Medicine and Health Sciences Commons^™

Exploring Wheelchair Service Delivery In A Dedicated Seating Department, Cara E. Masselink

Dissertations

This study is a series of three studies aimed at exploring wheelchair service delivery in a department of physical and occupational therapists dedicated to wheelchair seating. The three studies utilized a retrospective analysis to investigate the clinical documentation written by the practicing clinicians between 2007 and 2017. The first study aimed to describe the wheelchair and accessory recommendations made in the 11-year period, in relationship to age and gender. The majority of recommendations in the dedicated seating department were for complex wheelchairs. The results indicated the ratio between standard and complex power mobility devices and four complexities of cushions changed, …

Facilitating The Creative Process Through Collaboration, Jennifer K. Fortuna

The Open Journal of Occupational Therapy

Miles Parker Scharfenberg, an artist based in Richland, Michigan, provided the cover art for the Fall 2019 edition of The Open Journal of Occupational Therapy (OJOT). “Late Night Fireworks” is a 30” x 40” painting made from acrylic on canvas. Born 15 weeks premature, Miles’ multiple health impairments have made it difficult to engage in meaningful occupations, such as painting. With support from his mother, Carol; occupational therapy students; and members of the community; Miles creates colorful abstract expressionist paintings. Collaboration is part of his creative process. In this fifth anniversary issue of OJOT, Occupation and the Artist is following …

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 …

Occupational Therapy’S Work And Industry Area Of Practice: Content In Entry-Level Professional Occupational Therapy Curricula: A Survey, Thomas F. Fisher

The Open Journal of Occupational Therapy

The Occupational Therapy Practice Framework: Domain and Process identifies work as an area of occupation that has long been recognized by the profession as an area of practice. This study identified how entry-level professional occupational therapy programs meet educational standards required by the Accreditation Council for Occupational Therapy Education for educational programs. Standards identified were those that relate to the area of work and industry practice. One hundred and sixty-seven program directors were invited to participate in a survey directed at work and industry occupational therapy practice. Items on the survey related to content taught in their entry-level occupational therapy …

Evaluation And Treatment Of Musicians From A Holistic Perspective, Annie Ting, Janice Rocker

The Open Journal of Occupational Therapy

Throughout the past 3 decades, treatment of injured musicians in a health care setting has been reported; however, the quality of care from a musician’s standpoint is poor. As musicians are speaking up more about their pain, the profession of occupational therapy has the capacity to make an impact on the way musicians are treated from a rehabilitative perspective. Musicians often do not trust medical practitioners who follow the traditional medical model because their symptoms and concerns are not addressed. Occupational therapists, especially those working in the realm of hand rehabilitation, are well equipped to treat injured musicians using our …

Effect Of Verbal Directions On Grip Strength Evaluated Using The Handheld Dynamometer, Laura Walsh, Marie-Christine Potvin

The Open Journal of Occupational Therapy

Background: Grip strength measurement using the handheld dynamometer is a key aspect of the evaluation of an upper extremity injury. The handheld dynamometer manufacturer has established research-based guidelines outlining body positioning during grip strength measurement. However, verbal direction guidelines, while provided, have not yet been shown to be most effective through research. This study seeks to determine whether the use of one of two types of verbal directions, with and without encouragements, resulted in greater grip strength as measured by the handheld dynamometer.

Method: The grip strength of healthy females (n = 60) was compared using two sets of prerecorded …

Use Of Standardized Assessments And Online Resources In Stroke Rehabilitation, Susan H. Lin, Pamela R. Bosch, Veronica T. Rowe, Susan E. Fasoli, Jeanne Langan

The Open Journal of Occupational Therapy

Background: The extent to which movement-related standardized assessments and online resources are used in stroke rehabilitation is unclear in the United States.

Method: The researchers used a cross-sectional descriptive survey that examined (a) therapists use of movement-related standardized assessments, (b) factors influencing learning of new assessments, and (c) use of frequency of online resources by occupational therapists and physical therapists in the United States.

Results: Of 151 respondents (46.4% occupational therapists, 53.6% physical therapists), the most frequently used movement-related assessments by occupational and physical therapists were the Berg and Fugl-Meyer Assessment, respectively. More physical therapists use motor-related …

Health Management: Occupational Therapy’S Key Role In Educating Clients About Reliable Online Health Information, Amy Armstrong-Heimsoth, Melissa L. Johnson, Meredith Carpenter, Tincey Thomas, Ashley Sinnappan

The Open Journal of Occupational Therapy

Background: Only 12% of Americans possess proficient health literacy skills. Among those with the lowest health literacy are individuals with chronic health conditions. Occupational therapists are well prepared to assist these clients with health literacy, given our roles in teaching new health management skills and health promotion.

