Rehabilitation and Therapy Commons^™

How Professional Physical Therapist Education Programs Develop Cultural Competence Within Their Students: An Exploratory Concurrent Mixed Methods Study, Dustin E. Domingo

Dissertations

Purpose: The purpose of this exploratory concurrent mixed methods study was to describe experiences that shape the factors of cultural intelligence (CQ) as perceived by students of professional physical therapist education programs. In addition, it was the purpose of this study to determine whether any particular factor of cultural intelligence influenced one’s overall cultural competence according to the cultural competence continuum by Cross et al. (1989).

Methodology: Students in a professional physical therapist education program completed a questionnaire, which included Likert scale questions, open ended questions, and a 37-item self-assessment based on the expanded cultural intelligence scale by Van Dyne …

Meeting Point: Partner Dancing As Couple's Therapy, Rami Eckhaus

Expressive Therapies Dissertations

This dissertation research explored the experience of partner dancing as a therapeutic process that reflects upon the dynamics and interactions of couples who are in the process of couple's therapy. The research also aimed to gain insight on the ways in which the experience of partner dancing can support these couples' therapeutic processes. Partner dancing is a dance-form that is based on the interaction between two individuals. Such interaction requires the dancing couples to communicate on many levels that may uncover layers of their relational dynamics. In this research, five couples who were undergoing couple's therapy were asked to participate …

Parental Self-Efficacy Of The “Unexpected Parent”, Cinthia L. Arbogast

Occupational Therapy Doctorate Capstone Projects

Background: Research focused on the “unexpected parent” is limited. This population of parent is increasing in frequency.

Purpose: The purpose of this capstone study was to provide support to unexpected parents. The study focused on the area of establishing and maintaining routines and consistency as a means to decrease negative behavior in order to improve parental selfefficacy. With improved skills and perceived improved abilities, the aim of this study was to improve this performance of this group of parents during their participation in the occupation of parenting.

Theoretical Framework. The theory driving this research is the occupation-based model called the …

Processing Youth Adventure Wellness Experiences: Poetic Representations Of Youth’S Peace Bus Experiences, Ty Th Nguyen

Theses and Dissertations (Comprehensive)

This narrative inquiry explored how youth are processing their Peace Bus program experiences two and a half years after program completion. The purpose was to gain an understanding of (1) what program components the participants reflect on, (2) how they conceptualize their program experiences, and (3) what factors contribute to their reflection processes. This research sought to address the gap in literature where little is understood about the ongoing experiences of program participants of adventure wellness programs and the processes that lead to positive changes. As the researcher, I conducted a qualitative study using narrative inquiry and poetic representation methods. …

Dios, Drogas, Dinero: ¿QuiéN Gana Con El Traslado De Adictos De Puerto Rico A Ee.Uu.?, Claudia E. Irizarry Aponte, Eliana Y. Perez

Capstones

For the last 25 years, evangelical leaders have been shipping off opioid addicts in Puerto Rico to cities in the mainland US, mainly New York City, Chicago and Philadelphia--under the promise they’ll receive state-of-the-art rehabilitation treatment, only to end up in unregulated transitional homes and flophouses where they don’t receive proper medical care or psychotherapy. In turn, many of these unregulated transitional homes, also run by evangelical leaders, may charge Medicaid kickbacks from their “patients.”

While this so-called “air bridge” from Puerto Rico to the U.S. goes back decades, it gained momentum from 2005 to 2014, when evangelical leaders joined …

"We Were Meant To Go Down One Road, But Now We Have Rerouted": A Phenomenological Inquiry Into The Experience Of Aging Out-Of-Place, Sachindri Wijekoon

Electronic Thesis and Dissertation Repository

In an age of globalization, the experience of aging in a foreign land is part of the late-life experience of many older adults. However, studies of aging and migration have largely failed to conceptualize the unique resettlement experiences of immigrants entering North America as older adults. This dissertation asked, “What is the experience of aging out-of-place?” Specifically, this research question aimed to understand how late-life immigrants relate to, and connect and engage with places through aging processes, and the essentiality of daily occupations within such engagement. An interpretive paradigm and a hermeneutic phenomenological methodology guided this inquiry. The hermeneutic phenomenological …

