Medicine and Health Sciences Commons^™

Adaptations To Early Intervention Service Delivery During Covid-19, Lauren Little, Ashley Stoffel

The Open Journal of Occupational Therapy

Background: Early Intervention (EI) systems made a rapid shift to telehealth during the COVID-19 pandemic. Given the limited preparation of EI providers in the telehealth service delivery model, it is unclear how providers implemented adaptations. The purpose of this study was to evaluate the factor structure of the Service Delivery Adaptations Questionnaire and examine the influence of provider type, years of EI experience, and willingness to return to in-person services on the questionnaire’s subscales.

Method: We used exploratory factor analysis (EFA) to examine the structure of the Service Delivery Adaptations Questionnaire among n = 704 EI providers. We …

Occupational Therapists’ Perspectives On Family-Centered Practices In Early Intervention, Irma J. Pereira, Francine M. Seruya

The Open Journal of Occupational Therapy

Background: Early intervention (EI) requires service provision in natural settings while incorporating interventions based on family-centered practice (FCP). This study sought to understand (a) how occupational therapists define and implement FCP in their daily interventions and (b) therapists’ perspectives on using this model of practice in EI.

Method: This study used a qualitative, phenomenological approach. Nine licensed occupational therapists from six states with a minimum of 3 years of working experience in the area of EI participated. Semi-structured interviews were recorded, transcribed, and subsequently coded and analyzed for emergent themes.

Results: The therapists had an average of …

They Said: Preparing Future Ei Providers Across Disciplines Through An Academic Partnership, Beth K. Elenko

The Open Journal of Occupational Therapy

No abstract provided.

They Said: Coaching Alongside Families In Early Intervention, Beth K. Elenko

The Open Journal of Occupational Therapy

No abstract provided.

Bringing The Family To The Center Of Early Intervention Practice In Occupational Therapy, Beth K. Elenko

The Open Journal of Occupational Therapy

No abstract provided.

Promoting Healthy Transitions: Occupational Therapy Interventions For Health Management Of Homeless Populations Discharging From Health Care Settings, Dominic Carullo, Hana Chamoun, Alison Mcandrew, Brian O'Sullivan, Chelsea Pierce

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

Objectives
By the end of this presentation, participants will be able to

• Identify the need for effective interventions to create better connections to health services and facilitate health management skills in individuals experiencing homelessness prior to discharge from a healthcare setting
• Recognize the potential for occupational therapists to increase health literacy and the development of self-directed health management skills for individuals experiencing homelessness prior to hospital discharge
• Apply components of an evidence-based, best practice approach to promote the development of healthy behaviors and health management skills in individuals experiencing homelessness

PICO Question
What interventions within the scope of occupational therapy …

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% …

"We Need To Genuinely Listen To What People Tell Us They Need": Identifying How To Support Individuals Living With Mental Illness And/Or Substance Use Difficulties To Thrive Following Homelessness In London, Ontario, Carrie Marshall

Occupational Therapy Publications

While unhoused, persons who have experienced homelessness are frequently consumed with securing the necessary conditions to meet their basic needs including finding a place to stay for the night, finding food, and keeping safe. It is frequently assumed that when individuals secure a tenancy following homelessness, that their life naturally improves for the better in most or all areas of their lives. Unfortunately, recent research suggests that many individuals who secure housing after homelessness continue to live in a state of survival. While the importance of supporting individuals to secure and sustain housing cannot be understated, other aspects of a …

Parent-Infant Bond: The Connection Between Parents And Infants In The Nicu, Megan Casselberry, Anita Fagotti, Ava Gambucci, Emma Sardinskas, Carly Scheiner

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

Objectives

• Define the challenges of parent-infant relations in the neonatal intensive care unit (NICU) setting
• Discuss the role of occupational therapy in fostering parent-infant bonding in the NICU
• Interpret evidence-based interventions within the scope of occupational therapy practice to promote familial relations and social interactions amongst infants and parents

PICO Question
For infants in the NICU, what are evidence-based interventions within the scope of occupational therapy that increase parent-infant bonding?

Occupational Balance For A Better Mood: Occupational Therapy’S Role In Treating Excessive Technology Use In Youth, Emily Danilak, Jenna Higginbotham, Kara Leaman, Tarryn Slattery, Katie Virostek

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

Objectives

• Understand the implications of excessive screen time on mental health and its pertinence to youth’s leisure time spent in the virtual environment.
• Identify the distinct role that occupational therapy has in addressing mental health needs in children.
• Analyze the current evidence for effective occupational therapy interventions targeting improved mental health in youth with unhealthy internet habits.

PICO Question
In children with excessive screen time, what interventions within the scope of occupational therapy practice improve mental health?

