Rehabilitation and Therapy Commons^™

An Innovative Behavioral Interview For Pre-Admission Selection Of Occupational Therapy Students, Kitsum Li, Julia Wilbarger, Shad St. Louis

Journal of Occupational Therapy Education

The goal for pre-admission interview is to identify students who will be successful both academically and professionally. The traditional structured pre-admission interview has not been shown to be effective in predicting students’ success in academic and fieldwork performance. This article describes an innovative behavioral interview process during which applicants interviewed simulated clients as part of the pre-admission selection process. The goals of the pre-admission behavioral interview were to observe applicants’ behavior as team players, and to assess their interpersonal communication skills, capability to be reflective, and professionalism. During the behavioral interview, faculty interviewers assessed the applicants’ performance in the planning …

Exploring The Impact Of Service Learning In Haiti On The Cultural Competence Of Otd Students, Nathan Short, Heather Y.Z. St. Peters

Journal of Occupational Therapy Education

As society trends towards increased cultural diversity, the need for cultural competence in the field of occupational therapy (OT) becomes more acute. Immersion in another culture within the curriculum offers the student an opportunity to put their knowledge into practice and recognize the need to competently interact with members of another culture. This study explored the impact of a service learning trip to Haiti, providing seating and mobility services, on all four factors of cultural intelligence (CQ; i.e., metacognitive CQ, cognitive CQ, motivational CQ, behavioral CQ) for occupational therapy doctoral (OTD) students. Using the cultural intelligence scale (CQS), a one-group …

National Survey To Identify Mental Health Topics In Entry-Level Ot And Ota Curricula: Implications For Occupational Therapy Education, Brad E. Egan, Susan M. Cahill

Journal of Occupational Therapy Education

Mental health has been identified as a priority practice area for occupational therapy. However, recent research suggests that the number of occupational therapy practitioners working in mental health is declining. The purpose of this survey research study was to examine the extent to which occupational therapy (OT) and occupational therapy assistant (OTA) programs include mental health topics in their curricula. A link to an on-line survey was sent to program directors of OT and OTA programs in the United States. A total of 105 programs fully completed the survey (33% response rate). All of the respondents (n=105) reported that their …

Outcomes Of An Evidence-Based, Data Driven-Model Fieldwork Experience For Occupational Therapy Students, Amy Carroll, E. Adel Herge, Lindsay Johnson, Roseann C Schaaf

Journal of Occupational Therapy Education

Over the past decade, there has been an increased emphasis on evidence-based practice (EBP) and the use of outcome measurement in clinical practice, however, the implementation of evidence into practice remains challenging and irregular. During fieldwork, students often experience a disconnect between the emphasis on EBP in the classroom and lack of use in the clinic. Recognizing the need to develop high-quality, evidence-based and data-driven models of practice for student training, we partnered with local fieldwork educators to develop an innovative program that guides students and simultaneously trains fieldwork educators (FWE) in the use of a systematic data driven decision …

Experiential Learning To Advance Student Readiness For Level Ii Fieldwork, Wendy P. Goldbach, Tiffany C. Stella

Journal of Occupational Therapy Education

Occupational therapy (OT) students question their readiness for Level II fieldwork prior to their first placement. Many request more hands-on experiences with clients during their coursework, in preparation for the practice setting. As part of a two year Master of Occupational Therapy program, a fourth semester course was designed to address readiness for fieldwork and engage students in the OT process with actual volunteer clients. This course utilized the primary components of a clinical setting: client interaction, evaluation, intervention and outcomes review, clinical decision making, documentation, and communication, to promote student proficiencies as clinicians in preparation for fieldwork experiences. Weekly …

Identifying Instructional Methods For Development Of Clinical Reasoning In Entry-Level Occupational Therapy Education: A Mixed Methods Design, Whitney Henderson, Brenda Coppard, Yongyue Qi

Journal of Occupational Therapy Education

Occupational therapy education must teach using contemporary and evidence-based practices that yield graduates with clinical reasoning skills to successfully practice in dynamic and challenging environments. Researchers used a mixed-methods research design to identify the most frequently used and valued instructional methods for developing clinical reasoning with entry-level occupational therapy students. Researchers recruited full-time educators teaching in entry-level occupational therapy programs throughout the United States. Ninety-two occupational therapy educators completed the survey for the quantitative portion of the study. Subsequently, six occupational therapy educators participated in an interview for the qualitative portion of the study. Participants most frequently used laboratory experiences …

