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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Now showing 1 - 10 of 25

Establishing OT’s Role in Addressing Sleep Disturbances for Autistic Children: A Rapid Systematic Review
(2024-04-25) Arnold, Logan; Bacon, Veronica; Conn, Sydney; Cowgur, Chloe; Metaxas, Nina; Mehringer, Jadon; Chase, Anthony; Lee, Chang Dae; Department of Occupational Therapy, School of Health and Human Sciences
This rapid systematic review examined the relationship between various interventions and sleep measures for autistic children and adolescents. Establishing this link can aid occupational therapists in understanding how to select and apply established interventions to practice. A variety of interventions were found within current literature to treat sleep disturbances including melatonin, non-melatonin pharmaceuticals, physical activity, behavioral and educational sleep hygiene, and sensory based interventions. The results indicated that all but the non-pharmaceutical interventions consistently yielded beneficial outcomes in decreasing sleep problems in the autistic children. However, these positive outcomes were briefly sustained once the studies ended. These findings suggest there is a trend within literature that sleep interventions have limitations when attempting to apply them to real-life cases. This dynamic highlights a gap between evidence-based outcomes that may improve sleep deficits in autistic children and the ability for these outcomes to be implemented in family’s homes. Occupational therapists have the potential to fill the gap and provide translational care to assist families in establishing routines backed by evidence. By improving sleep quality in this population, these guided interventions have the potential to improve the overall well-being and life satisfaction of children and their families.
Enhancing Recovery: Occupational Therapy for Adults with Traumatic Brain Injury, A Rapid Systematic Review
(2024-04-24) Findley, Caroline; Grove, Dara; John, Andrea; Lenk, Lauren; Martinez, Adriana; Tinnin, Morémi; Chase, Anthony; Lee, Chang Dae; Department of Occupational Therapy, School of Health and Human Sciences
A thorough systematic analysis was conducted to find effective interventions for people with traumatic brain injuries (TBI) who are 18 years of age and older. This review gives an overview and discussion of 30 studies focused on various interventions classified into the following categories: group-based approach, memory and planning, social participation, and emotional and behavioral regulation. The objective of the rapid systematic review (RSR) was to search the literature and critically appraise findings to address what evidence is available regarding interventions to promote psychosocial wellness, executive functioning, and occupational engagement in adults with TBI. Technology and group-based approaches were effective in improving psychosocial outcomes, however within clinical research there is a lack of OTP researchers and interventions designed to address longevity of recovery.
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 Sciences
Objective 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.
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.
The Effects of Sensory Intervention or Education on Sleep and/or Weight Gain for Premature Infants in the Hospital: A Rapid Systematic Review
(2024-04-24) Bobinski, Kaitlyn; Chaudhry, Amina; Chitwood, Paige; Horst, Tara; Sajdyk, Cara; Tanzler, Jess; Chase, Anthony; Lee, Chang Dae; Department of Occupational Therapy, School of Health and Human Sciences
Premature babies may require special care in the hospital to ensure proper development. Examining the relationship between sensory stimuli implementation and sleep and/or weight gain may expand the understanding of how occupational therapists can provide practical interventions. This study was conducted as a rapid systematic review (RSR) using Covidence (Covidence, 2024). 1,375 articles were uploaded to screen in Covidence. Of those articles, 83 were examined during the full-text review. This resulted in 28 articles included within the RSR from the initial search. This study is directed towards sensory interventions and education that increase weight and/or sleep in preterm infants in the hospital. Our findings suggested that varying types of sensory interventions implemented by hospital staff or by parents who were educated on sensory interventions may positively impact the infant’s sleep and/or weight gain. These include but are not limited to, light-dark cycles, positioning, massage, multisensory, oral, auditory, and kangaroo care approaches. Hospitalized infants born < 37 weeks experience extrinsic factors (i.e., visual and auditory stimuli) that can harm their development. Varying types of sensory interventions may positively impact their sleep and weight gain. However, further research should be conducted to address the limitations present throughout the studies.
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.
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 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.
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.
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.

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