Occupational Therapy Commons^™

Losing A Limb, Regaining Independence: A Systematic Review Of Occupational Therapy Interventions For Lower Extremity Amputations, Davis Berzins, Ots, Jennifer Cohen, Ots, Jamie A. Frank, Ots, Gabrielle Kirk, Ots, Jennifer Mitchell, Ots

Collaborative Research and Evidence shared Among Therapists and Educators (CREATE Day)

Primary Focus:

Rehab, Disability & Participation

Learning Objectives:

1. Describe lower extremity residual limb care interventions within the scope of occupational therapy
2. Explain the prevalence of individuals who sustain a lower extremity amputation and understand the impact on the U.S. health-care system
3. Identify lower extremity residual limb care interventions to maximize occupational performance

Abstract:

The purpose of this presentation is to report findings of a systematic review regarding residual limb care interventions supporting increased occupational performance in adults post lower extremity amputation. A systematic review was completed utilizing PubMed, CINHAL, and OTseeker. Inclusion criteria included articles with a sample of adults …

Aging In Place: Technology And Independence For Community-Dwelling Older Adults, Mikael Avery, Ots, Devon Barber, Ots, Maggie Derstine, Ots, Clarice Licon, Ots

Collaborative Research and Evidence shared Among Therapists and Educators (CREATE Day)

Primary Focus: Productive Aging

Learning Objectives:

By the end of this presentation, participants will be able to:

1. Explain the rationale for the use of technology-based interventions for community-dwelling older adults.
2. Describe three current technologies that can be used to positively impact occupational performance for community-dwelling older adults.
3. Describe the barriers to successful implementation of technology-based interventions for community-dwelling older adults.

Abstract:

The population of older adults in the U.S. continues to rise, as does the desire to remain in one’s own home, a concept known as “aging in place” (Piau, Campo, Rumeau, Vellas, & Nourhashémi, 2014; Centers …

Can I Have Your Attention? (And Keep It): Interventions To Improve Executive Function Skills In Children Post-Traumatic Brain Injury, Brianna Clee, Ots, Brianna Fecondo, Ots, Sara Johnson, Ots, Catherine Misczak, Ots

Collaborative Research and Evidence shared Among Therapists and Educators (CREATE Day)

Primary Focus: Children and Youth

Secondary Focus: Rehab, Disability, & Participation

Learning Objectives:

*Objective 1: Identify and recognize the clinical need of the pediatric traumatic brain injury population in regards to OT practice.

*Objective 2: Interpret presented findings to identify 2-3 of the most effective interventions for desired outcomes for this population.

*Objective 3: Differentiate opportunities and barriers to implementing effective executive functioning interventions in current occupational therapy practice.

Abstract:

Traumatic brain injuries are a frequent source of disability within the pediatric population with estimates of 500:100,00 children in America experiencing an injury each year (Anderson et al., 2012). …

Occupational Therapy Interventions For Activities Of Daily Living In Adults With Osteoarthritis, Amanda Gilroy, Ots, Anna Guthrie, Ots, Tierney Guido, Ots, Maura Iacobucci, Ots

Collaborative Research and Evidence shared Among Therapists and Educators (CREATE Day)

Primary Focus: Productive Aging

Learning Objectives:

At the end of this presentation, participants will be able to:

1. Describe the clinical presentation of osteoarthritis and three ways it impacts Activities of Daily Living (ADL) performance
2. Recognize the value of an Occupational Therapy intervention in addition to surgical and pharmacological interventions for osteoarthritis
3. Identify at least three current evidence based practice interventions for improving ADL performance for people with osteoarthritis

Abstract:

Currently, 30.8 million Americans have diagnoses of osteoarthritis (OA) and the number of individuals with arthritis is projected to increase to 78 million by 2040 (CDC, 2016). Health care costs for …

Fall Prevention Interventions For Community-Dwelling Older Adults, Monica Heacock, Ots, Erin Kelly, Ots, June Park, Ots, Alex Muscella, Ots, Tony Thierolf, Ots

Collaborative Research and Evidence shared Among Therapists and Educators (CREATE Day)

Primary Focus: Productive Aging

Learning Objectives:

At the conclusion of the session, the learner will be able to: 1. Recognize the impact of falls on community-dwelling older adults

