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Full-Text Articles in Medicine and Health Sciences

Applying The Evidence: Taste Manipulation As A Dysphagia Management Strategy, Ross M. Westemeyer, Angela M. Dietsch, Rachel W. Mulheren Jan 2024

Applying The Evidence: Taste Manipulation As A Dysphagia Management Strategy, Ross M. Westemeyer, Angela M. Dietsch, Rachel W. Mulheren

Department of Special Education and Communication Disorders: Faculty Publications

Purpose: This narrative review aims to summarize the evidence regarding taste manipulation as a dysphagia management strategy within the evidence-based practice framework, with a focus on clinical application for speech-language pathologists.

Method: First, we present background information on the physiology of taste and swallowing. A summary of research evidence on the effect of taste on swallowing is presented, followed by suggested methods for incorporating taste into swallowing evaluation and intervention. An overview of individual factors that can impact taste perception is provided. Finally, we discuss methods of clinical application and future directions for clinicians.

Conclusions: Although taste …


The Experiences Of Religious Students In Counseling Theories Courses, Brian A. Mesimer, Matthew Lyons, Candace Park Jan 2024

The Experiences Of Religious Students In Counseling Theories Courses, Brian A. Mesimer, Matthew Lyons, Candace Park

Journal of Faith Integration Counseling (JFIC)

We explored the experiences of 10 religious counseling students in their theories course. Analysis using transcendental phenomenology showed that the theory acquisition process is multifaceted, consisting of a variety of affective and cognitive experiences which further student growth.


Instructional Practices To Foster The Development Of Autonomy: A Qualitative Phenomenological Study Of The Resident Experience, Rachelle Musgrave Aker Jan 2024

Instructional Practices To Foster The Development Of Autonomy: A Qualitative Phenomenological Study Of The Resident Experience, Rachelle Musgrave Aker

Theses and Dissertations--Education Sciences

A growing concern in graduate medical education (GME), research indicates that some graduating residents are unprepared to enter unsupervised practice. The aim of this qualitative phenomenological study is to illuminate the resident experience surrounding the development of autonomy in clinical decision making relative to teaching practices. Research questions include: (1) What is the dual role of learner/teacher like for residents as they attend to their own and others’ development of autonomy in clinical reasoning and decision making? (2) Which teaching methods do they commonly experience as the learner and practice as the teacher relative to this development, and which methods …


Lived Experiences Of People With Substance Use Disorder As Healthcare Education To Develop Empathy For This Population, Whitney Bynum Jan 2024

Lived Experiences Of People With Substance Use Disorder As Healthcare Education To Develop Empathy For This Population, Whitney Bynum

Nursing | Senior Theses

The negative attitudes and feelings of healthcare workers towards patients with substance use disorder are well documented. These include, but are not limited to, believing a person with this disease is “drug seeking”, “violent”, and “unmotivated”. While this population has challenging issues to address, these beliefs can decrease the quality of care provided and results in less people seeking out needed treatment. Reducing stigmas through alternative education methods, like learning the life story of a patient, can help health care workers develop feelings of empathy and compassion. Subsequently, this education can result in better care and outcomes for these patients. …


Swosu Research And Scholarly Activity Fair 2024, Swosu Office Of Sponsored Programs Jan 2024

Swosu Research And Scholarly Activity Fair 2024, Swosu Office Of Sponsored Programs

SWOSU Research and Scholarly Activity Fair Programs

On behalf of the members of the University Research and Scholarly Activity Committee (USRAC) and the Office of Sponsored Programs (OSP) at Southwestern Oklahoma State University (SWOSU) - Welcome to the Thirty-Second SWOSU Research and Scholarly Activity Fair! There are 61 poster presentations and 10 oral presentations involving over 100 student and faculty researchers, writers, presenters, artists, collaborators, and faculty sponsors encompassing activities from the SWOSU Departments of Biological Sciences, Chemistry & Physics, Engineering Technology, Kinesiology, Language & Literature, Mathematics, Music, Parks and Recreation Management, Pharmacy, Psychology, and Social Sciences.


