Medicine and Health Sciences Commons^™

Challenges To Augmentative And Alternative Communication Interventions With Autism Spectrum Disorder Students, Kristy Jane Singer-Macnair

Walden Dissertations and Doctoral Studies

Students with autism spectrum disorder (ASD) have challenges with communication, social interactions, and behavior, which can limit their functioning in school settings. They need to have functional communication skills to access the curriculum and have their needs met across all social environments. Special education teachers often experience barriers to successful implementation of augmentative and alternative communication (AAC) interventions appropriate for these students. The purpose of this case study was to understand how special education teachers experience AAC intervention processes, and illuminate the conditions for effective AAC implementation. A qualitative case study was conducted using interviews from 6 credentialed special education …

Educating Globally In Medical Imaging In Latin America And Caribbean Via Webinars, Carmen Teresa Saunders

Walden Dissertations and Doctoral Studies

Professional development courses that focus on increasing knowledge and improving skill sets are an integral part of a medical imager's career. This study was a qualitative formative evaluation with purposeful sampling of participants in a professional development webinar course offered to medical imaging professionals in 35 Latin American and Caribbean countries. The goal of this study was to aid the agency with identifying areas in which the efficacy of the program implementation and delivery could improve. The conceptual framework model, interest-problem-based learning (INTEREST-PBL) model, and Malcolm Knowles's theory on adult learning were used to ground this project. The research questions …

Effectiveness Of Gaming In Creating Cultural Awareness, Chenit Ong-Flaherty, D. Valencia-Garcia, D. A. Martinez, W. Borges, L. Summers

Nursing and Health Professions Faculty Research and Publications

Despite the emphasis on cultural competency education in the United States for the past three decades, inequities and disparities in healthcare continue to persist, particularly among minority populations. With the current growing gap in provider and patient cultural congruence, how effectively we train students to work with diverse populations in healthcare settings warrants attention. This article presents the results of a qualitative study on the effectiveness of experiential learning, in the form of the game BaFa’ BaFa,’ in raising cultural awareness among students of health professions. Using thematic analysis, the authors analyzed written reflections from student participants. The findings support …

Parental Input To Children With Asd And Its Influence On Later Language, Aparna Nadig, Janet Bang

Faculty Research, Scholarly, and Creative Activity

In this chapter, we review evidence on parental input to children with autism spectrum disorder (ASD), moving from quantitative measures of linguistic features to qualitative measures of interaction. First, we examine lexical and syntactic features (e.g., number of utterances, mean length of utterance [MLU]) in the input provided to children with ASD compared with TD [typically developing] children matched on language level. Second, we turn to work on parental responsiveness, or the tendency to provide verbal or gestural input in sync with the child’s focus of attention, and how this compares across dyads including a child with ASD or a …

Unheard Voices: Black Adolescents' Perceptions Of Mental Health In Urban Communities, Brian James Ludden

UNF Graduate Theses and Dissertations

Mental health in the United States is a rising concern. More concerning still is the growing number of children and adolescents with serious depression and other mental health disorders (SAMHSA, 2009; Merikangas et al., 2010). Despite a growing list of proven and best-practice prevention and intervention initiatives that have been made available to children and adolescents, 80 percent of children and adolescents with a diagnosable mental health disorder will not receive services for their associated mental health concerns (U.S. Department of Health and Human Services, 1999; Cummings 2014). Children and adolescents with mental health disorders are faced with an ever-increasing …

Exploring The Impact Of Service Learning In Haiti On The Cultural Competence Of Otd Students, Nathan Short, Heather Y.Z. St. Peters

Journal of Occupational Therapy Education

As society trends towards increased cultural diversity, the need for cultural competence in the field of occupational therapy (OT) becomes more acute. Immersion in another culture within the curriculum offers the student an opportunity to put their knowledge into practice and recognize the need to competently interact with members of another culture. This study explored the impact of a service learning trip to Haiti, providing seating and mobility services, on all four factors of cultural intelligence (CQ; i.e., metacognitive CQ, cognitive CQ, motivational CQ, behavioral CQ) for occupational therapy doctoral (OTD) students. Using the cultural intelligence scale (CQS), a one-group …

First Year Occupational Therapy Students’ Clinical Reasoning Approach To Addressing Challenging Behaviors Related To Sensory Processing Using A Simulated Case Study, Bryan M. Gee, Kelly E. Thompson, Jane Strickland, Lucy Jane Miller

