Digital Commons Network^™

Real-World Evidence For Herbal Medicine Benefit In 9728 Type 2 Diabetes Patients-Peridonotitis Risk And Ambulatory Care Utilization., Wen-Wei Lin, Chieh-Tsung Yen, Hanoch Livneh, Hua-Lung Huang, Ming-Chi Lu, Wei-Jen Chen, Tzung-Yi Tsai

Leadership, Learning and Counseling Faculty Publications and Presentations

Recent evidence manifests that individuals with type 2 diabetes (T2D) are increasingly affected by oral disorders. Although medicinal herbs have shown promise in managing T2D, their benefit in managing periodontitis risk and subsequent healthcare utilization remains uncertain.

Counselor Education: Digital Delivery With Confidence, Nicole Marie Arcuri-Sanders, Alisha Davis

Journal of Counselor Preparation and Supervision

Counselor education programs are required to demonstrate a clear framework, effective implementation, and overall program effectiveness. The pandemic’s surge in online instruction influenced CACREP’s (2024) digital delivery (DD) standards, addressing ethical and legal implications alongside student outcomes. Guidance from digital health initiatives, telemental health ethics and legal practices can be invaluable in clarifying DD protocols for counselor education programs. Understanding the parallels between DD and digital health regulations (e.g., HIPAA, ACA [2014], and NBCC [2023] ethical codes) provides a solid foundation for protecting both students and programs. Integrating technology and modeling digital health practices can enhance counselor education, benefiting both …

Occupational Therapy Interventions Supporting Return-To-Work After Cancer Treatment: A Systematized Review​, Kateryna Brichka, Jordyn Spotanski, Kara Warner, Danielle Westmark, Stacy Smallfield, Molly Whitlow

Student Systematized Reviews: Occupational Therapy

PURPOSE: Return to work (RTW) is a key milestone in cancer survivorship, supporting identity, stability, and quality of life. Many survivors face physical, social, and psychological barriers (Wilson et al., 2023). Occupational therapy practitioners (OTPs) are well positioned to address these challenges through energy conservation, environmental modification, and work reintegration strategies (Désiron et al., 2016). This systematized review synthesized evidence on OT interventions that support RTW for adult cancer survivors.

DESIGN: A systematized review was conducted by a medical librarian from the McGoogan Health Sciences Library. Articles were included if published in English between 2003–2024 and classified as Level I–VI …

The Level Of Heel Pain And Footwear Characteristics And The Duration Of Its Use Among Allied Healthcare Interns At Silliman University, Jeroen Rustam Z. Agustin Ptrp, Jamaica Fe V. Duran, Rhonna Ann O. Duran, Philip Elmerson D. Ebarle, Vincent Al Beethoven G. Felisilda, Charity Gulahab, Andrea Wynn M. Lacnit, Raymond B. Esperida Phd, Mspt, Ptrp¹

Philippine Journal of Physical Therapy

Introduction: This study aimed to investigate the relationship between heel pain and specific footwear characteristics, as well as the duration of footwear usage, among allied healthcare interns at Silliman University. Heel pain, a common condition exacerbated by prolonged standing and walking, is particularly prevalent in healthcare professionals and students. Despite existing literature suggesting footwear as a contributing factor, the relationship between footwear characteristics—heel height, sole thickness, and insole material—and heel pain, especially in healthcare interns, remains underexplored. This study contributes to the field of healthcare ergonomics by highlighting the complexity of heel pain etiology and emphasizing the need for a …

Expanding The Integrated Behavioral Health Workforce: The Interdisciplinary Integrated Primary And Behavioral Healthcare (I2pbh) Initiative, Maria Hernandez, J. Garza, Monica C. Perez, Deepu George

Research Colloquium

The I2PBH initiative offers a multi-faceted training model that integrates graduate coursework, technology-based education, and hands-on clinical experience. Students receive foundational and advanced instruction in the PCBH model, including brief evidence-based interventions, team-based care principles, population-based approaches, and culturally responsive practices. Trainees participate in interprofessional training within primary care settings under supervision, gaining exposure to the real-time pace and complexity of integrated behavioral health care.

