Occupational Therapy Commons^™

Exploring The Necessity For A Community-Based Driver Rehabilitation Program Within The Chicago Southland Area: The Physician's Perspective, Luther King

Research Days

Individuals who experience neurological, visual, or physical deficits in function may have difficulty driving. Limitations in driving can lead to isolation and a decreased quality of life. Limitations in community mobility can also impact an individual's activities of daily living. Driver rehabilitation helps individuals with an impairment to achieve their highest level of independence in community mobility through operating a motor vehicle or other forms of transportation. In a previously conducted research study we found that there is a lack of referrals and communication from physicians regarding driver rehabilitation programs. This research project aims to assess physicians' knowledge and perceptions …

New & Current Non-Invasive Occupational Therapy Interventions In Post Stroke Rehabilitation, Cynthia Carr, Jaclyn Robbins, Genevieve Marion

Research Days

Occupational therapy practitioners use neuro-rehabilitative interventions to treat patients, post-stroke, across a continuum of care in the United States. New and current evidence-based interventions are being used in a variety of settings to treat patients. The objective of this study was to identify which new and current neuro-rehabilitative interventions approaches were being utilized by occupational therapy practitioners throughout the U.S., in their practice for patients who have experienced stroke. To achieve this a nationwide, anonymous online survey conducted by occupational therapy graduate students was delivered to members of the Illinois Occupational Therapy Association and the American Occupational Therapy Association through …

Frailty Assessment In Prospective Lvad Candidates: An International Survey, Malachy Clancy, Phd, Otr/L, Bcpr, Sarah Schroeder, Phd, Acpn-Bc, Msn, Rn, Aacc, Yu Wu, Dnp, Agacnp

Department of Occupational Therapy Posters and Presentations

Introduction

• The concept of frailty, initially developed in geriatrics, has recently been applied to individuals with heart failure (HF) and is recognized as an essential measure for prognostication of health status and predicting health outcomes
• Frailty remains highly prevalent, ranging between 56-79% in those undergoing left ventricular assist device (LVAD) evaluation¹ and is associated with poor postoperative outcomes.²
• Since little is known about frailty assessment and instruments used, this study aimed to evaluate institutional assessment processes of frailty during evaluation and the implications of frailty in LVAD eligibility.

Cultural Competence With Humility: A Pre-Post Cohort Study Of Student Self-Assessments, Michele L. Tilstra, Cara A. Berg-Carramusa, Karen M. Keptner, Tiffany J. Peets

Internet Journal of Allied Health Sciences and Practice

Purpose: The intent of this study is to examine how Master of Occupational Therapy (MOT) and Counseling and Human Development (CHD) graduate students who experienced Counselors and Occupational Therapists Professionally Engaged (COPE) in the Community program perceived their self-evaluation of cultural competence with humility (CCH) constructs (cultural awareness, skills, knowledge, and desire) from pre- to post-experience. Methods: Using a pre-/post-test cohort design, researchers used the Modified Cultural Competency Self-Assessment (M-CCSA) to determine if there were changes in ratings after students completed a novel training program. Results: Twenty-five students completed the pre-/post- survey. Overall, the mean M-CCSA total and …

The Perceived Benefits Of International Travel For Occupational Therapy Practitioners Who Have Traveled Internationally, Rebecca L. Mannel, Jennifer Calabrese, Megan Pappan, Anthony Dissen

Internet Journal of Allied Health Sciences and Practice

Purpose: This qualitative study aimed to examine the perceived benefits of international travel for occupational therapy practitioners who have traveled internationally during their occupational therapy education or career. To succeed, healthcare professionals must have various personal and clinical skills, including providing quality care to diverse populations. They must have cultural competence, which includes cultural humility and cultural sensitivity. Methods: A purposive, convenience sampling was used through a network of occupational therapy practitioners who had previously traveled abroad either as occupational therapy students or as licensed occupational therapists and participated in education, clinical experience, work experiences, or volunteer experience related to …

Barriers And Facilitators To Enhance Interprofessional Education For Rehabilitation Science Graduate Students, Mary A. Riopel, Kimberly Wynarczuk, Taylor Grube

The Qualitative Report

Interprofessional education (IPE) aims to develop healthcare practitioners who work effectively in teams, demonstrate strong communication skills, respect others, and have a working knowledge of the roles and responsibilities of other professionals. Of identified research to date, it is unclear what students perceive as important for effective IPE delivery and learning. The purpose of this study was to identify graduate students' perceptions of facilitators and barriers to learning interprofessional practice using phenomenology. Three semi-structured focus groups were conducted including athletic training, occupational therapy, or speech-language pathology students and the transcripts were analyzed using thematic analysis. Four themes emerged about IPE …

Age-Related Changes In The Neural Gating Of Respiratory Sensations In Humans, Wen-Pin Chang, Kai-Jie Liang, Chia-Hsiung Cheng, Chia-Yih Liu, Andreas Von Leupoldt, Pei-Ying S. Chan

Occupational Therapy Faculty Publications and Presentations

Background: Neural gating of respiratory sensations (NGRS) characterises the brain's ability to filter out repetitive respiratory sensory stimuli. This mechanism plays a crucial role in the neural processing of respiratory stimuli. However, whether ageing affects NGRS in healthy adults is still unclear. Therefore, we aimed to measure the effect of age on NGRS as well as the corresponding S1 and S2 components of the respiratory-related evoked potentials (RREPs).

