Medicine and Health Sciences Commons^™

A Participatory Filmmaking Process With Children With Disabilities In Rural India: Working Towards Inclusive Research, Colleen E. Mcgrath

Occupational Therapy Publications

Children with disabilities often experience exclusion within their communities, and this exclusion can extend into research processes. The United Nations Convention on the Rights of the Child, however, emphasizes that children of all abilities need to be involved as decision makers in matters affecting them. This article provides an in-depth description of the process of a participatory action research project carried out with children with disabilities from a rural village in India. It argues for the utility of participatory filmmaking as a research methodology that supports inclusion of children with disabilities as co-researchers in research and action processes. The …

Using Participant Observation To Enable Critical Understandings Of Disability In Later Life: An Illustration Conducted With Older Adults With Low Vision, Colleen E. Mcgrath

Occupational Therapy Publications

Research with older adults aging with vision loss has typically been informed by a biomedical theoretical framework. With a growing focus, however, on critical disability perspectives, which locates disability within the environment, new methods of data collection, such as participant observation, are needed. This article, which reports on the findings from a critical ethnographic study conducted with older adults with age-related vision loss (ARVL), aims to share those insights gained through participant observation and to demonstrate the utility of this method. Three insights were gained including the adaptive strategies tacitly employed to navigate the physical environment, a grounded understanding of …

What Can Be Achieved With An Interprofessional Class?, Kitsum Li, Olivia Catolico

Occupational Therapy | Faculty Scholarship

Introduction Recently, educators advocated for interprofessional education to better prepare entry-level healthcare workers for efficient, effective, and respectful teamwork to lower the cost of healthcare and improve the delivery of collaborative quality patient care. This article describes the results of an educational program evaluation of an interprofessional class (IPC) taught over a five-year period between nursing and occupational therapy (OT) departments at a small private university.

Methods During the IPC sessions, a small group of nursing and OT students observed a simulated patient care scenario in which a nursing and an OT student provided care related to their respective discipline. …

Understanding Participation In A Community-Based Art Program, Melody Taban, Otd, Otr, Gabrielle Kains, Otd, Otr/L, Lydia Navarro-Walker, Otd, Otr/L, Namrata Grampurohit, Phd, Otr/L

Department of Occupational Therapy Posters and Presentations

Objectives

1. To understand the perceived benefits of occupational engagement with art for people with dementia and their informal caregivers
2. To understand the art program’s influence on interpersonal relationships

Health Coaching In Context: A Descriptive Case Study, Caitlin Cadematori, Otd, Otr/L, Samantha Betz, Otd, Otr/L, Winnie Dunn, Phd, Otr/L, Faota, Mj Mulcahey, Phd, Otr/L

Department of Occupational Therapy Posters and Presentations

Persons with spinal cord injury (SCI) often report challenges with accessing employment, reliable transportation and opportunities for social engagement, resulting in decreased independence and self-efficacy.¹ When challenges with access are addressed, participation in valued activities is possible and supports social-emotional health, physical health, and quality of life.^2,3

“Health Coaching in Context” is a skillful dialogue that adheres to coaching competencies and draws from the tenets of health coaching and positive psychology. “Health Coaching in Context” reflects authentic client centeredness, and develops problem solving skills that address solutions that lead to meaningful engagement in everyday living despite the presence …

Occupational Therapy Students’ Perception Of Types Of Class Preparation Activities, Caitlin Taylor, Margaret A. Ryan, Marie-Christine Potvin, Phd, Otr/L

Department of Occupational Therapy Posters and Presentations

This mixed-methods pilot study examined OT student perceptions of the practicality and perceived benefits of 4 class preparation activities used in 3 occupational therapy courses.

