Occupational Therapy Commons^™

Facilitating Return To Work Among Individuals With Mental Illness Through Occupational Therapy Interventions, Cleo Miller, Blakelee Jordan

Thinking Matters Symposium Archive

The side effects of mental illness can affect areas of occupation, including: play, leisure, work, social participation, activities of daily living, etc. (Brown & Stoffel, 2011). Through collaboration with Riverview Psychiatric Center (RPC) in Augusta, Maine, as well as Maureen Martin OTR/L, an evaluation of relevant research was conducted to determine occupational therapy’s (OT) roll in the process of returning to work (RTW) for clients newly discharged from an inpatient psychiatric facility. This evaluation devised three themes: personal factors related to RTW; assessment tools & frameworks used to guide intervention; and OT interventions that can facilitate RTW. Research suggests that …

Improving Safety On The Road Through Occupational Therapy Intervention, Katherine Uschmann, Zachary Childs

Thinking Matters Symposium Archive

As the U.S. population ages, increasing the likelihood of impaired fitness-to-drive, the topic of road safety holds strong interest among numerous professionals. The field of occupational therapy (OT) affirms the importance of community mobility in supporting overall health and well-being. OT practitioners who encounter clients with questionable driving ability should refer them to driving specialists. However, the question remains what kind of interventions may help clients with cognitive decline who have the potential to return to safe driving. This project’s evidence search revealed a wide range of interventions that show promise including: classroom education (especially when augmented by on-road training), …

The Role Of Motivation And Cognition In Adults With Schizophrenia, Jaime Willard, Evangeline Abraham

Thinking Matters Symposium Archive

Our work is based around the holistic nature of the field of occupational therapy. This evidence-based project initially began, at the request of our community partner, with the intention of finding one or more assessments that may help identify the cause of a lack of motivation among group home residents at Tri County Mental Health in Lewiston, ME who suffer from schizophrenia. Schizophrenia is a chronic and severe mental illness that is now diagnosed as a spectrum disorder. It is characterized by distortions in the perception of reality and impairments in cognition and motivation. Schizophrenia can be categorized into three …

Evidence And Interventions For Children With Handwriting Deficits, Josephine Hatch

Thinking Matters Symposium Archive

The purpose of this project was to determine effective interventions shown to increase fine motor skills in children who experience handwriting deficits related to ADD/ADHD or other attention deficits. The project was prepared for a pediatric outpatient OT at Hasbro Children’s Hospital. The information was found via the USM databases through specific search terms and parameters.
This work is significant because many OTs and teachers are working with children who have deficits in handwriting and fine motor abilities. There needs to be additional research conducted specifically with children who have ADD/ADHD and exhibit fine motor and handwriting deficits.
The research …

Effects Of Sleep Hygiene In The Hospital, Tina Bhakta, Paxton Arsenault, Maya Ahluwalia, Rachel Coats

Occupational Therapy Student Research Posters

Research poster by UNE Occupational Therapy and Physical Therapy students investigating the definition of and recommendations for good sleep hygiene, the limitations of the hospital setting on attainment of sleep hygiene, and the benefits of sleep hygiene for hospital patients.

A Protocol Paper On The Preservation Of Identity: Understanding The Technology Adoption Patterns Of Older Adults With Age-Related Vision Loss (Arvl), Colleen E. Mcgrath

Occupational Therapy Publications

There are a growing number of older adults with age-related vision loss (ARVL) for whom technology holds promise in supporting their engagement in daily activities. Despite the growing presence of technologies intended to support older adults with ARVL, there remains high rates of abandonment. This phenomenon of technology abandonment may be partly explained by the concept of self-image, meaning that older adults with ARVL avoid the use of particular technologies due to an underlying fear that use of such technologies may mark them as objects of pity, ridicule, and/or stigmatization. In response to this, the proposed study aims to understand …

Therapist Attitudes Towards Animal Assisted Therapy: A Qualitative Study, Karen Vizaniaris

