Medicine and Health Sciences Commons^™

Biopsychosocial Case Report, David F. Lo, Gaurav Kumar, Don D. Shamilov

Rowan-Virtua Research Day

Ms. R, a 32-year-old Hispanic female, suffers from severe anxiety exacerbated by a car accident and past struggles with depression and substance use. Evaluation reveals hypothyroidism, mild anemia, and GAD as the primary diagnosis. Factors contributing to her condition include genetic predispositions, medical issues, and social stressors. Treatment involves pharmacotherapy, psychotherapy, and monitoring her physiological health. Research on wearable data for GAD severity offers potential insights for her treatment. A holistic approach, considering biological, psychological, and social factors, guides her tailored treatment plan for overall well-being.

Factors Affecting Long-Term Psychosocial Outcomes After Hypospadias Repair, Saralee Matanaromyakit

Chulalongkorn Medical Journal

Background: Congenital hypospadias is one of the most common genital malformations. Despite current progress in surgical techniques, long-term psychosocial outcomes received little attention.

Objective: To evaluate long-term psychosocial outcomes after hypospadias repair and analyze the root causes regarding satisfactory outcomes.

Patients and methods: Patients who underwent hypospadias repair during childhood period were recruited. Regarding psychosocial outcomes, the patients were invited for evaluation by the questionnaires in Thai version form. Data was analyzed by STATA program. Univariate analysis and multiple linear regression were used for statistical analysis.

Results: There were 38 hypospadias patients, median age =14 years (range 11-27) participating in …

Psychological And Psychosocial Effects Of Contemplative Practices In The Athletic Population: A Systematic Review, Victoria Baker

West Chester University Master’s Theses

Mental health concerns in athletes are becoming a primary focus for institutions, companies, coaches, and more. An athlete carries an abundant load of stressors due to their lifestyle. The stressors can negatively impact an athlete by producing anxiety, depression, insomnia, and other mental health issues. Previous studies have found a connection between the use of contemplative practices on psychological and psychosocial effects in athletes, creating an opportunity to evaluate the research of contemplative practices in the athletic population. A systematic review was conducted using nine electronic databases. Seven studies were included in this review, each assessing how contemplative practices affect …

Oral Health Inequalities In Adolescents And Young Adults In Ontario, Maria Rahman

Electronic Thesis and Dissertation Repository

Oral health is consistently linked to physiological, psychological, and social aspects of well-being in adolescents and young adults. In this thesis, I aimed to examine the social determinants of oral health and dental care utilization. First, I conducted a scoping review of the literature, demonstrated the multifaceted nature of oral health and its connections to broader social and economic factors. Then, I conducted a cross-sectional analysis of the Canadian Community Health Survey which showed a social gradient in oral health and dental care utilization among adolescents and young adults in Ontario. When stratified by age, there was a protective association …

Barriers And Facilitators Of Family Rules And Routines During Pediatric Cancer Treatment., Carolyn R. Bates, Isabella K. Pallotto, Rachel Moore, Lynne Covitz, Meredith Dreyer

Manuscripts, Articles, Book Chapters and Other Papers

OBJECTIVE: Pediatric nurses work closely with families of children with new cancer diagnoses and can provide essential supports to promote coping and adjustment. This cross-sectional qualitative study aimed to gather caregiver perspectives on barriers and facilitators to adaptive family functioning during the early phases of cancer treatment, with a focus on family rules and routines.

METHODS: Caregivers (N = 44) of a child diagnosed with cancer and receiving active treatment completed a semi-structured interview about their engagement in family rules and routines. Time since diagnosis was abstracted from the medical record. A multi-pass inductive coding strategy was utilized to extract …

Improving The Psychosocial Effects Of A Burn Injury, Leila Young

Nursing | Student Research Posters

Burn injuries are an existing risk factor of social impairment. The main priority of care for a burn patient includes the focus on pain management and wound care. However, scarce research has been studied on how to improve the psychological adjustment of burn victims. There is limited availability of evidenced based practice that is related to promoting a healthy social life after a burn. Without interventions to help re-engage burn victims with society, they will turn to negative coping mechanisms such as avoidance, isolation and distancing. The goal of this study is to enhance the social interaction of burn survivors …

Mental Health Promotion In Occupational Therapy, Taylor Frazee

Occupational Therapy Doctoral Student Capstone Posters

The capstone project was completed at Cleveland State University to assist the Occupational Therapy Doctorate Program with the creation of learning experiences for its students so they may effectively advocate and promote the mental health of clients served. It identified barriers in practice, gathered evidence to support the use of mental health promotion in practice, and created resources to enhance students’ abilities to advocate for OT’s scope of practice in mental health.

