Rehabilitation and Therapy Commons^™

Expectation Setting As A Retention Strategy To Improve Military Veterans’ Transition Into Civilian Organizations, Sarah O. Bashorun

Walden Dissertations and Doctoral Studies

Military veterans entering the civilian job market have experienced challenges adapting to the civilian work place culture, which poses undesirable retention rates. This qualitative study addressed the research gap in understanding contextually the lived experiences with setting expectations and its impact on veterans withdrawing from the organization from the perspectives of veterans, HR, and hiring managers. This study was based on the met expectation theory that posits that an employee’s incoming expectation needs to match their expectation while on the job to avoid withdrawal behaviors. To confirm the theory and address the purpose two research questions were used: (a) addressed …

Data Modeling Of Cognitive Structure In Physiotherapy Students Learning Gross Anatomy, William Allan Besselink

Walden Dissertations and Doctoral Studies

Cognitive structures that promote deep learning of gross anatomy are integral to musculoskeletal physiotherapy practice yet poorly understood. This quantitative, criterion-related validation study addressed two data modeling strategies (multidimensional scaling and Pathfinder networks) as a potential visual and quantitative representation of the cognitive structures of physiotherapy students learning gross anatomy. The study was grounded in the Adaptive Control of Thought-Rational theory of cognition. The research questions addressed the agreement (reliability, accuracy, and association) between student and expert cognitive structures and included the derived quantitative parameters as predictor variables in multiple regression to examine potential relationships with unit grades. An online …

The Impact Of Assertiveness And Religiosity On The Expression Of Dissent Among U.S. Immigrant Nigerian Workers, Peter Osiabia Azorji

Walden Dissertations and Doctoral Studies

AbstractScholars have studied dissent in general, but few have focused on the impact of cultural contexts and characteristics on dissent. Literature on the influence of cultural factors on expression of disagreement in organizations, by immigrant Nigerian workers in the US has not received adequate attention. There is therefore a compelling need to bridge this gap. This quantitative nonexperimental correlation study examined the impact of assertiveness and religiosity (variables that may be influenced by culture), on expression of minority dissent among Nigerian immigrant workers in the United States. The inquiry was based on two theoretical models: Bourhis et al.’s interactive acculturation …

Merger And Acquisitions: Effects Of Cultural Adaptation On Burnout Over Time Among Middle Managers, Perian Nora Stavrum

Walden Dissertations and Doctoral Studies

Merger and acquisition (M&A) actions are common; however, research on cultural adaptation over time leading to burnout is scarce. The purpose of this quantitative, nonexperimental study was to evaluate the relationships between independent variables defined as organizational and group adjustment, and the criterion variables operationalized as emotional exhaustion and cynicism, and to determine if the adjustment factors and time interact, affecting burnout in middle managers working in a target organization of U.S.-based M&As. The theoretical framework used was organizational socialization, conceptualized as newcomer adaptation, suggesting that individuals must traverse through an adjustment period regardless of the context of the change. …

Impact Of 17-Beta Estradiol And Moderate-Intensity Exercise On Mesenteric Arterial Function Of Uc Davis Type-2 Diabetes Mellitus Rats, Md Rahatullah Razan

University of the Pacific Theses and Dissertations

The studies in this dissertation were designed to investigate the impacts of estrogen (17-β estradiol/E2) and moderate-intensity exercise (MIE) on the mesenteric arterial (MA) function of the University of California Davis type-2 diabetes mellitus (UCD-T2DM) Rat model. Our recent report suggests that diabetes impairs MA vasorelaxation in both sexes of the UCD-T2DM model. Particularly, we reported that MA from prediabetic male rats showed a greater impairment compared to that in prediabetic females. However, when females become diabetic, they exhibit a greater vascular dysfunction than males. Therefore, the aim of the first study was to investigate whether female sex hormone, specifically …

Injury Reporting Barriers Amongst Aviation Soldiers, Morgan Stanwood

College of Graduate Studies: Theses & Dissertations

There is a high prevalence of musculoskeletal injuries in the U.S. military which poses a major threat to military readiness. However, recent research indicates that Soldiers do not seek medical care for nearly half of their injuries. PURPOSE: Identify barriers in injury reporting using the Theory of Planned Behavior within a U.S. Army special operations aviation population. METHODS: This descriptive study utilized a self-report survey to explore injury rates, reporting rates, and perceptions of reporting behaviors. RESULTS: Of the 108 Soldiers who completed this study 77.8% experienced a MSKI in the previous 12 months and 69% sought medical care (reported …

