Medicine and Health Sciences Commons^™

Accessiblehomepro As An Educational Intervention: Preparing Occupational Therapy Students To Perform Home Safety Assessments, Laryn O'Donnell

Theses and Dissertations

The growing aging population of the United States urges occupational therapy practitioners to address the population's home safety needs. However, current occupational therapists need more resources and education to conduct comprehensive home safety evaluations. This study employed a pretest-posttest mixed methods design using occupational therapy students (n=17) to investigate the potential of AccessibleHomePRO as an educational intervention to enhance OT student knowledge of home safety assessments, perceived knowledge, which is known as the belief in your level of knowledge, and self-efficacy, which refers to the confidence in completing a task. AccessibleHomePRO (AHP) is a novel multifaceted assessment that leverages artificial …

Interrater Reliability Of The Accesstools Assessment With Novice Raters, Qussai Mohammed Obiedat

Theses and Dissertations

Public buildings accessibility is of societal importance for all individuals, especially people with disabilities (PWD). Despite of all the efforts that have been made on the societal and community levels, PWD are still limited from participating in the community due to inaccessible environments. One of the major limitations in the current practices regarding public buildings’ accessibility is the lack of a commonly accepted, comprehensive, and metrically sound tool to objectively measure the accessibility of public buildings. Such a measure is needed. AccessTools is a newly developed assessment tool to identify, document, and objectively measure the complete accessibility of different building …

Effects Of Seat And Axle Position On Pain, Pathology, And Independence In Pediatric Manual Wheelchair Users With Spinal Cord Injury, Hannah Frank

Theses and Dissertations

Manual wheelchair (MWC) users with spinal cord injury (SCI) rely heavily on their upperextremities to complete daily occupations. Due to repetitive shoulder use during wheelchair mobility and propulsion, MWC users are at greater risk of shoulder pain and shoulder pathology, and thus decreased independence, and lower quality of life. The relative fit of the wheelchair and its parameters are critical and can further impact the user’s propulsion biomechanics. Parameters such as seat angle and axle position may put the user in detrimental shoulder positions for longer periods of time, impacting health outcomes even more. Although the effects of wheelchair setup …

Establishing Content And Face Validity Of An Assessment To Evaluate The Attitudes, Self-Efficacy, And Knowledge Of Pre-Professional Students Related To Assistive Technology For Children With Autism Spectrum Disorder (Asd), Cynthia Amy Ruedinger

Theses and Dissertations

OBJECTIVE. The purpose of the study was to create an online assessment in order to better understand the knowledge, attitudes, and self-efficacy that pre-professional students have in the fields of assistive technology and ASD and establish content and face validity for this assessment.METHOD. 12 content experts, both professors and practitioners, within the fields of occupational therapy, physical therapy, speech language pathology, and special education, as well as experts in autism spectrum disorder and assistive technology, participated in the content validation process. A total of 16 students within these disciplines completed the assessment with pilot data gathered and provided feedback on …

Upper Extremity Kinematics And Pain Outcomes During Activities Of Daily Living In Pediatric Hypermobile Ehlers-Danlos Syndrome, Olivia Yanez Wilwert

Theses and Dissertations

Ehlers-Danlos syndrome (EDS) is a group of heritable connective tissue disorders, consisting of thirteen different subtypes. Among the thirteen, Hypermobile Ehlers Danlos Syndrome (hEDS) is the most common. Individuals with this condition present with frequent joint instability that results in ongoing subluxations and dislocations. Secondary diagnoses of this condition include chronic pain, Myalgic Encephalomyelitis/Chronic Fatigue Syndrome (ME/CFS), Major Depressive Disorder (MDD), and Generalized Anxiety Disorder (GAD). The diagnostic process of hEDS is convoluted by the lack of a genetic identifier (Malfait et al., 2017). Individuals with hEDS are often not diagnosed until later in adulthood, leaving their adolescent life full …

Biomechanical Analysis Of Stroke Patterns And Functional Outcomes In Pediatric Manual Wheelchair Users, Paige Louise Aschenbrener

Theses and Dissertations

Approximately 88,0000 manual wheelchair (MWC) users are under the age of 21 in the United States (Kaye, LaPlante, & Kang, 2000). More than half of pediatric MWC users with spinal cord injury (SCI) report shoulder pain later in life and are at higher risk for developing upper extremity (UE) overuse injuries (Vogel & Zebracki, 2015). During MWC propulsion, a stroke pattern is the path the hand follows with respect to the pushrim (Boninger et al., 2002). Current clinical guidelines for adults recommend sole use of the semicircular stroke pattern as best practices because a MWC user is able to spend …

