Occupational Therapy Commons^™

Women’S Self-Concept, Sexual Activity, And Intimacy After Sustaining A Traumatic Brain Injury, Erin Skotzke

The Open Journal of Occupational Therapy

A traumatic brain injury (TBI) can have a profound impact on how people think and feel about themselves and their abilities, values, goals, personalities, physical characteristics, and roles. Preliminary research findings suggest that barriers to developing a positive self-concept after injury in women include the desire to be perceived as “normal” after the injury or the feeling that society dismisses their injuries. In the field of occupational therapy, it is critical that therapists and researchers understand that self-concept can be altered after sustaining a TBI. This outcome can have a significant impact on participation in valued occupations, including participation in …

Neurodiversity-Affirming Practices Are A Moral Imperative For Occupational Therapy, Aaron R. Dallman, Kathryn L. Williams, Lauren Villa

The Open Journal of Occupational Therapy

The term neurodiversity encompasses neurological differences such as clinical labels of autism, learning disabilities, synesthesia, hyperactivity disorders, and more. Proponents of the neurodiversity movement argue that current therapeutic and medical practices often attempt to “normalize” behaviors and ways of participation that originate from these differences in neurology and contribute to an individual’s sense of identity. This paper argues that an ethical and morally just occupational therapy practice should affirm neurodivergent ways of being, and that occupational therapists must be active agents of change by listening to and collaborating with their neurodiverse clientele. We focus the discussion on our work with …

Is It Reasonable? Reasonable And Unreasonable Accommodations For Occupational Therapy Students In Clinical Settings, Rebecca Ozelie, Jennifer Bock, Sarah Gervais, Leah Schneider, Caitlyn Silhavy

The Open Journal of Occupational Therapy

Despite the growing number of graduate students with disabilities, little is known about what accommodations are considered reasonable in various occupational therapy fieldwork settings. This study explores which accommodations fieldwork educators perceive as reasonable or unreasonable for occupational therapy students with disabilities. Snowball sampling methodology was used to distribute a virtual survey, using a descriptive design. One hundred and sixty-two occupational therapists and occupational therapy assistants answered questions relating to demographic information, clinical experience supervising fieldwork students, and their clinical judgement regarding commonly requested accommodations. Using a quantitative approach, the accommodations deemed most reasonable were allowing the use of adaptive …

Use Of Standardized Patient Encounters As Predictors Of Fieldwork Performance: A Pilot Study, Linda Frasier, John V. Rider, Ashley Fecht

The Open Journal of Occupational Therapy

Background: Although standardized patient encounters (SPEs) are being used in occupational therapy (OT) education, limited literature exists on the value these experiences have on OT student learning outcomes and preparation for fieldwork. This study sought to examine if SPEs had the potential to predict Level II A fieldwork performance.

Method: This study used a retrospective analysis of 35 entry-level OT students. Independent variables included demographics (enrollment in an entry-level OT master's or doctoral degree, age, and overall grade point average) and SPE performance. The fieldwork Level II A final performance evaluation score was used as the dependent variable. Hierarchical regression …

Addressing Pelvic Floor Dysfunctions In Older Women, Amanda Scott, Kristen Digwood, Rachel Teslow, Allyson Bloom

The Open Journal of Occupational Therapy

Women’s pelvic health has become an emerging practice area for occupational therapy in recent years. The National Institute of Health (NIH) reports that 24% of women in the United States are impacted by pelvic floor disorders (2008). As the general population ages, older women’s health has become a pivotal topic for occupational therapists to include as part of a comprehensive plan of care. Occupational therapists must acquire deeper knowledge related to pelvic pain and urinary incontinence. Developing a deeper understanding of the types of pain and urinary incontinence in older women facilitates efficacy and efficiency in the delivery of occupational …

Practice Guidelines: Addressing Vestibular And Visual Problems In The Neurologically Impaired Adult, Mary J. Mcguire

