Occupational Therapy Doctoral Student Rapid Systematic Reviews

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https://hdl.handle.net/1805/23237

This collection includes rapid systematic reviews authored by doctoral students in the Department of Occupational Therapy.

If you are an OTD student and need access to upload your review, please contact the IUPUI University Library Center for Digital Scholarship (digschol@iupui.edu).

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Vocational and Psychosocial Outcomes of Work Re-Integration Programs for Individuals with Severe Mental Illness: A Rapid Systematic Review
(2020-04) Bender, Brooke; Brown, Hannah; Davis, Madyson; Lester, Lauren; Smith Jr., Carlton; Chase, Tony; Department of Occupational Therapy, School of Health and Human Sciences
There are an estimated 11.2 million adults in the United States with a serious mental illness and this population is 6-7 times more likely to be unemployed. A systematic review of the literature related to work re-integration programs for individuals with severe mental illness was conducted to determine the role of occupational therapy in this area of practice. This included a comprehensive review of 25 studies that addressed many of the interventions commonly used in vocational and supported employment programs for individuals with severe mental illness and related mental health disorders. Findings reveal that various types of work re-integration programs result in competitive work attainment, increased job tenure, improved quality of life, and improved psychosocial factors. Occupational therapy could facilitate interventions related to work re-integration that improve vocational and non-vocational outcomes for this population. The literature over work re-integration programs is limited and more research is needed in order to understand the correlation between those with SMI and employment outcomes.
Occupational Therapy Non-Pharmacological Interventions for Adults With Chronic Pain: A Rapid Systematic Review
(2020-04) Goode, Lauren; Manning, Jeremy; Rohr, Ashley; Stone, Rianne; Wisser, Breanna; Chase, Anthony; Petrenchik, Terry; Department of Occupational Therapy, School of Health and Human Sciences
People around the world, someone you know, or even a loved one experience chronic pain that impacts their ability to engage in meaningful activities. According to the World Health Organization, one in two adults in the United States lives with chronic pain. In recent years, prescribing opioids appeared to be a quick, easy fix for pain management. Opioid use, however, is associated with adverse effects to the mind and body and may become a financial burden or addiction for many users. Reducing opioid use while improving chronic pain and function is the leading rehabilitative objective of occupational therapy for chronic pain. Occupational therapy practitioners address and treat many conditions involving chronic pain and educate their clients about effectively managing that pain while participating in desired occupations. This article highlights the evidence of 25 chronic pain intervention studies so that occupational therapists and other healthcare professionals can make evidence-based decisions about the interventions they choose for adults with chronic pain who are working toward maximal occupational engagement.
Pediatric Cerebral Palsy and Activities of Daily Living: Rapid Systematic Review
(202-04-28) Farnlacher, Danielle F.; Lentz, Jordan L.; Ortega Monge, Diana O.; Nycz, Kimberly N.; Parker, Kirsten P.; Pence, Grace P.; Chase, Anthony C.; Petrenchik, Terry P.; Ralston, Rick R.; Department of Occupational Therapy, School of Health and Human Sciences
Cerebral palsy (CP) is a common motor disability seen in children who often receive occupational therapy (OT) services. Because of this, there is an increased need for research on new clinical, group, and home-based OT interventions. OT practitioners play a critical role in providing developmental interventions to improve upper extremity function, balance, and motor processing for activities of daily living (ADLs), including self-care tasks and functional mobility. In order to assist OTs in making informed decisions regarding developmental interventions to improve performance, participation, and independence in ADLs for children aged zero to eighteen with CP, a rapid systematic review (RSR) was completed and includes the best available evidence within the reviewed literature. The findings of this review support functional training, education, technology, and supplemental modalities as interventions to improve performance in ADLs of children with CP. Overall, this review works to provide leading evidence supporting the use of various interventions in OT sessions.
Rapid Systematic Review of Occupational Therapy-Adaptable Interventions to Improve Social Engagement in Children and Adolescents with Autism Spectrum Disorder
