Digital Commons Network^™

Primary Care Reimbursement: Current Processes And Future Advocacy, Brenda Koverman, Monika I. Robinson, Lydia Royeen

The Open Journal of Occupational Therapy

Occupational therapy’s (OT) role in primary care is emerging as a viable practice area. Yet, operational efforts that include reimbursement continue to lag and have been identified as a barrier to entry. Current literature reveals confusing and overlapping reimbursement descriptions. Payment for services is critical for the sustainability of this practice area. This paper proposes a taxonomy to assist frontline clinicians, leaders, and provider practice managers to determine the best reimbursement strategy for their specific clinic. Differentiating and defining payment models, reimbursement determinants, and reimbursements methods allows OT leaders a shared language. Implementing the best reimbursement tactic will ensure the …

Integrating Occupational Therapy In Homeless Street Outreach, Andrea Leflore, Cassandra Pagliaruli, Ryan Thomure

The Open Journal of Occupational Therapy

People experiencing unsheltered homelessness (PEUH) face multifaceted barriers to daily activity performance, characterized by barriers to performing basic needs, maintaining immediate safety, and accessing resources to manage health and transition into housing. Systemic barriers further impact access to care with discrimination in health care and homeless settings. With homelessness steadily increasing in the U.S., federally-funded initiatives have prioritized street outreach as an effective approach to meeting people where they are living with contextually adapted services. Street outreach interventions bring resources directly to communities, prioritizing relationship building to facilitate transitions to more stable living situations. This article presents a case analysis …

Occupational Therapy Students’ Demonstration Of Interprofessional Competencies During Simulation: An Observational Analysis, Elizabeth Crampsey, Shelley Cohen Konrad, Debra J. Ford

The Open Journal of Occupational Therapy

Quality care and patient safety are primary goals in health care, with interprofessional collaboration as a crucial strategy to achieve them. This study reports the behavioral outcomes of Occupational Therapy (OT) students applying core competencies, like Communication and Teamwork, during a longitudinal case-based team simulation activity designed to enhance interprofessional education (IPE). The activity was designed to improve implementation of IPE competencies during a collaborative teamwork exercise with standardized patients. A content analysis using the Interprofessional Collaborator Assessment Rubric (ICAR) assessed 21 graduate OT students’ deployment of IPE core competencies while participating in a semester-long interprofessional simulation (Sim-IPE) activity. Findings …

Exploring Student And Faculty Perspectives On Professionalism In Occupational Therapy Education, Mary Roduta Roberts, Jilaine Barton, Amy Janzen, Carolina Johnson, Lauren Painchaud

The Open Journal of Occupational Therapy

The development of professionalism is critical for occupational therapy (OT) students to become competent occupational therapists. This paper reports on the first phase of a multi-phase project to develop and pilot a situational judgement test to support teaching, learning, and development of professionalism in an OT program. The purpose of this study was to explore faculty and students’ perspectives on professionalism and OT. Twenty-two semi-structured interviews were completed with students (n = 18) and faculty (n = 4). The main insights shared included challenges in defining professionalism in OT, the importance of context, and differing perspectives on the effectiveness of …

Occupational Therapy Holistic Admissions At A Public, Urban Research University: Process, Outcomes, And Transitions, Ashley Stoffel, Dalmina Arias, Toni Van Denend, Caitlin Smith, Jenica Lee, Maria Larson, Gail Fisher

The Open Journal of Occupational Therapy

Implementing a holistic admissions process reflecting the mission of the university provides the means to expand enrollment of students from diverse backgrounds who have life experiences and values that are well matched to the communities they serve. This article explores the historical significance, outcomes, and transitions of a holistic admissions process in a public, urban research university.

The holistic admission process outlined in this article offers a balanced and equitable approach to student selection by considering a broad array of backgrounds, experiences, and attributes beyond traditional metrics, such as grades. With a commitment to inclusivity, access, and belonging, the department …

Feasibility Of Therapeutic Drumming Intervention For Autistic Youth: An Exploratory Study, Zahava L. Friedman, Dina Prisco, Jorge Ochoa, Talia Nuesi, Carmen Guarino, Patricia Higgins, Danielle Centi

The Open Journal of Occupational Therapy

Background: There is a need to identify a wider variety of neurodiversity-affirming interventions within the scope of occupational therapy. Therapeutic drumming, percussive music-making as a therapeutic intervention, holds potential for occupational therapy practice, though few studies have explored its efficacy with this population. The purpose of this study was to explore the design and effectiveness of therapeutic drumming for autistic youth from perspectives of drumming facilitators to identify relevant outcome variables and usefulness in the study and practice of therapeutic drumming.

