Medicine and Health Sciences Commons^™

การใช้แนวทางการปรับยาวาร์ฟารินโดยมีทีทีอาร์และไอเอ็นอาร์เป็นตัวช่วยที่ในผู้ป่วยที่มีภาวะหัวใจห้องบนเต้นระริกที่รักษาด้วยยาต้านการแข็งตัวของเลือดกลุ่มออกฤทธิ์ต้านวิตามินเค, ไพสิฐ โกสุม

Chulalongkorn University Theses and Dissertations (Chula ETD)

ที่มา: ภาวะหัวใจห้องบนเต้นระริกเป็นภาวะหัวใจเต้นผิดจังหวะที่พบบ่อยในเวชปฏิบัติ ซึ่งเป็นสาเหตุของภาวะหลอดเลือดสมองทั่วโลก ยาต้านการแข็งตัวของเลือดเป็นยาที่ถูกแนะนำให้ใช้เพื่อป้องกันภาวะหลอดเลือดสมองในผู้ป่วยภาวะหัวใจต้องบนเต้นระริก แม้ว่าผู้เชี่ยวชาญและข้อแนะนำส่วนใหญ่แนะนำให้เลือกใช้ยาต้านการแข็งตัวของเลือดกลุ่มไม่ได้ออกฤทธิ์ต้านวิตามินเคเป็นยาที่ใช้ลำดับแรกและมีประสิทธิภาพในการป้องกันภาวะหลอดเลือดสมองเหนือว่ายาต้านการแข็งตัวของเลือดกลุ่มออกฤทธิ์ต้านวิตามินเคหรือยาวาร์ฟาริน แต่ในทางปฏิบัติในประเทศไทย ยาวาร์ฟารินก็ยังเป็นที่ถูกเลือกนำมาใช้เป็นลำดับแรกเพื่อป้องกันภาวะหลอดเลือดสมองเนื่องจากราคาถูกและมีใช้อย่างแพร่หลายในทุกโรงพยาบาล ทีทีอาร์ถือเป็นตัวชี้วัดมาตรฐานสำหรับการประเมินประสิทธิภาพใช้ในการใช้ยาวาร์ฟารินในอยู่ในช่วงระดับของการรักษา อย่างไรก็ตามในประเทศไทยยังไม่มีการนำทีทีอาร์มาเป็นเครื่องมือที่ใช้กันอย่างแพร่หลาย จุดประสงค์: เพื่อวิเคราะห์การปรับปรุงของทีทีอาร์ หลังใช้แนวทางการปรับยาวาร์ฟารินโดยการใช้ทีทีอาร์และไอเอ็นอาร์ เป็นตัวช่วยในผู้ป่วยที่มีภาวะหัวใจห้องบนเต้นระริกที่รักษาด้วยยาต้านการแข็งตัวของเลือดกลุ่มออกฤทธิ์ต้านวิตามินเค และศึกษาความสะดวกในการใช้งานแนวทางการปรับยาวาร์ฟารินโดยการใช้ทีทีอาร์และไอเอ็นอาร์เป็นตัวช่วย ระเบียบวิธีวิจัย: การวิจัยนี้เป็นการศึกษาแบบไปข้างหน้า ศึกษาผู้ป่วยภาวะหัวใจต้องบนเต้นระริกที่รักษาและติดตามที่คลินิกวาร์ฟาริน โรงพยาบาลจุฬาลงกรณ์ ตั้งแต่เดือนกุมภาพันธ์ 2564 ถึงเดือนกุมภาพันธ์ 2565 โดยจะทำการเก็บข้อมูลทั่วไป, โรคประจำตัว, ประเมินความเสี่ยงต่อภาวะหลอดเลือดสมองและภาวะเลือดออก การรักษาที่ได้รับ และผลลัพธ์ที่ต้องการ คือ การเปลี่ยนแปลงของทีทีอาร์, การเสียชีวิต การนอนโรงพยาบาล อุบัติการณ์การเกิดภาวะหลอดเลือดสมองและเลือดออก รวมทั้งเจาะเลือดเพื่อวัดค่าทีทีอาร์ โดยทำการวัด 2 ครั้ง (ครั้งแรกที่ 6 เดือนหลังการใช้แนวทางการปรับยาฯ และครั้งที่ 2 คือ 1 ปีหลังการใช้แนวทางฯ สถิติที่ใช้วิเคราะห์ข้อมูลใช้ McNemar’s Chi-square test และ paired t-test เพื่อหาความสัมพันธ์ดังกล่าว ผลการศึกษา: ผลการวิเคราะห์ข้อมูลพบว่า คัดกรองอาสาสมัครทั้งหมด 95 คน (อาสาสมัครที่ตรงเกณฑ์และคุณสมบัติในการคัดเลือกเข้าในงานวิจัยทั้งหมด 74 คน และอาสาสมัคร 18 คน ขาดความสมบูรณ์ของข้อมูล) อายุเฉลี่ยของอาสาสมัครเท่ากับ 72 ± 11 ปี ร้อยละ 50 เป็นเพศหญิง มีผู้ป่วยร้อยละ 32.14 มีโรคประจำตัวเป็นกล้ามเนื้อหัวใจขาดเลือด ผู้ป่วยร้อยละ 21.43 มีเคยมีประวัติหลอดเลือดสมองตีบมาก่อน และผู้ป่วยร้อยละ 35.7 เป็นเบาหวาน ค่าคะแนนประเมินความเสี่ยง CHA2DS2-VASc เฉลี่ย 3.82 ± 1.82 HAS-BLED เฉลี่ย 2.13 ± 1.01 และ SAMe-TT2R2 เฉลี่ย 3.30 ± 0.74 จากผลการวิจัยพบว่า ค่าเฉลี่ยของทีทีอาร์ตั้งต้นก่อนใช้แนวทางการปรับยาฯ …

