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Organizational Diagnosis Toolkit, Ann Marie Lindley, Catherine Nolan, Connie L. Halvorsen, Franki C. Hand, Isys S. Mccormack, Jennifer A. Hance, Jess Beutler, Kelsey Spaulding Caras, Sara German Jimenez, Stephanie Graves Dec 2025

Organizational Diagnosis Toolkit, Ann Marie Lindley, Catherine Nolan, Connie L. Halvorsen, Franki C. Hand, Isys S. Mccormack, Jennifer A. Hance, Jess Beutler, Kelsey Spaulding Caras, Sara German Jimenez, Stephanie Graves

Capstone Projects

The complexity of organizations requires organizational diagnosis to be an iterative process tailored to the context, needs, and uniqueness of each organization. This toolkit is designed to walk a consultant or leader through a structured diagnostic approach and the various resources that can be leveraged along the way. It is organized into four sections: foundational diagnostic frameworks and models, practical consulting, case-study application, and reflection and learning. It was created by students in the Western Michigan University Organizational Change Leadership masters and doctoral programs as part of the course OCL 6460, "Organizational Diagnosis and Consulting," under the supervision of Professor …


Neurogenesis And Functional Recovery Of Murine Retinal Ganglion Cells After Glaucoma Induction Following Treatment With Pnu-282987, Samantha Luzadre Dec 2025

Neurogenesis And Functional Recovery Of Murine Retinal Ganglion Cells After Glaucoma Induction Following Treatment With Pnu-282987, Samantha Luzadre

Masters Theses

Experiments were performed to demonstrate electrical recovery in glaucoma-induced adult mice after neurogenesis of retinal ganglion cells (RGCs). Newly derived RGCs were induced following eye drop treatment with a selective alpha7 nicotinic acetylcholine receptor agonist, PNU-282987. Both sexes of transgenic (RlbpCre-ER (CRE+) and Rosa-tdTomato (tdTomato+)) adult mice were utilized to trace newly generated RGCs originating from Müller glia (MG). Experimental mice were injected with hypertonic saline into the episcleral vein of anesthetized mice to significantly increase intraocular pressure (IOP) and induce glaucoma-like conditions. One month after the injection and after significant death of RGCs occurred, mice …


An Investigation Of Collateral Activity Effects On Behavior Maintained By A Drl 72‑Second Schedule, Cassidy M. Graham Dec 2025

An Investigation Of Collateral Activity Effects On Behavior Maintained By A Drl 72‑Second Schedule, Cassidy M. Graham

Masters Theses

Impulsivity is a key behavioral trait with broad implications for clinical disorders such as Attention Deficit Hyperactivity Disorder ADHD, and substance use disorders SUD, where impaired inhibitory control contributes to maladaptive outcomes. In preclinical research, animal models provide valuable tools for examining behavioral processes associated with impulsivity. The Differential Reinforcement of Low Rates (DRL) schedule, offers a precise measure of response inhibition and timing by requiring subjects to withhold responses for reinforcement. This study employed DRL72s schedule to investigate impulsive action in male and female Sprague-Dawley rats, with an emphasis on sex-based differences and the potential influence of environmental factors. …


Evaluating Psychosocial Stressors And Mental Well-Being Of Construction Professionals From The Management Standpoint: An Exploratory Study, Md Tauhidul Karim Dec 2025

Evaluating Psychosocial Stressors And Mental Well-Being Of Construction Professionals From The Management Standpoint: An Exploratory Study, Md Tauhidul Karim

Masters Theses

Construction professionals face persistent workplace stressors that undermine their mental well-being outcomes. Despite progress in general job-related stressors, social and interpersonal aspects of psychosocial stressors traditionally remain underexplored in the construction management research. The present study examines how social and interpersonal factors influence construction workers’ mental well-being and how management’s awareness, responsiveness, and strategic roles evolved in the transition of the COVID-19 pandemic at the organizational level. An integrative mixed-methods approach was employed, combining a systematic literature review, a bibliometric analysis, and an exploratory case study to capture the current landscape of mental well-being and management standpoints in the US …


"Gross Normality" And "Marked Deviation": A Qualitative Study Of Disability Theory In Three Periods Of Sociological Literature, Kelsey Sullivan Dec 2025

"Gross Normality" And "Marked Deviation": A Qualitative Study Of Disability Theory In Three Periods Of Sociological Literature, Kelsey Sullivan

