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Item Advocacy as an Environmental Modification: Occupational Therapy’s Role in Stigma Reduction to Increase Occupational Performance in Children with Learning Disabilities(2022-05) Klukken, Angela; Petrenchik, Terry; Department of Occupational Therapy, School of Health and Human Sciences; Petrenchik, TerryOccupational therapists have a pivotal role in advocating for their clientele across various settings. The present study adds direction and suggestion for enhancing occupational therapy’s role in client advocacy, through the use of therapeutic skills utilized in teacher training to reduce the harmful effects of disability-based stigma for children with learning disabilities in a public elementary school setting. The author suggests that stigma reduction may serve as a powerful environmental modification; as disability accommodations and self-advocacy alone do not always permit equitable occupational participation. Teacher training in the area of pediatric learning disabilities with an emphasis on bias reduction, information, empathy, self-reflection and interpretation of anonymous student school experiences was implemented in a public elementary school by an occupational therapy doctoral capstone student. Medium effect sizes were found among some aspects of psychological flexibility with regard to stigmatizing thoughts among teachers. Significant results were found among students answering questions in class, and teachers’ awareness and ability to identify learning disabilities in their students. Results suggest that teachers were overall satisfied with training and have implemented changes in support of learning disability accessibility in their classrooms following intervention.Item Advocacy in Mental Health Social Interactions on Public Social Media(2022-02) Cornet, Victor P.; Holden, Richard J.; Bolchini, Davide; Brady, Erin; Mohler, George; Hong, Michin; Lee, SangwonHealth advocacy is a social phenomenon in which individuals and collectives attempt to raise awareness and change opinions and policies about health-related causes. Mental health advocacy is health advocacy to advance treatment, rights, and recognition of people living with a mental health condition. The Internet is reshaping how mental health advocacy is performed on a global scale, by facilitating and broadening the reach of advocacy activities, but also giving more room for opposing mental health advocacy. Another factor contributing to mental health advocacy lies in the cultural underpinnings of mental health in different societies; East Asian countries like South Korea have higher stigma attached to mental health compared to Western countries like the US. This study examines interactions about schizophrenia, a specific mental health diagnosis, on public social media (Facebook, Instagram, and Twitter) in two different languages, English and Korean, to determine how mental health advocacy and its opposition are expressed on social media. After delineation of a set of keywords for retrieval of content about schizophrenia, three months’ worth of social media posts were collected; a subset of these posts was then analyzed qualitatively using constant comparing with a proposed model describing online mental heath advocacy based on existing literature. Various expressions of light mental health advocacy, such as sharing facts about schizophrenia, and strong advocacy, showcasing offline engagement, were found in English posts; many of these expressions were however absent from the analyzed Korean posts that heavily featured jokes, insults, and criticisms. These findings were used to train machine learning classifiers to detect advocacy and counter-advocacy. The classifiers confirmed the predominance of counter-advocacy in Korean posts compared to important advocacy prevalence in English posts. These findings informed culturally sensitive recommendations for social media uses by mental health advocates and implications for international social media studies in human-computer interaction.Item Advocating for Your Department through a School Merger: The Chair Perspective(Wiley, 2019) Urtel, Mark; Cecil, Amanda K.; Kinesiology, School of Physical Education and Tourism ManagementItem A Clothing Group for Adolescents with Eating Disorders: A Role for Occupational Therapy(2023) Larson, Sydney; Wasmuth, Sally; Department of Occupational Therapy, School of Health and Human Sciences; Weesner, ValerieEating disorders are one of the most prevalent psychiatric conditions and can have a long-term impact, disrupting the cardiac system, gastrointestinal tract, reproductive system, cognitive functions, and many other systems of the body. In addition to the physical impacts, eating disorders effect occupational functioning, roles and routines, social participation, and often accompany other mental health conditions including anxiety and depression. Occupational therapists have a unique and valuable role in eating disorder recovery and mental health. Increased efforts of advocacy are needed to bolster the presence of occupational therapy in this area of practice. This capstone student assisted with the development of a clothing group within the adolescent intensive outpatient program at a local center for eating disorders. This group addresses the relationship with clothing and how clothes can be used to portray elements of identity, culture, and expression as opposed to this expression being controlled by negative body image or self-esteem. In addition to clothing group development, this capstone project advocated for the role of occupational therapy in eating disorder recovery.Item A Constant Balancing Act: Delivering Sustainable University Instructional Physical Activity Programs(Human Kinetics, 2020-11) Brock, Sheri J.; Beaudoin, Christina; Urtel, Mark G.; Hicks, Lisa L.; Russell, Jared A.; Kinesiology, School of Health and Human SciencesThe goal of university instructional