Digital Commons Network^™

Facilitators And Barriers To Sustainable Global Rehabilitation Projects, Fredrick Pociask, Rosanne Dizazzo-Miller

The Open Journal of Occupational Therapy

The sustainability of projects addressing significant rehabilitation needs in lower-resource countries is considered one of the most critical outcomes of these initiatives. While some information is available from public health and medical projects on promoting sustainability, less evidence exists on facilitators and barriers to the sustainability of global rehabilitation development projects. Interviews with eleven medical and rehabilitation professionals, each with over 8 years of experience in global project development, contributed to the discussion of barriers and facilitators for sustainability with direct implications for occupational therapy practice and research. The presence of established professional standards was a distinctive facilitator, and disruptions …

Brain Gains: A Review Of Remediation Treatment Strategies Using Exercise Following Traumatic Brain Injury, Jessica Smith, Kristin Biggins, Loriann Helgeson

The Open Journal of Occupational Therapy

In this Opinions in the Profession article, we explore remediation treatment strategies using exercise for recovery from post-traumatic brain injury and aim to justify the use of such treatment in the occupational therapy profession to increase skills for functional gain. Common treatment strategies used by occupational therapists after brain injury are compensatory strategies, indicating the client learns a new way to perform the task. Though effective, it is also necessary to consider how remediation and neuroplasticity are essential. Teaching new approaches to complete tasks results in functional gains; however, focusing on foundational skills using exercises to relearn motor patterns to …

Professional Standards As Gateways, Not Barriers, In Occupational Therapy, Ryan Thomure

The Open Journal of Occupational Therapy

No abstract provided.

Understanding Graduate Occupational Therapy Educators’ Use Of Trauma-Informed Approaches In The Classroom, Sean M. Brim

The Open Journal of Occupational Therapy

Traumatic events can alter the brain structure and affect cognitive capacities and academic performance. Educators at all grade levels are responsible for supporting students through trauma-informed approaches. Previous trauma-informed research focused on K–12 education levels. The experience of graduate-level occupational therapy educators who have applied trauma-informed approaches to improve student learning have not been explored. This general qualitative study explored the experiences of occupational therapy educators who used trauma-informed approaches. The conceptual framework was the trauma-informed care model. Ten graduate-level occupational therapy educators with at least 1 year of teaching experience were recruited and participated in semi structured interviews. Data …

Perceived Educational Value Of Different Types Of Simulation In Occupational Therapy Education: A Mixed-Methods Study, Marie-Eve Bolduc, Barbara Shankland, Bernadette Nedelec

The Open Journal of Occupational Therapy

Simulation is an important instructional method in occupational therapy (OT) programs. However, it remains unclear if the various types of simulation hold the same educational value. The objective of this study was to determine the perceived educational value of three different types of simulations (role-play between students, live scenarios with simulated patients [SPs] and tele-simulation with SPs) and the factors that contributed to a higher educational value. This cross-sectional study used a sequential explanatory mixed-methods design. An online questionnaire was used, and two focus groups were conducted to develop a richer understanding of the answers obtained in the questionnaire. Forty-two …

Investigating The Efficacy Of An Online Multigenerational Awareness Course For Occupational Therapy Students – A Pilot Study, Susan Blair, Barbara M. Doucet, Jerilyn Callen, Kirsten Davin, Shelby Hutchinson

The Open Journal of Occupational Therapy

In today’s multigenerational society, particularly in health care settings, thriving can be challenging because of generational differences. Occupational therapy educational programs (OTEPs) prepare students for work environments where three to four different generations may be present. This study examines the effectiveness of an online multigenerational awareness (MGA) course. The secondary objectives include increasing students’ knowledge of enhanced multigenerational collaboration and communication strategies in preparation for future clinical practice. A pilot group of eight participants from various university departments reviewed the course content and completed preenrollment and postenrollment surveys, providing feedback regarding the applicability and perceived usefulness of the multigenerational awareness …

Intentional Resiliency Mentoring: A Mixed Methods Study Exploring A Pilot Mentorship Program For Occupational Therapy Students, Courtney J. Taylor, Ana K. Brussa, Kate G. Barlow

