Medicine and Health Sciences Commons^™

Assessment Of An Online Learning Module To Promote Fieldwork Educator Preparedness: A Pilot Study, Breanna J. Chycinski, Casey E. Humphrey, Camille Skubik-Peplaski

Journal of Occupational Therapy Education

Fieldwork education is a vital component of occupational therapy education. Academic fieldwork coordinators face a shortage of qualified occupational therapists who are prepared to be fieldwork educators. This pilot study aimed to evaluate the effects of an online learning module developed to prepare occupational therapists to become fieldwork educators. A pre- and post-survey were used to measure changes in perceived preparedness following completion of an online learning module. A 39-item electronic survey measured perceived preparedness of the following fieldwork educator competencies: education, supervision, evaluation, and administration. Sixteen participants completed all three components of the study: pre-survey, the learning module, and …

Feasibility Of A Self-Paced Educational Intervention Protocol On Standardized Assessment Of Public Building Accessibility, Suzanne Burns, Jaclyn K. Schwartz, Rochelle J. Mendonca, Qussai M. Obiedat, Roger O. Smith

Journal of Occupational Therapy Education

Limited research informs the implementation of web-based and mobile learning (mLearning) protocols for the assessment of public building accessibility in occupational therapy graduate students. This study tested the feasibility of a self-paced protocol designed to teach students how to evaluate community environment accessibility. Students across five sites completed an online learning module and community building evaluations. Students were randomized into lecture or lab educational groups and then crossed over to receive the second experience. Outcomes were student satisfaction, self-perceived learning, and knowledge on a researcher-developed measure. Data were analyzed using descriptive statistics. Two hundred and twelve students completed the study. …

Developing The Change Agent Competencies Of Occupational Therapy University Students: Using A Scholarship Of Teaching And Learning Approach In A Canadian Program, Étienne Lavoie-Trudeau, Tim Dubé, Michaël Beaudoin, Annie Carrier

Journal of Occupational Therapy Education

Canadian occupational therapy (OT) university programs must teach change agent competencies. These include promoting social justice and empowering clients, which United States occupational therapists also do. Change agent competency requirements are challenging to teach and involve multidisciplinary knowledge and non-traditional skills. As few occupational therapists feel competent to act as change agents, university programs must engage in a scholarship of teaching and learning (SoTL) approach and identify areas of improvement. The aim of this study, informed by SoTL, was to document, as described by participants, the pedagogical activities related to teaching the change agent role in an OT program in …

Understanding Occupational Therapy Admissions Decisions Related To Diversity, Bridget J. Hahn, Hillary Napier, June Park, Abigail Woollacott, Rachel Lee, Linda M. Olson

Journal of Occupational Therapy Education

The vast majority of occupational therapy (OT) practitioners are white, leaving gaps between the representation of our profession and those we serve. Admission practices determine the future of the profession. This cross-sectional study aimed to understand how admission requirements, particularly the Graduate Record Examination (GRE) and interview, influenced OT graduate students' application decisions, specifically those who identified as a first-generation college student (FGCS), underrepresented minority, English as a second language, or receiving public assistance. Methods included an online survey distributed to current OT graduate students. The survey consisted of background information, closed-ended questions on influence of application requirements, open-ended questions …

Exploring Supports And Barriers To Inclusion In Occupational Therapy Education, Arielle Ramirez, Anne F. Kiraly-Alvarez

Journal of Occupational Therapy Education

The recent innumerable social and racial injustices and healthcare disparities experienced globally have catapulted diversity and inclusion discussions to the forefront. The purpose of this study was to identify the supports and barriers to inclusion in occupational therapy (OT) education from the experiences of OT students from historically marginalized groups and the perspectives of OT faculty/staff. The authors used a convergent mixed methods design for the study, which consisted of an online survey and semi-structured interviews. 131 students and 35 faculty/staff completed the survey, while 20 students and 11 faculty completed interviews. Five themes emerged from the data: 1) Barriers …

The How To’S For Engaging With Medically Complex Children: A Resource Guide, Allyson Bourque

Occupational Therapy Capstones

The purpose of this scholarly project is to identify and address the factors that serve as barriers to engagement in valued occupations for children with serious or life-threatening illness.

