Digital Commons Network^™

Neonatal Abstinence Syndrome's Interaction With Foster Care: Exploring Challenges And Improving Outcomes, Kennedy E. Bradshaw

Senior Capstone Papers

Neonatal Abstinence Syndrome (NAS) diagnoses in the United States, especially in rural areas have skyrocketed in recent years in conjunction with the increase in opioid use disorders. Neonates born with this condition possess a plethora of needs. The literature indicates the effects of NAS on substance-exposed infants are shown to have negative physical, cognitive, behavioral, and educational effects throughout the life course. Children with a NAS diagnosis are more likely to be involved in the foster care system due to stigma and legal implications facing the biological mothers of this population. The proposed intervention setting is AGAPE, which employs social …

The Effects Of Theatre-Based Interventions With Older Adults Diagnosed With Neurodegenerative Diseases, Calli Hudson

Capstone Projects

The Doctoral Capstone Experience evaluated theatre and the relation with occupational therapy to observe the potential connection theatre can create to improve shared experiences, emphasize collaboration, and improve quality of life through participation and engagement of theatre-based interventions. In general, theatre allows the foundation of occupational therapy to remain pertinent within the intervention process by remaining flexible, client-centered, and meaningful to aid with participation and engagement by dismissing signs and symptoms of Alzheimer’s with a concentration on novel activities. Within the site of the project, there is currently a gap with socializing of consumers, due to the diverse group population, …

Entry Level Ota Module Content: Sexual Activity As An Adl, Peightyn Larson

Capstone Projects

Sexuality is a “state of mind that represents how individuals feels about themselves, relate to other people, establish relationships, and express themselves” (AOTA, 2013). Occupational therapists and occupational therapy assistants have the skill set necessary to address sexuality in practice, however, it is neglected in occupational therapy (OT) and occupational therapy assistant (OTA) programs throughout the United States of America (Lohman et al., 2017). The absence of sexuality in curriculum stems from lack of time, low priority, and various client factors including age, marital status, therapist safety, personal beliefs, and fear of offending the client (Lohman et al., 2017; McGarth …

Expanding Trauma Treatment With Sensory Based Occupational Therapy, Domonique Chambers

Capstone Projects

Sensory based occupational therapy is bridging the gap between the brain and body for individuals who have experienced complex trauma or have a barrier within their functional skills due to the integration of their sensory system. This can include individuals who have experienced complex trauma or individuals who are neurodivergent experiencing barriers to function in their lives. My objectives throughout my capstone experience is to support these clients seeking occupational therapy through educational handouts and videos on the what and why, pursuing grant information, and advancing my clinical skills within this outpatient clinic. These have resulted in increased resources for …

Language Services For Populations With Limited English Proficiency (Lep) And The Necessity For Proper Medical Interpretation With A Focus In South Carolina, Elizabeth Pung

Senior Theses

Linguistically appropriate healthcare is a cornerstone of providing quality patient care. Provider-patient communication is imperative to achieving linguistically appropriate healthcare; unfortunately, language barriers introduced by different spoken languages of patients to their providers hinders this communication. Patients with limited English proficiency (LEP) are ensured accessible healthcare under federal regulations such as the National Standards for Culturally and Linguistically Appropriate Services (CLAS standards); however, a gap between patients with LEP and the healthcare system remains. Not only is there a gap in communication for patients with LEP to their providing physician, but there is a nationwide epidemic resulting in poor health …

Sexual Health And Relationship Abuse Interventions In Pediatric Primary Care: A Systematic Review, Susheel Kant Khetarpal, Sarah Tiffany-Appleton, Erin E Mickievicz, Romina L Barral, Kimberly A Randell, Jeff R Temple, Elizabeth Miller, Maya I Ragavan

Faculty, Staff and Student Publications

PURPOSE: Supporting adolescents in developing healthy relationships and promoting sexual and reproductive health (SRH) is an important responsibility of pediatric primary care providers. Less is known about evidence-based interventions in pediatric settings focused on healthy relationships and SRH.