Journal of Occupational Therapy Education

Occupational therapy students must be prepared to use clinical reasoning to select appropriate interventions for children with sensory processing disorders (SPDs). Although these interventions are typically taught in entry-level occupational therapy programs, there is little information regarding the method by which occupational therapy students are taught a clinical reasoning process to determine which sensory processing intervention to use with pediatric clients. A problem-solving framework called A SECRET was used to teach students clinical reasoning for children with SPDs, via an online, module-based course. Following the module, the students were tested with an online assessment tool regarding their ability to discriminate …

The Psychosocial Occupational Therapy Competency Assessment (Pot-Ca): Development And Implementation In A Level I Fieldwork Course, Jenna C. Yeager, Derek Piggott

Journal of Occupational Therapy Education

A competency assessment was developed to assess students' skills at the culmination of courses relating to mental health, including a Psychosocial Level I Fieldwork course. The intention of the assessment, titled the Psychosocial Occupational Therapy Competency Assessment (POT-CA), was to engage students in a practical skill demonstration and use of clinical reasoning in relation to brief case studies. Key skills assessed included: administration of the ACLS-5, establishing and maintaining therapeutic rapport, defining OT in client centered language, and use of clinical reasoning to identify additional assessment, intervention, and discharge recommendations. The purpose of this article is to present the tool …

Relationship Between Occupational And Physical Therapist Students’ Belongingness And Perceived Competence In The Clinic Using The Ascent To Competence Scale, Patti J. Berg-Poppe, Joy R. Karges, Ranelle Nissen, Susan Deutsch, Kendra Webster

Journal of Occupational Therapy Education

Clinical education experiences (CEEs) serve an essential role in physical therapist (PT) and occupational therapist (OT) student development. The Ascent to Competence Scale (ACS) measures valuable attributes of belongingness, competence, and welcoming associated with CEE placement. The purpose of this study was to examine the relationship between PT and OT students’ belongingness and perceived competence during CEE using the ACS. A survey consisting of 35 questions from the ACS measuring students’ feelings of belongingness and perceived competence in the clinic was administered to PT and OT students from 7 Midwest universities. Respondents rated statements using a 5-point Likert-type scale (“never …

Experiential Learning: Critical Analysis Of Standardized Patient And Disability Simulation, Laura Vanpuymbrouck, Jenna L. Heffron, Alisa Jordan Sheth, Kim J. The, Danbi Lee

Journal of Occupational Therapy Education

Current revisions to the accreditation standards for occupational therapy (OT) education include proposed changes to experiential learning. The AOTA Fieldwork/Experiential Learning Ad Hoc Committee recommends that fieldwork Level I experiences be replaced with a new model of experiential education that includes the use of standardized patients and simulation (AOTA, 2017). The purpose of this article is to present critical perspectives about standardized patient simulation and disability simulation to support informed decision-making about the integration of experiential learning in OT professional education. In standardized patient simulation, actors play the roles of clients and important others in therapeutic scenarios; in disability simulation, …

Student-Led Special Interest Groups As A Model For Inclusion Of Specialty Hand Content In Otd Curriculum, Nathan Short, Jennifer Bain, Courtney Barker, Zack Bolton, Kristina Dammeyer, Ethan Fahrney, Kalin Hale, Carter Maples

Journal of Occupational Therapy Education

This article presents a student-led special interest group within a doctorate of occupational therapy (OTD) program as a model to supplement the core curriculum for inclusion of specialty content related to hand therapy. Consisting of advanced educational modules, research article review and discussion, as well as related service projects, the group provides ancillary benefits as well as networking opportunities for student participants. An initial program evaluation demonstrates efficacy as students reported a positive impact on various areas of professional and clinical skills to support specialization in hand therapy upon graduation. The student-driven nature of this experiential learning approach provides more …

The Effect Of Breastfeeding On The Cognitive And Language Development Of Children Under 3 Years Of Age: Results Of Balochistan-Early Childhood Development Project, Meesha Iqbal Iqbal, Ghazala Rafique, Sumera Aziz Ali

Community Health Sciences

Background: Breastfeeding is known to be an important factor in the overall growth and development of children. Breastfeeding is thought to lead to enhance cognitive and language development of a child. However, this association has not yet been scientifically and statistically established. This study aimed to explore this association in children under 3 years of age.
Methods: This was a secondary data-analysis of the baseline data of “Balochistan – Early Childhood Development Project”. The final sample comprised of 604 children less than 3 years of age. The children were selected by three-stage stratified random sampling from three districts of Balochistan …

