Digital Commons Network^™

Exercise Education Of Western Michigan University Students Who Use The University Recreation Center, Rachael Brewer

Honors Theses

According to the American College of Sports Medicine’s (ACSM) annual survey data, various modalities of resistance training are reported in the top 20 ways to exercise in 2022. According to the Nationwide Children’s Hospital, there has been a significant increase in acute care visits resulting from resistance training as it becomes more common to train without proper professional oversight (Nationwide Children’s Hospital, 2010). Many exercisers watch, replicate, or take advice from friends in the weight room; however, professional instruction is key for a safe workout experience. Injuries can and do occur on resistance machines, treadmills, and stair mills with little …

Factors Influencing Alcohol Use During Covid-19 With College Students, Nikki Davis

Honors Theses

The COVID-19 pandemic has had adverse mental health implications. Young adults have been identified as a particularly high-risk group for increased alcohol use during the pandemic (Capasso et al., 2021). Psychological distress, motives for drinking, experiential avoidance, COVID-19 related fears, and campus connectedness may all be factors related to drinking in college students; however, many of these factors have not been examined during COVID-19. The current study surveyed a sample of full-time, WMU college students (N = 235) who were 18 years old or older (M = 21.13, SD = 3.33). The majority of the sample identified as women (71.9%) …

Nurturing Personal Capacities Through Engagement In Art, Jennifer K. Fortuna

The Open Journal of Occupational Therapy

Andy Wunderlin, an artist based in Vicksburg, MI, provided the cover art for the Spring 2022 edition of The Open Journal of Occupational Therapy (OJOT). “Tree with Birds” is a 10” x 13” drawing made from colored pencil (see Figure 1). Andy’s style is uniquely photorealistic. His work involves meticulous attention to detail. Each piece takes between 6 months and 2 years to complete. For Andy, drawing provides a powerful source of motivation and purpose. Art has played an important role in the development of Andy’s personal capacities and potential.

Women’S Self-Concept, Sexual Activity, And Intimacy After Sustaining A Traumatic Brain Injury, Erin Skotzke

The Open Journal of Occupational Therapy

A traumatic brain injury (TBI) can have a profound impact on how people think and feel about themselves and their abilities, values, goals, personalities, physical characteristics, and roles. Preliminary research findings suggest that barriers to developing a positive self-concept after injury in women include the desire to be perceived as “normal” after the injury or the feeling that society dismisses their injuries. In the field of occupational therapy, it is critical that therapists and researchers understand that self-concept can be altered after sustaining a TBI. This outcome can have a significant impact on participation in valued occupations, including participation in …

Neurodiversity-Affirming Practices Are A Moral Imperative For Occupational Therapy, Aaron R. Dallman, Kathryn L. Williams, Lauren Villa

The Open Journal of Occupational Therapy

The term neurodiversity encompasses neurological differences such as clinical labels of autism, learning disabilities, synesthesia, hyperactivity disorders, and more. Proponents of the neurodiversity movement argue that current therapeutic and medical practices often attempt to “normalize” behaviors and ways of participation that originate from these differences in neurology and contribute to an individual’s sense of identity. This paper argues that an ethical and morally just occupational therapy practice should affirm neurodivergent ways of being, and that occupational therapists must be active agents of change by listening to and collaborating with their neurodiverse clientele. We focus the discussion on our work with …

Is It Reasonable? Reasonable And Unreasonable Accommodations For Occupational Therapy Students In Clinical Settings, Rebecca Ozelie, Jennifer Bock, Sarah Gervais, Leah Schneider, Caitlyn Silhavy

The Open Journal of Occupational Therapy

Despite the growing number of graduate students with disabilities, little is known about what accommodations are considered reasonable in various occupational therapy fieldwork settings. This study explores which accommodations fieldwork educators perceive as reasonable or unreasonable for occupational therapy students with disabilities. Snowball sampling methodology was used to distribute a virtual survey, using a descriptive design. One hundred and sixty-two occupational therapists and occupational therapy assistants answered questions relating to demographic information, clinical experience supervising fieldwork students, and their clinical judgement regarding commonly requested accommodations. Using a quantitative approach, the accommodations deemed most reasonable were allowing the use of adaptive …

