Towards Culturally Competent Professional Practice: Exploring The Concepts Of Independence And Interdependence, Wesam B. Darawsheh, Gill Chard

Occupational Therapy Faculty Publications

Health and social care practitioners increasingly work with clients from diverse cultural backgrounds. While health and social care systems have emphasized the importance of culturally competent practice, professional practice has been influenced by values such as independence, a western notion that places value on the individual. It has been suggested that interdependence, a notion that places value on the family and/or community, can serve as an alternative to independence in culturally diverse practice. Using interviews with thirteen occupational therapists working in culturally diverse social care teams in London, this study aimed to explore whether the concept of interdependence could serve …

The Emotions, Coping And Social Support Perceived By Ncaa Division I Athletes During Concussion Recovery: A Qualitative Study, Paige Wells

College of Graduate Studies: Theses & Dissertations

Context: Concussed patients require an individualized assessment and treatment plan in order to improve the outcomes associated with their overall recovery. A new model has been created to explain the psychological response to sport concussion injury and rehabilitation process. This model highlights pre-injury and post-injury factors affecting the recovery process including emotions, coping and social support. Understanding the emotional disturbances, coping behaviors and social support available to concussed athletes may provide valuable information for the healthcare team in management and care for the concussed athlete.

Purpose: To identify and describe the emotions, coping mechanisms and social support perceived by Division …

A Comparative Acoustic Examination Of Infant Cries: Children At High Risk Versus Low Risk For Autism Spectrum Disorder Development, Ildiko Eva Bruz

Theses : Honours

Background: Early interventions for individuals with Autism Spectrum Disorders (ASD) have shown positive gains in children who enter therapy at a young age. However, commencement of early intervention is often hindered by challenges with diagnosis. Due to the complex nature of ASD, the age of detection can range from 2 years old into adulthood. This highlights the need for methods of early detection. Previous research has found infants at risk for ASD to present atypical cry characteristics, possibly as a result from damage to the brainstem. In particular, measures of fundamental frequency appear to be the most sensitive to …

Early Intervention Of Parent-Infant Interactions In Preterm Infants: A Systematic Review, Stacey Osborne

Theses : Honours

Every year approximately 15 million babies are born preterm. These infants are at an increased risk of language, and other developmental delays due to their immature brain development and higher incidence of brain abnormalities. They also have poorer health outcomes in the early stages of life which may go on to hinder successful parent-infant interactions. Successful parent-infant interactions are important for infant developmental outcomes such as language, cognition and behaviour. While interventions targeting the promotion of positive interactions have been found to have positive effects in a number of populations to date, interactions involving preterm infants have not been explored. …

Identifying The Enablers And Barriers To Community Participation Amongst Older Adults, Nicole Papageorgiou

Theses : Honours

The older adult population in Western Australia (WA) has significantly increased over the last decade and continues to grow, highlighting the importance of maintaining their health, wellbeing and independence. This may be achieved by facilitating active ageing, enabling older adults to continue to live meaningful and fulfilling lives, contribute positively to society, and lower the demand on costly health and human services. Conversely, a lack of social engagement and community participation may hinder healthy ageing and lead to social isolation, which is adversely related to the quality of life and health status of older adults. Occupational participation is critical to …

Tracking Energy Balance In Adolescents: Levels Of Compliance, Energy Flux, And Learning, Senlin Chen, Xihe Zhu, Gregory J. Welk, Youngwon Kim

Human Movement Studies & Special Education Faculty Publications

Background/Objective: Advancing knowledge about energy balance (EB) is important for helping to reverse the obesity epidemic in many modern societies. This study examined adolescents' experience and perception of using an objective self-monitoring tool (SenseWear armband; SWA) and a portable diet journal to track EB for 7 days.

