Medicine and Health Sciences Commons^™

Cost-Effectiveness Of A Weight Loss Intervention: An Adaptation Of The Look Ahead Lifestyle Intervention In The Us Military, Karina Manz

Theses and Dissertations--Public Health (M.P.H. & Dr.P.H.)

Objective: To assess whether a counselor-initiated adaptation (CI) of the Look AHEAD Intensive Lifestyle Intervention (ILI) in a military setting was cost-effective relative to a self- paced adaptation (SP).

Methods: We performed cost-effectiveness analysis from a payer perspective alongside a 2014- 2017 randomized behavioral weight loss trial among 248 active-duty military personnel stationed at a US Air Force Base in Texas. We calculated incremental cost-effectiveness ratios (ICERs) for weight loss, reductions in waist circumference, and quality-adjusted life years (QALYs).

Results: After 12 months, the CI adaptation cost more per participant compared to the SP adaptation ($1,081 vs. $120), but achieved …

School-Based Hpv9 Vaccination Clinic In The Cumberland Valley Area Development District Of Kentucky, Eryne Wirthorn

Theses and Dissertations--Public Health (M.P.H. & Dr.P.H.)

Human Papillomavirus (HPV) is a group of more than 150 virus that can cause genital warts and cancers of the oropharynx, cervix, vagina, vulva, penis, and anus. A preventive vaccine currently exists that protects against seven oncogenic HPV strands and two strands that cause genital warts. Current guidelines for HPV9 vaccination consist of a 2-dose series delivered at 0 and 6 months for males and females ages 9-14, and a 3-dose series delivered at 0, 2, and 6 months for those ages 15-26.

While up-to-date (UTD) vaccination rates have increased across the Unites States, in 2017, only about 52.4% of …

The Federalism Challenges Of Protecting Medical Privacy In Workers' Compensation, Ani B. Satz

Faculty Articles

This Article is the first to address the challenges of federalism in protecting medical privacy in workers’ compensation after the promulgation of the HPR and to propose legal change. The Article argues that workers’ compensation programs must align with the federal privacy protections of the HPR and proposes actions for the U.S. Department of Health and Human Services (HHS) and states to remedy departures. Part I discusses the complex relationship between the HPR and workers’ compensation. This relationship is often misunderstood by legislatures and courts, compounding the challenges of federalism in this area. Specifically, Part I addresses the HPR’s § …

Regulatory Gaps In Drug Compounding: Implications For Patient Safety, Innovation, And Fraud, Joanna Shepherd

Faculty Articles

Drug compounding is the practice of mixing, combining, or altering drug ingredients to create a product that meets the medical needs of a patient whose needs cannot otherwise be met with commercially-available products. Compounding is essential for patients that are allergic to certain ingredients or cannot tolerate the route of administration or dosage form of a commercially-available drug. Compounding may also enable pharmacists to supply medications when there is a shortage of commercially-available drugs. For example, amid the nationwide shortage of generic liquid Tamiflu and growing flu deaths in early 2018, pharmacists around the country used Tamiflu capsules to compound …

Deputizing Family: Loved Ones As A Regulatory Tool In The “Drug War” And Beyond, Matthew B. Lawrence

Faculty Articles

Many laws use family members as a regulatory tool to influence the decisions or behavior of their loved ones, i.e., they deputize family. Involuntary treatment laws for substance use disorder are a clear example; such laws empower family members to use information shared by their loved ones to petition to force their loved ones into treatment without consent. Whether such deputization is helpful or harmful for a patient’s health is a crucial and dubious question discussed in existing literature, but use of family members as a regulatory tool implicates important considerations beyond direct medical impacts that have not been as …

Dentistry: Are Stem Cells The Future?, Tova Zemel

The Science Journal of the Lander College of Arts and Sciences

Stem cell research is currently advancing in every area of medicine. New information about regenerating stem cells is being uncovered on a daily basis. An area of stem cells that has not been focused on until recently is the use of dental stem cells. The objective of this paper is to elucidate the most current research about dental stem cells. Much of what is discussed in this paper has not been implemented yet, and is still in clinical trials. Dental stem cells are important because they could be an alternative way of treating caries, performing root canals, and other traumas …

