Medicine and Health Sciences Commons^™

Understanding Black American Pastors' Leadership Role And Interaction With Public Health During Covid-19, Stacy L. Tolbert

Walden Dissertations and Doctoral Studies

The COVID-19 pandemic tested the leadership, response, and resilience of Black American pastors and their communities. These pastors played a crucial role in supporting their communities to lessen the impact the virus had on underlying health conditions and socioeconomic hardships that were exacerbated by the pandemic. Despite their efforts, Black American pastors frequently encountered challenges helping their community. The current research sought to understand the lived experiences of Black American pastors during the pandemic and their interactions with public health institutions to secure resources for their communities through Interpretative Phenomenological Analysis (IPA). The study was guided by the research question, …

Who Benefits From Active Music Engagement During Cancer Treatment? Associations Of Sociodemographic Characteristics And Risk Factors With Moderators Of Intervention Effects., Steven J. Holochwost, Elizabeth Harman, Kristin Stegenga, Seethal A. Jacob, Sheri L. Robb

Manuscripts, Articles, Book Chapters and Other Papers

Young children and their parents experience frequent and repeated exposure to potentially traumatic events during treatment for cancer. Active Music Engagement (AME) is a dyadic music therapy intervention that has been found to mitigate traumatic stress symptoms among parents who screened high for traumatic stress symptoms (TSS) and reported higher levels of child distress with cancer-related hospitalizations/treatment (child distress). The current study examined sociodemographic characteristics and risk factors that were associated with higher levels of parent TSS and child distress as a means to identify families that may benefit most from AME in the future. Data were collected from the …

Resilience Mediates The Association Between Discrimination And Psychological Distress Among Rural, Black Women In South Carolina: A Structural Equation Model, Camryn Garrett, Abhisheak Aggrawal, Huiyi Xia, Cheuk Chi Tam, Bankole Olatosi Ph.D., Sarah Wilcox Phd, Xiaoming Li Ph.D., Shan Qiao Ph.D.

Faculty Publications

Introduction

The marginalization of intersecting racial, gender, and rural identities compounds the structural vulnerabilities (e.g., discrimination, stigma, health disparities) experienced by Black women in South Carolina’s rural areas. Discriminatory experiences can deteriorate mental health; however, resilience can potentially reduce the ill effects of discrimination by decreasing associated psychological distress. This study examines the mediating role of resilience in the association between discrimination and psychological distress among rural, Black women in South Carolina in the post-pandemic era.

Methods

Black women (n = 300, mean age = 48.6) living in rural South Carolina were recruited from January to February 2024 using …

Cd206+Il-4rα+ Macrophages Are Drivers Of Adverse Cardiac Remodeling In Ischemic Cardiomyopathy, Qiongxin Wang, Mohamed Ameen Ismahil, Yujie Zhu, Gregg Rokosh, Tariq Hamid, Guihua Zhou, Steven M. Pogwizd, Sumanth D. Prabhu

2020-Current year OA Pubs

BACKGROUND: The role of cardiac CD (cluster of differentiation) 206

METHODS: Adult C57BL/6 mice underwent nonreperfused myocardial infarction to induce HF. Macrophages in murine and human hearts were profiled using flow cytometry and immunostaining. In vivo myeloid-specific IL-4Rα deletion and intramyocardial macrophage adoptive transfer defined the functional effects of macrophages polarized by IL-4 (M[IL-4]). Antisense oligonucleotides were used for in vivo IL-4Rα gene silencing in mice.

RESULTS: CD206

CONCLUSIONS: Cardiac CD206

Xpert Mtb/Rif Ultra Assay For Pulmonary Tuberculosis And Rifampicin Resistance In Adults And Adolescents, Elizabeth Chandler Church, Jonah S Kreniske, Alexander W Kay, Katie Scandrett, Karen R Steingart, Yemisi Takwoingi

Faculty, Staff and Students Publications

Background: Xpert MTB/RIF Ultra (Xpert Ultra) is a molecular World Health Organization (WHO)-recommended rapid diagnostic test that simultaneously detects tuberculosis and rifampicin resistance. This review updates a comparative accuracy Cochrane review of Xpert MTB/RIF and Xpert Ultra as Xpert Ultra has replaced Xpert MTB/RIF.