The Open Journal of Occupational Therapy

The visual and vestibular problems experienced by adults post brain injury (concussion, traumatic brain injury, cerebral vascular accident, tumor removal, etc.) must be evaluated and treated in conjunction with each other for best outcomes. The American Occupational Therapy Association’s (AOTA) Practice Framework categorizes both the visual and vestibular sensory systems as client factors (body functions) that are a part of the scope of practice of occupational therapy (AOTA, 2020). AOTA’s statement on vestibular impairment, vestibular rehabilitation, and occupational performance emphasizes the importance of occupational therapists addressing this critical client factor. The skills of entry-level and advanced-level occupational therapists are outlined …

A Conceptual Framework: Life Course Health Development And Partial Hand Loss, Alison L. Johnson

The Open Journal of Occupational Therapy

Partial hand loss can be a profound source of disability with far-reaching economic and social consequences across the lifespan. Compared to other limb loss populations, perhaps surprisingly, the partial hand loss population experiences higher rates of whole-person impairment and disabling mental health conditions. Despite these known health disparities, the long-term health outcomes of the partial hand loss population are not adequately understood. Deepening understanding and preventing further disparity requires a multi-perspective approach examining factors contributing to health and well-being across the lifespan. This paper examines the partial hand loss population through two separate but overlapping lenses: population health and the …

The Dynamic Use Of The Kawa Model: A Scoping Review, Jayme L. Ober, Rebecca S. Newbury, Jennifer E. Lape

The Open Journal of Occupational Therapy

Background: The Kawa model, a framework to guide culturally relevant occupational therapy, has gained recognition and become more widely used in practice. Research on the model thus far, while still relatively sparse, provides guidance for the model’s use, including its strengths and facets that require further exploration to support its use and effectiveness in dynamic ways.

Method: A scoping review was completed to gather, organize, appraise, and synthesize the current research evidence on use of the model.

Results: Findings support the Kawa model’s culturally flexible application and its capacity to garner client-centered qualitative information, as well as …

Comparison Of Computer-Based And Therapeutic Activity Interventions For Improving Visual Motor Abilities Of Preschoolers With Autism: A Randomized Control Study, Supawadee C. Lee

The Open Journal of Occupational Therapy

Background: The purpose of this study was to evaluate the effectiveness of a computer-based and a traditional activity/practice-based intervention for improving the visual motor abilities of children with autism.

Methods: A group, pre-post, experimental design was used with randomization of subjects to four intervention conditions: a computer-based training, a therapeutic practice intervention, the combination of a computer-based training and therapeutic practice intervention, and a martial arts exercise. A sample of 34 preschool children with autism and visual motor integration deficits between 3 and 5 years of age were recruited. The Wide Range Assessment of Visual Motor Abilities was administered …

Aquatic Developmental Play Program For Children In Early Intervention: A Case Series, Brynn N. Butzman, Cynthia Lau, Cheryl Vanier

The Open Journal of Occupational Therapy

Background: Despite limited evidence, aquatic programming has the potential to be an ideal intervention for young children with disabilities because of its unique and dynamic properties. This study explored the impact of an aquatic developmental play program in addressing sensory integration and motor development needs of children with disabilities as well as its impact on parental isolation.

Methods: A case series design was used. Children with disabilities under 3 years of age and their parents participated in a 9-week aquatic developmental play program held in the community. Goals were individualized for each participant and monitored using the Goal …

Supporting The Paternal Role And Transition Home From The Nicu: A Mixed Method Study, Bryana L. Salazar

The Open Journal of Occupational Therapy

Background: Limited research has focused solely on fathers’ experiences following a Neonatal Intensive Care Unit (NICU) stay. The study aimed to identify occupational therapy’s role in supporting paternal wellness and mental health through routines and occupations following discharge.

Methods: Online surveys (n = 32) and virtual interviews (n = 11) were collected to complete a mixed method design study. Interviews were manually transcribed and coded to perform thematic analysis.

Results: Five themes were identified: adjusting expectations, changes in priorities, the unexpected toll of the NICU, coping and healing, and fathers and health care providers. This study …

The Lived Experiences And Occupational Performance And Satisfaction Of Young Adults With Multiple Sclerosis (Ms) As Related To Fine Motor Skills, Mary Squillace, Pamela Linden

The Open Journal of Occupational Therapy

Background: Young adults with multiple sclerosis (MS) may experience fine motor (FM) challenges that prevent them from engaging in age-appropriate occupations. Disease mediated changes in occupational skills can affect how a young adult perceives their occupational performances. This study aimed to gain an understanding of how young adults with MS perceive their FM abilities and social and emotional performance during daily activities.

