Digital Commons Network^™

Clinical Educator And Student Perceptions Of Ipad™ Technology To Enhance Clinical Supervision: The Electronically-Facilitated Feedback Initiative (Effi), Suzanne J. Snodgrass, Darren Rivett, Scott Farrell, Kyle Ball, Samantha E. Ashby, Catherine L. Johnston, Kim Nguyen, Trevor Russell

Internet Journal of Allied Health Sciences and Practice

Purpose: Growing demands placed upon healthcare systems require more health professionals to be trained. Clinical placement education is an integral component of health professional training, however accommodating increasing numbers of student placements is a challenge for health services. Personal digital assistants such as iPads™ may assist in delivery of clinical education, by facilitating transfer of knowledge and skills from clinical educators to health professional students, however such an initiative has not been formally investigated. The present study sought to explore perceptions of clinical educators and allied health students regarding the impact of an iPad™-based feedback delivery system on student …

Enhancing Entry-Level Physiotherapy Student Learning In Interpreting Radiology – An Action Research Project, Courtney R. Clark, Andrea Bialocerkowski

Internet Journal of Allied Health Sciences and Practice

Purpose: In Australia, the ability to interpret orthopaedic x-rays is an entry-level skill for physiotherapists. Yet there is a paucity of evidence in the literature which details effective learning and teaching methods to optimise confidence and competence in x-ray interpretation. The aims of this study were to describe the content contained in an orthopaedic radiology module within an Australian 2-year graduate entry Master of Physiotherapy degree; approaches to learning and teaching used in this module; student satisfaction associated with this module over a 2-year period. Method: The University’s framework for quality assurance, which is based on the Plan-Implement-Review-Improve underpinned this …

Outcome Measures For Mild Balance And Cognitive Decline In A Pre-Old Adult: A Case Report, Melissa Chan, Shari Rone-Adams

Internet Journal of Allied Health Sciences and Practice

Background and Purpose. Early detection and treatment of age-related decline, particularly balance and cognition, are increasingly being emphasized in current research. However, the majority of research on older adults focuses on participants who are 65 years and older. For individuals who are 60-64 years old, this is an age range where they may or may not be considered an older adult. This poses a problem applying the results of these studies to pre-old adults to accurately diagnose, measure and classify risk in the areas of cognition and balance. Case Description. The patient is a 61-year-old woman with a clinical diagnosis …

An Initiative To Build Research Capacity Within A Physiotherapy Department: Hits And Misses Over A 20-Year Period, Kathy Stiller, Naomi Haensel

Internet Journal of Allied Health Sciences and Practice

Purpose: Building research capacity within a busy clinical allied health department is important but can be limited by time, resources and expertise. In 1995, a role was created in our Physiotherapy Department whereby an individual with an interest and expertise in clinical research was identified and a proportion of their workload (12 hours/week) designated to fulfil a research co-ordination role. The aim of this role was to foster research and build research capacity within the Physiotherapy Department. This paper reports the achievements associated with this initiative to highlight its successes, difficulties and failures. Method: A retrospective descriptive review of research …

Issues And Challenges: The Development Of Fair And Equitable Health Policy, Rachele Hendricks-Sturrup

Internet Journal of Allied Health Sciences and Practice

Public health policy/law is a discipline that seeks to identify opportunities and implement mechanisms to achieve justice in the public health sector. Several public health policies and programs have been implemented by virtue of the Affordable Care Act (ACA), and these policies and programs seek to decrease America’s “paradox of excess and deprivation” and address socioeconomic barriers that exist in the U.S. healthcare system. Private healthcare market interests have accused the ACA of intruding heavily into the professional autonomy of the medical profession, eroding healthcare market competition, and driving up national healthcare spending. Counter-arguments defending the ACA state that the …

Effectiveness Of An Interprofessional Education Event For Graduate Health Professional Students, Lisa J. Knecht-Sabres, James F. Gunn, Christine Conroy, Sarah E. Getch, Susan M. Cahill, Michelle M. Lee, Mae J. Ciancio, Jayne Jaskolski, Lisa Palmisano, Kolbrun Kristjansdottir

Internet Journal of Allied Health Sciences and Practice

ABSTRACT

Purpose: The purpose of this study was to investigate the impact of a single, optional, half-day, interprofessional education (IPE) event for a myriad of graduate-level health professional students (n=44) at a university in Illinois, USA. Methods: The researchers in this study examined students’ performance on two out of six of the domains on the Interprofessiomnal Collaborator Assessment Rubric (ICAR): Roles and Responsibilities and Communication Strategies. This study also investigated quantitative and qualitative findings related to student perceptions regarding this IPE opportunity. Results: Results indicated that students met or exceeded the minimum competency for the ranking of “developing” for …

