Digital Commons Network^™

An Analogue Study Of Expected Working Alliance And Hope With Victims Of Military Sexual Trauma Among Civilian And Military-Oriented Therapists, Alishia D. Salyer

Dissertations

Victims of military sexual trauma (MST) face unique challenges as they pursue mental health treatment and supportive care. Understanding what factors impact potential treatment outcomes is critical in aiding in their recovery (Castro et al., 2015; Kroviak, 2020). Although a substantial amount of research has been conducted to evaluate prevalence and client factors associated with treating victims of MST (Teit et al., 2015; Turchik & Wilson, 2010), little is known about therapists’ factors including therapists’ expectations working with such clients. The purpose of this study was to examine the relationships between therapist type (military-affiliated versus civilian), therapist gender, client gender, …

Using Explicit Instruction And Frequency Building To A Performance Criterion To Teach Writing To College Students With Disabilities, Alyssa R. Mcelroy

Dissertations

Proficient writing skills are critical for academic, vocational, and social outcomes for individuals with autism spectrum disorder (ASD) and intellectual and developmental disabilities (IDD). However, many individuals struggle to develop proficient writing repertoires. Explicit Instruction (EI) and Frequency Building to a Performance Criterion (FPBC) are two effective teaching strategies. EI is comprised of clear, direct instructions and scaffolding to support a gradual release of responsibility from teacher to student, and follows a model, lead, test format. Once a skill is mastered, it should be built to fluency. FBPC is method that uses timed practice and feedback to build skills to …

Influence Of A Multicultural Counseling And Psychology Course On Counseling Psychology And Counselor Education Master’S Students Color-Blind Ideologies And Ethnic Identity, Rebecca Tuinstra

Dissertations

The primary purpose of this study was to examine whether ethnic identity awareness mediates the relationship between completion of a Multicultural Counseling and Psychology Course and color-blind ideology endorsement. The participants included 93 master’s level counseling psychology and counselor education trainees attending a predominantly White university in the Midwest region of the United States. The study used a quantitative, pre- and post-test descriptive research design. Using mediation analysis, this study estimated the influence of completing a Multicultural Counseling and Psychology Course on awareness of ethnic identity and use of color-blind ideology while controlling for social desirability among master’s level counseling …

The Effects Of Mindfulness And Exercise On Symptoms Of Parkinson’S Disease: A Systematic Review, Collin Tyler Garner

Dissertations

Parkinson’s Disease (PD) is the second most common neurodegenerative disease affecting which affects motor control, emotional regulation, cognition, and sleep through degradation of dopaminergic neurons. As of 2019, PD affects approximately 8.5 million individuals worldwide, with prevalence estimated to increase to between 8.7 and 9.3 million by 2030. The primary therapeutic approach to PD management is pharmaceutical, relying on dopamine replacement therapy. However, recent research has identified promising complementary therapies such as exercise and mindfulness training.

This review was conducted to compile and present evidence related to the efficacy of exercise, mindfulness, and combined exercise and mindfulness protocols as complementary …

Investigating The Effects Of An Island, And A Speed Sign Gateway To Decrease Driver Speeding, Louai Al Shomaly

Masters Theses

There are thousands of motor vehicle crashes every year, and the yearly cost of crashes is estimated to be $430 billion dollars (National Highway Traffic Safety Administration). Twenty-eight percent of fatal related crashes in 2020 involve at least one driver speeding (CDC 2020). The application of a behavior analysis approach can be employed to reduce speeding and thereby decrease crashes. One way to reduce driver speeding behavior is the use of prompts. Van Houten and Van Houten (1987) and Van Houten et al. (2018) demonstrated the cost effectiveness approach of using prompts to decrease driver speeding at speed zones and …

Behavioral Economic Factors In Collective Bargaining, Cristal Cardoso Sao Mateus Cardoso Sao Mateus

