Occupational Therapy Commons^™

Development Of Learning Materials To Address Social And Medical Factors Impacting A Minoritized Population, Whitney Lucas Molitor, Moses N. Ikiugu, Ranelle Nissen, Mejai Avoseh, Denyelle Kenyon, Sabina Kupershmidt

Journal of Occupational Therapy Education

Health outcomes are multi-factorial. Health professionals must weigh all factors when making recommendations and providing intervention, however, limited learning materials which describe the health of minoritized populations exist for students in health science educational programs, necessitating the development of content for interprofessional learning that address the health factors experienced by underserved populations. This study used a descriptive design. Eleven expert content reviewers from eight health science and medical professions were recruited and provided feedback on the quality and content of a developed case study that described the lifestyle and health status of an individual from an ethnic minoritized population. Participants …

Occupation-Centered Anatomy And Applied Biomechanics Courses: Design And Outcomes, Rose Mcandrew, Vicki K. Kaskutas

Journal of Occupational Therapy Education

Occupation-centered course design allows occupational therapy (OT) educators to differentiate ourselves from other professions while communicating the distinct value of occupation to our students. While there have been numerous calls to action for centering occupation in the OT classroom and proposed models to approach course design, there is limited literature on occupation-centered course design in specific courses, notably foundational science courses like anatomy and applied biomechanics. In this study, we outline our course design process in two courses taught concurrently, as well as our prospective study to determine if an occupation-centered course design allowed students to meet objectives and the …

Active Learning And Occupational Therapy Theory: A Mixed Methods Study Of A Course Redesign, Mackenzie L. Feldhacker, Diana R. Feldhacker

Journal of Occupational Therapy Education

The use of theory to guide practice is what distinguishes an occupational therapist’s professional judgment and reasoning from simply technical skills. However, occupational therapists continue to lack confidence and skills in understanding application of theory to inform practice. Thus, effective course design related to theory is imperative in professional formation. This study assessed the effectiveness of a graduate-level occupational therapy theory course redesigned using andragogical, learner-centered, and active learning principles to address gaps in applying and understanding theory. A mixed methods retrospective cohort design was utilized. This included a pretest/post-test survey along with end-of-semester course and instructor evaluation. Eighty-four students …

Using Self-Assessment And Reflection To Develop Self-Efficacy In Occupational Therapy Assistant Fieldwork Students, Kristy Meyer, Julie Hunley

Journal of Occupational Therapy Education

Many occupational therapy students navigate the transition to the Level II fieldwork experience effortlessly, while others require support due to a lack of perceived self-efficacy. This perception dramatically impacts fieldwork performance and challenges academic fieldwork coordinators to support students struggling to believe in their own capabilities. This study utilized a quantitative quasi-experimental research design with a purposive sample of 16 occupational therapy assistant students to determine if an educational intervention increased perceived self-efficacy and overall confidence. Data collected from the Student Confidence Questionnaire (SCQ) pre, and post-intervention provided insight into the students’ report of perceived self-efficacy and overall confidence during …

The Relationship Between Emotional Intelligence And Performance On Occupational Therapy Fieldwork, Kimberlea D. Dudzinski, Michele Gregoire Gill

Journal of Occupational Therapy Education

This mixed methods study explored the relationship between emotional intelligence (EI) and overall student performance during occupational therapy (OT) fieldwork. The purpose of this study was to determine whether EI was predictive of student performance during the clinical portion of the academic program. In the first phase of this two-part study, 42 students enrolled in either a Master of Occupational Therapy program or an Occupational Therapy Assistant Program completed the Genos Emotional Intelligence Inventory (short form). Student scores on this brief measure of EI were correlated with scoring on the American Occupational Therapy Association’s Level II Fieldwork Performance Evaluation (FWPE) …

A Process Framework For The Education-Focused Capstone: Supporting Expansion And Sustainable Outcomes, Sierra Clair, Sarah Corcoran, Emily Bubel, Debbie Amini

Journal of Occupational Therapy Education

This article aims to share a process framework created to guide entry-level occupational therapy doctoral programs in operationalizing and expanding the scope of the education-focused capstone described by the Accreditation Council for Occupational Therapy Education (ACOTE^®).The impetus for this work was the completion of a professional development, education-focused capstone that proved to be novel, sustainable, and transformative for the capstone team, including the student, faculty mentor, site mentor, and doctoral capstone coordinator. This capstone ultimately created a professional development course covering the social determinants of health for occupational therapy practitioners, now offered through the American Occupational Therapy Association. …

