Occupational Therapy Commons^™

Student Perceptions And Grade Comparisons After Exposure To Instructor-Made Skills Videos In A Kinesiology Course, Pamela Karp, Robert G. Gallagher

Journal of Occupational Therapy Education

The purpose of this mixed method, descriptive case study was to determine whether the use of pre-recorded instructor-made videos (PRIMVs) in a kinesiology course, along with curricular design changes, facilitated increased conceptual and practical student learning. The study examined three student cohorts in one occupational therapy program. Two of the student cohorts had unrestricted access to the PRIMVs designed to support student learning of bone and muscle palpation and joint actions. Students from the two cohorts completed a survey about their experience of having access to the videos. Exam data from the student cohorts who had access to the videos …

Collaborative Learning In A Faculty-Led Occupational Therapy Level I Fieldwork: A Case Study, Karen M. Keptner, Susan Maureen Klein

Journal of Occupational Therapy Education

Fieldwork experiences in occupational therapy are meant to bridge the gap between academic learning and clinical practice. Various formats for fieldwork experiences have been encouraged as sites become harder to find. A faculty-led fieldwork experience is one suggested format. Faculty-led initiatives using a collaborative learning model (CLM) allow faculty to supervise a group of students at one time. In order to understand more about using a CLM within Level I fieldwork, a case study approach was used to describe the experience of nine occupational therapy students. Results suggest that the students involved in this faculty-led Level I fieldwork experience in …

Interprofessional Education Enhancement: Inclusion Of Occupational Therapy, Julie Woodnorth, Heather A. Davidson

Journal of Occupational Therapy Education

The increase in interprofessional education (IPE) opportunities provides an excellent opportunity for occupational therapy (OT) educators to partner with other health professions to deepen the understanding of how the OT profession adds value to future healthcare teams. The purpose of this study was to describe the development and impact of a curricular unit about the OT profession that was integrated into an established IPE program for medical, advanced practice nursing, pharmacy and social work students. A Needs Assessment was conducted by embedding an OT consultant within interprofessional student teams working in clinical environments over six weeks to observe baseline understanding …

Using Case-Based Learning To Facilitate Clinical Reasoning Across Practice Courses In An Occupational Therapy Curriculum, Lynne F. Murphy, Jennifer C. Radloff

Journal of Occupational Therapy Education

Although occupational therapy educators have historically used cases as a means to prepare students for clinical practice, there is little evidence that this instructional method actually facilitates clinical reasoning. This convergent, parallel mixed methods study examined how the use of varied case formats, built on the tenets of case-based learning, facilitated specific components of clinical reasoning, and explored how the cases contributed to readiness for professional practice. Case formats included text, video, role-playing, simulated patients, and a client. Case-based learning activities included application of models and frames of reference, conducting assessments, planning and implementing interventions, clinical documentation, and identification of …

Proposing A Metacurriculum For Occupational Therapy Education In 2025 And Beyond, Quinn P. Tyminski, Amy Nguyen, Steven D. Taff

Journal of Occupational Therapy Education

The American healthcare system has undergone significant changes in the past few years due to government and corporate-level changes. As healthcare requirements continue to shift, occupational therapists must continue to assert their role or risk losing relevancy. Therefore, educational programs must prepare students to meet the populations’ shifting healthcare needs through agile curricula which focus less on isolated skills and more on broad areas of impact. To determine essential content comprising a ‘metacurriculum’ for occupational therapy education of the future, nine articles were analyzed using Bloom’s Taxonomy (revised) to code each document into knowledge, skills, and behaviors. Major themes were …

Developing An International Cultural Learning Project: An Effort Towards Introducing Internationalization In The Classroom, Mary Zadnik, Pavlina Psychouli, Kayla Collins

Journal of Occupational Therapy Education

In an increasingly diverse and global society, allied health professionals must be ready to meet the needs of clients with different cultural values, habits, and attitudes. Understanding how culture impacts decision making in healthcare is a fundamental skill. However, education and experiences to help prepare future practitioners to meet this need are often lacking in allied health. This paper highlights a call to develop methods to identify and overcome barriers in providing students with culturally diverse and immersive experiences both feasibly and efficiently. A pilot cross-cultural experience was created utilizing the technique of Internationalization at Home (IaH) and integrating technology …

