Medicine and Health Sciences Commons^™

The Occupational Therapy Practitioner Experience And Practice Related To Upper Limb Loss Or Difference And Prosthetics, Amanda H. Sugar, Rebecca Ozelie, Kristi Turner

Journal of Occupational Therapy Education

Despite occupational therapy’s critical role on the rehabilitation team for individuals with upper limb loss or difference (ULL/D) and prosthetics, this population is not extensively covered in many occupational therapy (OT) program curricula. As such, many clinicians work with patients with ULL/D with little expertise or confidence for this complex population. The aim of this study was to evaluate the OT practitioner experience and practice related to ULL/D and prosthetics in their education and practice. Utilizing snowball sampling, 150 OT practitioners completed a 24-question survey, which assessed OT practitioners’ experience with ULL/D, the prosthetic education in their OT program, and …

Book Review: The Path To Private Practice, Mary K. Thelander

Journal of Occupational Therapy Education

The Path to Private Practice: A Roadmap for Speech-Language Pathologists and Occupational Therapists Considering Private Practice (Castro-Casbon, 2023) invites clinicians to consider the benefits of entrepreneurship. The book discusses concerns in the medical and educational systems that may cause occupational therapists (OTs) and speech and language pathologists (SLPs) to experience burnout. The text encourages the reader to consider entering into part-time private practice. Though the book is authored by a SLP, the concerns and strategies discussed in the book are easily compatible with the OT profession. This review details the content of the individual chapters and offers a critical analysis …

Universal Design For Learning Principles Impact On Students With Neurodiverse Learning Styles, Jennifer Y. Cole, Julia Graham, Shelly Norvell, Patricia Schaber

Journal of Occupational Therapy Education

Universal design for learning (UDL) is a pedagogical framework that utilizes the principles of equal access, flexibility, simplicity, perceptibility, and efficiency in the process of teaching and learning. This multi-institutional cross-sectional study examined instructional methods and designs that occupational therapy students identified to be useful or not useful for their diverse learning needs based on principles of UDL. The study also sought to determine if select methods or designs were perceived to enhance learning for those who are neurodivergent in contrast to other students. An online survey was distributed to students across four occupational therapy programs. The survey consisted of …

Occupational Therapy Assistant Students’ Perceptions Of Using Standardized Patient Encounters As A Replacement For Traditional Level I Fieldwork, Tiffany L. Benaroya, Deborah Mckernan-Ace, Sandra L. Rogers, Meredith Cimmino

Journal of Occupational Therapy Education

Standardized patient encounters are being utilized more often in occupational therapy education as a replacement for traditional fieldwork. While there is a growing body of research to support the use of this model in developing student skillsets and confidence, there remains limited information on the topic, and no studies which look at its use with occupational therapy assistant students. Twenty-four occupational therapy assistant students participated in standardized patient encounters which served as a replacement for traditional Level I fieldwork. All students completed an anonymous supplementary course evaluation regarding their experiences. A secondary analysis of the data looked at their perceptions …

“Putting On Our People Lens”: Lived Experience As Pedagogy, Tessa Zoe Milman, Sarah Bream, Celso Delgado, Erin Mcintyre, Tristan Scremin, Leslie Moreno, Maggie Yeo, Deborah Pitts

Journal of Occupational Therapy Education

In the professional education of mental health practitioners, including occupational therapists, there has been a lack of meaningful inclusion of people labeled with mental illness into curricula, beyond guest speaker panels and presentations. This study explored the experiences of students, faculty, and ‘Experts by Experience’ within a mental health occupational therapy course that incorporated Experts with lived experience as co-facilitators of weekly fieldwork debriefs. The study utilized focus groups and interviews to understand the experiences of students, mental health faculty, and ‘Experts by Experience’. Key themes that emerged from the qualitative data analysis were organized under three broad categories: 1) …

Transitioning From Professional Practice To Teaching During Covid-19: A Participatory Research Study, Yvonne Thomas, Ciara Hensey, Claire Squires, Anna Collier, Heidi Cathcart, Lindsey Coup

