Rehabilitation and Therapy Commons^™

Collaborative Fieldwork Supervision Model Supports Identified By Occupational Therapy Fieldwork Educators, Oaklee Rogers, Debra J. Hanson, Cherie Graves, Tamara Turner, Marilyn G. Klug

Journal of Occupational Therapy Education

Within the occupational therapy (OT) profession, the collaborative fieldwork supervision model is considered a non-traditional approach to fieldwork education. Although supportive strategies for fieldwork education have been developed, there is little data to validate fieldwork educators' perspectives on the value and helpfulness of these supports for this model. Using a mixed-methods research design, this study aimed to identify what supports influenced fieldwork educators to use the collaborative fieldwork supervision model, what supports are valued when implementing it, and what supports would be considered helpful for those who have not used it. A total of 382 fieldwork educators completed the study, …

Using A Flipped Classroom To Teach Evidence-Based Practice To Entry-Level Occupational Therapy Students, April C. Cowan, Karen Ratcliff, Chih-Ying Li

Journal of Occupational Therapy Education

Constructivist teaching approaches rely on students to be active participants in their learning. A flipped classroom is a constructivist approach that requires the students to complete pre-learning activities outside of class. Thus, in class the students can practice and engage in team-based discussions and teacher guided learning. We delivered evidence-based practice (EBP) concepts to entry level occupational therapy (OT) students in a doctoral program using a constructivist approach, that included a flipped classroom model and reliance on team-based strategies. We used the Evidence Based Practice Confidence (EPIC) Scale to assess the change in students’ confidence in EBP. Students demonstrated statistically …

Experiential Learning Through Als Caregiver Learning Labs: Occupational Therapy Student Outcomes, Susan Hoey, Jessica Henaughan

Journal of Occupational Therapy Education

Occupational therapy (OT) educators strive to design learning experiences to enhance OT students’ clinical reasoning and promote preparedness for the complexities of clinical practice. Occupational therapy programs have collaborated with the Amyotrophic Lateral Sclerosis (ALS) Association and taken a novel approach to the development of interprofessional experiential learning through student-led ALS Caregiver Learning Labs (CLLs). A retrospective pre-test post-test study was completed to identify outcomes related to participation in three different ALS CLLs embedded into a master’s level OT curriculum. A 6-point rating scale questionnaire was used to assess students’ perception of their clinical reasoning, clinical skills, and comfort level. …

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 …

Exploring Occupational Therapy Student And Entry-Level Practitioner Perceptions Of Mental Health Accommodations, Allison J. Naber, Ranelle Nissen, Whitney Lucas Molitor, Susan Puumala, Jewel Shepherd

Journal of Occupational Therapy Education

Mental health concerns are prevalent among occupational therapy graduate students and entry-level practitioners entering the workforce. Prior research has highlighted that the rise in mental health concerns and the high-achieving nature of occupational therapy students impacts their success in the classroom and the clinic. While formal and informal mental health accommodations are beneficial, obtaining and implementing such accommodations has been cited as a challenging process plagued with negative stigma. This study aimed to understand the perceived effectiveness of common academic and work-related mental health accommodations for meeting the role demands that occupational therapy students and practitioners encounter in the classroom, …

Covid-19 Impact On Nbcot Passing Rates, John Damiao

Journal of Occupational Therapy Education

The COVID-19 pandemic changed the delivery of education as many occupational therapy (OT) programs temporarily transitioned to remote learning. The purpose of this article is to describe the impact of the COVID-19 pandemic on the National Board for Certification in Occupational Therapy (NBCOT) pass rates. A mixed methods research design was used consisting of quantitative data from all 35 OT programs from New York (NY), New Jersey (NJ), Connecticut (CT), and California (CA). Qualitative data was gathered from NY OT program graduates with fourteen convenience sampled graduate students who completed the qualitative survey. NBCOT exam scores from 2019-2021 were gathered …

Concept Mapping As An Instructional Method To Support Critical Thinking In Occupational Therapy Students: A Pilot Study, Alissa R. Baker, Cassandra C. Ginn