Addressing Pelvic Floor Dysfunctions In Older Women, Amanda Scott, Kristen Digwood, Rachel Teslow, Allyson Bloom

The Open Journal of Occupational Therapy

Women’s pelvic health has become an emerging practice area for occupational therapy in recent years. The National Institute of Health (NIH) reports that 24% of women in the United States are impacted by pelvic floor disorders (2008). As the general population ages, older women’s health has become a pivotal topic for occupational therapists to include as part of a comprehensive plan of care. Occupational therapists must acquire deeper knowledge related to pelvic pain and urinary incontinence. Developing a deeper understanding of the types of pain and urinary incontinence in older women facilitates efficacy and efficiency in the delivery of occupational …

Practice Guidelines: Addressing Vestibular And Visual Problems In The Neurologically Impaired Adult, Mary J. Mcguire

The Open Journal of Occupational Therapy

The visual and vestibular problems experienced by adults post brain injury (concussion, traumatic brain injury, cerebral vascular accident, tumor removal, etc.) must be evaluated and treated in conjunction with each other for best outcomes. The American Occupational Therapy Association’s (AOTA) Practice Framework categorizes both the visual and vestibular sensory systems as client factors (body functions) that are a part of the scope of practice of occupational therapy (AOTA, 2020). AOTA’s statement on vestibular impairment, vestibular rehabilitation, and occupational performance emphasizes the importance of occupational therapists addressing this critical client factor. The skills of entry-level and advanced-level occupational therapists are outlined …

A Conceptual Framework: Life Course Health Development And Partial Hand Loss, Alison L. Johnson

The Open Journal of Occupational Therapy

Partial hand loss can be a profound source of disability with far-reaching economic and social consequences across the lifespan. Compared to other limb loss populations, perhaps surprisingly, the partial hand loss population experiences higher rates of whole-person impairment and disabling mental health conditions. Despite these known health disparities, the long-term health outcomes of the partial hand loss population are not adequately understood. Deepening understanding and preventing further disparity requires a multi-perspective approach examining factors contributing to health and well-being across the lifespan. This paper examines the partial hand loss population through two separate but overlapping lenses: population health and the …

The Dynamic Use Of The Kawa Model: A Scoping Review, Jayme L. Ober, Rebecca S. Newbury, Jennifer E. Lape

The Open Journal of Occupational Therapy

Background: The Kawa model, a framework to guide culturally relevant occupational therapy, has gained recognition and become more widely used in practice. Research on the model thus far, while still relatively sparse, provides guidance for the model’s use, including its strengths and facets that require further exploration to support its use and effectiveness in dynamic ways.

Method: A scoping review was completed to gather, organize, appraise, and synthesize the current research evidence on use of the model.

Results: Findings support the Kawa model’s culturally flexible application and its capacity to garner client-centered qualitative information, as well as …

Comparison Of Computer-Based And Therapeutic Activity Interventions For Improving Visual Motor Abilities Of Preschoolers With Autism: A Randomized Control Study, Supawadee C. Lee

The Open Journal of Occupational Therapy

Background: The purpose of this study was to evaluate the effectiveness of a computer-based and a traditional activity/practice-based intervention for improving the visual motor abilities of children with autism.

Methods: A group, pre-post, experimental design was used with randomization of subjects to four intervention conditions: a computer-based training, a therapeutic practice intervention, the combination of a computer-based training and therapeutic practice intervention, and a martial arts exercise. A sample of 34 preschool children with autism and visual motor integration deficits between 3 and 5 years of age were recruited. The Wide Range Assessment of Visual Motor Abilities was administered …

Supporting The Paternal Role And Transition Home From The Nicu: A Mixed Method Study, Bryana L. Salazar

The Open Journal of Occupational Therapy

Background: Limited research has focused solely on fathers’ experiences following a Neonatal Intensive Care Unit (NICU) stay. The study aimed to identify occupational therapy’s role in supporting paternal wellness and mental health through routines and occupations following discharge.

Methods: Online surveys (n = 32) and virtual interviews (n = 11) were collected to complete a mixed method design study. Interviews were manually transcribed and coded to perform thematic analysis.

