Medicine and Health Sciences Commons^™

Using Sbirt As An Intervention For Substance Use In Public Schools, Amanda Higgins

Honors Theses

In Kalamazoo County, youth substance use is on the rise. In recent years (2012-2014), alcohol use has nearly doubled in the adolescent population. With the easy accessibility of alcohol in Kalamazoo, alcohol use among adolescents will continue to rise if early intervention protocols are not implemented. Screening, Brief Intervention, and Referral to Treatment (SBIRT), could be the model of intervention within Kalamazoo public schools, if implemented correctly. According to the Substance Abuse and Mental Health Service Administration (SAMHSA), SBIRT is an evidence-based practice used to identify, reduce, and prevent problematic use, abuse, and dependence on alcohol and illicit drugs. Public …

The Effects Of Globalization On English Language Learning: Perspectives From Senegal And The United States, Anna Poggensee

Honors Theses

This study is an analytical comparison among perspectives about English as a nonnative language and its function in Senegal, West Africa and the U.S. Midwest. The purpose of this study is to establish a better understanding of the effects of globalization in both countries by focusing on the increasing use of the English language (Crystal, 2003) and how it is used within diverse societies. Globalization can be defined as “the interconnections of global economic, political, cultural and environmental processes that continually transform present conditions” (Steger, 2003, p.7-8).Within the context of globalization, this topic allows for a broader understanding of the …

The Effects Of Aging And Estrogen Treatment During Aging On The Rat Epididymis, Kathryn Davis

Honors Theses

Previous studies from our lab have demonstrated that a normal estrogen environment in the testis contributes to maintaining spermatogenesis in adult rats and that estrogen treatment can attenuate the age-associated decline in sperm production. The purpose of this study was to determine if the estrogen environment of the epididymis is altered with age and what effects estrogen treatment may have on the epididymis during aging. The study compared untreated rats at 15 months of age to 18 month old rats that were treated with either vehicle, or estradiol- valerate, once every third day from 15 to 18 months. Mean concentrations …

Improving The State Of Health Literacy Among American Adults: Why Community Outreach Methods Are More Effective Than Literacy-Level Screenings, Lydia Simpson

Honors Theses

Health literacy refers to an individual’s ability to access and process health information to make important decisions about their health. Unfortunately, millions of American adults have inadequate health literacy skills and are not able to navigate their way through the world of health care. This may lead to disastrous consequences and poor health outcomes. To improve health literacy, nationwide health education programs are imperative. Despite this, low health literacy is often ignored, or only considered for individuals suspected of having low health literacy who might then be administered a screening instrument. A better model for the American health care system …

Little Dresses For Africa, College Of Education And Human Development

Family and Consumer Sciences News

On Saturday, April 2, Fashion Merchandising and Design students applied their clothing design skills to a good cause.

Memory Support For Adults With Alzheimer’S Disease: Applications For Speech-Language Pathologists, Laura Dober

Honors Theses

Alzheimer’s disease (AD) is the most common form of dementia and is known to cause progressive and severely debilitating impairments in cognition, especially in memory. Deficits in memory and cognition are clearly reflected in the communication of people diagnosed with this progressive, degenerative, incurable disease, placing speech-language pathologists as important members of a care team for adults with AD. Speech-language pathologists provide treatment to support memory, and therefore communication, in people with AD through direct and indirect methods. Some examples of memory supportive strategies include spaced-retrieval learning, the use of external memory aids and assistive technology, Montessori methods, and manipulations …

Discriminative Stimulus Properties Of 3.0 Mg/Kg Mephedrone In Rats, Nathyn Thompson

