Rehabilitation and Therapy Commons^™

The Child And Adolescent Scale Of Environment (Case): Further Validation With Youth Who Have Chronic Conditions, Gary Bedell, Janette Mcdougal

Occupational Therapy Publications

Objective: To further validate the Child and Adolescent Scale of Environment (CASE).

Methods: Baseline data (n = 430) were analyzed from a longitudinal study on quality of life for youth with chronic conditions ages 11–17 in Ontario, Canada. Internal consistency and structure, and convergent and discriminant validity were examined via Cronbach’s alpha (α), exploratory factor analyses, correlation analyses and ANOVA.

Results: The CASE had high internal consistency (α = 0.89). A three-factor solution was produced with 55% variance explained: (1) Community/Home Resources, (2) School Resources and (3) Physical Design/Access). CASE total and factor …

Prevalence And Utilization Of Medical Care Services In Persons With Autism Spectrum Disorder Using Medicare Claims, Henry J. Carretta, Phd, Katelyn Graves, Ms, Teal W. Benevides, Phd, Ms, Otr/L

Department of Occupational Therapy Posters and Presentations

Objective:

To characterize the prevalence of autism spectrum disorder (ASD) among persons in Medicare claims and contrast with prevalence documented during disability determination in Social Security Administration (SSA) Supplemental Security Income (SSI) files.

Poster presented at APHA in Chicago Illinois.

Self-Care Project For Faculty And Staff Of Future Health Care Professionals: Case Report, Nancy Macrae, Kelley Strout

Occupational Therapy Faculty Publications

Self-care among health care providers is an important component of their ability to provide quality health care to patients. Health care institutions have programs in place for students that emphasize health and wellness, but few programs are available for faculty and staff. To address this gap and facilitate modeling health and wellness strategies for students, a New England institution that educates health care practitioners began a pilot self-care project for faculty and staff. Both quantitative and qualitative data were collected. The template used for this project could be used as a stepping-stone for future wellness self-care program in higher education …

Implications Of Screen Use In Young Children's Occupations, Denise G. Doria, Ots, Michele Mathew, Ots, Mary Muhlenhaupt, Otd, Otr/L, Faota

Department of Occupational Therapy Posters and Presentations

Introduction:

OTs need to address both the duration and quality of screen media children use, to promote their development and participation in healthy occupations.

Mild Cognitive Impairment In Heart Failure Affects Care Transition, Kitsum Li, Kristin Myers

Collected Faculty and Staff Scholarship

Objectives

After attending the presentation, the audiences will be able to:

• Understand the importance of cognition in everyday activity and the cognitive hierarchy to guide practice.
• Recognize the incidence of mild cognitive impairment in individuals with heart failure.
• Understand how mild cognitive impairment may affect heart failure self- care practice and hospitalization readmission.
• Identify the evidence that support use of cognitive screen to identify mild cognitive impairment in individuals with heart failure.
• Compare the evidence among three cognitive screens (Mini-mental Status Exam, Montreal Cognitive Assessment and St. Louis University Mental State Exam).
• (Using Montreal Cognitive Assessment as an example)Identify cognitive …

Exercise: An Antecedent Based Intervention To Address Sensory Motor Needs And Learning Readiness, Laura Greiss Hess, Heather Maurin

Collected Faculty and Staff Scholarship

• “Exercise (ECE) is a strategy that involves an increase in physical exertion as a means of reducing problem behaviors or increasing appropriate behavior while increasing physical fitness and motor skills”
• “ECE can be used effectively to address behavior, school-readiness, academic, and motor skills.” NPDC Exercise Fact Sheet, 2014

Maternal Factors And The Emotional And Behavioural Functioning Of Adolescents With Chronic Health Conditions, Nicole Etherington, Janette Mcdougall, David Dewit, Virginia Wright

Occupational Therapy Publications

Purpose: This study investigated the association between mothers’ mental health and education and the emotional and behavioural functioning of adolescents with chronic health conditions over time.

Methods: Data were drawn from an ongoing study. Study participants (N¼363) were recruited through eight children’s rehabilitation centres. Logistic regression models were estimated.