Results: Five themes were identified: adjusting expectations, changes in priorities, the unexpected toll of the NICU, coping and healing, and fathers and health care providers. This study …

The Lived Experiences And Occupational Performance And Satisfaction Of Young Adults With Multiple Sclerosis (Ms) As Related To Fine Motor Skills, Mary Squillace, Pamela Linden

The Open Journal of Occupational Therapy

Background: Young adults with multiple sclerosis (MS) may experience fine motor (FM) challenges that prevent them from engaging in age-appropriate occupations. Disease mediated changes in occupational skills can affect how a young adult perceives their occupational performances. This study aimed to gain an understanding of how young adults with MS perceive their FM abilities and social and emotional performance during daily activities.

Method: Eighteen young adults with MS who previously scored equal to or less than the low average range on FM pegboard tests and who reported high satisfaction and low performance on a modified self-report were interviewed. …

Exploring Spirituality Of Elders Relocating Into Long-Term Care Facilities, Kai-Lai Tsai, Pei-Fen J. Chang, Anila J. Mathew, Clarissa Richard, Harriett A. Davidson, Gayle I. Hersch

The Open Journal of Occupational Therapy

Background: Spirituality is recognized as an important contributor to quality of life, particularly for older adults. Yet, limited research has been conducted to examine spirituality of older adults relocating to long-term care facilities (LTCFs). The intent of this mixed methods study was to cull data from a parent study to explore different aspects of spirituality among residents newly admitted to LTCFs.

Method: Qualitative and quantitative data of six participants from a parent study including interviews and scores from the religious and existential well-being sections of the Spiritual Well Being Scale (SWBS) were analyzed and triangulated.

Results: Descriptive …

Sexual Assault: Disclosure, Healthcare Barriers And Facilitators, And Interventions, Meghan Stepnitz

Honors Theses

Sexual assault is apparent across the globe. Sexual assault victims and survivors face many barriers that decrease disclosure to healthcare providers leading to it becoming underreported. These barriers can be alleviated with interventions implemented by healthcare providers to ease the process of disclosure. Victims and survivors also face barriers seeking post-assault, follow-up, and mental healthcare. Researchers have described the barriers that sexual assault victims and survivors face accessing healthcare in the immediate period after assault, but less research has focused on healthcare beyond this period. Recognizing these barriers gives the opportunity for healthcare providers to remove them and make healthcare …

2022 Western Michigan University Assessment In Action Conference, Office Of Institutional Effectiveness

Assessment in Action Conference

Included here is the program from the 12th Annual Western Michigan University Assessment in Action Conference held virtually on April 8, 2022. The conference, sponsored by the Office of Institutional Effectiveness, is a one-day event where those new to outcomes assessment can come and learn fundamental knowledge about the field, but it is also a place where those who have worked as leaders in outcomes assessment can come and extend their knowledge and skills and network with colleagues. Conference offerings included learning opportunities on various assessment topics for both academic and learner supports units.

More information can be found on …

Anti-Deficit Perspectives On Institutional Diversity Efforts, Ej Edney

Assessment in Action Conference

Institutions of higher learning are central to preparing people to shape the world in which we live. Yet widening opportunity gaps evidence a need for structural change that increases access and improves outcomes for all students. It is important to consider the lens through which practitioners assess and address the unique challenges and opportunities of an increasingly diverse student population. This session will focus on developing anti-deficit approaches to providing the kinds of opportunities that help solve our most pressing DEI challenges.

Wmu Assessment Mini Grant Panel Part I, Karen Stokes Chapo

Assessment in Action Conference

This session features the 2021 WMU Assessment Mini Grant recipients sharing about the scope of their projects, lessons learned, and insights gained. There will be ample time for attendees to ask questions. To learn more, click here to watch brief interviews with the panelists.

