Digital Commons Network^™

Promoting Diagnosis Education Access In Hand Therapy, Juan J. Torres

Occupational Therapy Doctorate Capstone Posters

This capstone project took place at KORT Downtown Hand Center, focusing on creating educational materials to help enhance patient understanding of their diagnosis, increase access to these resources, and increase my overall knowledge in hand therapy. A literature review revealed that low health literacy contributes to increased hospitalizations and inadequate health management, more so for non-English speakers. To address this, I created educational handouts in both English and Spanish for five common diagnoses seen in this setting: Lateral Epicondylitis, Medial Epicondylitis, Carpal Tunnel Syndrome, Cubital Tunnel Syndrome, and Distal Radius Fractures (Post-Operative). At the start of this capstone, I created …

Implementing An Opioid Overdose Education And Naloxone Distribution (Oend) Program Among Law Enforcement Officers In Lee County, Ky, Keelie Jolly

Theses and Dissertations--Public Health (M.P.H. & Dr.P.H.)

This grant proposal describes an implementation strategy for introducing an OEND training program among law enforcement officers (LEOs) to reduce opioid overdose deaths. The goal of the project is to increase LEOs' awareness and knowledge of opioid overdose and Naloxone administration and usage of Naloxone.

Rct Pre-Post Training Analysis Of The Vipcorps Maternal Mortality Prevention Course With A Focus On Intimate Partner Violence (Ipv), Rose A. Wood

Theses and Dissertations--Public Health (M.P.H. & Dr.P.H.)

Maternal mortality rates rob families across the U.S. of a mother figure, and each death is preventable. The U.S. has the highest maternal mortality rate of high-earning countries. This study assesses the effects of the VIPCorps program, a course on the top 3 risk factors of maternal mortality, on improving knowledge and attitudes towards victims of IPV. Students in helping professions at the University of Kentucky (n = 223) were recruited via on campus advertising and remotely allocated to either the VIPCorps program or a mock maternal mortality training control. Generalized linear modeling was used to estimate the difference in …

Trends In Missing Race And Ethnicity Data In A National Surgical Database, Kevin Gao Hu

Yale Medicine Thesis Digital Library

Accurate data collection on race and ethnicity is critical to detecting and characterizing disparities in surgical care. This study explores the prevalence and impact of missing race and ethnicity data in the National Surgical Quality Improvement Project Pediatric (NSQIP Pediatric) database. NSQIP Pediatric from 2016-2020 was assessed for patients who were missing data for race (RM), ethnicity (EM), or both (BM). Changes in proportion of RM, EM, and BM patients were assessed with Cochran-Armitage tests. Surgical outcomes were modeled using linear mixed-effects models, treating CPT codes as random effects. Models were bootstrapped with 1000 iterations for each outcome. Of 596,571 …

Exploring Healthcare Access In Telehealth Through Spanish-Speaking Patients’ Perspectives: A Scoping Review, Abigail J. Verst

Theses and Dissertations--Communication Sciences and Disorders

Background: Telehealth offers a potential solution to addressing access barriers experienced by Spanish-speaking patients. This scoping review aimed to explore whether a comprehensive view of healthcare access is being considered when creating telehealth programs for Spanish-speakers. The Conceptual Framework of Access to Healthcare (Levesque et al., 2013) was used to guide access analysis.

Methods: A literature search was conducted across three databases to identify empirical studies in the United States that reported Spanish-speaking patients’ perspectives of telehealth through quantitative questions. Data was collected from the included articles to characterize the type of healthcare providers and telehealth modalities examined in the …

Practicing Clinicians' Views Of The Life Participation Approach To Aphasia Therapy, Stephanie H. Mays

Theses and Dissertations--Communication Sciences and Disorders

The Life Participation Approach to Aphasia therapy (LPAA) aligns with a person-centered, functional approach to speech therapy. Past research has demonstrated that persons with aphasia (PWA) benefit from this approach and prefer it when compared to the traditional medical model to therapy. However, a disconnect between PWA preferences and SLP treatment approaches in therapy persists. This study aims to identify both barriers and facilitators that SLPs face when implementing LPAA. Five CCC-SLPs practicing in the state of KY with experience working with PWA were recruited as participants. Participants were placed into two focus groups, with each group meeting for 2-3 …

