Digital Commons Network^™

Cultural Respect In Academia, Alondra Ammon

The Open Journal of Occupational Therapy

Given the aim to increase diverse representation in health care to promote equitable health care outcomes, occupational therapists must critically examine how we respect cultural diversity. This opinion piece intends to highlight the importance of creating academic spaces where students can thrive and carry over those teachings beyond the classroom and into the communities they serve. The author, who identifies as a person of color, is a Ph.D. candidate and academic occupational therapy educator who integrated their constructionist epistemological lens and reviewed literature to inform a working definition of cultural respect and recommendations. Cultural respect involves recognizing, understanding, and appreciating …

A Synthesis Of Professional Socialization Literature And Educational Opportunities In Occupational Therapy, Jessica Nakos

The Open Journal of Occupational Therapy

The purpose of this topic on education paper is to synthesize the literature on professional socialization across disciplines, emphasize professional socialization as a research priority, and discuss opportunities to improve occupational therapy education. Relevant literature from higher education, business education, and health care professions were included that support the critical role of professional socialization to development of professional identity. A critical appraisal and discussion provide reflection on the role of educators, opportunities for program improvements, and implications to occupational therapy research and education. Dimensions of meaning associated with professional socialization are introduced and offer a unique occupation-based lens through which …

Primary Care Occupational Therapy: Diagnoses, Outcomes, Reimbursement, And Team Satisfaction, Sue Dahl-Popolizio, Tina M. Sauber, Mandi Ogaard, Martina Mookadam, Shanthi V. Cambala, Felicia E. Trembath

The Open Journal of Occupational Therapy

Background: Literature supports including occupational therapists on primary care teams. Few occupational therapists practice in this setting. The health care community needs more information regarding the benefits of occupational therapists on the team.

Method: We completed an 18-month pilot integrating an occupational therapist in a primary care team, tracking conditions treated by the occupational therapist, visit duration, reimbursement, and level of primary care providers’ (PCP) satisfaction. We then evaluated outcomes via a retrospective chart review.

Results: Visits were brief, averaging 35 min. Longer visits did not improve outcomes. Occupational therapists were reimbursed by Medicare (47%), commercial (47%), …

A Retrospective Study Of Healthcare Needs Of Unpaid Caregivers In The United States, Ranelle M. Nissen, Jessica Mchugh Conlin, Mackenzie L. Feldhacker, Whitney Lucas Molitor, Allison J. Naber

The Open Journal of Occupational Therapy

Introduction: Demand for caregivers is on the rise. In the US, 53 million individuals provided care in 2020. Older adults constitute nearly half of all care recipients and often receive care from a family member. This study identified the health care needs of caregivers regarding health care use, access to resources, and unmet needs.

Methods: We used a retrospective, cross-sectional design to examine existing data collected between 2013 and 2018 regarding caregiver experiences. Data were analyzed using descriptive statistics and a chi-square test of independence.

Results: Caregivers were primarily female, White, between the 18 and 64 years …

Breastfeeding As Co-Occupation: Occupational Therapy’S Role In Promoting Health And Well-Being, Lisa Joelle Sutton, Julie D. Kugel, Dragana Krpalek, Arezou Salamat

The Open Journal of Occupational Therapy

Background: Even with efforts to encourage mothers to breastfeed exclusively for the first 6 months, the majority of women are not able to undertake breastfeeding as the sole means of infant nutrition provision for various reasons. The role of occupational therapists working with mothers who breastfeed is complex and not strongly supported in the literature. Therefore, this qualitative study was designed to examine the role that occupational therapists may engage in supporting mothers and infants in the co-occupation of breastfeeding.

Method: A qualitative phenomenological study design was applied and included 11 occupational therapists working with breastfeeding dyads. The …

The Experiences Of Routine Powered Mobility Users In An Assisted Living Facility: A Case Study, Richelle Louise Gray

The Open Journal of Occupational Therapy

Background: The purpose of this study was to explore the contrasting experiences of two routine powered mobility device (PMD) users in an assisted living facility (ALF).

Method: A case study approach using three forms of data (semi-structured interview, observation, and media collection of pictures) was used to formulate a comprehensive description of the two PMD user’s experiences. Data analysis was completed using line-by-line coding and in vivo to generate possible themes. Process coding, descriptive coding, and analytic memos were then employed to better understand the connection of the data and ensure themes generated were appropriate.

