Medicine and Health Sciences Commons^™

Assessing Language Abilities In School-Age Children With Autism Spectrum Disorder: Practices Of Speech-Language Pathologists, Mckayla M. Sprague, Cassandra Callahan, Tyrell Perrigo, Ran An

SACAD: John Heinrichs Scholarly and Creative Activity Days

Through an online survey conducted with 64 certified speech-language pathologists (SLPs) from 23 U.S. states, this study sheds light on the complex process of assessing language skills in school-aged children with Autism Spectrum Disorder (ASD). The responses gathered reveal the significant challenges SLPs face, stemming from the vast diversity within the ASD spectrum. These insights strongly suggest a need for adopting assessment strategies that are not only more adaptable and thorough, but also deeply mindful of neurodiversity and the distinct communication skills present in children with ASD.

Exploring Factors For Implementation Of Epas In Pediatric Subspecialty Fellowships: A Qualitative Study Of Program Directors., Angela S. Czaja, Richard B. Mink, Bruce E. Herman, Pnina Weiss, David A. Turner, Megan L. Curran, Diane E J Stafford, Angela Myers, Melissa L. Langhan

Manuscripts, Articles, Book Chapters and Other Papers

OBJECTIVE: To understand fellowship program directors' (FPDs) perspectives on facilitators and barriers to using entrustable professional activities (EPAs) in pediatric subspecialty training.

METHODS: We performed a qualitative study of FPDs, balancing subspecialty, program size, geographic region and current uses of EPAs. A study coordinator conducted 1-on-1 interviews using a semistructured approach to explore EPA use or nonuse and factors supporting or preventing their use. Investigators independently coded transcribed interviews using an inductive approach and the constant comparative method. Group discussion informed code structure development and refinement. Iterative data collection and analysis continued until theoretical sufficiency was achieved, yielding a thematic …

Osces’ Impact On Occupational Therapy Student Learning: Insights From Second- And Third-Year Focus Groups, Craig R. St. Jean, Karin Werther, Mary R. Roberts

The Open Journal of Occupational Therapy

Background: Objective Structured Clinical Examinations (OSCEs) are widely used in health programs to assess clinical skills. We present results of a qualitative study investigating occupational therapy students’ perceptions of OSCEs’ impact on their learning and readiness for clinical practice.

Method: Six second and six third year students in the University of Alberta’s Master of Science in Occupational Therapy program were interviewed in separate focus groups. Independent reviewers applied thematic analysis to the focus group transcripts to identify, analyze, and report themes in the data.

Results: Five themes were constructed from the data: from learning to action, transition …

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 …

Examining Minimal Important Change Of The Self-Assessment Scale Of Clinical Reasoning In Occupational Therapy, Sho Maruyama, Reiko Miyamoto, Amano Satoru, Takuto Nakamura, Peter Bontje

Journal of Occupational Therapy Education

The purpose of the study was to establish and quantify the minimal important change (MIC) value necessary to determine gains or losses in clinical reasoning during student fieldwork assignments as measured by the Self-Assessment of Clinical Reasoning in Occupational Therapy (SA-CROT). This multicenter prospective longitudinal study was conducted with students on their occupational therapy fieldwork in Japan. Two anchor-based methods were used to estimate the MIC values: a receiver operating characteristic-based method and a predictive modeling-based method. The MIC was adjusted based on the percentage of participants who exhibited improvement. Administered were the SA-CROT and the Global Rating of Change …

Standardised Tool For The Assessment Of Bruxism, Daniele Manfredini, Jari Ahlberg, Ghizlane Aarab, Steven Bender, Alessandro Bracci, Peter A. Cistulli, Paulo Cesar Conti, Reny De Leeuw, Justin Durham, Alona Emodi-Perlman, Dominik Ettlin, Luigi M. Gallo, Birgitta Häggman-Henrikson, Christer Hublin, Takafumi Kato, Gary Klasser, Michail Koutris, Gilles J. Lavigne, Daniel Paesani, Ingrid Peroz, Peter Svensson, Peter Wetselaar, Frank Lobbezoo

School of Dentistry Faculty Publications

OBJECTIVE: This paper aims to present and describe the Standardised Tool for the Assessment of Bruxism (STAB), an instrument that was developed to provide a multidimensional evaluation of bruxism status, comorbid conditions, aetiology and consequences. METHODS: The rationale for creating the tool and the road map that led to the selection of items included in the STAB has been discussed in previous publications. RESULTS: The tool consists of two axes, specifically dedicated to the evaluation of bruxism status and consequences (Axis A) and of bruxism risk and etiological factors and comorbid conditions (Axis B). The tool includes 14 domains, accounting …

Improving Education On Preeclampsia With Non-Severe Features And Frequency Of Assessment Among Nurses In The Maternal-Child Postpartum Unit, Alyssa J. Willsher

Master's Projects and Capstones

Problem: This Quality Improvement (QI) project aims to improve preeclampsia education among nurses and reduce the frequency of preeclampsia assessments among patients(without severe features) (SF) in the Mother-Baby postpartum unit at Hospital A. Nurses often stated that patients are unable to have uninterrupted rest periods with frequent assessments, which research shows is necessary for reducing patient blood pressure.

