Digital Commons Network^™

Effectiveness Of Immersive Virtual Reality Combined With Task-Specific Training On Hemiplegic Arm Function Following Stroke: A Single Case Series Study, Rahsaan J. Holley

Theses and Dissertations

Motor recovery of the arm following a neurological injury is a common goal of the rehabilitation process for individuals impacted by the condition . Due to the long-term functional implications of impaired arm movement, individuals are often trained to use compensatory strategies to complete functional tasks without incorporating the weakened limb. While compensatory strategies offer stroke survivors the opportunity to regain a level of independence, such approaches fail to directly address the underlying causes of the disability (i.e., limited range of motion, decreased strength, poor coordination, motor planning difficulties) which can unfortunately result in long-term impairment and functional disability.

Motor …

Hypnosis And Mindfulness Audio Recordings For Reducing Fatigue In Individuals With Multiple Sclerosis: A Randomized Controlled Study, Mark P. Jensen, Susan Robles, Michael G. Nash, Susanne May, Dwan M. Ehde, Melissa A. Day, Owen Gottlieb, Laurence I. Sugarman, Kevin N. Alschuler

Articles

Background

Fatigue is a common problem in individuals with multiple sclerosis (MS).

Objective

The objective was to evaluate the effects on fatigue of having 4 weeks of

access to audio recordings of therapeutic hypnosis (HYP) and mindfulness meditation

(MM) practices.

Methods

A total of 333 individuals with MS and fatigue were randomly assigned to

one of the three treatment conditions for 28 weeks: (1) access to therapeutic HYP audio

recordings, (2) access to MM audio recordings, or (3) no access to recordings

(treatment as usual or TAU). Fatigue impact (primary outcome) and other outcomes

were assessed at 4, 16, and …

Prediction Of Snatch And Clean And Jerk Performance From Physical Performance Measures In Elite Male Weightlifters, Ingo Sandau, Kristof Kipp

Exercise Science Faculty Research and Publications

This study aimed to build a valid model to predict maximal weightlifting competition performance using ordinary least squares linear regression (OLR) and penalized (Ridge) linear regression (penLR) in 29 elite male weightlifters. One repetition maximum (1RM) or 3RM test results of assistant exercises were used as predictors. Maximal performance data of competition and assistant exercises were collected during a macrocycle in preparation for a competition. One repetition maximum snatch pull, 3RM back squat, 1RM overhead press, and body mass were used to predict the 1RM snatch; and 1RM clean pull, 3RM front squat, 1RM overhead press, and body mass were …

Perspectives Of Midwives And Nurse Practitioners In Kentucky On Exercise Counseling During Pregnancy: A Qualitative Study, Madhawa Perera, Taniya S. Nagpal, Maire M. Blankenship, Dano Tolusso, Jordyn Cox, Dilini Prashadika, Mark Schafer, Rachel A. Tinius

Physical Therapy Faculty Research and Publications

Introduction

Healthcare professionals are in an optimal position to deliver exercise information to pregnant women, yet previous research suggests this seldom happens. Midwives and nurse practitioners, who may have more time with pregnant women, are particularly well suited for this role.

Objectives

This qualitative study examined the exercise advice and counseling provided by midwives and nurse practitioners in Kentucky, focusing on the barriers they face.

Methods

Twenty-one midwives and nurse practitioners were recruited until the sample size reached saturation. A survey with open-ended questions was distributed to potential participants in regional hospitals, universities, and professional associations. The framework method was …

Effect Of Trauma Type And Trauma Burden On Self-Efficacy For Physical Exercise In Military Veterans, Kaley E. Davis, Meghan M. Bennett, Cecilia J. Hillard, Jeffrey Whittle, Zeno Franco, Rachel E. Bollaert, Jacklynn M. Fitzgerald

Exercise Science Faculty Research and Publications

Introduction

United States (U.S.) military veterans experience significant physical health problems. Lifestyle modifications, such as increasing daily physical activity, are often considered the first course of action in treatment for the general public. However, veterans report low levels of physical activity, often due to perceived barriers to engaging in exercise. Trauma exposure type and cumulative trauma burden may be differentially associated with exercise attitudes and behaviors.