Comparing Sensory Accessibility Needs In Deaf And Low Vision Populations: An Explorative Study, Anna Bruckbauer

Theses and Dissertations

Objective. The objective of the study is to compare hypothesized similar sensory accessibility needs of Lighting, Acoustics, Openness, Color/Contrast, and Services/communication for the hard of hearing and low vision population. Background. The Americans with Disability Act – Architectural Barriers Act Design Guidelines (ADA-ABA, 2004, 2015) provides guidelines to increase accessibility of public buildings for individuals covered by the ADA (1990). However, these guidelines often fall short of providing functional and practical guidelines to be accessible for all. Extant building rating tools fail to attend to the overlap of functional needs for the hard of hearing and/or low vision populations. Thus, …

Effects Of Patient Characteristics On Outpatient Rehabilitation Outcomes In Patients With Lumbar Impairments, Jenna Powers

Theses and Dissertations

Lumbar spine impairments affect an individual’s ability to perform activities of daily living, making it pertinent to understand the importance of rehabilitation and variables influencing clinical outcomes. The purpose of this study was to examine variables (demographics, health conditions, and biopsychosocial) that contribute to larger functional status (FS) improvement for patients with lumbar spine impairments seeking outpatient rehabilitation therapy. This study was a secondary data analysis of data collected by FOTO Inc. (Knoxville, TN, USA). A sample of 221,168 participants with lumbar spine impairments were analyzed. Correlations were performed to examine the strength of the linear relationship between variables of …

Pre-Operative Versus Post-Operative Kinematic Assessment And Functional Outcomes Of The Thoracohumeral Joint In Adults With Rotator Cuff Tears, Margaret French

Theses and Dissertations

PRE- OPERATIVE VERSES POST-OPERATIVE KINEMATIC ASSESSMENT OF THE THORACOHUMERAL JOINT IN ADULTS WITH ROTATOR CUFF TEARS

by

Margaret E. French

The University of Wisconsin-Milwaukee, 2018

Under the Supervision of Brooke A. Slavens, PhD

This project investigated upper extremity (UE) motion and functional outcomes before and after full-thickness supraspinatus rotator cuff (RC) repair through kinematic analyses of three Activities of Daily Living (ADL) tasks. RC repair is a standard procedure known to alleviate pain, weakness, and stiffness, with improvements of decreased pain and increased range of motion (ROM). Eight (8) subjects (63.6 ± 6.3) with a supraspinatus RC tear participated in …

Wording Matters: The Impact Of Disability Identification In Post-Secondary Education, Jacqueline Marie Love

Theses and Dissertations

Background. The prevalence of students with disabilities (SWD) in postsecondary education has increased over the last 30 years. Moreover, the literature suggests that prevalence statistics may be gross underestimations since large percentages of students have not disclosed their disability to the university they attend. This could have significant negative outcomes. When students do not disclose, the university is less able to accommodate their individual academic needs, resulting in poor academic achievement and even failure to obtaining a degree. Inaccurate identification of SWD also impacts the accuracy of demographic information used to interpret educational research, inform educational policy and can erode …

Using Photovoice To Understand The Meaning Of Social Participation As It Impacts Transitions For Student Veterans, Caitlin Gene Dobson

Theses and Dissertations

Student veterans encounter a variety of social pressures that civilian students do not, making the transition from military life to student civilian challenging. The issue of military personnel transitioning to roles as student veterans is one that is relevant to occupational therapy, as the profession promotes social participation as a meaningful occupation. It has been found that veterans find social relationships to be a critical challenge in the process of transitioning to the university and the civilian world (Plach & Haertlein Sells, 2013).

