Medicine and Health Sciences Commons^™

Grip Strength, Multimorbidity, And Disability, Amy M. Yorke

Dissertations

The presence of two or more chronic health conditions, also known as multimorbidity, is one of the most prevalent health disorders experienced by adults. Adults with multimorbidity and functional limitations represent clinical and financial challenges to the current health care system. The purpose of this three-paper dissertation is to examine the relationship between grip strength, multimorbidity, and the prediction of disability in adults. Data from the 2008 Health and Retirement Study (HRS), a nationally representative, longitudinal study completed on Americans age 50 years and over, are used for the dissertation.

The objective of the first paper is to investigate the …

The Impact Of Companion Animals On Social Capital And Community Violence: Setting Research, Policy And Program Agendas, Phil Arkow

The Journal of Sociology & Social Welfare

The term social capital has been used to describe the networks and other forces that build social cohesion, personal investment, reciprocity, civic engagement, and interpersonal trust among residents in a community. With the exception of three Australian reports describing positive associations between companion animal ownership and social capital, the literature has neglected to include the presence or absence of companion animal residents of communities as factors that could potentially affect social capital and serve as protective factors for community well-being. Companion animals are present in significantly large numbers in most communities, where they have considerable economic impact and provide emotional …

Picturing Life, Molly Bathje

The Open Journal of Occupational Therapy

The cover art of the summer 2013 issue of The Open Journal of Occupational Therapy provided by Jonathan Darnall reflects his unique life perspective, current roles, and values. An exploration of Jon’s life experience reveals how creative arts, including photography, have positively influenced his life and inform OT practitioners about the benefits of photography as an intervention and an occupation.

Enhancing Client-Centeredness In Parkinson's Disease Care: Attending To The Psychosocial Implications Of Lived Experience, Jeffrey D. Holmes, Sara Lutz, Mike Ravenek, Debbie L. Rudman, Andrew M. Johnson

The Open Journal of Occupational Therapy

Evidence-based practice requires that clinicians interpret the best research evidence in the context of their clinical experience, while at the same time considering client knowledge and experiences. Although clinicians are becoming increasingly skilled at the evaluation of research evidence, the evidence-based practice process often neglects client values and self-identified health issues. Ignoring these key aspects of client-centered practice may lead to interventions that fail to target the implications of a client’s disease that are important to occupational participation and quality of life (QOL). A focus on client-centeredness is particularly important in progressive neurodegenerative disorders, such as Parkinson’s disease, where there …

Use Of Participant-Generated Photography In A Research Contribution Course, Maryellen Thompson

The Open Journal of Occupational Therapy

This paper describes the use of small, qualitative studies focused on interviews done with participant-generated photographs as an effective and efficient way of teaching research to entry-level masters students. A comparison of using time-use diaries vs. participant-generated photography is presented to explicate the research process and demonstrate the advantages of using photography, including ease of data collection and data sharing. Over a three-year period of using participant-generated photographs as a guide for semi-structured interviews, students have consistently expressed enjoyment of the research process and increased empathy with their research participants.

Therapists As Educators: The Importance Of Client Education In Occupational Therapy, Kate E. Decleene, Angelia J. Ridgway, Julie Bednarski, Lori Breeden, Gina Gabriele Mosier, Deborah Sachs, Donna Stephenson

The Open Journal of Occupational Therapy

Client education is a major component of everyday health care practice. Entry-level occupational therapy (OT) accreditation standards require educators to teach students how to demonstrate the ability to educate clients, family, caregivers, and significant others to facilitate their skills related to personal occupations. Although these standards are a necessity, entry-level programs are not required to teach students the teaching methodologies that support human learning. However, the educational standards do require students to apply the principles of teaching and learning processes. This project explored the evidence in teaching and learning strategies and how these were introduced to OT students during their …

Children With Developmental Disabilities And Their Motivation To Play, Lindsey Askins, Brittany Diasio, Dagmara Szewerniak, Susan M. Cahill