The Open Journal of Occupational Therapy

Because of high levels of reported stress, occupational therapy (OT) students’ ability to employ interpersonal skills and professionally manage conflicts is impeded. This mixed methods pilot study investigated the impact of an Intentional Relationship Model (IRM) informed mentorship program on OT students’ perceived stress and self-efficacy for interpersonal communication. Students (N = 21) completed pre and posttests of the Self Efficacy for Therapeutic Use of Self Scale (SETUS) and the Perceived Stress Scale (PSS-10). Six monthly mentor journals (N = 6) were collected to further explore the student experience. Quantitative findings demonstrated students’ (N = 21) ability to manage stress …

Occupational Therapy Students’ Perspectives On Using Virtual Reality Simulation In Preparation For Objective Structured Clinical Examinations: A Qualitative Study, Pegah Firouzeh, Craig R. St. Jean, Christine Ha, Mary Roduta Roberts

The Open Journal of Occupational Therapy

The use of virtual reality (VR) simulations in clinical education has been receiving increased research attention. The purpose of this study was to investigate first-year occupational therapy (OT) students’ experiences using a VR-simulated clinical interview as part of their preparation for a client history-taking Objective Structured Clinical Examination (OSCE). This qualitative study used focus groups to understand students’ (n = 20) perceptions of the effect of VR simulation on learning and exam readiness. We also explored students’ perceptions of the simulation’s authenticity, strengths, and weaknesses. Qualitative data analysis was conducted to identify codes and develop categories in association with the …

Ruth Coleman Denard (1906-2002): One Of The First Registered Black Occupational Therapists, Mirline Milien

The Open Journal of Occupational Therapy

The experiences and contributions of underrepresented groups in the occupational therapy profession are insufficiently explored and largely absent from occupational therapy education. For instance, the narratives of early Black occupational therapists and students are virtually nonexistent in the literature. As the profession moves toward greater inclusivity, it is essential to uncover these hidden stories and legacies to better understand the profession’s evolution and help shape its future. This article highlights Ruth Coleman Denard, one of the first registered Black occupational therapists in the United States, and provides an overview of her career trajectory. Historical research methods, including a review of …

An Occupation-Based Review Of Assessments Used In Pediatric Occupational Therapy Practice, Alysha Skuthan, Wendy B. Stav, Gracyn Mcvey, Jennifer Martinez, Marissa Hunter, Erin Diroll, Maureen Flanagan

The Open Journal of Occupational Therapy

Assessment tools are a critical component of the occupational therapy evaluation process. Despite the profession’s push toward occupation-centered practice, the classification of assessment tools as occupation-based versus skill-based does not exist. An occupation-based review of pediatric occupational therapy assessment tools was completed and scored according to the Occupation-Based Practice Assessment to classify assessment tools on a continuum of discrete or skill-based to occupation-based. Of the top 11 most frequently used tools, four were classified as occupation-based, three were classified as intermediate, and four were classified as discrete. In total, only 36% of commonly selected assessment tools are occupation-based. Pediatric occupational …

Maternal Role Transition: A Quality Of Life Frame Of Reference For Mothering After Nicu, Wendy Gaughan, Kathryn A. Lemonda

The Open Journal of Occupational Therapy

Occupational therapists are uniquely skilled to address the needs of a new mother and the infant during transition to motherhood, as acquisition of this new role may cause a role strain with other previously held roles. New mothers to infants requiring a neonatal intensive care unit (NICU) hospitalization experience additional stressors and considerations during this role transition. The Maternal Role Transition (MRT) Frame of Reference is a novel, community-based approach to facilitate attainment and integration of mothering occupations and address role strain during the perinatal period. MRT is rooted in the theoretical foundations of Maternal Role Attainment Theory, Self Efficacy …

Rehabilitation Habits And Roles: The Dual Impact Of Iadls And Psychosocial Interventions Poststroke, William Sit, Ryan Hulla, Veronica Smith, Joanna Ruiz, Steve Abraham

The Open Journal of Occupational Therapy

Background: This randomized study assessed an 8-week program for stroke survivors at an outpatient center in the United States. The program focuses on a holistic approach to recovery through habits and roles.

