Rehabilitation and Therapy Commons^™

‘Can You See What I See?’: An Art Project Promoting Living Well With Dementia, Jennifer K. Fortuna

The Open Journal of Occupational Therapy

Caroline Hyland, an illustrator and former occupational therapist based in Dublin, Ireland, provided the cover art for the Winter 2023 edition of The Open Journal of Occupational Therapy (OJOT). “Can You See What I See?” is an acrylic painting on black textured paper. The piece was inspired by Caroline’s grandmother Kathleen Duhig, her love of flowers, and the song “The Dutchman.” Kathleen and three of her sisters lived with dementia. This painting, and several others, are featured in a book Caroline wrote to support living well with dementia. By combining her artistic talents and training as an occupational therapist, Caroline …

A Scoping Review Of Occupation-Based Interventions For Women With Breast Cancer, Whitney Lucas Molitor, Erika Clark, Brittney Moser

The Open Journal of Occupational Therapy

Background: Globally, breast cancer is the most commonly diagnosed cancer. Women diagnosed with breast cancer often experience physical and psychosocial changes influencing occupational participation and quality of life. Limited evidence exists that reports outcomes of occupation-based occupational therapy interventions for women with breast cancer.

Method: In this scoping review, we map occupation-based occupational therapy interventions conducted by occupational therapy professionals for women undergoing rehabilitation for breast cancer. The Joanna Briggs Institute Guidelines provided a structure for the review.

Results: Six articles met the inclusion criteria. Interventions included health management, leisure, and social participation occupations.

Conclusion: Occupational …

A Survey Of Universal Design At Museums: Current Industry Practice And Perceptions, Jennifer K. Fortuna, Kayleigh Thomas, Jenna Asper, Laura Matney, Kyra Chase, Stephanie Ogren, Julia Vandermolen

The Open Journal of Occupational Therapy

Background: Museums are key educational and cultural resources in the community, yet many are not accessible to visitors with disabilities. Universal design promotes products and environments usable to the greatest extent possible by all people, regardless of ability. This study explores current industry practice and perceptions of accessibility and universal design in a small sample of American museums. Suggestions for how occupational therapists can help museums go above and beyond ADA guidelines are provided.

Method: An 17-item cross-sectional survey was used to collect data. Twenty-five museum associations assisted with recruitment. A descriptive numerical summary and qualitative analysis were …

Predictors Of Hospital Readmissions For People With Chronic Conditions, Melanie Morriss Tkach, Patricia Bowyer, Marsha Neville, Timothy J. Wolf, Gerald Goodman

The Open Journal of Occupational Therapy

Background: Hospital readmissions remain prominent in health care. Functional, cognitive, and environmental factors predict hospital readmissions but may not be thoroughly measured or addressed prior to discharge.

Method: In this cross-sectional study, people hospitalized with chronic conditions completed measures of self-care function, functional cognition, occupational competence, and environmental impact. They also participated in a phone call or medical records review to identify hospital readmissions within 30 days of discharge. In a group session, occupational therapists who work in acute care completed acceptability, appropriateness, and feasibility measures for the standardized assessments administered to hospital participants.

Results: Occupational competence …

State Of The Journal: Introducing Assistant Editors, Diane Powers Dirette

The Open Journal of Occupational Therapy

No abstract provided.

Mealtime Experiences Of Children With Autism Spectrum Disorder From The Perspectives Of Filipino Occupational Therapists In Cebu: Implications For Practice, Blaise Audre V. Barrientos, Alyanna Freyse T. Badajos, Erika Faye M. Bucog, Rosse Velle C. Mauro, Paolo Miguel P. Bulan

Internet Journal of Allied Health Sciences and Practice

Purpose: Occupational therapists (OTs) handle children diagnosed with autism spectrum disorder (ASD), and a common concern is how their sensory processing issues affect their feeding habits. There is limited information regarding interventions about this issue both locally and internationally. This study aims to know the experiences of OTs providing feeding interventions associated with sensory issues for children with ASD. It will also describe what approaches they used for these interventions. Method: Qualitative phenomenology using in-depth interviews with nine OTs in Cebu, Philippines was conducted, and data underwent thematic analysis. Results: Five themes emerged: 1) a family that feeds together, stays …

Effects Of An Occupation-Based Social And Life Skills Session On The Strength Of Intimate Partner Violence Victims’ Generalized Self-Efficacy Beliefs, Sierra Moes

OT Student Capstones

Background: Prior research has identified occupational therapy as a profession poised to provide interventions to enhance the recovery of intimate partner violence victims. The present study aimed to implement a program to affect the generalized self-efficacy beliefs of intimate partner violence victims residing in Autumn House Emergency Crisis Shelter.

