Medicine and Health Sciences Commons^™

Troubling Service User Involvement In Health Professional Education: Toward Epistemic Justice, Stephanie Leblanc-Omstead

Electronic Thesis and Dissertation Repository

It has become increasingly popular in health professional education to solicit the contributions and involvement of people who have firsthand or ‘lived’ experiences of using mental health services – a practice hereafter referred to as service user involvement (SUI). SUI is founded on the premise that service users ought to be involved in the development and evaluation of services and systems they experience, which includes the education of future health professionals. Despite the momentum this practice has gained in a range of international contexts, SUI is often conceptualized, organized, and implemented uncritically, and with tremendous inconsistency across health professional education …

Exploring Simulation Design For Mental Health Practice Preparation: A Pilot Study With Learners And Preceptors, Diane E. Mackenzie, Niki Kiepek, Leanne Picketts, Stephanie Zubriski, Karen Landry, Jonathan Harris

The Open Journal of Occupational Therapy

The purpose of this exploratory pilot study was to determine the feasibility of delivering mental health practice simulations for occupational therapy learners, and whether different debriefing approaches yielded performance differences over successive simulations. Five clinical preceptors and nine first year MScOT students participated in this mixed-method study. In week one simulations, one student group received preceptor facilitated debriefing while the other group used self-debriefing. Both groups used the same scripted questions informed by an advocacy-inquiry approach. In the second week, both groups received the preceptor-led debriefing. Preceptors rated student performances while students self-rated their confidence, competence screen, and satisfaction using …

Determining The Initial Content Validity Of The Clinical Competency Assessment Tool (Cat) For Occupational Therapists Treating Patients With Neurodegenerative Disease, Scott G. Rushanan, Dawn M. Nilsen, Lenin Grajo

The Open Journal of Occupational Therapy

The provision of occupational therapy (OT) interventions for people with neurodegenerative disorder (NDD) requires advanced clinical competency; therefore, a means to evaluate that competency is needed. The Clinical Competency Assessment Tool for Occupational Therapists Treating Patients with Neurodegenerative Disease (CAT) was recently developed as a self-report assessment that aims to identify gaps in clinical competence and measure outcomes of professional development programs specific to occupational therapists treating patients with NDD. The purpose of this study is to explore preliminary content validity of the CAT. Classical test theory was used to test for content validity. A panel of 10 expert occupational …

‘Missing The Target’ – A Critical Examination Of Policy Frameworks For Aboriginal And Torres Strait Islander Inclusion Into The Allied Health Professions, Andrea Simpson, Tim Pitman

Australian Indigenous HealthBulletin

Objective

This paper focuses on critically examining the inclusion of Aboriginal and Torres Strait Islander people in policy frameworks by regulatory health peak bodies against the backdrop of the Government’s response to the Closing the Gap (2020) report.

Method

Websites of ten allied health professional bodies were searched and analysed as policy as text.

Results

Of the ten professions examined, the search strategy identified 9 professions were signatories or co-signatories on Reconciliation Action Plans (RAP) and three professions made mention of Aboriginal and Torres Strait Islander equity strategies to enter the profession as part of accreditation standards.

Conclusions

Professional bodies …

Application Of The Kinesio® Taping Method For A Child With Hypotonia: A Pilot Case Study, Margaret M. Griffin, Christina Ann A. Mcguff, Nicole C. Willse, Mackenzie D. Twaddell, Julia Shin

Student Journal of Occupational Therapy

Background: This study explored the application of the Kinesio® Taping (KT®) method in conjunction with traditional occupational therapy (OT) intervention for a child with hypotonia. Specifically, differences in functional hand outcomes (manual dexterity and grasp pattern) were examined between the sessions with and without the application of the KT® method.

Methods: A 9-year and 5-month-old male subject, at the time of enrollment, diagnosed with hypotonia, global developmental delay, and autism spectrum disorder participated in the study. A single-subject alternating treatment design was employed. A total of 14 OT sessions were conducted across baseline (n=3), alternating treatment (n=8), and replication (n=3) …

The Potential Of Virtual Reality In Social Skills Training For Autism: Bridging The Gap Between Research And Adoption Of Virtual Reality In Occupational Therapy Practice, Vineeta Pandey, Lori Vaughn