Structural Remodeling Of The Lumbar Multifidus, Thoracolumbar Fascia And Lateral Abdominal Wall Perimuscular Connective Tissues: Medium-Term Test-Retest Reliability Of Ultrasound Measures, Christian Larivière, Dany H. Gagnon, Richard Preuss

Études primaires

Abstract

Introduction

Growing interest is being paid to the lumbar multifidus (LM) intramuscular fatty infiltrations and fibrosis that are secondary to low back pain as well to the remodeling of perimuscular connective tissues (fasciae) such as the thoracolumbar fascia and fascia sheets separating the abdominalwall muscles. Magnetic resonanceimaging and computed tomography have traditionally been used but rehabilitative ultrasound imaging (RUSI) is much more affordable and practical, which can accelerate research and clinical applications on this topic. The aim of this study was to test the medium-term (8 weeks) test-retest reliability of the corresponding RUSI measures.

Methods

Thirty-four participants …

The Editors’ Perspective: Online Teaching And Learning In A Pandemic, Cindy L. Hayden, Dana M. Howell, Renee Causey-Upton

Journal of Occupational Therapy Education

No abstract provided.

The Occupation-Centered Intervention Assessment: Bridging Theory And Practice In Fieldwork Education, Erin Main, Carolyn Michaud, Amelia Kellar, Kate Wondra, Vanessa D. Jewell, Taylor Wienkes, Brenda M. Coppard

Journal of Occupational Therapy Education

Occupational therapy’s identity is grounded in occupation-centered care. However, evidence suggests external factors in the healthcare system burden practitioners’ time and resources, reducing attention directed toward occupation-centered practice and student learning and transfer of theoretically grounded knowledge. The departure from theory-based practice can threaten the identity and viability of the profession. The Occupation-Centered Intervention Assessment (OCIA) was designed for practitioners or students to self-rate the degree to which interventions are occupation-based or occupation-focused, creating an occupation-centered framework. In this pilot explanatory sequential mixed methods study, Level II fieldwork educators and fieldwork students in Alaska completed OCIA training and utilized the …

Survey Of Occupational Therapy Education In Telehealth, Katrina M. Serwe, Ranelle Nissen

Journal of Occupational Therapy Education

Telehealth delivered occupational therapy services are increasing, and students will need to be prepared to safely and ethically deliver telehealth services. Occupational therapy education standards require that students demonstrate knowledge of telehealth and related technology. However, there is a limited discussion in the literature on how programs are preparing students to deliver services via telehealth. This explanatory mixed methods study examined telehealth education in entry-level occupational therapy programs to understand if and how students are learning about telehealth. The quantitative portion involved a survey of 429 occupational therapy programs in the United States. The qualitative part involved four survey respondents …

Meaning And Impact Of Interprofessional Simulation Participation For Occupational Therapy Students: A Qualitative Descriptive Study, Elena Wong Espiritu, Steven Busby

Journal of Occupational Therapy Education

Occupational therapy programs are incorporating simulation experiences more regularly into their curricula. However, there continues to be a need for more evidence demonstrating simulation benefits, particularly when various client populations, standardized actors, interpersonal skill practice, and multiple disciplines are incorporated into scenarios. The purpose of this qualitative descriptive study was to describe the meaning and impact of participating in an interprofessional simulation for occupational therapy students as part of their current academic preparation and future clinical practice in the hopes of increasing the participants’ interpersonal and clinical reasoning skills. Study participants were entry-level occupational therapy doctoral students (N=64) and their …

Application Of Active Learning Strategies For Online Delivery In An Occupational Therapy Assistant Program, Tiffany L. Benaroya, Jennifer C. George, Deborah Mckernan-Ace, Margaret Swarbrick

Journal of Occupational Therapy Education

The COVID-19 pandemic had a significant impact worldwide in every aspect of society including occupational therapy assistant students enrolled in academic coursework. This manuscript examines the unique experience of occupational therapy assistant faculty in a northeast state who were able to quickly modify classroom and lab teaching-learning strategies to a fully online virtual format for two semesters. Since no available information on strategies for online delivery of occupational therapy assistant education were found in the literature, their experiences implementing active learning strategies are described and discussed. Strategies covered include: the flipped classroom model; think-pair-share and jigsaw technique using breakout rooms; …

Perceptions Of Stress, Mindfulness, And Occupational Engagement Among Graduate-Level Occupational Therapy Students, Patricia Henton, Caroline Targonski, Acacia Gambrel, Catherine Rink, Sarah Wirtz

