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The Influence of Mass Media on the COVID-19 Vaccination Decision-Making Process: A Prospective Survey-Based Study
“I Think Writing is…” A Multi-State Study of Teacher Candidates’ Changing Beliefs about Writing
While writing scholarship framed by sociocultural theory illuminates the complexity of writing, writing in schools is frequently presented in simplistic ways. For this to change, teacher educators must support future teachers to develop complex understandings of writing. The purpose of this multi-state study was to investigate teacher candidates’ changing beliefs about writing and to consider the implications for teacher preparation. Data sources were written responses from 113 teacher candidates to questions about good writing and the purposes of writing that were collected at the beginning and end of semester-long literacy courses in six institutions across the United States. The responses were examined using thematic and discourse analysis. Findings indicate that, almost all teacher candidates changed their beliefs related to writing as a social, personal, and/or school practice, although changes were minor. Responses centering writing as a school activity were pervasive, and certain key sociocultural understandings, such as the connections between writing, context, culture, and power, were absent. Implications highlight ways that teacher educators might work to disrupt and broaden teacher candidates’ beliefs about writing, so teacher candidates might expand how writing is taught in their future classrooms
A Program to Improve the Quality of Life of Caregivers of Older Adults with Chronic Conditions: A Pilot Study
Background: Among the nearly 41.8 million family caregivers of older adults 50 years of age and older in the United States, only 30% of caregivers report receiving the education, resources, and support they need to feel competent in their role. Many existing programs focus on dementia-related caregiving, and programs are needed to address the caregiving needs of individuals with chronic conditions.
Method: A pilot study using a mixed methods design was conducted with eight participants. The pre and post. measure, Adult Carer Quality of Life (AC-QoL), and post program individual interviews were conducted.
Results: Six of the eight AC-QoL subscales showed improvement in quality of life and two showed decreases. The effect size was 0.63 for the total AC-QoL score, requiring 25–30 participants to achieve a power of 0.80 in a larger study. Interview data indicated the program provided an outside perspective of caregiver needs, provided information, resources and a support system, reduced their stress, and improved self-efficacy.
Conclusion: Further study of programs for caregivers of older adults with chronic conditions are important to fully address the needs of 35 million unpaid caregivers. Occupational therapists are ideally situated for leading the development of such programs given their unique practice focus and expertise
Understanding the Doctoral Capstone Coordinator Position: A Unique Faculty Role in Occupational Therapy Education
The doctoral capstone coordinator (DCC) position is a required faculty position in U.S. entry-level OTD programs, but there is limited information about this role. This descriptive study aimed to explore the demographics of DCCs; their required workload, tasks, and responsibilities; and the supports available to DCCs. The researchers administered an online survey and analyzed the data using descriptive statistics and content analysis. The results revealed much variability in DCCs’ experiences, workloads, and responsibilities across OTD programs. Of the DCCs survey, 74.0% previously held leadership positions in academia or clinical practice before taking the role, and 60.5% of the DCCs worked overtime for at least half of the previous year. Approximately half of the DCCs spent different percentages of time on teaching, research, service, and clinical responsibilities than expected by their universities. Common capstone tasks completed only by the DCC involved educating others about the capstone process, developing and evaluating the capstone processes, and teaching capstone courses. Tasks commonly completed with support include ensuring student completion of preparatory requirements, securing placements and affiliation agreements, and advising students. The responses varied regarding the individuals involved with mentoring and student assessment responsibilities. Overall, 67.7% of the DCCs were slightly to extremely satisfied with their existing workload
Patterns of Telehealth Usage at a Medical School Ambulatory Practice Before and During the COVID-19 Pandemic
