Digital Commons Network^™

Progress In Diagnosing Primary Ciliary Dyskinesia: The North American Perspective, Michael Glenn O'Connor, Amjad Horani, Adam J Shapiro

Open Access Publications

Primary Ciliary Dyskinesia (PCD) is a rare, under-recognized disease that affects respiratory ciliary function, resulting in chronic oto-sino-pulmonary disease. The PCD clinical phenotype overlaps with other common respiratory conditions and no single diagnostic test detects all forms of PCD. In 2018, PCD experts collaborated with the American Thoracic Society (ATS) to create a clinical diagnostic guideline for patients across North America, specifically considering the local resources and limitations for PCD diagnosis in the United States and Canada. Nasal nitric oxide (nNO) testing is recommended for first-line testing in patients ≥5 years old with a compatible clinical phenotype; however, all low …

Study To Enhance Understanding Of Stent-Associated Symptoms: Rationale And Study Design, Charles D. Scales Jr., H. Henry Lai, Alana C. Desai, Jodi A. Antonelli, Naim M. Maalouf, Gregory E. Tasian, Peter P. Reese, Michele Curatolo, Kevin Weinfurt, Hussein R. Al-Khalidi, Hunter Wessells, Ziya Kirkali, Jonathan D. Harper, Niddk Urinary Stone Disease Research Network

Open Access Publications

No abstract provided.

Home Hazard Removal To Reduce Falls Among Community-Dwelling Older Adults: A Randomized Clinical Trial, Susan Stark, Marian Keglovits, Emily Somerville, Yi-Ling Hu, Abigail Barker, Dave Sykora, Yan Yan

Open Access Publications

Importance: Falls are the leading preventable cause of morbidity, mortality, and premature institutionalization for community-dwelling older adults.

Objective: To test the effectiveness of a behavioral intervention on fall risk among older adults receiving services from an Area Agency on Aging.

Design, Setting, and Participants: This randomized clinical trial examined a home hazard removal intervention in the community using a race- and sex-stratified randomization design. Older adults receiving services from the Area Agency on Aging in urban St Louis, Missouri, were assigned to a home hazard removal intervention delivered over 2 weeks with a 6-month booster or usual care control. Eligible …

Training Leaders To Accelerate Global Mental Health Disparities Research (Lead) Program: A Research Training Program Protocol, Ozge Sensoy Bahar, Patricia Cavazos-Rehg, Fred M Ssewamala, Betsy Abente, Laura Peer, Proscovia Nabunya, Lourdes E Soto De Laurido, Theresa S Betancourt, Arvin Bhana, Tonya Edmond

Open Access Publications

No abstract provided.

Factors Influencing Implementation Of Blood Transfusion Recommendations In Pediatric Critical Care Units, Katherine M Steffen, Philip C Spinella, Laura M Holdsworth, Mackenzie A Ford, Grace M Lee, Steven M Asch, Enola K Proctor, Allan Doctor

Open Access Publications

No abstract provided.

Understanding Drivers Of Coronavirus Disease 2019 (Covid-19) Racial Disparities: A Population-Level Analysis Of Covid-19 Testing Among Black And White Populations, Aaloke Mody, Kristin Pfeifauf, Cory Bradley, Branson Fox, Matifadza G. Hlatshwayo, Will Ross, Vetta Sanders-Thompson, Karen Joynt Maddox, Mat Reidhead, Mario Schootman, William G. Powderly, Elvin H. Geng

Open Access Publications

BACKGROUND: Disparities in coronavirus disease 2019 (COVID-19) testing-the pandemic's most critical but limited resource-may be an important but modifiable driver of COVID-19 inequities.

METHODS: We analyzed data from the Missouri State Department of Health and Senior Services on all COVID-19 tests conducted in the St Louis and Kansas City regions. We adapted a well-established tool for measuring inequity-the Lorenz curve-to compare COVID-19 testing rates per diagnosed case among Black and White populations.

