Rehabilitation and Therapy Commons^™

Perceptions Of Occupational Therapists Working In Established Pace Programs, Jessica L. Daugherty-Peters

Occupational Therapy Doctorate Capstone Projects

Background: The Program of All Inclusive Care for the Elderly (PACE) provides medical and social services to older adults who meet nursing home level of care but wish to remain in their own homes. Although PACE has been in existence for decades, this program is new to the state of Kentucky.

Purpose: The problem this Capstone project will address is the need for further research related to occupational therapy’s roles and experiences in PACE programs. This capstone will explore the perceptions of occupational therapists and occupational therapy assistants working in established PACE programs.

Methods: This study followed a Qualitative Descriptive …

Perceptions Of Occupational Therapy Practitioners In Recognizing And Addressing Older Adult Food Insecurity, Mitzie Marion C. Mickelson

Occupational Therapy Doctorate Capstone Projects

Background: According to productive aging initiatives from the American Occupational Therapy Association, occupational therapy practitioners play an integral role in advancing and promoting wellness and independence of adults in later life. Evidence has indicated that numerous occupational therapy interventions can enhance the quality of life and functional ability levels of older adults and may be modified to target the needs of older adults who experience the threat of hunger.

Purpose: The purpose of this qualitative descriptive study is to explore how occupational therapy practitioners view their role in enhancing older adults’ healthy eating behaviors and reducing the risk of food …

Administrators’ Perceptions Of Alternative Service Delivery Models And The School-Based Occupational Therapists’ Role, Kimberly Saccucci

Occupational Therapy Doctorate Capstone Projects

School-based occupational therapists (SBOTs) provide a range of services with collaborative consultation amongst interdisciplinary team members being one of their responsibilities. One perspective that has not been thoroughly examined within previous research is the administrators’ perceptions of the OTs’ roles and responsibilities within the school setting, which may impact how therapists can implement alternative service delivery models. This study aimed to determine administrators’ perceptions of the workload model for SBOTs, to explore their understanding of the SBOTs’ role and responsibilities, and to understand their perceptions regarding collaborative consultation.

An anonymous electronic survey was distributed to public school administrators within Rhode …

A One-Day In Person Workshop To Assess Novice Occupational Therapists’ Perceived Level Of Preparedness In Supervising Level Ii Fieldwork Students., Inken Prochilo

Occupational Therapy Doctorate Capstone Projects

Occupational therapy fieldwork education is an in-depth experience required by the American Council of Occupational Therapy Education (ACOTE) to demonstrate entry-level skills as a practitioner. Level II Fieldwork allows the student to apply knowledge gained in the classroom, in a clinical setting under the guidance and mentorship of a qualified therapist, also referred to as a fieldwork educator (FWE). Fieldwork shortages have long been documented and continue to present challenges for academic fieldwork coordinators (AFWC) across the countryThe purpose of this Capstone was to evaluate the impact of an in-person workshop focused on the skills required for the fieldwork supervisory …

Usability Evaluation Of A Self-Management Mobile Application For Individuals With A Mild Traumatic Brain Injury, Marquise M Bonn, Laura J. Graham, Stephanie Marrocco, Samantha Jeske, Becky Moran, Dalton L Wolfe

Physical Therapy Publications

OBJECTIVE: Mild traumatic brain injuries (mTBIs) are common and may result in persisting symptoms. Mobile health (mHealth) applications enhance treatment access and rehabilitation. However, there is limited evidence to support mHealth applications for individuals with an mTBI. The primary purpose of this study was to evaluate user experiences and perceptions of the Parkwood Pacing and Planning™ application, an mHealth application developed to help individuals manage their symptoms following an mTBI. The secondary purpose of this study was to identify strategies to improve the application. This study was conducted as part of the development process for this application.

METHODS: A mixed …

Critiquing Representations Of Intellectual Disability In Occupation-Based Literature, Rachel Reparon, Pamela Block, Ann Fudge Schormans, Debbie Laliberte Rudman, Gail Teachman

Occupational Therapy Publications

Background: Within and beyond occupation-based scholarship, concerns abound regarding the pervasiveness of discourses that promote a negative, deficit-based view of intellectual disability and associated consequences for disabled people’s lives. Such representations risk reducing the complexities of human doing and being and can limit the occupational possibilities of this group. Yet, there is a lack of critically reflexive research exploring how disability is discursively constructed in occupation-based literature.

Aims/Objectives: This paper critically analyses representations of intellectual disability within occupation-based literature. It considers the influence of such representations on the occupational possibilities of people labelled intellectually disabled.

