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Home Exercise Program Adherence In Physical Therapy: Application Of The Transtheoretical Model, Charis Brown

Senior Honors Theses

Home exercise programs (HEPs) are a foundational component of physical therapy (PT). However, the majority of patients are not compliant with their HEP; they lack the motivation and habits necessary to be compliant. The transtheoretical model (TTM) is a framework for understanding the decision-making of the individual and is a model of intentional change. When properly understood and applied, the TTM can improve a physical therapist’s ability to help patients to change their behavior and to become HEP compliant. This paper seeks to address patient exercise noncompliance by educating and instructing physical therapists in the application of the TTM, which …

Program Development Of Meaningful Work For Those With Brain Injury: A Doctoral Capstone Experience, Alyssa Mckenna

Capstone Projects

In the United States there were 18,557 people diagnosed with traumatic brain injuries (TBI’s) with 49% of those injuries being caused by vehicular crashes in 2021 (Traumatic Brain Injury Model Systems National Data and Statistical Center, 2021). Those who suffer from these injuries often struggle to maintain jobs due to the symptoms resulting from the TBI’s. Vocational rehabilitation programs have been created to address the skills necessary to participate in the work environment. Vocational rehabilitation is a specialized area of occupational therapy. Recent changes have been made to Michigan’s auto no-fault insurance policy that has created a gap between this …

Relationship Between Chinese Herbal Medicine Use And Risk Of Sjögren’S Syndrome In Patients With Rheumatoid Arthritis: A Retrospective, Population-Based, Nested Case-Control Study, Hou-Hsun Liao, Hanoch Livneh, Miao-Chiu Lin, Ming-Chi Lu, Ning-Sheng Lai, Hung-Rong Yen, Tzung-Yi Tsai

Counselor Education Faculty Publications and Presentations

Background and Objectives: Sjögren’s Syndrome (SS) is a common extra-articular feature among subjects with rheumatoid arthritis (RA). While Chinese herbal medicine (CHM) has been used to treat symptoms of RA for many years, few studies have examined its efficacy in guarding against the SS onset. This study aimed to compare risk of SS for RA patients with and without use of CHM. Materials and Methods: Data obtained for this nested case-control study were retrieved from Taiwanese nationwide insurance database from 2000–2013. Cases with SS claims were defined and matched to two randomly selected controls without SS from the recruited RA …

Psychoanalytic Insights For Rehabilitation Professionals: Three Major Psychoanalytic Perspectives., Kenneth R. Thomas, David M. Rosenthal, Zhou Kaiqi, Jeong Han Kim

School of Rehabilitation Services & Counseling Faculty Publications

This manuscript presents data on how counselors can use theoretical concepts derived from three major schools of psychoanalysis to understand and treat clients with a disability. We survey historical data on the three schools of psychoanalysis (classical, ego psychology, and self-psychology), as well as detailed information on the founders and major contributors to these various schools of psychoanalysis. The data are presented not only to inform counselors about the three approaches to psychoanalysis, but also to help practitioners facilitate their clients' emotional health. In other words, the manuscript serves both an educational and clinical objective.

Exploring The Impact Educational Interventions Have On Nursing And Medical Students’ Attitudes And Empathy Levels Towards People With Disability: A Systematic Review, William Evans, Dominika Lisiecka, Dawn Farrell

Publications

This systematic review aimed to explore the impact educational interventions have on undergraduate nursing and medical students' attitudes and empathy levels towards people with disability. There are over one billion people with some form of disability currently. A growing body of research reveals that nurses and doctors display negative attitudes including decreased empathy towards people with disability. A systematic review using narrative synthesis of chosen randomized controlled trials was employed. A comprehensive search was completed in June 2021 on six databases (CINAHL, Medline, Science Direct, Health Research Premium - PROQUEST, Scopus. Cochrane Library). The search strategy yielded 21,616 studies and …

Racial And Ethnic Disparities In Speech-Language Pathology (Slp) Services, Hope A. Lemmons

Student Theses and Dissertations

The purpose of the study was to examine the experiences with and perceptions of racially and socioeconomically diverse people in accessing early intervention day treatment (EIDT) facilities. Participants completed a questionnaire which included questions regarding the parents’ age, ethnicity, socioeconomic status (SES), gender, education level, income level, along with other questions. Participants were recruited from the KidSPOT facility, an EIDT center in Jonesboro, Arkansas. Participants had to have a child enrolled in speech therapy and enrolled in EIDT services at KidSPOT. A total of 10 participants completed the questionnaire: six females and four males. When asked the participants’ race, only …