Methodology: This exploratory feasibility study recruited twelve facilitators and 10 autistic youth. An occupational therapy graduate student …

Service Disruptions In Early Intervention Amid Covid-19: Understanding Challenges Faced By Families And Providers, Tiana T. Nguyen, Samantha Mong, Juliana Lainez, Domenique Embrey

The Open Journal of Occupational Therapy

Background: Infants at risk for developmental delays require early intervention (EI) services to support their development. However, many families face barriers to receiving services, which were exacerbated by the COVID-19 pandemic.

Objective: This qualitative study examined how COVID-19 impacted access to EI therapy services from the perspectives of families and EI providers in the San Francisco Bay Area. The study aimed to identify existing barriers and new pandemic-specific challenges to inform strategies for improving continuity and quality of EI care during future service disruptions.

Methods: Semi-structured virtual interviews were conducted with caregivers of eligible infants and EI providers. …

Theme Park Experiences Of Families With A Disabled Child Regarding Accessibility And Participation: Mixed Methods Study, Kylie Allan, Karen Park

The Open Journal of Occupational Therapy

Background: Despite the large number of children with disabilities, there is little research focused on the experiences families with a child who has a disability have while at theme parks. Both play and leisure participation offer meaningful opportunities for self-expression and can support skill acquisition and building social connections, particularly in family-oriented environments, like amusement parks.

Methods: Using environmental assessments, surveys, and semi-structured interviews, this mixed-methods study explored the experiences of these families, specifically looking at accessibility and participation in the theme park environment. Thirty-seven parents and guardians completed the online survey, while 10 individuals also elected to …

The Impact Of Computer Training On Confidence And Occupational Participation In Community-Dwelling Older Adults, Alicia Jones, Joseph A. Scazzero, Rosanne Dizazzo-Miller

The Open Journal of Occupational Therapy

Background: It is fundamental to understand why older adults choose and use technology to fully understand how to meet the needs of an aging population in a technologically advanced society. This research aimed to design and implement a holistic technology training program for older adults that explores using a laptop beyond basic internet use.

Method: A pre-post mixed-method survey study took place at a local senior center. A classroom-style program was designed to deliver information and instruction using a digital device. An 11-item survey on attitudes toward technology using a 7-point Likert scale with qualitative responses was used to collect …

A Retrospective Study Correlating Omsq-12 And Quickdash Scores Of Post-Operative Upper Extremity Patients, Sabrina Nassir, Mariem Metry, Yuju R. Huang

The Open Journal of Occupational Therapy

Background: This retrospective study aimed to identify a correlation between the Örebro Musculoskeletal Screening Questionnaire (ÖMSQ-12) and Quick Disabilities of the Arm, Shoulder, and Hand (DASH) of postoperative male patients with elbow and or wrist/hand conditions. The study aimed to discover how an individual’s comorbidities affect overall functionality over 6 weeks of treatment at Select Physical Therapy Hand Therapy in Orange, CA.

Methods: Data collected from male workers' compensation patients (N = 43) aged 20-50 years with elbow and/or wrist/hand conditions from January 1, 2021, to January 1, 2025, were included. Throughout a patient's therapy experience, they are …

The Content Validity Of The Functional Cognition Index In Instrumental Activities Of Daily Living (Fci-Iadl) As A Screening Tool For Mild Cognitive Impairment (Mci) In Older Adults In Singapore, Namrata P. Sadarangani, Phyllis Simon

The Open Journal of Occupational Therapy

Background: Mild Cognitive Impairment (MCI) is a syndrome that is considered a transition phase between healthy cognitive aging and dementia. The person may have subjective memory complaints, substantiated by family or caregiver and/or impaired executive function, that lead to difficulties performing complex Instrumental Activities of Daily Living (IADLs). Our objective was to develop a tool to assess functional cognition in IADLs as a screen for MCI in older adults.

