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A systematic review of music therapy to facilitate psychoeducation within mental health settings
No full textThe purpose of this systematic review was to explore the relationship of music therapy and psychoeducation within a mental health setting. This study addressed the following research question: What role can music therapy play in psychoeducation within mental health settings? Twenty-five articles were selected based on inclusion criteria for this systematic review. The result indicated limited literature regarding the use of psychoeducation (PE) within the practice of music therapy. Six out of twenty-five articles included the term psychoeducation within their abstract with all other articles using similar terminology to define PE. The result revealed that board certified music therapists are mainly using music therapy with PE through songwriting and lyric analysis and with various theoretical approaches
Perceived compassion fatigue levels in human service and legal professionals and paraprofessionals working with undocumented Central American immigrants in Texas
No full textSince 2014, undocumented migration from Central America to the United States has remained a highly controversial, politically charged topic in Texas. Despite challenging work conditions, human service and legal professionals and paraprofessionals working in nonprofits and NGOs remained committed to welcoming undocumented Central American migrants in a humanitarian fashion. In previous research, Lusk and Terrazas (2015, 2021) found that these helpers were at heightened risk for compassion fatigue (CF), which includes secondary traumatic stress and burnout (Clark and Williams 2018). Thus, this research explored how these helpers’ perceived levels of compassion fatigue (CF) were influenced by their race and ethnicity, their language ability, their experiences with personal discrimination, their reactions to portrayals of undocumented Central Americans in media coverage, their role as helpers of traumatized clients during the COVID-19 pandemic, and their interactions within the bureaucratic structure of the US asylum system. Quantitative data was collected from 22 participants via a 104-item electronic survey. Purposive, snowball, and convenience sampling were used to collect quantitative data via email and social media, and analysis was done using descriptive statistics. Qualitative data was collected from 10 participants via semi-structured Zoom interviews. Using Pearlin, Menaghan, Lieberman, and Mullan’s (1981) Stress Process Model (SPM), major qualitative themes emerged related to sources, manifestations, and mediators of CF. Per the SPM (Pearlin et al. 1981), sources of CF, which resulted in significant manifestations, included interaction with the structure of the asylum system, working with highly traumatized clients during the pandemic, exposure to negative media portrayals of their clients, and lack of control over their work life balance. Similarly, helpers’ ability to fluently speak the same language as their clients, personal trauma history, and shared experiences with clients were also significant sources and manifestations of CF. While sources of CF could not always be reduced due to work demands, helpers mediated their manifestations of CF through utilizing social support, developing a strong sense of mastery, finding meaning in their work, developing work life balance, utilizing positive coping skills, and focusing on healthy trauma stewardship (Lipsky and Burk 2009)
Occupational Therapy's Role in Implementing Cognitive Adaptation Training Framework in the Denton County Crisis Residential Unit: Supporting Individuals, Service Providers, and Establishing a Mobile Support System
No full textThe capstone project focused on increasing service delivery through program development and implementation at Denton County's crisis residential unit, supporting service providers at the unit, and developing a mobile support backpack system utilizing the cognitive adaptation training framework for individuals to utilize upon discharge from the unit.Denton County MHMR Service
Validation of the military concussion readiness inventory-dizziness and balance
No full textThe purpose of this study was to provide initial validation of the Military Concussion Readiness Inventory-Dizziness and Balance (MCRI-DB), the first military-specific patient self-report outcome measure to quantify dizziness and balance symptomology. Using retrospective data analysis, data was extracted from the Traumatic Brain Injury (TBI) Survey Portal, a repository of clinical outcome measures from U.S. military beneficiaries who receive care within the Defense Intrepid Network for TBI and Brain Health. The sample was randomly split into two groups for analysis. An exploratory factor analysis (EFA) with item reduction was completed on the MCRI-DB. Confirmatory factor analysis (CFA) was completed on the modified MCRI-DB. Finally, the modified MCRI-DB was tested for criterion-related validity against the Dizziness Handicap Inventory (DHI) and Neurobehavioral Symptom Inventory (NSI). Data from 553 service members was extracted from the TBI Survey Portal (Mean age = 37 +/- 8 yrs.; Males = 491, Females = 62; Army = 514). EFA was performed using Sample 1 data, starting with component extraction. One component was retained after parallel analysis and scree plot visualization. After determining the number of factors to retain, an iterative item reduction process began, with subsequent EFA after each of the seven rounds of item elimination. This process reduced the MCRI-DB from 68 items to 25 items. A follow-up CFA of the 25-item MCRI-DB was then completed using Sample 2 data, resulting in an acceptable model fit. Internal consistency for the 25-item MCRI-DB was good, Cronbach’s = 0.95. The 25-item MCRI-DB demonstrated strong correlation to the DHI (r = 0.77, p < 0.001) and NSI (n = 0.67, p < 0.001). Factor analysis and item reduction processes led to the creation of the 25-item MCRI-DB, demonstrating a streamlined survey process, reduced respondent burden, and improved data quality. The scale's one-factor solution aligns with recent literature on similar measures, boosting confidence in its ability to represent the construct of dizziness in military service members with a history of traumatic brain injury (TBI). The 25-item MCRI-DB may serve as an alternative self-reported dizziness outcome measure for military personnel. The MCRI-DB contains items that will aid in return-to-duty decision-making after mTBI