Methods: This review employed a …

Higher Intensity Walking Improves Global Cognition During Inpatient Rehabilitation: A Secondary Analysis Of A Randomized Control Trial, Sue Peters, Keith R Lohse, Tara D Klassen, Teresa Liu-Ambrose, Sean P Dukelow, Mark T Bayley, Michael D Hill, Sepideh Pooyania, Jennifer Yao, Janice J Eng

Physical Therapy Publications

Cognitive deficits are common poststroke. Cognitive rehabilitation is typically used to improve cognitive deficits. It is unknown whether higher doses of exercise to promote motor recovery influence cognitive outcomes. Our recent trial, Determining Optimal Post-Stroke Exercise (DOSE), shows more than double the steps and aerobic minutes can be achieved during inpatient rehabilitation versus usual care, and translates to improved long-term walking outcomes. Thus, the secondary analysis aim was to determine the effect of the DOSE protocol on cognitive outcomes over 1-year poststroke. The DOSE protocol progressively increased step number and aerobic minutes during inpatient stroke rehabilitation over 20 sessions. The …

Implementation Of Increased Physical Therapy Intensity For Improving Walking After Stroke: Walk 'N Watch Protocol For A Multisite Stepped-Wedge Cluster-Randomized Controlled Trial, Sue Peters, Shannon B Lim, Mark T Bayley, Krista Best, Louise A Connell, Hélène Corriveau, Sarah J Donkers, Sean P Dukelow, Tara D Klassen, Marie-Hélène Milot, Brodie M Sakakibara, Lisa Sheehy, Hubert Wong, Jennifer Yao, Janice J Eng

Physical Therapy Publications

RATIONALE: Clinical practice guidelines support structured, progressive protocols for improving walking after stroke. Yet, practice is slow to change, evidenced by the little amount of walking activity in stroke rehabilitation units. Our recent study (n = 75) found that a structured, progressive protocol integrated with typical daily physical therapy improved walking and quality-of-life measures over usual care. Research therapists progressed the intensity of exercise by using heart rate and step counters worn by the participants with stroke during therapy. To have the greatest impact, our next step is to undertake an implementation trial to change practice across stroke units where …

Premotor And Posterior Parietal Cortex Activity Is Increased For Slow, As Well As Fast Walking Poststroke: An Fnirs Study, Shannon B Lim, Sue Peters, Chieh-Ling Yang, Lara A Boyd, Teresa Liu-Ambrose, Janice J Eng

Physical Therapy Publications

Background and Purpose. The ability to change gait speeds is important for interacting with the surrounding environment. Gait speed modulation poststroke is often impaired and is related to decreased walking independence after stroke. Assessment of brain activation during walking at different speeds can provide insight into important regions for facilitating gait recovery. The purpose is to determine: (1) the symmetry of brain activation as individuals increase or decrease their gait speed, (2) the activation levels in frontal to parietal brain regions during walking at different speeds, and (3) the relationship between an individual’s stroke impairment or their ability to modulate …

Factors Leading To Satisfaction Following A Total Knee Arthroplasty, Scot Bauman

Graduate Research Theses & Dissertations

One of the most common surgical treatment options for knee osteoarthritis (OA) is a total knee arthroplasty (TKA), which utilizes a combination of metal and plastic to resurface the damaged cartilage surfaces of the knee, leading to decreased pain and improved function for the patient. However, despite fairly good subjective scores following surgery, up to 20% of patients report being dissatisfied with their outcome. Previous research has assessed reasons for this high dissatisfaction rate including postoperative range of motion (ROM), preoperative education, and postoperative strength. Nevertheless, there continues to be a paucity in the literature regarding how preoperative function affects …

An Exploration Of The Relationship Between Physical Therapists’ Pyschological Characteristics And Feedback Methods, Dustin Cox

Graduate Research Theses & Dissertations

Providing treatment interventions to clients with chronic pain is a complex task for any professional. Research suggests that clients with chronic pain experience declines in physical, emotional, and psychological quality of life. Client’s that have chronic pain have complex effects from dealing with this condition in their lives. Hashmi and colleagues found that clients with chronic pain (i.e., pain lasting > three months) process pain through the emotional and reward circuitry in the brain. The literature base provides evidence that clients with chronic pain who receive psychologically based interventions along with physical rehabilitation have better outcomes than individuals with chronic pain …

Is Playtime Over? Exploring Socio-Cultural Barriers And Enablers To Adult Playtime, Karen Mccarthy, Sabrina Solis, Leticia Monelli, Catherine Solomon, Rosalind Nolde

Occupational Therapy | Faculty Conference Presentations

No abstract provided.