The Relationship Between Psychosocial Factors, Self-Care, And Blood Sugar In An Appalachian Population, Brittany L. Smalls, Md. Tofial Azam, Madeline Dunfee, Philip M. Westgate, Susan C. Westneat, Nancy Schoenberg

Journal of Appalachian Health

Introduction: Appalachian residents are more likely than other populations to have Type 2 Diabetes Mellitus (T2DM) and to experience more severe complications from the disease, including excess and premature mortality.

Methods: This study examines health alongside sociodemographic factors, psychosocial factors (including knowledge, empowerment, social support/function, religiosity, distress), and perceived problems in diabetes management that may influence self-care and HbA1c among vulnerable rural residents. A survey of a community–based sample of 356 adults with diagnosed diabetes or HbA1c > 6.5 was conducted in six counties in Appalachian Kentucky.

Results: Findings suggest that neither religiosity nor social support/function mediate/moderate the relationship between psychosocial …

Improving The Transition Of Older Adults Into Residential Aged Care: A Scoping Review, Stacey Scott, Annette Raynor, Julie Dare, Jennifer Grieve, Leesa Costello

Research outputs 2022 to 2026

Objectives: The transition into residential aged care (RAC) is often associated with loss, grief, isolation and loneliness. This scoping review aimed to identify quantitative research which focused on reducing the negative effects associated with transition, thereby improving the transition experience. Methods: A scoping review, which concentrated on quantitative research, was conducted. MEDLINE, CINAHL andPSYCHINFO databases were searched using the initial search terms “olderadults”, “residential aged care” and “transition”. Results: From the 457 original citations identified, four met the inclusion criteria. The interventions used a range of professionals and clinicians, diverse content, and a mixture of outcomes. The content of the …

Predicting Left Ventricular Assist Device Outcomes Utilizing The Stanford Integrated Psychosocial Assessment For Transplant Measure, Nicholas Chesher, Kristina L. Greenwood, Candace Fanale, Cody Gustaveson, Brian Jaski, Hirsch S. Mehta, Peter Hoagland, Kristine Ortiz, Marc Verlasky, Robert Adamson, Walter Dembitsky

The VAD Journal

Objective: Durable mechanical circulatory support is a proven therapy to extend survival for patients with end-stage heart failure (HF). The International Society for Heart and Lung Transplantation guidelines recommend a detailed psychosocial assessment when selecting candidates for durable mechanical circulatory support. Currently, there are no formally validated psychosocial evaluation tools for left ventricular assist device (LVAD) candidacy. The Stanford Integrated Psychosocial Assessment for Transplantation (SIPAT) uses a multidisciplinary algorithm to evaluate the impact of pre-transplant risk factors on post-transplant outcomes. Emerging literature suggests that the SIPAT might be useful for assessing psychosocial risk factors for LVAD outcomes.

Methods: A total …

Using Social Media To Examine Disabled Veterans’ Adaptive Sports Lived Experience At The National Veterans’ Wheelchair Games, Heather Harding

Graduate Theses, Dissertations, and Capstones

Considered the world’s largest annual rehabilitative wheelchair games event for Veterans in the United States, the National Veterans Wheelchair Games (NVWG or the Games), co-hosted annually by the Department of Veterans Affairs and Paralyzed Veterans of America, is a long-standing event that offers a view into how adaptive sports and recreational activities can impact Veterans with disabilities. This hermeneutic phenomenological qualitative study sought to discover if the Veteran athletes, who participated in the NVWG between 2017 and 2021, described their lived experiences through the lens of their public social media posts on Instagram, and if so, what can be gleaned …

Location-Specific Psychosocial And Environmental Correlates Of Physical Activity And Sedentary Time In Young Adolescents: Preliminary Evidence For Location-Specific Approaches From A Cross-Sectional Observational Study., Adrian Ortega, Carolina M Bejarano, Christopher C Cushing, Vincent S. Staggs, Amy Papa, Chelsea Steel, Robin P. Shook, Terry L. Conway, Brian E. Saelens, Karen Glanz, Kelli L. Cain, Lawrence D. Frank, Jacqueline Kerr, Jasper Schipperijn, James F. Sallis, Jordan A. Carlson

Manuscripts, Articles, Book Chapters and Other Papers

Background: A better understanding of the extent to which psychosocial and environmental correlates of physical activity are specific to locations would inform intervention optimization.

