Medicine and Health Sciences Commons^™

Occupational Therapy Student Readiness For Transition To The Fieldwork Environment: A Pilot Case Study, Pamela Karp

The Open Journal of Occupational Therapy

The classroom and the field represent diverse and unique teaching and learning environments that students are required to navigate successfully. Facilitating student success in these environments requires the efforts of educators and the students themselves. This qualitative pilot study sought to elucidate perspectives regarding student readiness from the viewpoint of occupational therapy academic and fieldwork educators. Data for the study was collected from interviews and a focus group. The results of the study revealed that academic and fieldwork educators value similar characteristics of student readiness for transition to fieldwork. However, there is a need for collaborative strategies between the academic …

Functional Performance In People With Parkinson’S Disease: Lsvt Big For Life®, Mark Blanchard, Barbara Doucet, Cassidy Perilloux, Tamara Marchetta, Darian Price, Ashley Pattison, Galla Bonanni, Baily Amedee

Journal of Interprofessional Practice and Collaboration

This study aimed to observe the effects that an LSVT BIG for LIFE^® program had on functional performance and overall health related quality of life. Method. Seven participants with Parkinson’s disease participated in onsite LSVT BIG for LIFE sessions throughout a 40-week program. Each session included the completion of seven LSVT BIG^® exercises, one functional component task (sit to stand), a mindfulness activity, and a functional activity. Seven standardized assessments including the Box and Blocks Test (BBT), Falls Efficacy Scale (FES), Parkinson’s Disease Questionnaire-39 (PDQ-39), Patient Specific Functional Scale (PSFS), Physical Performance Test (PPT), Timed Up and Go …

Effectiveness Of Electronic Documentation: A Case Report, Christie Raymond, Susan Zapf, Ellen Hudgins

The Open Journal of Occupational Therapy

Background: This case report aims to inform the occupational therapist and other health care professionals of documentation best practices.

Method: This qualitative case report uses an exploratory approach to compare the quality of one participant’s handwritten documentation to her electronic documentation. Outcome measures include the Accuracy Rationale Completeness (ARC) Audit to score the quality of the notes and quantity of words, and an informal discussion with the participant about her experiences using both types of documentation.

Results: The participant’s 25 handwritten notes scored a sum of 321 and the 25 electronic notes scored a …

Effectiveness Of Aerobic Exercise For Adults With Leukemia, Jalin Davis, Summer Hood, Alex Miller, Sam Stein, Kaylee Stem

Master of Occupational Therapy Student Critically Appraised Topics

We wanted to look at the most effective interventions for increasing strength and endurance in clients with Leukemia experiencing functional decline.

Introduction To Adaptive Surfing: A Pool Program To Promote Engagement, Safety, And Confidence, Madison Mcbride, Susan Macdermott, Becki Cohill

Spring 2020 Virtual OTD Capstone Symposium

This poster delves into a needs assessment done on the international community of adaptive surfers with spinal cord injuries to determine the interest in creating a pool-based program as a prerequisite for adaptive surfing. This was done through a survey which inquired about their experiences with learning how to adaptive surf, as well as important skills necessary for adaptive surfing. Results of the survey were used to inform curriculum design for an introduction to adaptive surfing pool program.

Patient Perceptions Of Acute Phases Of Rehabilitation Following Shoulder Arthroplasty, Elizabeth Horrall Stith, Lisa Borrero, Laura Santurri, Lori Breeden, Sarah Shemanski

The Open Journal of Occupational Therapy

Background: Shoulder arthroplasty is a common procedure, but a lack of research regarding recovery and rehabilitation limits occupational therapists from providing appropriate education and support. The purpose of this study was to explore and understand the patient’s experiences in the acute recovery phase following shoulder arthroplasty.

Method: Twelve participants completed three semi-structured interviews in the first 6 weeks following surgery. A basic-interpretive approach was used before coding interview transcriptions into categories.

Results: The participants initially reported increased reliance on assistance and/or modifications in ADLs routines, such as dressing, bathing, and sleep. Interruption in sleep was reported because …

Development Of The Occupational Performance Inventory Of Sexuality And Intimacy (Opisi): Phase One, Beth Ann Walker, Kasey Otte, Kelsey Lemond, Pamela Hess, Kandyse Kaizer, Tori Faulkner, Davis Christy

The Open Journal of Occupational Therapy

Background: The occupational therapy profession needs a framework to guide understanding of the occupational nature of sexuality and intimacy, assessment, intervention design, and measurement of outcomes. This study aimed to define the occupational nature of sexuality and intimacy and develop a theoretical and occupation-based screen, in-depth self-assessment, and performance measure.

