Digital Commons Network^™

Implementation Of A Learning Module To Reduce Advanced Practice Provider Preceptor Burden, Michelle Bloom

Doctor of Nursing Practice (DNP) Student Projects

The transition of advanced practice providers (APPs) from student to provider, or from an experienced provider to a new organization or location, has been identified as a high-stress period with potential turnover for new-hire APPs. APP preceptors play a key role in this transition. Limited time to teach during the clinical day and a limited knowledge base among new hires were two of many factors associated with increased preceptor burden. A brief online educational module that provided pre-clinical, organization-specific education was proposed to improve new-hire APPs’ knowledge base and reduce preceptor burden, among APP preceptors working in a 36-bed surgical/burn/trauma …

Dimensions Of Father-Love Absence As Predictors Of Psychological Well-Being: Evidence From University Students, Dody Hartanto, Mufied Fauziah, Zerlinda Aurora Saputri

Jurnal Kajian Bimbingan dan Konseling

Psychological well-being is a crucial aspect of university students' development as young adults. Father-love absence is believed to be one of the factors influencing this well-being. This study aimed to analyze the role of father-love absence as a predictor of university students' psychological well-being and to identify the contribution of each aspect of father-love absence. A quantitative approach with a descriptive correlational design was employed. A total of 318 active university students were selected through simple random sampling and completed an online questionnaire. Father-love absence was measured using an adapted scale based on Xiang and Zhou's theory, encompassing four aspects: …

Discovering Repurposable Drugs For Alzheimer's Disease And Related Dementias: Target Trial Emulation Using Decentralised Real-World Data, Qiong Wu, Lu Li, Yuqing Lei, Ting Zhou, Huilin Tang, Bingyu Zhang, Yiwen Lu, Maxwell Salvatore, Dazheng Zhang, Jiayi Tong, Tingyin Wang, Siqi Chen, Haoyang Li, Zhenxing Xu, Yu Huang, Yu Hu, Na Hong, Yujia Zhou, Fongci Lin, Kyra O'Brien, Yong Chen, Ruowang Li, Hua Xu, Fei Wang, Jiang Bian, David Wolk, Yong Chen

College of Population Health Faculty Papers

BACKGROUND: Alzheimer's disease and related dementias (ADRD) affect nearly 6.9 million Americans, with the number expected to triple by 2050, while disease-modifying therapies remain unavailable. Drug repurposing, which identifies new indications for already approved medications, offers a more efficient and cost-effective pathway to accelerate development of effective therapies for ADRD. The aim of this study is to identify potential drug repurposing signals by systematically screening routinely prescribed drugs for associations with progression from mild cognitive impairment (MCI) to ADRD.

METHODS: We conducted a multi-site target trial emulation using electronic health record (EHR) data from four decentralised databases: INSIGHT Clinical Research …

Low Rates Of Smoking Cessation Medication Prescriptions And Evidence To Support Increased Medication Utilization, Jesse Pratt

SIU Journal of Medical Science Scholarly Works

ABSTRACT

Introduction: Tobacco use remains a major cause of morbidity and mortality in the United States.  Over the past several decades, there has been a steady decline in tobacco use, however overall use remains unacceptably high.  Despite recommendations to treat people with tobacco use disorder with smoking cessation medications (SCMs), prescriptions for SCMs remain low.

Methods: A PubMed search was conducted using search terms “adult”, “smoking cessation”, “medication”, “varenicline”, “nicotine”, and “bupropion”.  Filters included publication dates within ten years, and full text.  Search results yielded 109 articles.  Thirteen articles were selected for the review.  The articles chosen either discussed prescribing …

The Impact Of A Modified Hospital Elder Life Program On Delirium, Ashley Okray

SIU Journal of Medical Science Scholarly Works

Background: Delirium, an acute state of fluctuating inattention and cognitive impairment, is prevalent among hospitalized older adults and associated with longer hospital stays, increased mortality, and significant healthcare costs. The Hospital Elder Life Program (HELP) was developed to reduce delirium through interventions addressing common risk factors. Although HELP has proven effective, many hospitals face challenges in implementing the program, leading to modified versions. This review examines recent studies using modified HELP to assess their impact on delirium prevention.

