Occupational Therapy Commons^™

Juvenile Idiopathic Arthritis: A Systematic Review Of Occupational Therapy Interventions, Meredith L. Aja, Katie L. Cole, Trenton S. Warning

Pediatrics

Background: The purpose of this systematic review is to describe the current role of occupational therapy (OT) in the treatment of Juvenile Idiopathic Arthritis (JIA). JIA is an umbrella term that encompasses six subtypes of the disease. JIA is one of the most common childhood chronic diseases and can be accompanied by symptoms such as pain, stiffness, and loss of function, as well as psychosocial impacts. JIA participants generally receive pharmacological treatment, but less commonly receive therapeutic interventions to help reduce symptoms. Individualized treatment plans are necessary for clients with JIA due to the diverse nature of the disease. …

Effect Of Lighting On Performance Of Tasks Requiring Near Vision In Older Adults, Karen Leigh James

Occupational Therapy Program Student Theses, Dissertations and Capstones

With age, more light is needed in order to function, but the effect of lighting on occupational performance has received little attention in occupational therapy. The purpose of the study was to determine if lighting affects older adults’ ability to perform selected occupational tasks, which require near vision and if lighting levels affects their perceived effort while performing selected occupational tasks. A quasi-experimental, repeated measures design was used with a convenience sample recruited from a retirement community. Thirty participants met the inclusion criteria, which included visual and cognitive screening. The mean age of the 30 participants was 83 years, and …

Bangladesh Norms For A Gender-Specific Functional Fine Dexterity Test (Ffdt), Debra K. Lindstrom-Hazel, Umme Aeyman, Md. Julker Nayan, Syed Shakawat Hossain

The Open Journal of Occupational Therapy

Background: Good psychometrics and cultural relevance are needed for evidence-based practice. Occupational therapy (OT) assessment tools in Bangladesh have been developed outside of Bangladesh and have not been validated or normed for Bangladeshis. This normative and psychometric study was to provide culturally relevant norms for in Bangladesh for bilateral fine motor.

Method: The Functional Fine Dexterity Test (FFDT) consists of two functional/self-care gender-specific task instruments: a shirt with five buttons for males and a pinning board for females. Raters were trained in timing these tasks.

Results: Intra-Class Correlation (ICC) scores were > .85 for all rater teams. Participants …

Perspectives Of Individuals Who Experienced Bullying During Childhood, Olivia Byjos, Jackie Dusing, Callyn Zartman, Susan M. Cahill

The Open Journal of Occupational Therapy

Background: The objective of the qualitative study was to describe the perspectives of adults who experienced bullying at school during childhood or adolescence.

Method: Data was collected through semi-structured interviews (n = 8) and analyzed using the constant comparative method.

Results: Three major themes emerged: (a) the school should have done something, (b) it still affects me, and (c) there needs to be prevention.

Conclusion: Based on their unique expertise, occupational therapy practitioners may be able to collaborate with interprofessional teams to address the needs of individuals who bully and those who are being bullied at school.

Lived Experience Of Adolescents With Chronic Pain: A Phenomenological Study, Ryan Christopher Suder

Occupational Therapy Program Student Theses, Dissertations and Capstones

The purpose of this phenomenological study was to understand the lived experience of adolescents who live with chronic pain. All 10 participants were between the ages of 13 and 17 and have lived with chronic pain for at least 6 months. Data sources for the study were two interviews for each participant, participant drawn depictions of their chronic pain, and researcher journaling. The person-environment-occupation model was used to frame the research design. The study found four main themes among the data: pain identity, invisible disease, occupational loss, and uphill climb to regain life. Each theme described the essence of the …

Creating Environments Through The Art Of Occupational Therapy, Lydia Royeen

The Open Journal of Occupational Therapy

Dr. Lori Reynolds has an interest in therapeutic gardens and the creation of living spaces that promote well-being for older adults. Dr. Reynolds educates various stakeholders on the benefits of occupational therapy, including landscape architects and senior living administrators. Her advocacy to expand occupational therapy beyond its mainstream roles is infectious. She speaks passionately about her work in helping to create therapeutic gardens and how her role as an occupational therapist offers great perspective in this process. She appreciates the environmental impact on an individual’s health and well-being and practices from a person-environment-occupation theory.

