Digital Commons Network^™

Connected Rhythm: A Scoping Review Of Therapeutic Drumming As An Intervention For Autistic Individuals, Zahava L. Friedman, Jorge Ochoa, Dina Prisco, Francine M. Seruya

The Open Journal of Occupational Therapy

Background: Autism Spectrum Disorder (ASD) is a neurologically-based developmental disorder representing a subdomain of neurodivergence. Occupational therapy intervention for ASD typically incorporates sensory modalities, addressing a multitude of challenges, including mental health outcomes. This scoping review analyzes available evidence of the sensory-based intervention of therapeutic drumming (TD) to improve mental health in autistic clients.

Method: Following the Johanna Briggs methodological framework, Proquest, Ebsco, Scopus and OTseeker databases were searched with the key and related words of “autism,” “therapeutic drumming,” and “mental health,” yielding 448 articles. After removal of duplicates and application of inclusion criteria, seventeen articles were included …

Exploring The Use Of Ecological Momentary Assessment Within A Telehealth Intervention For Families Of Children With Autism, Anna Wallisch, Lauren Little, Allison Wainer, Winnie Dunn

The Open Journal of Occupational Therapy

Background. The purpose of this study was to explore the use of ecological momentary assessment (EMA) to measure parent self-efficacy and stress throughout a 9-week occupation-based coaching telehealth intervention for families of children with autism spectrum disorders (ASD).

Methods. The participants included seven families of children with ASD 2 to 6 years of age. The parents were sent emails to gather EMA measures weekly during the intervention. We used percentages to examine response rates to EMA surveys and a mixed-model regression to examine changes in parent-self efficacy and stress during the intervention.

Results. The parents responded to …

Establishing Initial Content Validity, Interrater Reliability, And Intra-Rater Reliability Of The Revised Visual Activity Sort For At-Risk Adolescents And Young Adults, Sharon Gutman, Katie O'Day, Ashley Choi, Alexis Kearney, Sandra Rogers

The Open Journal of Occupational Therapy

Background: The purpose of this study was to establish the content validity and inter- and intra-rater reliability of the revised Visual Activity Sort, which is a card sorting assessment designed specifically for at-risk adolescents and young adults.

Method: Six content experts were selected and asked to rate the relevancy of each of the 121 Visual Activity Sort cards. Two trained raters participated in the establishment of inter- and intra-rater reliability with 30 high school students attending a charter school for at-risk adolescents and young adults in a socioeconomically disadvantaged urban area.

Results: Based on the content experts’ …

Providing Personalized Interest-Based Activities To Prevent Delirium: A Multicomponent Quality Improvement Initiative In An Acute Care Setting, Qianwen Liu, Elena V. Donoso Brown, Shauni Johnson, Autumn Moss-Corcoran

The Open Journal of Occupational Therapy

Background: Hospital-induced delirium is a prevalent condition across inpatient settings, frequently impacting older adults’ recovery. A 10-week multi-component quality improvement (QI) project was designed for an existing delirium prevention program in four acute care units, aiming to support patient and caregiver engagement in delirium prevention activities.

Method: The participants were hospitalized adults who were 70 years of age and older and met specific inclusion criteria. The project provided personalized interest-based activities, orientation stimulation, and caregiver education. An abbreviated version of the Modified Interest Checklist was used to identify the participants’ activity choices. Activity daily logs, satisfaction survey, and …

Examining The Delivery Mode Of Mental Practice In Reducing Hemiparesis: A Randomized Controlled Trial, Teresa M. Green, Nicole M. Fromm, Farida Sita Gayle, Jinna Lee, Wanyi Wang, Asha K. Vas

The Open Journal of Occupational Therapy

Background: Mental Practice (MP) is an effective intervention to address upper extremity (UE) hemiparesis post-stroke. However, parameters for the delivery mode of MP have not been defined. Therefore, this study's purpose was to define delivery mode parameters by comparing the effectiveness of audio-guided and video-guided MP.

Method: Eighteen participants, < 1-month post-stroke, with UE hemiparesis were randomized to a MP, repetitive task practice (RTP) or control group. The MP groups performed audio-guided or video-guided MP, 5x/week. The RTP group physically performed the functional tasks. The control group received traditional stroke rehabilitation. The Fugl-Meyer Assessment (FMA-UE) and Wolf Motor Function Test (WMFT) were used to assess change in UE hemiparesis.

