Rehabilitation and Therapy Commons^™

Assistive Technology Enhancement Of Written Expression For Individuals With Neurodevelopmental Disorders, Laura Greiss Hess, Kerrie Lemons Chitwood, Susan Harris

Collected Faculty and Staff Scholarship

This study involves the use of computer software to assess the use of assistive technology (AT) in individuals with neurodevelopmental disorders. We will present an update of the subjects in the study, including research issues, subject diagnoses and diagnostic trends as assessed through baseline and follow-up testing.

Assistive Technology Enhancement Of Written Expression For Individuals With Neurodevelopmental Disorders [Poster], Laura Greiss Hess, Kerrie Lemons Chitwood, Susan Harris

Collected Faculty and Staff Scholarship

The purpose of this project is to carry out an intensive training program in subjects with a broad range of neurodevelopmental disabilities to assess the efficacy of assistive technology (AT) intervention.

Understanding Ayres' Sensory Integration, Susanne Smith Roley, Zoe Mailloux, Heather Miller-Kuhaneck, Tara J. Glennon

Occupational Therapy Faculty Publications

Occupational therapists and occupational therapy assistants rely on knowledge and skills to guide their intervention planning as they help clients who are experiencing difficulties with engaging in occupation. Sensory integration theory, with its rich history grounded in the science of human growth and development, offers occupational therapy practitioners specific intervention strategies to remediate the underlying sensory issues that affect functional performance.

This article articulates the core principles of sensory integration as originally developed by Dr. A. Jean Ayres, explains the rationale for developing a trademark specifically linked to these core principles, and identifies the impact that this trademark can have …

An Exploratory Survey Of Occupational Therapists' Role In Hippotherapy, Cristina Cerquozzi, Ericka Cerquozzi, Amy Darragh, Heather Miller-Kuhaneck

Occupational Therapy Faculty Publications

The term hippotherapy is derived from the Greek word for horse, or hippos. The American Hippotherapy Association (2007) defines hippotherapy as an occupational, physical, or speech therapy intervention strategy, using the movements of a horse, used as part of an intervention program to facilitate functional gain. In hippotherapy, therapists use the movements of the horse as a vehicle for improving clients' functional limitations. Hippotherapy is an intervention method mentioned in the occupational therapy literature more than 20 years ago (Engel, 1984) that has received minimal research attention within our field. Little is known about the role of occupational therapists in …

Acute Reperfusion Therapy In St-Elevation Myocardial Infarction From 1994-2003, Brahmajee K. Nallamouthu, Martha E. Blaney, Susan M. Morris, Lori Parsons, Dave P. Miller, John G. Canto, Hal V. Barron, Harlan M. Krumholz

Collected Faculty and Staff Scholarship

Background—Appropriate utilization of acute reperfusion therapy is not a national performance measure for ST-elevation myocardial infarction at this time, and the extent of its contemporary use among ideal patients is unknown.

Methods—From the National Registry of Myocardial Infarction, we identified 238,291 patients enrolled from June 1994 to May 2003 who were ideally suited for acute reperfusion therapy with fibrinolytic therapy or primary percutaneous coronary intervention. We determined rates of not receiving therapy across 3 time periods (June 1994–May 1997, June 1997–May 2000, June 2000– May 2003) and evaluated factors associated with underutilization.

Results—The proportion of ideal patients …

Concept Mapping 101, Heather Miller-Kuhaneck, Joanne M. Bortone, Lenore Frost

Occupational Therapy Faculty Publications

Concept maps are visual depictions of information, generally in diagram form, that are used to enhance and document learning (Novak, 1990; Whiteley, 2005). As a learning tool, concept maps have been used for many years in the fields of education and nursing (Novak, 1990; Schuster, 2002). The methods and uses of concept mapping have evolved in the areas of academic education, clinical education, and research since the 1970s (All & Havens, 1997; Novak, 1990; Schuster, 2002; Whiteley, 2005). This article discusses the use of concept mapping in occupational therapy education.

Lessons Learned: A Pilot Study On Occupational Therapy Effectiveness For Children With Sensory Modulation Disorder., Lucy Jane Miller, Sarah A. Schoen, Katherine James, Roseann C Schaaf

Department of Occupational Therapy Faculty Papers

OBJECTIVE: The purpose of this pilot study was to prepare for a randomized controlled study of the effectiveness of occupational therapy using a sensory integration approach (OT-SI) with children who have sensory processing disorders (SPD).