Liberated pregnancy: A mixed methods Black feminist thought analysis
No full textBlack women are more likely to experience perinatal mood disorder symptoms and have lower rates of access to mental health services than their White counterparts. Perpetuation of white supremacy and medical racism leaves medical professionals underprepared to support Black women. In the current study, through a convergent parallel mixed methodology of four mood disorder scales and fifteen individual interviews of pregnant Black women ages 29-36 utilizing Black feminist thought epistemology and the Blafemme Healing Model, I aimed to document Black women’s thoughts on their experience of mental health during pregnancy. I uncovered seven themes (a) proximity to sadness, (b) pregnancy symptoms colliding with mental health,(c) I am growing, loving, and learning, (d) acquainted with healing, (e) reaching optimal financial outlook, (f) the toll of White supremacy, and (g) finally free. The women, on average, had mild-moderate anxiety, possible depression, minimal to moderate discrimination in medical settings, and high psychological wellbeing in personal growth and self-acceptance. The generational impact of that harm and internalized racism, misogynoir, police brutality, mental health stigma, increased anxiety due to pregnancy symptoms, lack of financial support, and global health crisis continue to be barriers to liberating pregnancies for Black women of a variety of sexual orientations
Perceptions and experiences of health for mothers of children with autism spectrum disorder
No full textThe purpose of this study was to interview mothers who had children with an autism spectrum disorder to understand their perceptions and experiences regarding their health. The interview aimed to describe the study question: What are the perceptions and experiences of health for mothers with children with autism?
Eleven mothers participated in the study. Two were interviewed in person, nine were interviewed via Zoom, and the conversations were recorded. The transcribed data were analyzed using environmental analysis and phenomenological interpretation. Using an Excel spreadsheet, data were categorized into themes. A second interview was conducted with four mothers via Zoom to validate the findings.
The study's findings created two themes under environmental analysis and three under phenomenological interpretation. These themes were nonsupport to support, stillness to rumble, flood of emotions, self-talk, and me-time. Mothers provided recommendations to other mothers who have children with autism spectrum disorder.
Implications for nursing research, education, and practice were identified based on the study findings. This study provides a foundation for developing interventions targeting the health and well-being of the mothers. The descriptive data from this study can help construct future observational and experimental research
Experiencing Readers Theater in a first-grade bilingual classroom
No full textThis qualitative case study explored the use of Readers Theater through the experiences of emergent bilingual students in a first-grade bilingual classroom. Readers Theater is a strategy that has produced great results in helping the development of literacy in reading fluency, motivation, and comprehension. The research regarding the use of Readers Theater with students in the lower elementary grades enrolled in bilingual education classrooms is very limited. Emergent bilinguals could benefit from using teaching strategies that integrate the practice of all language domains, listening, speaking, reading, and writing, to allow them access to academic content. I collected qualitative data from observations, conferences, and student artifacts from emergent bilingual students who were in my one-way dual language classroom in a North Texas school district. The analysis of the data pointed to the following findings: the students perceived Readers Theater as an engaging and enjoyable experience, engaged in metacognitive activities such as, self-evaluations, helping and evaluating their peers, and being aware of the processes involved, and engaged in complex literacy processes, where they demonstrated understanding of character feelings, retelling and summarizing the story, and using new vocabulary
Social determinants of health influential to medication adherence in Hispanic women with cardiovascular disease