Method: Two researchers randomly divided 19 participants (N = 19) into two groups, with each group focusing on two distinct programs: the Occupational Therapy Instrumental Activities of Daily Living (IADLs) program and the Psychosocial Modules (PS) program for stroke survivors. Participants attended weekly group sessions and individual phone sessions, which reinforced learned strategies, provided personalized guidance, and ensured adherence to program goals. The Canadian Occupational Performance …

Enhancing Self-Esteem In Adolescents During Acute Inpatient Psychiatric Hospitalization: A Mixed Methods Study, Praveen Injeti, Julie D. Kugel, Dragana Krpalek, Liane Hewitt, Lida Gharibvand

The Open Journal of Occupational Therapy

Background: Low self-esteem (LSE) can negatively impact adolescent mental health, leading to suicidal ideation (SI). Social stressors, such as peer rejections, are considered a source of stress that can contribute to LSE, SI, and subsequent admission to psychiatric facilities. This study aimed to assess the effectiveness of an occupational therapy intervention to improve self-awareness and self-esteem during short-term hospitalization.

Method: The research used a mixed methods approach to evaluate the impact of a psychoeducational intervention by an occupational therapist on 16 adolescents. The Rosenberg Self-esteem Scale (RSES) was used before the intervention (pretest), immediately after the intervention (posttest …

A Polyvagal And Sensory Integration And Processing Approach To Supporting Development In Young Children With Autism, Catherine Cavaliere, Nadia Rust, Michelle Rogowski, Alyssa Calderone, Rebecca Marash, Amy Zdrodowski, John Damiao

The Open Journal of Occupational Therapy

Background: The polyvagal theory presents a framework for understanding the autonomic nervous system’s role in influencing behavior, engagement, and connection. Children with autism experience regulation and sensory integration and processing differences that impact their sense of felt safety and engagement in their environment. The Safe and Sound Protocol (SSP) is an auditory program designed to stimulate the vagal system and support nervous system regulation.

Methods: A retrospective multiple subject pretest-posttest design was used to examine the impact of the SSP on regulation, engagement, and skill acquisition in children with autism ages 2 to 3 enrolled in an early intervention center …

More Than Covering Ears: A Clinical Inventory For Characterizing Decreased Sound Tolerance (I-Dst) In Autism, Tana B. Carson, Angela Medina, Katherine L. Long, Yuxi Qiu, Monica Noriega

The Open Journal of Occupational Therapy

Background: Decreased sound tolerance (DST) is among the most common and distressing forms of sensory over-responsivity experienced by children with autism spectrum disorders. DST includes hyperacusis and misophonia, among others, and can limit participation in daily activities. Recently, a new screening tool, the Pediatric Hyperacusis and Misophonia Questionnaire (PMHQ-4) has been developed to allow health professionals to better identify and differentiate these conditions using a single assessment. Additional clinical tools are needed to further characterize DST symptoms to facilitate treatment planning after diagnosis.

Methods: In this mixed-methods study n = 15 parents of autistic children 6 to 17 …

State Of The Journal: Advancing And Promoting Frames Of Reference For Occupational Therapy Practice, Diane Powers Dirette

The Open Journal of Occupational Therapy

No abstract provided.

Antimonopoly In The Air: Assessing Airline Deregulation, Elie Nehme

Tennessee Journal of Law and Policy

No abstract provided.

The Complex Future Of Autonomous Systems Liability, Dj Magee

Tennessee Journal of Law and Policy

No abstract provided.

Association Between Characteristics, Experiences, Knowledge, Attitudes, And Intention To Provide Palliative Care For Patients With Terminal Cancer Among Thai Nursing Students: A Cross-Sectional Study, Numpueng Prachyakoon, Nuchanad Hounnaklang, Nanda Win, Pankaew Tantirattanakulchai

Journal of Health Research

Background: Nursing students should be prepared for the provision of palliative care (PC) for patients with terminal cancer. However, few studies have examined factors influencing nursing students' intention. This study aimed to examine the associations between characteristics, knowledge, attitude, experience and their intention to provide PC among Thai nursing students.