Promoting Social Participation For Young Individuals Following Concussion, Umara Iftikhar, Ann Claire Macalintal, Madeline Rea, Allizey Shields

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

Objectives

1. Understand the relevance of anxiety and depression amongst young individuals following the onset of a concussion or post-concussive symptoms.
2. Recognize the distinct value of occupational therapy in promoting social skills to enhance relationships and mitigate feelings of isolation for persons with concussive symptoms.
3. Develop evidence-based interventions within the scope of occupational therapy for young individuals experiencing anxiety and depression following diagnosis of a concussion.

PICO Question
Amongst individuals, ages 13-25, experiencing symptoms of anxiety and depression following concussion, what interventions within the scope of Occupational Therapy will increase social participation?

Concussion And Class: Returning To College After A Mild Traumatic Brain Injury (Mtbi), Andrew Friedman, Gabrielle Khalifa, Rebecca Smith, Emily Strickberger

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

Objectives

• Identify how concussion management to increase academic function falls within the scope of occupational therapy practice
• Describe effective concussion protocols and timelines as they apply to students’ recovery from mTBI and return to academics.
• Apply evidence based practice to treatment plans for patients post-concussion or mTBI injury returning to academics.

PICO Question
In college-aged adults that experienced a concussion, what are effective interventions within the scope of occupational therapy for return to university?

Delirium In The Acute Care Setting: Occupational Therapy’S Role In Delirium Management And Prevention, Regina Antoni, Grace Gaus, Kathleen Greaney, Marisa Ortiz-Brazak

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

Objectives

• Explain delirium and its prevalence in the hospital setting
• Identify the role of occupational therapy in treatment of acute care patients with delirium
• Apply evidence-based interventions that address and prevent delirium in the acute care setting

PICO Question
What is the role of occupational therapy in delirium management for patients in the acute care setting?

Occupational Therapy Practitioners Use Of Surface Functional Electrical Stimulation On Individuals With Tetraplegia, Raquel M. Besey, Elizabeth T. Dawkins, Hannah A. Gove, Madison N. Reid

Adult

A survey, distributed to occupational therapy (OT) practitioners, was conducted to investigate how functional electrical stimulation (FES) is currently used during OT intervention sessions on clients with tetraplegia. There were a total of 24 survey respondents, the results demonstrated that both occupations and activities were used in combination with FES interventions. OT practitioners most frequently combined FES with the following occupation-based tasks during intervention sessions: feeding, grooming, playing a board/card game, and handwriting. During activity-based tasks, FES was reported to be most frequently combined with upperbody cycling, picking up foam cubes, and cones. Future research should focus on identifying the …

Occupational Therapy In Outpatient Behavioral Health, Kailee Moran, Jaclyn Oldenburg, Mallory Vanregenmorter, Kate Williams

Mental Health

Mental illness and substance use disorders are common in the United States and can significantly inhibit occupational participation. The aim of this study was to evaluate existing outpatient behavioral health services and determine if occupational therapists can make a distinct contribution to this population’s needs. An electronic survey created via Qualtrics was provided to licensed outpatient behavioral health providers in the United States utilizing a convenience sampling method. Results revealed provider concerns related to their clients' areas of daily life and barriers to function, which are within the scope of occupational therapy practice. Results highlight gaps in current outpatient behavioral …

Evaluating Current Outcome Measures For Persistent Post-Concussion Syndrome, Alayna Dakers, Rachel Dickerson, Clare Visscher

Systematic Reviews

This systematic review examines the current literature of reliable and/or valid outcome measures for adults who have persistent post-concussion syndrome (PPCS) and their ability to engage in occupations.

Scoping Review Of Eating Disorders And Occupational Therapy Interventions, Jessica Goethals, Olivia Keeley, Justyna Leja, Anna Riccius

Systematic Reviews

A scoping review was conducted to determine which occupational therapy interventions are used with individuals with eating disorders and what effect they have, if any. Four databases were searched to identify sources of evidence, initially resulting in 527 sources. Inclusion and exclusion criteria were used to further review and determine the eligibility of each source. A total of 48 studies were included in the final scoping review. Data extraction of eligible articles resulted in 11 categories of eating disorder based interventions. The research showed the significant role occupational therapy has in the treatment of individuals with eating disorders, although there …

Needs Of Direct Support Professionals To Support People With Intellectual Disabilities In Leading A Healthy Lifestyle, Annelies Overwijk, Thessa I.M. Hilgenkamp, Cees P. Van Der Schans, Annette A.J. Van Der Putten, Aly Waninge