Situated Cognition And Self-Directed Learning: Pedagogical Approaches To Developing Skills In Advocacy, Kathleen Eglseder, Sonia Lawson, Reanna Beatty

Journal of Occupational Therapy Education

Advocacy for clients and the profession are important aspects of occupational therapy practice. Accreditation requirements for educational programs demand students are taught about advocacy. However, effective methods of teaching advocacy to future occupational therapy practitioners have not been widely studied. This article aims to highlight the use of situated cognition and self-directed learning in developing advocacy skills among occupational therapy students. Pre and post-test scores of the Advocacy Competencies Self-Assessment Survey obtained from 39 students were examined for changes in perception of personal advocacy skills and beliefs associated with a required advocacy course. Statistically significant improvement was noted across all …

Exploring Evidence Based Practice Implementation By Occupational Therapists: Implications For Fieldwork, Angela Benfield, Helen Jeffery

Journal of Occupational Therapy Education

A fieldwork education model is used in occupational therapy to develop competency of professional skills, including evidence-based practice (EBP) and clinical reasoning. This quantitative study explored factors influencing implementation rates of EBP in New Zealand registered occupational therapists to better understand students’ experience of evidence-based practice while on fieldwork. An online survey exploring beliefs and practices related to clinical competence, professional reasoning and EBP was conducted. The survey included questions about related beliefs, the measure of Evidence Informed Professional Thinking (EIPT; Benfield & Johnston, 2020), and the Implementation Climate Scale (ICS; Ehrhart et al., 2014). The mean scores on the …

Factors Influencing The Diversity Of Occupational Therapy Students, Donna Colaianni, Grace Tovar, Dominique Wilson, Heidi Zapanta

Journal of Occupational Therapy Education

The gender, ethnic, and racial diversity of occupational therapy professionals does not represent the diversity found in the population, and thus does not represent the diversity found in our patients and clients. In order to carry out the American Occupational Therapy Association’s vision to create a diverse workforce able to meet the needs of society, this study examined the factors influencing occupational therapy students’ choice of occupational therapy as a career using a survey. 538 participants responded to the survey. Results identify both influential factors and barriers to students pursuing occupational therapy as a career and have implications for diversifying …

Impact Of Motivations For Volunteering On Well-Being Among Health Sciences Students, Allison J. Naber, Rebecca Benson, Katie Ericsson, Macey Genzlinger

Journal of Occupational Therapy Education

Motivations for volunteering as a meaningful occupation can influence well-being. This study explored the relationship between motivations for volunteering and perceived well-being among students enrolled in one of ten departments in a School of Health Sciences. A cross-sectional survey incorporating the RAND 36-Item Short Form Survey and Volunteer Function Inventory was employed. Most of the 95 participants were students enrolled in the health science undergraduate and occupational therapy graduate programs. Approximately 75% had volunteered in the past year. RAND SF-36 findings indicated good perceived well-being among many categories. Primary motivations for volunteering included values (Mdn = 30) and understanding …

Addressing Sexuality: The Comfort And Preparedness Of Occupational Therapy Students, Claire Lynch, Annette V. Joosten

Journal of Occupational Therapy Education

Undergraduate sexual health education has the potential to increase confidence and the likelihood that healthcare professionals address sexual health in practice. This study explored Australian final year occupational therapy students’ perceptions about their education, and their preparedness and comfort to address sexuality in their final practice placements and into their future careers. An online questionnaire with three sections for (a) demographics; (b) the students' attitudes towards sexual health (SA-SH) questionnaire, which is a 22-item Likert scale about student attitudes toward sexual health issues in their future profession; and (c) nine open questions regarding students’ comfort and preparedness to address sexuality …

Exploring Fieldwork Educator Development: Preparation Methods And Support Tools, Pamela Karp, Kelly A. Lavin, Tara Collins

Journal of Occupational Therapy Education

Fieldwork education is a critical piece to professional development and competency in occupational therapy. As part of their core curriculum, all students enrolled in accredited occupational therapy programs must complete full-time fieldwork experiences under the direct supervision of a licensed occupational therapy practitioner. This component of the student’s education relies on the skills and training of the fieldwork educator. Academic programs are expected to support occupational therapy practitioners in their role as fieldwork educators in the form of resource provisions to enhance supervisory skills. However, there are no clear standards that describe how to vet, effectively disseminate, or implement the …

The Intentional Fieldwork Education Model: Guiding Fieldwork Educators Toward Intentionality And Competency To Enhance Student Learning, E. Joy Crawford, Nadine Hanner