Development And Psychometric Properties Of The Emotional Intelligence Admission Essay Scale, Sharon A. Gutman, Janet P. Falk-Kessler

The Open Journal of Occupational Therapy

The purpose was to describe the development and psychometric properties of the Emotional Intelligence Admission Essay scale. The authors developed an admission essay question and rating scale designed to provide information about applicants’ emotional intelligence (EI). Content validity, convergent validity, interrater reliability, and internal consistency were established. The scale was also examined to determine if it could discriminate between students with and without professional behavior problems in the academic and fieldwork settings. Content validity was found to be high by a panel of three experts in EI (content validity index = 1.0). Convergent validity with the Assessing Emotions Scale was …

Student Rating Of Skill Performance Opportunities In Faculty-Directed Research, Carrie A. Ciro, Mary Isaacson

The Open Journal of Occupational Therapy

The purpose was to examine the feasibility of creating a faculty-driven research-based fieldwork (FW) I experience and to examine whether students engaged in a research-based FW I would report equivalent skill performance opportunities as students engaged in traditional FW I experiences. Twenty-four first-year occupational therapy students were given the option of choosing either a research-based FW I experience with a faculty member (n = 5) or a traditional FW I site (n = 19). The students self-reported their opportunities to perform ACOTE standards of practice related to professionalism, professional reasoning, use of sciences, and experiential learning using a Likert scale. …

Does Generalization Occur Following Computer-Based Cognitive Retraining?—An Exploratory Study, Kitsum Li, Jonathan Alonso, Nisha Chadha, Jennifer Pulido

Kitsum Li

Computer-based cognitive retraining (CBCR) intervention has gained great popularity in recent years. This study aimed to investigate the occurrence of skill generalization to daily living task for individuals with acquired brain injury (ABI) after completion of eight modules of a commercially available CBCR program, the Parrot Software. The study investigated changes in individuals’ global cognition as measured by the Montreal Cognitive Assessment, and changes in individuals’ performance during a medication-box sorting task, a novel instrumental activity of daily living. The medication-box sorting task resembled real life medication management with daily prescribed and over-the-counter medications. Twelve individuals with ABI from a …

The Feasibility Of Using Metacognitive Strategy Training To Improve Performance, Foster Participation, And Reduce Impairment Following Neurological Injury, Timothy J. Wolf

Arts & Sciences Electronic Theses and Dissertations

Executive function is central to our ability to learn and participate in everyday life activities and rehabilitation outcomes for individuals with executive dysfunction after neurological injury are poor. The impairments and performance challenges these individuals experience are typically not identified appropriately so they often do not receive adequate rehabilitation and can have significant challenges returning to complex everyday life activities. The vast majority of rehabilitation efforts to support individuals with neurological injuries with executive dysfunction are based on a restoration model that aims to improve cognitive function with the expectation that these gains will translate to everyday life. The available …

Inter-Professional Collaboration: The Impact Of Serial Versus Merged Treatment On The Behavior Of Children With Autism Spectrum Disorder, Robyn Starry

Masters Theses, 2010-2019

Interdisciplinary collaboration is an innovative, resourceful approach to healthcare intended to positively affect patient outcomes. The purpose of the present study was to determine the efficacy of the serial exposure to three treatments, Applied Behavior Analysis, Speech Language Pathology, and Occupational Therapy, in comparison with an exposure to a merge of these treatments on child outcomes. During the serial treatment phases of intervention, three licensed professionals implemented core techniques from their respective disciplines. During merged treatment phases, a graduate clinician combined and implemented techniques from all three fields: differential attention, request sequences, sensory exposure, verbal/tactile cueing for postural alignment/control and …

Factors Affecting The Capacity Of Occupational Therapists To Serve In A Formal Leadership Position In The School-Based Practice Setting, Emily Garza