Results: Following …

Preparation And Use Of Physical Agent Modalities Among U.S. Occupational Therapists: A Mixed-Methods, Exploratory-Descriptive Study, Keith Gentry, Tammy Lesage, Devin Hebble, Lilly Adams, Ashlyn Watts

The Open Journal of Occupational Therapy

Background: Physical agent modalities (PAMs) are used by occupational therapists to prepare for or facilitate participation in purposeful activities. However, little has been published in the last quarter century regarding how U.S. occupational therapists use and are prepared to use of PAMs in contemporary clinical practice. In this study, U.S.-based occupational therapists were surveyed regarding their use of PAMs, preparation for use, and perceptions of that preparation.

Methods: Survey data was collected from a purposive sample of 141 U.S.-based occupational therapists and occupational therapy assistants as part of this exploratory-descriptive, mixed-methods study. Thematic and descriptive statistical analyses were …

Pawsitive Purpose: The Impact Of Autism Assistance Dogs On The Occupations Of Autistic Children, Morgan Starkweather, Amie E. Germain, Christine A. Kivlen

The Open Journal of Occupational Therapy

Background. The World Health Organization recognizes that participation is important to individuals’ well being; yet, autistic children participate in fewer activities compared to neurotypical children. This article aims to describe the role of autism assistance dogs (AADs) in promoting participation and engagement in occupations and activities of daily living (ADLs) for autistic children.

Method. A qualitative interpretative phenomenological design was used. Two semi-structured interviews from a narrative perspective were conducted with each participant. Four volunteer parents and primary handlers of their child’s AAD participated in the study. Inductive analysis was used to interpret open-ended questions. Following transcription, Creswell’s …

Current Landscape Of Interventions That Promote Self-Determination In Adolescents With Intellectual And Developmental Disabilities In Secondary Transition: A Scoping Review, Chia-Yang Chiang, Tsu-Hsin Howe

The Open Journal of Occupational Therapy

Purpose: Although promoting self-determination in secondary transition is an important goal when working with adolescents with intellectual and developmental disabilities, the conceptualization and definitions of self-determination and its associated skills are not consistent. The aim of this scoping review was to examine how self-determination and its associated skills have been conceptualized and defined in interventions that support secondary transition in adolescents with intellectual and developmental disabilities and how self-determination is operationalized accordingly in those interventions.

Method: Studies published between 2006 and 2021 were searched using databases, including MEDLINE, PubMed, ERIC, PsycINFO, Education Source, and OTseeker. Hand-searching of bibliographies was …

Occupational Therapists’ Consideration Of Sexual Orientation And Gender Identity When Working With Adolescents: A Preliminary Study, Kristin S. Willey, Dana Howell, Camille Skubik-Peplaski

The Open Journal of Occupational Therapy

Background: Adolescents who identify as lesbian, gay, bisexual, transgender, intersex, asexual, and plus (LGBTQIA+) have reduced quality of health care because of stigma, lack of awareness, and insensitivity. Recently the American Occupational Therapy Association added sexual orientation and gender identity (SOGI) as a personal factor in the Occupational Therapy Practice Framework. It is important to understand how occupational therapists incorporate SOGI into their services provided to adolescents.

Purpose: This study explored if occupational therapists considered an adolescent client’s SOGI when providing services. Research questions included: do occupational therapists perceive that SOGI influences adolescents’ occupations, and do occupational …

Understanding The Needs Of Gender-Diverse Youth And Young Adults And Their Staff Members In Homeless Shelters And Supported Housing, Sharon Gutman, Ashley Choi, Alexis Kearney, Margaret Swarbrick Dr

The Open Journal of Occupational Therapy

Background: Gender-diverse youth experience twice the risk for homelessness as their same-age cisgender peers and report experiencing discrimination in homeless shelters and supported housing.

Method: Eighteen participants (9 gender-diverse residents and 9 staff members) were interviewed individually to understand their experience of and needs in these settings.