Results: Wilcoxon signed-rank test demonstrated audio MP increased FMA-UE scores from pretest (Mdn = 34.0, Mean = 34.0, SD =9.56) to posttest (Mdn = 49.0, Mean = 49.6, SD =7.5), p = .042, r = .64. Similar improvement in FMA-UE scores was found with traditional therapy. Audio MP decreased WMFT …

Interprofessional Collaboration Between Occupational Therapy And Applied Behavior Analysis, Elizabeth Fairchild

Honors Theses

The fields of Occupational Therapy and Applied Behavior Analysis are currently two of the most common treatment approaches for children with autism spectrum disorder. Unfortunately, a lack of understanding and mutual respect between the fields has led to poor interprofessional collaboration among professionals in each practice area, negatively impacting client outcomes. While both fields differ greatly in treatment approaches, collaboration is crucial between practitioners as they address similar skills in a child with autism spectrum disorder. Interprofessional collaboration can allow practitioners to share their individualized background and lens with another field in order to mutually address client goals. This project …

Examining Guided Reading Practices In Kindergarten Classrooms, Erica Barnes, Kimberly L. Anderson, Thea Yurkewecz

Reading Horizons: A Journal of Literacy and Language Arts

This study investigated how 15 kindergarten teachers from one school district implemented small-group Guided Reading (GR). Analysis of video recordings indicates substantial differences in how GR was conducted, with none of the teachers fully implementing GR as conceptualized by Fountas and Pinnell (2012). Consistency across teachers was limited to reading a new book and using a picture walk as part of the book introduction. Differences were observed in how the books were read (choral, round robin, or independent reading) and in instructional activities before and after reading the new book, with word solving being the most prevalent focus of instruction. …

Examining Attitudes Toward And Utilization Of Mental Health App(Lication)S For Mental Health Service Delivery Among Black, Indigenous, And People Of Color (Bipoc), Kalani A. Gates

Dissertations

The prevalence of mental health conditions among Americans has increased since the start of the COVID-19 pandemic. COVID-19 has been found to disproportionately affect communities of color and has contributed to elevated rates of mortality, morbidity, and mental illness. Black, Indigenous, and People of Color (BIPOC) are less likely to utilize or have access to conventional mental health services due to several access-related barriers including inadequate resources, cultural factors, lack of awareness and knowledge about mental health, mistrust of the health and mental health field and providers, and provider biases. Mental health applications (MHAs; software apps that delivery mental health …

Cancer-Related Cognitive Impairment: Examining The Perspectives Of Survivors And Speech-Language Pathologists, Patricia Lynn Geels

Dissertations

Scientific advancements have led to significant improvements in cancer treatment and increased survival rates. However, cancer survivors often experience long-term effects, including cognitive impairments known as cancer-related cognitive impairment (CRCI). CRCI is a common and distressing side effect that affects affected individuals’ quality of life. The discipline of speech-language pathology (SLP) is well-positioned to assess and treat CRCI. Still, there is a gap in determining the most effective support for cancer survivors with CRCI. This mixed methods, three-paper dissertation implements exploratory, cross-sectional survey design to examine how speech-language pathologists and survivors view CRCI symptoms, its impact on daily functioning, and …

The Impact Of Historical Narratives On Students' Nos Understanding And Science Motivation, Peng Dai

Dissertations

Scholars over the past few years have drawn attention to the enormous potential role historical stories can play in promoting student understanding of issues associated with the nature of science (NOS). Such stories, often referred to as “historical narratives,” are thought to do so by providing a rich historical context within which students are acquainted with how scientists in the past reasoned about scientific phenomena. Klassen (2009) developed a theoretical framework that identifies ten essential elements that must be present to qualify as a historical narrative. Only a few studies have empirically assessed the merits of Klassen’s framework, and in …

Investigation Of The Philosophical Foundations And Use Of Culturally Responsive Evaluation, Ouen Hunter

Dissertations

This three-study dissertation investigated the various aspects of culturally responsive evaluation (CRE) from the perspectives of scholars and practitioners.

The first study investigated CRE scholars’ philosophical stance on CRE through one-on-one interviews. The 14 scholars shared how their lived experiences motivated them to write about CRE. They noted the flexibility of CRE as a complement to other evaluation approaches. The interviewees reported several essential qualities of CRE practitioners. This study highlights the scholars’ commitment to serving marginalized communities as their ontological superordinate theme.

