9667 research outputs found
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Reliability and Validation of the Professional Fulfillment Index With Physical Therapists
No full textBackground: More than 50% of physical therapists (PTs) have burnout linked to poor well-being. The Maslach Burnout Inventory (MBI), the gold standard, is cost prohibitive for widespread use. The Professional Fulfillment Index (PFI) is free and validated with the MBI for physicians and pharmacists. The study purpose was to assess the PFI for testretest reliability, internal consistency, convergent/concurrent validity with the MBI in PTs. Methods: Eight organizations sent survey link to their PTs and 82 responded from FL (n=23), NY (n=19), OH (n=6), OR (n=21), and TX (n=19). A subset of 28 respondents completed the PFI a second time. Results: Testretest reliability of the PFI was good to excellent (ICC = 0.90, P <.001), internal consistency was high (α = 0.92) and convergent/concurrent validity between the PFI and MBI was good (r = .66, p < .001). Conclusion: The PFI is a valid and reliable measure of PT burnout. (Faculty Sponsor: Dr. Mary Thompson) Supported by TWU Center for Student Research
Digital sex workers' experiences in the COVID-19 pandemic post FOSTA/SESTA
No full textSex work, practiced by an estimated 42 million sex workers operating worldwide, is skilled labor deserving of rights and dignity, (Barwulor et al., 2021). Sex work is a practical way to generate income and access resources for those facing marginalization, oppression, and limited socioeconomic supports (Dewey & St. Germain, 2014; Orchard et al., 2021). In 2018, the United States Congress passed H.R. 1865 the Fight Online Sex Trafficking Act (FOSTA) and S. 1693 Stop Enabling Sex Trafficking Act (SESTA). The laws removed protections within the Communications Decency Act that previously shielded platforms from being liable for their users’ illegal content. By conflating sex work with sex trafficking, the policies restricted and banned digital sex workers. While many laborers moved online in response to the COVID-19 pandemic, sex workers faced unique challenges adapting to digital work. Little is known about sex workers’ experiences and mental health concerns during the pandemic, particularly as online sex work faced prohibitive legislation. I used psychology of work theory (PWT) and the minority stress model (MSM) to examine qualitatively the experiences of 10 online sex workers during the COVID-19 pandemic. Using narrative inquiry methodology and participant action research, I listened to their firsthand accounts and examined the extent to which minority stress, criminalization, and oppression impacted participants’ access to decent work as it related to their mental health to best inform mental health clinicians working with this population. I conducted semi-structured virtual interviews and analyzed transcript data using my theoretical frameworks and supplemental theories. I engaged in reflexivity and member checking in which participants offered feedback regarding my interview questions and preliminary analyses as additional forms of data. These opportunities were meant to empower participants and represent their experiences in the creation of this knowledge. Findings highlight participants’ experiences of empowerment, stigma, and changes to their work due to COVID-19 and FOSTA/SESTA, including increased surveillance, concerns for health, and need for safety through community. Findings of this study can be used to practice affirming mental healthcare, as well as advocate for decriminalization of sex work and the repeal of FOSTA/SESTA
Developing a Comprehensive Assistive Technology Guide for Patients with ALS
No full textWith input from patients, caregivers, and members of the ALS care team, I created a resource that details a variety of assistive technology that can be used to aid patients with a myriad of challenges to improve their overall functional independence and sense of autonomy. My agency mentor and I also presented a lecture on ALS, OT's role in treating patients with ALS, as well as a demonstration on power wheelchairs with alternative drive systems to the 2026 OTD cohort at TWU. The ALS AT Guide is set to be posted on the Houston Methodist ALS Clinic website for use by patients worldwide.Houston Methodist Hospita
The effects of empowerment messaging on action responses to climate change
No full textGlobal climate change has many complex impacts that are cascading and increasing with a lack of direct action. Indirect and direct impacts on human life occur as a result of climate change that disproportionately impact marginalized communities. The psychological impacts of climate change are discussed, including ecological anxiety and ecological grief. The effects of powerlessness and psychological empowerment are discussed concerning their effects on psychological adaptation. In this study, I examined whether a visual message of empowerment or powerlessness will influence participants’ psychological responses to climate change in a sample of 131 participants. Neither empowerment nor powerlessness narratives had an effect on levels of psychological adaptation, and climate anxiety did not exacerbate this proposed effect. There was no evidence to suggest that climate change denial moderated this proposed effect. Implications for clinical practice and future research are discussed
Examining an application of occupation-based theoretical models to population-based occupational therapy practice: A Foucauldian critical discourse analysis
No full textSince the mid-1980s, occupational therapy scholars and practitioners have used occupation-based theoretical models to guide best practice and explain the relationship between the person, the environment, and occupation. Theoretical models and the language used to describe their use create a body of professional knowledge, or discourse, that shapes what occupational therapy is and influences how occupational therapy practitioners think about, understand, and do therapy. Theoretical discourse has far-reaching influence and exerts power over members of the profession, clients, and other stakeholders. These theoretical models were developed primarily from a Western cultural perspective focusing on individuals as clients which may not support practice with all cultures and communities. Recently, occupational therapy scholars interested in reducing health inequities have promoted practice with whole populations, focused on prevention and action on the social determinants of health. There is a call for critical analysis of occupation-based theoretical models to ensure they equitably meet the needs of populations today, allow for collaboration with interdisciplinary population health teams, and share power with clients. Health inequities, highlighted and exacerbated by the COVID-19 pandemic, make the need to work with populations urgent, yet little instruction exists on how to use occupational therapy models with populations.
