Rehabilitation and Therapy Commons^™

Mental Health In College Students: Efficacy Of A Telehealth-Delivered Occupational Therapy Program, Amy Marie Nelson

Dissertations and Theses

The number of college students in the United States struggling with mental health issues has increased tremendously over the past decade. Specifically, undergraduate students report stress and anxiety as significant inhibitors to academic performance. Colleges are investing resources to combat this problem, but increased counseling services are insufficient. Novel approaches beyond traditional college counseling services are recommended. Occupational therapy, not traditionally offered on most college campuses, may be one solution. A few occupational therapy programs exist on college campuses, but there is limited evidence of their efficacy, and most lack solid theoretical underpinnings. More evidence is needed on the effectiveness …

Doctor Of Physical Therapy Students’ Experience With Microaggressions In The Clinic: A Call To Action, Jocelin T. Friedman, Todd E. Davenport

Pacific Journal of Health

As Doctor of Physical Therapy (DPT) students fulfill off-campus clinical experience requirements at healthcare institutions, they are mentored by clinical instructors who are employees of said healthcare institutions. Clinical instructors, patients, or other staff members there may commit microaggressions against physical therapy students with varying subject matters, intentions, and effects on the students. Microaggressions are brief verbal humiliations which may or may not be intentional, but nonetheless convey derogatory slights or insults towards a target group. This article explores DPT students’ real-life experiences with microaggressions within the clinical education realm and the challenges a Director of Clinical Education faced in …

Botulinum Toxin Type A Injections For Refractory Abdominal Dystonia: A Case Report, William J. Naber Ii, Jodi M. Wilhelm, Kurt A. Kuhlman, Gabriel Howard

Graduate Medical Education Research Journal

Background: A 58-year-old male with chronic bilateral treatment resistant abdominal spasms secondary complications of ascites/ alcoholic cirrhosis. Spasms would occur 4-5 times/day, lasting minutes to hours despite a 2-year course of therapeutic and pharmacological interventions. Due to treatment refraction, 6 uniformly spaced botulinum toxin type A (BTX-A) injections were placed per side, using electromyography for audible intramuscular syringe placement confirmation, while visual confirmation was made via ultrasound. During the initial trial, 6 evenly spaced injections were performed bilaterally, uniformly distributing 80U/side. Injections began bilaterally just medial to the junction of the inferior rib cage border/ anterior axillary line and progressed …

Student Perceptions Of Reading Preparation And Textbook Use In Professional Allied Health Programs, Laura Stimler, Camille Skubik-Peplaski, Melba G. Custer, Shirley P. O'Brien

Internet Journal of Allied Health Sciences and Practice

Purpose: In professional allied health education, textbooks are central to developing course content, student learning and certification exams, but little is known about the graduate student’s perspective. This study was intended to describe current trends in graduate students’ point of view, habits and opinions related to buying and using textbooks and other resources in allied health education. Methods: This was a multi-site collaborative research project. An electronic survey was developed to gather data on student habits and perspectives regarding textbook preferences including digital texts, academic reading, exam preparation, and obtaining course materials. The survey was distributed across four academic institutions. …

The Use Of Dynamic 3d Printed Cervical Spine Models In A Musculoskeletal Physical Therapy Course, Cassandra I. Ciorciari, Dallas A. Rynda, Christina L. Fojas

Internet Journal of Allied Health Sciences and Practice

Purpose: While mass-produced anatomical models are commercially available, many models are inflexible and static, and may not meet the needs of health professions students. Advances in three-dimensional (3D) printing have demonstrated tremendous potential for enhancing student learning. This study uses 3D printed cervical spine models to explore whether use of dynamic, flexible models improve student learning in a cohort of physical therapy students. Methods: 3D printed models of the cervical spine and occiput were printed using a fused deposition modeling 3D printer and polylactic acid filament, and augmented with hook and loop fasteners, foam sheets, and cords to simulate structures …

Training And Instruction Of Learning And Study Strategies Improve Academic Performance In Rehabilitation Students, Evan M. Pucillo, Gabriela Perez

Internet Journal of Allied Health Sciences and Practice

Purpose: Prior study has demonstrated that certain learning strategies can be improved with training and instruction. As a result, downstream academic success may be potentiated. However, it is unclear if instructional intervention can influence academic outcomes among rehabilitation students. The purpose of this study was to compare changes in grade point average (GPA) after exposure to a set of standardized self-paced training modules on the Learning and Study Strategies Inventory (LASSI) in Physical therapy (PT) and Occupational therapy (OT) students. Methods: A causal-comparative design was used, and a multi-center convenience sample collected N=75 entry-level PT and OT students [PT: 41(55%); …

