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Occupational Adaptation As A Construct: A Scoping Review Of Literature, Lenin Grajo, Angela Boisselle, Elaina Dalomba

The Open Journal of Occupational Therapy

Background: This study integrates research on practice applications of the construct of occupational adaptation with occupational therapy and occupational science literature.

Method: Using Arksey and O’Malley’s 5-step Scoping Study Framework (2005), we conducted a scoping review of 74 articles from five online databases and literature hand-searching and performed quantitative and thematic analyses.

Results: The Occupational Adaptation model (Schkade & Schultz, 1992; n = 74) and the Model of Human Occupation (Kielhofner, 2008; n = 37) were the most frequently cited literature influences. Occupational adaptation has been defined as a process (n = 49), an outcome (n = …

Evolution Of Occupational Therapy Practice: Life History Of Maggie Butler, Cota, Justine Flattum, Katie Stewart

Oral History Student Papers

Objective: This qualitative life history is part of a larger project that is aimed at gathering information about the history and evolution of occupational therapy in North Dakota and Wyoming. The purpose of this study is to gain a better insight of the influences that Maggie Butler has contributed to the occupational therapy profession.

Method: A semi-structured one hour interview was conducted with the participant and two researchers. The interview was transcribed and data was analyzed to produce codes, categories, themes, and a final assertion.

Results: The predominant categories that emerged from this process were: Path to COTA, Professional Development, …

The Benefits Of A Screening Tool For Seating And Mobility During The Initial Occupational Therapy Evaluation In Skilled Nursing Facilities, Ryan Haines

MOT Student Capstones

Occupational therapy practitioners are familiar with the idea that wheelchair positioning and mobility can have an impact on one's ability to participate in daily routines and leisure activities, yet many times it is overlooked during the initial evaluation process. Residents of skilled nursing facilities who rely upon wheelchairs for their mobility are at a particularly high risk of developing medical complications, such as pressure sores, and respiratory issues secondary to long-term seated positioning. The purpose of this project is to create an easy to use wheelchair positioning screening tool to use on both long-term care residents and individuals who are …

Enhancing Collaboration Regarding Long-Term Therapy Planning For Children With Chronic Conditions Using Participatory Action Research, Victoria Ann Mcquiddy

Occupational Therapy Program Student Theses, Dissertations and Capstones

Children with chronic conditions often participate in therapy, but there is little information about how often or for how long therapy services should be provided. Participatory action research (PAR) methods were utilized in this study and, therefore, involved both parents and occupational and physical therapists throughout the study. Parental interviews were conducted to understand parent perception of self-management and how parents felt their child’s therapist was doing or could do to facilitate self-management, particularly as it related to discharge planning or having their child take a break from ongoing therapy. Through analysis of parent interviews completed by the therapist team …

Vacationing Older Adults, Breanna Taralson, Brittany Winter

Occupational Therapy Capstones

Introduction: This scholarly project was conducted to explore the aspects of vacationing in older adults and how age-related changes seen within this population can impact decisions while traveling. The purpose of this project was to create a resource guide for older adults to help navigate the vacationing process.

Methodology: A literature review was conducted using various sources including: online databases, books on travel and vacationing, personal communication via informal interview, and through major travel corporation websites. Information from these sources was then compiled to create a resource guide for older adults.

Results: Information found within the literature …

An Inpatient Rehabilitation Interprofessional Care Pathway For Traumatic Hip Fracture: A Pilot Quality Improvement Project, Sarah Plante

DNP Scholarly Projects

Background: Each year over 300,000 older adults are hospitalized for hip fracture. The impact of the cost of hip fracture on the US health care system is estimated to be as high as $9 billion, with the typical cost of a hip fracture episode around $30,000. Formalized pathways have been developed and successfully utilized for many patient presentations, including hip fracture, in the acute setting. Although this research is important to the comprehensive care of the elderly hip fracture patient, very little research exists that outlines evidence-based best-practice for patients in the post-acute recovery period.