Methods: Three age groups of healthy adults participated in this study: a young group (YG; age 20-39 years), a middle-aged group (MG; age 40-59 years) and an old group (OG; age ≥60 …

Occupational Therapy’S Opportunity To Impact Care At The End Of Life, Macey Genzlinger, Mackenzie L. Feldhacker

Student Journal of Occupational Therapy

Navigating and managing the end of life can be difficult. The focus of occupational therapy in care at the end of life is to aid the patient and caregiver through these challenges by facilitating improved safety, comfort, and quality of life through the participation in meaningful occupations. Despite the ways that occupational therapy benefits these patients, occupational therapy involvement in care at the end of life is misunderstood, under-researched, and underutilized. There is a general lack of awareness regarding this topic and a stigma that occupational therapy focuses only on rehabilitation and therefore does not belong in care at the …

What Is Task-Oriented Training? A Scoping Review, Erin Halford, Samantha Jakubiszak, Kassidy Krug, Amanda Umphress

Student Journal of Occupational Therapy

Task-Oriented Training (TOT) is an proven stroke rehabilitation intervention with significant evidence-based research that supports its effectiveness. The absence of a clear definition has led to variability in research reporting and subsequent confusion with practical implementation. A consistent definition seeks to remedy this ambiguity to facilitate knowledge translation. The objective of this study was to determine a comprehensive definition of TOT that encapsulates previous definitions and descriptions in the literature. In order to derive this definition, a two stage scoping review process was conducted across four databases searching for articles on the use of TOT in adult stroke rehabilitation therapy. …

Artworks: Art As Occupation, Erin Barrus

The Open Journal of Occupational Therapy

A collaborative effort from various artists at MRC artWorks located in Kalamazoo, MI contributed to the cover art for the Winter 2024 issue of the Open Journal of Occupational Therapy (OJOT). MRC Industries is a non-profit organization that focuses on supporting individuals with developmental disabilities, cognitive or emotional impairments or illnesses, and people who have experienced traumatic brain injuries. One particular program has become a staple in the Kalamazoo community – MRC artWorks, a professional working art studio for adults with disabilities to learn skills, both physical and emotional, through art instruction and art-making.

Exploring The Spiritual Alliance Of Maintaining A 5-Acre Tropical Farm Through The Lens Of Occupational Engagement, Jose Rafols, Amy Wagenfeld

The Open Journal of Occupational Therapy

Large-scale commercial farmers and small scale “hobby” farmers engage in growing crops for subsistence and survival for themselves, their families, communities, and beyond. Their reverence and passion for farming make them good stewards of both community and world population nourishment. We suggest there may be a collective physical, emotional, and spiritual draw to farming that is interwoven with occupational engagement. Through a personal narrative approach, we reflect on the meaning and the work-focused occupation of farming and specifically how spirituality may be a guiding force that supports engagement despite seemingly insurmountable environmental and personal hardships. With an increasing interest in …

Occupational Therapists' Role In Sexual Education For Teens And Young Adults Living With Autism Spectrum Disorder, Taylor M. Urban, Reeti R. Douglas

The Open Journal of Occupational Therapy

Teens and young adults living with autism spectrum disorder (ASD) do not have equal access to sexual education, thus having lower sexual awareness, little knowledge of preventative sexual health care, and having a more difficult time reading sexual body language (Hannah & Stagg, 2016; Holmes et al., 2019; Mogavero & Hsu, 2020). Deficits in these and many other skills may make it more challenging for teens and young adults living with ASD to engage in an intimate or sexual relationship with a consenting partner. Skilled intervention on the occupation of sexual activity and its related dimensions, such as communication and …

Outcomes Of The Nurosleeve And Occupational Therapy On Upper Limb Function Of An Individual With Chronic Hemiparesis Following A Stroke: A Case Report, Nicole M. Gerhardt, Jeremy P. Armstrong, Mijail D. Serruya, Mj Mulcahey

The Open Journal of Occupational Therapy

Background: Upper limb neuromuscular impairments can adversely impact function. This case report investigates the process and outcomes of occupational therapy (OT) for training in the use of the NuroSleeve, a novel research-grade exoskeletal powered orthosis, with a participant with chronic right hemiparesis following a stroke.