A Grounded Theory Of Counselors’ Post-Graduation Development Of Disability Counseling Effectiveness, Michele Rivas, Nicole R. Hill

Journal of Counselor Preparation and Supervision

Many persons with disabilities engage in counseling services in a variety of settings. However, the development trajectories of counselors who seek to compensate for the lack of training and advance their post-graduation skillset to work effectively with clients with disabilities has not been explored. This grounded theory study illuminated several dimensions involved in twenty-one Licensed Professional Counselors’ post-graduation development of disability counseling effectiveness. In this study, counseling effectiveness refers to self-perceived improved skillset rather than a benchmark (i.e., competence). The core category, Evolving Commitments, was common to all participants’ trajectories when developing disability counseling effectiveness. The other categories (causal conditions, …

Everything Won’T Be Okay: The Impact Of Therapists’ Justification Of The Mental Healthcare System On Their Racially Minoritized Patients, Rachel Ruth Buxbaum

Selected Full-Text Dissertations 2020-

Despite advances in mitigating explicit biases, research finds that therapists’ implicit bias has not significantly decreased in magnitude or impact on their clinical work over the past several decades. This bias propels, among other harms, misdiagnosis and overdiagnosis, weaker therapeutic alliances, poorer quality of care, and re-activation of racialized trauma among patients of color. Because of these disparities, many individuals develop experience-based cultural mistrust toward the healthcare system, which clinicians often misinterpret as psychopathology, perpetuating the mistreatment-to-mistrust cycle. This dissertation was the first to apply system justification theory to clinical process research, investigating whether and how therapists’ justification of the …

Black/African American Men’S Lived Experiences Of Workplace Colorism Bullying, Dr. Benjamin K. Spady Ph.D

Walden Dissertations and Doctoral Studies

Bullying in the U.S. workplace is an ongoing issue that transcends industry boundaries due to perpetrators’ ineffectiveness in viewing all coworkers as equals. The purpose of this qualitative interpretative phenomenological analysis study was to explore the lived experiences of Black/African American men who endure workplace colorism bullying. Critical race theory provided the conceptual framework, which labeled racism as an omnipresent systemic force. Semistructured interview data were collected from six Black/African American men who resided in the United States and who were bullied in the workplace within the past 20 years. Data were coded via open coding to discover themes. The …

Trauma-Informed Behavioral Health Leadership And Employee Engagement At A Child Advocacy Center, Andrew Krantz

Walden Dissertations and Doctoral Studies

Employee engagement is essential for an organization to meet its mission and vision. When employees are not engaged, there are higher levels of turnover, secondary traumatic stress, and burnout. Furthermore, when employees are not engaged, there is a decrease in the quality of patient care. Behavioral health leaders can positively impact employee engagement by engaging in trauma-informed behavioral health leadership. This qualitative case study reviews the impact of trauma-informed behavioral health leadership on employee engagement at a large Child Advocacy Center in the northeastern United States who was struggling with low levels of employee engagement and high levels of turnover …

Admission Timing, Age, Sex, Pain, And Disability As Outcome Predictors Of Short-Term Pain Programs, Nanesha Courtney

Walden Dissertations and Doctoral Studies

Researchers have found that age, sex, education level, and pretreatment pain levels may be significant predictors of patient outcomes; however, it remained unknown whether the timing of treatment predicts pain and disability after a multidisciplinary short-term intensive pain treatment program. The purpose of this quantitative nonexperimental study was to use archival data to examine whether the timing of entry into a multidisciplinary short-term intensive pain treatment program predicted pain and functioning levels at posttreatment. Glasser’s choice theory was used to examine whether the combined effect of pretreatment pain, occupational disability level, age, sex, education level, and time of entrance predicted …

Black/African American Men’S Lived Experiences Of Workplace Colorism Bullying, Dr. Benjamin K. Spady Ph.D

Walden Dissertations and Doctoral Studies

Bullying in the U.S. workplace is an ongoing issue that transcends industry boundaries due to perpetrators’ ineffectiveness in viewing all coworkers as equals. The purpose of this qualitative interpretative phenomenological analysis study was to explore the lived experiences of Black/African American men who endure workplace colorism bullying. Critical race theory provided the conceptual framework, which labeled racism as an omnipresent systemic force. Semistructured interview data were collected from six Black/African American men who resided in the United States and who were bullied in the workplace within the past 20 years. Data were coded via open coding to discover themes. The …

Recognizing Ableism And Practicing Disability Humility: Conceptualizing Disability Across The Lifespan, Katherine M. Atkins, Tamekia Bell, Tilottama Roy-White, Maria Page