Objectives: To determine the diagnostic accuracy of Xpert MTB/RIF Ultra (Xpert Ultra) for detecting pulmonary tuberculosis and rifampicin resistance in adults and adolescents with presumptive tuberculosis based on signs or symptoms or with an abnormal chest x-ray suggestive of tuberculosis.

Search methods: We searched seven databases including CENTRAL, MEDLINE, and Embase, plus two trial registers (ClinicalTrials.gov …

Clinician And Caregiver Perspectives On A Community-Based Dynamic Temporal And Tactile Cueing Treatment Trial For Childhood Apraxia Of Speech: Exploring Perceptions Of Research And Routine Clinical Practice, Donna C. Thomas, Geraldine Bricker-Katz, Elizabeth Murray, Shelley L. Velleman, Jenya Iuzzini-Seigel

Speech Pathology and Audiology Faculty Research and Publications

Purpose:

Dynamic Temporal and Tactile Cueing (DTTC) is an evidence-based treatment for children with childhood apraxia of speech. In clinical practice, speech-language pathologists (SLPs) frequently use an eclectic approach incorporating aspects of DTTC, for reasons that are not well understood. This research note describes a qualitative investigation of the experiences of SLPs and caregivers who participated in protocolized research DTTC for a 24-session treatment efficacy study. Specifically, we sought to understand the perspectives of these SLPs and caregivers regarding (a) DTTC treatment, as provided during the study, and (b) participating in a treatment research study.

Method:

Four SLPs and three …

Staff Education To Increase The Number Of Continuous Glucose Monitors (Cgms) Prescribed At An Adult Primary Care Clinic For Individuals With Type 2 Diabetes., Josephine Opara

Walden Dissertations and Doctoral Studies

This quality improvement project focused on increasing the use of continuous glucose monitors (CGMs) in primary care for patients with type 2 diabetes. Its goal was to enhance providers' ability to prescribe and manage CGMs effectively. A review of existing literature and a provider survey identified key barriers, such as limited time and insufficient provider education on CGMs. The survey emphasized educational needs related to initiating and prescribing CGMs. Educational materials, including a PowerPoint presentation on prescribing, monitoring, and management, were developed and shared with clinic staff. Consequently, CGM prescriptions increased over the three-month period. The project aimed to improve …

Nursing Turnover Based On Age, Race, And Gender In Community Hospitals In Michigan, Laura Lawhorn

Walden Dissertations and Doctoral Studies

Hospitals struggle to maintain nursing staff to meet patient needs for a population that requires continuous care and experiences multiple illnesses. The purpose of this quantitative study was to investigate the variations in reasons for leaving the nursing profession (dependent variable) based on age, race, and gender (independent variables) within community hospitals in Michigan. The theoretical framework for this study was the Nursing Neuman Systems Model, which posits that nursing comprises four key components: environment, individual, nursing practice, and health. A correlational research design was utilized to address the research question and analyze the relationships between the variables. The secondary …

Implementation Of A Diabetic Complication Educational Intervention For Staff At A Community-Based Clinic, Virginia K. Dennis

Walden Dissertations and Doctoral Studies

Even though there are many modalities put in place to manage diabetes and its complications, there have been many barriers to reducing the complications associated with diabetes in health care institutions. In this educational intervention to reduce diabetes and its complications, a staff education program was implemented to enhance staff knowledge about diabetes and the complications associated with it. The staff education program was implemented at a community-based clinic for a DNP-prepared nurse, three RNs, and five medical assistants (MAs) working at the clinic. A pretest and a posttest were administered to assess the impact of the educational session. The …

Prevalence Of Stress Urinary Incontinence In Female Strength Athletes, Meghan Rohde, Jason Brumitt, Jodi Sandvik, Kari Bo

Internet Journal of Allied Health Sciences and Practice

Background: Stress urinary incontinence (SUI) is a symptom during pregnancy and in the postpartum period, but a high prevalence of SUI is experienced in sports involving running and jumping. Objectives: Identify the scope of the problem of SUI in women participating in strength sports, movement patterns that elicit SUI, and the impact on quality of life in female athletes with SUI. Study Design: Survey mixed methods with qualitative focus groups. Methods: The International Consultation on Incontinence Questionnaire Short Form (ICIQ-SF) and a sport-specific and obstetric/gynecological history questionnaire were sent to women who are United States citizens, age 18-65, and …