Context: The QI project is implemented in a 25-bed postpartum unit that cares for women and their newborns in the postpartum period. The unit’s nurse educator and nurse manager requested that the visiting University of San Francisco research group focus on simplifying …

Teacher, Gatekeeper, Or Team Member: Supervisor Positioning In Programmatic Assessment, Janica Jamieson, Simone Gibson, Margaret Hay, Claire Palermo

Research outputs 2022 to 2026

Competency-based assessment is undergoing an evolution with the popularisation of programmatic assessment. Fundamental to programmatic assessment are the attributes and buy-in of the people participating in the system. Our previous research revealed unspoken, yet influential, cultural and relationship dynamics that interact with programmatic assessment to influence success. Pulling at this thread, we conducted secondary analysis of focus groups and interviews (n = 44 supervisors) using the critical lens of Positioning Theory to explore how workplace supervisors experienced and perceived their positioning within programmatic assessment. We found that supervisors positioned themselves in two of three ways. First, supervisors universally positioned themselves …

Anxiety Screening At A Psychiatric Inpatient Facility: A Quality Improvement Project, Irene Akwitti

Doctor of Nursing Practice

Background. Generalized anxiety disorder is characterized by persistent anxiety and uncontrollable worry occurring more days than not for a minimum of 6 months (Patriquin & Mathew, 2017). Presently, anxiety screening and evidence-based practice treatment for adults are suboptimal. It is impossible to overemphasize the importance of early diagnosis and prompt treatment of generalized anxiety disorder in patients. Purpose. The purpose of this quality improvement project was to implement the Generalized Anxiety Disorder-7 (GAD-7) screening tool, a validated, evidence-based instrument, in a psychiatric inpatient facility to improve early detection and treatment of anxiety disorders in patients. Methods. Staff members were educated …

An Slp Graduate Student’S Analysis Of Language In Children With Speech Sound Disorders, Madeline Janney, Donna Thomas

Journal of Interprofessional Practice and Collaboration

Purpose

Students in allied health professional (AHP) programs are instructed in evidenced-based evaluation practices and participate in interprofessional education and practice in order to identify disorders (e.g., speech, language, gross motor, fine motor) and provide effective treatment. The purpose of this paper is to present a small-scale research study of one graduate student in an AHP program that trains speech-language pathologists.

Method

A graduate student used retrospective methodology to examine the language skills of nine children with speech sound disorders (SSD) to determine if language impairment (LI) co-existed. The student learned and used a method of language sample analysis known …

Relationship Between Epa Level Of Supervision With Their Associated Subcompetency Milestone Levels In Pediatric Fellow Assessment., Richard B. Mink, Carol L. Carraccio, Bruce E. Herman, Pnina Weiss, David A. Turner, Diane E J Stafford, Kathleen A. Mcgann, Jennifer Kesselheim, Deborah C. Hsu, Pamela C. High, Jill J. Fussell, Megan L. Curran, Patricia R. Chess, Cary Sauer, Sarah Pitts, Angela Myers, John D. Mahan, Christiane E L Dammann, Tandy Aye, Alan Schwartz, Subspecialty Pediatrics Investigator Network

Manuscripts, Articles, Book Chapters and Other Papers

BACKGROUND: Entrustable Professional Activities (EPA) and competencies represent components of a competency-based education framework. EPAs are assessed based on the level of supervision (LOS) necessary to perform the activity safely and effectively. The broad competencies, broken down into narrower subcompetencies, are assessed using milestones, observable behaviors of one's abilities along a developmental spectrum. Integration of the two methods, accomplished by mapping the most relevant subcompetencies to each EPA, may provide a cross check between the two forms of assessment and uncover those subcompetencies that have the greatest influence on the EPA assessment.

