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Browsing Department of Occupational Therapy Works by Author "Belkiewitz, Johnna"
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Item Measuring Impact: A Collaborative Community Project to Measure Peace Building(IUPUI, 2022-06-22) Belkiewitz, Johnna; Flores, Jessica; Hernandes, Jocelyne; Prentice, Alex; Smith, Rachel; Batts, Dountonia; Garcia Wilburn, Victoria; Occupational Therapy, School of Health and Human SciencesPeace is a prerequisite for creating an environment in which all people have the capacity to live safe and productive lives and to engage in meaningful activities and occupations; however, creating caring communities and measuring the impacts of peace is a challenge. To address this concern, nonprofit organizations strive to promote equity and justice by engaging in both direct service and advocacy work. One local nonprofit, the Peace Learning Center, works to promote peace in the Indianapolis community through a variety of innovative educational and advocacy programs, including equity learning, restorative practices, social emotional learning, and family learning. Uniquely, occupational therapists engaging in community-based work provide a lens through which key environmental factors, such as peace, are viewed as vital in consideration of the context surrounding a person and provide a perspective of how peace can affect the tasks and performance in which people are able to engage. Through a semester-long collaborative partnership, Indiana University occupational therapy doctoral candidates and the Peace Learning Center conceptualized peace and created implementable tools for measuring the impacts of the nonprofit’s efforts on peace building in the Indianapolis community. The following outlines the evaluative process that the student group performed and provides replicable tools and recommendations for surveying peace building impacts in K-12 restorative justice programming. By implementing these peace-measuring assessments, the Peace Learning Center will be able to gather both qualitative and quantitative data about perceived safety, violence, and peace from youth and parents in the communities that the organization serves. Recognizing the need for program evaluation, occupational therapy students have provided the Peace Learning Center with vital outcome measures that can lead to program remodeling, content recreation, and improved training, resources and follow up for facilitators, all within the profession’s scope of practice in the community-based realm.Item Protocol for evaluating external facilitation as a strategy to nationally implement a novel stigma reduction training tool for healthcare providers(BMC, 2022-08-12) Wasmuth, Sally; Belkiewitz, Johnna; Bravata, Dawn; Horsford, Caitlin; Harris, Alex; Smith, Carlton; Austin, Charles; Miech, Edward; Occupational Therapy, School of Health and Human SciencesBackground: Identity Development Evolution and Sharing (IDEAS) is a theatre-based intervention for reducing healthcare provider stigma. IDEAS films are created by collecting narratives from people who have experienced discrimination and healthcare inequity, partnering with professional playwrights to create theatrical scripts that maintain the words of the narratives while arranging them into compelling storylines involving several interviews, and hiring professional actors to perform and record scenes. IDEAS implementation requires a moderator to establish a respectful learning environment, play the filmed performance, set ground rules for discussion, and moderate a discussion between healthcare providers who viewed the film and invited panelists who are members of the minoritized population being discussed. IDEAS' impact on provider stigma is measured via pre/post Acceptance and Action Questionnaire - Stigma (AAQ-S) data collected from participating providers. The objectives of this manuscript are to provide narrative review of how provider stigma may lead to healthcare inequity and health disparities, describe the conceptual frameworks underpinning the IDEAS intervention, and outline methods for IDEAS implementation and implementation evaluation. Methods: This manuscript describes a hybrid type 3 design study protocol that uses the Consolidated Framework for Implementation Research (CFIR) to evaluate external facilitation, used as an implementation strategy to expand the reach of IDEAS. CFIR is also used to assess the impact of characteristics of the intervention and implementation climate on implementation success. Implementation success is defined by intervention feasibility and acceptability as well as self-efficacy of internal facilitators. This manuscript details the protocol for collection and evaluation of implementation data alongside that of effectiveness data. The manuscript provides new information about the use of configurational analysis, which uses Boolean algebra to analyze pathways to implementation success considering each variable, within and across diverse clinical sites across the USA. Discussion: The significance of this protocol is that it outlines important information for future hybrid type 3 designs wishing to incorporate configurational analyses and/or studies using behavioral or atypical, complex, innovative interventions. The current lack of evidence supporting occupational justice-focused interventions and the strong evidence of stigma influencing health inequities underscore the necessity for the IDEAS intervention.