Results: There were significantly reduced odds that girls would display clinical signs of hyperactivity/inattention one year later compared to boys when a maternal mental health condition was present (OR¼0.10; p50.01). Where low maternal education was present, girls were more likely to display peer relationship problems one year later (OR¼3.72; …

Kentucky Middle School General Education Teachers: Perceptions On Sensory Integration Of Students On The Autism Spectrum, Lynda C. Harrison

Dissertations

This study examines the perceptions of general education teachers in Kentucky middle schools regarding their knowledge concerning Autism Spectrum Disorder (ASD), Sensory Processing Disorder (SPD), and their abilities to implement strategies designed to accommodate students on the spectrum. Participants included both general and special education teachers though the original targeted sampling included general education teachers only. Data were collected using a demographic questionnaire and a Likert scale survey created by the researcher and distributed through a web based program. Demographic characteristics collected included number of graduate credit hours, age, years of teaching experience, credited hours of training on ASD at …

Effects Of Sertraline Treatment For Young Children With Fxs, Andrew Ligsay, Laura Greiss Hess, Sarah Fitzpatrick, Kerrie Lemons Chitwood, Jonathan Polussa, Salpi Siyahian, Randi Hagerman

Collected Faculty and Staff Scholarship

Selective serotonin reuptake inhibitors (SSRIs) help treat many of the phenotypic manifestations of fragile X syndrome (FXS) including anxiety, sensory processing challenges, and communication and intellectual deficits. However, the efficacy of SSRIs has not been previously studied in children with FXS under five-years-old. The purpose of this study was to elucidate group differences in behavior and developmental outcome measures for young children with FXS when treated with sertraline compared to placebo.

New Create Day Presentations In The Jdc, Daniel G. Kipnis, Msi

Jefferson Digital Commons News

Collaborative Research and Evidence Among Therapists and Educators (CREATE) Day is a clinical education program presented by occupational therapy graduate students in partial fulfillment of the Master of Science degree in Occupational Therapy at Thomas Jefferson University.

Occupational Therapy: Meeting The Needs Of Families Of People With Autism Spectrum Disorder, Heather Miller-Kuhaneck, Renee Watling

Occupational Therapy Faculty Publications

Occupational therapy has much to offer to families of people with autism spectrum disorder (ASD). However, people outside the profession may be unaware of occupational therapy’s breadth and scope. It is our responsibility and our duty to express the full range of occupational therapy services through research, clinical practice, advocacy, and consumer education. This special issue of the American Journal of Occupational Therapy, with its focus on autism, embarks on this endeavor by highlighting research and theoretical articles that address the various aspects of occupational therapy practice that can help to fully meet the needs of people with ASD and …

Prevalence And Influences Of Preschoolers’ Sedentary Behaviors In Early Learning Centers: A Cross-Sectional Study, Patricia Tucker, Leigh M. Vanderloo, Shauna M. Burke, Jennifer D. Irwin, Andrew M. Johnson

Occupational Therapy Publications

Background

Recent research has highlighted the need for increased evidence regarding the sedentary activity levels of preschoolers. Given the large proportion of time this population spends in various early learning facilities, the exploration of sedentary behaviors within this particular environment should be a priority. The purpose of the study was two-fold: (1) to compare sedentary time of preschoolers in three different early learning environments (i.e., full-day kindergarten [FDK], center-, and home-based childcare); and (2) to assess which characteristics (i.e., staff behaviors, sedentary environment, fixed play environment, portable play environment, sedentary opportunities) of these early learning environments influence preschoolers’ sedentary time. …

Using Interprofessional Education & Simulation-Based Learning In Health Profession Curricula To Improve Competence & Confidence: A Systematic Review, Danielle Elfand, Ots, Briana Elson, Ots, Courtney Hudson, Ots

Collaborative Research and Evidence shared Among Therapists and Educators (CREATE Day)

Objectives of Presentation:

● Describe the types of interprofessional education (IPE) simulation-based learning experiences in current health professions curricula.

● Discuss benefits for implementation of IP simulation into pre-licensure health profession programs.

● Explain how IP simulation-based learning improves workforce competency and confidence in entry-level health

● professionals.

PICO: What is the impact of interprofessional education simulation activities in improving workforce competency and confidence in entry level health professionals?