Masters Theses

In the 20th century, three theoretical perspectives concurrently dominated sociological discussions of disability. Functionalism and Talcott Parsons argued for a pathologized framework in the form of a “sick role” occupied by disabled people. Interactionism and Erving Goffman emphasized the stigmas faced by individual disabled people, and the ripple-effects of those stigmas. Finally, disabled activists, inspired by social constructionism, championed the social model of disability. This model purported that disability is a social condition, resulting from systemic barriers imposed upon people who do not fit the mental or physiological norm. This project, through a content analysis of 30 historical journal articles, …


Home Visitors Perceived Barriers To Practicing Self-Care In Personal And Professional Settings, Lexie Yancey Dec 2025

Home Visitors Perceived Barriers To Practicing Self-Care In Personal And Professional Settings, Lexie Yancey

Masters Theses

Home visiting has the potential to support families in increasing their parenting skills, reducing incidents of child maltreatment, increasing school readiness, and improving financial sustainability (HRSA, 2023; Peacock et al., 2013). Retention of home visitors in programming is crucial to retaining families in home visiting (Damashek et al., 2020; Fifolt et al., 2017; Holm-Hansen et al., 2017; Ramakrishnan et al., 2022). While many home visitors struggle with burnout, research has found that self-care strategies are effective for social work students and are even used widely by home visitors (Begic et al., 2019; Siebert, 2008). This nested mixed-methods study examines answers …


Student Perceptions Of The Impact Of Faculty Race And Gender On Their Sense Of Connectedness, Engagement, And Persistence, Sherrie Y. Fuller Dec 2025

Student Perceptions Of The Impact Of Faculty Race And Gender On Their Sense Of Connectedness, Engagement, And Persistence, Sherrie Y. Fuller

Dissertations

This quantitative study examined how faculty demographic characteristics, specifically race and gender, influence undergraduate students’ perceptions of connectedness, engagement, and persistence at a public Midwestern university. Guided by Tinto’s Model of Student Integration (1975, 1993, 2012), the research explored whether perceived alignment between student and faculty identities contributes to students’ sense of belonging and motivation to persist toward degree completion. Data were collected from 100 undergraduate participants representing diverse racial, gender, and academic backgrounds. Participants completed a researcher-developed survey instrument utilizing a four-point Likert scale to measure connectedness, engagement, and persistence.


Pilot Study Of The Barriers To Exercise Adherence And Motivation (Beam) Questionnaire For Adults With Osteoarthritis, Haley Ciara Hughes Dec 2025

Pilot Study Of The Barriers To Exercise Adherence And Motivation (Beam) Questionnaire For Adults With Osteoarthritis, Haley Ciara Hughes

Dissertations

Osteoarthritis (OA) is a chronic condition affecting over 33 million adults in the United States (Center for Disease Control and Prevention [CDC], 2024). While exercise is one of the leading, non-pharmacological treatments for OA (Zhang et al., 2008), patients often struggle to meet physical activity guidelines, increasing their risk of lifelong disability, falls, and dependence (Wallis et al., 2013). Researchers in physiotherapy have struggled to identify effective, individualized treatments to improve exercise adherence for patients with OA that maintain long-term effects (Ezzat et al., 2015); an area behavior analysts could offer insight and guidance. Behavior analysts have developed indirect functional …


Finding Utopia: An Examination Of Pedagogical Approaches To Teaching Utopianism In U.S. College Classrooms, Brittany Page Brake Dec 2025

Finding Utopia: An Examination Of Pedagogical Approaches To Teaching Utopianism In U.S. College Classrooms, Brittany Page Brake

Dissertations

This dissertation investigates how, and if, utopianism is being taught in college classrooms across the United States. Long considered impractical, overly idealistic, and/or politically dangerous, utopianism has been largely marginalized in political science and American culture. However, this project finds that there are instructors teaching utopianism and they are using the concept to challenge students to think differently about governance, justice, and institutional design. Drawing from political theory literature, course syllabi submitted by faculty from different U.S. universities, interviews with instructors, and personal case studies of my own courses at Central State University and Manchester University, I explore how utopian …