School of Occupational Therapy Post-Professional Doctoral Theses

The purpose of this descriptive study was to estimate the prevalence and explore the perceptions of occupational therapists across the U.S. in regards to leadership positions in the school-based setting. A survey was completed by 116 occupational therapists who were members of either Early Intervention & School System, Developmental Disabilities, or Administration & Management special interest sections (SIS) of the American Occupational Therapy Association. The findings indicated that there is a higher prevalence of occupational therapists in formal leadership positions than the literature suggested, with 26% of respondents (n = 116) reporting that they have held a leadership position during …

Identifying And Implementing Assessments Of Upper Extremity Motor Control For Patients With Stroke Or Parkinson’S Disease, Julia Albright, Kayla Karelsen, Allison Lucas

School of Occupational Therapy Master's Capstone Projects (2016-2021)

The authors collaborated with a team of clinicians at a skilled nursing facility (SNF) in Gig Harbor, WA to identify the need for measures of UE functional use that are most appropriate to utilize with the two largest client populations at their facility, stroke and Parkinson’s disease (PD). In order to meet the clinical utility characteristics identified as important by the clinicians, the authors searched two databases that contain overviews of assessments. This search identified five stroke assessments and two PD assessments that met the clinical utility parameters outlined by the clinicians. The authors then conducted a systematic literature search …

Four Effective And Feasible Interventions For Hemi-Inattention Post Cva: Systematic Review And Collaboration For Knowledge Translation In An Inpatient Rehab Setting., Elizabeth Armbrust, Domonique Herrin, Christi Lewallen, Karin Van Duzer

School of Occupational Therapy Master's Capstone Projects (2016-2021)

Purpose: To locate, evaluate, and summarize the evidence for effective and feasible interventions to treat hemi-inattention in inpatient rehabilitation settings and ensure knowledge translation with a collaborating clinician Timothy Rich, OTR/L and his team at Harborview Medical Center. Design: Systematic literature review, participatory active research with a collaborating clinician, and knowledge translation. Methods: Included studies that tested effectiveness of mirror therapy (MT), transcutaneous electric nerve stimulation (TENS), limb activation therapy (LAT), and visual scanning therapy (VST). 11 databases were searched to yield 31 articles included in a critically appraised topic (CAT) table. A concise protocol for each …

Facilitating Effective Communication Between First Responders And Older Adults During Fall Incidents: An Educational Intervention, Krystin M. Beeman, Erica L. Berger, Isabel A. Cabezas, Nicole M. Mathews

Dissertations, Masters Theses, Capstones, and Culminating Projects

PURPOSE. The purpose of this project was to provide first responders with communication strategies for older adults that may help when responding to fall- related calls. General information was also provided to First Responders on working with older adults with a focus on the aging process, fall risk factors, and communications strategies.

METHODS. A series of educational sessions to first responders at a local fire district were developed and presented by occupational therapy students. Materials were developed by presenters from evidence-based resources and tailored to the target population. Each presentation focused on statistics about older adults, the aging process, fall …

Tune Up Your Teaching Toolbox, Anne H. Zachry, J. Flick, S. B. Lancaster

Faculty Presentations

Occupational therapy (OT) educators strive to prepare entry-level practitioners who have the expertise to meet the diverse health care needs of society. A variety of instructional methods are used in the University of Tennessee Health Science Center (UTHSC) MOT program, including traditional lecture-based instruction (LBI), problem-based learning (PBL), team-based learning (TBL), and game-based learning (GBL). Research suggests that active learning strategies develop the critical thinking and problem-solving skills that are necessary for effective clinical reasoning and decision-making abilities. PBL, TBL, GBL are being successfully implemented in the UTHSC MOT Program to enhance the learning process and improve student engagement.

