Occupational Therapy Commons^™

A Phenomenological Study Of The Impact Of Stroke On Marriage: Life Satisfaction And Occupational Performance In Daily Life, Melissa Arwood

Online Theses and Dissertations

Introduction: Following a stroke, an individual may experience physical, cognitive, and emotional changes. For individuals in a marital relationship, the spouse’s life is also impacted post-stroke. The majority of current literature regarding the impact of stroke on marriage focuses on one spouse. This study sought to address this gap by exploring the impact of stroke on the marital dyad.

Method: A qualitative, phenomenological approach was used for this study. Semi-structured phone interviews were conducted. The interviews were transcribed verbatim and analyzed using Colaizzi’s method as explained by Shosha (2012).

Findings: Four couples, eight participants were included in this study. One …

Living With A Chronic Condition: Perspectives Of College Students At A Public Institution Of Higher Education, Kelley Lynn Harlan

Online Theses and Dissertations

Chronic conditions are ongoing, have a pattern of recurrence or deterioration, and produce consequences impacting an individual’s quality of life. An estimated 164 million Americans are expected to be affected by chronic conditions by the year 2025 (Partnership to Fight Chronic Disease, 2016). College students with chronic conditions face unique challenges making it difficult to succeed in traditional degree programs due to unpredictable shifts in wellness. The purpose of this qualitative research was to discover the lived experience of college students with chronic conditions. Eight adult, full-time, traditional university students with chronic conditions were recruited and participated in a one-time, …

Experience Of Play Participation And Use Of Lower Extremity Orthoses In Children With Cerebral Palsy: Case Study, Lakyn Elizabeth Jolly-Burchell

Online Theses and Dissertations

This case study sought to understand the experience of a single family of a child with cerebral palsy (CP) using lower extremity orthoses (LEOs) in natural play contexts. CP is the most commonly occurring motor disability in childhood. Associated with CP, impairments in functional mobility, spasticity, varying degrees of muscle tone, ROM, and impaired gross and fine motor control are barriers to meaningful play experiences in this population. LEOs are widely prescribed devices for children with CP, used as walking aids and to improve/offset some of these performance deficits and body structures. Although, the true efficacy of LEOs is yet …

Dysphoric Milk Ejection Reflex: A Narrative Inquiry Of Women's Experiences And Perceptions, Brandi Winchester

Online Theses and Dissertations

Background

Dysphoric milk ejection reflex is an idiopathic condition experienced by some breastfeeding women that is characterized by an abrupt experience of negative emotions or sensation prior to milk let-down. Many women struggle to make sense of the condition, and report barriers to communicating with others about their experiences and accessing support from healthcare providers. Dysphoric milk ejection reflex is often reported by women to impact self-efficacy and contribute to secondary psychological effects.

Research aim

Exploration of the experience of Dysphoric Milk Ejection Reflex. Investigation of the impact of diagnosis on the sense of wellness and self-efficacy of affected mothers. …

An Evaluation Of The Factor Structure And Internal Consistency Of The ‘Conceptions Of Learning’ And ‘Preferences For Teaching’ Measures In American Occupational Therapy Students, Tore Bonsaksen, Adele Breen-Franklin

Journal of Occupational Therapy Education

When planning to use measurement scales in new samples and contexts, examining the scales’ psychometric properties is an important initial step. This study examined the factor structure and internal consistency of two measures that are part of the Approaches and Study Skills Inventory for Students (ASSIST) – the Conceptions of learning and Preferences for teaching and courses – in a sample of American occupational therapy students. The students (n = 115) completed the measures and provided basic sociodemographic information. Scale structure was examined with Principal Components Analysis (PCA), while consistency between scale items was assessed with mean inter-item correlations. …

Growth, Globalization, And Quality Peer Review For The Journal Of Occupational Therapy Education, Renee Causey-Upton, Dana M. Howell, Cynthia L. Hayden

Journal of Occupational Therapy Education

No abstract provided.

Professional Identity Of Undergraduate Occupational Therapy Students, Harrison Gray, Kay Colthorpe, Hardy Ernst, Louise Ainscough

Journal of Occupational Therapy Education

Throughout the development of an individual, their identity, or how they see themselves, frequently changes. An important part of identity formation in adolescents is the development of professional identity, which is how they perceive themselves in a professional context. The establishment of a strong professional identity has been linked to life satisfaction, psychological well-being and success in one’s chosen career. The aim of this study was to identify the extent of professional identity development in second year undergraduate occupational therapy students. As part of an assessment task, students were asked to describe why they chose occupational therapy, how they saw …

Designing Interprofessional Education Curriculum To Maximize Collaborative Competency, Whitney Lucas Molitor, Allison Naber