Predictors Of Sleep Duration In Undergraduate Students Attending A Health Sciences University In Japan, Aaron M. Eakman, Yuki Kawakatsu, Miki Takahata, Daisuke Kudo, Shinji Satake, Toshiaki Sato

Internet Journal of Allied Health Sciences and Practice

Background: Inadequate sleep is a pressing public health concern contributing to absenteeism and poor school performance, especially in health sciences students. In this study we investigated the sleep quality and duration of undergraduate students in a prefectural university of health sciences program and explored factors explaining sleep duration (i.e., < 6 hours per night vs > 6 hours) using multiple variable logistic regression.

Method: This cross-sectional survey study included 369 nursing, occupational therapy and physical therapy students who completed Japanese versions of the Pittsburg Sleep Quality Index, in addition to well validated sleep-related and mental health-related assessments.

Results: We found just 11.7% of the …

Navigating Cultural Barriers In Clinical Education: Unique Experiences And Insights From Culturally And Linguistically Diverse (Cald) Physiotherapy Students, Non-Cald Students, And Clinical Educators, Annie Yu, Neil Tuttle, Andrea Hams, Benjamin K. Weeks, Saras Henderson, Liisa Laakso

Internet Journal of Allied Health Sciences and Practice

Purpose: Culturally and Linguistically Diverse (CALD) students commonly face cultural barriers in the clinical learning environment that can impact on the success of clinical education experiences. Lack of effective strategies to facilitate clinical learning can be challenging for students and clinical educators alike. This study aimed to explore the issues impacting on clinical learning from the perspectives of CALD physiotherapy students and their clinical educators, and seeks suggestions from both participant groups to improve the clinical education experience. Methods: Qualitative descriptive design using grounded theory principles was utilised to gain insights from physiotherapy students and clinical educators regarding their clinical …

Transforming Healthcare Virtually: A Comprehensive Exploration Of Artificial Intelligence In Telehealth Across Internal Medicine Subspecialties, Jassimran Singh, Aditi Agrawal

Internet Journal of Allied Health Sciences and Practice

This review provides a comprehensive exploration of the transformative role of artificial intelligence (AI) in revolutionizing telehealth within various subspecialties of internal medicine. The focus is on enhancing patient care, addressing healthcare challenges, and mitigating professional burnout through the real-time, data-driven insights offered by AI. The integration of AI in telehealth is examined across diverse medical fields such as cardiology, pulmonary medicine, gastroenterology, endocrinology, geriatrics, nephrology, neurology, and hematology-oncology. The research methodology employs a systematic literature review and analysis approach, utilizing academic databases such as PubMed, Scopus, and IEEE Xplore to identify relevant literature up to July 2023. Inclusion criteria …

A National Study Of Opioid Knowledge Of Physical Therapy Professionals, Shelene Thomas, John Kiesel, Steven G. Kinney, Isain Zapata

Internet Journal of Allied Health Sciences and Practice

Purpose: Deaths from opioid overdoses persist as the leading preventable cause of death in the United States. Musculoskeletal pain remains the primary symptom for opioid prescription. Physical therapists (PTs) and physical therapy assistants (PTAs) provide non-prescription pain management strategies to people with musculoskeletal pain. Currently, there lacks research quantifying opioid overdose management knowledge possessed by PTs, PTAs, and their respective students. The purpose of this study was to quantify opioid overdose knowledge by PTs, PTAs, and their respective students, collectively termed physical therapy professionals (PTP). Methods: The electronic survey included several demographic characteristics and the opioid overdose knowledge scale (OOKS) …

Increasing Clinical Placements For Occupational Therapy In A Social Services Setting: Innovations For Practice, Martin Fitzgerald, Becky Antich, Ele Grimwood

Internet Journal of Allied Health Sciences and Practice

Purpose: The provision of undergraduate clinical placements to support Allied Health education has always been a challenge. However, in the last few years, the mismatch between undergraduate students and available placements has become acute. This paper describes how an undergraduate occupational therapy programme and a Metropolitan Council provider of social services worked together to overcome these challenges. The aim was to enhance inter-institutional cooperation and placement educator support and to increase placement opportunities. Method: A series of meetings between the university and the host institution identified barriers and opportunities to placement expansion. For the host institution, these included the absence …