Honors Theses

Consumption of a prominent synthetic cathinone known as mephedrone (4-methylmethcathinone) has become a popular alternative to club drugs such as ecstasy, cocaine, and methamphetamine within the past decade. The pharmacological mechanisms that contribute to its subjective effects have yet to be fully characterized and are thus warranted for investigation. The present study employed drug discrimination methods to train eight male Sprague-Dawley rats to discriminate injections of 3.0 mg/kg mephedrone from saline. Various doses of mephedrone, 3,4-methylenedioxypyrovalerone (MDPV), d-amphetamine (AMPH), cocaine, (+)-methamphetamine (METH), and 3,4-methylenedioxy-methamphetamine (MDMA) were investigated for their ability to substitute for the stimulus cues of the training …

High Performance Bayesian Applications In Medical, Economics And Climate Sciences, Ahmed Almulihi

Research and Creative Activities Poster Day

We apply high performance numerical integration to problems in Bayesian statistics. These are applied to data arising in the analysis of problems in such areas as medical statistics (birth weight data, heart transplant data, photocarcinogen data, radio therapy data), climate (global weather, tornado data), and general statistics applications (multivariate logistic distribution, multivariate normal, nonlinear regression). We compute Bayesian moment integrals using the ParInt integration software that runs efficiently on computer clusters. We compare our results to those in the literature and show excellent performance with respect to accuracy and execution time.

Family And Peer Groups’ Impact On Adolescent Marijuana Use, Brian Lunn

Research and Creative Activities Poster Day

Differential association theory explains that once definitions favoring deviant behavior become in excess of definitions favoring conforming, one is at an increased risk of acting deviant. This study uses survey data collected from high school students in Delaware to test hypotheses derived from differential association theory on student marijuana use.Consistent with theoretical expectations, the logistic regression results show that both parents’ and friends’ attitudes toward drug use as wrong and having a good relationship with one’s parents significantly reduce the likelihood of marijuana use, while living in an unstable home environment significantly increases the odds of marijuana use. Interestingly, results …

Recurring Ankle Injuries In Dancers, Alexis Jawny

Honors Theses

The purpose of this research, obtained from various Journals of Dance Medicine and Science, is to identify the cause of recurring ankle injuries in the dance community. Ankle injuries are the most common type of injury making up 50% of injuries in dancers. The main cause of recurring ankle injuries is improper diagnosing and then leading to the wrong treatment plan. The research focusses on how to prevent these improper diagnoses and what the dancer and specialty care professional (orthopedics, physical therapists, and rehabilitative medicine) can do to decrease the number of ankle injuries occurring and reoccurring in the dance …

Relationship Between Ambulation And Position Changes During Labor And Hormonal Physiology Of Childbearing, Zoe Nokomis

Honors Theses

The birthing process for many women is a complex period of time that involves many changes in the mother’s body as well as the baby’s preparation to enter the world. Medical advances and technology have improved care for at-risk women but the increased number of unnecessary interventions during labor currently may actually hinder a healthy mother from having the best possible birth experience and outcomes for her and her child. Mothers can use many different, non-medical, non-pharmacological strategies to cope with the stress of labor. These strategies may include ambulating or position changes during the first stage of labor, massage …

The Barriers And Facilitators To Becoming A Baby-Friendly Hospital, Bohn Emily

Honors Theses

The Baby-Friendly Hospital Initiative is a designation hospitals can achieve that states the facility encourages breastfeeding and mother-baby bonding. The Initiative involves changing over hospital protocols, employee training, and implementing the Ten Steps to Successful Breastfeeding. Although the designation is positive, there have been identified facilitators and barriers that influence the implementation process which can influence whether a hospital will choose to or not to achieve designation. A literature review was performed. Facilitators included: certificate as a marketing tool, project management involvement, the 4-D Pathway, and support. Barriers included: adherence, staffing insufficiencies, provider-level issues, and financial and facility support. Interviews …

The Effect Of Bedside Handoffs On Patients’ Perceived Fears, Maija Paldan

Honors Theses

Background and Significance: Fear, anxiety, and apprehension can have a profound effect upon patient outcomes, possibly leading to a worsened health condition or delay in recovery. Current literature finds that communication and social support by the nursing staff may foster patients’ understanding of their care and their experiences of feeling safe. The bedside handoff is one way of enhancing communication and providing support within nurse patient interactions. The purpose of this study is to explore the effect of bedside handoffs on patients’ perceived fear, anxiety, and apprehension.