OBJECTIVES: We hypothesized that 1) there would be …

Gross Motor Assessment Tools For Children 0-12 Years Of Age Using Telehealth: A Scoping Review, Claire M. Grant, Anne Jones, Michael Crowe, Helen Land

Internet Journal of Allied Health Sciences and Practice

Objective: The objective of this review was to understand the scope of evidence relating to the use of telehealth for gross motor assessment tools in children 0-12 years of age.

Background: Telehealth has been widely used by physiotherapists since the start of the Covid-19 pandemic, however little is known about the validity and reliability of using gross motor assessment tools via telehealth. Gross motor assessment tools are used by physiotherapists to understand motor function, support diagnoses of motor disorders, plan and evaluate interventions. Qualitative research identifies a lack of confidence by physiotherapists in undertaking physical assessment via telehealth.

Method: A …

Reliability And Construct Validity Of The Single-Leg Landing Error Scoring System (Sl-Less) In Physically Active Females, Jennifer E. Earl-Boehm, Madison Mach, Erin Lally, Maegan O'Connor, Hayley Ericksen

Journal of Sports Medicine and Allied Health Sciences: Official Journal of the Ohio Athletic Trainers Association

PURPOSE Single-leg landings are common in sport and often result in injury, however a rubric to evaluate biomechanics during single-leg jump landing (SLL) does not exist. The Single-Leg Landing Error Scoring System (SL-LESS) is a rubric developed to evaluate movement during SLL. The purpose of this study was to 1) determine inter- and intra-rater reliability of the SL-LESS, 2) and determine the content and construct validity of the SL-LESS when evaluating SLL

METHOD 28 healthy females completed SLL on two days while 2D and 3D data were recorded. 3D angles were trunk flexion/lateral-flexion, pelvic tilt/contralateral drop, hip flexion/adduction, and knee …

Exploring Assessment Policies For Clinical Practice: A Scoping Review Of The Literature, Lynda J. Hughes, Amy N. B. Johnston, Jacqueline H. Byrne, Debbie Massey

Research outputs 2022 to 2026

Background: Assessment of pre-registration nursing students in clinical practice is an essential process, ensuring students who graduate meet standards for practice and competently and safely care for patients under their care. However, such assessment remains challenging for individuals and organisations. Aim: We aimed to investigate what is known about the application of clinical placement assessment policies guiding pre-registration nursing programmes. Methods: Arskey and O'Malley’s five-stage method for scoping reviews was employed. Health and education databases were searched in July 2020 and December 2021. Identified papers were screened. The Joanna Briggs Institute's critical appraisal tools were used to appraise the quality …

Letter To The Editor: Re: Burke, Bundy, & Lane (2023) Article “If Reasoning, Reflection, And Evidence-Based Practice Are Essential To Practice, We Must Define Them”, Angela Benfield, Mark V. Johnston

The Open Journal of Occupational Therapy

The purpose of this letter to the editor is to suggest using modern test theory to support developing empirical definitions of these complex terms.

Implementation Of A Postpartum Depression Screening Protocol, Samantha Abercrombie

Doctor of Nursing Practice Projects

Background: Postpartum depression (PPD) is a major depressive disorder that can occur after having a baby and anytime during the first year postpartum (Centers for Disease Control and Prevention [CDC], 2021). Symptoms of PPD may include anger, crying more than usual, withdrawing from family, inability to bond with the baby, feelings of anxiousness, or thoughts of the mother harming herself or the baby. PPD can yield many challenges and hinder daily living activities. Recent research by the CDC (2021) estimates that 1 in 8 women experience manifestations of PPD. Findings also suggest that 1 in 5 women were not …

Coronary Artery Stent Stenosis Assessment In Coronary Ct Angiography, Mohammad Farouk Aggag, Mahmoud El-Shamy, Ahmed Osama Abbas El-Kattan

Al-Azhar International Medical Journal

Background: Coronary artery stenting is the most important minimally invasive treatment for symptomatic coronary artery disease. But because in-stent restenosis occurs at a somewhat high rate, invasive angiography is now commonly utilised to assess stent patency.Objective: The objective of the study is to examine how multidetector CT scans can assist physicians in making decisions regarding the placement of coronary artery stents in patients who have chronic chest pain or who have myocardial ischemia. Method: A total of 40 individuals had multislice CT angiography of the coronary arteries between February 2022 and August 2022 as part of this study. Such patients …

Utilization Of Summative Assessment In Physical Therapy Education To Establish Foundations Of Clinical Science Knowledge, Katherine Grevelding, Ken Kosior