Methods

We surveyed U.S. military veterans on perceived self-efficacy to overcome barriers to engaging in exercise and physical activity levels. Additionally, we explored the relationship between the type of traumatic event exposure and cumulative …

A Call For Integration Of Trauma-Informed Care Into Occupational Therapy: Improving Provider Competency Through A Case Study Of A Cooking Skills Program For Survivors Of Human Trafficking, Natalie Pravinkumar

OT Doctoral Capstones

Trauma, such as abuse, neglect, and violence, has evident lasting physical and mental health effects, such as chronic illness, behavioral changes, and depression. While trauma-informed care (TIC) helps providers recognize and respond to trauma, this training is often limited to mental health and social work fields. Many survivor populations never receive interventions designed with TIC in mind, restricting outcomes leading to reduced rehabilitation and reintegration.

Occupational therapy (OT) is fundamentally client-centered and functional, making it well suited for TIC. However, while they cover many similar topics, most OT programs do not include specific curriculum on TIC.

TIC education in OT …

Caring For Caregivers: An Occupational Therapy-Centered Mental Health And Wellness Program, Natalie Burgess

OT Doctoral Capstones

Objective: Address the mental health and wellness needs of caregivers of individuals with disabilities at Fundación Integra A.C.

Methods: Conducted a needs assessment, developed and implemented an 8-week occupational therapy-based wellness program, and evaluated outcomes using pre/post assessments and weekly feedback surveys.

Results: Caregivers showed reduced stress, improved self-reported health, and increased use of mindfulness and coping strategies.

Conclusion: Occupational therapy interventions can improve caregiver well-being and support sustainable caregiver education in community settings.

Advocating For The Field Of Occupational Therapy Among High School Students, Linda Crabtree

Doctoral Projects

The field of occupational therapy (OT) is a healthcare field that is impactful on the lives of many individuals however there is currently a lack of awareness of the field of OT due to a lack of knowledge of and interest in OT among healthcare providers and the public (Richards and Valleé, 2020). The Aim of Research. The purpose of this project is to advocate for the field of OT and assess if an introductory presentation and hands-on lab about OT’s scope can improve the interest in OT among high school students in both rural and urban environments. Methods. The …

Optimizing Recruitment Strategies, Outcome Measures, And Intervention In Clinical Research With Adults With Multiple Sclerosis: Insights From The Tele-Exercise And Multiple Sclerosis (Teams) Study, Tracy Flemming Tracy

All ETDs from UAB

Background: Recruiting people with multiple sclerosis (PwMS) into research can be a significant challenge. This is often due to limited awareness of the research objectives, lack of accessibility, and restrictive inclusion criteria. In addition to a general reluctance to participate, assessing multiple sclerosis (MS) and assigning appropriate interventions can be challenging due to the heterogeneity of symptoms. Identifying outcome measures that accurately reflect a participant’s perception and functional performance, while remaining sensitive to change across different levels of disability, poses a challenge. Methods: Data from the Tele-Exercise and Multiple Sclerosis (TEAMS) trial was analyzed to identify effective recruitment strategies (Study …

Exploring Occupational Therapy Students’ Coping Strategies And Styles, Ashley E. Stroud, Amanda J. Mohler, Amanda M. Carpenter

Journal of Occupational Therapy Education

This study aimed to determine occupational therapy students’ coping strategies and styles to manage stress. The final sample included 160 students, with 39 master of occupational therapy (MOT) students and 121 occupational therapy doctoral (OTD) students who were currently enrolled in an MOT or OTD program. This study used a cross-sectional, descriptive survey. The survey included both closed-ended and open-ended items to provide a greater insight into occupational therapy graduate students’ stressors, coping strategies, and coping styles. Results of the survey showed the most frequently reported coping strategies for both programs were emotional support, instrumental support, self-blame, and religion. The …

Assessing The Impact: Retrospective Analysis Of Department Initiatives On Students' Success In Standalone Occupational Therapy Anatomy Course, Rebecca Ozelie, Saba Elothman, Bridget Hahn

