directed to a bespoke online platform hosting study information and the outcome measures in the form of an online questionnaire. Responses from the online questionnaire were …

Perceptions And Outcomes Of Occupational Therapy Students Participating In Community Engaged Learning: A Mixed-Methods Approach, Amy Mattila

The Open Journal of Occupational Therapy

Today’s health care system requires therapists to acquire a level of confidence, flexibility, and personal growth that enables them to treat a diverse and complex clientele. Occupational therapy programs need to ensure that clinical placements can best prepare students for these demands. Community engaged learning (CEL) offers a distinctive opportunity both to meet the curricular requirements of fieldwork and to afford students the chance to develop unique sets of skills. The purpose of this mixed-methods study was to examine the experiences of graduate occupational therapy students participating in CEL fieldwork placements. The study explored the students’ self-efficacy before and after …