Digital Commons Network^™

Mental Health Resources & Healthcare Professional Students, Matthew A. Knealing

Physician Assistant Scholarly Project Posters

The reasoning for this review of literature is to determine if implementing mental health resources in graduate healthcare programs decreases the rate of depression and suicidal ideations. In this review of literature, five databases were searched. They included: PubMed, PsycInfo, CINAHL Complete, Clinical Key, and the Cochrane Library from September 15 to January 3, 2020. Due to the topic being dynamic and receiving more acknowledgment in recent years, articles reviewed were restricted to the last six years within the United States. Works chosen were peer reviewed, which included meta analysis, cross sectional, systemic reviews, longitudinal and, survey method studies. Sources …

Analysis Of Tech-Based And Telemental Health Approaches Within The Adolescent And Young Adult Populations Of Rural America, Audrey K. Smeenk

Physician Assistant Scholarly Project Posters

The incidences of depression and anxiety among adolescent and young adult populations are intensifying, and resources remain limited for the management of these diseases within rural America.

• Evaluation on different interventions was completed to assess ease of access, efficacy, and patient adherence with the hope to decrease incidence of disease and increase availability of resources to rural areas.

• Based on the current completed research, there is a predominance of evidence that has shown moderate statistical data and promising outcomes from tech-based mobile applications and telemental health. Statistical evidence supports that technological based interventions are a potential treatment option …

The Safety And Efficacy Of Antidepressant Use In The Adolescent Population, Jason Marcello

Physician Assistant Scholarly Project Posters

This literature review was conducted to determine the safety and efficacy of antidepressants in the adolescent population based on the currently available research. Specifically, are antidepressants safe and efficacious in treating depression in adolescents and is their use associated with increased risk of suicide. Data was collected by searching medical databases including: Clinical Key, CINAHL Complete, PsycINFO, PubMed, DynaMed Plus, and Cochrane Review. The review of the literature included systematic reviews, metaanalysis, cross-sectional, longitudinal, randomized control trials, and survey methods. All literature works selected were published within the past ten years. Upon analysis, the literature showed a significant increase in …

Treatment Option Decision Making For Low-Grade Prostate Cancer, Janene Witherite

Physician Assistant Scholarly Project Posters

Prostate cancer (PCa) is the second most common cancer, among men, in the United States.

 Low-grade PCa is defined by; lack of metastasis outside the prostate (M0), no lymph node involvement (N0), tumor staging up to T2a, a PSA of less than 10 ng/ml, a Gleason score of less than 6, and no more than two of the 10-12 tissue samples (each composed of less than 50% cancer cells) of the 10-12 samples taken.

 Four treatment options exist for low-grade PCa patients: active surveillance (AS), external beam radiotherapy (EBRT), brachytherapy, and radical prostatectomy (RP), all of which cause …

Aging In Place: Causes And Importance Of Fall Prevention Education, Molly Banks, Danielle Halstead, Mariah Leroux

Critically Appraised Topics

Falls are a significant concern for older community-dwelling adults’ ability to age in place, specifically those who aged 60 and older. Many factors contribute to the risk of falls in older adults that need to be addressed by health care facilities, home health providers, and caretakers. Occupational therapy has a role to educate older adults, as well as health care providers on how to prevent the risk factors of older adults and falls. The purpose of this CAT is to take a deeper look at why this population has so many falls and examine the research addressing education and risk …

Preserving Shoulder Integrity For Pediatric Wheelchair Users, Nora Carlson, Miranda Jensen, Katelyn Mclellan

Critically Appraised Topics

According to the Centers for Disease Control and Prevention (CDC) (2019), 1,645 babies are born with spina bifida each year. There are three different types of spina bifida, with myelomeningocele being the most common. As for prevalence, “Hispanic women have the highest rate of having a child affected by spina bifida, when compared with non-Hispanic white and non-Hispanic black women” (CDC, 2019, para. 2). Children diagnosed with spina bifida may face motor, sensory, and cognitive impairments that can affect their quality of life and participation in occupations. According to Murray et al. (2015), children between the ages of 8 and …

