Rehabilitation and Therapy Commons^™

Masters To Doctorate: Impact Of The Transition On One Occupational Therapy Program, Rebecca Ozelie, Kia Ashley Burks, Samantha Lee, Kathryn Riggilo, Michelle Sivak

Journal of Occupational Therapy Education

Within the field of occupational therapy, the issue of transitioning from an entry-level master's degree to an entry-level doctorate degree is under debate. As such, it is important to investigate the impact of the transition in order to help make educated decisions about the potential future of the profession.This study analyzed retrospective data collected from six cohorts at one Midwestern university to analyze the impact of the transition to an entry-level doctorate on diversity, admission and matriculation rates, and fieldwork reservations. No statistical difference in diversity between masters and doctorate level cohorts was found but it is of note that …

Teaching And Learning Occupation In Occupational Therapy Education: A Qualitative Evidence Synthesis, Mikaylah Miller, Melanie J. Roberts

Journal of Occupational Therapy Education

Occupation is the core focus of the occupational therapy profession and is a complex concept for students to know and understand. The aim of this review was to understand how teaching and learning occupation has been represented by educators and students across qualitative studies in occupational therapy education. A qualitative evidence synthesis was conducted which included searching four databases; CINAHL, Medline, Scopus, and Embase. Research articles were screened using inclusion and exclusion criteria by two reviewers. The search resulted in 328 records being identified, with 13 articles included. The methodological quality of included articles was assessed using the Critical Appraisal …

The Use Of Video In The Occupational Therapy Graduate Classroom, Stephanie Bachman

Journal of Occupational Therapy Education

As the cost of graduate education continues to rise and occupational therapy moves toward a value-based reimbursement system, the development of clinical reasoning skills in a short timeframe becomes increasingly more important in occupational therapy education. Incorporating the use of video into occupational therapy curricula is an effective method of introducing and reinforcing material, developing critical thinking skills, and refining skills of interpersonal communication, observation, and documentation. Determining which technology to use, and how to integrate it effectively into a course, can be overwhelming for instructors, especially those new to using video applications. This article introduces various types of video …

Effectiveness Of Instructor-Led Discussion Versus Simulation To Prepare Students For Fieldwork, Elena W. Espiritu, Thu M. Can, Natalie N. Michaels, Allison Koch, Beth F. Hallmark

Journal of Occupational Therapy Education

Occupational therapy students do not always feel prepared to start fieldwork. The study purposes were to 1) measure the effectiveness of refresher sessions on students’ perceived self-efficacy, knowledge, and skills related to fieldwork preparedness and 2) determine whether using simulation with standardized patients (SPs) was more effective than a discussion-based format. The participants (N=34) were entry-level occupational therapy doctoral (OTD) students. Four students acted as a control group while the remaining 30 students were randomly assigned to experimental groups (discussion or simulation). Outcome measures included a readiness for fieldwork survey (quantitative self-reported ratings and qualitative questions), a knowledge-based exam, and …

Mindfulness In The Occupational Therapy Classroom: Infusing Grit, Gratitude Practice, And A Growth Mindset Into Ot Education, Amy Mattila, Elizabeth D. Deiuliis, Retta M. Martin, Jemma Grogan

Journal of Occupational Therapy Education

With the rigor of occupational therapy programs increasing to meet the demands of the diverse healthcare system, students are reporting stress and anxiety at an increasing rate. This mixed methods study assessed the outcomes of occupational therapy students who participated in a comprehensive mindfulness program that included interventions on grit, gratitude practice, and growth mindset. Twenty-four occupational therapy students participated in the 10-week mindful-based intervention program prior to a Level I fieldwork experience. Data was collected pre- and post-intervention using the 12-item Grit Scale, the Gratitude Questionnaire (GQ-6), the Motivated Strategies for Learning Questionnaire (MSLQ), journal entries, and a satisfaction …

Examining The Educational And Professional Learning Contexts Where Occupational Therapy Practitioners Gained Competencies For Intraprofessional Collaboration, Jennifer S. Pitonyak, Cecille Corsilles-Sy, Rachel B. Diamant, Anne Birge James

Journal of Occupational Therapy Education

The findings described in this article are part of a broader scholarship of teaching and learning (SoTL) project examining competencies for intraprofessional practice. We identified the educational and professional learning contexts where occupational therapists and occupational therapy assistants developed competencies for intraprofessional collaboration. Practitioners were recruited via snowball sampling and responded to an online survey about competencies for intraprofessional practice. Respondents (N = 465) identified learning contexts that contributed to the development of each competency, selecting up to three choices: Class in Occupational Therapy or Occupational Therapy Assistant Program, Fieldwork, Formal Work Training, Work Experience, Continuing Education Course, and …

