Medicine and Health Sciences Commons^™

Teaching Reasoning, Reflective Practice, And Evidence-Based Practice: Educator Consensus Strategies, Hannah K. Burke, Pat L. Sample, Anita C. Bundy, Virginia Spielmann, Shelly J. Lane

Journal of Occupational Therapy Education

Although reasoning, reflective practice, and evidence-based practice are essential professional skills for occupational therapy students, there is not a clear understanding of how these skills are taught. We used Delphi methodology to explore how occupational therapy educators conceptualize best-practices for facilitating the development of clinical reasoning, professional reasoning, reflective practice, and evidence-based practice. Participants were required to be educators in a master’s-level or higher occupational therapy program for at least three years, based in the United States, and available across multiple survey rounds. The nine participants nominated a total of 94 teaching strategies, of which 90.4% (n = 85) reached …

Exploring The Professional Identity Development And Leadership Capacities Of A Doctor Of Occupational Therapy, Sarah Bream, Julie Mclaughlin Gray

Journal of Occupational Therapy Education

Occupational therapy literature contains little evidence of the added value of clinical doctorate education, the professional identity of a Doctor of Occupational Therapy, or distinctions between master’s-prepared and doctorate-prepared occupational therapists. This study is intended to add to the literature base through the systematic and in-depth exploration of the experiences of graduates from a post-professional clinical doctorate program in occupational therapy. The goal of this study was to examine the professional identity transformation experienced by occupational therapists completing a doctorate degree, and to better understand the Doctor of Occupational Therapy identity. The study followed a qualitative descriptive design, including participant …

Supporting Those Who Support Us: An Exploration Of Strategies To Address Occupational Therapy Fieldwork Educators' Concerns And Needs, Karthik Mani, Diane M. Collins, Lima Ghulmi, Amy Boyd, Anita C. Zaricor

Journal of Occupational Therapy Education

Fieldwork (FW) education is integral to occupational therapy (OT) education and enables the transition of a student to an entry-level practitioner. Clinicians who serve as FW educators play a significant role in this process. To deliver OT education, universities must support FW educators and address their needs and concerns. This study surveyed OT FW educators who supervised entry-level OT doctoral students from a public university for Level I and/or Level II FW regarding strategies to address their concerns and needs. An anonymous survey was distributed to the FW educators (n=349) who supervised the students for FW between Spring 2021-2023. By …

Variables Impacting First Time Pass Rates Of Msot Students, Amy L. Brzuz, Julia M. Hawkins-Pokabla, David Prier

Journal of Occupational Therapy Education

To enter practice as an occupational therapist, one must complete an occupational therapy program at an accredited institution and then pass a national certification exam. This exam is called the National Board for Certification in Occupational Therapy (NBCOT) Exam. Individuals can take the exam more than once to achieve a passing score but must pay a fee each time. Not passing the first time can lead to stress, increased costs, and delayed entrance into the profession. Thus, being a first-time passer is ideal. The purpose of this retrospective quantitative study was to identify variables impacting first time pass rates of …

The Influence Of Case-Based Learning On Clinical Reasoning Of New Graduate Occupational Therapists, Sho Maruyama, Takuya Hirose, Reiko Miyamoto, Yuriko Mashida, Hiroki Fukahori, Peter Bontje

Journal of Occupational Therapy Education

This study aimed to explore the influence of case-based learning (CBL) on the clinical reasoning of new graduate occupational therapists. A quasi-experimental single-arm study with a convergent mixed methods approach was conducted. The intervention was the 10-week CBL program, which included (1) guidance and mentorship in clinical practice and (2) case reports and presentations. Quantitative data collection consisted of the self-assessment of clinical reasoning in occupational therapy (SA-CROT) and the professional identity scale (PI scale); paired t-tests were conducted (p p = .001, effect size r = .65), and all four of the SA-CROT's subfactors indicated improvement with moderate …

Significant Student Debt Of Occupational Therapists Post- Graduation One To Five Years: Their Debt Context And Impact On Personal And Professional Lives, Brenda M. Coppard, Angie Lampe, Yongyue Qi, Samantha Torre, Stefany Shaibi, Gianluca Del Rossi