The Long-Term Effects Of Parent Military Deployment On Perceived Parent/Child Relationship Quality, Timothy P. Pagano, Cindy L. Juntunen

Education, Health & Behavior Studies Faculty Publications

There remains a paucity of research surrounding the potential long-term effects of parental military deployment. This article provides counselors with an ability to better understand the long-term implications of parental deployment on the parent/child relationship through qualitative interviews with the, now, young adults who experienced a parent’s deployment, using consensual qualitative research methodology. The study makes several contributions to the knowledge base. Utilizing Bronfenbrenner’s Ecological Systems Theory, this study examined how adult children of deployed parents view their past and current parental relationships. Four domains emerged, including 1) factors impacting relationship with dad, 2) deployment cycle, 3) military culture, and …

Und Today: January 2020, University Of North Dakota

UND Today Archive

No abstract provided.

Yes, (Most) Men Know What Rape Is: A Mixed-Methods Investigation Into College Men’S Definitions Of Rape, Jaclyn A. Siegel, Raeann E. Anderson, Kristin E. Silver, Tara L. Mitchell

Psychology Faculty Publications

Sexual violence, including rape, is a pervasive problem on college campuses in the United States. Although men perpetrate the majority of sexual violence, men’s attitudes, experiences, and perspectives are not typically included in research on rape and sexual violence. We addressed this empirical gap through our mixed-methods analysis of 365 young men’s definitions of the term “rape.” Our analysis via consensual qualitative research revealed that men’s definitions fit into nine primary domains: lack of consent, taken advantage of, sex, sexual activity, unwanted, gender/sex-specific, harm to victim, relationship, and emotional response, as well as a miscellaneous domain. Further, using chi square …

A Holistic Approach To Infant Sleep, Mackenzie Danielson, Karlie Marler, Alyssa Turner-Strong

Occupational Therapy Capstones

A Holistic Approach to Infant Sleep. Mackenzie Danielson, Karlie Marler, Alyssa Turner-Strong, Dr. Julie Grabanski, Department of Occupational Therapy, University of North Dakota School of Medicine and Health Sciences, 1301 N. Columbia Road, Grand Forks, ND 58202

Purpose: The purpose of this scholarly project was to analyze and review current literature to determine the key variables that impact infant sleep. Based on the literature, the authors then created an educational manual and sleep assessment for occupational therapists that holistically addresses infant sleep.

Methodology: An extensive review of literature was completed on the role of occupational therapy, assessment tools, interventions, modifications …

Best Practices For The Occupation Of Education For College Students With Mental Health Issues, Karen Jaspers, Brianna Johnson

Occupational Therapy Capstones

Objective: To examine the available evidence for interventions provided on college campuses that address mental illness in college-aged students.

Method: The scoping review process laid out in Arksey and O’Malley (2005) was utilized to help guide the process. Four databases were used to search for articles. Specific search terms for each database were developed with the aid of a librarian. A total of 82 articles were included in the final scoping review.

Results: Interventions were categorized based on the Public Health Model and intervention type. 30 articles fell within the tier 1, universal category, 52 articles fell within the tier …

The Home Program Adherence Tackle Box: A Fishing-Themed Toolkit For Rehabilitation Clinicians, Nicholas Riveland, Colter Pettit

Occupational Therapy Capstones

Background: Home programs (HPs) are an important part of the rehabilitation experience and are regularly recommended by occupational therapy practitioners (OTPs) and other rehabilitation clinicians for continuation and supplementation of care, to address a client’s continual needs at home and in the community (DeForge et al., 2008; Donoso Brown, & Fichter, 2017; Emmerson et al., 2017; Picha, & Howell, 2018; Proffitt, 2016). Home programs created by rehabilitation professionals for clients typically include therapeutic exercises, activities, and lifestyle behavior modifications to compliment treatment and/or discharge recommendations. Issuing home programs is an established standard of care to help clients meet targeted client …

How To Be An Advocate: Summary Of “Realizing Abct’S Mission In A Politicized World” Presented By Lynn Bufka, Anita Brown, Brandon Gaudiano, Megan Gordan-Kane, Lauren Macivor Thompson, And Laura Seligman, Raeann E. Anderson, Erica L. Goodman, Danielle Piggott, Sidney Thimm, Kristin E. Silver, Paige Michel

Psychology Faculty Publications

No abstract provided.