Journal of Occupational Therapy Education

In occupational therapy practice, critical thinking is a foundational skill for the delivery of effective care; however, there is limited evidence on the development of critical thinking skills in occupational therapy education. The purpose of this study was to explore the effects and student perceptions of concept mapping on critical thinking skills in occupational therapy education. This study used a quasi-experimental design with a retrospective pre-post assessment after two teaching conditions: (a) traditional lecture and (b) concept mapping. The same convenience sample of students was used for each condition. Additional outcome measures included assessment of student concept maps using a …

Impact Of Community-Based Go Baby Go Project On Interprofessional Collaboration, Sapna Chakraborty, Marc Willey, Lisa Proctor

Journal of Occupational Therapy Education

Interprofessional education and collaborative practice (IPEC) are essential components of healthcare teams in the United States. This study aimed to explore the impact of a community-based Go Baby Go (GBG) project that used assistive technology and environmental adaptation skills to provide interprofessional education and hands-on collaboration between occupational therapy and speech-language pathology graduate students. The interprofessional collaboration (IPC) experiences provided to graduate students were centered on shared lectures and labs on role delineation, evaluation, and treatment focused on modifications through assistive technology and environmental adaptation. The culminating experience included labs with three to four students from each discipline in a …

Using An Ungraded Interprofessional Clinical Examination To Decrease Student Stress And Anxiety For A Skill-Based Exam, Mckenzie R. Behrendt, Stacy Smallfield, Jessica Semin, Kevin A. Kupzyk

Journal of Occupational Therapy Education

Healthcare educators are encouraged to provide both skill-based practical exams and interprofessional experiences to prepare students for clinical practice. With skill-based exams come increased student stress and anxiety. This article reports on the development, exploratory outcomes, and lessons learned from an ungraded objective structured clinical examinations (OSCEs) event involving doctoral-level occupational therapy and bachelor-level nursing students. The primary objective was to allow occupational therapy students to practice for an upcoming graded, comprehensive, skill-based exam. The secondary objective was to examine if the event changed students’ perceived interprofessional skills. The OSCE event included a large group pre-brief, three simulations with mini …

A Dyad Model Of Peer-Assisted Learning In An Occupational Therapy Student Experiential Learning Clinic For Hand Therapy, De'lamor Aguilar, Vicki K. Kaskutas, Rose Mcandrew

Journal of Occupational Therapy Education

Peer-assisted learning (PAL) in healthcare education encourages critical thinking, professional development, knowledge acquisition, and enhancement of clinical skills. In this paper, we describe the pilot of a dyad model of PAL used in an occupational therapy (OT) student experiential learning clinic for hand therapy, where two students at the same knowledge level provided peer support to one another in clinical responsibilities. Example activities where dyad learning occurred include evaluation and treatment planning, care delivery, documentation, presenting during clinic rounds, practicing administering assessments and treatment techniques, and role-playing sensitive patient conversations. We developed two supplemental tools to support feedback between peers: …

Diversity, Equity, Justice, And Inclusion In Occupational Therapy Education, Dana M. Howell, Renee Causey-Upton, Cindy Hayden

Journal of Occupational Therapy Education

No abstract provided.

The Impact Of Racism And Ethnic Discrimination On Students' Educational Experiences, Melissa Luong, Julie D. Kugel, Sharon Pavlovich, Liane Hewitt, Lida Gharibvand

Journal of Occupational Therapy Education

This study explored how occupational therapy students’ perceptions of racism and ethnic discrimination impacted their educational experiences. Participants included 226 students ages 18-60 years old enrolled in occupational therapy entry-level, post-professional, or assistant programs throughout the United States. Students completed an anonymous web-based survey that included a demographic questionnaire, the Brief Perceived Ethnic Discrimination Questionnaire-Community Version (PEDQ-CV), and open-ended survey questions. Results found that students’ educational performance were negatively impacted by their experiences with racism and ethnic discrimination. While students reported to have experienced racism or ethnic discrimination within the classroom and fieldwork settings, classroom conversations and content related to …

Belonging In Graduate Health Professions Education- Implications For Occupational Therapy Education: A Scoping Review, Quinn P. Tyminski, Jenna N. Johnston, Vicky Hung, Jenna Gopman