Doctor of Occupational Therapy Capstone Projects

PURPOSE. To understand the attitudes and perceptions of therapists towards animal assisted therapy (AAT) and towards the barriers and facilitators of implementing AAT into practice. METHOD. This descriptive qualitative studied consisted of ten semi-structured interviews with rehabilitation therapists that were coded for common themes. Data from two Likert-scale questions were analyzed using descriptive statistics. RESULTS. Eight themes emerged from the data including therapists’ attitudes towards animal assisted therapy and their own competence, three core benefits of animal assisted therapy that they identified (increased patient participation, positive emotional/social influence, and contribution to patient-centered goals), and three main barriers towards implementation (scheduling/operations, …

Reshaping Minds Using An Occupational Based Approach, Marisha Griffin

MOT Student Capstones

Human trafficking is defined as the recruitment, harboring, transfer, transporting, and receipt of a person using force or manipulation. Sex trafficking refers to engagement in sexual activity against one's will followed by a lifestyle of physical and mental abuse. There are numerous social determinants that impact the health and wellbeing of youth. Due to a lack of community awareness regarding the risk factors associated with human trafficking, vulnerable youth are submissive to occupational injustice activities. The aim of this qualitative study is to educate Present Age Ministries (PAM) on the role and effectiveness of occupational therapy (OT) to gain approval …

Fall Prevention Education Training For Older Adults With Serious Mental Illness And Previous Homelessness, Alex Manwaring, Bs, Tina Deangelis, Edd, Otr/L, Elizabeth Brooks, Bs

Department of Occupational Therapy Posters and Presentations

Purpose: To examine the effect of an occupational therapy education and training program on fall risk awareness and fear of falling (FOF) with older adults who reside in one permanent supportive housing site, Project HOME (Housing. Opportunity. Medical. Education.), who have a history of serious mental illness and chronic homelessness.

Methods: Seven individuals aged 55+ from Project HOME, a permanent supportive housing non-profit organization in the Northeast, participated in a six-week pre-post occupational therapy education and training group program aimed to decrease FOF. Fear of falling was measured using the Fear of Falling Efficacy Scale –International (FES-I) with cut-off scores …

(Poster) Design And Fabrication Of A Custom Wrist Orthosis For Enhanced Patient Comfort, Marko Tasic, Matthew Hansen, Mang Lian, Demetre Mitchell, Rashedul Sarker, Renny Fernandez, Erin Peterson, Joseph Herzog, David Olawale, Najmus Saqib

ASEE IL-IN Section Conference

This custom wrist orthosis project is the continuation of efforts made by students in the R.B Annis School of Engineering during the 2017-2018 academic year. Throughout this project, we have implemented the Design for Six Sigma (DFSS) methodology to guide the design process. Within the R.B. Annis School of Engineering, this methodology has been adapted into guide the DesignSpine process. We have designed a new orthosis that is custom fabricated for enhanced patient comfort. In the occupational therapy field, patients have reportedly not been wearing their prescribed orthoses/braces, which are designed to stabilize injured areas so that they heal properly. …

Preparing For A Short-Term Volunteer Experience, Beth Sullivan

Occupational Therapy Collection

Occupational Therapy (OT) practitioners who volunteer for short-term medical service trips in developing countries face many challenges, including gaining an appreciation of that country's culture (values, economy, political, and medical systems) and understanding how these factors influence provision of OT services.