Methods: Forty-five 6th grade students in a midwestern state of the United States [Caucasian: n = 34, 76%; age: 11.7 ± 1.8 years; body mass index (BMI): 20.84 ± 3.94] participated in the study. The SWA, diet journal, and semistructured individual interview were used to measure energy expenditure (EE) and physical activity (PA), …

Promoting Character And Resiliency Among Elementary School Students: An Assessment Of The Care Now Program, Eddie Hill, Tammi Milliken, Jennifer Goff, Debbie Clark

Human Movement Studies & Special Education Faculty Publications

Youth, especially in inner-city areas of the country, are in need of effective, outcome-based camp programs when school is not in session. Character and Resiliency Education (CARE) Now (CN) is a comprehensive in- and afterschool program designed to promote academic enrichment through positive youth development with a focus on enhancing character and resiliency. In the summer of 2013, CN was adapted to create a three-week long day camp at a high-needs elementary school in eastern Virginia. Using theoretically-based and outcome focused programming, CN was widely praised for its effectiveness among youth in this summer camp. To assess its impact, a …

Contributors And Constraints To Involvement With Youth Sports Officiating, Lynn Ridinger

Human Movement Studies & Special Education Faculty Publications

There is a growing concern about the shortage of sports officials and its impact on organized youth sport. The purpose of this study was to gain a better understanding of psychosocial factors that impact involvement with youth sports officiating by comparing and contrasting the experiences of officials from two distinct sports. In-depth interviews were conducted with baseball umpires and lacrosse officials. Resulting themes were classified as either contributors or constraints to involvement with officiating. The most striking difference between the two groups was the support provided in terms of mentorship, training, and administrative consideration. The baseball umpires received greater support …

Moving Beyond Cardio: The Value Of Resistance Training, Balance Training, And Other Forms Of Exercise In The Management Of Diabetes, Marni J. Armstrong, Sheri R. Colberg, Ronald J. Sigal

Human Movement Studies & Special Education Faculty Publications

Traditionally, aerobic training has been a central focus of exercise promotion for diabetes management. However, people with diabetes have much to gain from other forms of exercise. This article reviews the evidence and recommendations on resistance, balance, and flexibility training, as well as other, less traditional, forms of exercise such as yoga and Tai Chi.

Exercise As Medicine For Diabetes: Prescribing Appropriate Activities And Avoiding Potential Pitfalls: Preface, Sheri R. Colberg

Human Movement Studies & Special Education Faculty Publications

(First Paragraph) In this issue, I have the pleasure of further reinforcing for you the benefits of engaging in regular exercise, along with the more expansive realm of appropriate physical activities for people with diabetes. Although physical activity is a cornerstone in the management of diabetes, and the health benefits of exercise are widely touted as "medicine" for diabetes, many individuals with this chronic disease fail to become or remain regularly active.

An Evidence-Based Determination Of Whether Effective Leadership Competencies Are Universal And Transferable., John Michael Slade

Walden Dissertations and Doctoral Studies

Poor executive leadership of organizations over the last 20 years has resulted in the destruction of stakeholder value, loss of jobs, and in some cases, risk to the entire enterprise. An executive search firm database, encompassing 16,000 leaders from 300 organizations, was analyzed to determine if the commonality and transferability of leadership competences could be used to improve executive assessment. Implicit leadership theory, where leaders are gauged by the individuals that surround them, served as the theoretical foundation. The study also relies on a leadership competency model used by the executive search firm that constructed the database and is based …

Jane Case-Smith, Edd, Otr/L, Faota

OJOT Sponsor Profiles

No abstract provided.

Biomechanical Analysis Of Race Walking Compared To Normal Walking And Running Gait, Jaclyn D. Norberg

Theses and Dissertations--Kinesiology and Health Promotion

Human locomotion is phenomenon that is extraordinarily complex. It is evident that a complete description of locomotion involves consideration of kinematics, kinetics, and muscle activity of the extremities in all of their various movements. Race walking (RW) is a form of upright locomotion that differs from normal walking and running by its form dictated by the International Amateur Athletics Federation (IAAF). Despite the similarities to both normal walking (NW) and running (RU), RW has not been the subject of equally intensive investigations.

