Occupational Therapy Doctoral Student Rapid Systematic Reviews

Permanent URI for this collection

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).

Browse

Now showing 1 - 10 of 25

Achieving ADL Independence Post-Stroke Through Occupational Therapy Interventions
(2024-04-24) Wonnell, Cassie; Gulyas, Belle; DeGeorge, August; Knoy, Morgan; Warrick, Emilee; Fowler, Avery; Chase, Anthony; Lee, Chang Dae; Department of Occupational Therapy, School of Health and Human Sciences
This rapid systematic review evaluates the current literature on occupational therapy interventions aimed at improving ADL independence in post-stroke individuals. 28 studies were evaluated and 6 categories (task-oriented training, virtual reality and video games, technology, constraint-induced movement therapy, electrical stimulation, and other) of interventions were identified. The 28 articles used in this rapid systematic review were retrieved from PubMed and CINAHL using Covidence. Literature included are publications from the past 10 years, studies with participants 60+ years of age that have experienced a stroke, and studies with interventions focused on ADL independence. Level IV and V studies were excluded. TOT, CIMT/mCIMT, technology, E-stim, VR and virtual reality, sensory interventions, ankle-foot orthoses, and strategy training are evidence-based stroke interventions that have been showing improvement in ADL participation when compared to the standard of care. Findings reveal overall moderately strong evidence for the impact of the identified occupational therapy interventions on ADL performance for adults 60+ post-stroke. The current review supports six categories of interventions that improve ADL independence, which informs occupational therapy practice for older adult stroke patients.
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.
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.
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.
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.
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.
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.
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.
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.
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.

Browse

Browsing Occupational Therapy Doctoral Student Rapid Systematic Reviews by Title

Results Per Page

Sort Options