Masters Theses

The present study evaluated the effects of delay, stake, and hypothetical group size on labor valuation in the context of increasing and decreasing labor demand. Challenges in collective bargaining are associated with work stoppages, which can cause economic losses, lack of service, and worker stress. Participants were asked to value their labor given a set of conditions in two experiments. Participants in experiment 1 (n = 49) valued their labor in both increasing and decreasing demand context. Conversely, participants in experiment 2 (n = 139) valued their labor in only one of the contexts. Delay to changes, stake size, and …

Wake Up America: Conceptualizing The Social Determinants Of Sleep, Nicole Eve Bray

Masters Theses

This paper is an attempt to understand racial, ethnic and gender disparities in sleep as a sociological problem. Public health and sociological researchers have looked at the connection between sleep disparities among minorities and the impact it has on health. However, they haven’t explained and applied the social structural factors that cause these disparities, as well as address how stress can serve as a moderator. In my investigation, I found that sleep troubles differ across race, ethnicity and gender. These differences relate to the distinguishable life situations of women and minorities in American society, such as stressful life circumstances that …

Loneliness Among College Students, Jaime Benson

Honors Theses

This study investigated the level of loneliness among health-focused scholars in the College of Health and Human Services (CHHS), Western Michigan University to improve student life experience, social opportunities, and support networks. We recruited participants from various CHHS programs using a convenience sampling method, requiring informed consent and program enrollment. The UCLA Loneliness Scale served as our measurement tool, allowing us to compare scores across program backgrounds using independent samples t-tests or non-parametric alternatives. Among 59 participants, 22.0% reported low loneliness levels, 49.1% moderate levels, 25.4% moderately high levels, and 3.4% high levels. Notably, the highest scores emerged in questions …

Students' Perceptions Of Professional Short-Messaging Education In Undergraduate Courses, Seth S. Frei, Allison M. Alford, Ashly B. Smith

Journal of Communication Pedagogy

The popularity of short-messaging formats, like text and chat, is on the rise in the workplace with many employees preferring this style over long-form options like email. While many businesses expect employees to communicate using short messages, students may be ill-equipped to effectively use these methods due to a lack of formal training. This study sets out to understand students’ experience, confidence, and education related to professional short messaging. Results indicate a correlation between confidence and experience levels in writing text and chat messages. Further, the participants who indicated they had training on writing short messages, indicated they learned it …

Challenging The Positionality Of Western Mainstream English Through The Implementation Of Communication Action Statements, Victoria Mcdermott, Amy R. May

Journal of Communication Pedagogy

Communication is the most powerful tool we have to challenge the plague of invisibility impacting our Indigenous communities. As we continue to challenge the diversity, equity, and inclusion initiatives touted by our institutions, we need to move beyond mission statements to motion, i.e., action required for meaningful transformation to take place (Qassataq, Iñupiaq, 2022). To call attention to and name the silencing of language and knowledge systems outside of western mainstream english (WME), the present paper proposes the concept of Communication Action Statements (CAS). Based on place and space, CASs recognize, label, and affirm the negative effects of WME, …

Destigmatizing Complex Regional Pain Syndrome Through Art And Research, Jennifer K. Fortuna

The Open Journal of Occupational Therapy

Bill Dambrova, an artist based in Phoenix, AZ, provided the cover art for the Fall 2023 issue of the Open Journal of Occupational Therapy (OJOT). Bill’s paintings explore the intrinsic and extrinsic relationships between living things. Through the Artists + Researchers (ARx) program, Bill was teamed with Dr. Gretchen Bachman, OTD, OTR/L, MBA, CEAS, CHT, and Dr. Cindy Ivy, OTD, OTR/L, MEd, CHT, occupational therapy professors and researchers from Northern Arizona University. Their goal was to create a work of art that could disseminate research on complex regional pain syndrome (CRPS). The partnership led to the creation of “Invisible War,” …

Gender As Occupation: The "Doing" Of Authentic Expression And Reciprocally Affirming Care For Transgender Individuals, Annie Derolf, Johnna Belkiewitz, Sally Wasmuth

