Medicine and Health Sciences Commons^™

Promoting Longevity Through Engagement In Purposeful Occupations, Jennifer K. Fortuna

The Open Journal of Occupational Therapy

Ron Henry, an artist based in Grand Junction, CO, provided the cover art for the Fall 2022 edition of The Open Journal of Occupational Therapy (OJOT). “On the Trail to Durango” is a 36” x 36” painting made from oil and acrylic on gesso board. Ron has been creating beautiful art since he was a child. Art has provided Ron with a strong sense of purpose throughout his life. At age 90, Ron attributes his longevity to living a healthy lifestyle and regular engagement in purposeful occupations, such as painting. In this tenth anniversary issue of OJOT, Occupation and the …

Cultivating Cultural Humility In Occupational Therapy Through Experiential Strategies And Modeling, Sylvia H. Anderson

The Open Journal of Occupational Therapy

Cultural competence and cultural humility have been topics in conversations for many years in multiple industries. Indeed, attempts have been made and continue to be made to address cultural ineptness and unawareness. Of particular concern are the attitudes and behaviors exhibited by health care practitioners. More specifically, the author will discuss the importance of cultivating cultural humility among occupational therapy educators, students, and practitioners through modeling and experiential learning strategies. This article is designed to help occupational therapy educators, professionals, and students to increase their awareness about the need for and benefit of cultural humility in education and practice. The …

Health Literacy And Occupational Therapy: A Discussion On Assessing And Addressing Limited Health Literacy, April M. Bryant, Bryan M. Gee, Lynn Gitlow

The Open Journal of Occupational Therapy

Health literacy is multidimensional and goes beyond simply education level. In addition, age, gender, race and ethnicity, social network, and income level, among other things, can contribute to the level of health literacy and affect health outcomes. Many Americans cannot make sound decisions regarding their health care because of limited health literacy, yet health literacy is rarely considered during an occupational therapy evaluation and subsequent plan of care. This manuscript informs occupational therapists on strategies to address limited health literacy by using literature and evidence.

Arts-Based Training Program Effectiveness: A Teaching Methodology In An Occupational Therapy Doctorate Program, Hillary Napier, Nicole Kovalevsky, Clarissa Stanhope, Alexandra Wasko, Katherine Williams, Rebecca Ozelie

The Open Journal of Occupational Therapy

Arts-based training programs can aid in building observational skills, communication, team building, and leadership through targeted analysis of works of art. Furthermore, arts-based training programs are unique in that they highlight non-technical skills (NTS). The goal of this study was to investigate the extent to which NTS were developed through an arts-based training program among entry-level occupational therapy doctorate (OTD) students. This study used a mixed methodological approach to analyze retrospective data. Quantitative analysis of the Kentucky Inventory of Mindfulness Skills (KIMS) assessment was conducted. Qualitative analysis was completed through analysis of the participants’ reflection papers. Quantitative results (n = …

Benefits Of Peer-Mentorship For Entry-Level Occupational Therapy Students: A Descriptive Study, Robert G. Gallagher, Razan Hamed

The Open Journal of Occupational Therapy

Background: This study explored the benefits of a new peer-mentorship program designed for Master's-level occupational therapy students.

Method: This was a descriptive study of an entry-level Master’s of occupational therapy (MOT) program. A group of entry-level MOT students participated in the program as mentees (n = 37 in summer 2019, n = 39 in fall 2019) and mentors (n = 9 in summer 2019, n = 8 in fall 2019) for two academic semesters. Feedback about the process and outcomes of the peer-mentorship program was collected at the end of each semester.

Results: The data showed that mentees reported …

The Development Of Leaders: Suggested Modules For Education, Tracey E. Recigno, Paula Kramer

The Open Journal of Occupational Therapy

The development of leaders is critical for the education of all professionals and, particularly, those in the field of occupational therapy. Current accreditation standards offer a limited perspective on leadership, and educators should consider a more holistic viewpoint to leadership development, especially as many programs are moving to the doctoral level. The adult learning theory of andragogy in conjunction with social learning theory, experiential learning theory, and leadership theories can help guide educators’ creation of integrative learning opportunities. This paper proposes a framework for leadership education that promotes building leadership capacity through leadership skill, identity, and mindset formation. Suggested evidence-based …

Developing An Anti-Racist Practice In Occupational Therapy: Guidance For The Occupational Therapist, Justin E. Lerner, Angie Kim

