Rehabilitation and Therapy Commons^™

How Graduate Experience Changes Beliefs In Working With Culturally And Linguistically Diverse Populations: A Survey Study, Stephanie Bove

All Graduate Theses, Dissertations, and Other Capstone Projects

Speech-language pathologists work in a variety of settings that require savvy transitions between patients from many cultures and backgrounds. Graduate students may get little practice working with culturally and linguistically diverse populations depending upon where they perform their practicum and internships. Researchers at a mid-western university developed a survey to collect student perspectives regarding cultural competence. A single cohort received the survey at three intervals to track a change in responses from the beginning of their first year of graduate school through their clinical fellowship. Students took a Multicultural Issues class between their first and second survey responses. Data collected …

Pre-Sleep Routines In Adult Normal Sleepers, Jean Koketsu

Occupational Therapy Doctorate Capstone Projects

Sleep is the most important restorative occupation, and pre-sleep routines, which precede sleep, have not been explored in normal adult sleepers. Routines are an important construct in occupational therapy, but it is not well-researched.

The purpose of this project is to add to the body of knowledge regarding pre-sleep routines through description by normal sleepers. This research can inform occupational therapists in regard to the usual patterns and dynamics of pre-sleep routines. Open systems theory, a grounded theory approach, and graphic and interview methods were used in this qualitative study.

Participants were 16 adults, between the ages of 23 and …

Occupational Therapy Intervention For Project Search Interns With Autism Spectrum Disorder: Potential For Improved Transition Outcomes, Jessie L. Bricker

Occupational Therapy Doctorate Capstone Projects

As the prevalence of autism spectrum disorders (ASD) continues to rise, it is increasingly important to address the needs of adults with ASD as they transition into the work world. Project SEARCH, an internationally recognized program, has been successful in assisting individuals with disabilities in attaining competitive employment. Yet even in this program model, individuals with ASD have lower employment outcomes than individuals in other disability categories. The purpose of this action research study was to explore the needs of individuals with high functioning autism spectrum disorder (HFASD) within the Project SEARCH program from their own perspectives, and to examine …

The Effects Of Emerging Technology On Healthcare And The Difficulties Of Integration, Skyler J. Pavlish-Carpenter

Honors Undergraduate Theses

Background: Disruptive technology describes technology that is significantly more advanced than previous iterations, such as: 3D printing, genetic manipulation, stem cell research, innovative surgical procedures, and computer-based charting software. These technologies often require extensive overhauls to implement into older systems and must overcome many difficult financial and societal complications before they can be widely used. In a field like healthcare that makes frequent advancements, these difficulties can mean that the technology will not be utilized to its full potential or implemented at all.

Objective: To determine the inhibiting factors that prevent disruptive technology from being implemented in conventional healthcare.

Methods: …

Elements Of Expatriate Adjustment In Host Country Organizations, Denise Suzanne Schickel

Walden Dissertations and Doctoral Studies

Globalization and international business increasingly require the services of skilled expatriates in overseas offices. Over the past 50 years, numerous studies have focused on various factors affecting expatriate adjustment, primarily through quantitative research, reaching no conclusions on what factors in cross-cultural training would guarantee expatriate success. Expatriate failure has high personal and organizational costs. The purpose of this study was to use the qualitative methodology of narrative inquiry to investigate the adjustment, transition, and repatriation experience as a holistic process. Two theoretical constructions, Bandura's social learning theory, applied to the learning process in an international assignment, and social identity theory, …

A Comparison Of The Rey Auditory-Verbal Learning Test And The Wechsler Scales, Samantha Denhart

Murray State Theses and Dissertations

The present study was designed to determine the correlation between a commonly used cognitive ability test (i.e., Wechsler) and a verbal memory test (i.e., Rey Auditory-Verbal Learning Test) by analyzing archival data from a clinical sample of adults. Many researchers have continued to establish the relationship between cognitive ability, or IQ, and learning and memory skills; however, there is little research regarding when differences between IQ and memory scores are statistically significant. Results of this study indicated 17 of 20 IQ index/memory correlations were statistically significant and a series of simple regressions generated standardized residuals. These residuals generated confidence bands …

Relationship Between Employee Wages, Number Of Employee Referrals, And Employee Turnover Intention, Robert Brown