A Skills-Focused Approach To Improving Therapist Goniometry Accuracy Using A Simulation Laboratory, Miranda Yelvington, Beverly J. Spray

Journal of Occupational Therapy Education

Goniometric measurements are widely used in the field of occupational therapy to measure range of motion, define and describe movement, and predict the functional implications of joint limitations. These measurements are further used in documentation and as a means of justifying reimbursement. While goniometrics are a hallmark of our practice, therapist competency is rarely assessed. This study sought to evaluate whether a skill focused, simulation assisted training could lead to improvements in accuracy and consistency of goniometric measurements. Ten therapists at a single facility completed goniometric testing utilizing a simulation module to assess three joint motions (shoulder abduction, elbow flexion …

Part 2: Preparing Entry-Level Occupational And Physical Therapy Students To Promote Healthy Lifestyles Emphasizing Healthy Eating With Individuals With Disabilities, Brooks C. Wingo, Donald H. Lein, Beth A. Barstow, Christopher A. Eidson, Tara S. Pearce, Laurie A. Malone, David M. Morris

Journal of Occupational Therapy Education

Rehabilitation professionals including occupational therapists (OT) and physical therapists (PT) are increasingly called upon to incorporate health promotion of lifestyle behaviors including physical activity and healthy eating into routine clinical care. While OTs and PTs may be comfortable promoting activity-related behaviors, many are less comfortable with nutrition behaviors. To address entry-level OT and PT students’ perceived discomfort with discussing diet-related behaviors, faculty developed a healthy eating module for students to use during a community-based service learning program. The purpose of this paper is to describe the formative evaluation process of developing the healthy eating module, and to discuss results of …

Understanding Regenerative Medicine And Its Position In Healthcare, Tyler F. Ward

Kentucky Journal of Undergraduate Scholarship

Abstract: Regenerative medicine is an emerging field of the healthcare industry that has the potential to treat a myriad of health conditions. Induced pluripotent stem cells, human embryonic stem cells, and tissue engineering are a few of the treatment methods that may be delivered by healthcare professionals in personalized medicine. Food and Drug Administration (FDA) approval is necessary within the United States before any of these treatment options are available. Specific cellular therapies are currently undergoing clinical trials and it may be years before approval is acquired. The National Institute of Health is proactively working to ensure that healthcare policies, …

A Blind Spot In Health Care Services: The Intellectual/ Developmental Disabled Population And Training Of Primary Care Providers, Shaina Goode

Kentucky Journal of Undergraduate Scholarship

The intellectual and developmental disabled (I/DD) population is exposed to barriers that prevent access to quality healthcare. One of the main barriers is lack of training among primary care providers to treat the I/DD population. Because this population requires further devotion when addressing personal health needs, it is necessary to understand how lack of training and experience for primary care providers hinders the I/DD population’s health. Primary healthcare providers need further training to obtain skills to provide adequate access for this population to reduce health disparities. Further training such as professionally facilitated courses on disability through lectures or seminars, discipline-specific …

Human Papillomavirus: The Influence Of Prevention And Vaccination, Lacey N. Russell

Kentucky Journal of Undergraduate Scholarship

Human Papillomavirus infections (HPV) are the most common sexually transmitted diseases in the United States. Of cancers in parts of the body where HPV is often discovered about 80% originated from an HPV infection. Despite this knowledge and the effectiveness of the HPV vaccine, vaccination by both genders in Kentucky and on a national scale remains highly underutilized. As a result, preventable incidence and mortality rates from HPV-related illness are elevated. Health care delivery factors such as increased vaccination and preventative care, insurance coverage, and accessible rural health care are necessary for HPV prevention and promotion of holistic health. The …

Greater Needs, Greater Spending: Improving Care For High-Need, High-Cost Patients, Laken Tackett

Kentucky Journal of Undergraduate Scholarship

High-need patients spend up to four times more than the average American adult on health care services and prescription medications annually. Tailoring services to each individual’s needs could improve health care outcomes, effectively decreasing costs. Although high-need individuals make up only 5% of the population, they account for 50% of national health care expenditure. Improving care for this population is vital. Implementing an occupational therapist in the primary care process is one way to improve health for these individuals. Highly specialized care coordinators could also be beneficial for this population to coordinate services and medications, making sure there are not …