The Open Journal of Occupational Therapy

The current predominant view of gender as binary, alongside limited training of affirmative care practices, is severely and negatively impacting transgender and gender diverse (TGD) people. This paper urges the re-conceptualization of gender as an occupation, suggesting that gender is a doing that allows for positive identity development, roles, habits, and routines. Doing gender facilitates meaning-making and the ability to engage in other occupations. However, occupational injustices rooted in discrimination, stigma, and/or implicit biases impede TGD people’s ability to engage in the doing of gender and other occupations. Articulation of conceptual guidelines and interventions to support TGD people’s ability to …

Crawling Out From Under: A Physical Therapist’S Celebration Of The Power Of Occupational Therapy, Natalie N. Michaels

The Open Journal of Occupational Therapy

Isaacs’ syndrome, also known as Acquired Neuromyotonia, is a rare condition caused by continuous firing of the motor units, leading to twitching muscles and cramping that will persist even during sleep. The medical treatment of Isaacs’ syndrome is nondescript and arbitrary. Because of the rare incidence of the disorder, very few studies have been conducted to help determine the appropriate intervention for individuals with this affliction. This paper is a narrative case-study that offers a first-person account of a physical therapist with Isaacs’ syndrome and her journey through rehabilitation with her occupational therapist. The progress of this individual over time …

Use Of Formal And Informal Strategies To Manage Stress During Level Ii Occupational Therapy Fieldwork, Ryan Thomure

The Open Journal of Occupational Therapy

Stress may play a role in the performance of occupational therapy students during Level II fieldwork, but little research exists regarding the causes of stress or the stress management strategies students use. The objective of this study was to determine factors that contribute to fieldwork-related stress and strategies students use to manage that stress on Level II fieldwork.

Students or recent graduates of occupational therapy or occupational therapy assistant programs who completed at least one Level II fieldwork experience in the previous 36 months were eligible to participate. An online survey was distributed to participants through snowball sampling. The participants …

Application Of A Model Of Family-Centered Harm Reduction In Community-Based Programming, Johnna Belkiewitz, Victoria G. Wilburn, Sydney Larson, Kate Schrader

The Open Journal of Occupational Therapy

Coupling high substance use disorder rates with the effects of the COVID-19 pandemic, our nation faces a growing mental health crisis and a shortage of adequately trained mental and behavioral health providers. As occupational therapists work toward recognition as qualified providers in this practice area, we must ensure that future therapists can meet client needs. Traditional mental and behavioral health educational practices in occupational therapy use a model of harm reduction that minimizes negative outcomes for a select subset of the population engaging in specific “high-risk” behaviors, such as individuals engaging in substance use and sexual activity. Expanding our understanding …

Addressing The Long-Term Influence Of Neurotrauma On Self-Concept And Self-Identity Development: A Pilot Study, Alyse C. Giallorenzo, Brittany C. Adams, Jessica M. Winter

The Open Journal of Occupational Therapy

Background: Numerous neurotrauma survivors face lifelong disability post injury as a result of an event, yet there are limited specialized continued care services to support future outcomes, specifically self-concept, self-identity, and quality of life. To reduce health care barriers and support health promotion post injury, student researchers explored the influence of a community-based occupational therapy (OT) program for the neurotrauma population.

Methods: Four participants, 37 to 58 years of age, with a history of neurotrauma, participated in a mixed methods study composed of a 6-week community-based educational OT program. Outcome measures included Activity Card Sort, Lawton Brody Scale, …

Exploration Of Occupational Therapy Practice For Children With Autism Spectrum Disorders In The Dominican Republic, Katherine Lally, Michelle Messer, Vanessa D. Jewell

The Open Journal of Occupational Therapy

Background: To better understand the current practice trends of ASD treatment globally and promote practitioner collaboration, it is important to complete studies in countries where little is known about the diagnosis and treatment of ASD through an occupational lens. The aim of this study was to gain an insight into how occupational therapists in the Dominican Republic evaluate and treat children diagnosed with ASD.

Method: This qualitative descriptive study explored the perception of occupational therapists (n = 6) and caregivers of children with ASD (n = 28) through a questionnaire and focus group. Interview transcripts and questionnaire text …

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. …

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 …

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 …

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 …