Additionally, this issue is important to occupational therapy as a factor in promoting mental health. Mental health …

What Influences School-Based Occupational Therapists’ Decision-Making? A Qualitative Study, Cynthia Helen Clough

Theses and Dissertations

Background: Occupational therapists in school-based practice make daily service delivery decisions about when, where, and how to provide interventions to children with disabilities. The services provided by these occupational therapists have the potential to support or limit a child’s access to general education curriculum and environments which, in turn, impacts vocational, financial, social, and community life outcomes. Service delivery decisions about pulling children out of classrooms, pushing services into classrooms, and / or providing consultation are made based on the ways therapists define and differentiate their role from that of other school personnel, how they interpret Individual Education Plans for …

Examining The Lived Experience Of Caregivers Learning A Home Program From A Pediatric Occupational Therapist, Michelle Finet

Theses and Dissertations

The purpose of this study was to examine the lived experiences of family caregivers as they learned a home program from an occupational therapist for their child. Gaining information from the caregiver on experiences with patient education may enable therapists to develop an understanding of the needs of caregivers during the educational process that occurs when a therapist is giving the caregiver a home program. Meeting the learning needs of the caregivers may possibly reduce the amount of overall therapy needed by the child. This phenomenological approach sought to answer the following research questions: (a) what are the lived experiences …

Video Modeling To Increase Interaction For Children With Autism Spectrum Disorder In A Museum Setting Using An Application On A Tablet, Bethany Miota Miota

Theses and Dissertations

The purpose of this thesis was to perform an exploratory study to determine if the ScanDo! app intervention is an assistive technology that increases interaction for children with Autism Spectrum Disorder (ASD) in a museum setting. The ScanDo! app intervention presented a video demonstration that modeled the interaction for each learning station by scanning the QR code attached to the station. Using a naturally occurring baseline single-subject design with ABA and reversed ABA phases, two children with ASD and their parents visited the grocery store exhibit at a children’s museum. Observers of the trials and questionnaires completed by parents before …

A Feasibility Study Of Using Headspace For Mindfulness Among Individuals Undergoing Surgical Repair Of The Rotator Cuff, Hanna Rae Paul

Theses and Dissertations

Mindfulness-based interventions (MBIs) have been found to help reduce psychological distress and pain in chronic musculoskeletal conditions. However, very limited evidence exists determining the impact of mindfulness on psychological distress and pain in acute musculoskeletal conditions including rotator cuff tears. Among individuals undergoing surgical repair of a rotator cuff tear, it is not clear how mindfulness may be combined with usual care, given the requirement of intense training as part of frequently used MBI protocols. The purpose of the present study was to determine if it was feasible to combine Headspace, a mobile application for mindfulness training that can be …

Ipad Application For Pain Assessment In Youths With Developmental Disabilities And Complex Communication Needs, Alyssa Rose Guard

Theses and Dissertations

Aims: Development of a new pain assessment for youths with communication challenges. The Guard-Putzer Pain Assessment Domains (gPAD) for the iPad was designed and tested as a more universally accessible way for youths, ages 7-to-12 years, with a developmental disability (DD) to express their private pain experiences through self-report. Methods: A two-phase process developed the design for an app, created an interactive prototype, and tested its face validity and user interface. This work included a review of current assessments and pain apps as well as completed a survey to obtain descriptive data on clinical practicality of the gPAD. Fifteen occupational …

Survey Of Assessing Pain In Clinical Practice And Applicability Of A New Assessment, Michelle Rose Konz

Theses and Dissertations

ABSTRACT

SURVEY OF ASSESSING PAIN IN CLINICAL PRACTICE AND APPLICABILITY OF A

NEW ASSESSMENT

by

Michelle Konz

The University of Wisconsin-Milwaukee, 2016

Under the Supervision of Professor Joyce Engel, PhD

Aims The purpose of this study is to identify pain assessments that are being used to measure an individual’s pain experience and to discover how occupational therapists are currently assessing pain in youths who have complex communication needs with a developmental disability (DD). Methods Phase 1: A literature review was conducted through the use of electronic databases to research 17 different methods of pain assessment to create descriptive charts to …

Translating Modified Ashworth Scale Into Functional Measures And Quantitative Kinematic Values: A Pilot Study, Patrick Frigge

Theses and Dissertations

TRANSLATING MODIFIED ASHWORTH SCALE INTO FUNCTIONAL MEASURES AND QUANTITATIVE KINEMATIC VALUES: A PILOT STUDY

by

Patrick D. Frigge

The University of Wisconsin-Milwaukee, 2016

Under the Supervision of Professor Ying-Chih Wang, PhD

Introduction: Spasticity is a motor disorder characterized by a velocity-dependent increase in tonic stretch reflexes. The gold standard for assessing spasticity in stroke patients is the Modified Ashworth Scale (MAS), but the scale is highly subjective to the clinician’s opinion and previous experience and lacks psychometric fidelity. Numerous studies have criticized the scale’s subjectivity and lack of rater reliability. Development of a quantitative spasticity device in routine clinical care …