Development Of Loop-Mediated Isothermal Amplification For Rapid Detection Of Fungi In Peritoneal Dialysis, Tamonwan Chamroensakchai

Chulalongkorn University Theses and Dissertations (Chula ETD)

Fungal peritonitis (FP) is a fatal complication in peritoneal dialysis (PD). Detection of fungal infection using standard culture is time-consuming and has a low sensitivity. While, Polymerase Chain Reaction (PCR) are often inapplicable in remote hospital and laboratory. In this study, Loop-mediated Isothermal Amplification (LAMP) assay was developed for rapid and specific detection of fungi in peritoneal dialysis. LAMP primers were designed based on the conserved sequence of fungal 18s rRNA gene. The reaction was optimized for 60 min at 64 ◦C. The sensitivity of LAMP assay was 1 pg/reaction which is a hundred times more sensitive than that of …

การประเมินผลการใช้เครื่องมือวัดคุณภาพชีวิตด้านการรักษาด้วยยาร่วมกับการบริบาลทางเภสัชกรรมสำหรับผู้ป่วยนอก, อชิรญา บุตรดาน้อย

Chulalongkorn University Theses and Dissertations (Chula ETD)

วัตถุประสงค์: ประเมินผลของการใช้แบบสอบถาม PROMPT ในการให้บริบาลทางเภสัชกรรม ในด้านการสื่อสารเรื่องคุณภาพชีวิตด้านการใช้ยาระหว่างเภสัชกรและผู้ป่วย การค้นหาปัญหาจากการใช้ยา การติดตามผลการแก้ไขปัญหาจากการใช้ยา ความร่วมมือในการใช้ยา การเปลี่ยนแปลงแนวทางการรักษาผู้ป่วยของแพทย์ และคุณภาพชีวิตด้านการใช้ยา วิธีการวิจัย: การทดลองแบบสุ่มที่มีกลุ่มควบคุม ในผู้ป่วยนอกจำนวน 315 คน ที่เข้ารับการรักษาที่โรงพยาบาลสมุทรปราการระหว่างเดือนสิงหาคม 2561 ถึง กุมภาพันธ์ 2562 แบ่งผู้ป่วยเป็น 2 กลุ่มคือ กลุ่มมาตรฐาน (กลุ่มที่ไม่ใช้แบบสอบถาม PROMPT ในการบริบาลทางเภสัชกรรม) และกลุ่มศึกษา (กลุ่มที่ใช้แบบสอบถาม PROMPT ในการบริบาลทางเภสัชกรรม) โดยมีการเก็บข้อมูลจำนวน 2 ครั้ง คือ ก่อนการแทรกแซกและหลังการแทรกแซงเมื่อผู้ป่วยมาพบแพทย์ในครั้งถัดไป ผลการวิจัย: คะแนนการสื่อสารของผู้ป่วยทั้ง 2 กลุ่ม มีความแตกต่างกันอย่างมีนัยสำคัญทางสถิติ (p < 0.001) กลุ่มศึกษาพบปัญหาจากการใช้ยามากกว่ากลุ่มมาตรฐาน (p<0.05) และมีคะแนน คุณภาพชีวิตด้านการใช้ยาดีขึ้นอย่างมีนัยส าคัญทางสถิติเมื่อเทียบกับกลุ่มมาตรฐาน (p<0.01) สรุปผลการวิจัย: การให้บริบาลทางเภสัชกรรมโดยใช้แบบสอบถาม PROMPT ช่วยเพิ่มการ สื่อสารเรื่องคุณภาพชีวิตการใช้ยาระหว่างผู้ป่วยกับเภสัชกร และช่วยให้คุณภาพชิวิตด้านการใช้ยาของ ผู้ป่วยดีขึ้นได้