Journal of Occupational Therapy Education

Student success in anatomy courses is critical for entry-level occupational therapy doctorate (OTD) programs, yet many students struggle to master this foundational subject. Research on effective academic interventions to support anatomy learning in OTD programs is limited, leaving a gap in understanding the impact of supplemental resources. This study examined the effectiveness of targeted academic interventions, such as an anatomy bootcamp, peer-led tutoring, and the Anatomage Table for virtual dissection, in improving student performance in a standalone anatomy course. A retrospective cohort design compared two groups of students enrolled in the course during Fall 2022 (FA22; n=36) and Fall 2023 …

Disparities Between Reported And Actual Study Habits And Perceptions Among First Year Occupational Therapy Graduate Students, Melisa P. Kaye, Marcella Mccollum, Sydney Hanzalik

Journal of Occupational Therapy Education

Studying for exams forms a significant part of the occupational therapy graduate school experience. While successful completion of exams is a central focus for students, little time is devoted to explicitly teaching new graduate students how to most effectively study. Instead, when they enter their occupational therapy programs, students experience a steep learning curve, and often rely on previous habits or trial and error to discover the most efficacious study strategies. The purpose of this study was to examine the study behaviors, habits, and beliefs of new graduate students to gain insight into the prevalence of use of various study …

Effect Of An Elective On Preparation For Fieldwork In An Acute Care Setting, Abbey Glenn, Brandi Fulwider

Journal of Occupational Therapy Education

The current study evaluated the effect of an eight-day elective course on preparedness for the acute care setting. The course was offered to Master of Science in occupational therapy students before their second Level II fieldwork experience and focused on developing necessary skills for success in acute care. Course content was based on feedback from previous students, fieldwork educators in acute care, and faculty experiences in that setting. Specifically, the course combined case-based and skills-based simulations to help students develop skills and to build confidence. Small group activities involving role-playing communication scenarios were also included, where students played the role …

Belonging And The Lived Experiences Of Underrepresented Occupational Therapy Students, Daniel Cezar Da Cruz, Angela Murphy, Zara Mahmood

Journal of Occupational Therapy Education

Belonging has been explored in research in higher education with a focus on student engagement or performance and the impact of psychological aspects on individuals' learning. Few studies focused on underrepresented occupational therapy students’ belonging. Our research aimed to explore the lived experience of occupational therapy students regarding belonging at university. This phenomenological study was conducted with six occupational therapy students from the United Kingdom who volunteered to participate in semi-structured interviews. Data analysis was carried out through Reflexive Thematic Analysis (RTA). Three themes were constructed: Theme 1: Representation and belonging - “I was the only non-white person in the …

Work Readiness Among Occupational Therapy Students In The Usa: Associations With Approaches To Studying, Adele Breen-Franklin, Colleen M. Maher, Tore Bonsaksen

Journal of Occupational Therapy Education

Previous studies have looked at the association between study approaches and student grades with a focus on deep, strategic, and surface learning. This study used a cross-sectional design to examine the association between study approaches and students’ feelings of readiness to practice. Thirty-five students in master’s and clinical doctoral programs completed the Work Readiness Scale and the short 18-item version of the Approaches and Study Skills Inventory for Students (ASSIST). Using a linear regression analysis, higher scores on the strategic study approach (β=0.38, p<0.05) and lower scores on the surface study approach (β=-0.44, p<0.05) were associated with higher scores on the Work Readiness Scale. Studying harder (i.e. spending more hours studying) was not related to feeling ready to practice. Rather, studying wisely, meaning using a strategic approach to studying and avoiding using a surface approach, was associated with students’ increased feeling of readiness to practice.