Prevalence Of Canine Atopic Dermatitis And Distribution Of Causative Allergens In Bangkok, Sopon Sornsanit

Chulalongkorn University Theses and Dissertations (Chula ETD)

Canine atopic dermatitis (CAD) is a pruritic allergic skin disease caused by an overreaction to environmental allergens. The diagnosis of CAD is made on the basis of the patient's history, physical examination, and exclusion of other pruritic skin diseases. Allergen-specific IgE serology (ASIS) is one of the most frequently recommended tests in veterinary dermatology for identifying causative allergens. The purpose of this study was to determine the prevalence of CAD and the types of allergens that cause it in atopic dogs using ASIS in the Bangkok metropolitan area. The study was divided into two sections. Between 2015 and 2019, 383 …

Viral And Immune Studies On Bovine Viral Diarrhea Virus (Bvdv) In Bovine Species, Karim Abdelsalam

Electronic Theses and Dissertations

BVDV is a major pathogen of ruminants that causes immune dysfunction and lead to secondary bacterial infection. The underlying mechanism of this dysfunction is not well understood. Based on previous results, we believe that macrophages play a central role in BVDV-associated immune dysfunction. Previously, we have shown that the infected monocyte-derived macrophage (MDM) supernatant of the high virulent strains of BVDV significantly induced lymphocyte apoptosis. In the current study, we performed experiments to identify the apoptotic factors in the infected MDM supernatants in vitro. Also, we have extended our investigation to include testing the impact of infected macrophages on neutrophil …

A Role For The Hydroxybenzoic Acid Metabolites Of Flavonoids And Aspirin In The Prevention Of Colorectal Cancer, Ranjini Sankaranarayanan

Electronic Theses and Dissertations

Flavonoids are a group of polyphenolic compounds, with established antioxidant properties, that are present ubiquitously in plants, fruits, and vegetables. Their universal presence in nature is evident by the fact that more than 4000 types of flavonoids have been identified till date. Additionally, they have also become part of the daily diet through consumption of fruits such as berries, grapes, pomegranate, and cherries, and vegetables such as onions, kale, and eggplant. High levels of flavonoids are also consumed through beverages such as tea and red wine. Numerous studies have demonstrated that a diet rich in flavonoids decreases the incidences of …

Assessment Challenges In Acquired Aphasia In Multilingual Individuals, Monica Norvik, Mira Goral

Publications and Research

Aphasia is an acquired language disorder resulting from damage to the brain, most typically a stroke in the left cerebral hemisphere. The degree and type of impairment vary depending on the site and size of the lesion, and the extent to which people with aphasia recover – with time and therapeutic intervention – their pre-stroke linguistic skills varies, depending on exogenous and endogenous variables. Multilingual speakers who acquire aphasia may exhibit comparable or different profiles of impairment in each of their languages. The present chapter explores the challenges associated with the assessment of all languages of multilingual and multicultural speakers …

The Acute Effect Of Magnesium Supplementation On Endothelial Function: A Randomized Cross-Over Pilot Study, Catriona Murphy, Jennifer A. Byrne, Jennifer Keogh, Michelle Headland, Peter M. Clifton