2. Describe ways to include fall prevention interventions into current clinical practice

3. Discuss benefits of preventative interventions in regards to current healthcare trends

Abstract: According to the Centers for Disease Control and Prevention (CDC), older adults (65+ years) are the largest growing population in the United States which comprises 14.5% of the total population (CDC, 2015). This population is estimated to almost double by 2030 to approximately 71 million Americans over …

Occupational Therapy In Preventative Care: Promoting Cardiovascular Health In Underserved Women, David Goldstein, Ots, Rachel Marlow, Ots, Katherine Nelson, Ots, Megan Smith, Ots, Phoi Truong, Ots

Collaborative Research and Evidence shared Among Therapists and Educators (CREATE Day)

Primary Focus:

☝ Health & Wellness

Level of session: intermediate, mixed audience

Learning Objectives:

By the conclusion of this presentation, participants will:

Describe how health disparities affect underserved women

Identify evidence supporting the inclusion of occupational therapy in preventative care practice

Discuss occupational therapy’s role in preventative care as it relates to cardiovascular health and wellness

Abstract:

Heart disease causes one in three deaths each year in women (AHA, 2012). Increasing healthcare costs disproportionately affect women with low incomes and those from diverse backgrounds (CHUW, 2012). For underserved women, lack of insurance, education and variations in culture may compromise …

Not Just A “Touch Of The Sugars”: The Use Of Occupational Therapy Interventions To Promote Independence In Diabetes Self-Management, Eric Bull, Ots, Juliana Sullivan, Ots, Jenna Devaney, Ots, Jillian Fader, Ots, Kathleen Sheppard, Ots

Collaborative Research and Evidence shared Among Therapists and Educators (CREATE Day)

Primary Focus: Health & Wellness

Secondary Focus: General & Professional Issues

Learning Objectives:

At the end of this presentation, participants will:

Objective 1: Define the scope of self-management in relation to diabetes care.

Objective 2: Describe how the prevalence of diabetes and complications from mismanagement impact the United States healthcare system.

Objective 3: Identify 2-3 ways in which occupational therapists can facilitate diabetes self-management in clinical practice to promote health and wellness.

Abstract:

In the United States (U.S.), 29.1 million people have diabetes mellitus (DM) (Centers for Disease Control and Prevention [CDC], 2014) and the cost of diabetes care …

You’Ve Got Time: Occupational Therapy’S Role In The Juvenile Justice System, Monica Dasgupta, Ots, Jenna Hannan, Ots, Helena Riekena, Ots, Samantha Susson, Ots

Collaborative Research and Evidence shared Among Therapists and Educators (CREATE Day)

Primary Focus: Children and Youth

Learning Objectives:

1. State one economic and two population health implications of juvenile incarceration in the United States.
2. Identify two occupation-based interventions implemented in the juvenile justice system.
3. Recognize two areas of opportunity for occupational therapy intervention in the juvenile justice system to promote occupational justice and reduce recidivism.

Abstract:

This is an introductory level presentation for occupational therapists (OTs), occupational therapy assistants, and students intended to provide insight to areas of opportunity for OT intervention to reduce recidivism in the juvenile justice system. A systematic review of the literature was conducted to answer the …

What And How Do Students Learn In An Interprofessional Student-Run Clinic? An Educational Framework For Team-Based Care, Désirée A. Lie, Christopher Forest, Anne Walsh, Yvonne Banzali, Kevin Lohenry

Physician Assistant Studies Faculty Articles and Research

Background: The student-run clinic (SRC) has the potential to address interprofessional learning among health professions students.

Purpose: To derive a framework for understanding student learning during team-based care provided in an interprofessional SRC serving underserved patients.

Methods: The authors recruited students for a focus group study by purposive sampling and snowballing. They constructed two sets of semi-structured questions for uniprofessional and multiprofessional groups. Sessions were audiotaped, and transcripts were independently coded and adjudicated. Major themes about learning content and processes were extracted. Grounded theory was followed after data synthesis and interpretation to establish a framework for interprofessional …

Lived Experience Of Adolescents With Chronic Pain: A Phenomenological Study, Ryan Christopher Suder

Occupational Therapy Program Student Theses, Dissertations and Capstones

The purpose of this phenomenological study was to understand the lived experience of adolescents who live with chronic pain. All 10 participants were between the ages of 13 and 17 and have lived with chronic pain for at least 6 months. Data sources for the study were two interviews for each participant, participant drawn depictions of their chronic pain, and researcher journaling. The person-environment-occupation model was used to frame the research design. The study found four main themes among the data: pain identity, invisible disease, occupational loss, and uphill climb to regain life. Each theme described the essence of the …