Internet Journal of Allied Health Sciences and Practice

Abstract

Purpose: Doctor of Physical Therapy [DPT] students’ ability to apply, integrate, and synthesize foundations of clinical science knowledge is vital to success in clinical practice. The aim of this case study was to explore summative examination quantification of foundational clinical science knowledge as a benchmark toward competence-based education in the first year of a DPT program. Methods: First year DPT students from a private New England University took the Physical Therapy Foundations of Clinical Science [PT-FCS] exam at the end of the second semester following completion of foundational clinical sciences coursework. The PT-FCS exam is a multiple-choice exam comprised …

Qualitative Development Of Items For A Young Adult Autism Spectrum Disorder Screener, David Roehm

Masters Theses & Specialist Projects

Autism Spectrum Disorder (ASD) is a neurodevelopmental disorder characterized by deficits across multiple domains such as deficits in social communication and restricted, repetitive patterns of behavior. The prevalence of ASD has increased over time, and while there are ample screeners and assessments for children, there is a distinct lack of screeners for young adults between the ages of 18 and 25 years. The present study focused on exploring the gap in screeners for ASD in young adults and assessing the insight of experts in the field toward the development of a screener for ASD in young adults. Participants (N = …

An Evaluation Of Hospital-Based Health Technology Assessment Processes In The United States., Scott Skinner

Electronic Theses and Dissertations

This research study explored the practices of hospital-based health technology assessment (HTA) in the U.S., as experienced by healthcare technology management (HTM) professionals. HTA can play an important role in helping to evaluate health technologies at both the macro (e.g., policy) level as well as at the micro (e.g., institutional) level of the public health ecosystem (C. S. Goodman, 2004). HTA seeks to broadly evaluate the effects, properties, and other impacts of various health technologies (C. S. Goodman, 2004). Common goals of HTA are to evaluate the safety, effectiveness, and cost-benefit of health technologies. A primarily phenomenological approach was used …

What To Look For In Relationships: Development, Inter-Rater Reliability, And Initial Validity Estimates For A Young Child-Caregiver Relationship Assessment, Joy D. Osofsky, Margaret A. Fields-Olivieri, Andrew L. Frazer, Rebecca A. Graham, Bethany H. Mccurdy, Carl F. Weems

School of Medicine Faculty Publications

Introduction: Observational assessments are important for understanding a range of behaviors and emotions in the young child-caregiver relationship. This paper provides initial data on a multidimensional assessment for professionals who work with young children and their caregivers, the What to Look for in Relationships (WLR). The WLR was designed to assist providers in evaluating strengths and areas for improvement in five areas of young child-caregiver relationship dimensions. This paper reports on the development, interrater reliability, initial convergent and discriminant validity, and incremental utility of the scales. Methods: Data were collected from caregiver-child dyads, who participated in a semi-structured observational caregiver-child …

The Perth Alexithymia Questionnaire-Short Form (Paq-S): A 6-Item Measure Of Alexithymia, David A. Preece, Ashish Mehta, Kate Petrova, Pilleriin Sikka, Johan Bjureberg, Wai Chen, Rodrigo Becerra, Alfred Allan, Ken Robinson, James J. Gross

Research outputs 2022 to 2026

Background: Alexithymia is a trait characterized by difficulties identifying feelings, difficulties describing feelings, and externally orientated thinking. It is widely regarded as an important transdiagnostic risk factor for a range of psychopathologies, including depressive and anxiety disorders. Whilst several well-validated psychometric measures of alexithymia exist, these are relatively lengthy, thus limiting their utility in time-pressured settings. In this paper, we address this gap by introducing and validating a brief 6-item version of the Perth Alexithymia Questionnaire, called the Perth Alexithymia Questionnaire-Short Form (PAQ-S). Method: Across two studies with adult samples (Study 1 N = 508 United States community; Study 2 …

"Please Don't Assess Him To Destruction": The R.A.I.S.E. Assessment Framework For Primary Progressive Aphasia, Jeanne Gallée, Jade Cartwright, Anna Volkmer, Anne Whitworth, Deborah Hersh

Research outputs 2022 to 2026

Purpose: Speech-language pathologists (SLPs) assess people with primary progressive aphasia (PPA) through measurements of speech, language, communication, and well-being, with the aims of identifying challenges and strengths, monitoring change, and informing treatment directions and supports. The purpose of this clinical focus article is to highlight the necessity for person-centered assessment specific to PPA and to conceptualize a framework that acknowledges the multifaceted nature of assessment for this population. In this framework, the unique challenges posed by a diagnosis of PPA are addressed with the aim to provide practical guidance for clinicians and to support reflection on current practices. Method: In …