Methods: A literature search was conducted to identify studies from the last ten years that implemented modified HELP programs. Relevant studies …

Preparation Of Physician Assistant Students To Manage Patients Living With Hiv/Aids In A Primary Care Setting, Austin Parrish

SIU Journal of Medical Science Scholarly Works

This study examined Human Immunodeficiency Virus (HIV), Acquired Immunodeficiency Syndrome (AIDS), Pre-Exposure Prophylaxis (PrEP), and Post-Exposure Prophylaxis (PEP) educational exposure among clinical-phase physician assistant (PA) students and evaluated how well current curricula prepare future providers for HIV prevention and care. A cross-sectional survey of 109 PA students assessed HIV-related knowledge, clinical exposure, and awareness of key public health concepts, while lecture materials from 30 PA programs were analyzed for curricular content. Students demonstrated moderate but incomplete baseline knowledge, and fewer than one-quarter reported observing PrEP prescribing during primary care rotations. Awareness of Undetectable = Untransmittable (U=U) was limited, with only …

From Readiness To Transformation: The Mediating Role Of Digital Maturity In Linking Ai Readiness To Organizational Change In Hospitals, Muhammad Ryan Adi Putra, Giovanni Reynaldo, Dewi Sri Surya Wuisan

Journal of Health Research

Background: Organizational readiness is essential for AI-enabled digital transformation as healthcare organizations increasingly integrate artificial intelligence (AI). However, empirical evidence regarding the relationship between AI readiness and organizational change, the mediating role of digital maturity, remains limited in healthcare settings. This study investigated the mediating role of digital maturity in the relationship between AI readiness and organizational change.

Methods: This cross-sectional study involved 300 healthcare professionals from two Indonesian hospitals: Persahabatan Hospital (n = 165) and St. Carolus Hospital (n = 135). Data were collected using a questionnaire and analyzed through Partial Least Squares Structural Equation Modeling (PLS-SEM) to assess …

Impact Of The Widespread Use Of Online Pharmacies On Overall Consumer Safety, Hasanain Am. Abbas, Eswar Kumar Kilari, Shereen M. Mekkey, Hussein Ahmed Jabbar, Mohammed Haider Majid, Haider Majeed Abd Abbas, Hassanein Khaled Hassan

Al-Mustaqbal Journal of Pharmaceutical and Medical Sciences

Online pharmacies improve access to medicines by offering convenient ordering and home delivery, but their growth also creates important risks for medication safety and public health. This review examines the benefits and hazards associated with online medicine supply, including access without a valid prescription, falsified and substandard products, inappropriate medicine use, privacy breaches, and weak cross-border regulatory oversight. The available evidence indicates that illicit online sellers can expose consumers to products of uncertain identity, quality, and dose, while vulnerable users may have limited ability to distinguish legitimate services from unlawful vendors. At the same time, licensed platforms can support continuity …

Complementary Vertebrate Wac Models Exhibit Phenotypes Relevant To Desanto-Shinawi Syndrome, Kang-Han Lee, Marwan Shinawi, Et Al.

2020-Current year OA Pubs

Monogenic syndromes are associated with neurodevelopmental changes that result in cognitive impairments and neurobehavioral phenotypes, including autism and seizures. Limited studies and resources are available to make meaningful headway into the underlying molecular mechanisms that result in these symptoms. One such example is DeSanto-Shinawi Syndrome (DESSH), a rare disorder caused by pathogenic variants in the

Current State And Needs Of Clinical Laboratories In Selected Countries In Africa, Merih Tesfazghi, Anne E Tebo, Roa Harb, Anthony O Okorodudu, Lee Schroeder, Jeannette Guarner, Christine Bales, Jack Ladenson, Allison Targowski, Kerry Cosby, Olajumoke Oladipo

2020-Current year OA Pubs

The Africa Working Group, under the auspices of the Global Laboratory Quality Initiative of the Association for Diagnostics & Laboratory Medicine (ADLM), conducted several educational workshops in Africa to promote laboratory quality in the region. The challenges faced in maintaining quality in clinical laboratories in low-resource countries may differ from region to region and country to country. To better understand current gaps and inform our engagement with partners in Africa, a needs assessment survey was distributed to 1427 ADLM members in Africa and further disseminated through local partners, resulting in 121 responses from participants across 8 countries in the region. …