Third-Wave Cognitive Behavioral Therapy, Mindfulness, And Behavioral Activation, Sonny Misa, Mary Muhlenhaupt, Otd, Otr/L, Faota

Department of Occupational Therapy Posters and Presentations

Learning Objectives

• Restate Active Participation, Just-right Challenge, Motivating and Rewarding, and Therapist as Coach in their own words
• Differentiate between Cognitive Behavioral Therapy and Third-wave Cognitive Behavioral Therapy
• Illustrate the difference between meditation and mindfulness
• Discuss the implication of extended Behavioral Activation for occupational therapy practice

Thriving After Pediatric Sci: Two Life Stories, Samantha Betz, Otd, Otr/L, Caitlin Cadematori, Otd, Otr/L, Mj Mulcahey, Phd, Otr/L

Department of Occupational Therapy Posters and Presentations

• To understand the lived experiences of spinal cord injury (SCI) as described by two people with SCI through life story interviewing.
• Narrative inquiry is a useful method to study the experience of living with a disability because story-telling allows individuals to explain how their conditions have influenced their everyday lives.1,3,7,12,13,14
• Existing narrative studies have explored lived experiences of SCI and the distinct perspectives of men and women, athletes with SCI, and caregivers of persons with SCI.3,9,12,13,15
• This study may be among the first accounts of life stories of adults with pediatric onset SCI. *The two participant’s names have been changed …

Ota Students’ Perceptions Of An Inter & Intraprofessional Level I Experience In Morocco, Julia Sablom, Otas, Sophia Mascaro, Otas, Jeanne M. Coviello, Otd, Otr/L

Department of Occupational Therapy Posters and Presentations

• Cultural immersion experiences provide students with authentic, real-life opportunities to engage with clients serving as a powerful tool to enhance students’ global perspectives of occupation (Humbert, Burket, Deveney, & Kennedy, 2012).
• Interprofessional & intraprofessional education provides students with an increased understanding of the unique knowledge, skills, scope, function, & roles within their own & among other disciplines (IEC, 2011; Jung, Salvatori, & Martin, 2008).

Community-Based Level Ii Fieldwork Program At An Adult Day Program For Clients With Memory Loss: Site, Academic Program, & Fw Educator’S Perceptions, Nakia L. Lynn, Otr/L, Caps, Jeanne M. Coviello, Otd, Otr/L, Nadine Sabila, Ms, Lnha, Csw

Department of Occupational Therapy Posters and Presentations

• At the conclusion of this poster, participants will be able to describe at least three benefits of creating a community-based Level I and Level II fieldwork at Adult Day Programs.
• At the conclusion of this poster, participants will be able to state at least three benefits of using the collaborative fieldwork model for Level II OT practitioner students.

Effect Of Verbal Directions On Grip Strength Evaluated Using The Handheld Dynamometer, Laura Walsh, Otd, Otr/L, Cht, Marie-Christine Potvin, Phd, Otr/L

Department of Occupational Therapy Faculty Papers

Background: Grip strength measurement using the handheld dynamometer is a key aspect of the evaluation of an upper extremity injury. The handheld dynamometer manufacturer has established research-based guidelines outlining body positioning during grip strength measurement. However, verbal direction guidelines, while provided, have not yet been shown to be most effective through research. This study seeks to determine whether the use of one of two types of verbal directions, with and without encouragements, resulted in greater grip strength as measured by the handheld dynamometer.

Method: The grip strength of healthy females (n = 60) was compared using two sets of prerecorded …

Creation Of A Health And Wellness And Self Care Tool For Mothers Of Infants Requiring A Neonatal Intensive Care Unit Stay, Genevieve Maccarthy

Doctor of Occupational Therapy Capstone Projects

Purpose: Despite occupational therapy’s established role in the neonatal intensive care unit (NICU) in providing family centered intervention, mothers continue to report lack of readiness to discharge home and emotional distress while in the NICU and upon discharge home. Occupational therapists have the unique skillset to promote engagement in meaningful activities and facilitate overall health and wellness for mother’s during and after their NICU stay.

Method: A qualitative survey was distributed to a convenience sample of fifteen participants to identify emotional experiences in the NICU, how these experiences impact each mother fulfilling her role as a primary caretaker, and the …

A Discharge Checklist To Combat Patient Readmission: A Case Study In A Skilled Nursing Facility, Shaylin O’Connell

Doctor of Occupational Therapy Capstone Projects

A Discharge Checklist to Combat Patient Readmission: A Case Study in a Skilled Nursing Facility focuses on the creation of a discharge checklist, as an intervention, to increase the competency for occupational therapists working in skilled nursing facilities discharging clients back to their home environment. A SNF (Skilled Nursing Facility) provides post-acute healthcare services and rehabilitation for patients following a hospitalization prior to discharging home (Burke et al., 2017). This case study for clinical improvement uses the DMAIC (define, measure, analyze, improve, control) quality model and a multiple case study research design for evaluation. The goal of the quality improvement …