Purpose: To investigate cross-sectional associations of location-general and location-specific variables with physical activity and sedentary time in three common locations adolescents spend time.

Methods: Adolescents (N = 472,Mage = 14.1,SD = 1.5) wore an accelerometer and global positioning systems (GPS) tracker and self-reported on psychosocial (e.g., self-efficacy) and environmental (e.g., equipment) factors relevant to physical activity and sedentary time. We categorized each survey item based on whether it was specific to a location to generate psychosocial …

Occupational Therapy Enhancing Psychosocial Factors: Through The Lens Of Case Reports, Bryan M. Gee

The Open Journal of Occupational Therapy

No abstract provided.

Psychosocial Considerations For The Child With Rare Disease: A Review With Recommendations And Calls To Action., Leslee Belzer, Margaret Wright, Emily J. Goodwin, Mehar N. Singh, Brian S. Carter

Manuscripts, Articles, Book Chapters and Other Papers

Rare diseases (RD) affect children, adolescents, and their families infrequently, but with a significant impact. The diagnostic odyssey undertaken as part of having a child with RD is immense and carries with it practical, emotional, relational, and contextual issues that are not well understood. Children with RD often have chronic and complex medical conditions requiring a complicated milieu of care by numerous clinical caregivers. They may feel isolated and may feel stigmas in settings of education, employment, and the workplace, or a lack a social support or understanding. Some parents report facing similar loneliness amidst a veritable medicalization of their …

Family-Centered Psychosocial Care For Pediatric Oncology Patients, Jessica W. Casey

UNLV Theses, Dissertations, Professional Papers, and Capstones

Psychosocial conditions are prevalent in pediatric oncology patients (Kahalley et al., 2013). Family and social support are essential aspects of a patient's health care outcomes (Merck & McElfresh, 2019). Anxiety and depression are common in pediatric oncology patients due to trauma during treatment (Pao & Kazak, 2015). These patients also can have preexisting developmental or behavioral conditions before starting treatment. Treatment side effects can also cause cognitive and behavioral changes (Nixon, 2014b). Nurses should be knowledgeable and confident in their ability to care for patients' psychosocial health and development. The purpose of this Doctor of Nursing Practice (DNP) project is …

Dnp Final Report: Psychosocial Screening For Oncology Patients, Robyn V. Beard

DNP Final Reports

Background: Patients with cancer often face severe distress related to fear of death, body disfigurement, financial stress, and lack of support system. This distress may lead to physical and emotional symptoms that bring patients to seek care at emergency departments, delay care or make poor health choices, and increase utilization of prescription drugs. With the already over burdened healthcare system, addressing these psychosocial needs is vital to improving patients outcomes as well as improving healthcare expenditure. Purpose: The purpose of this evidence based practice project was to improve perceived quality of life for oncology patients through detailed screening and behavioural …

The Impact Of A Psychosocial-Focused Experiential Learning Activity On Occupational Therapy Students’ Perceived Clinical Reasoning, Molly Bathje, Kristi Escobar, Meghan Crisp, Catherine Killian, Charlotte Royeen

Journal of Occupational Therapy Education

A primary objective of occupational therapy education is to facilitate development of clinical reasoning skills. These skills are complex and difficult to cultivate in classroom settings, therefore educators often use experiential learning activities to support clinical reasoning development. Most of the literature about experiential learning activities aimed at developing clinical reasoning focuses on activities occurring in-person, with individuals in physical disabilities settings. This research addresses the gap in the literature by evaluating the impact of a group based, psychosocial focused experiential learning activity that occurred virtually and in-person on entry-level occupational therapy students’ perceived clinical reasoning. Students (n=36) …

Communication-Related Quality Of Life: Perspectives Of People With Aphasia And Speech-Language Pathology Students, Ethan Kristek

All Theses, Dissertations, and Capstone Projects

Physiological and psychosocial communication components impact communication-related quality of life for people with aphasia. This study aimed to understand how these components were addressed in a university clinic speech-language pathology program. Mixed-methods with inductive coding of interviews and documentation data were used to develop a description of communication-related quality of life, including perspectives of people with aphasia and graduate student participants. Qualitative findings revealed three trends: therapy which aids the ability to communicate, connections with additional people with aphasia, and supportive environments emerged from people with aphasia data. Three trends emerged: communicating effectively, a naturalistic environment, and individualization were shown …

Lessons Learned Working With A Traumatic Brain Injury (Tbi) Survivor, William Blake Klenke

All Theses, Dissertations, and Capstone Projects

This presentation outlines what a speech-language pathologist does within their scope of practice and follows the progression of a client that was served at the Eardley Clinic for Speech-Language and Hearing. Following the therapeutic approaches taken to remediate language difficulties, this presentation shows the treatment outcomes and the growth in cognitive functions from the beginning to the end of the semester. It also includes lessons learned as a student clinician through this experience and the knowledge gained as a future Speech-Language Pathologist (SLP).

