Medicine and Health Sciences Commons^™

Student Perspectives And Standardized Patient Feedback On An Innovative Simulated Patient Encounter, Kimberly S. Mollo, Tina M. Deangelis, Maclain Capron, Sierra Wells

Journal of Occupational Therapy Education

This retrospective survey analysis sought to explore student perspectives and application of therapeutic use of self during a simulated standardized patient encounter (SSPE) with standardized patient actors portraying serious mental illness (SMI). Researchers collected retrospective data from post SSPE student surveys dating between 2009 and 2019 and standardized patient actor surveys dating between 2017 and 2019. Students’ level of expertise with therapeutic use of self and self-perceptions of the SSPE were analyzed for response categories. Descriptive analysis was conducted on all items. Student survey responses were organized into response categories. Standardized patient actor surveys were analyzed for frequencies of yes/no …

A Placement Replacement Module Developed Through Covid-19: Incorporating Spiral Learning, Case-Based Learning And Simulated Pedagogical Approaches, Rachel Dadswell, Belinda Williams, Anita Bowser, Fay Hughes

Journal of Occupational Therapy Education

The coronavirus (COVID-19) pandemic changed life across the world at an unprecedented speed, in ways that were unimaginable prior to March 2020. As ‘new normals’ emerge, the impact on everyday life is being realized and some rapid innovations are worthy of review and retaining, such as an occupational therapy student virtual Placement Replacement Module (PRM). The occupational therapy specific module was developed to replace prohibited face-to-face, practice-based education. It was designed to support the consolidation of professional knowledge and facilitate the application of practice-based skills, crediting the students with 120 practice placement hours, as agreed with the Royal College of …

Level I Fw In A Simulated Environment: A Blueprint On How To Use Simucase™, Elizabeth D. Deiuliis, Amy Mattila, Retta M. Martin

Journal of Occupational Therapy Education

Simulation education is a sought-out teaching modality in allied healthcare education to bridge the classroom and the clinic. In addition to developing healthcare student professionals’ skills, attitudes and key competencies, simulation can also be used to address the national fieldwork shortage, as well as site capacity issues related to the current pandemic. Although the Accreditation Council for Occupational Therapy Education (ACOTE) has recently indicated that simulation is an acceptable method to deliver Level I fieldwork, there are limited resources available. This paper will provide a pedagogical blueprint for incorporating computer-based simulation and case-based learning principles using the Simucase™ platform for …

Occupational Therapy Students’ Test/Re-Test Reliability Of The Readiness For Interprofessional Education Learning Scale And Interdisciplinary Education Perception Scale, Leah Shea Simpkins, Aaron D. Sciascia, Casey E. Humphrey

Journal of Occupational Therapy Education

The purpose of this study was to establish the test/re-test reliability of two interprofessional education (IPE) instruments, the Readiness for Interprofessional Learning Scale (RIPLS) and the Interdisciplinary Education Perception Scale (IEPS) among occupational therapy (OT) graduate students. The intent was to compare results based on previous IPE experience and year in the program. The RIPLS and IEPS were distributed to 111 OT students at one university. Both instruments were distributed a second time 10-14 days later. Cronbach’s alpha, weighted Kappas, intraclass correlation coefficients (ICC), standard error of measurement, and minimal detectable change were calculated for each instrument. Assessments occurred for …

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

Journal of Occupational Therapy Education

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

Clinical And Professional Reasoning Development In Level Ii Fieldwork: Occupational Therapy Assistant Students’ Perception, Marie-Christine Potvin, Jeanne M. Coviello, Eden Rothacker, Caitlin Taylor, Taryn Pettigrew, Mary Beth Thomas, Laronda Lockhart-Keene

Journal of Occupational Therapy Education

Occupational therapy academic programs are tasked with preparing occupational therapy assistant (OTA) students to develop and use clinical and professional reasoning in practice. A component of this academic education, Level II fieldwork (FW), develops clinical and professional reasoning by allowing students to practice this skill. Although numerous studies have investigated this topic in occupational therapy students, only one small study has previously investigated this in OTA students during Level II FW. Thus, we designed a mixed methods study of OTA students during Level II FW (n = 58) to confirm and expand our knowledge of learning experiences that develop …

Fee-For-Placement In Level Ii Fieldwork: Prevalence And Context, Brenda M. Coppard, Yongyue Qi, Lisa Bagby, Julia Shin