Optimal And Harmful Social Media Use By Teens With Disabilities: Leveraging Benefits While Minimizing Adverse Effects, Rommel Johnson, Elaine Mora

School of Rehabilitation Services & Counseling Faculty Publications

This article investigates the dual role of social media as both a beneficial and a harmful tool for teens with disabilities (TWDs), emphasizing its impact on identity formation, self-expression, and community engagement. Social media platforms provide TWDs with opportunities for autonomy and empowerment, offering an avenue to connect with peers, share personal stories, and engage in self-advocacy. However, the same platforms pose significant risks, including cyberbullying, loss of privacy, and problematic social media use. The article highlights rehabilitation professionals' need to understand these underlying forces, ensuring that TWDs can leverage social media's benefits while minimizing its adverse effects. By reviewing …

Social Participation And Health-Related Quality Of Life For Adults With Neurodevelopmental Disabilities: Capabilities Mediation And Employment Status And Social Security Disability Insurance Moderation, Kayi Ntinda

Theses and Dissertations

Social participation is a key determinant of health-related quality of life (HRQoL) of adults with neurodevelopmental disabilities (NDDs), yet how individuals with NDDs engage socially to support their HRQoL remains poorly understood. Furthermore, the influences of personal capabilities, employment status, and Social Security Disability Insurance (SSDI) as social factors for well-being are underexplored with this population.

This cross-sectional study investigated the direct and indirect effects of social participation on HRQoL, examining capabilities as a mediator and employment status and SSDI receipt as moderators. The study sample comprised 304 adults with NDDs (females = 83.3%; age range 18 to 60 years …

Patient-Centered, Theory-Based, Online Intervention To Promote A Physically Active Lifestyle For People With Multiple Sclerosis: Protocol For A Randomized Controlled Trial, Chungyi Chiu, Vaishnavi Sridharan, Mojtaba Khaliji, Md Refat Uz Zaman Sajib, Xiaotian Gao, Kathleen Zackowski

Children’s Nutrition Research Center Staff Publications

Background: People with multiple sclerosis (MS) experience life challenges due to the nature of disease progression. Although an active lifestyle has been shown effective for symptom and relapse management, most people with MS lead a sedentary lifestyle and do not reach the recommended physical activity (PA) guidelines.

Objective: This study aims to test the preliminary efficacy of a codeveloped, online self-management intervention based on the health action process approach (HAPA) adapted for people with MS to cultivate a physically active lifestyle.

Methods: The 8-week intervention program was developed using community-based participatory research based on the HAPA. The program includes increasing …

The Effectiveness Of The Addition Of Slow Deep Breathing To Brain Gym Exercise On Cognitive Impairment Of The Elderly, Dhia Maharani Ms, Mohammad Ali Mr, Zahra Sativani Mrs

Jurnal Fisioterapi Terapan Indonesia

Background: According to WHO, 65.5 million elderly people worldwide have impaired cognitive function. Cognitive impairment can be caused by impaired oxygen supply to the brain, stress, and lack of physical activity. Physiotherapy has a role in elderly cognition through interventions to improve cognition, namely in the form of Brain Gym Exercise with the addition of Slow Deep Breathing. Objective: Knowing the effectiveness of the addition of Slow Deep Breathing to Brain Gym Exercise on cognitive impairment of the elderly at Panti Sosial Tresna Werdha Budi Mulia 4. Methods: This study used quasi experimental with two group pre-post …

Efektivitas Senam Hamil Dalam Mengurangi Tingkat Stres Dan Kecemasan Ibu Hamil Trimester Iii: Literature Review, Suyati Suwito, Dini Nur Alpiah

