Medicine and Health Sciences Commons^™

The Relationship Of An Ipad, A Video Magnifier, And Large Print Text With Oral Reading Outcomes For Children With Low Vision, Rosemary L. Nave Stawasz

Dissertations

Low vision may cause a decrease in visual performance and interfere with daily functioning, especially reading print or text materials. Reading standard text can be particularly challenging for students with low vision in an educational setting and can reduce oral reading rates. Students with low vision may use large print or low vision devices for reading. Limited evidence currently exists to compare oral reading outcomes across various reading media for children with low vision.

The purpose of this exploratory project was to examine oral reading rate, fluency, and comprehension among children with low vision when using an iPad, a video …

The Importance Of Cultural Humility In Occupational Therapy, Jessika Reberg

Honors Theses

The demographics of the US have changed over the years due to a rise in the number of immigrants in the United States. Despite the rise of immigrants, and the cultural diversity they bring, healthcare disparities remain in the United States for various culture groups. The aim of this paper is to provide an analysis of how increased cultural humility can mitigate healthcare disparities. Health care disparities effect minority groups regarding access to care and quality of care. The development of cultural humility can help mitigate disparities because it promotes self-awareness, reflection, and engagement in an on-going learning process. Implicit …

“Evaluating Knowledge And Perspectives Of Behavior Analytic Language Strategies In The Clinical Practice Of Speech-Language Pathology”, Mackenzie Sturman

Honors Theses

Research shows that principles of applied behavior analysis (ABA) may be beneficial to language acquisition. Speech-language pathologists (SLPs) have the responsibility of assessment, diagnosis, and treatment for individuals with various speech and language impairments, and work directly with language instruction. However, there is limited knowledge of the degree to which SLPs use concepts of behavior analytic language interventions in clinical practice for individuals of varying language and communication disorders. This study investigated the extent to which practicing SLPs use language strategies from ABA in their clinical practice. A qualitative approach was utilized by conducting individual semi-structured interviews with four practicing …

Effects Of Stuttering Frequency, Speaking Rate And Treatment On Speech Naturalness In Adults Who Stutter, Emily Hausman

Honors Theses

Purpose: Individuals who stutter can often exhibit speech patterns that sound unnatural compared to individuals who do not stutter. Unnaturalness can be due to several underlying factors including the presence of stuttering itself and the unintended consequences of treatment approaches that alter speech motor patterns. Understanding factors that impact speech naturalness within the stuttering population can help improve the clinical management of the disorder. The current study investigates the relationship between pause duration, speech rate and stuttering frequency, and listener ratings of speech naturalness in a group of adults who stutter (AWS) before and after participation in a stuttering treatment …

Facing Addiction In College: The Effects On Alcohol, Drugs, And Academics, Alexis Frazier

Honors Theses

The goal of this thesis is to provide a comprehensive overview of collegiate recovery communities (CRCs) and collegiate recovery programs (CRPs) across the U.S for high risk students that suffer from alcohol and drug abuse. After finding the effectiveness of these programs and assessing the students’ needs in college, this research makes a recommendation for Western Michigan University to create a collegiate recovery program. A collegiate recovery program (CRP) is a college or university that provides a supportive environment within the campus culture that reinforces the decision to engage in a lifestyle of recovery from substance use (ARHE, 2019). This …

Rn To Apn Role Transition, Bethney Hernandez

Honors Theses

Role Transition can be difficult whether the transition is planned or unplanned. The transition from student to practitioner for nurses who follow the traditional path to licensure is challenging. Practitioners who change specialties, roles or scope of practice experience some of these same challenges, as well as unique challenges. The consequences of an unsuccessful role transition include unresolved stress, reduced job satisfaction, increased risk of errors, and changing roles again, without settling into the current role. This literature review will explore these challenges from the perspective of Meleis’s Transition Theory. Successful transitions occur when the practitioner finds employment, feels pride …

The Correlation Between The Microbiome And Neurodegenerative Disorders Such As Alzheimer Disease, Aurora Mokris

Honors Theses

Recent studies suggest that there are 1.3 times as many microbial cells as human cells in the body (Abbot, 2016). Another study claims that the combined genomes of this microbiota is 150 times that of the human genome (Zhuang & Shen, 2018). If you have ever had the feeling that you are not alone in an empty room you are most certainly correct. Your body is teeming with millions of organisms living in mutualistic symbiosis with you and surrounding microbes, but at times, this seemingly harmonious relationship can be disturbed, resulting in serious physical and psychological changes to the human …

Relationship Of Grip Strength And Quality Of Life Among Community-Dwelling Older Adults, Melissa Van Omen