Journal of Occupational Therapy Education

Interprofessional collaboration improves health outcomes through enhanced efficiency and communication among team members. Professional educational standards call for interprofessional education (IPE) to develop the collaborative competencies necessary for transition from didactic learning to clinical practice. Variability exists regarding methods of IPE implementation, so efficacy of curricula needs to be described in a manner which allows for replication and utilization of these methods with occupational therapy students. A pre/post design with convenience sampling of students from occupational therapy, physical therapy, and physician assistant programs was completed to determine the effectiveness of an IPE module and to discover if differences in IPE …

Occupational Therapy Students’ Perceptions Of Osce: A Qualitative Descriptive Analysis, Nancy E. Krusen, M. Nicole Martino

Journal of Occupational Therapy Education

Objective Structured Clinical Examinations (OSCE) are commonly used across health professions educational programs to evaluate student clinical competencies. OSCE are multiple, brief stations representing common practice scenarios. The purpose of the study was to evaluate student perceptions of OSCE. The researchers implemented 17 OSCE stations with 40 second year occupational therapy students to assess clinical competencies prior to fieldwork. Applying a qualitative descriptive methodologic approach, researchers analyzed station rating data, Qualtrics survey Likert-type items, and Qualtrics survey open-ended responses. Number of station rating responses varied widely, due to perceived time press. Station rating responses confirmed the more robust 80% response …

Long-Term Impact Of International Service Learning: Cultural Competence Revisited, Nathan Short, Heather Y.Z. St. Peters, Thomas Almonroeder, Grace Bolomope, Kelli Daller, Kayla Deaton, Madeline Kreill

Journal of Occupational Therapy Education

As cultural diversity continues to rise globally, there is an evident need for culturally competent care, especially within the client-centered field of occupational therapy. Previous research has shown that occupational therapy doctoral (OTD) students who participated in international service-learning demonstrated an immediate positive impact on their cultural competence. The current study revisits these same doctoral students to examine the long-term impact of international service-learning experiences at six-month, one-year, two-year, and three-year intervals following the initial experience. The researchers conducted a mixed methods study with a pre-test post-test design, utilizing the Cultural Intelligence Scale (CQS), as well as qualitative responses in …

Do Beliefs About Knowledge Predict Occupational Therapy Students’ Critical Thinking? A Longitudinal Correlational Study, Anita W. Mitchell, Walter Stevens, Vikki G. Nolan

Journal of Occupational Therapy Education

Beliefs about knowledge and knowing, or epistemic and ontological cognition (EOC), are potential influences on critical thinking, yet little research exploring these relationships has been published in educational literature or in occupational therapy (OT). This study examined the association between domain-general and OT-specific EOC and critical thinking in OT students. The Epistemological Beliefs Inventory, modified Four-Quadrant Scale, and Watson-Glaser Critical Thinking Appraisal were administered to a convenience sample of 102 OT students, before and after the didactic portion of an OT program. Results of logistic regression indicated that only the general belief in an omniscient authority as a source of …

Telehealth Student Experiences And Learning: A Scoping Review, Katrina M. Serwe, Makayla Heindel, Isabel Keultjes, Hailey Silvers, Samantha Stovich

Journal of Occupational Therapy Education

Telehealth as a service delivery model is increasing in popularity. Knowledge and use of telehealth technology will be a new mandatory learning outcome in occupational therapy curriculums with the implementation of the 2018 Accreditation Council for Occupational Therapy Education standards. However, it is not known how healthcare programs are currently incorporating telehealth into education or which methods of telehealth education are most effective. This study addressed this gap in the literature using Arksey and O’Malley’s five-step methodological process to conduct a scoping review to examine the student experience of delivering healthcare services via telehealth and related learning outcomes. The scoping …

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 …

Characteristics Of Occupation-Based Education Within Entry-Level Occupational Therapy Programs: Professional Leaders' Perspectives, Georgia Canty, Melanie J. Roberts, Matthew Molineux

Journal of Occupational Therapy Education

Occupational therapy is a profession concerned with promoting health and well-being through occupation, and accordingly occupation should permeate all aspects of the profession. Entry-level education is the primary means by which new members of the profession become educated about occupation and its place in occupational therapy practice. Therefore, it is essential that education reflects the core concept of the profession. To date there have been individual opinions about occupation-based education but no studies have documented the characteristics that demonstrate this approach from the perspective of professional leaders. A qualitative descriptive study was conducted to explore professional leaders’ views on, and …

The Critical Friend: Development Of A Peer Supervision Training For A Student-Run Occupational Therapy Clinic, Anne Murphy-Hagan, Lauren E. Milton