Methods: This cross-sectional study was conducted among nursing students enrolled in all four years of the Bachelor of Nursing Science Program at one Nursing College in Bangkok, Thailand. Data were collected using a questionnaire composed of demographic characteristics, The Palliative Care Quiz for Nursing (PCQN), The Frommelt Attitude Toward Care …

External Validation Of A Simple Mortality Risk Prediction Score For Tuberculosis Patients, Pattama Saisudjarit, Surasak Saokaew, Acharaporn Duangjai, Anurak Prasatkhetragarn, Sukrit Kanchanasurakit, Pochamana Phisalprapa

Journal of Health Research

Background: Tuberculosis (TB) remains a significant global health issue, contributing to substantial mortality annually; therefore, effective risk stratification is essential for clinical decision-making and optimal resource allocation. This study externally validates a simple mortality prediction score for TB patients that was initially developed by Saisudjarit and colleague in a different population.

Methods: A retrospective cohort study was conducted using TB registry data from four Thai provinces (Nakhon Sawan, Kamphaeng Phet, Chai Nat, and Uthai Thani) collected January 1, 2019–December 31, 2020. Eligible patients were aged ≥ 18 years and had either completed treatment or died during that period. The risk …

Survival And Factors Associated With Mortality Among Esophageal Cancer Patients At A Tertiary Hospital In Northeastern Thailand, Bhunyabhadh Chaimay, Somkiattiyos Woradet, Nuntiput Putthanachote

Journal of Health Research

Background: Esophageal cancer (EC) is a major global health concern due to its high fatality rate. Although Thailand reports a relatively low incidence, the disease’s prevalence has increased over the past decade. This study aimed to evaluate survival time and identify factors associated with mortality among EC patients.

Methods: A hospital-based cohort study was conducted at the tertiary hospital in northeastern, Thailand, including 101 EC patients diagnosed between 2006 and 2015. Subjects were followed for six months. Clinical data were retrospectively collected from medical records and the Cancer Registry. Survival probability was estimated using Kaplan-Meier method, and Cox’s proportional hazards …

Handgrip Strength And Dental Plaque Removal Performance In Older Primary Care Patients: A Cross-Sectional Study, Thananan Sirowet, Thareerat Ananchaisarp, Angkana Thearmontree, Jermphiphut Jaruenpunyasak, Kongfa Wamasing

Journal of Health Research

Background: A cross-sectional study was conducted at a primary care unit and general practitioner clinic in a tertiary teaching hospital in Hat Yai, Songkhla, Thailand, to evaluate the effect of hand grip strength on maintaining oral hygiene in older adults.

Method: Participants completed a questionnaire, performed a brushing task on a force-sensor–equipped dental model, and had plaque stained before brushing while being video recorded. The primary outcome was plaque removal performance. Multivariable logistic regression identified factors associated with inadequate plaque removal, and sex-specific grip strength cut-off points were determined using receiver operating characteristic analysis.

Results: Among 116 older adults, 31.0% …

Issue 478 January 15, 2026, The Local Voice

The Local Voice

Special Issue: The Townies 2026. Featured Articles: "16th Clarksdale Film & Music Festival Brings Hollywood Excitement to the Delta."; "Obituary: Jeffrey Callaway. (February 20, 1963–January 10, 2026)."; "The Pinksheets: Chewed-Up Bubblegum with a Southern Kick."