Results: The major findings included: (a) Gender-diverse service recipients felt unsafe and vulnerable in these facilities. Sharing space in which to carry out occupations of vulnerability often triggered anxiety and PTSD. (b) Gender-diverse service recipients felt that staff members did not understand how cumulative trauma adversely affected participation in programmatic …

Effectiveness Of An Occupational Therapy-Led Social Skills Group Using Parent Training: A Pilot Study, Sheryl Eckberg Zylstra, Yvonne L. Swinth, Aimee Sidhu, Julie Anderson

The Open Journal of Occupational Therapy

Background: Social skills support the development of a positive self-concept and engagement in a variety of life roles, habits, and routines. The Occupational Therapy Practice Framework clearly defines the occupational therapist’s role in working with children with difficulties in social skills; however, little research exists examining the effectiveness of occupational therapy-led group interventions to support social skills development. Incorporating parent training into social skill development can improve overall outcomes and reinforce skill development across contexts.

Objective: The purpose of this pilot study was to determine whether an occupational therapy-led social skill group, combined with parent training, was effective …

The Use Of Occupational Therapy Interventions In A Hematology-Oncology Pediatric Intensive Care Unit, Lucy Weathers, Sarah Schwartzberg, Kenneth Pettit, Fang Wang, Shilpa Gorantla, Saad Ghafoor

The Open Journal of Occupational Therapy

Objectives: The purpose of this study was to describe the role of occupational therapy (OT), including types of interventions that can be provided in a pediatric intensive care unit (PICU) setting, and to evaluate the use and safety of OT services in an early mobility program.

Methods: A retrospective review via medical records occurred between January 2019 and June 2020. The frequencies and adverse events of OT interventions were compared preimplementation (January–September 2019) and postimplementation (October 2019–June 2020) of an early mobility program.

Results: A convenience sample of 56 patients comprised the preimplementation group, and 83 comprised the postimplementation …

Finding Harmony In Academic Life: Blending The Teacher-Scholar Model, Shirley P. O'Brien

The Open Journal of Occupational Therapy

Occupational therapy affords many role options. Academic faculty is one example of a role. Faculty are expected to participate in teaching, service, and research/scholarship activities within their roles, as shaped by institutional type. This article highlights the academic journey and considerations for embracing leadership as teacher-scholars in occupational therapy.

Formative Research About Shared Decision Making In The Treatment Of Opioid Use Disorder In Pregnant Women, Ruth Jeminiwa, Phd, Fadel Dadabaev, Pharmd, Heeyoung Kim, Pharmd, Caroline Popielaski, Pharmd, Sohyeon Park, Pharmd, Meghan Gannon, Phd Msph, Diane Abatemarco, Phd, Msw, Ronald Myers, Phd, Dsw

College of Pharmacy Posters

Background

• Shared Decision Making (SDM) is an evidence-based practice that involves a discussion between a health care professional and patient to reach a mutual agreed upon treatment plan.(1)
• A recent nationally-representative study indicates that only 39% of physicians use SDM for 50% or fewer Pregnant Women with Opioid Use Disorders (PWOUD).(2)
• Little is known about factors that affect SDM among PWOUD. This research project aimed to address this knowledge gap.

Relationship Satisfaction In Consensually Non-Monogamous And Monogamous Relationships: A Self-Determination Theory Approach, Michael B. Moskowitz

ETD Collection

Consensual non-monogamy (CNM) represents a relationship structure that incorporates additional partners into the dynamics of a dyadic primary relationship. CNM commands a nontrivial proportion of the population and is categorized into three forms: polyamory, swinging, and open relationships. Foundational research has uncovered that CNM relationships are rather common, diverse, and relationally healthy, despite the CNM population facing significant societal stigmas. This study was designed to complement research supporting the relational quality of CNM relationships by utilizing a self-determination theory framework. Participants in CNM (n = 124) and monogamous relationships (n = 164) were tested and quantitative analysis revealed that relationship …

Transitions Of Care Practice Models: Innovations Across Different Health Settings, Laressa Bethishou, Noah Fang

Pharmacy Faculty Articles and Research

"Being discharged from a hospital may be a joyous occasion for a patient with a long length of stay, but this process may also be riddled with medication issues. With a deluge of new medications, unclear instructions, and new costs that may be unaffordable, many patients face challenges that are all too common. Additionally, the medication list may be fraught with discrepancies of missing or inaccurate home medications, duplicate therapies of new medications prescribed, or drug-drug interactions of old and new medications.