Articles

: Magnesium (Mg) deficiency might be a catalyst in the process of endothelial dysfunction, an early event in the pathogenesis of atherosclerosis. The aim of this study was to determine the acute effect of an oral Mg supplement as compared to control on endothelial function assessed by flow-mediated dilatation (FMD). Nineteen participants (39 years, body mass index (BMI) 22.9 kg/m2 ) completed this randomized cross-over study. Blood pressure (BP) and FMD were measured and blood samples were taken before participants drank 200 mL water, with or without an over the counter Mg supplement (450 mg and 300 mg for men …

Strengthening The Semantic Verb Network In Multilingual People With Aphasia: Within- And Cross-Language Treatment Effects, Aviva Lerman, Mira Goral, Lisa Edmonds, Loraine K. Obler

Publications and Research

In multilingual people, semantic knowledge is predominantly shared across languages.
Providing semantic-focused treatment to people with aphasia has been posited to strengthen
connectivity within association cortices that subserve semantic knowledge. In multilingual people, such treatment should result in within- and cross-language generalisation to all languages, although not equally. We investigated treatment effects in two multilingual participants with aphasia who received verb-based semantic treatment in two pre-stroke highly
proficient languages. We compared within- and cross-language generalisation patterns across languages, finding within- and cross-language generalisation after treatment in the less-impaired, pre-morbidly more-proficient first-acquired language (L1). This observation supports the theory that connectivity …

Aphasia In Multilingual Patients, Mira Goral, Zahra Hejazi

Publications and Research

Purpose of Review

We summarize recent published work concerning assessment and treatment of aphasia in bilingual and multilingual people and review current related models of treatment outcomes. As well, we discuss studies that address the recently debated topic of cognitive processes in bilingual individuals with aphasia, with a focus on the effects of bilingualism on aphasia recovery and its potential protective effects.

Recent Findings

Providing assessment and treatment tools that best serve multilingual individuals with aphasia and unpacking the variables and mechanisms that underlie response to treatment have emerged as goals of several recent studies. Additionally, while findings are still …

Ccit Report 2021, Critical Creative Innovative Thinking

Critical Creative Innovative Thinking (CCIT) Archives

No abstract provided.

Characterization Of Cucurbitacin-Inspired Estrone Analogues As Novel Inhibitors Of Human Atp- Binding Cassette Proteins (Abcb1 And Abcc1), Jennifer Kyeremateng

Electronic Theses and Dissertations

ATP-binding cassette (ABC) transporters are a large class of integral membrane proteins that contribute to key physiological functions in all organisms by utilizing ATP binding and hydrolysis to transport diverse substrates across membrane barriers. P-glycoprotein (P-gp/ ABCB1) and Multidrug Resistance protein 1 (MRP1/ABCC1) are widely reported ABC transporters associated with multidrug resistance in cancer. Multidrug resistance (MDR) mediated by P-gp and MRP1 is responsible for treatment failures of many metastatic cancers as a result of reduced accumulation, bioavailability and diminished potency of anticancer drugs. Currently, known P-gp and MRP1 inhibitors are limited due to toxicity, lack of selectivity and low …

Go Talk To Your Employee: A Sequential Mediation Analysis Of Leader Communication Frequency And Employee Turnover Intent, Max Weaver

Electronic Theses and Dissertations

Employee turnover has significant negative costs to healthcare organizations. While leadership communication styles and quality have been empirically supported to reduce turnover intentions, our understanding of specific modalities of leader intervention is not well understood. This paper sought to understand how the specific act of communication frequency reduces turnover. Through the lens of Leader-Member Exchange (LMX) and role dynamic theories, mediating effects of LMX quality and job satisfaction were investigated to further understand this proposed relationship in a sample of healthcare workers in the Midwest/US. Results indicate that communication frequency was negatively related to turnover intent. Furthermore, while LMX and …

Parent Training For Autism Spectrum Disorder, Shamaila Ijaz, Farwa Rafaq, Sonia Ijaz Haider

Department for Educational Development

Objective: The main purpose of the present study was to investigate the effectiveness of behaviour therapy training to mothers of autistic children on verbal and non-verbal improvement of their children.
Methods: A total of 33 mothers of autistic children were selected for training based on non-probability purposive sampling procedure. Autism Spectrum Disorder (ASD) Knowledge Scale was used to assess mothers' knowledge about autism and Vineland Adaptive Behaviour Scale was used for assessment of the communication skill in autistic children.
Results: This study revealed that behaviour therapy training significantly improved communication skills of children with autism by training mothers. The results …