Methods: An educational course was designed and taught to over 100 individuals and caregivers with chronic health conditions to assist in finding and determining trustworthy health information online. An author designed pre postsurvey was used to evaluate effectiveness.

Results: There was a significant pre-post change in four categories: finding quality …

Productivity Standards And The Impact On Quality Of Care: A National Survey Of Inpatient Rehabilitation Professionals, Leslie E. Bennett, Vanessa D. Jewell, Linda Scheirton, Molly Mccarthy, Brittney C. Muir

The Open Journal of Occupational Therapy

Background: Skyrocketing health care costs have resulted in significant changes to reimbursement rates in health care. The result has increased pressure to be as efficient as possible while maintaining high-quality care. The purpose of this exploratory study was to examine health care professionals’ perceptions on whether and how productivity pressures have impacted the quality of care in therapy practice.

Method: A survey was disseminated nationally to inpatient rehabilitation facilities.

Results: Two hundred and fifty-seven surveys were opened. Of these completed surveys, 154 participants completed the closed-ended questions and 109 participants completed the open-ended questions. Outcomes indicated that …

Yoga And Autism: Students’ Perspectives On The Get Ready To Learn Yoga Program, Lauren E. Milton, Selena Bantel, Kayelee Calmer, Marlee Friedman, Elizabeth Haley, Lauren Rubarts

The Open Journal of Occupational Therapy

Background: Yoga, a complementary health approach known for various therapeutic effects, is used with diverse populations, including students ASD. Limited evidence exists inclusive of the first-hand perspective of students with ASD who participate in yoga. The purpose of this study is to understand the perspective of students 10 and 14 years of age with ASD who participated in a portion of the GRTL yoga program as part of a physical education class.

Method: Using a qualitative design, this study examined the student perspective on the GRTL yoga program. A convenience sample of seven male participants between 10 and …

Use Of The Star Process For Children With Sensory Processing Challenges, Sarah A. Schoen, Lucy Jane Miller, Stephen Camarata, Andrea Valdez

The Open Journal of Occupational Therapy

Background: This study examined the effectiveness of the STAR PROCESS, an intensive, short-term intervention that combines principles of sensory integration, relationship-based therapy, and parental-therapist collaboration for children with sensory processing challenges.

Method: A nonconcurrent multiple baseline, repeated measures design was used. Four boys, aged 5 years 0 months to 7 years 9 months, participated in this study. The mean length of intervention was 22 sessions delivered 3 to 5 times per week. A behavioral coding system was used to measure change in four areas: play level, positive affect, joint attention, and novel use of equipment. The theory of …

Effects Of Maternal Views And Support On Childhood Development Through Joint Play, Amiya Waldman-Levi, Sherraine Grinion, Laurette Olson

The Open Journal of Occupational Therapy

Background: Playful interactions draw a mother and child toward each other in positive ways; therefore, time spent in playful interactions with a responsive mother may be a developmental asset for a child. It is critical to examine how mothers support their children in joint play as well as their views of joint play.

Methods: This mixed-methods study consisted of 32 mothers and their typically developing children. The Parent’s/Caregiver Support of Young Children’s Playfulness, the Test of Playfulness, the Environmental Supportiveness Assessment, and seven open-ended interviews were used to assess joint play and maternal perceptions of this experience.

Results …

Effectiveness Of Two Keyboarding Instructional Approaches On The Keyboarding Speed, Accuracy, And Technique Of Elementary Students, Denise K. Donica, Peter Giroux, Young Joo Kim

The Open Journal of Occupational Therapy

Background: Keyboarding skill development is important for elementary students. Limited research exists to inform practice on effective keyboarding instruction methods.

Method: Using a quasi-experimental design, we examined the effectiveness of Keyboarding Without Tears® (n = 786) in the experimental schools compared to the control schools who used the district standard instructional approach of free web-based activities (n = 953) on improving keyboarding skills (speed, accuracy, and technique) in elementary students.

Results: The results showed significant improvements in keyboarding speed and accuracy in all schools for all grades favoring the experimental schools compared to the control schools. Significant differences in improvements …

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% …

From Manuscript To Article: The Ojot Publication Process, Diane Powers Dirette

The Open Journal of Occupational Therapy

No abstract provided.