Walden Dissertations and Doctoral Studies

Employee turnover is a significant contributor to the overall loss of hundreds of billions of dollars in profitability for many business organizations in the United States and abroad combined. Grounded in Maslow's theory of human motivation, the purpose of this correlational study was to examine the relationship between employee wages, number of employee referrals, and employee turnover intentions. The population was composed of employees working in the Southeastern region of the United States. A convenience sample of 92 participants answered questions regarding their wages, number of employee referrals, and completed the Turnover Intention Scale. Results of the multiple regression analysis …

Addressing Opioid Misuse And Abuse Through Interprofessional Engagement And Education, Marta J. Brooks, Suzanne E. Holm, Shelene Thomas, Amy J. Rich

Internet Journal of Allied Health Sciences and Practice

Purpose: The purpose of this initiative was to develop and implement an interprofessional panel aimed to expose a university audience to the magnitude of opioid misuse and abuse, as well as demonstrate each health professional’s role in curbing the epidemic. Further, this experience was to provide a platform for interprofessional discussion and to share with attendees tangible action items to begin combatting the opioid epidemic.

Methods: An interdisciplinary committee of healthcare professionals collaborated to initiate a dialogue around opioid misuse and abuse to highlight the power of interprofessional (IP) collaboration in addressing the opioid epidemic. Each panel member shared …

Data Note: State Intellectual And Developmental Disability Agencies’ Service Trends, Agnes Zalewska, Jean Winsor, Thinkwork! At The Institute For Community Inclusion At Umass Boston

ThinkWork! Publications

In FY2016, an estimated 638,568 individuals received day or employment supports from state IDD program agencies. This number grew from 455,824 in FY1999. The estimated number of individuals in integrated employment services increased from 108,227 in FY1999 to 120,244 in FY2016. Despite the trend to terminate facility-based services in some states, the overall state investment continues to emphasize non-work services, rather than integrated employment services. Figure 1 shows the trends in the percentage of people served in integrated employment and facility-based and non-work settings between FY2008 and FY2016.

Using The International Classification Of Functioning, Disability, And Health To Predict Participation In Adults With Parkinson’S Disease: The Role Of Positive Psychological Capital, Brad Wayne Mcdaniels

Theses and Dissertations--Early Childhood, Special Education, and Counselor Education

Participation is generally considered the ultimate rehabilitation outcome and, for individuals with progressive illnesses, elucidating the factors that impact participation is critical. Parkinson’s disease (PD) is a chronic degenerative, neurological condition affecting nearly 1 million people in the United States, making PD the second most prevalent neurodegenerative disorder. PD has a profound negative effect on functioning and activity, but limited literature exists assessing the relationship between PD and community participation. The purpose of this study was to use the World Health Organization (WHO) International Classification of Functioning, Disability, and Health (ICF) as a framework for explaining how PD affects participation. …

Examining Trauma Exposure, Organizational Climate, And Job Outcomes In Child Welfare, Shano Rodgers

Walden Dissertations and Doctoral Studies

Exposure to traumatic situations is routine for child welfare workers in California, and the attrition rate for newly hired social workers in some states is estimated to be nearly 50% in the 1st year of employment. Prior research has indicated that reasons for dissatisfaction included dysfunctional organizational climate and culture. The purpose of this study was to examine the extent to which trauma exposure contributed to secondary traumatic stress and intent to quit and to examine the degree to which organizational climate moderated the exposure among direct service child welfare employees. Kurt Lewin's field theory, Figley's theory of secondary traumatic …

The Role Of Adult Day Services In Supporting The Occupational Participation Of People With Dementia And Their Carers: An Integrative Review, Janice Du Preez, J. L. Millsteed, Ruth Marquis, Janet Richmond

Research outputs 2014 to 2021

The increasing numbers of people with dementia places considerable stress on health and aged care services and has resulted in the development of community adult day services. Aim: The aim of this integrative review is to determine the extent to which these services support the occupational participation of people with dementia, and how they impact their primary carers. Method: The mixed-methods appraisal tool (MMAT) was used to identify relevant studies in the period 2011–2016. Results: Nine databases were searched and yielded 16 articles with a variety of research designs for inclusion in the review. Conclusions: Findings …

Problem Solving, Decision Making, And Kirton Adaption-Innovation Theory In High-Performance Organizations, Miriam Grace Michael

