Sally Wasmuth

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https://hdl.handle.net/1805/48699

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Browsing Sally Wasmuth by Author "Belkiewitz, Johnna"

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    Gender as Occupation: The "Doing" of Authentic Expression and Reciprocally Affirming Care for Transgender Individuals
    (WMU, 2023) DeRolf, Annie; Belkiewitz, Johnna; Wasmuth, Sally; Occupational Therapy, School of Health and Human Sciences
    The current predominant view of gender as binary, alongside limited training of affirmative care practices, is severely and negatively impacting transgender and gender diverse (TGD) people. This paper urges the re-conceptualization of gender as an occupation, suggesting that gender is a doing that allows for positive identity development, roles, habits, and routines. Doing gender facilitates meaning-making and the ability to engage in other occupations. However, occupational injustices rooted in discrimination, stigma, and/or implicit biases impede TGD people’s ability to engage in the doing of gender and other occupations. Articulation of conceptual guidelines and interventions to support TGD people’s ability to do gender and other occupations is a critical area of need in occupational therapy literature and practice. In accordance with the profession’s ethical mandate to promote occupational justice, it is critical that occupational therapists become educated and involved in providing affirmative services to support occupational participation for this population.
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    Knowledge, Confidence, & Competence: Utilizing Personal Narrative as a Pedagogical Tool for Educating Professional Healthcare Students about Local Lead Involvement
    (2023-04-28) Belkiewitz, Johnna; Wasmuth, Sally; Department of Occupational Therapy, School of Health and Human Sciences; Wasmuth, Sally
    Community-based occupational therapy provides a unique opportunity for practitioners to listen and respond to the needs that are most pressing in local communities. In Marion County, Indiana, lead exposure and resulting negative health consequences should be of major concern to local residents and healthcare providers, as many homes are older and at-risk for lead-based paint and corroded water piping and lead soil contents are high due to historical locations of lead-based product factories (United States Commission on Civil Rights, 2020); however, few local professional healthcare educational programs focus on equipping students with lead toxicity knowledge regarding symptomology, treatment, and legislative mandates for testing schedules, putting community members at high-risk for continued exposure. This 14-week doctoral capstone utilized community-based occupational therapy methods to address these issues, creating and disseminating a videoed narrative-based theater pedagogical tool to educate professional healthcare students and advocating for the profession’s unique role in addressing lead exposure. The intervention consisted of a 35-minute video, produced from community interviews and utilizing narrative medicine techniques, and a virtual lead toolkit for students to implement in future client care. Mixed methods data analysis found significant learning outcomes of occupational therapy students who engaged in the intervention. The products of this doctoral capstone are being broadly shared through professional publication and widespread community distribution of a modified version of the intervention.
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    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 Sciences
    Background: 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.