Journal of Occupational Therapy Education

Fieldwork education is an essential component of occupational therapy education. The level of competency and preparedness of fieldwork educators may vary substantially and may significantly impact student learning outcomes. The availability of an evidence-based comprehensive fieldwork model to guide the fieldwork educator, clarify issues related to teaching-learning, and provide insightful solutions to issues the educator may encounter, is warranted but is not currently available. The intentional fieldwork education model, introduced in this article, was developed to provide a framework to enhance fieldwork educator competency, self-efficacy, and student learning outcomes. In addition, the model emphasizes the significance of intentionality in the …

Finding A Voice: Overcoming Shame Through A Classroom Collective Exploration Of Vulnerability, Mary Catherine Lockmiller, Amy Armstrong-Heimsoth

Journal of Occupational Therapy Education

In keeping with the call for greater justice and diversity within the occupational therapy profession, many educational programs are taking steps to infuse diversity, equity, and inclusion (DEI) across their curriculum. In this paper, we will introduce the theoretical concepts underpinning the first assignment in a DEI curriculum thread in one entry-level occupational therapy doctoral (OTD) program, grounding it in critical pedagogy and exploring how it provides a first step to critical aptitude by providing space for an open-ended, reflexive dialogue about subjective experiences of internalized shame and marginalization. Students learn how to practice self awareness, understand shame culture, and …

Changes In Study Approaches, Self-Efficacy, And Mental Health In Allied Healthcare Students During The Covid-19 Crisis, Elaina J. Dalomba, Tore Bonsaksen, Mary Jan Greer, Saji Mansur

Journal of Occupational Therapy Education

There is growing concern about student mental health, particularly during the COVID-19 crisis. Mental health factors impact self-efficacy and study behaviors, thus there is a need to explore changes in these factors during the pandemic. The aim of this study was to explore changes in allied healthcare students’ approaches to studying, self-efficacy and positive mental health before and during the COVID-19 crisis. The Approaches and Study Skills Inventory for Students, General Self-efficacy scale, Mental Health Continuum – Short Form were given to graduate students (n=26) prior to, and one year into the pandemic. Repeated measures analyses of variance were performed. …

The Development Of A Well-Being Program For Occupational Therapy Graduate Students, Stacy Smallfield, Emma Burry, Kelsey M. Lawrence, Kathy M. Yang, Katherine M. Chin, Hannahmarie Klute

Journal of Occupational Therapy Education

High levels of stress among occupational therapy graduate students have led to the adoption of unhealthy coping habits such as poor nutrition, little exercise, and disrupted sleep. In response, many institutions have explored programming and even curricular changes to support student well-being. However, very few are built upon a strong theoretical foundation to address holistic well-being. Therefore, this paper describes how logic modeling was used to develop a student well-being program based on Facilitating Learning and Occupational Well-Being Using Research-Based Initiatives for Student Health (FLOURISH), a theoretical approach rooted in the Person-Environment-Occupation Performance Model. A well-being program delivered via a …

Cohort Analysis Of Four Graduating Classes Of Occupational Therapy Students' Knowledge Of Aging, Lavona Traywick, Brittany N. Saviers, Terry Wayne Griffin, Teressa Brown

Journal of Occupational Therapy Education

At the same time that the number of senior adults in the United States is steadily rising, there is also a rising shortage of allied health care professionals, including occupational therapists, to meet the current and expected needs of the senior adult population. There are national standards that all occupational therapy programs must meet; however, there is not a set national curriculum. It is assumed that students will enter their respective occupational therapy programs with a base knowledge of aging due to prerequisite requirements. To test that assumption, with Institutional Review Board approval, over four consecutive years 192 first-year, first-semester …

“We Weren’T Taught How To Recover From A Pandemic:” Recent Occupational Therapy Graduates’ Reflections On Covid-19, Laura H. Vanpuymbrouck, Carli Friedman

Journal of Occupational Therapy Education

In the spring of 2020, graduates from occupational therapy (OT) programs across the globe were entering a world of clinical unknowns. The students from this graduating cohort likely had little to no education or training on how to deliver OT in the wake of COVID-19. How well prepared did these new graduates perceive themselves to be to enter a healthcare climate in a pandemic and what were their biggest concerns? The objective of this study was to understand new graduates’ perspectives of the impact of COVID-19 on their future as occupational therapy practitioners (OTPs), and their sense of preparedness to …

