EMERGING PRACTICE
2015-301What's a Mom To Do? Managing Dietary Modifications
Emerging Practice50 minute sessionsIntroductory to topic
1.) Analyze perspectives of mothers regarding their roles, as well as their challenges, in implementing dietary modifications with their children.
2.) Discuss various external and internal factors influencing the desire to implement dietary modifications for their children's well being.
3.) Engage in an interactive discussion regarding OT's potential role in addressing the habits, roles, and routines of mothers implementing dietary modifications for their children through the Model of Human Occupation frame of reference.
The presentation will highlight results from a qualitative study using an exploratory design, which utilized focus groups of mothers who are implementing dietary modifications for the well being of their children. The research aimed to describe the experiences of mothers who are implementing dietary modifications with their children who may or may not have chronic illnesses. This presentation will examine the process of the mothers implementing dietary modifications with their children through a Model of Human Occupation frame of reference. Using data from four semi-structured focus groups enablers and barriers in regard to volition, habits, routines, and environment will be discussed. The results of this study represent key constructs relevant to occupational therapy such as role conflict, quality of life, meal preparation, time management, social participation, relationships, and self-advocacy throughout implementing dietary modifications. The audience will gain a greater understanding of perspectives of mothers and their roles, as well as challenges, in implementing dietary modifications with their children. After presenting the findings of the study, the researchers will engage the audience in an interactive discussion on occupational therapists potential role in addressing the habits, roles, and routines of mothers implementing dietary modifications. This topic is crucial to examine at the present time due to the increasing prevalence of chronic illness, which may lead mothers to use dietary modifications in order to manage symptoms. Additionally, the presentation will address the potential of lifestyle modification as an intervention for mothers. With the change in health care policy and the 3rd edition of the OT practice framework, this may become an emerging area of practice. Occupational therapy practitioners have the potential to work with mothers on the most effective way to manage their role in implementing dietary modifications to prevent and/or manage chronic illnesses.
Clark, F., Azen, S., Zemke, R., Jackson, J., Carlson, M., Mandel, D., & ... Lipson, L. (1997).
Occupational therapy for independent-living older adults. A randomized controlled trial.
Jama, 278(16), 1321-1326.
Crowley, E. T., Williams, L. T., & Brown, L. J. (2012). How do mothers juggle the special
dietary needs of one child while feeding the family? A qualitative exploration. Nutrition
& Dietetics, 69(4), 272-277. doi: 10.1111/j.1747-0080.2012.01604.x
Gupta, R. S., Springston, E. E., Smith, B., Kim, J. S., Pongracic, J. A., Xiaobin, W., & Holl, J.
(2010). Food allergy knowledge, attitudes, and beliefs of parents with food-allergic
children in the United States. Pediatric Allergy & Immunology, 21(6), 927-934.
doi:10.1111/j.1399-3038.2010.01005.x
Lau, G., Patel, N., Umasunthar, T., Gore, C., Warner, J. O., Hanna, H., & ... Boyle, R. J. (2014).
Anxiety and stress in mothers of food-allergic children. Pediatric Allergy & Immunology,
25(3), 236-242. doi:10.1111/pai.12203
Safe, A., Joosten, A., & Molineux, M. (2012). The experiences of mothers of children with
autism: Managing multiple roles. Journal of Intellectual & Developmental Disability,
37(4), 294-302. doi: 10.3109/13668250.2012.736614
Wong, H. L., & Smith, R. G. (2006). Patterns of Complementary and Alternative Medical
Therapy Use in Children Diagnosed with Autism Spectrum Disorders. Journal Of Autism
& Developmental Disorders, 36(7), 901-909. doi:10.1007/s10803-006-0131-0
xxx received her Bachelor's of Science in health and occupation in 2014 at xxxxx and is currently a Master's of Occupational Therapy student. Her planned graduation date is August 2015.
