Occupational Therapy Commons^™

Medication Management In Home Health Care Occupational Therapy Practice, Julie Blum, Jennifer Fogo, Judith Malek-Ismail

The Open Journal of Occupational Therapy

Background: Many community-dwelling adults do not adhere to their medication regimen, which results in high rates of emergency department visits and subsequent hospital admissions. Occupational therapists, as members of the home health care team, provide medication management in the occupational therapy scope of practice. There is sparse information in the literature regarding occupational therapists’ involvement in medication management in home health care practice.

Methods: The researchers interviewed nine occupational therapists practicing in home health care. Using a qualitative interpretive phenomenological study, the researchers explored the participants’ experiences addressing medication management.

Results: The researchers identified three themes: professional reasoning, interprofessional involvement, …

Quality Of Life, Stress Perception, And Quality Of Social Networks In Persons Living With Brain Injury: An Exploration Of The Effectiveness Of A Community-Based Program, Barbara P. White, Abigail Brinkman, Barbara P. Kresge, Lisa Couture

The Open Journal of Occupational Therapy

Background: This paper examines specific program elements of a community-based program for individuals living with brain injury. Results from a previous study suggested that members who attended regularly reported lower stress perception, higher quality of life perception, and higher social connectedness than did peers living in the community without such supports. In this study, we sought to understand reasons for their perceptions about how the program may have been helpful in shaping their perspectives of living with the effects of brain injury.

Methods: An explanatory case-study approach was applied, using multiple cases. Nine individuals were randomly selected from a subsample …

Concept Mapping And The Co-Op Approach With Adolescents With Autism Spectrum Disorder: Exploring Participant Experiences, Jessie Wilson, Angela Mandich, Lilian Magalhaes, Kaity Gain

The Open Journal of Occupational Therapy

Background: To explore the experiences of adolescents with ASD participating in a novel occupationally based intervention.

Methods: The intervention used concept mapping in combination with the CO-OP approach with 10 adolescents with ASD in a 4-week program focused on developing life skills they deemed as important in their transition to adulthood. A descriptive qualitative approach was employed using deductive thematic analysis informed by Self-Determination Theory and occupationally relevant theoretical frameworks. This study is part of a larger feasibility project and focuses on the analysis of participant reflections and researcher field notes.

Results: Five themes emerged: finding a sense of balance …

Challenges And Resources Available For Mothers In Opiate Recovery: A Qualitative Study, Michelle A. Suarez, Wendy Horton-Bierema, Caitlyn E. Bodine

The Open Journal of Occupational Therapy

Background: Opiate abuse and addiction in women during childbearing years has led to a sharp increase in neonatal abstinence syndrome (NAS). Babies born with NAS are at risk for significant health and developmental deficits. Through understanding the challenges experienced by mothers in opiate recovery, and the resources available to this group, sensitive and effective treatment can be developed to ameliorate the impact of NAS on the child and the family.

Method: This qualitative interview study provides insight into the experience of becoming a mother for women in opiate recovery.

Results: Themes from the interviews include deep love …

Decolonialism In The Profession: Reflections From Wfot, Diane Powers Dirette

The Open Journal of Occupational Therapy

No abstract provided.

Inter-Institutional Collaboration To Benefit Student Learning: A Scenario In Graduate Education, Marilyn Miller, Linda Hill, Nicolas Van Den Heever

San Marcos, Fall 2018

Occupational and Physical Therapists are in a unique role, in which they can assist in the identification and rehabilitation of impairments. The collaboration between UCSD and USAHS is preparing students with the knowledge and skills to assess older persons for driving abilities.

The current content delivery allows the TREDS program to be available to the Gerontology course offering for other USAHS campus locations; and has the potential to be accessed by other institutions of higher education offering courses in Gerontology.