Method: Eighteen young adults with MS who previously scored equal to or less than the low average range on FM pegboard tests and who reported high satisfaction and low performance on a modified self-report were interviewed. …

Exploring Spirituality Of Elders Relocating Into Long-Term Care Facilities, Kai-Lai Tsai, Pei-Fen J. Chang, Anila J. Mathew, Clarissa Richard, Harriett A. Davidson, Gayle I. Hersch

The Open Journal of Occupational Therapy

Background: Spirituality is recognized as an important contributor to quality of life, particularly for older adults. Yet, limited research has been conducted to examine spirituality of older adults relocating to long-term care facilities (LTCFs). The intent of this mixed methods study was to cull data from a parent study to explore different aspects of spirituality among residents newly admitted to LTCFs.

Method: Qualitative and quantitative data of six participants from a parent study including interviews and scores from the religious and existential well-being sections of the Spiritual Well Being Scale (SWBS) were analyzed and triangulated.

Results: Descriptive …

Clarifying Mixed Methodology In Occupational Therapy Research, Kristin A. Winston, Diane Powers Dirette

The Open Journal of Occupational Therapy

No abstract provided.

Using Creative Making To Redesign Life After Stroke, Jennifer K. Fortuna

The Open Journal of Occupational Therapy

Kate Davies, a knitwear designer and author based in Scotland, provided the cover art for the Winter 2022 edition of the Open Journal of Occupational Therapy. “Balance for Better” is a blanket made from wool and mohair. The blanket consists of 30 individual squares designed and knitted by KDD & Co. employees. The colors and pattern of each square reflect the work, achievements, and legacy of the inspirational women celebrated in the blanket. At age 36, Kate suffered a near-fatal stroke that left her paralyzed on the left side of her body. Forced to give up her career as …

Racially Informed Care: A Treatment Approach And Exploration Of The Implications Of Race Related Barriers In The United States, Charae Mcconnell

The Open Journal of Occupational Therapy

Social factors surrounding race and ethnicity often create barriers to meaningful occupation and keep people of color from achieving a greater quality of life (Pooremamali et al., 2016). These barriers often result in occupational deprivation and feelings of alienation in society. Research has shown that these barriers created by systematic racism exist for individuals across different environments and persist over their lifetime (Pooremamali et al., 2016). Because of these barriers and the prolonged stress responses caused by racism, people of color, especially black and brown, have significantly higher rates of chronic illness than White Americans. People of color, specifically African …

Occupational Therapy’S Role In The Foster Care System, Melanie N. Smith

The Open Journal of Occupational Therapy

Children and youth who spend time in the foster care system face a variety of obstacles perpetuated by childhood trauma and limitations in service provision. Literature regarding this population demonstrates challenges, including the inability to form attachments and productive peer relationships, deficits in cognition and educational performance, and unpreparedness upon transitioning from the system. In addition, literature demonstrates the significantly increased prevalence of mental health challenges among those in foster care. Parents of foster children report inadequate services and supports to address the ongoing ramifications of a child raised in a constant state of traumatic stress. Following a depiction of …

Considerations For Occupational Therapists In Developing Community-Level Interventions For Youth With High Adverse Childhood Experiences (Aces), Victoria G. Wilburn, Megan E. Huber, Denise Senter, Hannah B. Stoll

The Open Journal of Occupational Therapy

Drug misuse likely contributes to the over 30,000 children in foster care and to the 24.2% of children who have experienced two or more adverse childhood experiences (ACEs). Twenty-five percent of children are living in poverty, with nearly half of those living in single-parent households. Among the national guidelines to preventing ACEs are connecting youth with positive activities and providing family relationship enhancement opportunities. We believe the profession of occupational therapy can help contribute to the mental and behavioral health care workforce in a greater capacity than is currently used. Many children are not afforded the opportunity to engage in …

