Medicine and Health Sciences Commons^™

The Predictors Of Juvenile Recidivism: Testimonies Of Adult Students 18 Years And Older Exiting From Alternative Education, La Toshia Palmer

Dissertations

Purpose: The purpose of this descriptive, qualitative study was to identify and describe the importance of the predictors of juvenile recidivism and the effectiveness of efforts to prevent/avoid juvenile recidivism as perceived by previously detained, arrested, convicted, and/or incarcerated adult students 18 years of age and older exiting from alternative education in Northern California. A second purpose was to explore the types of support provided by alternative schools and the perceived importance of the support to avoid recidivism according to adult students 18 years of age and older exiting from alternative education.

Methodology: This qualitative, descriptive research design identified …

Chemohormonal Therapy In Metastatic Hormone-Sensitive Prostate Cancer: Long-Term Survival Analysis Of The Randomized Phase Iii E3805 Chaarted Trial, Christos E. Kyriakopoulos, Yu-Hui Chen, Michael A. Carducci, Glenn Liu, David F. Jarrard, Noah M. Hahn, Daniel H. Shevrin, Robert Dreicer, Maha Hussain, Mario Eisenberger, Manish Kohli, Elizabeth R. Plimack, Nicholas J. Vogelzang, Joel Picus, Matthew M. Cooney, Jorge A. Garcia, Robert S. Dipaola, Christopher J. Sweeney

Internal Medicine Faculty Publications

Purpose

Docetaxel added to androgen-deprivation therapy (ADT) significantly increases the longevity of some patients with metastatic hormone-sensitive prostate cancer. Herein, we present the outcomes of the CHAARTED (Chemohormonal Therapy Versus Androgen Ablation Randomized Trial for Extensive Disease in Prostate Cancer) trial with more mature follow-up and focus on tumor volume.

Patients and Methods

In this phase III study, 790 patients with metastatic hormone-sensitive prostate cancer were equally randomly assigned to receive either ADT in combination with docetaxel 75 mg/mm² for up to six cycles or ADT alone. The primary end point of the study was overall survival (OS). Additional …

Quality Of Life During Treatment With Chemohormonal Therapy: Analysis Of E3805 Chemohormonal Androgen Ablation Randomized Trial In Prostate Cancer, Alicia K. Morgans, Yu-Hui Chen, Christopher J. Sweeney, David F. Jarrard, Elizabeth R. Plimack, Benjamin A. Gartrell, Michael A. Carducci, Maha Hussain, Jorge A. Garcia, David Cella, Robert S. Dipaola, Linda J. Patrick-Miller

Internal Medicine Faculty Publications

Purpose

Chemohormonal therapy with docetaxel and androgen deprivation therapy (ADT+D) for metastatic hormone-sensitive prostate cancer improves overall survival as compared with androgen deprivation therapy (ADT) alone. We compared the quality of life (QOL) between patients with metastatic hormone-sensitive prostate cancer who were treated with ADT+D and those who were treated with ADT alone.

Methods

Men were randomly assigned to ADT+ D (six cycles) or to ADT alone. QOL was assessed by Functional Assessment of Cancer Therapy-Prostate (FACT-P), FACT-Taxane, Functional Assessment of Chronic Illness Therapy-Fatigue, and the Brief Pain Inventory at baseline and at 3, 6, 9, and 12 months. The …

Shared Decision-Making As Experienced By Rehabilitation Students On An International Service-Learning Trip: A Phenomenological Investigation, Mary Zadnik, Suzanne Trotter, Thomas Werner

Occupational Therapy Collection

The value of service-learning has been well documented in medical and allied health education (Abedini, Gruppen, Kolars, & Kumagai, 2012; Ekelman, Dal Bello-Haas, Bazyk, & Bazyk, 2003; Pechak, Gonzalez, Summers, & Capshaw, 2013; Pechak & Thompson, 2009; Ryan-Krause, 2016). Several studies have been conducted looking at cultural experiences and clinical reasoning (Corbett & Fickert, 2009; Sheppard & Landry, 2015; Nouvet, Chan & Schwartz, 2016). What has not been well-examined though is the concept of shared decision-making by those engaged in service-learning. The purpose of this phenomenological investigation (i.e. study) was to identify how occupational therapy (OT) and physical therapy (PT) …

