Occupational Therapy Commons^™

Using Technology Enhanced Learning To Promote The Acquisition Of Practical Skills In Occupational Therapy, Terri Grant

Journal of Occupational Therapy Education

This paper focuses on the use of game-based technology to effectively choose, prescribe, and safely use equipment, which are vital occupational therapy skills. A three-hour workshop was designed for 42 second year British occupational therapy students across two cohorts. The goal was for students to try out a variety of equipment ranging from small household and kitchen aids to elevating chairs and hoisting equipment. Students used the game-based technology during a class to encourage their engagement with practical aspects of equipment use and fitting. A short, optional survey indicated use of the game-based technology resulted in extremely high student engagement …

The Short Assist Scales: Measurement Properties In A Sample Of Occupational Therapy Students In The Usa, Tore Bonsaksen, Adele Breen-Franklin

Journal of Occupational Therapy Education

Shortening measurement scales can improve the scales’ feasibility, but at the same time, their measurement properties can be affected. This study investigated psychometric properties of the short Approaches and Study Skills Inventory for Students (ASSIST) among occupational therapy students in the United States. The students (n = 120) completed the ASSIST and provided basic socio-demographic and education-related information. Scale structure was examined with Principal Components Analysis (PCA), while consistency between scale items was assessed with Cronbach’s α and inter-item correlations. Three factors were confirmed, but three items showed poor or ambiguous fit with the proposed scales. These items were …

Application Of Theory To Guide Development Of A Rehabilitation Service-Learning Project In Guatemala, Mary Zadnik, Suzanne Trotter, Cindy Mathena

Journal of Occupational Therapy Education

International community-based rehabilitation service-learning projects in physical and occupational therapy education programs may impact underserved communities internationally. The intentional inclusion of learning in service activities has been identified as service-learning. Extending the impact and education beyond the service project is necessary in order to provide a sustainable outcome for the community. Faculty at the University of St. Augustine for Health Sciences partnered with Potter’s House Association International to develop an interprofessional program to address the rehabilitation needs and continuity of care following a one-week project serving the community members of the Guatemalan City Garbage Dump. The purpose of this article …

Self-Reflection And Measurement Of Professional Behavior Growth In Entry-Level Occupational Therapy Students, Brenda S. Howard, Rebecca Barton

Journal of Occupational Therapy Education

Occupational therapy (OT) educators have recognized the need to facilitate student professional development along a continuum of behavior that leads them toward professionalism. Reflection has often been a tool assisting in that process. The teaching of professional behavior has been a curricular thread throughout entry-level OT programs. Few studies exist, however, that have measured use of a self-assessment tool for reflection and development of professional behaviors. The purpose of this study was to examine how self-perception of professional behaviors changed in two cohorts of an entry-level occupational therapy program. Investigators compared two cohorts of students at two points in time …

Use Of Case Studies To Promote Critical Thinking In Occupational Therapy Students, Denise D. Allen, Susan Toth-Cohen

Journal of Occupational Therapy Education

Critical thinking is a necessary component of clinical reasoning that should be addressed as part of the graduate curriculum for occupational therapists. For students to apply critical thinking in practice they must also have confidence and minimal anxiety about their abilities. Case-based learning was chosen to address critical thinking skill development, increase confidence, and decrease anxiety. The purpose of this mixed methods pilot study was to evaluate progressively independent engagement with case-based learning on student performance, confidence, and anxiety in applying critical thinking skills in the clinical setting. Critical thinking was measured using a rubric to assess students’ performance in …

Concepts Of Caring: Uncovering Early Concepts Of Care In Practice For First Year Occupational Therapy Students, James Battaglia

Journal of Occupational Therapy Education

Caring for others is a central ideal of most health care professions. The ability to facilitate caring behaviors in occupational therapy students is essential to developing students who are well prepared to provide both technically and emotionally competent care. This study explored the early concepts of care of Master of Science Occupational Therapy students at the start of their graduate education through use of a questionnaire and follow-up interviews. The three most frequently identified student concepts of care were: (1) caring as it relates to time, (2) caring as a personal quality, and (3) caring through their communication with clients. …