Journal of Occupational Therapy Education

Occupational therapy (OT) education has utilized fieldwork experiences to develop professional identity and clinical competency of entry-level OT practitioners since 1923. Level II OT fieldwork is viewed as a necessary and valuable experience by students, clinicians, and academicians. Despite the significant role fieldwork has in the formation of the future workforce, some educational programs report a shortage of OT fieldwork placement sites and the emergence of fee-for-placement fieldwork sites. The purpose of this study was to examine the prevalence and context of fee-for-placement for Level II OT fieldwork in the United States. Investigators surveyed master’s and doctoral level OT programs …

Therapeutic Use Of Self And Fieldwork Experience: An Exploration Of The Art And Science Of Occupational Therapy, Michelle M. Sheperd, Ashlea Cardin, Tara L. Boehne, Kristin A. Paloncy-Patel, Jessica K. Willis

Journal of Occupational Therapy Education

The clinical practice of occupational therapy has been described as a blend of both art and science. For occupational therapy students, Level II fieldwork experiences offer early opportunities to refine both client-centered attitudes and scientific aptitude in relationship-based caregiving. In this retrospective study, researchers examined the ability to predict final Fieldwork Performance Evaluation scores from the following non-cognitive (i.e., art) and cognitive (i.e., science) variables: ranked student responses to the Self-Assessment of Modes Questionnaire (v.II); undergraduate grade point average (GPA; cumulative and science), and Graduate Record Examination (GRE) scores (quantitative, verbal, and analytic). Using a series of simple linear regressions, …

Advancing The Entry-Level Practitioner: A Curricular Model Of The Professional Occupational Therapy Doctoral Degree, Erika L. Kemp, Lisa A. Juckett, Amy R. Darragh, Lindy L. Weaver, Monica L. Robinson, Carmen P. Digiovine, Lori Demott

Journal of Occupational Therapy Education

The recent growth of entry-level occupational therapy doctoral (EL-OTD) programs has been met with mixed opinions from both occupational therapy educators and practitioners. These opinions occasionally have been accompanied by uncertainty about the specific curricular components that differentiate the EL-OTD from the entry-level master’s degree. In an effort to address this uncertainty, the purpose of this article is to present one example of an EL-OTD curricular model and describe its distinct educational components. This curricular model integrates recommendations for doctoral education originally proposed by Case-Smith et al. (2014) and is characterized by the following three components: 1) Advanced Coursework; …

Admission Factors That Predict Canadian Occupational Therapy Students' Practicum Success, Jill Stier, Behdin Nowrouzi-Kia, Markus Ott, Adam Mohamed

Journal of Occupational Therapy Education

The evaluation and refinement of admission practices are pertinent topics for admissions committees. There has been limited research that explored the relationship between applicant admission scores and practicum performance. Our study suggests that practicum performance may demand different skills than achieving high academic standing prior to admission. Continued efforts to identify factors predictive of practicum performance will assist occupational therapy (OT) admissions committees to select the highest caliber applicants who will become future practitioners. This study explored which admission factors predicted competency-based fieldwork evaluation for occupational therapists (CBFE-OT) scores for students enrolled in a Canadian Master of Science in Occupational …

The Impact Of Trauma On Graduate Occupational Therapy Students: Trauma-Informed Implications For Educators, Erin Wells, Brittany Adams, Laura G. Wheeler

Journal of Occupational Therapy Education

Recent worldwide events have led to a dramatic increase in reported levels of anxiety in college students and individuals aged 18-29. If there is currently a marked increase in anxiety and stress responses in college age students and traumatic events negatively impact an individual’s ability to participate in their education, it is reasonable to assume that the occupational disruption that students are currently experiencing negatively impacts their ability to participate adequately in their education. This study explored the impact of trauma on graduate occupational therapy students (OTS) from entry-level programs. A mixed-methods survey was utilized to gain the perspectives of …

Occupational Therapy Student Perceptions Of Wellness: Focus Group Findings, Kelsey Lawrence, Katherine Chin, Stacy Smallfield

Journal of Occupational Therapy Education

Despite the evidence of significant consequences stemming from the intense demands on students, most graduate-level programs have insufficiently considered components of students’ wellness. Thus, the purpose of this research study was two-pronged: 1) to evaluate current occupational therapy students’ perceptions of wellness and 2) to explore student perceptions on using communities of practice as a program delivery method to enhance wellness. A qualitative study design was selected to gather experiences and feedback from occupational therapy graduate students. Participants were recruited via email from a convenience sample of a large, research-based Midwestern occupational therapy program. Participants attended one focus group and …