Effects Of Virtual Reality As A Patient Education Tool: A Meta-Analysis, Yun Li, Mirim Kim, Armanto Sutedjo Jan 2024

Effects Of Virtual Reality As A Patient Education Tool: A Meta-Analysis, Yun Li, Mirim Kim, Armanto Sutedjo

Journal of Educational Technology Development and Exchange (JETDE)

This meta-analysis aims to systematically review and synthesize existing literature on the effects of Virtual Reality (VR) on patient education outcomes. A comprehensive search was conducted across major academic databases. Data were extracted from 11 studies, encompassing a total sample size of 878 participants. Results from the meta-analysis revealed a significant positive effect of VR interventions on improving patient satisfaction (d = 0.39, CI [0.03,0.76], p


The Impact Of Mental Health On Academic Performance In Ohio In 2022, Lily Chen, Samantha Gilbert Jan 2024

The Impact Of Mental Health On Academic Performance In Ohio In 2022, Lily Chen, Samantha Gilbert

Scholarship in Medicine - All Papers

Background: Previous research has shown a significant link between mental health issues and low academic performance. Our study explores the delicate connection between mental health issues and academic performance in Ohio school children, in particular, how the dynamic may differ between rural and non-rural communities. Methods: We utilized County Health Rankings data from the years 2016 and 2022 from all 88 counties in Ohio, which we further substratified as 44 rural and 44 non-rural counties. From CHR, we chose data categories to represent measures of academic performance, internalizing mental health problems, and access to mental health services, and utilized SPSS …


The Effectiveness And Feasibility Of Telehealth Occupational Performance Coaching With Young Adults With Intellectual Disabilities: A Case Study, Mara Sampson Jan 2024

The Effectiveness And Feasibility Of Telehealth Occupational Performance Coaching With Young Adults With Intellectual Disabilities: A Case Study, Mara Sampson

Occupational Therapy Doctorate Capstone Projects

Background: College students with intellectual disabilities (ID) experience occupational performance barriers, impeding participation. Limited evidence-based techniques are available to therapists working with this population. Telehealth Occupational Performance Coaching (OPC) has been found to be an effective treatment technique for improving occupational performance and self-determination for populations outside of college students with ID.

Purpose: The purpose of this experimental case study was to test whether participation in a telehealth OPC program for college students with ID increases occupational performance, occupational satisfaction, and self-determination.

Theoretical Framework: Self-Determination Theory and the Canadian Model of Occupational Performance and Engagement (CMOP-E) provide for the theoretical …


Effects Of Physical Exercise On Academic Performance In University Students: A Systematic Review, Yury Rosales-Ricardo, Verónica Cáceres-Manzano Jan 2024

Effects Of Physical Exercise On Academic Performance In University Students: A Systematic Review, Yury Rosales-Ricardo, Verónica Cáceres-Manzano

Health Professions Education

Purpose: to evaluate the scientific evidence on the effects of physical exercise on the academic performance of university students, through a systematic review.

Methods: Eleven hundred and fifty-three studies emerged from this search, based on the following selection criteria: articles published in the last 5 years, original studies of different types: experimental at any level, correlational, analytical, and observational, where any type of physical exercise is applied, in undergraduate university students, of any sex and university career. The review was finally performed with only 11 studies. Search for appropriate manuscripts was based on the following descriptive terms: "Exercise" …


Environmental Sustainability, Healthcare Workers And Healthcare Students: A Literature Review Of Attitudes And Learning Approaches, Pamela R. Mccauley, Kavita Mathur, Reza Kamali Miab, Nina Cohen, Kedena Henriques-Thompson, Jyo Gopinath Jan 2024

Environmental Sustainability, Healthcare Workers And Healthcare Students: A Literature Review Of Attitudes And Learning Approaches, Pamela R. Mccauley, Kavita Mathur, Reza Kamali Miab, Nina Cohen, Kedena Henriques-Thompson, Jyo Gopinath

Health Professions Education

Purpose: Today, increased attention has been placed on the healthcare industry and its workers in the wake of the global COVID-19 pandemic. Increases in facemask production, personal protective equipment, and the number of patients admitted into hospitals have resulted in a sharp rise in medical waste and environmental concerns. This has led to a greater interest by the research community to study the type of training and education that healthcare workers and students receive which could facilitate the implementation of sustainability activities during their work.