The Open Journal of Occupational Therapy

Impairments in social functioning greatly hinder children and youth with autism spectrum disorder (ASD) from responding appropriately and adapting to various social situations. As a result, individuals with ASD get fewer opportunities for social inclusion, physical well-being, and forming interpersonal relationships. Virtual reality (VR) has been studied extensively in this area, where a large body of evidence shows that VR is a promising tool for social skills training (SST) in individuals with ASD. With the flexibility and projected effectiveness that VR offers, it can provide more opportunities to learn and practice strategies for recognizing daily challenges that involve forming social …

Exploring Colorectal Cancer Research And Its Connection To Occupational Therapy: A Critical Review, Brook L. Burns, Megan L. Foster, Tosha L. Tunney, Riane B. Wubbenhorst

Older Adult

This article aims to critically review the current literature related to occupational therapy (OT) and colorectal cancer (CRC). The GVSU electronic library system was used to identify articles using keywords and MeSH terms related to CRC and OT. Articles were analyzed for key variables related to the OT scope of practice and were evaluated for quality using the Physiotherapy Evidence Database (PEDro) scale. Findings show that CRC was referenced in 76.47% of the 34 articles, OT in 20.59%, ADLs in 50%. Pain and quality of life (QoL) were explicitly measured in 17.65% of the articles. Of the reviewed articles, 52.94% …

Exercise Interventions For Adults With Burn Injuries, Liz Burton, Carolyn Knight, Brittney Malone, Lexie Rivers, Rachel Walker, James Wright

Master of Occupational Therapy Student Critically Appraised Topics

The purpose of this critically appraised topic (CAT) is to provide the highest quality of evidence available on the implementation of exercise interventions in the early burn rehabilitation phase in adult burn victims. This portfolio contains four peer-reviewed research articles from national and international journals. The study designs include one systematic review and meta analyses, one retrospective cohort study and two randomized control trials. These articles covered three types of exercise interventions including resistance training, mobility training, and physiotherapy. Overall, the clinical bottom line of this CAT is that exercise interventions in early burn rehabilitation may be effective in improving …

Advanced Practice In Aquatic Therapy: Exploring Occupational Therapy In An Aquatic Environment, Brenna K. Barash

Occupational Therapy Capstone Presentations

Properties of water have been utilized as a therapeutic treatment method for the past 100 years (Becker, 2009). Aquatic-based occupational therapy services are used as an adjunct to traditional land-based occupational therapy intervention (Franken et al., 2013). The OTS developed a 14-week capstone project with assistance provided by faculty and site mentors. The purpose of this capstone project was to develop aquatic-based intervention skills and explore the use and benefits of aquatic-based occupational therapy in patient care. To facilitate appropriate outcomes, three learning objectives with numerous project deliverables were developed. In order to demonstrate competence and understanding of aquatic-based occupational …

An Exploration Of Experiences That Influence Occupational Therapy Students' Motivations To Pursue Occupational Therapy As A Career, Kayla-Marie Bartolome Gigante, Alyssa Cantrell, Michelle Nguyen, Garrett Teagarden

Occupational Therapy | Graduate Capstone Projects

Occupational therapy (OT) is a client-centered healthcare profession that uses therapeutic activities to increase an individual’s, group’s, or population's participation in meaningful activities, otherwise known as occupations. The general underlying factors that motivate one’s decision to choose this career path is well established within the existing literature. However, research into the experiences of students working alongside an occupational therapist (OT) prior currently faces a significant gap. The aim of this study is to identify and understand what first-hand experiences of OT brought OT students to pursue a career in occupational therapy. Through the lens of narrative inquiry, participants were given …

Graded Motor Imagery In Hand Therapy Practice, Alexis Brackins

Department of Occupational Therapy Entry-Level Capstone Projects

No abstract provided.

Clinical Utility Of The Adapted Biopsychosocial Model: An Initial Validation Through Peer Review, Keith K. Gentry Jr., Karen Snyder, Jennifer Jordan Utley

The Open Journal of Occupational Therapy

Background: The World Health Organization has called on health care providers to adopt a biopsychosocial approach to improve health and well-being and reduce disability. While a variety of holistic models exist in occupational therapy, none are explicitly biopsychosocial and use language consistent with both the World Health Organization’s International Classification of Functioning, Disability and Health and the Occupational Therapy Practice Framework. Following the recent introduction of the Adapted Biopsychosocial Model (A-BPSM), this study served as an initial step toward validation of this model for use in occupational therapy.