Pharmacists and pharmacy personnel who support patients during transitions of care (TOC) are very familiar with the consequences …

A Comparison Of Cognitive Impairment In Health Anxiety, Generalized Anxiety Disorder, And Posttraumatic Stress Disorder And The Moderating Role Of Social Connectedness, Kaitlyn B. Schodt

Psychology ETDs

Mood symptomatology often negatively impacts cognitive functioning; however, little is known about how some disorders, like health anxiety, might be unique contributing factors. Social connectedness has been found to protect against cognitive decline, and thus might mitigate some of the mental health-related negative effects on cognitive functioning. The current study aimed to: 1) examine the associations between PTSD, generalized anxiety disorder (GAD), and health anxiety symptomatology and cognitive functioning, and between 2) social connectedness and cognitive functioning, as well as the moderating roles of 3) social connectedness and 4) biological sex and race/ethnicity in the association between mental health symptomatology …

Elevating Black Fathers' Experiences In The National Fatherhood Initiative: Strengths And Areas For Improvement Of 24/7 Dad® Curriculum And Case Management Services, Laura A. Voith, Katie N. Russell, Ashley Withrow, Tian Xia, Darrell Coleman

Faculty Scholarship

The Healthy Marriage and Responsible Fatherhood grant program is one of the most robust mechanisms supporting fatherhood programming in the United States, with the gold standard of care including fatherhood curriculum (e.g., 24/7 Dad®) and case management services. Despite the fact that fatherhood in the United States is not a monolith and Black fathers make up over 40% of those served through Responsible Fatherhood (RF) program, little research explicitly centers the lived experiences of low-income Black fathers. The current study used focus groups with fathers (n = 23) and staff (n = 8) enrolled in a RF grantee program. Thematic …

A Mixed-Methods Study On The Implementation And Perceptions Of Grading For Equity Practices In A Sixth Grade Science Midwest Middle School, Lisa Meacham Stein

Dissertations

Equitable grading practices were a focal point in present-day educational discussions and gained increasing attention in recent years due to concerns regarding fairness, inclusivity, and student success. This research study examined the principles and implementation of equitable grading practices within a sixth-grade science classroom. The researcher synthesized existing literature, examined case studies, and considered the perceptions of students, teachers, and the researcher study in order to contribute to the ongoing discussion on creating more equitable grading systems.

Key areas of focus included the history and development of the education system, the purpose and significance of grades, the examination of traditional …

Development And Evaluation Of A Nurse Practitioner-Directed Mindfulness Initiative Among Patients Diagnosed With Generalized Anxiety Disorder In An Outpatient Psychiatric Practice, Keilah B. Ford

Dissertations

This quality improvement project presents the impact of mindfulness intervention, such as guided meditation on anxiety levels in adult patients in a psychiatric outpatient practice.

Identifying Delirium In Hospitalized Patients Using Nursing Delirium Screening Scale, Christina S. Arockiam

Dissertations

Delirium is a sudden brain dysfunction that can affect the mental status of hospitalized adult patients. At the project site, there was no consistent screening tool for delirium, so an evidence-based solution was sought. The purpose of this quality improvement project was to determine if the translation of Heinrich et al.'s research regarding Gaudreau et al.'s Nursing Delirium Screening Scale (Nu-DESC) would impact the identification of delirium and subsequent provider notification within 30 minutes among adult patients in an acute care hospital in urban California over eight weeks. Virginia Henderson's need theory and the Iowa Model Revised: Evidence-based practice to …

Performance Feedback Influence On Special Education Teacher Self-Efficacy, Margaret Stout

Doctoral Dissertations and Projects

This quantitative true experimental pretest posttest design research study was conducted to determine the effect two types of performance feedback had on overall special education teacher efficacy and instructional strategies efficacy. Determining the effect is important because teacher efficacy positively impacts student academic outcomes. In-service public school special education teachers who teach students with low incidence disabilities from Virginia were randomly assigned to two different virtual trainings where the Teachers Sense of Efficacy Scale was used as both the pre-training and post-training instrument. An ANCOVA was performed on the data resulting in the first null hypothesis being rejected and the …

The Relationship Between Resilience, Psychological Capital, Burnout, And Grit In Direct Care Staff, Nicholas Stoia

Doctoral Dissertations and Projects

The present study examined the relationship between resilience, psychological capital (PsyCap), grit, and burnout among direct care workers. The current study assessed other fields within direct care that have not been investigated. When it comes to research methodology, the current research utilized a quantitative approach. Participants were selected and sent the survey through the online platform. The present study had a total of 195 participants between the ages of 18 - 60. Participants were workers in agency settings within the direct care field. These agencies included state agencies, private agencies, non-profits, federal agencies, and home care. Specific types of direct …