METHODS: We conducted a systematic review to describe SRH and healthy relationship/adolescent relationship abuse (ARA) interventions for pediatric primary care over the past 20 years. Eligible articles were original research on an SRH-focused or ARA-focused intervention, conducted in-person within pediatric primary care or school-based health centers specifically for middle or high school-aged adolescents. Data abstracted from included articles included intervention description, content, …

Telemedicine Among Adults Living In America During The Covid-19 Pandemic, Man Hung, Monica Ocampo, Benjamin Raymond, Amir Mohajeri, Martin S. Lipsky

Institute on Aging Publications

Background and Objectives Telemedicine can expand healthcare access to populations, but relying on technology risks a digital divide. Therefore, it is important to understand who utilizes telemedicine. This study explores telemedicine usage across socio-demographic groups in the United States during COVID-19. Methods Data came from the Household Pulse Survey (HPS) between 14 April 2021, to 11 April 2022. HPS is a rapid online response survey that assesses household experiences during COVID-19. We calculated descriptive statistics and used cross-correlation to test each pair of the time series curves. Results High school graduates used the least telemedicine (20.58%), while those with some …

Caring For Children With Mental Health Concerns: The Experience Of Being A School Nurse, Jeannine Kaskoun

Dissertations, Theses, and Capstone Projects

Mental health issues have for years been on the rise among our nation’s schoolchildren, and the COVID-19 pandemic has only served to aggravate what can now be called a crisis. Researchers agree that timely assessment, diagnosis, and treatment of mental health concerns in children are critical to maintaining their growth and development and could potentially aid in decreasing serious mental health events as they move into adulthood. While in an ideal world, each child would have a family medical provider, the fact is that for many children, the school nurse is the child’s sole provider of health care. Many times, …

Graduate Student Transcription Of Accented Speech, Emily Covington

Theses & Honors Papers

There are many speech sound differences between Standard American English and English spoken by an individual from a different language background, who speaks with an accent. The purpose of this study is to research graduate students' preparedness and ability to transcribe speech from varying cultural backgrounds. A transcription assessment was administered to current speech-language pathology graduate students with results compared to professionals in the field who completed the transcription based on both listening and spectrogram images. Graduate students were also surveyed regarding their phonetics education experiences. Overall, students were able to transcribe accented speech with 64.2% accuracy. Participants’ transcription of …

Teaching And Learning Interventions Designed To Improve Cultural Competence In Health Profession Students: A Systematic Review, Gloria Nkhoma, Chiao Xin Lim, Gerard A. Kennedy, Ieva Stupans

Internet Journal of Allied Health Sciences and Practice

Purpose: Developing healthcare profession students’ cultural competency knowledge, skills and attributes is critical to meet the needs of culturally and linguistically diverse healthcare service consumers. The purpose of this systematic review was to identify effective cultural competence interventions for healthcare profession students. Methods: A systematic review of peer reviewed articles published from 2010-2021 using PRISMA guidelines was conducted by searching CINAHL, EMBASE, ERIC, PubMed, and Psych INFO databases. Article quality was assessed using the Evaluation Tool for Quantitative Research and Mixed Method Appraisal Tool. Results: The initial search identified 2,261 potentially relevant studies, 41 studies met the inclusion criteria in …

The Hidden Victims Of The Hiv/Aids Epidemic: Women, Theresa Staab

Health Sciences Student Scholarship

Early stigmatization of the HIV/AIDS epidemic in the US as a gay man’s disease left women fighting for visibility in the epidemic for the last forty years. By the late 1980s, women were at the forefront of HIV/AIDS grassroots advocacy yet largely removed from public discourse about susceptibility. Women of color faced a more difficult battle for inclusion because the erasure of their intersectionality muted their experience as individuals with multiple identities, such as black and gay or black and HIV positive. Furthermore, white women fought to emerge from the shadows of the media’s rumors and be recognized as victims …

Access To Gender-Affirming Voice Services Among Emerging Adults In The Gender-Expansive Community, Erin O. Wind

Theses & Honors Papers

Emerging adulthood, occurring between the ages of 18 to 25, is a time of significant identity exploration. This age group has the highest prevalence of individuals who are transgender or nonbinary; however, there is minimal current research on access to gender-affirming voice services among this demographic. This study utilized a healthcare access framework by Levesque et al. (2013) to analyze organizational barriers to care including approachability, acceptability, availability, affordability, and appropriateness for this population.