Personality Types Among Athletic Trainers, Anthony Bartko

Masters Theses/Capstone Projects

This research study analyzed the personality types among the Athletic Training (AT) profession. With no research present in the field of Athletic Training, research from similar fields like Physical Therapy, and Occupational Therapy were referenced throughout the research process. Throughout the literature review process it was observed that previous researchers used the Meyers-Briggs Type Indicator (MBTI) assessment tool to identify personality types. A MBTI assessment tool was used to identify personality types among the participants, and a demographics survey comprised of nine questions was used to determine participant’s experience in the Athletic Training profession. After reviewing previous studies from other …

Motor Subtypes Of Parkinson’S Disease Can Be Identified By Frequency Component Of Postural Stability, Saba Rezvanian, Thurmon Lockhart, Christopher Frames, Rahul Soangra, Abraham Lieberman

Physical Therapy Faculty Articles and Research

Parkinson’s disease (PD) can be divided into two subtypes based on clinical features—namely tremor dominant (TD) and postural instability and gait difficulty (PIGD). This categorization is important at the early stage of PD, since identifying the subtypes can help to predict the clinical progression of the disease. Accordingly, correctly diagnosing subtypes is critical in initiating appropriate early interventions and tracking the progression of the disease. However, as the disease progresses, it becomes increasingly difficult to further distinguish those attributes that are relevant to the subtypes. In this study, we investigated whether a method using the standing center of pressure (COP) …

Effects On Recovery And Neuroplasticity In Brain Injury Patients, Rebekkah Mclellan

Student Scholar Showcase

Abstract

According to the Centers for Disease Control, approximately 1.7 million people sustain a Traumatic Brain Injury each year, making the topic of brain plasticity and patient recovery an important area of study. An added element is understanding whether biological, social, and environmental factors can impact the recovery and plasticity of the patient’s brain.The purpose of this literature review was to evaluate if the environment surrounding an individual who has sustained a brain injury affects their recovery and neuroplasticity. The databases used for the scope of this review included LC OneSearch, Medline, EBSCOhost, and Google Scholar. Keywords included brain injury, …

Effects Of The Environment On Recovery And Neuroplasticity In Brain Injury Patients, Rebekkah Mclellan

Student Scholar Showcase

According to the Centers for Disease Control, approximately 1.7 million people sustain a Traumatic Brain Injury each year, making the topic of brain plasticity and patient recovery an important area of study. An added element is understanding whether biological, social, and environmental factors can impact the recovery and plasticity of the patient’s brain. The purpose of this literature review was to evaluate if the environment surrounding an individual who has sustained a brain injury affects their recovery and neuroplasticity. The databases used for the scope of this review included LC OneSearch, Medline, EBSCOhost, and Google Scholar. Key words included brain …

Physical Therapy Service-Learning In A Second World Country: What Are The Benefits?, Molly L. Koeneman, Katie B. Palmer, Jessie Bass

Student Scholar Showcase

Social responsibility and service are key initiatives within the physical therapy profession and within the Lynchburg College Doctor of Physical Therapy (DPT) program. Service-learning opportunities are offered in the DPT program within the country of St. Lucia on a yearly basis. The primary focus of this presentation is to evaluate the impact of this type of experiential learning on both students and the local community. During the 2018 service trip, the Minister of Special Education of St. Lucia provided special insight to our contribution to the special education schools in St. Lucia, which indicates the trip provides beneficial and sustaining …

Lc Dpt Service Trip To St. Lucia: Following The Progress Of A 7 Y/O Boy Over 3 Years From Non-Ambulatory To Running With Peers, Brooke Panfil, Ainsley Reed

Student Scholar Showcase

In January of 2016, the Lynchburg College Doctor of Physical Therapy program formed the first group of 10 students and 2 professors that traveled to the island of St. Lucia to provide much-needed physical therapy services to the children in special education schools. During the initial visit, several students had the opportunity to work with a 5-year-old boy named Mark who had just learned to stand and presented with behavioral issues and lacked fine-motor skills. After spending only a couple hours with Mark, the students came up with a plan and some recommendations for Mark’s teachers with hopes to improve …

Being Observant: How Studying Michelangelo Can Improve Pt Practice, Andrew Lloyd, Erica Zachrich

Student Scholar Showcase

The field of physical therapy is swiftly transitioning from a formulaic biomedical model to a patient-centered biopsychosocial model, requiring clinicians to view their patients as a whole instead of as a sum of their parts. Integration of this concept into graduate health science education is variable across professions and amongst the same professional programs. Lynchburg College’s Doctor of Physical Therapy Program is pioneering an experiential learning course for graduate-level PT programs. “The Art of Anatomical Dissection: From Ancient Rome to the Renaissance” will transport students to the land of Da Vinci and Michelangelo, to study how the innovations of these …