Purpose: The primary aim of …

Life History Of Maggie Butler, Cota/L, Justine Flattum, Katie Stewart

Oral History Posters

The life history of Maggie Butler was one of 31 life history interviews conducted as a part of a larger project of Life Histories of Individuals Who Have Been Influential in Developing Occupational Therapy (OT) in North Dakota and Wyoming. The purpose of the Life History is to gather information about the history and evolution of the OT practice from individuals like Maggie Butler who have been influential in developing OT in these two states. A life history is a powerful way to provide current and future generations of occupational therapists a view of the history of how OT practice …

The Impact Of Fall Efficacy On Occupational Performance In Community-Dwelling Older Adults, Michelle Fong, Araya Moua, Erin Denola, Merit Franklin

Student Research Posters

Falls are a major health concern in the older adult (OA) population. While there is research on falls and their prevention, research on how low fall efficacy (FE) impacts the occupational engagement of the OA population is limited. FE is defined as the confidence a person has in his/her ability to complete a task without falling (Tinetti & Powell, 1993). A qualitative study was conducted using a phenomenological approach to explore the lived experiences of OAs with low FE and the impact on occupational performance. Participants who scored ≤ 6 on the Modified Fall Efficacy Scale (MFES) engaged in a …

Occupational Responses Of Older Adults Following Partner Loss, Carol Huang, Jane Song, Peter Behr, Stephanie Sterner

Student Research Posters

Spousal loss has been frequently identified as a life stressor that can greatly impede one’s ability to age at home. The purpose of this study is to identify the occupational changes that commonly result after this event and their impacts on one’s ability to age in place. This study utilized a qualitative phenomenological research design. Eight participants were recruited from an educational program for older adults and were interviewed using a semi-structured interview format. Researchers transcribed and coded all interviews to determine emergent themes. Two major categories of themes were found: occupational and intrinsic responses. The areas of occupation that …

Clinician, Educator, And Student Perceptions Of Entry-Level Academic Degree Requirements In Occupational Therapy Education, Whitney M. Lucas Molitor, Ranelle Nissen

Journal of Occupational Therapy Education

Entry-level occupational therapy degree requirements have varied since the establishment of the profession. Currently multiple degree paths exist. There are cited benefits for a multiple degree path system; however, barriers also exist. Most notable among these are confusion among recipients of services and other health care providers. As other healthcare professional programs have transitioned to a single point of entry at the doctoral level, occupational therapy, until recently, had not yet made this change. A nationwide online survey was used to assess perceptions of the entry-level doctorate. Participants included current occupational therapy practitioners (clinicians or educators) and students in entry-level …

Telehealth Experiential Learning: A Pilot Study Of The Client’S Experience, Katrina M. Serwe, Christine Bowman

Journal of Occupational Therapy Education

This research examined the client experience of a student-led occupational therapy pro bono clinic that involved telehealth-delivered treatment sessions. Six clients responded to a survey that included both Likert scale close-ended and open-ended items. The researchers employed descriptive statistics for close-ended items and summarized open-ended responses. All close-ended items had a median score of 4 out of 5, indicating it was easy to communicate, easy to find and use features of the software, and that there were minimal problems with the software in the telehealth delivered sessions. Open ended-responses reflected an overall positive experience.

The Impact Of An Interprofessional Geriatric Training Experience: Attitudes Of Future Healthcare Providers, Lisa J. Knecht-Sabres, Minetta Wallingford, Michelle M. Lee, James F. Gunn, Esperanza M. Anaya, Sarah E. Getch, Nathaniel D. Krumdick, Gloria M. Workman

Journal of Occupational Therapy Education

As the older adult population increases, it is vital to educate and train healthcare providers as members of interprofessional healthcare teams who can work effectively with these individuals. Ageism is a potential obstacle to achieving this goal. The purpose of this pre/post-test design pilot study was to determine the impact of an interprofessional geriatric training experience on the attitudes of future healthcare providers towards interprofessionalism and working with older adults. Sixteen graduate level students from occupational therapy and clinical psychology programs completed four interprofessional sessions with older adults residing in a long-term care facility. Quantitative data were gathered from pre/post-test …

A Review Of Occupation And Impairment Based Assessments Used In Occupational Therapy, Mariana D'Amico

OCCUPATION: A Medium of Inquiry about Health through Occupation

Objective: The objective of this paper was to analyze the psychometrics, efficacy, and usefulness of assessments to measure occupational performance and occupation-based outcomes.