Maternal Attachment Buffers The Association Between Exposure To Violence And Youth Attitudes About Aggression, Jessica Houston, John H. Grych

Psychology Faculty Research and Publications

The present study examined the relative and cumulative predictive power of parent–child, interparental, and community aggression on youths' perceptions of the acceptability of aggression between peers and siblings. The potential for mother–child attachment to buffer the effects of violence on aggressive attitudes was tested, as well as the link between aggressive attitudes and aggressive behaviors. A diverse sample of 148 children (ages 9–14) completed measures of interparental, parent–child, and community aggression; a measure of mother–child attachment quality; and a measure of aggressive behaviors. Participants also rated the acceptability of aggressive interactions between two peers and two siblings in written vignettes. …

Thinking Positively: Optimism And Emotion Regulation Predict Interpretation Of Ambiguous Information, Nakia S. Gordon, Samantha A. Chesney, Katherine Reiter

Psychology Faculty Research and Publications

The way individuals interpret their worlds is influenced by emotion and its regulation. Indeed, negative affect typically increases negative interpretations of ambiguous stimuli and may have a role in dysfunctional psychosocial function. Yet, it is not currently known whether explicit and implicit emotion regulation can counteract this effect. To address this question, undergraduates (N = 103) used cognitive reappraisal under angry and control mood states to disambiguate sentences by selecting either a neutral, positive, or negative word. While explicit cognitive reappraisal decreased negative affect, it had no effect on interpretation of ambiguity. Still, reported use of reappraisal predicted decreased …

Pilot Testing Behavior Therapy For Chronic Tic Disorders In Neurology And Developmental Pediatrics Clinics, Emily J. Ricketts, Donald L. Gilbert, Samuel H. Zinner, Jonathan W. Mink, Tara D. Lipps, Geoffrey A. Wiegand, Amy E. Vierhile, Laura J. Ely, John Piacentini, John T. Walkup, Douglas W. Woods

Psychology Faculty Research and Publications

Comprehensive Behavioral Intervention for Tics (CBIT) is an efficacious treatment with limited regional availability. As neurology and pediatric clinics are often the first point of therapeutic contact for individuals with tics, the present study assessed preliminary treatment response, acceptability, and feasibility of an abbreviated version, modified for child neurology and developmental pediatrics clinics. Fourteen youth (9-17) with Tourette disorder across 2 child neurology clinics and one developmental pediatrics clinic participated in a small case series. Clinician-rated tic severity (Yale Global Tic Severity Scale) decreased from pre- to posttreatment, z = –2.0, P < .05, r = –.48, as did tic-related impairment, z …

Personality Characteristics And Experiential Avoidance In Trichotillomania: Results From An Age And Gender Matched Sample, Chad T. Wetterneck, Eric B. Lee, Christopher A. Flessner, Rachel C. Leonard, Douglas W. Woods

Psychology Faculty Research and Publications

Despite its prevalence and a growing body of research, significant gaps remain in the knowledge of trichotillomania (TTM). The current study sought to address this issue by examining personality characteristics, impulsivity, and experiential avoidance of those with TTM compared to an age and gender matched sample. 56 Female participants (28 with TTM and 28 non-clinical age-matched controls) completed the Personality Assessment Inventory (PAI), Barratt's Impulsivity Scale (BIS), and the Acceptance and Action Questionnaire (AAQ). Paired-sample t-tests compared each of the 28 individuals who met criteria for TTM to an age and gender matched individual who did not meet criteria …

Assessing Impairment In Childhood Adhd: Validation Of The Parent And Teacher Adhd-Fx Rating Scale In A Dual-Site Clinical Sample, Lauren M. Haack, Kelsey Gonring, Michael Harris, Alyson C. Gerdes, Linda Pfiffner

Psychology Faculty Research and Publications

Objective: The current study sought to establish psychometric properties of the ADHD-FX (a culturally sensitive measure designed to assess functional impairment related to ADHD) in a dual-site clinical sample. Method: We analyzed patient charts of 67 children (47 boys and 20 girls, ages 5 to 15 years) receiving comprehensive assessments from two university-based ADHD clinics. Results: The parent and teacher ADHD-FX rating scales demonstrated good psychometric properties via adequate reliability (Cronbach’s α > .70), convergent construct validity (significant correlations with majority of theoretically related measures), and divergent construct validity (insignificant correlations with majority of theoretically unrelated measures). Conclusion: Results extend upon …

