Rehabilitation and Therapy Commons^™

Occupational Therapy: Celebrating 100 Years Of Art And Science, Diane Powers Dirette

The Open Journal of Occupational Therapy

No abstract provided.

The Reciprocal Relationship Between Art And Occupational Therapy Practice, Jennifer Fortuna

The Open Journal of Occupational Therapy

Susan Burwash, Ph.D., OTR/L, an occupational therapy professor and artist based in Washington State, provided the cover art for the Winter 2017 issue of the Open Journal of Occupational Therapy (OJOT). The featured piece contains Professor Burwash’s signature fauxpals, lampwork glass beads made from molten glass and pure silver foil. Art creates balance between traditional medicine and personal medicine, those meaningful activities that give life purpose. Professor Burwash’s personal medicine is making beautiful things that can be given away.

Changes In Knowledge, Skills, And Confidence In Fieldwork Educators After An Evidence-Based Practice Short Course, Alison Nichols

The Open Journal of Occupational Therapy

Background: It is critical that fieldwork educators demonstrate effective use of evidence for clinical decision making so that occupational therapy (OT) students learn to apply concepts from the classroom to everyday practice.

Method: OT fieldwork educators completed a 3-hour short course designed to provide instruction on the first three steps of the evidence-based practice (EBP) process: developing a clinical question, searching the literature, and assessing the evidence. The participants completed a pretest on site and posttest 3 weeks after the course to assess their knowledge, skills, and confidence when using EBP. The Adapted Fresno Test was used to …

Generation Y Health Professional Students’ Preferred Teaching And Learning Approaches: A Systematic Review, Caroline Mary Hills, Tracy Levett-Jones, Samuel Lapkin, Helen Warren-Forward

The Open Journal of Occupational Therapy

Generation Y or Millennials are descriptors for those born between 1982 and 2000. This cohort has grown up in the digital age and is purported to have different learning preferences from previous generations. Students are important stakeholders in identifying their preferred teaching and learning approaches in health professional programs. This study aimed to identify, appraise, and synthesize the best available evidence regarding the teaching and learning preferences of Generation Y health professional students. The review considered any objectively measured or self-reported outcomes of teaching and learning reported from Generation Y health professional student perspectives. In accordance with a previously published …

International Service Learning: Occupational Therapists' Perceptions Of Their Experiences In Guatemala, Jason C. Lawson, Myrna R. Olson

The Open Journal of Occupational Therapy

The U.S. is fast becoming more culturally diverse, creating a greater need for entry-level occupational therapists to be culturally competent. In order to increase students’ cultural competence, there is a growing support for international service learning (ISL). The purpose of this qualitative research study was to explore the perspectives of occupational therapy practitioners who engaged in ISL as occupational therapy students. Interviews were conducted with nine practicing occupational therapists, all of whom graduated from the same occupational therapy program in the U.S. and participated in an ISL experience in Guatemala. Phenomenological methods were used to analyze the transcribed interviews for …

Using High Fidelity Simulation To Impact Occupational Therapy Student Knowledge, Comfort, And Confidence In Acute Care, Debra M. Gibbs, Mary Dietrich, Emmy Dagnan

The Open Journal of Occupational Therapy

Background: As the demand for occupational and physical therapists in acute care settings is increasing, students are reporting a need for increased educational preparation to handle the complexities they may face in this setting. This pretest/posttest study examines the impact of an inter-professional high fidelity simulation experience on perceived levels of knowledge, comfort, and confidence among occupational therapy doctorate students when handling an acutely ill patient in an ICU setting.