What might the attendee be able to do after being in your session? The attendee may be able to better organize their practice in anticipation of future issues that may affect patients’ ability to present to clinic. Furthermore, the attendee may be able to better accommodate patients and provide a higher quality of care via delivery through different healthcare access modes. Description of Problem or Gap Although Telehealth use had been on a slow rise for many years, it significantly increased with the onset of the COVID-19 crisis. The stay at home orders and isolation procedures dramatically changed the way patients could access healthcare and Telehealth became a valuable tool to facilitate contactless access. The objective of this study is to elucidate how patients’ access to health care changed during the pandemic and determine if different access methods (i.e., audio-only, audio with video, or face-to-face visits) were associated with specific diagnoses or patient populations. Methods: This study is a retrospective, cross-sectional study of clinic EHR (Epic) data from the Western Michigan University Homer Stryker, M.D., School of Medicine (WMed)’s ambulatory clinic from 1/2/20-12/30/21. Microsoft Excel/Python were utilized to tabulate descriptive statistics. Results: Usage of Telehealth peaked in April 2020 at the onset of the pandemic with Audio and Video visits reaching 45.8% and 18.07% of total visits, respectively. The next three months showed Audio and Video visits decline to a steady average of 12.47% and 3.58%, respectively. Fluctuations closely followed local COVID-19 case trends. Adult Video visits were most associated with psychiatric diagnoses, while video visits were most associated with the pediatric diagnoses of developmental delay and dermatitis. While White Americans and African Americans made up 62.2% and 22% of total Office visits, respectively, Video visit proportions shifted to 73.3% for White Americans and 11.8% for Black Americans. Discussion of Results: Audio and Video visits remain as continuously utilized methods of receiving healthcare even after COVID-19 mandatory closures with increases in usage predictable during worsening public health situations. Furthermore, different healthcare modalities were utilized heavily for specific diseases. Lastly, Telehealth did show differences in usage between racial/ethnic groups indicating variation in access to healthcare. Conclusion: Telehealth has become integrated into our healthcare system, remaining a viable avenue for accessing care. Differing access patterns by different patient groups and for different predominant diagnoses suggest Telehealth carries varying value propositions in a healthcare landscape marked by inequities in access to care. Attendee’s Take-away Tool: The take-away tool is the strategy for organizing a medical practice to provide improved healthcar
2023-04-20_MichiganOverview_MISC
The MIS-C Data page was obtained from Michigan\u27s COVID-19 data page: https://www.michigan.gov/coronavirus/stats/mis-c-reporting.
This report is created by the Michigan Department of Health & Human Services from data self-reported by health care providers and local health departments. Data is updated on the first and third Thursdays of the month.
Multisystem Inflammatory Syndrome in Children (MIS-C) is a condition in children and adolescents under 21 years of age where multiple organ systems become inflamed or dysfunctional which occurs in association with illness. Children with MIS-C may have a fever and various symptoms, including abdominal (gut) pain, vomiting, diarrhea, neck pain, rash, bloodshot eyes, or feeling extra tired. We do not yet know what causes MIS-C. However, many children with MIS-C were infected with the virus that causes COVID-19, or had been around someone with COVID-19. Health care providers and local health departments are asked to maintain a high degree of suspicion for MIS-C in pediatric and adolescent patients presenting with symptoms similar to Kawasaki Disease or ill individuals who have been previously exposed to COVID-19 with signs and symptoms. Patients have presented with persistent fever*, hypotension, multiorgan (cardiac, gastrointestinal, renal, hematologic, dermatologic, and neurologic) involvement, and elevated inflammatory markers. Respiratory symptoms have been present in some, but are not a common finding.
Contains the tables Multisystem Inflammatory Syndrome in Children (MIS-C) Michigan Data Summary and Demographic Information, and the graph Confirmed Cases of MIS-C by Week of Onset in Michigan
2023-04-06_MichiganOverview_MISC
The MIS-C Data page was obtained from Michigan\u27s COVID-19 data page: https://www.michigan.gov/coronavirus/stats/mis-c-reporting.
This report is created by the Michigan Department of Health & Human Services from data self-reported by health care providers and local health departments. Data is updated on the first and third Thursdays of the month.