Journal of Occupational Therapy Education

Previous literature explored the concepts of stress, mindfulness, and occupational engagement, yet there is a substantial gap linking these terms within the field of occupational therapy (OT). The researchers identified a need to investigate the perceptions of these concepts among graduate-level OT students and its impact on their quality of life and occupational balance. Current research identified mindfulness and occupational engagement as healthy coping strategies for reducing stress and both concepts emphasized the action of being fully present and engaged. The exploratory mixed-methods study consisted of 490 students from graduate-level OT programs throughout the United States. Results revealed that the …

The Focuus Model— Facilitating Occupational Performance On Campus: Uplifting Underrepresented Students, Maribeth Clifton, Steven D. Taff

Journal of Occupational Therapy Education

The FOCUUS Model or Facilitating Occupational Performance on Campus: Uplifting Underrepresented Students, is a theoretically-based, evidence-centered model focused on ethnic minority (EM) students in higher education. The FOCUUS Model recognizes minority status as a determinant of health, where the experience of minority status stress (MSS) resulting from racism, stigmatization, marginalization, discrimination, microaggressions, and challenges to one’s sense of belonging largely influence one’s occupational performance, health, and overall well-being. Historical and contemporary injustices within American culture have resulted in multigenerational occurrences of disparities for EMs. Racial injustice is deeply embedded and still ever-present within practices and traditions in higher education institutions …

From Boring To Board Game: The Effect Of A Serious Game On Key Learning Outcomes, Kendal L. Booker, Anita W. Mitchell

Journal of Occupational Therapy Education

Serious games incorporate learning objectives in the context of competitive games with rules. These types of games have been incorporated in education as well as therapeutic contexts. This study examined the effectiveness of a modification of the game “Snakes and Ladders,” for reviewing and learning qualitative research concepts. Using the Game-based Evaluation Model (GEM), the researchers also measured learning indicators such as interest and enjoyment, perceived competence, effort and importance, and value/usefulness. Thirty-eight Master of Occupational Therapy students completed a 25-question multiple choice pretest to measure knowledge of qualitative research concepts before playing the game. A 25-question multiple choice posttest …

Interprofessional Education And Collaborative Competency Development: A Realist Evaluation, Rabina Raveendrakumar, Salihah Faroze, David Rojas, Sylvia Langlois

Journal of Occupational Therapy Education

Collaboration among healthcare professionals has been widely cited as critical in ensuring optimal and efficient client care. To foster the development of this interprofessional competency in healthcare graduates, the University of Toronto created an Interprofessional Education (IPE) curriculum. However, the means by which the IPE curriculum developed interprofessional collaborative competencies in occupational therapy (OT) graduates had not been explored. The study identified the mechanisms and outcomes of University of Toronto’s IPE curriculum that contributed to OT graduates’ collaborative competency development. This study also identified the contexts in which this development occurred, and why such patterns were observed. This study employed …

Establishing Inter-Rater Reliability Of The Occupation-Centered Intervention Assessment For Student Observation Of Rehabilitation Interventions, Vanessa D. Jewell, Joy Burkley, Taylor Wienkes, Ted K. Kaufman

Journal of Occupational Therapy Education

The Occupation-Centered Intervention Assessment (OCIA) is a tool designed to capture and rank occupational therapy interventions through an occupational lens to improve occupational therapy students’ professional reasoning skills. The purpose of this study was to determine the inter-rater reliability of the OCIA for occupational therapy interventions provided to adults with physical rehabilitation needs as observed by occupational therapy students. Utilizing a methodological research approach, 111 students completed training for application of the OCIA and independently scored five standardized videos of occupational therapy interventions. Results indicated an overall agreement of α=0.856 using Krippendorff’s alpha. Student raters demonstrated good agreement for rating …

The Development Of Theory- And Evidence-Based Educational Workshops For Occupational Therapists, Sungha Kim, Rebecca E. Gewurtz, Ilana Bayer, Nadine Larivière, Lori Letts

Journal of Occupational Therapy Education

The Do-Live-Well (DLW) framework is a health promotion approach developed by Canadian occupational therapists (OTs). As the DLW framework is relatively new, it has not been widely adopted by OTs. In order to facilitate OTs to incorporate the DLW concepts in their practice, there should be more learning opportunities, and online and in-person workshops have been chosen to be a specific interest of this study. The purpose of this project was to develop theory- and evidence-based in-person and online educational workshops for OTs as a pre-implementation study to increase the knowledge of the DLW framework among OTs. In order to …

Sexuality Within Occupational Therapy Education: Assessing Faculty And Student Perceived Competence, Reba R. Duran, Kristin A. Valdes