Measuring Outcomes Of Occupational Therapy Facilitated In Natural Settings With Young Children, Amie Smith, Zoe Peters, Brinda Saini, Deepak Dale, Amanda Laccone

Occupational Therapy | Graduate Student Research Posters

To date, there is limited evidence to support the effectiveness of Occupational Therapy (OT) services delivered outside in nature. This study explored the benefits of OT intervention in Natural Settings (NS) for children by examining development in the areas of self-regulation, social skills, sensory processing, confidence, and motor skills. A quantitative, quasi-experimental pre-test/post-test design was used in this study. Researchers partnered with a local outpatient OT clinic that offers an 8-week outdoor program. Seven children and their parents were recruited and participated in the study. A modified version of the COPM and two BOT-2 subtests, along with a novel log …

Examining The Efficacy Of Yoga Nidra On Sleep Quality With Persons With Parkinson’S Disease (Pwpd), Kimberly Morrow, Karen Aranha, Angela Blackwell

Fall 2023 Virtual OTD Capstone Symposium

A pilot mixed methods study utilizing quantitative and qualitative phenomenological study methods to understand the overall the benefits of using Yoga Nidra on sleep quality and sleep management, and more precisely the dosage of Yoga Nidra.

Manydogs Project: A Big Team Science Approach To Investigating Canine Behavior And Cognition, Daniela Alberghina, Emily E. Bray, Daphna Buchsbaum, Sarah- Elizabeth Byosiere, Julia Espinosa, Gitanjali E. Gnanadesikan, C.-N. Alexandrina Guran, Elizabeth Hare, Daniel J. Horschler, Ludwig Huber, Valerie A. Kuhlmeier, Evan L. Maclean, Madeline H. Pelgrim, Bryan Perez, Dana Ravid-Schurr, Liza Rothkoff, Courtney L. Sexton, Zachary A. Silver, Jeffrey R. Stevens

Center for Brain, Biology, and Behavior: Faculty Publications

Dogs have a special place in human history as the first domesticated species and play important roles in many cultures around the world. However, their role in scientific studies has been relatively recent. With a few notable exceptions (e.g., Darwin, Pavlov, Scott, and Fuller), domestic dogs were not commonly the subject of rigorous scientific investigation of behavior until the late 1990s. Although the number of canine science studies has increased dramatically over the last 20 years, most research groups are limited in the inferences they can draw because of the relatively small sample sizes used, along with the exceptional diversity …

Occupational Therapy Practitioners’ Perceptions Of Their Confidence And Skills When Providing Community And Social Interventions After A Guided Educational Experience, Jenny Williams

Occupational Therapy Doctorate Capstone Projects

Background: As the population is aging, occupational therapy practitioners (OTPs) are well placed to address the community and social needs of older adults to promote healthy aging. However, OTPs seem to be lacking the resources and guidance to implement community and social interventions routinely.

Purpose: This quantitative non-experimental, pre-, and post-survey design aims to determine the impact of a guided education intervention on how OTPs perceive their skills and confidence when providing community and social interventions.

Theoretical Framework: The Model of Health Promotion (Wilcocks, 2006) and Lifestyle Redesign® (Clark et al., 1997) program were used as the guiding theory and …

Asynchronous Online Telehealth Training: Occupational Therapist’S Perceptions Of Knowledge And Confidence, Breanna L. Campbell

Occupational Therapy Doctorate Capstone Projects

Telehealth was not a typical practice in occupational therapy prior to the pandemic (Allen-McHugh & Schleg, 2022; Douglass et al., 2023; Wittmeier et al., 2022). Understanding OT clinician knowledge and confidence in the delivery mode has progressed as a result (Allen-McHugh & Schleg, 2022; Douglass et al., 2023; Soba et al., 2022; Wittmeier et al., 2022). The purpose of this study was to investigate the effectiveness of an asynchronous online training module in increasing self-reported knowledge and confidence in occupational therapy clinicians utilizing telehealth with the pediatric population. A pre-experimental pre-posttest quantitative design was used to measure therapist’s perceived knowledge …

Which Patients Are More Likely To Require Postoperative Inpatient Rehabilitation After Operative Intervention Of Traumatic Hip Fractures?, Daniel Lynch, Andrew Romero, Peter Zeblisky, Kyle Mahoney, Huazhi Liu, Darwin Ang

North Florida Division GME Research Day 2023

No abstract provided.