Walden Dissertations and Doctoral Studies

Research on high-performing nonprofit boards has indicated a positive relationship between a board's strength and an organization's effectiveness; however, how boards achieve success remains relatively unknown. The Kirton adaption-innovation (KAI) theory was used to examine board members' cognitive styles in relationship to facilitating problem solving and decision making. This nonexperimental, quantitative study included archived nonprofit board data from 2 American Society of Association Executives (ASAE) studies that had addressed the high performance of boards and factors associated with organizational success. A total of 102 randomly selected, high-performing nonprofit board members completed the KAI Inventory, which was used to measure cognitive …

Correlating Residual Stress With Personal And Professional Characteristics In Aircraft Pilots, Erik Eckblad

Walden Dissertations and Doctoral Studies

Every day aircraft pilots must successfully resolve significant inflight situations and then manage the possibility of residual psychological and physiological stress. Previous research has shown primary attention is given to presignificant event training and stress management, however there remains an important gap in the current literature regarding postsignificant event stress within the aviation profession. The purpose of this cross-sectional quantitative study was to use the observational lens of stress theory and survey U.S. pilots who have experienced an inflight emergency, looking for correlation between factors such as age, gender, flight experience, and training against a pilot's self-reported level of residual …

The Impact Of An Interprofessional Geriatric Training Experience: Attitudes Of Future Healthcare Providers, Lisa J. Knecht-Sabres, Minetta Wallingford, Michelle M. Lee, James F. Gunn, Esperanza M. Anaya, Sarah E. Getch, Nathaniel D. Krumdick, Gloria M. Workman

Journal of Occupational Therapy Education

As the older adult population increases, it is vital to educate and train healthcare providers as members of interprofessional healthcare teams who can work effectively with these individuals. Ageism is a potential obstacle to achieving this goal. The purpose of this pre/post-test design pilot study was to determine the impact of an interprofessional geriatric training experience on the attitudes of future healthcare providers towards interprofessionalism and working with older adults. Sixteen graduate level students from occupational therapy and clinical psychology programs completed four interprofessional sessions with older adults residing in a long-term care facility. Quantitative data were gathered from pre/post-test …

Experiences Of Balance Among Novice Occupational Therapists, Mary Nell Wagner

Online Theses and Dissertations

For new occupational therapists, finding balance between the demands of work and their personal lives is challenging. The transition from student to practitioner is filled with uncertainty as new therapists try to meet the demands of working in a continuously changing environment. Research describing how new therapists define and experience balance in their own daily lives is currently missing in the literature. The purpose of this phenomenological study was to describe the experiences of novice occupational therapists in creating occupational balance while working in the healthcare system. Six novice therapists in their first year of practice were recruited for this …

The Effects Of Cultural Dissimilarity On Employee Job Attitudes And Productivity, Sherrice Olithia Lyons

Walden Dissertations and Doctoral Studies

Organizations in Jamaica have been impacted by globalization and the opportunities and challenges of cultural incompatibilities. Most previous studies on cultural incompatibilities have focused on the impact on expatriates leaving a gap in the literature with respect to the implications for host country nationals, and specifically Jamaicans. This quantitative study focused on employees of 2 companies in Jamaica, an energy company and a hospitality company. It examined cultural dissimilarity with respect to host country nationals and expatriates, and its effect on the productivity, job satisfaction, affective commitment, and normative commitment of these employees (N = 110). In addition to the …

Psychological Readiness Of Athletes To Return To Play Following Injury, Alyssa C. Monahan

College of Graduate Studies: Theses & Dissertations

Background: Returning an injured athlete to sport before they are both physically and psychologically ready can lead to increased psychological concerns. Traditionally, return to play decisions are based on physical outcomes and it is rare if an athlete is held back from returning to sport if he or she is not psychologically ready to return. Therefore, athletes may be returning to play before they are psychologically ready. Purpose: The purpose of the present study is to investigate the psychological readiness of the athlete to return to play following injury, and the degree to which psychological readiness was considered by the …

Effects Of Aquatic And Land Plyometrics On Athletic Performance: A Systematic Review, Alissa Rhode, David C. Berry