Sensory Integration In Saint Lucian Schools: A Case Study, Megan Lively Spt, Ashley Danielsen Spt, Leigha Schimmoeller Spt

Student Scholar Showcase

In January 2018, the Lynchburg College Doctor of Physical Therapy program sent a group of ten first- and second-year students to St. Lucia to provide therapy services to children in need across the island in five different special education schools. The group has been able to work hand-in-hand with the Ministry of Education in St. Lucia for the past three years in order to make a positive impact on the special education students and teachers. As the group did their evaluations this year, we noticed a trend that most of the students we worked presented with sensory integration dysfunctions and …

Systemic Exercise-Induced Hypoalgesia Following Isometric Exercise Reduces Conditioned Pain Modulation, Ali Alsouhibani, Henrik Bjarke Vaegter, Marie K. Hoeger Bement

Physical Therapy Faculty Research and Publications

Objective

Physically active individuals show greater conditioned pain modulation (CPM) compared with less active individuals. Understanding the effects of acute exercise on CPM may allow for a more targeted use of exercise in the management of pain. This study investigated the effects of acute isometric exercise on CPM. In addition, the between-session and within-session reliability of CPM was investigated.

Design

Experimental, randomized crossover study.

Setting

Laboratory at Marquette University.

Subjects

Thirty healthy adults (19.3±1.5 years, 15 males).

Methods

Subjects underwent CPM testing before and after isometric exercise (knee extension, 30% maximum voluntary contraction for three minutes) and quiet rest in …

The Effects Of An Occupation-Based Home Exercise Program For Stroke Survivors, Shannon King

MOT Student Capstones

Stroke survivors seldom regain their full functionality following hospital or inpatient rehabilitation, it is therefore pertinent to have an intervention that can aid their recovery back at home. Functional impairments often lead to other complications if not properly managed including decreased participation in activities of daily living, decreased social activities, and increased depression. This project introduces a consistent, daily exercise for their recovery that is essential, described as occupation-based home exercise program (HEP). The purpose of the study is to administer this occupation-based home exercise program to assist stroke survivors to continue recovery at home to improve their functional ability, …

Rhythmic Movements And Feeling States, Melanie Johnson

Expressive Therapies Dissertations

This study was conducted to test the validity of a theoretical framework in developmental psychology of body movement analysis, the Kestenberg Movement Profile (KMP). Motor patterns associated with needs and foundations for affect expression, the tension flow rhythms (TFRs), were examined. Recent research examined the validity of the TFRs in nonclinical adults and found preliminary support for some of the KMP’s assumptions associating smooth (indulging) rhythms with indulgent affects and sharp (fighting) movements with assertive or aggressive affects. This study aimed to test the TFRs associated with the first two years of development—the sucking, biting, twisting, and strain/release rhythms. The …

Disart: Redefining The Construct Of Participation, Jennifer Fortuna

The Open Journal of Occupational Therapy

DisArt, an arts and culture organization based in Grand Rapids, MI, provided the cover art for the Spring 2018 issue of the Open Journal of Occupational Therapy (OJOT). The piece, a somatic sculpture by Petra Kuppers, was featured at the 2015 DisArt Festival in Grand Rapids. Kuppers is a disability culture activist and community performance artist who connects people, both disabled and nondisabled, in public spaces. DisArt’s mission is to increase the participation of disabled people in our communities through disability art exhibitions, cutting edge public events, and consultation. In a recent interview, DisArt co-founders and executive directors, Dr. Christopher …

Occupational Therapy Adjunct Faculty Self-Perceptions Of Readiness To Teach, Laronda Lockhart-Keene, Marie-Christine Potvin

The Open Journal of Occupational Therapy

To meet the demands of a growing profession, occupational therapy (OT) education programs rely on adjunct faculty to augment their faculty pool. Clinicians transitioning into faculty roles frequently do not have formal training in teaching and learning practices. This problem is compounded with adjunct faculty, as they are not using best teaching practices in OT education programs and do not have easy access to university resources. A qualitative study was conducted to describe the perceptions of new OT adjunct faculty on their degree of preparedness to teach, the supports needed to be successful in transitioning from clinician to academician, and …

Screens Or Mp4s: Acquiring Clinical Competencies Through The Use Of E-Ospes In Occupational Therapy, Lizahn Gracia Cloete, Lee-Ann Juliana Jacobs-Nzuzi Khuabi, Lana Van Niekerk