Cultural Competency Of The Interprofessional Team In Burn Care Through An Occupational Therapy Model, Brooklyn Wiest

Occupational Therapy Capstones

Purpose: Burn injuries are considered one of the most devastating injuries globally (Farzan et al., 2023). Those suffering from serious burns are likely to be affected in all areas of life (physical, social, mental, emotional, spiritual, environmental, intellectual, and psychological) (Abrams et al., 2016). Some of these impacts include changes in appearance, social isolation, stress, anxiety, depression, self-esteem, employment, financial burden, and family problems. These are devastating outcomes are seen throughout diverse populations (Nair & Adetayo, 2019). As diverse populations are rising, an increase in equitable medical care is needed (Peters et al., 2022). Education and increasing awareness of culturally …

Caregiver Education In Early Intervention, Payton Schilke

Occupational Therapy Capstones

Background: Early intervention services are provided for children ages birth to three years who have identified developmental delays (North Dakota Health and Human Services, n.d.). Services that are provided in early intervention include home visits, consultations, and parent coaching from a multidisciplinary team (North Dakota Health and Human Services, n.d.). The health-related practices of parents during the first two years of their children’s lives plays an important role in terms of influencing children’s health and development (Boelsma et al., 2021). It is the responsibility of the caregivers to utilize the information that is provided and implement within the child’s daily …

Addressing Barriers To Preventive Healthcare Access Through Community Outreach In Underserved Populations, Deneisha Sparks

Theses and Dissertations

Access to preventive healthcare is a significant public health challenge, particularly for underserved populations in Muscogee County, Georgia. This project addresses systemic barriers such as transportation, limited health education, and economic constraints, which contribute to health disparities and reliance on emergency room services. Guided by the Social Determinants of Health (SDOH) framework and the Health Belief Model (HBM), the project aims to enhance access to preventive care, improve health literacy and identify barriers to healthcare access.

This program evaluation report examined a community-based initiative that utilized a mobile health unit to improve access to preventive healthcare in underserved areas of …

Attacking Diabetes One Day At A Time, Kyla Duncan

Theses and Dissertations

The "Attacking Diabetes One Day at a Time" initiative targets the growing concern of public health, type 2 diabetes, among under-reserved communities. This comprehensive care program emphasizes the importance of prevention through education, improving lifestyles, and access to care. Based on insights from the Self-Care Management Theory, this initiative seeks to provide individuals with sound, culturally tailored strategies that reduce disease risk and help them manage healthy lifestyles. Major components include educational workshops, and resource navigation. The success of this program, from community engagement through evaluation on a phased implementation plan, is guaranteed. The expected outcomes of this work will …

Racial Diversity Matters: Experiences Of Dental Hygienists Of Color In Education And Practice, Sonika Masih

All Graduate Theses, Dissertations, and Other Capstone Projects

Oral health is important to overall health. Poor oral health can affect a person’s ability to smile and chew, and can negatively affect their self-esteem. Poor oral health can lead to systemic diseases and even death. Therefore, access to dental care is vital for maintaining a quality of life, but people of color often lack access to this essential care. Negative stereotyping, color blind attitudes, and providers' biases are barriers for people of color to access dental care. Dental hygienists play a crucial role in removing barriers to oral healthcare for underserved populations. However, the dental hygiene profession does not …

Critical Appraisal Of Language Assessment Tasks For African American Children, Tamara Diana Jacobs

Selected Full-Text Master Theses 2021-

Language assessment is a fundamental aspect of the speech-language therapist's role. However, a critical examination of standardized assessments reveals their historical association with constructing disability and exerting control over individuals with a disability, often rooted in the medical model of disability (Nair et al., 2023). As a result, there has been a growing interest in developing alternative methods for evaluating language and speech, particularly in diverse populations (Hyter, 2022). This interest has extended to the study of assessment methods within urban communities, including African American English (AAE) speakers.