The Open Journal of Occupational Therapy

The purpose of this qualitative study was to examine how and when children with developmental disabilities aged nine to 12 years spontaneously demonstrated play behaviors indicative of intrinsic motivation. Data was collected from six child participants and four parent participants through the use of the Pediatric Volitional Questionnaire (PVQ) and semi-structured photo-elicitation interviews. Overall, the children who participated in this study sought out play experiences with which they were familiar in their natural environments. Specifically, they sought out experiences that afforded them the opportunity to exercise control over their environment and create a sense of predictability. Each of the children …

Stakeholder Recommendations To Refine The Fitness-To-Drive Screening Measure, Sherrilene Classen, Sandra M. Winter, Craig A. Velozo, Elizabeth M. Hannold, Jason Rogers

The Open Journal of Occupational Therapy

In developing the web-based Fitness-to-Drive Screening Measure (FTDS) and keyform (results output) for use to identify at-risk older drivers, we examined the needs, perspectives, and suggestions of three stakeholders groups: occupational therapy practitioners, certified driver rehabilitation specialists (CDRSs), and family members/caregivers. We conducted three focus groups, which were moderated, recorded, transcribed, and analyzed using directed content analysis. Respondents in two focus groups also rated FTDS aspects (e.g., ease of use, format, and relevance), using a visual analog scale (VAS, 0-10 scale with 10 being excellent). All three stakeholder groups contributed to the development of the web-based FTDS. Results from occupational …

Indicators Of Simulated Driving Skills In Adolescents With Autism Spectrum Disorder, Sherrilene Classen, Miriam Monahan, Stephanie Hernandez

The Open Journal of Occupational Therapy

Adolescents are at high risk for motor vehicle crashes (MVCs). Teens with autism spectrum disorder (ASD) may have an even greater risk for MVCs due to impaired visual, cognitive, and motor skills critical for driving. This prospective two group study demonstrated the demographic, clinical, and simulated driving skill differences of seven adolescents with ASD (mean age = 15.14, SD ±1.22) compared to 22 healthy controls (HC) (mean age = 14.32, SD ±.72) through a comprehensive driving evaluation (CDE) conducted by an occupational therapist certified driving rehabilitation specialist (OT-CDRS). Adolescents with ASD performed poorer on right eye …

Trading In Our Paradigm Shifts For A Staircase, Diane Powers Dirette

The Open Journal of Occupational Therapy

No abstract provided.

Expressing, Responding, Protecting, And Inspiring Through Art, Molly Bathje

The Open Journal of Occupational Therapy

Margy Hunter, MS, MA, LLP, OTR/L, created the cover of the Spring 2013 issue of The Open Journal of Occupational Therapy. She created this untitled work as a personal reflection on the impact of war on individuals and society, as well as on the history of the profession of occupational therapy (OT), which began in response to military service members’ needs. Also embedded in the creation of this piece are the restorative benefits of participation in creative arts for OT practitioners who deliver services to patients experiencing profound life changes. Additionally, this article explores the artists’ use of art …

Is Constraint Induced Movement Therapy (Cimt) Being Used?, Veronica T. Rowe, Katherine Banks

The Open Journal of Occupational Therapy

No abstract provided.

Preparing Occupational Therapy Students For The Complexities Of Clinical Practice, Lisa J. Knecht-Sabres, Mark Kovic, Minetta Wallingford, Lavonne Ellen St.Amand

The Open Journal of Occupational Therapy

This paper examined the effect of a unique amalgam of adult learning methodologies near the end of the occupational therapy (OT) students’ didactic education as a means to enhance readiness for clinical practice. Results of quantitative and qualitative data analysis indicated that the use of standardized patients, in combination with a sequential, semistructured, and progressively challenging series of client cases, in an OT adult practice (intervention) course, improved the students’ self-perception of their level of comfort and skill on various foundational, yet essential, OT-related competencies.