An Evaluation Of Critical Resources In Nurse Anesthesia Educational Programs, Lois E. Stewart

Theses and Dissertations

Advanced practice nurses fill a vital need in the U.S. by increasing access to needed healthcare. Certified Registered Nurse Anesthetists (CRNAs) are one type of advanced practice nurse with a long history of safe and effective peri-anesthetic care. Nurse anesthetists have a rich tradition of providing anesthetic care for rural and underserved communities, and are a primary provider of anesthesia for active and retired military personnel. CRNAs comprise over one-half of the actively practicing U.S. anesthesia workforce currently, and are able to function in any anesthetic care model. Nurse anesthesia educational programs (NAEPs) are the single source for new graduate …

Recovery From Design, Cassandra J. Ellison

Theses and Dissertations

Through research, inquiry, and an evaluation of Recovery By Design, a ‘design therapy’ program that serves people with mental illness, substance use disorders, and developmental disabilities, it is my assertion that the practice of design has therapeutic potential and can aid in the process of recovery. To the novice, the practices of conception, shaping form, and praxis have empowering benefit especially when guided by Conditional and Transformation Design methods together with an emphasis on materiality and vernacular form.

Is Feedback To Medical Learners Associated With Characteristics Of Improved Patient Care?, Victoria Hayes, Robert Bing-You, Kalli Varaklis, Robert Trowbridge, Heather Kemp, Dina Mckelvy

MaineHealth Maine Medical Center

Our Research Question: "What is the association of medical learner feedback with characteristics of improved patient care?"

Nurse Educators’ Perceptions Of Using High-Fidelity Simulation In Teaching, Marlene Whigham

Theses and Dissertations

Nurse Educators’ Perceptions of Using High-Fidelity Simulation in Teaching. Marline Whigham, 2017: Applied Dissertation, Nova Southeastern University, Abraham S. Fischler College of Education. Keywords: nursing education, learning strategies, simulation, staff development, teaching styles.

High-fidelity simulation in nursing refers to the use of computerized manikins to offer realistic hands-on training to nursing students. The problem addressed by this dissertation was resistance among some faculty to the use of new computerized simulation technology in the nursing curriculum. The research question for this case study investigated how faculty members can incorporate simulation into the curriculum and barriers faced in setting the stage for …

The Associations Of Farm-To-School Programs On Childhood Obesity In School Breakfast, Hannah Brzozowski

All Master's Theses

Farm to School (F2S) programs claim to increase fruit/vegetable consumption and promote healthy, lifelong food/beverage choices. Both of which are identified strategies in the prevention of childhood obesity. Long-term effects of F2S programs are largely unexplored. This cross-sectional study matched ten schools, five with F2S, and five with a traditional National School Breakfast Program (NSBP). Third- and fourth-grade students (n=1031) were recruited for study participation to assess the effects of regular breakfast consumption and participation in F2S programs on body mass index (BMI). Demographic data, anthropometric data, and frequency of breakfast participation were collected. Additionally, BMI and frequency of breakfast …

The Impact Of Sexual Assault On College Students' Daily Occupations: A Phenomenological Approach, Lee Ann Hodge

Online Theses and Dissertations

It is estimated that 1 in 4 women experience sexual violence while in college (Tjaden & Thoennes, 2006), which may result in post-traumatic stress disorder (PTSD). Occupational therapy has been used to provide interventions for PTSD, but there is a gap in the literature addressing occupational therapy intervention for college students who have experienced sexual assault. The purpose of this phenomenological study was to inquire into students’ lived experiences of daily occupations while in college after having experienced sexual assault, through thematic analysis of data from two interviews conducted in Kentucky and Ohio. Six meaningful themes were developed: changes in …

Grow Where You Are Planted: The Use Of Gardening As Offender Rehabilitation In Prison, Kendahl Verna Granger

Online Theses and Dissertations

Being outdoors is an integral part of our lives, even as we are experiencing rapid urbanization. Research shows that nature and purposeful work in it have a profound effect on physical and mental health. What, then, about prison inmates? They often do not have the opportunity to engage in nature or enjoyable, outdoor tasks. One way in which this could be remedied is through the use of prison horticulture or garden programs. Prison horticulture is a productive, outdoors activity in which inmates raise gardens that would benefit their group, facility, or the community. In the process, prisoners learn about gardening …