Factors Associated With Utilization Of Maternal Health Services In Myanmar, Myint Kyaw Swar

Chulalongkorn University Theses and Dissertations (Chula ETD)

One of the significant causes of maternal deaths during pregnancy is low utilization of maternal health services, particularly in limited-resource settings. Proper utilization of these services can help reduce the rate of maternal mortality. Utilization of maternal health services is currently being promoted in Myanmar, however, the factors which influence on the use of these services have not been explored broadly. This present study aimed to explore the levels and patterns of utilization of maternal health services among Myanmar mothers, as well as the factors which could influence their utilization including general characteristics, mass media exposure, and woman decision making …

การวิเคราะห์เชิงคิเนมาติกส์ของไม้ช่วงบอลกระทบหน้าไม้ในนักกีฬาคริกเก็ตหญิงทีมชาติไทย, ชนิดา แซ่ตั้ง

Chulalongkorn University Theses and Dissertations (Chula ETD)

วัตถุประสงค์ เพื่อศึกษาและเปรียบเทียบตัวแปรทางคิเนมาติกส์ของไม้ช่วงบอลกระทบหน้าไม้ในท่าตีก้าวขาไปข้างหน้าในนักกีฬาคริกเก็ตหญิงทีมชาติไทยและนักกีฬาคริกเก็ตหญิงทีมเยาวชนรุ่นอายุไม่เกิน 19 ปี และในท่าตีก้าวขาไปข้างหน้าที่สามารตีไปถึงเส้นขอบสนามนอกและไปไปถึงเส้นขอบสนามนอก วิธีการดำเนินงานวิจัย ผู้เข้าร่วมงานวิจัยเป็นนักกีฬาคริกเก็ตหญิง จำนวน 14 คน แบ่งเป็นกลุ่มนักกีฬาคริกเก็ตหญิงทีมชาติไทยจำนวน 9 คน และกลุ่มนักกีฬาคริกเก็ตหญิงเยาวชนอายุไม่เกิน 19 ปีจำนวน 5 คน บันทึกวิดีโอท่าตีก้าวขาไปข้างหน้าในกีฬาคริกเก็ตเพื่อวิเคราะห์ท่าทางที่สามารถตีบอลไปได้ไกลสุด ทำการศึกษาตัวแปรเชิงคิเนมาติกส์ของไม้ช่วงบอลกระทบหน้าไม้ ผลการวิจัย กลุ่มนักกีฬาคริกเก็ตหญิงทีมชาติไทยมีระยะทางบอล มุมสะท้อนของบอล มุมของไม้ ความสูงระหว่างของจุดศูนย์กลางกับพื้น และระยะห่างระหว่างของจุดศูนย์กลางไม้กับสะโพกมากกว่ากลุ่มนักกีฬาคริกเก็ตหญิงเยาวชนอายุไม่เกิน 19 ปี อย่างมีนัยสำคัญทางสถิติที่ระดับ 0.05 สรุปผลการวิจัย ค่าคิเนเมติกส์ของไม้ในกลุ่มนักกีฬาคริกเก็ตหญิงทั้งสองทีมมีท่าตีก้าวขาไปข้างหน้าแตกต่างกันและท่าตีก้าวขาไปข้างหน้าที่สามารถตีบอลไปถึงเส้นขอบสนามนอกกับท่าตีที่ไม่สามารถตีไปถึงขอบสนามมีความแตกต่างเช่นกัน

การศึกษาฤทธิ์ของ Fluoxetine ในการยับยั้งการเจริญเติบโตและเหนี่ยวนำการตายแบบ Apoptosis ผ่านวิถี Pi3k/Akt และ Sigma-1 Receptor ใน Leukemic Cell Lines, ชนิชนม์ ชมเชย

Chulalongkorn University Theses and Dissertations (Chula ETD)