Teaching Effectiveness: Preparing Occupational Therapy Students For Clinical Practice, Jane C. Obrien, Scott D. Mcneil

The Open Journal of Occupational Therapy

Medical educators must examine the ability of teaching methodologies to prepare students for clinical practice. Two types of assessment methods commonly used in medical education include the Short Objective Structured Clinical Examination (OSCE) and the Integrated Performance Procedural Instrument (IPPI). The use of these methods in occupational therapy (OT) education is less understood. With the increasing number of students enrolled in programs, faculty face challenges to examine how clinical competence is established using data to determine teaching effectiveness. This study examines two educational methodologies used in OT curriculum: the long written case study (IPPI) and short performance-based OSCE. The authors …

Grip And Pinch Strength Norms For Michigan Workers, Joel M. Phillips, Debra K. Lindstrom-Hazel, Samantha Harrow Swantek, Erin Courtnay Catalano

The Open Journal of Occupational Therapy

The purpose of this study was to create a norm reference of current grip and pinch strength norms for working-age Michigan adults. This normative study included a convenience sample of 179 volunteers who were employees at car plants in South East Michigan or hospital sites in West Michigan. Participants’ ages ranged from between 20 and 62 years of age with a mean age of 49.15 years. There were 78 females (44%) and 101 males (56%). Subjects were classified by gender and in the age categories of ages 20 to 49 years and ages 50-62 years. Grip and pinch strength norms …

Letter From The Editor: Let’S Talk About Function, Diane Powers Dirette

The Open Journal of Occupational Therapy

No abstract provided.

Impact Of Participating In A Short-Term Intervention Model Of Sports Education Camps For Children With Visual Impairments, John Michael Mcmahon

Dissertations

This three-paper format dissertation explores three topics relevant to participating in a short-term model Sports Education Camp for youth with vision impairments. The three papers are independent studies, yet build upon each other by first measuring physical performance in certain skills, then exploring their levels of self-perception, body mass index, and level of physical activity in their local communities, and finally describing the population of participants at various points over a 25-year period. Papers one and two examined differences in pre- and post-camp measures for first-time and repeat participants, with the first paper focusing on physical performance, and the second …

An Examination Of Executive Function, Mild Cognitive Impairment And Fall Risk In Community Dwelling Older Adults, Jennifer A. Blackwood

Dissertations

The aim of this three-paper dissertation was to examine the relationship between fall risk, executive function (EF) and mild cognitive impairment (MCI) in community dwelling older adults. Papers one and two describe how mild changes in cognition influence performance on four measures of fall risk, the Five Times Sit to Stand Test (FTSTS), usual gait speed, the Timed Up and Go (TUG) test, and the Activities Specific Balance Confidence Scale (ABC) in a group of community dwelling older adults. The third paper describes if participation in a progressively challenging domain specific computerized cognitive training intervention influenced performance on measures of …

A Content Analysis Of Music Therapy Theses And Dissertations From 2000 To 2012 From Amta Approved Graduate Programs, Liisa G. Flores

Masters Theses

The purpose of this content analysis was to categorize, code, and analyze trends related to graduate music therapy theses/dissertations completed from the year 2000 to 2012. Information was gathered related to what American Music Therapy Association (AMTA) approved schools have graduate programs and how many students have graduated from these institutions. Research questions addressed in this study were to determine (1) who were the thesis/dissertation advisors for students, (2) what was the type of goal for the research, (3) what types of studies were completed, and (4) what populations were studied.

Results included 35 schools offering graduate music therapy degrees. …

Expressing Emotions Through Participation In Painting, Molly Bathje

The Open Journal of Occupational Therapy

The cover of the Winter 2013 Open Journal of Occupational Therapy, titled Miles eMOTION, was created by Miles Scharfenberg, an 18-year-old young man with multiple developmental impairments. Miles’ story and his artwork provide a reflection on the ways in which creativity and art can enhance the lives of people with disabilities and their families. Miles’ art exists because of his drive toward engagement and participation in life, but also essential is his mother’s commitment to providing opportunities for him to be creative. The Miles eMOTION series of paintings can inspire occupational therapists, families, caregivers, and people with disabilities to …

Online Learning Of Safe Patient Transfers In Occupational Therapy Education, Cynthia L. Hayden