Speech-Language Pathologists' Perceptions And Use Of Service Delivery Methods And Models In School-Based Practice, Burgandy Deann Henderson

Online Theses and Dissertations

ASHA (1991c) identifies the value of consultation and collaboration across disciplines in the public school setting. Historically, speech-language pathologists (SLPs) have pulled children out of the classroom to provide therapy in individual or small group settings. However, evidence continues to show the merit of consulting and collaborating with other professionals in the school in order to fully integrate classroom curriculum and support service goals (ASHA, 1991c; ASHA, 2010f; Mecrow, Beckwith, & Klee, 2010; Ritzman, Sanger, & Coufal, 2006). The purpose of this study was to explore SLPs' perspectives and use of consultation and collaboration in the public schools. A survey …

Combining Online Education With International Service Learning To Increase Cultural Competence, Elaine Keane, Ingrid Provident

Internet Journal of Allied Health Sciences and Practice

PURPOSE: Although international service learning has the capacity to promote a variety of important professional behaviors, merely visiting another country does not automatically result in these benefits. METHODS: This article describes an evidenced-based course which used pre-trip preparation in combination with a nine day service learning trip to Ecuador to develop cultural competence among 6 occupational and 6 physical therapy students. Pre-trip preparation included online and in-person components to increase self-awareness, awareness of other cultures, knowledge about Ecuadorian culture and skill-building. On-site activities included exploration of the physical and social context in addition to providing occupational and physical therapy treatment …

Reducing The Rate Of Late Stage Breast Cancer Through Effective Health Communication: An Opinion Piece, Rachele Hendricks-Sturrup

Internet Journal of Allied Health Sciences and Practice

Purpose: Health and illness are traditionally characterized and treated differently across various ethnic groups, which encourages American health systems serving these diverse populations to explore culturally competent and safe ways to effectively reduce illness within such populations. Certain ethnic groups of women in the United States (US) bear greater risk of late stage breast cancer because of various circumstances, which include but are not limited to a lack of insurance or underinsurance and discomfort with and/or resentment toward the US healthcare system. The dominant culture and the social aspects of the modern American health system often and most favorably serve …

Attune With Baby: An Innovative Attunement Program For Parents And Families With Integrated Evaluation, Sara Beth Lohre

Antioch University Dissertations & Theses

Infants speak in their own language; sounds, screeches, cries, and howls that help them to communicate their caregiving needs. Unaware, parents may develop a checklist of caregiving approaches to the baby. The infant tells the adult directly what they need, and waits for the parent to respond. Infant talk may change from soft and quiet to loud and aggressive; coos and cries become crying and screams as the infant’s caregiver—communicating the intensity of emotion, urgency of their request, or their frustration with varied and sometimes inadequate, failed, or missing caregiving patterns the infant has no choice but to accept. When …

Lived Experience Of Military Mental Health Clinicians: Provided Care To Oif And Oef Active Duty Service Members Experiencing War Stress Injury, David W. Vandegrift

Antioch University Dissertations & Theses

Military mental health clinicians (MMHCs) have been essential to Operations Enduring Freedom and Iraqi Freedom. They served in extreme stress conditions, including on the front lines. As co-combatant/clinician, the MMHC bridged unique perspectives on the effects of war stress experienced by Active-Duty Service Members (ADSMs). To date, no study has focuses uniquely on MMHCs narratives as they provided care from this multiple perspective. This investigation was carried out from a phenomenological perspective. A single, open-ended question was asked of seven MMHCs about lived experiences while serving, resulting in in-depth interviews. These were textually coded. Though clinician positive and negative experiences …

How Burroughs Plays With The Brain, Or Ritornellos As A Means To Produce Déjà-Vu, Antonio José Bonome

CLCWeb: Comparative Literature and Culture

In his article "How Burroughs Plays with the Brain, or Ritornellos as a Means to Produce Déjà-Vu" Antonio José Bonome discusses how the recurrence and significance of one of William S. Burroughs's most potent refrains, "dim jerky faraway," was inspired by its source text, Paul Bowles's second novel Let It Come Down (1952), where Tangiers-Interzone fuels the unwholesome descent of a US-American expatriate not unlike Bowles or Burroughs himself. "Dim jerky faraway" was used by Burroughs during more than two decades in different contexts, and its textual variations have sparked a mélange of colors, sounds, smells, and feelings oscillating in …