The Open Journal of Occupational Therapy

A strong anti-racist practice is critical for occupational therapists who represent an overwhelmingly white and female workforce yet serve people from all ethnic and racial backgrounds. These therapists are commonly unprepared to work with a racially diverse clientele because of a lack of reflective and critical practice grounded in anti-racism. This article provides some critical literature about race and racism in occupational science. We present important concepts for therapists to deepen their understanding of anti-racist practice, including intersectionality, agent and target groups, and equity and equality. We then explore some critical theoretical frameworks that can help conceptualize anti-racist practice, such …

Leadership Practices Of State Associations: Does State President Leadership Style Encourage Membership?, Leslie M. Sizemore

The Open Journal of Occupational Therapy

Background: This research addressed the “graying” of the professional state occupational therapy association as new clinicians are more frequently making the decision not to join. It is particularly relevant for boards who are attempting to establish and retain members.

Method: To assess the leadership styles of presidents of state occupational therapy associations and to examine the impact of leadership style on membership status, this research examined the self-perceived leadership styles of state occupational therapy association presidents, as measured by the Leadership Practices Inventory (LPI), a tool developed by Kouzes and Posner, authors of the Exemplary Leadership Model. It …

A Scoping Review Exploring The Use Of Art-Making-As-Therapy In Adult Mental Health Occupational Therapy Practice, Alan Johnson, Samantha Ashby, Miranda Lawry

The Open Journal of Occupational Therapy

Background: Art-making-as-therapy has been used by occupational therapists in mental health since the inception of the profession. It aims to enable people to gain mastery and produce art. This review synthesizes the research on the use of art-making as therapy by occupational therapists in adult mental health practice.

Method: Arksey and O’Malley’s 5-stage framework was used. A search of four databases was conducted with the inclusion criteria of papers from 1980 – 2020 using the keywords of occupational therapy, mental health or illness, and art. Thematic analysis was used to analyze the data.

Results: Of the 847 …

Promoting Self-Management Of Breast Cancer-Related Lymphedema Through The Remotivation Process, Kaye Rubio, Patricia Bowyer, Sherry Hite, Vidya Pingale, Wyona Freysteinson, Gayle Hersch, Christine Raber Phd, Otr/L

The Open Journal of Occupational Therapy

Background. Lymphedema affects a significant number of women with breast cancer. Self-Management Programs (SMP) are important in the long-term management of chronic conditions such as lymphedema. Motivation is crucial in the daily performance of the SMP. The study explored the effect of the Remotivation Process on the motivation of women with breast cancer-related lymphedema to incorporate an SMP into their daily routine.

Methodology. The study was a within-subjects quasi-experimental design that used the Volitional Questionnaire, frequency count of the SMP, and circumferential measurement as outcome measures. Eleven participants (n = 11) with breast cancer-related lymphedema completed the study …

The Masgutova Neurosensorimotor Reflex Integration (Mnri®): A Scoping Review, Lucretia A. Berg, Daniela Brown, Kaylee Kroll, Chandler Pfaff, Lesli Cleveland

The Open Journal of Occupational Therapy

Background. The Masgutova Neurosensorimotor Reflex Integration (MNRI^®) method emerged from Russia in the 1990s as an intervention to improve maturation, development, and functional abilities for a variety of clients. MNRI^® has since become an emerging intervention in occupational therapy in the US, particularly with pediatric clients. The evidence supporting use of MNRI^® remains limited.

Method. Using updates by Levac and colleagues (2010) to the Arksey and O’Malley (2005) process for scoping review, databases and the MNRI^®website were searched. Fourteen unique articles were identified and reviewed. Articles were categorized by common characteristics and …

Three-Dimensional Motion Analysis For Occupational Therapy Upper Extremity Assessment And Rehabilitation: A Scoping Review, Stephen W. Hill, Samantha Mong, Quyen Vo

The Open Journal of Occupational Therapy

Background: Three-dimensional (3D) human motion analysis provides objective, quantitative, and reliable kinematic data that are valuable in rehabilitation. Clinicians, including occupational therapists and other specialists, can apply this technology to quantify patients’ upper extremity (UE) motion during functional tasks. A better comprehension of altered body mechanics serves to guide clinical reasoning, develop evidence-based interventions, and monitor patients’ progress through follow-up. However, the scientific literature has yet to emphasize the practicality of using 3D motion analysis as a clinical measurement tool.