Integration Of Therapies In Autistic Children; A Survey Based In Karachi, Pakistan, Masnoon Akhter, Mussarat Ashraf, Adnan Ali, Irum Rizwan, Rehana Rehman

Department of Biological & Biomedical Sciences

A cross-sectional study was conducted from January to June 2016 on autistic children at the Autism Unit of Dow University of Health Sciences to compare speech therapy, occupational therapy and combination of both for rehabilitation of autistic children in the selected population. A total of 55 children with autism age range from 1-12 years of both gender and all ethnic groups were recruited. All data was analysed in IBM-SPSS version 23.0. Pearson chi-square test was used to determine association of type of therapy with the diagnosed age of child, gender, mode of delivery, history of vaccination and parent's education. Educated …

Effectiveness Of A Modified Lifestyle-Integrated Functional Exercise Program In Residential Retirement Communities—A Pilot Study, Kitsum Li, Kayla Comer, Tiffany Huang, Kelly Schmidt, Matthew Tong

Occupational Therapy | Faculty Scholarship

Aims: This study explored the effectiveness of a modified Lifestyle-integrated Functional Exercise program for increasing community-dwelling older adults’ lower body strength and balance to decrease fall risk.

Methods: Purposive sampling of men and women aged 65 years and older, with or without a history of falls, living at retirement communities yielded 19 older adult participants, and 16 of the participants completed the 26-week integrated exercise program. The program consisted of five-group training sessions focused on how to integrate individualized exercises into everyday activities, followed by 20 weeks of independent practice with a booster session at Week 10 and two phone …

Occupational Therapy’S Role In Early Language Development Of Babies And Young Children, Aimee E. Ketchum, Otd, Otr/L, Marie-Christine Potvin, Phd, Otr/L

Student Papers, Posters & Projects

Occupational therapy practitioners in their interactions with babies, young children and their families, can be change-agents who promote rich language environments as a foundation to social interactions, social participation and academic successes. OTPs may be the sole provider working with a family or may reinforce with families the plan of care developed by speech-language pathologists (SLP) or early intervention teachers. The first step for OTPs is deeper knowledge of the importance of early language exposure, social interaction and participation development in young children and approaches that promotes rich language environments.

Incidence, Patterns And Associated Factors For Occupational Injuries Among Agricultural Workers In A Developing Country, Unaib Rabbani, Zafar Fatmi

Community Health Sciences

Background: Injuries are common among agricultural workers, and a large section of the population is employed in agriculture worldwide. We aimed to determine the incidence, patterns and associated risk factors of occupational injuries among the agricultural workers in a developing country.
Methods: A cross-sectional study in Hyderabad, Pakistan was conducted from December 2012 to February 2013. Information was collected about incidence, pattern and associated risk factors of occupational injuries from 472 agricultural workers. Injury incidence and patterns for place, severity, type, agent, parts of body affected and work activity were calculated. Analysis was performed using SPSS version 19.0. Multivariate logistic …

Leadership: Self-Awareness Of Leadership Styles In Occupational Therapy, Katrina Greathouse, Joseph Gritter, Alexandra Imhoff

Work

Successful organizations and professions depend on quality leadership. However, the literature on leadership in the field of occupational therapy, particularly understanding the effects of self-awareness, is limited. The qualitative, hermeneutic, phenomenological methodology combined with grounded theory analysis utilized in this study, examines the perceived effects of self-awareness of leadership styles on occupational therapy leaders’ decision making. Data was collected through semi-structured interviews, four weeks after the completion of two self-awareness assessments. There were a total of four participants. All participants were occupational therapists and currently held a formal leadership title in the Midwest United States. The data was transcribed verbatim …

The Outcomes Of Ot Interventions On The Stress Level Of Parents Experiencing Homelessness And Receiving Services From An Emergency Housing Shelter, Gabriella Ghattas, Sarah Kawsky, Jaime Miller, Danielle Roy

Community Based

This study measures the outcomes of occupational therapy intervention on stress and perceived occupational performance of parents receiving services from an emergency family homeless shelter. Three families each participated in three individualized intervention sessions with occupational therapy students. Researchers utilized a quasi-experimental pretest-posttest design using the Parenting Stress Index Short Form (PSI-SF) and the Canadian Occupational Performance Measure (COPM). Results were analyzed using Friedman and ANOVA tests. Though generalizability is limited, parenting stress appeared to decrease and occupational performance and satisfaction appeared to increase from pre- to post-intervention. These changes were not statistically significant, but were clinically important as defined …

Framework For Implementation Of A Partial Hospitalization Program, Katelynn Krause, Erin Bachler, Stephanie Moon

Mental Health

This abstract will be available for download after an embargo period

The Relationship Between Hypermobile Joints And Tendonitis, Rachel Braden, Nicole Coughlin

Occupational Therapy Graduate Student Evidenced-Based Research Reviews

No abstract provided.