Method: A Qualtrics survey questionnaire was rated by 15 content experts on the relevance of the 22 test item questions to the cognitive domains being measured using a 4-point …

Reframing Occupational Therapy In A Reactive Health System Through Prevention And Caregiver Training, Rosanne Dizazzo-Miller

The Open Journal of Occupational Therapy

This article explores the expanding role of occupational therapy in chronic disease management, prevention, and caregiver supported care. Occupational therapy is uniquely positioned to support health promotion and caregiver training but remains underused in prevention-focused health care models. Current literature from the Open Journal of Occupational Therapy highlights the importance of caregiver training, the systemic barriers limiting occupational therapy's role in chronic disease management, and the need for the profession to embrace a broader role within this area of practice.

Program Development And Implementation Of Adaptive Fishing Program At Western Michigan University Center For Disability Services, Will Harahan

Capstone Projects

Participation in meaningful leisure occupations is an essential component of health, well-being, and quality of life. Unfortunately, individuals with disabilities continue to experience numerous physical, environmental, and social barriers that limit participation in community-based recreational activities. Recreational fishing has emerged as an inclusive outdoor leisure occupation that promotes physical activity, social participation, confidence, and emotional well-being when appropriate adaptations and supports are available. The purpose of this capstone project was to develop, implement, and evaluate an adaptive fishing program for participants enrolled in the Western Michigan University Center for Disability Services (CDS) Skill Building Program. Guided by occupational therapy principles, …

Wmu Board Of Trustee Board Meeting, Thursday June 25, 2026, Wmu Board Of Trustees

WMU Board of Trustees Meetings

• Acceptance of the Agenda
• Approval of the Minutes (April 16, 2026)
• Remarks by the Chair of the Board
• Remarks by the President
• Updates by the Faculty Senate President
• Updates by the Western Student Association Speaker of the Assembly
• Updates by the Graduate Student Association President
• Western Michigan University Employee Graduates
• Academic Tenure and Promotion
•  Public Comments Regarding Action Items

Action Items

• Academic Tenure and Promotion
• Fall 2026 Differential Tuition Rates
• Fall 2026 Tuition and Required Fee Rates
• 2026-27 General Fund Operating Budget
• Teaching Assistants Union (TAU) Labor Agreement
• Michigan State Employees Association (MSEA) Labor Agreement
• President’s Annual Review/Compensation/Contract
•  Memorandum of …

‘It’S A Win-Win Situation’— Cultivating University & School Partnerships, Emily Wisniewski, Kelly Virgin, Pauline Skowron Schmidt

Teaching/Writing: The Journal of Writing Teacher Education

This qualitative case study examines Writing Zones, a fifteen-year university–high school partnership that embeds preservice English teachers in secondary classrooms as writing mentors. Drawing on surveys from 20 preservice teachers and eight high school teachers, along with follow-up interviews, the study explores perceptions of preparation, support, and program impact. Findings highlight Writing Zones as a mutually beneficial model that enhances student writing through individualized support while providing authentic, field-based learning for preservice teachers. However, effectiveness was conditional, shaped by mentor preparedness, clarity of roles, communication, and scheduling. The study underscores the importance of intentional training, sustained relationships, and institutional alignment …

A Systematic Review Of Writing Interventions For Elementary Pre-Service Teachers, Lindsey Wiggins, Hannah Carter, Katherine L. Wright

Teaching/Writing: The Journal of Writing Teacher Education

Effective writing instruction in elementary classrooms depends on teachers who are prepared as both writers and instructors. Yet, writing methods courses remain limited in teacher preparation programs (TPPs), leaving many pre-service teachers (PSTs) underprepared to teach writing. This systematic literature review synthesized 20 U.S.-based studies (2011–2024) on writing and writing instruction interventions with elementary PSTs. Two questions guided the review: (a) How have researchers measured the effects of interventions? and (b) What are the characteristics of effective interventions? Findings show that most studies relied on self-reported measures, with limited use of validated or observational tools, raising concerns about consistency and …

Dismantling Future Writing Teachers’ English-Only Assumptions: Composing Videos To Learn The Value Of Linguistic And Cultural Inclusion, Ann N. Amicucci

Teaching/Writing: The Journal of Writing Teacher Education

This article presents the results of a study of 12 students’ video composing assignments and accompanying reflections in which students, all of whom were future writing teachers enrolled in an undergraduate TESOL course, examined how well public spaces acknowledged and included multilingual individuals. Students’ videos and reflections demonstrated that the assignment dismantled these future writing teachers’ assumptions that multilingual writers learn best in an English-only environment but perpetuated perceptions of languages as discrete rather than intertwined. Findings are discussed within the context of scholarship on writing teacher education and English-only policy and practice in the U.S.