The Ambassador Program: Improving Functional Community Participation For Individuals With Intellectual And Developmental Disabilities, Kathryn Elizabeth College

Occupational Therapy Capstones

This scholarly project aims to create more functional engagement opportunities for individuals with intellectual and developmental disabilities (ID/DD) in a community setting. Individuals with ID/DD experience a multitude of barriers when attempting to become active members of the community and engage in meaningful opportunities and social interactions (Doerpinghaus et al., 2022; Trembath et al., 2010). These barriers can include a lack of individualized support, low self-esteem, difficulty finding valuable volunteer experiences, and a prejudice in community settings (Milot et al., 2020; Trembath et al., 2010).

Addressing Interoceptive Awareness In Elementary School Students Affected By Childhood Trauma To Improve Emotional Regulation, Alison O’Sadnick

Occupational Therapy Capstones

Childhood trauma can affect students’ interoceptive awareness affecting their ability to emotionally regulate within the classroom environment (Neal, 2021). Evidence demonstrates that for students to emotionally regulate, they must have interoceptive awareness (Mahler, 2020). Interoceptive awareness is described as the ability to detect the physiological state of the body such as recognizing signals of respiratory effort, temperature, fatigue, hunger, thirst, satiety, pain, muscle aches, and heart rate (Mahler et al., 2022). Children who have experienced trauma commonly have difficulty identifying and describing internal arousal states, labeling, and expressing emotions and making their needs and wants to be known (Scaffa, 2019).

A Proactive Approach To Lymphedema Treatment: A Patient’S Educational Guide, Bridget Jae Reuss

Occupational Therapy Capstones

Lymphedema affects between 90 and 250 million people worldwide, yet there is little information about it, and it is poorly understood by the medical community (Manrique et al., 2022). This too often results in patients not receiving proactive treatment for their symptoms. Proactive intervention increases the patient’s ability to engage in meaningful occupations, socialization, quality of life, mobility, and confidence (Dominick et al., 2014; Lu et al., 2015; Warren et al., 2007; Yarmohammadi et al., 2021).

Integrating Occupation-Based Activity Groups In The Earlyelementary School Setting, Krista Rae Weiland

Occupational Therapy Capstones

In the early-elementary school curriculum, foundational skills are established to promote success in education and beyond. With limited remediation opportunities in the areas of fine motor and social skills, students are not receiving adequate resources to foster academic success. Students who demonstrate deficits in fine motor and social skills are prone to negative peer and teacher perception, a lack of self-esteem, decreased mental flexibility, and an inability to communicate knowledge effectively (Case-Smith et al., 2014; Lust & Donica, 2011; Taverna et al., 2020). These adverse consequences often result in a negative attitude towards school and low academic performance, which may …

How Adaptive Sports Promote Occupational Engagement And Quality Of Life For Individuals With Disabilities In A Rural Community, Michael Helgeson

Frank Low Research Day Posters

Purpose: The purpose of this scholarly project is to address the barriers individuals with physical disabilities face through the development of adaptive sports programs; hereby, increasing their occupational engagement, quality of life (QOL), and life satisfaction.

Background: Individuals with disabilities, compared to the general population, have diminished health and QOL due to limited community participation and occupational engagement (Yazicioglu et al., 2012). Adaptive sports have shown to increase QOL and well-being for individuals with physical disabilities (Brown et al., 2021; Yazicioglu et al., 2012). Although, this population, specifically in rural communities, face many barriers to adaptive sports engagement including …

Program Structure For Children And Adolescents With Disabilities To Increase Participation In Physical Activity, Abbigail Smith