Methods: A secondary analysis was performed upon a larger quantitative data set from …

Characteristics Of Patients Who Experience Fear During Hospitalization, Marlena Vande Streek

Honors Theses

Purpose/Background The purpose of this study is to describe individuals likely to experience fear, apprehension, or anxiety during hospitalization. Supporting literature has much to say about intervening once these feelings occur, but little on the description or characteristics of patients exhibiting these feelings during hospitalization. The intent of this exploration is to allow nurses to identify these patients sooner and prevent unnecessary stress and delays in care.

Theoretical Framework When a patient experiences fear, they respond through the stress response cycle commonly observed as delays in wound healing and immunosuppression when feelings are prolonged. Identifying individuals likely to experience fear …

Arts Of Life: A Place For Artists To Participate And Engage, Lydia Royeen

The Open Journal of Occupational Therapy

Arts of Life is an innovative, Chicago-based day program where artists with and without disabilities have the opportunity to participate in artwork. It was created out of an identified need for individuals with a developmental disability to foster community engagement in artistic endeavors. Arts of Life has its foundation in four core values: inspiring artistic expression, building community, promoting self-respect, and developing independence. It bases its programming on these values, which help to maintain a collective environment that promotes artistic freedom for all individuals.

Assessing Functional Impairment In Individuals With Mild Cognitive Impairment, Patricia Da Cunha Belchior, Taranpreet Bains, Jennifer Hargadon, Sofia Tran, Courtney Uphoff, Jade Chiu W. Kwok, Navaldeep Kaur, Isabelle Gelinas

The Open Journal of Occupational Therapy

To date, there is no consensus on how to assess functional impairment in individuals with mild cognitive impairment (MCI), and this lack of consensus is reflected in the clinical practice. Since the criterion used in the literature is very vague, clinicians are still left without much guidance in this area. Thus, the main goal of this study was to examine how functional impairment in individuals with MCI has been assessed in the literature.

An electronic database search strategy was developed in consultation with an experienced librarian. Four databases (CINAHL, PsycINFO, PubMed, and MEDLINE) were searched from 2000 to May 2014 …

The Care For The Dying: A Critical Historical Analysis Of Occupational Therapy In Hospice., Marion Russell, Angela Bahle-Lampe

The Open Journal of Occupational Therapy

This paper presents an historical analysis of occupational therapy’s role in hospice care with relation to past and current hospice practices, as well as cultural forces that impact that role. Since the beginning of the movement, hospice has developed into a strong component of end-of-life care, and occupational therapy practice models and interventions are unique in addressing the occupational needs of clients during this stage of life. Despite compelling evidence of the positive impact of employing occupational therapists, there continue to be significant barriers to implementation of services. The author proposes that the concept of occupation, as experienced at the …

Interprofessional Education In Occupational Therapy: The Idaho State University Model, Bryan M. Gee, Jennifer Holst, Kathleen Baron, Eydie Kendall, Sarah Knudson, Laura Mcknight, Karren Streagle

The Open Journal of Occupational Therapy

Interprofessional education (IPE) is becoming a common practice among most allied health professions as a part of entry level training. IPE is intended to promote greater professional collaboration in routine clinical practice. The prerequisites for this type of educational process include gaining an understanding of one’s own and other professions while developing mutual respect, trust, and communication skills. The Idaho State University (ISU) Interdisciplinary Evaluation Team (IET) course delivery model is one such vehicle which fosters IPE across numerous disciplines while providing significant clinical support to the local community. This study presents the ISU IET course process, which combines clinical …

Knowledge Translation Activities In Occupational Therapy Organizations: The Canadian Landscape, Catherine A. Donnelly, Heidi Cramm, Amanda Mofina, Marie-Eve Lamontagne, Shalini Lal, Heather Colquhoun