This study explores the comprehensive biomechanics of race walking and how it compares to NW and RU. A …

The Effects Of Spinal Manipulative Therapy On Isokinetic Strength And Postactivation Potentiation, Grant D. Sanders

Theses and Dissertations--Kinesiology and Health Promotion

Spinal manipulative therapy (SMT) is a therapeutic procedure employed by various healthcare practitioners for alleviating acute and chronic musculoskeletal complaints. This form of treatment is also delivered to enhance the performance and augment the rehabilitation of athletes. However, despite research findings alleging the strength-modulating effects of SMT alongside numerous professional athletes’ positive anecdotal claims concerning its results, the physiological processes to explain its effects remain largely unexplained. Therefore, the purpose of this work was to investigate the effects of SMT in a college-aged sample population with two experiments.

The first study examined the effect of SMT targeting the lumbosacral region …

Personality Factors And Nuclear Power Plant Operators: Initial License Success, Cynthia Catherine Devita-Cochrane

Walden Dissertations and Doctoral Studies

Commercial nuclear power utilities are under pressure to effectively recruit and retain licensed reactor operators in light of poor candidate training completion rates and recent candidate failures on the Nuclear Regulatory Commission (NRC) license exam. One candidate failure can cost a utility over $400,000, making the successful licensing of new operators a critical path to operational excellence. This study was designed to discover if the NEO-PI-3, a 5-factor measure of personality, could improve selection in nuclear utilities by identifying personality factors that predict license candidate success. Two large U.S. commercial nuclear power corporations provided potential participant contact information and candidate …

Exploring Recruiting Challenges Of The Insurance Industry, Hema Chaurasia

Walden Dissertations and Doctoral Studies

Insurance companies provide financial protection to the general population, but their workforce challenges may destabilize the companies to the point of financial distress. Senior insurance company leaders lack effective strategies to recruit skilled professionals. With contingency theory and resource-based view theory as the framework, the focus in this multicase study was the exploration of the recruiting strategies of human resources (HR) managers in New York City area insurance companies. Four insurance company HR managers were recruited via a purposeful and snowball sampling method for semistructured interviews. These interviews were analyzed through a reflective interpretation process, which was guided by the …

The Correlation Among Personality Characteristics, Stress, And Coping Of Caregivers Of Individuals With Intellectual And Developmental Disabilities, Natasha O'Connor

Walden Dissertations and Doctoral Studies

There is little research on the coping strategies of direct support professional caregivers working with the intellectually disabled (ID) and developmentally disabled (DD). The study was guided by Lazarus and Folkman's (1984) theory of the transactional model of stress and coping. The purpose of this study was to assess whether there is a correlation among the independent variables of coping and personality characteristics with stress as the dependent variable. A convenience sample of 69 professional caregivers was used. Data were collected using the Ways of Coping Questionnaire, Perceived Stress Scale, NEO-FFI-3, and a demographic questionnaire. A correlational analysis was conducted …

The Therapeutic Contributions Of Somatosensory Feedback During Exercise For Those With Parkinson's Disease, Matthew T. Lasswell

Theses and Dissertations (Comprehensive)

Previous research has proposed that the somatosensory feedback generated during exercise is a key component in regards to the mechanism underlying the therapeutic effects of exercise on the motor symptoms of Parkinson’s disease (PD). This thesis aimed to further examine the contributions of different forms of somatosensory feedback during exercise in PD in order to understand the mechanism for symptom improvements that certain exercise studies report.