Occupational Therapy Students’ Experiential And Self-Regulated Learning In A Community Program For Breast Cancer Survivors, Karen Ratcliff, Theresa M. Smith

Journal of Occupational Therapy Education

Occupational therapy educators utilize varied educational theories to prepare occupational therapy students to develop the knowledge, clinical reasoning, and professionalism necessary for successful Level II fieldwork completion. Students need to be equipped to apply didactic knowledge to patient intervention and care. Students can benefit by engaging in authentic experiences that extend didactic learning to real life challenges. Providing such experiences requires careful thought and consideration of course design by faculty. This manuscript describes the use of experiential learning and self-regulated learning theory to design and implement a student-run, community-based cognitive rehabilitation program for breast cancer survivors. This program afforded the …

Pilot Evaluation Of The Computer-Based Assessment Of Non-Cognitive Attributes Of Health Professionals (Cana-Hp), Sara Faye Maher

Wayne State University Dissertations

To meet the needs of complex and/or underserved patient populations, health care professionals must possess diverse backgrounds, qualities, and skill sets. Holistic review has been used to diversify student admissions through examination of non-cognitive attributes of health care applicants. The objective of this study was to develop a novel methodology, the computer-based assessment of non-cognitive attributes of health professionals (CANA­ HP), to effectively screen non-cognitive attributes of applicants. Three research questions were delineated; 1.) To determine the CANA-HP instrument reliability (internal consistency & interrater), 2.) To determine if the CANA-HP measured attributes of non­cognitive variables, as demonstrated by low construct …

New Perspectives On Faculty Stress: Its Relationship With Work Engagement, Teaching Effectiveness, And Program Preferences To Manage Stress, Rocio Alvarenga

Open Access Theses & Dissertations

The purpose of the study was to analyze faculty stress with three interrelated parts. First, the study examined the relationship between work engagement, stress factors, stress outcomes, and faculty characteristics. Next, the study analyzed the relationship between students' perception of faculty stress, faculty teaching effectiveness, class size, and student classification. Finally, the study investigated faculty preferences for health and wellness programs in the workplace. The study used two anonymous online questionnaires to collect data from 45 faculty participants and 119 student participants from a U.S. public, four-year research university. For faculty, the results demonstrated statistically significant strong relationships between all …

Stress And Job Satisfaction As Predictors Of Teacher Turnover Intentions, Alrick Thompson

Walden Dissertations and Doctoral Studies

High teacher turnover is problematic because of the costs associated with recruiting and training new hires. However, some of the factors originating outside of the working environment that may influence teacher turnover intentions are not fully understood. The purpose of this quantitative correlational design study was to examine the extent to which job satisfaction, commuting stress, and financial stress are predictors of teacher turnover intentions. The study involved a purposive sampling of 227 teachers within a school district in the South Eastern part of the United States. Hobfoll’s conservation of resources theory provided the theoretical framework for the study. Validated …

Critically Appraised Topic: Hippotherapy Intervention For School Age Children With Autism Spectrum Disorders, Jedekiah May, Delanie Vitosh, Karleen Vonkrosigk

Critically Appraised Topics

The prevalence of autism spectrum disorders (ASD) has risen nearly 600 percent in the past two decades, with estimates suggesting that 1 in 68 children worldwide have a clinical diagnosis (Centers for Disease Control and Prevention [CDC], 2014). Children with ASD experience resultant challenges in occupational functioning due to impairments in communication, social interaction, and sensory processing. Sensory modulation issues can cause negative impacts on physical and social functioning. Modulation allows filtering of irrelevant stimuli and maintenance of an optimal level of arousal that facilitates attention to environmental demands with longer engagement in tasks (Llambias, Magill-Evans, Smith, & Warren, 2016). …

Mapping Occupational Therapy Practice With Postsecondary Students: A Scoping Review, Karen Keptner, Karen Mccarthy

Occupational Therapy | Faculty Scholarship

Background: Legislation supports a role for occupational therapy in postsecondary settings, but this area is not a common practice area and the practice area is not well understood. This scoping review maps current literature of occupational therapists working with students in postsecondary settings in order to inform future research and practice.