Methods: Two cohorts of occupational therapy students participated in an inter-professional acute care scenario with high fidelity simulation mannequins (Cohort 1, n = 19; Cohort 2, n = …

Evaluation Of A Coaching Experiential Learning Project On Ot Student Abilities And Perceptions, Erin A. Phillips

The Open Journal of Occupational Therapy

Innovative teaching methods to address emerging practice needs are critical components of effective occupational therapy education. Experiential learning strategies can enhance skill development and translation of knowledge into OT clinical practice. In addition, skills such as coaching may provide important links to health promotion practices. Thirty-two occupational therapy students took part in an experiential project to connect occupational engagement and health for a community of older adults. A pretest/posttest design was used to evaluate program outcomes in student perceived abilities, and narrative reflection papers provided postexperience qualitative information. The students improved in all 10 areas of abilities self-assessment with …

Adapting To A Challenging Fieldwork: Understanding The Ingredients, Emily Raphael-Greenfield, Ivettedari Miranda-Capella, Myra Branch

The Open Journal of Occupational Therapy

Two occupational therapy students were assigned to an inpatient psychiatric unit for their first Level 1 fieldwork. With limited on-site supervision provided, they looked to each other for peer support and collaboration in assisting one patient with severe depression who was considered the “sickest patient on the unit.” The students were able to work together and make a positive intervention with this patient despite their novice status. Understanding what each of them brought personally to this experience as well as the nature of their working relationship and their use of concepts taught in the classroom has important implications for occupational …

Blended Approach To Occupational Performance (Baop): Guidelines Enabling Children With Autism, Jordan M. Skowronski, Jack R. Engsberg

The Open Journal of Occupational Therapy

The performance of daily activities is impacted by motor impairments in children with autism spectrum disorders (ASD). Research has recently demonstrated the prevalence and specificity of motor impairments in people with ASD. The motor learning of individuals with ASD is partially intact, and evidence suggests that a method to alter skill learning and repeated practice of motor sequences might be beneficial. Aiming to use this knowledge to guide occupational therapy interventions, initial guidelines for children with ASD blended Cognitive Orientation to daily Occupational Performance (CO-OP) with virtual reality (VR) were created. An expert panel reviewed the initial guidelines. The results …

Parental Adherence To A Research Protocol To Investigate The Effect Of The Wilbarger Therapressure Programtm: A Qualitative Study, Hugh Stewart, Kobie Boshoff, Scott Weeks

The Open Journal of Occupational Therapy

Background: The Wilbarger Therapressure Program^TM is a technique applied by parents at home for sensory overresponsivity in children. The program is anecdotally reported to be demanding on parents, which can affect parental adherence. Currently, there is an absence of high quality research to support the use of the program. This pilot study aimed at developing appropriate research protocols to investigate the effectiveness of the program on the stress response of children with sensory overresponsivity. This article reports on the second phase of the project.

Method: After participating in the trial data collection protocols to investigate the effect …

Perceptions Of Occupational Therapy Involvement In School Mental Health: A Pilot Study, Susan M. Cahill, Brad E. Egan

The Open Journal of Occupational Therapy

Background: Mental health providers outside of occupational therapy, including those who work in school systems practice, often do not fully understand the contribution that occupational therapy practitioners can make to the delivery of mental health services.

Method: The purpose of this mixed methods pilot study is to describe how instructional support staff from one special education cooperative learned about occupational therapy’s role in school mental health and to explain how this education changed the instructional support staff members’ perceptions regarding the involvement of occupational therapy practitioners in school-based mental health services.

Results: Instructional support staff's perceptions about …

Continuing Competence Trends Of Occupational Therapy Practitioners, Ketti Johnson Coffelt, Linda S. Gabriel

The Open Journal of Occupational Therapy

The purpose of this pilot study was to examine the perceptions and practices of occupational therapists regarding the types of professional development activities they seek to ensure competency. A self-report survey was used to investigate the therapists’ selection of and engagement in professional learning activities. The results from 43 occupational therapists were analyzed. Descriptive results identified the value of a professional development plan and collaboration with colleagues. Self-assessment and searching for and analyzing journal articles emerged as frequently used continuing competence learning practices. The results showed that therapists actively plan and select formal and informal professional activities to promote meaningful …

Outcome Measures With Copm Of Children Using A Wilmington Robotic Exoskeleton, Tracy Shank, Marissa Eppes, Jobayer Hossain, Margaret Gunn, Tariq Rahman

The Open Journal of Occupational Therapy

Background: The Wilmington Robotic Exoskeleton (WREX) is a body-powered, four degrees of freedom orthosis that allows gravity-minimized movement of the arm at the shoulder and elbow. We sought to measure patient satisfaction and performance with use of the WREX during activities of daily living, play, and at school.