Implications For Occupational Therapy Student Stress, Well-Being, And Coping: A Scoping Review, Pamela Lewis-Kipkulei, Leah S. Dunn, Amanda M. Carpenter

Journal of Occupational Therapy Education

Scholarly literature and non-scholarly news sources have highlighted stressors in higher education. The rigor of occupational therapy education can compound student stress. Although the profession recognizes these stressors, insufficient literature exists regarding strategies to cope with and manage these sources of stress. This scoping review explored the literature examining stress and the implications for occupational therapy student well-being and coping, and also identified strategies for faculty to support student well-being. Using PRISMA Scoping Review guidelines, a systematic, multi-phase process was used to identify relevant literature. Databases searched included PubMed, CINAHL, PsycInfo, MEDLINE Complete, Web of Science, ERIC, and Education Database. …

Occupational Therapy Students’ Experiences Of Team-Based Learning: A Multi-Year Study, Bhing-Leet Tan, I-Ling Yeh, Phyllis Liang

Journal of Occupational Therapy Education

Many health sciences disciplines have adopted team-based learning (TBL) as part of their education pedagogy, with studies showing increased classroom participation and learner satisfaction. However, it will be beneficial to explore the learning experiences of occupational therapy students in TBL using a mixed methods approach. In an undergraduate occupational therapy program, students undertook three clinical modules using TBL in years two and three. This study explored their perceptions and experiences of TBL. This was a mixed methods prospective cohort study, during which two cohorts of students from Academic Year (AY) 2016 and AY2017 completed the Team-Based Learning Student Assessment Instrument …

Exploring Occupational Therapy Student Stress: Professor And Student Perspectives, Jessica Grab, Meghan Green, Julianna Norris, Kristen Pilchik, Grace S. Fisher

Journal of Occupational Therapy Education

The purpose of this study was to identify occupational therapy student stress levels and determine factors influencing this emotional response. The study also sought to obtain the perspective of occupational therapy professors on this issue. This mixed-methods study utilized an online quantitative descriptive survey and a telephone or face-to-face qualitative open-ended interview. Online survey respondents included a nationwide sample of 340 occupational therapy professors and 459 occupational therapy students. Additionally, nine professors and five students served as the interviewees. All professors were certified by the National Board for Certification in Occupational Therapy (NBCOT) and employed either full or part time …

Book Review: The Entry Level Occupational Therapy Doctorate Capstone: A Framework For The Experience And Project, Linda R. Struckmeyer, Paula J. Costello

Journal of Occupational Therapy Education

This paper is a book review of The Entry Level Occupational Therapy Doctorate Capstone: A Framework for the Experience and Project (DeIuliis & Bednarski, 2019). This review includes a description of the book, content summary, and critical analysis of its educational value. Overall, this book is recommended as a resource for doctoral capstone coordinators.

Exploring How Integrative Seminars Contribute To Students’ Readiness For Level Ii Fieldwork, Robyn Wu, Chi-Kwan Shea

Journal of Occupational Therapy Education

The integrative seminar is an evidence-based teaching-learning approach that has recently been used to help prepare occupational therapy students for Level II fieldwork. Integrative seminars provide a dedicated context for students to synthesize their learning across various subjects in a professional curriculum. The seminars also focus on practical application of didactic learning. To explore the students’ self-perceived effectiveness of this innovation in occupational therapy education, post-fieldwork survey feedback was collected from a recent cohort of students who participated in a four-course integrative seminar series. Most students indicated that the integrative seminars contributed to their critical thinking, communication/reporting skills, interpersonal skills, …

Considerations In The Use Of Podcasts For Teaching And Learning In Occupational Therapy: A Scoping Study, Sarah Briand, Ingrid Malo-Leclerc, Michaël Beaudoin, Étienne Croisetière, Alexandre Tremblay, Mariane Côté-Boulanger, Annie Carrier

Journal of Occupational Therapy Education

Evidence-based practice integrates and supports the best interventions in clinical practice. However, a gap of about ten years may elapse between the production of evidence and integration of best practices in clinical settings. Some technologies, such as podcasting, have become increasingly popular and are emerging as an innovative teaching modality that can support knowledge acquisition and integration. This scoping study gathered and synthesized the information in the literature regarding the use of podcasts by occupational therapy clinicians and students as a means for teaching and learning evidence-based knowledge. A scoping study approach was used following the five stages defined by …