What Difference Do Bystanders Make? The Association Of Bystander Involvement With Victim Outcomes In A Community Sample, Sherry L. Hamby, Marcela C. Weber, John H. Grych, Victoria Banyard

Psychology Faculty Research and Publications

Objective: To fill gaps in the bystander literature by describing patterns of bystander involvement and associations between bystander involvement and victim outcomes across different types of emotional, physical, and sexual victimizations and to expand these considerations to a rural rather than urban sample. Method: Adults and adolescents (n = 1,703) were surveyed about bystander actions, bystander safety, and victim outcomes (injury, disrupted routine, fear level, and current mental health) for 10 forms of victimization. Results: Bystanders were present for roughly 2 thirds of most victimization types (59% to 67%), except sexual victimization (17%). Relatives were the most common bystanders of …

Strengths, Narrative, And Resilience: Restorying Resilience Research, Sherry L. Hamby, Victoria Banyard, John H. Grych

Psychology Faculty Research and Publications

Objective: To envision a path toward a more strengths-based approach to violence research, prevention, and intervention—a path that focuses on thriving and resilience. Key Points: Both the content and the process of research need to change if we are to transform our efforts to understand and overcome adversity. Greater focus on strengths and the achievement of well-being despite adversity is 1 important avenue; focusing on the narrative and the power of story is another important path. However, merely shifting the focus of traditional research and scholarly efforts is not enough. At another level of analysis, the field needs communication across …

Seven Reasons To Invest In Well-Being, Kathryn H. Howell, John K. Coffey, Gregory M. Fosco, Kristen Kracke, Katherine S. Nelson, Emily F. Rothman, John H. Grych

Psychology Faculty Research and Publications

Objective: This commentary reviews current conceptualizations of well-being, examines explanations for the lack of attention to well-being research, and provides justification for investing research time and funding into well-being studies. Opportunities for integrating factors related to well-being into prevention and intervention programs are also outlined. Key Points: Well-being may motivate people toward success, improve health and longevity, strengthen relationships, and boost the economy. Well-being can be enhanced in easy and inexpensive ways by incorporating facets of well-being into already-existing individual and systems-level intervention or prevention programs. Implications: Future research into this important construct should focus on objective means to assess …

Exercise Training And Functional Connectivity Changes In Mild Cognitive Impairment And Healthy Elders, Theresa J. Chirles, Katherine Reiter, Lauren R. Weiss, Alfonso J. Alfini, Kristy A. Nielson, J. Smith Carson

Psychology Faculty Research and Publications

Background: Effective interventions are needed to improve brain function in mild cognitive impairment (MCI), an early stage of Alzheimer’s disease (AD). The posterior cingulate cortex (PCC)/precuneus is a hub of the default mode network (DMN) and is preferentially vulnerable to disruption of functional connectivity in MCI and AD. Objective: We investigated whether 12 weeks of aerobic exercise could enhance functional connectivity of the PCC/precuneus in MCI and healthy elders. Methods: Sixteen MCI and 16 healthy elders (age range = 60–88) engaged in a supervised 12-week walking exercise intervention. Functional MRI was acquired at rest; the PCC/precuneus was used as a …

Sems Says: Finding The Real Problem Is The Key, Curricula Should Teach, Patrick Hester, Pilar Pazos

Engineering Management & Systems Engineering Faculty Publications

The article offers the authors' insight on problem formulation and teamwork in engineering managers. Topics discussed include the importance of problem structuring in problem solution and decision making, the importance of competencies with teamwork to the success of a project, and the professional skill development of engineering students.

Commentary: See Me, Feel Me, Touch Me, Heal Me, Peter G. Holub

Internet Journal of Allied Health Sciences and Practice

The title of my commentary is from the rock opera Tommy. Tommy doesn’t ask for a high-tech medical cure for his disease. He isn’t interested in prescription drugs. He craves the simple human touch - a low-tech form of caring that has no negative side-effects. The healing power of the human touch is validated by scientific research. So, other than the fact that it doesn’t have an ICD-10 medical billing code, why don’t doctors and other caregivers like to touch their patients?