An Analysis Of The Relationship Between Humor Styles And Depression, Marisa L. Kfrerer

Electronic Thesis and Dissertation Repository

The present study examined the relationship between humor styles and depression using two methods of examination: (1) the mean humor style differences between individuals who reported that they had been diagnosed with depression versus those who did not report being depressed; and (2) a short scale assessing depressed affect. Participants were 878 adult Australians. With respect to mean differences, depressed individuals were found to use self-defeating humor more, and self-enhancing humor less than non-depressed adults. When the depressed affect scale score was analyzed, negative correlations were found between depressed affect and both positive styles of humor, affiliative and self-enhancing. Additionally, …

The Impact Of Prosthetics On Amputee Quality Of Life, Courtney Tabor

Liberal Arts Capstones

After someone has a limb amputated, their lifestyle must be rearranged to accommodate for the loss of the limb. This can include adjusting to an inability to do tasks that used to come easily and a drastic reduction in mobility. They may now require assistance with caring for themselves. As a side effect, amputees often experience a significant level of depression and anxiety related to their situation. A selection of literature was analyzed for the physiological, psychological, and sociological effects of losing a limb, and then for the ways in which a prosthetic limb would alleviate some of these issues. …

The Predictors Of Juvenile Recidivism: Testimonies Of Adult Students 18 Years And Older Exiting From Alternative Education, La Toshia Palmer

Dissertations

Purpose: The purpose of this descriptive, qualitative study was to identify and describe the importance of the predictors of juvenile recidivism and the effectiveness of efforts to prevent/avoid juvenile recidivism as perceived by previously detained, arrested, convicted, and/or incarcerated adult students 18 years of age and older exiting from alternative education in Northern California. A second purpose was to explore the types of support provided by alternative schools and the perceived importance of the support to avoid recidivism according to adult students 18 years of age and older exiting from alternative education.

Methodology: This qualitative, descriptive research design identified …

Animal Assisted Therapy For Adult Domestic Violence Survivors, Kaden Flynn

Thinking Matters Symposium Archive

The focus for my research project for my Women and Gender Studies, Capstone course has revolved around Domestic Violence and Animal Assisted Therapy (AAT). AAT has been around since the 18th century but the benefits of it, aren’t talked about enough; when looking at what it does for adult DV survivors. I will determine if AAT, in conjunction with other therapies, is beneficial for DV victims. To determine how beneficial AAT is, I will be reviewing current literature on AAT, the results of different types of therapy and how it effects the victim’s PTSD, trauma, stress, and anxiety levels. If …

A Qualitative Study Of Asylum Seekers Experience As Mentees With The Welcoming The Stranger Program, Deborah H. W. Hamilton

Thinking Matters Symposium Archive

Asylum seekers are foreign nationals who enter the United States legally fleeing danger in their home country. Over 26,000 individuals were granted asylum in 2015, with 3.4% of the State of Maine’s population identifying as immigrants. Portland Maine’s General Assistance (GA) office reports nearly 40% of GA recipients were visa holders seeking asylum during fiscal year 2016. Asylum seekers arrive with psychological and physical burdens and then face hurdles trying to gain legal status while attempting to get their basic needs met in the social service systems. Organizations have been created on a grassroots level to provide support and bypass …

Exploring Occupational Therapists' Approach To Treating Children With Autism In The School Setting, Melissa Brauner

Honors Theses

Autism spectrum disorder is one of the fastest growing developmental disabilities, affecting more than 3.5 million Americans. In order to ensure that the autism population receives the highest quality of care, it is extremely important that health professionals be equipped with the knowledge to care for individuals with the disorder in an effective manner. Occupational therapists play an important role in assisting people on the autism spectrum. For many children with autism, occupational therapy services are primarily received in the school setting. This study explores occupational therapists’ approach to managing the treatment of children on the autism spectrum in the …

The Effects Of A Cognitive Training Program For Cognitively Intact Older Adults, Caroline Kinskey