Promoting Healing With Therapeutic Use Of Clay, Jennifer Fortuna

The Open Journal of Occupational Therapy

Alice McCall Smith, occupational therapist and artist based in North Carolina, provided the cover art for the Summer 2019 issue of The Open Journal of Occupational Therapy (OJOT). The piece, titled “Mother and Child,” is an 8-1/4” tall sculpture made from clay. Alice grew up on a hill sheep farm in the Scottish Highlands. She has used many of the skills learned on the farm in everyday life and in occupational therapy practice. After being diagnosed and treated for depression, Alice turned to sculpting to cope with challenging emotions. The therapeutic use of clay was a meaningful part of her …

They Said: International Occupational Therapy Perspectives On The Role Of Technology In Practice, Amy Wagenfeld

The Open Journal of Occupational Therapy

No abstract provided.

Community-Working Occupational Therapists Serving As Fieldwork Supervisors: Characteristics And Associated Factors, Tore Bonsaksen, Anne-Stine Dolva, Sissel Horghagen, Unni Sveen, Cathrine Hagby, Cathrine Arntzen

The Open Journal of Occupational Therapy

As enrollment numbers grow in occupational therapy academic programs in Norway, the need for more fieldwork placements and supervisors increases. More knowledge about factors of importance for occupational therapists’ decisions to take on the role of fieldwork supervisor may promote easier access to supervisors who are ready for the task, and it may assist in addressing the barriers for those who are not. We recruited a sample of 561 community-working occupational therapists for an electronic survey conducted in 2017. Quantitative survey responses were obtained and used in the current study. The differences between supervisors and non-supervisors were examined with independent …

A Preliminary Historical Report On Embracing Online Education In Occupational Therapy, Janel Anne Belarmino, Angela Bahle-Lampe

The Open Journal of Occupational Therapy

The relevance and popularity of online occupational therapy education have been increasingly recognized. This paper describes the historical development of online occupational therapy education. Findings revealed three shifts in occupational therapy education, namely shifts in perception, in mode of instruction, and in the roles of teachers and students. The inception of online education in occupational therapy was a product of technological advancement and the demand for improved access to occupational therapy online education. The early phase of occupational therapy online education was confronted with challenges related to hesitance in the development and implementation of online programs and to negative perceptions …

The Student Perspective On Role-Emerging Fieldwork Placements In Occupational Therapy: A Review Of The Literature, Mathew Lau, Michael Ravenek

The Open Journal of Occupational Therapy

Role-emerging fieldwork placements are increasingly being used in entry-level occupational therapy programs. However, published reviews have yet to focus on synthesizing the experiences and perspectives of students. This review aims to identify the opportunities, challenges, and future directions of role-emerging fieldwork placements based on the student perspective. A literature review using scoping review methods was conducted, including an electronic database search, hand-searching of journals, and citation tracking. Descriptive and thematic analyses of the articles were performed. Thirty articles were identified through the literature search. Themes that emerged related to opportunities were professional and personal development, independence and autonomy, client-centeredness, and …

Challenging The Status Quo: Infusing Non-Western Ideas Into Occupational Therapy Education And Practice, Wanda J. Mahoney, Anne F. Kiraly-Alvarez

The Open Journal of Occupational Therapy

The authors of this Topics in Education article, who are both occupational therapy educators, reflect on challenging concepts related to decolonizing occupational therapy education, an idea they first encountered at the 2018 World Federation of Occupational Therapists Congress. They acknowledge that Western views heavily influence the occupational therapy concepts they teach to their students. The downside of approaching occupational therapy education and practice primarily from a Western worldview is that occupational therapy students and practitioners may perpetuate societal inequities through their practices and are not well-prepared to address the occupational needs of individuals and communities around the world. This article …

Gardening As A Meaningful Occupation In Initial Stroke Rehabilitation: An Occupational Therapist Perspective, Grete Patil, Mona Asbjørnslett, Kristin Aurlien, Nina Levin

The Open Journal of Occupational Therapy

Background: Initial rehabilitation after stroke is demanding for patients whose primary aim is to regain their functions. The literature indicates that gardening may provide medical rehabilitation opportunities and health resources. This study explored occupational therapists’ own observations and descriptions on how participation in a gardening group may support inpatients’ initial rehabilitation following acute stroke.

Methods: The authors analyzed notes written by occupational therapists during a 6 month-period that reflected their observations and descriptions after sessions with a gardening group. The therapists were trained in stroke rehabilitation and offered two sessions with gardening groups per week. The sessions were …

The Use Of Cognitive Strategies Among People With Schizophrenia: A Randomized Comparative Study, Alona Kaizerman-Dinerman, Naomi Josman, David Roe

The Open Journal of Occupational Therapy

No abstract provided.