This randomized, controlled exercise study consisted of three treadmill groups, with the RATE and MAGNITUDE groups serving as the experimental conditions, while the CONTROL condition was an active comparator treadmill walking group. The RATE …

Promoting Social Interaction Skills To Influence The Transition To Employment For Youth With Autism Spectrum Disorders, Jennifer Susan Lange

Honors Theses and Capstones

Autism Spectrum Disorders (ASD) affect one in 68 children in the United States and are characterized by deficits in social interaction. Decreased social interaction skills limit youth with ASDs’ ability to obtain and maintain a job. Acquisition of needed social interaction skills must occur during high school years as part of youths’ transition program. The Therefore, the purpose of this qualitative study was to consider ways to facilitate social interaction to influence the transition to employment. The specific aims of the study were to explore strategies currently used to facilitate social skills, identify social skills currently targeted, and identify other …

Friendships For High School Students: With Autism Spectrum Disorder And Without, Alanna Young

Honors Theses and Capstones

People with Autism Spectrum Disorder (ASD) experience deficits in social communication, having difficulty with carrying on conversations, abiding by social norms, and feeling empathy towards others. As social skills are important for successful interactions, these deficiencies can decrease the number of friendships experienced by teenagers with ASD. However, it is also possible that other social barriers are involved, such as stigma, assumed by peers of teenagers with ASD. The influence of deficits in social interaction and stigma was examined through semi-structured interviews and focus groups, comprised of groups with teenagers with ASD and groups with typically developing teenagers. It was …

Criterion-Related Validity Of The Children's Occupational Performance Questionnaire, Kelsey Zukowski

Honors Theses and Capstones

This study examined concurrent, criterion-related validity of a new measure of occupational performance for children, the Children’s Occupational Performance Questionnaire (COP-Q). The COP-Q is completed by caregivers of children to measure performance in five areas of occupation: Activities of Daily Living, Instrumental Activities of Daily Living, Social Participation, Play/Leisure, and Education/Work. Scores from a sample of children ranging in age from birth to 18 years were correlated with scores from the Vineland Adaptive Behavior Scales-II (VABS), a well-established assessment tool of adaptive behavior that measures similar functional areas as the COP-Q. The results indicated that the COP-Q correlates highly and …

The Impact Of Self-Imposed Barriers On African Americans Successes, Pennie L. Murray

Walden Dissertations and Doctoral Studies

Researchers and economists have argued that the economic and social stagnation of African Americans is the result of their lack of self-confidence, initiative, and commitment toward their own advancement. This qualitative study examined whether historical conditioning and personal experiences have created a hypersensitivity in this population to events triggering behaviors that mirror the success fearing personality when seeking social, economic, and political advancement. It used Zuckerman and Allison's fear of success scale to identify the range of success fearing in 30 African American men and women aged 35 years or more; this group was also interviewed regarding their lived experiences …

Growing Up In Ireland: Factors Impacting Sleep Patterns Of Preterm Infants, Joanne Fallon

Theses and Dissertations

GROWING UP IN IRELAND: FACTORS IMPACTING SLEEP PATTERNS OF PRETERM INFANTS

By Joanne Fallon MS, OT, PhD

A dissertation submitted in partial fulfillment of the requirements for the degree of Doctor of Philosophy at Virginia Commonwealth University

Virginia Commonwealth University, 2015.

Major Director: Shelly J. Lane, PhD, Professor, Department of Occupational Therapy

Preterm infants represent the largest child patient group in the European Union (EU), accounting for 5.5-11.4% of all births (European Foundation for the Care of Newborn Infants, 2011b). Preterm birth is defined as birth prior to 37 weeks gestation. Infants born late preterm (34-36 weeks) are considered more …

Individuals With Fetal Alcohol Spectrum Disorder: Predictive Factors For Successful Occupational Performance, Mary Culshaw

Theses and Dissertations

As awareness and diagnoses of FASD grow in Canada, there is increased need to support these individuals across their lifespan. One study suggested the prevalence of FASD may be as high as 10 per 1000 births (May & Gossage, 2001). The impact to society is growing as well, since this population requires support across their lifespan due to cognitive and sometimes physical impairments. It was estimated that the annual cost to Canadians was $53 billion (in 2007 dollar value) to support individuals aged 0-53 years (Stade et al., 2009). There is mounting evidence identifying the cognitive and physical impairments that …