The Open Journal of Occupational Therapy

Despite acknowledging the importance of knowledge translation (KT), the occupational therapy profession has demonstrated only emerging KT activity. Organizations are seen as playing an important role in supporting KT. To date, there have been no known attempts to explore KT activities conducted by occupational therapy organizations in Canada. The purpose of this study was to identify and describe KT activities occurring in Canadian occupational therapy organizations. An environmental scan was used to identify KT activities. The websites of occupational therapy national and provincial associations and/or regulatory bodies and the educational programs were searched. A Knowledge Mobilization Matrix (KMM) website was …

Exploring The Relationship Between Entry-Level Master’S Program Class Size And The Number Of Graduate Credits Offered And Aggregate Nbcot Pass Rates, Scott Truskowski

The Open Journal of Occupational Therapy

The AOTA and ACOTE have discussed a transition to a mandated entry-level clinical doctorate degree (Harvison, 2013). Following the move to the entry-level master’s degree in 2007, the overall national pass rate on the national certification examination fell from 88% in 2006 to 77% by 2009 (Harvison, 2011; Harvison, 2012). This study sought to determine if the number of graduate credits offered or the class size of an entry-level master’s program impacts student outcomes on the national certification examination. Publicly available data was mined from all accredited entry-level master’s programs. Data were imported into the SPSS for statistical analysis. The …

An Open-Access Review To Determine Best Evidence-Based Practice For Copd, Beth Ann Walker, Heidi Breckner, Morgan Carrier, Wendy Pullen, Erin Reagan, Lisa Telfer, Taryn Zimmerman

The Open Journal of Occupational Therapy

Background: The manifestation of Chronic Obstructive Pulmonary Disease (COPD) can have an enormous impact on individuals’ areas of occupation, specifically activities of daily living. Occupational therapy (OT) practitioners have the ability to efficiently treat these clients using evidence-based interventions to achieve optimal functioning and quality of life. The purpose of this research study was to identify specific interventions supported by evidence for consumers with COPD using an open-access database for OT.

Method: A thematic synthesis of 102 articles available on COPD via the open-access database OTseeker was used in this study. A constant comparison approach revealed seven descriptive themes for …

Use Of Occupational Performance Coaching For Stroke Survivors (Opc-Stroke) In Late Rehabilitation: A Descriptive Case Study, Danika Belliveau, Isabelle Belliveau, Aniane Camire-Raymond, Dorothy Kessler, Mary Egan

The Open Journal of Occupational Therapy

Background: Stroke is a leading cause of disability in adults. Following stroke, 60% of people report needing help with everyday activities, and 80% report having very few meaningful activities. These restrictions often continue for years. This study explored the efficacy of Occupational Performance Coaching for stroke survivors (OPC-Stroke) on the participation level of adults in the later stage of stroke rehabilitation.

Method: A descriptive case study design was used. One participant in the later stages of rehabilitation was recruited. Outcome measures for participation, goal performance and satisfaction, and emotional well-being were administered pre and postintervention to observe for direction of …

Feasibility Of A Research Protocol To Investigate The Effect Of The Therapressuretm Program Using Salivary Cortisol, Scott Weeks, Kobie Boshoff, Hugh Stewart, Shona Kelly, Chris B. Della Vedova

The Open Journal of Occupational Therapy

Background: There is an absence of high quality research to support the use of the Therapressure Program^TM. This pilot study aimed at developing appropriate research protocols to investigate the effectiveness of the Therapressure Program^TM on the stress response in children with sensory overresponsivity.

Method: A one-group pre-test/post-test repeated measures design was conducted using a convenience sample. Six children (6-8 years of age) with sensory overresponsivity received 14 consecutive days of the Therapressure Program^TM by their parents at home. Parents concurrently collected salivary cortisol samples from their children.