The second study investigated how practitioners applied the CRE lens in their practice. This study confirmed the …

The Impact Of Gendered Racial And Bisexual Microaggressions On The Access To Decent Work For Black Bisexual Women: An Examination Of The Moderation And Mediation Effects Of Work Volition And Proactive Personality, Angela Chloe Lewis

Dissertations

This purpose of this research was to examine the impact on gendered racial microaggressions and bisexual microaggressions on the ability to access decent work for Black bisexual women. The mediation effect of proactive personality on the relationship between gendered racial microaggressions and bisexual microaggressions with decent work was explored in this study. The moderation effect of proactive personality on the relationship between gendered racial microaggressions and bisexual microaggressions with decent work was explored in this study as well. Gendered racial microaggressions was measured using the Gendered Racial Microaggression Scale (GRMS; Lewis & Neville, 2015). Bisexual microaggressions was measured by the …

Evaluation Of A Brief Act Intervention For Reducing Depression And Anxiety Symptoms In Sexual And Gender Minority Adults, Allie Mann

Dissertations

Sexual and gender minority individuals (SGM) are at increased risk for psychological disorders compared to the general population. Despite this well-documented disparity in mental health outcomes, there is a stark lack of treatment studies examining SGM mental health. An accumulation of research has demonstrated that the source of this disparity is increased exposure of SGM individuals to stigma-related minority stress. It is necessary to examine psychological pathways that are impacted by stigma and the treatments that can reduce psychological distress in this population. Currently, we do not have the research evidence to answer the questions of if current evidence-based treatments …

Effects Of A Self-Forgiveness Intervention On Recovery From Substance Use Disorders, Michael Saltzman

Dissertations

Previous research has highlighted the relationship between shame, guilt, and problematic substance use (Gueta, 2013; Luoma et al., 2019; McGaffin et al., 2013; Rahim & Patton, 2015). Self-forgiveness has been associated with positive outcomes for individuals in recovery with substance use disorders (SUDs), though only one prior study has explored the effects of a selfforgiveness intervention for individuals in treatment (Scherer et al., 2011). This study examines the effects of a self-forgiveness intervention on state shame and guilt, state self-forgiveness, and drug avoidance self-efficacy, and it is the first intervention study to focus on self-forgiveness for individuals with SUDs receiving …

Innovating The Communication Pedagogy: An Application Of Flipped Classroom Technique In Communication Education, Gamze Yilmaz

Journal of Communication Pedagogy

As students try to make sense of their college experience and the value of attaining a degree post-pandemic, educators are grappling with finding new methods to re-engage students in the classroom using a range of modalities. This case study explored student reactions to flipped classroom learning experiences, and possible relationship between the flipped classroom technique and academic performance in communication education. As a student-centric pedagogical method, the flipped classroom can offer a promising remedy for student disengagement, and the findings of this study provide supporting evidence for this conclusion. Students characterized flipped classroom as a very favorable learning experience as …

Perceived Teacher Confirmation And The Online Classroom: Capturing Student Descriptions Of Experiences With Faculty Online, Ashley Jones-Bodie, Lindsey Anderson, Jennifer Hall

Journal of Communication Pedagogy

This study explored and examined students’ perceptions of teacher confirmation, those behaviors that teachers engage in that make students feel confirmed as valuable, significant individuals, as experienced in online courses. With over 450 students’ written descriptions of experiences in online classes across three different universities, this study provides an important initial examination of teaching practices in the online context. While prior research has situated study of students’ perceptions of teacher confirmation in the traditional in-person course experience, the current project extends understanding of teacher confirmation into the online setting. The study provides detailed descriptions, in students’ own words, of specific …

Elucidating College Students’ Stressors: Photovoice As A Pedagogical Tool And Qualitative Methodology, Deanne Priddis, Heather L. Hundley

Journal of Communication Pedagogy

Traditional research examining student stress relies on surveys using pre-determined categories. This study diverts from that approach by adopting a Communication in Conflict class assignment over seven classes (N = 115) using photovoice to determine if results fluctuate by using a different methodology. Additionally, we sought to understand if the sources of stress vary by gender and semester. The data revealed seven categories as the main stressors of student conflict: 1) time management, 2) mental health, 3) finding oneself, 4) future uncertainty, 5) other, 6) financial, and 7) past mistakes. Regardless of participants’ sex/gender or semester in which the data …

Student Camera Use In Synchronous Classrooms: A Two-Study Exploration Of Ctml’S Embodiment Principle, Zac D. Johnson, Kevin C. Knoster

Journal of Communication Pedagogy

Two studies were conducted to ascertain whether or not the embodiment principle of the Cognitive Theory of Multimedia Learning would apply to student’s use of cameras in synchronous online instruction. Results from a cross sectional dataset indicate that students who utilize their cameras report more positive outcomes than students who do not utilize their cameras. Results from a quasi-experimental design indicate that students do not report any significant differences between experiencing classes where their peers keep their cameras-on or when their peers keep their cameras-off.