Adultspan Journal

Disability culture is often misunderstood by counselors who lack extensive training in working with individuals with disabilities (IWDs) (Stuntzner & Hartley, 2014). This quantitative study used the Counseling Clients with Disability Survey (CCDS) to explore the beliefs and perceived knowledge of counselors-in-training (CITs), counselors, and counselor educators regarding preparation to counsel IWDs, which is particularly important as disability status can change across the lifespan, and given that the Council for Accreditation of Counseling and Related Educational Programs (CACREP) Standards Review Committee provided a guide to the draft standards incorporating the infusion of disability concepts. Results indicate that counselors were competent …

Athletic Training Student Core Competency Professional Behavior Implementation Between Immersive And Non-Immersive Clinical Experiences: A Report From The Association For Athletic Training Education (Aate) Research Network, Bailey Christine Jones, Julie Cavallario, Bonnie L. Van Lunen, Stacy E. Walker, Curt Bay, Cailee E. Welch Bacon

Rehabilitation Sciences Faculty Publications

Context

The Commission on Accreditation of Athletic Training Education requires athletic training programs to emphasize the use of professional behaviors that are associated with 6 core competencies, 5 of which were measured in this study: patient-centered care, interprofessional education and collaborative practice (IPECP), evidence-based practice (EBP), health information technology (HIT), and quality improvement (QI). The purpose of this study was to examine the association between clinical experience type and student implementation of behaviors associated with the core competencies.

Design

Multisite, panel design.

Setting

Twelve professional athletic training programs (7 graduate, 5 undergraduate).

Patients or Other Participants

A total of 338 …

Examining The Relationship Of Social Inclusion On Job Satisfaction And Turnover Intentions Of Us Post-9/11 Veterans, Sheree' L. Peters

Walden Dissertations and Doctoral Studies

Many American veterans return to the civilian workforce and report having problems reintegrating into society, as well as finding their role in the new corporate social realms. Over 80% leave their civilian jobs within the first two years of employment, and over 70% report experiencing feelings of loneliness. Recently, the World Health Organization reported that the lack of perceived social inclusion also has a significant economic impact on both individuals and societies. A quantitative, nonexperimental methodology was used to examine the moderating relationship of social inclusion on the relationship between job employee turnover intentions of post-9/11 enlisted veterans. This study …

Experience Of Established Mental Health Counselors Working With Adults Who Have Intellectual Disabilities, Margarete Denk

Walden Dissertations and Doctoral Studies

Individuals with disabilities make up the largest minority population in the United States. Individuals with intellectual and developmental disabilities (I/DD) make up a significant portion of this population, yet there are limited studies addressing counseling with the I/DD population. The Council for Accreditation of Counseling and Related Educational Programs has addressed the need for disability competence in their upcoming 2024 standards. The purpose of the phenomenological study was to describe lived experiences of established counselors working with adult clients diagnosed with an I/DD. A descriptive phenomenological approach was used along with the social model of disability. The study involved six …

Exploring Jury Nullification: Its Political History, Current, And Potential Impact On Policy, David Harold Penny

Walden Dissertations and Doctoral Studies

Jury nullification (JN) is when a jury knows a defendant is legally guilty, but states they are not guilty, believing that their verdict better serves justice in that case. The problem is the violation of the Constitution’s equal protection clause for all citizens, caused by the intentional omission in most judges’ instructions to juries of JN. The purpose of the study was to fill the gap in the literature on jury behavior and address the problem of JN. The study framework is chaos theory as applied by Horowitz to jury behavior. It describes judges and lawmakers mistrust of juries associated …

Examining The Relationship Of Social Inclusion On Job Satisfaction And Turnover Intentions Of Us Post-9/11 Veterans, Sheree' L. Peters

Walden Dissertations and Doctoral Studies

Many American veterans return to the civilian workforce and report having problems reintegrating into society, as well as finding their role in the new corporate social realms. Over 80% leave their civilian jobs within the first two years of employment, and over 70% report experiencing feelings of loneliness. Recently, the World Health Organization reported that the lack of perceived social inclusion also has a significant economic impact on both individuals and societies. A quantitative, nonexperimental methodology was used to examine the moderating relationship of social inclusion on the relationship between job employee turnover intentions of post-9/11 enlisted veterans. This study …

Exploring Jury Nullification: Its Political History, Current, And Potential Impact On Policy, David Harold Penny

Walden Dissertations and Doctoral Studies

Jury nullification (JN) is when a jury knows a defendant is legally guilty, but states they are not guilty, believing that their verdict better serves justice in that case. The problem is the violation of the Constitution’s equal protection clause for all citizens, caused by the intentional omission in most judges’ instructions to juries of JN. The purpose of the study was to fill the gap in the literature on jury behavior and address the problem of JN. The study framework is chaos theory as applied by Horowitz to jury behavior. It describes judges and lawmakers mistrust of juries associated …