Social Participation: Social Skills Improvement System (Ssis) Rating Scales Assessment Tool And Intervention Guide, Debra Dasilva

MOT Student Capstones

The aim of this capstone focused on the importance of social participation skills with middle school students, who qualify for special/exceptional education under the category of mild intellectual disability, for positive peer interaction, increase self-esteem, community entry and vocational employment during these first years of middle school. Upon surveying a variety of school-based occupational therapists, in both North and South Carolina, the conclusion of this capstone was to educate occupational therapy colleagues in using an evidenced-based assessment tool and interventions because the research found that these therapists are not assessing social participation and they are not providing interventions with this …

Using Mobile Augmented Reality To Enhance Health Professional Practice Education, Bernie M. Garrett, Joseph Anthony, Cathryn Jackson

Current Issues in Emerging eLearning

The use of augmented reality (AR) as a new multimedia networking technology is increasing. An investigation was made of the value of using AR as a tool to support the teaching of clinical practice skills. A series of mobile AR resources were created for use on tablet computers and smartphones to supplement clinical skills teaching in the laboratory (using image recognition), and clinical practice (using geolocation). Undergraduate students in nursing, physiotherapy, and occupational therapy tested these resources in lab sessions, a location-based campus exercise, and during clinical practice experiences. Following this, a post-exposure web survey and focus group interviews were …

Overcoming Barriers By Doing Things Differently, Jennifer Fortuna

The Open Journal of Occupational Therapy

Tom Yendell, an artist based in Hampshire, England, provided the cover art for the Summer 2018 issue of The Open Journal of Occupational Therapy (OJOT). “Silk Flowers” is a mouth painting made from acrylic on silk. Born a bilateral congenital amputee, Tom has learned to use his toes the same ways others use their hands. Tom relies little on aids and adaptations in his everyday life. He believes learning to do things your own way is empowering. As a world-renowned mouth and foot painter, Tom is a living example of how barriers can be overcome by doing things differently. Through …

Development And Evaluation Of A Collaborative Model Level Ii Fieldwork Program, Annmarie T. Kinsella, Catherine V. Piersol

The Open Journal of Occupational Therapy

This project developed a Collaborative Model Level II Fieldwork (CM-FWII) program to evaluate the effect of the program on fieldwork educator and student understanding of the model and changes in knowledge, perceptions, and satisfaction. Four fieldwork educators (FWEd) were recruited from two pediatric and two adult practice settings. Eight occupational therapy (OT) students met participation criteria and agreed to participate. A pre/post design was used to evaluate change in knowledge and perceptions. Satisfaction with the collaborative model (CM) was examined after the 12-week fieldwork rotation. Analysis procedures included a priori coding, calculation of frequency distributions, and thematic analysis of transcribed …

Sexual Functioning In Occupational Therapy Education: A Survey Of Programs, Kate Eglseder, Sheridan Webb, Miranda Rennie

The Open Journal of Occupational Therapy

Despite the importance of sexuality to overall quality of life and well-being for individuals with disabilities, occupational therapy practitioners continue to under-address this issue. One possibility for the lack of attention in this area is the comfort and knowledge level of practitioners. In their seminal work, Payne, Greer, and Corbin (1988) surveyed occupational therapy programs in the United States in an effort to identify the amount of sexuality education provided. This study was aimed at identifying current trends in the provision of sexuality education for occupational therapy students. Despite the nearly 30-year gap in this area of research, and the …

How Service Dogs Enhance Veterans’ Occupational Performance In The Home: A Qualitative Perspective, Terry K. Crowe, Mylinh T. Nguyen, Brenda G. Tryon, Stephanie Barger, Victoria Sanchez

The Open Journal of Occupational Therapy

Background: This qualitative study explored the lives of veterans diagnosed with posttraumatic stress disorder (PTSD) and/or traumatic brain injury (TBI) and how the partnerships with their service dogs supported improved occupational performance in their homes.