The Effects Of Applied Grip Force, Frequency And Duration On Ratings Of Perceived Exertion, Jessica Lynne Gall

Theses and Dissertations

This study investigates the interactions of various combinations of frequency and duration that result in the same duty cycle at a given applied grip force (measured in % maximum voluntary contraction (MVC)) to determine their relative effect on perceived exertion. Eight female subjects (median age 20.5 years) performed 27 randomized trials containing combinations of dynamic grips, performing each combination twice. Each session contained three 25 minute trials, with a minimum of 12 minutes of rest between trials. The design used a 3x3x3 factorial protocol: i) 3 grip forces (10%, 25%, 40%) ii) 3 duty cycles (25%, 50%, 75%) iii) 3 …

Upper Extremity Kinematic And Kinetic Comparison Of Anterior Versus Posterior Walkers During Functional Activities In Children With Cerebral Palsy, Chris Burckardt

Theses and Dissertations

Introduction: Investigating the differences in upper extremity (UE) joint biomechanics between anterior and posterior walkers has been explored in limited contexts, even though research has shown that prolonged use of walking aids can lead to UE joint weakening or musculoskeletal injuries. Recent studies have investigated some of these differences in children with spastic diplegic cerebral palsy (CP) during gait; however, no research has been conducted that compare these UE joint biomechanical differences during functional activities or activities of daily living (ADLs). The aim of this study is to use motion analysis to compare kinematic and kinetic differences between anterior and …

Determining Accessibility For Ios Applications: Piloting A Checklist For Practitioners, Katelyn White

Theses and Dissertations

Background: Mobile technologies have infiltrated every part of daily life, including the school system. While these technologies are highly customizable, there are 6.4 million children with disabilities who may not be able to utilize these devices because of their lack of accessibility. The iOS Application Accessibility Checklist (iA2C) is a “first of its kind” tool, used to determine if an iOS app is accessible for users with a variety of disabilities.

Hypothesis: When using the iA2C, novice users with little experience in accessible design will determine apps to have a statistically similar number of accessibility features as experts, assessing the …

Improving Mental Health Literacy: A Single-Subject Design Experiment Examining The Effects Of Text Messaging On Adolescent Mental Health Literacy, Emma Coffman

Theses and Dissertations

The purpose of the study is to determine the feasibility of delivering a text-based mental health literacy intervention for adolescent children who have family members with mental illness. The effectiveness of the text message intervention was measured using a single subject, multiple baseline study design. Each participant received three text messages per week for a total of 6 weeks, containing information regarding mental illness, managing crisis, resources, stigma, and assertiveness. The subjects were evaluated using qualitative and quantitative measures at multiple periods throughout the study. Assessments utilized include: Schizophrenia Vignette quiz developed by Jorm et. al. (1997), Perceived Stress Scale-14(PSS-14) …

Development And Testing Of An Occupational Therapy Intervention To Promote Medication Adherence, Jaclyn K. Schwartz

Theses and Dissertations

Many persons with chronic health conditions fail to take their medications as prescribed, resulting in declines in health and function. Unfortunately, current interventions for medication nonadherence are not very effective. Medication adherence is a daily activity, which many occupational therapists believe would be responsive to occupational therapy intervention. Unfortunately, few resources support occupational therapists in this role. The purpose of this dissertation is to create the foundational work for occupational therapy medication adherence interventions. In this dissertation, I accomplish five objectives. First, I identify the role of occupational therapy practitioners in the medication adherence field. Second, I create a manualized …

Biomechanical Joint Demands And Functional Outcomes During Manual Wheelchair Use In Pediatric Patients With Spinal Cord Injury, Christine M. Aurit

Theses and Dissertations

The biomechanical demands of the upper extremities (UEs) during pediatric manual wheelchair (MWC) use have not been fully explored. Children who use MWCs for mobility engage in a range of functional activities that may place large biomechanical demands on the UEs leading to a high risk on overuse injuries. This study aims to analyze the kinematics and kinetics of pediatric manual wheelchair use during propulsion, starting, stopping and weight relief tasks. Fourteen pediatric patients with spinal cord injury were recruited and data were collected using a 14-camera Vicon MX motion analysis system (Oxford Metric Group, Oxford, UK) and a SmartWheel …

Effect Of Accessibility Information On Restaurant Selection Of Consumers With Disabilities, Rachael Nicole Baumann

Theses and Dissertations

OBJECTIVE: The study addressed the research question, "How does accessibility information about restaurants affect the diversity of restaurant choices for people with disabilities compared to others who only have general review information about restaurants?" The literature describes that people with disabilities experience limited participation in community activities. One community activity is dining out at restaurants. It is hypothesized that the availability of accessibility information will diversify restaurant choices, as it would minimize the risk of encountering unforeseen barriers that enable them to prepare for ones that they anticipate.