Results: Children with sensory overresponsivity displayed …

What Do Adolescents With Developmental Disabilities Learn About Sexuality And Dating? A Potential Role For Occupational Therapy, Grace Krantz, Veronica Tolan, Kimmi Pontarelli, Susan M. Cahill

The Open Journal of Occupational Therapy

Background: The objective of the qualitative study was to describe the perspectives of high school educators regarding how adolescents with developmental disabilities are taught about sexuality and dating. In addition, the investigators sought to examine how occupational therapy practitioners could be better integrated into the educational team to address this need.

Method: Data was collected through semi-structured interviews and analyzed using the constant comparative method.

Results: Three major themes emerged: (a) sexuality is unique to each student, (b) teachers and parents do not know what to do, and (c) a potential role for OT.

Conclusions: Occupational therapy …

The Significance Of Comforting Touch To Children With Autism: Sensory Processing Implications For Occupational Therapy, Guy L. Mccormack, Lisa Holsinger

The Open Journal of Occupational Therapy

Background: Children with autism have unusual sensory processing issues. The aim of this study was to examine how mothers comforted their children. Clinical observation has shown that mothers of children with autism often have difficulty calming their children. This study describes the differences in the response to comforting touch among children diagnosed with autism and normally developing children.

Method: The study was a self-report survey using a questionnaire to compare the responses of mothers of children with autism (N = 25) to mothers of typically developing children (N = 26).

Results: The results showed that the methods …

A Comparison Of Print And Cursive Handwriting In Fifth And Sixth Grade Students: A Pilot Study, Anne H. Zachry, Allison P. Doan, Stephanie B. Lancaster, Brittany Simmons, Cary Smith, Jaclyn N. Wicker

The Open Journal of Occupational Therapy

Background: Handwriting is an important skill to master because handwriting demands take up a significant portion of the school day. Pediatric occupational therapists evaluate and treat children who are experiencing challenges with handwriting; therefore, it is important for practitioners to understand the performance of children using both of these writing styles.

Method: A convenience sample of 36 fifth and sixth grade students participated in the study. Print and cursive handwriting samples were collected on two separate occasions, and a Wilcoxon-Mann-Whitney test was used to examine speed and legibility differences in these writing styles.

Results: Speed in print writing did not …

Sensory Processing As A Predictor Of Feeding/Eating Behaviors In Children With Autism Spectrum Disorder, Jerilyn A. Smith

The Open Journal of Occupational Therapy

Background: Children with Autism Spectrum Disorder (ASD) frequently have feeding and eating difficulties as well as unusual responses to sensory stimuli. This can lead to significantly compromised occupational performance.

Method: A secondary data analysis study design was used to investigate sensory processing characteristics as predictors of feeding and eating disturbances. Study subjects were children aged 2 to 14 years (N = 171) with ASD. The Short Sensory Profile (SSP) was used to determine the child’s sensory processing abilities. Correlational and multiple regression methods were employed to analyze the relationship between sensory processing and feeding and eating behaviors.

Results …

Personalized Medicine And Evidence-Based Practice: Merging The Art And Science Of Ot, Diane Powers Dirette

The Open Journal of Occupational Therapy

No abstract provided.

The Germans And Their Nazi Past: To What Extent Have They Accepted Responsibility?, Martin Hille

Center for the Study of Ethics in Society Papers

No abstract provided.

Targeting Interventions To Reduce Chlamydia-Related Disparities In Kalamazoo County Using Gis And Statistical Analysis, Claudio Owusu

Masters Theses

The annual incident rates of chlamydia continue to rise within Kalamazoo County despite an increase in public health campaign, particularly for persons between the ages of 15-24. This trend in incidence rates of chlamydia by age also shows strong disparities in race/ethnicity and gender at state and county levels. With the increasing burden on the cost of treatment of chlamydia, which is one of the many sexually transmitted infections, targeting high risk populations offers a means of reducing the cost and the spread of the infection. This has shaped attention of researchers and policy makers to the complexity of the …