First Year Occupational Therapy Students’ Clinical Reasoning Approach To Addressing Challenging Behaviors Related To Sensory Processing Using A Simulated Case Study, Bryan M. Gee, Kelly E. Thompson, Jane Strickland, Lucy Jane Miller

Journal of Occupational Therapy Education

Occupational therapy students must be prepared to use clinical reasoning to select appropriate interventions for children with sensory processing disorders (SPDs). Although these interventions are typically taught in entry-level occupational therapy programs, there is little information regarding the method by which occupational therapy students are taught a clinical reasoning process to determine which sensory processing intervention to use with pediatric clients. A problem-solving framework called A SECRET was used to teach students clinical reasoning for children with SPDs, via an online, module-based course. Following the module, the students were tested with an online assessment tool regarding their ability to discriminate …

Student Perceptions Of Non-Traditional Level I Fieldwork, Sarah Nielsen, Janet S. Jedlicka, Debra Hanson, Lavonne Fox, Cherie Graves

Journal of Occupational Therapy Education

Academic programs commonly face challenges in developing Level I fieldwork where students have ample opportunity to practice and understand occupation. In response to this challenge, our academic program developed a non-traditional Level I fieldwork. The purpose of this study was to understand the student perceptions of this learning experience. Focus group methodology was employed. Fifty-nine students participated in one of six focus groups. Six themes were identified through the data analysis process. These included challenges and rewards of effective communication, learning to think like an OT, a greater understanding and focus on occupations, developing skills in cultural understanding and advocacy, …

Interprofessional Education: Theoretical And Practical Considerations For Occupational Therapy Educators, Mary K. Arvin, Lorrie A. George-Paschal, Jennifer S. Pitonyak, Sandee M. Dunbar

Journal of Occupational Therapy Education

Interprofessional education (IPE) is an integral part of occupational therapy education as programs across the United States incorporate IPE into existing courses and develop new, innovative curricula. The American Occupational Therapy Association (AOTA) Commission on Education (COE) proposed in its 2015 position paper on IPE in occupational therapy curricula, that IPE is imperative for effective and ethical practice in today’s healthcare environment. Through participation in a Scholarship of Teaching and Learning program focusing on IPE, the authors examined broad constructs and practical implementation of IPE in occupational therapy education. As occupational therapy educators explore opportunities to collaborate with a diverse …

A Community Based Experience To Enhance Occupational Therapy Student Clinical Skills With Clients With Mental Illness, Monica S. Perlmutter, Quinn Tyminski

Journal of Occupational Therapy Education

Despite the high number of individuals living with severe mental illness and the evidence to support effective interventions, only a small percentage of occupational therapy practitioners work in community mental health settings. To address the need for more occupational therapists in this area of practice, schools must provide educational experiences that facilitate interactions with individuals experiencing severe mental illness to increase students’ competence with this population. The Washington University Program in Occupational Therapy fosters students’ clinical reasoning skills throughout a two semester case-based learning course. For the community mental health module at the end of the 2^nd semester, the …

The Psychosocial Occupational Therapy Competency Assessment (Pot-Ca): Development And Implementation In A Level I Fieldwork Course, Jenna C. Yeager, Derek Piggott

Journal of Occupational Therapy Education

A competency assessment was developed to assess students' skills at the culmination of courses relating to mental health, including a Psychosocial Level I Fieldwork course. The intention of the assessment, titled the Psychosocial Occupational Therapy Competency Assessment (POT-CA), was to engage students in a practical skill demonstration and use of clinical reasoning in relation to brief case studies. Key skills assessed included: administration of the ACLS-5, establishing and maintaining therapeutic rapport, defining OT in client centered language, and use of clinical reasoning to identify additional assessment, intervention, and discharge recommendations. The purpose of this article is to present the tool …

The Impact Of Instructional Method On The Application Of Kinesio Taping® Techniques For Occupational Therapy Students, Theresa Rice, Husny Amerih, Diane Brown