Design/Methodology: We have conducted a literature review (2010 to 2024) on healthcare worker …


Digital Storytelling As An Innovative Approach To Prehospital Education: The Experiences Of Teaching Academics., Andrew Van Noordenburg, Georgina Seaman Jan 2024

Digital Storytelling As An Innovative Approach To Prehospital Education: The Experiences Of Teaching Academics., Andrew Van Noordenburg, Georgina Seaman

Health Professions Education

Purpose. To explore teaching academics' experiences of utilising digital storytelling as an innovative approach to prehospital education.

Method. This study describes an innovative learning activity, digital storytelling, developed for an undergraduate paramedicine program. The experiences of teaching academics were then explored through semi-structured interviews. Thematic analysis was used to evaluate the data.

Results. Three themes were identified through thematic analysis. The first theme was ‘the impact of friction on learning’ which describes how a learning activity’s design can negatively impact learning. The second theme ‘connecting with the teaching resources’ outlines how having access to sufficient resources is necessary to facilitate …


Measuring Awareness, Empowerment And Action Orientation: Validation Of The Health Professions Educators Diversity, Equity, And Inclusion Scale (Hpe Dei, Peggy Gesing, R. Jason Lynch, Amanda K. Burbage Jan 2024

Measuring Awareness, Empowerment And Action Orientation: Validation Of The Health Professions Educators Diversity, Equity, And Inclusion Scale (Hpe Dei, Peggy Gesing, R. Jason Lynch, Amanda K. Burbage

Health Professions Education

Purpose. Educating students in health occupations about diversity, equity, and inclusion (DEI) can improve healthcare outcomes for the clients they serve, yet educators may lack training and readiness for incorporating DEI in course content. The purpose of this study was to develop and validate the psychometric properties of the Health Professions Educators DEI Scale (HPE DEI), which measures awareness, empowerment, and action orientation of educators.

Method. A 19-item literature-informed intrument was developed and reviewed for content validity by subject matter experts. Convenience and snowball sampling were used. The piloted instrument was distributed to seven institutions and received sufficient responses for …


Identifying Youth Appeals In Alcohol Alternative Social Media Content Through Framing, Melina Oneal Jan 2024

Identifying Youth Appeals In Alcohol Alternative Social Media Content Through Framing, Melina Oneal

West Chester University Master’s Theses

Proposed regulations for alcohol advertising prevent beverage companies from targeting people under the legal drinking age. However, similar regulations for alcohol alternative beverages are less explored, which could allow alcohol alternative products to create awareness for alcoholic beverages among youth. Alcohol alternatives beverages, including no-alcohol and low-alcohol products, are increasing in popularity and can function as compliments to alcoholic products to decrease the total alcohol volume consumed or as substitutes for alcoholic products. Framing theory can be operationalized through the Content Appealing to Youth Index, an index of content elements found in research literature to be appealing to youth, to …


Pleated Plasma Membrane Complex In Spermatids Of The Western Siren, Siren Nettingi (Caudata: Sirenidae), S.E. Trauth Jan 2024

Pleated Plasma Membrane Complex In Spermatids Of The Western Siren, Siren Nettingi (Caudata: Sirenidae), S.E. Trauth

Journal of the Arkansas Academy of Science

I investigated the pleated plasma membrane complex of linear folds and biflagellar entities in developing spermatids of the Western Siren, Siren nettingi. My primary goal was to reveal the ultrastructural morphology of these distinctive cellular folds (usually 8 in number) as they support the flagellar formation of biflagellated sperm found in this salamander and in other members in the family Sirenidae. My results reveal that the biflagellar components (2 sets of axonemes, undulating membranes, and axial fibers), termed biflagellar complex, develop between folds or are attached onto these folds. The folds themselves are transitory and do not directly contribute to …


2024-2025 Family Nurse Practitioner Practicum Handbook, Morehead State University. Nursing Department. Jan 2024

2024-2025 Family Nurse Practitioner Practicum Handbook, Morehead State University. Nursing Department.

Nursing Department Publications Archive

2024-2025 Family Nurse Practitioner Practicum Handbook of the Department of Nursing at Morehead State University.


2024-2025 Nursing Undergraduate Student Handbook, Morehead State University. Nursing Department. Jan 2024

2024-2025 Nursing Undergraduate Student Handbook, Morehead State University. Nursing Department.

Nursing Department Publications Archive

2024-2025 Undergraduate Student Handbook of the Department of Nursing at Morehead State University.