Defining Evidence-Based Practices From A Practitioner Perspective: An Analysis Of How The Peer Assisted School Transition (P.A.S.T.) Project Fits Within The Evidence-Based Practices Continuum, Afiya King, Hillarie Wise, Nakia Cross, Donna Dent, Andrew Jordan Williamson, Maysa Osman, Carlos A O Pavao

Journal of the Georgia Public Health Association

Background: This study examines the implementation and evaluation of the Peer Assisted School Transition (P.A.S.T.) Project, an evidence-informed, peer-led intervention designed to prevent substance misuse among youth during key educational transitions. The study explores the effectiveness of the program in strengthening protective factors, reducing risk factors, and enhancing skills related to substance misuse prevention.

Methods: A mixed-methods evaluation design was employed. Quantitative data were collected through pre- and post-surveys administered to fifth- and eighth-grade students to assess changes in knowledge, attitudes, and skills. Qualitative data were collected through focus groups, interviews, and observations to provide contextual insight into program implementation …

Precision Approaches Improve Community Health, Roger A. Rennekamp, David Buys

Journal of Extension

Recent advances in data science provide Extension practitioners with access to data sorted by zip code, census tract, or neighborhood. Such hyper-local data now allows Extension personnel to assess community needs and assets at a more granular level and focus their work on the people and communities of greatest need. In this article, we introduce an approach we refer to as precision public health. Using such a precision approach to community assessment and, ultimately, programming can save money, increase the likelihood of producing measurable results, and create more manageable workloads for county-based Extension personnel.

Parkinson’S Report Cards For Rural Communities: Bridging Access To Care For Behavior Change And Fall Risk Reduction, Jamie Haines, Emily Schubbe, Brooke Alexander, Lachane Ballard, Chin-I Cheng

Internet Journal of Allied Health Sciences and Practice

Purpose: People with Parkinson’s disease (PwPD) in rural communities face delayed diagnosis and limited access to specialized care, and lower self-efficacy for disease management. A physical therapist designed the Parkinson’s Report Card Program (PRCP) to provide improved access to symptom monitoring, feedback, education, and follow-up support every six months for one year, aiming to enhance disease management when access to specialized care is challenging. This study evaluated the impact of the Report Card Program on non-motor symptoms, physical function, care-seeking behaviors, and self-efficacy in three rural communities in Michigan. Methods: Twenty-eight participants completed assessments at baseline, 6 months, and 1 …

Exploring Burnout Impacting Graduate-Level Faculty And Leadership Within Health Profession Education In The United States: A Systematic Scoping Review, Megan Donaldson, Neeti Pathare, Garry Gilbert, Joshua Cleland

Internet Journal of Allied Health Sciences and Practice

Phenomenon: Full-time academic clinicians who hold faculty appointments in graduate‑level health professions education are expected to fulfill multiple, often competing role demands, including teaching, scholarship, service, clinical practice, and, for some, administrative leadership. These cumulative expectations can place faculty and educational leaders at elevated risk of burnout, particularly emotional exhaustion, with implications for career longevity, institutional stability, and educational quality. Approach: The objective of this systematic scoping review was to map how burnout has been conceptualized, measured, and associated with organizational and role-related factors among full-time graduate-level faculty and educational leaders in health and medical education (health professions) programs. Eligible …

Unmet Needs In Hospital Birth: Perspectives From Birthing Individuals And Opportunities For Occupational Therapy, Susan L. Iliff, Emily Bryant Schreiber

Internet Journal of Allied Health Sciences and Practice

Purpose: The primary purpose of this study was to explore the services mothers receive during hospital‑based labor and delivery and to identify perceived gaps in inpatient perinatal care. A secondary aim was to examine how these unmet needs may represent opportunities for occupational therapy involvement within hospital maternity settings. Methods: A convergent parallel mixed methods design was used with an anonymous electronic survey. Participants were eligible if they were 18 years or older and had given birth in a hospital within the past five years. Eighty‑one participants completed the survey, which included demographic questions, satisfaction ratings related to standard‑of‑care …