Language assessment is a fundamental aspect of the speech-language therapist's role. However, …

Language Barriers In Clinical Trials: Exploring Impacts On Continuity And Participants’ Engagement And Effective Mitigation Strategies, Harsha Ani Das

Master's Theses and Doctoral Dissertations

Clinical trials are crucial for advancing medical knowledge and developing new treatments. However, language barriers can pose significant challenges for participants, particularly in understanding trial procedures, risks, and benefits. Existing policies, guidelines, and studies from 2020 to 2024 identify key challenges in recruiting and retaining non-English-speaking participants. The lack of data on dropout rates highlights the need for improved language services and culturally sensitive communication methods. Findings demonstrate the importance of addressing linguistic disparities to enhance trial inclusivity and success. Innovative strategies to overcome language-related hurdles include the use of professional interpreters, translated materials, and community engagement initiatives. By addressing …

Negotiating With-Ness: Midwives' Lived Experiences Of Gender, Inclusive Language, And Professional Identity., Kimberley-Ann De Wet

Theses

This research investigated midwives lived experiences of using gender-inclusive language in public maternity care, examining how linguistic practices intersect with professional identity, ethical commitment, and institutional constraint. Informed by feminist theory and guided by descriptive phenomenology with a constructivist paradigm, the study explored how midwives navigate the profession’s foundational ethos of being ‘with woman’ while responding to the ethical imperative to provide inclusive care in an increasingly diverse society. Semi-structured interviews were conducted with eight practising midwives in Western Australia, generating rich descriptions of how inclusive language is enacted, negotiated, and constrained in practice. Reflexive thematic analysis produced three overarching …

Promoting Parent-Child Connectedness: Insights From A Parent Education Training., Bisola E. Duyile, Robyn Becker, Kate Papas, Shanta K. Pamphile

Department of Communication Sciences and Disorders Faculty Scholarship and Creative Works

Purpose: This study explores the interrelationship of speech, language, and literacy development, parentchild connectedness, and children’s mental health when viewed as social determinants of health, specifically among families of children with developmental disabilities. Through interprofessional collaboration, researchers aim to identify effective strategies that parents can use to enhance their children’s communication skills and emotional well-being.

Methods: A mixed methods design was employed, involving a post-workshop survey completed by five mothers. The quantitative component included Likert scale items to measure satisfaction with social support. We also evaluated satisfaction with the workshop. The qualitative component comprised openended questions about newly learned tools …

Navigating The Intersections: Immigration, Diversity Of The Workforce, Precarious Work, And Vulnerabilities In Occupational Safety And Health, Daniel Côté, Jessica Dubé

Éditoriaux, lettres à l'éditeur

Dans un contexte de mondialisation croissante, la migration est une réalité incontournable qui expose les travailleurs migrants et autochtones à des conditions précaires et à des vulnérabilités accrues en matière de santé et sécurité du travail (SST). Les formes d’emploi précaires – contrats temporaires, travail à temps partiel ou informel – touchent de manière disproportionnée ces travailleurs, limitant leur accès aux droits et protections. Les travailleurs autochtones, particulièrement en milieu rural et dans des secteurs à risque, font face à des défis similaires en raison de marginalisations historiques et structurelles.

Ce texte présente les cinq articles de la section spéciale …

Death, End-Of-Life Doulas, And Art:
Exploring Connections Between Death Competency And Art Making, Jill K. Hoefgen

Art Therapy | Master's Theses

Death in the United States is often viewed as a medical event rather than the natural course of life, which results in avoidance of planning for the inevitable. The emergence of Hospice in the 1970s, Medical Aid in Dying (MAID) laws in several states, and the positive death movement have demonstrated a shift in attitudes and priorities about death and dying. Since the early 2000s, end of life doulas (EOLDs) have emerged as practitioners who help people plan for and transition to death. Emotional and existential coping skills are components that emerge from death work, and these elements can be …

A Guide To Falls In A Skilled Nursing Facility, Sarah Ghione

Doctoral Projects

Approximately one in four older adults experiences a fall each year in the United States (Centers for Disease Control and Prevention [CDC], 2024b; Kakara et al., 2023). Among those residing in nursing homes for either short-term rehabilitation or long-term care, the risk of falls is doubled (Acker & Janssen, 2017; Shao et al., 2023). The purpose of this doctoral capstone project was to develop an educational resource aimed at enhancing staff education and fall prevention efforts within a single nursing home, supporting the facility’s goal of reducing fall rates. Methods included a needs assessment, observational experiences, resource development, and the …