Interprofessional Reflective Journals: Content Themes And Self-Regulated Learning, Joan M. Tunningley

Journal of Occupational Therapy Education

Self-reflection has been linked with clinical reasoning, academic, and clinical outcomes. The purpose of this study was to examine self-reflective journal entries from thirty students for interprofessional core competencies and for self-regulated learning components. The text data was analyzed using an in-depth three cycle coding process, thoroughly described in the methods. The findings were structured into two themes confirming interprofessional content learning: collaboration, team, and communication; and respect and roles. One additional theme emerged, transformation and relatedness, which indicated self-regulated learning components as well as supporting transformative learning. This qualitative case-study contributed to the research of occupational therapy students’ self-reflection …

Supporting The Professional Reasoning Of Students From Fieldwork To Practice, Vanessa D. Jewell, Lou Ann Griswold, Sarah Phillips

Journal of Occupational Therapy Education

The Occupation-Centered Intervention Assessment (OCIA) was created to assist occupational therapy practitioners and students to apply knowledge of the core theoretical constructs of occupation from didactic education to clinical practice. This study investigated how the OCIA influenced students’ professional reasoning and supported students’ transition from academic education to clinical practice during fieldwork. Using an inductive qualitative approach, researchers analyzed master’s level students’ (n=61) reflection on using the OCIA to analyze an intervention they had reported providing during fieldwork. Collaborative data analysis produced 48 initial codes. Ongoing peer briefing led to grouping of coded data into three themes and 15 subthemes, …

The Value Of Occupational Therapy Student Participation In University-Based Student-Run Free Clinics In The United States, Janis W. Yue, Mina Delavar, Bethrese Padini, Erik Vanstrum, Tessa Milman, John Sideris

Journal of Occupational Therapy Education

While student-run free clinic (SRFC) participation is well-documented among many health professions, no study has comprehensively characterized occupational therapy student participation. The purpose of this qualitative study was to understand both the current presence as well as educational impact of occupational therapy student participation in university-based SRFCs in the United States (U.S). Data collection occurred through a national survey and semi-structured interviews. Surveys were sent to representatives (e.g. program directors, faculty advisors, and student leaders) at all 190 accredited occupational therapy schools. Of these, 118 responded, for an overall response rate of 62.1%. Semi-structured interviews were conducted with a purposeful …

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

Journal of Occupational Therapy Education

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

A Nationwide Descriptive Study: Understanding Roles, Expectations, And Supports Of Academic Fieldwork Coordinators In Occupational Therapy Programs, Elizabeth D. Deiuliis, Kimberley Persons, Patricia Laverdure, Elizabeth D. Lequieu

Journal of Occupational Therapy Education

Fieldwork education is considered a central component to the formative development of occupational therapy professionals and the responsibility for the quality of fieldwork educational experiences falls to the Academic Fieldwork Coordinator (AFWC). The roles and responsibilities of the AFWC vary considerably between institutions and are not clearly understood. Using a convergent mixed methods research design, the study aimed to describe the roles and responsibilities of the AFWC in occupational therapy programs in the United States and to identify the structural supports and barriers that influence success in meeting the unique expectations and challenges in fieldwork education. A 64-item online survey …

The Perceptions Of Four Novice Occupational Therapists' Preparedness And Ability To Perform Occupation-Based Practice In Pediatric Practice, Laurie Knis-Matthews, Meagan Koch, Alivia Nufrio, Melissa Neustein Gorman, Feby Zaki, Katheryne H. Wall

Journal of Occupational Therapy Education

Although occupation-based practice (OBP) is considered best practice within the occupational therapy profession, practitioners continue to have a difficult time actively implementing OBP into treatment. The Accreditation Council for Occupational Therapy Education (ACOTE) standards necessitate the implementation of OBP. Within the literature, there are gaps in the research investigating novice therapists’ perceptions of incorporating OBP in practice, especially in the United States. Since children and youth is a rapidly growing area of practice, this study focused on investigating how novice therapists are implementing OBP in pediatric settings. This qualitative study therefore investigated the perceptions of four novice pediatric occupational therapists’ …

Building Stress Resilience And Wellbeing: Introducing Mindfulness Training To Reduce Stress In Entry-Level Occupational Therapy Students, Jen Willoughby Vogtmann, Ingrid Provident

