Rehabilitation and Therapy Commons^™

Level I Fw In A Simulated Environment: A Blueprint On How To Use Simucase™, Elizabeth D. Deiuliis, Amy Mattila, Retta M. Martin

Journal of Occupational Therapy Education

Simulation education is a sought-out teaching modality in allied healthcare education to bridge the classroom and the clinic. In addition to developing healthcare student professionals’ skills, attitudes and key competencies, simulation can also be used to address the national fieldwork shortage, as well as site capacity issues related to the current pandemic. Although the Accreditation Council for Occupational Therapy Education (ACOTE) has recently indicated that simulation is an acceptable method to deliver Level I fieldwork, there are limited resources available. This paper will provide a pedagogical blueprint for incorporating computer-based simulation and case-based learning principles using the Simucase™ platform for …

Occupational Therapy Students’ Test/Re-Test Reliability Of The Readiness For Interprofessional Education Learning Scale And Interdisciplinary Education Perception Scale, Leah Shea Simpkins, Aaron D. Sciascia, Casey E. Humphrey

Journal of Occupational Therapy Education

The purpose of this study was to establish the test/re-test reliability of two interprofessional education (IPE) instruments, the Readiness for Interprofessional Learning Scale (RIPLS) and the Interdisciplinary Education Perception Scale (IEPS) among occupational therapy (OT) graduate students. The intent was to compare results based on previous IPE experience and year in the program. The RIPLS and IEPS were distributed to 111 OT students at one university. Both instruments were distributed a second time 10-14 days later. Cronbach’s alpha, weighted Kappas, intraclass correlation coefficients (ICC), standard error of measurement, and minimal detectable change were calculated for each instrument. Assessments occurred for …

Intraprofessional Collaboration In Learning Evidence-Based Practice, Chia-Wei Fan, Hsin-Hsiung Huang, Vicki Case

Journal of Occupational Therapy Education

Little is known about how collaborative curricular activities can help students learn about scientific evidence in occupational therapy (OT) and occupational therapy assistant (OTA) programs. We created and measured collaborative learning in evidence-based practice activities to enhance partnership building and intraprofessional collaboration among students in OT and OTA programs. Thirty-three OT students and 26 OTA students enrolled in a didactic course (Phase I) and an intraprofessional collaborative learning activity (Phase II) participated in this quasi-experimental repeated measure study. The students’ ability of how to read scholarly articles and their perceived importance and perceived ability to engage in intraprofessional collaboration were …

Clinical And Professional Reasoning Development In Level Ii Fieldwork: Occupational Therapy Assistant Students’ Perception, Marie-Christine Potvin, Jeanne M. Coviello, Eden Rothacker, Caitlin Taylor, Taryn Pettigrew, Mary Beth Thomas, Laronda Lockhart-Keene

Journal of Occupational Therapy Education

Occupational therapy academic programs are tasked with preparing occupational therapy assistant (OTA) students to develop and use clinical and professional reasoning in practice. A component of this academic education, Level II fieldwork (FW), develops clinical and professional reasoning by allowing students to practice this skill. Although numerous studies have investigated this topic in occupational therapy students, only one small study has previously investigated this in OTA students during Level II FW. Thus, we designed a mixed methods study of OTA students during Level II FW (n = 58) to confirm and expand our knowledge of learning experiences that develop …

Fee-For-Placement In Level Ii Fieldwork: Prevalence And Context, Brenda M. Coppard, Yongyue Qi, Lisa Bagby, Julia Shin

Journal of Occupational Therapy Education

Occupational therapy (OT) education has utilized fieldwork experiences to develop professional identity and clinical competency of entry-level OT practitioners since 1923. Level II OT fieldwork is viewed as a necessary and valuable experience by students, clinicians, and academicians. Despite the significant role fieldwork has in the formation of the future workforce, some educational programs report a shortage of OT fieldwork placement sites and the emergence of fee-for-placement fieldwork sites. The purpose of this study was to examine the prevalence and context of fee-for-placement for Level II OT fieldwork in the United States. Investigators surveyed master’s and doctoral level OT programs …

Therapeutic Use Of Self And Fieldwork Experience: An Exploration Of The Art And Science Of Occupational Therapy, Michelle M. Sheperd, Ashlea Cardin, Tara L. Boehne, Kristin A. Paloncy-Patel, Jessica K. Willis