Journal of Occupational Therapy Education

Individuals who report a high sense of belonging with their academic institution demonstrate increased levels of academic success, as measured by greater class attendance, increased appropriate classroom behaviors, and better mental health and self-concept. The available literature on this topic focuses minimally on sense of belonging in graduate health professions education and available evidence is even more sparse specific to occupational therapy education. Thus, the aim of this study was to conduct a scoping review to gather foundational knowledge regarding barriers and facilitators to belonging in graduate health professions education to determine implications for occupational therapy education. A total of …

Cultural Competence With Humility Using Interprofessional Multicultural Learning Activities: Student Perceptions, Michele L. Tilstra, Cara A. Berg-Carramusa, Tiffany J. Peets, Karen M. Keptner

Journal of Occupational Therapy Education

This study examined students’ perceptions of interprofessional multicultural learning activities used to develop cultural competence with humility (CCH). Limited research exists on student perceptions of learning activities for CCH in entry-level occupational therapy educational programs. This exploratory, mixed methods study used an anonymous online survey, the Learning Activities Survey (LAS), to collect student quantitative ratings and qualitative feedback about CCH learning activities and their experience within the Counselors and Occupational Therapists Professionally Engaged in the Community (COPE) program. A deductive thematic approach was used by two investigators for qualitative analyses of COPE learning activities by alignment …

The Impact Of An Educational Human Trafficking Panel On Occupational Therapy Students’ Knowledge And Self-Efficacy, Sarbinaz Bekmuratova, Andrea Thinnes, Yongyue Qi, Arduizur Carli Richie Zavaleta, Ashlynn York

Journal of Occupational Therapy Education

A rise in attention to and assistance for human trafficking (HT) victims and survivors has resulted in a call to action for occupational therapists and other healthcare professionals. Victims and survivors often seek healthcare services in a variety of settings, yet ill-equipped healthcare professionals lacking training and self-efficacy with this population have left many unidentified needs unaddressed. Occupational therapists possess the skills necessary to support and assist survivors of HT in their reintegration and healing processes. However, little to no specific training for practitioners in this field has been developed. This study explored how an educational panel of OTs and …

Lived Experiences Of Filipino Male Occupational Therapy Students, Tiaura U. Macabagdal, Lila Amaryllis C. Caniete, Eryn Jahn Fernandez, Airica Henncell C. Roldan, Rod Charlie Delos Reyes, Mark Andre Blanco

Journal of Occupational Therapy Education

The historical dominance of women working in occupational therapy, coupled with the underrepresentation of males in the field globally, creates a need to investigate the experiences of male students in occupational therapy programs. In the context of the Philippines, where women make up 74.72% of the occupational therapy workforce, this study aims to address the following scaffolding problem by exploring the experiences and motivations of male students in Philippine occupational therapy programs. This study seeks to shed light on the factors influencing their educational journey and contribute to a better understanding of gender dynamics within the field. A qualitative design …

An Exploratory Survey Of Incivility Experienced By Novice Occupational Therapists Educated Using A Servant Leadership Model, Deborah J. Bolding, Jennifer C. Radloff, Kim Dudzinski

Journal of Occupational Therapy Education

The purpose of this study was to identify the incidence of incivility experienced by a purposive sample of novice occupational therapists who graduated from a master’s level program that focused on developing servant leaders as part of its mission. Data from this group was then compared to outcomes from a previous national survey of novice occupational therapists. Incivility in both studies was measured using the Negative Acts Questionnaire-Revised (NAQ-R). An independent samples t-test showed that NAQ-R total scores and person-related incivility subscores were significantly (p

Generative Disruptive Questions: Operationalizing Diversity, Equity, Inclusion, Justice, And Accessibility In Occupational Therapy Education, Jaime P. Muñoz, Catherine Hoyt, Razan Hamed, Arameh Anvarizadeh, Steven D. Taff