Journal of Occupational Therapy Education

A growing amount of research examines the personal and financial burden of students in healthcare programs who graduate with large amounts of student loan debt. However, a paucity of literature addresses occupational therapists’ student loan debt burden. This study was conducted to describe the context of occupational therapists who have significant debt and the impact on their personal and professional lives. This study employed an exploratory sequential design in which quantitative data from a survey was collected first, followed by the collection of qualitative data from participant interviews to study occupational therapy graduates who accrued more than $100,000 in student …

Visualize Whole-Self Model - An Instructional Design For Occupational Therapy Education, Mark White, Mary Smith, Adebimpe Obembe, Kristin Haas

Journal of Occupational Therapy Education

Innovative teaching approaches are changing traditional approaches by using a variety of teaching and learning methods to allow learners to succeed. This paper describes a new instructional model for healthcare education based on the science of learning, educational theories, and best practices in lesson design. The Visualize Whole-Self (VW) Model was designed to provide a learning structure for faculty as they guide the instruction of students in health professions. From the beginning of the program, students visualize themselves as professionals while working with faculty to learn content. The Visualize Whole-Self Model requires students to continually assess their strengths and weaknesses …

Outcomes From An Intercollegiate Client-Centered Interprofessional Occupation-Based Assistive Technology Hackathon: A Pilot Program Evaluation, Kevin Berner, Jennifer C. Buxton, Loren F. Mcmahon

Journal of Occupational Therapy Education

Assistive technology (AT) supports engagement for individuals with disabilities by improving independence in daily living tasks, work and productive activities, learning activities, and societal participation. However, for many individuals, access to AT is limited due to high costs, device availability, and inability to be customized. The Maker Movement and hackathons provide an opportunity to educate health profession students, design students, and community members about AT while engaging these stakeholders in addressing unmet AT needs for individuals with disabilities. The current study examines outcomes from an Intercollegiate Assistive Technology Hackathon. Nine co-designers (community members with disabilities) and 36 students from three …

The Development Of An Interactive Multimedia E-Learning Module For Functional Cognition, Mckenzie R. Behrendt, Stacy Smallfield

Journal of Occupational Therapy Education

The rise in technology, social media, and video has led to the desire for short, interactive, and visually appealing instructional materials. Modern learners want flexibility, repeatability, accessibility, and low-stakes knowledge checks. A multimedia e-learning module may meet the learner’s desires. This article describes the conception, development, and implementation of a free, interactive, multimedia e-learning module designed to enhance understanding and application of occupational therapy (OT) theoretical approaches to address functional cognition. We discuss the considerations for choosing a multimedia e-learning module as an instructional tool, drawing from existing research demonstrating its effectiveness. Particularly, a multimedia e-learning module potentially benefits addressing …

Intentional Uses Of Music In Occupational Therapy Practice: The Effectiveness Of A Workshop, Anna B. Galloway, Alexandra K. Rodriguez

Journal of Occupational Therapy Education

Occupational therapy practitioners (OTPs) do not receive additional training on the physiological, emotional, mental, and physical effects of music on the body or how to improve and increase its use in occupational therapy (OT) practice. Additionally, the specific effects of the use of music within OT practice have not been fully explored. This workshop was created to develop skills related to appropriately using music as supported by the American Occupational Therapy Association’s Occupational Therapy Practice Framework-IV, and to address gaps in knowledge regarding how to use music intentionally, effectively, and safely in OT practice. This study's purpose was to evaluate …

Impact Of Covid-19 On Individuals With Aphasia: Effects On Quality Of Life And Communication, Kaci L. Gammon

Honors College Theses

Speech-language pathologists (SLPs) help people with aphasia (PWA) manage their communication symptoms and become more independent by supporting them linguistically and emotionally. During COVID-19, speech and language services were not as readily available to PWA due to quarantine restrictions resulting in isolation within this population. Individuals with aphasia had to redirect and find a new way to function daily. This study explored factors that affected quality of communication and quality of life for PWA during the pandemic, including technology, living situation, timing of stroke, and speech-language pathology services. Through an online survey, PWA from across the country expressed how their …

Sleep Quantity And Quality: Impact On Nursing Students' Gpa At Georgia Southern University, Jennifer K. Arlow

Honors College Theses

Introduction: Nursing school is a physically and mentally challenging commitment that can result in students sacrificing sleep and compromised sleep quality.

