Digital Commons Network^™

Mobile Health Interventions To Promote Physical Activity And Reduce Sedentary Behaviour In The Workplace: A Systematic Review, Sa Buckingham, Aj Williams, K Morrissey, L Price, J Harrison

School of Nursing and Midwifery

Objective This systematic review aimed to assess the effectiveness, feasibility and acceptability of mobile health (mHealth) technology (including wearable activity monitors and smartphone applications) for promoting physical activity (PA) and reducing sedentary behaviour (SB) in workplace settings. Methods Systematic searches were conducted in seven electronic databases (MEDLINE, SPORTDiscus, Scopus, EMBASE, PsycINFO, Web of Science and the Cochrane library). Studies were included if mHealth was a major intervention component, PA/SB was a primary outcome, and participants were recruited and/or the intervention was delivered in the workplace. Study quality was assessed using the Effective Public Health Practice Project (EPHPP) tool. Interventions were …

Assessing The Psychosocial Factors Associated With Adherence To Exercise Referral Schemes: A Systematic Review, Michael Eynon, Jessica Foad, John Downey, Yasmin Bowmer, Hayley Mills

School of Nursing and Midwifery

This paper aimed to systematically review the evidence base to uncover the key psychosocial factors that underpin adherence to an exercise referral scheme (ERS). Databases PsycINFO, MEDLINE, SPORTDiscus, Web of Science, PubMed, PsycARTICLES, Open Grey, and PsycEXTRA were systematically searched. A parallel results-based convergent synthesis was performed by identifying key themes from quantitative and qualitative studies separately. After applying inclusion and exclusion criteria, the review included 24 eligible studies. Key findings showed intrinsic motivation, psychological need satisfaction, social support, and self-efficacy to be the prominent psychosocial factors associated with ERS adherence. In addition, lower expectations for change when entering the …

Optimising Feedback For Early Career Professionals: A Scoping Review And New Framework, Karen Mattick, Nicola Brennan, Simon Briscoe, Chrysanthi Papoutsi, Mark Pearson

Peninsula Medical School

No abstract provided.

Computational Instantaneous Wave‐Free Ratio (Ifr) For Patient‐Specific Coronary Artery Stenoses Using 1d Network Models, Jason M. Carson, Carl Roobottom, Robin Alcock, Perumal Nithiarasu

Peninsula Medical School

No abstract provided.

Assessment Of Clinically Meaningful Improvements In Self-Reported Walking Ability In Participants With Multiple Sclerosis: Results From The Randomized, Double-Blind, Phase Iii Enhance Trial Of Prolonged-Release Fampridine, Jeremy Hobart, Tjalf Ziemssen, Peter Feys, Michael Linnebank, Andrew D. Goodman, Rachel Farrell, Raymond Hupperts, Andrew R. Blight, Veronica Englishby, Manjit Mcneill, Ih Chang, Jacob Elkins

Peninsula Medical School

No abstract provided.

Biological Determinants Of Physical Activity Across The Life Course: A "Determinants Of Diet And Physical Activity" (Dedipac) Umbrella Systematic Literature Review: A “Determinants Of Diet And Physical Activity” (Dedipac) Umbrella Systematic Literature Review, Katina Aleksovska, Anna Puggina, Luca Giraldi, Christoph Buck, Greet Cardon, Angela Carlin, Simon Chantal, Donatella Ciarapica, Marco Colotto, Giancarlo Condello, Tara Coppinger, Cristina Cortis, Sara D'Haese, Marieke De Craemer, Andrea Di Blasio, Sylvia Hansen, Licia Iacoviello, Johann Issartel, Pascal Izzicupo, Lina Jaeschke, Martina Kanning, Aileen Kennedy, Fiona Ling, Agnes Luzak, Giorgio Napolitano, Julie-Anne Nazare, Camille Perchoux, Tobias Pischon, Angela Polito, Alessandra Sannella, Holger Schulz

Research Outputs: 2025-Present

Background Despite the large number of studies and reviews available, the evidence regarding the biological determinants of physical activity (PA) is inconclusive. In this umbrella review, we summarized the current evidence on the biological determinants of PA across the life course, by pooling the results of the available systematic literature reviews (SLRs) and meta-analyses (MAs). Methods We conducted an online search on MEDLINE, ISI Web of Science, Scopus, and SPORTDiscus databases up to January 2018. SLRs and MAs of observational studies that investigated the association between biological determinants of PA and having PA as outcome were considered eligible. The extracted …

