Rehabilitation and Therapy Commons^™

They Said: International Occupational Therapy Perspectives On The Role Of Technology In Practice, Amy Wagenfeld

The Open Journal of Occupational Therapy

No abstract provided.

Community-Working Occupational Therapists Serving As Fieldwork Supervisors: Characteristics And Associated Factors, Tore Bonsaksen, Anne-Stine Dolva, Sissel Horghagen, Unni Sveen, Cathrine Hagby, Cathrine Arntzen

The Open Journal of Occupational Therapy

As enrollment numbers grow in occupational therapy academic programs in Norway, the need for more fieldwork placements and supervisors increases. More knowledge about factors of importance for occupational therapists’ decisions to take on the role of fieldwork supervisor may promote easier access to supervisors who are ready for the task, and it may assist in addressing the barriers for those who are not. We recruited a sample of 561 community-working occupational therapists for an electronic survey conducted in 2017. Quantitative survey responses were obtained and used in the current study. The differences between supervisors and non-supervisors were examined with independent …

A Preliminary Historical Report On Embracing Online Education In Occupational Therapy, Janel Anne Belarmino, Angela Bahle-Lampe

The Open Journal of Occupational Therapy

The relevance and popularity of online occupational therapy education have been increasingly recognized. This paper describes the historical development of online occupational therapy education. Findings revealed three shifts in occupational therapy education, namely shifts in perception, in mode of instruction, and in the roles of teachers and students. The inception of online education in occupational therapy was a product of technological advancement and the demand for improved access to occupational therapy online education. The early phase of occupational therapy online education was confronted with challenges related to hesitance in the development and implementation of online programs and to negative perceptions …

The Student Perspective On Role-Emerging Fieldwork Placements In Occupational Therapy: A Review Of The Literature, Mathew Lau, Michael Ravenek

The Open Journal of Occupational Therapy

Role-emerging fieldwork placements are increasingly being used in entry-level occupational therapy programs. However, published reviews have yet to focus on synthesizing the experiences and perspectives of students. This review aims to identify the opportunities, challenges, and future directions of role-emerging fieldwork placements based on the student perspective. A literature review using scoping review methods was conducted, including an electronic database search, hand-searching of journals, and citation tracking. Descriptive and thematic analyses of the articles were performed. Thirty articles were identified through the literature search. Themes that emerged related to opportunities were professional and personal development, independence and autonomy, client-centeredness, and …

Challenging The Status Quo: Infusing Non-Western Ideas Into Occupational Therapy Education And Practice, Wanda J. Mahoney, Anne F. Kiraly-Alvarez

The Open Journal of Occupational Therapy

The authors of this Topics in Education article, who are both occupational therapy educators, reflect on challenging concepts related to decolonizing occupational therapy education, an idea they first encountered at the 2018 World Federation of Occupational Therapists Congress. They acknowledge that Western views heavily influence the occupational therapy concepts they teach to their students. The downside of approaching occupational therapy education and practice primarily from a Western worldview is that occupational therapy students and practitioners may perpetuate societal inequities through their practices and are not well-prepared to address the occupational needs of individuals and communities around the world. This article …

Gardening As A Meaningful Occupation In Initial Stroke Rehabilitation: An Occupational Therapist Perspective, Grete Patil, Mona Asbjørnslett, Kristin Aurlien, Nina Levin

The Open Journal of Occupational Therapy

Background: Initial rehabilitation after stroke is demanding for patients whose primary aim is to regain their functions. The literature indicates that gardening may provide medical rehabilitation opportunities and health resources. This study explored occupational therapists’ own observations and descriptions on how participation in a gardening group may support inpatients’ initial rehabilitation following acute stroke.

Methods: The authors analyzed notes written by occupational therapists during a 6 month-period that reflected their observations and descriptions after sessions with a gardening group. The therapists were trained in stroke rehabilitation and offered two sessions with gardening groups per week. The sessions were …

The Use Of Cognitive Strategies Among People With Schizophrenia: A Randomized Comparative Study, Alona Kaizerman-Dinerman, Naomi Josman, David Roe

The Open Journal of Occupational Therapy

No abstract provided.

Establishing Similarities And Differences Among The Self-Reported Academic Integrity Of Australian Occupational Therapy Undergraduate And Graduate-Entry Master’S Students, Ted Brown, Helen Bourke-Taylor, Stephen Isbel, Louise Gustafsson, Carol Mckinstry, Alexandra Logan, Jamie Etherington

The Open Journal of Occupational Therapy

Background: Research into the prevalence of dishonest academic behaviors suggests that such behaviors may be extensive in higher education. This study investigated the academic integrity of Australian occupational therapy students and compared the perspectives of undergraduate (UG) and graduate-entry master’s (GEMs) students.