Fluoxetine เป็นยากลุ่ม SSRI (selective serotonin reuptake inhibitor) ที่ใช้ในการรักษาโรคซึมเศร้า ยาหลายตัวในกลุ่ม SSRI สามารถจับแบบจำเพาะ sigma-1 receptor แต่ในกรณี fluoxetine จะมีกลไกออกฤทธิ์จำเพาะต่อ serotonin transporter (Ki = 0.81 nM) มากกว่า sigma-1 receptor (Ki = 214–240 nM) หลายงานวิจัยรายงานว่า sigma-1 receptor แสดงออกบนเซลล์มะเร็งหลายชนิด และมีรายงานว่า antagonist สามารถลดการเพิ่มจำนวนและเหนี่ยวนำให้เกิด apoptosis แต่การทำงานร่วมกันระหว่าง fluoxetine กับ sigma-1 receptor ต่อเซลล์มะเร็ง ยังไม่ทราบกลไกการออกฤทธิ์ที่ชัดเจน งานวิจัยนี้มีวัตถุประสงค์เพื่อศึกษาฤทธิ์ของ fluoxetine ในการยับยั้งการแบ่งตัวและเหนี่ยวนำให้เกิด apoptosis ผ่าน sigma-1 receptor ในเซลล์มะเร็งเม็ดเลือดขาว ผลการทดสอบพบว่า fluoxetine สามารถลดเปอร์เซ็นต์การรอดชีวิตของเซลล์ Jurkat และ U937 ได้ โดยมีค่า IC50 เท่ากับ 28 ± 1.4 และ 36 ± 1.6 uM ตามลำดับ เมื่อเซลล์ Jurkat ถูกทดสอบด้วย fluoxetine ตามระดับความเข้มข้นและระยะเวลาที่เพิ่มขึ้น พบว่าfluoxetine สามารถยับยั้งการแบ่งตัวของเซลล์ Jurkat ได้อย่างมีนัยสำคัญทางสถิติ โดยมีกลไกหยุดยั้งวัฎจักรเซลล์ที่ระยะ G2/M และลดการหลั่งไซโตไคน์ IL-2 รวมทั้งเหนี่ยวนำให้เกิด apoptosis โดยการลดการแสดงออกของโปรตีน pro caspase 9 ผ่านการยับยั้งการเกิด phosphorylation ของ AKT ในวิถี PI3K/Akt และ การถูกกระตุ้นของ sigma-1 receptor …

Environmental Health Needs Assessment Base On Priority Need Index Corresponding With Health Effects From Flood For Improving Local Government Action Plans: A Case Study Of Nakhon Si Thammarat Province, Thailand, Jariya Matrongduang

Chulalongkorn University Theses and Dissertations (Chula ETD)

Flooding is considered as one of disaster that affect more people than any other natural disaster. The effects of flooding are extremely dangerous in developing countries due to low level flood protection. Initiatives in the development of response to floods need to create responses and support from stakeholders to identify causes, decision makers and local solutions. However, there’s limited studies on environmental health needs assessment for local government flood response. The purposes of this study are access environmental health needs of flooding action plan among affected people and compare environmental health needs between people who have and non-have health related …

Salivary Proteomic Analysis For Detection And Monitoring Treatment Response In Canine Oral Tumors, Sekkarin Ploypetch

Chulalongkorn University Theses and Dissertations (Chula ETD)

Tumors of the oral cavity account for 8% of all canine neoplasia. Malignant oral mass such as melanoma, oral squamous cell carcinoma (OSCC) and fibrosarcoma covers approximately 59% of canine oral neoplasia. Among these, canine oral melanoma (COM) is the most common oral tumors in dogs, with approximately 30–40% of all oral tumors. With high recurrence and/or distant metastasis rate, biomarkers are required for early detection, diagnosis, prognosis, and monitoring treatment response. Since saliva directly contacts tumors and saliva collection is non-invasive, easily accessible and cost effective, salivary biomarkers are suitable to support the evaluation of oral diseases. This study …