All Graduate Theses, Dissertations, and Other Capstone Projects

Cognitive training is a term used to describe programs that provide guided practice on tasks requiring different cognitive abilities such as memory or language. It is assumed that regular practice will improve or maintain functioning in a particular cognitive domain (e.g., memory) and those results will generalize beyond the context of training. Results have been mixed in the existing literature that has evaluated the potential benefits of cognitive training on cognitive and emotional functioning in cognitively intact older adults. This study investigated the effectiveness of a cognitive training program for older adults with no to very minimal cognitive decline. Nine …

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 …

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 …

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 …

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 …

Community Living Integration Club For Women In Recovery From Sex Trafficking, Toni Thompson

Occupational Therapy Program Student Theses, Dissertations and Capstones

Sex trafficking is one form of human trafficking, a heinous human rights violation that transcends international borders. People who have been trafficked often present with complex neurobehavioral, psychological, emotional, physiological, sensory, and developmental difficulties. The United Nations developed the international 3 p protocol to guide governmental agencies, non-governmental groups, and individuals in developing programs and legal actions of trafficking prevention, protection, and prosecution. Protection encompasses the recovery of trafficking survivors and community integration has been identified as an essential foundation for successful recovery. Measurable components of community integration include safe housing, stable employment, and vocation-focused education. This Capstone describes the …

A Systems Approach To The Problem Of Falls In Old Age, Patrick A. Dillon

Theses and Dissertations--Gerontology

The problem of falls in old age is enormously costly and disruptive for the older individual, others, and society, and its severity is likely to intensify as our population ages. This dissertation takes a systems-oriented approach toward the falls problem and is presented in two parts. The first part critically develops a new approach to the problem of falls. The second part describes an empirical study that applies this new approach in a pragmatic manner.

Conventional fall prevention strategies employ a reductionist approach to the problem of falls. This approach is questioned because it corresponds poorly to the holistic nature …

A Theory Of Veteran Identity, Travis L. Martin

Theses and Dissertations--English

More than 2.6 million troops have deployed in support of the wars in Iraq and Afghanistan. Still, surveys reveal that more than half feel “disconnected” from their civilian counterparts, and this feeling persists despite ongoing efforts, in the academy and elsewhere, to help returning veterans overcome physical and mental wounds, seek an education, and find meaningful ways to contribute to society after taking off the uniform. This dissertation argues that Iraq and Afghanistan War veterans struggle with reassimilation because they lack healthy, complete models of veteran identity to draw upon in their postwar lives, a problem they’re working through collectively …

Effect Of Self-Determination, Motivation, And Dispositional Optimism With Physical Therapy In Geriatric Patients, Leslie Yaneth Urias-Bodnar

Walden Dissertations and Doctoral Studies

Older people are frequently faced with physical conditions that require treatment. A better understanding of the components of engagement relating to the outcomes of treatment was the focus of the study. The purpose of this quantitative study was to examine whether there was an association between the independent variables of optimism, pessimism, motivation, and self-determination and their impact on the dependent variable of achieving physical activity goals in 86 geriatric patients, ages 65 to 80 receiving physical therapy services. The theoretical framework of self-determination, motivation, optimism, and pessimism was assessed by using two self-report questionnaires, The Self-Determination Scale and The …

The [E]Motionless Body No Longer: Tracing The Historical Intersections Of Mental Illness And Movement In The American Asylum, Holly Adele Herzfeld

Senior Projects Spring 2017

Senior Project submitted to The Division of Multidisciplinary Studies of Bard College.

A Study Exploring Parents’ And Occupational Therapists Views On Facilitating Social And Emotional Development, Salena C. Neuwar

Honors College Theses

This study examined how parents of a child with a disability and the child's occupational therapist each facilitate social and emotional development among children who have or are currently receiving occupational therapy services. This study first served to identify, through interviews, what social and emotional skills are important individually to the parent and the occupational therapist that the child gains. Through interviews, the researcher investigated the perceptions of how parents and occupational therapists facilitate social and emotional skills. The location of the therapy session was found to be a vital component among parent and occupational therapist interaction. Finally, this research …

Recovery From Design, Cassandra J. Ellison

Theses and Dissertations

Through research, inquiry, and an evaluation of Recovery By Design, a ‘design therapy’ program that serves people with mental illness, substance use disorders, and developmental disabilities, it is my assertion that the practice of design has therapeutic potential and can aid in the process of recovery. To the novice, the practices of conception, shaping form, and praxis have empowering benefit especially when guided by Conditional and Transformation Design methods together with an emphasis on materiality and vernacular form.