Method: Students from five Australian universities (701; response rate 35%; 72.5% female) completed five standardized scales: (a) Academic Dishonesty Scale; (b) Academic Dishonesty in the Classroom Setting Scale; (c) Academic Dishonesty in the Clinical/Practice Education Setting Scale; (d) Academic Dishonesty Tendency Scale; and (e) Perceived Academic Sources of Stress. One-way analyses of variance were conducted to …

Practical Actions Shaped By The Internal Structures Of Occupational Therapists’ Professional Identities, Risa Takashima, Kazuko Saeki

The Open Journal of Occupational Therapy

Background: This study aims to consider the internal structures of the professional identities that occupational therapists construct in clinical settings and to explore the differences of practices resulting from these structures.

Methods: In completion of this study, a qualitative methodology based on a grounded theory approach was employed. Semi-structured, individual interviews were conducted with 30 practicing occupational therapists in Japan. First, the internal structures in the participants’ professional identities were identified and typified. Second, the participants’ actions in their practices were analyzed.

Results: We identified three types of internal structures of professional identities. One type focused on …

The Impact Of Cognitive Functioning On Daily Occupations For People With Multiple Sclerosis: A Qualitative Study, Aoife Mc Auliffe, Sinéad M. Hynes

The Open Journal of Occupational Therapy

Background: Cognitive rehabilitation research in multiple sclerosis is ever-developing, but the impact of cognitive difficulties, seen in 40% to 80% of people, on daily occupations is not well known. The aim of this study is to explore the needs of people with MS who have self-reported cognitive deficits.

Methods: An exploratory qualitative descriptive research design was used. Data was collected through semi-structured telephone interviews with the participants. Recordings were transcribed and analyzed thematically.

Results: Seven participants were recruited (mean age 47). Three themes were developed through associations found in the data. “Neglected symptom” reported the participants’ frustrations …

Serving High-Risk Youth In Context: Perspectives From Hong Kong, Chi-Kwan Shea, Nancy Jackson, Christine Haworth

The Open Journal of Occupational Therapy

Background: High-risk youth are often defined in occupational therapy terminology as adolescents and young adults who experience personal, contextual, or environmental barriers to effective participation in healthy, age-appropriate occupations. Without assistance for participation, these youth may acquiesce to daily routines of unhealthy risk-taking or isolation, failing to achieve developmental milestones needed for successful transition to adulthood. There are known therapeutic services targeting this population, but occupational therapy involvements have been sparsely documented.

Method: Having been affiliated with a community-based occupational therapy program serving high-risk youth for many years in the US, the principal investigator of the study used …

Life After Losing An Adult Child To A Drug Overdose: A Kawa Perspective, Aaron Weis, Julie D. Kugel, Heather Javaherian-Dysinger, Jessica Nicole De Brun

The Open Journal of Occupational Therapy

Background: Limited research is available to occupational therapy practitioners focusing on parents’ abilities to cope with the loss of an adult child to a drug overdose. We examined the unique experiences of grieving parents from a Kawa model perspective to identify potential implications for occupational therapy.

Methods: We used a qualitative approach in which 11 participants completed Kawa drawings and participated in semi-structured interviews.

Results: Following a Kawa model analysis themes emerged: volatile nature of flow, support from inner circle and connection with outer circle, lonely islands, personal attributes of positivity and economics, and enhancing my river’s flow.

Conclusion: The …

Global Perspectives On Occupational Therapy Practice And Education, Suzanne Martin, Amy Wagenfeld

The Open Journal of Occupational Therapy

No abstract provided.

The Importance Of Cultural Humility In Occupational Therapy, Jessika Reberg

Honors Theses

The demographics of the US have changed over the years due to a rise in the number of immigrants in the United States. Despite the rise of immigrants, and the cultural diversity they bring, healthcare disparities remain in the United States for various culture groups. The aim of this paper is to provide an analysis of how increased cultural humility can mitigate healthcare disparities. Health care disparities effect minority groups regarding access to care and quality of care. The development of cultural humility can help mitigate disparities because it promotes self-awareness, reflection, and engagement in an on-going learning process. Implicit …

“Evaluating Knowledge And Perspectives Of Behavior Analytic Language Strategies In The Clinical Practice Of Speech-Language Pathology”, Mackenzie Sturman

Honors Theses

Research shows that principles of applied behavior analysis (ABA) may be beneficial to language acquisition. Speech-language pathologists (SLPs) have the responsibility of assessment, diagnosis, and treatment for individuals with various speech and language impairments, and work directly with language instruction. However, there is limited knowledge of the degree to which SLPs use concepts of behavior analytic language interventions in clinical practice for individuals of varying language and communication disorders. This study investigated the extent to which practicing SLPs use language strategies from ABA in their clinical practice. A qualitative approach was utilized by conducting individual semi-structured interviews with four practicing …

Relationship Of Grip Strength And Quality Of Life Among Community-Dwelling Older Adults, Melissa Van Omen