Establishing Similarities And Differences Among The Self-Reported Academic Integrity Of Australian Occupational Therapy Undergraduate And Graduate-Entry Master’S Students, Ted Brown, Helen Bourke-Taylor, Stephen Isbel, Louise Gustafsson, Carol Mckinstry, Alexandra Logan, Jamie Etherington

The Open Journal of Occupational Therapy

Background: Research into the prevalence of dishonest academic behaviors suggests that such behaviors may be extensive in higher education. This study investigated the academic integrity of Australian occupational therapy students and compared the perspectives of undergraduate (UG) and graduate-entry master’s (GEMs) students.

Method: Students from five Australian universities (701; response rate 35%; 72.5% female) completed five standardized scales: (a) Academic Dishonesty Scale; (b) Academic Dishonesty in the Classroom Setting Scale; (c) Academic Dishonesty in the Clinical/Practice Education Setting Scale; (d) Academic Dishonesty Tendency Scale; and (e) Perceived Academic Sources of Stress. One-way analyses of variance were conducted to …

Practical Actions Shaped By The Internal Structures Of Occupational Therapists’ Professional Identities, Risa Takashima, Kazuko Saeki

The Open Journal of Occupational Therapy

Background: This study aims to consider the internal structures of the professional identities that occupational therapists construct in clinical settings and to explore the differences of practices resulting from these structures.

Methods: In completion of this study, a qualitative methodology based on a grounded theory approach was employed. Semi-structured, individual interviews were conducted with 30 practicing occupational therapists in Japan. First, the internal structures in the participants’ professional identities were identified and typified. Second, the participants’ actions in their practices were analyzed.

Results: We identified three types of internal structures of professional identities. One type focused on …

The Impact Of Cognitive Functioning On Daily Occupations For People With Multiple Sclerosis: A Qualitative Study, Aoife Mc Auliffe, Sinéad M. Hynes

The Open Journal of Occupational Therapy

Background: Cognitive rehabilitation research in multiple sclerosis is ever-developing, but the impact of cognitive difficulties, seen in 40% to 80% of people, on daily occupations is not well known. The aim of this study is to explore the needs of people with MS who have self-reported cognitive deficits.

Methods: An exploratory qualitative descriptive research design was used. Data was collected through semi-structured telephone interviews with the participants. Recordings were transcribed and analyzed thematically.

Results: Seven participants were recruited (mean age 47). Three themes were developed through associations found in the data. “Neglected symptom” reported the participants’ frustrations …

Serving High-Risk Youth In Context: Perspectives From Hong Kong, Chi-Kwan Shea, Nancy Jackson, Christine Haworth

The Open Journal of Occupational Therapy

Background: High-risk youth are often defined in occupational therapy terminology as adolescents and young adults who experience personal, contextual, or environmental barriers to effective participation in healthy, age-appropriate occupations. Without assistance for participation, these youth may acquiesce to daily routines of unhealthy risk-taking or isolation, failing to achieve developmental milestones needed for successful transition to adulthood. There are known therapeutic services targeting this population, but occupational therapy involvements have been sparsely documented.

Method: Having been affiliated with a community-based occupational therapy program serving high-risk youth for many years in the US, the principal investigator of the study used …

Life After Losing An Adult Child To A Drug Overdose: A Kawa Perspective, Aaron Weis, Julie D. Kugel, Heather Javaherian-Dysinger, Jessica Nicole De Brun

The Open Journal of Occupational Therapy

Background: Limited research is available to occupational therapy practitioners focusing on parents’ abilities to cope with the loss of an adult child to a drug overdose. We examined the unique experiences of grieving parents from a Kawa model perspective to identify potential implications for occupational therapy.

Methods: We used a qualitative approach in which 11 participants completed Kawa drawings and participated in semi-structured interviews.

Results: Following a Kawa model analysis themes emerged: volatile nature of flow, support from inner circle and connection with outer circle, lonely islands, personal attributes of positivity and economics, and enhancing my river’s flow.

Conclusion: The …

Global Perspectives On Occupational Therapy Practice And Education, Suzanne Martin, Amy Wagenfeld

The Open Journal of Occupational Therapy

No abstract provided.

The Importance Of Cultural Humility In Occupational Therapy, Jessika Reberg

Honors Theses

The demographics of the US have changed over the years due to a rise in the number of immigrants in the United States. Despite the rise of immigrants, and the cultural diversity they bring, healthcare disparities remain in the United States for various culture groups. The aim of this paper is to provide an analysis of how increased cultural humility can mitigate healthcare disparities. Health care disparities effect minority groups regarding access to care and quality of care. The development of cultural humility can help mitigate disparities because it promotes self-awareness, reflection, and engagement in an on-going learning process. Implicit …