Exploring First Semester Allied Health Students’ Transition To Graduate School Through The Lens Of Occupational Adaptation, Carly E. Williams, Jessica N. O'Brien, Rebecca E. Dodick, Jillian M. Bell, Jennifer O. Knauth, Lorrie A. George-Paschal, Nancy Krusen, Jacquie Rainey

Innovations in Health Sciences Education Journal

The purpose of the study was to examine experiences of students transitioning into graduate allied health programs within a public university in the United States. Researchers assessed students’ occupational adaptation as well as factors that facilitated and inhibited their transition. Researchers collected data using the Relative Mastery Scale (RMS) (George-Paschal, Krusen, & Fan, 2022) and a researcher-developed transition survey. Participants included 129 students from three allied-health professions. Researchers conducted a mixed ANOVA to explore differences in RMS ratings across three disciplines. There was a statistically significant increase in RMS ratings over time for all disciplines and statistically significant differences between …

The Dynamics Of A Full-Time Academician: Teaching, Scholarship & Service, Jalissa Nicole Black

Department of Occupational Therapy Entry-Level Capstone Projects

Academia by definition is “an environment or community concerned with pursuing research, education, and scholarship” (Oxford Languages, n.d.). In higher education, such as graduate-level studies, academia is a system fostering the growth in knowledge and practicality of students aiming to be of professional standing, however, academia from a full-time faculty member standpoint is to also be a life-long learner and pursuer of knowledge as well. My doctoral capstone experience (DCE) took place under the guidance of Christina Kane, EdD, MS, OTR/L, a full-time faculty member at Nova Southeastern University where she acts as Doctoral Capstone Coordinator, Academic Professor, and Advisor …

Exploring The Experiences Of Underrepresented Students Pursuing Health-Related Graduate Or Professional Programs, Alison Williams

Electronic Theses and Dissertations

For many years graduate and professional education programs for the health professions have sought to increase the diversity of their student body to include students from a wider variety of backgrounds. Increasing the diversity of healthcare providers is an essential component of addressing inequities in healthcare. However, despite initiatives to increase racial and ethnic diversity in the health professions, these professions remain largely White and female. Previous researchers have sought to identify the reasons that racial and ethnic minorities are underrepresented in healthcare, and the barriers to persistence and success. Little research exists explaining why men are underrepresented in the …

Occupational Therapy Curricula Patterns For Acquired Brain Injury-Related Vision Disorders For Entry-Level Programs: A Survey, Laura Schmeiser, Alicia Reiser, Caitlyn Foy

The Open Journal of Occupational Therapy

Occupational therapists are among the first providers to encounter individuals after an acquired brain injury (ABI). Evidence suggests that most occupational therapists learn about ABI-related vision disorders from continuing education and on-the-job training. A better understanding of entry-level curricula patterns for ABI-related vision disorders is important because of their high prevalence and impact on occupational performance. A descriptive online survey was administered to occupational therapy educators at ACOTE-accredited entry-level programs to explore curricula patterns for ABI-related vision disorders. Of 1,391 occupational therapy educators invited to participate, 71 (5%) began the survey, and 66 met the inclusion criteria. Vision screening methods …

Designing A Conceptual Framework To Align Learning Objectives To The Interprofessional Education Collaborative Core Competencies: A Narrative Review, Norman C. Belleza, Maureen E. Johnson

Philippine Journal of Physical Therapy

Introduction: Early placement of interprofessional education (IPE) in academic curricula may foster foundational learning to shape student attitudes, knowledge, and skills and better prepare practice-ready clinicians for future team-based collaboration. The purpose of this narrative review was to investigate and analyze the current use of IPE in OT and PT higher education.

Methods: Three databases, Academic Search Complete, Cochrane Database of Systematic Reviews, and ERIC, were searched from 2017 to 2022. Inclusion criteria were articles with full text availability, published within the 5 year search time range from the time of the narrative review process, peer reviewed studies, …

Student Physical Therapists’ Perceptions Of A Novel, Small-Group Presentation Method In The United States: A Cohort Study, Bhavana Raja, Leslie Bayers, Lott Hill, Alicia Rabena-Amen