Intraprofessional Collaboration In Ot/Ota Academia: Immersive Innovations For Skill Building, Terri Reichley Dennehy

Journal of Occupational Therapy Education

Intraprofessionalism is vital to service delivery. This inquiry sought to develop and examine a college elective combining occupational therapy (OT) with occupational therapy assistant (OTA) students, to foster collaborative relationships, and to provide intraprofessional innovations in academia across an entire semester, immersing learners from multiple colleges/universities. Qualitative participatory action research (PAR) was used to determine ways to integrate OT and OTA students from four disparate programs in intraprofessional learning, and to understand students’ perspectives regarding the immersive, learner-centered educational programming. The research cycled through planning, acting, observing, and reflecting on topics related to OT/OTA integration, supervision, and role delineation. Inquiry …

Group Action Planning To Promote Well-Being Of Non-Traditional Students In A Hybrid Program, Elena W. Espiritu

Journal of Occupational Therapy Education

Non-traditional occupational therapy students experience stress and occupational imbalance during their educational experience due to academic and non-academic factors, which decreases their well-being. Throughout the occupational therapy literature, participation in a variety of occupations is known to positively impact well-being. However, there are limited interventions available to foster occupational therapy students’ overall well-being through occupational engagement. Furthermore, there is a scarcity of interventions specifically designed to meet the unique needs of non-traditional occupational therapy students. Action planning is a structured goal setting format by which a person develops specific strategies to achieve desirable outcomes. This qualitative descriptive study described the …

International Students’ And Alumni Perspectives On Their Transition To Graduate Level Occupational Therapy Education And Daily Life In The United States, Areli D. Benitez, Daniel Park, Sarah Bream

Journal of Occupational Therapy Education

International students who enroll in American occupational therapy academic programs must quickly adapt to the academic demands and everyday life rhythms within the United States. This qualitative study contributes to the body of knowledge of lived experiences of international occupational therapy students, specific to their transition to graduate occupational therapy education and daily life in a new country. Thirteen (13) international occupational therapy graduate students and alumni participated in an individual or joint interview. Three key themes emerged from the findings and include the following: 1) Challenges: Inside and Outside of the Classroom, 2) A Support System: A Home Away …

Service-Learning And Case-Based Learning’S Impact On Student’S Clinical Reasoning: A Repeated Measures Design Study, Gordon B. Tsubira, Traci Garrison, Sapna Chakraborty, Shana Cerny

Journal of Occupational Therapy Education

Clinical reasoning is crucial for the occupational therapy profession to thrive in an ever-changing healthcare environment but is seldom isolated for explicit instruction and outcome measurement in educational course curricula. A single-factor repeated measures design study was conducted to compare the impact of didactic case-based learning and experiential service-learning on the development of the clinical reasoning of students at a midwestern public university’s entry-level Master of Occupational Therapy program. The participants were sixteen graduate occupational therapy students who had completed their foundation-level courses. Participants explored modes of clinical reasoning in occupational therapy for eight weeks (the first half of the …

Tummy Time In Infancy: Real-World Assessments And Associations With Developmental Outcomes In Early Childhood, Ketaki Inamdar

Theses and Dissertations

Tummy time or awake, supervised, prone play is an important developmental play position in infancy. Engaging in more than 15 minutes of tummy time per day is associated with a lower risk of plagiocephaly, lower body mass index, and achievement of higher motor scores in full-term and at-risk preterm infants. However, there are significant gaps in the measurement of tummy time in current literature. Conventionally used subjective parent reports have not been validated against gold standard direct observation, and the feasibility and real-world validity of objective solutions such as wearable sensors has not been examined in full-term and at-risk preterm …

Physical Activity For Adl Performance In Older Adults With Dementia: A Systematic Review, Clancy Hesseltine, Josiah Heun, Murphy Porter, Sam Wyrick, Stacy Smallfield, Molly Whitlow

Student Systematized Reviews: Occupational Therapy

PURPOSE: An estimated 5.8 million people in the United States live with dementia. By the year 2060, this number is expected to climb as high as 14 million people (CDC, 2019). Performance and participation in activities of daily living (ADLs) is a primary goal of occupational therapy. Exercise intervention is an occupational therapy approach for individuals with dementia that will increase ADL performance (Giebel et al., 2015). The present study examined the effects of physical exercise to maintain or improve activities of daily living performance for adults with dementia.