Journal of Occupational Therapy Education

Given the high levels of stress in college students and its impact on academic achievement, a purposefully designed curriculum-based mindfulness stress reduction program was implemented for entry-level occupational therapy students to support student mental health. The small-scale, seven-week study, used a combination of mindfulness-based stress reduction strategies, including a meditative technique known as inquiry-based stress reduction (IBSR), and coping strategies using the Occupational Performance Coaching Model to help students cope with their stress levels. Sixteen student participants explored a variety of stress reduction strategies to best suit their individualized needs. Strategies included phone applications, podcasts, guided meditation, yoga, mindfulness of …

Outcomes And Perceptions Of Graduates Of An On-Campus And Hybrid Occupational Therapy Program, Alie Banning, Morgan Dickerson, Angelique Hill Roebuck, Lou Jensen

Journal of Occupational Therapy Education

Hybrid education, which combines face-to-face and online learning, is being implemented in an increasing number of graduate schools. However, there is limited research on the outcomes of graduates of hybrid programs. The purpose of this study was to a) examine the employment characteristics, professional characteristics, and education perceptions of graduates from an entry-level doctor of occupational therapy program; and b) investigate differences in these variables between graduates of the on-campus and hybrid pathways. A cross-sectional online survey was completed by 146 graduates of an occupational therapy program that includes on-campus (n=111) and hybrid (n=35) pathways. Data were analyzed using an …

Using Metacognitive Training With Kinesiology Students, Christina Davlin-Pater, Leah S. Dunn, Roy Bower, William Cipolli, Sara Biddle

Journal of Occupational Therapy Education

As future healthcare practitioners, kinesiology students must become expert learners who choose strategies resulting in deep and durable learning. Metacognitive instruction goes beyond the use of study skills as it focuses on student reflection and evaluation of their learning success, and ultimately establishes effective learning skills, a requirement for professional practice. To examine if an intervention in a kinesiology course affected metacognitive awareness and use of metacognitive strategies, a quasi-experimental research design utilized a convenience sample of 89 upper division undergraduate occupational therapy students and master’s level athletic training students enrolled in kinesiology courses. Using an online survey including the …

A Systematic Review Of Return To Sport Physical Performance Tests Of The Foot And Ankle, Michael Jeanfavre, Amy Humphrey, Matthew Klein

Faculty Publications - College of Physical Therapy

Objective

This systematic review sought to update a prior review and identify the current physical performance tests (PPT) that are used to determine return to sport (RTS) readiness in competitive athletes following musculoskeletal foot and ankle pathology. Methods The PubMed, CINHAL, and SPORTDiscus databases were systematically searched for articles using keywords related to PPT, RTS, and foot and ankle injuries. The quality of the included studies was evaluated using the risk of bias (RoB) tools proposed by the CLARITY from the McMaster University of Health Sciences.

Results

Twenty-five articles (9 RCTs, 16 Non-RCTs) with 1372 subjects were included for the …

The Effect Of Visual Feedback On Lumbar Spinal Mobility In Subjects With Low Back Pain, Alexandra Adams, Averi Donaldson, Katherine Hildebrandt, Philemon Miller

Clinical Sciences: Graduate Physical Therapy Capstone Projects (2008-2021)

Purpose: This study was designed to determine if visual feedback via a laser pointer would enhance quality of lumbar mobility exercise in quadruped. A secondary aim of this study was to compare mobility assessed using the valid and reliable Modified-Modified Schober Test (MMST) to mobility measured indirectly using the laser pointer.

Subjects: 69

Methods: Adult participants with no low back pain (LBP) in the previous year or back surgery were randomly assigned to one of three groups for two sessions: Control (blindfolded during both), Intervention A (blindfolded then visual feedback), or Intervention B (visual feedback then blindfolded). Baseline standing lumbar …

Expectation Setting As A Retention Strategy To Improve Military Veterans’ Transition Into Civilian Organizations, Sarah O. Bashorun

Walden Dissertations and Doctoral Studies

Military veterans entering the civilian job market have experienced challenges adapting to the civilian work place culture, which poses undesirable retention rates. This qualitative study addressed the research gap in understanding contextually the lived experiences with setting expectations and its impact on veterans withdrawing from the organization from the perspectives of veterans, HR, and hiring managers. This study was based on the met expectation theory that posits that an employee’s incoming expectation needs to match their expectation while on the job to avoid withdrawal behaviors. To confirm the theory and address the purpose two research questions were used: (a) addressed …