Journal of Occupational Therapy Education

Sexuality is a valuable activity of daily living that contributes to an individual’s quality of life. Although sexuality can be addressed in occupational therapy practice, it is often overlooked due to a lack of time, comfort, and knowledge. For sexuality content to be fully incorporated into practice, it has been suggested that education will facilitate the inclusion of sexuality topics into occupational therapy practice. The purpose of this survey study was to assess occupational therapy faculty and students’ perceived competence with addressing sexuality, to determine the methods of sexuality education, and the time spent on the topic in occupational therapy …

The Impact Of The Sensory Form On Confidence And Competence In Occupational Therapy Students: A Quasi-Experimental Study, Elisabeth Michail, Caroline J. Mills, Kristy Coxon

Journal of Occupational Therapy Education

The Sensory Form is a new assessment and intervention planning tool utilized with occupational therapy students to teach and guide their professional reasoning amidst limited evidence. This study aimed to determine the impact of the use of The Sensory Form on student competence and confidence in assessment and intervention planning for children with atypical sensory processing (ASP). A quasi-experimental study was conducted with 84 third-year undergraduate occupational therapy students from a large multi-campus university in New South Wales, Australia. Tutorial classes were allocated to The Sensory Form or usual teaching conditions. Participants completed pre-class and post-class self-reported confidence rating scales …

Developing A Conceptual Framework For Occupational Therapy Fellowship Programs: A Qualitative Content Analysis Study, Marcelo A. Silva

Journal of Occupational Therapy Education

Today’s health care environment calls for quality-care, the efficiency of services, a decrease in waste, and an increase in desired outcomes. This necessitates that occupational therapy (OT) practitioners engage in continuous professional development activities (i.e., continuing education, post-professional training) and lifelong learning to enhance their critical thinking and clinical reasoning. One way that OT practitioners can advance their clinical practice skills is through participating in OT fellowship programs, which are post-professional training programs aimed to advance one’s knowledge and skills in focused areas of practice. Using theory to guide practice is also essential for OT practitioners as they make evidence-based …

Using Embedded Encounters To Promote Cultural Humility In Occupational Therapy And Physical Therapy Education, Allison Naber, Amanda Adamson, Patti Berg-Poppe, Moses Ikiugu, Hanz Tao, Kory Zimney

Journal of Occupational Therapy Education

In the socio-cultural theoretical perspectives, learning is approached as a constructed outcome of interpersonal and intercontextual exchanges. Learners both influence and are influenced by the social and cultural milieu within which they are situated. Embedded learning draws from this perspective to prompt learning through lived experiences. Fostering cultural humility and an appreciation for cultural congruence is an important goal in occupational and physical therapy education. Embedded experiences provide rich opportunities for students to reflect on their own experiences and the experiences of others in order to understand and value differences. In this article, we report the findings of curricular shifts …

Interweaving Teaching Strategies In Interprofessional Education: A Pilot Study With Graduate Occupational Therapy And Physician Assistant Students, Eric C. Nemec Ii, Lola Halperin, Jaimee Hegge

Journal of Occupational Therapy Education

The importance of interprofessional education (IPE) has been emphasized by the World Health Organization and is currently required by both the occupational therapy (OT) and physician assistant (PA) education accreditation agencies in the United States. Moreover, a growing body of evidence suggests that IPE fosters learners’ understanding of the roles different disciplines play in healthcare delivery and prepares future health professionals for patient-centered care. Authors designed and implemented an IPE event aimed to foster the following core Interprofessional Education Collaborative (IPEC) competencies among graduate OT and PA students: Values/Ethics for Interprofessional Practice, Roles and Responsibilities, Interprofessional Communication, and Teams and …

Kinesthetic Learners During The Covid-19 Pandemic: Occupational Therapy Students’ Perspective On E-Learning, Michael Stamm, Kailey Francetic, Regina Reilly, Angela Tharp, Nicole Thompson, Ryleigh Weidenhamer

Journal of Occupational Therapy Education

The purpose of the study was to understand the perspective of kinesthetic learners in an online learning environment. A Microsoft Forms survey was created and distributed to the sample population using the university electronic mailing list. If self-identified as kinesthetic learners, subjects were asked to participate in a semi-structured focus group. Twenty-six subjects responded to the survey, with 73% (n=19) identifying as kinesthetic learners. Quantitative results showed subjects felt most confident in content comprehension but less confident in clinical application. Qualitative data collection led to emergence of the following four themes—advantages, disadvantages, accommodations to e-learning, and external factors. …