Student Perspectives Of The Occupational Therapy Doctoral Experience In An Academic Setting, Stacy Smallfield, Shelby Wood

Journal of Occupational Therapy Education

The purpose of this study was to gather student perspectives of the 16-week doctoral experiential component (DEC) of the entry-level doctor of occupational therapy educational curriculum from students who completed the DEC in an academic setting. A retrospective qualitative study of a focus group of five students who completed the DEC in an occupational therapy (OT) academic setting was conducted using semi-structured interview questions. Codes were grouped into themes and the findings were summarized. Four major themes emerged: 1) learning experiences; 2) purposeful ambiguity; 3) knowledge and skill development; and 4) newfound appreciation. Learning experiences included …

Elevating Student Understanding: Irish Occupational Therapy Students’ Experience Of A Service Learning Project, Karen Mccarthy, Marian Mccarthy

Journal of Occupational Therapy Education

Service learning is a pedagogy that embraces learning in action and addresses community needs. Since the adoption of the Occupational Therapy Competencies in 2008 and the launch of national occupational therapist registration in Ireland in 2015, there has been limited research on the effectiveness of service learning pedagogies in Irish higher education for meeting core competencies. The majority of research focusing on evaluating service learning have been North American studies which brings to question the relevance of these service learning outcomes beyond North America and specifically Ireland. This qualitative study examined 11 occupational therapy students’ journal reflections, portfolio entries, and …

Collaborative Learning In A Faculty-Led Occupational Therapy Level I Fieldwork: A Case Study, Karen M. Keptner, Susan Maureen Klein

Journal of Occupational Therapy Education

Fieldwork experiences in occupational therapy are meant to bridge the gap between academic learning and clinical practice. Various formats for fieldwork experiences have been encouraged as sites become harder to find. A faculty-led fieldwork experience is one suggested format. Faculty-led initiatives using a collaborative learning model (CLM) allow faculty to supervise a group of students at one time. In order to understand more about using a CLM within Level I fieldwork, a case study approach was used to describe the experience of nine occupational therapy students. Results suggest that the students involved in this faculty-led Level I fieldwork experience in …

Interprofessional Education Enhancement: Inclusion Of Occupational Therapy, Julie Woodnorth, Heather A. Davidson

Journal of Occupational Therapy Education

The increase in interprofessional education (IPE) opportunities provides an excellent opportunity for occupational therapy (OT) educators to partner with other health professions to deepen the understanding of how the OT profession adds value to future healthcare teams. The purpose of this study was to describe the development and impact of a curricular unit about the OT profession that was integrated into an established IPE program for medical, advanced practice nursing, pharmacy and social work students. A Needs Assessment was conducted by embedding an OT consultant within interprofessional student teams working in clinical environments over six weeks to observe baseline understanding …

Use Of The Kawa Model To Facilitate Interprofessional Collaboration: A Pilot Study, Jennifer E. Lape, Ashley Lukose, Diana R.M. Ritter, Brian D. Scaife

Internet Journal of Allied Health Sciences and Practice

Purpose: The Kawa (river in Japanese) model uses the metaphor of a river to view one’s life from a metaphysical perspective, with consideration given to the interaction between social and physical environments, life circumstances, assets, and liabilities. Preliminary research suggests that the Kawa model may be an effective tool for interprofessional collaboration, but studies employing the model with diverse groups of healthcare professionals have not been undertaken. The purpose of this pilot study was to determine if the Kawa model could serve as an effective collaboration tool for a diverse healthcare team within a skilled nursing facility.