Creating Environments Through The Art Of Occupational Therapy, Lydia Royeen

The Open Journal of Occupational Therapy

Dr. Lori Reynolds has an interest in therapeutic gardens and the creation of living spaces that promote well-being for older adults. Dr. Reynolds educates various stakeholders on the benefits of occupational therapy, including landscape architects and senior living administrators. Her advocacy to expand occupational therapy beyond its mainstream roles is infectious. She speaks passionately about her work in helping to create therapeutic gardens and how her role as an occupational therapist offers great perspective in this process. She appreciates the environmental impact on an individual’s health and well-being and practices from a person-environment-occupation theory.

She Said, She Said: A Conversation About Growing Education Research In Occupational Therapy, Barbara Hooper, Sylvia Rodger

The Open Journal of Occupational Therapy

No abstract provided.

Achieving Teaching, Scholarship, And Service Through Community Engagement, Carole K. Ivey, Jodi L. Teitelman, Kelli W. Gary, Dianne F. Simons, Jayne T. Shepherd, Albert E. Copolillo

The Open Journal of Occupational Therapy

Occupational therapy faculty currently face enormous challenges in meeting teaching load expectations, while also under pressure to participate in scholarly projects and to make administrative and service contributions. Community engagement projects may provide opportunities for faculty to effectively and efficiently meet the goals in each of these areas while imparting benefits to students and community partners as well. Faculty at the Department of Occupational Therapy (OT) at Virginia Commonwealth University (VCU) embraced this idea as consistent with the university’s mission and strategic plan, and recognized its benefits in assisting faculty to meet workload demands. Four community partnerships reflecting the range …

Eportfolio: The Scholarly Capstone For The Practice Doctoral Degree In Occupational Therapy, Jim Hinojosa, Tsu-Hsin Howe

The Open Journal of Occupational Therapy

A critical decision doctoral faculty must make is deciding what is the most appropriate capstone or terminal requirement for the practice doctorate degree that is consistent with the program’s curriculum. EPortfolios are a viable option for documenting doctoral students’ advanced knowledge and competence. After creating a professional development plan, the students record individual experiences and reflections framed by a self-selected metaphor, provide objective documentation of achievements, and verify advanced competence in a specific area in their ePortfolios. As the students construct their ePortfolios, they must engage in self-directed learning that is grounded in evidence-based and reflective practice, with a focus …

Peer Observation And Evaluation Tool (Poet): A Formative Peer Review Supporting Scholarly Teaching, Jeffrey L. Crabtree, Patricia J. Scott, Fengyi Kuo

The Open Journal of Occupational Therapy

The Peer Observation and Evaluation Tool (POET) is a valid and reliable measure developed for formative peer evaluation of pharmacy faculty. The authors replicated a study conducted on the POET in pharmacy in order to report the instrument’s validity and reliability in occupational therapy and to explore its potential as a formative teaching evaluation for occupational therapy educators. To verify item importance, seven participants from the faculty in an occupational therapy department rated each item. To establish inter-rater reliability, the participants evaluated one videotaped 55 min lecture. The POET was reliable with ICC at 0.93. There were high levels of …

Student Perceptions Of Scholarly Writing, Shirley Peganoff O'Brien, Dory Marken, Kelsey Bennett Petrey

The Open Journal of Occupational Therapy

Learning the process of scholarly writing, including the significance of peer review, is an essential element in the preparation of students for professional practice. This descriptive research study, using Scholarship of Teaching and Learning methodology, explores one approach to teaching scholarly writing in an occupational science/occupational therapy curriculum. The writing assignment was designed to offer multiple points for feedback and revision and instructional features to reinforce learning. A survey of students [n = 169] participating in this scholarly writing project was conducted yearly to gather their perceptions of learning. The results revealed four key elements: instructional strategies are needed …

Development Of A Clinical Performance Assessment Tool For An Occupational Therapy Teaching Clinic, Whitney Henderson