Honors Theses

Loss of muscle strength is one of the key features of aging. Quality of life is a factor that affects productive aging and loss of muscle strength. A literature review was completed to assess the possible relationship between grip strength and quality of life among community-dwelling older adults, as measured through physical health in terms of independence with ADLs/IADLs, physical disability, and mobility. Articles were collected from various peer-reviewed, publish journals using the available databases of Western Michigan University libraries. Databases used include PubMed, Clinical Keys, the National Institute of Health (NIH), Springer Link, Scopus, BioMed Central, Wiley, and Oxford …

An Exploration Of Resources Available To Deaf Children Attending Public And Deaf Community Schools, Katelyn Reid

Honors Theses

The purpose of this paper is to explore current literature surrounding the similarities, differences, advantages and disadvantages that Deaf children experience while attending mainstream schools compared to the experiences of Deaf children attending all-Deaf and signing schools. A literature review was conducted using the terms: “mainstream schools” , “signing schools” , “resources” , and “Deaf children” were used. Areas of specific interest included social skills, academic performance, overall mood, and the availability of classroom and communication resources. A review of the literature in these four specific areas revealed mixed findings about which academic environment is more beneficial for Deaf children. …

Exploring A Child’S History For Optimal Treatment Of Food Selectivity., Briana Lear

Honors Theses

Food selectivity is defined as “food refusal based on type, texture, temperature, or appearance of food, leading to a self-restricted diet” (Suarez, 2015). Food selectivity affects children of all ages. Food selectivity refers to when a child is eating as few as 5-10 different foods and demonstrates food refusal behaviors, which can make mealtime a challenge for children and their families (Suarez, 2015). Occupational therapy addresses activities of daily living (ADLS), therefore feeding, including food selectivity is included within the OT scope of practice. There is a need to create a comprehensive and thorough document to collect a client’s history …

Speech-Language Pathologist Preferences For Treatment Types For Childhood Apraxia Of Speech, Meeghan Hoose

Honors Theses

Childhood Apraxia of Speech (CAS), also known as developmental apraxia is, “a motor speech disorder that makes it hard for children to speak” (American Speech-Language-Hearing Association). While the child knows what he/she wants to say, the signals going from the brain to the mouth are not delivered correctly, resulting in the mouth not moving appropriately to produce the desired sounds. There are several methods used by speech-language pathologists to treat CAS including moto-programming, a linguistic approach, a combination of motor-programming and linguistic methods, sensory cuing and rhythmic approaches. Through surveying local practicing school speech-language pathologists, I will learn their preferred …

Effects Of Age And Exercise On Density Of Sympathetic Innervation And Localization With Nerve Growth Factor And Glial Cell Line-Derived Neurotrophic Factor In Vascular Tissue, Kori Mecklenburg

Honors Theses

Hypertension is a condition that affects nearly 75 million people in the United States (Merai et al, 2017). To better understand this mostly idiopathic condition, the role of survival factors on arterial innervation must be understood. Nerve growth factor (NGF) and glial cell-line derived neurotrophic factor (GDNF) have been shown to support development and maintenance of the sympathetic nervous system. The aim of this study was to reveal how density of sympathetic innervation changes in mesenteric arteries over time and with six-months of exercise. Additionally, this study aimed to reveal the localization of GDNF and NGF alongside these changes in …

The Art And Process Of Wood Carving As A Meaningful Occupation, Jennifer Fortuna

The Open Journal of Occupational Therapy

Leonard G. Trujillo, PhD, OTR/L, FAOTA, occupational therapy professor and chair emeritus based in North Carolina, provided the cover art for The Spring 2019 issue of The Open Journal of Occupational Therapy (OJOT). The piece, titled “Life’s Struggles,” is a relief carving made from butternut wood. Dr. Trujillo enjoys carving lifelike images that depict previous travels and his love of nature. His carvings are sculpted from a solid plank of wood, yet they provide the illusion of a three-dimensional form. Dr. Trujillo’s body of work reflects a lifetime of learning and engagement in the art and process of wood carving …

Low Income And Stroke Rehabilitation: A Tale Of Two Clients, Sarah Bernard, Katrine Sauvé-Schenk, Mary Egan

The Open Journal of Occupational Therapy

No abstract provided.

Occupational Therapy Practice With Adults With Intellectual Disability: What More Can We Do?, Khalilah R. Johnson, Meghan Blaskowitz, Wanda J. Mahoney

The Open Journal of Occupational Therapy

No abstract provided.