Methodology: A cross-sectional mixed methodology research study of Georgia Southern University’s nursing students was conducted to gauge students' self-perceived sleep habits and current and past academic performance quantified by GPA. Five respondents (whose results were excluded from the data analysis) confirmed the questions were clear and relevant.

Results and Discussion: Thirty-two (n=32) questionnaires were received, of which four were excluded from the final analysis as some questions were not answered. More than 50% of respondents said their GPA decreased …

Cultural Competency And “The Space Between Spaces”, Charles Wright, Ho-Jui Tung

Eagles Talking About the Public’s Health

No abstract provided.

Beyond Labor: The Lingering Impact Of Childbirth On Women’S Health, Alisha Riggins, Emmanuela Nwaonumah, Tobi Oloyede, Susmita Dey, Joanne Chopak-Foss, Logan Cowan

Eagles Talking About the Public’s Health

No abstract provided.

Mhealth For Tuberculosis Treatment Adherence And Improving Tb Care In Lmics, Foram Patel, Gulzar H. Shah

Eagles Talking About the Public’s Health

No abstract provided.

Faculty Mentoring Of High School Students: Exploring Benefits And Drawbacks, Riya Daftari, Yelena Tarasenko

Eagles Talking About the Public’s Health

No abstract provided.

Social And Structural Determinants Of Health As Predictors Of Covid-19 Vaccine Hesitancy Among Older Adults In The United States, Kingsley Kalu

College of Graduate Studies: Theses & Dissertations

Background: Although vaccination is one of the greatest accomplishments in public health, some people, especially older adults, are reluctant to take vaccines. This study examined the association between the social and structural determinants of health and COVID-19 vaccine hesitancy among older adults in the United States.

Methods: Secondary data from the Health and Retirement Study (HRS) was used. The HRS participants were 65 years and older, and the sample size was 2311. Multinomial multivariable logistic regression models were conducted for this study.

Results: The study shows that social determinants of health (marital status, educational level) and structural determinants of health …

Examining The Impact And Implementation Of Protected Administrative Time On Provider Well-Being And Service Delivery Indicators Within A Multi-State Network Of Primary Care Medical Practices, Lauren Junge-Maughan

College of Graduate Studies: Theses & Dissertations

Background:

Primary care is integral to achieving high-quality health outcomes for the population and decreasing healthcare costs. However, primary care clinicians suffer from conflicting demands, impossible expectations, and burdensome processes. With burnout and mental fatigue increasing, leadership must find innovative programs to implement in their organizations. This mixed-methods research study assessed the impact of one such intervention, protected administrative time (PRAT), on improving provider well-being.

Purpose:

The first aim was to evaluate the association of PRAT on the service delivery indicators of primary care clinicians’ productivity, average appointments per day, patient satisfaction (likelihood to recommend), clinician time to the next …

Beyond The Strong Black Woman: Navigating Resilience And Mental Health Using Social Media For Culturally Tailored Resources, Muchaneta N.M. Chikawa

College of Graduate Studies: Theses & Dissertations

Society views the strength of Black women as commendable as it shows positive qualities such as resilience and perseverance. While these traits are characterized as positive, Black women’s survival in American society has heavily depended on their strength, resulting in mental health illnesses such as anxiety and depression. The idea that Black women must exude strength and fortitude through adversity is labeled the Strong Black Woman Schema (SBWS). The SBWS is a race-gender schema that prescribes culturally-specific feminine expectations for Black women.

There are limited culturally-tailored resources for Black women to address mental health at collegiate institutions. As a result …

Cigarette Smoking Behaviors And Nicotine Dependence At The Intersection Of Sexual Identity And Sex In The United States: Findings From The National Survey On Drug Use And Health, Ollie Ganz, Jonathan A. Schulz, Sarah J. Ehlke, Jessica L. King Jensen, Andrea C. Villanti

Psychology Faculty Publications

Introduction: Cigarette smoking is disproportionately high among lesbian, gay, and bisexual (LGB) adults. Yet, collapsing these identities into a monolith can disguise important within group disparities (e.g., lesbian/gay versus bisexual female). The purpose of this study is to report recent national prevalence estimates and trends of cigarette smoking behaviors and nicotine dependence by sexual identity and sex. Methods: Data were from the 2015–2019 National Survey on Drug Use and Health (n = 210,392; adults 18+), a nationally representative, repeated cross-sectional study of substance use and mental health in the U.S. We examined bivariate and multivariable associations between sexual identity and …

