Medicine and Health Sciences Commons^™

Osces’ Impact On Occupational Therapy Student Learning: Insights From Second- And Third-Year Focus Groups, Craig R. St. Jean, Karin Werther, Mary R. Roberts

The Open Journal of Occupational Therapy

Background: Objective Structured Clinical Examinations (OSCEs) are widely used in health programs to assess clinical skills. We present results of a qualitative study investigating occupational therapy students’ perceptions of OSCEs’ impact on their learning and readiness for clinical practice.

Method: Six second and six third year students in the University of Alberta’s Master of Science in Occupational Therapy program were interviewed in separate focus groups. Independent reviewers applied thematic analysis to the focus group transcripts to identify, analyze, and report themes in the data.

Results: Five themes were constructed from the data: from learning to action, transition …

Letter To The Editor: Re: Burke, Bundy, & Lane (2023) Article “If Reasoning, Reflection, And Evidence-Based Practice Are Essential To Practice, We Must Define Them”, Angela Benfield, Mark V. Johnston

The Open Journal of Occupational Therapy

The purpose of this letter to the editor is to suggest using modern test theory to support developing empirical definitions of these complex terms.

Predictors Of Daily Activity Performance Of Children With Autism And Its Association To Autism Characteristics, Neta Katz Zetler, Eynat Gal, Batya Engel Yeger

The Open Journal of Occupational Therapy

Background: The daily activity performance of children with autism spectrum disorder (ASD) is a central focus of occupational therapists. Yet, the existing performance-based assessments of basic and instrumental daily activities in children are limited and their application on children with ASD is scarce. The purpose of this study is to examine if daily activity performance of children with ASD is impaired as compared to children with typical development (TD), and to examine possible predictors of daily activity performance in children with ASD.

Method: The participants included 39 children with ASD and 40 children with TD, 6–10 years of …

Parametric Characteristics Of The B6omsi-Re, Sarahelizabeth Janemarie Baguhn

Dissertations

Orientation and mobility specialists for young children who are blind or visually impaired have relied on informal assessments or commercially available tools designed for sighted children to track developmental progress. When Bradley-Johnson (1994) literally wrote the book on assessment in blindness, the sharing and refinement of common tools led to professionals working in teams to sift and winnow the checklists, and move the best available tools into wider circulation. This has led to the evolution of the practitioner made tools becoming the published tools, although they have not yet had statistical evidence to support their efficacy. This three-paper dissertation aims …

A Systematic Review Of The Literature On The Assessments Used For Social Communication In The Diagnosis Of Autism Spectrum Disorder, Rachel E. Kim

Masters Theses

This review of the literature aims to analyze the current assessments available for clinicians, parents, and other professionals to use during the diagnosis of Autism Spectrum Disorder (ASD) that specifically addresses social communication. Although ASD can be diagnosed as early as the age of 2, children are often not diagnosed until the age of 4-5 years old. Especially for children who would be diagnosed with ASD and require Level 2 and/or Level 3 supports, early diagnosis can lead to early intervention which can help to provide the necessary support for both the child and family. Early intervention can help to …

Home Use Of An Upper Extremity Exoskeleton In Children With Sma: A Pilot Study, Tracy M. Shank, Tariq Rahman

The Open Journal of Occupational Therapy

Background: People with spinal muscular atrophy (SMA) often have arm weakness resulting in restricted independence and challenges with activities of daily living. An upper extremity (UE) orthosis, the Wilmington Robotic Exoskeleton (WREX), which augments arm movement by providing gravity assistance, was provided to a small cohort of subjects for 1 year. Resulting changes in the subjects’ performance were assessed.

Method: Five subjects with SMA were asked to use the WREX system for 1 year. Data were collected at baseline and at 6-month intervals. Evaluation tools used were UE range of motion (ROM), the Box and Block Test, the …

Exploring Associations Between Health Literacy And Visual Impairment In Older Adults With Age-Related Macular Degeneration (Amd), Jennifer Fortuna

The Open Journal of Occupational Therapy

Background: Age-related macular degeneration (AMD) is the leading cause of vision loss for Americans 65 years of age and older. Central vision loss makes reading challenging. Health literacy assessments that measure skills in basic literacy are often too demanding for people with AMD. The impact of central vision loss on functional health literacy has yet to be explored in the literature.