Journal of Occupational Therapy Education

The transition from expert occupational therapy practice to academic educator is stressful and complex, involving the development of a new professional identity. In 2020-21 COVID-19 created a new challenge for recently employed academics, who were in this transition process. This study utilized participatory research to explore the impact of COVID-19 on six new occupational therapy lecturers who were employed immediately before and during the pandemic. The participatory research approach simultaneously engaged participants in research processes and aimed to promote researcher development. Three focus groups were conducted to explore participants experiences before, during and after COVID-19 restrictions. Focus groups transcripts were …

Relationships Between Reasoning, Reflective Practice, And Evidence-Based Practice: Educators’ Perspectives, Hannah K. Burke, Pat L. Sample, Anita C. Bundy, Shelly J. Lane

Journal of Occupational Therapy Education

Many models of professional thinking exist within occupational therapy, but the relationships among reasoning, reflective practice, and evidence-based practice as essential skills for practice are not clear. Because occupational therapy educators impart these skills to students, understanding how educators conceptualize relationships among skills is necessary. We used Delphi methodology to explore educator conceptualizations of the relationships among clinical reasoning, professional reasoning, reflective practice, and evidence-based practice. Inclusion criteria were: an educator in an occupational therapy program for at least three years at the master’s level or higher, currently an occupational therapy educator based in the United States, and available across …

Occupational Therapy Educators’ Self-Efficacy To Teach In A Blended Curriculum, Inti A. Marazita, Amy Adcock, Mary Shotwell

Journal of Occupational Therapy Education

Educational trends have influenced occupational therapy education as evidenced by the adoption of new teaching methods such as blended learning. Blended learning is a combination of both synchronous and asynchronous learning that occurs online as well as portions of the learning occurring in a brick-and-mortar. As more occupational therapy programs design their curriculum to include blended learning, it is essential to understand occupational therapy educators' self-efficacy related to their skills and capabilities to teach in such an innovative format. Little is known regarding occupational therapy educators' self-efficacy to teach in a blended curriculum. This qualitative study aimed to examine the …

Occupational Therapy Students’ Service Learning: Rehabilitation Archeology With Military Veterans, Lola Halperin, Jaimee Mb Hegge, Sharon Mccloskey, Stephen Humphreys

Journal of Occupational Therapy Education

Existing research evidence pertaining to the occupational therapy (OT) role with adventure-based outdoor activities for military veterans and the authors’ positive experience serving members of a non-profit veteran-run organization that promotes rehabilitation archeology suggest that outdoor rehabilitation for this client population is a promising avenue for the profession. Moreover, students’ exposure to outdoor experiences designed for military veterans as well as other populations presenting with physical and mental health conditions has the potential to significantly augment OT curriculum by impacting both the learning trajectory and personal transformation of the students. This paper describes a unique service-learning experience involving graduate OT …

Utilizing The Nant Core Competencies To Guide The Occupational Therapy Doctoral Capstone Experience And Project In The Nicu, Kate N. De Castro Mehrkens, Taylor N. Bateman

Journal of Occupational Therapy Education

The occupational therapy doctorate degree requires a capstone experience and project to be completed within a specific occupational therapy (OT)-related setting. The doctoral capstone experience and project can be difficult to complete in the highly specialized Neonatal Intensive Care Unit (NICU). This paper provides a sample outline of the doctoral capstone experience and project in the NICU. The NANT Core Competencies, written by the National Association of Neonatal Therapists Professional Collaborative, were utilized as a guideline to track student progress and ensure understanding of neonatal therapy topics. This paper follows one student’s doctoral capstone experience and project in the NICU …

Supporting The Well-Being And Engagement Of Occupational Therapy Students Through Sensory Modulation: A Pilot Study, Rebecca Matson, Jo Linforth, Julie Hanna, Vikki Barnes-Brown

Journal of Occupational Therapy Education

Student well-being is an increasing area of concern within higher education and one of the biggest causes of attrition. This study sought to investigate the potential for sensory modulation strategies as an approach to support student well-being and engagement in studies through an action research project. Sixteen second-year occupational therapy students took part in a two-week trial of items designed to support sensory modulation, following which they were asked to complete an online survey evaluating the effectiveness of the item in relation to affect, regulation, attention, and activity. Eight students completed the survey containing a mix of Likert scale and …

Resilience As A State, "A Learned Trait," Among The Brain Injury Population: A Narrative Analysis, Bailey Gifford

Occupational Therapy Doctorate Capstone Projects

Background: Traumatic brain injuries (TBI) are acquired injuries resulting from an external trauma to the head (Brain Injury Association of America, 2019). The impact of a TBI is significant with those affected experiencing cognitive decline, decreased mobility, communication barriers, reduced social participation and impairments with engagement in valued occupations.