Journal of Occupational Therapy Education

Diversity, equity, and inclusion is one of five pillars upholding the American Occupational Therapy Association’s (AOTA) strategic plan. Ensuring organizational, educational and governance structures, policies, programs, and services all reflect diversity, equity, inclusion, justice and accessibility (DEIJA) is a priority for the profession. Yet, addressing DEIJA remains a significant challenge in the occupational therapy academic community. Educational programs are a gateway to the profession and play a critical role in whether minoritized persons feel they belong in occupational therapy. This paper proposes a set of Generative Disruptive Questions (GDQ) that can be used to critically examine practices within education that …

Social Participation In People With Developmental Disabilities: A Systematic Review, Anna Squiers, Madison Mckeever, Sydney Fitzgibbons

Student Systematized Reviews: Occupational Therapy

TITLE:

Social participation in people with a developmental disability: A systematic review

PURPOSE:

People with developmental disabilities often experience difficulty with social skills and engagement in social interactions. One in six children aged 3-17 have a developmental disability (CDC, 2023). People with developmental disabilities experience loneliness, which can affect participation in meaningful occupations (Petroutsou et al., 2018). Participating in social interactions can decrease stress and anxiety and improve overall quality of life (CDC, 2023). The purpose of this systematic review was to determine occupational therapy interventions that increase social participation for people with developmental disabilities.

DESIGN:

We conducted a systematic …

Occupational Therapy Interventions For Activities Of Daily Living In Adults Post-Traumatic Brain Injury With Visual Symptoms: A Systematic Review, Danielle Adams

Student Systematized Reviews: Occupational Therapy

No abstract provided.

Occupational Therapy Intervention For Survivors Of Sex Trafficking: A Systematic Review, Alexis Spicer, Jensen Antilla, Madeleine Hubka, Sheridan Widhelm

Student Systematized Reviews: Occupational Therapy

PURPOSE: There are an estimated 15,000 to 50,000 women and children are forced into sex trafficking every year in the United States (Heinze, 2021). Sex trafficking leaves a lasting impact on survivors’ mental health and quality of life and presents these individuals with a complex set of barriers to occupational performance including various psychological challenges as well as cognitive impairments (Boyanapalli, 2020). Exposure to sex trafficking affects all aspects of a person’s life including work, community and social participation, self-care, and leisure (United Nations Office on Drugs and Crime, 2019). Occupational therapists are equipped to address these domains. The purpose …

Student Response To Varied Instructional Methods In Level I Fieldwork Experiences, Camille Cj Turner

Theses and Dissertations

This applied dissertation was designed to investigate student responses to three different instructional strategies used to fulfill level I fieldwork requirements: traditional in-clinic rotation, a combination of virtual simulation and traditional in-clinic rotations, and virtual simulation. A multi-decade occupational therapy (OT) fieldwork shortage was exacerbated by the COVID-19 pandemic, in which OT education programs struggled to provide accreditation-required clinical education. Virtual simulation programs were utilized to fulfill some requirements, particularly more introductory-level fieldwork. Several cohorts of a Masters of Science in Occupational Therapy “bridge” program for licensed, practicing Certified Occupational Therapy Assistants and Physical Therapist Assistants were the subjects of …

A Mental Health Professional Opinion On Family Involvement During The Treatment Of Severe Mental Illness: A Multiple Case Study, Vanessa Perocier

Antioch University Dissertations & Theses

While severe mental illness (SMI) is extensively studied, less attention focuses on the relationship between people with SMI and their families and the impact this may have on treatment. Bronfenbrenner's (1979) ecological systems theory conceptualized the treatment and recovery of people with SMI and their families. This study proposes that if family members getting social support contribute to a person's treatment plan, the individual's treatment outcome will improve rather than the individual enduring the treatment process individually. By applying ecological systems theory, mental health professionals and policymakers can better grasp the systemic nature of individuals, their family members, and surrounding …

Work-Family Spillover, Family Functioning, And Life Satisfaction Of Pastors, Marcos Rosa

Antioch University Dissertations & Theses

The current study is quantitative research that used a web-based survey from multiple religious denominations in the United States to examine the relationships among perceptions of stress, work-family spillover, marital satisfaction, and family functioning of pastors. Emotional exhaustion, hours worked, personal accomplishment, and social support were analyzed as predictors from the work domain. Two measures of spillover were used to evaluate family stressors and enhancers. The stressors and enhancers were tested as mediators between work domain and personal/family life. Life satisfaction, marital satisfaction and family dysfunction were analyzed as outcome variables. The sample included 83 pastors from a convenience sample …