RESULTS: Between 14/3/2020 and 15/9/2020, 606 725 and 328 204 COVID-19 tests were conducted in the St Louis and Kansas City regions, respectively. Over time, Black individuals consistently …

A Mixed Methods Study Examining The Barriers And Facilitators To Research Utilization And Evidence-Based Practice In Adult Weight Management, Kevin B. Metcalf

UNF Graduate Theses and Dissertations

Background

Obesity is a disease with many associated comorbidities and its prevalence in the U.S. continues to increase despite the majority of people with obesity attempting weight loss. Dietitians are responsible for using evidence-based practice to mitigate the effects of obesity, however, differences in practice philosophies, opinion leaders, misinformation, a sense of competence, and the complexity of nutrition research have been identified as barriers to implementing practice guidelines into daily practice. It is unclear how dietitians strike a balance between empirical evidence, anecdotal evidence, and patient-centered practice.

Aims

The primary aim of this mixed-methods study was to identify the barriers …

Physician Knowledge, Attitudes, And Behaviors Towards Registered Dietitian Nutritionists, Amy Motley Jones

UNF Graduate Theses and Dissertations

Diet is increasingly linked with overall quality of life, and a healthy diet is now being considered one of the cornerstones of preventative care. Physicians rely on Registered Dietitian Nutritionists (RDNs) as most doctors lack the nutrition knowledge to properly treat their patients, especially during their residency. Little published information exists on the specific collaboration of RDNs and resident physicians. This study aimed to determine whether mentoring with an RDN increased physician nutrition knowledge, increased consults to RDNs, and whether physician attitudes improved regarding their understanding of the role of the RDN in healthcare. Knowledge or attitude alone are not …

Assessing Community Experiences And Perceptions Within Louisville Metro Participatory Spaces, Angela Storey, V. Clemons, A. Smith, David Johnson, Lauren Heberle, D. Decaro

Faculty and Staff Scholarship

No abstract provided.

Meaning And Impact Of Interprofessional Simulation Participation For Occupational Therapy Students: A Qualitative Descriptive Study, Elena Wong Espiritu, Steven Busby

Journal of Occupational Therapy Education

Occupational therapy programs are incorporating simulation experiences more regularly into their curricula. However, there continues to be a need for more evidence demonstrating simulation benefits, particularly when various client populations, standardized actors, interpersonal skill practice, and multiple disciplines are incorporated into scenarios. The purpose of this qualitative descriptive study was to describe the meaning and impact of participating in an interprofessional simulation for occupational therapy students as part of their current academic preparation and future clinical practice in the hopes of increasing the participants’ interpersonal and clinical reasoning skills. Study participants were entry-level occupational therapy doctoral students (N=64) and their …

Application Of Active Learning Strategies For Online Delivery In An Occupational Therapy Assistant Program, Tiffany L. Benaroya, Jennifer C. George, Deborah Mckernan-Ace, Margaret Swarbrick

Journal of Occupational Therapy Education

The COVID-19 pandemic had a significant impact worldwide in every aspect of society including occupational therapy assistant students enrolled in academic coursework. This manuscript examines the unique experience of occupational therapy assistant faculty in a northeast state who were able to quickly modify classroom and lab teaching-learning strategies to a fully online virtual format for two semesters. Since no available information on strategies for online delivery of occupational therapy assistant education were found in the literature, their experiences implementing active learning strategies are described and discussed. Strategies covered include: the flipped classroom model; think-pair-share and jigsaw technique using breakout rooms; …

Perceptions Of Stress, Mindfulness, And Occupational Engagement Among Graduate-Level Occupational Therapy Students, Patricia Henton, Caroline Targonski, Acacia Gambrel, Catherine Rink, Sarah Wirtz

Journal of Occupational Therapy Education

Previous literature explored the concepts of stress, mindfulness, and occupational engagement, yet there is a substantial gap linking these terms within the field of occupational therapy (OT). The researchers identified a need to investigate the perceptions of these concepts among graduate-level OT students and its impact on their quality of life and occupational balance. Current research identified mindfulness and occupational engagement as healthy coping strategies for reducing stress and both concepts emphasized the action of being fully present and engaged. The exploratory mixed-methods study consisted of 490 students from graduate-level OT programs throughout the United States. Results revealed that the …

From Boring To Board Game: The Effect Of A Serious Game On Key Learning Outcomes, Kendal L. Booker, Anita W. Mitchell