Physical Therapy Faculty Research

Background: For a healthy lifestyle, people with moderate, severe, and profound intellectual disabilities living in residential facilities and/or participating in day activity centers are dependent on their direct support professionals. However, it is unclear what knowledge and skills these direct support professionals require to support these individuals in living a healthy lifestyle. Therefore, the aim of this study was to identify the needs of direct support professionals for supporting these people with moderate to profound intellectual disabilities to achieve and maintain a healthy lifestyle. Method: Direct support professionals (n = 28) were interviewed with the use of a semi-structured protocol …

An Investigation Of Occupational Therapy Utilizing Sensory Modulation To Manage Co-Morbid Chronic Pain And Substance Use In Order To Promote Occupational Performance And Recovery, Claire Ruth

Student Capstone Papers

Background: Those with chronic pain have worse drug and alcohol treatment outcomes and higher rates of relapse compared to those without pain or with reduced pain (Ilgen et al., 2020).

Methods: A descriptive study was employed with the aim of determining what are the sensory processing pattens of those with co-morbid chronic pain and in recovery for substance use. All participants completed the Adolescent and Adult Sensory Profile, the Brief Pain Inventory, and the Personal Recovery Outcome Measure (PROM).

Results: From the preliminary findings, individuals with co-morbid chronic pain and substance use may have atypical sensory processing …

Life Skill Development And Its Impact On Perceived Stress, Employment And Education Pursuits: A Study Of Young Adults With A History Of Homelessness And Trauma, Josephine Beker, Tina M. Deangelis

Student Journal of Occupational Therapy

An occupational therapy educational training group for young adults in permanent supported housing was developed, implemented and evaluated with pre-post outcome measures including Goal Attainment Scaling (GAS) and the Perceived Stress Scale-10 (PSS-10). The study explored stress levels and employment-related goals of individuals who have aged out of the foster care system and may also have had a history of chronic homelessness and trauma. Results demonstrated a trend towards significance in perceived stress 9Z=1.689, p=0.91) with 7 of 8 participants surpassing the expected outcome according to GAS. Limitations included a small convenience sample (n=8), inconsistent attendance and use of self-report …

Interprofessional Education And Practice: Perspectives From Students In Speech-Language Pathology And Recreational Therapy, David Hajjar, Jan Elich-Monroe, Susan Durnford

Teaching and Learning in Communication Sciences & Disorders

Interprofessional education and practice (IPE/IPP) are important components for undergraduate and graduate students to experience during their programs of study in speech-language pathology and related health professions. The American Speech-Language Hearing Association (ASHA) is a member organization of the Interprofessional Education Collaborative (IPEC) which promotes four core competencies required for effective practice: values/ethics, roles/responsibilities, interprofessional communication, and teams and teamwork. The purpose of this study was to gather the lived experiences from eight pre-professional students, four from speech-language pathology (SLP) and four from recreational therapy(RT), during focus groups and discussion forums conducted before, during, and after a 14-week IPE/IPP clinical …

Effects Of Social Technology On Older Adults In A Residential Living Facility, Katherine Bennett, Mia L. Gonzalez, Sydney L. Harper, Madison N. Logan, Kaeli M. Jeffers, Alexandrea C. Springer, Jeanne Sowers

Student Journal of Occupational Therapy

Personal connection and social interaction are vital components of health throughout the lifespan. Loneliness and social isolation among the older adult population impacts both physical and mental health negatively. Analysis of published research demonstrates the importance of considering the use of different social technology platforms to foster opportunities for social support among family and friends. Researchers noted an increased relevance of the need for social technology in residential living facilities with the emergence of the COVID-19 pandemic and social distancing. The study aims to investigate the impact of social technology, via Sherish℠ Connect on older adults’ reported levels of loneliness …

Qualitative Exploration Of Mealtime Routines And Parental Stress Of Children With Pediatric Feeding Disorders: Analysis Of Occupational Performance, Andrea Patino

Student Capstone Papers

Pediatric feeding disorders (PFD) affect approximately 25-35% of children with typical development, 40-80% of children with developmental disabilities, and 90% of children with autism spectrum disorder (ASD). Feeding disorders affect families by disrupting mealtime routines, changing family dynamics, and increasing parental stress. Occupational therapy (OT) focuses on client-centered care that facilitates independence in meaningful occupations, including feeding and eating. OTs also play an essential role in assisting, training, and educating parents on effective mealtime strategies that can be implemented and carried over into the home environment. Few research studies show how parents manage behaviors and stress during mealtime routines, and …

Analysis Of Occupational Therapy’S Role To Promote Healthy Sleep Participation To Support Caregivers Of Children With Autism Spectrum Disorder, Sophia N. Roman