Naming The Invisible: Exploring Implicit Design Thinking In Occupational Therapy Curricula, Dominique C. Sherratt, Mary Butler, Shoshannah Kiriam, Ben Sellar

Journal of Occupational Therapy Education

Occupational therapy inherently involves the application of design and co-design skills within professional practice, yet there is limited evidence about how these skills are taught to students. This study used a qualitative descriptive design to explore the perspectives of occupational therapy educators in Australia and New Zealand on how and where design and co-design skills are integrated within occupational therapy curricula. Educators were purposively sampled from the Australian and New Zealand Council of Occupational Therapy Educators (ANZCOTE), with additional participants recruited through snowball sampling. Eight semi-structured interviews were conducted with occupational therapy educators. Interviews were conducted and analyzed using the …

Current Practices In Implementing The Occupational Therapy Doctoral Capstone Needs Assessment: A National Survey, Laurie D. Stelter, Kaitlyn Cremer, Lou Rutigliano, Leslye Morris, Lima Ghulmi, Ana Allegretti

Journal of Occupational Therapy Education

Entry-level occupational therapy doctorate (OTD) programs navigate curricular decisions related to designing, implementing, and refining doctoral capstone processes. One of the complex requirements is the doctoral capstone needs assessment (DCNA) which each student completes prior to the implementation of the doctoral capstone project. The researchers aimed to contribute to the specificity of DCNA-related understanding, informing quality decision-making, via a national, cross-sectional survey of current DCNA practices. Purposive sampling resulted in a 24.3% (n=54) response rate of mostly Doctoral Capstone Coordinators (DCCs; 98.1%) representing programs across doctoral capstone experience levels. The timing of DCNA processes trended toward the latter half of …

Floor-To-Stand Transfers In Older Adults: Insights Into Strategies And Lower Extremity Demands, Lyndsay Stutzenberger, Tyler Whited

Faculty Publications - College of Physical Therapy

Background/Objectives: Getting up from the floor is an important functional skill for independence in older adults but is not often assessed clinically. The purpose of this study was to investigate how floor-to-stand transfer (FTS) ability is related to self-report measures and five-time sit-to-stand (5XSTS) performance, as well as compare peak joint angles during common FTS strategies and lower extremity demands between the 5XSTS and a commonly instructed FTS strategy. Methods: Thirty-four community-dwelling older adults completed self-report measures and performed the 5XSTS, a FTS in a self-selected manner, and an instructed FTS strategy. Biomechanical analysis of the lower extremities was used …

Predicting Student Success In Entry-Level Doctor Of Physical Therapy Courses, Lyndsay Stutzenberger, Tess Swake

Faculty Publications - College of Physical Therapy

Early identification of students at risk for academic challenges in a Doctor of Physical Therapy (DPT) program may allow for timely intervention and support. Little is known about the ability of the Motivated Strategies for Learning Questionnaire (MSLQ) to predict academic success in firstyear courses in a DPT program. Participants were 33 firstyear DPT students from a single cohort. Student demographics, previous academic performance, and responses to the MSLQ for Anatomy and Biomechanics courses were collected early in each semester. Spearman correlations determined associations between undergraduate grade point average (GPA) or MSLQ responses and grades for Fall and Spring semesters. …

Polycystic Ovary Syndrome And The Effects Of A Ketogenic Diet: A Scoping Review, Jason Brumitt

Faculty Publications - College of Physical Therapy

Background/Objectives: Polycystic ovary syndrome (PCOS) is the most common endocrinopathy experienced by females. Diagnosis of PCOS is established when at least two of the following are present: hyperandrogenism, oligo-anovulation, and/or polycystic ovaries. Conservative treatment for PCOS includes dietary modifications and physical activity. The purpose of this scoping review was to evaluate the efficacy of a ketogenic diet in improving biochemical measures and reducing the severity of PCOS symptoms. Methods: CINAHL, PubMed, and Google Scholar databases were searched to find research published in peer-reviewed journals between 2019 and 2025. An article was included in this scoping review if the study assessed …

Running Biomechanical And Isokinetic Strength Differences In Masters Runners With And Without Achilles Tendinopathy, Matthew Klein, Christopher Patterson, Annette Karim, Tyler Cuddeford