Method: A pilot …

Independence Through Patient Education In A Spinal Cord Injury Population, Justin Mctish

Electronic Theses and Dissertations

The Know More, Live Better program was developed because the population of people with Spinal Cord Injuries (SCI) includes a substantial number of young people, who often readmit into hospitals for preventable causes such as pressure ulcers, respiratory infections, and bowel/bladder infections. These complications can be avoided through patient education. A needs assessment was conducted at the SCI unit at Good Shepherd Rehabilitation Hospital in Allentown, PA. This assessment included structured observation of patient education in the therapy process, semi-structured interviews about site needs and patient education topics completed with patients and occupational therapists on staff, and surveys of multi-disciplinary …

Occupation-Based Interventions In Treating Shoulder Pathology In An Outpatient Clinic, Autumn Whitfield

MOT Student Capstones

The following capstone project contains a retrospective case study and a literature review designed to make the reader more aware of occupation-based interventions and investigate the use of occupation-based interventions to treat shoulder pathology in a outpatient clinic. This capstone project includes a chart review to study the possible effects of improving active range of motion and strength using occupation-based interventions verse therapeutic exercises, explain the origin and definition of occupation-based interventions, determine the barriers to using occupation-based interventions in an outpatient clinic, review outcomes by completing a chart review, and consider ways to implement occupatio'1-based interventions in an outpatient …

A Systematic Review Of Ayres Sensory Integration Intervention For Children With Autism., Sarah A. Schoen, Shelly J. Lane, Zoe Mailloux, Teresa May-Benson, L. Dianne Parham, Susanne Smith Roley, Roseann C. Schaaf

Department of Occupational Therapy Faculty Papers

Sensory integration is one of the most highly utilized interventions in autism, however, a lack of consensus exists regarding its evidence base. An increasing number of studies are investigating the effectiveness of this approach. This study used the Council for Exceptional Children (CEC) Standards for Evidence-based Practices in Special Education to evaluate the effectiveness research from 2006 to 2017 on Ayres Sensory Integration (ASI) intervention for children with autism. A systematic review was conducted in three stages. Stage 1 involved an extensive database search for relevant studies using search terms related to sensory integration and autism, interventions suggesting a sensory …

A Need For Occupational Justice: The Impact Of Racial Microaggression On Occupations, Wellness, And Health Promotion, Emily Grullon, Carlneshia Hunnicutt, Melisa Morrison, Olandria Langford, Mirtha M. Whaley

OCCUPATION: A Medium of Inquiry about Health through Occupation

“Ism,” in general terms describes a practice that denotes oppression of a group based on the characteristics of its members: racism, sexism, and ageism, are the three types most commonly identified. “Isms” often impose limits on people, and while we have been aware of those limits at the macro level, we have been less aware of acts that happen at the level of the individual, the micro level. These acts, which are frequently heard and seen in the media, have personal, occupational, and health implications for those affected by them. The purpose of this paper is to raise awareness about …

Occupational Therapy: A Partner For Justice In Jesuit Higher Education, Rebecca M. Aldrich

Jesuit Higher Education: A Journal

The commitment to justice spans disciplines across Jesuit higher education, including the health sciences. At least 12 Jesuit colleges and universities offer occupational therapy programs, but the profession has been somewhat overlooked as a partner for justice on those campuses. Through a case example focusing on Saint Louis University’s Department of Occupational Science and Occupational Therapy (SLU-DOSOT), this article aims to illustrate the ways in which occupational therapy can be a partner in the promotion and pursuit of justice. A brief overview of the profession’s perspective on occupational justice precedes the description of SLU-DOSOT, and selected examples illustrate the range …

The Wilbarger Protocol, Brittany Hatlestad

Biology: Student Scholarship & Creative Works

Sensory processing disorder (SPD) is ever-increasing in children with and without disabilities. The prevalence of such a diagnosis has given rise to many different therapeutic practices. The most prescriptive, the Wilbarger protocol, will be the topic of this technique and literature review with discussions of what sensory problems are, the Wilbarger protocol, the deep pressure and proprioceptive portion of the protocol, oral tactile techniques, mechanisms of the protocol, the limitations, other options for treatment, and will conclude by looking to future research.