Jurnal Fisioterapi Terapan Indonesia

According to WHO (2020), around 10% of pregnant women experience depression and this condition is higher in developing countries, reaching 15.6% during pregnancy and 19.8% after giving birth. Anxiety experienced during pregnancy can have negative effects on both the mother and the fetus. These negative impacts are not only during pregnancy but can also affect the labor process and lactation period. There are various types of sports to reduce anxiety, one of which is gymnastics. This study aims to determine the effectiveness of pregnancy gymnastics in reducing stress and anxiety before childbirth. Literature review research was conducted using PICO search …

Efektivitas Massage Endorphin Untuk Mengurangi Kecemasan Pada Ibu Hamil Menjelang Persalinan, Widiya Saryani, Dini Nur Alpiah

Jurnal Fisioterapi Terapan Indonesia

Pregnancy is a biological process involving complex physiological and psychological transitions that demand high adaptability from women, especially approaching childbirth. Anxiety during the third trimester is frequently reported and is associated with increased cortisol secretion, which may negatively impact labor effectiveness. This literature review aimed to synthesize scientific evidence regarding the effectiveness of endorphin massage in reducing anxiety among pregnant women in the third trimester. The review used a systematic approach based on the PICO framework, covering studies published between 2021 and 2025. Databases such as PubMed, Google Scholar, and SINTA were used to identify quasi-experimental studies comparing endorphin massage …

Peningkatan Keterampilan Makan Pada Anak Down Syndrome Melalui Terapi Okupasi Berbasis Sensory Integration: Studi Kasus, Reza Nur Arsyi, Tambunan Seselia Thresagloria, Muhammad Luthfi, Ayleen Alicia K, Hermito Gideon

Jurnal Fisioterapi Terapan Indonesia

Children with Down Syndrome (DS) frequently experience feeding difficulties due to hypotonia, sensory processing disorder, and oromotor impairments. This case study aimed to describe the clinical reasoning and effectiveness of a sensory integration (SI)-based occupational therapy intervention in improving feeding skills in a 10-year-old child with DS. The intervention consisted of 12 structured sessions focusing on postural stability, proprioceptive awareness, fine motor control, and oromotor coordination. Evaluation tools included Sensory Profile 2 and the Functional Independence Measure (FIM). Post-intervention outcomes indicated significant improvement in spoon use, posture during mealtime, texture tolerance, and self-feeding independence. FIM scores improved from total assistance …

Efektivitas Latihan Aerobik Dalam Mengurangi Gejala Depresi: Literature Review, Putra Adytio Giriyoga, Dini Nur Alpiah

Jurnal Fisioterapi Terapan Indonesia

Depression is one of the most common mental health disorders worldwide and can significantly affect an individual's quality of life. Various treatment approaches have been implemented, with one of the most noteworthy being non-pharmacological interventions in the form of aerobic exercise. This study aims to review the effectiveness of aerobic exercise in reducing depressive symptoms. This research is a narrative literature review, in which 3,610 articles were initially identified and then filtered based on inclusion-exclusion criteria, resulting in 8 articles. After eliminating duplicates, further screening was conducted through critical appraisal. The final selection of 8 articles was reviewed. The findings …

Mediating Role Of Self-Efficacy In The Association Between Fatigue And Depressive Symptoms In Females With Rheumatoid Arthritis, I-Yu Hsiao, Hanoch Livneh, Chieh-Tsung Yen, Ming-Chi Lu, Wei-Jen Chen, Tzung-Yi Tsai

Counselor Education Faculty Publications and Presentations

Background and Objectives: Extant research on the relationship between fatigue and depression in people with rheumatic diseases portrays a divergent picture. While caring for persons with this medical condition, one issue that represents individual confidence in carrying out specific tasks, namely self-efficacy level, has attracted significant attention. Yet, the information regarding whether self-efficacy may pose a clue linking these two major symptoms is still unknown. The aim of this study, therefore, is to examine whether self-efficacy mediates the association between fatigue and depressive symptoms among persons with rheumatoid arthritis (RA). Materials and Method: A cross-sectional study of 224 …

Recommendations For Telesupervision: Promoting Ethical, Legal, And Effective University And Clinical Supervision Using Technology, Madeleine M. Stevens, Yegan Pillay, Edisa Music, Elena Shahen

Journal of Counselor Preparation and Supervision

The expansion of the use of technology in counseling has implicated counseling professionals in considering how to legally and ethically incorporate it into all facets of practice, including university and clinical supervision settings. In this article, we provide scholarship-backed recommendations for doing so as well as provide suggestions for incorporating psychodynamic and cognitive-behavioral (CBT) supervision models into telesupervision.