Frank Low Research Day Posters

Background: Children and adolescents with disabilities face barriers and are often excluded from engaging in daily activities such as physical activity and social participation (Bundy & Du Toit, 2019; Hocking, 2019). Activities such as physical activity and social participation not only increase children's and adolescents' sense of belonging, mental health, and quality of life but also impact the development of skills needed to fully engage in society (Bundy & Du Toit, 2019). Opportunities for children and adolescents with disabilities to engage in physical activity and social participation are commonly seen in the form of programs supported by nonprofit organizations. These …

An Occupation-Based Approach To Chronic Pain In Rural Alaska, Emma Lehman

Frank Low Research Day Posters

Background: Adults with chronic pain living in rural communities experience occupational deprivation due to a lack of access to healthcare resources and tend to report higher levels of pain compared to urban areas [4, 8]. Chronic pain is multifaceted and managed by many professionals. Occupational therapy (OT) has a significant role in offering effective strategies to improve quality of life, self-efficacy, and daily functioning for those who experience chronic pain [5, 7].

Purpose: The purpose of this scholarly project was to advocate for the profession of occupational therapy within rural Alaska areas as well as develop an evidence-based, model-driven, culturally …

Submitting Research Grant Applications To Fund A Study Examining The Effect Of Equine-Assisted Therapy On Compassion Fatigue In Caregivers, Briana Minette Kent

Occupational Therapy Capstones

Caregivers are expected to provide the best care possible to their patients, no matter the circumstances. Depending on the need of the individual being cared for, a caregiver’s job can cause an abundance of stress at various levels and can even lead to decreased mental health. This is often accompanied by a lack of self-care, poor health, and overall diminished wellness, otherwise known as compassion fatigue. Occupational therapists can address poor mental health due to compassion fatigue in caregivers by introducing a variety of important skills, habits, routines, and activities that patients need or want to engage in on a …

Fostering A Loving Connection: A Foster Parent’S Toolkit For Understanding And Addressing Behaviors For Children Placed In Out-Of-Home Care, Emily A. Knust

Occupational Therapy Capstones

Children placed in out-of-home care have an 80% chance of having a mental health diagnosis or experiencing negative behaviors related to trauma experiences (Armstrong-Hiemsoth et al., 2020). Children in foster care have been exposed to trauma by being removed from their biological parents and the abuse, neglect, or unsafe conditions that occurred leading up to the removal and placement in out-of-home care (Bartlett, 2021). From this trauma, a child is more likely to experience difficulty with basic self-care skills, executive functioning, emotional regulation, attachment disorders, or positive interactions and relationships within the foster home and their environment (Pervis et al., …

The Impact Of Trauma On Occupational Performance For People Experiencing Homelessness, Isabella Jeanette Johannes

Occupational Therapy Capstones

People transitioning from homelessness experience trauma at three times the risk than the general population (McCurry, 2021). Occupational therapy can provide trauma-informed services that helps people that have experienced homelessness transition to supported housing by addressing occupational competence and identity formation through meaningful activity (McCurry, 2021). Occupational therapy can address this area by educating staff and students that work with this population to be more trauma- informed. It is important to utilize a trauma-informed approach to avoid retraumatization to people that have experienced homelessness (AOTA, 2021). There were two purposes of this project: a) develop advanced knowledge in trauma-informed care, …

Primitive Reflex Screening And Caregiver Education And Support. A Product To Support Children With Retained Primitive Reflexes Transitioning Into The Formal Education System., Anna Justine Logan

Occupational Therapy Capstones

Infants are born with movement patterns called primitive reflexes. Primitive reflexes are active for approximate times during the first few years of life (Smet et al, 2020; Myott et al., 2016). Retained primitive reflexes are primitive reflexes that have not integrated in the expected time. Retained primitive reflexes have been linked to a variety of developmental delays in older children including fine and gross motor (Gieysztor et al., 2018a), visual (Andrich et al., 2018), and academic performance (Feldhacker et al., 2021; Calvin & Ramli, 2020).