Purpose: The purpose of this study is to explore the existing literature regarding state resilience for persons who have experienced TBI.

Theoretical Framework: Occupational Adaptation Model promotes occupational performance in meaningful activities through adaptation, which is a continual process based on fluctuating changes in adversity.

Methods: This project design was a …

Occupational Therapists’ Perceptions Of Practice During The Covid-19 Pandemic And The Impact On Their Mental Health And Well-Being, Victoria Long

Online Theses and Dissertations

Throughout the COVID-19 pandemic occupational therapists worked through a plethora of stressors. Research concerning the mental health of occupational therapists working in inpatient settings during the COVID-19 pandemic has been underexplored. The purpose of this qualitative descriptive study is to understand the effects of the COVID-19 pandemic on mental health and perceptions of healthcare for occupational therapists working in inpatient settings. Ten occupational therapists, recruited via purposive sampling, completed a semi-structured interview. The transcription was coded using thematic analysis finding five main themes. The five main themes included: fear impacts occupational therapists' performance patterns; workplace barriers influence quality of care; …

Experiential Education In Advocacy For Occupational Therapy Students: Didactic Approaches And Learning Outcomes, Aaron Bonsall, Rebecca L. Wolf, Abe Saffer

Journal of Occupational Therapy Education

Advocacy is a foundational value in occupational therapy, but uniformity in teaching and learning advocacy is lacking. This paper proposes and reports on the implementation of an advocacy course based on experiential education. The objective of the study was to evaluate student learning after an advocacy course with an experiential education component using an open-ended survey design. Participants were occupational therapy doctoral students, and the setting was a course taught in a health sciences university. Students voluntarily completed a four-item anonymous survey after participating in an experiential advocacy course. Written responses were coded into themes using an inductive approach. The …

A Pilot Study To Compare Lecture And Active Learning, Jennifer Calabrese

Journal of Occupational Therapy Education

Active learning strategies are being increasingly valued by instructors and implemented in higher education. However, mixed outcomes exist regarding learning, exam results, and student preferences for active learning compared to traditional lectures. A convenience sample of 26 first-year graduate students participated in a study that examined the impact of attending a traditional lecture versus an active learning session. Both sessions included a PowerPoint presentation and the active learning class also included embedded educational videos, instructor-led class discussions, a case study, and a think-pair-share activity. The instructor used a pre and post-test for each class and conducted a survey after each …

Access To And Utilization Of Primary Care: A Synthesis, Klaire M. Johnson

Kentucky Journal of Undergraduate Scholarship

Barriers to access and utilization of primary care affect nearly 9% of the nation’s population (USDHHS, n.d.a). These barriers are important to evaluate for members of the aging population due to increased need for health care as a result of chronic conditions and falls. Research indicates that access for the aging population is affected by a variety of factors, including: transportation, non-financial barriers, and internal factors. Issues surrounding current delivery of care, such as a workforce shortage of primary care physicians, have compounded the problem even further. While this issue has begun to be addressed through the Affordable Care Act, …

Moving Forward Together: Reflections Of A National Survey Of Ot/Ota Students’ Perceptions Of Culturally Aware Educational Content Delivery, Adair M. Sanchez, Iris W. Burns, Tina M. Deangelis, Maclain Capron, Abigail Mills, Taylor Kligerman

Journal of Occupational Therapy Education

In June of 2020 in response to the murder of George Floyd and the additional atrocities against historically marginalized people and communities across the United States, the Commission on Education (COE) of the American Occupational Therapy Association (AOTA) sought to act within its scope. A retrospective survey (N= 1,692) was developed, deployed, and analyzed in accordance with the COE’s standard operating procedures relating specifically to monitoring trends that impact the education of occupational therapy (OT) and occupational therapy assistant (OTA) students. This survey aimed to capture perspectives from OT/OTA students regarding the delivery of culturally aware educational content in curricula …