Journal of Occupational Therapy Education

This research utilized a crossover study design to analyze the differences in learner satisfaction, confidence, and accuracy when comparing in-person, video, and written instructional methods. The study was conducted on a group of 32 occupational therapy students from a local university by teaching them two different Kinesio Taping® protocols. Satisfaction and confidence were measured by survey. The participants completed tapings, then were rated by an instructor to obtain accuracy data. The study found that learning satisfaction was rated higher following video instruction. Regarding confidence, there was a statistically significant difference in the level of confidence for students viewing video instruction …

Relationship Between Occupational And Physical Therapist Students’ Belongingness And Perceived Competence In The Clinic Using The Ascent To Competence Scale, Patti J. Berg-Poppe, Joy R. Karges, Ranelle Nissen, Susan Deutsch, Kendra Webster

Journal of Occupational Therapy Education

Clinical education experiences (CEEs) serve an essential role in physical therapist (PT) and occupational therapist (OT) student development. The Ascent to Competence Scale (ACS) measures valuable attributes of belongingness, competence, and welcoming associated with CEE placement. The purpose of this study was to examine the relationship between PT and OT students’ belongingness and perceived competence during CEE using the ACS. A survey consisting of 35 questions from the ACS measuring students’ feelings of belongingness and perceived competence in the clinic was administered to PT and OT students from 7 Midwest universities. Respondents rated statements using a 5-point Likert-type scale (“never …

Experiential Learning: Critical Analysis Of Standardized Patient And Disability Simulation, Laura Vanpuymbrouck, Jenna L. Heffron, Alisa Jordan Sheth, Kim J. The, Danbi Lee

Journal of Occupational Therapy Education

Current revisions to the accreditation standards for occupational therapy (OT) education include proposed changes to experiential learning. The AOTA Fieldwork/Experiential Learning Ad Hoc Committee recommends that fieldwork Level I experiences be replaced with a new model of experiential education that includes the use of standardized patients and simulation (AOTA, 2017). The purpose of this article is to present critical perspectives about standardized patient simulation and disability simulation to support informed decision-making about the integration of experiential learning in OT professional education. In standardized patient simulation, actors play the roles of clients and important others in therapeutic scenarios; in disability simulation, …

Student-Led Special Interest Groups As A Model For Inclusion Of Specialty Hand Content In Otd Curriculum, Nathan Short, Jennifer Bain, Courtney Barker, Zack Bolton, Kristina Dammeyer, Ethan Fahrney, Kalin Hale, Carter Maples

Journal of Occupational Therapy Education

This article presents a student-led special interest group within a doctorate of occupational therapy (OTD) program as a model to supplement the core curriculum for inclusion of specialty content related to hand therapy. Consisting of advanced educational modules, research article review and discussion, as well as related service projects, the group provides ancillary benefits as well as networking opportunities for student participants. An initial program evaluation demonstrates efficacy as students reported a positive impact on various areas of professional and clinical skills to support specialization in hand therapy upon graduation. The student-driven nature of this experiential learning approach provides more …

Dementia: Incorporating Families And Caregivers In Direct Speech-Language Intervention, Jocelyn Hartley

Online Theses and Dissertations

In a survey, 50% of 1,000 caregivers reported that they received no information on dementia at the time of diagnosis (Thompson & Pulsford, 2012). This statistic provides strong evidence as to why caregivers feel ill-prepared to care for individuals with dementia. The role of a speech-language pathologist (SLP) is suggested to not only treat the individual with dementia, but consider the role and perspective of the caregiver (Watson, Aizawa, Savundranayagam & Orange, 2013). Providing education and training to caregivers of individuals with dementia is within the scope of practice of speech-language pathologists (Watson et al., 2013).