Reimagining Clinical Education: Interprofessional Simulation And Clinical Skill Readiness In Nursing And Occupational Therapy Curricula, Gretchen Johnson, Linda Barnett, Lori Aaron-Brija, Emily Berkowitz

Internet Journal of Allied Health Sciences and Practice

Purpose: As the healthcare landscape evolves, education for health professionals must prepare future practitioners to meet emerging challenges and navigate diverse care settings. Integrating interprofessional education (IPE) opportunities within healthcare curricula supports the development of essential clinical skill competencies and collaboration across multiple disciplines. The Clinical Skill Readiness interprofessional model prepares students for successful clinical rotations by integrating assessment and skill development. Students develop vital interprofessional skills, with specific emphasis on communication, professionalism, and role clarity, all of which are essential for effective practice in a collaborative clinical setting. Methods: Nursing and occupational therapy students participated in timed treatment sessions …

Systematic Review Of Sports Safety Best Practice Implementation In Non-Scholastic Youth Sport Organizations, Katie Sniffen, Hayley J. Root, Richelle M. Williams

Internet Journal of Allied Health Sciences and Practice

Purpose: Non-scholastic youth sports organizations offer competitive and recreational activities to millions of children each year but lack centralized oversight for health and safety policy. Despite the benefits of sport participation, there are inherent risks, including cardiac-, concussion-, heat-, and musculoskeletal-related conditions. Therefore, it is important to understand how youth sports safety policies are implemented in non-scholastic youth sport organizations. This systematic review aimed to synthesize the current literature on the implementation of youth sports safety policies in non-scholastic youth sport organizations in the United States. Methods: A computerized search of Cochrane, CINHAL, Ovid Medline, Web of Science, and Scopus …

Relationship Between Children’S Screen Exposure And Stress Among Parents Of Primary School Children, Malathi S, Koteeswari Arumugam, Sugasini R, Senthil Selvam, Manju B. Manoharan

Internet Journal of Allied Health Sciences and Practice

Purpose: The increasing use of digital devices among children has raised concerns regarding their potential impact on child well-being and family functioning. Prolonged screen exposure has been linked to behavioural issues, sleep disturbances, reduced physical activity, and psychosocial difficulties, which may contribute to increased parenting-related stress. However, limited research has explored the relationship between children’s screen exposure and parental stress. This study aimed to examine the association between children’s screen exposure and parental stress among parents of primary school children. Method: A cross-sectional correlational study was conducted among 45 parents of primary school children aged 6–12 years enrolled at Vels …

Use Of Simulation In Interprofessional Education In U.S. Physical Therapist Programs: A Multiple Case Study, Sarah Ross

Internet Journal of Allied Health Sciences and Practice

Purpose: Interprofessional education (IPE) is a cornerstone of healthcare professional education, facilitating professions learning about and with each other. Simulation-based learning (SBL) is teaching and learning modality that is frequently used to incorporate IPE into curricula. Current research shows that physical therapist (PT) education programs are increasingly using SBL for IPE purposes. However, there is little research outlining how programs are using simulation.

Method: The data in this study were pulled from a larger qualitative study looking at how US PT programs use simulation because of the heavy emphasis on IPE. Three programs were selected from a pool of volunteers …

Knowledge Of Alzheimer’S Disease-Related Dementia In Down Syndrome: A Cross-Section Survey Of Rehabilitation Graduate Students, Alan F. Smith, Abigail R. Donaway

Internet Journal of Allied Health Sciences and Practice

Purpose: Adults with Down syndrome have an increased risk for Alzheimer’s disease–related dementia, often presenting with behavioral and functional changes rather than early memory impairment. Rehabilitation professionals may observe these changes across the lifespan; however, preparedness during professional training is unclear. This study examined graduate student knowledge of dementia in individuals with Down syndrome across rehabilitation disciplines. Methods: A cross-sectional survey was distributed to graduate students in speech-language pathology, occupational therapy, and physical therapy programs in the United States (N = 322). Outcomes included factual knowledge, recognition of stage-related characteristics, and familiarity with diagnostic and care considerations. …

State-Level Implementation Of Health And Safety Policies In Mississippi Secondary Schools, Heather L. Shirley, Valerie J. Moody