Supporting Informational Text Comprehension: One Educator’S Scaffolding During Instruction In Kindergarten, Nicole M. Martin

Reading Horizons: A Journal of Literacy and Language Arts

Educators’ support when using informational text in kindergarten is foundational to children’s comprehension and future learning. Prior research has not offered clear insight into their help when children experience difficulties during informational text comprehension instruction. The current study examined one kindergarten educator’s support. Mrs. Swanson’s teaching was observed two to three times per week for 15 weeks, and lesson artifacts were collected. Discourse analytic coding procedures, constant comparison, and thematic analysis revealed that the educator consistently provided verbal scaffolding but inconsistently supported the individual children who were experiencing comprehension difficulty. An expanded focus on educators’ scaffolding at children’s points of …

The Status Of Phonics Instruction: Learning From The Teachers, Sherry Sanden, Deborah A. Macphee, Luminita Hartle, Stephen Poggendorf, Caleb Zuiderveen

Reading Horizons: A Journal of Literacy and Language Arts

Increasingly alarmed by instructional mandates more founded on journalistic rhetoric and popular opinion than on research findings or practitioner expertise, researchers gathered survey data from teachers to better understand the status of K–2 phonics instruction. Data demonstrate that the overwhelming majority of these K–2 teachers teach phonics, rely on a published curriculum, and teach phonics in systematic and explicit ways. These findings contradict media assertions that reading classrooms are largely devoid of phonics instruction and that teachers fail to include phonics as an important element of their reading instruction. Implications include calls for researchers to explore what teachers can share …

“Pockets Of Hope”: Changing Representations Of Diversity In Newbery Medal–Winning Titles, Kathleen A. Paciga, Melanie D. Koss

Reading Horizons: A Journal of Literacy and Language Arts

Newbery Medal–winning books provide cultural models for children’s developing cultural understandings of themselves and others. This article presents results of a critical content analysis that used sociocultural and historical lenses to examine representations of race/ethnicity, gender, and ability of main characters across the Newbery-winning corpus and how these representations have changed over the history of the award, 1922–2019. Findings present a lack of consistent diverse representation across all fields, with increased diverse representation in the most recent decades. The discussion contextualizes findings against historical events. Understanding the representations of diversity in these texts and the historical contexts within which such …

Responding To Literature Through Student–Author Interviews: Eighth-Grade Students Challenge Chris Crowe’S Mississippi Trial, 1955, Danielle L. Defauw, Chris Crowe, Christine Burnett

Reading Horizons: A Journal of Literacy and Language Arts

This study explores virtual, student–author interviews eighth-grade students led with Chris Crowe in response to his young adult novel Mississippi Trial, 1955. The opportunity to interview the author motivated students to read the novel. Through their text-world development, students connected with the fictional and nonfictional characters, Hiram Hillburn and Emmett Till, respectively. Through their critical reader-responses, students sought truth about Emmett Till’s case as they questioned Crowe about the choices he made as an author and researcher, which supported students’ understanding of character development and historical significance of Emmett Till’s case. Crowe’s answers to the students’ critical questions were …

An Examination Of Medical Resident Practices Regarding Patient Communication About Infant Safe Sleep Practices, Summer Samir Chahin

Dissertations

Infant mortality is a significant public health concern in the United States, particularly because of the large racial disparities in death rates. In particular, Black infants die at a rate twice that of white infants (Center for Disease Control, 2016). Sleep-related deaths are one of the most preventable causes of infant mortality. In Kalamazoo, Black and multi-racial infants account for the majority (3 out of 4) of sleep-related deaths (Sleep-Related Infant Deaths in Kalamazoo County Fact Sheet, 2017). To reduce sleep-related deaths, the American Academy of Pediatrics published recommendations for safe sleep practices (American Academy of Pediatrics, 2016).

Unfortunately, caregivers …

Living With Stuttering: Authenticity, Identity, And Mental Health, Sarah Musilli

Masters Theses

In an effort to manage stigma, some PWS attempt to conceal stuttering and pass as a fluent speaker (Constantino et al., 2017). These efforts to conceal may be counterintuitive, as concealment of stuttering is predictive of elevated distress (Gerlach et al., 2021) and decreased quality of life among PWS (Boyle et. al., 2018). Although this association exists, the factors explaining how and why it exists are unexplored. Identity conflict and feelings of in/authenticity are two potential factors that are explored in this study. Qualitative interviewing supplemented with quantitative survey data is utilized to explore the lived experiences of identity conflict …

Neurogenic Stuttering: Exploring Potential Emotional And Life Impact, Natalie Devries