Learning With Students In The Sandbox: Our Stories (Chapter 2), Cindy Pierard, Suzanne M. Schadl, Amy S. Jackson

University Libraries & Learning Sciences Faculty and Staff Publications

Students are emerging scholars whose work should be recognized and shared along with work created by established scholars. Libraries are actively engaged with student-created content and encourage students to see themselves as producers, not just consumers, of information. By shifting priorities, libraries should include student-created content in their spaces and become participants in high-impact educational practices, increasing student investment in their learning, their engagement with scholarship at the institutional level, and their success and retention.These new priorities also open the library to new campus partnerships, making student scholarship and content a common goal.

Scholarship in the Sandbox is broken into …

Of Piracy And General Average: Contribution In General Average For Ransom Payment Occasioned By Piratical Activity, Gm Gauci

Plymouth Business School

This article examines the interplay between two ancient legal areas encountered in admiralty law, i.e. general average and piracy; the first is a unique indemnification system, to an extent similar to insurance, described as providing in ancient law ‘security against a certain aspect of the maritime risk, namely that which consists in deliberate sacrifice for the common safety’, whilst the second displays the idiosyncratic approach of admiralty law in providing a marine insurance definition of piracy which is to a substantial extent y at odds with that in public international law. The recent United Kingdom Supreme Court judgment in The …

Blockchain Technology In Agri-Food Value Chain Management: A Synthesis Of Applications, Challenges And Future Research Directions, Guoqing Zhao, Shaofeng Liu, Carmen Lopez, Haiyan Lu, Sebastian Elgueta, Biljana Mileva Boshkoska, Huilan Chen

Plymouth Business School

No abstract provided.

Self-Reflection And Measurement Of Professional Behavior Growth In Entry-Level Occupational Therapy Students, Brenda S. Howard, Rebecca Barton

Journal of Occupational Therapy Education

Occupational therapy (OT) educators have recognized the need to facilitate student professional development along a continuum of behavior that leads them toward professionalism. Reflection has often been a tool assisting in that process. The teaching of professional behavior has been a curricular thread throughout entry-level OT programs. Few studies exist, however, that have measured use of a self-assessment tool for reflection and development of professional behaviors. The purpose of this study was to examine how self-perception of professional behaviors changed in two cohorts of an entry-level occupational therapy program. Investigators compared two cohorts of students at two points in time …

Towards Identifying Peer Supervision Competencies For Graduate-Level Occupational Therapy Students: A Scoping Review, Annie Murphy-Hagan, Lauren E. Milton

Journal of Occupational Therapy Education

In the occupational therapy (OT) profession, peer supervision groups are recommended for professional development, lessening attrition, and relieving stress. Peer supervision is under researched, thus competencies to support this practice are unknown. The purpose of this scoping review was to: (1) summarize the research knowledge around peer supervision to support evidence-based practice in OT, (2) map supervision competencies and key themes in the literature, and (3) isolate peer supervision competencies that may be especially relevant to graduate-level OT students. The long-term aim of this research is to develop a framework for evidence-based peer supervision training. Researchers investigated the question: What …

Occupational Therapy Student Conceptions Of Self-Reflection In Level Ii Fieldwork, Susan L. Iliff, Gaylene Tool, Patricia Bowyer, Diane Parham, Tina S. Fletcher, Wyona M. Freysteinson

Journal of Occupational Therapy Education

Self-reflection is paramount to the development of professionalism and serves as the foundation of adult education and lifelong learning. Pedagogical approaches in health sciences programs that promote self-reflection are growing in popularity. Current literature identifies a gap in what and how students conceive self-reflection and whether self-reflection is creating professionals that meet the challenges of today’s healthcare climate. This qualitative study explores the conceptions of self-reflection for occupational therapy students in Level II Fieldwork. The use of phenomenographic methodology guided the collection of information-rich data through semi-structured interviews. Twenty-one occupational therapy graduates volunteered to participate in the interviews. Verbatim transcripts …

Examination Of Potential Factors To Predict Fieldwork Performance: A Program Evaluation Project, Sandra M. Whisner, Matthew Geddie, Dawndra Sechrist, Eugene Wang