Medical Marijuana And The Healthcare System, John T. Lear-Phillips

Kentucky Journal of Undergraduate Scholarship

Many individuals in America suffer from chronic diseases (Glaucoma, Cancer, PTSD, HIV/AIDS, and multiple sclerosis) and medical marijuana can alleviate the side effects associated with these conditions. The federal government should legalize marijuana in order to give individuals with chronic diseases the organic medication they need to manage their symptoms. The current literature discusses how this topic is a national and community healthcare issue due to the large numbers of individuals with chronic conditions who could benefit from access to medical marijuana. Medical marijuana has the ability to improve the cost, access, and quality of healthcare in the United States …

Nursing Perceptions Of Occupational Therapy For Delirium Management In The Intensive Care Unit, Emma Mcclellan

Occupational Therapy Doctorate Capstone Projects

Background: Occupational therapy (OT) has been identified in existing research as an appropriate profession for addressing cognitive impairments such as delirium common to intensive care unit (ICU) hospitalization. Purpose: This study hypothesized that cultural change must occur within the ICU setting regarding the importance of rehabilitation services for mental functioning and cognitive stimulation in addition to early mobility in the prevention and management of ICU delirium. The intent of this capstone project was to determine the perceptions of ICU nurses regarding the inclusion of and collaboration with OT for the management of ICU delirium. Theoretical Framework: The purpose and objectives …

Training Appalachian, Hospital-Based Occupational Therapists On The Use Of Standardized, Occupation-Based Outcome Measures And Treatment Concepts For Traumatic Upper Extremity Injuries: A Pilot Program, Donald G. Pitts

Occupational Therapy Doctorate Capstone Projects

Executive Summary

Background. Traumatic injuries to the upper extremity, such as crush injuries, tendon lacerations, burns, and amputations, are common and may result in missed work, decreased independence in activities of daily living, and decreased the quality of life. In urban areas, traumatic upper extremity injuries are often treated by a Certified Hand Therapist (CHT), who is an occupational or physical therapist with specialized training who has passed a national certification examination. In the Appalachian region of Kentucky, people with traumatic hand injuries are most likely to be treated in a hospital-based outpatient orthopedic setting that is primarily staffed with …

A Pilot Experimental Study Of Adding The Copm To The Occupational Therapy Evaluation Process In The Swing-Bed Division Of A Rural Hospital Setting, Sarah T. Durbin Ms.

Occupational Therapy Doctorate Capstone Projects

Background: Extensive evidence is available on the efficacy of occupation-based practice for improving patient outcomes in hospital settings. There were no studies that took place specifically in the swing-bed division of rural hospital settings regarding occupation-based practice prior to the implementation of this study. Purpose: This study sought to determine whether the addition of the COPM would increase occupational performance and patient satisfaction for individuals treated in the swing-bed division of a rural hospital setting. Theoretical Framework: The Canadian Model of Occupational Performance and Engagement is the primary theory supporting this study, due to the emphasis placed on client-centeredness, spirituality, …

The Impact Of Interactive Education On Caregivers Caring For Individuals With Dementia, Lisa K. Hong

Occupational Therapy Doctorate Capstone Projects

Background: Alzheimer’s disease and related dementias are becoming more prevalent and individuals with the disease requiring much physically and emotionally from caregivers. As caregivers are often thrust unprepared into their roles, the need for quality education becomes increasingly important.

Purpose: The purpose of this study was to identify changes in caregiver perception after participation in an interactive educational program. The following research questions were used: 1) What is the perception of both professional and family caregivers about their ability to provide care following an interactive education program for dementia care? 2) Does an education program change the caregiver’s general knowledge …

Pre-Sleep Routines In Adult Normal Sleepers, Jean Koketsu

Occupational Therapy Doctorate Capstone Projects

Sleep is the most important restorative occupation, and pre-sleep routines, which precede sleep, have not been explored in normal adult sleepers. Routines are an important construct in occupational therapy, but it is not well-researched.

The purpose of this project is to add to the body of knowledge regarding pre-sleep routines through description by normal sleepers. This research can inform occupational therapists in regard to the usual patterns and dynamics of pre-sleep routines. Open systems theory, a grounded theory approach, and graphic and interview methods were used in this qualitative study.