Understanding The Mental Health Of Occupational Therapy Students During The Covid-19 Pandemic, Alisha Sharma, Andrea Tyszka

Journal of Occupational Therapy Education

The COVID-19 pandemic has impacted the mental health of health professional students across the world. Although there are a growing number of studies regarding the mental health of other health professional students, there are currently limited studies regarding the mental health of entry-level occupational therapy (OT) and occupational therapy assistant (OTA) students in the United States, especially within the context of the COVID-19 pandemic. The purpose of this mixed methods survey study was to understand the mental health status of entry-level OT and OTA students in the United States during the COVID-19 pandemic in order to better support their mental …

An Intentional Wholeness Focus And The Association With Burnout In Graduate Students, Stacey B. Cunningham, Susanne B. Montgomery, Brian J. Distelberg, Qais Alemi

Journal of Occupational Therapy Education

Rates of stress, anxiety, depression, and burnout for university students are concerning. As in other competitive professional fields, graduate students in occupational therapy, physical therapy, and speech language pathology face many performance pressures. Creating supportive learning and wholeness climates along with individual grit, resilience, and healthy spirituality have the potential to positively impact these pressures. The study’s purpose was to examine factors related to burnout within an institution committed to creating supportive learning and wholeness environments. Three hundred and fifty-three graduate students from occupational therapy, physical therapy, and speech language pathology graduate programs were recruited to participate in a cross-sectional …

Promoting Student Understanding Of Occupation-Centered Practice And Updated Inter-Rater Reliability Of The Occupation-Centered Intervention Assessment, Kelly Little, Yongyue Qi, Vanessa D. Jewell

Journal of Occupational Therapy Education

The Occupation-Centered Intervention Assessment (OCIA) was developed as a reflective tool for students to improve their comprehension of occupation-centered practice. Finding new and innovative ways to incorporate occupation-centered assignments can serve as a strategy to develop student integration of occupation-centered practice and allow educators to appraise student comprehension. The purpose of this study was to evaluate student understanding of occupation-centered practice by utilizing various statistical analyses, including updated inter-rater reliability, of the OCIA using student assignments. Utilizing a methodological approach, 121 first-year students analyzed 10 physical rehabilitation videos utilizing the OCIA to rate the interventions for their level of occupation-centeredness. …

Exploring The Experience Of Entry-Level Occupational Therapy Doctoral Students On The Use Of Anatomage® Table To Learn Anatomy – A Survey, Karthik Mani, Amber B. Armstead, Lima Ghulmi, Flor Nunez, Amy Boyd

Journal of Occupational Therapy Education

Technology has transformed health science education delivery over the past decade. Students in all health science disciplines must learn and master anatomy to be successful in their education and career. Several virtual resources are available to learn anatomy. The University of Texas Medical Branch introduced Anatomage Table to its entry-level occupational therapy doctoral (OTD) students in 2021 to supplement anatomy learning. As students’ usage of educational technology depends on perceived usefulness, user-friendliness, and positive user experience, this study explored the experiences and perceptions of the students regarding the use of Anatomage Tables to learn anatomy. Students in the class of …

An Exploration Of Occupational Therapy Faculty Perceptions Of Student Behaviors, Shruti Gadkari, Jeni Dulek

Journal of Occupational Therapy Education

Occupational therapy (OT) graduate students may demonstrate behaviors in their learning that faculty perceive as unprofessional or resistant. Faculty often attribute these behaviors to personality traits or other qualities residing within the student rather than seeing them as a result of a confluence of intrinsic and extrinsic factors, as Tolman and Kremling proposed in the Integrated Model of Student Resistance (IMSR). This study examined the perceptions of student resistance to learning by surveying OT faculty teaching in entry-level masters and doctoral programs. Participants completed an anonymous, online survey that used a Likert scale rating to collect data about the frequency …

Exploring Professional Behavior Development In Entry-Level Occupational Therapy Students, Courtney J. Taylor, Kate G. Barlow, Christine Helfrich

Journal of Occupational Therapy Education

Professional behaviors are critical for fieldwork success and entry-level competency. A convergent mixed-methods institutional case study was utilized as a means to enhance professional behavior outcomes. The Philadelphia Region Fieldwork Consortium (PRFC) Level I Fieldwork Student Evaluation (2^nd ed.) was implemented as a pretest posttest measure, in the didactic context, to track one cohort of entry-level Master of Occupational Therapy (OT) students’ professional behavior development during their last academic semester. Students (n=46) and academic professors (n=5) completed pre and posttest ratings across one semester. Paired t-tests demonstrated significant differences between student and faculty ratings and within group difference among …