(2020-08-27) Alexander, Joelyn; Gordon, Madeline; Heydon, Mallory; Klukken, Angela; Moring, Kelly; Nguyen, Elizabeth; Chase, Anthony; Petrenchik, Terry; Department of Occupational Therapy, School of Health and Human Sciences
In this rapid systematic review, we describe how evidence-based interventions aiming to improve social engagement in children and adolescents with Autism Spectrum Disorder (ASD) can be potentially adapted to be included within the scope of occupational therapy. Children and adolescents with ASD often experience difficulty with social engagement, impacting overall social participation and other aspects of daily life. It is important to address this issue within this population to ensure engagement in the occupation of social participation, which is vital to optimal health and well-being. We discovered several themes including communication, joint attention, peer engagement, social skills, and play as outcomes addressed within the interventions included in this review. There is limited research available regarding social engagement interventions for children and adolescents with ASD directly including an occupational therapist within the intervention. This review demonstrates that there is a large variety of social engagement interventions that could be implemented by occupational therapists; however, therapists must be mindful of choosing an intervention that is specific to the client's condition. There is strong evidence to suggest that interventions targeting social engagement in children and adolescents with ASD result in increased social abilities. Further research should be conducted assessing the implementation of these interventions by occupational therapists to ensure generalizability.
Effectiveness of Therapeutic Positioning on Preterm Infants in the NICU
(2019) Larkin, Alisyn; Lindenmayer, Claire; Nickerson, Sarah; Parks, Mary; Richardson, Shelby; Withrow, Grace; Chase, Tony; Department of Occupational Therapy, School of Health and Human Sciences
In this systematic review, we examine the potential positive impacts that positioning techniques and devices can have on physiological, neurological, and developmental outcomes in preterm infants in the Neonatal Intensive Care Unit (NICU). This paper describes the reasoning behind the beneficial effects of positioning strategies and how they can lead to healthy development. Due to the stress-inducing, high intensity environment of the NICU, non-invasive interventions that promote healthy physiological and neurological responses are undeniably necessary. Positioning techniques such as skin-to-skin contact, the use of different devices, and varying positions all have evidence supporting the effectiveness of positioning on developmental responses and outcomes. Occupational therapy (OT) practitioners are positioning professionals, making their role in the NICU very valuable.
Occupational Therapy Interventions to Support Aging in Place: A Rapid Systematic Review
(2020-05) Brown, Tori; Kidwell, Hannah; Priest, Paige; Sellers, Abbey; Serino, Anna; Spencer, Brooke; Chase, Anthony; Petrenchik, Terry; Department of Occupational Therapy, School of Health and Human Sciences
This rapid systematic review discusses the evidence of 30 studies for the effectiveness of occupational therapy (OT) in supporting aging in place, or safely living in one’s home independently. Many older adults suffer from at least one disability, which can be a threat to both independence and safety. Further, falls and injuries raise healthcare costs, which can include nursing facility housing. The transition from living in one’s home to living in a long-term care facility dramatically impacts occupational participation and performance. Supporting aging in place increases safety, quality of life, and independence in one’s home environment. In order to support aging in place, we looked at the effectiveness of multiple occupational therapy interventions that targeted occupational performance and participation, quality of life, falls and hospital readmissions, and community mobility. Overall, we found strong evidence to support the effectiveness of these client centered occupational therapy interventions for improving aging in place in community dwelling older adults and preventing negative health outcomes.
Adolescent Substance Use and Occupational Therapy Interventions: A Rapid Systematic Review
(2021-05-05) Byrn, Hannah; Davila, Danielle; Green, Samantha; Kendall, Mary; Larson, Sydney; Prentice, Alexandra; Chase, Anthony; Petrenchik, Terry; Department of Occupational Therapy, School of Health and Human Sciences