Who We Are, How We Teach: Writing Teacher Identity In The Secondary Ela Classroom, Danielle Alexander

Teaching/Writing: The Journal of Writing Teacher Education

The journal submission guidelines stated not to include an abstract.

Surviving And Thriving: The Indigenous Migrant, Danna Guzman-Rodriguez

Honors Theses

This literature and cultural study highlights the generation of children of indigenous immigrants and the relationship with their indigenous identity and culture. This unique experience is complex and encapsulates issues such as indigenous cultural survival, homogeneity, globalization, and lack of cultural identity. Exploring the Totonac community in La Chaca, Veracruz in Mexico, allows for a deeper explanation of this experience. Speakers of Totonac and other indigenous languages often migrate to countries such as the United States and carry such cultural ties with them. What happens to these ties after moving to a Western-dominated country where globalization favors English and Western …

Attachment Style, The Working Alliance, And Client Self-Disclosure In Individual Psychotherapy, Jennifer S. Baar

Dissertations

Client self-disclosure is a core component of the psychotherapy process and increased levels of client self-disclosure have been shown to predict more positive therapeutic outcomes (Pattee & Farber, 2008; Sloan & Kahn, 2005). Similarly, the working alliance and attachment are constructs that have been studied in psychotherapy research and are consistently associated with therapeutic outcomes. Specifically, stronger working alliance ratings and higher levels of secure attachment have been found to predict more positive therapy outcomes (e.g., Flückiger et al., 2018; Mallinckrodt et al., 2005; Sauer et al., 2010). As these three constructs have been found to influence psychotherapy outcomes, the …

Evaluation Associations As Catalysts For The Professionalization Of Evaluation Practice: A Comparative Case Study Of Brazil, Ghana, Indonesia And Uganda, Amy C. Jersild

Dissertations

Professional associations are recognized as key actors in promoting the development of the evaluation field across the globe. There has been exponential growth of Voluntary Organizations for the Professionalization of Evaluation (VOPEs) in the Global South in the past several decades in response to an evolving international aid agenda and a mobilized international evaluation field intent on supporting the development of national monitoring and evaluation systems and the professionalization of the field. VOPEs have featured as a central actor in the Global Evaluation Agenda, an initiative developed by the international community aimed to promote professionalization of the evaluation field as …

Predicting Clinical Outcomes Of Non-Specific Low Back Pain By Studying The Interaction Of Clinical And Demographic Factors Of A Retrospective Data Set, Erica Michelle Fernandes

Dissertations

The purpose of this research is to investigate demographic factors, including age, gender, body mass index (BMI), race, marital status, insurance type, severity of disease (initial pain level), and clinical factors such as number of visits (no. of visits) at physical therapy (PT), length of time at PT and the type of clinician either physical therapist versus physical therapy assistant (PTA), that most predict PT clinical outcomes in patients with nonspecific low back pain (NSLBP) and see if there is an interaction between demographic and clinical variables.

Methods

The current study is a retrospective, cross-sectional, observational study using secondary electronic …

Ahimsa: Finding Unity And Nonviolence In Instruction, Dylan Mcglothlin

University Libraries Faculty & Staff Publications

This chapter describes the connectedness of emergent strategy and the practice of ahimsa, and how these philosophies can be applied to information literacy instruction. It provides a brief definition of yoga, the yamas, and ahimsa; describes the connections between ahimsa and the emergent strategy element of interdependence and decentralization; and shows information literacy instruction examples from the connections between ahimsa and the emergent strategy principles of "trust the people," "there is always enough time for the right work," "move at the speed of trust," and "there is a conversation in the room that only these people at this moment can …

Campus Community Vibes: How Queer Asian American Students Navigate Their Higher Education Experiences, Nathan Nguyễn