First-Time Experience In Owning A Dog Guide By Older Adults With Vision Loss, Kitsum Li, Jeffrey Kou, Yvonne Lam, Patricia Lyons, Susan Nguyen

Occupational Therapy | Faculty Scholarship

Introduction: Dog guides were found to be effective in helping adults with vision loss navigate in the community and improve overall well-being. In spite of the vast amount of literature on pet therapy and dog companionship, limited study exists on older adult with vision loss experience of owning a dog guide. The purpose of this study is to explore the facilitators and barriers of first time owning and using a dog guide as experienced by older adults with vision loss.

Methods: Data were gathered among seven participants using open-ended semi-structured telephone interviews. Participants were asked to describe their experiences related …

Neural Foundations Of Ayres Sensory Integration, Shelly J. Lane, Zoe Mailloux, Sarah Schoen, Anita Bundy, Teresa A. May-Benson, L. Diane Parham, Susanne Smith Roley, Roseann C. Schaaf

Department of Occupational Therapy Faculty Papers

Sensory integration, now trademarked as Ayres Sensory Integration^® or ASI, is based on principles of neuroscience and provides a framework for understanding the contributions of the sensory and motor foundations of human behavior. The theory and practice of ASI continues to evolve as greater understanding of the neurobiology of human behavior emerges. In this paper we examine core constructs of ASI identified in the seminal work of Dr. Jean Ayres, and present current neuroscience research that underlies the main patterns of sensory integration function and dysfunction. We consider how current research verifies and clarifies Ayres’ propositions by describing functions …

An Innovative Interprofessional Team To Enhance Refugee Resettlement Into U.S. Daily Life, Stephen Kern, Phd, Otr/L, Faota, Christina Kubica, Msw

Department of Occupational Therapy Posters and Presentations

The world continues to see dramatic increases in the numbers of refugees as new humanitarian crises emerge. Once approved by a host nation, the resettlement process begins. To facilitate successful resettlement, a collaborative partnership between a refugee resettlement agency and a university occupational therapy program has continued to successfully serve the needs of the partnership’s three key stakeholders; the organization; the individual refugee or family; and the clinical training of occupational therapy students. Through ongoing program development and enhancements, an innovative interprofessional team approach to resettlement has emerged.

Together, with the individuals and families served, a clientcentered, interprofessional approach was …

Client Centered Simulation: Practicing Interprofessional Teamwork With Standardized Patients, E. Adel Herge, Otd, Otr/L, Faota, Sarah Libros, Ba, Courtney Newsome, Ba, Richard Hass, Phd, Caitlin Cadematori, Ots, Abegale Nelson, Bs, Neal Geosits, Ba

Department of Occupational Therapy Posters and Presentations

Background

Interprofessional education (IPE) prepares students to work in collaborative teams (Burin et al., 2009). Educators use a variety of methods to develop and enhance teamwork skills (Fox et al., 2018).

Standardized patient (SP) simulations allow students to practice skills in safe environments (Herge et al., 2013) and respond to situations as they would under natural conditions (McGaghie, 1999). As an active learning experience, SP simulations help students break through the “illusion of understanding” (Syinicki & McKeachie, 2001 p. 190).

Kirkpatrick posits a hierarchy of changes as a result of training/education (Kirkpatric, 1979). At the highest level is transfer of …

A Systematic Review Of The Efficacy Of Motivational Interviewing On Occupational Performance, J. Binder, Ots, C. Hannum, Ots, C. Mccarthy, Ots, E. Mcleod, Ots, J. Overpeck, Ots, L. Kaiser, Otd, Ms, Otr/L, M.-C. Potvin, Phd, Otr/L

Student Papers, Posters & Projects

This systematic review aims to review the efficacy of MI to address such performance goals falling within the occupational therapy scope of practice.