Journal of Occupational Therapy Education

An occupational therapy program at a research institution in the Midwest offers a student-run outpatient stroke clinic to prepare learners for the student-to-clinician transition. Notably, the students practice peer supervision in which participants with roughly the same level of training monitor, evaluate, and support one another. This project details the development of The Critical Friend, an evidence-based peer supervision training program implemented in a student-run occupational therapy clinic. The ADDIE Model of Instructional Design, which classifies five phases of instruction implementation (analyze, design, development, implementation, and evaluation) was utilized to translate research knowledge into a learning deliverable. This paper …

High Fidelity Simulation With Peer Debriefing: Influence Of Student Observation And Participation Roles On Student Perception Of Confidence With Learning And Feedback, Jodi Schreiber, Theresa Delbert, Laura Huth

Journal of Occupational Therapy Education

High fidelity simulation (HFS) has been used successfully to prepare students in a range of health professions for the acute care setting. HFS consists of three phases, with debriefing identified as most important. Instructor-led debriefing has been the most documented form of providing feedback. This pilot study looked at the relationship between the use of peer debriefing in HFS on graduate occupational therapy students’ perceived level of confidence with giving and receiving performance related feedback. Students in an entry-level Master of Occupational Therapy program engaged in both an observational role and an active participation role in HFS followed by peer …

Student Engagement In Peer Dialogue About Diversity And Inclusion, Barry L. Trentham, Sylvia Langlois, Ruheena Sangrar, Jill Stier, Lynn Cockburn, Deb Cameron, Rebecca Renwick, Chantal Dsouza

Journal of Occupational Therapy Education

Student engagement in peer dialogue is a key aspect of a transformative learning process. However, the dynamics of peer dialogue become more complex when applied to concepts of diversity and inclusion, due to increased risk of student vulnerability and exclusion. This study examined how curricular content and contextual features in educational settings facilitate peer dialogue by analyzing the learning narratives of eleven occupational therapy graduate students. Considered within a transformative approach to learning, findings suggest the need to consider how students experience and name diversity. Critical questions are raised about the value of and potential caveats about exposing students to …

Effect Of A Gamification Model On A Graduate Level Occupational Therapy Course, Edwin Myers

Journal of Occupational Therapy Education

Gamification in education refers to the immersion of game elements and game mechanics to enhance student engagement. Elements of gamification include the use of reward systems, leader boards, social activities, badges, missions, challenges, and aspects of free choice in course design. The aim of this study was to assess the effect of applying a gamification model to a graduate level occupational therapy course in assistive technology (AT). This mixed methods study followed two consecutive cohorts of students (N=63 students, 55 females) in a graduate level occupational therapy program as they participated in a gamified course allowing the students to “choose …

Conceptualizing Occupational Therapists’ Change Agent Role To Support Entry-Level Pedagogical Activities: Results From A Scoping Study, Annie Carrier, Michaël Beaudoin

Journal of Occupational Therapy Education

Entry-level programs are expected to support occupational therapy students in developing knowledge and skills pertaining to the change agent role. To do so, a detailed, multidimensional conceptualization of this role is necessary. To date, in the occupational therapy profession, there is no such conceptualization, which might impact educators’ ability to conduct relevant pedagogical activities. Our study aimed to explore the dimensions of the change agent role for occupational therapy practitioners. We undertook a scoping study of the scientific and grey literature up to August 31, 2018 to “map” what is known about the change agent role. We searched nine databases, …

What Drives Engagement In Professional Associations? A National Survey Of Occupational Therapy Students, Suzanne E. Holm, Patricia Stutz-Tanenbaum, David Greene

Journal of Occupational Therapy Education

Exploring the factors that influence occupational therapy (OT) and occupational therapy assistant (OTA) students to join and participate in professional associations is critical to determine how to extend engagement after graduation. Previous research on health care student participation in professional associations has not included OT or OTA students. The researchers conducted an online quantitative national pilot survey to explore the perceptions of OT/OTA students and to identify supports and challenges for membership. The purposive sampling of currently enrolled students took place over three months in 2017, resulting in 251 responses representing all geographic regions in the United States. The researcher-developed …

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 …

Comparing Moral Reasoning Across Graduate Occupational And Physical Therapy Students And Practitioners, Brenda S. Howard, Cheyenne Kern, Olivia Milliner, Lindsey Newhart, Sarah K. Burke

Journal of Occupational Therapy Education

Practicing clinicians must use moral reasoning to solve ethical problems and combat moral distress. Development of moral reasoning in occupational therapy (OT) and physical therapy (PT) students has been significantly under researched. The purpose of this study was to analyze the differences in moral reasoning between first year and second year OT and PT students and between students and OT and PT practitioners. Investigators utilized a cross-sectional study design with a convenience sample of University of Indianapolis OT and PT students and a combination of convenience and snowball sampling to recruit licensed OT and PT practitioners. One hundred and fifty-four …