physical activity programs (IPAPs) is to provide quality instruction through best practices to encourage college students to lead healthy and physically active lifestyles. As IPAPs have continued to decline due to enrollment and budgetary concerns, the importance of quality and sustainability has become particularly paramount. Furthermore, it is imperative to the existence of IPAPs that we strive to learn and share with each other in order to independently survive, but more essentially to flourish collectively, as we are better together. In our varied experience, while some IPAPs face unique challenges, many obstacles are common, regardless of institution size and composition. This paper will offer the perspectives of four strikingly different colleges and universities in their quest to navigate challenges in delivery, maintain and support quality instruction, and advocate for IPAPs.Item Deconstructing Professionalism(2023-04-28) Schantz, Eli; Mansoori, Afsheen; Hicks, Clayton; Harris, JonathanThe notion of professionalism informs policy-making at all levels of medical practice, from national organizations and licensing boards to hospital disciplinary committees. The creation of policies to promote professionalism, however, is made all the more complex in the context of undergraduate medical education, where the notion of professionalism not only acts to govern behavior, but also to shape the professional identity of physicians-in-training. Given the importance of such policies, our goal here is to characterize, both descriptively and prescriptively, how the notion of professionalism manifests in the policies governing undergraduate medical education. First, we present a review of the professionalism policies currently in effect at Indiana University School of Medicine (IUSM). Following this review, we turn to argue that these policies suffer from two significant shortcomings: (i) the frequent use of circular definitions, giving rise to considerable ambiguity, and (ii) pronounced conflict between policies which seek justice and policies which maintain institutional power structures. We conclude that these conceptual inadequacies represent significant barriers which can both hinder the professional growth of medical students and hamper their ability to navigate their professional obligations, and we offer a number of recommendations for refining and reforming these policies.Item Disparities of Health Care: Challenge to Physicians(Association of Kenya Physicians, 2007) Nyikal, James; Association of Kenya Physicians Scientific Conference (11th : Mar. 2007 : Eldoret, Kenya)Challenges to the health sector: Finance and financial flows. Rapid growth of infrastructure. Human resource. Emerging diseases. Coordination. Legal framework. Poverty. Challenges to the physician: Health reforms. Leadership role and head of team. Role model. Cost of care and poverty. Ethics in compromised social environment. CPD. Curative care/disease prevention and health promotion. Perpetual dilemma.Item Domestic Violence Advocacy(2014) Wood, Leila Grace; Hostetter, Carol; Sullenberger, Sabrina Williamson; Barton, William H., 1949-; Adamek, Margaret E.; Sloan, Rebecca S.Advocacy, in the form of direct service, is a critical type of intervention to help intimate partner or domestic violence survivors. Little is known the best practices for social workers and other helping professionals to assist survivors of domestic violence who present for services at shelters, non-residential outreach, and legal settings. This dissertation reviews relevant research related to domestic violence direct services, which is also called advocacy. The study also outlines a brief overview of the history, theory, and paradigms of thought related to the movement to end intimate partner violence. The research project used the grounded theory method to conduct and analyze semi-structured, in-depth interviews with advocates at domestic violence agency to answer the research question: What constructs and practices inform the delivery of direct services to survivors of domestic violence from shelter and non-residential service advocates? A total of 22 women working primarily with domestic violence survivors in shelters and non-residential agencies participated in the dissertation study. Participants came from one Midwestern and one Southwestern state. The interviewees had a range 1-20 years of experience in the field of domestic violence advocacy. Eighteen of 22 participants had experienced some sort of intimate violence in their lifetime. Several important findings emerged. Advocates typically enter the field because of personal motivations. The empowerment and strengths-based perspective are important to the delivery of advocacy services, as is belief in hope. Advocates typically endorse a survivor centered approach to their work. Data analysis revealed a concurrent process of advocacy that occurs within advocates and between advocates and survivors. This parallel process is marked in the earlier state of assessing and grounding; in the middle stage of establishing and affirming; and the ending stages of hoping and reflecting. These findings suggest the importance of personal experiences, hope, and reflection in the delivery of advocacy services. Community collaboration and support are essential to maintaining services that are aimed at the individual needs of survivors. More research is needed about the perceptions of services among survivors of domestic violence.Item Marketing palliative care. [Part 1](2006-11-03) Sutton, Sharyn M.Presents how to advocate palliative care to health care professionals. Part 1 contains points 1-3 of the presentation. Part 2 contains points 4-6 of the presentation.Item Marketing palliative care. [Part 2](2006-11-03) Sutton, Sharyn M.Presents how to advocate palliative care to health care professionals. Part 1 contains points 1-3 of the presentation. Part 2 contains points 4-6 of the presentation.