Methodology: Eight Doctor of Occupational Therapy Students at Nova Southeastern University, along with their professor, analyzed and appraised 46 commonly used assessments to discover and explore the assessments’ purposes, theory-bases, psychometric properties, and usefulness as outcome measures.

Results: We found that many high quality assessments exist and meet the standards for validity and reliability. Although some assessments are client-centered and useful, some still require additional research to strengthen their psychometric properties.

Conclusion: Some widely used assessments …

Exercise, Cognition, And The Aging Process Among Active, Competitive, And Sedentary Middle-Aged And Older Adults, Katherine Adams

Health, Human Performance and Recreation Undergraduate Honors Theses

Purpose This study aimed to compare the cognitive measures of reaction time and dual-task performance among recreationally active, master athletes, and sedentary older adults aged 50 years or older. Methods 59 late middle-aged and older adults between the ages of 50 to 88 years old participated in reaction time and dual-task tests of which consisted of multiple trials on the same day. Subjects were placed either into the recreationally active, masters athlete, or sedentary activity level group based on the Rapid Assessment of Physical Activity (RAPA) form. For the gait speed with associated dual-task component, subjects walked 10-meters at two …

Overview Of Instructional Technology Used In The Education Of Occupational Therapy Students: A Survey Study, Bryan M. Gee, Lisa Salazar, Jessica Porter, Camiel Clark, Theodore W. Peterson

The Open Journal of Occupational Therapy

The purpose of this study was to explore the type of instructional technology (IT) master’s degree level occupational therapy educational programs routinely use as a part of their lecture- and laboratory-based instruction. Surveying the administrators of 121 graduate occupational therapy programs in the United States, we found that the majority of the respondents identified their program as using IT in some form for lecture-based courses, with less inclusion of IT for laboratory-based courses. Hybrid instruction, with the majority of the content being delivered face-to-face and the remainder via online, were the trends among the respondents. The findings also indicated that …

Development Of The Daily Living Questionnaire (Dlq): A Factor Analysis Study, Sara Rosenblum, Naomi Josman, Joan Toglia

The Open Journal of Occupational Therapy

Background: Performance of daily activities and participation in life events involves higher-level cognitive abilities. The purpose of this study was to develop a self-report scale for detecting everyday difficulties in activities/participation tied with higher-level cognitive deficiency and to examine its reliability and validity.

Method: The Daily Living Questionnaire’s (DLQ) content and face validity were established. Internal consistency following an exploratory factor analysis, as well as construct validity, were initiated with a convenience sample of 194 healthy adults, aged 18 to 85 years, and 34 adults diagnosed with Multiple Sclerosis (MS).

Results: The four factors received in Part A, activities and …

Evaluating The Effectiveness Of Abilities Care Approach™ Training, Michelle E. D'Amato, Sophie E. Miller, April Perez, Carmen Joaquin, Louiza Alexandria Villarina

Student Research Posters

Approximately 50% of US nursing home residents have a diagnosis of dementia. Abilities Care Approach® was created by occupational therapists (OTs) to promote quality dementia care for residents in skilled nursing facilities (SNFs). Certified nursing assistants (CNAs) are often the primary caregiver for residents with dementia. To ensure carryover of ACA principles, ACE dementia training was targeted towards CNAs. The purpose of this study was to evaluate Abilities Care Experts®(ACE) training program which provides CNAs with an occupation-based dementia care approach by focusing on the importance of occupational engagement and knowledge of dementia stages. Results indicated that ACE trained CNAs …

Perils And Pitfalls Of Ot Research In A Foreign Country: A Reflection, Brenda S. Howard

The Open Journal of Occupational Therapy

No abstract provided.