A Podcast’S Effect On Empathy And Client-Centeredness In Occupational Therapy Students, Stephanie Lancaster, Anne H. Zachry

Journal of Occupational Therapy Education

There is mixed evidence on the effectiveness of educational approaches that address empathy and client-centeredness in occupational therapy (OT) education. The purpose of this study was to investigate the effect of listening to a personal narrative-account podcast on empathy and client-centeredness in OT students. An experimental, posttest-only control group design was used. Master’s degree level OT students were stratified by year of study and were randomly assigned to either an intervention group or control group. Following a 5-week educational intervention, levels of empathy and client-centeredness were measured and compared using the Kiersma-Chen Empathy Scale and the Patient-Practitioner Orientation Scale via …

A Nationwide Descriptive Study: Part Ii Understanding The Ways Academic Fieldwork Coordinators Describe The Responsibilities And Challenges Of Their Role, Patricia Laverdure, Elizabeth Lequieu, Elizabeth D. Deiuliis, Kimberley Persons

Journal of Occupational Therapy Education

The responsibilities and challenges of Academic Fieldwork Coordinators vary considerably across occupational therapy and occupational therapy assistant programs in the United States. In the second part of a nationwide convergent mixed-method study conducted to identify the roles and responsibilities of the Academic Fieldwork Coordinator, we examined the role responsibilities, structural supports, and barriers that influence their success and satisfaction. Academic Fieldwork Coordinators described the valuable role they play in supporting students’ achievement of learning outcomes, successful fieldwork experiences, and their entrance into the profession as competent practitioners. They additionally delineated the valuable contributions they make to their programs’ maintenance of …

Collaborative Fieldwork Supervision Model Supports Identified By Occupational Therapy Fieldwork Educators, Oaklee Rogers, Debra J. Hanson, Cherie Graves, Tamara Turner, Marilyn G. Klug

Journal of Occupational Therapy Education

Within the occupational therapy (OT) profession, the collaborative fieldwork supervision model is considered a non-traditional approach to fieldwork education. Although supportive strategies for fieldwork education have been developed, there is little data to validate fieldwork educators' perspectives on the value and helpfulness of these supports for this model. Using a mixed-methods research design, this study aimed to identify what supports influenced fieldwork educators to use the collaborative fieldwork supervision model, what supports are valued when implementing it, and what supports would be considered helpful for those who have not used it. A total of 382 fieldwork educators completed the study, …

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. …

Experiential Learning Through Als Caregiver Learning Labs: Occupational Therapy Student Outcomes, Susan Hoey, Jessica Henaughan

Journal of Occupational Therapy Education

Occupational therapy (OT) educators strive to design learning experiences to enhance OT students’ clinical reasoning and promote preparedness for the complexities of clinical practice. Occupational therapy programs have collaborated with the Amyotrophic Lateral Sclerosis (ALS) Association and taken a novel approach to the development of interprofessional experiential learning through student-led ALS Caregiver Learning Labs (CLLs). A retrospective pre-test post-test study was completed to identify outcomes related to participation in three different ALS CLLs embedded into a master’s level OT curriculum. A 6-point rating scale questionnaire was used to assess students’ perception of their clinical reasoning, clinical skills, and comfort level. …

An Exploration Into Effective Pedagogies In Occupational Therapy Education For The Safe And Effective Use Of Physical Agents, Megan M. Mclaughlin, Alfred G. Bracciano

Journal of Occupational Therapy Education

Occupational therapy educational standards, established by the Accreditation Council for Occupational Therapy Education (ACOTE), require students to demonstrate knowledge and use of the safe and effective application of physical agents. A recent change requires educators to reflect on pedagogical approaches for electrotherapeutic and deep thermal agents. With a lack of research on pedagogical approaches to teaching physical agents, research on this important topic is essential. The purpose of this study was to identify education and training methods that facilitate the development of competence with complex physical agents. This study used a mixed-methods survey design with follow-up interviews. The survey sample …