Acquired Brain Injury Education: Utilizing Unfolding Case Studies To Improve Critical Thinking Skills In Occupational Therapy Students, Katherine Hathaway

UNLV Theses, Dissertations, Professional Papers, and Capstones

Acquired brain injuries (ABI), including traumatic brain injury, stroke, and anoxia, affect millions worldwide, and often result in long-term impairments in daily functioning. Despite the need for specialized, ongoing care, many individuals with ABI lack access to adequate long-term rehabilitation services, and families report substantial caregiver burden due to limited resources and poor care coordination. Occupational therapy plays a critical role in meeting the needs of this population; however, many entry-level practitioners feel underprepared to manage the complex challenges associated with ABI, largely due to limited training and exposure. This capstone project aimed to address this educational gap by implementing …

Opportunities And Challenges For E-Health In Hip And Knee Arthroplasty - A Summary Of Recent Literature Review, José Miguel Seguro, Márcia Pestana Santos

Patient Experience Journal

Introduction: The integration of health technologies and e-health into health education is becoming increasingly used. Objective: To identify the e-health challenges and opportunities related to hip and knee arthroplasty patient care. Methods: A narrative literature review was conducted. Results: Included 13 primary studies on teleconsultation and the use of digital applications to support patients undergoing knee or hip arthroplasty. Discussion: E-health resources are increasingly vital in supporting arthroplasty patients throughout their surgical journey, from preoperative preparation to recovery. Teleconsultations and patient-support apps enhance access to care, improve efficiency, reduce costs, and boost patient satisfaction. The …

Therapeutic Alliance: Exploring The Patient-Clinician Relationship Through The Experiences Of Collegiate Student-Athletes With Athletic Trainers, Paulina Torres, Sean M. Stoeppel, Justin Young, John Kiesel, Lindsey E. Eberman, Matthew J. Rivera

Internet Journal of Allied Health Sciences and Practice

Purpose: The therapeutic alliance refers to the relationship between patient and provider, consisting of bonds, goals, and tasks. A positive therapeutic alliance enhances care and leads to improved outcomes. The purpose of this study is to explore the lived experiences of college student-athletes relating to the development of the therapeutic alliance with athletic trainers. Methods: Consensual Qualitative Research (CQR) with semi-structured interviews. We used a semi-structured interview to explore the therapeutic alliance and lived experiences of participants. Participants included twelve college student-athletes who were currently under the care of an athletic trainer. Participants completed a semi-structured interview. We …

Supporting Elementary Educators Through A Nervous System Regulation And Social-Emotional Learning Skills Workshop Intervention: An Musc Capstone Project, Lily Morgan

Entry-Level Occupational Therapy Doctorate - Doctoral Capstone Symposium

Teachers have a great influence on developing children’s emotional intelligence, regulatory capacity, and occupational engagement. These professionals also happen to report some of the highest rates of stress, mental health challenges (Agyapong, B. et al, 2022), and burnout (Xie, M., et al, 2022). Providing teachers with education and support on nervous system regulation, social-emotional learning skills, and related topics can improve their ability to manage job stress, enhance modeling and interactions with students, and improve their quality of life. This project aimed to enhance knowledge, provide access to resources, and serve to support elementary educators at an inner-city school in …

Fostering Autonomy And Self Efficacy: An Informal Caregiver's Guide To Encouraging Participation In Self-Care, Jade A. Evans, Steven M. Gerardi, Precious Osuoha

Spring 2025 OTD Capstone Symposium

Helping Hands and Active Lives is a practical guidebook designed to empower informal caregivers to support senior independence and well-being. It offers evidence-based strategies to enhance communication, mobility, and daily function while emphasizing the impact of caregiving approaches on occupational success.