International Journal of Aquatic Research and Education

The purpose of this study was to systematically review literature to determine whether aquatic plyometric training (APT) increases athletic performance compared to land-based plyometric training (LPT). We identified 6 articles from PubMed, CINAHL, MEDLINE, and single-citation matching from January, 1995 through January, 2017 using search words “aquatic plyometric training OR aquatic plyometric OR aquatic plyometrics.” After screening (title, abstract), 6 articles were reviewed for inclusion criteria: (1) full-report/abstract, (2) peer-reviewed RCTs/clinical trials, (3) English language, (4) focused on healthy individuals (free of current, lower-extremity, musculoskeletal injuries) ages 16-30 years, and (6) included strength, power, and/or vertical jump [VJ] dependent …

From War To Home: The Systematic Issues Operation Enduring And Iraqi Freedom Veterans Face Transitioning With Ptsd, Tiffany D. Ware

Dissertations

Purpose: The purpose of this phenomenological study was to describe the perceptions of Operation Enduring and Iraqi Freedom veterans with PTSD, who are transitioning from active duty to civilian life, regarding their participation in the Disabled Transition Assistance Program.

Methodology: The methodology for this research study will be qualitative from a phenomenological perspective. When thinking of research as it pertains to qualitative methods, it is appropriate to use when a researcher is trying to study the lived experiences of individuals (Flipp, 2014; Patton, 2015). This method will describe perceptions of Operation Enduring and Iraqi Freedom veterans with PTSD, who are …

An Exploratory Study Of Mobile Messaging Preferences By Age: Middle-Aged And Older Adults Compared To Younger Adults, Alexis Kuerbis, Katherine Van Stolk-Cooke, Frederick Muench

Publications and Research

Introduction: Mobile technologies, such as short message service or text messaging, can be an important way to reach individuals with medical and behavioral health problems who are homebound or geographically isolated. Optimally tailoring messages in short message service interventions according to preferences can enhance engagement and positive health outcomes; however, little is known about the messaging preferences of middle-aged and older adults.

Methods: Utilizing secondary data, global messaging preferences were examined to inform the development of short message service interventions for adults of all ages. Two hundred and seventy-seven adults were recruited through an online labor market. They completed an …

Service Provider Promising Practice: Flexible Scheduling And Creative Staffing - Kfi’S Support Solutions, Heike Boeltzig, Thinkwork! At The Institute For Community Inclusion At Umass Boston

ThinkWork! Publications

Headquartered in a small rural town in northern Maine, Katahdin Friends, Inc. (KFI) provides community employment and life engagement supports, as well as home supports, to individuals with intellectual and developmental disabilities (IDD). KFI’s services extend throughout northern and southern Maine, including the cities of Portland and Bangor. A flexible approach to staffing and support scheduling helps KFI ensure customized daily support schedules that meet individual goals. This approach also allows individuals to interact with a variety of direct support professionals, which is important for having a more engaged and meaningful life in the community. As of July 2016, KFI …

Service Provider Promising Practice: Braiding Community Employment And Life Engagement Services - Transcen’S Worklink Program, Heike Boeltzig, Thinkwork! At The Institute For Community Inclusion At Umass Boston

ThinkWork! Publications

WorkLink is a program that braids community employment and life engagement services. The goal is to enable individuals with intellectual and developmental disabilities (IDD) to work while receiving wrap-around day supports, as needed. Started in 1996, WorkLink is a program of TransCen, Inc. and is based in San Francisco. WorkLink clients do not have to give up day supports when deciding to pursue work. In addition to helping individuals establish and maintain meaningful community relationships, day supports are used to discover and explore vocational goals and job options. This information then helps guide individuals’ employment planning process. At WorkLink clients …

Service Provider Promising Practice: Avenues Supported Living Services: A Staffing Approach Based On Client Relationships, Heike Boeltzig, Thinkwork! At The Institute For Community Inclusion At Umass Boston

ThinkWork! Publications

Avenues Supported Living Services of Valencia, California was founded in 1997 by a husband- andwife team, Scott and Lori Shepard. The agency provides supported living and community life engagement (CLE) services to individuals with intellectual and developmental disabilities (IDD). Key to Avenues’ success is a staffing approach that is grounded in client relationships. The agency limits staff hours to two shifts per week with the same individual. This is done to facilitate clientstaff matching and relationship building, but also to prevent potential burnout and frustration by ensuring both the clients they support and their staff have variety in their schedules. …