Level I Fieldwork: Could Simulation Be The Answer? A Descriptive Study, Darla Coss, Stephanie De Sam Lazaro, Katelyn Brady

Journal of Occupational Therapy Education

This article describes the creation and outcomes of simulation as Level I Fieldwork for entry level graduate occupational therapy students. The simulations were created by a team of interprofessional educators following the International Nursing Association for Clinical Simulation and Learning best practices. Additionally, the simulations were designed to meet the student learning outcomes of Level I Fieldwork. Students participated in eight high-fidelity simulations and were evaluated with self-ratings, peer ratings, and faculty ratings. Each student completed a student evaluation of the fieldwork experience, with rating scales and open-ended questions to understand student perceptions of the experience. The vast majority of …

Gender Career Stereotypes, Implicit Bias, And Occupational Therapy, Laura H. Vanpuymbrouck, Carli Friedman

Journal of Occupational Therapy Education

Implicit (unconscious) gender bias and stereotypes can affect clinical decisions and interactions between healthcare professionals, as well as impact careers. However, there is no research exploring the implicit gender bias or stereotypes of occupational therapy students or practitioners. Therefore, the aim of this study was to examine the gender-career bias of occupational therapy students. To do so, occupational therapy students (n = 54) from three Midwestern United States graduate occupational therapy programs completed the gender-career attitudes implicit association test (IAT) – biases associating women with family, and men with career – as well as a survey polling demographic information. …

Moving Toward And Accessing Adult-Oriented Rehabilitation Therapy Services For Adults With Lifelong Disabilities: A Tale Of Three Studies, Catherine Gohrband

Theses and Dissertations--Rehabilitation Sciences

The aim of this dissertation was to explore how adults with a Lifelong Disability (LLD) access and experience rehabilitation therapy services across their lives. Many LLD diagnoses such as cerebral palsy and spina bifida are considered non-progressive; however, there are common challenges that occur as people with LLD become adults, including increased pain, fatigue, and functional loss. Literature addressing the needs of people with LLD to access adult-oriented medical providers has focused primarily on medical transitions, which have described the processes for pediatric patients moving to adult-oriented settings from pediatric settings. Few studies have addressed the rehabilitation therapy needs of …

Development Of Wellness And Nutrition Through The Use Of Gardening, Josie Anhorn

Occupational Therapy Capstones

The population of older adults has been rising exponentially in recent years (Duffin, 2022), leading to an influx in people moving into retirement or independent living communities. This transition may cause many changes in the new residents’ occupational participation and overall well-being. Research has shown specific areas of concern in socialization, nutrition, self-esteem, physical abilities, and continued participation in meaningful occupations (Holland et al., 2017; Knecht-Sabres et al., 2020; Smith, 2015; Sommerfeld et al., 2018; Swann, 2006; Swann, 2010). Gardening has been shown to positively impact these areas of health and well-being and ease some of the negative symptoms (Thompson, …

Let’S Groove: A Dance Program Designed For Children With Disabilities, Michayla Burckhard

Occupational Therapy Capstones

Children with disabilities face limited opportunities to participate in the occupation of dance when compared to opportunities available for their non-disabled peers. Barriers to their participation include lack of class opportunities, cost, and knowledge about programs (Carrion et al., 2018). Many dance studios offer integrated or non-specialized classes, but participation by a child with a disability in this type of class is sometimes limited by parental or child fears, or other barriers such as lack of accommodations (Lucas, 2017).

A Holistic Approach To Promoting Sleep For People Emerging From Homelessness: A Good Night’S Rest In Your Nest Sleep Toolkit, Anna Frances Burggraf

Occupational Therapy Capstones

Sleep deprivation has been directly linked to chronic health issues, decreased physical and cognitive functioning, and overall decreased quality of life, which limits the ability to engage in desired tasks and occupations (Gonzalez & Tyminski, 2020). Individuals who have experienced homelessness consistently demonstrate higher rates of sleep inadequacies compared to the general public, which highlights the need for service providers to address the quality of sleep participation for this population (Gonzalez & Tyminski, 2020).