Methods: A between-subjects study design was employed to explore associations between functional health literacy and visual acuity in older adults with AMD. The Short Test of Functional Health Literacy in Adults (S-TOFHLA) was used to measure health …

Development Of The Occupational Performance Inventory Of Sexuality And Intimacy (Opisi): Phase One, Beth Ann Walker, Kasey Otte, Kelsey Lemond, Pamela Hess, Kandyse Kaizer, Tori Faulkner, Davis Christy

The Open Journal of Occupational Therapy

Background: The occupational therapy profession needs a framework to guide understanding of the occupational nature of sexuality and intimacy, assessment, intervention design, and measurement of outcomes. This study aimed to define the occupational nature of sexuality and intimacy and develop a theoretical and occupation-based screen, in-depth self-assessment, and performance measure.

Method: The Occupational Performance Inventory of Sexuality and Intimacy (OPISI) was developed following DeVellis’s (2017) guidelines for scale development that involved mapping the construct, generating an item pool, determining the format for measurement, and reviewing the initial item pool.

Results: The Occupational Therapy Sexual Assessment Framework (OTSAF) was developed to …

Dominican Nursing Students’ Self-Reported Mastery Of International Nursing Competencies, Wady Ramirez

Dissertations

The Dominican health care system has many challenges to meet the legal and the population’s health care expectations (La Hoz, 2018; United States Agency for International Development, 2013). The purpose of this study was to evaluate how well Dominican nursing students, who have completed their internship but not yet defended their final career project, assessed themselves against a set of international nursing competencies. In addition, the purpose was to explore any differences in their self-assessments based on whether these students completed their internship at public health care centers or not. Finally, the goal was to determine to what extent do …

Schizophrenia Spectrum Disorders: Linking Motor And Process Skills, Sensory Patterns, And Psychiatric Symptoms, Lola Halperin, Janet Falk-Kessler

The Open Journal of Occupational Therapy

Background: Consistent evidence suggests sensory abnormalities and skill deficits in people with Schizophrenia Spectrum Disorder (SSD). Further exploration of their sensory patterns and performance skills is warranted to promote community participation among these individuals.

Method: This study examined sensory patterns and motor and process skills in relationship to psychiatric symptoms in adult patients with SSD. Participants were evaluated using the Adolescent/Adult Sensory Profile, the Assessment of Motor and Process Skills, and the Brief Psychiatric Rating Scale.

Results: Of the 18 participants, the majority showed sensory differences, deficits in motor and process skills, and the presence of moderate …

Handwriting Performance Of Typical Second-Grade Students As Measured By The Evaluation Tool Of Children's Handwriting - Manuscript And Teacher Perceptions Of Legibility, Diane M. Long, James Conklin

The Open Journal of Occupational Therapy

Background: The purpose of the study was to describe scores achieved by typical second-grade students on the Evaluation Tool of Children’s Handwriting – Manuscript and to compare scores with teacher perceptions.

Method: As part of a larger study, the ETCH-M was administered to 74 second-grade students. Teachers scored classroom samples of handwriting assignments using a researcher-developed scale and scores were compared to ETCH-M scores to determine cutoff values for good versus poor handwriting.

Results: Mean scores for total word legibility, total letter legibility, and total numeral legibility were 88.82%, 84.30%, and 89.26%, respectively. Cutoff scores below 82% …

A Scoping Review Of Self-Awareness Instruments For Acquired Brain Injury, Danielle Mahoney, Sharon A. Gutman, Glen Gillen

The Open Journal of Occupational Therapy

Background: Self-awareness and insight are critical functions required to maintain safe and optimal participation in all daily life activities in a variety of environmental contexts. In the past two decades, occupational therapists have developed several psychometrically sound assessments designed to identify self-awareness and insight deficits in patients with neurological disorders. This scoping review identifies and evaluates key properties of such assessments to inform clinical practice.

Method: Multiple electronic databases were searched using the key search terms of “self-awareness” and “self-awareness assessment,” and “insight” and “insight assessment.” Included studies were original primary sources from the peer-reviewed journals.