Faculty Publications - College of Physical Therapy

Masters runners are an increasing proportion of the running com-munity. The most significant musculoskeletal changes in runners occur after the age of 50 in addition to changes in injury rates and types, the most common being Achilles tendinopathy (AT). Previous evidence has suggested similarities between risk factors for AT and age-related changes that are focused at the hip and the ankle during the propulsive stage of running. The purpose of this study was to investigate biomechanical and peak torque association to AT in masters runners. Thirty-two masters runners over age 50 with AT(60.31 ± 8.37, n = 16) and without …

How Identities Shape Belonging In Occupational Therapy Education: A Phenomenological Exploration Of Student Belonging, Quinn P. Tyminski, Rowhea Elmesky

Journal of Occupational Therapy Education

Belonging is defined in a variety of ways but most often refers to an individual’s feelings of acceptance, inclusion, support, and respect within a certain environment. Belonging is an innate human need and contributes to success in academic and professional settings. Within occupational therapy (OT) education, minimal attention has been paid to the specific concept of belonging with no research focused on long-term qualitative explorations of student belonging for students with historically minoritized identities (HMIs). Thus, the goal of the present study was to better understand how students with multiple HMIs experienced the phenomenon of belonging in OT education. Utilizing …

Evidence-Informed Teaching Practices Across Faculty Terminal Degree Categories, Steven D. Taff, Meredith Gronski, Yejin Lee, Ashley Stoffel, Theresa Carlson Carroll, Jenica Lee, Carolyn M. Baum

Journal of Occupational Therapy Education

Many faculty spend a considerable proportion of their time and effort in teaching, yet intentional preparation for this important responsibility is rare. Currently, there exists no standard guidance for which content areas or competencies are necessary for quality educator development as they perform the various faculty roles. In this descriptive study, we surveyed 334 occupational therapy/ occupational therapy assistant (OT/OTA) faculty from across the United States using a 53-item instrument that explored to what degree do OT/OTA faculty use and document evidence-informed teaching practices and if the use of evidence-informed teaching practices differs across faculty terminal degree category (entry-level occupational …

Evaluating Entry-Level Occupational Therapy Education And Practice: A Qualitative Swot Study In The Philippines, Paolo Miguel P. Bulan, Janice A. Rojas, John Ray O. Suerte, Nikki Y. Pestaño, Maria Menierva G. Lagria, Cristito P. Dimitiman Jr., April Grace A. Chiongbian, Frances Vince E. Dimitiman, Martina Nicole A. Ligutom, Debbie Rose D. Cabañero, Jay Arr M. Sale

Journal of Occupational Therapy Education

Occupational therapy education plays a pivotal role in equipping professionals to meet the dynamic demands of healthcare systems. This study evaluated the Bachelor of Science in Occupational Therapy (BSOT) program at Velez College in the Philippines, utilizing a qualitative analysis framework to explore its strengths, weaknesses, opportunities, and threats (SWOT) as perceived by educators, students, alumni, and practitioners. Findings highlight the program’s robust generalist curriculum, strong community-based partnerships, and interprofessional collaboration opportunities. However, challenges such as limited access to standardized assessment tools, high educator turnover, and insufficient specialization opportunities were identified. Notably, emerging demands in mental health and holistic care …

Student Psychosocial Well-Being And Burnout During Level Ii Fieldwork: An Explanatory Mixed Methods Analysis, Grace V. Perry, Katherine F. Varughese, Yongyue Qi, Cary Moore, Vanessa D. Jewell

Journal of Occupational Therapy Education

The purpose of this study was to explore the influence fieldwork educator support has on stress, burnout, and self-efficacy, and examine how both students and fieldwork educators support student psychosocial well-being and protective factors during Level II fieldwork (FWII). An explanatory sequential mixed method design was used, including a student cross-sectional survey (n=129) followed by one student (n=5) and two fieldwork educator focus groups (n=12). Outcome measures utilized for the cross-sectional survey included the Perceived Stress Scale, self-developed Perceived Fieldwork Educator Support Questionnaire, Oldenburg Burnout Inventory, and New General Self-Efficacy Scale. Results showed that statistically significant correlations existed among perceived …

Barriers And Facilitators Of A Sense Of Belonging Among Occupational Therapy Students And Faculty: A Qualitative Study Using The Ecology Of Human Performance Framework, Sabina Khan, Elizabeth Deluca-Berg, Kersten Laughlin, Jacqueline Achon, Khalil Mrabe, Christianah Edema