Method: This scoping review appraised 20 articles that used 3D motion analysis to quantify UE movements for individuals …

The Occupational Impact Of Mass Shootings: A Qualitative Study Of Survivor Accounts, Ashley Ellsworth, Susan Macdermott, Bridget Scheidler

The Open Journal of Occupational Therapy

Background: As mass shootings continue to persist in the United States, their occupational impact on victims needs further understanding. The purpose of this study was to examine stories shared by survivors of mass shootings to determine whether changes in occupational participation, performance, and fulfillment of meaningful roles and performance patterns occurred following the incident.

Method: Unobtrusive methods were used to collect and analyze publicly accessible audiovisual and written records following a qualitative research design. Themes were developed through thematic analysis.

Results: Victims at varying degrees of association to the event experienced changes in their occupational performance, participation, …

Professional Misfits: “You’Re Having To Perform . . . All Week Long”, Brenda L. Beagan, Kaitlin R. Sibbald, Tara M. Pride, Stephanie R. Bizzeth

The Open Journal of Occupational Therapy

Background: Occupational therapy professes commitment to equity and justice, and research is growing concerning the experiences of clients from marginalized groups. To date, almost no research explores the professional experiences of therapists from marginalized groups. This qualitative study explores how exclusion operates in the profession among colleagues.

Method: Grounded in critical phenomenology, semi-structured in-depth interviews were conducted with 20 occupational therapists who self-identified as racialized, disabled, ethnic minority, minority sexual/gender identity (LGBTQ+), and/or from working-class backgrounds. Iterative analysis was conducted using constant comparison and employing ATLAS.ti for team coding.

Results: Across identity groups, four processes of exclusion …

Client-Centered Practice When Professional And Social Power Are Uncoupled: The Experiences Of Therapists From Marginalized Groups, Brenda L. Beagan, Kaitlin R. Sibbald, Tara M. Pride, Stephanie R. Bizzeth

The Open Journal of Occupational Therapy

Background: Client-centeredness is foundational to occupational therapy, yet virtually no research has examined this aspect of practice as experienced by therapists from marginalized groups. The discourse of client-centeredness implicitly assumes a “dominant-group” therapist. Professional power is assumed to be accompanied by social power and privilege. Here, we explore what happens when professional and social power are uncoupled.

Method: In-depth interviews grounded in critical phenomenology were conducted with Canadian therapists (n = 20) who self-identified as disabled, minority sexual/gender identity (LGBTQ+), racialized, ethnic minority, and/or from working-class backgrounds. Iterative thematic analysis employed constant comparison using ATLAS.ti for team coding. …

Longevity: Celebrating 10 Years Of Ojot Publication With Occupational Therapy Experts, Diane Powers Dirette

The Open Journal of Occupational Therapy

No abstract provided.

The Anatomy Of Human Occupation, Jennifer K. Fortuna

The Open Journal of Occupational Therapy

Dr. Emily Balog, PhD., OTR/L, ECHM, an occupational therapy professor and artist based in New Jersey, provided the cover art for the Summer 2022 edition of The Open Journal of Occupational Therapy (OJOT). “The Knitting Brain” is an 11” x 15” painting made from watercolors. The inspiration for this painting came from years of experience working with individuals with head injury, stroke, and mental illness. The piece is from her Anatomy of Human Occupation series. This collection of paintings is a unique and authentic representation of Dr. Balog’s love of the human body and the healing power of occupation. Dr. …

Occupational Therapists’ Perspectives During The Covid-19 Pandemic, Emily N. Maas, Allison Sullivan, Said Nafai, James Plummer

The Open Journal of Occupational Therapy

On March 11, 2020, the World Health Organization declared the outbreak of the coronavirus disease 2019 (COVID-19) as a global pandemic. Hospitals, nursing homes, and communities worldwide were flooded with patients diagnosed with COVID-19, resulting in the increased need for medical care and treatment by health care professionals, such as occupational therapists. This study analyzes output from a quantitative online survey design, which was created on SurveyMonkey and included 43 questions. Data from the survey were collected, categorized, and measured through the SurveyMonkey computer system and included information gathered from 204 occupational therapists from October 2020 to February 2020. Based …