As OT practitioners, we "contribute to the global health of society and individuals by enabling the right to engage in meaningful, purposeful occupations" (World Federation of Occupational Therapists, n.d., para 4). The frequency of short-term medical service trips (STMST) undertaken by persons living in high income countries to low income countries is increasing (Sykes, 2014). Despite this fact, systematic …

An Analysis Of The Developmental Enrichment Of The Seattle Children's Playgarden, Caitlin Koob

Honors Theses

This paper analyzes the opportunities for developmental enrichment, as provided by the Seattle Children’s PlayGarden, from the perspective of occupational therapy. The PlayGarden, located in Seattle, Washington, is an inclusive playground, preschool, and summer camp that promotes inclusion of children with disabilities. The analysis highlights each area of occupation, as identified in the Occupational Therapy Practice Framework, and discusses the garden’s contribution to facilitate growth in those specific skills (American Occupational Therapy Association [AOTA], 2014). The intentionality of the design and program structure advocates for children to maximize their independence in activities of daily living, despite the play-based approach. …

Exploring A Connection Between Learning And Student Perception Of Place, Katelyn Roberts

Honors Theses

The quality of the physical environment is understood to impact overall health, wellbeing, and capacity to learn and engage in daily life. This pilot study explores how students in the Speech Language and Hearing Sciences program at Western Michigan University view the effects of indoor and outdoor nature spaces at the College of Health and Human Services on the East Campus of Western Michigan University on their learning experience. Results of the study suggest that there are significant relationships between the participant’s perception of interesting qualities in the College of Health and Human Services and feeling a sense of connection …

The Use Of Nature As A Treatment Modality In Occupational Therapy, Lauren Koch

Honors Theses

Nature is inherently therapeutic. Applying the principles of occupational therapy within the natural environment integrates the physical, mental, and socio-emotional health benefits afforded by nature into therapeutic intervention practices. The nature centered context of the outdoors addresses performance skills and patterns, highlighting its use as a therapeutic modality. As such, nature may be used as an effective treatment modality in the practice of occupational therapy due to the benefits that it affords. The incorporation of nature into therapeutic intervention may be based upon the environmental factors, available resources, and function of the natural environment. The goal of this literature review …

Efficacy Of High-Performance Vision Training On Improving The Reaction Time Of Collegiate Softball Athletes: A Randomized Trial, Diana R. Feldhacker, Whitney Lucas Molitor, Ashley Athmann, Molly Boell, Angela Kaiser, Ashley Musch, Logan Willhite

Journal of Sports Medicine and Allied Health Sciences: Official Journal of the Ohio Athletic Trainers Association

Purpose. A well-developed visual system is integral to the dynamic nature of sport performance among collegiate athletes. Occupational therapists play an important role in addressing an athlete’s visual skills through incorporating meaningful occupation, in this case sport, into interventions while addressing specific client factors. The aim of the study was to examine the efficacy of occupational therapist led high-performance visual training in improving the reaction time of collegiate softball athletes. Method. A mixed method approach was used to collect both qualitative and quantitative data. Qualitative data were collected to assess athlete perceptions of sport, and quantitative data were collected using …

Occupational Therapy Students’ Perceived Value Of Simulated Learning Experiences, Donna J. Walls, Tina S. Fletcher, Diane P. Brown

Occupational Therapy

No abstract provided.

Addressing Occupational Deprivation In Refugees: A Scoping Review, Shan M. Siddiqui, Eman Said, Briana Hanna, Natasha H. Patel, Evelyn L. Gonzalez, Savanna L. Garrett, Claudia L. Hilton, Karen Aranha

Journal of Refugee & Global Health

In 2015, over 21 million refugees were displaced worldwide. A significant issue faced by this population is occupational deprivation – being deprived of engagement in meaningful activities. Despite this being a global problem, information on interventions that address occupational deprivation has not been synthesized. To bridge this gap, we conducted a scoping review to examine interventions that can be used when working with refugees who face this issue. For our methods, we used a five-step framework and reviewed interventions using the following databases: PubMed, CINAHL, PsycINFO, and Google Scholar. Initial searches yielded 191 studies, 7 of which were retained. Community-based …

Effectiveness Of Ultrasound (Us) On Adults With Lateral Epicondylitis (Le), Jensen Aubry, Ashley Ott

Occupational Therapy Graduate Student Evidenced-Based Research Reviews

Background:

• Individuals diagnosed with LE often present with increased pain and decreased functioning in daily activities. LE, commonly referred to as "tennis elbow," which results from stress and pain to the lateral epicondyle or extensor carpi radialis brevis (ERCB). This can develop from a single incident, injury or trauma, which results in pain with gripping and lifting (Leadbetter, 2016).
• Ultrasound (US) utilizes wave production to cause thermal or nonthermal sound waves to stimulate tissue by increasing collagen extensibility and enabling the inflammatory process (Knight & Draper, 2013).
• Areas being treated by US require different depths; a 1.0 mHz sound head …

Effect Of Ability To Cross Midline On Performance Of Handwriting, Lindsey Richmond, Michaela Marks

Occupational Therapy Graduate Student Evidenced-Based Research Reviews

Background

In the school setting, occupational therapists work with students to develop or improve handwriting skills, such as letter legibility, to support educational participation (Case-Smith, 2002). Handwriting is compromised of many essential skills and clinicians focus specifically on areas including motor planning, upper extremity range of motion, and bilateral integration (Giroux, Woodall, Weber, & Bailey, 2012) which are related to the ability to cross midline. Crossing body midline is the ability to reach across the center of one's body, which is essential for many everyday tasks.

Assessing And Predicting Safe Power Mobility Use In Adults, Vannessa Valadez, Cally Mcshane

Occupational Therapy Graduate Student Evidenced-Based Research Reviews

Background:

The current body of knowledge is lacking criteria for vision, cognition, and psychological functioning and how they affect power wheelchair use. Assessment and training is a common issue for all clinicians working in the field during powered mobility rehabilitation. Research has shown that the skills required for safe powered wheelchair driving are consistent with the skills needed for safe automobile driving (Massengale et al., 2005).

For the first time instead of using task skills, process skills were introduced as part of a powered mobility assessment with the development of the Assessment of Learning Powered mobility (ALP) tool.

Benefits And Risks Of Botulinum Toxin-A Injections For Tone Management, Brittany Perlaki, Kate Soens

Occupational Therapy Graduate Student Evidenced-Based Research Reviews

Background Information:

Botulinum Toxin-A (BoNT/A) is being used as an adjunct to therapy to reduce focal spasticity, increase range of motion (ROM), manage pain, improve function, and possibly delay surgical intervention (Hoare & Imms, 2004). BoNT/A inhibits acetylcholine release at the neuromuscular junction resulting in temporary denervation and decreased muscular activity. Reinnervation eventually restores muscle function. Adverse effects include excessive weakness and atrophy of injected muscle, unintended weakness in adjacent muscles, and immunoresistance to BoNT/A (Ghasemi, Salari, Khorvash, & Shaygannejad, 2013).

Impact Of Fall Prevention And Home Modification Programs For Older Adults, Alyssa Collins, Kate Weston

Occupational Therapy Graduate Student Evidenced-Based Research Reviews

Background:

By 2030, the number of U.S. adults aged 65 or older will more than double to about 71 million (CDC, 2015). With these rapidly changing demographics, fall prevention and home modification programs provide preventative support for aging in place. The lack of fall prevention services is both costly and impacts quality of life for older adults. $50 million dollars were spent on medical costs due to falls in 2015 (Florence, et al., 2018). By reviewing the literature and critically evaluating the results of the research studies, conclusions can be made as to the most effective fall prevention methods for …

Effective Ot Interventions For Pain Management In Persons With Rheumatoid Arthritis, Danielle Rudd, Andra Stormer

Occupational Therapy Graduate Student Evidenced-Based Research Reviews

Background:

• Chronic pain is recognized as pain persisting past normal healing time and that may last or recur for more than 3 to 6 months. It affects about 20% of individuals worldwide (Treede et al., 2015).
• Persons diagnosed with rheumatoid arthritis (RA) identify pain as the most common reason they seek medical attention and 68-88% of persons with RA rate pain as one of their top three priorities (Lee, 2013).
• Pain for RA is often treated using a pharmacological approach involving disease modifying antirheumatic drugs, glucocorticoids, non-steroidal anti-inflammatories, and opioids. Among rheumatoid arthritis patients, chronic opioid use increased from 7.4% …