Methodology: The Generalized Self-Efficacy Scale was administered before and after a total of seven individual/group sessions to a sample of adults residing at the shelter over the course of the occupational therapy program. Statistical analysis was performed utilizing a one-sample Kolmogorov-Smirnov test and paired T-test Cronbach’s alpha to establish whether the …

Access To And Utilization Of Primary Care: A Synthesis, Klaire M. Johnson

Kentucky Journal of Undergraduate Scholarship

Barriers to access and utilization of primary care affect nearly 9% of the nation’s population (USDHHS, n.d.a). These barriers are important to evaluate for members of the aging population due to increased need for health care as a result of chronic conditions and falls. Research indicates that access for the aging population is affected by a variety of factors, including: transportation, non-financial barriers, and internal factors. Issues surrounding current delivery of care, such as a workforce shortage of primary care physicians, have compounded the problem even further. While this issue has begun to be addressed through the Affordable Care Act, …

Life Skills Intervention For Formerly Incarcerated Individuals At Maricopa Reentry Center, Dalenna Bellum

OT Student Capstones

The rates of incarceration quickly rose in the United States in the late 1900’s in response to change in legislation in favor of more tough on crime movements and policy. In addition to these movements and other social, environmental, and demographic factors, certain groups of individuals faced increased risk for incarceration and increased challenges before, during, and after incarceration. The purpose of this doctoral capstone experience and report is to explore challenges during community reentry after incarceration that can lead to re-arrest, or recidivism. This is a crucial time because without the appropriate tools, resources, and supports, the individual is …

Effects Of Physical Activity, Play And Mindfulness-Based Interventions On Emotional Regulation And Emotional Awareness Skills In Adults With Developmental Disabilities At A Day-Time Assistance Program, Aaron Arndt

OT Student Capstones

Background: According to literature, deficiencies in emotional regulation and emotional awareness skills are more prevalent among adults diagnosed with developmental disabilities. Limited research shows promising support that the use of noninvasive treatments such as exercise, and play can promote emotional well-being among this population. This project aims to better understand the benefits of physical activity, play, and mindfulness-based interventions on emotional regulation skills in adults with developmental disabilities who attend a day-time assistance program.

Method: This 14-week capstone project was conducted at Lauren’s Institute for Education’s Adult Day Treatment (DTA) program. The occupational therapy doctorate (OTD) student developed and implemented …

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 …

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 …

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, …

Don’T Forget The Importance Of Leisure Occupations For The Community Dwelling Elder, Susan Witt

Occupational Therapy Doctorate Capstone Projects

Leisure exploration is important to the community dwelling elder (CDE) as research indicates that social and leisure activities correlate with well-being in this population (Adams et al., 2011). This research project aimed to gain insight on the CDE’s perspective on leisure as they age in place and the role occupational therapists play in leisure promotion for this population. This mixed method study included quantitative data from the Activity Card Sort (ACS) assessment which provided data on how leisure and activities of daily living have changed with aging. Qualitative data was gained through semi-structured interview and explored the perspectives of the …

Moving Forward Together: Reflections Of A National Survey Of Ot/Ota Students’ Perceptions Of Culturally Aware Educational Content Delivery, Adair M. Sanchez, Iris W. Burns, Tina M. Deangelis, Maclain Capron, Abigail Mills, Taylor Kligerman

Journal of Occupational Therapy Education

In June of 2020 in response to the murder of George Floyd and the additional atrocities against historically marginalized people and communities across the United States, the Commission on Education (COE) of the American Occupational Therapy Association (AOTA) sought to act within its scope. A retrospective survey (N= 1,692) was developed, deployed, and analyzed in accordance with the COE’s standard operating procedures relating specifically to monitoring trends that impact the education of occupational therapy (OT) and occupational therapy assistant (OTA) students. This survey aimed to capture perspectives from OT/OTA students regarding the delivery of culturally aware educational content in curricula …

Evaluating Communication And Collaboration Among Healthcare Students, Lisa J. Knecht-Sabres, Daniel Provencher, Kristy Luciano, Sarah Zera, Susanne Higgins, Dana Lingle, Patricia A. Higgins, Charlotte Bolch

Journal of Occupational Therapy Education

The purpose of this pilot study was to determine if the Interprofessional Collaborator Assessment Rubric (ICAR): Communication and Collaboration Dimensions would demonstrate good inter-rater reliability and be a useful and efficient tool to evaluate professional communication and collaboration between occupational therapy (OT) and physician assistant (PA) students. An additional aim of this study was to assess students’ thoughts, perceptions, and perceived value regarding these types of interprofessional opportunities. A sequential explanatory mixed methods design was used. An interclass correlation coefficient (ICC) examined the inter-rater reliability of the instrument for both faculty raters (n = 7) and standardized patient (SP) raters …

An Occupation-Based Approach To Chronic Pain In Rural Alaska, Emma Lehman

Frank Low Research Day Posters

Background: Adults with chronic pain living in rural communities experience occupational deprivation due to a lack of access to healthcare resources and tend to report higher levels of pain compared to urban areas [4, 8]. Chronic pain is multifaceted and managed by many professionals. Occupational therapy (OT) has a significant role in offering effective strategies to improve quality of life, self-efficacy, and daily functioning for those who experience chronic pain [5, 7].