Journal of Occupational Therapy Education

Serious games incorporate learning objectives in the context of competitive games with rules. These types of games have been incorporated in education as well as therapeutic contexts. This study examined the effectiveness of a modification of the game “Snakes and Ladders,” for reviewing and learning qualitative research concepts. Using the Game-based Evaluation Model (GEM), the researchers also measured learning indicators such as interest and enjoyment, perceived competence, effort and importance, and value/usefulness. Thirty-eight Master of Occupational Therapy students completed a 25-question multiple choice pretest to measure knowledge of qualitative research concepts before playing the game. A 25-question multiple choice posttest …

Interprofessional Education And Collaborative Competency Development: A Realist Evaluation, Rabina Raveendrakumar, Salihah Faroze, David Rojas, Sylvia Langlois

Journal of Occupational Therapy Education

Collaboration among healthcare professionals has been widely cited as critical in ensuring optimal and efficient client care. To foster the development of this interprofessional competency in healthcare graduates, the University of Toronto created an Interprofessional Education (IPE) curriculum. However, the means by which the IPE curriculum developed interprofessional collaborative competencies in occupational therapy (OT) graduates had not been explored. The study identified the mechanisms and outcomes of University of Toronto’s IPE curriculum that contributed to OT graduates’ collaborative competency development. This study also identified the contexts in which this development occurred, and why such patterns were observed. This study employed …

The Development Of Theory- And Evidence-Based Educational Workshops For Occupational Therapists, Sungha Kim, Rebecca E. Gewurtz, Ilana Bayer, Nadine Larivière, Lori Letts

Journal of Occupational Therapy Education

The Do-Live-Well (DLW) framework is a health promotion approach developed by Canadian occupational therapists (OTs). As the DLW framework is relatively new, it has not been widely adopted by OTs. In order to facilitate OTs to incorporate the DLW concepts in their practice, there should be more learning opportunities, and online and in-person workshops have been chosen to be a specific interest of this study. The purpose of this project was to develop theory- and evidence-based in-person and online educational workshops for OTs as a pre-implementation study to increase the knowledge of the DLW framework among OTs. In order to …

Clinical And Professional Reasoning Development In Level Ii Fieldwork: Occupational Therapy Assistant Students’ Perception, Marie-Christine Potvin, Jeanne M. Coviello, Eden Rothacker, Caitlin Taylor, Taryn Pettigrew, Mary Beth Thomas, Laronda Lockhart-Keene

Journal of Occupational Therapy Education

Occupational therapy academic programs are tasked with preparing occupational therapy assistant (OTA) students to develop and use clinical and professional reasoning in practice. A component of this academic education, Level II fieldwork (FW), develops clinical and professional reasoning by allowing students to practice this skill. Although numerous studies have investigated this topic in occupational therapy students, only one small study has previously investigated this in OTA students during Level II FW. Thus, we designed a mixed methods study of OTA students during Level II FW (n = 58) to confirm and expand our knowledge of learning experiences that develop …

Flip To Learn & Learn To Flip In Occupational Therapy Education: A Scoping Review, Sapna Chakraborty, Monica L. Robinson, Denise Dermody, Salvador Bondoc

Journal of Occupational Therapy Education

Faculty seek methods that efficiently use their time, facilitate deep learning, and acquire competencies through the curriculum. The flipped classroom, a pedagogical approach, is proposed to be one solution to these issues. This study is a scoping review of how health care professional courses apply the flipped classroom model. The specific aims of this scoping review are: (a) determine the health care disciplines using and researching flipped classrooms, (b) identify and categorize instructional/course design and teaching and learning strategies used in flipped classroom literature, and (c) classify the levels of evidence-based education and trustworthiness in the studies as defined by …

The Value Of Occupational Therapy Student Participation In University-Based Student-Run Free Clinics In The United States, Janis W. Yue, Mina Delavar, Bethrese Padini, Erik Vanstrum, Tessa Milman, John Sideris