Role conflict, quality of life, time management, and self-advocacy will be discussed as they relate to mothers implementing dietary modifications with their children. The presentation includes the perspectives of mothers regarding occupational enablers and barriers in relation to dietary modifications.
2015-302Occupational Therapy’s Role in Transition Services in Secondary Education Emerging Practice Posters Introductory to topic
At the end of the poster presentation, participants will be able to:
1. Describe the purpose of transition services as defined by IDEA
2. Identify occupational therapists’ role in transition services in secondary education in relation to the AOTA Standards of Practice.
3. Articulate the barriers occupational therapists must address in order to increase participation in transition services within secondary education settings.
The American Occupational Therapy Association (AOTA) has chosen occupational therapy in “Transitions for Older Youth” as an emerging area of practice. Occupational therapists are commonly utilized in transition services in early intervention and primary school settings, yet there is an increasing body of evidence suggesting that occupational therapists have limited roles in transition services for high school students, specifically for students with disabilities planning for life after graduation. “Transition services” is defined by Individuals with Disabilities Education Improvement Act (IDEA) as preparation for post-secondary education, employment, independent living, and/or community participation with students eligible for these services. Consequently, AOTA’s Standards of Practice for Occupational Therapy states that an occupational therapist “facilitates the transition” process in collaboration with the client, family members, significant others, and community resources, when appropriate.” After examination of “transition services” as defined by IDEA in comparison to the Standards of Practice, the minimal involvement of the profession in such services is worth questioning. The purpose of our research is to inform occupational therapists and other professions about the barriers that limit occupational therapy’s involvement in transition services, and how the profession can advocate for itself to be an integral part of these services. This session will be completed in the form of a poster presentation.
American Occupational Therapy Association. (2010). Standards of practice for occupational
therapy. American Journal of Occupational Therapy, 64, S106-111.
Bjornson, K., Kobayashi, A., Zhou, C., & Walker, W. (2011). Relationship of therapy to
postsecondary education and employment in young adults with physical disabilities.
Pediatric Physical Therapy, 23, 179-186.
Gangl, C., Neufeld, P.S., & Berg, C. (2011). A qualitative study of occupational therapy's role in
adolescent transition in a midwestern coalition of many school districts. Journal of
Occupational Therapy, Schools, & Early Intervention, 4, 154-167.
doi:10.1080/19411243.2011.595313
Individuals With Disabilities Education Improvement Act of 2004, Pub. L. 108-446, 20 U.S.C. § 1400 et seq. Kardos, M., & White, B. (2005). The role of the school-based occupational therapist in secondary education transition planning: a pilot survey study. American Journal of Occupational Therapy, 59, 173-180.
Bachelor of Arts in Integrative Health Studies from Xxxx and current MOT student at Xxxx in Pittsburgh, PA.
There is an underutilization of occupational therapists assisting students with disabilities in their transition from secondary education (high school) to adult roles, yet the skills and training of occupational therapists are directly related to the needs of these students.
2015-303Lack of ‘Sheep” in the ICU
Emerging PracticePostersIntermediate to topic
Upon viewing this poster attendees will:
1) Understand the need to address sleep deprivation in the ICU
2) Recognize the potential links between sleep and early mobilization participation
3) Develop a better understanding of occupational therapy’s unique role in the creation of individualized sleep programs.
This poster explores the potential influence of sleep patterns on involvement in early mobilization in the intensive care unit (ICU). The purpose of this poster is to provide occupational therapy practitioners with relevant information regarding the physiological and psychological factors associated with lack of sleep along with the positive effects of early mobilization. Sleep deprivation in the ICU has been documented for decades, with long lasting effects on physical and emotional health. In recent years the issue has gained greater awareness among ICU practitioners but few studies exist regarding the effectiveness of interventions to improve sleep among this population. Sleep is everyone’s occupation. The addition of rest and sleep in the updated version of the Occupational Therapy Practice Framework makes it our professional responsibility to address this occupation. OT practitioners are uniquely skilled to create client centered sleep hygiene programs due to their education and expertise in normal development and activity analysis. Client centered sleep hygiene programs should be created throughout the continuum of care. Through literature review and a survey of practitioners in the ICU setting, there appears to be a significant gap between theoretical knowledge on the effects of sleep and implementation in practice.