Effect Of Motor Imagery On Children With Developmental Disabilities, J. Bonner, Ots, L. Finnegan, Ots, V. Leonard, Ots, M. Scuderi, Ots, A. Shacklett, Ots, J. Thiel, Ots, M.-C. Potvin, Phd, Otr/L

Student Papers, Posters & Projects

This systematic review provides a comprehensive summary of current research evidence with the intent to help OTs working in pediatric settings understand the potential outcomes of using MI with children with DD.

Efficacy Of Alternative Seating On Attention, In-Seat Behavior, And Occupational Performance In Children With Attention Deficit Hyperactivity Disorder, A. Chacko, K. Kosztyo, N. Long, Z. Mullan, J. Norkitis, L. Wratcher, M.-C. Potvin, Phd, Otr/L

Student Papers, Posters & Projects

Currently, there is one systematic review conducted by Gochenour and Poskey7 that synthesize current research evidence regarding alternative seating for students with attention difficulties. A limitation of this review, as noted by the authors, is a lack of a consistent definition of attention difficulty in the studies they included. A systematic review focused on a specific, well-defined diagnosis will better contribute to practice recommendations since these recommendations will be tailored to a clear and comprehensive understanding of the child’s attentional and occupational challenges. The review also included studies of children with autism spectrum disorder (ASD).7 While those with ASD may …

The Effect Of Mirror Therapy On Upper Extremity Functioning For Patients Poststroke: A Systematic Review, Caitlin Beach, Halie Finke, Abby Garrity, Amanda Norcini, Lily Postus, Kristen Tekel, Lyn Kaiser, Otd, Otr/L

Student Papers, Posters & Projects

Due to the high incidence of stroke and the detrimental impact it can have on a patient’s independence, several systematic reviews examining the effect of MT on post-stroke rehabilitation for upper extremity functioning have been conducted. However, it is necessary to provide an update to existing systematic reviews to include new clinical studies that have recently been published. Since stroke is a leading cause of disability, this study aims to determine the effectiveness of MT in post-stroke rehabilitation for upper extremity function as compared to conventional therapy.

A Systematic Review: Light Therapy For Individuals With Dementia And Implications For Practice, E. Goodman, Ots, A. Milione, Ots, C. Mikus, Ots, E. Jacobs, Ms, Ots, A. Torres, Ots, V. Vu, Ots, L. Kaiser, Otd, Otr/L, M.-C. Potvin, Phd, Otr/L

Student Papers, Posters & Projects

This systematic review seeks to answer the question: is light therapy an effective intervention for sundowning symptoms experienced by individuals who have dementia?

An Innovative Occupational Therapy Fieldwork Placement: Using The Occupational Justice Framework To Enhance Refugee Resettlement In U.S. Daily Life, Stephen Kern, Phd, Otr/L, Faota, Christina Kubica, Msw

Department of Occupational Therapy Posters and Presentations

Learning Objectives

1. Describe and discuss the occupational justice framework
2. Describe and discuss the application of the framework to the refugee resettlement process
3. Discuss how this non-traditional fieldwork training setting & model creates a model for development of professional habits

Errors: Friend Or Foe? The Use Of Errorless Or Trial And Error Learning Strategies In Occupational Therapy Practice When Re-Learning Daily Activities, Jasmine Evans, Alison Guajardo, April Millar

School of Occupational Therapy Master's Capstone Projects (2016-2021)

We examined literature, within a 20-year period, regarding whether errorless learning strategies or trial and error strategies are more effective for adult patients, with a diagnosis of cerebrovascular accident (CVA) or cognitive deficit, when learning instrumental activities of daily living (IADL) and activities of daily living (ADL). We conducted this in collaboration with Hannah Baldwin, a local practitioner working in an acute care setting, at Swedish Medical Center, in Seattle. The results did not reveal overwhelming evidence to support either strategy, however, we were able to make recommendations within specific situations and for specific diagnoses. Generally, there are a greater …

Assistive Technology Options For Individuals With Quadriplegia, Bri Brown Ots, Natalie Geisler Ots, Hannah Terranova Ots

School of Occupational Therapy Master's Capstone Projects (2016-2021)