Three Funny Things: A Multicultural Validation, Jon Hook Dec 2025

Three Funny Things: A Multicultural Validation, Jon Hook

Dissertations

This dissertation evaluated the efficacy of Three Funny Things, a humor-based positive psychology intervention (PPI) designed to enhance subjective well-being (SWB) and reduce depressive symptoms. Subjective well-being was operationalized through self-reported happiness, measured by the Authentic Happiness Inventory (AHI), and depressive symptomatology, measured by the Center for Epidemiologic Studies Depression Scale (CES-D). A repeated-measures design was employed across three time points: baseline (Time 1), post-intervention (Time 2), and one-month follow-up (Time 3). Participants (N = 126) represented a racially diverse community sample, including individuals identifying as White (61%), Black or African American (18%), Hispanic or Latino/a (11%), Asian (6%), and …


Breaking Barriers For Student Success: Leading In Challenging Times, Lisa Marie Dewey Dec 2025

Breaking Barriers For Student Success: Leading In Challenging Times, Lisa Marie Dewey

Dissertations

This study explores how Diversity, Equity, and Inclusion (DEI) directors in one Midwestern state understand and lead equity initiatives in K–12 public education. The purpose of the study was to examine how DEI leaders make sense of their roles and the challenges of sustaining equity work within complex and often politicized systems. Using a basic qualitative methodology, the research examined how personal identity, sociopolitical context, and organizational structures shape DEI leadership. Critical Race Theory (CRT) framed the study, centering race, power, and systemic inequity in participants’ experiences.

Seven DEI directors participated in semi-structured interviews. Three key themes emerged. First, participants’ …


Environmental Beliefs Among Evangelical Leadership, Jeffrey Stark Dec 2025

Environmental Beliefs Among Evangelical Leadership, Jeffrey Stark

Dissertations

There has been consensus among climate scientists for over a decade about the reality of human caused climate change. Even with this consensus, the public understanding of this issue remains divided based on factors generally unrelated to the science. Evangelical Protestants are one group which consistently polls as more skeptical of climate change. This is true not only when compared to the general population but also when compared to other religious demographics. Most large-scale surveys of evangelicals assume the demographic to be a monolith and do not attempt to break the demographic down further. In this mixed methods study, we …


The Effect Of Shared Decisions On Intertemporal Choice, Rosemarie M. Davidson Dec 2025

The Effect Of Shared Decisions On Intertemporal Choice, Rosemarie M. Davidson

Masters Theses

Substance use disorders are a significant public health concern, and improving treatment outcomes requires a better understanding of the behavioral processes that influence drug consumption. Delay discounting, or the tendency to overvalue immediate reinforcers, is reliably more severe among individuals with substance use disorders. Recent work suggests that shared decision-making may increase tolerance for delayed rewards; however, prior studies used procedures that confounded delay to token delivery with delay to token exchange, limiting conclusions. The present study evaluates delay discounting across individual and social decision-making contexts using a traditional delay discounting paradigm.

Ten undergraduate participants completed sessions involving choices between …


How Life Enrichment Farms Promote Independence, Health, And Well-Being Through Vocational Skills And Sensory Processing Skills, Olivia Stanek Nov 2025

How Life Enrichment Farms Promote Independence, Health, And Well-Being Through Vocational Skills And Sensory Processing Skills, Olivia Stanek

Honors Theses

There is limited knowledge about life enrichment farms and their role in supporting individuals with disabilities. This project aimed to highlight how occupational therapy can collaborate with these farm-based programs to promote independence, health, and well-being among younger adults with autism spectrum disorder and other developmental disabilities. An evidence-informed approach and qualitative research methods were used to explore this question, including a literature review and an interview with AACORN Farms, a life enrichment farm located in Michigan. Findings were further examined through occupational therapy activity analysis to identify the vocational, sensory, and meaningful engagement opportunities embedded within the various areas …


Postmortem Vitreous Humor As An Alternative Matrix To Peripheral Blood For Benzodiazepine Detection, Sara Bussey Nov 2025

Postmortem Vitreous Humor As An Alternative Matrix To Peripheral Blood For Benzodiazepine Detection, Sara Bussey

Honors Theses

Benzodiazepines are commonly prescribed secondary drugs of abuse that cause Central Nervous System depression through the neurotransmitter gamma aminobutyric acid. While not commonly fatal on their own, benzodiazepines have a minor risk for physical dependence and abuse. They also can have cumulative effects with other medications that can lead to overdose situations; thus, they are considered secondary drugs of abuse. While peripheral blood is considered the standard for xenobiotic detection in postmortem forensic toxicology, it is important to consider the validity of alternative matrices that could be analyzed in the event that blood was not available due to circumstances like …


