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Browsing by Author "Belkiewitz, Johnna"
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Item Evidence for the Effectiveness of Occupation-Based Interventions to Improve Social Participation for School-Aged Autistic Children: A Rapid Systematic Review(2021-05-05) Hernandez, Jocelyne; Belkiewitz, Johnna; Feldman, Anna; Payne, Chafin; Smith, Cassie; Taylor, Abigail; Chase, Anthony; Department of Occupational Therapy, School of Health and Human SciencesA rapid systematic review of the literature was conducted to review effective occupational therapy interventions for promoting social participation in children with autism spectrum disorder (ASD) was conducted as part of the Evidence-Based Literature Review Project of the American Occupational Therapy Association. This review provides a comprehensive overview and analysis of 30 studies that addressed many of the occupation-based interventions commonly used for children with ASD. Findings reveal that the use of occupation-based activities has reasonable, yet limited evidence to support its effectiveness in increasing social participation within this population. This review supports the premise that many client factors can be positively affected through the use of several commonly used occupational therapy–related modalities and methods. Further research should be conducted assessing the implementation of these interventions by occupational therapy practitioners to ensure generalizability. The implications for occupational therapy practice, research, and education and limitations of reviewed articles are presented within this systematic review.Item Implementation of a Wellness Exploration Group for Women with Substance Use Disorder(2024-05) Mathieu, Hannah; Belkiewitz, Johnna; Department of Occupational Therapy, School of Health and Human Sciences; Young, NikoleIndividuals with substance use disorders are heavily impacted in participation and performance of their daily activities due to the neurobiology, occupational deprivation, and occupational balance barriers. In the theory of addiction as occupation, individuals with substance use disorder are more likely to relapse if their addiction is not recognized as an occupation (Wasmuth et al., 2014). When addiction is removed from their daily routines an occupational deprivation is created and must be addressed for success in recovery (Wasmuth et al., 2014). The capstone student implemented a wellness exploration group focused on meeting adult female residents at a recovery house where they were at with their recovery process. Wellness exploration groups concentrated on resident-identified leisure, social participation, and self-care activities on a weekly basis. The intent of group meetings was to improve quality of life, well-being, and occupational balance while also addressing occupational deprivation with occupational replacement of healthy lifestyle activities. Outcome data was collected through a survey composed with the PROMIS database. The survey was administered before group implementation and after group implementation in aggregate. The results of this project indicated an improvement in quality of life, well-being, and occupational balance through survey dissemination and verbal comments. This further demonstrated the important role that occupational therapy can play in treatment for substance use disorder.Item 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, SallyCommunity-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.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 Promoting Family Engagement in a Community Setting for Children Impacted by the Substance Use Disorder of a Family Member(2024-05) Greenwell, Conner; Belkiewitz, Johnna; Department of Occupational Therapy, School of Health and Human Sciences; McFadden, RachelIndividuals caring for children impacted by the substance use disorder of a family member are often less able to participate in valued occupations, specifically social participation, and they lack a community in which they feel supported and understood. The capstone student collaborated with Camp Mariposa Aaron’s Place in Indianapolis, IN and Mitchell, IN, with the purpose of promoting family and peer engagement for caregivers of children who attend this program. The student identified a gap in current research on how to best support caregivers of children affected by the substance use disorder of a family member. The main component of this project was evaluation and further development of Camp Village Council, a support program for family members of children who attend Camp Mariposa Aaron’s Place. The student created an intervention binder, educational modules, and educational handouts to promote connectedness between group members and to provide caregivers with an improved ability to carry over what kids are learning at camp into the home. Another component of this project was supplemental programming of family events to promote family engagement. Overall, results suggest that groups facilitated by the student and materials created by the student had a positive impact on the Camp Village Council participants and program as a whole. Results were mixed on the impact of supplemental programming.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.Item Supporting Development for Children in a Family-Centered Recovery Home Setting: A Play-Based and Educational Program(2024-04-21) Leonard, Erin; Belkiewitz, Johnna; Department of Occupational Therapy, School of Health and Human Sciences; Young, NikolePlay is a child’s most important occupation. Through play, children develop fine motor and gross motor skills, social skills, and independence. Occupational therapists have a role in addressing play development and caregiver education in many settings, including family-centered residential recovery housing. Research has established that children impacted by parental substance use often experience developmental delays impacting play engagement. Barriers to age-appropriate play participation include parental lack of experience and education on developmental milestones and age-appropriate activities. The capstone student collaborated with the site to develop and implement a play-based and educational program with the purpose of encouraging developmentally appropriate play engagement for the children residing in the recovery home. The goal of this program was to target caregiver confidence and satisfaction in promoting developmentally appropriate play for their children. Results of the study indicate the staff and participants were satisfied with the implemented program and experienced improved confidence and competence in facilitating the development of their children following program implementation.