Military Sexual Trauma Survivor Preferences For Provider Gender And Associations With Mental Health Evaluation Attendance, Minden B. Sexton, Raeann E. Anderson, Diana C. Bennett, Edward J. Thomas, Rachel B. Broman, Sarah K. H. Richards

Psychology Faculty Publications

No abstract provided.

Vulnerability When Fecundity Fails: Infertility And Assisted Reproductive Technologies In The Bridge, Melissa Gjellstad

Languages & Global Studies Faculty Publications

Assisted reproductive technologies (ART) transformed the treatment of infertility in the Scandinavian welfare state. In the course of a forty-year history, Denmark has become an international leader in the proportion of babies born via ART. The third season of the Danish/Swedish television serial The Bridge (2015) includes a subplot of infertility and state responsiveness to the involuntarily childless, fertile donors and donor-conceived children. This chapter outlines milestones in medically assisted reproduction in Denmark and Sweden, including current policy differences around surrogacy, and considers those states and the consequences for their citizens in a literary vulnerability analysis of The Bridge informed …

Forecast Of Streamflows To The Arctic Ocean By A Bayesian Neural Network Model With Snowcover And Climate Inputs, Kabir Rasouli, Bouchra R. Nasri, Armina Soleymani, Taufique H. Mahmood, Masahiro Hori, Ali Torabi Haghighi

Geology and Geological Engineering Faculty Publications

Increasing water flowing into the Arctic Ocean affects oceanic freshwater balance, which may lead to the thermohaline circulation collapse and unpredictable climatic conditions if freshwater inputs continue to increase. Despite the crucial role of ocean inflow in the climate system, less is known about its predictability, variability, and connectivity to cryospheric and climatic patterns on different time scales. In this study, multi-scale variation modes were decomposed from observed daily and monthly snowcover and river flows to improve the predictability of Arctic Ocean inflows from the Mackenzie River Basin in Canada. Two multi-linear regression and Bayesian neural network models were used …

Critically Appraised Topic: Evidence For Mindfulness Therapies For Veterans With Ptsd, Hayley Blom, Julie Juracich, Sydnie Merriman

Critically Appraised Topics

The purpose of this critically appraised topic (CAT) is to explore the effectiveness of mindfulness therapies to assist veterans who have post-traumatic stress disorder (PTSD) with symptom management. Assisting veterans to purposely engage in rest, health management and social participation are areas of occupation that will increase overall quality of life, as these occupations are negatively impacted by PTSD symptoms (American Occupational Therapy Association (AOTA), 2010; Barr, Davis, Diguiseppi, Keeling & Castro, 2019; Beck et al., 2017; Bormann et al., 2018; Cole et al., 2015; Cuellar, 2008; Cushing, Braun, Alden, Katz & Alden, 2018; Marchand, Yabko, Herrmann, Curtis, & Lackner, …

The Gut-Brain Axis: Treating Depression Through Microbiome Alterations, Alexandria Bachman-Williams

Physician Assistant Scholarly Project Posters

• The purpose of this study is to explore the role of gut microbiome alterations in the treatment of anxiety and depression. • There are multiple pathological pathways that lead to the development of anxiety and depression. • Research shows a link between pathologic bacteria and low grade inflammation. This causes a disruption of neurotransmitters that are current targets of pharmacological treatment of depression and anxiety. • Transfer of “pathogenic” bacteria caused increased symptoms of anxiety and depression. • Treatment with probiotics and “protective” bacteria showed decreased BDI scores and improved symptoms. • Studies were small but show need for …

Use Of Marijuana In Those With Anxiety And Depression, Heather Flaa

Physician Assistant Scholarly Project Posters

The purpose of this research and literature review was to compare the use of marijuana to SSRIs in reducing anxiety and depression symptoms.

• This literature review searched databases Cochrane, PubMed, Clinical Key, PsycINFO, and DynaMed Plus from the year 1990 and on. Keywords: cannabis, marijuana, anxiety, generalized anxiety disorder, depression, and selective serotonin reuptake inhibitors.

