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Teaching to Transgress in Intercultural Communication Contexts in Utah: A Plática Approach
No full textReflecting on legislative changes in Utah and their implications for teaching topics related to social justice, this plática explores the challenges and the possibilities that exist in our pursuit of liberatory pedagogy. Relying on the work of bell hooks and Chicana feminist scholars, we argue that despite the challenges posed by restrictions to DEI, educators should rely on critical communication pedagogical approaches to promote transparency and intentionality, model vulnerability, build community relationality, and recognize our collective humanity. Recognizing teaching as an embodied experience, we argue through engaging in self-reflection and relying on critical pedagogical approaches, we are able to equip ourselves with the tools that allow us to find creative ways to continue the pursuit of education as the practice of freedom
Uncovering Occupational Therapy’s Role in Addressing Postpartum Anxiety: A Scoping Review
Get PDFBackground: Occupational therapists are qualified to provide needed support for individuals experiencing postpartum anxiety. Postpartum depression is a more well known and researched disorder; however, postpartum anxiety is theorized to be more prevalent and less discussed (Nakić et al., 2018; Zappas et al., 2021). The objective of this scoping review is to find the themes in the literature highlighting the unique settings, assessments, and interventions used to support individuals with postpartum anxiety.
Methods: A literature search was conducted from Scopus, Sage Journals, OTSeeker, Science Direct, and EBSCO databases. Twenty articles were found and selected for review.
Results: Themes across articles highlighted settings, assessments, and interventions used by occupational therapists to support individuals experiencing postpartum anxiety. Specific interventions included cognitive behavioral therapy, mindfulness, social support, exercise and meaningful activities, domains of occupation/performance patterns, sensory experiences, and emotional regulation and journaling.
Conclusion: Occupational therapists are qualified to provide evidence-based holistic care for birthing parents experiencing postpartum anxiety
Integrative Neural Networks: A Novel Frame of Reference to Support Occupational Engagement in Caregivers
Get PDFThe Integrative Neural Networks (INN) frame of reference is an integrated approach to support occupational engagement in parents and primary caregivers of children and youth with complex health care needs (CYSHCN) guided by principles of family-centered care. Given the potential influence of prolonged, cumulative, and or repeated stress on physiological, affective/cognitive, and social/spiritual health, it is imperative that occupational therapists partner with parents and primary caregivers to positively impact occupational engagement across contexts. Further, this frame of reference provides an avenue to identify potential health and occupational disparities historically under-recognized as independent from the needs of the child. Based on the structure put forth by Mosey, Hinojosa, and Kramer, this article describes the INN frame of reference from philosophical assumptions and the theoretical base to function-dysfunction continua and implications for occupational engagement. In addition, it includes a guide for evaluation of occupational disparities and resources for collaboration across health care professionals. The postulates regarding change and application to practice appear in a companion article. The overall goal is to assist occupational therapists in identifying parents/caregivers in need of intervention, supporting holistic health while positively impacting occupational engagement for the “whole” parent
Evaluating the Use of Statewide Summative Assessments in College Admissions: Insights from a Case Study
Get PDFThe impact of COVID-19 pandemic and ongoing discussions around social inequality have significantly reshaped traditional college admission practices. This study explores the potential of using statewide assessments that are accessible to all students and aligned with curriculum standards as an alternative to college admission tests. Hierarchical linear modeling further revealed that statewide assessment scores contributed an additional 9% of the variance in admission scores above and beyond high school GPA and core coursework. Logistic regression and random forest analyses indicated that high school GPA and statewide assessment scores were the most contributing factors to admissions decisions, followed by core coursework. Moreover, using statewide assessment scores in place of traditional college admission tests yielded the same admission classification for approximately 91% of students in the sample. These findings support the use of statewide assessments as an alternative for college admissions, potentially broadening access and opportunity for more students
Maternal Materialities: Objects, Rituals and Material Evidence of Medieval and Early Modern Childbirth edited by Costanza Gislon Dopfel
No full textEnglish Proficiency and Gender-Ethnic Variation in Mental Health Among U.S. Asians
No full textDespite much research documenting the health patterning of U.S. Asians compared to other ethnoracial groups, fewer studies have interrogated social factors contributing to heterogeneity in mental health among U.S. Asians. The present study draws insights from the fundamental cause perspective and intersectionality to examine, first, the association between English proficiency and mental health among U.S. Asian adults, and second, the degree to which gender and ethnicity factor into associations. This study uses nationally representative data from the National Latino and Asian American Study to regress three commonly used indicators of mental health—psychological distress, self-rated mental health, and 12-month anxiety disorder—on English proficiency for Chinese, Filipino, Vietnamese, and other Asian/Pacific Islander men and women (n = 2,065). Results identified English proficiency’s association with lower distress and better perceived health, and Chinese women generally experienced poorer mental health than other groups. Gender and ethnicity moderated relationships between language proficiency and mental health, such that English proficient Chinese men and women and Vietnamese men were more likely to perceive better mental health than their non-proficient counterparts. English proficiency particularly benefited Filipino and other Asian/Pacific Islander men such that each experienced lower psychological distress and odds of anxiety disorder, respectively. This study affirms the importance of examining within-group heterogeneity and investigating social determinants of health, including language proficiency, that are fundamental to the health status of ethnoracially marginalized groups
Implicit Bias Training Standards in Health Care: Did Michigan Get It Right? A Policy and Ethical Framework Analysis
Get PDFIn 2022, Michigan joined a handful of states requiring implicit bias training for its health care professionals. In its ideal application, implicit bias training of health care professionals will result in a reduction of the implicit biases held by health care providers. This bias reduction will, in theory, contribute to improved equity in the delivery of health care services. Ultimately, the less biased health professional, now delivering health care services with a more equitable hand, will help reduce health disparities in the State of Michigan.
This analysis of Mich. Admin. Code R.338.7004 - Implicit bias training standards for licensed and registered health care professionals, examines the policy’s origin, intent, foundational principles, and implementation. Implicit bias training of health care professionals has been mandated state-wide to improve health equity; however, lack of evidence-based structure and administration threatens to defeat the stated objectives of Michigan’s implicit bias training policy. Potential for the generation of large-scale data to better inform implicit bias training is a missed opportunity without policy revision. Recommendations for high-priority revisions to the policy are provided as a guide for Michigan lawmakers to ‘get it right’ by delivering an implicit bias training initiative that is data generating and evidence-based
Occupational Balance of Occupational Therapy Students Before and After Occupational Disruption Caused by COVID-19
Get PDFBackground: The COVID-19 pandemic and ensuing restrictions have caused occupational disruption, yet little is known about their relationship with occupational balance, student satisfaction, and stress. This study aimed to investigate the impact of COVID-19 restrictions on the occupational balance of occupational therapy students in the state of Victoria, Australia, and its association with measures of life satisfaction and distress.
Method: Participants completed the Occupational Balance Questionnaire (OBQ-11) twice (once rating their occupational balance before COVID-19 social distancing restrictions and again during the time these restrictions were in place); the Global Life Satisfaction Questionnaire; and the Depression, Anxiety and Stress Scale (DASS). Wilcoxon-Pratt and Pearson’s correlation were used to analyze the data.
Results: Fifty-one participants revealed significant decreases in total scores on the OBQ-11 (Z = 3.0, 95% C.I. = 1 to 4.5; p
Conclusion: COVID-19 restrictions have impacted students’ occupational balance. Occupational therapy students may not have the necessary knowledge of occupational therapy philosophies to maintain occupational balance