The Impacts Of Age-Related Peripheral Hearing Loss, Central Auditory Processing, And Cognition On Quality Of Life In Older Adults: A Scoping Review, Brian M. Kreisman, Samantha E. Vasquez, Anna J. Bierma

University Faculty Publications and Creative Works

This scoping review aims to synthesize peer-reviewed literature exploring quality of life (QoL) for individuals with age-related hearing loss (ARHL), age-related central auditory processing (ARCAP) deficits, and age-related cognitive decline. A growing body of research has identified ARHL as a risk factor for the development of dementia, highlighting the connection between the sensory and cognitive systems. As the aging population continues to grow, examining comorbid age-related hearing and cognitive decline is especially relevant. These conditions may have potential negative consequences on the daily functioning, social participation, mental health, and overall wellbeing of older adults. A systematic search of peer-reviewed literature …

An Empirical Analysis Of Cooperation Among Muslim Countries: The Case Of Indonesia-Pakistan Preferential Trade Agreement, M Jaenudin, Emil Haraki, Aam Slamet Rusydiana

Journal of King Abdulaziz University: Islamic Economics

This study evaluates the impact of the Indonesia–Pakistan Preferential Trade Agreement (IPPTA) on bilateral trade using the gravity model of international trade. Annual time series data from 1990 to 2023 are analysed through unit root testing, bounds testing, and Autoregressive Distributed Lag (ARDL) estimation to examine both short- and long-run effects. The model includes four variables: bilateral trade, GDP of Indonesia and Pakistan, geographical distance, and a dummy variable for IPPTA to compare trade performance before and after the agreement’s implementation. The results indicate that Indonesia’s GDP has a positive and statistically significant impact on bilateral trade in both the …

Empowerment Pedagogy: A Mixed Methods Grounded Theory Approach To Developing A Pedagogical Framework For Empowering Middle School Aged Students, Henry James Bryant

Educational Studies Dissertations

The current state of adolescent well-being in “post-COVID” America demonstrates a need for widespread intervention to aid students in coping with trauma and mental health issues. In a review of the literature, feelings of empowerment have been found to be antithetical to feelings of trauma. Moreover, the benefits of empowerment in terms of adolescent mental health, academic achievement, and behaviors are well documented. However, strategies designed to impact students’ feelings of empowerment have not been well established, and programs that are presently offered are often inaccessible due to cost, public opinion, and a need for whole school adoption. In this …

The Integration Of Culture, Identity, And Belongingness In Emdr Therapy: Practitioners’ Perspectives, Robert Anthony Richards

Counseling and Psychology Dissertations

This dissertation examines how EMDR (Eye Movement Desensitization and Reprocessing) practitioners approach power dynamics, identity, and belongingness in therapy from a multicultural and social justice perspective. Using a qualitative narrative research design guided by intersectional feminist epistemology, the study investigates how privilege, positionality, and belongingness influence clinicians’ approaches to EMDR therapy. Semi-structured interviews were conducted with nine EMDR-trained practitioners from diverse sociocultural backgrounds to explore how relational, systemic, and contextual factors influence their clinical work. Thematic analysis was used to illuminate how EMDR practitioners navigate complex power dynamics both within the therapeutic alliance and in broader sociocultural contexts. Participants emphasized …

Exploring Resource Profiles Among Trauma Exposed Youth: An Identity-Focused, Cultural, And Person-Centered Approach, Ogechi “Cynthia” Onyeka, Jessica Szu-Chi Cheng, Sina Sanei, Shaunna L. Clark, Caitlin M. Pinciotti, Andrew G. Guzick, Eric A. Storch, Sunita M. Stewart, Jessica Sandoval, Cynthia Garza

School of Medicine Publications

Objective: Resilience is a multi-faceted construct comprised of both internal and external resources that support adaptive functioning following trauma exposure. The role of resilience in ameliorating internalizing symptoms may depend on its typology as opposed to its presence alone, suggesting the existence of distinct subpopulations with heterogeneous resource profiles. The current study employs Latent Profile Analysis (LPA) to identify and characterize profiles of resilience-related resources among youth exposed to trauma from an identity-focused, cultural lens.

Method: Patterns of resources were examined in 1538 youth (Mage = 13.4, 51.9 % female) from a large longitudinal registry of trauma exposed youth in …

Eng 1001g-003 College Composition I, Lydia Craig

Spring 2026

No abstract provided.

Eng 1001g-001 College Composition I, Jamie Golladay

Spring 2026

No abstract provided.