Application Of Near-Infrared Spectroscopic Technique In Content Uniformity Monitoring Of 5 Mg Amlodipine Tablets During Compression, Nattaporn Poltem

Chulalongkorn University Theses and Dissertations (Chula ETD)

Near-Infrared Spectroscopy (NIRs) technique was used to quantitatively analyzed 5 mg amlodipine tablets. The aim of this study was to develop calibration model by NIRs technique to accurately determine content uniformity of amlodipine tablets during commercial scale production. Amlodipine tablets were initially manufactured in laboratory scale to generate calibration model with concentrations ranging from 80% to 120% labeled amount using NIRs analysis with spectral range of 4000 –10000 cm-1. Results were compared with reference High-Performance Liquid Chromatographic (HPLC) method. Best near-infrared spectral preprocessing were obtained by utilizing Savitzgy-Golay 1st Derivative treatment followed by Standard Normal Variate (SNV) to improve data …

Effect Of Early Media Multitasking On Behavioral Problems In School-Age Children, Pornchada Srisinghasongkram

Chulalongkorn University Theses and Dissertations (Chula ETD)

Background: Screen Media Multitasking (SMM) or exposure to at least 2 electronic screen media devices concurrently, is universally increasing nowadays. We have already known about the association between single media use and child’s behaviors. However, the effects of SMM on children’s behavioral problems were not elucidated, especially at an early age. Objective: To determine the associations between screen media multitasking during early childhood and behavioral problems in school-age children. Methods: Two hundred and ninety-one (47.4% boys) healthy children were enrolled since age 6 months and 259 participants were followed up until 6 years of age. SMM of participants were interviewed …

Effect Of Dual-Cure Activator On Microhardness Of Self-Adhesive Resin Cements (Sarcs) Without Light Activation, Warissara Leeprakobboon

Chulalongkorn University Theses and Dissertations (Chula ETD)

Purpose: The aim of this study was to evaluate the effect of dual-cure activator on the degree of conversion of self- adhesive resin cements (SARCs) without light activation by using microhardness testing Methods: 270 specimen molds were prepared from putty silicone with a circular hole (2 mm. in thickness and 5 mm. in diameter). The specimens are divided into two groups; control and test groups. Each group have 27 specimens; 3 specimens for each function time (9 intervals; 15 mins, 30 mins, 60 mins, 3 hrs, 6hrs, 12 hrs, 24 hrs, 36 hrs and 48 hrs). Five self-adhesive resin cements …

A Comprehensive Assessment Of Crisis In Individuals With Intellectual Disabilities And Its Implications For Physical Therapy, Kathleen Sutton

Theses and Dissertations--Rehabilitation Sciences

Advancements in medicine, policy, and societal attitudes have improved life expectancy, socialization, and participation for individuals with intellectual and developmental disabilities (IDD). However, inconsistent or a lack of services may drive healthcare utilization toward expensive emergency care services. This can negatively impact health outcomes and disrupt physical therapy treatment plans, limiting their effectiveness and further placing individuals with IDD at risk for crisis episodes. Because of its subjective nature, quantifying crisis is challenging using current definitions. Rehabilitation professionals are often active members of the care team for individuals with IDD, however no evidence currently exists regarding how the profession can …

Evidence-Based Music Therapy Treatment To Elevate Mood During Acute Stroke Care, Jessica L. Rushing

Theses and Dissertations--Rehabilitation Sciences

Stroke is the fifth leading cause of death in the U.S. with approximately 795,000 Americans experiencing a stroke each year. In addition to common difficulties with communication and physical impairments following stroke, psychosocial impacts warrant assessment and treatment. Experiencing a stroke can lead to depression, mood disorders, and difficulties with emotion regulation. It is well documented that post-stroke depression (PSD) affects a third of stroke survivors. Higher levels of depression and depressive symptoms are associated with a less efficient use of rehabilitation services, poor functional outcomes, greater odds of hospital readmission, negative impacts on social participation, and increased mortality. The …

Prevalence Of Sports-Related Stress Urinary Incontinence In The Female Collegiate Athlete, Stacey Pagorek

Theses and Dissertations--Rehabilitation Sciences

Urinary incontinence is a health condition that is associated with involuntary leakage of urine. Stress urinary incontinence (SUI) describes involuntary leakage of urine on effort or exertion and can impact one’s ability to participate in activities and affect quality of life. Furthermore, clinical management of this health condition is challenging as individuals who experience urinary incontinence often do not report this concern to a health care provider.