Method: Twenty-five families completed a phone interview based on the Canadian Occupational Performance Measure (COPM). These families all had a child, aged 2 to 21years, who had a neuromuscular disorder and who had used the WREX for at least eight months. The parents rated their child’s performance of and satisfaction …

The Role Of Occupational Therapy In Community-Based Programming: Addressing Childhood Health Promotion, Julie D. Kugel, Heather Javherian-Dysinger, Liane Hewitt

The Open Journal of Occupational Therapy

Background: Obesity and poor health habits impact youth’s health and occupational participation. Occupational therapy’s role in preventing and treating obesity continues to emerge in the research literature. This article explores the impact of a community-based program emphasizing health and wellness for female youth.

Methods: Five girls 11 to 13 years of age participated in the healthy occupations program. Before and after the program, the participants engaged in an individual semi-structured interview and completed the Canadian Occupational Performance Measure and the CATCH Kids Club Questionnaire. The youth participated in a focus group midprogram.

Results: The participants were receptive …

State Of The Journal Year 4: Mapping Our Progress, Diane Powers Dirette

The Open Journal of Occupational Therapy

No abstract provided.

Kathleen “Kit” Sinclair, Phd, Otr/L, Fwot, Faota

OJOT Sponsor Profiles

No abstract provided.

Factors Affecting Community Participation In Young Adults With Intellectual And Developmental Disabilities, Molly Bathje

Dissertations

Young adults with intellectual and developmental disabilities (IDD) participate less frequently in communities than other disabled and non-disabled peers (Verdonschot, de Witte, Reichrath, Buntinx, & Curfs, 2009) even though they express a desire to participate (Kampert & Goreczny, 2007) and federal policy mandates community inclusion (Haertl, 2014). Participation in one’s community is linked to health and quality of life (World Health Organization, 2002). The broad goal of this three paper dissertation is to contribute to a deeper understanding of what facilitates and impedes community participation for young adults with IDD by (1) developing a new conceptual model, (2) evaluating a …

Puzzleart Therapy: Connecting The Pieces In Search Of Answers, Jennifer Fortuna

Open Journal of Occupational Therapy: Occupation and the Artist

Alli Berman has been an artist, educator, author, and lecturer for more than 25 years. Her art can be found in private, corporate, and nonprofit collections around the world. Berman is the creator of PuzzleArt, a series of small abstract paintings that combine to form a modular puzzle. When a stroke impacted Berman’s quality of life, she turned to art for answers. Engagement in a meaningful activity, such as painting, provided her motivation and strength for continued physical and psychological healing. The PuzzleArt concept evolved from a simple exercise that helped Berman to fit all of the missing pieces back …

Puzzleart Therapy: Connecting The Pieces In Search Of Answers, Jennifer Fortuna

The Open Journal of Occupational Therapy

Alli Berman, a New York based artist, provided the cover art for the Fall 2016 issue of The Open Journal of Occupational Therapy (OJOT). “Sunlight Underwater” is a 12 piece PuzzleArt painting made from acrylic on American maple that measures 22x30. The PuzzleArt concept began as a simple exercise that evolved into a therapeutic modality. When a sudden stroke impacted Berman’s well-being and quality of life, it was art that helped her to make connections during recovery.