A Retrieval Augmented Approach To Improving Accuracy Of Biomedical Term Normalization By Large Language Models, Thanh Son Do

Graduate Theses/Dissertations

Ontology normalization is crucial in biomedical text processing, as it enables the mapping of medical expressions to standardized ontology terms and their corresponding identifiers. This thesis explores the feasibility of using large language models (LLMs) for ontology normalization, with a specific focus on the Human Phenotype Ontology and Gene Ontology. Prior research studies indicated that LLMs employing zero-shot learning tend to exhibit low accuracy and are prone to frequent hallucinations. We propose a retrieval augmented generation (RAG) approach to address these limitations and enhance normalization accuracy. We generated synthetic test sets of ontology-derived synonyms to evaluate normalization performance and developed …

The Quick Dash Reformed: Increasing The Holisticity And Occupational Nature Of Upper Extremity Therapeutic Evaluation, Lauren E. Garcia

Graduate Theses, Dissertations, and Problem Reports (ETD)

Background: The QuickDASH is one of the most common upper extremity (UE) focused patient-reported outcome measures (PROMs) utilized within current practice. Despite its high utilization rate, there are still many concerns surrounding the QuickDASH, including its applicability to certain populations, difficulty with cross-cultural adaptation, and limited psychosocial evaluation. Purpose: The purpose of this study was to develop and implement a reformed version of the QuickDASH, the OT-DASH, that included modernized and occupation-focused language to achieve increased client applicability and yield more accurate comparisons between client perceptions of dysfunction and their true clinical presentations. Theoretical framework: The Person-Environment-Occupation-Performance model was utilized …

การพัฒนาและทดลองใช้โปรแกรมส่งเสริมความรอบรู้ด้านสุขภาพผ่าน แอปพลิเคชันไลน์ต่อพฤติกรรมการดูแลตนเองและ ระดับไขมันความหนาแน่นต่ำของผู้ที่มีภาวะหัวใจขาดเลือดเรื้อรัง, ชัชพงศ์ สมุทรอาลัย, รัตน์ศิริ ทาโต

Journal of Nursing Research, Innovation, and Health

วัตถุประสงค์: เพื่อพัฒนาและทดลองโปรแกรมส่งเสริมความรอบรู้ด้านสุขภาพผ่านแอปพลิเคชันไลน์ในผู้ป่วยที่มีภาวะหัวใจขาดเลือดเรื้อรัง

รูปแบบการวิจัย: การวิจัยและพัฒนาโปรแกรมส่งเสริมความรอบรู้ด้านสุขภาพผ่านแอปพลิเคชันไลน์เป็นส่วนหนึ่งของการศึกษาผลของโปรแกรมที่มีต่อพฤติกรรมการดูแลตนเองและระดับไขมัน LDL-C ในกลุ่มผู้ป่วยภาวะหัวใจขาดเลือดเรื้อรัง

วิธีการดำเนินการวิจัย: กระบวนการพัฒนาโปรแกรมแบ่งเป็น 3 ระยะ ได้แก่ 1) การศึกษาสภาพปัญหาของผู้ที่มีภาวะหัวใจขาดเลือดเรื้อรังร่วมกับการทบทวนวรรณกรรม 2) การออกแบบและพัฒนาโปรแกรมส่งเสริม ความรอบรู้ด้านสุขภาพผ่านแอปพลิเคชันไลน์และ 3) การทดลองใช้โปรแกรมในกลุ่มผู้ที่มีภาวะหัวใจขาดเลือดเรื้อรัง โปรแกรมถูกประเมิน ในด้านความเหมาะสม ความต่อเนื่องของเนื้อหา และความถูกต้องทางภาษา กลุ่มตัวอย่างเป็นผู้ที่มีภาวะหัวใจขาดเลือดเรื้อรังที่เข้ารับการรักษาในโรงพยาบาลเลิดสิน จำนวน 15 คน เครื่องมือที่ใช้ในการศึกษาได้แก่ โปรแกรมส่งเสริมความรอบรู้ด้านสุขภาพ แบบประเมินความพึงพอใจ และแบบสอบถามพฤติกรรมการดูแลตนเองของผู้ป่วยโรคหลอดเลือดหัวใจ การวิเคราะห์ข้อมูลใช้สถิติ ร้อยละ ค่าเฉลี่ย และส่วนเบี่ยงเบนมาตรฐาน