Presentation: 44 minutes

I Think Therefore I Can. A Systematic Review Of Metacognitive Strategies And Their Impact On Occupational Performance In Adults Following Stroke, Kerry Canton, Ots, Chelsea Difrancesco, Ots, Christy Geaney, Ots, Sarah Jamieson, Ots, Jessica Talarico, Ots

Collaborative Research and Evidence shared Among Therapists and Educators (CREATE Day)

Objectives of Presentation:

1. Explain the role of metacognition in everyday activities

2. Discern the quality of evidence regarding metacognitive strategies in adults who have sustained a stroke.

3. Conceptualize a metacognitive intervention to utilize within stroke rehabilitation based on the evidence

presented in this session.

PICO: What is the evidence for the impact of metacognitive interventions on occupational performance in adults who have sustained a stroke?

Presentation: 43 minutes

Reach For The Stars: Improving Upper Extremity Function After Spinal Cord Injury, Carlisle Bland, Ots, Molly Bucciero, Ots, Shelby Hankins, Ots, Blair Krevitz, Ots, Nicole Matyas, Ots

Collaborative Research and Evidence shared Among Therapists and Educators (CREATE Day)

Objectives of Presentation:

1.) Describe how cervical spinal cord injury affects UE functioning necessary for activities of daily living.

2.) Describe occupational therapy interventions used to increase UE functioning in cervical SCI.

3.) Discuss how current evidence supports implementing occupational therapy interventions into clinical practice for individuals with cervical SCI, in order to maximize independence in activities of daily living.

PICO: What is the evidence supporting occupational therapy interventions to increase upper extremity function in order to improve ADL performance following Cervical Spinal Cord Injury?

Presentation: 42 minutes

Promoting Quality Of Life For Individuals With Huntington’S Disease, Lyndsay Gentile, Ots, Mallory Koch, Ots, Elyse Mccabe, Ots, Jessica Royal, Ots, Sarah Sadofsky, Ots

Collaborative Research and Evidence shared Among Therapists and Educators (CREATE Day)

Objectives of Presentation:

 Describe the symptoms of Huntington’s disease and their impact on functional performance.

 Recognize the role of occupational therapy in improving quality of life for individuals with Huntington’s disease.

 Discuss how occupational therapy interventions for individuals with Huntington’s disease can be applied in a variety of settings.

Clinical Question:

What is the effectiveness of occupational therapy interventions in improving quality of life for individuals with Huntington’s disease?

Presentation: 46 minutes

Early Mobilization In The Intensive Care Unit (Icu): A Systematic Review, Lara Belasco, Ots, Shannon Dixon, Ots, Nina Pesce, Ots, Jennifer Wong, Ots

Collaborative Research and Evidence shared Among Therapists and Educators (CREATE Day)

Learning Objectives:

At the conclusion of the session, the learner will be able to:

1. Explain early mobilization techniques in the Intensive Care Unit (ICU)

2. Identify the role of occupational therapy in the ICU

3. Discuss the implications of early mobilization interventions for adults in the ICU

Clinical Question:

What are the effects of early mobilization on ADL performance for adults in the ICU?

Presentation: 42 minutes

A World Of Opportunities: Community Reintegration For Individuals With Brain Injury, Francine Gebbia, Ots, Amy Miller, Ots, Marianella Sanchez, Ots, Erica Serviolo, Ots, David Turoff, Ots

Collaborative Research and Evidence shared Among Therapists and Educators (CREATE Day)

Objectives of Presentation:

● Define community reintegration within the scope of occupational therapy

● Explain the importance of community reintegration for adults with a brain injury

● Discuss the effectiveness of occupational therapy interventions used to promote community reintegration

for adults with a brain injury

PICO:

What is the effectiveness of occupational therapy interventions in community reintegration for individuals with brain injury?

Presentation: 53 minutes

Making It Work: Individuals With Autism Spectrum Disorder And Adaptations For Successful Employment, Kelsey Curran, Julia Huntington, Amanda Siefert, Kristina Slog, Meagan Stromer, Kristina Toussaint

Collaborative Research and Evidence shared Among Therapists and Educators (CREATE Day)

Objectives of Presentation:

1. Discuss barriers to achieving successful postsecondary employment outcomes for individuals with Autism Spectrum Disorder.

2. Identify and describe evidence for adaptations that support individuals in post-secondary employment.

3. Interpret the clinical implications of the presented findings for occupational therapists, clinicians, educators, and researchers.