Journal of Occupational Therapy Education

The clinical practice of occupational therapy has been described as a blend of both art and science. For occupational therapy students, Level II fieldwork experiences offer early opportunities to refine both client-centered attitudes and scientific aptitude in relationship-based caregiving. In this retrospective study, researchers examined the ability to predict final Fieldwork Performance Evaluation scores from the following non-cognitive (i.e., art) and cognitive (i.e., science) variables: ranked student responses to the Self-Assessment of Modes Questionnaire (v.II); undergraduate grade point average (GPA; cumulative and science), and Graduate Record Examination (GRE) scores (quantitative, verbal, and analytic). Using a series of simple linear regressions, …

Advancing The Entry-Level Practitioner: A Curricular Model Of The Professional Occupational Therapy Doctoral Degree, Erika L. Kemp, Lisa A. Juckett, Amy R. Darragh, Lindy L. Weaver, Monica L. Robinson, Carmen P. Digiovine, Lori Demott

Journal of Occupational Therapy Education

The recent growth of entry-level occupational therapy doctoral (EL-OTD) programs has been met with mixed opinions from both occupational therapy educators and practitioners. These opinions occasionally have been accompanied by uncertainty about the specific curricular components that differentiate the EL-OTD from the entry-level master’s degree. In an effort to address this uncertainty, the purpose of this article is to present one example of an EL-OTD curricular model and describe its distinct educational components. This curricular model integrates recommendations for doctoral education originally proposed by Case-Smith et al. (2014) and is characterized by the following three components: 1) Advanced Coursework; …

Admission Factors That Predict Canadian Occupational Therapy Students' Practicum Success, Jill Stier, Behdin Nowrouzi-Kia, Markus Ott, Adam Mohamed

Journal of Occupational Therapy Education

The evaluation and refinement of admission practices are pertinent topics for admissions committees. There has been limited research that explored the relationship between applicant admission scores and practicum performance. Our study suggests that practicum performance may demand different skills than achieving high academic standing prior to admission. Continued efforts to identify factors predictive of practicum performance will assist occupational therapy (OT) admissions committees to select the highest caliber applicants who will become future practitioners. This study explored which admission factors predicted competency-based fieldwork evaluation for occupational therapists (CBFE-OT) scores for students enrolled in a Canadian Master of Science in Occupational …

The Impact Of Trauma On Graduate Occupational Therapy Students: Trauma-Informed Implications For Educators, Erin Wells, Brittany Adams, Laura G. Wheeler

Journal of Occupational Therapy Education

Recent worldwide events have led to a dramatic increase in reported levels of anxiety in college students and individuals aged 18-29. If there is currently a marked increase in anxiety and stress responses in college age students and traumatic events negatively impact an individual’s ability to participate in their education, it is reasonable to assume that the occupational disruption that students are currently experiencing negatively impacts their ability to participate adequately in their education. This study explored the impact of trauma on graduate occupational therapy students (OTS) from entry-level programs. A mixed-methods survey was utilized to gain the perspectives of …

Occupational Therapy Student Perceptions Of Wellness: Focus Group Findings, Kelsey Lawrence, Katherine Chin, Stacy Smallfield

Journal of Occupational Therapy Education

Despite the evidence of significant consequences stemming from the intense demands on students, most graduate-level programs have insufficiently considered components of students’ wellness. Thus, the purpose of this research study was two-pronged: 1) to evaluate current occupational therapy students’ perceptions of wellness and 2) to explore student perceptions on using communities of practice as a program delivery method to enhance wellness. A qualitative study design was selected to gather experiences and feedback from occupational therapy graduate students. Participants were recruited via email from a convenience sample of a large, research-based Midwestern occupational therapy program. Participants attended one focus group and …

Interprofessional Reflective Journals: Content Themes And Self-Regulated Learning, Joan M. Tunningley

Journal of Occupational Therapy Education

Self-reflection has been linked with clinical reasoning, academic, and clinical outcomes. The purpose of this study was to examine self-reflective journal entries from thirty students for interprofessional core competencies and for self-regulated learning components. The text data was analyzed using an in-depth three cycle coding process, thoroughly described in the methods. The findings were structured into two themes confirming interprofessional content learning: collaboration, team, and communication; and respect and roles. One additional theme emerged, transformation and relatedness, which indicated self-regulated learning components as well as supporting transformative learning. This qualitative case-study contributed to the research of occupational therapy students’ self-reflection …

Supporting The Professional Reasoning Of Students From Fieldwork To Practice, Vanessa D. Jewell, Lou Ann Griswold, Sarah Phillips