Purpose: The purpose of this scholarly project was to advocate for the profession of occupational therapy within rural Alaska areas as well as develop an evidence-based, model-driven, culturally …

Gender Career Stereotypes, Implicit Bias, And Occupational Therapy, Laura H. Vanpuymbrouck, Carli Friedman

Journal of Occupational Therapy Education

Implicit (unconscious) gender bias and stereotypes can affect clinical decisions and interactions between healthcare professionals, as well as impact careers. However, there is no research exploring the implicit gender bias or stereotypes of occupational therapy students or practitioners. Therefore, the aim of this study was to examine the gender-career bias of occupational therapy students. To do so, occupational therapy students (n = 54) from three Midwestern United States graduate occupational therapy programs completed the gender-career attitudes implicit association test (IAT) – biases associating women with family, and men with career – as well as a survey polling demographic information. …

Implementing Trauma-Informed Care Across All Occupational Therapy Settings, Scout Hutchinson, Kristin Domville, Pam Kasyan-Howe

Fall 2023 Virtual OTD Capstone Symposium

A quantitative research design was utilized to analyze the effectiveness of an educational seminar on trauma- informed disseminated to occupational therapy practitioners, determining their previous knowledge on trauma-informed care. The research conducted has provided a more comprehensive understanding of this population and where services are needed. There is still much work to be done with this topic and the cultural shift towards providing trauma sensitive resources to occupational therapy practitioners. The future of trauma-informed care being incorporated into occupational therapy practice settings is up to the motivation and heart of future occupational therapists in hopes to strengthen the resources offered …

The Effects Of Secondary Traumatic Stress And Resilience On The Indicators Of Compassion Fatigue Among Occupational Therapists, Gayla Ann Aguilar

Walden Dissertations and Doctoral Studies

AbstractCompassion fatigue (CF) has been described as the “cost of caring” for traumatized individuals, which may lead to missed workdays, diminished work satisfaction, increased turnover, and decreased client care. CF has long been studied in other caring professionals, but occupational therapy practitioners (OTPs) have been largely overlooked. The purpose of this quantitative correlation study was to determine the relationship between secondary traumatic stress (STS) and resilience (RES) on burnout (BO) and compassion satisfaction (CS; i.e., indicators of CF) in OTPs. In this study, the moderation effect that RES has on STS and BO as related to CF in 68 completed …

Occupational Therapists’ Perspectives On Using The Physical Environment In Skilled Nursing Facilities, Jennie L. Digrado

Walden Dissertations and Doctoral Studies

Occupational therapists (OTs) are among the health care professionals who assist individuals with neurocognitive disorders (NCDs) to engage in self-care and leisure skills in a skilled nursing facility (SNF) environment. Although the SNF environment has been researched, a gap exists regarding how OTs use the built environment to help clients with a NCD engage in self-care and leisure-related activities. The purpose of this qualitative case study was to understand how OTs use the physical environment in a SNF to help individuals with a NCD engage in self-care and leisure related activities. The conceptual framework that guided this study was the …

The Effects Of Secondary Traumatic Stress And Resilience On The Indicators Of Compassion Fatigue Among Occupational Therapists, Gayla Ann Aguilar

Walden Dissertations and Doctoral Studies

AbstractCompassion fatigue (CF) has been described as the “cost of caring” for traumatized individuals, which may lead to missed workdays, diminished work satisfaction, increased turnover, and decreased client care. CF has long been studied in other caring professionals, but occupational therapy practitioners (OTPs) have been largely overlooked. The purpose of this quantitative correlation study was to determine the relationship between secondary traumatic stress (STS) and resilience (RES) on burnout (BO) and compassion satisfaction (CS; i.e., indicators of CF) in OTPs. In this study, the moderation effect that RES has on STS and BO as related to CF in 68 completed …

Crawling Out From Under: A Physical Therapist’S Celebration Of The Power Of Occupational Therapy, Natalie Michaels

Funded Scholarship

Isaacs’ syndrome, also known as Acquired Neuromyotonia, is a rare condition caused by continuous firing of the motor units, leading to twitching muscles and cramping that will persist even during sleep. The medical treatment of Isaacs’ syndrome is nondescript and arbitrary. Because of the rare incidence of the disorder, very few studies have been conducted to help determine the appropriate intervention for individuals with this affliction. This paper is a narrative case-study that offers a first-person account of a physical therapist with Isaacs’ syndrome and her journey through rehabilitation with her occupational therapist. The progress of this individual over time …