Journal of Occupational Therapy Education

This program evaluation project evaluated the validity of a hypothesized model for predicting fieldwork performance using data of 121 occupational therapy students from a single university. The first aim was to evaluate the hypothesized relationships between observed measures (e.g., admission GPAs) and proposed latent factors (e.g., academic achievement) for predictor and outcome variables. Factor analysis of the outcome variable revealed a three-factor structure, measured by 13 items from the Fieldwork Performance Evaluation for the Occupational Therapy Student. However, factor analyses of the predictor variables did not support the proposed latent factors: Academic Achievement and Professional Potential. The second aim was …

Comparing Outcomes Of Entry-Level Degrees From One Occupational Therapy Program, Stacy Smallfield, Laura Flanigan, Anna Sherman

Journal of Occupational Therapy Education

The purpose of this study was to compare the professional outcomes of two entry-level occupational therapy degrees: the Master of Science (MSOT) and occupational therapy doctorate (OTD). This was a quantitative, exploratory study using a survey method. An online survey was sent to graduates from one occupational therapy program with known email addresses (N = 711). The survey included items relating to professional outcomes, such as job title, salary, and engagement with evidence-based practice, leadership, research, and interprofessional practice. Descriptive statistics and Mann-Whitney U tests were used to describe and to compare groups. The survey yielded 208 responses eligible …

Part 1: Preparing Entry-Level Occupational Therapy And Physical Therapy Students To Promote Health And Wellbeing With Individuals With Disabilities, Brooks C. Wingo, Donald H. Lein Jr., Beth A. Barstow, Christopher A. Eidson, Tara S. Pearce, Laurie A. Malone, David M. Morris

Journal of Occupational Therapy Education

To address accreditation standards for health and wellbeing within entry-level occupational therapy (OT) and physical therapy (PT) programs, the OT, PT, and Human Studies Departments at the University of Alabama at Birmingham (UAB) collaborated with community partners to conduct an interdisciplinary service learning activity based on the I Can Do It, You Can Do It Program (ICDI). This program is a structured community health program where individuals without disabilities are partnered with individuals with disabilities to enhance physical activity, healthy eating, and community participation. The purpose of this paper is to describe a formative evaluation of ICDI at UAB, and …

Developing Critical Thinking In Ot Education: Effectiveness Of A Fishbowl Approach, Stephanie L. De Sam Lazaro, Bonnie R. W. Riley

Journal of Occupational Therapy Education

This paper explores the effectiveness of peer assisted learning on developing critical thinking skills in an occupational therapy graduate course. The use of peer teaching strategies, including a Fishbowl discussion and case-based problem solving, were compared to a faculty-led lecture approach to determine which approach best prepared student critical thinking. Participants included 115 first year graduate occupational therapy students. No statistically significant differences were noted in student ability to express knowledge, comprehension, and application of information. However, statistically significant differences were noted on graduate student ability to analyze, synthesize, and evaluate using newly learned information when peer teaching strategies were …

Perceptions Of Assessment In Norwegian Occupational Therapy Students, Tore Bonsaksen, Astrid Gramstad, Gry Mørk, Susanne G. Johnson

Journal of Occupational Therapy Education

In addition to securing minimum standards of learning among students, assessment is increasingly used as a tool to improve students’ learning. Assessment quality is measured as part of the Course Experience Questionnaire; however, the original ‘appropriate assessment’ scale has demonstrated ambiguous psychometric properties. The current study aimed to gain knowledge about occupational therapy students’ perceptions of assessment, and this was achieved by examining the factor structure and internal consistency of the six items on the ‘appropriate assessment’ scale. Students from six Norwegian universities (n = 187, response rate 61.3 %) completed the scale and reported demographic information. The factor …

Increasing Emotional Intelligence Through Self-Reflection Journals: Implications For Occupational Therapy Students As Emerging Clinicians, Natalie A. Perkins, Arlene A. Schmid

Journal of Occupational Therapy Education

Occupational therapy practitioners and students need skills associated with emotional intelligence (EI) as it is linked with therapeutic use of self. It is vital to train and educate occupational therapy students in self-awareness in order to prepare them to work effectively with future clients and co-workers. This study explored the use of self-reflection journals among graduate students during their spring semester of a full-time on-campus Master’s in Occupational Therapy program. Researchers aimed to understand the impact of self-reflection journals on trait EI. First year master level occupational therapy students (n=39) completed the Trait Emotional Intelligence Questionnaire (TEIQue). Quantitative data were …