American Occupational Therapy Association. (2014). Occupational therapy practice framework:
Domain and process (3rd ed.). American Journal of Occupational Therapy, 68(Supp.1),
S1-S48. doi:10.5014/ajot.2014.682006
Picard, M.M. (2012). Occupational therapy’s role in sleep. The American Occupational Therapy
Association. Retrieved March 16, 2015
Pulak, L. M., & Jensen, L. (2014). Sleep in the intensive care unit: A review. Journal of Intensive
Care Medicine,29, 1-10. doi: 10.1177/0885066614538749
Schweickert, W.D., Pohlman, M.C., Pohlman, A.S., Nigos, C., Pawlik, A.J., Esbrook,
C.L., Kress, J.P. (2009). Early physical and occupational therapy in mechanically ventilated, critically ill patients: A randomized controlled trial. Lancet, 373, 1874-1882.
Xxxxxxxxx is a student of xxxxxxxxs Master of Occupational Therapy.
Lack of sleep is an epidemic in the United States and occurs daily in the intensive care unit. Decreased sleep quality affects current and long-term occupational performance. Addressing sleep issues will improve therapeutic participation and quality of life.
2015-304Telehealth: An Emerging Area of Practice for OT
Emerging PracticePostersIntroductory to topic
By viewing this poster and interacting with the presenter, participants will:
1. Describe the telehealth options available to practitioners
2. Examine the benefits and weaknesses of provision of OT services through via a telehealth approach
3. Examine the current research related to teleheatlh and telerehabilitation services along with suggested directions for future research for this emerging practice area
This poster presentation is designed to provide occupational therapists with an opportunity to examine the currently available research on telehealth and assess the effectiveness of telerehabilitation interventions. Research articles were gathered and assessed according to specific condition or diagnosis, type of intervention, outcome measures, and findings. Some of the more common outcome measures include fatigue impact, balance and ambulation, quality of life, and depression. Research on telerehabilitation is not extensive, as it is an emerging area of practice, but the research that is available indicates that telerehabilitation may be an effective way to deliver occupational therapy services for clients with limited access to services. Information technologies used for telerehabilitation include telephones, webcams (Skype and videophone), Instant Messaging System, Virtual Rehabilitation Center, Home Automated Telemanagement, Interactive voice response system, video coaching, apps, teleconferencing, and virtual reality video games. Much of the current research is related to clients living with multiple sclerosis (MS) and its impact on day-to-day functioning, including fatigue and disturbances in balance and gait. Although the results of these studies currently show that telerehabilitation can be just as effective, or more effective than traditional rehabilitative services, it is important to keep in mind that research is very limited. Other studies identified by the authors include Telerehabilitation for clients living with autism spectrum, cerebral palsy (CP), chronic obstructive pulmonary disease (COPD), traumatic brain injury (TBI), cerebral vascular accident (CVA), and spinal cord injury (SCI), although the research is not as extensive in these areas.
References
American Occupational Therapy Association. (2014). Occupational therapy practice framework:
Domain and process (3rd ed.). American Journal of Occupational Therapy, 68(Suppl. 1),
S1-S48.
American Occupational Therapy Association. (2013). Telehealth. American Journal of
Occupational Therapy, 67, S69-S90.
American Occupational Therapy Association. (2010). Telerehabilitation. American Journal of
Occupational Therapy, 64(6 Suppl.), S92-S102.
American Occupational Therapy Association. (2006). AOTA’s Centennial Vision.
American Occupational Therapy Association. (2005). Telerehabilitation position paper.
American Journal of Occupational Therapy, 59, 656-660.