Stress urinary incontinence is not typically a health concern associated with young, healthy athletes. However, researchers have begun to examine the presence of this health condition amongst both a younger population and in …

Connecting The Pieces: How Low Back Pain Alters Lower Extremity Biomechanics And Shock Attenuation In Active Individuals, Alexa Johnson

Theses and Dissertations--Rehabilitation Sciences

Low back pain in collegiate athletes has been reported at a rate of 37% from a wide array of sports including soccer, volleyball, football, swimming, and baseball. Whereas, in a military population the prevalence of low back pain is 70% higher than the general population. Compensatory movement strategies are often used as an attempt to reduce pain. Though compensatory movement strategies may effectively reduce pain, they are often associated with altered lower extremity loading patterns. Those who suffer from chronic low back pain tend to walk and run slower and with less trunk and pelvis coordination and variability. Individuals with …

Injury-Related Fear In Patients After Anterior Cruciate Ligament Reconstruction, Shelby Elyse Baez

Theses and Dissertations--Rehabilitation Sciences

Approximately 200,000 anterior cruciate ligament (ACL) injuries occur each year with about 100,000 of these injuries undergoing reconstruction (ACLR). The impetus of ACLR is to allow previously high functioning, physically active individuals to return to desired levels of sports participation and to engage in recommended levels of physical activity. However, 1 out of 3 patients after ACLR fail to return to competitive levels of sport and meet recommended levels of physical activity. Injury-related fear has been cited as the primary barrier for failure to return to sport. However, the research has been primarily qualitative in nature and limited research has …

Growing Old As A Rock Star: A Four-Part Study Of The Aging Voice, Joanna Sloggy

Theses and Dissertations--Rehabilitation Sciences

This dissertation focuses on the aging voice - specifically the aging elite vocal athlete. It is comprised of four components; a series of research studies and a viewpoint piece designed to explore the awareness, struggles, and vocal compensations of aging singers dealing with age related vocal and performance problems. The overarching goal of these studies is to inform the development of a voice care protocol for the aging rock star to guide customized intervention for these elite vocal athletes that is focused on optimizing both vocal output and performance.

First, the dissertation introduces and identifies characteristics of the exceptional voice. …

Is Optometry Ready For Myopia Control? Education And Other Barriers To The Treatment Of Myopia, Saoirse Mccrann, Daniel Ian Flitcroft, James Loughman

Articles

Background: With the increasing prevalence of myopia there is growing interest in active myopia control. However, the majority of progressive myopes are still prescribed single vision spectacles. This prospective study aims to elucidate the knowledge and attitudes of optometrists toward myopia control, and thereby identify perceived barriers to the implementation of a risk focussed model of myopia management.

Implementing A Two-Tiered Model Of Optometry Training In Mozambique As An Eye Health Development Strategy, Diane Van Staden, James Loughman, Kovin Naidoo

Articles

Background: The global burden of vision impairment has been acknowledged by the World Health Organisation as a public health challenge. In order to scale up the production of eye health personnel in developing countries, a tiered model of optometry training was explored in Mozambique.