Hybrid Learning To Develop Safe Patient Handling Judgement In Occupational Therapy Students, Steven D. Eberth, Ingrid Provident, Carla Chase

Journal of Occupational Therapy Education

The goal of this mixed methods pilot study was to determine the effectiveness of a hybrid pedagogy to develop safe patient handling knowledge, self-efficacy, and skills in occupational therapy students. Developing safety judgment is integral to occupational therapy education programs, which requires the deepening of knowledge associations. As evidence suggests, patient handling is taught in academic programs with traditional pedagogy. Safe patient handling requires teaching the breadth of the most relevant and contemporary theory and techniques. A growing body of evidence demonstrates the effectiveness of online education. The project author developed an evidence-based hybrid pedagogical approach that included four narrated …

Use Of Case Studies To Promote Critical Thinking In Occupational Therapy Students, Denise D. Allen, Susan Toth-Cohen

Journal of Occupational Therapy Education

Critical thinking is a necessary component of clinical reasoning that should be addressed as part of the graduate curriculum for occupational therapists. For students to apply critical thinking in practice they must also have confidence and minimal anxiety about their abilities. Case-based learning was chosen to address critical thinking skill development, increase confidence, and decrease anxiety. The purpose of this mixed methods pilot study was to evaluate progressively independent engagement with case-based learning on student performance, confidence, and anxiety in applying critical thinking skills in the clinical setting. Critical thinking was measured using a rubric to assess students’ performance in …

Critical Thinking And Transformational Learning: Using Case Studies As Narrative Frameworks For Threshold Concepts, Christine Berg, Rachel Philipp, Steven D. Taff

Journal of Occupational Therapy Education

Critical thinking is an essential component to the occupational therapy process that is a timely skill with the rapid pace of change in our healthcare system. Critical thinking exposes assumptions, biases, beliefs and points of view and challenges a shift in epistemology by asking, ‘how do we know what we believe to know?’ Case studies are a tool to engage the learner in critical thinking and are commonly employed in occupational therapy curricula. Social determinants of health (SDH) describe environmental circumstances that affect health. The authors propose that SDH, embedded in case studies, serve as a threshold concept. A threshold …

The Effect Of Instructor-Produced Videos As Supplemental Material For Training Visual Screening Procedures In Occupational Therapy Education, Holly Grieves, Noralyn Davel Pickens, Tracy Young, Theresa M. Smith

Journal of Occupational Therapy Education

The aim of this study was to explore student perceptions of instructor-produced videos to enhance knowledge, self-efficacy, and clinical skill with administering visual screening procedures. The video library, hosted by Vimeo™, consisted of 26 videos, with an average video duration less than 90 seconds. The videos were made available to occupational therapy students as supplemental material. Three focus groups consisting of 23 participants captured students’ perceived value of instructor-produced videos to enrich their learning. Three categories emerged from the data analysis including clinical application, learning preferences, and elements of video production. Students commented on how the videos positively influenced their …

Entry-Level Occupational Therapy Students’ Beliefs About Knowledge And Knowing: Findings From Three Masters Level Programs In The Us, Diane M. Long, Anita W. Mitchell, Carla Chase, Bernadette Mineo

Journal of Occupational Therapy Education

One of the expected outcomes of higher education for all entry-level occupational therapy (OT) students is to develop the capacity to think critically and engage in complex clinical reasoning. Beliefs about the justification of knowledge (epistemic cognition) and the nature of knowledge (ontological cognition) underlie the ability to develop sophisticated ways of thinking. There is a scarcity of research specific to occupational therapy students in the literature related to epistemic and ontological cognition. Based on a discussion prompted during an AOTA Scholarship of Teaching and Learning (SoTL) workshop in 2014, OT faculty members from three entry-level occupational therapy …

Anti-Fat Bias Of Occupational Therapy Students, Carli Friedman, Laura H. Vanpuymbrouck

Journal of Occupational Therapy Education

Anti-fat biases in healthcare providers can result in substandard and decreased care, and also result in health disparities. There are very few studies that examine occupational therapists’ attitudes towards fat people and implications on practice. Therefore, the aim of this study was to explore the implicit fat prejudice of occupational therapy students. The authors also sought to understand how this prejudice related to the occupation-based models/frames of reference with which students professionally identified. To do so, 58 occupational therapy students from three Midwestern universities, all of whom recently completed their first year of professional occupational therapy education, completed the Weight …