Is Compressed And Limited Synchronous Delivery Of Anatomy Content In A Hybrid Delivery Format Effective In Transitional Ot Student Learning?, Reivian Berrios Barillas, Kathy J. Lemley

Journal of Occupational Therapy Education

Hybrid occupational therapy (OT) students transitioning from certified OT assistants (COTAs) to OTs can successfully learn graduate-level anatomy in a compressed format with limited synchronous instruction time. The effectiveness of a human anatomy course with limited synchronous instruction time for transitional hybrid occupational therapy students was investigated. A retrospective, non-randomized study was used. A university graduate level human anatomy course for transitional OT students used prosected (previously dissected) cadavers. Students (n=46, 32 instruction hours over 16 weeks) final anatomy course grades for three cohorts were measured retrospectively. There was a 98% first-time pass rate and 100% second time …

Evaluation Of A Simulation-Based Training Program On Childhood Trauma With Occupational Therapy Students, Julie Miller-Cribbs, Jedediah E. Bragg, Mary Isaacson, Eden D. E. Nay, Daniel Howell, Kristin Rodriguez, Frances Wen, Martina Jelley, Kim Coon

Journal of Occupational Therapy Education

An educational and simulation-based training model, the Professional ACEs-Informed Training for Health Professionals designed for allied health students was evaluated using a pre-and-post design. The training model emphasizes trauma-informed care and uses social simulation to educate and train students with skills to address adverse childhood experiences. This study evaluated occupational therapy students’ (N=70) levels of self-efficacy and knowledge of trauma-informed care at both pre- and post-training. Analysis of variance results indicated a statistically significant improvement in students’ levels of general self-efficacy and knowledge from pre- to post-assessment (p < .01). These results are suggestive of the usefulness of brief …

Evaluation Of An On-Campus Program Bridging The Theory-Practice Gap In Occupational Therapy Education: Student Perspective, Homa Zahedi, Sarah-Jayne Rowe

Journal of Occupational Therapy Education

The transfer of learning from an academic setting to fieldwork and vice versa is not straightforward and occupational therapy students often report this as challenging. In acknowledgement of this, the fieldwork placement learning structure within the Bachelor and Master occupational therapy entry-level programs at a higher education institute was redesigned to enhance links between taught content at university and fieldwork placement. The aim of this study was to explore occupational therapy students’ perspectives of this new educational initiative. The students attended university for a set number of days over the course of their first and second fieldwork placements. The sessions …

All Work Or All Play? The Impact Of Cultural And Clinical Activities On Perceived Cultural Sensitivity Development During An Occupational Therapy Service Learning Experience, Monique C. Chabot, Adair Sanchez, Said Nafai, Elizabeth Stevens-Nafai

Journal of Occupational Therapy Education

International service learning experiences provide invaluable opportunities for occupational therapy practitioners and students to practice clinical skills while also being exposed to different cultures and experiences not available in their home country. Studies have shown that clinical activities during international service learning experiences increase students’ cultural awareness and sensitivity, however the effect of cultural activities on students’ development is not known. Over the span of two years, multiple groups of American occupational therapy students traveled to Morocco for a ten day service learning experience and served in a variety of clinical activities across the lifespan and population. Students also participated …

Outcomes Of International Service Learning (Isl): Alumni Perspectives, Karen Schnedl, Lauren E. Milton

Journal of Occupational Therapy Education

Service learning is an active method that combines academic knowledge and hands-on experience while serving a community. Service learning is well established within occupational therapy (OT) and allied health education, as many institutions have organized both domestic and international service learning experiences. Literature supports student benefits of participation in international service learning (ISL), but limited literature exists on the long-term impact of participation in ISL throughout allied health education. Many OT students participate in ISL during their education, but there is limited literature on the impact of an ISL experience on participants’ careers in OT. In this qualitative study, an …

Occupation-Focused Learning And Personal Development Through Service-Learning, Sarah Quinn, Katie Cremin

Journal of Occupational Therapy Education

Experiential learning is not without its challenges. Following a pilot examination of student feedback on practical and learning difficulties they encountered, students’ experiences of their occupation-focused, service-learning module was systematically explored using a case study design. Concurrent mixed methods were employed to collect data with emphasis on qualitative data gathered through weekly, guided reflective journals and online forums. Students were also surveyed pre and post module to validate data on their experiences regarding their concerns, perceived learning, and evaluation of the module. Four themes were identified. These related to students’ increased understanding of the use and value of occupation; their …

Addressing Suicide In Entry-To-Practice Occupational Therapy Programs: A Canadian Picture, Nadine Larivière, Marc Rouleau, Kim Hewitt-Mcvicker, Lorie Shimmell, Catherine White