Occupational Therapy In Primary Care: Structures And Processes That Support Integration, Brenda Koverman, Lydia Royeen, Mary Stoykov

The Open Journal of Occupational Therapy

Few studies have outlined the processes and structures needed to develop and integrate occupational therapy into a primary care provider’s office setting. This paper focuses on implementation of the clinic model of occupational therapy in primary care and is intended to address the deficiencies in current literature, including detailed program development steps. Barriers identified in the 8-week pilot program and the successful development of a reimbursable occupational therapy service in primary care will be discussed. The results of the implementation of occupational therapy in primary care are positive. The providers have accepted and embraced the distinct value of occupational therapy …

Interprofessional Primary Care: The Value Of Occupational Therapy, Sue Dahl-Popolizio, Oaklee Rogers, Sherry Lynne Muir, Jennifer Carroll, Lesley Manson

The Open Journal of Occupational Therapy

The authors explore the training and expertise of occupational therapists and the cost benefit of the strategic use of occupational therapists as members of the interprofessional primary care (PC) team. PC practices can optimize successful and cost-effective patient care delivery, outcomes, and access to care by using interprofessional care teams and allowing physicians to off-load patients whose issues relate to routines and habits and do not require diagnostic or prescriptive intervention. This, and the occupational therapist’s ability to obtain reimbursement for his or her services, demonstrates that this professional can be an invaluable addition to the integrated PC team. The …

The Geriatrics Workforce Enhancement Program: Occupational Therapy’S Imperative Role In Interprofessional Education, Jeannine Nonaillada, Natalie C. Gangai, Chrysanne Eichner, Rosario Costas-Muniz

The Open Journal of Occupational Therapy

This paper will expound on the findings discovered from efforts made by including an occupational therapist on an interprofessional education initiative charged with developing content to enhance knowledge of geriatrics for health care providers, community-dwelling older adults, and caregivers in medically underserved areas. We will describe the actions of the interprofessional team and present data about the impact of collaborative, systematic input on one educational program taught primarily by the occupational therapist. We will then describe the personal and professional growth opportunities experienced by the occupational therapist on this initiative, and impart the challenges faced and provide recommendations to overcome …

Capacity Building To Improve Interprofessional Collaboration Through A Faculty Learning Community, Shannon L. Mcmorrow, Kate E. Decleene Huber, Steve Wiley

The Open Journal of Occupational Therapy

Though much has been written on Interprofessional Education (IPE) and Faculty Learning Communities (FLCs) independently, there is limited literature devoted to examining the use of

FLCs to enhance IPE for the health professions. A FLC dedicated to building capacity for IPE in a small, private midwestern university comprised of faculty representing occupational therapy, physical therapy, nursing, public health, gerontology, medical anthropology, psychology, social work, and exercise science was conducted over the course of one semester. This article details the implementation process for the IPE FLC; describes outcomes related to teaching, scholarship, and service of faculty from a qualitative evaluation conducted …

Taking Steps To Prevent Falls, Kimberly Okechukwu

Doctor of Occupational Therapy Capstone Projects

Fall prevention is imperative in skilled nursing and long-term care facilities. According to the CDC, “about 1,800 older adults living in nursing homes die each year from fall-related injuries and those who survive frequently sustain injuries that result in permanent disability and reduced quality of life”. “Falls can also result in severe pain, high medical costs, fear of falling, less participation in activities, and reduced quality of life “(CDC 2015). Appropriate and effective fall prevention programs need to be established and implemented to reduce falls in nursing homes, which will in turn improve the quality of care.