An Occupation-Based Approach To Management Of Concussion: Guidelines For Practice, Christina Finn

The Open Journal of Occupational Therapy

Concussion and the cumulative effects of repetitive head trauma have become a growing health concern both in the mainstream media and in the health care community. Although symptoms of concussion are not always outwardly visible, evidence suggests that post-concussion symptoms may interfere with an individual’s ability to work, play, and participate in school. In the past, the recommendations following concussion emphasized a complete rest approach, whereas current approaches focus on a gradual engagement in functional activities shortly after the injury. Since current recommendations are focused on a gradual engagement in occupation and activity, occupational therapy may be a valuable service …

Role-Play As An Effective Way To Teach Relationship Building With Telehealth, Lynn Mcivor, Michele Karnes

The Open Journal of Occupational Therapy

Telehealth has been described in the literature as an emerging niche for occupational therapists. The profession needs to move toward cost-effective and efficient ways to provide services while not adding to the increasing cost of health care, and one way of doing this is through telehealth. The research supports the importance of the therapeutic relationship, and that telehealth changes how we develop this bond; however, the literature does not provide educators with information on how to teach this to students. The purpose of this article is to highlight the potential of using role-play to educate students on how to develop …

Age Of First Drink, First Alcohol Intoxication, And Alcohol Abuse Behaviors Among Occupational Therapy Students, Randy P. Mccombie

The Open Journal of Occupational Therapy

The purpose of the present study was to examine alcohol use behaviors among a national sample of occupational therapy students. Survey instruments, including the AUDIT and a checklist of risky and unprofessional behaviors related to alcohol abuse, were mailed to 1,000 occupational therapy students randomly selected from membership in the American Occupational Therapy Association. Surveys were returned by 309 student members; however, 24 indicated they were not currently occupational therapy students. Of the 285 participants, 97% reported drinking alcohol at some point over the previous year, with 1 in 5 drinking two or more times a week, often consuming four …

Occupational Therapy Assistant Students’ Perspectives About The Development Of Clinical Reasoning, Jeanne M. Coviello, Marie Christine Potvin, Laronda Lockhart-Keene

The Open Journal of Occupational Therapy

A mandatory component of the training of occupational therapy assistant (OTA) students is the development of their clinical reasoning skills. As the demand for OTAs continues to increase in response to the growing need for occupational therapy services, the number of academic programs to prepare these future therapists has expanded. Unfortunately, there is no empirical literature addressing the preparation of OTA students, specifically the development of their clinical reasoning skills. Artifact analysis, focus groups, and questionnaires were used to explore OTA students’ perceptions of what Level II fieldwork learning experiences facilitated the development of their clinical reasoning skills. The results …

The Perceptions Of Pediatric Occupational Therapists Regarding Constraint-Induced Movement Therapy, Sapna Chakraborty, Kelsey Dulin, Rachel Murphy, Haley Richardson, Makaila Schieber, Abby Taube, Ashlea Cardin

The Open Journal of Occupational Therapy

Background: Research has shown constraint-induced movement therapy (CIMT) to be of benefit in pediatric occupational therapy practice to treat children with hemiplegia. The perceptions of adult clients, pediatric clients, child caregivers, and occupational therapists working with the adult population has been explored in the past. However, little is known about the perceptions of occupational therapists working with the pediatric population regarding CIMT. This qualitative study explored the perceptions of pediatric occupational therapists who had awareness of CIMT as an intervention method.

Methods: Eight pediatric occupational therapists from the Midwest United States participated in the study. Structured interviews were …

Retrospective Analysis: Most Common Diagnoses Seen In A Primary Care Clinic And Corresponding Occupational Therapy Interventions, Felicia Trembath, Sue Dahl-Popolizio, Makenzie Vanwinkle, Laura Milligan

The Open Journal of Occupational Therapy

Background: The literature supports occupational therapy (OT) on primary care (PC) interprofessional teams; however, due to uncertainty regarding the role of, and reimbursement for, OT in PC, few occupational therapists practice in PC. This study addressed the first barrier by identifying the 15 most common diagnoses in a specific PC practice and determining how many of them have evidence-based OT interventions appropriate for their treatments.

Method: A retrospective analysis of the ICD-10 codes used by one physician during a 12-month period was completed. These codes were reviewed and categorized using a functional classification system to determine the 15 …

Measuring Emotional Response To A Planting Activity For Staff At An Urban Office Setting: A Pilot Study, Amy E. Wagenfeld, Sandra Schefkind, Nancy Hock

The Open Journal of Occupational Therapy

Background: Interaction with occupation-centered activities, such as gardening, is associated with improved mental health. With limited evidence supporting the effects of short-term nature-based interventions on employees’ emotional states, the purpose of this research was to understand the impact of a one-time, short-term nature-based intervention on the emotional state of employees at an urban office building.

