Medicine and Health Sciences Commons^™

A Qualitative Exploration Of Transformative Learning Within An Online Leadership Course, Melissa M. Sweetman

Journal of Occupational Therapy Education

As the profession of occupational therapy enters its second century of existence, it is important to recognize that for continued sustainability and strength through the effects of healthcare reform, strong leadership is required. While experts agree that leadership development for occupational therapists needs to begin in the classroom setting, there is little existing research on occupational therapy leadership education. Built upon a theoretical framework of the transformative learning theory, this qualitative study sought to determine whether students in an online leadership course within a post-professional doctor of occupational therapy degree program believed they experienced a transformation in their leadership knowledge …

The Development Of A Role-Emerging Fieldwork Placement In A Homeless Shelter, Quinn Tyminski

Journal of Occupational Therapy Education

The purpose of this project was to develop and evaluate student learning outcomes of a role-emerging fieldwork Level II placement in a local homeless shelter. A role-emerging fieldwork placement denotes any placement in which there is not an identified occupational therapy program or no on-site occupational therapy (OT) supervisor. The project ran from January through June 2017 at a local homeless shelter with 1 Masters of Occupational Therapy (MOT) student from a local university completing their first Level II fieldwork rotation from January through March, followed by 2 MOT students completing their second rotation from April through June. Fieldwork supervision …

The Impact Of An Interprofessional Geriatric Training Experience: Attitudes Of Future Healthcare Providers, Lisa J. Knecht-Sabres, Minetta Wallingford, Michelle M. Lee, James F. Gunn, Esperanza M. Anaya, Sarah E. Getch, Nathaniel D. Krumdick, Gloria M. Workman

Journal of Occupational Therapy Education

As the older adult population increases, it is vital to educate and train healthcare providers as members of interprofessional healthcare teams who can work effectively with these individuals. Ageism is a potential obstacle to achieving this goal. The purpose of this pre/post-test design pilot study was to determine the impact of an interprofessional geriatric training experience on the attitudes of future healthcare providers towards interprofessionalism and working with older adults. Sixteen graduate level students from occupational therapy and clinical psychology programs completed four interprofessional sessions with older adults residing in a long-term care facility. Quantitative data were gathered from pre/post-test …

Occupational Therapy Practice Patterns In Two Rural States: Does The College Experience Influence Rural Employment Choice?, Debra J. Hanson, Janet S. Jedlicka, Nicole C. Harris, Marilyn G. Klug

Journal of Occupational Therapy Education

An online survey was conducted of 225 occupational therapy (OT) practitioners living in the rural states of North Dakota and Wyoming to explore practice patterns and the influence of the college experience on employment choice. Findings showed that rural practitioners had greater variability of hours spent working (5.5 more hours per week, p=.028), and one more work location on average (p=.006). Therapists in urban settings spent 15% more time in fieldwork education than their rural counterparts (p=.021). Rural practice choice was influenced by participation in Level I and Level II fieldwork (p=.002) but not by loan debt. Study implications for …

Enhancing Professionalism Among Ot Students: The Culture Of Professionalism, Kate Reiter, Loriann Helgeson, Supawadee C. Lee

Journal of Occupational Therapy Education

Occupational therapy (OT) students are likely to experience generational differences when interacting with faculty and clients. Each generational group has a shared culture and unique set of experiences that influence their behavior, expectations, and perceptions surrounding professionalism. When teaching professionalism to OT students, the cultural underpinnings and influences related to generational groups and their differences become important considerations. This manuscript explores the relationship between culture and professionalism and describes how generational culture influences professional behaviors. It presents a reflective process and guide developed by the authors to enhance professionalism and cultural effectiveness among OT students and guide them in meeting …

An Online Training To Prepare Occupational Therapy Students To Work With Clients With Limited English Proficiency And Interpreters, Elizabeth A. Harrison, Mansha Mirza