Responding To Neoliberal Individualism: Developing An Ethic Of Empathy Through Critical Communication Pedagogy, David H. Kahl Jr.

Journal of Communication Pedagogy

The university’s mission involves educating students to become civic leaders, balancing both individual and collective goals. However, neoliberal influences have shifted the balance to focus on the individual over the collective. Communication curriculum has also shifted over time, with a sizeable percentage of its classes designed to prepare students for individual economic success, with the byproduct being a deemphasis on collective thinking. The communication discipline can resist this neoliberal encroachment by redefining three of its goals and applying commitments of critical communication pedagogy to aid in the process. Doing has the potential to work toward the development of an ethic …

The Basic Communication Course And College Student Retention: A Longitudinal Analysis, David E. Schneider, Jennifer D. Mccullough

Journal of Communication Pedagogy

This longitudinal study examined the relationship between two formats of the basic communication course (BCC) and first-year college student retention over a four-year period. Chi-square and logistic regression models indicated students who completed the BCC were more likely to be retained than those who did not complete the BCC. While completing the BCC was associated with retention for both formats, the hybrid BCC format was more consistently related to retention than the public speaking BCC. Students from certain demographic groups who completed the hybrid BCC were retained more frequently than students from the same demographic who did not complete the …

Examination Of A Measure To Assess Clients’ Perceptions Of The Client-Provider Relationship In Home Visiting Services, Bethelhem Belachew

Dissertations

Home visiting services are prevention-or intervention-based programs provided to caregivers during the prenatal period through the first few years of a child’s development (Shonkoff & Phillips, 2000). Engagement in services is documented to improve caregivers’ knowledge of child development and parenting practices (e.g., home safety, nutrition; Ammerman et al., 2006). Despite these benefits, programs are challenged with high levels of attrition (Gomby, Culross, & Behrman, 1999). One reliable predictor of client engagement in services is the client-provider relationship. However, measures that have been developed to assess the clients’ perception of their relationship with their home visitor relationship are limited (Girvin …

Exploring The Dimensions Of Lesbian, Gay, And Bisexual Affirmative Clinical Supervision, Lindsey N. Dollar

Dissertations

Graduate programs have continued to improve over time regarding incorporating training on LGB issues into coursework and practicum experiences with less emphasis on supervision. Since supervision is a major training area where therapists learn about clients and themselves, it becomes an important area for also teaching supervisees how to work with minority populations. However, relatively absent from discussions of cultural influences in supervision is a focus on LGB concerns, and missing is the ‘how to’ within the supervisory relationship. This quantitative investigation sought to learn how clinical supervisors with knowledge of LGB issues and people implement LGB-affirmative supervision, and to …

Risk And Resilience Factors For Black Individuals Who Face Racial Discrimination, Tabitha M. Mpamira

Dissertations

African Americans report extensive experiences of discrimination across a range of individual, institutional, cultural situations, and more than any other marginalized group (RWJF, 2017). The pervasiveness of discrimination keeps Black individuals at risk of severe physiological ills and heightened risk of psychopathology, including onset of depression and racial trauma symptoms (Williams & Mohammed, 2009). This study investigated risk and resilience factors for Black individuals who face racial discrimination in the United States of America by examining whether encounters of discrimination correlated with psychological distress (depression, anxiety) and racial trauma symptoms. Additionally, the study investigated factors (social support, psychological flexibility, and …

Promoting Equal Interactions In Early Childhood Settings, Daphne Snyder

Dissertations

In the United States, Black, Indigenous, and People of Color (BIPOC) students are more likely to face disciplinary action (e.g., exclusion, suspension, and expulsion from the classroom) for engaging in the same challenging behaviors as their white peers (Badger et al., 2018; Little & Tolbert, 2018; Noguera, 2003). Due to the discrepancy in disciplinary practices, students are at risk of continued negative interactions with their teachers (Decker et al., 2007; Wymer et al., 2020). One way to improve teacher interactions toward BIPOC students is through equity-focused performance feedback regarding praise and reprimand rates (Knochel et al., 2022). The purpose of …

Developing A Holistic Outlook Through Art, Jennifer K. Fortuna

The Open Journal of Occupational Therapy

Dr. Guy McCormack, PhD., OTR/L, FAOTA, an occupational therapist and retired academic program director based in Seaside, California, provided the cover art for the Summer 2023 edition of The Open Journal of Occupational Therapy (OJOT). “Tree of Life” is a 20” x 24” painting made from acrylic on panel. McCormack has served as an occupational therapist and educator for nearly 50 years. His career includes many notable clinical and academic achievements. Today, he finds joy in painting landscapes, animals, and abstract compositions. Since his retirement, art has helped McCormack develop a more holistic outlook on life.