Journal of Occupational Therapy Education

While student-run free clinic (SRFC) participation is well-documented among many health professions, no study has comprehensively characterized occupational therapy student participation. The purpose of this qualitative study was to understand both the current presence as well as educational impact of occupational therapy student participation in university-based SRFCs in the United States (U.S). Data collection occurred through a national survey and semi-structured interviews. Surveys were sent to representatives (e.g. program directors, faculty advisors, and student leaders) at all 190 accredited occupational therapy schools. Of these, 118 responded, for an overall response rate of 62.1%. Semi-structured interviews were conducted with a purposeful …

Outcomes And Perceptions Of Graduates Of An On-Campus And Hybrid Occupational Therapy Program, Alie Banning, Morgan Dickerson, Angelique Hill Roebuck, Lou Jensen

Journal of Occupational Therapy Education

Hybrid education, which combines face-to-face and online learning, is being implemented in an increasing number of graduate schools. However, there is limited research on the outcomes of graduates of hybrid programs. The purpose of this study was to a) examine the employment characteristics, professional characteristics, and education perceptions of graduates from an entry-level doctor of occupational therapy program; and b) investigate differences in these variables between graduates of the on-campus and hybrid pathways. A cross-sectional online survey was completed by 146 graduates of an occupational therapy program that includes on-campus (n=111) and hybrid (n=35) pathways. Data were analyzed using an …

Approaches School Leaders Employ Regarding Students Who Experience Socioemotional Crises, Ronald Stephen Gorney

Walden Dissertations and Doctoral Studies

Many students in the local school district in a northeastern state suffer from socioemotional challenges that negatively influence their academic success. In the Adverse Childhood Experiences (ACEs) study, researchers found negative socioemotional outcomes resulting from ACEs. Risk factors associated with ACEs, and the influence of ACEs on poor school outcomes form the framework of this project study. To determine measures school leaders take to meet the needs of students in socioemotional crisis, a sample of semi-structured interview participants was selected based upon their roles in addressing students in socioemotional crisis, also forming the basis of this basic qualitative study. The …

Exploring The Religious Motives Of The Boko Haram Terrorism In Nigeria, Andrew Abah

Walden Dissertations and Doctoral Studies

Boko Haram (BH) terrorism in Nigeria has persisted for over a decade, and the attacks continue to get more sophisticated, deadly, and well-coordinated with each passing year. Given the sect’s focus on religious institutions, especially churches and mosques considered not to be practicing the kind of Islam the BH expresses, the purpose of this dissertation was to explore the religious motivation that drives their terrorist activities. The primary research question that guided this qualitative study on the religious motivations, reconciliation of activities and beliefs, and perspectives regarding minimizing BH terrorism in Nigeria. The study’s theoretical framework was the frustration-aggression theory …

Master’S Level Mental Health Counselor Experiences Working With Offenders In Correctional Settings, Jennifer Bernard

Walden Dissertations and Doctoral Studies

Forensic mental health is considered a specialty at a doctoral level, yet a majority of mental health services in correctional settings are provided by master’s-level mental health counselors. These clinicians lack the specialized education, training, and experience needed to work with offenders in correctional settings. There is limited research on how master’s-level counselors experience providing mental health services in correctional settings and how they manage challenges. The purpose of this qualitative study was to understand the lived experiences of master’s-level mental health counselors working with offenders in correctional settings. A hermeneutic phenomenological approach was used to facilitate an understanding of …

The Lived Experiences Of Gatekeepers In Counselor Education Training Programs, Jessica Motroni Banik

Walden Dissertations and Doctoral Studies

Gatekeeping is an essential function within the counselor education training system that is aimed at helping counselors in training (CIT) achieve competency to practice. The process entails monitoring counselor development at critical points in the process of entering the profession. However, there continues to be gateslippage, with a high percentage of CITs with problematic behaviors completing their training programs, putting the public at risk. There is a lack of research focused on understanding gatekeepers’ lived experiences, including how they resolve challenges within the system. The purpose of this hermeneutic study was to understand the lived experiences of gatekeepers in the …

The Black Church: Using Social Capital To Reach The Unchurched And Community, Teresa Johnson

Walden Dissertations and Doctoral Studies

AbstractPrevious studies on the Black Church have focused on its history as an institutional hub, its ability to generate social capital, the decline in its membership, as well as the connection between attendance and associational life. However, it is unknown how the Black Church is using its social capital to re-engage inactive members and remain connected to the community. The purpose of this qualitative case study was to explore how Black Churches in West Palm Beach, Florida are using their social capital to re-engage unchurched members, as well as engage their community. Robert Putnam’s social capital theory was used to …