Commentary: Just Why Do We Eat What We Eat?, Robert Grosz

Internet Journal of Allied Health Sciences and Practice

Mr. Smith presents with a complaint about his knee, and while solving his knee problem, you decide to tell him that his nutrition intake is wrong and he needs to change his eating habits. Mrs. Jones presents with upper respiratory congestion, and during the course of managing her problem, you decide that her blood workup shows some flaws that could be dealt with by changing her eating pattern. John J. comes into the office wanting you to help him overcome his weight problem, so you start the measurements: number of calories taken in, percent of protein taken in, types and …

The Effectiveness Of A Group Motor Skill Intervention Program In Children With Developmental Coordination Disorder: Program Frequency Matters., Priscila M. Caçola, Melvin Ibana, Michael Romero, Jennifer Chuang

Internet Journal of Allied Health Sciences and Practice

Purpose: The purpose of this study was to investigate the effects of two group programs on visual-motor integration, motor proficiency, gross-motor skills, and parental perception of motor difficulties in children with developmental coordination disorder (DCD). We compared whether the frequency of two programs (10 one hour sessions - once/week for 10 weeks verses 24 one hour sessions – twice/week for 12 weeks) produced different changes in motor skills. Methods: Children in the two programs were assessed before and after each program with the MABC-2, DCD-Q, BOT-2, Beery-VMI-6, and the TGMD-2 assessments. The emphasis of the programs was on group activities …

Effect Of Two Semesters Of Small Group Problem-Based Learning (Pbl) On Expectations Of Physician Assistant Students Regarding Self, Others, And Facilitator Using The Pbl Readiness Questionnaire, Susan Hawkins, Mark Hertweck, Anthony Goreczny, John Laird

Internet Journal of Allied Health Sciences and Practice

Purpose: The purpose of this study was to assess changes in expectations and perceptions among physician assistant (PA) program matriculants regarding small group problem-based learning (PBL) from the beginning to the end of the first didactic year. Some of the stress experienced by students entering health science professional programs using PBL may be due to lack of awareness of the goals and norms of PBL which differ from those of traditional lecture-based curricula. A change in student expectations as a result of participation in PBL would indicate that these goals and norms can be learned through participation. Methods: The authors …

Designing A Curriculum To Meet The Needs Of Caregivers Of Patients Who Had A Cerebral Vascular Accident (Cva) Living In Local Communities In Zimbabwe, Farayi Kaseke, Amelia Challender, Mary Jane Rapport

Internet Journal of Allied Health Sciences and Practice

Background: Cerebral Vascular Accident (CVA), or stroke, has become an epidemic in Zimbabwe with the incidence rising significantly over the past two decades. Most patients in Zimbabwe who have had a CVA are initially admitted into a hospital for the acute phase of care and later discharged back to the community and into the care of their family. Although caregivers are forced to suddenly take on a critical role in the daily care and rehabilitation of the person who has had a stroke and continues to have disabilities, there is little to prepare someone for these responsibilities at the time …

Evaluation Of Current Heparin Weight Based Protocol In Obese Patients, Marie Lafosse, Simon Leung, Carla Hawkins, Madeline Camejo

Internet Journal of Allied Health Sciences and Practice

Purpose: To evaluate the difference in achieving goal activated partial thromboplastin time (aPTT) within 24 hours utilizing the institutional heparin weight based protocol between obese and non-obese patients. Methods: Retrospective, non-randomized, open label chart review in a community based hospital. Patients age 18 years or older receiving heparin therapy for greater than or equal to 24 hours identified. Patients were excluded if the protocol was utilized for acute coronary syndrome or interrupted within the initial 24 hours of therapy. Patients were also excluded if any deviations from the protocol were identified. The primary endpoint evaluated the difference in achieving goal …

Workplace Access To Journals: Is It Sufficient To Support Quality Healthcare Practice In Medical Imaging Workers?, Madeleine C. Shanahan

Internet Journal of Allied Health Sciences and Practice

Introduction: Journals are important tools for disseminating new knowledge to health professionals. The purpose of this study was to investigate workplace access to journals. Medical imaging workers (MIWs) were the allied health professional group studied. Methods: A two phase sequential exploratory mixed methods design was adopted to collect data from MIWs to develop a list of professionally relevant journals and to examine accessibility of journals across the profession. In addition, the derived list of journals was further examined to determine open access and open article availability. Results: Twenty-seven percent (n=88) of survey respondents (N=362) reported that they have access to …

Stress Among Bachelor Physical Therapy Students In Israel During Clinical Practice And Its Association With Academic Achievements– Results Of A Longitudinal Study, Tamar Jacob, Ofira Einstein

Internet Journal of Allied Health Sciences and Practice

Purposes: This study aimed 1) to evaluate perceived stress of a cohort of bachelor physical therapy (PT) students from Ariel University in Israel across three clinical practice periods; 2) to evaluate the relationship between perceived stress and academic achievements; 3) to evaluate the relationship between students' perceived stress and clinical practice periods' order and content; and 4) to identify clinical and socio-demographic variables related to perceived stress. Methods: A longitudinal study was conducted among a cohort of undergraduate PT students during their first, second, and third clinical practice assignments. Data were collected using an online questionnaire. The Perceived Stress Scale …

The Role Of Rehabilitation In Cancer Treatment, Jennifer C. Smith

Internet Journal of Allied Health Sciences and Practice

No abstract provided.