The Open Journal of Occupational Therapy

The assessment of clinical competence of undergraduate students is a crucial part of higher education training in occupational therapy. The use of online objective standardized practical examinations (e-OSPEs) was piloted as a technological innovation to determine student learning needs. An action research framework with four phases was used. Descriptive statistics in the form of frequency tables and percentages were used to report survey results. The students had multiple practice opportunities before uploading their best attempt. Thirty participants completed a 12-item survey. The results were analyzed using descriptive analysis and presented by means of statistical graphs. Peer assessment facilitated experiential learning. …

Exposure To, Knowledge Of, And Interest In Occupational Therapy And Physical Therapy As Career Options, Prisca M. Collins, Cynthia Carr

The Open Journal of Occupational Therapy

Lack of awareness and knowledge of the occupational therapy (OT) and physical therapy (PT) professions has been cited as a barrier to consideration of these professions as career options. This study examined the types of exposure to, knowledge of, and career interest in OT and PT of students from underrepresented minority (URM) and non-Hispanic White and Asian American (NHW-AA) populations. A questionnaire was administered to a convenience sample of 150 high school and undergraduate college students. Demographic data and student responses to questions regarding exposure to, knowledge of, and career interest in OT and PT were collected. Descriptive statistics and …

Pinch Testing Positions Among Certified Hand Therapists: A Cross-Sectional Survey, Sueann R. Woods, Christa Lilly

The Open Journal of Occupational Therapy

Background: Pinch strength is indicative of later functional hand use following injury to hand. However, we believe clinicians (and more specifically CHTs) currently do not use a consistent measurement of pinch grip, despite availability of a “gold standard” of current (2015) ASHT standards for measuring pinch grip.

Methods: This cross-sectional survey (N = 175, 35% response) was designed to determine whether CHTs adhere to the standardized testing position for palmar pinch strength as recommended by the ASHT.

Results: Results determined that only 5.7% (n = 10) of the CHTs surveyed complete the entire ASHT standardized testing …

Reliability Of The Bulb Dynamometer For Assessing Grip Strength, Colleen Maher, Seoyoung Yoon, Shannon Donovan, Rochelle J. Mendonca

The Open Journal of Occupational Therapy

Background: Hand function is an overall indicator of health and is often measured using grip strength. Hand-held dynamometry is the most common method of measuring grip strength. The purpose of this study was to determine the inter-rater and test-retest reliability, the reliability of one trial versus three trials, and the preliminary norms for a young adult population using the Baseline^® Pneumatic Squeeze Bulb Dynamometer (30 psi).

Methods: This study used a one-group methodological design. One hundred and three healthy adults (30 males and 73 females) were recruited. Six measurements were collected for each hand per participant. The …

The Distinct Value Of Occupational Therapy In Supported Employment Of Adults With Intellectual Disabilities, Katie Coakley, Kimberly Bryze

The Open Journal of Occupational Therapy

Background: Supported employment provides individuals with intellectual disabilities (ID) the support needed for community work. ID work is an integral occupation of adult life, facilitates social interaction, and fosters a sense of accomplishment and independence. The purpose of this study was to explore the unique contribution of occupational therapy to supported employment of adults with ID.

Methods: Case study methodology incorporating qualitative and quantitative data were used to examine two supported employees. Qualitative data were collected from interviews and administration of the Occupational Self-Assessment (OSA) and Work Environment Impact Scale (WEIS). The Assessment of Motor and Process Skills …

Informal Leadership In The Clinical Setting: Occupational Therapist Perspectives, Clark Patrick Heard, Jared Scott, Tanisha Mcginn, Emily Van Der Kamp, Amjad Yahia

The Open Journal of Occupational Therapy

Background: Leadership is vital to clinical, organizational, and professional success. This has compelled a high volume of research primarily related to formal leadership concepts. However, as organizations flatten, eliminate departmental structures, or decentralize leadership structures the relevance of informal leaders has markedly enhanced.

Methods: Using a qualitative phenomenological methodology consistent with interpretative phenomenological analysis, this study examines the impact of informal leadership in the clinical setting for occupational therapists. Data was collected through the completion of semi-structured interviews with 10 peer-identified informal occupational therapy leaders in Ontario, Canada. Collected data was transcribed verbatim and coded for themes by …

Psychometric Properties Of An Instrument Derived From The Intentional Relationship Model: The Self-Efficacy For Recognizing Clients’ Interpersonal Characteristics (N-Seric), Victoria C. Ritter, Farzaneh Yazdani, Tove Carstensen, Mikkel M. Thørrisen, Tore Bonsaksen

The Open Journal of Occupational Therapy

Background: The Intentional Relationship Model conceptualizes the therapeutic use of self in occupational therapy. To increase motivation for and success in establishing therapeutic relationships, therapists need self-efficacy for using the self in therapeutic practice. However, attempts to combine this model with self-efficacy theory are rare, and instruments by which to measure self-efficacy for therapeutic use of self are in a developing stage. This study aimed to examine the factor structure and internal consistency of the Norwegian Self-Efficacy for Recognizing Interpersonal Characteristics (N-SERIC).