Academic Affairs Faculty and Staff Articles

Purpose: The purpose of this project is to explore perceptions of student physical therapists of a new, small-group presentation model called Presentation-Station-Rotation (PSR). Our hypothesis is that the PSR format will be a more effective, interactive, and stimulating mode of delivery than large group presentations. Method: Thirty-six first year student physical therapists were divided into groups of three students to give a presentation about their clinical experience. Presenters rotated to two other groups to present for three repetitions; listeners heard six different presentations. Thematic analysis was conducted on the questionnaire completed by the students regarding their experiences of the PSR …

The Importance Of Mood And Motivation Of An Individual In The Success Of Physical Therapy, Spencer Wagner

Honors Program: Senior Projects (Public)

Physical therapy is a health profession that helps people improve their movement and range of motion in certain body areas. Since the time it was founded, physical therapists have mainly focused on the physical health of the patient. While that is their job, they may not have been as successful because they neglected the mental health of the patient. The mindset of an individual, particularly their mood and motivation, can influence how they progress through physical therapy and how successful they are in regaining functionality in their affected body area. The purpose of this study is to determine how the …

Older Adults And Opioids, Elba L. Scherer

Morehead State Theses and Dissertations

A thesis presented to the faculty of the Caudill College of Arts, Humanities and Social Sciences at Morehead State University in partial fulfillment of the requirements for the Degree Master of Arts by Elba L. Scherer on April 27, 2023.

Faculty Perceptions Of Health Professional Students’ Hybrid-Online Learning Strategies: A Multi-Center Qualitative Study, Evan M. Pucillo, Gabriela Perez, Leiselle Pilgrim

Health Professions Education

Purpose. The COVID-19 pandemic accelerated the utilization of hybrid-online and fully-online instruction in health professional education. Physical (PT) and occupational therapy (OT) programs have become increasingly reliant upon this mode of instruction. Therefore, it is important to understand advising strategies for this educational environment. Faculty advisors may endorse specific learning strategies over others. However, advising strategies of faculty are not well represented in the scientific literature. Methods. A qualitative phenomenological design used a six-item, open-ended questionnaire to purposefully survey faculty members teaching and advising students in hybrid-online PT and OT graduate programs during COVID-19. Dedoose® v.9.4 qualitative software (Los Angeles, …

Imposter Phenomenon: The Occupational Experiences Of First-Generation College Students, Karen Mccarthy, Kevin Chavez, Krysta Gastelum, Javier Gomez, Jacqueline Salas, Yashi Severson, Jamie Zabat

The Open Journal of Occupational Therapy

Background: First-generation college students (FGCS) represent an underserved population navigating higher education. There is a current gap in the literature regarding the interaction of occupational experiences, imposter phenomenon (IP), and FGCS. The purpose of this study is to use grounded theory to explore the occupational experience of IP among FGCS enrolled in a four-year university in California.

Method: This research is a qualitative study using grounded theory. Data was collected through a screening survey and interview with 11 participants who identified as FGCS.

Results: Thematic analysis generated five themes: (a) emotional aspects of IP, (b) collectivism, (c) balance, (d) communities …

Philippine Physical Therapy Association Convention 2022 Plenary Session 3 Keynote Address, Cheryl Peralta

Philippine Journal of Physical Therapy

No abstract provided.

Relationship Between Allied Health Student's Behavioral Style And Ideal Clinical Instructor Behaviors, Tonya Y. Miller, Robert Creath, Eva M. Frank, Lori Portzer, Jennifer Price

Internet Journal of Allied Health Sciences and Practice

Purpose: The focus of this research is to understand the relationship between students' primary DISC behavioral styles (dominant, influencing, steadiness, compliance) and their perception of ideal clinical instructor behaviors. A review of the literature supports the connection between the behaviors of the clinical instructor (CI) and the success of the allied health professional student (AHPS). Additionally, a body of research supports the connection between DISC behavioral styles and student success. The purpose of this study is to examine the relationship between AHPS primary DISC behavioral styles and their perception of the ideal CI behaviors. Methods: A total number …

Comparison Of Flex Vs. Residential Clinical Education Program Outcomes: Physical Therapy Students’ Self-Efficacy, Confidence, And Clinical Competence, Derrick F. Campbell, Jean-Michel Brismée, Brad S. Allen, Troy Hooper, Manuel A. Domenech, Kathleen Manella

Education Collection

Purpose: Alternative flexible (Flex) path Doctor of Physical Therapy (DPT) programs may have an emerging footprint. The differences between Flex and traditional residential DPT program clinical experience outcomes remain unknown. The purpose of this study was to evaluate Flex and residential DPT students’ clinical reasoning self-efficacy, confidence with treating, and Clinical Performance Instrument (CPI) clinical reasoning and summative scores during clinical experiences.