Journal of Occupational Therapy Education

Effective communication between occupational therapists (OTs) and their clients is key to quality, client-centered services. Most OTs can expect to work with clients with Limited English Proficiency (LEP). Language barriers may negatively impact client safety and client satisfaction. Working with language interpreters is a key means for OTs to best serve clients with LEP; however, few OT curricula provide adequate training in working with interpreters. This paper presents a new, innovative online training for preparing OT students to work with clients with LEP and interpreters. The brief online training used informational slides, video role plays and written case studies to …

Download Entire Issue: Collaborative Healthcare: Interprofessional Practice, Education And Evaluation (Jcipe), Volume 8, Number 2, Fall 2017

Collaborative Healthcare: Interprofessional Practice, Education and Evaluation (JCIPE)

Download Entire Issue: Collaborative Healthcare: Interprofessional Practice, Education and Evaluation (JCIPE), Volume 8, Number 2, Fall 2017

Meet An Ipe Champion From Thomas Jefferson University: Michaela Scotten, Michaela Scotten, Ots

Collaborative Healthcare: Interprofessional Practice, Education and Evaluation (JCIPE)

As part of the two-year curriculum for my Master's degree in Occupational Therapy, I engaged in the Health Mentors Program. Additionally, I had the honor of volunteering with No One Dies Alone through the student IPE interest group throughout my last year. My main involvement with JCIPE was through Student Hotspotting, beginning July, 2016 (offered through Camden Coalition of Healthcare Providers Primary Care Progress, and Association of American Medical Colleges). I had the opportunity to work with an interdisciplinary team of eight students and four faculty members to identify "super-utilizing" patients with complex psychosocial and healthcare needs. As a team, …

Virtual Reality As A Training Tool To Treat Physical Inactivity In Children, Adam W. Kiefer, David Pincus, Michael J. Richardson, Gregory D. Myer

Psychology Faculty Articles and Research

Lack of adequate physical activity in children is an epidemic that can result in obesity and other poor health outcomes across the lifespan. Physical activity interventions focused on motor skill competence continue to be developed, but some interventions, such as neuromuscular training (NMT), may be limited in how early they can be implemented due to dependence on the child’s level of cognitive and perceptual-motor development. Early implementation of motor-rich activities that support motor skill development in children is critical for the development of healthy levels of physical activity that carry through into adulthood. Virtual reality (VR) training may be beneficial …

Integration Of Animal-Assisted Therapy Standards In Pediatric Occupational Therapy, Sara J. Shue, Melissa Y. Winkle, M J Mulcahey

People and Animals: The International Journal of Research and Practice

The primary purpose of this study was to describe how the best practice recommendations and standards of practice related to animal-assisted therapy (AAT) are being incorporated into pediatric occupational therapy (OT). The study design was a nonexperimental survey that identified the qualifications of pediatric occupational therapists that are incorporating AAT, the AAT standards of practice that are or are not used in practice, and the barriers and facilitators to being an AAT qualified occupational therapist. There were 21 respondents to the survey. The majority of respondents had a master’s degree, more than 10 years working as an occupational therapist, less …

Impact Of Men's Shed On Social Participation And Health Outcomes, Joshua Grimmer

Honors Theses

This paper will explore the concept of a community-based organization, known as a Men’s Shed. The purpose of the research is to determine the positive impacts the North Belfast Men’s Shed has on social participation and overall health outcomes. The key factors observed in this study were the safe environment, camaraderie, social acceptance, and variety of activities the shed offers. The study included a sample of 11 men primarily over the age of 60. At the time of the study, all of the men were retired or unemployed and came from diverse occupational backgrounds. A set of semi-structure questions was …

November 2017 Issue, Occupation: A Medium Of Inquiry For Students, Faculty & Other Practitioners Advocating For Health Through Occupational Studies

OCCUPATION: A Medium of Inquiry about Health through Occupation

No abstract provided.