Wmu Board Of Trustee Board Meeting, Thursday October 30, 2025, Wmu Board Of Trustees Oct 2025

Wmu Board Of Trustee Board Meeting, Thursday October 30, 2025, Wmu Board Of Trustees

WMU Board of Trustees Meetings

Acceptance of the Agenda

Approval of the Minutes (September 11, 2025)

Remarks by the Chair of the Board

Remarks by the President

Updates by the Faculty Senate President

Updates by the Western Student Association President

Updates by the Graduate Student Association President

Presentation: Broncos for Sustainability Across WMU

Public Comments Regarding Action Items

Action Items

WMU Police Officer's Association (POA) Wage Agreement

Five Year Capital Outlay Master Plan and Capital Project Request

Prior Learning Assessment Fee

Western Michigan University External Audit, 2025

Consent Items

  • Curriculum Proposals
  • Personnel Report
  • Utility Easement Request from the City of Kalamazoo
  • Liquor License – College …


Introductory Pages, Diana Camilo, Moya Malcolm, Laura Owen, Christopher W. Tremblay, Patrick J. O'Connor Phd Oct 2025

Introductory Pages, Diana Camilo, Moya Malcolm, Laura Owen, Christopher W. Tremblay, Patrick J. O'Connor Phd

Journal of College Access

No abstract provided.


Complete Issue, Christopher W. Tremblay, Diana Camilo, Moya Malcolm, Laura Owen, Patrick J. O'Connor Phd Oct 2025

Complete Issue, Christopher W. Tremblay, Diana Camilo, Moya Malcolm, Laura Owen, Patrick J. O'Connor Phd

Journal of College Access

No abstract provided.


College Freshmen’S Perceptions Of Their High School College And Career Readiness Counseling, Alexandra Novakovic, Eva N. Patrikakou Oct 2025

College Freshmen’S Perceptions Of Their High School College And Career Readiness Counseling, Alexandra Novakovic, Eva N. Patrikakou

Journal of College Access

School counselors provide college and career readiness (CCR) counseling and socioemotional support to assist students in planning and pursuing postsecondary education. However, little is known about students’ perceptions of the effectiveness of meetings with school counselors during their preparation for postsecondary education and career planning. The present study surveyed first-year college students who have successfully navigated the college-planning process to explore their perceptions regarding the frequency and degree of helpfulness of meetings with their high school counselor. Results indicate that the frequency of meetings with the school counselor for CCR counseling predicted degree of perceived helpfulness overall, accounting for 60% …


Graduate School Accessibility For Undocumented And Dacamented Scholars Across The United States, Casandra P. Sandoval Hurtado, Ronnie Rios, Kasandra Negrete, Stephany Mendez Ortega, Richard Nunn Oct 2025

Graduate School Accessibility For Undocumented And Dacamented Scholars Across The United States, Casandra P. Sandoval Hurtado, Ronnie Rios, Kasandra Negrete, Stephany Mendez Ortega, Richard Nunn

Journal of College Access

Literature on higher education accessibility for undocumented and DACAmented (Deferred Action for Childhood Arrivals) students has mostly focused on undergraduate students. This paper discusses a comprehensive study of the undocumented graduate student policies of 50 universities across the United States. Using systematic web searches and follow-up interviews with institutional liaisons, we evaluated admissions, tuition classification, funding, and social support practices through an institutional theory lens. This theory posits that institutions prioritize alignment with other institutions, which can lead to a lack of action in providing systemic services. Our findings fit within institutional theory, as many webpages were often confusing or …


The Practice Of Perfect Mistakes, Kelly Allen Oct 2025

The Practice Of Perfect Mistakes, Kelly Allen

The Open Journal of Occupational Therapy

Cheryl VanderMolen Neway, a fashion designer and textile artist residing in Fairfax, Virginia, provided the cover art for the Fall 2025 issue of The Open Journal of Occupational Therapy (OJOT). The photograph features a flowing, floor-length duster jacket entitled, The Free Spirit, 2024, made from an upcycled denim jacket with lace and hand-dyed linen, using shibori and indigo-dyeing techniques, modeled by Shamola Crosbie. Cheryl’s designs serve to express emotion, meet her need for creative exploration, and empower her community through fashion. Using resist-dyeing techniques paired with upcycled textiles and salvaged materials, she creates vibrantly unique clothing and mixed-media artwork …