Health Literacy In Student-Created Occupational Therapy Home Programs, Karen Flaherty, Sarah Foidel, Nancy E. Krusen

Journal of Occupational Therapy Education

This single site case report examined student-designed client educational materials for integration of health literacy principles in occupational therapy education. Researchers analyzed 16 home programs from first and second year occupational therapy doctorate students using the Health Literacy Advisor (HLA) and the Patient Education Materials Assessment Tool – Printable (PEMAT-P). The HLA provides scores of readability indexes, including Fry, SMOG, Flesch-Kincaid, and Flesch Reading Ease. The PEMAT-P assesses understandability and actionability. Results indicated reading levels near recommended 6^th grade reading scores with some improvement from first to second year educational level, though not necessarily useable material. HLA difficult to …

Application Of Theory To Guide Development Of A Rehabilitation Service-Learning Project In Guatemala, Mary Zadnik, Suzanne Trotter, Cindy Mathena

Journal of Occupational Therapy Education

International community-based rehabilitation service-learning projects in physical and occupational therapy education programs may impact underserved communities internationally. The intentional inclusion of learning in service activities has been identified as service-learning. Extending the impact and education beyond the service project is necessary in order to provide a sustainable outcome for the community. Faculty at the University of St. Augustine for Health Sciences partnered with Potter’s House Association International to develop an interprofessional program to address the rehabilitation needs and continuity of care following a one-week project serving the community members of the Guatemalan City Garbage Dump. The purpose of this article …

Instructing Students How To Use Evidence-Based Technology Interventions With Older Adults, Michele L. Tilstra, Michelle L. Webb, Sandra E. Groger

Journal of Occupational Therapy Education

Current evidence supports the use of technology with older adults and the Accreditation Council for Occupational Therapy Education standards for entry-level occupational therapy programs mandate instruction on the use of technology to support occupational performance. The literature does not clearly define specific strategies to teach entry-level occupational therapy students how to implement technology interventions with older adults. The purpose of this paper is to provide OT educators with recommendations for teaching entry-level students to use evidence-based technology with older adults. The authors reviewed current literature. The recent evidence helped the authors define practical curriculum recommendations for instructing entry-level occupational therapy …

Remote Health Coaching On Nutrition To Tackle Hyperlipidemia In Underserved Communities, Mary I. Gamble

Electronic Theses and Dissertations 2010 - 2019

Although there are effective medications to lower blood lipid levels, studies show that comprehensive nutritional counseling provides more effective and lasting results on blood lipids in comparison to standard of care with solely pharmacological intervention (Sialvera et al., 2017). Changes in diet such as reducing saturated fat and increasing fiber intake, are two of many alterations that have been proven to be successful and have consequently helped reduce the relative risk of ASCVD (Masana et al., 2017). The purpose of this quality improvement project was to direct participants with hyperlipidemia in the management of the condition using evidence-based nutrition guidelines …

Improving Nutrition In Adults With Hypertension, Jennifer Jenkins

Electronic Theses and Dissertations 2010 - 2019

Nutrition can play a significant role in health conditions especially diseases such as hypertension. Nutritional intake can positively or negatively affect blood pressure, and many authors have found impactful changes when proper diet is adhered. Individuals who follow DASH diet guidelines have especially made positive changes in blood pressure. This quality improvement project examined if DASH diet-based nutrition education in adults with hypertension improved dietary intakes of vegetables and fruits, and reduced sodium intake and blood pressure. This manuscript addresses this concern using current evidence by describing the steps taken in a quality improvement project at Community Health of South …

Improved Recognition Process Using The Anaphylaxis Rapid Screening Tool (Arst), Jessica Sanabria

Electronic Theses and Dissertations 2010 - 2019

Anaphylaxis is a rapid-onset, severe life-threatening allergic reaction. With as many as 1 in 20 adults experiencing anaphylaxis in their lifetime, it is imperative that the condition can be recognized quickly and accurately. It was identified that there was no consistent manner in which patients seeking treatment were evaluated. Therefore, with the intention to increase awareness of symptoms and introduce a standardized screening process. Over an eight week period, any patient presenting to the urgent care was screened using the Anaphylaxis Rapid Screening Tool (ARST) . 17 Urgent care staff members willing participated in the intervention which included use of …