Effects Of Physical Exercise In Older Adults With Reduced Physical Capacity: Meta-Analysis Of Resistance Exercise And Multimodal Exercise, Chiung-Ju Liu, Wen-Pin Chang, Islene Araujo De Carvalho, Katie E. L. Savage, Lori W. Radford, Jotheeswaran Amuthavalli Thiyagarajan

Occupational Therapy Faculty Publications

Older adults with reduced physical capacity are at greater risk of progression to care dependency. Progressive resistance strength exercise and multimodal exercise have been studied to restore reduced physical capacity. To summarize the best evidence of the two exercise regimes, this meta-analysis study appraised randomized-controlled trials from published systematic reviews. Medline, Embase, and the Cochrane Database of Systematic Review and Cochrane Central Register of Controlled Clinical Trials were searched for relevant systematic reviews. Two reviewers independently screened the relevant systematic reviews to identify eligible trials, assessed trial methodological quality, and extracted data. RevMan 5.3 software was used to analyze data …

Exercise, Cognition, And The Aging Process Among Active, Competitive, And Sedentary Middle-Aged And Older Adults, Katherine Adams

Health, Human Performance and Recreation Undergraduate Honors Theses

Purpose This study aimed to compare the cognitive measures of reaction time and dual-task performance among recreationally active, master athletes, and sedentary older adults aged 50 years or older. Methods 59 late middle-aged and older adults between the ages of 50 to 88 years old participated in reaction time and dual-task tests of which consisted of multiple trials on the same day. Subjects were placed either into the recreationally active, masters athlete, or sedentary activity level group based on the Rapid Assessment of Physical Activity (RAPA) form. For the gait speed with associated dual-task component, subjects walked 10-meters at two …

Using Virtual Reality To Improve Sitting Balance, Alice Kay Barnes

Graduate Theses/Dissertations

This thesis focuses on using virtual reality (VR) to enhance sitting balance and core strength. It is a study in how to create a VR exercise program which is interesting enough to keep players/patients motivated, but comfortable to play and not overwhelming to the senses. The software used for this study was written with the hope that a later version of it might be used with occupational/physical therapy patients one day. For this master’s thesis, the initial testing has been done with healthy volunteers. The software incorporates what developers know thus far about designing for VR, and it is hoped …

A Review Of Occupation And Impairment Based Assessments Used In Occupational Therapy, Mariana D'Amico

OCCUPATION: A Medium of Inquiry about Health through Occupation

Objective: The objective of this paper was to analyze the psychometrics, efficacy, and usefulness of assessments to measure occupational performance and occupation-based outcomes.

Methodology: Eight Doctor of Occupational Therapy Students at Nova Southeastern University, along with their professor, analyzed and appraised 46 commonly used assessments to discover and explore the assessments’ purposes, theory-bases, psychometric properties, and usefulness as outcome measures.

Results: We found that many high quality assessments exist and meet the standards for validity and reliability. Although some assessments are client-centered and useful, some still require additional research to strengthen their psychometric properties.

Conclusion: Some widely used assessments …

What Happens After The Nicu? Parents Experience Of Caring For Their Premature Infants At Home, Amanda Pignon

OCCUPATION: A Medium of Inquiry about Health through Occupation

This paper reviews the literature on what happens after the NICU with premature babies and their families and provides perspective of a lived experience. There have been numerous studies conducted on the traumatic experience of the NICU, however there is limited research involving the parenting process and experience following the NICU and caring for a high risk infant at home. Articles were searched through two databases, CINAHL and Pubmed, yielding 15 articles in which three specific themes were outlined; psychological distress of parents, perceptions of parents and linking family to resources. While there are programs available for families, not all …

The Occupational Experiences Of Lesbian, Gay, Bisexual And Transgender (Lgbt) Individuals During The Coming Out Process: An Analysis Of Self-Acceptance, Disclosure, And Occupational Change, Lee Meach

OCCUPATION: A Medium of Inquiry about Health through Occupation

Human occupation is an intensely individual process that is colored by the cultural and life experiences of the individual who is engaged in an activity. The experiences of gender and sexual minorities typically defined as Lesbian, Gay, Bisexual, and Transgender (LGBT) individuals are different in many ways from the rest of the population. One occupation unique to this community is the process of “coming out” in which the individual discloses their minority sexual orientation or gender identity to others. The coming out process is complex and multi-faceted, involving both the internal reflective process of first self-accepting one’s orientation and identity …