Constraint-Induced Movement Therapy Vs. Bimanual Therapy For Children With Hemiplegic Cerebral Palsy, Rachael Harroun, Emily Wirtz

Occupational Therapy Graduate Student Evidenced-Based Research Reviews

Background

About half the children with hemiplegic cerebral palsy (CP) experience limitations in activities of daily living and involvement in education, leisure, and other occupational activities due to impairment in hand and arm function (Tevahauta, Girolami, and Øberg, 2017).

Constraint-Induced Movement Therapy (CIMT) is a common intervention for children with hemiplegic cerebral palsy (Chen, Pope, Tyler, and Warren, 2014). By restraining the unaffected arm during functional participation, CIMT aims to increase spontaneous use of the affected arm (Dong, Tung, Siu & Fong, 2013).

Bimanual therapy (BIT) is also implemented with this population and includes intensive training in functional bimanual tasks …

Evidence-Based Ot Practice For Patients With Cancer Related Fatigue, Kelsey Spitzley, Laura Tatu

Occupational Therapy Graduate Student Evidenced-Based Research Reviews

Clinical Scenario: 38-year-old male diagnosed with Non-Hodgkins Lymphoma seeking outpatient occupational therapy services to address sleeplessness, pain, fatigue and return to work opportunities.

Standardized Comprehensive Measure To Guide Older Adult Discharge In Acute Care, Katlyn Agren, Madison Hirsch

Occupational Therapy Graduate Student Evidenced-Based Research Reviews

Background:

• In the acute care setting, occupational therapists play an important role in providing recommendations for discharge. Striving for appropriate and safe discharge is critical in avoiding hospital readmission, reducing safety risks, and promoting optimal functioning in older adults.
• 3.3 million adults are readmitted into the hospital within 30 days after discharge in the U.S., costing $41.3 billion annually (LaPointe, 2019).
• The average patient stay in the acute care setting is 5.5 days in the United States, putting occupational therapists in a time crunch to evaluate, treat, and prepare patients for discharge (OECD, 2017).

Impact Of Touchscreen Technology On Children’S Fine Motor Development, Rachael Barbarich, Courtney Stewart

Occupational Therapy Graduate Student Evidenced-Based Research Reviews

Case

A five-year-old boy is being seen by his school occupational therapist (OT) to work on fine motor deficits which seem to be delaying his handwriting development. His mother met with the OT and informed her that she is a single parent and is often busy, so her son spends most of his time at home playing on his tablet. The OT is interested in understanding if there is a relationship between the tablet use and the client's fine motor skills.

A Comparative Review Of Cognitive Assessment Tools For Adults In The Acute Care Setting, Nicole Gagnet, Bethany Noffke

Occupational Therapy Graduate Student Evidenced-Based Research Reviews

The MMSE and MoCA have the strongest psychometric properties for adults in the acute care setting.

Effectiveness Of Fall Prevention In Individuals With Dementia, Jeana Smith, Madison Kowalewski

Occupational Therapy Graduate Student Evidenced-Based Research Reviews

Case

Betty is an 82 year old woman living with dementia. She is beginning to experience impaired balance and deviated gait. She was recently hospitalized with fall related injuries. Since her impaired balance is progressing, her occupational therapist plans to implement fall prevention into her treatment plan.

The Effect Of Screen Time On Development In Elementary-Aged Children, Kelly Kislowski, Abigail Harpe

Occupational Therapy Graduate Student Evidenced-Based Research Reviews

Play and education are two primary occupations influencing development in elementary-aged children. As screen time has impacted these childhood occupations, the outpatient pediatric OT is noticing clients are struggling with motor, cognitive, and psychosocial skills. She wants to understand the relationship between increased screen time and child development.