The researchers collected data from 104 participants with an electronic survey. Survey data showed most participants (64%) are aware of and desire gender-affirming voice services. Of …

Comparison Of General Population Vs. U.S. Military Veterans Eating Disorder Prevalence, Micah Callahan

University Honors Theses

Eating disorders disrupt the psychological wellbeing, work ability and daily functioning of many individuals. There is currently no data to compare the prevalence of eating disorders in the general public compared to the military population. The hypothesis was that the military population would be significantly higher in prevalence compared to the general population within the general eating disorder, subcategories of eating disorders and between sex. To analyze the data collected from two studies, sixteen two-proportion Z tests were conducted to determine if the proportions of DSM-V eating disorders differed within and between sex for total incidence and sub-category incidence for …

Screening For Social Determinants Of Health In The Primary Care Setting: A Quality Improvement Project, Winifred Ann Shouse

Graduate Theses, Dissertations, and Capstones

Social determinants of health are the conditions in which individuals are born, age, work, and live that affect health status and outcomes (Rivich et al., 2019). These social and environmental factors can create barriers to patients being able to access and adhere to recommendations for chronic disease management (Gold, et al., 2019). Communication gaps between patients and primary care providers make it challenging for healthcare providers to be completely aware of the financial burdens their patients encounter (Patel et al., 2016). Research supports that identifying and addressing the barriers related to social determinants of health can improve the management of …

What Is The Effect Of Opioid Use During Pregnancy On Infant Health And Wellbeing At Birth?, Jessica Pac, Christine Durrance, Lawrence Berger, Deborah Ehrenthal

Population Health Research Brief Series

The opioid epidemic has severe consequences for pregnant women and their infants. Opioid use during pregnancy increases the risk of numerous poor outcomes at birth, including Neonatal Abstinence Syndrome (NAS), preterm birth, and low birth weight. Opioid use during pregnancy can also lead to child protective services reports and foster care entry. This brief summarizes the findings from a recent study that used linked administrative data from Wisconsin from 2010-2019 and child protective service reports to evaluate the effects of exposure to prescription and illicit opioids during pregnancy on infant health and wellbeing at birth.

The Impact Of Juvenile Drug Court On Recidivism, Mallory Noelle Watkins

Doctoral Dissertations and Projects

The number of youths entering the juvenile justice system is a viable concern throughout the United States. A gap in the existing literature surrounding juvenile justice is recidivism rates among young offenders who are incarcerated or sanctioned to a community-based level of supervision after committing a transgression of a law. Federal juvenile justice practitioners, such as the Office of Juvenile Justice and Delinquency Prevention (OJJDP), the National Council of Juvenile and Family Court Judges (NCJFCJ), the United States Department of Justice (DOJ), and others, in addition to individual states and localities throughout the United States, have taken various approaches to …

Inclusion Of Sexual Orientation And Gender Identity (Sogi) Cultural Competence In Higher Education Healthcare Programs: A Scoping Review, Kristin Willey, Jennifer K. Fortuna, Jessica Guerra, Amanda Gross, Samantha Turner, Tara Grant, Betsy Williams

Internet Journal of Allied Health Sciences and Practice

Purpose: Lack of sexual orientation and gender identity (SOGI) cultural competence in healthcare providers contributes to poor health outcomes in individuals who are lesbian, gay, bisexual, transgender, queer or questioning, intersex, asexual, and more (LGBTQIA+). However, SOGI is often overlooked in healthcare education. Existing research shows educational programs in the nursing, medical, and pharmacy professions are incorporating cultural competence training into the curricula. Few studies have explored how SOGI cultural competence is incorporated into occupational therapy (OT), physical therapy (PT), and speech-language pathology (SLP) curricula. Clear guidelines for training on SOGI cultural competence are lacking in these professions. It is …

Examination Of The Relationship Between Breastfeeding Behaviors And Perinatal Mental Health During The Covid-19 Pandemic, Saher Rehmani, Miriam Kanan

College of Science and Health Theses and Dissertations

Introduction: Perinatal mental health disorders are often overlooked and have been heightened due to the COVID-19 pandemic. Understanding the association between breastfeeding and perinatal mental health is imperative. To date, to our knowledge there are no known studies, that have examined the relationship between perinatal mental health and breastfeeding behaviors among US-based perinatal populations during the COVID-19 pandemic. The purpose of this study was to examine the relationship between maternal mental health and breastfeeding behaviors among US childbearing populations during COVID-19.