No One Fights Alone: Exploring Social Participation Of Young Adults With Cancer, Susan Blake Hodgson

Online Theses and Dissertations

Background: Young adults are relatively understudied and often misrepresented in oncology research and practice, as they are often overlooked or clumped in with pediatric or older adult patients. There is a gap in literature for young adults with cancer and this study was done in an effort to help bridge that gap while exploring social participation along with peer support. Social participation is the interweaving of occupations to support desired engagement in community and family activities as well as those involving peers and friends (American Occupational Therapy Association, 2014). This will not only elicit a better understanding of the impact …

The Influence Of Strength-Training Exercises On The Functional Fitness In Older Adults, Susie Engle

Graduate Theses and Dissertations

The purpose of this study was to examine the influence of strength-training exercises on the functional fitness in older adults. The original convenience sample consisted of 658 participants who attended group strength-training classes offered through the Cooperative Extension Service. The Senior Fitness Test was used to assess baseline fitness levels at the beginning and end of the 12-week strength-training program. Data was collected from 2008 to 2015. Of the 658 participants, 110 were aged 60 to 94 and presented posttest scores occurring approximately 12 weeks after pretest dates. Of the 110 subjects, 99 were female and 11 were male. The …

Facilitating Effective Communication Between First Responders And Older Adults During Fall Incidents: An Educational Intervention, Krystin M. Beeman, Erica L. Berger, Isabel A. Cabezas, Nicole M. Mathews

Dissertations, Masters Theses, Capstones, and Culminating Projects

PURPOSE. The purpose of this project was to provide first responders with communication strategies for older adults that may help when responding to fall- related calls. General information was also provided to First Responders on working with older adults with a focus on the aging process, fall risk factors, and communications strategies.

METHODS. A series of educational sessions to first responders at a local fire district were developed and presented by occupational therapy students. Materials were developed by presenters from evidence-based resources and tailored to the target population. Each presentation focused on statistics about older adults, the aging process, fall …

An Analysis Of Women’S Access To Acute Opioid Detoxification Services In Maine: Identifying The Barriers To Treatment, Karen E. Conley

Muskie School Capstones and Dissertations

The lack of treatment facilities and services for opioid use disorder in Maine, combined with an increased prevalence of addiction, creates a potential for health inequity between men and women that may be intensified by barriers in access to care. This capstone study utilized detoxification screening inquiry forms and data obtained from the Milestone Foundation’s acute opioid detoxification program to assess and categorize barriers to access by gender. A barriers model was developed based on existing literature and was to identify potential associations among and between the known barriers to accessing treatment. Barriers were described as internally or externally based, …

Retrospective Frames Of Disability: Themes Derived From Parents Of Children Who Grew Up With Congenital Disability, Sheryl L. Holt

Theses and Dissertations--Rehabilitation Sciences

Introduction: For children born with physical disabilities, the perspectives and actions of their parents prove significant to their childhood developmental outcomes clinically, educationally, socially, and with regard to community participation. The lived world and perceptions of parents who have children with disabilities however is not well investigated. This study sought to understand parents’ framing of theirs and their children’s disability experiences. Family systems together with family systems intervention models, and disability theory were used to provide structure to interview instrumentation and subsequent analysis. Child-centered and ecologic influences were also used to track the transformative processes over time that infuses parental …

A Qualitative Pilot Study Of Aging Women’S Physical Activity Experiences In One University Fitness And Wellness Center, Alexis Hobbs

Online Theses and Dissertations

Physical inactivity is one of the driving risk factors for developing health problems such as obesity, diabetes, and cardiovascular diseases (World Health Organization, 2003). The prevalence of these diseases increases with the aging process, which renders participation in physical activity crucial among the aging population. There is strong evidence that physical activity reduces the risk of these health disparities and disabilities (Young & Dinan, 2005), however despite these well-documented benefits, aging women still remain sedentary. This study examined the phenomenon of women 55 years of age or older and their lived experiences of participating in physical activity within a university …