Variation In Organizational Factors Influencing The Implementation Of The Pediatric Annual Physical Therapy Visit, Katherine Anne M. Smith

Dissertations

Hypothesis and Research Question

The research hypothesis is “Organizational Factors influencing the implementation of the Pediatric Annual Physical Therapy Visit (PAPTV) vary by practice setting, geographic location, and experience implementing the PAPTV.” The related research question is “How do organizational factors influencing the implementation of the PAPTV vary by geographic location, practice setting, and therapists experience with the PAPTV?

Problem and Purpose of Research

While health promotion and wellness (HPW) initiatives are widely accepted as beneficial to both the patient and the healthcare system, the rollout of new initiatives is often challenging. The PAPTV has been a significant HPW initiative …

Black/African American Men’S Lived Experiences Of Workplace Colorism Bullying, Dr. Benjamin K. Spady Ph.D

Walden Dissertations and Doctoral Studies

Bullying in the U.S. workplace is an ongoing issue that transcends industry boundaries due to perpetrators’ ineffectiveness in viewing all coworkers as equals. The purpose of this qualitative interpretative phenomenological analysis study was to explore the lived experiences of Black/African American men who endure workplace colorism bullying. Critical race theory provided the conceptual framework, which labeled racism as an omnipresent systemic force. Semistructured interview data were collected from six Black/African American men who resided in the United States and who were bullied in the workplace within the past 20 years. Data were coded via open coding to discover themes. The …

Barriers To Sleep In Us Army Service Members: A Scoping Review, Sally Paul

Occupational Therapy Doctorate Capstone Projects

Background: Insufficient sleep contributes to human health and performance deficits with Active Duty US Army soldiers being at highest risk for poor sleep and subsequent sleep disorders. Research in this area continues to grow and has focused on pathology and intervention, often related to deployment, yet it is vital to understand the barriers to sufficient sleep in healthy soldiers (the majority) in the garrison context, where they will spend most of their time. Purpose: Explore the current state of literature regarding barriers to sufficient sleep in healthy US Army active duty service members in the garrison setting. Theoretical Framework. Biopsychosocial …

Exploring The Perceived Meaning Of Community-Based Lifestyle Wellness Programs, Interprofessional Collaboration, And The Relationship To Occupational Therapy: A Phenomenological Approach, Christina Buchignani

Occupational Therapy Doctorate Capstone Projects

Community-based health care providers use interprofessional collaborative strategies to support the lifestyle wellness needs of older adult clients at risk for chronic disease. A phenomenological approach was taken to explore a sample of community-based health care professionals’ shared meanings of lifestyle wellness programming, interprofessional collaboration, and the Lifestyle Redesign® program and to determine the perceived relationship to occupational therapy, if any. The qualitative descriptive thematic analysis within the Framework of Occupational Justice context revealed positive perceptions of lifestyle wellness programming and interprofessional collaboration but limited awareness of Lifestyle Redesign® and occupational therapy’s distinct role in community-based preventive wellness. Occupational therapy …

A Pretest-Posttest Survey Study Of Parent Perceptions Of The Effectiveness Of Occupational Performance Coaching On Caregiver-Child Play Occupations, Hailee B. Lewis House

Occupational Therapy Doctorate Capstone Projects

Background: When the COVID-19 pandemic and telehealth was utilized, it was apparent that most client families did not have occupation-based play objects in the home due to having to drive 30 minutes to the closest store, difficulty affording toys, or did not know age-appropriate toys for their child.

Purpose: The study explored home program education strategies, and the relationships between store access, socioeconomic status, and parental education levels on having age-appropriate play-based occupational items in the home.

Theoretical Framework. Occupational Performance Coaching (OPC) is a coaching intervention that helps parents to recognize and implement changes for more successful occupational performance …

Outpatient Physical Therapists’ Knowledge, Attitudes, And Behaviors Regarding Eating Disorder Screening, Esther Thomas, Morgan Russo, Kara Martin, Kristen Karnish, Audrey Campbell

Student Research Poster Presentations 2023

Background & Purpose: Approximately 9% of Americans will have an eating disorder in their lifetime1 and these disorders can impact the recovery of patients receiving physical therapy services. Physical therapists (PT) should be aware if a patient has a history of, or current history of an eating disorder or nutritional deficiency as these can negatively impact a patient’s participation and optimal functioning. Minimal research has been performed related to physical therapy and eating disorders. Determining outpatient physical therapists’ knowledge, attitudes, and behaviors towards eating disorders and if they are screening for eating disorders is the first step in furthering research …