Method: The Occupational Performance Inventory of Sexuality and Intimacy (OPISI) was developed following DeVellis’s (2017) guidelines for scale development that involved mapping the construct, generating an item pool, determining the format for measurement, and reviewing the initial item pool.

Results: The Occupational Therapy Sexual Assessment Framework (OTSAF) was developed to …

The Effects Of Virtual Rehabilitation Therapy On Multiple Sclerosis, Mary Price

Honors Projects

In this review article, the effect of virtual rehabilitation therapy on multiple sclerosis, a neurodegenerative disorder, is explored. Multiple sclerosis is characterized by damaged nerves that result in incomplete signal processing between the brain and the spinal cord. The symptoms of this condition can include vision loss, decreased coordination, pain, fatigue, and deteriorating motor output. The severity of the symptoms and the rate of progression of multiple sclerosis can vary from person to person; some individuals live the majority of their lives with mild symptoms while others become bedridden and immobile. There is no cure for this disease, however implementation …

The Splashing Effects Of Aquatic Therapy For Children With Developmental Disabilities, Eric Bradway, Ots, Mikaela Mcgraw, Ots, Katie Boshoven, Ots

Collaborative Research and Evidence shared Among Therapists and Educators (CREATE Day)

PICO Question

• What are the effects of aquatic therapy on participation in childhood occupations for children with developmental disabilities?

Objectives

• Define aquatic therapy within the scope of occupational therapy practice for children with developmental disabilities
• Discuss the current evidence on effective aquatic based interventions to facilitate participation in childhood occupations in children with developmental disabilities
• Discuss ways to apply this information to practitioners’ own clinical setting

A Randomized Feasibility Trial Of A Novel, Integrative, And Intensive Virtual Rehabilitation Program For Service Members Post-Acquired Brain Injury., Kiara H Buccellato, Michelle Nordstrom, Justin M Murphy, Grigore C Burdea, Kevin Polistico, Gregory House, Nam Kim, Namrata Grampurohit, Jeff Sorensen, Brad M Isaacson, Paul F Pasquina

Department of Occupational Therapy Faculty Papers

INTRODUCTION: Acquired Brain Injury, whether resulting from Traumatic brain injury (TBI) or Cerebral Vascular Accident (CVA), represent major health concerns for the Department of Defense and the nation. TBI has been referred to as the "signature" injury of recent U.S. military conflicts in Iraq and Afghanistan - affecting approximately 380,000 service members from 2000 to 2017; whereas CVA has been estimated to effect 795,000 individuals each year in the United States. TBI and CVA often present with similar motor, cognitive, and emotional deficits; therefore the treatment interventions for both often overlap. The Defense Health Agency and Veterans Health Administration would …

Developing Tailored Program Proposals For Occupational Therapy In Primary Care, Katie Smith, Mackenzie Day, Sherry Muir, Sue Dahl-Popolizio

The Open Journal of Occupational Therapy

No abstract provided.

Master’S And Doctoral Occupational Therapy Students’ Perceptions Of Research Integration In Their Programs, Jeffrey Sargent, Ashley Wermers, Lauren Russo, Kristin Valdes

The Open Journal of Occupational Therapy

This is a pilot study with the intent of identifying occupational therapy doctorate (OTD) and master’s (MOT) students’ perceptions of research in their coursework. A cross-sectional study was conducted through a survey of OTD and MOT students. The Student Perception of Research Integration Questionnaire (SPRIQ) was emailed to graduate occupational therapy programs in the United States. An unpaired single tailed t-test was used to compare the mean scores between the MOT and OTD student responses for each scale and subscale. Two hundred and twenty-six students filled out the questionnaire. Both the OTD and MOT students had a favorable perception …

Standardized Patient Encounter: An Innovative Curricular Design To Enhance Fieldwork Readiness, Lisa M. Sakemiller, Susan Toth-Cohen

Journal of Occupational Therapy Education

Occupational therapy (OT) educators are challenged to utilize instructional strategies that ensure student preparedness for Level II fieldwork. Standardized patient encounters (SPEs) offer students a low risk simulation opportunity to develop clinical skills and improve fieldwork readiness while enhancing OT students’ confidence. Yet, despite the benefits and perceived value of simulation among educators and students, SPEs are not used as frequently as other instructional methods. The purpose of this educational innovation paper is to describe the curriculum development process of an overall SPE experience embedded within a synthesis course that prepared students for Level II fieldwork and to evaluate the …