METHOD: Participants (N-14), half with disabilities and half without disabilities, selected dining …

Two Single-Subject Experiments Of An Ipad Protocol When Training Special Education Professionals In Video Modeling, Alyssa Schmitz

Theses and Dissertations

Objective: This research was conducted to determine if an iPad training protocol using a teach-back strategy can feasibly be used in an educational setting and to determine if measures of use and technology perception are appropriate outcome measures. The studies were carried out in Wauwatosa, Wisconsin school district and involved two elementary level special education teachers. Utilizing single-subject methodology, two studies were carried out, including one study in which a subject received iPad training protocols and completed them independently and one study in which another subject received the same iPad training protocols combined with a teach-back strategy. The teach-back strategy …

Factors Associated With College Students' Excessive Alcohol Consumption Within The Occupational Therapy Practice Framework: An Epidemiological Analysis, Beom-Young Cho

Theses and Dissertations

OBJECTIVE: The purpose of this study was to estimate the relative influence of predictor variables on excessive alcohol consumption among college students for providing effective prevention and intervention. Also, this study suggests the roles of occupational therapy in Health promotion and Well-being. METHOD: The data from 7,166 college students (3,176 males, 3,990 females) aged between 18 - 25 years from the 2012 National Survey on Drug Use and Health (NSDUH) conducted by the US Department of Health and Human Services was used. Two criterion variables, binge drinking and heavy drinking, were used as indicators of excessive alcohol consumption. There were …

Potential Benefits And Withdrawal Effects Of Cranial Nerve Non-Invasive Neuromodulation On Functional Mobility For Individuals With Traumatic Brain Injury, Kati P. Liegl

Theses and Dissertations

Objective: Document and describe benefits and withdrawal effects of the Cranial Nerve Non-Invasive Neuromodulation (CN-NINM) intervention.

Background: Neuromodulation techniques can be used for the treatment of many diagnoses and conditions. Many current neuromodulation techniques have or can have negative consequences such as high cost, risk of surgical complications or infections, effects not lasting without the drug or stimulation presence, and need for medical experts' direct oversight. A new rehabilitation intervention called CN-NINM may eliminate these negative factors, making it a promising tool for clinicians and participants. CN-NINM combines targeted training activities with mild, portable, electrical stimulation of the tongue to …

Feasibility And Preliminary Outcomes From A Pilot Study Of The Smile Curriculum For Mother-Infant Co-Occupational Engagement And Maternal Self-Efficacy, Emily Whitlock

Theses and Dissertations

OBJECTIVE: To report on the feasibility and preliminary outcomes from a pilot study of the SMILE curriculum, a new educational program designed to enhance the mother-infant relationship by focusing on improvement of co-occupational engagement within daily routines.

METHOD: Six mothers, each with an infant diagnosed with special medical needs who received services in a local birth-to-three program, participated in an exploratory design study. Each mother was assigned to a SMILE curriculum intervention group or a waiting-list control group. Mothers were evaluated pre- and post-intervention using the Perceived Maternal Parenting Self-Efficacy (PMP-SE) Scale for measurement of maternal self-efficacy and the Center …

Measuring Outcomes Of Rehabilitation Among Persons With Upper Extremity Traumatic Injuries, Jamie Carl Grede

Theses and Dissertations

Grip strength is frequently measured to determine outcomes of rehabilitation among people with upper extremity traumatic injuries (UETIs). UETIs also affect rate of force-production during an isometric grip. However, we do not have a reliable and valid measure for detecting these force changes. The purpose of this study was to determine the validity and responsiveness, i.e. ability to detect change, of the Force-Time Curve (F-T Curve) to determine rate of force production. Twenty people with UETIs undergoing rehabilitation were recruited to participate in this study. Using an electronic Jamar dynamometer, each participant performed three maximal isometric grips, each lasting 10 …