Introduction To Bioaerosols Assessment And Control, 2nd Edition, Cheri Marcham, John (Jack) Springston

Publications

• Risk Assessment
• Assessment for the Presence of Bioaerosols
• Sampling
• Purpose/ Necessity
• Interpretation Controls
  • Ventilation
  • Other Controls

The Clinical Suitability Of An Artificial Intelligence-Enabled Pain Assessment Tool For Use In Infants: Feasibility And Usability Evaluation Study, Jeffery David Hughes, Paola Chivers, Kreshnik Hoti

Research outputs 2022 to 2026

Background: Infants are unable to self-report their pain, which, therefore, often goes underrecognized and undertreated. Adequate assessment of pain, including procedural pain, which has short- and long-term consequences, is critical for its management. The introduction of mobile health–based (mHealth) pain assessment tools could address current challenges and is an area requiring further research. Objective: The purpose of this study is to evaluate the accuracy and feasibility aspects of PainChek Infant and, therefore, assess its applicability in the intended setting. Methods: By observing infants just before, during, and after immunization, we evaluated the accuracy and precision at different cutoff scores of …

A Focused Review Of Multidimensional Well-Being Assessments, Samantha Schonhardt, Stephanie Sullivan, Rebecca Shisler Marshall

Journal of Wellness

Introduction: Interest in the topic of well-being continues to grow and has resulted in the creation of a variety of well-being assessments. However, each assessment often brings its own terminology, theories, definitions, and dimensions. This creates a muddled research base that produces inconsistencies in the field of well-being. Therefore, the aim of this review was to identify assessments that measure multiple dimensions of well-being, catalogue and group the dimensions into categories, and develop definitions for the categories based on the conceptualizations in the literature. In doing so, the dimensionality of well-being portrayed in the literature can be better understood. …

Predictors Of Daily Activity Performance Of Children With Autism And Its Association To Autism Characteristics, Neta Katz Zetler, Eynat Gal, Batya Engel Yeger

The Open Journal of Occupational Therapy

Background: The daily activity performance of children with autism spectrum disorder (ASD) is a central focus of occupational therapists. Yet, the existing performance-based assessments of basic and instrumental daily activities in children are limited and their application on children with ASD is scarce. The purpose of this study is to examine if daily activity performance of children with ASD is impaired as compared to children with typical development (TD), and to examine possible predictors of daily activity performance in children with ASD.

Method: The participants included 39 children with ASD and 40 children with TD, 6–10 years of …

Transpersonal Approaches To Clinical Supervision, Harris L. Friedman

International Journal of Transpersonal Studies Advance Publication Archive

Transpersonal psychology can provide unique approaches to clinical supervision by offering an interconnected self-expansive view of the self across time and space, as well as can provide a secular avenue to consider the importance of spirituality without relying on supernatural assumptions. Transpersonal supervisors can challenge conventional notions about what and how supervisees know, and even the nature of being a knower, through providing a more inclusive, perhaps even holistic, vantage that is both critical of mainstream approaches and surpasses their ability to provide a coherent “super” (i.e., going beyond the usual more-myopic understandings) vision. Background on transpersonal psychology related to …

Early Intervention Speech-Language Pathologists’ Knowledge, Beliefs, And Practices Surrounding Culturally And Linguistically Responsive Assessment Practices For Dual Language Learners, Rebecca Lynne Jarzynski

Graduate Research Theses & Dissertations

Early intervention (EI) speech-language pathologists (SLPs) are required to provide culturally and linguistically responsive assessments for dual language learners (DLLs) within an increasingly diverse population. Previous research has documented gaps between SLPs’ beliefs related to assessments for DLLs and their implementation of best practices within school-based and pediatric outpatient settings. The purpose of this present research study was to better understand the current knowledge, beliefs, and practices of EI SLPs in relation to the use of culturally and linguistically responsive assessment practices within the context of EI programs. A total of 134 EI SLPs completed a nationwide survey in which …

Aphasia Beyond The Western Aphasia Battery Cutoff: What To Do?, Sarah Schuckmann

2023 SLP Posters

Aphasia is a complex language disorder that can vary in severity dependent upon the amount of damage in specific areas of the brain responsible for language expression and comprehension. Typically, the extent of the disorder, and prediction for successful treatment is assessed and confirmed by a set of comprehensive language tests conducted by a speech-language pathologist. The Western Aphasia Battery-Revised (WAB-R) is commonly used to assess the linguistic and non-linguistic skills most frequently affected by aphasia. A score of 93.8 or above distinguishes an individual as normal or non-aphasic; however, many people with aphasia score above this cut-off and still …