Learning Outcomes Of Hybrid In-Person And At-Home Orthosis Fabrication Instruction For Occupational Therapy Students, Evelyn Lee, Amanda Leung, Sylvia Langlois, Susan Hannah Jan 2024

Learning Outcomes Of Hybrid In-Person And At-Home Orthosis Fabrication Instruction For Occupational Therapy Students, Evelyn Lee, Amanda Leung, Sylvia Langlois, Susan Hannah

Journal of Occupational Therapy Education

Prior to the COVID-19 pandemic, occupational therapy students at one university received all orthosis fabrication education through an in-person laboratory-based environment supported by clinicians and instructional videos. Due to the pandemic restrictions, orthosis fabrication labs for occupational therapy students were transitioned to a hybrid in-person and at-home supported lab. Presently, there is no research investigating how a hybrid in-person orthosis lab and at-home orthosis fabrication experience impacts the professional practice skill development of occupational therapy students entering the workforce. This research examined the learning outcomes of participation in a hybrid orthosis fabrication experience consisting of one in-person laboratory-based experience and …


The Use Of Virtual Reality For Student Training On Bias And Microaggressions, Razan Hamed, Elizabeth Gdanski, Jooeun Kim, Julianne Le, Amy Lopez, Azmina Panjwani, Allyson Tong, Gloriana Wilson Jan 2024

The Use Of Virtual Reality For Student Training On Bias And Microaggressions, Razan Hamed, Elizabeth Gdanski, Jooeun Kim, Julianne Le, Amy Lopez, Azmina Panjwani, Allyson Tong, Gloriana Wilson

Journal of Occupational Therapy Education

Virtual reality (VR) is an immersive innovative technology that can be used with occupational therapy students for bias training in preparation for fieldwork and clinical practice. The purpose of this study was to explore the use of VR as a complementary educational tool in bias and microaggressions (MA) training for entry-level occupational therapy students. We conducted a secondary analysis of data collected in an 8-week course on diversity, equity, inclusion, and professional skills with a total of 48 first-year entry-level occupational therapy students. We used eight simulated VR cases for all students. Data was collected using a mixed-method survey to …


Mentored Practice In Aota Fellowship Programs: An Exploratory Phenomenological Study, Jennifer L. Bergstrom Jan 2024

Mentored Practice In Aota Fellowship Programs: An Exploratory Phenomenological Study, Jennifer L. Bergstrom

Journal of Occupational Therapy Education

American Occupational Therapy Association fellowship programs are an emerging post-professional educational opportunity aimed at developing practitioners in specialized areas of occupational therapy practice. Mentored practice is a critical and substantial component of fellowship programs; however, the experiences of mentors and fellows have not been well described in the literature. The purpose of this study was to describe the mentored practice experience from the perspectives of the fellow and mentor. This study sought to understand the perceived influence mentored practice may have on the advancement of skills and knowledge in specialty practice areas of occupational therapy. A qualitative exploratory phenomenological design …


Enhancing Simulation Fidelity In Occupational Therapy Education: Considerations For Standardized Patient Training And Implementation, John V. Rider, Linda Frasier, Jessica Parkin Jan 2024

Enhancing Simulation Fidelity In Occupational Therapy Education: Considerations For Standardized Patient Training And Implementation, John V. Rider, Linda Frasier, Jessica Parkin

Journal of Occupational Therapy Education

The use of high-fidelity simulation and standardized patients (SPs) in occupational therapy (OT) education is expanding. However, the implementation of simulation varies across programs, leading to inconsistent outcomes and research limitations. Furthermore, details on SP use and training are lacking in OT literature. This article aims to provide OT educators with considerations for improving simulation fidelity by effectively using highly trained SPs. For example, recruiting SPs from diverse backgrounds is necessary to improve sociological fidelity, and proper training of SPs is required to ensure psychological fidelity. This article also emphasizes the need for standardized training for SPs and recommends following …


Advancing Entry-Level Otd Students From Novice To Competent With Foundational Skills Using Cognitive Apprenticeship Constructs, Anna B. Galloway, Truly M. Hardemon Jan 2024

Advancing Entry-Level Otd Students From Novice To Competent With Foundational Skills Using Cognitive Apprenticeship Constructs, Anna B. Galloway, Truly M. Hardemon