Multisystem Inflammatory Syndrome in Children (MIS-C) is a condition in children and adolescents under 21 years of age where multiple organ systems become inflamed or dysfunctional which occurs in association with illness. Children with MIS-C may have a fever and various symptoms, including abdominal (gut) pain, vomiting, diarrhea, neck pain, rash, bloodshot eyes, or feeling extra tired. We do not yet know what causes MIS-C. However, many children with MIS-C were infected with the virus that causes COVID-19, or had been around someone with COVID-19. Health care providers and local health departments are asked to maintain a high degree of suspicion for MIS-C in pediatric and adolescent patients presenting with symptoms similar to Kawasaki Disease or ill individuals who have been previously exposed to COVID-19 with signs and symptoms. Patients have presented with persistent fever*, hypotension, multiorgan (cardiac, gastrointestinal, renal, hematologic, dermatologic, and neurologic) involvement, and elevated inflammatory markers. Respiratory symptoms have been present in some, but are not a common finding.
Contains the tables Multisystem Inflammatory Syndrome in Children (MIS-C) Michigan Data Summary and Demographic Information, and the graph Confirmed Cases of MIS-C by Week of Onset in Michigan
2023-03-03 MichiganOverview_COVIDbedPPE
Contains the tables Statewide Hospital Capacity Report for COVID-19, COVID-19 Metrics, Statewide Hospital Available PPE Tracking for COVID-19, as well as the tables PPE Days On Hand and Patient Census
2023-01-17_MichiganOverview_COVIDlongtermcare
The COVID Long Term Care Facilities page was obtained from Michigan\u27s COVID-19 data page: https://www.michigan.gov/coronavirus/stats/data-about-places/long-term-care-data.
This report is created by the Michigan Department of Health & Human Services from data self-reported by long-term care facilities into EMResource. Data for all reporting facilities is posted weekly each Monday.
The information below represents COVID-19 data reported directly to MDHHS by licensed and operating Skilled Nursing, Home for the Aged and Adult Foster Care facilities (licensed to serve 13 or more individuals) in Michigan from January 1, 2020. All long-term care facilities additionally have an obligation to report COVID-positive residents and/or staff to their Local Health Department. Ensuring accurate and timely reporting by those facilities subject to MDHHS reporting requirements is a priority for the State of Michigan. The data is leveraged to guide state efforts and ensure sufficient support is provided where it is needed most, as well as to allow transparency for residents and families. MDHHS employs ongoing data validation processes and works with the Institute for Health Policy at MSU to support additional validation exercises on the data. When a facility is flagged for a validation concern, the department may work with the Regional Health Care Coalition, conduct direct outreach, and provide technical assistance to the facility. Facilities are provided the opportunity to correct entry errors identified during the validation process. All data presented is considered provisional and may change as facilities correct or add data
Therapeutic Gardening for Older Adults at a Community-Based Day Center: A Doctoral Capstone Experience
As we age, it is common for individuals to participate in less meaningful and purposeful occupations due to cognitive and physical declines. Research has shown that gardening is a popular leisure activity that offers many therapeutic benefits. This capstone project involved creating an evidence-based therapeutic gardening program for older adults at Care Resources. This community-based day center offers many activities and opportunities for participants to get involved with; however, after completing a needs assessment, it was clear that participants could benefit from more hands on and productive activities that help encourage regular attendance to the day center. The objectives of this project include creating and implementing therapeutic gardening group ac5vi5es along with an activity manual for the recreational therapy department to utilize. Funds were raised and a grant was applied for to help fund supplies and purchase materials to create an accessible gardening space. The feedback and participation from participants was extremely positive. This therapeutic gardening program showcases the benefits of interdisciplinary collaboration between the occupational and recreational therapy professions as well as providing more evidence that interventions such as therapeutic gardening can help improve quality of life and increase participation in leisure activities for older adults