The Pathway To The Use Of A Structured And Supported Approach To Debriefing, Anne H. Zachry, S. B. Lancaster

Faculty Presentations

Debriefing plays a critical role in the transfer of knowledge in simulation education. Various methods are used in the debriefing process based on a variety of factors; this presentation sheds light on the pathway to the use of a structured and supported approach as traversed in the Department of Occupational Therapy at the University of Tennessee Healthcare Center as well as reflections and lessons learned along the way. Engagement in this session will allow learners to further develop their debriefing skills through exposure to information about strategies to use in the debriefing process that can be used as part of …

Without Warning? What Occupational Challenges Cause Suicide Among Minority Young Adults? A Literature Review

OCCUPATION: A Medium of Inquiry about Health through Occupation

Suicide is a major public health concern within the United States. Suicide is the tenth leading cause of death for all age groups and the second leading cause of death among young adults aged 15-35. This literature review examines the increase of suicide death rates in young adults age 15-35, specifically young adult minority groups. African American, American Indian, Asian American and Hispanic American have unique occupational challenges that led to the act of suicide. In this review various protective and risk factors are examined to determine the best intervention and prevention measures required to address the epidemic of young …

The Contribution Of Technology To The Development And Sustainability Of An Occupational Therapy Community Of Learners In Doctoral Education, Susan Toth-Cohen, Phd, Otr/L, Mary Gozza-Cohen, Phd, Sandra Schefkind, Otd, Otr/L, Faota

Department of Occupational Therapy Posters and Presentations

This case study describes the pivotal role of technology in developing a community of practice (COP) designed for post professional occupational therapists that enabled doctoral students, alumni and faculty to share information and insights about topics, initiatives and research critical to the Occupational Therapy field. The COP evolved through ongoing development of the post-professional occupational therapy doctorate (PPOTD) program at Jefferson University in Philadelphia.

The conceptual foundation for the COP moved beyond an initial focus on course delivery to an emphasis on development, implementation, and sustainability of a vibrant learning community. Transformation of the COP was greatly facilitated through the …

Minimal Clinical Important Difference Of The Quick Disabilities Of The Arm, Shoulder, And Hand (Quickdash) For Post-Surgical Finger Phalanx Fractures, E. Smith-Forbes, Dana Howell, J. Willoughby, G. Pitts, T. Uhl

EKU Faculty and Staff Scholarship

Purpose: STUDY DESIGN: Retrospective, multiple-group observational design.

Objective: To determine the minimal clinically important difference (MCID) for the Quick Disabilities of the Arm, Shoulder, and Hand (QuickDASH) outcome measure, for post-surgical phalanx fracture diagnosis, using a triangulation of distribution-and-anchor-based approaches.

Background: The MCID for the QuickDASH has been established using a pool of multiple conditions, and specifically for the shoulder, and other diagnoses in the elbow and wrist, but not for post-surgical finger fracture. Understanding specific threshold change values for post-surgical finger fracture can enhance the clinical decision-making process.

Development Of A Concussion Pathway In Acute Care., Katharine Bell Ms, Otr/L, Cbis, Alisha Unternahrer Ms, Otr/L

Department of Medicine

No abstract provided.

Movement Without Boundaries, Jennifer Fortuna

The Open Journal of Occupational Therapy

Johnson Simon, an artist based in West Palm Beach, FL, provided the cover art for the Fall 2017 edition of The Open Journal of Occupational Therapy (OJOT). “Dancing in Motion” is a 36” x 60” painting made from acrylic on canvas. Johnson always wanted to become a dancer. He was born with cerebral palsy, and therefore physical limitations make it difficult for Johnson to coordinate his body movements. Through use of vibrant colors and bold strokes, Johnson’s expressionist paintings evoke movement and motion. Occupational therapy helped Johnson discover his artistic abilities. Painting empowered him to move without limitations.