A survey design for …

The Impact Of Sexual Assault On College Students' Daily Occupations: A Phenomenological Approach, Lee Ann Hodge

Online Theses and Dissertations

It is estimated that 1 in 4 women experience sexual violence while in college (Tjaden & Thoennes, 2006), which may result in post-traumatic stress disorder (PTSD). Occupational therapy has been used to provide interventions for PTSD, but there is a gap in the literature addressing occupational therapy intervention for college students who have experienced sexual assault. The purpose of this phenomenological study was to inquire into students’ lived experiences of daily occupations while in college after having experienced sexual assault, through thematic analysis of data from two interviews conducted in Kentucky and Ohio. Six meaningful themes were developed: changes in …

Enhancing Child Self-Confidence Of Occupational Performance Through The Use Of A Movement Program, Emily Coleman

Online Theses and Dissertations

Sensorimotor deficits are a result of a child's difficulties processing sensory input in combination with motor incoordination. This can lead to many difficulties for children's occupational performance, which in turn, can lead to a decrease in self-confidence for those children. This mixed-method study, through pre and post test results combined with parent reported data, sought to determine if a movement program that combines motor, sensory, and self-awareness components is an effective means of increasing the self-confidence of children with sensorimotor deficits. The results of this study demonstrate an increase in self-confidence in the ability to complete activities of daily living, …

Exploring Parents' Experiences Of Raising A Child With Sensorimotor Impairments And Expectations For Leisure Participation, Emily Eicher

Online Theses and Dissertations

The objective of this phenomenological study was to explore parents' experiences and expectations of raising a child with sensorimotor impairments and how leisure pursuits impact their expectations of their children. The development and participation in leisure activities is different for these children and could affect the parents' hopes and dreams for their child's future. Six children between the ages of 5-8 years of age, with sensorimotor impairments, participated in a movement program that was held for eight sessions at an outpatient pediatric clinic to address praxis and sensory processing impairments. Six parent dyads were interviewed during the fifth, sixth, seventh, …

Grow Where You Are Planted: The Use Of Gardening As Offender Rehabilitation In Prison, Kendahl Verna Granger

Online Theses and Dissertations

Being outdoors is an integral part of our lives, even as we are experiencing rapid urbanization. Research shows that nature and purposeful work in it have a profound effect on physical and mental health. What, then, about prison inmates? They often do not have the opportunity to engage in nature or enjoyable, outdoor tasks. One way in which this could be remedied is through the use of prison horticulture or garden programs. Prison horticulture is a productive, outdoors activity in which inmates raise gardens that would benefit their group, facility, or the community. In the process, prisoners learn about gardening …

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 …

Patient Experiences Of Recovery After Autologous Chondrocyte Implantation: A Qualitative Study, Jenny L. Toonstra, Dana Howell, Robert A. English, Carl G. Mattacola

EKU Faculty and Staff Scholarship

Context: The recovery process after autologous chondrocyte implantation (ACI) can be challenging for patients and clinicians alike due to significant functional limitations and a lengthy healing time. Understanding patients' experiences during the recovery process may assist clinicians in providing more individualized care.

Objective: To explore and describe patients' experiences during the recovery process after ACI.

Design: Qualitative study.

Setting: Orthopaedic clinic.

Patients or Other Participants: Participants from a single orthopaedic practice who had undergone ACI within the previous 12 months were purposefully selected.

Data Collection and Analysis: Volunteers participated in 1-on-1 semistructured interviews to describe their recovery experiences after ACI. …

Experiences Of Veterans Transitioning To Postsecondary Education, Brian T. Gregg, Dana Howell, Anne Shordike

EKU Faculty and Staff Scholarship

An increasing number of U.S. military veterans are entering postsecondary education with problems attributed to deployed military service. The primary objective of this research was to describe the lived experiences of student veterans transitioning from active military service to postsecondary education. Phenomenological interviews were performed with 13 student veterans who had transitioned from military deployment to postsecondary education. An overall essential meaning of “emerging in college culture” was manifested from three themes, supported by rich textural and structural descriptions of student veterans’ experiences: (1) repurposing military experiences for life as a student veteran, (2) reconstructing civilian identity, and (3) navigating …

Student Perceptions Of Scholarly Writing, Shirley P. O'Brien, Dory Marken, Kelsey B. Petrey

EKU Faculty and Staff Scholarship

Learning the process of scholarly writing, including the significance of peer review, is an essential element in the preparation of students for professional practice. This descriptive research study, using Scholarship of Teaching and Learning methodology, explores one approach to teaching scholarly writing in an occupational science/occupational therapy curriculum. The writing assignment was designed to offer multiple points for feedback and revision and instructional features to reinforce learning. A survey of students [n = 169] participating in this scholarly writing project was conducted yearly to gather their perceptions of learning. The results revealed four key elements: instructional strategies are needed …

Examining The Lived Experiences Of Families Who Have Adopted Children And Received Occupational Therapy Services, David Simpson

Online Theses and Dissertations

Purpose: This qualitative descriptive study focused on the experiences of families who have adopted children from different countries and placed them in occupational therapy services.