Impact Of Self-Selected Self-Care Activities On Perceived Stress And Resilience Of Doctor Of Physical Therapy Students, Leslie F. Taylor, Niamh M. Tunney, Lisa Fraher

Internet Journal of Allied Health Sciences and Practice

Purpose: To assess the impact of self-selected self-care activities, supported by four interspersed reflection prompts, on the perceived stress and resilience of Doctor of Physical Therapy (DPT) students over 12 weeks. Methods: This exploratory study used a convergent parallel mixed-methods design. Participants included third-semester DPT students (n=37; Class of 2024) enrolled in an eight-semester program.100% provided consent, with an 89% response rate (n=32). Quantitative pre- and post-measures included the Perceived Stress Scale (PSS), the Connor-Davidson Resilience Scale (CD RISC-25), and a researcher-developed survey which asked students to identify their current self-care activities from a list of physical, psychological, emotional, spiritual, …

Clinical Observation Of Oral-Motor Dysfunction In Joubert Syndrome: Case Series, Müberra Tanrıverdi, Gökhan Can Törpü

Internet Journal of Allied Health Sciences and Practice

Purpose: Joubert Syndrome (JS) is a rare autosomal recessive neurological disorder, characterized by hypotonia, ataxia, tremor, developmental delay. JS also presents with respiratory abnormalities, oculomotor apraxia, motor speech dysarthria, and various atypical dysmorphic features. Oral-motor dysfunction (OMD) is a notable concern in JS, manifesting as difficulties with sucking, swallowing, drooling, and prolonged meal times. Methods: This study investigates OMD in five JS cases evaluated by physiotherapists and assessed using the Oral-Motor Examination Tool (OMET). Results: The cases exhibited feeding-related stress symptoms such as gagging and reflux. OMET evaluations identified asymmetrical faces, puckered lips, open mouths, and lip biting, with normal …

Conflict Between Student Physical Therapists And Clinical Instructors During Full-Time Clinical Education, Megan W. Moran

Internet Journal of Allied Health Sciences and Practice

Purpose: The purpose of this study was to determine what conflicts student physical therapists perceive with their clinical instructors during full-time clinical education experiences and if there was an association between conflict and the students’ opinions of their learning and the overall clinical education experience. Students in other healthcare disciplines experience conflict during clinical education. Additionally, research shows that licensed healthcare providers report conflict in the workplace. These conflicts can result in positive and negative consequences for the learner or provider and the patients. Tailored training may help to minimize the negative consequences; however, there is a lack of available …

Educational Objectives Of Doctor Of Athletic Training (Dat) Degree Programs: A Document Review, Matthew J. Rivera, Samuel Orr, Lindsey E. Eberman

Internet Journal of Allied Health Sciences and Practice

Purpose: The Doctor of Athletic Training (DAT) degree is one postprofessional educational pathway that could provide athletic trainers advancement in clinical, leadership, and scholarship practice. Although some is known about the motivations to pursue and the anticipated learning outcomes from both clinical and educational settings, we sought to explore the stated learning outcomes DAT programs publicly state related to advanced clinical practice, advanced practice leadership, scholarship, and specific programmatic uniqueness. Methods: We used a document review of publicly available websites. We analyzed eight DAT program websites that were available as of September 2023. Using deductive coding, from the professional …

Analysis Of Ringside Physician Stoppages In Professional Mixed Martial Arts., Andy Suarez, Justin Braun, Corey Peacock, Gabriel J. Sanders

Internet Journal of Allied Health Sciences and Practice

Modern Mixed Martial Arts (MMA), popularized globally by the Ultimate Fighting Championship (UFC) since 1993, initially faced significant concerns regarding fighter safety but improved considerably following the introduction of comprehensive regulatory measures. Despite these enhancements, MMA continues to carry substantial risk, particularly evident in bouts concluded by referee or medical stoppages. These stoppages are critical safety mechanisms protecting fighters and providing valuable insights into injury trends. This study specifically investigates MMA bouts stopped by ringside physicians due to medical concerns or observed injuries, emphasizing potential differences in these stoppages between male and female fighters. The methods involved the analysis of …