Method: Semi-structured individual interviews were conducted with six veterans with PTSD and/or TBI who graduated and received their service dogs from the Paws and Stripes Program in Albuquerque, NM. Home activities of daily living (self-care, household tasks, leisure activities, and family and friend relationships) guided the interview questions. The individual interviews were audio recorded, transcribed, and coded using qualitative data analysis software. Preliminary themes were …

Levels Of Arousal In Positive Moods: Effects On Motor Performance, Carolina Valencia, Krista Currier, Sarah Lindsay, Pamela Lemperis, Titus Hughes, Jeanne Sowers

The Open Journal of Occupational Therapy

Background: The use of simple preparatory methods, such as listening to relaxing music, may decrease negative emotions and enhance performance. The purpose of this research was to explore whether certain types of music, as a preparatory task, could enhance motor performance.

Method: Fifty-six participants were randomly assigned to a condition before completing a pre and postdexterity test using the Purdue Pegboard Test (PPT). Performance was assessed with the PPT and arousal of mood was assessed with the Affect Grid. During the postdexterity test, the participants heard no music or specific music based on their condition. The experimental conditions …

Use Of Neuromuscular Electrical Stimulation In The Treatment Of Neonatal Brachial Plexus Palsy: A Literature Review, Denise Justice, Jonathan Awori, Spencer Carlson, Kate W-C Chang, Lynda J-S Yang

The Open Journal of Occupational Therapy

Background: The purpose of this study was to conduct a review of current literature on the effectiveness of neuromuscular electrical stimulation (NMES) for restoring motion and function in neonatal brachial plexus palsy (NBPP).

Method: A database search was conducted for NMES articles published between 1947 and 2015. Pre and posttreatment data were extracted for muscle power, active range of motion (AROM), and morphometric measurements.

Results: An initial search yielded 2,721 articles. A further title/abstract review produced 27 articles; of these, four met the inclusion criteria. Treatment protocols varied. There were no changes in average Medical Research Council …

Increasing Competency For Parents Of Adolescents With Executive Functioning Deficits: Enhancing Occupational Performance With Mindfulness, Kimberly S. Mollo, Bernardo A. Merizalde, Jennifer E. Lape

The Open Journal of Occupational Therapy

Background: Executive functions are higher order cognitive processes occurring in the frontal lobe that influence cognitive, emotional, and behavioral functions. Adolescents with executive functioning deficits are at risk for difficulties in all domains of occupational functioning. Parents of these adolescents often live in a persistent state of stress that leads to highly reactive exchanges with their children. Studies have shown that a mindful approach to parenting can enhance a parent’s caregiving ability and self-awareness in the family unit.

Methods: A pretest/posttest study evaluated the effectiveness of a 6-week mindful parenting program. Four parents of adolescents with executive function deficits participated …

Women Family Members’ Experiences Of Involvement In Adult Inpatient Traumatic Brain Injury Rehabilitation, Isabelle Savage, Mary Egan

The Open Journal of Occupational Therapy

Background: Traumatic Brain Injury (TBI) rehabilitation is an intensive process aimed at reducing disability. The experience of care is lived not only by the patient with TBI, but by the family as well.

Methods: Five women family members of patients with TBI were interviewed. Based on a descriptive qualitative approach informed by phenomenology, thematic analysis was completed to draw a general sense of family members’ description of their involvement.

Results: Two themes were identified: Wearing different hats and a balancing act, that highlight the many roles undertaken by the women family members as well as the difficulties …

Journey Interrupted: A Phenomenological Exploration Of Miscarriage, Marit A. Watson, Vanessa D. Jewell, Sarah L. Smith

The Open Journal of Occupational Therapy

Background: Miscarriage is a significant life event that impacts occupational performance, identity, and competence and that influences perceptions of motherhood. Because of the lack of social rituals often attributed to the death of a loved one, miscarriages may result in disenfranchised grief, which impedes coping.