Methods: Occupational therapy students (n = 100) from two education programs completed the instrument and …

Teachers’ Perceptions Of Needs And Supports For Handwriting Instruction In Kindergarten, Jill A. Nye, Divya Sood

The Open Journal of Occupational Therapy

Background: This study was designed to explore the perceived needs of kindergarten teachers as well as the supports they require in preparing children for success in the area of handwriting.

Methods: A phenomenological research design was used and nine kindergarten teachers employed at four elementary schools in a school district in Illinois participated in the study. Semi-structured interviews were completed to discuss the perceptions of teachers related to challenges they face and the supports they require in promoting the occupational task of handwriting among the children in their classrooms.

Results: The results from this pilot study revealed that overall …

A Mixed-Methods Study Examining Developmental Milestones And Parental Experiences In Ghana, Kate G. Barlow, Stacey Reynolds

The Open Journal of Occupational Therapy

Background: Ghana currently lacks a systematic method for identifying children with developmental delays, and there do not appear to be any culturally sensitive assessment tools available. The objectives of this mixed-methods research study were to explore normal developmental milestones and parental practices in the Ghanaian population. The study also aimed to identify and describe culturally specific factors that should be accounted for on assessments used in the Ghanaian culture.

Methods: Twenty-eight Ghanaian parents were interviewed and asked to participate in a developmental milestone picture-identification task. Quantitative and qualitative data analyses were performed.

Results: The interviews revealed several cultural factors that …

Understanding Therapists’ Use Of Play With Children With Life-Threatening Conditions: A Qualitative Study, Rachel L. Bambrick, Carole W. Dennis, Kimberly Wilkinson

The Open Journal of Occupational Therapy

Background: This study examined how occupational therapists use play in their treatments when working with children with life-threatening conditions.

Methods: This narrative qualitative study used an interpretive phenomenological approach to data analysis. Three semi-structured interviews were conducted with each therapist; interviews were designed to gather an understanding of how these occupational therapists work with children with life-threatening conditions and the ways in which they use play.

Results: Four major themes arose from the interviews along with two sub-themes. The four major themes were: play as a means, playful moments, condition-dependent limitations, and reimbursement. The two sub-themes were the importance of …

Normative Or Heavy Clouds? Early Indicators Of Nonverbal Learning Disability Based On Mothers’ Reports, Sara Rosenblum, Michal Piran, Sonya Meyer, Dalia Sachs

The Open Journal of Occupational Therapy

Background: Children with Nonverbal Learning Disabilities (NVLD) are verbally competent and particularly weak in nonverbal, visuospatial, and social abilities. Most of the literature about NVLD discusses the all-around functioning and diagnosis process during school years. In this qualitative study, the perceptions of mothers of children with NVLD were explored in the context of their children’s daily functioning characteristics during their first 3 years. The aim was to identify early indicators and warning signs of NVLD during the developmental process.

Method: Five mothers participated in two in-depth, semi-structured retrospective interviews.

Results: Two main themes were identified: (a) “Everything …

The Clinical And Classroom Utility Of The Inventory Of Reading Occupations: An Assessment Tool Of Children’S Reading Participation, Lenin Grajo, Catherine Candler, Patricia Bowyer, Sally Schultz, Jenny Thomson

The Open Journal of Occupational Therapy

Background: The aim of this study was to determine the initial clinical and classroom utility of the Inventory of Reading Occupations (IRO), a new tool to assess children’s reading participation.

Method: The study used phenomenological qualitative and descriptive methods. The participants included 38 occupational therapists, speech-language pathologists, classroom teachers, and parents who completed or reviewed responses of children on the IRO. To provide triangulation, 20 of the children who completed the IRO were interviewed. Data were thematically analyzed and then categorized using a central Strengths-Weaknesses-Opportunities-Threats premise.

Results: The majority of the participants indicated favorable response to the …

The War On Words, Diane Powers Dirette

The Open Journal of Occupational Therapy

No abstract provided.