Resilience, Social Support, And Quality Of Life Among People Living With Hiv/Aids, Firman Firman, Sri Yona, Agung Waluyo

Jurnal Keperawatan Indonesia

One of the most common challenges faced by people living with human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS) is a low quality of life, particularly during the coronavirus disease 2019 (COVID-19) pandemic, as they are considered a vulnerable group. This study aimed to examine the relationship between resilience, social support, and quality of life among people living with HIV/AIDS during the pandemic. Conducted as a cross- sectional study, it involved 433 respondents. Data collection was carried out using a questionnaire, with Connor–Davidson Resilience Scale-25 (CD-RISC-25), Multidimensional Scale of Perceived Social Support (MSPSS), and World Health Organization Quality of Life–HIV Brief …

Interdisciplinary Integrated Primary And Behavioral Healthcare (I2pbh) Initiative: Establishing A Multidisciplinary And Innovative Primary Care Behavioral Health (Pcbh) Certificate Training Program At The University Of Texas Rio Grande Valley, Deepu George, Joanna Garza, Maria G. Hernandez, Yvette K. Cantu Cazares, Monica C. Perez, Mayrin A. Perez

Research Symposium

Purpose: The Interdisciplinary Integrated Primary and Behavioral Healthcare (I²PBH) Initiative aims to establish a Primary Care Behavioral Health (PCBH) certificate pathway that equips the next generation of behavioral health professionals to provide culturally responsive, trauma-informed, and population-based care. By leveraging evidence-based PCBH Integrated Care, the program addresses critical challenges in the Rio Grande Valley (RGV), such as limited access to behavioral health services and increasing behavioral health disparities. This initiative actively promotes health equity by building a sustainable workforce pipeline prepared to serve medically underserved populations and reduce behavioral healthcare disparities in the RGV.

Description: Established …

The Post-Acute Functional Interventions Impact On Quality Of Life: Spinal Cord Injury, Caitlyn Nicholson Ot/S, Monique Dawes Otd, Otr/L, Cpam

Occupational Therapy Doctorate Capstones

Individuals diagnosed with a SCI are commonly discharged from out-patient OT services after working on functional impairments and not on occupations that are meaningful. This study looks at GAS data from a community-based program, to determine what occupations are important to the SCI population but aren’t being addressed in traditional OT settings, and what about the program helped and/or limited goal attainment.

Post-Acute Functional Interventions Impact: Sci, Caitlyn Nicholson

Student Research Design & Innovation Symposium

This project was a retrospective approach using mixed methods to determine what occupations are being addressed during the residential programs of Empower for those with a spinal cord injury (SCI), and the impact they have on engagement and quality of life (QOL) rating.

Empower is a community-based program that takes place for a few weeks over the summer in different parts of the U.S., with the vision, “A world in which all people living with spinal cord injuries have the freedom to thrive.” As a population, individuals with an SCI experience a life changing event, impacting their function and participation …

Organizational And Structural Factors In Building The Therapeutic Alliance In A Work Rehabilitation Program With Injured Immigrant Workers In Quebec, Daniel Côté, Maude Arsenault, Jessica Dubé

Études primaires

Abstract

The therapeutic alliance is central to occupational rehabilitation, particularly for immigrant workers who face unique challenges of migration and of social and occupational integration. This study explores the development and maintenance of this alliance between immigrant workers with compensated work injuries and their care providers during work rehabilitation. Using ethnography, semi-structured interviews, and focus groups, the qualitative case study involved 7 injured immigrant workers and their interdisciplinary clinical team. The study identified several factors that weakened the alliance, including administrative complexity, conflicting views on pain and disability, cultural stereotypes, and interorganizational communication issues. Many of these challenges were systemic …