Assessment Of Simultaneous Alcohol And Cannabis Use And Its Related Consequences And Cognitions In College Students: A Narrative Review, Jennifer L. Shipley, Abby L. Braitman

Psychology Faculty Publications

As rates of students using cannabis continue to rise, simultaneous use of alcohol and cannabis (such that their effects overlap; commonly referred to as simultaneous alcohol and marijuana [SAM] use) is prevalent among college students who use both substances. Although research focusing on SAM use and related cognitions and consequences continues to grow, there are no common established measures, as approaches vary across studies. This narrative review identifies current methods for assessing SAM use and measures of SAM-related consequences and cognitions (motives and expectancies) among college students, evaluates how they were developed, identifies gaps in the literature, and provides recommendations …

Insights Into Child Abuse And Neglect: Findings From The Minnesota Longitudinal Study Of Risk And Adaptation, Marissa D. Nivison, Madelyn H. Labella, K. Lee Raby, Jenalee R. Doom, Jodi Martin, William F. Johnson, Osnat Zamir, Michelle M. Englund, Jeffry A. Simpson, Elizabeth A. Carlson, Glennn I. Roisman

Psychology Faculty Publications

The Minnesota Longitudinal Study of Risk and Adaptation (MLSRA) is a landmark prospective, longitudinal study of human development focused on a sample of mothers experiencing poverty and their firstborn children. Although the MLSRA pioneered a number of important topics in the area of social and emotional development, it began with the more specific goal of examining the antecedents of child maltreatment. From that foundation and for more than 40 years, the study has produced a significant body of research on the origins, sequelae, and measurement of childhood abuse and neglect. The principal objectives of this report are to document the …

An Ewas Of Dementia Biomarkers And Their Associations With Age, African Ancestry, And Ptsd, Mark W. Miller, Erika J. Wolf, Xiang Zhao, Mark W. Logue, Sage E. Hawn

Psychology Faculty Publications

Background

Large-scale cohort and epidemiological studies suggest that PTSD confers risk for dementia in later life but the biological mechanisms underlying this association remain unknown. This study examined this question by assessing the influences of PTSD, APOE ε4 genotypes, DNA methylation, and other variables on the age- and dementia-associated biomarkers Aβ40, Aβ42, GFAP, NfL, and pTau-181 measured in plasma. Our primary hypothesis was that PTSD would be associated with elevated levels of these markers.

Methods

Analyses were based on data from a PTSD-enriched cohort of 849 individuals. We began by performing factor analyses of the biomarkers, the results of which …

Mental Workload Modulates The Effects Of Baroreceptor Afferents On Sensorimotor Processing, Xiao Yang, Katie Herberlein, Anthony Reid, Dongfang Jiao, Fang Fang

Psychology Faculty Publications

The heart–brain interaction is the main mechanism for maintaining normative physiological processes, and its dysregulation underlies the somatic symptoms of various mental disorders. Cortical inhibition, triggered by afferent signals from baroreceptor activation, induces systematic variations in sensorimotor responses within a cardiac cycle, with reaction times (RTs) slower at cardiac systole compared to diastole (known as cardiac cycle time effects). However, recent data suggest that baroreceptor afferents not only inhibit simple responses but also facilitate complex sensorimotor responses during cardiac systole. The mental workload that is implicated in complex responses may modulate the cardiac cycle time effects. The current study aimed …

Expanding A Behavioral View On Digital Health Access: Drivers And Strategies To Promote Equity, Maura M. Kepper, Lauren A. Fowler, Isabelle S. Kusters, Jean W. Davis, Manal Baqer, Sarah Sagui-Henson, Yunyu Xiao, Adati Tarfa, Jean C. Yi, Bryan Gibson, Kristin E. Heron, Nicole M. Alberts, Marissa Burgermaster, Veronica Njie-Carr, Lisa M. Klesges

Psychology Faculty Publications

The potential and threat of digital tools to achieve health equity has been highlighted for over a decade, but the success of achieving equitable access to health technologies remains challenging. Our paper addresses renewed concerns regarding equity in digital health access that were deepened during the COVID-19 pandemic. Our viewpoint is that (1) digital health tools have the potential to improve health equity if equitable access is achieved, and (2) improving access and equity in digital health can be strengthened by considering behavioral science-based strategies embedded in all phases of tool development. Using behavioral, equity, and access frameworks allowed for …