Method: After identifying included articles, a narrative description of the quantitative studies along with a concept map were completed. A qualitative thematic analysis of the articles was also conducted.

Results: Twenty-five articles met the inclusion criteria. Quantitative results describe occupational therapy services as both a direct and indirect service …

Effects Of Rocking On Attention And Arousal, Jonathan Lubeck, Roseann C. Schaaf, Phd, Otr/L, Faota, Rachel L. Dumont, Ms, Ots

Phase 1

Introduction: Difficulties regulating attention and arousal underlie common developmental conditions and impact performance in academic and work tasks. Sensory-based activities such as sitting in a rocker chair may help regulate attention and arousal by providing sensory stimulation. This pilot study assessed autonomic nervous system activity (ANS) while seated in a specially designed rocking chair providing vestibular sensation during a performance task.

Methods: Thirty-four adults (aged 20-35 years) were randomized to either a rocker chair (Virco Zuma, n = 17) or static chair (n =17) while performing cognitive tasks in a counterbalanced design. ANS measures of skin conductance level (SCL) …

Comparison Of Home Therapy Vs Formal Outpatient Physical Therapy In Post-Operative Management Of Two-Incision Distal Bicep Tendon Repair, Joseph Botros, John Horneff Iii, Md, Thomas Harper, Brent Page

Phase 1

Background: Distal bicep tendon tears are a relatively uncommon injury, affecting 1.2/ 100,000 persons per year; they can also cause substantial loss in supination and flexion strength. The most common treatment is a double incision distal bicep tendon repair, which involves surgical reinsertion of the bicep tendon onto the radial tuberosity. Following surgery, physicians have traditionally recommended the patient undergo 5-12 weeks of formal outpatient physical therapy. This can be a significant cost and time burden to the patient. Therefore, some physicians have instead opted for home physical therapy, in which the patient is given instructions on exercises to complete …

Using Data-Enabled Performance Feedback And Guidance To Assist Employment Consultants In Their Work With Job Seekers: An Experimental Study, John Butterworth, Alberto Migliore, Kelly Nye-Lengerman, Oliver Lyons, Amy Gunty, Jill Eastman, Paul Foos

All Institute for Community Inclusion Publications

BACKGROUND:The success of job seekers with disabilities in achieving their employment goals depends in large part on the quality of employment supports that they receive from employment consultants. OBJECTIVE:To test the effectiveness of data-enabled performance feedback to assist employment consultants in implementing standards of effective employment supports. METHODS:A total of 187 employment consultants in 30 states were randomly assigned to intervention or control groups. The intervention group received data-enabled performance feedback and guidance for 12 months, whereas the control group continued with business as usual. Both groups completed baseline and quarterly surveys throughout the intervention. RESULTS:One year after baseline, the …

The Efficacy Of The Healthy Families Flourish Program For Families Raising Children With Autism Spectrum Disorder, Carli Madalena Rita

Honors Theses and Capstones

The family unit is the driving force that creates a foundation for life satisfaction and wellbeing of a child that extends across the lifespan. Understanding family health and family participation in meaningful daily activities are critical components of family life lacking in current research, especially for families raising children with autism spectrum disorder (ASD). This study seeks to determine the effectiveness of an occupational therapy intervention program designed to support families raising children with ASD to identify and overcome barriers to everyday family activities. The Healthy Families Flourish Program is a 10-session occupational therapy intervention program developed for this study …

Managing Occupational Stress Among Nigerian Police Officers Deployed To Borno State, Nigeria, Babatunde Salmon Alabi

Walden Dissertations and Doctoral Studies

The police officers in Borno State, Nigeria, lack adequate training to manage the occupational stress when deployed to perform their civic duties of protection of lives and properties. Using the theory of psychological stress and coping, the purpose of this general qualitative study was to explore strategies that police officers deployed to Borno State of Nigeria used in managing occupational stress when discharging their duties. The research question was written to address the strategies required by police officers deployed to Borno State, Nigeria, in managing occupational stress when discharging their duties. Using semistructured interviews, 15 participants were selected who had …

The Effects Of Virtual Reality In The Treatment Of Stroke Patients, Melissa Schoettle

Capstone Showcase

The Effects of Virtual Reality in the Treatment of Stroke Patients

Stroke patients face many challenges on their road to recovery. Patients may lose motor function, speech abilities, and other important cognitive functions. They go through various forms of therapy to help rehabilitate them and improve their cognition, including physical, occupational, and speech therapy. Physical therapy helps improve motor function and muscle control, occupational therapy improves those skills needed for success in work and life, and speech therapy helps patients recover the ability to speak and the cognitive processes to think and form words and sentences. While these therapies are …