Method: The participant engaged in 24 OT sessions using the NuroSleeve over 10 weeks. Therapeutic interventions included neuromuscular reeducation, device management, and engagement in occupation-based activities with training to use the NuroSleeve. The Canadian Occupational Performance Measure (COPM), ABILHAND, Patient Reported Outcomes Measurement Information System Upper Extremity Short Form 7a (PROMIS UE SF), …

Covid-19 Pandemic’S Effect On Occupational Therapy Students’ Time-Use And Occupational Engagement On Returning To In-Person Learning, Jhannell Hannah D. Ocampo, Susan Macdermott, Karen Mccarthy

The Open Journal of Occupational Therapy

The COVID-19 pandemic emotionally and physically impacted students in occupational therapy and occupational therapy assistant programs. College students lost autonomy and access to meaningful occupations and environments. As students returned to campus, they struggled to navigate and adapt to in-person occupations and how they use their time. This study uses a mixed method descriptive research design to understand how the pandemic affected occupational therapy students' time-use and occupational engagement during the transition to in-person learning. Seventy-three students completed an online survey, while 12 of those students additionally participated in a follow-up time-use diary and interview. Eighty-three percent of the participants …

Osces’ Impact On Occupational Therapy Student Learning: Insights From Second- And Third-Year Focus Groups, Craig R. St. Jean, Karin Werther, Mary R. Roberts

The Open Journal of Occupational Therapy

Background: Objective Structured Clinical Examinations (OSCEs) are widely used in health programs to assess clinical skills. We present results of a qualitative study investigating occupational therapy students’ perceptions of OSCEs’ impact on their learning and readiness for clinical practice.

Method: Six second and six third year students in the University of Alberta’s Master of Science in Occupational Therapy program were interviewed in separate focus groups. Independent reviewers applied thematic analysis to the focus group transcripts to identify, analyze, and report themes in the data.

Results: Five themes were constructed from the data: from learning to action, transition …

Hand Strength Changes Following A Clinical Rotation In Hand Therapy: A Pilot Study, Gretchen L. Bachman, Josh Macdonald, Rhian Sage

The Open Journal of Occupational Therapy

Background: Hand therapy clinical rotations are 12 weeks, and one common anecdotal change frequently expressed is an increase in hand strength. Quantifiable measures of change are not documented in the literature. The purpose of this study is to determine if students experience significant increases in strength during a clinical rotation.

Methods: This study is a quasi-experimental, double-blinded, non-randomized sample of convenience. Grip and pinch strength were assessed pre, mid, and post clinical rotation. Demographic data were collected and reported. Paired t-tests were used to compare means between groups. SPSS 27.0 was used for data analysis.

Results: After …

Predictors Of General Well-Being In Postprofessional Students Of Occupational Science And Occupational Therapy, Elena Wong Espiritu, Paul E. Yeatts, Cynthia L. Evetts

The Open Journal of Occupational Therapy

Background: Doctoral students experience decreased well-being during their educational experience. Self-compassion, engagement in meaningful occupations, and occupational balance positively impact well-being in individuals. This study examined the relationships between these constructs in postprofessional occupational science and occupational therapy students.

Method: This quantitative cross-sectional study collected national survey data (N = 113) using the Self-Compassion Scale – Short Form, the Engagement in Meaningful Activities Survey, the Occupational Balance Questionnaire 11, and the 14-item Scales of General Well-Being. Multiple linear regression analysis determined how well each construct predicted general well-being and the strength of each construct’s relationship compared to other …

A Scoping Review Of Universal Design For Learning In United States Allied Health & Medical Education, Karolina Gawron, Madison Tomlinson, Nicole Mohan, Laura H. Vanpuymbrouck

The Open Journal of Occupational Therapy

Background: Universal design for learning (UDL) is considered best-practice for embracing inclusion for students with disabilities and there is growing evidence of its effectiveness in primary, secondary, and postsecondary education. However, little is known about if and how UDL is being implemented into United States graduate allied health and medical school curriculum as well as evidence of its benefits.

Method: We used Arksey and O’Malley’s (2005) methodological framework. Search engines were: PubMed, CINAHL Complete, ERIC, GoogleScholar, and Scopus. Data were analyzed by the research team using Covidence to organize articles, screen, and complete a full-text review. Data extraction …

Practice And Recommendations For Universal Design For Learning In Occupational Therapy Client Education, Heather L. Panczykowski, Lynne F. Murphy, Victoria Christmas, Whitely Macintyre

The Open Journal of Occupational Therapy

Background: Universal Design for Learning (UDL), an educational framework that describes flexible approaches to teaching and learning, can be used to address problems related to limitations in health literacy in health care settings.

Methods: This exploratory observational study, using a web-based online survey, was undertaken to discern how occupational therapists use the principles of UDL in educating their clients and to determine if differences exist between degree type or practice settings and UDL implementation.

Results: Of the 147 respondents only 30.6% indicated prior awareness of UDL principles. The most frequently cited means of client engagement were displaying …

Perspectives On Adaptation In A Stroke Self-Management Program: A Multiple Case Study, Riqiea F. Kitchens, Gayle Hersch, Wayne Brewer, Marsha Neville

The Open Journal of Occupational Therapy

Background: Occupational Adaptation occurs when a person develops a response to meet an occupational challenge. This process is disrupted when a person experiences a life altering event, such as stroke. Stroke self-management programs equip persons with stroke with education and skills to manage the daily tasks associated with their condition. Few studies have explored the adaptive process survivors experience as they seek to effectively use the tools provided through stroke self-management programs. The objective was to explore the adaptive process of three individuals following participation in a stroke self-management program.

Method: A multiple case study design was used. …