Reclaiming And Proclaiming The Use Of Crafts In Occupational Therapy, Emily Leenerts, Cynthia Evetts, Emily Miller

The Open Journal of Occupational Therapy

No abstract provided.

What's In The Fridge? Unique Competencies Of Community-Based Occupational Therapists, Sunny R. Winstead

The Open Journal of Occupational Therapy

No abstract provided.

Perceptions Of Academic Fieldwork Coordinators Regarding The Value Of Fieldwork In Emerging Areas Of Practice, Victoria G. Wilburn, Kate E. Decleene Huber, Julie Gahimer, Candace Beitman, Elizabeth S. Moore

The Open Journal of Occupational Therapy

This study investigated the perceptions of academic fieldwork coordinators (AFWCs) regarding emerging areas of practice as fieldwork experiences for entry-level occupational therapy (OT) students. Further, this study explored several aspects of fieldwork experiences in emerging areas of practice on student personal and professional development, academic curriculum, partnering community agencies, and the profession at large. A survey designed through Qualtrics®, an electronic survey system, was sent to 163 AFWCs of fully accredited master’s and doctoral entry-level OT programs. Forty-four participants (27%) completed the 16-question survey. Significance at p < .05 was found in higher levels of Bloom’s taxonomy student performance when compared to traditional areas of practice. Common perceptions found among the AFWCs related to emerging areas of practice fieldwork experiences included: improved student professional and personal skills, increased connections and collaborations across and in health care disciplines, an enhanced ability to define and understand OT. Continued opportunities for fieldwork in emerging areas of practice are essential as the profession contemplates new markets and avenues in a changing health care environment.

Ot Practitioners’ And Ot Students’ Perceptions Of Entry-Level Competency For Occupational Therapy Practice, Minetta Wallingford, Lisa J. Knecht-Sabres, Michelle M. Lee, Lavonne Ellen St.Amand

The Open Journal of Occupational Therapy

This study examined occupational therapy (OT) practitioners’ and OT students’ perceptions of the importance of 12 specific OT-related entry-level competency skills and the number of weeks required to consistently demonstrate skills for entry-level competency. The results indicated that, on average, practitioners (n = 39) and students (n = 38) agreed that all of the items were important. However, the students had significantly higher ratings regarding the importance of communication, occupation and client-centered goals, time management, interventions, and use of theory and evidence. They also rated a higher number of minimum weeks required to consistently demonstrate entry-level competency. The …

High-Fidelity Simulation In Occupational Therapy Curriculum: Impact On Level Ii Fieldwork Performance, Rebecca Ozelie, Catherine Both, Emma Fricke, Carolyn Maddock

The Open Journal of Occupational Therapy

Simulation experiences provide experiential learning opportunities during artificially produced real-life medical situations in a safe environment. Evidence supports using simulation in health care education yet limited quantitative evidence exists in occupational therapy. This study aimed to evaluate the differences in scores on the AOTA Fieldwork Performance Evaluation for the Occupational Therapy Student of Level II occupational therapy students who received high-fidelity simulation training and students who did not. A retrospective analysis of 180 students from a private university was used. Independent samples nonparametric t tests examined mean differences between Fieldwork Performance Evaluation scores of those who did and did not …

Knowledge Translation And Occupational Therapy: A Survey Of Canadian University Programs, Heidi Cramm, Blair Short, Catherine A. Donnelly

The Open Journal of Occupational Therapy

While Canadian occupational therapy recognizes knowledge translation (KT) as essential to clinical interactions, there has been little attention paid to KT activity in education and research. The objective of this study was to identify the nature of KT activities in which Canadian occupational therapy faculty engage. An electronic survey was sent to faculty at 14 Canadian occupational therapy programs to explore the nature of KT activities, including research, education, strategies, evaluation, and barriers and facilitators. Descriptive statistics were used to analyze the data. Results show that faculty engage in a range of KT activities, with conferences and peer-reviewed publications being …