Applying The Ecological Model Of Human Performance And The Slutwalk Movement To Support Those Affected By Rape Culture In The Context Of Occupational Therapy, Angela Klukken, Sally Wasmuth

The Open Journal of Occupational Therapy

Improving the occupational lives of others is at the heart of occupational therapy practice. Advocacy for clientele is central to this improvement, both at individual and structural levels. We argue that interventions in the Ecological Model of Human Performance (EHP) and the social movement theSlutWalk can offer increased opportunity for occupational therapists to address the harmful implications for clients affected by sexual assault and rape culture. In addition, through the principles of the EHP and the SlutWalk, we propose that occupational therapists can have a hand in eradicating the culture that facilitates and tolerates sexual violence. This paper …

Teaching Critical Reflection In Occupational Therapy: A Quantitative Pre/Post Evaluation Of Student Learning, Morgan Nelson, Lisa Jaegers, Quinn P. Tyminski, Niki Kiepek, Crystal Dieleman

The Open Journal of Occupational Therapy

This study was designed to answer the question, “Does student recognition of the assumptions underlying occupational therapy practice increase after participation in guided exercises of critical reflection?” The project is grounded in critical occupational therapy (as first named by Whiteford and Townsend) to promote students to reflect actively on dominant disciplinary ideologies and self-reflect on how one’s social positionality impacts understandings of occupational participation. The concept of non-sanctioned occupations was drawn on as a means to facilitate changes in student recognition. A one group, quantitative pre/post design with six open-ended responses was undertaken with master’s-level students (N = 53) at …

Sequential Simulations During Introductory Part-Time Fieldwork: Design, Implementation, And Student Satisfaction, Kaitlin R. Sibbald, Diane E. Mackenzie

The Open Journal of Occupational Therapy

Background: Simulation is used in various ways in occupational therapy education and is recognized as a replacement for some conventional fieldwork hours. However, design and student satisfaction has had limited exploration.

Method: Sequential best practice simulations were designed for Level 1 fieldwork objectives in mental and musculoskeletal practice. The Satisfaction with Simulation Education scale (SSES) and qualitative feedback were used to assess student satisfaction. An exploratory factor analysis was used to validate the SSES in occupational therapy, and a three-factor repeated measures ANOVA was used to determine factors contributing to satisfaction across simulations.

Results: A three-factor model …

Integrating Sleep Promotion Education Into Acute Care Orthopedics Occupational Therapy Practice: A Case Series Study, Rebecca Ludwig, Aaron M. Eakman, Catherine Siengsukon

The Open Journal of Occupational Therapy

Background: The occupation of sleep is frequently under-addressed by occupational therapists with their clients. This may be in part because of a lack of general training on addressing this occupational domain or a lack of education about the basics of sleep. The domain of sleep has been in the Occupational Therapy Practice Framework since 2008. However, it remains unclear how to address the domain of sleep in occupational therapy practice. Therefore, the purpose of this case series is to describe the practical application of sleep promotion education.

Methods: A practicing occupational therapist with sleep training provided sleep promotion …

Use Of A Performance-Based Occupational Therapy Assessment Of Executive Function With The Homeless Population: A Case Report, Emily Raphael-Greenfield, Kimberlee Baltich, Tess Wilson, Rebecca Lowinger

The Open Journal of Occupational Therapy

Background: An estimated 25% of the homeless population has a mental illness, which means that many experience cognitive problems that adversely impact basic and instrumental activities of daily living and goal attainment. This case report focused on the experience of an individual living in transitional housing who was evaluated with a performance-based occupational therapy assessment in the context of community-based interdisciplinary psychosocial care provided by a robust occupational therapy fieldwork program.

Method: This case report generally followed the CARE Case Report Guidelines and highlights the use of a standardized performance-based assessment and follow-up care suggested by test outcomes. …