Adherence To Personal Protective Equipment Practices During The Covid-19 Pandemic: A Pilot Study, Taryn Amos, Cameron Griffin, Joshua K. Schaffzin, Andrea Ankrum, Felicia Scaggs Huang

Psychology Faculty Publications

A direct observational pilot project of healthcare personnel (HCP) was conducted to validate a tool that measures personal protective equipment (PPE) adherence at a large pediatric institution. Overall unit PPE adherence for all moments ranged from 50-61%. Masking was the most adhered to PPE moment (100%); hand hygiene prior to donning PPE had the lowest adherence (13%). Using data from this standardized tool, researchers can evolve PPE standards to maximize their adherence, effectiveness, and ease of utilization.

Sleep Disturbances And Psychological Well-Being Among Military Medical Doctors Of The Swiss Armed Forces: Study Protocol, Rationale And Development Of A Cross-Sectional And Longitudinal Interventional Study, Dena Sadeghi-Bahmani, Viola Rigotti, Zeno Stanga, Undine E. Lang, Rebecca K. Blais, Michelle L. Kelley, Serge Brand

Psychology Faculty Publications

Background: Compared to civilians and non-medical personnel, military medical doctors are at increased risk for sleep disturbances and impaired psychological well-being. Despite their responsibility and workload, no research has examined sleep disturbances and psychological well-being among the medical doctors (MDs) of the Swiss Armed Forces (SAF). Thus, the aims of the proposed study are (1) to conduct a cross-sectional study (labeled ‘Survey-Study 1’) of sleep disturbances and psychological well-being among MDs of the SAF; (2) to identify MDs who report sleep disturbances (insomnia severity index >8), along with low psychological well-being such as symptoms of depression, anxiety and stress, but …

Switching The Narrative: Pastors’ Beliefs And Reasonings, Dejaune K. Thompson, Sheriyse M. Williams, Shuntay Tarver, Portia C. Stokes

Psychology Faculty Publications

Although many African Americans experience mental health/addiction (MH/A), only 39% of the population seek professional treatment. Several significant barriers contribute to their ability to seek treatment, and as such, many African Americans feel more comfortable relying on the Black Church and pastors for support. However, many pastors are not prepared to support the MH/A needs of their parishioners thus leaving those who seek help without the proper MH/A care they need. The purpose of this qualitative study was to investigate the perceptions held by African American pastors on preparedness based on experience and theological beliefs to address MH/A issues within …

Neuroticism Mediates The Association Between Autistic Traits And Choice Reaction Time Among Young Adults, Kassandra De Jesus Cintron, Xiao Yang

Psychology Faculty Publications

Autism spectrum disorder (ASD) is a neurodevelopmental disorder that influences an individual’s cognitive functions and social interaction. While most studies have focused on children and adolescents diagnosed with ASD, elevated levels of autistic traits in subclinical populations may also influence individuals’ daily functioning. Autistic traits are also linked to the Big Five personality. In particular, neuroticism (emotion instability) has been shown to be positively associated with autistic traits, which may contribute to behavioral symptoms of autistic traits. The present study aimed to investigate the association between autistic symptoms and sensorimotor processing among a subclinical population. One hundred young adults (M …

Short-Term Blood Pressure Variability Among Young Adults At High Or Low Risk For Depression, Balázs Bence Nyárády, Miklós Vértes, Edit Dósa, Xiao Yang, Charles J. George, Enikõ Kiss, Iidiko Baji, Krisztina Kapornai, Maria Kovacs

Psychology Faculty Publications

Background: Depression has been shown to have adverse effects on blood pressure (BP) and is associated with high blood pressure variability (BPV). In turn, high short-term BPV has been related to eventual cardiovascular risk. But it is not clear how early in adulthood the detrimental effects of depression on BPV may be discerned, if being at high risk for depression also compromises BPV, and whether the clinical features of depression moderate its adverse effects. We investigated these three issues among young adults using an office-like setting. Methods: In total, 218 subjects with a history of childhood-onset major depressive episodes (probands), …