Internet Journal of Allied Health Sciences and Practice

Background: State-level investigations of health and safety policy implementation in secondary school athletics highlight ongoing challenges in ensuring student-athlete safety that aligns with evidence-based best practices. Purpose: The purpose of this study was to examine current state-level implementation of health and safety policies in Mississippi secondary schools from the perspective of athletics/activities directors, athletic trainers, and other school administrators. Methods: In May 2025, a 26-item web-based questionnaire was distributed to 226 athletic directors and 114 athletic trainers across Mississippi secondary schools. The survey assessed participant demographics, access to healthcare resources, emergency action planning (EAP), required coaches’ health and safety training, …

Current Status And Future Needs Of Audiology Services In Saudi Arabia: An Exploratory Study, Ahmad A. Alanazi, Alhanouf N. Alhathal

Internet Journal of Allied Health Sciences and Practice

Purpose: Audiology services in Saudi Arabia are expanding; however, workforce shortages, limited postgraduate training programs, and variability in specialized services may affect equitable access to care. This study aimed to examine the current status of audiology services in Saudi Arabia and identify future needs related to service availability, workforce capacity, and specialized clinical provision to support the development of equitable, standardized, and high-quality audiological care nationwide. Methods: An exploratory cross-sectional study was conducted among practicing audiologists across healthcare facilities in Saudi Arabia. Because a comprehensive national registry of audiology clinics is unavailable, a purposive convenience sampling strategy was used to …

Beyond The Classroom: Impact Of An Interprofessional Exertional Heat Stroke Simulation On Knowledge And Confidence, Hannah L. Stedge, Amanda Hawkes, Melani Kelly, Behle Burns, Sara Beaudry

Internet Journal of Allied Health Sciences and Practice

Purpose: The primary aim of this study was to examine the impact of a high-fidelity exertional heat stroke (EHS) live broadcasted simulation on the knowledge and confidence of a multidisciplinary group of healthcare professionals attending an interprofessional continuing education conference. Methods: Participants were eligible for this study if they were a credentialed athletic trainer, physician, or emergency medical services professional. Participants attended an interprofessional symposium on EHS which included didactic training sessions followed by a live broadcasted EHS simulation and group debrief. Participants completed the 29-item survey instrument modeled after the Emergency Medical Services Knowledge of Exertional Heat Stroke Questionnaire …

Predictors Of Clinical Performance On The Revised Physical Therapist Clinical Performance Instrument 3.0, Derrick F. Campbell, Nancy G. Hellman, Felicity Macahilig-Rice, Sean E. Witkin, Mansoor Alameri

Internet Journal of Allied Health Sciences and Practice

Purpose: This study aimed to evaluate the impact of the 12 performance criteria from the revised American Physical Therapy Association (APTA) Physical Therapist Clinical Performance Instrument 3.0 (PT CPI 3.0) on predicting Doctor of Physical Therapy (DPT) student clinical performance outcomes during clinical education experiences. The PT CPI 3.0 was revised in 2023 to measure DPT student clinical performance. Identifying predictors for clinical performance may help flag students who struggle to meet or fall below performance expectations.

Method: A convenience sample of 693 DPT students from a large U.S. multi-campus program during Fall 2023 clinical education experiences participated. Using an …

The Perceived Benefit Of A Degree Requirement In Emergency Medical Services Education And Success, Joseph H. Wood

Internet Journal of Allied Health Sciences and Practice

Introduction: This study sought to assess how graduates of Wallace Community College's paramedic program impacted their readiness for the NREMT Paramedic examination and entering the workforce, specifically comparing those who completed an associate degree to those who completed the certificate program. Methods: This qualitative study analyzed the perspectives of graduates from the paramedic program using a phenomenological approach. Using a purposive sampling technique, nine graduates were chosen for one-on-one interviews, and six were selected for a focus group. Results: Analysis of participant responses revealed three main themes: the perceived value of a degree, student preparedness for the NREMT exam and …

Examining The Influence Of Cognitive Load And Self-Efficacy On The Development Of Clinical Reasoning In The First Clinical Education Experience Of First Year Physical Therapy Students, Andrew S. Bartlett, Brittney Gunterstockman