An Authentic Leader Never Dies: Lessons Learned From The Seminal Work Of Elizabeth Yerxa, Daniel Cezar Da Cruz Oct 2025

An Authentic Leader Never Dies: Lessons Learned From The Seminal Work Of Elizabeth Yerxa, Daniel Cezar Da Cruz

The Open Journal of Occupational Therapy

This Opinion in the Profession is based on the enduring legacy of Elizabeth June Yerxa, a pioneering leader in occupational therapy and occupational science, following her passing in December 2024. Rather than a traditional "in memoriam," the author uses the present tense to emphasize Yerxa's ongoing influence. The paper highlights four key themes from Yerxa’s work: the commitment of occupational therapy to social change, the importance of an occupation-centered education, the term “engaging in occupation”, and the establishment of occupational science as a foundational discipline. Yerxa’s advocacy for critical thinking, holistic perspectives, and the integration of diverse fields …


Implicit Bias Training Standards In Health Care: Did Michigan Get It Right? A Policy And Ethical Framework Analysis, Megan Gailliard, Kieran Fogarty, Mary Lagerwey Oct 2025

Implicit Bias Training Standards In Health Care: Did Michigan Get It Right? A Policy And Ethical Framework Analysis, Megan Gailliard, Kieran Fogarty, Mary Lagerwey

The Open Journal of Occupational Therapy

In 2022, Michigan joined a handful of states requiring implicit bias training for its health care professionals. In its ideal application, implicit bias training of health care professionals will result in a reduction of the implicit biases held by health care providers. This bias reduction will, in theory, contribute to improved equity in the delivery of health care services. Ultimately, the less biased health professional, now delivering health care services with a more equitable hand, will help reduce health disparities in the State of Michigan.

This analysis of Mich. Admin. Code R.338.7004 - Implicit bias training standards for licensed and …


Promoting Sense Of Belonging Among First-Generation Students In Occupational Therapy, Pola Ham Oct 2025

Promoting Sense Of Belonging Among First-Generation Students In Occupational Therapy, Pola Ham

The Open Journal of Occupational Therapy

First-generation students in occupational therapy programs face unique challenges that can impact their sense of belonging and academic success, potentially hindering efforts to diversify the profession. There is limited data on occupational therapy students who identify as first-generation students. However, the literature has noted improved efforts toward a sense of belonging in higher education among students leads to feeling a sense of connectedness with their peers and faculty, aiding in overall well-being, academic performance and retention. In contrast, a lack of these efforts can lead students to experience a diminished sense of belonging to the institution. This article examines the …


Mentoring Matters: Enhancing Occupational Therapy Capstone Experiences Through Effective Mentorship, Sara J. Stephenson, Gretchen L. Bachman, Michelle L. Bollom, Alexandria N. Calca Oct 2025

Mentoring Matters: Enhancing Occupational Therapy Capstone Experiences Through Effective Mentorship, Sara J. Stephenson, Gretchen L. Bachman, Michelle L. Bollom, Alexandria N. Calca

The Open Journal of Occupational Therapy

Mentoring plays a crucial role in occupational therapy education, particularly in doctoral capstone experiences. Yet, specific assessment tools tailored to the profession are lacking. This study aimed to gather insights from occupational therapy stakeholders on mentor qualities and skills essential for capstone success. The authors employed a descriptive, cross-sectional study design using an interactive poster featuring the Mentor Competency Assessment (MCA) domains and the ACOTE-defined capstone focus areas. Data were collected at two occupational therapy events using ordinal ranking methodology.Fifty-three participants identified their occupational therapy roles and ranked mentor skills and capstone focus areas. Effective communication was consistently identified as …


Diversity Gaps In Ot Education: Addressing The Challenges And Support Needs Of Underrepresented Faculty, Divya Desai, Natalie A. Perkins Oct 2025

Diversity Gaps In Ot Education: Addressing The Challenges And Support Needs Of Underrepresented Faculty, Divya Desai, Natalie A. Perkins

