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Item 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 SciencesThis 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.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 Clinical Applications of the Role Checklist Version 2: Quality of Performance(2015-10) Bonsaksen, Tore; Scott, Patricia J.The three-part Role Checklist Version 2: Quality of Performance (RC V2: QP) assesses role performance, role valuation, and current compared to past functioning. This session will illustrate by two different case examples how occupational therapists can make use of the RC V2: QP to support the clients’ process in diverse clinical settings: 1) In a psychiatric hospital setting with mental health clients, and 2) upon discharge from a medical setting to track recovery with transplant clients.Item A Community-Based Occupational Therapy Program for Parkinson's(2023-05-02) Stiens, Maria; Hull, Kristin; Department of Occupational Therapy, School of Health and Human Sciences; Williams, KimParkinson’s disease is a progressive neurological condition that causes symptoms that interrupt safety, performance, and participation in everyday life activities. The literature supports occupational therapy’s role in maximizing quality of life and preventing occupational decline in people with Parkinson’s disease. Despite the effectiveness of occupational therapy treatment with this population, occupational therapy services are under-utilized among those with Parkinson’s disease. This doctoral capstone experience and project sought to increase access to occupational therapy services to individuals with Parkinson’s within the state of Indiana through free occupation-based groups hosted by a local Parkinson’s organization. Through needs assessments and client-centered surveys, the occupational needs and interests of site stakeholders were determined. Fourteen in-person training sessions were created and delivered to two Parkinson group locations within the greater Indianapolis area. There was a total of approximately thirty participants primarily consisting of community-dwelling individuals with Parkinson’s. Post-survey results indicated a positive trend, demonstrating an overall decrease in participants’ perceived difficulty with surveyed tasks. This study supports the continued need for occupation-based education and training for individuals with Parkinson’s.Item Does the Role Checklist Measure Occupational Participation?(2015-07-01) Bonsaksen, Tore; Meidert, Ursula; Schuman, Deana; Kvarsnes, Hildegunn; Haglund, Lena; Prior, Susan; Forsyth, Kirsty; Yamada, Takashi; Scott, Patricia J.; Department of Occupational Therapy, IU School of Health and Rehabilitation SciencesItem 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 SciencesThis 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.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.Item Establishing Cross-cultural Validity of the Role Checklist Version 2: Quality of Performance(2014-06) Scott, Patricia J.; Bonsaksen, Tore; Forsyth, Kirsty; Haglund, Lena; Yamada, TakashiItem Examining the Effects of Aging in Place on Quality of Life Compared to a Long-Term Care Facility: A Rapid Systematic Review(2023-05-04) Clayton, Ella; Doss, Breanna; Harrison, Stephanie; Mukhtar, Anam; Notter, Hope; Reyher, Whitney; Sego, Daniel; Chase, Anthony; Department of Occupational Therapy, School of Health and Human SciencesAs individuals age, they face impacted occupational performance which present as challenges performing activities of daily living (ADLs) and instrumental activities of daily living (IADLs) independently. This rapid systematic review seeks to investigate the effectiveness of existing occupational therapy (OT) interventions for older adults who are both aging in place and residing in long term care facilities through examining the evidence of 29 studies. Occupational therapy interventions investigated through this study were found to have common themes related to quality of life, occupational performance, self-efficacy, and psychological well-being. Common limitations found among studies include lack of randomization, small sample sizes, and lack of generalizability to different populations. Findings reveal that OT interventions with a focus on client-centered care contribute to improved occupational performance, participation, and quality of life for older adults. This systematic review supports implementing OT interventions for older adults aging in place and in long term care facilities. However, further research is needed to increase generalizability of conclusions and further examine the differences in outcomes between settings.Item Implementation of Occupational Therapy as Standard of Care for Pediatric Cancer Recovery: A Rapid Systematic Review(2024-04-24) Waltz, Audrey; Reckard, Addison; Lee, Kyla; Lee, Molly; John, Emma; Warne, Caiti; Chase, Anthony; Lee, Chang Dae; Department of Occupational Therapy, School of Health and Human SciencesObjective Pediatric oncology patients can experience different symptoms and difficulties impacting their daily lives. Currently, the standard of care for these patients varies based on location, setting, referrals, diagnosis, treatment plan, and interventions. The objective of this study was to evaluate the current standard of care for pediatric oncology patients and the impact and effectiveness occupational therapy (OT) can have on this population. Study Design This rapid systematic review (RSR) was conducted utilizing a program called Covidence. There were 2,927 articles from PubMed in the initial screen. Following this first screening of articles, 249 articles passed the title and abstract screening process. A full text review was completed from these and resulted in 33 articles for extraction. In total, 33 articles passed the screening process to be reviewed (Covidence, 2024). Results The goal of this study was to investigate whether the standard of care for pediatric cancer patients included OT or should include OT. Currently, skilled therapy is not consistently integrated into the pediatric oncology standard of care, likely due to insufficient awareness of its benefits and the inherent rigidity of cancer treatment plans. Treatment centers that did include skilled therapy services, such as OT, contributed to improvements in health related quality of life (HRQoL), motor skills, and the experience of the family unit. Additional findings include a reduction in pain, fatigue, and anxiety experienced by pediatric cancer patients. Examples of incorporated OT skilled therapy services included play-based therapy, aquatic therapy, hippotherapy, gross motor rehabilitation, and education and training programs for the patient and caregivers. Despite these findings, there is not an established standardized protocol implemented in hospitals and other centers that are aiming to address the occupational performance deficits experienced by pediatric cancer patients. Conclusion Skilled OT services should be implemented into a standard of care protocol for pediatric oncology patients as it has been found to help decrease levels of fatigue, anxiety, and pain as well as increase HRQoL and motor skills. Further research should be conducted to address two areas of focus. First, to determine the essential components of a skilled therapy protocol. Second, to create an established protocol for the rehabilitation of pediatric oncology patients.