The Open Journal of Occupational Therapy

Online higher education is steadily increasing. For programs in allied health to be offered effectively in an e-learning format, clinical psychomotor skills need to be addressed. The aim of this research was to design, implement, and evaluate an online safe patient transfers module for occupational therapy assistant (OTA) students. The efficacy of teaching safe patient transfers in an e-learning environment was appraised using both quantitative and qualitative analysis. The applied research project was completed at a Tennessee community college. A convenience sample of eighteen students participated in the pilot study. Twenty-five students participated in the subsequent study. The instructional design …

The Training And Use Of Service Dogs In Occupational Therapy Education, Mary Isaacson

The Open Journal of Occupational Therapy

The purpose of this study is to describe the role of occupational therapy fieldwork students in the training of service dogs. Ethnography is an approach that strives to explore and describe the point of view of people. Ethnographers view the researcher as an instrument to gain insight into the subject. This researcher utilized her own experiences as an occupational therapist, an occupational therapy educator, and as a volunteer dog trainer of service dogs. She then validated the process through interviews with key informants. The results indicate that occupational therapists and occupational therapy students are capable of playing a significant role …

International Occupational Therapists Continuing Education Needs And Opportunities: A Survey, Husny Amerih

The Open Journal of Occupational Therapy

Occupational therapists (OTs) are expected to maintain up-to-date knowledge and clinical competence by engaging in continuing professional education (CPE). The objective of this research was to obtain information on CPE needs and opportunities in developed and developing countries. A survey was created and emailed to 520 OTs in various countries, asking questions about CPE requirements, opportunities, and the avenues of CPE available to OTs. One hundred-nineteen OTs from 17 different countries responded. Of the 119 OTs, 28 practice in developing countries and 91 practice in developed countries. Thirty-nine percent of the OTs in developing countries stated that they have certain …

An Evaluation Of The Potential Effectiveness Of A Tai Chi Program For Health Promotion Among People With Severe Mental Illness, Ann M. Chapleau, Diane Powers Dirette

The Open Journal of Occupational Therapy

In response to the significant health disparities among persons with severe mental illness (SMI), this pilot study was developed to evaluate the potential effectiveness of a Tai Chi program provided to adults who are members of a psychosocial clubhouse program. A non-randomized, controlled pretest-posttest design was used, and qualitative data from a program evaluation survey is shared to provide insight into the strengths and limitations of this explorative study. A simplified, beginner-level Tai Chi program was provided twice a week for 12 weeks. Changes in cardiac and pulmonary function and perceived quality of health were measured. Results support the potential …

Functional Improvement In Older Adults After A Falls Prevention Pilot Study, Pei-Fen J. Chang, Yong-Fang Kuo

The Open Journal of Occupational Therapy

Falls are a costly, disabling, and life-threatening risk in the elderly. Improvements in physical function, balance, lower extremity strength, and health-related quality of life are hypothesized to help mitigate fall risk. In this pilot study, six women and men with an average age of 81 years participated in a 6-week exercise and education program created to reduce risk of falls. Evaluations were made at baseline and at 6 weeks on four tests: the Functional Status Questionnaire, the Berg Balance Scale (BBS), the Six-minute Walk Test, and the World Health Organization Quality of Life–BREF 26-question test. Scores indicated significant improvement in …

A Survey To Determine The Reliability Of Dynamometer And Pinch Gauge Dial Readings Among Certified Hand Therapists, Theodore I. King Ii

The Open Journal of Occupational Therapy

Using a cross-sectional descriptive study design, surveys were mailed to 200 randomly selected certified hand therapists of the American Society of Hand Therapists (ASHT) to determine how they document analog dynamometer and pinch gauge dial readings. Three different needle settings for the dynamometer and pinch gauge were presented in picture format. For each instrument, one needle setting was just above a gauge marker, one was just below a gauge marker, and one was set exactly between two gauge markers. A total of 126 out of 200 surveys were returned for a participation rate of 63%. For the dynamometer readings, therapists …

Letter From The Editor: The Importance Of Frames Of Reference, Diane Powers Dirette

The Open Journal of Occupational Therapy

No abstract provided.