Occupational Disruptions Among Health Professional Graduate Students During Covid-19 Pandemic, Supawadee C. Lee, Blerta Blushi, Joy Ann Dimaculangan, Anahid Keshishian, Michelle Segovia

The Open Journal of Occupational Therapy

The COVID-19 pandemic created a global lockdown and restricted people from leaving their homes. The current study aimed to explore the impact of the pandemic on occupational engagement among health professional graduate students. A web-based survey consisting of quantitative and qualitative responses was sent out to graduate students enrolled in health professional programs at a private university in the Northeast and received 86 responses. The results revealed that social participation and education were the most impacted occupations. The least affected occupations among the graduate students in health professional programs was ADLs. The participants reported the pandemic did not negatively affect …

Peer Mentoring In An Entry-Level Occupational Therapy Program: Student Experiences During The Covid-19 Pandemic, Lauren E. Stone Kelly

The Open Journal of Occupational Therapy

Background: The COVID-19 pandemic has had significant impacts on education. During this time, educators were tasked to develop creative and new ways to engage and teach students. Mentoring has been shown to positively impact academic and psychosocial outcomes and can enhance clinical skills in both in-person and e-learning environments. However, there is need for further research on peer mentoring programs in occupational therapy curriculum.

Method: This retrospective qualitative study investigates the effects of peer mentoring on student perceptions of learning and professional development. Experiences were tracked for three semesters during the pandemic at an accredited entry-level occupational therapy …

Occupational Disruptions Among Health Professional Faculty During Covid-19 Pandemic, Supawadee C. Lee, Mahrukh Awan, Uruj Chaudhary, Priyanka John

The Open Journal of Occupational Therapy

The coronavirus disease was an unexpected pandemic. It led faculty in the health professional graduate programs to adjust and adapt to the new reality, which impacted them mentally, physically, and emotionally, and disrupted their occupational performance. The purpose of this phenomenological study was to examine the impact of COVID-19 on occupational engagement through semi-structured interviews conducted to understand the lived experiences of graduate faculty in health professional programs at one university in the northeast region. The interviews were analyzed by creating codes and themes through the process of peer debriefing. Eight faculty participated in the study, including faculty from the …

Occupational Disruption: The Influence Of The Covid-19 Pandemic On The Behavioral Inflexibility And Anxiety Of Autistic Children, Aaron R. Dallman, Catherine Perry, Jessica Goldblum, Nicole M. Butera, Brian Boyd, Clare Harrop

The Open Journal of Occupational Therapy

Background: The COVID-19 pandemic caused unprecedented changes to the lives of many. The aim of this paper was to understand how the COVID-19 pandemic impacted behavioral inflexibility (BI) and anxiety among autistic children and how autistic children and their families have adapted to COVID-19-related routine changes.

Methods: This sequential mixed-method study included two phases. During the first phase, parents of autistic children (N = 48) completed an online survey consisting of the Behavioral Inflexibility Scale (BIS) and the Parent-Rated Anxiety Scale – Autism Spectrum Disorder (PRAS-ASD). During the second phase, a subset of parents (parents of adolescents, N …

Occupational Therapists And Covid-19 Pandemic: An Observational Survey In Europe, Christian Pozzi, Alessandro Lanzoni, Pier Carlo Battain, Evelyn Alvarez, Eduardo Tobar, Ruth Hersche, Stefano Cavalli, Anna Monsò, Eva Llarch, Giuseppe Bellelli, Alessandro Morandi, Maud Graff

The Open Journal of Occupational Therapy

Background: The COVID-19 pandemic has resulted in a health care emergency in Europe since the first wave in 2020. Several challenges have arisen for occupational therapists, as well as all the health care professionals. The aim of this study was to determine what occupational therapists have changed to adapt their therapeutic processes for this catastrophic situation.

Method: An online survey was developed and sent in conjunction with the Council of Occupational Therapy for European Countries (COTEC) to European national associations of occupational therapists.

Results: The study was based on a sample of 65 occupational therapists who worked …

From Isolation To Connection: A Cross-Sectional Analysis Of Older Adults’ Social Participation Using The Cov19-Qol Scale, Kathleen Melei, Jill Linder

The Open Journal of Occupational Therapy

Background: Social isolation during COVID-19 has the capacity to impact older adults’ physical health, mental health, and quality of life. Using an occupational therapy perspective of social participation as an occupation, the current study explores (a) the extent to which social participation (habits/routines) has changed following the onset of the COVID-19 pandemic, (b) differences in perceptions of social participation in relation to the COVID-19 pandemic, and (c) differences in scores on the COVID-19 Quality of Life (COV19-QoL) scale by demographics, access to health care, and lifestyle routine.

