Banks, R., Bost, L., Kizzie, A., Rollman, K., Smith, L., & Bethea, D. P. (2017, April). Impact of health literacy on orthopedic patients’ adherence to therapy home programs. Master's research project presented at Occupational Therapy Research Symposium of Winston-Salem State University, Winston-Salem, NC.
This study examined how health literacy (HL) impacts post-surgical shoulder patients' comprehension and adherence to occupational therapy (OT) home programs (HP). METHODS: Data was collected via two-group experimental post-test only design from 28 participants who were randomly assigned to receive an original HP (HP1) or a revised HP (HP2) based on Pfizer Principles. RESULTS: Results indicated a significant positive correlation (p = .035) among HL and HP adherence and a significant negative correlation (p = .047) between HL and age. T-test findings yielded no difference in HP adherence among HP type, indicating adherence to HPs is dependent on more than just ease of document readability. CONCLUSION: Healthcare professionals should spend more time explaining health information to the older population. Due to limitations in sample size and diversity, future research should continue to explore how HL levels impact comprehension of post-operative instructions and outcomes.
Acknowledgement: Novant Health Department of Occupational Therapy
Breeden, S., Cedillo, N., Lewis, H., Otter, N., Pelletier, L., Saxton, T., & Wu, C. (2017, April). Occupational therapy for a Certified Behavioral Health Clinic (CCBHC): Needs assessment using photovoice. Master's research project presented at Occupational Therapy Research Symposium of Winston-Salem State University, Winston-Salem, NC.
This study aimed to assess the needs of behavioral health utilizers to identify service programs that occupational therapy practitioners may offer in Certified Community Behavioral Health Clinics (CCBHCs). CCBHCs are a new federally approved initiative that will deliver innovative, well-coordinated, and evidence-based mental health and substance abuse treatment for community dwelling individuals. Occupational therapists are among the CCBHC staffing criteria. In response to this initiative, a CCBHC is under development and a university provider partnership was formed to design OT programs for the CCBHC. METHODS: This photovoice, community-based participatory research (CBPR) study was carried out at an outpatient behavioral health hospital in Greensboro, NC. Three rounds of photo assignments and discussion meetings with one feedback meeting for member checking were conducted. Themes of the photo assignments were decided by the participants. The SHOWED method was used to facilitate group discussions. Qualitative information was collected and NVivo 10.0 was used for open coding of photos and meeting transcripts to identify hindering and facilitating factors to occupational engagement. RESULTS: This study recruited 6 participants who had utilized outpatient behavioral health services in the previous 6 months. Qualitative information indicated that the hindering factors of occupational engagement included mental illnesses, societal stigma, and lack of knowledge about mental illness and medications. The facilitating factors of occupational engagement included a sense of responsibility, feeling needed, activities with distraction effects, activities with relaxing effects, and reframing. CONCLUSIONS: Occupational therapists have a lot to offer for CCBHCs. Occupational therapy programs to address the occupational needs of behavioral health utilizers may include; health literacy, psychoeducation, leisure exploration, stress management, relaxation techniques, sensory modulation, self- and peer-advocacy, and community integration. This needs assessment study serves as the first step to establish research evidence of adequacy for occupational therapy interventions in CCBHCs.
Funding provided in part by the Professional Development Committee (PDC), Winston-Salem State University.
Brown, S., Dehart, A., Moretz, B., Obendorf, R., Price, C., Rogers, C., & Collins, M. E. (2017, April). Exploring driving habits and quality of life in older adults. Master's research project presented at Occupational Therapy Research Symposium of Winston-Salem State University, Winston-Salem, NC.
Research is limited in describing the values and beliefs older adults hold in the ability to drive and how those presumptions positively impact their perception of quality of life during the aging process. This study investigated the personal experiences of drivers 65 and older and the impact driving has on their quality of life, daily occupations, roles, and routines. METHODS: This qualitative, phenomenological study was conducted by 6 occupational therapy students and 1 research advisor. 13 current drivers (11 females, 2 males) age 65 or older participated in the study. Data was collected through a demographic questionnaire and a semi-structured, in-person interview. Interview transcripts were analyzed using inductive content analysis. FINDINGS: Three themes emerged. They included: Driving: “It’s Independence” (subthemes: mobility and flexibility), Driving “…Adds Joy to Your Life” (subthemes: occupational engagement/role fulfillment and social participation), and “…If We Didn’t Drive. We’d Have to Modify Our Living” (subthemes: safety precautions and emotions/reactions). CONCLUSION: Driving enhances the independence, quality of life, role fulfillment, occupational engagement, and social participation of older adults. Older adults 65 and older have varying emotions and reactions towards driving cessation. Occupational therapists can play a role in helping maintain independence and quality of life in older adults who are currently driving, as well as preparing them for driving cessation.
Campbell, C., Douglas, J., Pauley, A., Pierre, P., Rollins, K., Simpson, C., & Fain, E. (2017, April). Relationship of neurocognitive function and grip strength among the elderly population. Master's research project presented at Occupational Therapy Research Symposium of Winston-Salem State University, Winston-Salem, NC.
PURPOSE: The purpose of this quantitative research study was to determine if a relationship exists between grip strength and neurocognitive function in individuals aged 60 years and older. METHODS: Instruments used included a dynamometer to evaluate grip strength and the Saint Louis University Mental Status Examination (SLUMS) to assess neurocognitive function. The target population was adults aged 60 and older located in the Piedmont Triad area of North Carolina. The sample consisted of 62 participants (43 females and 19 males). FINDINGS: Results of independent t-tests and ANOVA yielded statistical significance between SLUMS total score and high school completion, as well as statistical significance between SLUMS total score and facility. Multiple regression analysis of grip strength and facility on the dependent variable, SLUMS total score, yielded an R square percentage of 71.8%. Grip strength accounts for 19.8% variance of SLUMS total score, while facility accounted for 52% variance of total SLUMS score. CONCLUSION: Although a statistical significance of 20% was not achieved, data suggests a relationship between grip strength and neurocognitive function.
Chillemi, A., Campbell, B., Delacruz, A., Glenn, S., Shepherd, A., & Bell, C. S. (2017, April). Parent and rider perspectives on the impact of AMBUCS therapeutic Tricycles. Master's research project presented at Occupational Therapy Research Symposium of Winston-Salem State University, Winston-Salem, NC.
PURPOSE: The purpose of the study was to perform secondary analysis of narrative responses obtained from a national AMBUCS parent/rider survey. This analysis explored perspectives of participants to determine the overall impact the AmTryke had on users’ lives. METHODS: The study consisted of qualitative analysis of the comments collected from the AMBUCS Parent/Rider Survey. Survey responses were analyzed using open, axial, and selective coding processes via NVivo 11 Software System. Peer triangulation methods were used to ensure trustworthiness. RESULTS: Two main categories developed from the data: the components to successful riding and the barriers to successful riding of the AmTryke. The themes of self-esteem, motor skills, independence, socialization, and environment emerged from components to successful riding. The themes of physical condition and environment arose from barriers to successful riding. CONCLUSION: Overall, results revealed that perspectives shared by parents/riders portray the AmTryke therapeutic tricycle as having a positive impact on daily lives of riders as well as possible barriers that impede the use of the AmTryke to its full potential.
Funding for this research was provided by Winston-Salem State University