This study aimed to help students, educators, and clinicians understand and be able to apply models to population-based practice. This study’s methodology included 1) principles of culturally responsive focus group research, 2) scholarship of application by engaging three occupational therapy theory content experts to each apply one model a population-based case study, and 3) Foucauldian critical discourse analysis to examine how this emerging discourse constructs what population-based occupational therapy is and can be and to explore the implicit power relationships involved. The study determined that the ecology of human performance model, the model of human occupation, and theory of occupational adaptation can all be applied to a case study population with modification to support population-based practice and occupational justice. Further studies are warranted to examine their application beyond a simulation, to study additional occupation-based models, and to better understand how occupational justice and population health concepts can be explicitly incorporated into model discourse
Osteoporosis, 2024
No full textI read that osteoporosis can start anywhere from age 35-50, so I chose to go with the low end of 35 for my starting stitches. I started with a single crochet stitch, the shortest one, as bones start out solid. After 15 stitches (the number of years between 35 and 50), I skipped a stitch. I reduced this number (so 14s skip, 13sc skip...). Once I reached 0, I increased stitch size (half double crochet, double crochet, and treble crochet) and decreased the starting stitch number (14, 13, 12...) while gradually increasing the number of chains and skipped stitches. About halfway down the project, I switched to treble crochet and increased chains. I eventually reached a point where I just made random chains and stitches of various sizes as well as just stringing yarn across.
I chose to add a border to make it easier to hang. I will be adding structural parts to keep it rectangular. I am currently in the process of blocking, meaning it is being stretched and held in that position for a period of time in order to make the yarn evenly and uniform.
Medium: acrylic yarn
Format: 24.5 x 14
What Hypertension Looks Like, 2024
No full textThis piece is representing what it's like to live with hypertension, dealing with high blood pressure everyday. Having to take your blood pressure quite often, going to the doctor frequently. having a limited diet to maintain healthy blood pressure. This piece is meant to make the diagnosis seem less scary and more manageable for the patient, giving them hope that they will live a normal life again.
Medium: embroidery thread, wool felt, beads, acrylic paint, fabric paint
Format: 20 x 26.5
The Nepalese diaspora and adaptation in the United States
No full textThe Nepalese in the United States of America (USA) are an emerging diasporic community. In spite of the phenomenal growth of the Nepalese diaspora in the USA in the last more than two decades, little is known about this new diasporic community, especially regarding how the Nepalese adapt to American life. This study documents the rapid growth in Nepalese immigration to the USA in the twenty-first century, based on data from the U.S. Department of Homeland Security. Using the data from an online survey, it analyzes the experiences of the Nepalese in cultural adaptation, structural adaptation, marital adaptation, identificational adaptation, and receptional adaptation. The results show that although the Nepalese have become partly assimilated to American culture, they still to a large extent retain their ethnic culture, ethnic association, ethnic identity, and ethnic marital partners, and they have had mixed experiences of prejudice and discrimination. The findings have significant scholarly and practical implications
Perception of Work or Community Participation by Adults with Intellectual and Developmental Disabilities following Planning for Autism Curriculum Implementation
No full textThis capstone experience was completed to examine the effects of a program targeting self-awareness, self-care, and self-advocacy on the perception of work or community participation activities by adults with intellectual and developmental disabilities (IDD). Historically minority groups, including those with IDD have faced disparities within the community and workplace. Adults with IDD continue to display decreased employment and community participation activities compared to their neurotypical counterparts. The purpose of the program explored was to continue to decrease the disparities displayed by the target population and support their community and employment endeavors following their high school education. The program consisted of a 6-week program with 8 participants, implementing curriculum material covering self-awareness, self-care, and self-advocacy. Outcome measures were utilized to assess the perceived effects of the program by the participants. The outcome measures indicated improvements in their perceptions of community and work participation activities. Further research is needed to assess the long term effects of the program.STARC of Louisiana, Inc
Self-efficacy and Resilience Among Token Women Entrepreneurs
No full textPrevious research has explored the impacts of tokenism on women entrepreneurs regarding heightened visibility, polarization, and assimilation pressures. While various studies have explored the barriers and challenges women entrepreneurs experience due to gender bias and tokenism, further research is needed to explore the phenomenon of resiliency and self-efficacy among this population. In this study we will further explore these themes and examine how self-efficacy and resilience may play a role in coping and thriving in these traditionally male dominated spaces. We will conduct qualitative interviews with women thriving in leadership roles to further illuminate instances of resiliency and self-efficacy of women in male-dominated fields. We will conduct 5 semi-structured interviews with diverse women leaders about their experiences in leadership using an interpretive phenomenological analysis. We hypothesize that there will be themes found in token women entrepreneur research that suggests a strong sense of self-efficacy and remarkable resilience in women entrepreneurs. (Faculty Sponsor: Dr. Gabrielle Smith) Supported by TWU Small Grant Program