Student Capstone Papers

Children with autism spectrum disorder (ASD) face sleep disturbances. Healthy sleep habits are essential for children with ASD and their caregivers to properly engage in their everyday lives. Occupational therapists are trained to evaluate clients in areas that contribute to sleep dysfunction and to focus on promoting optimal sleep performance. There is limited research on caregivers’ perceptions of their child’s sleep disturbances, these disturbances’ influence on occupational engagement, and whether occupational therapists have collaborated with caregivers of children with ASD to treat this area of occupation. Collecting data from caregivers by using a questionnaire can provide occupational therapy (OT) practitioners …

An Occupation-Based Program To Promote Mental Health Of At-Risk Youth In An After-Care Setting, Alexa Smith

Student Capstone Papers

The disproportionate tendency for young adults from disadvantaged backgrounds to shift from schools to the juvenile justice system is referred to as the “school to prison pipeline”. Treating and preventing mental health difficulties is within the scope of occupational therapy, and while the school system assists in mental health treatment, there is a lack of mental health supporting services in after-care settings. The purpose of the program development project is to increase the supportive mental health services provided to at-risk youth in the after-care setting. The project ran mental health group sessions using Cole’s Seven Step Model with participant groups …

Producing Precarity: The Individualization Of Later Life Unemployment Within Employment Support Provision, Debbie Rudman, Rebecca Aldrich

Occupational Therapy Publications

There have been marked policy shifts within many nations towards ‘extended work lives’, with such shifts often underpinned by an assumption that individual aging citizens can make the responsible choice to prolong work and thereby avoid dependency on the state. However, possibilities for extended work lives are inequitably distributed, and older workers who become unemployed often face prolonged unemployment and barriers to obtaining sustainable employment. Drawing on findings from an ethnographic study addressing the negotiation of long-term unemployment in two North American cities, this article attends to how jobseekers aged 50 and older, employment support service providers, and organizational stakeholders …

Examining Complementary Health Approaches And Integrative Health (Chaih) Practices Among Occupational Therapists In The United States: A Mixed Methods Approach, Sarah M. Renner

Dissertations

The use of complementary health approaches and integrative health (CHAIH) is increasing among adults and children in the United States and continues to grow within various health care settings. With Health and Wellness identified as a key practice area for occupational therapists and the American Occupational Therapy Association supporting the use of CHAIH in occupational therapy (OT) practice, practitioners must offer safe, research-driven treatments supporting this movement. Research around CHAIH continues to grow; yet the gaps in the literature make it difficult to determine how CHAIH is being used in OT practice as well as the practitioner’s perspectives on the …

Insights From An Inaugural Eight-Month Interprofessional Collaborative Co-Design Educational Experience Between Occupational Therapy And Industrial Design, Rebecca Brown, Kimberly S. Mollo, Madalyn Peterson, Mikael Avery, Eric Schneider, Tod Corlett

Department of Occupational Therapy Faculty Papers

The design of the built environment greatly impacts how all types of individuals and populations actively participate in their daily lives. Lack of access in the built environment for disabled populations remains a daily reality, negatively impacting engagement and life satisfaction, leading to isolation, loneliness, and depression. A university in the Northeastern United States sought to expand current constructs of the end-user and environment within a universal design (UD) perspective. On an eight-month inaugural interprofessional collaborative co-design experience, third-year occupational therapy doctoral (OTD) students were embedded in a first-year masters of industrial design (MSID) curriculum, which ran the course of …

Reducing Delirium In Patients With Covid-19, Allison E. Brewer Mot/S, Amy Carver Mot/S, Allison Nance Mph, Mot/S, Mallori Rodrigue Mot/S, Olivia Smith Mot/S

Master of Occupational Therapy Student Critically Appraised Topics

The purpose of our critically appraised topic is to synthesize the best current evidence regarding interventions that would be effective in reducing delirium in patients with COVID-19 in the acute care setting. The final portfolio contains a total of five research articles. Study designs include three randomized controlled trials, one non randomized controlled trial, and one quasi-experimental quantitative design. All studies relate directly to interventions within the OT scope of practice and were implemented in the acute care setting. Due to limited research on the novel coronavirus, these findings apply to critically ill patients but are not specific to patients …

Preventing Pneumonia Through Early Mobilization Of Critically Ill Adults, Elizabeth G. Barton, Tedrin N. Elion, Caleb J. Harbor, Alexandria M. Keathley, Madison R. Payne, Hailey N. Warrington

Master of Occupational Therapy Student Critically Appraised Topics

The purpose of this critically appraised topic (CAT) is to investigate early mobilization and its effect on preventing pneumonia in adults in the intensive care unit (ICU). The final portfolio contains four research articles from both national and international journals. Study designs included two meta-analyses, one case series, and one retrospective study. All four of the articles specifically described the effects of early mobilization on individuals in the hospital and ICU and showed positive results in reducing the likelihood of developing pneumonia. This CAT will be used to draft new practice guidelines for mentoring new managers in both occupational therapy …