Overview Of Instructional Technology Used In The Education Of Occupational Therapy Students: A Survey Study, Bryan M. Gee, Lisa Salazar, Jessica Porter, Camiel Clark, Theodore W. Peterson

The Open Journal of Occupational Therapy

The purpose of this study was to explore the type of instructional technology (IT) master’s degree level occupational therapy educational programs routinely use as a part of their lecture- and laboratory-based instruction. Surveying the administrators of 121 graduate occupational therapy programs in the United States, we found that the majority of the respondents identified their program as using IT in some form for lecture-based courses, with less inclusion of IT for laboratory-based courses. Hybrid instruction, with the majority of the content being delivered face-to-face and the remainder via online, were the trends among the respondents. The findings also indicated that …

Perceptions Of Occupational Therapy Students And Faculty Of Compressed Courses: A Pilot Study, Martina G. Allen, Mary Voytek

The Open Journal of Occupational Therapy

As occupational therapists, our mandate is to be client centered, yet in academic settings there is little information regarding student or faculty preferences about curriculum and course design. This study investigated the perceptions of occupational therapy students and faculty regarding the delivery of content in a compressed course format, thus reducing the number of courses taken at any given time. The authors discuss how the results inform the feasibility of incorporating this format into future curriculum design. A descriptive survey design was used for this study. The participants were 33 entry-level graduate students and two faculty who completed post-course surveys …

Occupational Therapy Students In Norway: Do Their Approaches To Studying Vary By Year In The Program?, Tore Bonsaksen, Mikkel M. Thørrisen, Talieh Sadeghi

The Open Journal of Occupational Therapy

Approaches to studying may be influenced by students’ age, maturity, and experience in higher education. Students’ approaches to studying may develop toward deep and/or strategic approaches and away from a surface approach as they move through the curriculum, which is generally considered a positive development. This study aimed to identify differences in approaches to studying among first-, second-, and third-year students enrolled in an occupational therapy program. Three cohorts of students (n = 160) from one university college completed the Approaches and Study Skills Inventory for Students (ASSIST) along with sociodemographic information. One-way analyses of variance were used to …

Educating Occupational Therapists In The Use Of Theory And Evidence To Enhance Supervision Practice, Melanie J. Roberts, Deborah Fitzgerald, Matthew Molineux

The Open Journal of Occupational Therapy

This paper describes the implementation of a unique learning experience aimed at enhancing the quality of supervision practice in occupational therapy at the Gold Coast Hospital and Health Service. The package was designed by experienced occupational therapy educators based on adult, blended, and flipped learning approaches with content developed following administration of a standardized tool and semi-structured interviews. The learning package focused particularly on the logistics of supervision and the use of occupational therapy theory and evidence with supervision. The training for supervising therapists included a workshop and pre and post workshop learning activities. This collaborative research approach to designing …

Passing The Nbcot Examination: Preadmission, Academic, And Fieldwork Factors, Sharon D. Novalis, Jill M. Cyranowski, Cathy D. Dolhi

The Open Journal of Occupational Therapy

All occupational therapy students are required to successfully complete the certification examination administered by the National Board for Certification in Occupational Therapy (NBCOT) before they can practice independently. The need to repeat the examination can result in stress, anxiety, and financial hardship. This paper explores the relationship of preadmission factors, academic and fieldwork performance, and demographic variables to successful first-time attempts on the certification examination for occupational therapists. Data were gathered from 144 student files in a Master of Occupational Therapy (MOT) Program at a single university. Of the sample, 82% passed and 18% failed their first NBCOT test trial. …

Art In Occupational Therapy Education: An Exploratory Mixed-Methods Study Of An Arts-Based Module, Susan Coppola, Adrienne F. Miao, Carolyn Allmendinger, Wanqing Zhang

The Open Journal of Occupational Therapy

Art-based learning experiences have demonstrated a range of benefits, including improved observation skills and perspective taking. This article describes the effects of an art-based module in an entry-level curriculum for occupational therapy (OT) students. An exploratory pilot study investigated the feasibility of a group-administered visual art-based module for 20 first-year OT graduate students. Outcomes were evaluated using a mixed-methods approach that combined pre-post quantitative results from survey questionnaires and qualitative reflective essays. Pre- and post-surveys revealed significant changes in the students’ perception regarding the benefits of art in OT curricula. The students’ reflective essays on their learning described art-based sessions …