Results: …

Concussion In Student Athletes: Prevention, Assessment, And Recovery, Miriam A. Carroll-Alfano

Dissertations

The research presented in this study examines concussion among athletes from the perspectives of prevention, assessment, and recovery. The first study examines concussion education for high school athletes by surveying 157 collegiate athletes, who primarily attended high school in Illinois and Indiana, about the previous concussion education, including whether they received mandated education, the methods and providers of education, and their ability to name a variety of concussion symptoms. This study finds that despite legislative mandates in these states, 20% of student-athletes continue to report not receiving concussion education in high school, with females more likely to report not receiving …

Assessment For Mild Cognitive Impairment: Striving For Best Practice, Julie Leigh Dalmasso

Dissertations

This dissertation is a series of three studies aimed at determining the best assessment practices for mild cognitive impairment (MCI) that can employed by speech-language pathologists (SLPs). The first study was non-experimental and descriptive examining whether three commonly used assessment instruments yielded similar categorical results. The data were analyzed to determine whether the Eight-Item Interview to Differentiate Aging and Dementia (AD8), the Mini-Mental State Examination (MMSE), and the Cognitive-Linguistic Quick Test (CLQT) identified the same participants from a neurotypical sample as having cognitive deficits. Very little agreement was found amongst the three tools.

Study two was modified to include two …

Development Of The Daily Living Questionnaire (Dlq): A Factor Analysis Study, Sara Rosenblum, Naomi Josman, Joan Toglia

The Open Journal of Occupational Therapy

Background: Performance of daily activities and participation in life events involves higher-level cognitive abilities. The purpose of this study was to develop a self-report scale for detecting everyday difficulties in activities/participation tied with higher-level cognitive deficiency and to examine its reliability and validity.

Method: The Daily Living Questionnaire’s (DLQ) content and face validity were established. Internal consistency following an exploratory factor analysis, as well as construct validity, were initiated with a convenience sample of 194 healthy adults, aged 18 to 85 years, and 34 adults diagnosed with Multiple Sclerosis (MS).

Results: The four factors received in Part A, activities and …

The Use Of Personal Projects Analysis To Enhance Occupational Therapy Goal Identification, Mary Egan, Lori Scott-Lowery, Cynthia De Serres Larose, Liane Gallant, Chantal Canada Jaillet

The Open Journal of Occupational Therapy

Background: Client-centered occupational therapy begins with the identification of personally-relevant patient goals. This study aimed to determine whether the elicitation module of Personal Projects Analysis (PPA) could help patients in an acquired brain injury day hospital program identify more meaningful goals than those identified using the Canadian Occupational Performance Measure (COPM) alone.

Method: Ten patients completed the COPM. They rated the importance of each goal and their confidence that they could attain each goal. During the next session, using the elicitation module of PPA, they identified personal projects just prior to their brain injuries, current personal projects, and future desired …

Framing Ecological Validity In Occupational Therapy Practice, Patricia A. Crist

The Open Journal of Occupational Therapy

No abstract provided.

He Said—He Said: A Scholarly Conversation About Assessment, Glen Gillen, Jim Hinojosa

The Open Journal of Occupational Therapy

No abstract provided.

Exploring Content Validity Of Shore Handwriting Screening And Newly Developed Score Sheet With Pre-Kindergarten Students, Denise K. Donica, Erin Francsis

The Open Journal of Occupational Therapy

Background: Limited tools exist to measure handwriting readiness skills of pre-kindergarten students. This study was a preliminary exploration of content validity of the Shore Handwriting Screening (SHS) and the newly developed Score Sheet with the Bruininks-Oseretsky Test of Motor Proficiency, Second Edition (BOT-2) in 4- and 5-year-old pre-kindergarten students. Because socioeconomic status (SES) is known to impact handwriting skills, data from two different socioeconomic groups were collected.

Method: Students from a Lower SES group (n = 36) and a Higher SES group (n = 14) completed the SHS and fine motor composite of the BOT-2. Pearson’s correlation was used to …

Exploring The Role And Scope Of Clinical Assessment In Occupational Therapy, Ann M. Chapleau

The Open Journal of Occupational Therapy

No abstract provided.

A Comparison Study Of Diagnostic Outcomes Between The Music Therapy Assessment Tool For Awareness In Disorders Of Consciousness (Matadoc) And The Coma Recovery Scale-Revised (Crs-R), Caitlyn E. Bodine

Masters Theses

The purpose of this study was to explore preliminary external validation of a standardized music therapy assessment tool used in the detection of awareness with the DOC patient population with an external reference standard. Eight subjects were administered both the MATADOC and the CRS-R within five days of one another, and results were compared on the levels of overall diagnosis, analogous domain subscales, and intra-assessment relationships between individual domains and overall diagnosis. Results indicated a very strong level of agreement for overall diagnosis (r_s = .85, p < .01), very strong relationships between the auditory and visual components of the two assessments (r_s = .76, p < .05, and r_s = .81, p < .05, respectively), and a strong, but non-significant relationship between arousal scores on the two assessments (r …