Journal of Occupational Therapy Education

The Occupation-Centered Intervention Assessment (OCIA) was created to assist occupational therapy practitioners and students to apply knowledge of the core theoretical constructs of occupation from didactic education to clinical practice. This study investigated how the OCIA influenced students’ professional reasoning and supported students’ transition from academic education to clinical practice during fieldwork. Using an inductive qualitative approach, researchers analyzed master’s level students’ (n=61) reflection on using the OCIA to analyze an intervention they had reported providing during fieldwork. Collaborative data analysis produced 48 initial codes. Ongoing peer briefing led to grouping of coded data into three themes and 15 subthemes, …

The Value Of Occupational Therapy Student Participation In University-Based Student-Run Free Clinics In The United States, Janis W. Yue, Mina Delavar, Bethrese Padini, Erik Vanstrum, Tessa Milman, John Sideris

Journal of Occupational Therapy Education

While student-run free clinic (SRFC) participation is well-documented among many health professions, no study has comprehensively characterized occupational therapy student participation. The purpose of this qualitative study was to understand both the current presence as well as educational impact of occupational therapy student participation in university-based SRFCs in the United States (U.S). Data collection occurred through a national survey and semi-structured interviews. Surveys were sent to representatives (e.g. program directors, faculty advisors, and student leaders) at all 190 accredited occupational therapy schools. Of these, 118 responded, for an overall response rate of 62.1%. Semi-structured interviews were conducted with a purposeful …

The Kawa Model’S Value For Level Ii Occupational Therapy Fieldwork Students, Terri Blakely, Marie-Christine Potvin, Michael Iwama

Journal of Occupational Therapy Education

Fieldwork (FW) plays a crucial role in occupational therapy (OT) education by fostering students to become competent entry-level practitioners. Reflective journaling promotes increased competence in OT FW students. The Kawa Model can be used as a journaling framework that uses metaphorical illustrations to self-reflect. It has been described as useful in multiple contexts. No study has yet investigated the use of the Kawa Model as a self-reflection tool with OT FW students. Video self-reflections of their Kawa Model drawings and audio recorded semi-structured interviews were used to explore Level II FW students’ perceptions of the usefulness of the Kawa Model. …

A Nationwide Descriptive Study: Understanding Roles, Expectations, And Supports Of Academic Fieldwork Coordinators In Occupational Therapy Programs, Elizabeth D. Deiuliis, Kimberley Persons, Patricia Laverdure, Elizabeth D. Lequieu

Journal of Occupational Therapy Education

Fieldwork education is considered a central component to the formative development of occupational therapy professionals and the responsibility for the quality of fieldwork educational experiences falls to the Academic Fieldwork Coordinator (AFWC). The roles and responsibilities of the AFWC vary considerably between institutions and are not clearly understood. Using a convergent mixed methods research design, the study aimed to describe the roles and responsibilities of the AFWC in occupational therapy programs in the United States and to identify the structural supports and barriers that influence success in meeting the unique expectations and challenges in fieldwork education. A 64-item online survey …

The Perceptions Of Four Novice Occupational Therapists' Preparedness And Ability To Perform Occupation-Based Practice In Pediatric Practice, Laurie Knis-Matthews, Meagan Koch, Alivia Nufrio, Melissa Neustein Gorman, Feby Zaki, Katheryne H. Wall

Journal of Occupational Therapy Education

Although occupation-based practice (OBP) is considered best practice within the occupational therapy profession, practitioners continue to have a difficult time actively implementing OBP into treatment. The Accreditation Council for Occupational Therapy Education (ACOTE) standards necessitate the implementation of OBP. Within the literature, there are gaps in the research investigating novice therapists’ perceptions of incorporating OBP in practice, especially in the United States. Since children and youth is a rapidly growing area of practice, this study focused on investigating how novice therapists are implementing OBP in pediatric settings. This qualitative study therefore investigated the perceptions of four novice pediatric occupational therapists’ …

Building Stress Resilience And Wellbeing: Introducing Mindfulness Training To Reduce Stress In Entry-Level Occupational Therapy Students, Jen Willoughby Vogtmann, Ingrid Provident

Journal of Occupational Therapy Education

Given the high levels of stress in college students and its impact on academic achievement, a purposefully designed curriculum-based mindfulness stress reduction program was implemented for entry-level occupational therapy students to support student mental health. The small-scale, seven-week study, used a combination of mindfulness-based stress reduction strategies, including a meditative technique known as inquiry-based stress reduction (IBSR), and coping strategies using the Occupational Performance Coaching Model to help students cope with their stress levels. Sixteen student participants explored a variety of stress reduction strategies to best suit their individualized needs. Strategies included phone applications, podcasts, guided meditation, yoga, mindfulness of …