American Telemedicine Association. (2012). What is telemedicine? Retrieved from
Bergquist, T., Gehl, C., Lepore, S., Holzworth, N., & Beaulieu, W. (2008). Internet-based
cognitive rehabilitation in individuals with acquired brain injury: A pilot feasibility study. Brain Injury, 22, 891-897.
Bombardier, C., Cunniffe, M., Wadhwani, R., Gibbons, L., Blake, K., & Kraft, G. (2008). The
efficacy of telephone counseling for health promotion in people with multiple sclerosis:
A randomized controlled trial. Physical Medicine and Rehabilitation, 89, 1849-1856. Cason, J. (2012). An introduction to telehealth as a service delivery model within occupational
therapy. OT Practice, 17(7), CE-1-CE-8.
Center for Telehealth and E-Health Law. (2010). What is telehealth? Retrieved from
Diamond, B., Shreve, G., Bonilla, J., Johnston, M., Morodan, J., & Branneck, R. (2003).
Telerehabilitation, cognition and user-accessibility. NeuroRehabilitation, 18, 171-177. Dunleavy, L., Preissner, K., & Finlayson, M. (2013). Facilitating a teleconference-delivered
fatigue management program: Perspectives of occupational therapists. Canadian Journal
of Occupational Therapy, 80, 304-313.\
Egner, A., Phillips, V., Vora, R., & Wiggers, E. (2003). Depression, fatigue, and health-related
quality of life among people with advanced multiple sclerosis: Results from an
exploratory telerehabilitation study. NeuroRehabilitation, 18, 125-133.
Finkelstein, J., Lapshin, O., Castro, H., Cha, E., & Provance, P. G. (2008). Home-based physical
telerehabilitation in patients with multiple. Journal of Rehabilitation Research &
Development, 45, 1361-1374.
Finlayson, M. (2005). Pilot study of an energy conservation education program delivered by
telephone conference call to people with multiple sclerosis. NeuroRehabilitation, 20, 267-277.
Finlayson, M., & Holberg, C. (2007). Evaluation of a teleconference-delivered energy
conservation education program for people with multiple sclerosis. Canadian Journal of
Occupational Therapy, 74, 337-347.
Florida State University Psychology Department. (2014). Utilizing technology to improve older
adult health. Occupational Therapy In Health Care, 28, 21-30.
Forducey, P., Ruwe, W., Dawson, S., Scheideman-Miller, C., McDonald, N., & Hantla, M.
(2003). Using telerehabilitation to promote TBI recovery and transfer of knowledge.
NeuroRehabilitation, 18, 103-111.
Gibbs, V., & Toth-Cohen, S. (2011). Family-centered occupational therapy and telerehabilitation
for children with autism spectrum disorders. Occupational Therapy In Health Care, 25, 298-314.
Golomb, M., McDonald, B., Warden, S., Yonkman, J., Saykin, A., Shirley, B., ... Burdea, G.
(2010). In-home virtual reality videogame telerehabilitation in adolescents with hemiplegic cerebral palsy. Physical Medical Rehabilitation, 91, 1-8.
Hoffman, T., & Cantoni, N. (2008). Occupational therapy services for adult neurological clients
in Queensland and therapists' use of telehealth to provide services. Australian
Occupational Therapy Journal, 55, 239-248.
Hill Hermann, V., Herzog, M., Jordan, R., Hofherr, M., Levine, P., & Page, S. (2010).
Telerehabilitation and Electrical Stimulation: An occupation-based, client-centered stroke
intervention. American Journal of Occupational Therapy, 64, 73-81.
Holberg, C., & Finlayson, M. (2007). Factors influencing the use of energy conservation
strategies by persons with multiple sclerosis. American Journal of Occupational Therapy,
61, 96–107.
Houlihan, B., Jette, A., Friedman, R., Paasche-Orlow, M., Ni, P., Wierbicky, J., ...Williams, S.
(2013). A pilot study of a telehealth intervention for persons with spinal cord
dysfunction. Spinal Cord, 51, 715-720.