Methods: A descriptive and exploratory cross-sectional survey was used with a voluntary convenience sample of 211 university DPT students during Fall 2020 full-time clinical experiences. Descriptive and inferential statistics evaluated differences in Flex and residential DPT program …

Is Vision Essential To Physical Therapist Practice? Perceptions Of Interested Parties In Dpt Education, Megan Flores, Kathryn Sawyer, Kathleen Manella, Kristy Demers, Germaine Ferreira, Derrick F. Campbell, Allan Besselink, Manuel A. Domenech

Education Collection

Introduction: The perceptions of students, faculty, staff, and clinicians regarding blindness or visual impairment (BVI) and physical therapist practice were explored before, during, and after interactions with a Doctor of Physical Therapy (DPT) student with BVI.

Review of Literature: Information is sparse about the prevalence of students with disabilities in DPT programs in the United States. Medical school programs that welcome students with disabilities report positive interactions with faculty and student peers.

Subjects: 36 (20 students, 11 faculty, 2 staff, and 3 clinical instructors)

Methods: A recent DPT graduate (pseudonym JM) with BVI classified as …

The Utility Of Peer-To-Peer Practice For Teaching Speech-Language Pathology Students Transnasal Endoscopy, Laura L. Wolford, George W. Wolford, Charlotte A. Bolch

Teaching and Learning in Communication Sciences & Disorders

Introduction: Transnasal flexible endoscopy (TNFE) is necessary for multiple assessments in speech-language pathology (SLP), but it is generally considered an advanced practice technique to be learned during clinical practice. As such, there is no standardized way that it is taught in training programs, leading to a substantial knowledge gap for new graduates. Though peer-to-peer practice has been discussed as an important step in training, it is not clear whether it confers additional benefits above and beyond simulation. This study sought to answer that question in the areas of student confidence, endoscopy speed, and motivation to pursue further TNFE experiences. Methods: …

A Narrative Review Of Student Evaluations Of Teaching In Decolonial Praxis: Implications For Occupational Therapy Higher Education, Fatima Hendricks, Michaele Singleton, Asia Clark, Marina Mishin, Marissa Epps

The Open Journal of Occupational Therapy

Student evaluations of teaching (SETs) are the primary source for evaluating teaching effectiveness and are used for deciding tenure and promotion. However, as efforts to engage in a decolonial critique of higher education amplify, the use of SETs in teaching and learning requires scrutiny. A narrative review was used to address the research question of SET biases in decolonial praxis and what insights may be useful for OT decolonial praxis. We identify and describe two content areas: (a) SET biases and (b) recommendations for alternatives promoting OT decolonial praxis. A total of 92 articles were sourced from five databases. Of …

Moving Forward Together: Reflections Of A National Survey Of Ot/Ota Students’ Perceptions Of Culturally Aware Educational Content Delivery, Adair M. Sanchez, Iris W. Burns, Tina M. Deangelis, Maclain Capron, Abigail Mills, Taylor Kligerman

Journal of Occupational Therapy Education

In June of 2020 in response to the murder of George Floyd and the additional atrocities against historically marginalized people and communities across the United States, the Commission on Education (COE) of the American Occupational Therapy Association (AOTA) sought to act within its scope. A retrospective survey (N= 1,692) was developed, deployed, and analyzed in accordance with the COE’s standard operating procedures relating specifically to monitoring trends that impact the education of occupational therapy (OT) and occupational therapy assistant (OTA) students. This survey aimed to capture perspectives from OT/OTA students regarding the delivery of culturally aware educational content in curricula …

Occupational Therapy Students’ Perceptions Of Feedback During Pre-Fieldwork Simulation Debrief: Useful And Why, Kaitlin R. Sibbald, Diane E. Mackenzie, Jonathan Harris

Journal of Occupational Therapy Education

Simulation is increasingly used in occupational therapy education with the objectives of developing practice skill competency and enhancing clinical reasoning. Debriefing, an integral part of the simulation process, is critical to achieving these objectives. This study sought to determine the types of debrief feedback Master of Science in Occupational Therapy (MScOT) students perceived as most useful and why, and how the advocacy inquiry model of debriefing influenced self-reported increases in clinical reasoning, client care, and planned implementation of feedback in practice. Using an embedded mixed method design with secondary data analysis, sixty-three first-year MScOT students provided 357 descriptions of the …

Exploring Coloniality In Occupation-Based Education: Perspectives Of Ghanaian Occupational Therapists, Joana Nana Serwaa Akrofi, Amber M. Angell, Bright Gyamfi, Stefanie Bodison