Outcomes And Perceptions Of Graduates Of An On-Campus And Hybrid Occupational Therapy Program, Alie Banning, Morgan Dickerson, Angelique Hill Roebuck, Lou Jensen

Journal of Occupational Therapy Education

Hybrid education, which combines face-to-face and online learning, is being implemented in an increasing number of graduate schools. However, there is limited research on the outcomes of graduates of hybrid programs. The purpose of this study was to a) examine the employment characteristics, professional characteristics, and education perceptions of graduates from an entry-level doctor of occupational therapy program; and b) investigate differences in these variables between graduates of the on-campus and hybrid pathways. A cross-sectional online survey was completed by 146 graduates of an occupational therapy program that includes on-campus (n=111) and hybrid (n=35) pathways. Data were analyzed using an …

Using Metacognitive Training With Kinesiology Students, Christina Davlin-Pater, Leah S. Dunn, Roy Bower, William Cipolli, Sara Biddle

Journal of Occupational Therapy Education

As future healthcare practitioners, kinesiology students must become expert learners who choose strategies resulting in deep and durable learning. Metacognitive instruction goes beyond the use of study skills as it focuses on student reflection and evaluation of their learning success, and ultimately establishes effective learning skills, a requirement for professional practice. To examine if an intervention in a kinesiology course affected metacognitive awareness and use of metacognitive strategies, a quasi-experimental research design utilized a convenience sample of 89 upper division undergraduate occupational therapy students and master’s level athletic training students enrolled in kinesiology courses. Using an online survey including the …

Factors Impacting Student Success In A Graduate Neuroscience Course, Cassie A. Baus, Dianna Lunsford, Kristin A. Valdes

Journal of Occupational Therapy Education

The purpose of this study was to investigate the perceived factors that occupational and physical therapy graduate students believed led to success in a clinical neuroscience course. A cross-sectional survey design was utilized from a convenience sample of Occupational Therapy Doctorate (OTD) and Doctor of Physical Therapy (DPT) students. There were 76 (42%) responses collected, comprised of 62 (82%) OTD students and 14 (18%) DPT students. Descriptive statistics were used to analyze all survey results. Results indicated that success in a graduate neuroscience course may be supported with prior science coursework. Success in a graduate neuroscience course may be supported …

Exploring Anatomy Coursework And Perceptions Of Occupational Therapy Students: A Survey Study, Ashleigh Giles, William Conrad, Dianna Lunsford, Kristin A. Valdes

Journal of Occupational Therapy Education

Occupational therapy practitioners utilize their knowledge of human anatomy to understand underlying anatomical dysfunction and how it impacts occupational performance. However, anatomy is not a required standalone course within occupational therapy curricula. This may leave students at a disadvantage throughout occupational therapy programs, fieldwork, and as practitioners. The primary purpose of this study was to explore graduate level occupational therapy students’ previous anatomy undergraduate coursework, student perceived preparedness of anatomical knowledge, and their performance in a mandatory Analysis of Human Movement course within our university’s occupational therapy graduate programs. The secondary purpose was to determine student interest in a standalone …

Intentions To Use Telerehabilitation For Communication And Treatment For Vision Impairments, Eric E. Hicks

Theses and Dissertations

BACKGROUND: Approximately 8.1 million people in the United States 18 and older have difficulty performing one or more daily activities because of vision impairment or blindness (Erickson, Lee, & von Schrader, 2020; Taylor, 2018). If the impairments caused by vision loss are not addressed, they can result in financial difficulties, suffering, disability, loss of productivity, and decreased quality of life (National Center for Chronic Disease Prevention and Health Promotion, 2011). Currently, in-person low vision rehabilitation services are the gold standard for teaching people how to adapt to and compensate for these deficits, however, the access and utilization of these services …

Evaluating An Interprofessional Ergonomic Intervention For Dental Hygiene Students, Lashonna M. Knight

EWU Masters Thesis Collection

Purpose: Ergonomics plays an important role in identifying and reducing biomechanical stress and preventing musculoskeletal (MSK) injuries by creating a better fit between physical requirements and work environments. This study examined the benefits of implementing an interprofessional education (IPE) module in a dental hygiene curriculum with a dental hygienist (DH) and occupational therapist (OT) teaching and assessing students’ ergonomics.