Journal of Occupational Therapy Education

This manuscript describes how one entry-level occupational therapy doctoral (OTD) program used an innovative approach to scaffolding assignments through a cognitive apprenticeship (CA) framework. Cognitive apprenticeship strategies include learning in the context or culture of the profession. This is achieved through observation, coaching, engagement, and discovery of strategies by the instructor. This framework was implemented to facilitate the learning of occupational, activity, and task (OAT) analyses through a four-week module within a first-semester foundations course. Cognitive apprenticeship constructs were used as instructional teaching strategies including active learning, group facilitated assignments, hands on observation, and immediate feedback and modeling of professional …


Supporting The Well-Being And Engagement Of Occupational Therapy Students Through Sensory Modulation: A Pilot Study, Rebecca Matson, Jo Linforth, Julie Hanna, Vikki Barnes-Brown Jan 2024

Supporting The Well-Being And Engagement Of Occupational Therapy Students Through Sensory Modulation: A Pilot Study, Rebecca Matson, Jo Linforth, Julie Hanna, Vikki Barnes-Brown

Journal of Occupational Therapy Education

Student well-being is an increasing area of concern within higher education and one of the biggest causes of attrition. This study sought to investigate the potential for sensory modulation strategies as an approach to support student well-being and engagement in studies through an action research project. Sixteen second-year occupational therapy students took part in a two-week trial of items designed to support sensory modulation, following which they were asked to complete an online survey evaluating the effectiveness of the item in relation to affect, regulation, attention, and activity. Eight students completed the survey containing a mix of Likert scale and …


Trauma-Informed Pedagogy: The Prevalence Of Trauma Among Students In A Master Of Science Program In Occupational Therapy, Amelia Wilson, Ruth Chen, Michelle P. Phoenix, Sarah Wojkowski, Sandra Vanderkaay Jan 2024

Trauma-Informed Pedagogy: The Prevalence Of Trauma Among Students In A Master Of Science Program In Occupational Therapy, Amelia Wilson, Ruth Chen, Michelle P. Phoenix, Sarah Wojkowski, Sandra Vanderkaay

Journal of Occupational Therapy Education

Trauma impacts learning at all stages of education and can be particularly problematic at post-secondary levels and for people from equity-deserving groups. Understanding trauma can support effective teaching and learning. Research suggests that students who have experienced trauma may be more likely to enter healthcare professional programs. Research specific to occupational therapy (OT) students who have experienced trauma is limited. The purpose of this study was to explore the prevalence of trauma among Master of Science (MSc) OT students at a Canadian university. The Childhood Trauma Questionnaire (CTQ) was selected for data collection. CTQ is a validated retrospective, self-report tool …


The Potential Of Learner-Generated Podcasts For Reading In Occupational Therapy Education, Claire Giefer, Whitney Henderson Jan 2024

The Potential Of Learner-Generated Podcasts For Reading In Occupational Therapy Education, Claire Giefer, Whitney Henderson

Journal of Occupational Therapy Education

Research suggests that reading compliance among higher education students is low, warranting enhancement of educational practices to support reading, especially for students enrolled in health professional programs. Researchers used a cross-sectional study design to explore the effects of a learner-generated podcast assignment as a reading supplement in occupational therapy education using two different survey instruments assessing student perceptions and learning styles. Forty-three Occupational Therapy Doctorate (OTD) students participated in this study. Descriptive statistics indicated positive attitudes towards creating and preparing the podcasts but remained mostly neutral towards listening and watching podcasts. Tukey’s HSD test for multiple comparisons detected tactile learners …


The Pet Principle: An Innovative Teaching Strategy To Provide Real-Time Critical Thinking Skills And Improve Self-Efficacy, Adam M. Story, Melinda Delbridge, Brandi Fulwider, Sue Dahl-Popolizio Jan 2024

The Pet Principle: An Innovative Teaching Strategy To Provide Real-Time Critical Thinking Skills And Improve Self-Efficacy, Adam M. Story, Melinda Delbridge, Brandi Fulwider, Sue Dahl-Popolizio

Journal of Occupational Therapy Education

The person, environment, and therapist (PET) Principle is an innovative teaching strategy designed to improve recall of foundational information, facilitate critical thinking, and improve self-efficacy of student and novice therapists. Specifically, the PET Principle is a microlearning strategy that helps students and novice therapists break down segments of a treatment session using an acronym to promote a "just-in-time” thinking process. Therefore, they learn to consider all aspects of the person, environment, and therapist before, during, and after therapy sessions. To evaluate the effectiveness of the PET Principle and self-efficacy after learning the PET Principle, an 11-item survey containing nine forced-choice …