Experience Of Established Mental Health Counselors Working With Adults Who Have Intellectual Disabilities, Margarete Denk

Walden Dissertations and Doctoral Studies

Individuals with disabilities make up the largest minority population in the United States. Individuals with intellectual and developmental disabilities (I/DD) make up a significant portion of this population, yet there are limited studies addressing counseling with the I/DD population. The Council for Accreditation of Counseling and Related Educational Programs has addressed the need for disability competence in their upcoming 2024 standards. The purpose of the phenomenological study was to describe lived experiences of established counselors working with adult clients diagnosed with an I/DD. A descriptive phenomenological approach was used along with the social model of disability. The study involved six …

Exploring Occupational Therapy Student And Entry-Level Practitioner Perceptions Of Mental Health Accommodations, Allison J. Naber, Ranelle Nissen, Whitney Lucas Molitor, Susan Puumala, Jewel Shepherd

Journal of Occupational Therapy Education

Mental health concerns are prevalent among occupational therapy graduate students and entry-level practitioners entering the workforce. Prior research has highlighted that the rise in mental health concerns and the high-achieving nature of occupational therapy students impacts their success in the classroom and the clinic. While formal and informal mental health accommodations are beneficial, obtaining and implementing such accommodations has been cited as a challenging process plagued with negative stigma. This study aimed to understand the perceived effectiveness of common academic and work-related mental health accommodations for meeting the role demands that occupational therapy students and practitioners encounter in the classroom, …

Multicultural And Social Justice Counseling Within The Scope Of Rehabilitation Counseling, Jeong Han Kim, Kayi Ntinda, Christopher Townsend, Kenneth Thomas, Dong Hun Lee, Cameron Ortega, Hee Jung Yu

School of Rehabilitation Services & Counseling Faculty Publications

Historically, people with disabilities are a marginalized cultural group in that their lived world is less well represented in mainstream services. The rehabilitation counseling profession has the goal to prioritize and empower people with disabilities for thriving in their personal and community lives. However, cultures exist within social systems often characterized by inequities, obliging a need to go beyond multicultural counseling to address social injustices that would occur to populations with historical disadvantages such as people with disabilities. The present study discusses the multicultural counseling movement and its impact in the field of rehabilitation counseling. The study first introduces the …

Pengaruh Diaphragmatic Breathing Dan Endurance Exercise Terhadap Peningkatan Kapasitas Kardiorespirasi Pada Pasien Hospital-Acquired Pneumonia, Alifia Azzahra, Annisya Puspitarani, Zahra Sativani, Riza Pahlawi

Jurnal Fisioterapi Terapan Indonesia

The purpose of this case study is to determine the effect of diaphragmatic breathing and endurance exercise in hospital-acquired pneumonia (HAP). Nosocomial pneumonia that occurs in 48 hours or more after the patient admitted to the hospital, without any signs of pulmonary infection. The existence of clinical manifestations that appear, patients with HAP tend to avoid physical activity which can decrease the functional capacity of the respiratory system and have an impact on decreasing endurance. Diaphragmatic breathing exercise is thought to be able to help reduce shortness of breath, reduce the work of the accessory muscles of breathing, improve breathing …

Real-Life Problems To Increase The Critical Analysis Thinking Among Novice Counselors In Humanistic Counseling Courses: Is It Effective?, Luthfita Cahya Irani, Suwarjo Suwarjo, Le Ngoc Ai Nhung

Jurnal Kajian Bimbingan dan Konseling

This study aims to determine the effectiveness of using real-life problems to improve novice counsellors' critical analytical thinking in humanistic counselling courses. The research method uses an experiment with a pretest-posttest control group design. The instrument used is a critical-analytical thinking scale. The research sample used a purposive sampling technique, which consisted of 84 students of the 2018 Guidance and Counseling UNY Study Program who took the Humanistic Counseling course. The samples were separated into experimental and control groups of 42 students. The pre-test and post-test data were analyzed using an independent sample t-test using SPSS Amos 25 software. The …

Appraising Rufaidah Al-Aslamia, First Muslim Nurse And Pioneer Of Islamic Nursing: Contributions And Legacy, Mustafa M. Bodrick, Mutlaq B. Almutairi, Fatma S. Alsolamy, Hisham M. Alfayyadh