Associations Between Occupational Therapy Students’ Approaches To Studying And Their Academic Grade Results: A Cross-Sectional And Cross-Cultural Study, Tore Bonsaksen, Ted Brown, Hua B. Lim, Kenneth Fong, Milada C. Småstuen

Journal of Occupational Therapy Education

Students’ approaches to studying are generally viewed as essential for their learning outcomes and are often described as being either deep, strategic or surface. However, research on associations between study approaches and academic outcomes among occupational therapy students are rare, as are studies that include cross-cultural comparisons. The objective of this study was to assess the degree to which the deep, strategic, and surface approaches to studying were associated with occupational therapy students’ grade point average, in the total sample and when stratified by country, while controlling for age, gender and time spent on independent study. Seven hundred and twelve …

The Subject-Centered Integrative Learning Model: A New Model For Teaching Occupational Therapy’S Distinct Value, Barb Hooper, Matthew Molineux, Wendy Wood

Journal of Occupational Therapy Education

The concept of occupation-centered education has been used to describe what programs do when they infuse occupation throughout an occupational therapy curriculum. In describing occupation-centered education, educators often describe the strategies they use to help students learn occupation, including courses about occupation, direct experience with occupation, cases and questions that connect biomedical sciences and health conditions to occupation, assignments that require students to infuse occupation into therapy, curriculum threads related to occupation, and many others. While each of these strategies is important, no conceptual model exists that defines occupation-centered education, elaborates its concepts and principles, and guides the development of …

Effect Of Foam Pad Balance Exercise In Individual With Cancer Undergoing Chemotherapy, Chanatsupang Saraboon

Chulalongkorn University Theses and Dissertations (Chula ETD)

Background: People with cancer undergoing chemotherapy usually report a decline in balance and physical function. Foam pad balance exercises improve balance and physical function in older adults. This study aimed to examine the effect of foam pad balance exercise on balance, physical function, peripheral neuropathy, and quality of life in people with cancer undergoing chemotherapy. Methods: Thirty participants were divided randomly into 2 groups: control group (CG) and balance exercise group (BG). The BG were asked to perform foam pad balance exercises 60 minutes/day, twice a week for 6 weeks, and conventional therapy. The CG was given conventional therapy only. …

Effects Of Correction Of Scapular Alignment On Pain And Cervical Range Of Motion In Patients With Neck Pain And Depressed Scapula, Siwaluk Srikrajang

Chulalongkorn University Theses and Dissertations (Chula ETD)

Background: A depressed scapular position has been proposed to be associated with cervical disorders. Active scapular correction is suggested as a potential intervention that may improve symptoms for patients with neck pain. The purpose of this research was to examine the effects of active scapular correction on cervical range of motion (ROM), pain, and pressure pain threshold (PPT) in chronic neck pain with the depressed scapula. Methods: This research consists of two studies. Study I: A randomized control trial was conducted in 46 participants with chronic neck pain and depressed scapula. Participants were randomly assigned into either the intervention (n …

Modification Of Cognitive Impairment Screening Tool On Smart Device For Thai Elderly, Pipuchana Phowwiboon

Chulalongkorn University Theses and Dissertations (Chula ETD)

Background: At present, the number of elderly people is constantly increasing all over the world. Therefore, we need to prepare for this change. Technology is now a vital part of every aspect of life, including health. For this reason, the researchers have developed an application used in the field of health as a tool to assist in assessing dementia in the elders. It is quick to combine the scores and record the elders' information, which is likely to benefit healthcare workers. Objective: To determine the construct validity of modification of cognitive impairment screening tool on smart devices compared with the …

Factors Related To Physical Therapy Management In Patients With Knee Osteoarthritis, Patsakon Saisuri

Chulalongkorn University Theses and Dissertations (Chula ETD)

Background: Most physical therapists in developed countries use evidence-based physical therapy for patients with knee osteoarthritis (OA). Conversely, little is known concerning treatment used by Thai physical therapists (PTs) in such patients. Objective: To study the relationship among characteristics of PTs, patients with knee OA, and type of physical therapy treatments. Methods: This survey applied three sets of questionnaires to collect data. Questionnaire Set-A collected PTs’ information and experience in treating knee OA. Questionnaires Set-B collected patients’ information regarding history of knee OA, pain, disability, and function (using pain scale and the modified Thai version of the Western Ontario and …