The Capstone Fair For Promoting Initial Generation Of Occupational Therapy Doctoral Capstone Ideas, Laurie D. Stelter, Sandra M. Whisner, Cynthia Tiongco, Laura Alexander Jan 2024

The Capstone Fair For Promoting Initial Generation Of Occupational Therapy Doctoral Capstone Ideas, Laurie D. Stelter, Sandra M. Whisner, Cynthia Tiongco, Laura Alexander

Journal of Occupational Therapy Education

Entry-level occupational therapy doctorate (OTD) programs across the United States navigate the challenge of designing doctoral capstone (DC) processes to provide students with adequate scaffolding to plan, implement, evaluate, and disseminate their capstone projects. The DC process starts with the daunting tasks of student generation of capstone interests and connecting with mentors for collaborative guidance. The purpose of this program evaluation project was to assess a comprehensive process, known as the Capstone Fair, for effectively and efficiently facilitating students’ initial generation of capstone ideas and the match between student and Faculty Capstone Mentor. A fixed convergent, parallel mixed methods design …


A Survey Of Occupational Therapy Program Leaders: Perceptions Of The Essential Elements For Early Career Faculty, Kathleen Cummer, Angela Maccabe, Kurt Hubbard, Tracy Jirikowic Jan 2024

A Survey Of Occupational Therapy Program Leaders: Perceptions Of The Essential Elements For Early Career Faculty, Kathleen Cummer, Angela Maccabe, Kurt Hubbard, Tracy Jirikowic

Journal of Occupational Therapy Education

The rapid growth of academic occupational therapy programs in the United States, combined with an increase in senior faculty retirement, requires a new, growing, robust and well-prepared faculty workforce. In addition to the growth of programs, faculty shortages necessitate proactive strategies for preparing transitioning clinicians for successful academic careers. Faculty development training should be a part of preparation to ensure success of early career faculty. However, it is unknown what the perceptions of occupational therapy leaders are towards faculty development training, what components should be included in training, and the importance of these components. Through this survey research, key findings …


Ua60/4 Applied Arts & Health Nursing, Wku Archives Jan 2024

Ua60/4 Applied Arts & Health Nursing, Wku Archives

WKU Archives Collection Inventories

Records created by the department of Nursing.


Reflections On Channelling Innovation Through Learning Development Support In Business Education In A Pandemic Landscape, Roisin Donnelly Jan 2024

Reflections On Channelling Innovation Through Learning Development Support In Business Education In A Pandemic Landscape, Roisin Donnelly

Journal Articles

The pandemic has undoubtedly challenged higher education (HE) in a multitude of ways but bringing lessons forward from that time can enable HE institutions and their staff to not lose sight of what innovative practices emerged that had a positive influence on student learning. Discussed from the perspective of a Head of Learning Development in a Business College which is now located in what is a new Technological University in Ireland, this reflective narrative discusses supporting staff across the diversity of Business disciplines during the impact of, and response to, the pandemic. The focus of the piece is on supporting …


Covid-19 Pandemic’S Effect On Occupational Therapy Students’ Time-Use And Occupational Engagement On Returning To In-Person Learning, Jhannell Hannah D. Ocampo, Susan Macdermott, Karen Mccarthy Jan 2024

Covid-19 Pandemic’S Effect On Occupational Therapy Students’ Time-Use And Occupational Engagement On Returning To In-Person Learning, Jhannell Hannah D. Ocampo, Susan Macdermott, Karen Mccarthy

Occupational Therapy | Faculty Scholarship

The COVID-19 pandemic emotionally and physically impacted students in occupational therapy and occupational therapy assistant programs. College students lost autonomy and access to meaningful occupations and environments. As students returned to campus, they struggled to navigate and adapt to in-person occupations and how they use their time. This study uses a mixed method descriptive research design to understand how the pandemic affected occupational therapy students' time-use and occupational engagement during the transition to in-person learning. Seventy-three students completed an online survey, while 12 of those students additionally participated in a follow-up time-use diary and interview. Eighty-three percent of the participants …