Journal of Occupational Therapy Education

The history, scope, and practice of occupational therapy are taught in many parts of the world using western perspectives. Recently, occupational scientists have explored occupation-based education, including the extent to which occupation is central in occupational therapy programs and the mechanisms of teaching occupation. This study explores how western ideologies have influenced occupation-based education in Ghana by examining the teaching and practice of occupational therapy. We conducted a qualitative study using purposive sampling to recruit four participants from the first four cohorts of practitioners. Data was analyzed using thematic analysis. Our analysis yielded three main themes: Power, participants described power …

Metacognition And Self-Regulation Influence Academic Performance In Occupational And Physical Therapy Students, Evan M. Pucillo, Gabriela Perez

Journal of Occupational Therapy Education

An understanding of student learning strategies is an important component of supporting academic success and avoiding difficulty. Prior inquiry has demonstrated certain learning strategies are more closely related to academic performance than others. The purpose of this study was to describe predictive relationships between the Metacognitive Awareness Inventory (MAI), Learning and Study Strategies Inventory (LASSI), and grade point average (GPA) in occupational therapy (OT) and physical therapy (PT) programs. A multi-center convenience sample of N=75(100%) entry-level students [OT: 34(45%); PT: 41(55%)] was included from Florida 32(42.7%), California 21(28%), and Texas 22(29.3%). A hierarchical linear regression analysis demonstrated the combination of …

An Intentional Wholeness Focus And The Association With Burnout In Graduate Students, Stacey B. Cunningham, Susanne B. Montgomery, Brian J. Distelberg, Qais Alemi

Journal of Occupational Therapy Education

Rates of stress, anxiety, depression, and burnout for university students are concerning. As in other competitive professional fields, graduate students in occupational therapy, physical therapy, and speech language pathology face many performance pressures. Creating supportive learning and wholeness climates along with individual grit, resilience, and healthy spirituality have the potential to positively impact these pressures. The study’s purpose was to examine factors related to burnout within an institution committed to creating supportive learning and wholeness environments. Three hundred and fifty-three graduate students from occupational therapy, physical therapy, and speech language pathology graduate programs were recruited to participate in a cross-sectional …

Stable Or Unstable Associations Between Learning Environment Factors, Study Approaches And Exam Grades: Cross-Sectional Analyses Across Two Consecutive Program Years, Jenny Solveig Mygland, Gry Mørk, Linda Stigen, Astrid Gramstad, Trine Alise A. Magne, Tore Bonsaksen

Journal of Occupational Therapy Education

Studies into the relationships between learning environment perceptions, approaches to studying, and academic outcomes have largely followed cross-sectional designs. As a result, knowledge is sparse with regards to whether, or to what degree, the established associations are consistent across years of study. This study aimed to (i) examine associations between occupational therapy students’ academic performance, their approaches to studying and perceptions of the learning environment, while in their second and third years of study, and (ii) evaluate the consistency of the results across years of study. Occupational therapy students in Norway were assessed annually with regards to their perceptions of …

On-Campus Occupational Therapy Clinic: Exploring A Supervision Model For Level I Fieldwork Within Curriculum, Kelly Erickson, Serena Hutson

Journal of Occupational Therapy Education

This study explored how a revised on-campus occupational therapy clinic model impacted occupational therapy graduate student professional development and clinical practice educator confidence in areas related to the on-campus clinic environment, professionalism, student learning, and collaboration. Specifically, clinical practice educator and student confidence were compared through quantitative survey data across multiple cohorts and clinical educators. This data was used to triangulate qualitative findings from focus groups and open-ended survey questions. Analysis across five years of qualitative data revealed themes related to professionalism including time management, planning, feedback, observation, collaboration, and communication. Quantitative data analysis found significant differences between clinical practice …

An Exploration Into Effective Pedagogies In Occupational Therapy Education For The Safe And Effective Use Of Physical Agents, Megan M. Mclaughlin, Alfred G. Bracciano

Journal of Occupational Therapy Education

Occupational therapy educational standards, established by the Accreditation Council for Occupational Therapy Education (ACOTE), require students to demonstrate knowledge and use of the safe and effective application of physical agents. A recent change requires educators to reflect on pedagogical approaches for electrotherapeutic and deep thermal agents. With a lack of research on pedagogical approaches to teaching physical agents, research on this important topic is essential. The purpose of this study was to identify education and training methods that facilitate the development of competence with complex physical agents. This study used a mixed-methods survey design with follow-up interviews. The survey sample …