This rapid systematic review analyzes the evidence for substance use reduction through therapeutic interventions and activities in adolescents between the ages of 13-25, along with the potential for implementation in the field of occupational therapy. Adolescents with substance use disorders (SUDs) often have specific challenges regarding their family interactions, cultural beliefs, school engagement, and community support. It can be difficult for adolescents with SUDs to successfully navigate their ever changing lives, as they may also present with comorbid psychiatric conditions. It is noted that throughout this review, many interventions were the first of their kind and focused on targeting adolescents within the contexts of their environment. Many studies utilized specific techniques aimed at improving adolescents’ intrinsic beliefs regarding their substance use. Overall, low to moderate evidence was found for the effectiveness of various interventions to reduce adolescent substance use. More exhaustive research is needed to evaluate the usefulness of these interventions, as many were done in very specific settings with very individualized populations. Moreover, occupational therapists should be cautious before implementation into practice, as none of the studies evaluated explicitly examined the role of occupational therapy. More investigation is required to determine how these interventions can be applied to the field of occupational therapy.
Occupational Therapy Interventions for Improving Health-Related Quality of Life in Adults Post-Stroke: A Rapid Systematic Review
(2021-05) Stiens, Maria; Johnson, Lauryn; Ellis, Nicole; Havala, Claire; Lyon, Braegan; Chase, Tony; Petrenchik, Terry; Department of Occupational Therapy, School of Health and Human Sciences
This rapid systematic review of the literature examines 24 articles from the databases of Pubmed and CINAHL to determine the evidence and effectiveness of occupational therapy (OT) interventions in improving health-related quality of life (HRQOL) of adults post-stroke. Many adults report a decline in life satisfaction and occupational performance following a stroke due to various physical, cognitive, and emotional impairments. OT is a key component of stroke rehabilitation; therefore, there is a high need for effective and evidence-based occupational interventions for individuals post-stroke. Findings of this rapid systematic review reveal that the use of occupation-based activities has reasonable yet limited evidence to support its effectiveness in improving HRQOL for adults post-stroke. This review supports the premise that HRQOL, including physical wellbeing and occupational performance, can be positively affected through the use of several commonly used OT interventions. Specifically, there is strong evidence to support the use of robot-assisted therapy and bilateral upper extremity training for improving physical wellbeing. Additionally, there is strong evidence supporting the use of the Cognitive Orientation to daily Occupational Performance (CO-OP) approach for improving occupational performance. All other interventions included in this review ranged from low to moderate levels of evidence in improving HRQOL, therefore, future studies with larger sample sizes and equal treatment groups should be conducted to confirm the results of this rapid systematic review.
Effectiveness of Occupational Therapy Interventions to Promote Social Participation and Quality of Life in Older Adults: A Rapid Systematic Review
(2021-05-05) Adams, Alexa; Horsford, Caitlin; Jones, Paige; Long, Ryane; Pflugradt, Dana; Chase, Anthony; Department of Occupational Therapy, School of Health and Human Sciences
This systematic review discusses the evidence of 24 studies to identify the effectiveness of various evidence-based interventions that could be utilized within the scope of occupational therapy (OT), as they aim to improve social participation and health related quality of life in adults over 60 years of age. Older adults often experience difficulty with social engagement, increasing their risk for social isolation which is correlated to decreases in health-related quality of life, functional mobility, as well as increased loneliness, cognitive declines, or other adverse physical and psychological effects. Social participation can facilitate increased health-related quality of life, mitigate loneliness, as well as slow cognitive decline and other adverse physical and psychological effects related to aging and late life transitions. Overall, this review found strong evidence for the effectiveness of physical activity interventions, moderate evidence for the effectiveness of emotional and personal based interventions, and mixed evidence for external support interventions that aim to improve social participation in older adults. Additional research should be conducted to further identify objective aspects (rather than typical subjective aspects) of evidence-based interventions that clinically correlate to increased health-related quality of life and well-being as related to social participation for therapeutic utilization within the domain of occupational therapy for older adults.
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 Sciences
A 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.

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