An International Fieldwork Placement: A Mixed Methods Study, Dianna Lunsford, Kristin A. Valdes

Journal of Occupational Therapy Education

The purpose of this study was to evaluate the impact of an international fieldwork placement on occupational therapy doctoral (OTD) students’ cultural competence, community engagement, and ethical leadership. This study used a mixed methods approach. The Public Affairs Scale (PAS) was used to gather pre and post placement data on cultural competence, community engagement, and ethical leadership. Qualitative data was themed from a reflection paper along with researcher field notes from a fieldwork placement to Ibarra, Ecuador. Eleven OTD students participated in the study. The study demonstrated a convergence of the data in the area of cultural competence and responsiveness. …

Pre-Entry Selection Assessment Results And Final Degree Outcomes Of Occupational Therapy Students: Are There Relationships?, Sarah Louise Mcginley

Journal of Occupational Therapy Education

Occupational therapy (OT) admissions tutors are tasked with ensuring the recruitment of high-quality candidates who can demonstrate both academic and professional skills throughout their education and subsequently into practice. While standardized admissions criteria do not exist, it is widely accepted that both cognitive and non-cognitive characteristics should be assessed to establish academic and professional qualities of applicants. Pre-admission qualifications are generally classed as a reliable assessment of academic (cognitive) ability, with literature supporting positive but variable relationships between academic qualifications and degree classifications. Evidence to support trusted assessments of pre-admission professional (non-cognitive) skills is lacking, with ambiguity surrounding relationships between …

Community Teaching Experience: A Description Of The Development And Design Of A Unique Teaching Experience For Occupational Therapy Doctoral Students, Laura E. Landon, Christine Berg, Sara S. Ulfers

Journal of Occupational Therapy Education

Entry-level occupational therapy doctorate (OTD) students receive education and training to interpret and disseminate evidenced-based literature. However, these students are often missing the clinical experience to identify clinically relevant questions that impact occupational outcomes. Conversely, occupational therapy practitioners have the clinical experience to determine clinically appropriate questions but often encounter time, budget, and setting constraints on researching and learning up-to-date evidence-based practice assessment and intervention techniques. The purpose of this paper is to describe the development and design of an exploratory educational project in which OTD students utilized clinically relevant questions identified by local occupational therapy practitioners to disseminate evidence-based …

Knowledge Translation Approaches In Occupational Therapy: A Scoping Review, Brianna Perkins, Amelia Di Tommaso, Matthew Molineux, Penny Power, Anna Young

Journal of Occupational Therapy Education

A gap exists between what is known in occupational therapy and how occupational therapists practice. Knowledge translation approaches have been designed to bridge the gap between research and practice. Currently there is limited literature exploring the knowledge translation approaches being implemented specifically within occupational therapy. Therefore, a scoping review was completed to provide an overview of the existing literature on knowledge translation approaches in occupational therapy. Three electronic databases were searched. All peer-reviewed quantitative and qualitative articles which met the inclusion criteria were reviewed. A data extraction table aided the analysis and synthesis of the literature. The initial search returned …

Seltec: Service And Experiential Learning Through Engagement In The Community: A Level I Fieldwork Model: Part 1, Andrea B. Brown, Amanda J. Mohler

Journal of Occupational Therapy Education

Securing effective and quality fieldwork experiences is an area of concern in occupational therapy education. Academic Fieldwork Coordinators and occupational therapy programs are looking for new models and innovative methods of instruction to provide fieldwork experiences to students. A team of occupational therapy faculty developed and implemented an innovative Level I fieldwork model called Service and Experiential Learning Through Engagement in the Community (SELTEC). The model incorporates service and experiential learning while engaging the occupational therapy program and faculty educators in the community. The SELTEC model utilizes the student, educational system, and community to promote a service relationship to provide …

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 …

Use Of A Logic Model To Develop An Innovative Hand Therapy Clinic To Provide Experiential Learning For Occupational Therapy Students, Rose Mcandrew, Vicki Kaskutas

Journal of Occupational Therapy Education

Occupational therapy (OT) students seek experiential learning opportunities to help them construct knowledge and meaning. Student clinics are increasing in prevalence as an effective means to engage in experiential learning. The student experiential learning clinic for hand therapy (SELC-HT) is a newly opened student clinic providing OT to under-insured individuals with upper extremity impairments. The SELC-HT used the student run free clinic (SRFC) logic model to systematically plan, implement, and evaluate its effectiveness. Planning started with evaluating the need and the context of the SELC-HT, allowing developers to state the long-term impacts of preparing students for future clinical practice, reintegrating …

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 …