The Open Journal of Occupational Therapy

Health professional education is experiencing increased accountability from higher education and professional accrediting bodies to produce professionals who are prepared to meet the demands of the complex, fast-paced, ever changing health-care environment. Using competency-based assessment methods to evaluate a student’s performance can assist to decrease the gap between education and practice and ease the critical transition from the classroom to the clinic. A variety of assessment methods that use a Competency-Based Medical Education (CBME) framework to assess student performance and competency can be found throughout the health professions literature. Because of the lack of literature about the assessment of student …

Development And Psychometric Properties Of The Emotional Intelligence Admission Essay Scale, Sharon A. Gutman, Janet P. Falk-Kessler

The Open Journal of Occupational Therapy

The purpose was to describe the development and psychometric properties of the Emotional Intelligence Admission Essay scale. The authors developed an admission essay question and rating scale designed to provide information about applicants’ emotional intelligence (EI). Content validity, convergent validity, interrater reliability, and internal consistency were established. The scale was also examined to determine if it could discriminate between students with and without professional behavior problems in the academic and fieldwork settings. Content validity was found to be high by a panel of three experts in EI (content validity index = 1.0). Convergent validity with the Assessing Emotions Scale was …

Digital Storytelling As Poetic Reflection In Occupational Therapy Education: An Empirical Study, Lisebet S. Skarpaas, Grete Jamissen, Cecilie Krüger, Vigdis Holmberg, Pip Hardy

The Open Journal of Occupational Therapy

Stories are powerful aids to reflection. Thus, the use of stories may be a pathway to enhanced reflective practice and clinical reasoning skills. The aim of this study was to evaluate whether and how digital storytelling can contribute to occupational therapy (OT) students’ learning through reflections on experiences from placement education. A cohort of OT students (n = 57) participated in a 2-day workshop to create digital stories. Data were generated through a questionnaire with a response rate of 100% of students who completed the workshop (n = 34). Quantitative analysis methods were used to reveal a level of agreement …

Professional Portfolios Used By Canadian Occupational Therapists: How Can They Be Improved?, Brigitte Vachon, Annie Rochette, Aliki Thomas, Welove Foucar Desormeaux, Ai-Thuy Huynh

The Open Journal of Occupational Therapy

Professional portfolios are widely used in continuing professional development (CPD), despite limited evidence of their effectiveness for improving practice and professional competence. Occupational therapy regulatory organizations in Canada have implemented professional portfolios as tools that support engagement in CPD. To advance research and practice on the use of portfolios, we conducted a critical analysis of their format, content, and embedded learning process. This paper aims to describe and compare the portfolios’ characteristics when they are used as a tool to facilitate engagement in CPD. A document review approach was used to analyze documents describing continuing competence programs and portfolios and …

Student Rating Of Skill Performance Opportunities In Faculty-Directed Research, Carrie A. Ciro, Mary Isaacson

The Open Journal of Occupational Therapy

The purpose was to examine the feasibility of creating a faculty-driven research-based fieldwork (FW) I experience and to examine whether students engaged in a research-based FW I would report equivalent skill performance opportunities as students engaged in traditional FW I experiences. Twenty-four first-year occupational therapy students were given the option of choosing either a research-based FW I experience with a faculty member (n = 5) or a traditional FW I site (n = 19). The students self-reported their opportunities to perform ACOTE standards of practice related to professionalism, professional reasoning, use of sciences, and experiential learning using a Likert scale. …

Developing An Indigenous, Entry-Level Master’S Degree Program In A Country With An Emerging Ot Profession, Lesley A. Garcia, Julie D. Kugel, Heather Javaherian-Dysinger, Esther Huecker

The Open Journal of Occupational Therapy

In the Republic of Trinidad and Tobago the full range of physical, mental, psychological, and socially derived problems of occupational engagement exist. Occupational therapy is often a part of the health care team to address these challenges; however, the profession is at an emergent stage in the country. This paper describes a process used for the development of an indigenous entry-level master’s degree program in occupational therapy. The process was also supported and enhanced by the collaborative relationships among key stakeholders, including global partners. A qualitative design process was used to analyze the health care needs, barriers, and strategies that …

Broadening The Scope And Impact Of Occupational Therapy Education Research By Merging Two Research Agendas: A New Research Agenda Matrix, Barbara Hooper

The Open Journal of Occupational Therapy

No abstract provided.

