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Browsing by Author "Sego, Daniel"
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Item Academic Achievement & Parent Engagement in Latinx Families(2022-05-02) Ortega Monge, Diana; Garcia-Wilburn, Victoria; Sego, Daniel; Department of Occupational Therapy, School of Health and Human Sciences; Fuller, TracyThe purpose of this project was to increase understanding of the needs of Latinx parents when engaging in their children’s academics. Moreover, it was important to provide the community center with recommendations based on the study’s results so that the center may better serve Latinx parents. Five mothers from Lafayette, IN discussed their strengths, challenges, and desired resources when being involved in their children’s learning and school activities. Five major themes were identified in the interviews. Theme 1: Ensuring that their children were at school on time was identified by most participants as the primary responsibility of parents. Theme 2: Having good communication was described as the main responsibility of teachers. Theme 3: Most mothers said that making sure their children were completing their homework was their biggest strength. Theme 4: Most participants revealed the language barrier was the biggest challenge to being involved in their child’s academics. The language barrier made it difficult to communicate with teachers, help with homework, and often made them feel uncomfortable in the school setting. Theme 5: A couple of the mothers stated that they desired more tutoring resources because they did not have the knowledge needed to understand and help with assignments. Based on these themes and the poor enrollment of Latinx students at the community center’s youth program, it is recommended that the center implement a marketing plan to reach the Latinx community who is not utilizing the center’s tutoring and other resources.Item 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, KathleenCincinnati 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.Item CNA Care Provision Through the Lens of an Occupational Therapist: A Doctoral Capstone Experience(2023-05-03) Stuckwisch, Devin; Sego, Daniel; Department of Occupational Therapy, School of Health and Human Sciences; Gerlach, ScottOccupational therapists have long played a unique role in the rehab and care given to clients within the skilled nursing facility environment. Occupational therapists have a distinct skillset and vital role in the ability to increase a client’s independence in activities of daily living which include self-care tasks, such as bathing, toileting, dressing, and functional mobility. With extensive education and expertise in multiple areas in client care, OTs have the ability to play a leading role in the promotion of interprofessional collaboration across multiple disciplines. With a great overlap in care, the capstone study developed an educational program to promote interprofessional collaboration between nursing and therapy staffs to improve health outcomes of residents in a skilled nursing facility.Item Development and Implementation of a School-Based Assistive Technology Team(2023-05-01) Barker, Haylee; Sego, Daniel; Department of Occupational Therapy, School of Health and Human Sciences; Sunbury, KathyAssistive technology (AT) is an overarching term to describe any equipment, program, or device used to increase participation and function within individuals. Technology allows individuals with disabilities and impairments to achieve functional growth in numerous areas of everyday living, whether that be leisure, work, or at school. AT can be classified as simple as a pencil grip and be as advanced as an eye-gaze communication device. The wide range within the technology field correlates with decreased interest and knowledge, leading to limited research and implementation across all therapeutic areas. The purpose of this capstone was to address the lack of knowledge, training, and awareness on technology implications within a school-system to effectively develop an interprofessional assistive technology team focused on augmentative and alternative communication (AAC). Research suggests technology should be implemented throughout the entire school day to increase the students ability to fully participate in school, social, and play-related tasks. The capstone student identified supportive research in other well-established teams and provided training and materials to support the development of this technology team. The student created sustainable materials for future students, practitioners, and teams to use as references for future team developments.Item Diversity, Equity, and Inclusion Practices: Student and Educator Perspectives(2022-05-02) Smith, Carlton; Sego, Daniel; Wilburn, Victoria; Department of Occupational Therapy, School of Health and Human Sciences; Lambert, MeeganBackground: Diversity, equity, and inclusion is a term that has gained popularity within the last few years, especially as the profession declares its commitment to such initiatives. Current educational standards do not require educators or OT programs to include DEI within their curriculum. Creating a more diverse, equitable, and inclusive profession must begin with teaching practices. Healthcare needs are rapidly changing and require diverse health professionals; however, many healthcare fields cannot keep up with the rapid demand for diversity, let alone feel comfortable providing care for clients of diverse backgrounds. DEI practices are needed within OT education, and this need is proven through the perspectives of students and educators. Purpose: The primary purpose of this project is to provide an outlet for students and educators to voice their opinions, specifically as it relates to DEI practices within OT education. This project seeks to describe similarities and differences found through interviews with students and educators to recognize current DEI practices with a specific OT program, make informed recommendations centered on DEI best practices and provide campus and community resources. Theoretical Framework: This project utilizes Critical Race Theory (CRT) and inclusive pedagogy to explain current inequities that are inclined to marginalize students. It also offers solutions to help counteract stigmas and provide an equitable and inclusive learning experience for all students. Methods: The project was implemented through three main phases. First, second-and third-year faculty were recruited to take a survey answering questions about current DEI practices within their program. Secondly, students and faculty were asked to participate in respective focus groups to further elaborate on common themes found within survey responses. Lastly, key findings from the survey and focus group responses were used to develop a specialized guide of resources to support students and educators in increasing knowledge and ability to educate others about DEI. Results: This project was measured through the common themes from survey and interview questions. These primary themes informed the creation of a specific resource manual to demonstrate the importance of integrating DEI into the curriculum by evaluating the program and teaching practices, examples, educational resources, and opportunities to engage within the local community. Conclusion: By analyzing current educational standards and the insight of student and educator perspectives, this project determined and developed a client-centered manual to guide all stakeholders within an OTD program with the necessary tools to integrate DEI into the curriculum best.Item Doctoral Capstone: Determining and Implementing Effective Occupational Therapy Education(2021-05-09) Sego, Daniel; Petrenchik, Terry; Department of Occupational Therapy, School of Health and Human Sciences; Bednarski, Julie. In pursuit of entering the academic realm of occupational therapy, one must establish an expert-level understanding of adult learning theory and effective teaching styles but must also gain skills necessary to adjust when presented with changes in academic environments, standards and student populations.The primary purpose of this project is to familiarize the author with and apply effective and proven-successful teaching philosophies, styles and strategies, as well as gain the skills needed to adjust aforementioned elements of a successful educator in the presence of student population, standard-based, and environmental changes so as to ensure effective education of occupational therapy students in the unpredictable future.Item 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 SciencesThis 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.Item 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 SciencesThis 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.Item 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 SciencesObjective 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.Item 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 SciencesA 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.