Sleep In The Intensive Care Unit (Icu): An Overlooked Opportunity For Occupational Therapists To Fill A Gap In Health Care Service, Mckenzie C. Bolin, Melissa M. Sweetman

The Open Journal of Occupational Therapy

Sleep hygiene is well-established in the scope of occupational therapy practice; however, this occupation is rarely addressed in the intensive care unit (ICU). The majority of health care practitioners believe patients experience reduced sleep quality in the ICU, which can negatively impact patient outcomes. Through a review of the literature, this paper identifies common factors that negatively influence sleep quality and duration and proposes evidence-based interventions to improve patients’ sleep. Factors that influence sleep and fall in the domain of occupational therapy practice include the environment, psychosocial elements, and patient care. Occupational therapists can use interventions, such as orienting patients …

Guidelines For Medication Education For Occupational Therapists, Jaclyn K. Schwartz

The Open Journal of Occupational Therapy

Taking medications is a vital health management activity for people with chronic health conditions. These individuals must take their medications as prescribed to receive the intended benefits and minimize negative effects. Many people with chronic health conditions do not know essential information about their medications, which limits their ability to take their medications as prescribed. Occupational therapists regularly engage in client education to enhance performance of health management. When addressing medications, however, additional considerations are needed because of the highly regulated, interdisciplinary, and complex nature of this occupation. The purpose of this practice guideline is to describe the integration of …

Caring For The Caregiver: A Feasibility Study Of An Online Program That Addresses Compassion Fatigue, Burnout, And Secondary Trauma, Emily C. Koller, Regina A. Abel, Lauren E. Milton

The Open Journal of Occupational Therapy

Background: Informal caregivers are susceptible to compassion fatigue in vicarious response to another’s suffering. The purpose of the study was to determine the feasibility of an online program that addresses compassion fatigue, burnout, and secondary traumatic stress in informal caregivers.

Method: The study used a pre-post repeated measures feasibility design. Eighty-six participants were initially recruited. The intervention consisted of a 70-min online program. The participants completed surveys before and after program completion. The number of participants that completed each study phase was recorded to determine feasibility outcomes of acceptability, implementation, and demand. A Wilcoxon signed-rank test was employed to analyze …

Occupational Therapists’ Perspectives On Caregiver Education Of Stroke Survivors, Elinor Pastore, Daniel Ryan, Lisa J. Knecht-Sabres

The Open Journal of Occupational Therapy

Introduction: The objective of this research study was to gather a greater understanding of how occupational therapists provide education to caregivers of stroke survivors and how they address the needs of caregivers throughout the rehabilitation process.

Methods: The researchers used a convergent mixed methods design. RedCap electronic surveys containing both open-ended and closed-ended questions were completed by 90 participants from multiple states. A focus group (n = 8) and a one-on-one interview (n = 1) were conducted to gather qualitative information regarding occupational therapists’ perspectives related to their experiences on educating caregivers in the acute rehabilitation setting. Descriptive …

Ecospirituality In Forensic Mental Health: A Preliminary Outcome Study, Clark Patrick Heard, Jared Scott, Stephen Yeo

The Open Journal of Occupational Therapy

Background: In this study, the personal experience of spirituality in nature (the concept of ecospirituality) was supported by occupational therapy and spiritual care staff enabling a community-based group for persons affiliated with a forensic mental health system in Ontario, Canada. Spirituality is a key, though debated, tenet in occupational therapy practice. At the same time, immersive participation in nature has been linked to positive health outcomes.

Methods: A qualitative method consistent with Interpretative Phenomenological Analysis was employed. Data was collected via the completion of semi-structured interviews (n = 9). Collected data was transcribed verbatim and then coded for …

An Occupation-Based Clinic Makeover: Perceptions And Experiences Of Occupational Therapists, Wendy B. Stav, Alison Herman

The Open Journal of Occupational Therapy

Background: Researchers sought to discover the experiences of occupational therapists transitioning from existing clinical practice to exclusively occupation-based approaches.

Method: This phenomenological study captured the experiences of clinicians as exercise-based equipment was temporarily removed from the rehabilitation gym and replaced with occupation-based kits. The therapists used the new occupation-based materials with all clients for 4 months and participated in interviews and a focus group.