Combined Effects Of Telehealth And Modified Constraint-Induced Movement Therapy For Individuals With Chronic Hemiparesis, Mary Ann Smith, Machiko R. Tomita

Occupational Therapy Collection

Telehealth use allows improved access to services and results in potential cost savings. The purpose of this study was to examine the effectiveness of a combined modified Constrained Induced Movement Therapy (mCIMT) program using telehealth and in-person sessions, for participants with higher (Group 1) and lower (Group 2) functional ability of the hemiparetic upper extremity. Using a pre-experimental design with a 6-week intervention, 28 participants were assessed twice on use of upper extremity via subjective and objective measures. For the Motor Activity Log, the amount of use and quality of use were significant for Groups 1 and 2. Significant improvements …

High Fidelity Simulation With Peer Debriefing: Influence Of Student Observation And Participation Roles On Student Perception Of Confidence With Learning And Feedback, Jodi Schreiber, Theresa Delbert, Laura Huth

Journal of Occupational Therapy Education

High fidelity simulation (HFS) has been used successfully to prepare students in a range of health professions for the acute care setting. HFS consists of three phases, with debriefing identified as most important. Instructor-led debriefing has been the most documented form of providing feedback. This pilot study looked at the relationship between the use of peer debriefing in HFS on graduate occupational therapy students’ perceived level of confidence with giving and receiving performance related feedback. Students in an entry-level Master of Occupational Therapy program engaged in both an observational role and an active participation role in HFS followed by peer …

Conceptualizing Occupational Therapists’ Change Agent Role To Support Entry-Level Pedagogical Activities: Results From A Scoping Study, Annie Carrier, Michaël Beaudoin

Journal of Occupational Therapy Education

Entry-level programs are expected to support occupational therapy students in developing knowledge and skills pertaining to the change agent role. To do so, a detailed, multidimensional conceptualization of this role is necessary. To date, in the occupational therapy profession, there is no such conceptualization, which might impact educators’ ability to conduct relevant pedagogical activities. Our study aimed to explore the dimensions of the change agent role for occupational therapy practitioners. We undertook a scoping study of the scientific and grey literature up to August 31, 2018 to “map” what is known about the change agent role. We searched nine databases, …

Prevalence And Types Of Incivility In Occupational Therapy Fieldwork, Deborah J. Bolding, Travis Dudley, Adrienne Dahlmeier, Lauren Bland, Aimee Castro, Adrianna Covarrubias

Journal of Occupational Therapy Education

Civility between health professions students and fieldwork educators enhances positive learning outcomes, while incivility can lead to stress, loss of confidence, mistakes, disengagement, and decreased patient outcomes. A survey of recent graduates of occupational therapy programs (N = 247) explored the prevalence and types of incivility and bullying experienced during their Level II fieldwork experiences. Respondents reported that incivility in fieldwork education was widespread, with more severe experiences of bullying reported by 16% of respondents. Occupational therapy programs and fieldwork educators must take an active role in prevention and management of uncivil behaviors, and promote positive academic and patient …

Comparing Moral Reasoning Across Graduate Occupational And Physical Therapy Students And Practitioners, Brenda S. Howard, Cheyenne Kern, Olivia Milliner, Lindsey Newhart, Sarah K. Burke

Journal of Occupational Therapy Education

Practicing clinicians must use moral reasoning to solve ethical problems and combat moral distress. Development of moral reasoning in occupational therapy (OT) and physical therapy (PT) students has been significantly under researched. The purpose of this study was to analyze the differences in moral reasoning between first year and second year OT and PT students and between students and OT and PT practitioners. Investigators utilized a cross-sectional study design with a convenience sample of University of Indianapolis OT and PT students and a combination of convenience and snowball sampling to recruit licensed OT and PT practitioners. One hundred and fifty-four …

Pre-Entry Selection Assessment Results And Final Degree Outcomes Of Occupational Therapy Students: Are There Relationships?, Sarah Louise Mcginley