Professional Characteristic Development Of Occupational Therapy Students In Traditional Vs. Hybrid Pathways, Kyrra Miller, Adeline Maher, Alison Puckett, Angela M. Lampe, Helene L. Lohman

Journal of Occupational Therapy Education

The development of professional characteristics is crucial to becoming a well-rounded, competent occupational therapist. An exploratory sequential mixed method design was used to determine if there was a difference in the growth of professional characteristics of students in a three-year entry-level Doctor of Occupational Therapy (OTD) program who attended a traditional on-campus program compared to a hybrid program. Ten second and third-year occupational therapy students from the traditional and hybrid pathways participated in a focus group related to cultivating professional characteristics. The themes that evolved from the focus group included: teamwork/team player, time management, communication, self-awareness, critical thinking, and leadership. …

Human Patient Simulation: Occupational Therapy Student Perceptions, Rosanne Dizazzo-Miller, Alexandra Mariani, Fredrick Pociask

Journal of Occupational Therapy Education

Human patient simulation uses technology to add advancements to learning that traditional learning methods cannot. Many programs are fast-paced and do not provide students with many hands-on experiences before clinical experiences. The literature notes the benefits of human patient simulation in other healthcare programs, yet limited studies exist in occupational therapy. This study examined student perspectives on the use of human patient simulators in occupational therapy curriculum. 146 first year master of occupational therapy students completed an open-ended survey after an evaluation experience with a physiologically based human patient simulator. Responses were collected during four consecutive years. Transcripts were analyzed …

Teaching Clinical Skills Online: Techniques, Student Feedback, And Lesson Learned, Kathleen Eglseder, Amanda Littleton

Journal of Occupational Therapy Education

The use of online education has long been used in occupational therapy for both post professional and continuing education. In entry level programs, however, strict online education is not common due to the intensive clinical skills that the students must obtain. These are typically taught in lab format with consistent practice and faculty feedback. Due to the COVID 19 epidemic, many universities were forced to make a rapid transition to online learning with little preparatory time. While it is believed that many courses were conducive to this change in format, instructors of clinical skills courses were forced to identify creative …

Use Of A Webinar To Assess Fieldwork Educator Readiness To Provide Occupational Therapy Services And Supervise Students Through Telehealth, Jennifer A. Calabrese, Jeanne M. Coviello, Anna Y. Grasso, Kelly A. Otchet, Erica A. Pugh, Mary Beth Thomas, Bridget Trivinia

Journal of Occupational Therapy Education

At the start of the COVID-19 pandemic in the spring of 2020, many school-based occupational therapy practitioners experienced intensified job demands including a rapid shift to telehealth service delivery. Additionally, academic fieldwork coordinators sought to find effective methods of delivering fieldwork education and supporting those involved, including the occupational therapy fieldwork educators and students, as they navigated the new context imposed by the pandemic. A study was completed using a synchronous webinar format and post-webinar survey to explore school-based occupational therapy practitioners’ perceptions of readiness to provide occupational therapy services through telehealth, the perception of preparedness of potential, current, and …

Student Perspectives And Standardized Patient Feedback On An Innovative Simulated Patient Encounter, Kimberly S. Mollo, Tina M. Deangelis, Maclain Capron, Sierra Wells

Journal of Occupational Therapy Education

This retrospective survey analysis sought to explore student perspectives and application of therapeutic use of self during a simulated standardized patient encounter (SSPE) with standardized patient actors portraying serious mental illness (SMI). Researchers collected retrospective data from post SSPE student surveys dating between 2009 and 2019 and standardized patient actor surveys dating between 2017 and 2019. Students’ level of expertise with therapeutic use of self and self-perceptions of the SSPE were analyzed for response categories. Descriptive analysis was conducted on all items. Student survey responses were organized into response categories. Standardized patient actor surveys were analyzed for frequencies of yes/no …

A Placement Replacement Module Developed Through Covid-19: Incorporating Spiral Learning, Case-Based Learning And Simulated Pedagogical Approaches, Rachel Dadswell, Belinda Williams, Anita Bowser, Fay Hughes

Journal of Occupational Therapy Education

The coronavirus (COVID-19) pandemic changed life across the world at an unprecedented speed, in ways that were unimaginable prior to March 2020. As ‘new normals’ emerge, the impact on everyday life is being realized and some rapid innovations are worthy of review and retaining, such as an occupational therapy student virtual Placement Replacement Module (PRM). The occupational therapy specific module was developed to replace prohibited face-to-face, practice-based education. It was designed to support the consolidation of professional knowledge and facilitate the application of practice-based skills, crediting the students with 120 practice placement hours, as agreed with the Royal College of …