Browsing by Author "Chase, Tony"

Now showing 1 - 10 of 24
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    Accessibility Guidelines for Increasing Independence in Daily Life for Children with Disabilities
    (2023-04-30) Prentice, Alex; Hull, Kristin; Department of Occupational Therapy, School of Health and Human Sciences; Chase, Tony
    There is often a gap between how the environment is designed and what individuals with disabilities are able to do (Solvang & Haualand, 2014). I analyzed the limitations of the Americans with Disabilities Act (ADA) as it applies to all areas of disability. Universal design is a good alternative to design recommendations from ADA as it strives to design for all people regardless of ability level. Universal design concepts and recommendations from an architect and disabled self-advocates were combined to create accessibility guidelines that surpass the limitations of the ADA. These guidelines were presented to a group of caregivers of children who use wheelchairs. Feedback received from the caregivers indicated that the guidelines will be used to assist them in making home modifications. The guidelines will continue to be updated and annually given to caregivers of participants in a community-based wheelchair skills program.
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    Advancement of Clinical Skills in Inpatient Pediatric Psychiatry
    (2022-05-05) Pence, Grace; Sego, Daniel; Chase, Tony; Department of Occupational Therapy, School of Health and Human Sciences; Patrick, Kathleen
    Cincinnati Children’s Medical Hospital Center is widely known as a national leader in pediatric medical care. This capstone project advances the gap in services with evidenced-based, health-literate educational handouts for pediatric psychiatry. The educational handouts were evaluated by a team of occupational therapists. The capstone student gained clinical skills to advance the profession of occupational therapy by being equipped to address mental health in any setting. The skills advanced included delivering care through group therapy, individual treatments, and administering standardized assessments. The capstone student served as a member of a team of therapists to promote translational knowledge and standardized care. This capstone project brings insight into the work occupational therapists do at Cincinnati Children’s College Hill Campus.
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    Caregiver-Focused Evaluations to Assist Therapists in Addressing Family Mealtime Stress: A Doctoral Capstone Project
    (2022-05-02) Lentz, Jordan N.; Chase, Tony; Department of Occupational Therapy, School of Health and Human Sciences; Wasemann, Colleen
    This paper will discuss the doctoral capstone process and evaluate the findings of a quality improvement project focused on implementing mealtime-focused assessments with caregivers for therapists to better address the mealtime stress of families, thus creating caregiver-focused evaluations. Before beginning this study, a needs assessment was conducted at Feeding Friends, a pediatric feeding clinic in Indianapolis, to identify gaps in caregiver-focused evaluations within this organization. From there, a comprehensive literature review was conducted to further examine assessments and evidence-based strategies used in therapy to address mealtime stress in families of children with disabilities. Finally, a 14-week study took place examining the effectiveness of two different mealtime-focused assessments in better informing therapists of caregiver stress during the mealtime process. The therapists then completed pre-and post-surveys allowing the researchers to gather information regarding the use of the assessments as well as potential sustainability plans. Through these assessments, therapists successfully applied results to clinical practice while better addressing communication, goal development, and guidance with caregivers; therefore, resulting in improved caregiver-focused evaluations. Overall, therapists found the Wasemann Confidence Rating Scale to be the most beneficial assessment in achieving this goal.
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    Decreasing Phantom Limb Pain for Amputees with Phantom Limb Pain and Brachial Plexus Avulsions Through Various Therapy Interventions: A Systematic Review
    (2021-04-30) Stevens, Sydney; Hoseinpour, Niki; Martin, Kylee; Stuckwisch, Devin; Barker, Haylee; Kramer, Martina; Chase, Tony; Department of Occupational Therapy, School of Health and Human Sciences
    This rapid systematic review of the literature discusses the evidence of studies related to effective occupational therapy interventions in reducing phantom limb pain (PLP) due to amputations and brachial plexus avulsions (BPA). This review provides a comprehensive overview and analysis of 30 studies that addressed many of the interventions commonly used in phantom limb pain rehabilitation. Phantom limb pain is a painful sensation perceived in the absence of a limb or in a deafferented limb. Suffering from acute or chronic pain can decrease engagement and performance in meaningful occupations. Overall, we found moderate evidence to support the effectiveness of various therapy interventions for decreasing PLP in individuals with amputations and BPAs.