Method: A qualitative descriptive design was implemented with a maximum variation …

Creating Bridges Of Interprofessional Education: Opportunities For Collaborating Across Multiple Disciplines And Campuses, Norman Cadiz Belleza, Jim Mathews, Leiselle Pilgrim, Kaitlyn Cremer, Maureen Johnson, Elisabeth Mcgee, Evan Pucillo, Kathy Wheat, Vibhor Agrawal

Education Collection

Introduction and Purpose: The purpose of this special interest report is to discuss strategies used by to integrate simulation activities across multiple campuses and programs to foster inter- and intra-professional education. Inter-professional (IP) simulations were done between multiple campuses of a large scale, multi-state, health science university. These simulations utilized Doctor of Occupational Therapy (OTD), Doctor of Physical Therapy (DPT), and Master of Science Speech/Language Pathology (MS-SLP) students and faculty. IP simulations involved DPT students and faculty from the health sciences university in one state and physical therapist assistant (PTA) students and faculty from a different university in that same …

Let’S Dance: Exploring The Physical, Psychological, And Social Effects Of Dance In Children, Alexis Sunderlage

Senior Theses

Movement and dance have a lot of positive health benefits, physically, psychologically, and socially. Children love to intrinsically move and creating a structured dance program is one way to gain the benefits of dance. The purpose of this study is to explore the physical, psychological, and social effects of dance in children while gaining insights that could be applied to the setting of occupational and physical pediatric therapies. This was done by conducting a literature review and exploring how children react to learning and following dance videos in a classroom setting by evaluating ability, engagement, and enjoyment by creating Let’s …

Validation Of An Arabic Translation Of The Functioning Everyday With A Wheelchair Self-Report Tool: A Pilot Study, Hassan I. Sarsak

The Open Journal of Occupational Therapy

Background: The Functioning Everyday with a Wheelchair (FEW) tool is a self-report questionnaire developed to measure consumers’ perceptions of how the features of their wheeled mobility and seating device support their ability to carry out their daily functions and routines independently, safely, and efficiently.

Method: A committee of three bilingual qualified occupational therapists translated the English version into Arabic, which was verified by back translation. The final versions were administered with 26 bilingual English-Arabic speakers. The subjects were randomly assigned to answer either the English or Arabic version of the FEW questionnaire first, followed by answering the FEW …

A Single-Case Design On Hemiplegic Shoulder Pain Post-Stroke, Kristen Mills

OT Student Capstones

A stroke is a debilitating impairment affecting a large number of people each year. One of the main impairments post stroke is shoulder subluxation. Secondary to shoulder subluxation, a patient will experience pain associated as hemiplegic. Two types of interventions to address this deficit is taping, specifically the California tri-pull taping method and mental practice/motor imagery. The following single-case design of a 74-year-old female, who has been experiencing hemiplegic shoulder pain, as a result of a stroke in 2018. The current single-case design examines the efficacy of the California tri-pull taping method combined with mental practice/motor imagery for improving upper …

Cognitive And Motor Functions During Driving In Parkinson’S Disease, Amy Reaser

OT Student Capstones

Driving is a complex activity that requires dual-task behaviors involving attention shifting, multi-limb control, and task prioritization strategies to safely navigate a dynamic environment. Parkinson’s Disease (PD) is characterized by motor and non-motor deficits that can affect driving safety and performance. Experiencing a decline in cognitive and motor functions that are required for driving can put this population at risk for driving cessation. The purpose of this paper is to investigate the effects of implicit and explicit cues on attention during driving performance and behavioral effects of medication on drivers with PD in a quasi-experimental study, as well as identify …

Critically Appraised Topic: The Use Of Interprofessional Practice In Occupational Therapy, Rachel Cheatley, Jaecy Giegerich, Paige Mann

Critically Appraised Topics

The theoretical lens of the Ecological of Human Performance model (EHP) (Dunn et al., 1994) was used to understand why interprofessional collaborative practice is essential to occupational therapists and other health sciences across various settings. The EHP model is an occupational therapy theory model that emphasizes the importance of context on an individual’s occupational performance and their range to perform in (Dunn et al., 1994). EHP is used to describe the environmental effects on performance range, in this case, effective interprofessional practice used by occupational therapists and other healthcare stakeholders, to identify the factors that limit and support quality care. …

Prevention Of Falls In Adults Older Than 60 Years Through Therapeutic Riding: A Critically Appraised Topic, Isabella Johannes, Dominique Menard, Alicia Young