• Many meta-analyses show SSRIs continue to be first line treatment in those with anxiety and depression in reducing symptoms.

• Patients with marijuana use showed an increased odds ratio of developing anxiety and depression or increasing symptoms in several studies.

• No studies …

The Role Of Occupational Therapy With The Foster Care System: Implementation Of Routine Screening Procedures, Sydney Gayton, Hannah Merges

Occupational Therapy Capstones

Purpose: Children in foster care are considered an at-risk population for developmental delays, due to their life experiences (Fraser et al., 2017; Jacobsen et al., 2013; Mueller et al., 2010; Oral et al., 2016; Ryan et al., 2017; Wade et al., 2017). The purpose of this scholarly project was to identify the needs of these children specifically in the regions of the University of North Dakota’s Occupational Therapy Program’s campuses. The campuses are located in Grand Forks, North Dakota and Casper, Wyoming. Currently, there is an increase of children entering the foster care systems in ND and WY (Casey Family …

Fostering Needs First: An Otr’S Guide To Evaluation For Individuals Transitioning Out Of Foster Care, Paige Melby, Meagan Flom

Occupational Therapy Capstones

Title: Fostering Needs First: An OTRs guide to evaluation

Background: Individuals transitioning out of foster care (ITF) are experiencing occupational, personal, and environmental barriers, affecting their ability to maintain independent living. Specific barriers to independence experienced by this population include high rates of homelessness, increased rates of poverty, and increased mental health disruptions (Gomez, Ryan, Norton, Jones, & Galan-Cisneros 2015; Lee & Morgan, 2017; O’Neal, 2015).

Purpose: The purpose of this product is to establish the role for occupational therapy in the foster care system, specifically in the transition out of services and into independent living. This product aims …

Occupational Gearing For Child Rearing: Occupational Therapy’S Role In Helping New Mothers Succeed After Giving Birth, Alana Grabarkewitz, Lydia Swanson

Occupational Therapy Capstones

The purpose of this scholarly project is to provide occupational therapists with access to an educational website that helps fill the current gaps in care for mothers and advocates for the occupational therapy profession to contribute to a mother’s care team.

A substantial literature review was completed to gather information about difficulties mothers encounter and how occupational therapy can assist mothers with the difficulties. To find reliable and trustworthy information on what issues and conditions a mother may experience and how occupational therapy can help mothers, various search engines were used. The findings from the literature review were used to …

An Allen's Cognitive Levels Training Program For More Comprehensive Interprofessional Care, Ashton Hudspeth, Colton Peltier

Occupational Therapy Capstones

Purpose: The purpose of this product was to create a quick reference guide with a corresponding in-service training to be used by the treatment team within the physical rehabilitative settings in order to address comorbid cognitive diagnoses in a consistent manner.

• 10-30% of all new hospital admissions have been estimated to experience delirium, or a disruption in the person's cognitive abilities (Ahmed, Leurent, & Sampson, 2014)
• Individuals diagnosed with mild cognitive impairment had a 17-39% increase in the rate of hospitalizations (Callahan et al., 2015)
• 20-60% of clients who receive anesthesia for surgery experience delirium or some residual cognitive deficit …

Occupational Therapy Best Practice Addressing Anxiety-Related Behaviors: Extending Strategies Into The Classroom, Hannah Burks, Kristen Kilian-Weides

Occupational Therapy Capstones

The purpose of this project was to develop a product, created by occupational therapists, for teachers and support staff that offers behavioral management strategies for students demonstrating anxiety related behaviors in the classroom. Research conducted by Nash, Schlösser, and Scarr (2016) revealed that teachers reported feeling underprepared to not only identify anxiety presenting in the classroom, but also to manage these disruptive behaviors resulting from anxiety. Thus, the product, titled Tips for Teachers, was developed to address this need and to increase collaboration between occupational therapists, teachers, and support staff.

The hierarchical approach utilized in the current behavioral management system …

Exploring A Best-Practice Approach For Preventing Challenging Behavior In Pediatric Occupational Therapy, Mckenzie Ramsey Gehring, Kimberly Harmelink

Occupational Therapy Capstones

Purpose This scholarly project was created to provide pediatric occupational therapists with a best-practice approach to address challenging behavior by focusing on its prevention while establishing consistency throughout the clinic.