The Care For The Dying: A Critical Historical Analysis Of Occupational Therapy In Hospice., Marion Russell, Angela Bahle-Lampe

The Open Journal of Occupational Therapy

This paper presents an historical analysis of occupational therapy’s role in hospice care with relation to past and current hospice practices, as well as cultural forces that impact that role. Since the beginning of the movement, hospice has developed into a strong component of end-of-life care, and occupational therapy practice models and interventions are unique in addressing the occupational needs of clients during this stage of life. Despite compelling evidence of the positive impact of employing occupational therapists, there continue to be significant barriers to implementation of services. The author proposes that the concept of occupation, as experienced at the …

Exploring The Relationship Between Entry-Level Master’S Program Class Size And The Number Of Graduate Credits Offered And Aggregate Nbcot Pass Rates, Scott Truskowski

The Open Journal of Occupational Therapy

The AOTA and ACOTE have discussed a transition to a mandated entry-level clinical doctorate degree (Harvison, 2013). Following the move to the entry-level master’s degree in 2007, the overall national pass rate on the national certification examination fell from 88% in 2006 to 77% by 2009 (Harvison, 2011; Harvison, 2012). This study sought to determine if the number of graduate credits offered or the class size of an entry-level master’s program impacts student outcomes on the national certification examination. Publicly available data was mined from all accredited entry-level master’s programs. Data were imported into the SPSS for statistical analysis. The …

Use Of Occupational Performance Coaching For Stroke Survivors (Opc-Stroke) In Late Rehabilitation: A Descriptive Case Study, Danika Belliveau, Isabelle Belliveau, Aniane Camire-Raymond, Dorothy Kessler, Mary Egan

The Open Journal of Occupational Therapy

Background: Stroke is a leading cause of disability in adults. Following stroke, 60% of people report needing help with everyday activities, and 80% report having very few meaningful activities. These restrictions often continue for years. This study explored the efficacy of Occupational Performance Coaching for stroke survivors (OPC-Stroke) on the participation level of adults in the later stage of stroke rehabilitation.

Method: A descriptive case study design was used. One participant in the later stages of rehabilitation was recruited. Outcome measures for participation, goal performance and satisfaction, and emotional well-being were administered pre and postintervention to observe for direction of …

Examining The Validity Of The Preschool Kitchen Task Assessment, Christine Kim, Angelica Soltis

Dissertations, Masters Theses, Capstones, and Culminating Projects

Background and purpose. Executive function (EF) skills are necessary to set a strong foundation for play development, school readiness and social participation in young children. However, few ecologically valid assessments are available to detect potential executive function deficits in preschool aged children. The Preschool Kitchen Task Assessment (PKTA) is a new tool that measures EF in preschool aged children. The PKTA was adapted from the Kitchen Task Assessment and The Children Task Assessment by Christine Berg, Ph.D., OTR/L. This study aimed to validate the PKTA as an ecological assessment of EF in preschool aged children.

Subjects. Twenty-four typically developing children …

Investigating Student Approaches To Learning With Structured Or Unstructured Client Collaboration, Cara E. Masselink

Masters Theses

As a profession, occupational therapists pride themselves on providing client-centered treatment. It is hypothesized that increased structured client collaboration as well as incorporating reflective journaling in the fieldwork setting (to meet the students at their level of learning) will improve student's critical thinking skills, and encourage them to seek deeper learning techniques to ensure they are providing 'best practice' occupational therapy for the client and his/her family. In this pilot study, the learning approaches of students in two existing University-based clinic programs were measured over the course of one semester. The treatment group was required to participate in structured, intentional …

Writing A New Story: Culturally Competent Care For American Indians, Julia Albright

Race and Pedagogy Journal: Teaching and Learning for Justice

Providing culturally competent healthcare to American Indians requires a methodological shift from providers. Education on cultural competence is a vital piece of service provision, but is not enough on its own. Knowledge of the history of a person and their culture, respect for their past and personal experiences, and for their beliefs about health and wellness are key components to providing care. Humility and patience, and the knowledge that you will be learning from your client as much as they will learn from you, are also important aspects of developing a relationship with your client and being effective in providing …

Portrait Of An Ot Artist: Using Mindfulness To Find Life Balance, Lydia Royeen

The Open Journal of Occupational Therapy

Lynn Davies, a Canadian-based occupational therapist, understands the skill set and practice required to employ a balanced work/play/leisure routine, even for an occupational therapist. Occupational therapists can easily foster this balanced routine for clients; however, they may fall short of adopting this balanced routine in their own lives. Lynn uses art and mindfulness strategies to strive for a meaningful routine. Balancing her work as a therapist and her engagement in art is an ever-evolving orchestra, as she has a passion for both.