"My Back Is Fit For Movement": A Qualitative Study Alongside A Randomized Controlled Trial For Chronic Low Back Pain, Rodrigo Rn Rizzo, Benedict Wand, Hayley B. Leake, Edel O'Hagan, Matthew K. Bagg, Samantha Bunzli, Adrian C. Traeger, Sylvia M. Gustin, G. Lorimer Moseley, Saurab Sharma, Aidan Cashin, James Mcauley

Physiotherapy Papers and Journal Articles

A new wave of treatments has emerged to target nervous system alterations and maladaptive conceptualizations about pain for chronic low back pain. The acceptability of these treatments is still uncertain. We conducted a qualitative study alongside a randomized controlled trial to identify perceptions of facilitators or barriers to participation in a non-pharmacological intervention that resulted in clinically meaningful reductions across 12 months for disability compared to a sham intervention. We conducted semi-structured interviews with participants from the trial's active arm after they completed the 12-week program. We included a purposeful sample (baseline and clinical characteristics) (n = 20). We used …

Medical Professionals’ Perspective On Safety And Efficacy Of Early Mobilization In Acute Heart Failure Patients, Kevin Triangto, Febrian M. Santausa, Basuni Radi, Bambang Budi Siswanto

Journal of the Hong Kong College of Cardiology

Acute heart failure (HF) patients most of the time presents with hemodynamic instability, which often leads to prolonged bedrest. Newer studies had shown that early mobilization for HF patients would lead to better outcomes. However, the early mobilization practice has not always been done due to several barriers in the medical professionals’ perspective, especially regarding safety and efficacy. Prior studies had shown that medical professionals’ views would greatly affect patients’ perspectives, especially in HF rehabilitation. This study is aimed to describe medical professionals’ views on the safety of early mobilization for HF. It was then revealed that General Practitioners’ (GP) …

Three-Dimensional Printing In Occupational Therapy: An Instructional Video Series, Toye Adefioye, Steven M. Gerardi, Christopher Ebner

Fall 2023 Virtual OTD Capstone Symposium

The three-dimensional printing instructional video series was created for occupational therapy practitioners on how to use 3D printers to print assistive devices.

Occupational Therapy Certified Hand Therapists' Perceptions Of Remaining Rooted In Occupation In The Hand Clinic: A Phenomenological Study, Andrea E. Berke-Mclaughlin

Occupational Therapy Doctorate Capstone Projects

Background: Occupational Therapy Certified Hand Therapists (OT CHTs) working in the outpatient hand clinic tend to use the dominant biomechanical approach in the rehabilitation of their upper extremity (UE) clients. Due to the existence of a multitude of barriers and challenges for implementing an occupation-based approach, OT CHTs may not treat their UE clients holistically, placing less focus on treating the occupational performance deficits caused by the UE impairment. Purpose: The purpose of this Capstone is to explore the essence of OT CHTs’ current lived experiences in the use of occupation-based approach in the outpatient hand therapy clinic. Theoretical Framework. …

How Do Informal Caregivers Of A Person With Dementia Experience Stress And Which Supports Help Mitigate The Effect Of These Stressors?, Kwandra Andrews Brinson

Occupational Therapy Doctorate Capstone Projects

Background: Alzheimer's disease or related dementias (ADRD) are one of the most rapidly growing epidemics that the world is facing. Caring for a person with ADRD is challenging and often causes informal caregivers stress, loneliness, and social isolation.

Purpose: The aim of this qualitative instrumental case study was to obtain a better understanding of how informal caregivers of persons with ADRD experience stress and which supports helped mitigate the effect of these stressors in their role as a caregiver.

Theoretical Framework: The Model of Human Occupation focuses on therapy helping persons to engage in occupational behaviors that maintain, restore, reorganize, …

The Impact Of Brief Mindfulness Training On Occupational Therapy (Ot) Students' Perceived Level Of Stress, Emily K. Masters

Occupational Therapy Doctorate Capstone Projects

Background: Mental health issues and burnout are becoming more common among students in healthcare programs (Dyrbye et al., 2014). As demands placed on healthcare professions continue to increase, there has been an increased interest in researching the practice of mindfulness to promote self-care (Irving et al., 2009). Mindfulness has been defined as “the awareness that emerges through paying attention on purpose, in the present moment, and nonjudgmentally to the unfolding of experience moment by moment” (Kabat-Zinn, 2003, p. 145). Mindfulness has been shown to decrease stress and anxiety among pre-healthcare college students (Burgstahler & Stenson, 2020). Little research has investigated …