Material and Methods: A cross-sectional, internet-based study was performed in the United States mainly in the Chicagoland area between …

Sources Of Stress, Burnout, And Career Decisions Of Male Health And Nursing Professionals: A Qualitative Inquiry Of The Challenges During The Covid-19 Pandemic, Luis Miguel Dos Santos

The Qualitative Report

The human resources and workforce shortage of registered health and nursing professionals has been a long-term problem in health systems internationally, particularly during the COVID-19 pandemic. Many health and nursing professionals face stress and burnout, which may influence their career decisions and long-term human resources development. The purpose of this study is to investigate and understand the relationship(s) between sources of stress and the reasons why male health and nursing professionals decide to leave the profession within the next six months. With the employment of the social cognitive career and motivation theory and general inductive approach with 40 male health …

Supporting Caregivers Of The Aging Adult: A Program Evaluation, Tanya O'Brien

Student Scholarly Projects

There is an ever-increasing burden on caregivers of individuals with cognitive illness as a result of the increasing number of older adults with dementia and Alzheimer's disease. Currently, St. John's County Florida offers three programs designed to provide support for caregivers of individuals with cognitive illness. This project evaluated the three programs as part of a program evaluation to determine the efficacy of program selection for sustainability. Utilizing the Center for Disease Control's (CDC) Program Evaluation Framework (PEF), a detailed and thorough evaluation review of the Power Tools for Caregivers, Savvy Caregiver, and an original three-model program developed by the …

Text Messages Exchanged Between Individuals With Opioid Use Disorder And Their Mhealth E-Coaches: Content Analysis Study, Yerina S Ranjit, Warren M Davis, Andrea Fentem, Raven Riordan, Rikki Roscoe, Patricia Cavazos-Rehg

2020-Current year OA Pubs

BACKGROUND: Opioid use disorder (OUD) has affected 2.2 million people in the United States. About 7.2 million people reported using illicit drugs in 2019, which contributed to over 70,000 overdose deaths. SMS text messaging interventions have been shown to be effective in OUD recovery. However, the interpersonal communication between individuals in OUD treatment and a support team on digital platforms has not been well examined.

OBJECTIVE: This study aims to understand the communication between participants undergoing OUD recovery and their e-coaches by examining the SMS text messages exchanged from the lens of social support and the issues related to OUD …

Radical Youth Work: A Community Based Approach To Working With Youth, Young Adults And Families, Weston J. Robins

National Youth Advocacy & Resilience Conference

Eternal Strength Center for Radical Youth Work is a blended community center with customizable mental health therapeutic support for youth, young adults and families. Providing humanistic and person centered psychotherapy and counseling, alongside experiential therapies and community engagement we support families and youth struggling with anxiety, depression, substance abuse, self harm, suicidality and other challenges on their developmental growth journey.

Toward An Evidence-Based Framework To Guide Health Care Responses For Patients Impacted By Human Trafficking: Evaluation Of The Heal Trafficking Protocol Toolkit, Susie B. Baldwin, Cathy L. Miller, Beth J. Maclin, Sacha Williams, Hanni Stoklosa

Nursing Faculty Publications and Presentations

Trafficked persons seek health care during exploitation, but few health professionals know how to respond appropriately, and few institutions have protocols to guide this response. Currently, no empirically tested framework exists to guide protocol development for human trafficking response protocols in health care settings. Our aim was to empirically evaluate the HEAL Trafficking Protocol Toolkit's usability and effectiveness through cross-sectional survey methodology. We invited users who downloaded the free Toolkit from January 2017 through January 2018 to participate in an electronic survey and conducted descriptive quantitative and qualitative thematic analyses. Survey respondents were professionally and geographically diverse. Eighty-four percent who …

Occupational Therapists' Experience Of Using Home Adaptation And Assistive Products As Interventions For Older Individuals And Persons With Disabilities In Thailand, Peeradech Thichanpiang, Veerawat Sansri, Surachart Thongchoomsin, Sutinun Juntorn, Thitiya Wangkawan, Supatida Sorasak, Phichaya Baramee, Kannika Permpoonputtana, Chirathip Thawisuk, Chutikorn Nopparat, Anuchart Kaunnil Corresponding Author

The Qualitative Report

As Thailand becomes an aged society it is important to promote advancements in geriatric medicine to provide the best care for older individuals. The right assistive facilities and household mobility equipment are essential for everyday activities. The use of home adaptations and assistive products can maximize the quality of life for older individuals and make life more convenient for those with disabilities. This study aimed to investigate the experience of occupational therapists, using home adaptations and assistive products. An individual interview was conducted with eight occupational therapists who worked at regional hospitals and centers of excellence throughout Thailand using a …