This project was undertaken in collaboration with Sonia Nurkse, MOT, OTR/L and Bridget Tanner, MSOT, OTR/L, two occupational therapists working on the inpatient rehabilitation unit at MultiCare Good Samaritan Hospital in Puyallup, Washington. A systematic review of the literature was conducted to answer the question, “What are the most effective, up-to-date, and user-friendly assistive technology options to support individuals with quadriplegia in functional tasks?” Five databases were searched and through screening and careful review, 19 articles were selected for critical appraisal. Due to the wide variety of devices, some commercially available and other prototypes, we were unable to compare them …

Occupational Therapy Handwriting Interventions On A Systems-Level, Megan Buckingham, Shelby Goodfellow, Catherine Hannan

School of Occupational Therapy Master's Capstone Projects (2016-2021)

Julie Anderson, DrOT, OTR/L, is an occupational therapist in the Puyallup School District who works with elementary aged students. For this project, Dr. Anderson worked as the primary collaborator with occupational therapy students to answer the question: What is the evidence that occupational therapy interventions at a systems-level improve student's academic performance and skill development outcomes, such as handwriting, in elementary age students with and without disabilities? The results of this descriptive study indicate strong evidence that systems-level interventions, involving an occupational therapist, in a school setting improve at least one area of a student’s skill development. Additionally, any consistent …

Challenges Facing Young Adults With Complex Communication Needs Entering The Adult Health Care System, Molly Stark, Christabelle Francis

School of Occupational Therapy Master's Capstone Projects (2016-2021)

Barbara Abbott, PhD, OTR/L is a school-based occupational therapist currently working with students grades K-12 in four schools in Kent, WA. The purpose of our project was to identify the most effective service delivery models and/or components of interventions for young adults with complex communication needs to understand their health information. We conducted a systematic review to critically appraise literature published between the years of 1990-2018 to address our research question. Our research yielded a total of seven qualitative and 12 quantitative studies to address our research question. Qualitative data found that individuals with complex communication needs (CCN) experience significant …

Using The Copm With Veterans Who Have Sustained A Stroke, Jolene Fujita, Kimberly Low, Keili Maldonado, Mikayla Wrolstad

School of Occupational Therapy Master's Capstone Projects (2016-2021)

The authors collaborated with Mary Matthews-Brownell, OTR/L at the American Lake Veterans Affairs (VA). Our research question was, “What evidence is there to support best practices for veteran re-engagement in meaningful activities to promote overall quality of life for veterans who have sustained a stroke?” In response to Mary’s specific interest in the research supporting the use of the Canadian Occupational Performance Measure (COPM) and her desire to have concrete data to support her intervention outcomes, we chose to host an in-service on the use of the COPM for the occupational therapists at the VA.

To monitor the impact of …

Effect Of Occupation-Based Curriculum On Self-Determination For Young Adults With Disabilities, Nicole Gotelli, Spencer Perry

School of Occupational Therapy Master's Capstone Projects (2016-2021)

Dr. Barbara Abbott, an occupational therapist who managed The Outreach Program (TOP) for the Kent, WA, school district, requested University of Puget Sound occupational therapy graduate students to research the following question: “What is the effectiveness of occupation-based interventions in comparison to traditional instruction for increasing self-determination in young adults with various disabilities?” A literature review was conducted using seven databases to find the available evidence regarding use of occupation-based curricula to impact self-determination of post-secondary adults with disabilities. Due to the emerging nature of the topic, limited evidence was found. However, the findings revealed that both occupation-based and direct …

Outcomes Of Service Delivery Models In School-Based Therapies, Nicholas Kasovac, Daniel Krupicka, Katherine Woodworth, Maryann Zmuda

School of Occupational Therapy Master's Capstone Projects (2016-2021)

Kristin Brubaker, a licensed occupational therapist in the University Place School District, proposed the following question to a student research team: “What are the student, therapist, and teacher outcomes of different school-based service delivery models?” Following a review of 22 articles with qualitative and quantitative methods, studies were grouped into three categories of school-based service delivery models: collaborative-consultative, mixed, and direct. Research demonstrated that collaborative-consultative service delivery models provide positive outcomes such as stronger relationships between therapists and teachers, opportunities for therapists to implement and adapt intervention techniques within the classroom, increased effectiveness in teaching strategies, and improved academic skills …