Content Analysis Of Ethics Curriculum Requirements In Undergraduate Social Work Programs, Debra Evonne Thrower

Walden Dissertations and Doctoral Studies

Due to recent mandates of the 2015 Council on Social Work Education (CSWE) Educational Policies and Accreditation Standards, social work ethics education has received considerable attention. These standards have increased the focus on ethical education requirements in bachelor’s and master’s curricula. However, research regarding approaches that undergraduate institutions use to implement the required content remains limited. The purpose of this qualitative study was to examine ethics education requirements in the syllabi from practice courses at CSWE-accredited undergraduate social work programs. Common morality theory and curriculum theory were theoretical frameworks that guided examination of the phenomenon. Data were collected from 51 …

Secondary Traumatic Stress Among Catholic Priests, Richard Ehusani

Walden Dissertations and Doctoral Studies

Research suggests that the clergy could be at the risk of developing secondary traumatic stress (STS) because of their secondary exposure to trauma within pastoral work; however, there has been no explicit discussion of STS related to Catholic priests who may be more at the risk of developing STS than their counterparts in other churches. The requirement of priestly celibacy often leaves Catholic priests with little to no immediate social and emotional support network of family. Because of their sacred vow to keep the confessional seal unbroken in whatever circumstance, Catholic priests also may not share confessional information, even when …

The Relationship Between Sexual Assault And Ptsd, Beverley Priest

Walden Dissertations and Doctoral Studies

People who have experienced trauma, such as sexual assault, are more likely to develop posttraumatic stress disorder (PTSD). Women are twice as likely to develop PTSD from a traumatic event than men, especially from a sexual assault. Alcohol abuse is associated with more cases of and more severity of PTSD symptoms. Intimate partner violence can strongly contribute to or worsen the symptoms of PTSD. The research questions examined the relationship between sexual assault (SA) and the subsequent development of (PTSD, SA and the presence of alcohol dependence/addiction and the subsequent development of PTSD, and SA) and the presence of intimate …

Risks For African American Male Youth Involved In The Juvenile Justice System, Cassandra Showers

Walden Dissertations and Doctoral Studies

The purpose of this action research study was to gain an understanding of the factors and risks that contribute to juvenile delinquency of African American male youth involved in the juvenile justice system. Ecological systems theory was used to examine strategies used by social workers with this population and the effectiveness of those interventions. Individual interviews with 5 social workers recruited using nonprobability sampling were conducted. The interviews were audio-recorded, then manually transcribed. Responses were uploaded into the NVivo software system for coding. The software system was used to identify themes and patterns to substantiate the research question. The study …

A Comparison Of Interprofessional Collaboration Competencies Among Newly Licensed Registered Nurses, Denise M. Pederson

Walden Dissertations and Doctoral Studies

Nursing students who are provided interprofessional education (IPE) with students from other professional education programs develop interprofessional collaboration competencies (IPCCs). However, not all nursing programs provide this IPE experience despite the World Health Organization and the IPE Collaborative (IPEC) promoting IPCCs for nurses upon entering practice to improve health outcomes. The purpose of this quantitative, comparative, descriptive study, guided by the IPEC framework for collaboration competencies, was to determine whether there are self-reported differences in IPCCs among nurses who graduated within the past 3 years from learning institutions that provide IPE with multiple health care professional programs and those who …

Social Support Experiences Of Stably Housed Emancipated Foster Youth, Camron L. Whitacre

Walden Dissertations and Doctoral Studies

Youth emancipating from foster care are at increased risk of housing instability and homelessness and have reduced access to needed social supports to aid in the difficult transition to independent living. The purpose of this hermeneutic phenomenological study was to understand the lived formal social support experiences of stably housed emancipated foster youth. Purposive sampling techniques and inclusion criteria guided the recruitment of nine study participants from a state-administered postemancipation services program to take part in semistructured interviews. A conceptual framework, including social convoy and attachment theories, informed inquiry, and interpretation of findings. Participant lived experiences illuminated the importance of …