Journal of Occupational Therapy Education

Occupational therapy (OT) admissions tutors are tasked with ensuring the recruitment of high-quality candidates who can demonstrate both academic and professional skills throughout their education and subsequently into practice. While standardized admissions criteria do not exist, it is widely accepted that both cognitive and non-cognitive characteristics should be assessed to establish academic and professional qualities of applicants. Pre-admission qualifications are generally classed as a reliable assessment of academic (cognitive) ability, with literature supporting positive but variable relationships between academic qualifications and degree classifications. Evidence to support trusted assessments of pre-admission professional (non-cognitive) skills is lacking, with ambiguity surrounding relationships between …

Use Of A Logic Model To Develop An Innovative Hand Therapy Clinic To Provide Experiential Learning For Occupational Therapy Students, Rose Mcandrew, Vicki Kaskutas

Journal of Occupational Therapy Education

Occupational therapy (OT) students seek experiential learning opportunities to help them construct knowledge and meaning. Student clinics are increasing in prevalence as an effective means to engage in experiential learning. The student experiential learning clinic for hand therapy (SELC-HT) is a newly opened student clinic providing OT to under-insured individuals with upper extremity impairments. The SELC-HT used the student run free clinic (SRFC) logic model to systematically plan, implement, and evaluate its effectiveness. Planning started with evaluating the need and the context of the SELC-HT, allowing developers to state the long-term impacts of preparing students for future clinical practice, reintegrating …

The Use Of Video In The Occupational Therapy Graduate Classroom, Stephanie Bachman

Journal of Occupational Therapy Education

As the cost of graduate education continues to rise and occupational therapy moves toward a value-based reimbursement system, the development of clinical reasoning skills in a short timeframe becomes increasingly more important in occupational therapy education. Incorporating the use of video into occupational therapy curricula is an effective method of introducing and reinforcing material, developing critical thinking skills, and refining skills of interpersonal communication, observation, and documentation. Determining which technology to use, and how to integrate it effectively into a course, can be overwhelming for instructors, especially those new to using video applications. This article introduces various types of video …

Identifying Essential Competency Areas For Occupational Therapy Education: A Scoping Review, Irene Chun, Steven D. Taff, Anusha Mehta, Chih-Hung Chang

Journal of Occupational Therapy Education

This scoping review aims to explore the essential areas of competency in occupational therapy as the ability to acquire the necessary knowledge, skills, and values for the profession is not easily quantifiable. The objectives of this study were two-fold: (1) identify the key competency areas of occupational therapy and (2) identify assessments that measure the competency areas. The review was conducted by a team of a librarian and two independent reviewers to systematically search the peer-reviewed literature. The search yielded 296 articles and 52 articles that met the inclusion criteria. These articles were categorized under four overarching themes: (1) professional …

Examining The Educational And Professional Learning Contexts Where Occupational Therapy Practitioners Gained Competencies For Intraprofessional Collaboration, Jennifer S. Pitonyak, Cecille Corsilles-Sy, Rachel B. Diamant, Anne Birge James

Journal of Occupational Therapy Education

The findings described in this article are part of a broader scholarship of teaching and learning (SoTL) project examining competencies for intraprofessional practice. We identified the educational and professional learning contexts where occupational therapists and occupational therapy assistants developed competencies for intraprofessional collaboration. Practitioners were recruited via snowball sampling and responded to an online survey about competencies for intraprofessional practice. Respondents (N = 465) identified learning contexts that contributed to the development of each competency, selecting up to three choices: Class in Occupational Therapy or Occupational Therapy Assistant Program, Fieldwork, Formal Work Training, Work Experience, Continuing Education Course, and …

Student Perceptions Of Research In An Occupational Therapy Doctoral Program: A Cross-Sectional Survey, Kristin A. Valdes, Stephanie Dalton, Deandra Modeste, Jacqueline J. Moskalczyk, Troy Olmo, Jacklynn M. Smith

Journal of Occupational Therapy Education

Student perceptions of research in graduate programs play a role within the Occupational Therapy Doctorate (OTD) curriculum and how future clinicians value Evidence Based Practice and research. The Student Perception of Research Integration Questionnaire (SPRIQ) was utilized to examine students’ perceptions of research in their graduate coursework. Participants included in this study were all students enrolled in an occupational therapy doctorate program. All items were scored on a 5-point Likert scale. Mean scores were calculated for each item on the respondents’ submissions. The items were further categorized into subscales. The mean score of all items of the SPRIQ was 4.44 …

Masters To Doctorate: Impact Of The Transition On One Occupational Therapy Program, Rebecca Ozelie, Kia Ashley Burks, Samantha Lee, Kathryn Riggilo, Michelle Sivak