Dissertations

Misconceptions and stereotypes about Asian American college students include the belief that they are innately academically successful and that if Asian American students struggle, their challenges do not compare to their Black/African American, Hispanic/Latine, or Native American/Indigenous counterparts (Museus & Buenavista, 2016). Contemporaneous to this, lesbian, gay, bisexual, transgender, and queer (LGBTQ) college students experience interrogation, exploration, and various levels of support regarding their sexuality and/or gender identity. At this intersection, queer Asian American students must navigate campus settings that can enhance or diminish their agency for different facets of their identities (Crenshaw, 1991; Iftikar & Museus, 2018; Ray, 2019). …

Walking The Path Of Conocimiento: Understanding And Navigating Workplace Conflict Through A Chicana Feminist Lens, Elisa A. Ortega-Schultz

Dissertations

The growing presence of Latinas in the U.S. workforce underscores the need for deeper understanding of their workplace experiences. Latinas represent one of the fastest growing segments of the labor force; however, research consistently shows that this growth is not matched by equitable access to leadership, compensation, or culturally responsive workplace environments. Latinas continue to experience persistent barriers related to pay inequity, career advancement, cultural belonging, and overall well-being.

Conflict frameworks that account for the unique experiences of Latinas are needed, as dominant approaches rooted in neutrality, procedural efficiency, and Western individualism often fail to account for the embodied, relational, …

Quantum And Conventional Informatics Studies Of Synthesis Energetics And Defect Formation In Nitride Crystal Epitaxy, Andrew Steven Messecar

Dissertations

Machine learning is a valuable approach for the processing and analysis of complex information. By estimating relationships from recorded data, machine learning methodologies can be effective strategies for pattern recognition, enabling investigations and technological applications based thereon. The potential for improved understanding of high-dimensional data has drawn interest towards machine learning from across the sciences, including the research and development of new and improved material systems. In the context of experimental materials research, much of the reported efforts to incorporate machine learning into conventional practice have been primarily focused on either the enhanced analysis of characterization experiment data or the …

Effectiveness Of Monetary Policy Communication: Evidence From Textual Analysis Of Daily Newspaper Articles, Bisrat Abebe Woldesilassie

Dissertations

Monetary policy communication has become a crucial tool for central banks to shape market expectations and enhance transparency. The goal of this paper is to measure how effectively the Fed communicates monetary policy through FOMC minutes by analyzing the impact of the release of FOMC minutes on financial markets through textual sentiment analysis of daily newspaper articles. I measure the surprise in the daily news sentiment that is caused by FOMC minutes release. The surprise in the sentiment is calculated as the change in the news sentiment that is measured over three weeks prior to the release of the FOMC …

An Attachment Perspective For Help-Seeking Intentions Among Emerging Adult Women Child Sexual Abuse Survivors, Dominique Giroux

Dissertations

Child sexual abuse (CSA) is an adverse childhood experience and a global health issue. Approximately one in four girls encounter CSA per year. Research evidence suggests approximately 50% of CSA survivors encounter sexual revictimization during adulthood (Walker & Wamser-Nanney, 2023), but formal help and intervention can mitigate further psychosocial harm experienced by CSA survivors (Widom et al., 2008). Attachment theory has provided a theoretical framework for identifying individuals at risk for revictimization and help-seeking patterns, such that individuals who have insecure attachment styles report more revictimization frequency, but the literature is mixed about attachment styles and help-seeking (Brenner et al., …

Deployment-Aware Deep Learning For Computer Vision: Efficient Architectures From 3d Segmentation To Mixed Reality, Bahar Uddin Mahmud

Dissertations

Deep learning has become the dominant approach for solving vision-centric problems; however, its successful deployment in real-world applications remains limited by high computational cost, data dependency, and insufficient integration with practical and human-centered environments. While state-of-the art deep learning models often achieve impressive performance in controlled settings, they frequently fail to generalize or operate efficiently under deployment constraints such as limited resources, complex data modalities, and real-time interaction requirements. These limitations motivate the need for a deployment-oriented deep learning framework that balances accuracy, efficiency, and practical usability.

This dissertation investigates the design and deployment of efficient deep learning architectures for …

Medieval Writings On Sex Between Men. Peter Damian’S “The Book Of Gomorrah” And Alain De Lille’S “The Plaint Of Nature,” By David Rollo, Kersti Francis

Medieval Feminist Forum: A Journal of Gender and Sexuality

No abstract provided.