Internet Journal of Allied Health Sciences and Practice

Purpose: Clinical reasoning is critical for effective decision-making and patient outcomes in physical therapy. Although self-efficacy, cognitive load, and clinical reasoning have been studied individually, limited research has examined these constructs holistically. This study explored the influence of cognitive load and self-efficacy on the development of clinical reasoning during the first clinical education experience of first-year Doctor of Physical Therapy students using a think-aloud protocol. Methods: All participants completed measures of self-efficacy (New General Self-Efficacy [NGSE], Physical Therapist Self-Efficacy [PTSE]) and cognitive load (intrinsic, extraneous, germane) before and after their first clinical education experience. Think-aloud protocols were conducted at …

Comparative Analysis Of Knowledge, Usage, Perceptions, And Attitudes Toward Artificial Intelligence Chatbots Among Doctor Of Physical Therapy Students And Faculty Over Two Years, Qing Zhang, Heather David, Brandy Schwarz, Kristen Johnson

Internet Journal of Allied Health Sciences and Practice

Purpose: AI chatbots (AIC) are increasingly integrated into healthcare education, yet research on DPT faculty and student perceptions remains limited. This study compared knowledge, usage, perceptions, and attitudes (KUPA) toward AIC between DPT faculty and students and examined how these changed from 2023 to 2024. Method: A repeated cross-sectional survey was administered to two consecutive first-year DPT student cohorts and core and associate faculty at one DPT program. A 20-item survey was used, incorporating items adapted from validated instruments and researcher-developed questions, using a five-point Likert scale. Results: Participation rates were 41.5% (n=62) in Year 1 and 39.1% (n=69) in …

Compression Therapy In A Patient With Lymphedema Bilateral Lower Extremities And Heart Failure: A Case Report, René Thomas

Internet Journal of Allied Health Sciences and Practice

Introduction: Patients with heart failure may develop secondary lower extremity lymphedema, yet evidence to guide compression therapy in this population is limited. This case highlights clinical decision-making in applying compression within a medically complex scenario.

Case Presentation: A 75-year-old female with chronic heart failure and multiple comorbidities presented with severe bilateral lower extremity lymphedema and reduced mobility. Interventions included compression therapy, manual lymphatic drainage, breathing exercises, and skin care education, delivered by a physical therapist with advanced cardiopulmonary and lymphedema training. Edema reduction was achieved; however, therapy was discontinued due to signs of cardiac decompensation requiring medical management.

Conclusion:This …

Beyond Tuition: Understanding The Financial Impact Of Full-Time Clinical Education On Doctor Of Physical Therapy Students, Michelle L. Donahue

Internet Journal of Allied Health Sciences and Practice

Purpose: The physical therapy literature has explored the cost and affordability of a Doctor of Physical Therapy (DPT) education; however, academic and clinical educators may lack a nuanced understanding of the costs students incur to complete their full-time Clinical Education (CE) experiences. This study explored expenses beyond course credits during a full-time CE experience. As this was the first exploratory study on this topic, the aim was to gather information from a diverse sample of participants about the costs associated with a CE experience and the perceived financial burden. Method: A survey was developed and administered to collect quantitative and …

Effectiveness Of A Training Program In Enhancing The Knowledge Of Intensive Care Unit Staff Regarding Emergency Response: A Quasi-Experimental Pre–Post Study, Abdulrahman Abbas Jasim, Shimaa Gomaa, Rofida Albash, Amira B Kassem, Shahab Abdulla, Ralela Makline, Mustafa Abbass

AUIQ Complementary Biological System

Background: Timely and effective emergency response by intensive care unit (ICU) staff is critical for patient outcomes. Objective: To evaluate the effect of a structured educational intervention on ICU staff knowledge of emergency response. Methods: A one-group quasi-experimental pre–post study was conducted among ICU healthcare professionals in Thi-Qar Governorate hospitals. Participants completed a validated questionnaire assessing emergency response knowledge before and after a structured lecture covering cardiopulmonary resuscitation (CPR), airway management, bleeding control, and the ABCDE protocol. Paired statistical analyses were applied, and p-values <0.05 were considered significant. Results: Forty-one participants completed both assessments. Significant improvements were observed in recognition …