Disability Awareness And Inclusion, Claudia C. Gonzalez, Raquel C. Vasquez, Bruce J. Reed

School of Rehabilitation Services & Counseling Faculty Publications

The Centers for Disease Control and Prevention (2021) reported an increase in the prevalence of persons with disabilities affecting one in four people in the United States. Disability awareness and inclusion describe how a combination of understanding, acknowledgment, compassion, and acceptance can allow persons with disability the same opportunities as those without disabilities. This can be seen with the increase in persons with a disability graduating from postsecondary institutions, about 14% from 2012 to 2022 of persons over 25. This chapter covers foundational material regarding disability awareness and inclusion, including the prevalence of disability in general and in educational settings, …

Integrating Technology To Support Learning And Accessibility In Counselor Education And Supervision, Yung-Chen Jen Chiu, Heekyung Lee, Junfei Lu, Kayi Ntinda, Roy K. Chen, Yuleinys A. Castillo

School of Rehabilitation Services & Counseling Faculty Publications

The rapid evolution of technology has profoundly impacted the delivery of counseling services and the field of counselor education. This transformation has introduced both opportunities and challenges for students from underrepresented backgrounds, including students with disabilities. This chapter delves into the integration of technology in counselor education and supervision, highlighting considerations of diversity, equity, inclusion, and accessibility. It explores strategies to enhance accessibility, including improved access to program information, optimized class preparation, and enhanced quality of clinical supervision. Key implications for counselor educators and supervisors include bolstering their own technological proficiency, familiarity with legal and ethical considerations, enhancing disability awareness, …

Moving Beyond Traditional Multiculturalism: Dis/Ability Awareness In Counselor Education, Alicia B. Becton, Eunae Han, Leeza Ong, Amber Johnson, Roy K. Chen, Gabriela Rangel, Stephanie Lusk

School of Rehabilitation Services & Counseling Faculty Publications

This chapter explores the experiences of individuals with disabilities, emphasizing how they navigate educational and societal norms while balancing various identities. It emphasizes the impact of societal issues, such as racism and sexism, on individuals with disabilities. The authors delve into current multiculturalism trends, advocating for culturally responsive approaches in counselor education and rehabilitation services. The goal is to advance discussions on the future directions of multiculturalism by exploring the following key areas (a) the sociopolitical aspects of disability, (b) the inclusion of disability in counselor education, (c) accessibility and the universal design for learning (UDL), (d) culturally competent counselor …

Disability Community-Engaged Learning For Counselor Education Students, Kayi Ntinda, Bruce J. Reed

School of Rehabilitation Services & Counseling Faculty Publications

Community-engaged learning approaches utilize experiential learning by which participant students, disability community, and instructors are knowers and actors contributing to practical, real-world applications. This chapter explores the integration of community-engaged learning in counselor education programs, with a focus on its significance for developing practice-led skills respecting communities with and of disability. Second, the chapter proposes community-engagement pedagogical methods for critical thinking and real-world problem-solving skills by counselor education students. The chapter then addresses how community-engaged learning approaches meet CACREP standards for preparing counselor education students bridging the theory and practice gaps in their clinical rehabilitation counseling competencies. With community-engaged learning …

Social Justice In Higher Education: The Forgotten Needs Of Students With Visual Impairments In Bangladesh, Mohammed Mozadded Hossen, Roy K. Chen, Nahal Salimi, Jane L. Nichols

School of Rehabilitation Services & Counseling Faculty Publications

Students with disabilities face myriad barriers and hurdles to success in higher education settings. Institutions in developing nations often lack the necessary resources to provide accessible instruction, and the absence of clearly defined policies further impedes upholding the educational rights of such a special population. The purpose of this study was to examine how undergraduate students with visual impairments in Bangladesh felt about their experiences related to social justice and challenges in learning during the COVID-19 pandemic. A convenience sample of 133 students was recruited from two public universities. The authors developed two instruments, namely, the Social Justice Experiences in …