PICO: For individuals with Autism Spectrum Disorder (ASD), what adaptations effectively support postsecondary employment and/or job specific skills?

Methods:

• Developed a PICO question, identified databases, search terms, and inclusion and exclusion criteria

• Systematically searched databases using Scopus, ERIC (Ovid), & CINAHL and screened articles by title, abstract and full-text

•23 final …

Interventions For Improving Occupational Performance Post-Concussion In Children And Adolescents: A Scoping Review, Abigail Gilmore, Ots, Amy Gottesman, Ots, Sarah Kauper, Ots, Michelle Malon, Ots, Brianna Schwoyer, Ots, Alisha Unternahrer, Ots

Collaborative Research and Evidence shared Among Therapists and Educators (CREATE Day)

Objectives of Presentation:

● Recognize the significant impact of concussion on immediate and long-term mental and physical well being in the pediatric population.

● Identify the need for novel and effective interventions that address the impact of pediatric concussions.

● Describe current concussion interventions and management practices and the gap that exists in the literature.

● Discuss interventions within the scope of OT practice to address occupational performance in children and adolescents post-concussion.

Clinical Question: What interventions within the scope of occupational therapy practice are indicated in the current literature to improve occupational performance in children and adolescents who have …

Back In The Saddle: A Systematic Review Of Occupational Therapy Interventions That Facilitate Return-To-Work, Preston W. Lockwood, Ots, Julie Luu, Ots, Brady Mcguire, Ots, Jay Skaria, Ots

Collaborative Research and Evidence shared Among Therapists and Educators (CREATE Day)

Objectives of Presentation:

1. Recognize the opportunity for injured workers, organizations, and society to benefit from occupational therapy interventions that improve return to work (RTW) outcomes.

2. Classify RTW occupational therapy interventions based on effectiveness.

3. Describe strategies to apply evidence-based interventions in current clinical practice.

PICO: What interventions within the scope of occupational therapy best facilitate return-to-work for adults with musculoskeletal disorders on workers compensation?

Presentation: 50 minutes

Does Generalization Occur Following Computer-Based Cognitive Retraining?—An Exploratory Study, Kitsum Li, Jonathan Alonso, Nisha Chadha, Jennifer Pulido

Collected Faculty and Staff Scholarship

Computer-based cognitive retraining (CBCR) intervention has gained great popularity in recent years. This study aimed to investigate the occurrence of skill generalization to daily living task for individuals with acquired brain injury (ABI) after completion of eight modules of a commercially available CBCR program, the Parrot Software. The study investigated changes in individuals’ global cognition as measured by the Montreal Cognitive Assessment, and changes in individuals’ performance during a medication-box sorting task, a novel instrumental activity of daily living. The medication-box sorting task resembled real life medication management with daily prescribed and over-the-counter medications. Twelve individuals with ABI from a …

A Five Year Program Review Of Infusing Occupational Therapy Into Over-Night Camping For Children With Disabilities, Audrey Zapletal, Ms, Otr/L, Ashley Kalman-Binkowski, Ms, Otr/L, Lindsey West, Ms, Otr/L

Department of Occupational Therapy Posters and Presentations

Objectives:

• Describe an OT faculty-student training model in a nontraditional rural setting
• Provide examples of strategies to enhance campers’ participation in a variety of activities
• Discuss the impact of occupational therapy program on satisfaction and participation of campers with disabilities

Evaluating The Use Of Relaxation Interventions To Promote Participation And Quality Of Life In Individuals With Cancer, Abigail Gilmore, Ots, Brianna Schwoyer, Ots, Audrey Zapletal, Ms< Otr/L

Department of Occupational Therapy Posters and Presentations

Background:

• High levels of anxiety and distress are associated with the diagnosis, treatment, and remission stages of cancer.
• Psychological symptoms have the potential to negatively influence functional performance, quality of life, overall health, and recovery of individuals with cancer.
• Improvements in occupational performance and quality of life, as well as reductions in anxiety and pain have been demonstrated in a variety of health conditions with the use of therapeutic relaxation techniques, such as:
  • Yoga/Tai Chi
  • Mindfulness based stress reduction (MBSR)
  • Relaxation Training
  • Massage
• Research continues to emerge investigating trends in use, patient experiences, and efficacy of therapeutic relaxation techniques with …