Honors Theses

Loss of muscle strength is one of the key features of aging. Quality of life is a factor that affects productive aging and loss of muscle strength. A literature review was completed to assess the possible relationship between grip strength and quality of life among community-dwelling older adults, as measured through physical health in terms of independence with ADLs/IADLs, physical disability, and mobility. Articles were collected from various peer-reviewed, publish journals using the available databases of Western Michigan University libraries. Databases used include PubMed, Clinical Keys, the National Institute of Health (NIH), Springer Link, Scopus, BioMed Central, Wiley, and Oxford …

Exploring A Child’S History For Optimal Treatment Of Food Selectivity., Briana Lear

Honors Theses

Food selectivity is defined as “food refusal based on type, texture, temperature, or appearance of food, leading to a self-restricted diet” (Suarez, 2015). Food selectivity affects children of all ages. Food selectivity refers to when a child is eating as few as 5-10 different foods and demonstrates food refusal behaviors, which can make mealtime a challenge for children and their families (Suarez, 2015). Occupational therapy addresses activities of daily living (ADLS), therefore feeding, including food selectivity is included within the OT scope of practice. There is a need to create a comprehensive and thorough document to collect a client’s history …

The Art And Process Of Wood Carving As A Meaningful Occupation, Jennifer Fortuna

The Open Journal of Occupational Therapy

Leonard G. Trujillo, PhD, OTR/L, FAOTA, occupational therapy professor and chair emeritus based in North Carolina, provided the cover art for The Spring 2019 issue of The Open Journal of Occupational Therapy (OJOT). The piece, titled “Life’s Struggles,” is a relief carving made from butternut wood. Dr. Trujillo enjoys carving lifelike images that depict previous travels and his love of nature. His carvings are sculpted from a solid plank of wood, yet they provide the illusion of a three-dimensional form. Dr. Trujillo’s body of work reflects a lifetime of learning and engagement in the art and process of wood carving …

Low Income And Stroke Rehabilitation: A Tale Of Two Clients, Sarah Bernard, Katrine Sauvé-Schenk, Mary Egan

The Open Journal of Occupational Therapy

No abstract provided.

Occupational Therapy Practice With Adults With Intellectual Disability: What More Can We Do?, Khalilah R. Johnson, Meghan Blaskowitz, Wanda J. Mahoney

The Open Journal of Occupational Therapy

No abstract provided.

An Occupation-Based Approach To Management Of Concussion: Guidelines For Practice, Christina Finn

The Open Journal of Occupational Therapy

Concussion and the cumulative effects of repetitive head trauma have become a growing health concern both in the mainstream media and in the health care community. Although symptoms of concussion are not always outwardly visible, evidence suggests that post-concussion symptoms may interfere with an individual’s ability to work, play, and participate in school. In the past, the recommendations following concussion emphasized a complete rest approach, whereas current approaches focus on a gradual engagement in functional activities shortly after the injury. Since current recommendations are focused on a gradual engagement in occupation and activity, occupational therapy may be a valuable service …

Role-Play As An Effective Way To Teach Relationship Building With Telehealth, Lynn Mcivor, Michele Karnes

The Open Journal of Occupational Therapy

Telehealth has been described in the literature as an emerging niche for occupational therapists. The profession needs to move toward cost-effective and efficient ways to provide services while not adding to the increasing cost of health care, and one way of doing this is through telehealth. The research supports the importance of the therapeutic relationship, and that telehealth changes how we develop this bond; however, the literature does not provide educators with information on how to teach this to students. The purpose of this article is to highlight the potential of using role-play to educate students on how to develop …

Age Of First Drink, First Alcohol Intoxication, And Alcohol Abuse Behaviors Among Occupational Therapy Students, Randy P. Mccombie

The Open Journal of Occupational Therapy

The purpose of the present study was to examine alcohol use behaviors among a national sample of occupational therapy students. Survey instruments, including the AUDIT and a checklist of risky and unprofessional behaviors related to alcohol abuse, were mailed to 1,000 occupational therapy students randomly selected from membership in the American Occupational Therapy Association. Surveys were returned by 309 student members; however, 24 indicated they were not currently occupational therapy students. Of the 285 participants, 97% reported drinking alcohol at some point over the previous year, with 1 in 5 drinking two or more times a week, often consuming four …

Occupational Therapy Assistant Students’ Perspectives About The Development Of Clinical Reasoning, Jeanne M. Coviello, Marie Christine Potvin, Laronda Lockhart-Keene

The Open Journal of Occupational Therapy

A mandatory component of the training of occupational therapy assistant (OTA) students is the development of their clinical reasoning skills. As the demand for OTAs continues to increase in response to the growing need for occupational therapy services, the number of academic programs to prepare these future therapists has expanded. Unfortunately, there is no empirical literature addressing the preparation of OTA students, specifically the development of their clinical reasoning skills. Artifact analysis, focus groups, and questionnaires were used to explore OTA students’ perceptions of what Level II fieldwork learning experiences facilitated the development of their clinical reasoning skills. The results …