Doctoral Capstone Experience In Education And Program Development- Depaul University, Ashley Saunders

Department of Occupational Therapy Entry-Level Capstone Projects

No abstract provided.

Factors Associated With The Psychosocial Wellbeing Among Parents Of Children Who Are Deaf Or Hard-Of-Hearing, Karen F. Munoz, John J. Whicker, Clarissa W. Ong, Michael P. Twohig

Journal of Early Hearing Detection and Intervention

Purpose: To identify factors associated with low psychosocial wellbeing among parents of children who are deaf or hard-of-hearing.

Method: A cross sectional survey that included instruments to measure psychological distress, functional impairment, and psychological inflexibility. Two hundred and ninety-six parents completed the survey.

Results: Analyses revealed that lower income, presence of additional disabilities, younger child age, and psychological inflexibility were factors associated with low parent psychosocial wellbeing.

Conclusions: Parents of younger children who are deaf or hard-of-hearing with low income, have children with additional disabilities, and higher psychological inflexibility may experience lower psychosocial wellbeing. Clinicians serving families may need to …

Promoting Social Participation For Adolescents With Burn Injury: A Guideline For Occupational Therapy Practice, Amanda M. Lange, Lenin Grajo

The Open Journal of Occupational Therapy

Adolescents with burn injury are vulnerable to psychosocial dysfunction because of the complex nature of their neurobiological, cognitive, and interpersonal changes that occur during this developmental stage. Physical differences in appearance also make these adolescents prone to peer bullying and at further risk for social functioning challenges. These social functioning challenges may involve underlying difficulties with cognitive functions needed to support adaptive social functioning and can present as social isolation, inappropriate social behaviors, or social anxiety. Promoting social participation is a recognized intervention to support positive mental health and is necessary for identity formation during transition into adulthood. This guideline …

The Relationship Between Alternative Fieldwork Approaches And Student Competence And Confidence For Occupational Therapy In Behavioral Health, Kathryn Beckstein, Elizabeth Britton, Codee Colby, Kathleen Melei, Emily Rehmel, Sara Best

Student Journal of Occupational Therapy

Purpose: The purpose of this case-series study was to assess the relationship between three instructional methods that fall within the parameters of the revised Accreditation Council for Occupational Therapy Education fieldwork objective C.1.9 and perceived student competence and confidence in providing therapy services in a behavioral health setting.

Methods: The study included a convenience sample of (n=49) graduate students enrolled in an entry-level Doctor of Occupational Therapy program and a Doctor of Physical Therapy program in the Midwest. The participants attended a presentation on bipolar disorder and were randomly assigned to engage in one of three instructional methods: …

Supporting The Holistic Treatment Of Adults With Upper Extremity Injuries: Bridging The Gap Between The Clinic And Classroom, Stephanie W. Mcclung

Occupational Therapy Capstone Presentations

Research continues to support the need for holistic and occupation-based treatment of patients with upper extremity (UE) injuries, therefore, occupational therapy students (OTS) would benefit from continued education supporting holistic hand therapy. Thus, the purpose of this capstone experience was to offer a capstone student with an opportunity to provide holistic hand therapy, explore and address barriers to delivering holistic therapy services, and following reflection, use the knowledge and skills gained through this experience to create supplemental educational materials to further peer education in holistic hand therapy. While providing direct patient care, the capstone student developed a better understanding of …

A Qualitative Study Investigating Stroke Survivors’ Perceptions Of Their Psychosocial Needs Being Met During Rehabilitation, Robin A. Wenzel, Emily A. Zgoda, Mia C. St. Clair, Lisa J. Knecht-Sabres

The Open Journal of Occupational Therapy

Background: Depression and anxiety can negatively impact one’s recovery, outcomes, and quality of life. Even though therapists consider the mental health needs of their clients to be a priority, they are dissatisfied with their ability to completely address these needs. The purpose of this study was to examine the client’s perspective regarding the extent to which health care professionals addressed their psychosocial needs after a stroke.