Immediate Effect Of Pain Relief By Ultrasound In Individuals With Sub-Acute Ankle Sprain: A Randomized-Controlled Trial, Thongchai Suksri

Chulalongkorn University Theses and Dissertations (Chula ETD)

Background: Ultrasound therapy (US) is commonly used to treat ankle sprain. However, there is a lack of evidence concerning the analgesic effect of US on subacute ankle sprain. Objective: To investigate the immediate effect of US on pain, ankle range of motion (ROM), and plantar pressure in individuals with unilateral subacute ankle sprains. Methods: Fifty-four participants with unilateral subacute ankle sprains (aged 16-55 years) were recruited and randomly allocated into 2 groups: treatment group (n = 27) and control group (n = 27). A single intervention session was applied in both groups. The treatment group was treated with US, whereas …

Clinical And Neurophysiological Effects Of Dry Needling On Individuals With Chronic Ankle Instability, Jennifer Mullins

Theses and Dissertations--Rehabilitation Sciences

Ankle sprains are generally considered innocuous injuries; however, as many as 74% of patients will develop chronic symptoms. 1-3 Chronic ankle instability (CAI) is defined by a history of ankle sprain accompanied by ongoing bouts of giving way, residual ankle sprain symptoms, and a decrease in patient-perceived function. As understanding of sensorimotor deficits in individuals with CAI have advanced, treatment strategies have evolved to include a robust focus on balance training to mitigate dynamic and static postural control impairments exhibited in individuals with CAI. A problem arises as these improvements have not been conclusively linked to a decrease in CAI. …

Effects Of Load Carriage On Shoulder Neuromuscular Functions And Recovery, Muataz R. Almaddah

Theses and Dissertations--Rehabilitation Sciences

Load carriage is a primary source for injury occurrence among military personnel and recreational hikers affecting all body areas. The shoulder ranks as the second or third most common site of injuries among military personnel. Many studies report that elevations in self-reported fatigue, soreness, and discomfort in the shoulders accompany the load carriage. Almost 50% of military personnel experienced a load carriage injury during the first episode of training, and 75% of those injured suffered a second injury during their career. The goal of this research project is to investigate the components associated with load carriage shoulder symptoms to determine …

Biopsychological Predictors Of Pain And Function In Patients With Rotator Cuff Conditions, Nicole Cascia

Theses and Dissertations--Rehabilitation Sciences

Predicting worse patient-reported outcomes in those with Rotator Cuff (RC) conditions is dependent on examining both biological and psychological impairments. In order to help determine which biopsychological factors are associated with pain and function in patients with RC related conditions and to determine who may be at an increased risk for worse outcomes after Reverse Shoulder Arthroplasty (RSA), biopsychological associations between patient demographics, scapular motion, humeral motion, RC tear size, pain associated psychological distress, and function were clinically evaluated to investigate prediction models for pain and function. The central hypothesis is that in a group of patients with symptomatic Cuff …

Vestibular Function And Sports-Related Concussion: An Exploratory Investigation Of The Consequences Of Sports Related Concussion On Vestibular Function And Outcomes, Carolina Quintana

Theses and Dissertations--Rehabilitation Sciences

Sports-related concussions (SRC), or mild traumatic brain injuries that occur as a result of sports or athletic participation, are said to affect approximately 300,000 young adults and 1.4 million youth athletes in the United States on an annual basis. SRC create a significant burden on the health care system by generating an estimated $60 billion dollars in direct and indirect costs in 2000. In addition to the financial burden these injuries create, they additionally impose both short- and long-term effects for those effected and their overall health. Among the many effects of concussions are physical signs as symptoms such as …

Physical And Occupational Therapy For Young Children With Delayed Motor Development: Exploring Current Practices, Challenges, And Families’ Implementation Of Home Activities In Early Intervention, Afnan Gmmash

Theses and Dissertations--Rehabilitation Sciences

The literature supports the use of family-centered early intervention(EI) for young children with or at risk for cerebral palsy (CP) to promote the children’s motor development. Young children with or at risk for delayed motor development in their first three years of life are entitled to EI under Part C of The Individuals with Disabilities Education Improvement Act. Identifying current EI provided for young children with delayed motor development is essential to detect possible gaps and factors that could prevent therapists from providing the best EI. Understanding the parent’s perspective on the implementation of activities outside therapy to maximize the …