Lived Experiences Of Special Education Co-Teachers With High-Leverage Instructional Practices At Secondary Title I Campus: A Hermeneutic Phenomenological Study, Aaron M. Logan

Doctoral Dissertations and Projects

The purpose of this hermeneutic phenomenology study was to investigate the lived experiences of special education co-teachers with high-leverage instructional practices at secondary Title I campuses. The central research question of this study was how special education co-teachers at secondary Title I campuses describe their lived experiences with high-leverage instructional practices. Bandura's social cognitive theory guided this study. In particular, the triadic reciprocal causation defined in social cognitive theory guides the study's questions and analysis. Triadic reciprocal causation influences how people communicate, work through tasks, and conduct daily activities related to personal, behavioral, and environmental factors. The social cognitive theory …

Experiences Of Educators In Implementing Mindfulness In K-6 Special Education Transition Settings: A Case Study, Matthew David Bilchak

Doctoral Dissertations and Projects

The purpose of this case study will be to understand the perspectives of implementing mindfulness-based interventions for special education teachers in elementary special education transition settings. The theory guiding this study involves experiential learning, which requires students and educators to acquire skills to promote self-regulation actively. A qualitative case study approach provides insight into the advantages and challenges of implementing mindfulness-based interventions (MBI) to understand elementary special education teachers' perceptions. Ten educators from rural Pennsylvania school districts compromise the sample pool. Collection methods include interviews, lesson plan analysis, and surveys. Triangulation of data reveals how educators in special education transition …

School Culture, Teacher Experience, And Commitment: A Phenomenological Study Of High School Teachers At A Cyber Charter School, Sarah Cole Brodish

Doctoral Dissertations and Projects

The purpose of this hermeneutic phenomenological study was to describe the influence of school culture and leadership on the experiences and levels of commitment of high school teachers at a cyber charter academy in the northeastern United States. The theoretical framework for this study was based on Dansereau, Graen, and Haga's Leadership-Member Exchange Theory, which examined the impact of leadership relationships on school culture and teacher experience. This study sought to answer the primary research question: How does school culture influence teacher experience? A phenomenological approach was chosen to gain a deeper understanding of these experiences specifically, a hermeneutic phenomenological …

Missional Leadership: An Instructional Program To Cultivate Leaders Of A Missional Church, Conner Mathias Brew

Doctoral Dissertations and Projects

The purpose of this action research project is to design, execute, and evaluate a small group instructional framework that cultivates a missional culture focused on communal discipleship at MVMNT Church, a local church in the Association of Related Churches network, while also addressing a gap in scholarship surrounding the interrelation of discipleship and the missional church. Using a mixed-methods approach, this study leveraged inductive thematic analysis of semi-structured interviews with survey data to validate the lack of discipleship activity at MVMNT Church and moderate-to-low comprehension of topics related to mission, discipleship, and leadership in the church. This project recommended and …

A Phenomenological Study Of Dialectical Behavior Therapy In Special Education Classrooms, Ashley Deluccia

Doctoral Dissertations and Projects

The purpose of this transcendental phenomenological study was to describe experiences of dialectical behavior therapy for special education teachers at a large, suburban school district in the Southeast United States. The theory guiding this study was Bandura's social cognitive theory (SCT), as it explains how new behaviors are learned and acquired. The central research question was: What are special education teachers' experiences of dialectical behavior therapy at a suburban school district in the Southeast United States? This qualitative design utilizes a phenomenological method. The sample included 12 special education teachers in behavior classrooms receiving dialectical behavior therapy. The setting was …

Improving Use Of Water Immersion And Birth Satisfaction During The First Stage Of Labor Through An Educational Handout, Dana E. Taylor

Doctoral Dissertations and Projects

Although using the birthing tub for hydrotherapy during the first stage of labor has been proven to be a safe and effective method of low-intervention pain management, as well as research that indicates potential other benefits such as a reduction in the use of an epidural, improvement in breastfeeding rates, and promotion of physiologic birth, its use is often limited. Chief reasons for the lack of its use include difficulty and time constraints with tub set-up and lack of knowledge about its benefits, especially the length of time used. A quasi-experimental evidence-based project at a suburban magnet-designated hospital using a …