Method: A phenomenological research design was used to collect data from six participants. Interviews and focus group were audiotaped, transcribed verbatim, and thematically analyzed. Member checks, peer-review, multiple coders, triangulation, and expert …

Psychosocial Experiences Of Parents Of Young Children Who Use Hearing Devices: A Scoping Review, Karen F. Munoz, Natalie Nichols, Sydnee Hill

Journal of Early Hearing Detection and Intervention

Objective: The purpose of this scoping review was to provide information about the research base related to psychosocial experiences of parents of young children who are deaf or hard of hearing (DHH) and use hearing devices. A scoping review identifies trends and gaps in available evidence and this information can be used to inform practice and identify areas in need of further research.

Design: A scoping review was conducted in June 2020 to identify English-language peer-reviewed journal articles published through May 31, 2020.

Study sample: Nine articles were found that investigated psychosocial factors of parents of children birth through five …

The Importance Of Psychosocial Considerations In The Injury Rehabilitation Of Elite Athletes, Sydney Pierce

Senior Honors Theses

The psychological and emotional impact of sustaining a long-term injury to elite athletes demonstrates the need for an improved rehabilitative approach in sports medicine. Sports medicine is a healthcare profession that requires regular interaction with other people, specifically athletes, medical training as well as knowledge of human and sport psychology. Within the current model of sports rehabilitation practices, decisions pertaining to the timeline and progression of elite athletes’ recovery are based primarily on the physical damage from injury. Unfortunately, the focus often remains solely on the physical injury, disregarding an athlete’s psychosocial responses, which limits sports medicine professionals’ ability to …

Addressing Psychosocial Outcomes Of Social Isolation In Older Adults, Megan Friesen, Madeline M. Christensen

Nursing DNP Projects

Purpose and Rationale

The aim of the evidence-based practice (EBP) project is to improve psychological outcomes for socially isolated older adults enrolled in a Homebound Program (HP) through the implementation of an EBP intervention. Social isolation has a multitude of negative consequences, including impacting the psychological health (e.g. depression, loneliness, anxiety) of the older adult population.

Synthesis of Evidence

Meta-analyses, systematic reviews, and randomized controlled trials addressing the clinical problem of social isolation were identified. Through critical appraisal of the evidence, physical activity, psychotherapy, and socialization interventions have shown to decrease depression and loneliness in older adults. There were mixed …

Diabetes Distress, Daily Functioning, And Hemoglobin A1c In Older Black Individuals With Diabetes And Mild Cognitive Impairment, Navajyoti R. Barman, Robin J. Casten, Phd, Barry W. Rovner, Md

Phase 1

Objective: The purpose of the cross-sectional study was to identify associations between diabetes distress, physical functioning, and cognition with hemoglobin A1c in older Black individuals with diabetes and mild cognitive impairment.

Methods: The investigators analyzed previously collected data from 101 older Black individuals with diabetes and mild cognitive impairment. Participants were administered surveys at baseline to assess diabetes distress, physical functioning, and cognitive functioning, and had hemoglobin A1c testing.

Results: Participants with higher hemoglobin A1c showed worse self-reported daily function (r = -0.279, p < .01). Three of four diabetes distress factors were positively correlated with hemoglobin A1c – emotional (r = .276, p < .01), regimen-related (r = .330, p < .01), and interpersonal distress (r = 0.266, p <.01). In a multivariate regression with hemoglobin A1c as the dependent variable, only regimen-related diabetes distress (beta = .282, p = .012) and self-reported daily function (beta = -0.294, p = .027) were significant.

Conclusion: The main finding of this study is that regimen-related diabetes distress and self-reported daily …

Motivations And Barriers To Pursue Cancer Genomic Testing: A Systematic Review, Megan Smith-Uffen, Nicci Bartley, Grace Davies, Megan Best

IES Papers and Journal Articles

Objectives: Single-gene testing is associated with psycho-social challenges for cancer patients. Genomic testing may amplify these. The aim of this study was to understand patients’ motivations and barriers to pursue cancer genomic testing, to enable healthcare providers to support their patients throughout the testing process and interpretation of test results.

Methods: Five databases were searched for original peer reviewed research articles published between January 2001 and September 2018 addressing motivation for genomic cancer testing. QualSyst was used to assess quality.

Results: 182 studies were identified and 17 were included for review. Studies were heterogenous. Both somatic and germline testing were …