Perbedaan Tingkat Komitmen Tugas Siswa Kelas Akselerasi Dan Siswa Kelas Reguler Di Sma Negeri Se-Kota Kediri, Rosalia Dewi Nawantara, Laelatul Arofah

Jurnal Kajian Bimbingan dan Konseling

Education plays an important role in shaping the character of students. One of the characters to be instilled by teachers is task commitment. However, what happens in the field, students have lack of responsibility in completing tasks. Task commitment identical with gifted academic children which is acceleration class students. Despite that commitment to duty is basically owned by everyone including regular students. The purpose of this study was to determine level of commitment differences of acceleration class students and regular class students. The method used is descriptive survey research. Data analysis technique used is Mann Whitney test. From the calculation …

Pengembangan Media Layanan Informasi Menghadapi Perubahan Masa Pubertas Bagi Siswa Sekolah Dasar, Fitri Firdayati, Ella Faridati Zen, Elia Flurentin

Jurnal Kajian Bimbingan dan Konseling

This research aims to produce a product in the form of information service media "dealing with changes in puberty" for elementary school students. The research method used is research and development adapted from the Borg and Gall development model with the following procedures: (1) planning; (2) product development; (3) product testing; (4) final product revision. Product trial data is analyzed quantitatively and qualitatively. Based on the results of the product trial assessment, it can be concluded that the product is very appropriate, very useful, very easy and very interesting theoretically and practically, so it can be used as a medium …

Keefektifan “Proses Guru” Sebagai Teknik Bimbingan Kelompok Untuk Meningkatkan Kemampuan Pengambilan Keputusan Karier Siswa Smk, Guruh Sukma Hanggara

Jurnal Kajian Bimbingan dan Konseling

Career decision-making abilities are an important part of a student's career development continuum. This research aims to determine the effectiveness of the GURU (Ground, Understand, Revise, Use) process as a group guidance technique to improve vocational school students' career decision-making abilities. The Pretest-Posttest Control Group Design experimental method was used in this research and the subjects were 12 students of SMKN 1 Trenggalek. Data analysis using the Two Independent Sample Test Mann Whitney U, obtained the Asymp value. Sig. (2-tailed) of 0.03 < real level ( /2 = 0.05) and it was concluded that the "GURU Process" as a group guidance technique was effective in improving the career decision making abilities of vocational school students. From these results, the researcher suggests that Counselors/BK Teachers can collaborate the TEACHER process with various other approaches, using it to develop various student potentials by paying attention to their development stages, psychological aspects and intervention content. Future researchers are advised to examine the GURU process with other research designs such as Single-Subject Designs or action research and pay attention to the use and feasibility of the instrument and its validity, as well as applying it to develop various other psychological aspects such as motivation, self-esteem, self-efficacy, critical thinking skills, the ability to think respectfully and so on.

Model Cognitive Stage Experiential (Cse) Dan Kesadaran Dini Kebhinekatunggalikaan Siswa Sd Kelas Rendah, Im Hambali

Jurnal Kajian Bimbingan dan Konseling

This research aims to determine: (1) the proportion of the level of awareness of diversity in the very low category; (2) the proportion of the level of awareness of diversity in the low category; (3) the proportion of the level of awareness of diversity in the medium category; (4) the proportion of the level of awareness of diversity in the high category; (5) the proportion of the level of awareness of diversity in the very high category. The research results show that: (1) the proportion of the level of awareness of diversity in the very low category is 42.5%, 43% …

Hubungan Antara Tayangan Erotika Di Pornomedia Terhadap Perilaku Seksual Siswa, Zunita Nur Cahyani, Carolina Ligya Radjah, Blasius Boli Lasan

Jurnal Kajian Bimbingan dan Konseling

The mass media which contain of erotic impression can stimulate teenagers who want to know everything about sexual and want to imitate what they hear and look from mass media as a part of learning process.The purpose of this research is to determine the relationship between the erotical exposure on pornmedia to the sexual behaviour of students. The research design is descriptive correlational on subjects totalling 87 people. The instruments used is the scale of the erotical exposure and sexual behaviour scale which contain 46 items on each scale. Trials carried out to 40 people with the validity 0,312 and …