METHOD: A one-group pretest, posttest design with 30 children was completed with a subset of children with SPD, those with sensory modulation disorder.

RESULTS: Lessons learned relate to (a) identifying a homogeneous sample with quantifiable inclusion criteria, (b) developing an intervention manual for study replication and a fidelity to treatment measure, (c) determining which outcomes are sensitive to change and relate to parents' priorities, and …

Goal Attainment Scaling As A Measure Of Meaningful Outcomes For Children With Sensory Integration Disorders., Zoe Mailloux, Teresa A. May-Benson, Clare A. Summers, Lucy Jane Miller, Barbara Brett-Green, Janice P. Burke, Ellen S. Cohn, Jane A. Koomar, L Diane Parham, Susanne Smith Roley, Roseann C. Schaaf, Sarah A. Schoen

Department of Occupational Therapy Faculty Papers

Goal attainment scaling (GAS) is a methodology that shows promise for application to intervention effectiveness research and program evaluation in occupational therapy (Dreiling & Bundy, 2003; King et al., 1999; Lannin, 2003; Mitchell & Cusick, 1998). This article identifies the recent and current applications of GAS to occupational therapy for children with sensory integration dysfunction, as well as the process, usefulness, and problems of application of the GAS methodology to this population. The advantages and disadvantages of using GAS in single-site and multisite research with this population is explored, as well as the potential solutions and future programs that will …

Occupational Therapy Using A Sensory Integrative Approach: A Case Study Of Effectiveness., Roseann C. Schaaf, Kathleen Mckeon Nightlinger

Department of Occupational Therapy Faculty Papers

OBJECTIVE: This article presents a case report of a child with poor sensory processing and describes the disorders impact on the child's occupational behavior and the changes in occupational performance during 10 months of occupational therapy using a sensory integrative approach (OT-SI).

METHOD: Retrospective chart review of assessment data and analysis of parent interview data are reviewed. Progress toward goals and objectives is measured using goal attainment scaling. Themes from parent interview regarding past and present occupational challenges are presented.

RESULTS: Notable improvements in occupational performance are noted on goal attainment scales, and these are consistent with improvements in behavior. …

Fidelity In Sensory Integration Intervention Research., L Diane Parham, Ellen S. Cohn, Susan Spitzer, Jane A. Koomar, Lucy Jane Miller, Janice P Burke, Barbara Brett-Green, Zoe Mailloux, Teresa A. May-Benson, Susanne Smith Roley, Roseann C. Schaaf, Sarah A. Schoen, Clare A. Summers

Department of Occupational Therapy Faculty Papers

OBJECTIVE: We sought to assess validity of sensory integration outcomes research in relation to fidelity (faithfulness of intervention to underlying therapeutic principles).

METHOD: We identified core sensory integration intervention elements through expert review and nominal group process. Elements were classified into structural (e.g., equipment used, therapist training) and therapeutic process categories. We analyzed 34 sensory integration intervention studies for consistency of intervention descriptions with these elements.

RESULTS: Most studies described structural elements related to therapeutic equipment and interveners' profession. Of the 10 process elements, only 1 (presentation of sensory opportunities) was addressed in all studies. Most studies described fewer than …

Technology Learning Impact On Pre-Service Teacher Education Candidates After Implementation Of A Web-Based E-Portfolio, Steve Hyndman, Paul Wirtz, Marcia M. Pierce, Paul Erickson

Occupational Science and Occupational Therapy Faculty and Staff Research

This study examined the role of student competence, attitude, and training on the production of student e-portfolios. Neither student background nor experience had a significant impact on their attitude toward developing an e-portfolio

Critical Thinking And Evidence-Based Practice In Problem-Based Learning Tutorial Groups: A Critical Case Study, Joanne M. Bortone

Occupational Therapy Faculty Publications

Little research has investigated how problembased learning (PBL) instruction influences students' critical thinking and evidence-based practice. This research sought to ascertain if PBL instructional practices facilitated critical thinking and EBP; identify those practices; and, identify changes students made in tutorials.

A qualitative, twocase, critical case study design used pretest and posttests of the California Critical Thinking Skills Test (CCTST) (Facione, 1990) and Self-Evaluation of EBP adapted from Straus et al. (2005) to select the critical case sample. Students who made the greatest gains from pre to posttest scores met selection criteria for the critical case sample and were invited to …