ผลการศึกษา: โปรแกรมส่งเสริมความรอบรู้ด้านสุขภาพผ่านแอปพลิเคชันไลน์มีคะแนนเฉลี่ยด้านความสะดวกในการใช้งาน 4.6 (±0.48) คะแนนเฉลี่ยด้านการใช้ประโยชน์ได้จริงของโปรแกรม 5 (±0.00) คะแนนเฉลี่ยด้านความปลอดภัยในการใช้งาน 4.53 (±0.51) และคะแนนเฉลี่ยด้านความพึงพอใจในการใช้โปรแกรม 4.8 (±0.35) ชี้ให้เห็นว่าโปรแกรมดังกล่าวมีความเหมาะสมที่จะนำไปใช้ในการศึกษากับกลุ่มตัวอย่างที่มีขนาดใหญ่ขึ้นในอนาคต

Healthy Here Family Healthy Weight Program Year 1 Summary, Camille R. Velarde, Courtney A. Fitzgerald, Theresa H. Cruz

Reports & Documents

No abstract provided.

Physiotherapy Experiences Of Injured Immigrant Workers In Quebec: An Intersectional Perspective, Victoria Gómez, Debbie Ehrmann Fieldman, Daniel Côté, Dahlia Kairy, Marie Laberge, Amelia León, Maxi Miciak, Maud Morin, Sara Saunders, Tatiana Orozco, Anne Hudon

Études primaires

Purpose: Immigrant workers are more likely to suffer work-related injuries compared to native-bornCanadians. Their physical rehabilitation usually involves physiotherapy. This study sought to betterunderstand the experiences of injured immigrant workers receiving compensation and physiotherapytreatments.Materials and methods: We conducted a qualitative study using an interpretive descriptivemethodology. Semi-structured interviews were completed with 10 compensated immigrant workersabout the physiotherapy services they received. Transcripts were analyzed thematically and with anintersectional lens.Results: Two major themes were identified: 1) complex pathways to physiotherapy, and 2) key pillarsof physiotherapy experiences. The first theme demonstrates that a lack of familiarity with the healthand compensation systems, delayed access to …

Navigating “Being Seen”: Experiences Of Older Adult Arab Immigrants And Family Caregivers Accessing Health Care Services In Ontario, Selma Tobah, Lorie Donelle Phd, Rn, Fcan, Jodi Hall, Lloy Wylie, Sandra Regan

Publications

Immigrants to Canada face unique barriers to accessing health care including communication barriers, socioeconomic limitations, and a lack of health care system navigation knowledge. Arabs in particular face mainstream negative attitudes, propagated through political discourses as well as entertainment media. We sought to understand how older adult Arab immigrants and family caregivers accessed and experienced health care in Ontario. We conducted a critical constructivist grounded theory, using Charmaz’s approach to grounded theory. A critical constructivist grounded theory method asks not only “what” social processes are happening and “how” but also “why” and “who” benefits. Both older adult immigrant Arabs and …

Development And Validation Of A Revised Multidimensional Digital Health Literacy Scale: Secondary Analysis Using Cross-Sectional Data From The 2022 Getcheckedonline Community Survey In British Columbia, Canada, Ihoghosa Iyamu, Pierce Gorun, Hsiu Ju Chang, Rodrigo Sierra-Rosales, Devon Haag, Heather Pedersen, Sofia Bartlett, Nathan Lachowsky, Geoffrey Mckee, Catherine Worthington, Troy Grennan, Lorie Donelle Phd, Rn, Fcan, Daniel Grace, Mark Gilbert