The Open Journal of Occupational Therapy

Understanding the status of diversity in OT academia is crucial for promoting equitable representation and addressing the needs of underrepresented faculty. This exploratory mixed-methods study sought to assess the diversity landscape in OT academic programs and explore the support needed by diverse faculty to enter and remain in academic positions. The researchers used an online survey distributed to faculty members of accredited OT programs across the United States. In-depth interviews were conducted with select respondents to gain deeper insights into their experiences. The interview participants were selected based on survey responses through purposive sampling. The study focused on capturing perspectives …


Occupational Balance Of Occupational Therapy Students Before And After Occupational Disruption Caused By Covid-19, Juan Pablo Saa, Georgia King, Kylee Lockwood, Tamara Tse Oct 2025

Occupational Balance Of Occupational Therapy Students Before And After Occupational Disruption Caused By Covid-19, Juan Pablo Saa, Georgia King, Kylee Lockwood, Tamara Tse

The Open Journal of Occupational Therapy

Background: The COVID-19 pandemic and ensuing restrictions have caused occupational disruption, yet little is known about their relationship with occupational balance, student satisfaction, and stress. This study aimed to investigate the impact of COVID-19 restrictions on the occupational balance of occupational therapy students in the state of Victoria, Australia, and its association with measures of life satisfaction and distress.

Method: Participants completed the Occupational Balance Questionnaire (OBQ-11) twice (once rating their occupational balance before COVID-19 social distancing restrictions and again during the time these restrictions were in place); the Global Life Satisfaction Questionnaire; and the Depression, Anxiety and …


The Perception Of Occupational Therapists And Their Use Of Therapeutic Use Of Self When Interacting With Clients And Fieldwork Students, Maria T. Zock, Barbara Nadeau Oct 2025

The Perception Of Occupational Therapists And Their Use Of Therapeutic Use Of Self When Interacting With Clients And Fieldwork Students, Maria T. Zock, Barbara Nadeau

The Open Journal of Occupational Therapy

The therapeutic use of self is an essential instrument in every occupational therapists' toolbox. Fieldwork is vital to a student’s transition to clinician and the student and fieldwork educator relationship is a critical component of the fieldwork experience. The researchers employed a phenomenological design to explore perceptions of 12 fieldwork educators regarding the similarities and differences in the way they use the therapeutic use of self with clients and students. How one develops their therapeutic use of self begins and evolves throughout fieldwork, impacting a clinician’s practice long-term. Results indicated that while the therapeutic use of self is readily used …


The Need For ‘Soft Skills’ In Occupational Therapy Curricula: A Descriptive Analysis Of French Students’ Internship Comments, Cynthia Engels, Nadia Oubaya, Aliki Thomas Oct 2025

The Need For ‘Soft Skills’ In Occupational Therapy Curricula: A Descriptive Analysis Of French Students’ Internship Comments, Cynthia Engels, Nadia Oubaya, Aliki Thomas

The Open Journal of Occupational Therapy

A competent occupational therapist needs soft skills. Although the French national occupational therapy (OT) curriculum lists 10 competences to be acquired, they do not include soft skills. The objectives of this study were to (a) Identify the proportion of soft skills in OT students’ internship comments written by internship tutors and (b) characterize the mentioned soft skills to help determine whether and which soft skills should be included in the new OT curriculum nationwide in France. This was a qualitative descriptive analysis of tutors’ comments on internship evaluations based on the framework method. Of the 1060 internship reports, 1035 (98%) …


Occupational Therapy Guidelines For Rehabilitating People With Spinal Metastasis: Pathophysiology And Biomechanics, Julie H. Hunley, Ying Guo Oct 2025

Occupational Therapy Guidelines For Rehabilitating People With Spinal Metastasis: Pathophysiology And Biomechanics, Julie H. Hunley, Ying Guo

The Open Journal of Occupational Therapy

Occupational therapists are increasingly treating people living with metastatic spinal cancer because of advancements in cancer treatment. Specific occupational therapy guidance for serving this growing and vulnerable population is limited. This paper provides evidence for occupational therapists to expand their understanding of the pathophysiological and biomechanical reasons for spinal precautions and the importance of individualizing interventions for people with metastatic spinal cancer. Metastatic lesions can compromise bone integrity, increasing the risk of pain, fractures, and spinal cord compression, leading to irreversible neurological damage. Daily life activities create large forces in the spine, putting people with spinal metastasis at high risk …