Method: Community-dwelling adults (N = 230) 65 years of age or …

A Dialogue Regarding The Current Status Of Mental Health And Occupational Therapy Practice In The United States, Bryan M. Gee, Sonia Zimmerman, Janice Hinds, Halley Read

The Open Journal of Occupational Therapy

No abstract provided.

Increasing Occupational Engagement By Addressing Psychosocial And Occupational Factors Of Chronic Pain: A Case Report, John V. Rider, Monica C. Tay

The Open Journal of Occupational Therapy

Background: Chronic pain can significantly disrupt occupational engagement through physical, psychological, and social domains. Because pain is a subjective experience influenced by numerous factors, it has the capacity to become increasingly complex. Evidence supports addressing chronic pain through a biopsychosocial approach and promoting health and well-being through occupational engagement.

Method: This case report describes the implementation of psychosocial and occupation-focused assessments and interventions for a 68-year-old client with chronic pain and increased symptoms of depression, anxiety, and pain catastrophizing. The use of an occupation-focused time-use assessment (Occupational Experience Profile), psychosocial assessments, and pain assessments guided intervention development. Occupational …

Stress Matters: A Case Report In Occupational Therapy For Cancer-Related Cognitive Impairment, Amy Driga, Naomi Dolgoy, Julie Hunley

The Open Journal of Occupational Therapy

Background: This case report details occupational therapy (OT) for a woman with breast cancer experiencing cancer-related cognitive impairment (CRCI), referred to OT for memory strategies.

Method: Preliminary subjective and cognitive screenings were completed with further/finer assessment diarized.

Results: While the cognitive aspect of CRCI is often addressed via OT, in this case, stress was the most prevalent barrier to function reported. Stress was identified as: impacting occupational engagement, CRCI presentation, interfering with return-to-work goals, and accentuated given the COVID-19 pandemic. A common cancer-specific stress screening tool appeared inadequate in identifying the impact and interplay of stress on function, necessitating a …

Addressing Occupational Performance Deficits In A Religious Setting: A Pediatric Case Report, Bryan M. Gee, Daniel Leatham

The Open Journal of Occupational Therapy

Background: The purpose of this pediatric case report is to document how occupational therapy assisted a family with a child who has a diagnosis of ASD and the religious clergy increase the child’s participation in activities in the religious context.

Method: The pediatric case report uses an exploratory approach to explore the process of evaluating challenging psychosocial behaviors and implementing contextual and personal strategies to increase participation in meaningful occupations.

Results: As a result of the occupational therapy recommendations and follow-up consultations, the client demonstrated a reduction in behaviors that were a barrier to her participation in …

Occupational Therapy’S Psychosocial Role For Young Children Transitioning Out Of Foster Care, Patrick J. Walker, Bryan M. Gee, Sharon Leonard

The Open Journal of Occupational Therapy

Background: Unmet needs for children in the foster care system lead to hardships with social participation, healthy relationships, and occupational engagement. Despite an understanding of these needs, there is minimal research on occupational therapy’s role for young children transitioning from foster care back to their biological parents.

Method: A single case report was completed via occupational-based interventions focused on psychosocial development, such as emotional regulation and appropriate social skills. All nine interventions were intended to be provided via 45-min individual treatment sessions followed by biological parent coaching for 15 min with strategies such as role-playing, sensory techniques, and trauma-informed …

Occupational Therapy In Secondary Transition: A Case Report, Latoya Harvey, Susan Zapf, Sandra E. Groger

The Open Journal of Occupational Therapy

Introduction: This case report aims to inform the occupational therapy profession of best practice by providing an example of the profession’s role in secondary transition for students with disabilities.

Method: This qualitative case report examines the value of occupational therapy during transition in the life of one student with a disability. Six weeks of coaching and collaboration were provided to facilitate student engagement to enhance independent living skills, work-related skills, and self-determination. Pre-test and post-test results of the Roll Evaluation of Life Activities (REAL), the Goal-Oriented Assessment of Lifeskills (GOAL), the Goal Attainment Scaling (GAS), interviews, informal discussions, …