Fairness, Emotional Intelligence, And Ethical Decision-Making In Customer Evaluations Of Providers, Tameka Austin

Walden Dissertations and Doctoral Studies

Customer satisfaction is a topic that organizations must focus on for the success and continued sustainability of their organizations. Emotional intelligence, fairness, and ethical decision-making are areas that businesses must address to identify how their businesses are impacted by the choices that customers make when working with corporations. The gig economy (short- or long-term project in which a contract worker is hired to perform a specific task or long-term consultant assignment) is an area that has not been addressed to a great extent by psychology researchers. The purpose of this study was to examine the relationships between emotional intelligence, ethical …

Vocational Rehabilitation Counselors’ Self-Employment Perceptions And Related Client Characteristics, Deborah Ashley, Noreen M. Graf

School of Rehabilitation Services & Counseling Faculty Publications

Self-employment is a viable option to increase the quality of life and well-being of people with disabilities. People with disabilities are also twice as likely to be self-employed than those in the general population. While self-employment interest and activity among people with disabilities has remained constant over the past three decades, vocational rehabilitation counselors rarely use self-employment as a closure option. The purpose of the present study was to examine counselors’ perceptions regarding self-employment and identify client characteristics deemed necessary for self-employment success. The national sample consisted of 205 Certified Rehabilitation Counselors. Significant statistical differences were found among counselors in …

Strategies And Barriers To Work Behavior Changes: Perceptions Of Prevocational Rehabilitation Professionals, Yuleinys A. Castillo, Kathryn Rinehart, Jerome Fischer, William Weber

School of Rehabilitation Services & Counseling Faculty Publications

Adequate work behavior can increase job retention and job satisfaction for employees with disabilities. Employment modification strategies are practicable tools to address challenging work behavior negatively affecting employment of individuals with disabilities in rural areas. The purpose of this study was to conduct a phenomenological qualitative study of prevocational rehabilitation professionals in a focus group concerning rehabilitation services and training needs for rural vocational services for people with disabilities. Three themes emerged: (a) strategies to improve employment retention; (b) strategies to develop employment skills; and (c) barriers to the implementation of strategies provided. Results also suggested that training rehabilitation programs …

Transcending Chronic Illness And Disability: Virtue-Based Adaptation Model Perspective, Jeong Han Kim, Rene Gonzalez, Taryn V. Richardson, Dong Hun Lee

School of Rehabilitation Services & Counseling Faculty Publications

The present study examined the replicability of Virtue-Based Adaptation Model (V-PAM). Traditional adaptation studies in the field of rehabilitation often focus on examining innate psychological disposition such as personality. In V-PAM; however, the emphasis is given to virtue, one’s pursuit of excellence and commitment after the onset of illness and disability. From this perspective, adaptation to illness and disability is viewed as a positive by-product of having endured adversities while transforming them into insightful opportunities for renewal. Thus, adaptation is not only affected by innate dispositions, but also it can be nurtured via the collaborative counseling process. Two hundred eight …

Primary Care: A Service-Learning Environment For Occupational Therapy Students, Brandi Andreae, Wen-Pin Chang, Thomas F. Fisher, Priya Bakshi

Occupational Therapy Faculty Publications

This research provides evidence on occupational therapy (OT) students in primary care (PC). OT demonstrates the skills and knowledge to address chronic medical conditions in PC with entry-level education. Limited evidence of occupational therapists in PC demonstrates a need to examine OT services in this setting. In this emerging area of practice and ever-changing reimbursement models, additional evidence is needed to define the value and continuation of OT services in PC. A mixed-methods study aimed to answer the primary research question: How are OT students used in the PC setting in fieldwork or capstone experiences? A two-phase process was involved. …

Motivational Interviewing In Vocational Rehabilitation: Why It Matters For People With Disabilities, Alicia Wein-Senghas

Antioch University Dissertations & Theses

Motivational Interviewing (MI) is increasingly being trained within and integrated into public vocational rehabilitation (VR) programs based on its efficacy in related fields and yet research specific to the efficacy of MI in public VR programs is almost nonexistent. This study used a quantitative sequential design to explore relationships between MI training, MI proficiency, and VR customer outcomes within the State of Vermont’s Division of Vocational Rehabilitation (VT DVR) program. The study occurred in two phases. In the first phase, 30 VR counselors were recruited, and their level of MI proficiency was established using the Motivational Interviewing Treatment Integrity Measure …