No full textThe purpose of this study was to investigate the relationship between social determinants of health (socioeconomic-related, patient-related, treatment-related, condition-related, and health system-related factors) and medication adherence in Hispanic women with cardiovascular disease (CVD). The World Health Organization (WHO) Dimensions of Adherence Model postulates that medication adherence is influenced by factors in those five dimensions. A predictive correlational design was used to collect data on the dimensions in this framework. Medication adherence was measured using the Medication Adherence Report Scale (MARS-5). Patient-provider communication was evaluated using the Patient-Centered Communication for Cancer Care (PCC-Ca), and the Short Acculturation Scale for Hispanics (SASH) was used to measure acculturation. The data was analyzed using descriptive statistics, hierarchical linear regression, and one-way ANOVA. The first regression model included patient-provider communication and acculturation as predictors. Step 1 of the regression was significant, F (2,80 = 7.09, p = .001) and explained 15% of variance in medication adherence. Only patient-provider communication contributed significantly to the model (β = .385, p = <.001). After entry of the demographic variables in Step 2, the model was found to be significant, F (11,71) = 4.42, p = <.001) and that the total variance explained by the model was 40%. Patient/provider communication (β = .329, p =.004) and retired employment status (β =.422, p=>001) were found to contribute significantly to the model. There was no significant difference in medication adherence between first, second, and third generation groups (F (2,81) = .418, p = .659). Tukey’s HSD Test for multiple comparisons found that the mean value for medication adherence was not significantly different between first, second, and third generation groups. Assessment of social determinants of health as they relate to medication adherence is essential in the management of CVD. Assessment of the influence of social determinants of health on medication adherence is essential in the management of CVD. Nurses can play a valuable role in promoting adherence by collaborating with other members of the health care team and community partners to assess social determinants of health and develop strategies and programs to promote adherence behaviors. More research is needed to understand the causality of medication non-adherence in this, and other populations of patients diagnosed with chronic disease
Diversity meets equitable and inclusive fieldwork: A qualitative phenomenological study
No full textOccupational therapy students who identify as Black Indigenous or Persons of Color (BIPOC) have intersecting identities that influence their experience within academia and Level II fieldwork—the occupational therapy profession advocates for increased diversity within the profession and equitable and inclusive practices. Recognizing diverse student backgrounds' needs is important to support learning outcomes within a supportive environment. An area for further exploration should be considered during Level II fieldwork, where students have reported barriers and challenges to learning due to fieldwork environments and educators. BIPOC student perspectives are seldom represented in occupational therapy literature. For a profession to truly embrace diversity, exploring diverse perspectives to inform inclusive practices is essential. The purpose of this study is to explore two questions: 1) What are the perceptions of equity and inclusion during Level II fieldwork from BIPOC students? and 2) How does one’s perception of equity and inclusion during Level II fieldwork influence relative mastery? A qualitative phenomenological study design incorporating a reflexive thematic analysis approach was utilized. The following data analysis generated three themes and eight sub-themes in response to participant’s perception of equity and inclusion: 1) Reflecting on the environment (subthemes: representation, workplace civility, and cultural celebration); 2) Resources for navigation (subthemes: therapeutic use of self; and the student becomes the teacher); and 3) Response to demands (subthemes: grit; adaptability; and true authentic self). The themes and subthemes do not work in isolation of each other as they are interrelated and not mutually exclusive. The second research question explored participants' perceptions of relative mastery. Irrespective of their experience of equity and inclusion during fieldwork, many participants shared similar sentiments toward their relative mastery, feeling satisfied with their overall performance and effectively utilizing resources. The results of this study may inform how the profession moves forward with fieldwork educator training to support competence, including workshops, mandated training, or readily accessible resources (Karp et al., 2022). The emphasis of this study is to ensure work towards equitable and inclusive Level II fieldwork practices support entry-level practitioners ready to serve diverse populations and confidently represent the profession
Works for Everyone: Preparing Individuals with Disabilities for the Workplace
No full textIndividuals with disabilities following graduation from high school face increased difficulty securing employment, increased levels of poverty, lower independence, and lower overall quality of life. My Possibilities is a daily, yearlong continuing education and job placement program offering secondary education courses, independent living training, supported employment/vocational training, and health & wellness classes for individuals with Intellectual and/or Developmental disabilities (IDD). The program outlined in this project involved collaborating with My Possibilities to develop pre-employment transition services (Pre-ETS) for individuals coming from high school into their offered courses to help aide in their transition. The results of the literature review conducted during this project demonstrated that Pre-ETS programming provides structure and promotes independence and therefore promotes employment and positive postsecondary outcomes for individuals with disabilities. Ultimately, this capstone project illustrates the positive impact that pre-employment transition services can have on individuals with disabilities on overall quality of life.My Possibilities Plano, Texa