Results: The study yielded a greater understanding therapists’ process and experiences through the themes: (a) challenges to occupation-based practice and (b) occupation-based metamorphosis.

Conclusions: The personal and contextual obstacles associated with implementing …

Empower: An Online Staff Training Focused On Person-Centered Supports For Direct Support Professionals, Amy Castagnino, Meghan Blaskowitz

The Open Journal of Occupational Therapy

Background: Direct support professionals (DSPs) for individuals with intellectual and developmental disabilities (IDD) is one of the most rapidly growing professions in the United States. However, there is a gap in recruiting, training, and retraining DSPs to provide appropriate and effective person-centered supports.

Method: The aim of this pilot study was to measure the effectiveness of a staff training program conducted by an occupational therapy doctoral candidate, focused on improving DSPs’ confidence and competence when providing services to adults with IDD. A pretest/posttest quantitative design was used to test changes in the DSPs’ confidence from the beginning to …

Exploring The Feasibility Of A Virtual, Home-Based Musicglove® Protocol For Children With Hemiparetic Cerebral Palsy, Tiana Nguyen, Lisa Choromanski, Tatiana Kreuzer, Jamie Stroppini

The Open Journal of Occupational Therapy

Background: The MusicGlove® as an occupational therapy intervention has been shown to improve upper limb function and satisfaction over conventional therapies for adults who have had a stroke, however, its effectiveness with children who have cerebral palsy has not been examined. The purpose of this research was to explore the feasibility of a virtual, home-based MusicGlove® protocol to increase upper extremity function, quality of life, and internal motivation in children with hemiparetic cerebral palsy.

Method: Three participants, ages 6 to 16, diagnosed with hemiparetic cerebral palsy participated in 23 guided sessions using the home-based MusicGlove protocol over 5 …

Chronic Shoulder Pain In Manual Wheelchair (Mwc) Users With Spinal Cord Injury (Sci): The Lived Experience, Jennifer L. Silvestri, Sonia Lawson, Cristina Sadowsky

The Open Journal of Occupational Therapy

Background: Existing research on the lived experience of those with spinal cord injury (SCI) resulting in paraplegia who use a manual wheelchair and experience shoulder pain is extremely limited. This research aimed to begin the process of understanding the lived experience of this population and to describe how chronic shoulder pain impacts occupational engagement and quality of life.

Method: A phenomenological approach using a constant comparative method was used to analyze data and to construct and redefine themes throughout the research process. The qualitative data obtained from two semi-structured interviews with the four study participants is presented below. …

Disability And Health In African Americans: Population Research And Implications For Occupational Therapy Community-Based Practice, Emily Schulz, Debarchana Ghosh, Eddie M. Clark, Beverly R. Williams, Randi Williams, Lijing Ma, Crystal L. Park, Cheryl L. Knott

The Open Journal of Occupational Therapy

Background: Population-based research and community-based interventions are integral to occupational therapy’s scope of practice, yet they are underdeveloped in actual implementation. Therefore, this paper focuses on some health challenges facing the African American population, guided by the Person-Environment-Occupation-Performance Model.

Method: Using data from an observational cross-sectional nationwide telephone survey of African American adults, we examined differences between African Americans who are receiving disability payments (RDP) and those who are employed full time (FTE) on several physical health behaviors and psychosocial health indicators. We further compared the differences between African Americans RDP versus those FTE on those physical health …

State Of The Journal: Another Record Setting Year, Diane Powers Dirette

The Open Journal of Occupational Therapy

No abstract provided.

Adapting The Ceramics Process With Creative Problem-Solving, Jennifer K. Fortuna

The Open Journal of Occupational Therapy

Madeline Kaczmarczyk, a ceramics sculptor based in Rockford, MI, provided the cover art for the Fall 2021 edition of The Open Journal of Occupational Therapy (OJOT). The piece is a wall vase made from clay, luster glaze, and glass beads. Madeline has been creating decorative ceramics for over four decades. In recent years, Madeline has found creative ways to adapt the ceramics process so she can continue creating beautiful works of art. For Madeline, ceramics is more than a means to make a living. This meaningful activity brings focus to her life.