Handwriting And Occupational Therapy In The Schools, Anne H. Zachry, L. Woods

Faculty Presentations

Handwriting is an important life skill, and handwriting tasks take up a significant amount of time during the school day. Research suggests that writing by hand influences reading skills, recall, academics, and motor and composition skills. Pediatric occupational therapists evaluate and treat children who are struggling with handwriting; therefore, it is important for practitioners to be aware of a variety of treatment strategies for addressing handwriting challenges. After participating in this session, the learner will be able to discuss the research on typical and atypical pencil grasps, identify and name 5 common handwriting errors, and explain 3 techniques for increasing …

Integrating Art And Narrative To Enhance Quality Of Life In Palliative Care, Jennifer Fortuna

The Open Journal of Occupational Therapy

Lacie Lee Wallace, a mixed-media artist from Wheeling, West Virginia, is featured on the cover of the Fall 2018 issue of The Open Journal of Occupational Therapy (OJOT). The photograph depicts Lacie holding a self-portrait painted by artist CeCey Rose. Lacie’s physical appearance in the photograph is strikingly different from the physical appearance of the woman featured in the painting. The portrait was created 4 years before Lacie was diagnosed with advanced stage colon cancer. In the year following the diagnosis, Lacie lost nearly 100 lbs. as a result of an aggressive treatment regimen. When the palliative care team at …

Critical Reflections On Self-Management Support In Chronic Disease: The Value Of Occupational Therapy In Health Promotion, Brocha Z. Stern

The Open Journal of Occupational Therapy

No abstract provided.

The Biopsychosocial Model: Application To Occupational Therapy Practice, Keith Gentry, Karen Snyder, Beth Barstow, Jordan Hamson-Utley

The Open Journal of Occupational Therapy

Despite the call for the profession to embrace a more integrated and holistic approach to practice, therapists may be faced with practical challenges, including issues relating to client caseloads, productivity demands, scheduling, entrenched practices, limitations on service imposed by payer sources, and staffing and budgetary restraints, to name but a few. Due to these limitations, current occupational therapy practice may be predisposed to adopt a more reductive approach to the evaluation and treatment of symptoms, underlying biological pathologies, and resulting impairments and disabilities. Therefore, psychological and social factors may be neglected, resulting in an unbalanced, fragmented, and incomplete approach to …

International Occupational Therapy Faculty Perceptions Regarding Doctoral Level Education, Bernadette Mineo, Beth Hathaway, Monali Kadkade

The Open Journal of Occupational Therapy

Over the past decade a debate has ensued in the US regarding the clinical doctorate in occupational therapy (OT) and whether to require a doctorate to become an occupational therapist. Little discussion has occurred regarding the potential implications on the global community of occupational therapists, and there have been no attempts to ascertain the views of international OT faculty and practitioners. This study surveyed international OT faculty regarding their perceived need for and value of graduate education, particularly at the doctoral level, for OT faculty and practitioners in their countries. Fifty-three OT faculty from WFOT approved programs in eight countries …

Burnout Among Filipino Occupational Therapists: A Mixed Methods Analysis, Rod Charlie Delos Reyes

The Open Journal of Occupational Therapy

Background: There is a shortage of practicing occupational therapists in the Philippines, with approximately one Filipino occupational therapist per 30,000 stakeholders. One of the possible consequences is the experience of burnout among therapists.

Method: A two-phase mixed methods study using a sequential explanatory approach was used. The first phase involved the administration of the Maslach Burnout Inventory – Human Services Survey (MBI-HSS) with a survey questionnaire that supplied demographic and work-related factors through an online platform. The results were analyzed using frequency distribution and measures of central tendency. Relationships were analyzed using Spearman’s Rho and Cramer’s V. The second phase …

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, …

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 …

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 …

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.

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

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 …