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    Doctoral Capstone Report: Understanding Cravings and Triggers in Students Attending a Recovery High School in a COVID-19 Era
    (2022-05-01) Wisser, Breanna; Bednarski, Julie; DeRolf, Annie; Chase, Tony; Wilburn, Victoria; Department of Occupational Therapy, School of Health and Human Sciences; Wilburn, Victoria
    The adolescent population continues to be one of the most vulnerable at-risk populations for developing a substance use disorder (SUD), however only 0.3% of diagnosed adolescents receive the necessary treatment to begin the journey of recovery (National Center for Drug Abuse Statistics, 2020). To date, there is limited literature surrounding the real-life barriers to recovery individuals face daily. Accurately understanding recovery in the context of the daily lived experience would assist in person-centered evaluation and intervention. By utilizing a daily data collection method, ecological momentary assessment (EMA), researchers are able to identify and assess barriers to recovery in a timelier manner. The identified objective of this study was to evaluate the feasibility of using EMA as a data collection method and how well it works to richly understand the lived experiences of adolescents in recovery and inform effective supports for this population.
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    Effect of Virtual Reality Interventions on Occupational Participation in Stroke Patients: A Rapid Systematic Review
    (2023-05-04) Gillen, Grace; Huff, Nichole; Messenger, Elizabeth; Russell, Rachel; Butcher, Madison; Chase, Tony; Sego, Daniel; Department of Occupational Therapy, School of Health and Human Sciences
    This rapid systematic review of the literature examines the literature on effective occupational therapy virtual reality (VR) interventions in rehabilitation of individuals poststroke. This review provides a comprehensive overview and analysis of 25 studies that addressed common themes, including: upper extremity (UE) mobility, functional outcomes, Quality of Life (QoL), and functional performance, related to increasing occupational participation through VR. Findings reveal moderate strength of evidence for the use of VR interventions, in addition to conventional occupational therapy (OT), in supporting individuals’ occupational performance and relative, functional factors contributing to participation in occupations, among individuals following a stroke. This review supports the use of VR interventions for individuals poststroke due to their innovativeness, adaptability, and ability to simulate real-life activities of daily living (ADLs), and supports the use of occupation-based VR interventions which can inform and guide intervention approaches for OT practitioners working in stroke rehabilitation.
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    The Effect of Wheelchair Skills Training on Increasing Participation among Manual Wheelchair Users Compared to the Standard of Care: A Rapid Systematic Review
    (2023-05-04) McCoy, Sarah; Brubaker, Zoe; Seigel, Brynn; Murtiff, Sam; Meier, Morgan; Chase, Tony; Sego, Daniel; Department of Occupational Therapy, School of Health and Human Sciences
    This rapid systematic review examines the literature on effective wheelchair skills training targeting occupational participation in full-time wheelchair users. Wheelchair users are often faced with the challenge of limited accessibility due to an onslaught of physical barriers in their environments. An important goal of rehabilitation is participation, which is a complex construct that requires autonomy for the operationalization of participation. Knowledge of how to provide those who rely on wheelchairs as their primary means of mobility with skills training programs and environmental adaptations can strengthen autonomy and lead to increased occupational participation in their desired occupations and daily activities. In this systematic review, we utilized research databases to determine the effect of wheelchair skills training and alternative training methods on participation among manual wheelchair users. Findings reveal moderate strength of evidence for the use of wheelchair skills training in enhancing participation among wheelchair users.