Journal of Occupational Therapy Education

Within the field of occupational therapy, the issue of transitioning from an entry-level master's degree to an entry-level doctorate degree is under debate. As such, it is important to investigate the impact of the transition in order to help make educated decisions about the potential future of the profession.This study analyzed retrospective data collected from six cohorts at one Midwestern university to analyze the impact of the transition to an entry-level doctorate on diversity, admission and matriculation rates, and fieldwork reservations. No statistical difference in diversity between masters and doctorate level cohorts was found but it is of note that …

An International Fieldwork Placement: A Mixed Methods Study, Dianna Lunsford, Kristin A. Valdes

Journal of Occupational Therapy Education

The purpose of this study was to evaluate the impact of an international fieldwork placement on occupational therapy doctoral (OTD) students’ cultural competence, community engagement, and ethical leadership. This study used a mixed methods approach. The Public Affairs Scale (PAS) was used to gather pre and post placement data on cultural competence, community engagement, and ethical leadership. Qualitative data was themed from a reflection paper along with researcher field notes from a fieldwork placement to Ibarra, Ecuador. Eleven OTD students participated in the study. The study demonstrated a convergence of the data in the area of cultural competence and responsiveness. …

Student Perspectives Of The Effective Behaviors Of Occupational Therapy Level Ii Fieldwork Educators, Leah S. Dunn, Stephanie Arias, Alexa Beyer, Elizabeth Hermes, Sydney Radcliff

Journal of Occupational Therapy Education

Occupational therapy students complete a period of clinical education, when they apply academic learning in clinical situations, supervised by a fieldwork educator. Fieldwork education supports the student in developing technical and clinical reasoning skills, engaging in evidence-based practice, and socialization to the profession. Despite the key role fieldwork educators play in occupational therapy student professional and skill development, evaluation of educator skills and the fieldwork experience are slight. This descriptive study explored occupational therapy fieldwork educator behaviors to determine those behaviors indicative of a quality experience from the student perspective, using the Clinical Teaching Effectiveness Inventory (CTEI). Student responses identified …

Associations Between Occupational Therapy Students’ Approaches To Studying And Their Academic Grade Results: A Cross-Sectional And Cross-Cultural Study, Tore Bonsaksen, Ted Brown, Hua B. Lim, Kenneth Fong, Milada C. Småstuen

Journal of Occupational Therapy Education

Students’ approaches to studying are generally viewed as essential for their learning outcomes and are often described as being either deep, strategic or surface. However, research on associations between study approaches and academic outcomes among occupational therapy students are rare, as are studies that include cross-cultural comparisons. The objective of this study was to assess the degree to which the deep, strategic, and surface approaches to studying were associated with occupational therapy students’ grade point average, in the total sample and when stratified by country, while controlling for age, gender and time spent on independent study. Seven hundred and twelve …

A Pilot Study Exploring The Impact Of Interprofessional Simulation On Role Clarity And Student Readiness For Collaborative Clinical Practice, Shira Schecter Weiner, Laura Hagan, Julie F. Kardachi

Internet Journal of Allied Health Sciences and Practice

Purpose: Interprofessional collaboration is recognized as a healthcare practice paradigm that may decrease overall costs and minimize errors. Yet it remains common for practitioners to provide care within silos, inadequately considering the impact of their decisions on other providers and overall costs, which ultimately may negatively impact the patient. Integrating interprofessional collaboration in school curricula can establish the importance of this approach to healthcare. For optimal efficacy, every professional in the healthcare team must recognize their unique role and the roles of others, to allow for seamless interprofessional collaboration. Simulation is a teaching tool that provides students with the opportunity …

Effectiveness Of Instructor-Led Discussion Versus Simulation To Prepare Students For Fieldwork, Elena W. Espiritu, Thu M. Can, Natalie N. Michaels, Allison Koch, Beth F. Hallmark

Journal of Occupational Therapy Education

Occupational therapy students do not always feel prepared to start fieldwork. The study purposes were to 1) measure the effectiveness of refresher sessions on students’ perceived self-efficacy, knowledge, and skills related to fieldwork preparedness and 2) determine whether using simulation with standardized patients (SPs) was more effective than a discussion-based format. The participants (N=34) were entry-level occupational therapy doctoral (OTD) students. Four students acted as a control group while the remaining 30 students were randomly assigned to experimental groups (discussion or simulation). Outcome measures included a readiness for fieldwork survey (quantitative self-reported ratings and qualitative questions), a knowledge-based exam, and …