Service Provider Promising Practice - Transcen’S Worklink Program: Helping Individuals Gain Work Skills Through Targeted Volunteering And Other Community Life Engagement Activities, Heike Boeltzig, Thinkwork! At The Institute For Community Inclusion At Umass Boston

ThinkWork! Publications

WorkLink is a program that enables individuals with intellectual and developmental disabilities (IDD) to work while receiving wrap-around day services. Having access to both types of supports -- community employment and Community Life Engagement (CLE) -- is particularly important for individuals with significant IDD, who often work fewer hours and need additional support to lead active and meaningful lives. The program was started in 1996 by TransCen, Inc., and is based in San Francisco, California. Day services not only help individuals establish and maintain meaningful community relationships, but also let them build important skills as they explore vocational goals and …

Older Adults’ Experience In Owning A Guide Dog, Jeffrey Kou, Yvonne Lam, Patricia Lyons, Susan Nguyen

Student Research Posters

Low vision is an age-related condition that affects many older adults, and may create challenges in everyday activities in older adults. Guide dogs have been shown to be an effective assistive device that can help older adults within their community. Despite vast research on dog companionship, there is limited research on the facilitators and barriers of owning a guide dog among older adults with low vision. The purpose of this qualitative phenomenological study is to explore the facilitators and barriers of owning a guide dog as experienced by older adults with low vision participating in Guide Dogs for the Blind …

Rehabilitation Of An Injured Golden Eagle (Aquila Chrysaetos): A Case Study, Fida Muhammad Khan, Fakhar-I- Abbas, Abu Ul Hassan Faiz

Journal of Bioresource Management

Habitat destruction and anthropogenic activities cause wild birds to migrate towards urban areas in search of food and sometimes nesting in high-roof buildings, where they are caught by local people using different techniques and are further used for hunting or recreational purposes. An injured Golden Eagle (Aquila chrysaetos) was found entangled in bushes near the vicinity of Balkasar Research Complex, Chakwal, Pakistan. After complete physical examination, a wound on the right wing and closed leg fracture was diagnosed. The successful treatment was done by anti-parasitic and anti-bacterial drugs with careful monitoring. Splint was adjusted after aligning the fractured …

Strategies To Improve Interdisciplinary Communication In An Acute Care Inpatient Pediatric Unit, Sarah Thompson, Haley Pelletier, Barbara Bush Children's Hospital-Inpatient, Maine Medical Center, Suneela Nayak, Ruth Hanselman, Stephen Tyzik

MaineHealth Maine Medical Center

Interdisciplinary patient rounding has been shown to improve patient and family satisfaction as well as reduce patient length of stay and readmission rates. In an acute care inpatient pediatric unit, baseline metrics demonstrated that 100% of the time, nursing was not included in these rounds thus resulting in sub optimal communication.

The goal of this performance improvement project was to attain increased nursing participation. Data collection demonstrated several reasons for lack of participation and corrective actions were instituted. After undertaking this KPI goal and utilizing operational excellence, 95% of the time, nurses were called to morning rounds with the medical …

Apse Employment First Statement, Apse, Green Mountain Self Advocates, Self Advocates Becoming Empowered, Thinkwork! At The Institute For Community Inclusion At Umass Boston

ThinkWork! Publications

These authors worked together to write a statement about what Employment First means and why it’s important. Here is an excerpt from the statement.

All people with disabilities should have opportunities to work. Public dollars should be used to pay for supports for people to work in the community. People with disabilities, their families, and their allies believe that:

• All people should have opportunities for real jobs with real wages. It will get us out of poverty. We will be more independent. We will feel more included. All people, with and without disabilities, can work in jobs together earning minimum …

Perceptions Of Athletes In Disabled And Non-Disabled Sport Contexts: A Descriptive Qualitative Research Study, Sheryl L. Chatfield, Michael Cottingham Ii

The Qualitative Report

The term supercrip suggests extraordinary feats but is sometimes applied to any proficiency demonstrated by an athlete with a disability. This use of the term potentially undermines spectator appreciation for achievements of the upper echelon of disability sports participants. Prior disability sport researchers have suggested that a comparison of individuals’ perceptions of athletic heroes with and without disabilities has potential to help disability sport marketers counter the supercrip stereotype. The purpose of this research was to explore differences in perceptions by comparing participant descriptions of role models with and without disabilities. Research participants, who consisted of undergraduate students at a …