Methodology An extensive literature review was performed using eight search databases and combinations of six primary search terms as well as original works by key scholars and researchers. The results of this literature review suggested the need for a best-practice approach to both protect occupational therapists and their clients during interventions related to challenging behavior and to provide guidance as to how to format a consistent approach toward challenging behavior …

Operationalizing Leisure As A Therapeutic Modality In Skilled Nursing Facilities: A Web-Based Resource, Elizabeth Hauck, Summer Miller

Occupational Therapy Capstones

Purpose

Residents in skilled nursing facilities (SNFs) are experiencing depression and occupational deprivation and have limited opportunities to engage in meaningful activities (Causey-Upton, 2015). The purpose of this scholarly project is to address the health, well-being, and quality of life of residents in SNFs by creating an evidence-based, model-driven, accessible resource for occupational therapy (OT) practitioners to promote the use of occupation-based interventions using leisure as a therapeutic modality.

Methodology

The results of a thorough literature review supported the need for a resource for OT practitioners. Literature supporting engagement in occupation-based interventions, especially leisure, to enhance physical, mental, and emotional …

Hand Therapy Outcomes: Therapists’ Perceptions Of Occupation-Based Interventions In Practice, Cheyenne Hanson, Molly Maudal

Occupational Therapy Capstones

Purpose: It is well known that hand therapists frequently use biomechanical-based interventions in their treatment of upper extremity injuries and pathologies. There is a push to return to the occupational therapy profession’s roots of occupation-based practice, which has recently been further reinforced with the introduction of the American Occupational Therapy’s (AOTA) Choosing WiselyⓇ Initiative (Gillen et al., 2019). Hand therapy is one area in which occupation-based practice could become more prevalent. This study will enhance the existing research on occupation-based hand therapy through the use of focus group interviews with occupational therapists who have a majority of their caseload classified …

Occupational Therapy Based Resource Designed For Caregivers Of Children In The Foster Care System, Courtney Haugen, Brianna Mcnelly

Occupational Therapy Capstones

Abstract: In 2018, 687,345 foster care children were placed into the foster care system (U.S. Department of Health and Human Services, 2019). The foster care system is a complex, diverse system that continues to witness an increasing need for foster parents to support and provide for children placed in foster care. Foster parents present as an underserved population that requires education to navigate the child welfare system and develop and utilize skills to appropriately address the barriers and stressors encountered daily in their role as a foster parent. A literature review was conducted and found multiple resources for assisting foster …

Creating Inclusive And Culturally Competent Healthcare For The Lgbtq+ Community: A Curriculum, Caelin Hansen, Jordyn Himley

Occupational Therapy Capstones

The lesbian, gay, bisexual, transgender, queer, etc. (LGBTQ+) population is growing in America and in recent years has shown an increase in equal rights and societal acceptance (Newport, 2018). However, despite the positive changes that have been made, the LGBTQ population is still underserved in healthcare and faces health disparities (Dean, Victor, & Grimes, 2016; Institute of Medicine, 2011). This may be due to the fact that medical professionals receive little to no education regarding LGBTQ care, which can result in misconceptions, discomfort, and use of microaggressions towards the population. (Beagan, Chiasson, Fiske, Forseth, Hosein, Myers, & Stang, 2013; Utamsingh, …

A Holistic And Proactive Approach For Preparing Occupational Therapy Practitioners To Combat Compassion Fatigue, Olivia Kack, Mimi Yunker

Occupational Therapy Capstones

Purpose

Occupational therapy is a unique profession working with individuals across the lifespan to overcome adversity and increase overall quality of life. Of the many settings where occupational therapists can work, 93% work in direct-patient care (AOTA, "Work Setting Trends for Occupational Therapy: How to Choose a Setting"). These settings are high demand in nature and require large quantities of time, energy, empathy, and compassion. Continuous use of empathy and compassion daily creates a risk for developing compassion fatigue among healthcare providers. Unfortunately, there currently appears to be a disjunction in occupational therapy literature related to compassion fatigue in occupational …