The Perceptions Of Pediatric Occupational Therapists Regarding Constraint-Induced Movement Therapy, Sapna Chakraborty, Kelsey Dulin, Rachel Murphy, Haley Richardson, Makaila Schieber, Abby Taube, Ashlea Cardin

The Open Journal of Occupational Therapy

Background: Research has shown constraint-induced movement therapy (CIMT) to be of benefit in pediatric occupational therapy practice to treat children with hemiplegia. The perceptions of adult clients, pediatric clients, child caregivers, and occupational therapists working with the adult population has been explored in the past. However, little is known about the perceptions of occupational therapists working with the pediatric population regarding CIMT. This qualitative study explored the perceptions of pediatric occupational therapists who had awareness of CIMT as an intervention method.

Methods: Eight pediatric occupational therapists from the Midwest United States participated in the study. Structured interviews were …

Retrospective Analysis: Most Common Diagnoses Seen In A Primary Care Clinic And Corresponding Occupational Therapy Interventions, Felicia Trembath, Sue Dahl-Popolizio, Makenzie Vanwinkle, Laura Milligan

The Open Journal of Occupational Therapy

Background: The literature supports occupational therapy (OT) on primary care (PC) interprofessional teams; however, due to uncertainty regarding the role of, and reimbursement for, OT in PC, few occupational therapists practice in PC. This study addressed the first barrier by identifying the 15 most common diagnoses in a specific PC practice and determining how many of them have evidence-based OT interventions appropriate for their treatments.

Method: A retrospective analysis of the ICD-10 codes used by one physician during a 12-month period was completed. These codes were reviewed and categorized using a functional classification system to determine the 15 …

Measuring Emotional Response To A Planting Activity For Staff At An Urban Office Setting: A Pilot Study, Amy E. Wagenfeld, Sandra Schefkind, Nancy Hock

The Open Journal of Occupational Therapy

Background: Interaction with occupation-centered activities, such as gardening, is associated with improved mental health. With limited evidence supporting the effects of short-term nature-based interventions on employees’ emotional states, the purpose of this research was to understand the impact of a one-time, short-term nature-based intervention on the emotional state of employees at an urban office building.

Method: This pretest/posttest design study used a visual analogue emoticon assessment tool, the Interaction with Nature scale, to measure differences in the participants’ emotional states before and after participating in a planting activity. Twenty-two participants engaged in the study. Each participant potted a …

Related Service Providers’ Perspectives On Everyday Life Participation Of Children And Youth With Disabilities, Kathleen Flecky, Alyssa Bornman, Danielle Boyer, Andrea Huckabee

The Open Journal of Occupational Therapy

Background: The purpose of this qualitative study was to investigate the perspectives of related service providers on everyday life participation of children and youth with disabilities that they serve.

Method: A qualitative design was used to guide interviews that elicited the participants’ perspectives working with children and youth with disabilities.

Results: Five themes emerged from the qualitative analysis: (a) each child’s individual experiences and quality of life; (b) linked to home, school, and community life; (c) child or youth driven; (d) provider collaboration and carryover; and (e) distinct professional provider views.

Conclusion: Insights into related service …

A Scoping Review Of Self-Awareness Instruments For Acquired Brain Injury, Danielle Mahoney, Sharon A. Gutman, Glen Gillen

The Open Journal of Occupational Therapy

Background: Self-awareness and insight are critical functions required to maintain safe and optimal participation in all daily life activities in a variety of environmental contexts. In the past two decades, occupational therapists have developed several psychometrically sound assessments designed to identify self-awareness and insight deficits in patients with neurological disorders. This scoping review identifies and evaluates key properties of such assessments to inform clinical practice.

Method: Multiple electronic databases were searched using the key search terms of “self-awareness” and “self-awareness assessment,” and “insight” and “insight assessment.” Included studies were original primary sources from the peer-reviewed journals.

Results: …

An Occupational Therapy-Based Supported Education Program For University Students With Various Dsm-5 Diagnoses: Program Description And Academic Outcomes, Victoria Schindler

The Open Journal of Occupational Therapy

Background: This article describes and provides academic outcomes for an occupational therapy-based supported education program developed to assist undergraduate students with various DSM-5 diagnoses with the academic, social, and psychological skills important for college.

Method: A detailed program description and illustrative example of the intervention is provided. Quantitative designs were used to report retention, graduation, and GPA and to calculate changes in mean cumulative GPA.

Results: Of 83 students who started the program, 80 completed at least one semester (96%). Of these 80, 62 (77.5%) continued at the university for a retention rate of 77.5%, and 43 …