Effects Of Reducing Fatigue In Muscular Dystrophy Through Physical Activity, Callie Toaso, Alea Brown

Occupational Therapy Graduate Student Evidenced-Based Research Reviews

Myopathy is a functional impairment of muscle tissue; muscular dystrophy is a type of myopathy (Rakowicz & Lane, 2004). Muscular dystrophy (MD) consists of progressive muscle weakness and affects limbs and facial muscles. The most common types include Duchenne muscular dystrophy, Fascioscapulohumeral muscular dystrophy (FSHD), and Limb-girdle muscular dystrophy (Mercuri & Muntoni, 2013). One common complaint found with patients with muscular dystrophy is fatigue. It is noted that fatigue affects daily activities, but it is believed that physical activity can help reduce this. The purpose of this systematic review is to research how effective physical activity is at reducing fatigue …

Neuromuscular Electrical Stimulation And Post-­‐Stroke Glenohumeral Subluxation, Tera Richards, Jason Colon

Occupational Therapy Graduate Student Evidenced-Based Research Reviews

A cerebral vascular accident (CVA) occurs when the blood supply to the brain is interrupted, either because a blood vessel has been occluded or the blood vessel has ruptured. This typically results in hemiplegia or paralysis of the muscles on the side of the body contralateral to the lesion site within the brain.

Effect Of Social Skill Training Programs On Bullying, Kaycee Johns, Megan Kloska

Occupational Therapy Graduate Student Evidenced-Based Research Reviews

Bullying is a problem that is often found in schools during the adolescence age. Although this is not a new concept, bullying continues to lead to the victimization of children and adolescents all over the world. Research has played a critical role in understanding bullying, victimization, and prevention programs. However, bullying and victimization still continue to be problems within schools and peer relationships.

The primary purpose of this systematic review is to assist practitioners by investigating evidence-based studies related to school social skill programs, and their effectiveness in reducing victimization of bullying throughout adolescence.

Effectiveness Of Executive Function Performance Test (Efpt) In Stroke Population, Faryal Shaheen

Occupational Therapy Graduate Student Evidenced-Based Research Reviews

Stroke is the leading cause of long term disability in the U.S, causing 15,000 deaths each year (Hall et al, 2015). It has been estimated that 71% of clients are discharged with minimal to no services from acute/subacute after stroke because of deficits that go undetected (2015).

One of the most common deficits in stroke is loss in executive functioning (EF). Occupational therapists (OTs) have typically used a combination of tools to measure EF and most of these assessments did not involve observations in the everyday environment (Morrison et al, 2015). A new measure, known as the Executive Function Performance …

Understanding The Sympathetic Nervous System In Response To Food In Children With Autism And Typically Developing Children, Jonathon D. Haskell

Occupational Therapy Graduate Student Evidenced-Based Research Reviews

Previous research behind sympathetic nervous system functioning in children with Autism Spectrum Disorder has shown disturbances in their ability to regulate their arousal level (Miller et al., 2003; Tomcheck and Dunn, 2000). Depicting this notion in previous research, children diagnosed with autism are likely to be comorbid with Sensory Over-responsitivity (SOR) or Sensory under-responsitivity (SUR), and could ultimately elicit variable sympathetic nervous system functioning in response to their sensory environment-whether it be taste, smell, auditory, tactile, or visual stimuli. Although previous research depicts inconsistent measures involving sympathetic responses to stimuli in children with autism, research specifically involving food selectivity provided …

Occupational Deprivation Or Occupational Adaptation Of Mexican Americans On Renal Dialysis, Shirley A. Wells

Occupational Therapy Faculty Publications and Presentations

The aim of this study was to explore the occupational changes and perceptions experienced by Mexican Americans with end-stage renal disease (ESRD) and their families living with dialysis. In-depth interviews were conducted with 17 Mexican Americans with ESRD and 17 family members. The participants with ESRD described altered or lost activity patterns, capacities and freedoms. With a heightened awareness of death, the family members made altered occupational choices, which were consistent with their cultural values. Changes in the physical body, adhering to the dialysis regimen and environmental restrictions created barriers to occupational participation. These findings suggest that living with dialysis …