Methods: This phenomenological study explored the impact of miscarriage on relationships, perceptions of motherhood, and the meaning of occupation in the context of grief. Data was collected through semi-structured interviews (N = 4) and completion of a brief demographic questionnaire. The interviews were digitally recorded, transcribed verbatim, and reviewed to ensure accuracy. Using inductive thematic …

Considering Technology In The Occupational Therapy Practice Framework, Cara E. Masselink

The Open Journal of Occupational Therapy

The Occupational Therapy Practice Framework, 3rd edition (2014), presents an incomplete infrastructure of assistive technology’s role in occupational therapy. Assistive technology and device use is currently defined in “Preparatory methods” (AOTA, 2014, p. S29); however, this categorization presents conflicting information to readers. This article aims to analyze assistive technology in the definition logic rules of precision and parsimony. The classification scheme will be assessed in the logic rules of exclusivity and exhaustiveness. The results of the analysis guide the placement of assistive technology in the profession’s guiding document. This may protect coverage and reimbursement, the education of clinicians, and best …

Ecological Momentary Assessment: Enriching Knowledge Of Occupation Using App-Based Research Methodology, Niki Kiepek

The Open Journal of Occupational Therapy

This paper introduces occupational therapists to ecological momentary assessment (EMA) and outlines factors that guide the process of designing a project. EMA methodology is a research methodology that uses electronic devices and specially designed software, or Apps, to collect real-time data. This methodology may enhance the ecological validity of research by collecting data about daily occupations in situated contexts. EMA data collection provides access to highly detailed and specific data and has the potential to reveal longitudinal patterns of change over a short period of time. It is valued as a means to examine events, precursors, and consequences. EMA methodology …

The Impact Of Online Video Cases On Clinical Reasoning In Occupational Therapy Education: A Quantitative Analysis, Lynne F. Murphy, Wendy B. Stav

The Open Journal of Occupational Therapy

Clinical reasoning, the cognitive process of a skilled occupational therapist, is a complex and necessary component of evaluating clients and implementing interventions that facilitate each client’s achievement of relevant and meaningful participation in daily occupations. Clinical reasoning encompasses a set of skills that must be integrated into college curricula for the preparation of occupational therapists, but it is not easily taught in a classroom setting. This quasi-experimental, quantitative research explored how specific instructional techniques, constructed on the tenets of case-based reasoning, influenced the development of clinical reasoning in occupational therapy students. The experimental group with video cases improved significantly in …

Perceptions Of Older Adults On The Use Of An Interactive Video Game In Promoting Health And Well-Being, Maria Cruz, Julie D. Kugel, Liane Hewitt, Arezou Salamat

The Open Journal of Occupational Therapy

Background: This study explored the perceptions of older adults on the use of a custom built interactive video game (IVG) in promoting health and well-being among the older adult population.

Method: This qualitative study used a phenomenological approach and enrolled 10 older adults over the age of 65 years in a client-centered, custom-built interactive video game program. This program was designed to promote activity tolerance, balance, range of motion, cognitive skills, and enjoyment through physical activity. The participants completed up to 12 Coin Catcher IVG sessions over a 4-week period. A postprogram, semi-structured, and audio-recorded interview explored their perceptions and …

They Said: A Global Perspective On Access To Assistive Technology, Angela K. Boisselle, Lenin C. Grajo

The Open Journal of Occupational Therapy

International experts in assistive technology from five global regions (South America, Asia Pacific, Europe, Africa, and Australia) and with affiliation to the World Health Organization (WHO) Global Cooperation on Assistive Technology (GATE) community were invited to share their perspectives on the delivery of assistive technology and provision of assistive products in their regions. Four common topics emerged from the experts: (a) user and environmental barriers; (b) policy, funding, and product access; (c) professional training, collaboration, and service delivery; and (d) occupational justice (i.e., empowerment, participation, and progress).