Long Term Benefits Of Lsvt-Big Program For Individuals With Parkinson’S Disease, Emily Sandberg, Katelyn Weiandt

Occupational Therapy Graduate Student Evidenced-Based Research Reviews

A 60 year old, male has been diagnosed with Parkinson’s Disease for 5 years. Referral received from MD stating deficits in the following areas: balance, perception, gait, postural instability, coordination, swallowing, tremors, rigidity, bradykinesia, hypokinesia, and loss of higher cognitive functions. Currently there is not a cure, but there are treatment options for Parkinson’s Disease. LSVT-BIG is one type of treatment that Occupational or Physical Therapist can implement. This program uses high amplitude movements to overcome bradykinesiaand hypokinesia. The client attended 16 sessions in total (1 hour sessions, 4 days a week, for 4 weeks). The client has been discharged …

Age, Frequency, And Precautions In Relation To Stimulation In The Nicu, Kathleen Nickens, Ceara Fauble

Occupational Therapy Graduate Student Evidenced-Based Research Reviews

In a Neonatal Intensive Care Unit (NICU), occupational therapists work with infants and their families to provide the appropriate stimulation and environmental adaptations necessary for growth and development. Occupational therapists are utilized in the NICU setting to contribute to a multidisciplinary approach, as well as focus holistically on an infant’s neurobehavioral development, sensorimotor regulation, and developmentally-appropriate occupations. One key component of an occupational therapist’s role in the NICU is determining appropriate stimulation in regards to their gestational age and providing protocols to prevent overstimulation.

Inter-Rater Reliability: Wrist Goniometer Placement, Jamie Hain, Kelli Turner

Occupational Therapy Graduate Student Evidenced-Based Research Reviews

A 26-year-old female client sustained a right distal radius fracture due to a fall on an outstretched hand (FOOSH) while riding her bike with her dog two weeks ago. She had an open reduction internal fixation (ORIF) and now has limited range of motion (ROM) in both her right wrist and hand. ROM measurements were completed in order to accurately determine her progress in therapy. Correct goniometer placement is of great importance when making clinical decisions and when looking at overall therapy outcomes.

Pediatric Constraint Induced Movement Therapy Protocols For Hemiplegia, Christina Fisher, Brittany Newton

Occupational Therapy Graduate Student Evidenced-Based Research Reviews

In a variety of settings, the OT works with children with hemiplegic cerebral palsy (CP). Hemiplegic CP often affects sensation, perception, cognition, communication, and motor movements. These skills impact participation in home, school, community life, and activities of daily living (ADLs) such as grooming, dressing, and feeding. The OT has the responsibility to decide the most effective way to allocate treatment. Constraint induced movement therapy has been shown to improve developmental disuse in the effected upper extremity. As there are many variations of this intervention, the OT wants to know what is the most effective type, frequency, duration, and intensity …

Pediatric Constraint Induced Movement Therapy Vs. Bimanual Training For Hemiplegia, Heather Duyck

Occupational Therapy Graduate Student Evidenced-Based Research Reviews

Sarah is a five year old girl diagnosed with congenital hemiplegia from cerebral palsy. Her right side is affected, and she has no intellectual disabilities. While her parents want her to start first grade in the fall, they are worried about her ability to do well in the classroom because she is right handed. As her occupational therapist, you are interested in whether pediatricconstraint induced movement therapy (pCIMT) or bimanual training (BIT) would be a more effective treatment plan for Sarah.

Effective Utilization Of Progressive Mobility Programs In Medical Intensive Care Units (Micu’S), Abby Davis, Megan Palczewski

Occupational Therapy Graduate Student Evidenced-Based Research Reviews

In medical intensive care units (MICU’s), the OT frequently works with clients who are in the early stages of mobility. Clients with orders of bed rest are at heightened risk to co-morbid conditions that significantly impact client health. The OT plays an important role in the mobility process, and wants to know the most effective utilization of progressive mobility programs. The OT is ideally interested in their role in the progressive mobility process.

Examining Sensory Processing Tools For A School System, Rachel Chaney, Lisa Wilkey

Occupational Therapy Graduate Student Evidenced-Based Research Reviews

A child with sensory processing issues leads a life that differs significantly from typically developing children. There are numerous types of sensations that children encounter every day in different environments, especially in school. If a child does not process the incoming stimuli correctly then their motor response is affected. As a result of this, the child is unable to perform to their fullest potential in school. The Sensory Profile (SP) and the Sensory Processing Measure (SPM) are two tools that help assess sensory processing.