Methods: Students participated in an IPE intervention to incorporate preventive techniques into their daily routine, to model these protective strategies for use as practicing DHs throughout their careers. Prior to the module and at the end of the six-week study, students …

Interprofessional Education Between Dental Hygiene And Occupational Therapy Students In Relation To Stroke Care, Morgan Umlauf

EWU Masters Thesis Collection

Purpose: To determine if interprofessional education (IPE) program with dental hygiene and occupational therapy students help determine roles and responsibilities in patients post-stroke.

Methods: A virtual 90-minute educational module was presented to occupational therapy and dental hygiene students, hosted over zoom with a 30-minute presentation followed by an open discussion over two case studies. A pretest was administered before the event and followed by an immediate posttest. Both tests included the Modified Readiness for Interprofessional Learning (mRIPLS) items that are on a 5-point Likert scale.

Results: The virtual IPE showed that there were positive changes in pretest to posttest scores. …

Occupational Therapy Student Perceptions Of Wellness: Focus Group Findings, Kelsey Lawrence, Katherine Chin, Stacy Smallfield

Journal Articles: Occupational Therapy

Despite the evidence of significant consequences stemming from the intense demands on students, most graduate-level programs have insufficiently considered components of students’ wellness. Thus, the purpose of this research study was two-pronged: 1) to evaluate current occupational therapy students’ perceptions of wellness and 2) to explore student perceptions on using communities of practice as a program delivery method to enhance wellness. A qualitative study design was selected to gather experiences and feedback from occupational therapy graduate students. Participants were recruited via email from a convenience sample of a large, research-based Midwestern occupational therapy program. Participants attended one focus group and …

Broadening The Role Of Occupational Therapists Within The Icu Setting: An Occupation-Based Toolkit, Roxana Chirinos, Carly Derouin

Occupational Therapy Capstones

Purpose: The purpose of this project was to create a quick intervention toolkit for occupational therapists treating clients in the intensive care unit (ICU) in order to increase occupation-based services, quality of care, and improve client outcomes. Additionally, this project hopes to enlighten occupational therapists who may experience burnout while providing services within such an intensive setting.

Recovering From The Loss Of A Loved One: A Group Protocol For Remaining Active In Valued Occupations While Coping With The Loss Of A Loved One, Hailey Axtell, Ty Berg

Occupational Therapy Capstones

Purpose: The purpose of this scholarly project is to develop a manualized intervention program utilizing the CMOP-E to better understand grief and coping while promoting occupational engagement for older adults who have recently lost a partner. A group protocol was created to address spirituality, the survivor, participation in desired occupations, and the environment to help with the process of grieving and promote occupational performance.

Occupational Therapy For Pregnant Women: An Ergonomics Program For First-Time Mothers, Kaitlyn Berglund, Brianna Peterman

Occupational Therapy Capstones

This scholarly project, Occupational Therapy for Pregnant Women: An Ergonomics Program for First-Time Mothers, provides occupational therapy practitioners with a 3-session group protocol to address ergonomic concerns of pregnancy and new motherhood with pregnant women who are becoming mothers for the first time. These ergonomic concerns are addressed as they specifically relate to the occupations of the clients. Through an extensive literature review, it was found that there is limited research and programming specific to occupational therapy’s role in providing services to pregnant women and new mothers. Ergonomic programming for pregnant women that was previously available did not address occupations …

A Group-Protocol: Returning To Life Post Breast Cancer Treatment, Janice Finley, Ashley Timm

Occupational Therapy Capstones

The purpose of this project was to design a group protocol to assist breast cancer survivors living in the community to address unmet physical, cognitive, and psychosocial needs. There are more than 3.5 million breast cancer survivors within the United States today (American Cancer Society, n.d.). A cancer survivor's performance in meaningful occupations and roles need to be addressed as they learn to live with the long-term physical and psychosocial effects of treatments such as self-confidence and pain management (Burg et al., 2015; Kim, Kim, & Han, 2020). There is a lack of occupational therapy services for individuals diagnosed with …

Prevention Of Work-Related Musculoskeletal Disorders Among Individuals Utilizing A Home Computer Workstation, Dalton Fetsch, Jonah Kratochvil

Occupational Therapy Capstones

Purpose: The purpose of this project was to develop a comprehensive educational guide for office workers and students who utilize a home computer workstation for a majority of their day utilizing current evidence. This guide is intended to help prevent the onset of MSDs that often occur due to improper ergonomic positioning and limited resources when utilizing home computer workstations