Increasing Parent Confidence And Involvement In The Nicu: An Occupational Therapy Educational Guide, Megan D. Berginski

Occupational Therapy Capstones

Research shows that 40% of mothers with preterm infants in the neonatal intensive care unit (NICU) reported feelings of depression, and 23% reported experiencing post-traumatic stress symptoms, with that number increasing to 40% after discharge (Harris et al., 2018). Factors that contributed to this included a lack of social support, a lack of empowerment, perceived less capability in their new roles, and the stressful experiences that can happen in this setting (Matricardi et al., 2013; Sabnis et al., 2019). A similar study found that at discharge, 69.8% of parents reported that they were not confident in providing the necessary care …

Transitioning A Hand Therapy Clinic From Traditional Paper Home Programs To An Electronic Platform: A Quality Improvement Project, Megan Raissa Fuka

Occupational Therapy Capstones

Individuals with upper extremity conditions who receive occupational therapy within the hand therapy context are often provided with paper or electronic home programs (HPs) as part of their rehabilitation protocol. Electronic HPs may promote greater adherence and functional improvements than paper handouts, as they can accommodate various learning styles and address patient barriers (Chung et al., 2020; Harte & Law, 2019; Lambert et al., 2017; Nussbaum et al., 2019; Toci et al., 2021; Valdes et al., in press). Despite evidence showing positive patient satisfaction and outcomes as a result of using electronic HPs, some occupational therapy practitioners (OTPs) may be …

The Effects Of Sensory Exposures On Pre-Term Infants Within The Neonatal Intensive Care Unit, Isabell Grace Fetsch

Occupational Therapy Capstones

The neonatal intensive care unit (NICU) setting is a very dynamic, complex environment that can greatly affect the well-being and physical development of pre-term infants. Pre-term infants are defined as infants born earlier than 37 weeks’ gestation (CDC, 2021). AOTA (2018) researchers stated that a pre-term infant does not have the self-regulatory tools to adapt to the complex and highly stressful NICU environment. Pineda et al. (2017) explained that the environment within the NICU presents many adverse sensory stimuli such as bright lights, loud noises, and stressful human touches. When infants are unable to manage environmental sensory exposures appropriately due …

Social Skills Development: A Program For Pediatric Occupational Therapy Group Sessions, Kenadee Eyre

Occupational Therapy Capstones

Children with a neurological disorder often demonstrate delays in social skills development (Glenn et al., 2020; Goldingay et al. 2020; & Tanta & Kuhaneck, 2020). This delay in development impacts their participation in meaningful occupations as optimal performance range includes an element of social interaction. The purpose of this product is to provide pediatric occupational therapists with the resources necessary to build social skills groups following a hierarchy of social skills development.

Addressing Adherence To Home Exercise Programs In A Hand Therapy Setting, Austin B. Ellis

Occupational Therapy Capstones

Roughly 1,100 per 100,000 persons experience an upper-extremity injury per year including burns, fractures, or amputations (Ootes et al., 2012). These upper-extremity injuries can impact a person’s physical function, activities of daily living (ADL), social, psychological, and financial aspects in life (Che Daud et al., 2016b). These statistics warrant the need for occupational therapy practitioners specializing in hand therapy, and other hand therapists to address these areas of client’s lives that have been affected by their upper extremity injury.

Supporting Caregivers Of Children With Complex Health Needs, Anne Louise Domanus

Occupational Therapy Capstones

The purpose of this scholarly project is to develop and implement programming that provides support and meets the needs of caregivers of children with complex health needs. This was done by providing a resource guide of local community resources to caregivers to increase engagement in leisure occupations.

Life Skills Training Resource For Individuals Aging Out Of The Foster System, Stephanie Coauette

Occupational Therapy Capstones

The purpose of this project was to create a training resource for foster families regarding life skills for the population of individuals aging out of the foster care system. There is an identified need for resources for individuals who age out of the foster system for life skills training and basic activities of daily living (ADL) training (Paul-Ward & Lambdin- Pattavina, 2016). Aging out of the foster system means that an individual has turned 18 years old without a legal adoptive family taking responsibility for them (Scannapieco et al., 2007). There is a need for the individuals who are preparing …