An Investigation Of Screening For Medical Referral By Physical Therapists, Heather E. Mount, Cecilia Graham, Diane Clark, David Morris, Kathleen Foley

Internet Journal of Allied Health Sciences and Practice

Screening for medical referral is essential to physical therapist practice; however, no studies have examined medical screening across physical therapy practice settings. The purpose of this study was to determine if physical therapists in a variety of practice settings, given brief clinical vignettes, would screen for medical referral in a similar manner. The Delphi Technique was implemented to establish content validity, although only 2 vignettes reached 100% consensus by the expert panel. After reviewing the vignettes, physical therapist subjects determined if they would provide intervention, provide intervention and refer, or refer before intervention. To determine which variables were associated with …

The Use Of An Online Module To Increase Occupational Therapy Practitioners’ Evidence-Based Practice Knowledge And Skills, Brad E. Egan, Susan Cahill, Cheryl Huber-Lee, Minetta Wallingford

Internet Journal of Allied Health Sciences and Practice

Purpose: To evaluate the effectiveness of an optional, self-paced, online module to increase occupational therapy practitioners’ knowledge and skills related to evidence-based practice (EBP). Method: Participants’ EBP knowledge and skills were evaluated using the Adapted Fresno Test (AFT) after they completed the online module. Results: Twenty-nine occupational therapy practitioners (25 OTR/L, 4 COTA/L) completed the entire 17-month initiative. Nineteen practitioners (65.5%) used the supplemental online module and 10 (34.5%) did not. Analyses of AFT scores revealed a mean test score of 83.00 (n = 19, SD + 31.11) for participants who utilized the online EBP module and …

Non-Medical Use Of Cognitive Enhancing Prescription Medications Among Occupational Therapy And Speech Language Pathology Health Care Students: A Pilot Study, Randy P. Mccombie, Hannah Slanina

Internet Journal of Allied Health Sciences and Practice

Purpose: This research was designed to serve as a pilot study to generate baseline data on non-medical use of prescription drugs (NMUPD) for cognitive/academic enhancement purposes among students representing two healthcare professions, Occupational Therapy (OT) and Speech Language Pathology (SLP) and to assess students’ opinions regarding whether use of these medications constitutes academic “cheating.” Introduction: NMUPD, such as Adderall ® or Ritalin ®, to reduce fatigue, improve memory, and increase concentration to ultimately improve grades has increased among college students in recent years, with estimated use put as high as 35% on some campuses. These drugs appear to be readily …

Interprofessional Simulation In Accredited Paramedic Programs, Kim D. Mckenna, Elliot Carhart, Daniel Bercher, Andrew E. Spain, John Todaro, Joann Freel

Internet Journal of Allied Health Sciences and Practice

Introduction: Healthcare leaders advocate for interprofessional education as a means to promote collaborative practice, enhance interdisciplinary communication, and improve patient safety in the health professions. There is little evidence specific to interprofessional simulation in paramedic education. Methods: The National Association of EMS Educators (NAEMSE) surveyed paramedic programs that were accredited or in the process of becoming accredited. Program respondents were asked to characterize their resources and their use of those resources, and then were asked about their perceptions pertaining to simulation in their program. Chi-square analysis was used to compare characteristics of programs that participated in interdisciplinary simulation with those …

Aphasia Rehabilitation Service Delivery In A Stroke Rehabilitation Unit In Australia: A Clinical Audit Of Speech Pathology Practices, Laleh Rej, Sebastian Doeltgen, Amy Rodriguez, Willem Van Steenbrugge

Internet Journal of Allied Health Sciences and Practice

Purpose: To investigate service delivery of aphasia rehabilitation in a metropolitan rehabilitation hospital by speech pathologists and assess adherence to both the National Stroke Foundation (NSF) Clinical Guidelines and the Australasian Rehabilitation Outcomes Centre (AROC) database of benchmarks. Method: A retrospective audit of 34 discharged patients was conducted within a dedicated stroke rehabilitation unit from March 2012 to July 2013 in Australia. Discharge reports, Functional Independence Measure (FIM) scores and clinical time statistics derived from the organization’s electronic database were studied and compared with NSF’s Clinical Guidelines for best practice recommendations and AROC benchmarks. Results: Patients with aphasia were admitted …