Critically Appraised Topics

This critically appraised topic paper will address the focus question relating to the intervention of therapeutic riding. A critically appraised topic (CAT) is an overview of scientific literature about an intervention or practical issue and how it relates to practice (Barends et al., 2017). The use of the Ecological Human Performance (EHP) model is to guide this CAT research with a theoretical basis. EHP was chosen for its emphasis on the person, environment, and tasks. The person is described in EHP as including their experiences, sensorimotor, cognition, and psychosocial abilities (Dunn et al., 1994). The use of EHP provides a …

Exploring Anatomy Coursework And Perceptions Of Occupational Therapy Students: A Survey Study, Ashleigh Giles, William Conrad, Dianna Lunsford, Kristin A. Valdes

Journal of Occupational Therapy Education

Occupational therapy practitioners utilize their knowledge of human anatomy to understand underlying anatomical dysfunction and how it impacts occupational performance. However, anatomy is not a required standalone course within occupational therapy curricula. This may leave students at a disadvantage throughout occupational therapy programs, fieldwork, and as practitioners. The primary purpose of this study was to explore graduate level occupational therapy students’ previous anatomy undergraduate coursework, student perceived preparedness of anatomical knowledge, and their performance in a mandatory Analysis of Human Movement course within our university’s occupational therapy graduate programs. The secondary purpose was to determine student interest in a standalone …

Developing A Conceptual Framework For Occupational Therapy Fellowship Programs: A Qualitative Content Analysis Study, Marcelo A. Silva

Journal of Occupational Therapy Education

Today’s health care environment calls for quality-care, the efficiency of services, a decrease in waste, and an increase in desired outcomes. This necessitates that occupational therapy (OT) practitioners engage in continuous professional development activities (i.e., continuing education, post-professional training) and lifelong learning to enhance their critical thinking and clinical reasoning. One way that OT practitioners can advance their clinical practice skills is through participating in OT fellowship programs, which are post-professional training programs aimed to advance one’s knowledge and skills in focused areas of practice. Using theory to guide practice is also essential for OT practitioners as they make evidence-based …

Considerations In The Use Of Podcasts For Teaching And Learning In Occupational Therapy: A Scoping Study, Sarah Briand, Ingrid Malo-Leclerc, Michaël Beaudoin, Étienne Croisetière, Alexandre Tremblay, Mariane Côté-Boulanger, Annie Carrier

Journal of Occupational Therapy Education

Evidence-based practice integrates and supports the best interventions in clinical practice. However, a gap of about ten years may elapse between the production of evidence and integration of best practices in clinical settings. Some technologies, such as podcasting, have become increasingly popular and are emerging as an innovative teaching modality that can support knowledge acquisition and integration. This scoping study gathered and synthesized the information in the literature regarding the use of podcasts by occupational therapy clinicians and students as a means for teaching and learning evidence-based knowledge. A scoping study approach was used following the five stages defined by …

Evaluation Of An On-Campus Program Bridging The Theory-Practice Gap In Occupational Therapy Education: Student Perspective, Homa Zahedi, Sarah-Jayne Rowe

Journal of Occupational Therapy Education

The transfer of learning from an academic setting to fieldwork and vice versa is not straightforward and occupational therapy students often report this as challenging. In acknowledgement of this, the fieldwork placement learning structure within the Bachelor and Master occupational therapy entry-level programs at a higher education institute was redesigned to enhance links between taught content at university and fieldwork placement. The aim of this study was to explore occupational therapy students’ perspectives of this new educational initiative. The students attended university for a set number of days over the course of their first and second fieldwork placements. The sessions …

Intraprofessional Collaboration In Learning Evidence-Based Practice, Chia-Wei Fan, Hsin-Hsiung Huang, Vicki Case

Journal of Occupational Therapy Education

Little is known about how collaborative curricular activities can help students learn about scientific evidence in occupational therapy (OT) and occupational therapy assistant (OTA) programs. We created and measured collaborative learning in evidence-based practice activities to enhance partnership building and intraprofessional collaboration among students in OT and OTA programs. Thirty-three OT students and 26 OTA students enrolled in a didactic course (Phase I) and an intraprofessional collaborative learning activity (Phase II) participated in this quasi-experimental repeated measure study. The students’ ability of how to read scholarly articles and their perceived importance and perceived ability to engage in intraprofessional collaboration were …

Interprofessional Education And Collaborative Competency Development: A Realist Evaluation, Rabina Raveendrakumar, Salihah Faroze, David Rojas, Sylvia Langlois