Respiratory Syncytial Virus, Tahani Ali Alshammari, Ali Mohi Alqahtani

Internet Journal of Allied Health Sciences and Practice

Abstract:

Respiratory Syncytial Virus (RSV) is a highly contagious pathogen causing significant respiratory infections across all age groups, with heightened severity in infants and the elderly. This paper provides a comprehensive overview of the virus's epidemiology, the associated dangers, and current therapeutic interventions. Historical data identifies RSV as a primary cause of respiratory hospitalizations in infants and ageing populations, with reinfection common throughout life. After several trials and molecular diagnostics to find treatment options, various vaccines, antiviral drugs, and monoclonal antibodies have been licensed for use in various parts of the world. Recent studies explore the importance of passive immunization …

Evaluating Assistive Technologies In High Acuity Patients: A Scoping Review With Swot Analysis, Mallory Kargela Pt, Dpt, Amanda Anderson Pt, Dpt, Lindsay Anderson Pt, Dpt, Tian Gong Pt, Dpt, Kylie Scott Pt, Dpt, Edd

Internet Journal of Allied Health Sciences and Practice

Purpose: This publication examines the application of assistive technologies (AT) in high-acuity environments, including intensive care units (ICUs), acute care hospitals, and others. The aim is to systematically explore and synthesize the use of AT across these settings, identifying key strengths, weaknesses, opportunities, and threats (SWOT) associated. Methods: A literature search was conducted from 2016 to 2023 using PubMed, Tufts and Midwestern University Library databases. Search terms included ('physical therapy' OR 'physiotherapy') AND ('critically ill' OR 'acute' OR 'intensive care') AND ('assistive technology' OR 'technology' OR 'telerehabilitation' OR 'telePT' OR 'functional electrical stimulation' OR 'FES' OR 'cycle ergometry' …

Barriers And Facilitators To Occupational Therapy For The Frail Older Person Within Primary Care In Belgium, Anne Ledoux, Stijn De Baets, Thérèse Van Durme, Patricia De Vriendt, Dominique Van De Velde, Sophie Thunus

Internet Journal of Allied Health Sciences and Practice

Introduction: The population is quickly aging in Belgium and there is an increasing number of older frail adults. Occupational therapy (OT) in primary care (PC) favors the stay-at-home of frail older persons through its preventive action on the person, the environment, and/or the task. However, OT is not well implemented in Belgian PC. We aimed to investigate the implementation of OT, to support the frail older person living at home, within primary care in Belgium. Methods: We performed a secondary thematic analysis, based on data collected during an implementation study of an OT guideline for this population. Data were collected …

Do Gender-Related Characteristics Impact Female Faculty Career Progression In Academic Doctor Of Physical Therapy Programs?, Bridget Eubanks

Internet Journal of Allied Health Sciences and Practice

Purpose: This study explored the experiences of female faculty in academic Doctor of Physical Therapy (DPT) programs in the US and if gender, or more specifically any gender-related characteristics such as pregnancy or motherhood, impacts female faculty career progression. Evidence has demonstrated that several challenges disproportionately affect women in academia, but there is currently no research available related to female faculty experiences in academic DPT programs. Methods: This study used a qualitative research design with a descriptive statistics component. It utilized a descriptive, cross-sectional design with a nonexperimental survey methodology. The Culture Conducive to Women’s Academic Success instrument was used …

Defining And Addressing Student Unprofessional Behaviors From The Physical Therapy Clinical Instructors’ Perspective, Michele "Shelly" Lewis, Nicole Biltz, Moyo B. Tillery, Jamie Dunlap Coates, Tracy Ellison, Elsa M. Drevyn

Internet Journal of Allied Health Sciences and Practice

Purpose: Developing professional behaviors is an integral part of health professional education. Despite physical therapy education programs’ efforts to assist student physical therapists in developing professional behaviors before entering the clinic, some students still struggle with professional behaviors during clinical education experiences. Literature describing unprofessional behaviors in the clinic and providing guidance for clinical instructors to assess and address professional behavior issues is scarce. This study was conducted to investigate the type of unprofessional behaviors student physical therapists display during clinical education experiences and to describe successful and unsuccessful strategies used by clinical instructors to address challenging behaviors. Method: A …