Journal of Occupational Therapy Education

A sense of belonging significantly influences both student engagement and faculty motivation. The objective of this study was to identify the barriers and facilitators of a sense of belonging among students and faculty of an occupational therapy department. A qualitative descriptive study was conducted with fifty-one students and ten faculty recruited via non-random purposeful sampling. Data were collected through focus group discussions with students and semi-structured interviews with faculty. Both the focus group discussions and interviews were audio-recorded and transcribed by a professional transcription service. Inductive coding was used to identify initial themes, which were then deductively mapped to the …

Identifying, Organizing, And Prioritizing Ideas On How To Support The Entangled Relation Between Theory And Practice In Occupational Therapy Education: A Group Concept Mapping Study, Rina Juel Kaptain, Jacob Østergaard Madsen, Anna Marie Lassen, Kristina Tomra Nielsen

Journal of Occupational Therapy Education

Transfer of learning from an academic setting to clinical practice and vice versa represents a challenge. The aim of this study was therefore to identify, organize, and prioritize ideas on how to support the entangled relation between theory and practice in occupational therapy (OT) education. To gain broad perspectives on the topic, Group Concept Mapping (GCM) was applied among OT students, lecturers, and fieldwork educators. GCM included six phases: Preparing (formulating a focus prompt), Generating ideas (brainstorming based on focus prompt: “To support the relation between theoretical and practical elements in the OT program there is a need for.. …

The Impact Of A Multi-Method Approach For Ethics Education On Occupational Therapy Students’ Self-Efficacy And Confidence, Brittany Nash, Jeffery Etheridge, Sierra Sosa, Verenice Macias, Araya Bradley, Kayla C. Osowski, Natalie Cornwell

Journal of Occupational Therapy Education

The purpose of this study was to explore the effectiveness of a multi-method approach for ethics education. The investigators measured occupational therapy (OT) students’ self-efficacy for ethical decision-making and explored their perception of what contributed to their confidence in understanding the American Occupational Therapy Association’s (AOTA) 2020 Occupational Therapy Code of Ethics. This one-group mixed methods study included twenty Master of OT students. Self-efficacy was measured via a pre-test and post-test using an adapted version of the New General Self-Efficacy Scale, and open-ended questions captured data regarding student perceptions of what contributed to their confidence. Students presented with high …

An Environmental Scan Of Preparation For Occupational Therapy Intraprofessional Collaboration In Ontario, Teresa R. Avvampato, Mark Hall, Dianna Fong-Lee, Marcia Finlayson

Journal of Occupational Therapy Education

Intraprofessional collaboration between occupational therapists (OTs) and occupational therapist assistants (OTAs) is important for safe, effective, and efficient occupational therapy services. However, challenges such as role misunderstandings in Canada exist, which impact OT-OTA intraprofessional collaboration and the quality of care provided. This study aimed to reveal the OT-OTA intraprofessional collaboration preparation taking place in Ontario, Canada, during entry-to-practice education. An explanatory sequential environmental scan was conducted, which involved a survey distributed to OT and OTA educators, followed by six focus groups: two with OT educators, two with OTA educators, and two with OT and OTA recent graduates. Key findings revealed …

Enhancing Intraprofessional Collaboration: A Quantitative Study On The Impact Of Paired Learning In Ot And Ota Programs, Chia-Wei Fan, Vicki Case

Journal of Occupational Therapy Education

This study investigated the impact of pairing 112 occupational therapy (OT) and 66 occupational therapy assistant (OTA) students in small groups over a 13-week clinical skills class. Students worked together in the weekly 2-hour class to practice various clinical skills and had the option to attend an additional weekly 2-hour open lab. A repeated measures design was used to evaluate students’ perceived importance and ability to engage in intraprofessional collaboration based on the Kirkpatrick model. The Intraprofessional Collaborative Practice Survey (ICPS) was administered at three time points: the beginning (T1), the middle (T2), and the end of the trimester (T3) …