Journal of Occupational Therapy Education

Collaboration among healthcare professionals has been widely cited as critical in ensuring optimal and efficient client care. To foster the development of this interprofessional competency in healthcare graduates, the University of Toronto created an Interprofessional Education (IPE) curriculum. However, the means by which the IPE curriculum developed interprofessional collaborative competencies in occupational therapy (OT) graduates had not been explored. The study identified the mechanisms and outcomes of University of Toronto’s IPE curriculum that contributed to OT graduates’ collaborative competency development. This study also identified the contexts in which this development occurred, and why such patterns were observed. This study employed …

The Kawa Model’S Value For Level Ii Occupational Therapy Fieldwork Students, Terri Blakely, Marie-Christine Potvin, Michael Iwama

Journal of Occupational Therapy Education

Fieldwork (FW) plays a crucial role in occupational therapy (OT) education by fostering students to become competent entry-level practitioners. Reflective journaling promotes increased competence in OT FW students. The Kawa Model can be used as a journaling framework that uses metaphorical illustrations to self-reflect. It has been described as useful in multiple contexts. No study has yet investigated the use of the Kawa Model as a self-reflection tool with OT FW students. Video self-reflections of their Kawa Model drawings and audio recorded semi-structured interviews were used to explore Level II FW students’ perceptions of the usefulness of the Kawa Model. …

Therapeutic Management Of A Patient With Necrotizing Fasciitis Resulting In Quadrilateral Amputation And Critical Illness Myopathy In The Intensive Care Setting: A Case Report., Mallory A. Kargela, Annette J. Siebens

Internet Journal of Allied Health Sciences and Practice

Purpose: The purpose of this case is to illustrate the best available evidence to provide early therapeutic intervention for a critically ill patient presenting with cardiovascular and pulmonary complications due to multi-system compromise. Case Description: A 19-year-old male was admitted to the hospital with the diagnosis of necrotizing fasciitis and necrotizing pneumonia. He experienced numerous additional medical complications ultimately leading to tracheostomy, delirium, critical illness myopathy, and quadrilateral amputation secondary to necrotizing fasciitis and critical limb ischemia following prolonged veno-venous extracorporeal membrane oxygenation (VV-ECMO). Outcomes: Patient was discharged to an outside rehabilitation hospital after 103 days in the acute setting …

Post-Breast Cancer Related Lymphedema Interventions And Their Relationship To Social Involvement And Quality Of Life For Middle-Aged Women, Abby Bauman, Jenna Holm, Sarah Zuelzke

Critically Appraised Topics

In the United States, statistics have shown that there is a one in eight percent chance that a woman will develop breast cancer sometime throughout their life, and it is estimated that there will be 281,550 new cases of invasive breast cancer diagnosed in women in the year 2021 (American Cancer Society, 2021). One in five of the women who survive breast cancer will develop lymphedema within the initial three years following their breast cancer treatment (American College of Surgeons, 2013; DiSipio et al., 2013). Lymphedema is a chronic and progressive condition that is defined by the abnormal swelling caused …

Best Interventions For Working Adults Experiencing Chronic Musculoskeletal Pain, Hailey Koep, Samantha Larson, Michelle Mcnamee

Critically Appraised Topics

Chronic musculoskeletal pain is defined as ongoing pain felt in the bones, joints, and tissue of the body that persists for longer than three months (Booth et al., 2017; Joelsson et al., 2017). Worldwide, 30% of the population has experienced some form of chronic pain in their lifetime (Guy et al., 2020). When living with chronic pain, it can become difficult for working adults to engage in their everyday occupations such as activities of daily living (ADL), instrumental activities of daily living (IADL), health management, social participation, and leisure (American Occupational Therapy Association [AOTA], 2020). These troubles can affect an …

Expanding Rehabilitation Beyond The Clinic—Strategies To Increase Total Restorative Therapy Time For Adults With Hemiplegia, Niamh M. Tunney, Ellen R. Perlow

Internet Journal of Allied Health Sciences and Practice

Background: Positive neuroplastic changes involving cortical reorganization after stroke are experience dependent and are facilitated more effectively when rehabilitation occurs with high volume. Structured experiences to promote adaptive changes can be implemented during scheduled therapies in any rehabilitation setting. However, time spent in supervised restorative therapy is limited regardless of setting. Time spent in therapeutic activity can be extended by a variety of options that patients can engage in independently, that are low-cost, and that have evidence to support their use as a supplement to physical and occupational therapy. Purpose: The purpose of this paper is to present four …