Journal of Occupational Therapy Education

Worldwide, over 800,000 people die each year by suicide, leaving many behind to grieve the loss. Preventing suicide involves reaching people before they are in crisis (prevention), helping them to navigate a crisis that could result in suicide (intervention), and addressing the aftermath of a suicide loss or attempt (postvention). Healthcare professionals, including occupational therapists, unitedly acknowledge the lack of skills, knowledge, and competence in all facets of suicide awareness and prevention in their professional training and in practice. To improve this situation, suicide prevention skills must be taught in entry to practice programs, so they will filter into the …

Designing An Educational Program To Promote Diversity And Student Engagement In Professional Advocacy (Sepa), Jessica Alden, Lynda Hill, Felecia Moore Banks, Ronan Connolly, Julius Ngwa

Journal of Occupational Therapy Education

Little is understood about best educational strategies to engage diverse occupational therapy students in professional advocacy. The purpose of this research was to use design-based research (DBR) methods to design a novel educational intervention to promote professional engagement of diverse students over three subsequent years. This study used a pre/post design to design, implement, evaluate, and revise an educational program entitled “Student Engagement in Professional Advocacy” (SEPA). This manuscript reports on the first year of that study. The participants (N=27) were entry-level Master of Science occupational therapy students. The outcome measure was a survey measuring student knowledge, attitude, and participation …

Collaborative Learning And Critical Thinking: Use Of The Jigsaw Learning Activity In Occupational Therapy Teaching, Jessica L. Dashner, Christine Berg

Journal of Occupational Therapy Education

Collaborative team learning prepares future practitioners using well-crafted, guided collaborative learning activities. Collaborative learning distributes responsibility across team members as they engage socially to build knowledge and learner skills. Critical thinking is a learner skill that is fostered through challenging the team of learners’ assumptions through ill-defined, complex real-life cases that defy easy solutions. The ability of occupational therapists to create effective discharge plans has been found to positively alter hospital recidivism. By offering a Jigsaw Case focused on discharge planning at several points in time across the service delivery continuum of care, a team of learners engaged in collaborative …

The Admissions Process In Occupational Therapy Education: Investigating Academic And Non-Academic Metrics In The Applicant Selection Process, Zana A. Mcneil, Mallory Babin, Erin Pyles, Breanna Trueblood, Bailee Cloutier, Sharon M. Cosper

Journal of Occupational Therapy Education

The overall goal for any admissions process is to analyze criteria and identify the prospective students that have the highest potential for success in the program’s curriculum and in the field as a practicing clinician. The purpose of this study was to examine common academic and non-academic criteria utilized in occupational therapy (OT) admission processes and determine what criteria are used by programs with 100% student pass ratings on their National Board for Certification in Occupational Therapy (NBCOT) exam following completion of an OT program. Admissions criteria components and NBCOT pass rates were collected from the top 107 OT programs, …

Telehealth And Occupational Therapy Education, Angela Patterson, Diana R. Feldhacker, Bobbi S. Greiner, Marion Russell, Victoria Bergen

Journal of Occupational Therapy Education

Accredited occupational therapy education programs are required to include telehealth technology in their curricula as outlined by the Accreditation Council for Occupational Therapy Education. An innovative Doctor of Occupational Therapy program piloted a telehealth module with first- and second-year students. Both dynamic lecture content and active learning lab exercises were created to advance student knowledge in the use of telehealth technology and to inform occupational therapy telehealth education. The teaching approaches in lecture and lab were assessed using a mixed methods approach. A quantitative pre and posttest assessment of student self-efficacy and knowledge was collected at three time points. At …

Evaluating Interprofessional Competencies And Knowledge Of And Confidence In Addressing Social Determinants Of Health, Whitney Lucas Molitor, Moses N. Ikiugu, Ranelle Nissen, Mejai Avoseh, Denyelle Kenyon, Sabina Kupershmidt

Journal of Occupational Therapy Education

Promoting health requires coordinated, team-based interventions responsive to multiple determinants of health. This study aimed to determine if interprofessional competencies and knowledge of and confidence in addressing the social determinants of health improved following an interprofessional learning event. A two-group randomized controlled trial was used to determine study outcomes among 408 health science students from 14 health profession programs in the Midwest. Formed groups were randomly assigned to the customary medical-based (control) or social determinants of health focused (experimental) case study. In small groups students engaged in a case study simulation and offered recommendations for intervention. Small improvements in knowledge …