Participatory Action Research To Improve Caregiver Education Based On Cognitive Performance Test Results For Persons With Alzheimer's Disease Or Mild Cognitive Impairments, Terrianne Jones

Occupational Therapy Program Student Theses, Dissertations and Capstones

The aim of this study was to make changes to how occupational therapists in a transitional care unit setting provide education about Cognitive Performance Test (CPT) scores to caregivers of those patients with dementia or suspected dementia. Caregiver education for this population is important, as the incidence of persons living with Alzheimer's disease and other dementias is expected to grow dramatically in the coming two decades. This study used a Participatory Action Research (PAR) approach to gather input from occupational therapists and caregivers of patients evaluated with the CPT. Interviews of caregivers indicated that they were unhappy with the education …

Self-Efficacy, Cultural Competence, And Perception Of Learning Environment In Traditional And Interprofessional Education Physical Therapy Curricula, Laura Smith

Walden Dissertations and Doctoral Studies

Interprofessional education (IPE), a concept that brings students from different health care professions together in the learning process, has been adopted by some physical therapy (PT) schools as an alternative to traditional PT-only curricula. Both approaches have the goal of improving patient outcomes for an increasingly diverse population. There was a void in the research comparing IPE and traditional curricula in PT education. Grounded in the theoretical frameworks of adult and social learning theory, the purpose of this study was to examine differences in students' self-efficacy, cultural competence, and perceptions of the learning environment based on curricular type and prior …

Internal Attributes That Mitigate Perceived Job Insecurity: Improving Employee Satisfaction, Shelly Leigh Rogers-Sharer

Walden Dissertations and Doctoral Studies

Employee satisfaction has been found to have a strong relationship with perceived job security. This study explored job insecurity in an unstable global economy. Specifically, it examined internal attributes of employees, hypothesizing that such attributes would enable employees to better cope with work-related stressors such as job insecurity. Specific attributes of personality and employability were assessed as potential moderators of job satisfaction and security, utilizing the theory of work adjustment and person-environment correspondence as theoretical frameworks. The specific attributes included facets of conscientiousness and neuroticism as well as dispositions of employability including openness to change at work, work and career …

The Effect Of Training Older Adults In Tai Chi And Compensatory Stepping On Balance Control, Hannah L. Moore Miss

Theses and Dissertations (Comprehensive)

Abstract

Introduction: In Canadian society, there is a growing prevalence of older adults and one of the main problems facing this generation today is the risk of falling. Tai Chi (TC) is a martial art that has demonstrated improvements in balance control. It uses a series of fluid movements that engage head, neck and trunk rotation while simultaneously reducing base of support. In addition, it has been demonstrated that training older adults by administering unpredictable perturbations to challenge balance better equips them to react successfully in response to balance perturbations. This study aims to determine the potential balance specific benefits …

Evaluation Of Pediatric Manual Wheelchair Mobility Using Advanced Biomechanical Methods, Brooke A. Slavens, Alyssa J. Schnorenberg, Christine M. Aurit, Adam Graf, Joseph J. Krzak, Kathryn Reiners, Lawrence C. Vogel, Gerald F. Harris

Biomedical Engineering Faculty Research and Publications

There is minimal research of upper extremity joint dynamics during pediatric wheelchair mobility despite the large number of children using manual wheelchairs. Special concern arises with the pediatric population, particularly in regard to the longer duration of wheelchair use, joint integrity, participation and community integration, and transitional care into adulthood. This study seeks to provide evaluation methods for characterizing the biomechanics of wheelchair use by children with spinal cord injury (SCI). Twelve subjects with SCI underwent motion analysis while they propelled their wheelchair at a self-selected speed and propulsion pattern. Upper extremity joint kinematics, forces, and moments were computed using …

Physiological And Self-Report Instruments To Measure Fatigue In Older Adults, Christopher Sundberg

Maria Dittman Library Research Competition: Student Award Winners

No abstract provided.