Participants were 16 adults, between the ages of 23 and …

Cognitive And Metacognitive Factors In Reading Comprehension For Occupational Therapy Assistant Students, Cynthia L. Meyer

Occupational Therapy Doctorate Capstone Projects

Difficulties with reading comprehension among occupational therapy assistant (OTA) students can diminish their ability to understand didactic textual information limiting clinical performance and can impact OTA attrition rates and limit graduate success when completing the national certification examination.

Participants were one cohort of OTA students from a rural public community college.

This was a convergent mixed-method design (Creswell & Creswell, 2018). The students’ perceptions of cognitive and metacognitive factors affecting reading and the students’ preferences for cognitive and metacognitive strategies were assessed through a 59-item survey assessment combining the Text-Learning Strategies Inventory (TLSI) (Merchie, Van Keer, & Vandevelde, 2014), the …

Perceptions Of Atp Certified Occupational Therapy Practitioners On Assistive Technology Education In Occupational Therapy Programs, Karen M. Dishman Otd, Otr, Atp

Occupational Therapy Doctorate Capstone Projects

This capstone project focused on identifying which categories of assistive technology (AT) that practitioners perceived to be needed in entry-level master’s occupational therapy (OT) programs; and validating the need for post-professional AT training and post-professional AT certificate programs. For this capstone project, a survey approach was used as the data collection method. The purpose of the survey was to determine perceptions of OT practitioners on AT education received during their entry-level OT program. The survey was returned by 148 occupational therapy practitioners certified as assistive technology professionals (ATP) by the Rehabilitation and Engineering Society of North America (RESNA). Results indicated …

Occupational Therapy Intervention For Project Search Interns With Autism Spectrum Disorder: Potential For Improved Transition Outcomes, Jessie L. Bricker

Occupational Therapy Doctorate Capstone Projects

As the prevalence of autism spectrum disorders (ASD) continues to rise, it is increasingly important to address the needs of adults with ASD as they transition into the work world. Project SEARCH, an internationally recognized program, has been successful in assisting individuals with disabilities in attaining competitive employment. Yet even in this program model, individuals with ASD have lower employment outcomes than individuals in other disability categories. The purpose of this action research study was to explore the needs of individuals with high functioning autism spectrum disorder (HFASD) within the Project SEARCH program from their own perspectives, and to examine …

Creating Opportunities For Ot-Ota Student Learning Through Community Collaborations, Nancy E. Carson, Joy Crawford, Nadine Hanner

Journal of Occupational Therapy Education

Providing occupational therapy (OT) and occupational therapy assistant (OTA) students with collaborative educational experiences can foster an understanding of role delineation and lay the foundation for positive relationships in future work environments. Offering these experiences during the didactic portion of the curriculum can provide a deeper understanding of the OT-OTA relationship and encourage greater intraprofessional collaboration in fieldwork settings and as practitioners. This project was an intraprofessional educational experience between students enrolled in a graduate OT master’s degree program and students enrolled in an OTA program. In the first phase students met and socialized with each other, discussed role delineation, …

Experiences Of Balance Among Novice Occupational Therapists, Mary Nell Wagner

Online Theses and Dissertations

For new occupational therapists, finding balance between the demands of work and their personal lives is challenging. The transition from student to practitioner is filled with uncertainty as new therapists try to meet the demands of working in a continuously changing environment. Research describing how new therapists define and experience balance in their own daily lives is currently missing in the literature. The purpose of this phenomenological study was to describe the experiences of novice occupational therapists in creating occupational balance while working in the healthcare system. Six novice therapists in their first year of practice were recruited for this …

Clinician, Educator, And Student Perceptions Of Entry-Level Academic Degree Requirements In Occupational Therapy Education, Whitney M. Lucas Molitor, Ranelle Nissen

Journal of Occupational Therapy Education

Entry-level occupational therapy degree requirements have varied since the establishment of the profession. Currently multiple degree paths exist. There are cited benefits for a multiple degree path system; however, barriers also exist. Most notable among these are confusion among recipients of services and other health care providers. As other healthcare professional programs have transitioned to a single point of entry at the doctoral level, occupational therapy, until recently, had not yet made this change. A nationwide online survey was used to assess perceptions of the entry-level doctorate. Participants included current occupational therapy practitioners (clinicians or educators) and students in entry-level …