14-Year Retrospective Review Of Audiology Graduate Admission Data: Comparative Analysis With Other First Professional Health Programs, Alyssa R. Needleman, Patricia A. Gaffney, Erica B. Friedland, Josiah Alamu

Internet Journal of Allied Health Sciences and Practice

Purpose: Demographic and cognitive data on students entering audiology programs is incomplete, and there is a lack of comparison among audiology students and those entering other first professional health (FPH) programs. This paper is the first of a multi-part series to provide evidence into the characteristics of the typical audiology student and their graduate outcomes. This is valuable for improving recruiting, admissions, retention, and success rates of audiology programs. A comprehensive descriptive analysis of admission criteria was performed for students who entered the NSU Doctor of Audiology (AuD) program over the last 14 years. Additionally, NSU admissions data was compared …

A Model For Teaching Social Determinants Of Health In Doctor Of Physical Therapy Programs, Elise N. Bjork, Rupal M. Patel Pt, Phd, Rebecca Operacz, Deandrea B. Melvey, Luciano Garcia Iii

Internet Journal of Allied Health Sciences and Practice

Purpose: The purpose of this study was to 1) describe the development and implementation of a novel educational module on social determinants of health (SDOH) for Doctor of Physical Therapy (DPT) students, and 2) to assess the effectiveness of the module on altering DPT students’ knowledge, attitudes, beliefs, and barriers in addressing SDOH. Methods: Drawing on current literature, content expert feedback, identity theory, and experiential learning theory, a two-hour module on SDOH was created and delivered at two universities. The Physical Therapy Social Determinants of Health Scale (PT-SDHS) was used to assess change in students’ knowledge, attitudes, beliefs, and barriers …

The Effect Of A Therapy Dog On Pressure Pain Threshold In Healthy Individuals, Lydia L. Haak, Rhonda L. Verdegan

Internet Journal of Allied Health Sciences and Practice

Purpose: Pain is the most common reason for healthcare consultation in the United States. Pain affects every area of life; biologically, psychologically, and socially. These three constructs make up every individual and thus contribute to their perceived quality of life. The use of therapy dogs (TD) has been widely researched as a source of non-pharmacological pain management. Studies have proven that a dog can reduce perceived pain in people with a variety of comorbidities. The purpose of this study was to prove that pain is modulated biologically by dogs and not just by human perception. Methods: This was …

Virtual Lecture, Live Lecture, Flipped Classroom: Does Dpt Pain Curriculum Format Affect Student Pain Beliefs? A Preliminary Study, Jeb Helms, Jamie Ball, Kory J. Zimney Pt, Dpt, Phd

Internet Journal of Allied Health Sciences and Practice

Purpose: Currently there are multiple published examples of successful DPT delivery models for the International Association for the Study of Pain curricular guidelines. However, there are no direct comparisons between different IASP delivery models such as in-person vs hybrid or lecture vs flipped classroom. The purpose of this study was to compare 3 delivery formats for teaching a DPT pain science IASP based course (1. Virtual Lecture 2. In-person Lecture 3. Flipped in-person) for pre course and post course differences in student biomedical/biopsychosocial beliefs, and confidence to treat patients in pain.Method The instructors remained consistent throughout the study period, …

Enjoyment, Motivation, And Self-Efficacy Towards Physical Activity Among Physical Therapy Students, Lauren Butler, Amanda Thomas, Teresa Munecas, Erasmo Alvarez, David Capote, Alexa Almonte, Madeline Dawson, Jordan Hale, Mikayla Kerekes, Kaitlyn Mitchell, Mark D. Rossi

Internet Journal of Allied Health Sciences and Practice

Purpose: The purpose of this study was to determine physical therapy (PT) students’ participation in and attitudes toward physical activity (PA).

Methods An electronic survey assessed demographic, academic, and sports history. Student’s PA level was assessed with the Godin Leisure-Time Exercise Questionnaire (Godin); PA enjoyment was assessed using the Physical Activity Enjoyment Scale (PACES); motivation was assessed using 4 items from the Modified Behavioral Regulation in Exercise (BREQ 3); and self-efficacy towards PA was assessed with the Exercise Self-Efficacy Scale (ESES). Descriptive statistics, Pearson correlations, and independent t-tests with 95% Confidence Interval (95% CI) were used.

Results In total, 228 …