Method: This pretest/posttest design study used a visual analogue emoticon assessment tool, the Interaction with Nature scale, to measure differences in the participants’ emotional states before and after participating in a planting activity. Twenty-two participants engaged in the study. Each participant potted a …

Related Service Providers’ Perspectives On Everyday Life Participation Of Children And Youth With Disabilities, Kathleen Flecky, Alyssa Bornman, Danielle Boyer, Andrea Huckabee

The Open Journal of Occupational Therapy

Background: The purpose of this qualitative study was to investigate the perspectives of related service providers on everyday life participation of children and youth with disabilities that they serve.

Method: A qualitative design was used to guide interviews that elicited the participants’ perspectives working with children and youth with disabilities.

Results: Five themes emerged from the qualitative analysis: (a) each child’s individual experiences and quality of life; (b) linked to home, school, and community life; (c) child or youth driven; (d) provider collaboration and carryover; and (e) distinct professional provider views.

Conclusion: Insights into related service …

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: …

An Occupational Therapy-Based Supported Education Program For University Students With Various Dsm-5 Diagnoses: Program Description And Academic Outcomes, Victoria Schindler

The Open Journal of Occupational Therapy

Background: This article describes and provides academic outcomes for an occupational therapy-based supported education program developed to assist undergraduate students with various DSM-5 diagnoses with the academic, social, and psychological skills important for college.

Method: A detailed program description and illustrative example of the intervention is provided. Quantitative designs were used to report retention, graduation, and GPA and to calculate changes in mean cumulative GPA.

Results: Of 83 students who started the program, 80 completed at least one semester (96%). Of these 80, 62 (77.5%) continued at the university for a retention rate of 77.5%, and 43 …

Disability Services For Students In Postsecondary Education: Opportunities For Occupational Therapy, Diane Powers Dirette

The Open Journal of Occupational Therapy

No abstract provided.

The Use Of Life Story Interventions Between Older Adult With Dementia And Caregivers: A State Of The Science, Katelyn Mater

Honors Theses

Objective

To synthesize the research findings of storytelling techniques in healthcare settings for adults 50 and older with a diagnosis of dementia.

Data Sources

Data was gathered using the databases CINAHL, Clinicalkey, Pubmed, OVID, Proquest, and Web of Science using the search terms “storytelling/story-telling” and “caregiver”. Articles chosen for this review ranged from 2003-2018.

Data Extraction

Inclusion criteria were: 1). primary research articles, 2). written in English 3). research focused on the use of story-telling between healthcare providers and 4). participants were adults 55 and older with a dementia diagnosis. A total of 9 studies have been selected for further …

Stigma Mitigation Through Fine Arts, Kendall Owens

Honors Theses

Social stigma has plagued our society for centuries. It isolates groups of people based on erroneously defined characteristics causing stigmatized persons to be viewed as socially “abnormal”. This debarment from full social acceptance results in poor population health and well-being. Fine arts have been an integral component of society since the beginning of civilization; current and past research have found involvement in fine arts to improve health and well-being in many ways. In this project, relevant studies related to stigma, fine arts, and population health will be reviewed to support the argument that “fine arts combat and mitigate the …

An Analysis Of The Developmental Enrichment Of The Seattle Children's Playgarden, Caitlin Koob

Honors Theses

This paper analyzes the opportunities for developmental enrichment, as provided by the Seattle Children’s PlayGarden, from the perspective of occupational therapy. The PlayGarden, located in Seattle, Washington, is an inclusive playground, preschool, and summer camp that promotes inclusion of children with disabilities. The analysis highlights each area of occupation, as identified in the Occupational Therapy Practice Framework, and discusses the garden’s contribution to facilitate growth in those specific skills (American Occupational Therapy Association [AOTA], 2014). The intentionality of the design and program structure advocates for children to maximize their independence in activities of daily living, despite the play-based approach. …

The Use Of Nature As A Treatment Modality In Occupational Therapy, Lauren Koch

Honors Theses

Nature is inherently therapeutic. Applying the principles of occupational therapy within the natural environment integrates the physical, mental, and socio-emotional health benefits afforded by nature into therapeutic intervention practices. The nature centered context of the outdoors addresses performance skills and patterns, highlighting its use as a therapeutic modality. As such, nature may be used as an effective treatment modality in the practice of occupational therapy due to the benefits that it affords. The incorporation of nature into therapeutic intervention may be based upon the environmental factors, available resources, and function of the natural environment. The goal of this literature review …