Publications

Background: Digital technologies are reshaping health care, making digital health literacy (DHL) a critical competency for navigating online health information. Although widely conceived and measured as a unidimensional measure of DHL, the literature increasingly supports a multidimensional framing of the eHealth Literacy Scale (eHEALS). Studies propose alternative factor structures that can better inform population-level interventions, but these studies have not accounted for the ordinal nature of eHEALS response data. Objective: This study aimed to identify and validate an alternate multidimensional structure of eHEALS accounting for its ordinal response scale. Methods: Data were drawn from the 2022 GetCheckedOnline community survey of …

The Relationship Between Motor Abilities And Cultural Factors In Autistic Children, Lindsey Marie Anderson

Graduate Research Theses & Dissertations

Autism and motor abilities have been found to be closely related. Culture affects motor development as well as the various diagnostic criteria for an autism diagnosis, yet it is rarely considered in research and in diagnostics. This study aimed to explore the relationship between cultural factors, the social characteristics of autism, and motor abilities in autistic and non-autistic children by utilizing a demographic survey, the SRS-2, and the MABC-2 Balance subtest. The information and scores were analyzed to determine if the relationship between autism characteristics still stands when cultural factors are considered, and to determine which cultural factors mediate the …

Exploring Patient-Provider Communication In Indian American Populations: A Scoping Review, Pranav S. Nadella

Honors Undergraduate Theses

Effective provider-patient communication directly influences patient satisfaction, treatment adherence, and health outcomes, yet the unique experiences of Indian Americans—one of the fastest-growing U.S. populations—remain underexplored in communication research. This scoping review, following Joanna Briggs Institute guidelines, systematically mapped the existing literature on provider-patient communication involving Indian Americans. Eleven studies met inclusion criteria, with data extracted on methods, populations, and seven coded aspects related to communication.

Findings revealed a narrow focus on first-generation immigrants and women, leaving men’s experiences and second-generation voices largely unexamined. Communication was shaped by language discordance, cultural stigma, family involvement, trust dynamics, and health literacy. No studies …

Cognitive Impairment And Depression In Hispanic And Non-Hispanic White Low-Income Older Adults A Cross-Sectional Study, Cecil Latta

Honors Undergraduate Theses

Hispanic older adults represent a growing population in the United States and may be disproportionately affected by cognitive impairment and depression. We theorize that cognitive impairment would be more prevalent in the older Hispanic community and would affect the levels of depression in both Hispanic and non-Hispanic Whites older adults. This cross-sectional study examined the association between cognitive impairment and depression in 157 older adults, including Hispanic (n = 91, 57.96%, age: M = 76.4, SD = 6.8) and non-Hispanic White (n = 66, 42.04%, age: M = 76.2, SD = 6.5). We used the Memory Impairment Screen to assess …

An Assessment Of U.S. Medical Students’ Self-Reported Knowledge, Attitudes, And Practices In Using Professional Medical Interpreters, Ezinne Okonkwo

Honors Undergraduate Theses

Professional medical interpreters interpret conversations between patients with limited English proficiency (LEP) and physicians. Given the important role professional medical interpreters play for LEP patients, current and future healthcare professionals would benefit from understanding their services and how to utilize them effectively. Research has explored how residents and physicians regard medical interpreters, but few studies have examined medical students' knowledge and perceptions about them. This cross-sectional study investigated medical students' knowledge, attitudes, and practices regarding professional medical interpreters. The sample was comprised of Florida medical students. Participants completed a one-time, quantitative online survey collecting information regarding their medical training, demographics, …

Improving Safe And Effective Management Of Pain At Home, Alayna V. Olivarez

Honors Undergraduate Theses

Pain is the most common clinical symptom in individuals with a cancer diagnosis. Additionally, home is the preferred place for cancer care which introduces numerous challenges for cancer pain management. The primary purpose of this literature review is to identify support interventions to enhance pain control, prevent exacerbations in pain, and optimize quality of life in individuals with cancer transitioning from the acute care setting to home. The secondary purpose of this review is to analyze patient-specific barriers influencing self-efficacy of pain management and overall health outcomes in the target population. A systematic literature search was conducted using CINAHL, EBSCOhost, …