Secondary Traumatic Stress: Therapists' Past Trauma And Workplace Intervention [Poster], Morgan A. Wickman

Research in the Capitol

• Secondary traumatic stress (STS): type of indirect trauma wherein listening to the traumatic experiences of another causes causes a stress reaction and can lead to PTSD-like symptoms (6, 18, 13).
• Secondary traumatic stress affects mental health professionals at high rates because they have higher rates of exposure to traumatic content (1, 2, 6, 20).
• The current study analyzes the impact of personal history of trauma on the therapist and how the workplace environment impacts STS to identify ways to reduce the severity and frequency of STS occurring in therapists.

Torn Between The Real Me And The Social Me: Educated Women’S Perspectives Of Surviving Marital Abuse, Mayada A. Daibes, Reema R. Safadi

The Qualitative Report

The perspectives of educated women on surviving abusive marital relationships have not been adequately explored, thus implying a gap in the literature regarding the role of education in enhancing or mitigating the prevalence of intimate partner violence (IPV). In this context, the question is how do educated women perceive surviving abusive relationships? Interpretative Phenomenological Analysis (IPA), using flexible semi-structured face-to-face interviews, was conducted to understand the experiences of eight highly educated women (master’s, Ph.D.) in abusive marriage. Four superordinate interrelated themes were developed: (a) developing an awareness of self-respect generating role confusion, (b) being torn between traditions and ambitions, (c) …

Patients' Willingness To Accept Social Needs Navigation After In-Person Versus Remote Screening, Anna Louise Steeves-Reece, Melinda Marie Davis, Jean Hiebert Larson, Zoe Major-Mcdowall, Anne Elizabeth King, Christina Nicolaidis, Bruce Goldberg, Dawn Michele Richardson, Stephan Lindner

OHSU-PSU School of Public Health Faculty Publications and Presentations

Social needs screening and referral interventions are increasingly common in health care settings. Although remote screening offers a potentially more practical alternative to traditional in-person screening, there is concern that screening patients remotely could adversely affect patient engagement, including interest in accepting social needs navigation.

Affective Depression Mediates Ptsd To Suicide In A Sample Of Treatment-Seeking First Responders, James Whitworth, Jeanine Galusha, Jose Carbajal, Warren Ponder, Donna Schuman

Faculty Publications

Objective: The aim of this study was to examine the associations of comorbid

posttraumatic stress disorder (PTSD), affective or somatic depression, and

suicide among first responders (FRs). Method: We used baseline data from

FRs (N = 232) who sought services at a nonprofit mental health agency specializing

in treating trauma exposed FRs. We conducted two PROCESS simple

mediation models with PTSD as the predictor, affective depression and somatic

depression as the mediators, and suicidality as the dependent variable.

Results: Affective depression significantly mediated the relationship between

PTSD and suicidality, whereas somatic depression did not. The direct effect …

Perceived Business Skills Needs Of Mfts: Implications For A Doctoral Program, Abel Arvizú Whittemore

Loma Linda University Electronic Theses, Dissertations & Projects

The purpose of this study was twofold: a) to determine the training that MFTs should have to effectively work in organizational / business settings and with organizational / business issues in the role of clinician, administrator / manager, consultant, coach, and researcher and b) to determine what components should be included in a model curriculum in the area of organizational / management studies in an MFT doctoral program. Using the e-Delphi method, consensus from a panel of experts (in the profession of marriage and family therapy as well as in business / management / organizational issues) was obtained. Panelists identified …

Navigating Midwifery Solidarity: A Feminist Participatory Action Research Framework, Katherine Buchanan, Elizabeth Newnham, Sadie Geraghty, Lisa Whitehead

Research outputs 2022 to 2026

Background:

A core aspect of midwifery philosophy is the optimisation of normal physiology; however, this has been challenged as a radical idea in the medicalisation of birth. Research has demonstrated the benefits of midwifery in improving outcomes for both mothers and babies. The understanding of midwifery benefits fails to reach wider sociocultural contexts as births becomes more medicalised. Midwifery research requires an action arm, to help translate theory to practice and mobilise midwives in solidarity with women towards action and change.

Aim:

The aim of this article is to describe a Feminist Participatory Action Research (FPAR) by establishing the philosophical …