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    Effectiveness of Occupational Therapy Approaches for Feeding in Early Intervention: A Rapid Systematic Review
    (2023-05-05) Barrett, Mackenzie; Bullard, Kelsie; McGee, Alexis; Pisockyj, Mariah; Pulos, Emily; Sego, Daniel; Chase, Tony; Department of Occupational Therapy, School of Health and Human Sciences
    Objective Newborns are admitted to the NICU for multiple reasons that require services. Feeding difficulties is an aspect of care that many NICU babies present with that require care from a multidisciplinary team. The objective of this study was to evaluate the effectiveness of numerous OT feeding interventions on the infants’ ability to feed independently compared to one that does not receive OT services. Study design The study was conducted as a RSR using a software called Covidence. There were 3,189 articles uploaded to screen in Covidence and one additional article individually uploaded. From those articles a full text review was completed including 50 articles which then resulted in 24 articles which were included in the RSR from the initial search. Total, there were 25 articles included: 24 from Covidence and one individually uploaded. Results This study aimed at examining numerous feeding interventions approaches to increase independence in feedings. Multisensory stimulation was found to have a significant increase in weight gain compared to groups receiving a different approach. Infants exposed to a soothing noise while feeding had an increase in sucking rates compared to infants that were not exposed to sound. Infants that received an odor-based intervention approach of being exposed to a food related scent were shown to have a decreased length in time until full feedings and shorter hospital stays. Infants who received skin to skin contact 60 minutes after birth had no difference shown but ones that received skin to skin contact immediately after had a higher breastfeeding and sucking scores. Parents that received caregiver education on feeding and positioning were shown to have less feeding difficulties, appropriate positioning of the baby during feedings, and improved bonding relationships with infants. Adaptive equipment such as nipples for feeding were analyzed and showed moderate improvement of feeding performance. Studies that used various approaches of oral motor stimulation showed a decreased hospital stay, improved feedings, and weight gain. Conclusion Numerous approaches of intervention to improve feeding performance on infants were reviewed in the RSR. Studies concluded an improvement in one or more outcomes measure of weight gain, improved performance, sucking ability, relationship, and decreased hospital stay. Further research could be conducted to enhance reliability of the intervention approaches due to limited population sizes, geographical differences, and wider age range evaluated.
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    Effectiveness of Occupational Therapy Interventions to Promote Social Participation in Children and Young Adults with Autism Spectrum Disorder
    (2023-05) Chelmella, Payton; Jackman, Ellie; Negash, Shushan; Richardson, Nicole; Vaccaro, Hannah; Chase, Tony; Sego, Daniel; Department of Occupational Therapy, School of Health and Human Sciences
    A systematic review of the literature related to effective occupational therapy interventions on socialization for children and adolescents with Autism Spectrum Disorder (ASD). This review provides a comprehensive overview and discussion of 25 studies that addressed the variety of interventions that can be used when targeting social skills including sensory integration, animal-assisted interventions, technology, play, school-based, and caregiver-assisted interventions. The findings reveal that the use of these interventions is clinically significant yet there is limited evidence to support generalizability to the population. This review supports the premise that children and adolescents with ASD who experience socialization challenges as compared to typically developing peers can improve their social skills through these interventions.
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    Effectiveness of Psychosocial Occupational Therapy Interventions in Promoting Occupational Performance for Individuals with Serious Mental Illness: A Rapid Systematic Review
    (2023-05-05) Stephenson, Sally; Gurevitz, Shelley; Hamilton, Jessica; Mays, Mallory; Claybon, Anna; Sego, Daniel; Chase, Tony; Department of Occupational Therapy, School of Health and Human Sciences
    This rapid systematic review discusses the current evidence of studies related to occupational therapy interventions in improving the occupational performance of those diagnosed with a Serious Mental Illness (SMI). Psychosocial interventions are one of the main ways that participation and performance in occupations can be addressed within the occupational therapy treatment of individuals with SMI. In those who have an SMI, occupational performance and participation can be impacted due to symptomology and by the stigma of living with SMI, ultimately leading to occupational injustice. The current review analyzed 25 studies that implemented a psychosocial intervention in their treatment for those diagnosed with an SMI. The review identified three categories of psychosocial interventions (cognitive-based, skills training, and occupation-based) with six subcategories: metacognition, cognitive remediation, psychoeducation, social skills, life skills, and vocational rehabilitation. Findings reveal a strong level of evidence for the use of psychosocial interventions in supporting occupational performance and ultimately increasing occupational justice for individuals with SMI. The current review supports the use of psychosocial intervention approaches which can guide occupational therapy practitioners working with SMI populations.