Up Bloom’S Pyramid With Slices Of Fink’S Pie: Mapping An Occupational Therapy Curriculum, Susan C. Burwash, Roberta Snover, Robert Krueger

The Open Journal of Occupational Therapy

Curriculum design is a complex task. One tool used in the design process is curriculum mapping. A mandated transition from a quarter to a semester academic calendar, alongside preparation of accreditation self-study materials, provided an opportunity for faculty teaching in an entry-level occupational therapy program to review the underlying basis of the curriculum. Two taxonomies of learning (Bloom’s cognitive domain and Fink’s taxonomy of significant learning experiences) were used to examine existing courses and to consider how learning outcomes and experiences varied over the sequence of courses in the curriculum. This led to the creation of a series of course …

Bangladesh Norms For A Gender-Specific Functional Fine Dexterity Test (Ffdt), Debra K. Lindstrom-Hazel, Umme Aeyman, Md. Julker Nayan, Syed Shakawat Hossain

The Open Journal of Occupational Therapy

Background: Good psychometrics and cultural relevance are needed for evidence-based practice. Occupational therapy (OT) assessment tools in Bangladesh have been developed outside of Bangladesh and have not been validated or normed for Bangladeshis. This normative and psychometric study was to provide culturally relevant norms for in Bangladesh for bilateral fine motor.

Method: The Functional Fine Dexterity Test (FFDT) consists of two functional/self-care gender-specific task instruments: a shirt with five buttons for males and a pinning board for females. Raters were trained in timing these tasks.

Results: Intra-Class Correlation (ICC) scores were > .85 for all rater teams. Participants …

Goals And Expectations Of Continuation High School Students Transitioning To Postsecondary Education, Chi-Kwan Shea, Gordon Muir Giles

The Open Journal of Occupational Therapy

Background: Students at a continuation high school (CHS) attended an occupational therapy program to acquire life skills in preparation for their transition from secondary education. Most of the students who participated in the OT program planned to pursue a postsecondary education (PSE), but the CHS students encountered many barriers in negotiating the requirements of PSE. Discernment of these barriers encountered by the CHS students may enable the occupational therapy practitioners to better prepare the students for PSE.

Method: This was a qualitative phenomenological study based on analyses of interview data. Semi-structured one-on-one interviews were conducted with eight CHS senior students …

Fitness-To-Drive Screening Measure©: Patterns And Trends For Canadian Users, Sherrilene Classen, Shabnam Medhizadah, Liliana Alvarez

The Open Journal of Occupational Therapy

Background: The Fitness-to-Drive Screening Measure^© (FTDS) is an online screening tool that enables proxy raters (caregivers, family members, and friends) to identify at-risk older adult drivers via 54 driving-related items. This study aimed to identify areas in need of improvement for the FTDS by identifying the patterns and trends of Canadian users and providing recommendations to increase the usage, reach, and potential impact of the FTDS as a health promotion tool.

Methods: We used monthly Google Analytics reports to calculate descriptive statistics for web page and session specific variables. Variables were separated into Year 1 and Year 2 …

Perceived Benefits Of Kinesio Tape® Compared To Non-Kinesiology Tape And No Tape In Healthy Collegiate Athletes, Gregory Chown, Jennifer Innamorato, Marlee Mcnerney, Jennifer Petrilla, Hillary Prozzillo

The Open Journal of Occupational Therapy

Background: Sports participation is considered a meaningful occupation for people of all ages. Multiple disciplines use Kinesio Tape® during treatment (Kinesio Taping® Association International, 2013e) for sports-related injuries. While the use of Kinesio Tape® is becoming increasingly popular in sports, there is a lack of evidence supporting its effectiveness. The purpose of this study was to address the following question: Is there a perceived sports performance benefit of using Kinesio Tape® compared to non-kinesiology tape or no tape in healthy collegiate athletes?

Method: This quantitative pilot study used a convenience sampling method. The participants included eighteen healthy men’s …