Imi – Myopia Control Reports Overview And Introduction, James S. Wolffsohn, Daniel Ian Flitcroft, Kate L. Gifford, Monica Jong, Lyndon Jones, Caroline C. W. Klaver, Nicola S. Logan, Kovin Naidoo, Serge Resnikoff, Padmaja Sankaridurg, Earl L. Smith Iii, David Troilo, Christine F. Wildsoet

Articles

With the growing prevalence of myopia, already at epidemic levels in some countries, there is an urgent need for new management approaches. However, with the increasing number of research publications on the topic of myopia control, there is also a clear necessity for agreement and guidance on key issues, including on how myopia should be defined and how interventions, validated by well-conducted clinical trials, should be appropriately and ethically applied. The International Myopia Institute (IMI) reports the critical review and synthesis of the research evidence to date, from animal models, genetics, clinical studies, and randomized controlled trials, by more than …

Pain Management Resource Guide For Caregivers Of Children With Phantom Limb Pain, Micaela Monn, Amanda Steffen

Occupational Therapy Capstones

Approximately 80% of children, under the age of 18, develop phantom limb pain within one year after receiving an amputation (Burgoyne, Billups, Jiron, Kaddoum, Wright, Bikhazi, Parish, & Pereiras, 2012; Krane & Heller, 1995). Research on treating phantom limb pain has been focused on the adult population and often includes the use of pharmacological interventions (Subedi & Grossberg, 2011). Because phantom limb pain can cause psychological and physical dysfunction, it can negatively impact a child's ability to engage in everyday life. Currently, no holistic treatment guides are available for caregivers to refer to when helping their child manage his or …

Life Skills Program For Youth Who Have Experienced Homelessness, Michael Black, Ariel Campbell

Occupational Therapy Capstones

Background: According to the United States Department of Education (2017), for the 2016-2017 school year, there was an estimated 1,924 students enrolled in public schools in Wyoming experiencing homelessness, with an estimated 295 of these students unaccompanied by a family member or guardian. Homeless youth comprise one of the most vulnerable and medically underserved populations in the United States (Ammerman et al., 2004) and are also substantially more likely to have mental health concerns as a result of their past traumatic experiences (Davies & Allen, 2017). Homeless youth typically develop identities and habits that enable them to negotiate and survive …

Implementing An Occupational Therapy Student-Run Clinic At The University Of North Dakota, Ryan Walter, Kennedy Bresnahan

Occupational Therapy Capstones

Introduction: The curriculum of the occupational therapy program at the University of North Dakota (UND) includes approximately 185 hours of level I fieldwork experience where students work to integrate and practice skills learned within the classroom in a clinical setting. Students report that these experiences are often observation-based. Additionally, academic fieldwork coordinators are having an increasingly difficult time finding placements to support the growing number of students nationwide. A contributing factor to placement shortages is the tradition of using the apprenticeship model of supervision, where one student is supervised by one fieldwork educator (FWE). In order to ensure a consistent …

Navigating Cultural Differences Between Fieldwork Educators And Students, Tiana Brown, Norris Chin

Occupational Therapy Capstones

Background Cultural competency is an awareness and incorporation of knowledge about individuals and groups of people into specific policies, practices, standards and attitudes by incorporating the client's personal views, values and belief (Suk, Oh, & Im, 2018). Although it is important for future health care professionals and faculty to understand our growing diverse population, there is little to no emphasis on improving the interactions of diverse students and their fieldwork educators. Currently, there is no literature that provides guidance on facilitating culturally competent interactions and challenges for fieldwork educators or students. The purpose of this project was to develop a …

Engaging Caregivers In Family-Centered Pediatric Occupation Therapy, Sidney Carlson, Sarah Schwartz

Occupational Therapy Capstones

Purpose Family-centered care is considered the gold standard when working with children and their families (Darrah, Wiart, Magill-Evans, Ray, & Andersen, 2010). Despite there being a strong push toward family-centered care, there remains a disconnect in outpatient pediatric settings when working with children ages 3-18. The purpose of this scholarly project is to raise awareness of the need for caregiver engagement in pediatric, outpatient occupational therapy and identify best practice principles for caregiver engagement.

Methods An extensive literature review was conducted in order to understand caregiver engagement in pediatric occupational therapy. The information obtained from the literature review was analyzed …