DESIGN: This systematic review of systematic reviews examined whether physical activity …

Occupational Therapy Interventions To Optimize Functional Use Of The Upper Extremity After Peripheral Nerve Injury: A Systematic Review, Shayleigh Clarkson, Allison Fisher, Sean Mcfadden, Payton Swanson, Molly Whitlow, Stacy Smallfield

Student Systematized Reviews: Occupational Therapy

PURPOSE: Peripheral nerve injuries are a distinct group of injuries that are commonly caused by motor vehicle accidents, falls, industrial accidents, household accidents, and penetrating trauma (Kamble et al., 2019). A peripheral nerve injury can affect an individual’s daily occupations and routines due to unrelenting pain, loss of sensation, and/or burning sensations. Peripheral nerve injuries can result in motor loss and subsequent muscle imbalance which can create functional loss (Chae et al., 2020). The purpose of this systematic review was to provide occupational therapists with evidence supporting the use of interventions to increase the functional use of the upper extremity …

Occupational Therapy Interventions For Adls In Adults Post-Tbi With Visual Symptoms: A Systematic Review, Connor Jarman Bs, Olivia Vander Haar Bms, Lauren Wobken Bs, Stacy Smallfield Drot, Msot, Otr/L, Bcg, Faota, Molly Whitlow Phd, Mph

Student Systematized Reviews: Occupational Therapy

PURPOSE: Traumatic brain injury (TBI) is a leading cause of death and injury in the United States. In fact, it is estimated that 1.5 million Americans experience them every year (CDC, 2022). Visual impairments may be a symptom following TBI (Richman, 2014). This affects an individual’s ability to perform activities of daily living (ADLs) such as dressing, hygiene, and functional mobility, including the reading required for these activities. The purpose of this systematic review was to synthesize the evidence and intervention options within the scope of occupational therapy for adults post-TBI experiencing visual symptoms.

DESIGN: We conducted a systematic review …

Effectiveness Of Functional Cognition Intervention For Adults With Traumatic Brain Injuries: A 
Systematic Review, Lauren Mccormick, Madison Otte, Delaney Hill, Emily Leahy, Stacy Smallfield, Molly Whitlow

Student Systematized Reviews: Occupational Therapy

Purpose: An estimated 5.3 million Americans are living with a permanent disability due to having a traumatic brain injury (TBI) (CDC, 1999). A common deficit seen in this population includes impaired functional cognition, which is the ability to use and integrate thinking and processing skills to complete complex instrumental activities of daily living (IADLs) (Giles et al., 2017). Occupational therapy practitioners support individuals post-TBI by creating and implementing occupation-based interventions during rehabilitation to optimize functional cognition and improve individuals' ability to complete IADLs. This study aims to identify the effectiveness of interventions within the scope of occupational therapy practice …

Effective Mental Health Accommodations For Occupational Therapy Students And Practitioners, Allison Jo Naber

Dissertations and Theses

The process of transitioning from high school to higher education and from academic programs outside of the health sciences to the workplace is documented; however, the transitional experiences of those in the health professions and occupational therapy specifically are less understood. This dissertation research aimed to identify the formal accommodations and informal adaptations occupational therapy students and entry-level practitioners have employed to address their mental health needs as they transition from the classroom to fieldwork or capstone and entry-level practice. The link between empirical literature, theories surrounding transitions, and the Occupational Adaptation Model provided the foundation for this research. This …

Development Of The Sexual Spring Planning Manual, Hannah Belle Aldridge

Occupational Therapy Doctoral Capstones

Sexual activity plays an essential role in many individuals' lives, but some people are unable to participate in the activity as they would like to due to many underlying causes. Issues with sexuality are commonly underdiagnosed and overlooked, given the social stigmas that make individuals feel ashamed and embarrassed to discuss it with their medical providers. As of 2019, "sexual dysfunction is estimated to be around 30-50% in the general population” (Verbeek & Hayward, 2019). This number continues to rise; therefore, education must be provided to these individuals to receive appropriate care and treatment. Sexual health is typically only addressed …

Sidewalks: Environmental Facilitators To Promote Older Adult Community Participation, Hailey Godfrey Thomas

Occupational Therapy Doctoral Capstones

According to the Administration of Community Living (2021), between 2009 and 2019 there was a 34 percent increase of adults aged 60 and older, totaling 74.6 million older adults in the United States. With the increase in the aging population an emphasis on accessible environments to promote inclusion is necessary. The American Association of Retired Persons found 80 percent of Americans desire a community that has sidewalks and places to walk (2014). Sidewalks are an integral aspect to improving community participation and the quality of life of older adults. Sidewalks can assist in enhancing social interactions, physical activity, and community …