Jurnal Keperawatan Indonesia

Global advancement in nursing is attributed mainly to western pioneers with negligible recognition of Rufaidah Al- Aslamia, who was the first Muslim nurse, and pioneer in Islamic nursing more than 1,400 years ago in Madinah (Medina, Saudi Arabia). She responded to the need for the provision of organized nursing care to injured soldiers in the Islamic battles during the time of Prophet Mohammed (Peace & Blessings Upon Him). The paucity of focus on Rufaidah Al-Aslamia triggered this scientific study to appraise her contributions and legacy as the pioneer of Islamic nursing. A qualitative, historical research inquiry was conducted using a …

Arab American Muslims’ Attitudes Toward Seeking Mental Health Services: The Roles Of Acculturation, Religion, And Cultural Beliefs, Tharwah Alzoubi

Theses and Dissertations

The purpose of this study was to identify the relationship between acculturation, religion, cultural beliefs, and attitudes toward seeking mental health services among Arab American Muslims. A total of 280 participants were surveyed for this study. Regression analysis was conducted to explore relationships among the variables; the alpha level was set at .05. The first research hypothesis was accepted as it showed statistical significance in the relationship between attitudes toward seeking mental health services and demographic variables. The standardized regression coefficients, or beta coefficients ranged from -.008 for gender to .24 for marital status, R=.31 (P<.05). Two variables were significant at the .05 level (marital status, and health insurance). The second hypothesis was also accepted as it showed relationship between attitudes toward mental health services and acculturation, religion and cultural beliefs; the standardized regression coefficients, or beta coefficients ranged from .05 for cultural beliefs to a -.25 for religion, R=.44 (P<.05). The variables of acculturation and religion were significant at the .01 level. Cultural beliefs were not significant at .05 level.

The Impact Of Supervisory Training And Workload Upon The Licensed Specialist In School Psychology Supervisors’ Perception Providing Field-Based Supervision To Interns In A Public-School Setting, Christopher L. King

Theses and Dissertations

Quality supervision is essential for developing high-performing professionals in the mental health profession. Licensed Specialists in School Psychology (LSSP) in Texas can begin supervising LSSP Interns after three years of unsupervised field experience. Workloads for LSSP supervisors can be highly diverse, and LSSP supervision training can be limited. The present study explored the impact of workload and lack of supervision training on the supervisors’ perceived ability to supervise Licensed Specialist in School Psychology (LSSP) interns in Texas public school settings. Using a quantitative cross-sectional survey design, 146 LSSP supervisors with at least three years of unsupervised field experience, and one …

Examination Of The Attitudes Towards Substance Use Treatment Approaches By Substance Use Professionals, Cameron Lacy Ortega

Theses and Dissertations

This quantitative study focuses on substance use professionals and students who are seeking employment in substance use treatment or support services. The substance use treatment profession started as a group of people who were supporting each other in recovery through abstinence based practices and has developed in to a recognized profession with multiple methods of treatment approaches. Abstinence based treatment has been and continues to be the primary method of treatment preferred in the United States. Since the 1980, harm reduction increased in application in the profession, but remains a less popular method of treatment. This study examines substance use …

Counselor Perceived Competence Diagnosing Disorders From Dsm-5 Diagnostic Categories Survey Results And The Development And Validation Of Scores On The Diagnostic Self-Efficacy Scale, Erin Elizabeth Woods

Counseling & Human Services Theses & Dissertations

This dissertation focused on the diagnostic self-efficacy of mental health counselors. The diagnosis of mental health disorders serves a wide array of functions in the counseling field including communication, treatment planning, and third-party reimbursement. Self-efficacy, or one’s belief in their own ability to accomplish a task, is considered a factor in successful task completion. The literature lacked information about which mental health disorders counselors are most confident diagnosing and an instrument which measured the self-efficacy of counselors specific to the diagnostic process. The MEASURE approach was employed to create the Diagnostic Self-Efficacy Scale and validate scores on this instrument with …

Professional Perspectives On Bilingualism In Persons With Autism Spectrum Disorder: A Pilot Study, Rosa N. Benavidez Saldivar, Jessica R. Stewart, Ruth Crutchfield, Roy K. Chen, Lily Puente

Internet Journal of Allied Health Sciences and Practice

Purpose: The present study examined the perspectives of professionals regarding bilingualism and ASD. Methods: A total of 27 professionals participated in this study. Data was collected via an online survey. The survey was designed based on a literature review and consultation with a team of experts in the field of ASD. Information relating to demographic information, professional practice information, and perspectives of bilingualism and ASD was collected. Results: Professionals participating in the present study were most likely to agree with the statement, “A child with ASD from a bilingual household is able to understand both languages” and least likely to …