Method: Three different sets of parents were interviewed to gather data on the adoption process and on their experiences with receiving services from an OT. Each interview was conducted either with one or both parents present. Only one interview was conducted with each family.

Discussion: While families often have quality experiences working with an OT and observe improvements in their children, some families do not receive quality services. This is due to lack of communication …

An Occupation Based Practice Educational Program Model Implementing Online Learning, Kristina K. Elam

Occupational Therapy Doctorate Capstone Projects

Background: Due to numerous changes in reimbursement, healthcare delivery and the field of occupational therapy in recent years, the health care arena is now driven by efforts to improve the quality and cost effectiveness of interventions. Therapists, specifically, are challenged by multiple factors, particularly cost-containment, that influences their ability to deliver occupational therapy services. However, in an attempt to promote best practice, occupational therapists must incorporate occupation-based interventions into daily treatment in all practice settings. Occupation-based activities are defined as activities that allow clients to engage in valued occupations in their own context (Rogers, 2007).

Purpose: This program development model …

The Secret Ingredient For Improving Infant/Child Mental Health: Teaching Parents To Play, Geraldine Healy Marini

Occupational Therapy Doctorate Capstone Projects

Disorders in mental health are the highest of all disorders and results in the most common form of disability. Since 2011, mental health disorders have increased at alarming rates. It is estimated that 9.5 to 14.2% of children between the ages of 0 to 5 years have and emotional or behavioral problem. The mental health of parents or caregivers can affect and impact the development of young children (Nelson & Mann, 2011, Zero to Three, 2004).

The over arching goal of this research is to explore issues of mental health within parent-child interactions. Coaching parents during the co-occupation of play …

Implementation Of Modified Constraint-Induced Therapy In Upper Limb Stroke Rehabilitation In An Inpatient Rehabilitation Hospital, Umana W. Udoeyop

Occupational Therapy Doctorate Capstone Projects

This study will seek to demonstrate the efficacy of mCIT in upper extremity rehabilitation of patients with acute stroke resulting in hemiplegia in an inpatient rehabilitation hospital as a way to demonstrate its feasibility and applicability in this setting for this subset of stroke patients. It is expected that the study will provide a model for the implementation and application of mCIT in stroke rehabilitation in inpatient rehabilitation hospitals and serve as a pilot program for an evidence-based approach to rehabilitation of patients with acute stroke in inpatient rehabilitation hospitals.

The Experiences Of The Parents Of Children Undergoing Occupational Therapy Intervention For The Occupation Of Feeding, Michael A. Coldiron

Occupational Therapy Doctorate Capstone Projects

Occupational therapy practitioners practice under the values of client-centered care and cultural sensitivity. This valuates the role of the occupational therapy practitioner in pediatric feeding intervention pertaining to diverse diets. The problem is that there is a lack of research into the experiences of individuals who consume a diverse diet as they undergo occupational therapy intervention for the occupations of feeding and eating. The purpose of this study was to enable individuals with diverse diets to self-report these experiences. Participants were questioned on the challenges they encountered and detailed questions regarding the types of experiences they face. The study was …

Impact Of An Occupation-Based Practice (Obp) Learning Module On Perceptions Of Obp And Selection Of Occupation-Based Interventions By Occupational Therapy Assistant Students, Allen S. Keener

Occupational Therapy Doctorate Capstone Projects

The purpose of this Capstone project was to immerse OTA students in classroom experiences designed to increase their knowledge of key concepts of occupation, OBP, and ability to select occupation-based interventions. The hypothesis of the researcher was that engagement in the module would create an increase in OTA student knowledge in the areas of occupation and OBP, as well as the ability to select occupation-based interventions based on client scenarios.

Prior to engagement in module class sessions, students engaged in pretesting activities, consisting of demographic information, a short essay, and an intervention selection task. Once completed, students participated in a …