Optimizing Critical Illness Outcomes Through The Family Experience-A Theoretical Review, Kirby P. Mayer, Samantha A. Mancuso, Dana M. Howell

EKU Faculty and Staff Scholarship

An estimated six to eight million patients are admitted to the intensive care unit (ICU) in the United States every year [1, 2]. It is possible that new and innovative medical therapies have provided patients with treatment options that enhance survival of a critical illness and allow them go home with more medical support than previously available in earlier years. This may explain why there are now millions of ICU survivors are a result of declining mortality rates (8-19%) even though there are increased ICU admissions [3, 4]. This also indicates a change in direction of the attitudes and beliefs …

Implementing Multifactorial Education Modules With Older Adults: Individualized And Interactive Fall Prevention Education, Salvador Chavez, Jocelle Flores, Rachelle Yambao

Dissertations, Masters Theses, Capstones, and Culminating Projects

Falls are a significant concern for community-dwelling older adults (OAs), with one in four OAs reporting a fall every year. Occupational therapy students collaborated with first responders of the Novato Fire District to identify gaps in fall prevention community outreach programs and found that many interventions lack an interactive or individualized approach. Based on the gap analysis and current literature, seven education modules were developed to address key risk factors including home safety hazards, polypharmacy, fear of falling, and strength and balance exercises. Thirty community-dwelling OAs participated in the education modules that were implemented at two senior community sites in …

The Duc Healthy Aging Website: Providing Online Occupation-Based Information, Haley Caruthers, Samantha Talavera, Jackeline Ulloa, Stephanie Vera

Dissertations, Masters Theses, Capstones, and Culminating Projects

Access to current, evidence-based health information is an important step to the promotion of health and wellness for all age groups, including OAs. Since the virtual world is easily accessible and is being used more frequently by OAs, an effective way to convey relevant up-to-date health information is through a website devoted to the dissemination of health promotion information tailored for OAs, including tips for integrating healthy habits into their lifestyle. Dominican University of California’s (DUC) Healthy Aging website, developed in May 2014, contains relevant and evidence-based research, including activities and local community based programs that promote healthy aging on …

Decreasing Social Isolation Through An Intergenerational Social Engagement Program, Jacqueline Kendona

Doctor of Occupational Therapy Capstone Projects

Social isolation is the absence of meaningful contact with others. Older adults who perceived themselves as socially isolated are at risk of negative health outcomes. A person’s psychological wellbeing can be improved through engaging in meaningful leisure activities.

The Intergenerational Social Engagement Program, or the ISEP, was developed to connect older adults and high school students to help decrease social isolation in older adults. The ISEP incorporates concepts from the Canadian Model of Occupational Performance and is intended for implementation in senior living communities. The program is to be led by an occupational therapist. Occupational therapy practitioners have an understanding …

Effect Of Life Review On Quality Of Life For Older Adults Living In Nursing Homes, Rene' Wren

Occupational Therapy Collection

Aim: To examine the effects of life review on daily activities, social participation, outlook on life, and perceptions of living in a nursing home measured by life satisfaction and quality of life in older adults.

Method: The study design was a two-phase quasi-experimental pre-post-tests including development and testing of a life review protocol. Nine residents, age ≥65, participated in a life review group once weekly for 6 weeks. Outcomes were analyzed using the Life Satisfaction Index-Z (LSI-Z) and pre-post surveys.

Results: LSI-Z scores improved post-intervention and survey outcomes indicated participation in activities of daily living (ADLs), socialization, …

Occupational Therapy Program 2017, Nova Southeastern University

Health Professions Divisions Course Catalogs and Course Descriptions

No abstract provided.

Opening Minds Through Art: Engaging Art Agencies To Foster Community Participation And Commitment, Ashlyn Cunningham

Occupational Therapy Doctorate Capstone Projects

Opening Minds through Art [OMA] is a visual arts program for individuals with dementia which aims to enhance the quality of life for individuals living with dementia, as well as their caregivers, through a creative opportunity held within their own community. The intent of this project was for community art agencies and galleries to participate in dementia-specific training to develop programming for individuals with dementia so that clients with memory needs can actively engage in the creative arts in St. Louis. This project used a pre-post design to analyze perceptions regarding arts based programming with people who have memory …