The Impact Of Patient Characteristics On Dysphagia Therapy Utilization And Feeding Outcomes For Premature Infants In The Neonatal Intensive Care Unit, Tiana Nguyen

Theses and Dissertations

Medical advances have significantly increased the survival rates of preterm infants at lower gestational ages. However, infants born at lower gestational ages have an increased risk for developmental disabilities and oral feeding difficulties. A stay in the neonatal intensive care unit (NICU) is very costly and inadequate oral feeding is the most common barrier to discharge for premature infants. Infants can receive dysphagia therapy services during their NICU stay that focuses on the development of oral feeding and swallowing skills. However, literature to this date has mainly focused on the impact of therapy services for premature infants after NICU discharge. …

Utilization Of Occupational Therapy Services For Patients With Cancer In Acute Care Settings, Christine Mcnichols

Theses and Dissertations

For patients with cancer diagnoses, effects from the disease or as a result of cancer treatments can cause profound impairments impeding patient functioning and independence. These assaults to the independent achievement of activities have far reaching implications and linkages to a patient’s length of stay and their likelihood of a hospital readmission. Unfortunately, occupational therapy services have frequently been found not to be ordered for patients with cancer, even when there have been demonstrated functional deficits and needs. Through the analysis of patient records from a National Cancer Institute hospital over 5 years, the current study investigated occupational therapy services …

Occupational Therapists’ Perspectives On Using The Physical Environment In Skilled Nursing Facilities, Jennie L. Digrado

Walden Dissertations and Doctoral Studies

Occupational therapists (OTs) are among the health care professionals who assist individuals with neurocognitive disorders (NCDs) to engage in self-care and leisure skills in a skilled nursing facility (SNF) environment. Although the SNF environment has been researched, a gap exists regarding how OTs use the built environment to help clients with a NCD engage in self-care and leisure-related activities. The purpose of this qualitative case study was to understand how OTs use the physical environment in a SNF to help individuals with a NCD engage in self-care and leisure related activities. The conceptual framework that guided this study was the …

Occupational Therapy Students’ Perceptions Of Feedback During Pre-Fieldwork Simulation Debrief: Useful And Why, Kaitlin R. Sibbald, Diane E. Mackenzie, Jonathan Harris

Journal of Occupational Therapy Education

Simulation is increasingly used in occupational therapy education with the objectives of developing practice skill competency and enhancing clinical reasoning. Debriefing, an integral part of the simulation process, is critical to achieving these objectives. This study sought to determine the types of debrief feedback Master of Science in Occupational Therapy (MScOT) students perceived as most useful and why, and how the advocacy inquiry model of debriefing influenced self-reported increases in clinical reasoning, client care, and planned implementation of feedback in practice. Using an embedded mixed method design with secondary data analysis, sixty-three first-year MScOT students provided 357 descriptions of the …

Perceptions Of Skill Development Among Occupational Therapy Students Who Participated In Virtual Fieldwork: A Qualitative Descriptive Study, Spencer G. Morris, Kasia Smith, Benjamin Poirier, Shay L. Riker, Ellen Herlache-Pretzer, Stacey Webster, Jean Prast

Journal of Occupational Therapy Education

Occupational therapy fieldwork helps students refine their professional and technical skills to achieve competency required of entry-level occupational therapists. While fieldwork is traditionally completed in an in-person setting, the COVID-19 pandemic resulted in some students completing fieldwork in a virtual format. Yet, minimal research has explored perceptions of skill development among students who complete virtual fieldwork placements. This qualitative descriptive study examined the perceptions of skill development among graduate-level occupational therapy students and graduates who participated in a virtual fieldwork placement during the COVID-19 pandemic. Eight participants from 3 different states completed semi-structured interviews of no longer than 60 minutes …

Occupational Therapy Graduate Students’, Recent Graduates’, And Educators’ Perceptions Of The Value Of Anatomy Knowledge, Karissa Legleiter

Journal of Occupational Therapy Education

This non-experimental descriptive survey study examined the relationship between occupational therapy (OT) graduate students’, recent graduates’, and educators' values of the regional and specific anatomy knowledge required for OT clinical practice. The researcher collected survey data from 94 OT graduate students, recent graduates, and educators at a private university. Data analysis consisted of descriptive statistics used to analyze the value of anatomical regions and structures and a one-way ANOVA with a post-hoc Tukey to compare the group means on the value of anatomical structures. Results revealed that the regions of the highest value were the back and spine, thorax, and …