Assistive Technology Accessibility And Abandonment: Challenges For Occupational Therapists, Daniel Mc Cruz, Maria Luisa G. Emmel, Mariana G. Manzini, Paulo V. Braga Mendes

The Open Journal of Occupational Therapy

No abstract provided.

A Phenomenological Study On The Perception Of Occupational Therapists Practicing In The Emergency Department, Gregory Chown, Theresa Soley, Susan Moczydlowski, Christine Chimento, Amy Smoyer

The Open Journal of Occupational Therapy

Background: The purpose of the study was to increase the scope of knowledge regarding the perception of occupational therapy (OT) practitioners working in the emergency department (ED). A literature review identified a gap in knowledge of OT practitioners working in the ED.

Methods: The 10 participants in this study were registered and licensed OT practitioners working at five acute-care settings with experience working in the ED in Pennsylvania hospitals. A qualitative phenomenological research study was conducted using semi-structured interviews of participants’ lived experiences.

Results: Using qualitative data analysis program Atlas.ti 7®, the central themes discovered were discharge recommendations that ensure …

State Of The Journal Year 3: Finding Our Balance, Diane Powers Dirette

The Open Journal of Occupational Therapy

No abstract provided.

Assistive Technology Provision By Occupational Therapists : A Process And Tools For Managing Clients With Spinal Cord Injury, Ikechukwu Anthony Igbo

Occupational Therapy Program Student Theses, Dissertations and Capstones

Occupational therapy focuses on complex dynamic relationships between people, occupations and environments. For clients with spinal cord injuries (SCI), a way of improving the connection between these three aspects is by providing assistive technology (AT). A fundamental issue identified by consumers regarding AT provision was abandonment, which is caused by a mismatch between aspects of the person, the assistive product, and characteristics of the environment. One solution is engaging collaboratively with clients and recognizing individual needs, thereby allowing therapists to meet clients’ occupational expectations and provide clients with increased functional independence. During this capstone project, barriers to AT provision were …

Implementation And Strategies To Address Sensory Regulation Of Students With And Without Disabilities In Two Kindergarten Classrooms, Yvette Rosil Mere-Cook

Doctoral Dissertations

Results from previous research studies suggest that inclusive settings benefit all learners. However, general education teachers often do not have built in supports within the classroom to meet the needs of students with disabilities. Implementing a sensory diet curriculum (SDC) is one instructional practice that addresses needs of students with disabilities, such as autism spectrum disorder, and could be applied widely for students without disabilities. Sensory regulation is defined as the body’s physiological process of adapting arousal or alertness levels to cope with sensory events and situational demands that occur throughout the day. The purpose of this study was to …

Examining The Lived Experiences Of Families Who Have Adopted Children And Received Occupational Therapy Services, David Simpson

Online Theses and Dissertations

Purpose: This qualitative descriptive study focused on the experiences of families who have adopted children from different countries and placed them in occupational therapy services.

Method: Three different sets of parents were interviewed to gather data on the adoption process and on their experiences with receiving services from an OT. Each interview was conducted either with one or both parents present. Only one interview was conducted with each family.

Discussion: While families often have quality experiences working with an OT and observe improvements in their children, some families do not receive quality services. This is due to lack of communication …

The Experiences Of The Parents Of Children Undergoing Occupational Therapy Intervention For The Occupation Of Feeding, Michael A. Coldiron

Occupational Therapy Doctorate Capstone Projects

Occupational therapy practitioners practice under the values of client-centered care and cultural sensitivity. This valuates the role of the occupational therapy practitioner in pediatric feeding intervention pertaining to diverse diets. The problem is that there is a lack of research into the experiences of individuals who consume a diverse diet as they undergo occupational therapy intervention for the occupations of feeding and eating. The purpose of this study was to enable individuals with diverse diets to self-report these experiences. Participants were questioned on the challenges they encountered and detailed questions regarding the types of experiences they face. The study was …