Let’S Groove: A Dance Program Designed For Children With Disabilities, Michayla Burckhard

Occupational Therapy Capstones

Children with disabilities face limited opportunities to participate in the occupation of dance when compared to opportunities available for their non-disabled peers. Barriers to their participation include lack of class opportunities, cost, and knowledge about programs (Carrion et al., 2018). Many dance studios offer integrated or non-specialized classes, but participation by a child with a disability in this type of class is sometimes limited by parental or child fears, or other barriers such as lack of accommodations (Lucas, 2017).

A Holistic Approach To Promoting Sleep For People Emerging From Homelessness: A Good Night’S Rest In Your Nest Sleep Toolkit, Anna Frances Burggraf

Occupational Therapy Capstones

Sleep deprivation has been directly linked to chronic health issues, decreased physical and cognitive functioning, and overall decreased quality of life, which limits the ability to engage in desired tasks and occupations (Gonzalez & Tyminski, 2020). Individuals who have experienced homelessness consistently demonstrate higher rates of sleep inadequacies compared to the general public, which highlights the need for service providers to address the quality of sleep participation for this population (Gonzalez & Tyminski, 2020).

Increasing Parent Confidence And Involvement In The Nicu: An Occupational Therapy Educational Guide, Megan D. Berginski

Occupational Therapy Capstones

Research shows that 40% of mothers with preterm infants in the neonatal intensive care unit (NICU) reported feelings of depression, and 23% reported experiencing post-traumatic stress symptoms, with that number increasing to 40% after discharge (Harris et al., 2018). Factors that contributed to this included a lack of social support, a lack of empowerment, perceived less capability in their new roles, and the stressful experiences that can happen in this setting (Matricardi et al., 2013; Sabnis et al., 2019). A similar study found that at discharge, 69.8% of parents reported that they were not confident in providing the necessary care …

Transitioning A Hand Therapy Clinic From Traditional Paper Home Programs To An Electronic Platform: A Quality Improvement Project, Megan Raissa Fuka

Occupational Therapy Capstones

Individuals with upper extremity conditions who receive occupational therapy within the hand therapy context are often provided with paper or electronic home programs (HPs) as part of their rehabilitation protocol. Electronic HPs may promote greater adherence and functional improvements than paper handouts, as they can accommodate various learning styles and address patient barriers (Chung et al., 2020; Harte & Law, 2019; Lambert et al., 2017; Nussbaum et al., 2019; Toci et al., 2021; Valdes et al., in press). Despite evidence showing positive patient satisfaction and outcomes as a result of using electronic HPs, some occupational therapy practitioners (OTPs) may be …

The Effects Of Sensory Exposures On Pre-Term Infants Within The Neonatal Intensive Care Unit, Isabell Grace Fetsch

Occupational Therapy Capstones

The neonatal intensive care unit (NICU) setting is a very dynamic, complex environment that can greatly affect the well-being and physical development of pre-term infants. Pre-term infants are defined as infants born earlier than 37 weeks’ gestation (CDC, 2021). AOTA (2018) researchers stated that a pre-term infant does not have the self-regulatory tools to adapt to the complex and highly stressful NICU environment. Pineda et al. (2017) explained that the environment within the NICU presents many adverse sensory stimuli such as bright lights, loud noises, and stressful human touches. When infants are unable to manage environmental sensory exposures appropriately due …

Social Skills Development: A Program For Pediatric Occupational Therapy Group Sessions, Kenadee Eyre

Occupational Therapy Capstones

Children with a neurological disorder often demonstrate delays in social skills development (Glenn et al., 2020; Goldingay et al. 2020; & Tanta & Kuhaneck, 2020). This delay in development impacts their participation in meaningful occupations as optimal performance range includes an element of social interaction. The purpose of this product is to provide pediatric occupational therapists with the resources necessary to build social skills groups following a hierarchy of social skills development.