Masters Theses

The purpose of the current study was to explore the potential emotional and life impact of living with neurogenic stuttering and how and when an impact develops, if present. The current diagnostic criteria for neurogenic stuttering includes no emotional impact (Canter, 1971). The literature is divided in supporting this criterion (Lebrun et al., 1990; Leder et al., 1996; Perino et al., 2000; Theys et al., 2008; Tani &Sakai, 2011; Ellis & Sheehy, 2013; Vanhoutte et al., 2014). The current study relied on qualitative interviewing which was analyzed using Reflexive Thematic Analysis to explore potential for emotional and life impact (Braun …

The Effect Of Preschool And Kindergarten Participation On Later Achievement Of Language-Minority Student, Xin Li

Dissertations

Evidence has suggested that preschool and kindergarten experiences affect the cognitive and social-emotion development of language-minority students (LMS). This quantitative study aims to illustrate the LMS’ preschool and kindergarten experience by investigating the preschool and kindergarten experience, family environment, and school environment. Longitudinal data from the U.S. nationwide Early Childhood Longitudinal Study, Kindergarten (ECLS-K), was used to apply a hierarchical linear model (HLM). Due to a gap in the literature regarding how school and family environments influence the holistic development of LMS, this study explores whether and how preschool and kindergarten experiences are associated with LMS’ cognitive and socioemotional outcomes …

Exploring Discourse Markers As A Treatment Outcome Measure For Aphasia, Anna K. Cedoz

Masters Theses

Discourse Markers (DMs) are communicative tools or resources that people use to organize conversations. The use of DMs among individuals with aphasia has been documented to support their communicative competence (Simmons-Mackie & Damico, 1996). Further research on the use of DMs by individuals with aphasia has been limited. The current study features a secondary analysis using existing data from Devanga (2020), which studied the effects of Collaborative Referencing Intervention (CRI; Hengst et al., 2010) on three participants with chronic aphasia. This study analyzed 18 conversation probes from one participant across baseline, treatment, and maintenance phases with clinician and spouse partners. …

Predictors Of First-Time National Board Passage For Respiratory Therapists, Jennifer Kay Riggs

Dissertations

Respiratory therapists fulfill a vital role that saves and improves lives. To achieve recognition for their knowledge, unique skills, and dedication to clinical excellence, they must pass a series of national board exams. Achieving credentials from the National Board of Respiratory Care (NBRC) is a challenge, a true testament to the skills and strengths required for excellence in the profession. The problem prompting this study is the number of respiratory graduates who are not passing the Therapist Multiple Choice (TMC) exam on their first attempt. The goal of respiratory programs is to prepare graduates for success on the TMC exam …

Examining Academic Self-Efficacy, Race-Related Stress, Psychological Well-Being, And Racial Centrality On Black Former Undergraduate Historically Black College Students Currently Enrolled In Graduate Predominantly White Institutions, Maime Butler

Dissertations

The purpose of this study was to examine the relationships among racial centrality, racerelated stress, and psychological well-being on academic self-efficacy for Black former undergraduate HBCU and PWI students currently attending PWI graduate institutions. The following measures were used to test the research questions (a) a demographic questionnaire, (b) Mental Health Inventory (MHI; Viet & Ware, 1983), (c) Multidimensional Inventory of Black Identity – Racial Centrality Scale (MIBI; Sellers, 1998), (d) Inventory of Race-Related Stress- Brief Version (IRRS-B Utsey, 1999), (e) Graduate Education Self-Efficacy Scale (GESES; Williams, 2005). There were 200 participants, 74 former HBCU graduates and 126 former PWI …

Developing A Model To Measure Public Sector Knowledge Management Performance Using The Analytic Network Process, Hussein N. Chalabi

Dissertations

Knowledge Management (KM) is a relatively a nascent field under the discipline of public administration. Specifically, KM performance measurement in the public sector is one of the areas that, to some extent, received less attention from scholars. This study aims to develop a model to measure KM performance in the public sector. The model of this dissertation is derived from system theories, where KM is depicted as a system consisting of intertwined and interacting elements. The proposed model is hypothesized to measure KM through evaluating knowledge resources, knowledge processes, and environmental factors identified as a prerequisite to the success of …