Using Online Professional Development To Increase Self-Efficacy In School-Based Occupational Therapy Fieldwork Educators, Meghan Suman, Ingrid Provident

Journal of Occupational Therapy Education

The purpose of this study was to determine if school-based occupational therapists who participated in a series of online professional development modules on the topic of fieldwork education reported increased feelings of self-efficacy regarding the ability to fulfill the role of fieldwork educator. In this single-group design, participants completed a series of six online professional development modules. Each module consisted of a narrated slideshow presentation, case study activity, and online discussion board. Participants completed a self-efficacy survey before and after completing the series of modules. Results indicated a significant increase in self-efficacy related to fieldwork education following completion of the …

Applying The Social Change Model Of Leadership To An Entry-Level Occupational Therapy Doctorate Program, Lorry Liotta-Kleinfeld, Debra Gibbs, Yvette Hachtel, Teresa Plummer

Journal of Occupational Therapy Education

Occupational therapy educators are tasked with preparing the future leaders in the profession. This responsibility requires a thoughtful and evidence based approach to reviewing and revising curricula to address changing professional and societal needs while aligning with a university’s mission and vision. While the need for occupational therapy leadership has been a topic of much discussion in the literature, little has been written about evidence-based curricular practices to develop and prepare students for leadership roles. This article demonstrates how one entry-level occupational therapy doctorate program incorporated the underpinnings of the Social Change Model of Leadership Development (Wagner, 2006) into the …

Innovations In Occupational Therapy Education: The Centralized Service Learning Model, Lauren E. Milton, Robyn Otty

Journal of Occupational Therapy Education

Partnerships between community organizations and engaged university members creates realistic learning experiences for occupational therapy students while encouraging civic responsibility. The authors propose service learning as the core of an innovative course design framework using the Centralized Service Learning Model (CSLM). Three phases are described. Phase One provides a description of the CSLM using a generalizable model, with specific application within existing occupational therapy program coursework. Phase Two provides leadership opportunities for a subsequent cohort of students within the curriculum. Finally, Phase Three integrates faculty scholarship. To understand students’ knowledge-level awareness, a survey based on course objectives can be administered, …

On-Campus Occupational Therapy Clinic Enhances Student Professional Development And Understanding, Kelly Erickson

Journal of Occupational Therapy Education

Changing healthcare systems impact clinical sites that provide fieldwork for occupational therapy programs and require students to be prepared for the pace and demands of the clinical settings. Occupational therapy programs strive to enhance hands-on experiences in didactic curriculum to better prepare students for Level II fieldwork. An on-campus clinic course was implemented over two semesters with students engaging in the occupational therapy process with adult and pediatric clients from the community under the supervision of faculty. Student surveys and focus group data were analyzed over five years. Survey responses to open-ended question were triangulated with data from focus group …

The Development Of A Role-Emerging Fieldwork Placement In A Homeless Shelter, Quinn Tyminski

Journal of Occupational Therapy Education

The purpose of this project was to develop and evaluate student learning outcomes of a role-emerging fieldwork Level II placement in a local homeless shelter. A role-emerging fieldwork placement denotes any placement in which there is not an identified occupational therapy program or no on-site occupational therapy (OT) supervisor. The project ran from January through June 2017 at a local homeless shelter with 1 Masters of Occupational Therapy (MOT) student from a local university completing their first Level II fieldwork rotation from January through March, followed by 2 MOT students completing their second rotation from April through June. Fieldwork supervision …

Admission Requirements And Practices In Entry-Level Occupational Therapy Programs, Patricia Bowyer, Cynthia Tiongco, L. Kaye Rubio, Judy Liu, Sandra M. Whisner

Journal of Occupational Therapy Education

When establishing admission processes for entry-level doctoral programs, admission requirements for master-level programs provide a comparison for consideration. The purpose of this study was to provide information about admission practices for graduate-level occupational therapy programs. The three aims included: 1) to describe admission requirements of a sample of entry-level master’s programs; 2) to examine the relationship between attrition and admission requirements for the sample; and 3) to provide a summary of admission requirements used by entry-level master and doctoral programs in the United States. Results of the study provided a synthesis of information about admission requirements that included programs’ minimum …