Ortiz Gutierrez, R., Galan del Rio, F., Cano de la Cuerda, R., Alguacil-Diego, I., Diego, A.,
Arroyo Gonzalez, R., & Miangolarra Page, J. (2013). A telerehabilitation program by
virtual reality-video games improves balance and postural control in multiple sclerosis
patients. NeuroRehabilitation, 33, 545-554.
Paul, L., Coulter, E., Miller, L., McFadyen, A., Dorfman, J., & Mattison, P. (2014). Web-based
physiotherapy for people moderately affected with multiple sclerosis; quantitative and
qualitative data from a randomized, controlled pilot study. Clinical Rehabilitation, 28,
924-935.
Pilutti, L., Dlugonski, D., Sandroff, B., Klaren, R., & Motl, R. (2014). Internet-delivered lifestyle
physical activity intervention improves body composition in multiple sclerosis:
Preliminary evidence from a randomized controlled trial. Physical Medicine and
Rehabilitation, 95, 1283-1288.
Ricker, J. (2003). Clinical and methodological considerations in the application of
telerehabilitation after traumatic brain injury: A commentary. NeuroRehabilitation, 18,
179-181.
Tabak, M., Vollenbroek-Hutten, M., Van der Palen, P., & Hermens, H. (2014). A
telerehabilitation intervention for patients with Chronic Obstructive Pulmonary Disease: A randomized controlled pilot trial. Clinical Rehabilitation, 28, 582-591.
Ziegmann, M., Cole, E., Lichtenberg, A., & Brooks, R. (2001). Telerehabilitation: New tools for
providing in-home brain injury rehabilitation. OT Practice, 6, 12-16.
The primary speaker is an occupational therapist with over 20 years of clinical experience and an additional 10 years experience in both empirical and evidenced - based research related to occupational therapy practice.
This poster presents an evidence based research project that explores the currently available research supporting the effectiveness and outcomes of telehealth interventions for clients with limited access to traditional occupational therapy services.
2015-305Mobile Health for Monitoring and Self-Management
Emerging Practice50 minute sessionsIntermediate to topic
1. Participants will gain increased understanding mobile health systems and the benefits of utilizing mHealth in occupational therapy practice.
2. Participants will learn about a research study investigating the clinical impact of using the iMHere system to improve independence, psychosocial and medical outcomes of persons with spinal cord injuries.
Telehealth is the use of telecommunication technology to provide remote assessment and/or intervention services. Mobile health (mHealth) is an emerging form of Telehealth in which mobile devices allow for services and interventions to occur wherever it is most convenient and appropriate. This presentation will include an overview of mHealth systems and applications. Participants will learn about a variety of mHealth systems being utilized in rehabilitation. Current mHealth systems fall into one of five categories: 1) Lifestyle apps, 2) Consumer Medical apps, 3) Disease Management systems, 4) Traditional Telehealth, and 5) Mobile Telehealth. In addition, preliminary outcomes of a research study utilizing the iMHere system with individuals who have SCI will be presented. IMHere is a secure, HIPAA compliant, interactive mHealth system connecting a web-based clinician portal and a smartphone app with customizable modules. The iMHere system differs from other currently available Telehealth applications in serval ways and offers a client-centered approach. IMHere aims to improve self-management skills while preventing and detecting secondary medical issues of persons with SCI. Individuals with SCI often require complex self- management routines to prevent secondary complications that can result in hospitalization, death, and expensive medical care. Some of these complications include pressure ulcers or wounds, UTIs and sepsis. The iMHere system employs a proactive approach to prevent these secondary complications while increasing users’ self-management skills. When the user enters information into any of the smartphone app modules, the information is transmitted to a clinician portal. The clinician can easily and efficiently monitor a caseload of persons and communicate with these individuals to provide remote intervention. Not only does the iMHere system offer an innovative approach to improving medical and psychosocial outcomes, it may also ultimately reduce healthcare utilization and costs and improve the user’s self-management and independence skills.