bluuebunny/crossref_metadata_2025_split huggingface dataset:
The Effects of a Prefeeding Stimulation Program on Preterm Infants
Authors: Gaebler Christine P. , Hanzlik Jodie Redditi 
Published: April 2012

Abstract
Objective. This study examined the effects of stroking and a perioral and intraoral prefeeding stimulation program on healthy, growing, preterm infants in a Level II special care nursery. Only infants without cardiac, gastrointestinal, or central nervous system problems were included in the study.
Method. Two groups of nine randomly assigned, medically stable preterm infants, born between 30 weeks and 34 weeks gestation, were selected for the study. All infants were introduced to nipple feeding at approximately 34 weeks postconceptual age. The infants in the control group received a 5-min stroking protocol before feeding; the infants in the experimental group received a 5-min stroking protocol in addition to a perioral and intraoral stimulation program.
Results. Compared with the control group, the experimental group had a decreased number of gavage feedings, greater weight gain, and fewer days of hospitalization. The experimental group also had higher scores on the Revised-Neonatal Oral Motor Assessment nutritive suck scale than the control group.
Conclusion. On a preliminary basis, the findings from this study establish the efficacy of occupational therapy in a Level II special care nursery for healthy, growing, preterm infants. Further, the specific treatment strategies conducted with the infants receiving the experimental procedures have also been preliminarily established as effective in enhancing the infants’ feeding skills, resulting in weight gain and decreased hospital stays as compared with their counterparts in the control group. However, our findings cannot be generalized to preterm infant populations who are at greater medical risk than the infants in our study because of the potentially hazardous effects that could result. Implications of the results for intervention programs and future research are discussed.
Perceptions of Computer Literacy Among Occupational Therapy Students
Authors: Williams Adelle M. , Agho Augustine O. , Holm Margo B. 
Published: April 2012

Abstract
Objective. Educational programs for the occupational therapist and the occupational therapy assistant are mandated to include content on technologies in their curricula. Given the increasing use of technology skills among occupational therapists, especially computer technology skills, it seemed judicious to ascertain the current and desired levels of skill of occupational therapy students as well as their opinions about computer technology.
Method. Program directors from five baccalaureate-level curricula distributed the Computer Opinion Survey and the Computer Knowledge Survey to 109 junior and senior occupational therapy students. The students were instructed to complete and return questionnaires to their program directors who, in turn, forwarded the questionnaires to the principal investigators.
Results. Respondents were generally positive about computer technology, and the level of knowledge they desired about computer technology applications in occupational therapy was much greater than their current level of knowledge. Although respondents’ positive attitudes were significantly correlated with their current levels of computer knowledge, no significant relationship was established among positive attitudes, current levels of computer knowledge, and number of computer courses completed before entering an occupational therapy curriculum.
Conclusions. Even though the respondents were computer literate (i.e., they had a general working knowledge of the uses, limitations, and impact of computers), no relationship was established between their previous computer course work and their current knowledge of the use of computer technology in occupational therapy. The linkage between generic computer literacy and knowledge of its relationship to the use of computer technology in occupational therapy was not evident to this sample of junior and senior students.
The Use of Drama and Puppetry in Occupational Therapy During the 1920s and 1930s
Authors: Phillips Mary Ellen 
Published: April 2012

Abstract
The occupational therapy literature was reviewed to determine how drama was used as a clinical modality in the 1920s and 1930s. It appears that the emergence of the Little Theater Movement in the early 1900s, which enabled amateurs to perform publicly, provided the impetus for occupational therapists to use drama as purposeful activity. The theatrical modes most frequently used were pageantry, puppetry, and comedic plays. Additionally, the collective nature of drama facilitated group-centered treatment. Noble, a psychiatrist at Sheppard and Enoch Pratt in Maryland, used drama for insight-oriented therapy and recommended that occupational therapists use drama for treatment of persons with mental illness. Drama in occupational therapy still exists in some psychiatric settings, although a new discipline known as drama therapy, which is a division of the creative arts therapies, has arisen. Although drama therapy addresses psychodynamic goals, drama also can be used in occupational therapy to promote competence, enhance self-concept, and improve socialization.
The Other Side of the Coin: Growing Up With a Learning Disability
Authors: Fanchiang Shan-Pin C. 
Published: April 2012

Abstract
This study is a narrative analysis of the life history of Dale, a 25-year-old man with a learning disability who received sensory integrative treatment in early childhood. The analysis revealed that Dale’s self likely developed through occupational engagement with three interconnected themes: “my mother said” and “parental tricks”; “adrenaline surges” and “hell-raising”; and work, “deal making,” and self-construction. These themes depict Dale’s self-construction, character development, occupation selection, and adaptation. In addition, these themes revealed how his parents used principles based on his sensory needs and learning problems to organize his childhood occupations and assist with his adaptation. The concept of occupational metamorphosis is also proposed to describe a person’s search for and selection of occupations that satisfy biological and sensory needs. This study supports the idea that the complex nature of adaptation can be revealed through an occupational history, and that adaptation is multifaceted and not absolute.
Jenny’s Story: Reinventing Oneself Through Occupation and Narrative Configuration
Authors: Price-Lackey Pollie , Cashman Jenny 
Published: April 2012

Abstract
Two life history interviews were conducted to discover how one woman, Jenny, experienced a traumatic head injury, rehabilitation, and recovery. Narrative analysis of the transcribed interviews revealed a rich story of how Jenny had fashioned her identity and character through childhood occupations, including studying classical literature and music, and of how she drew upon resources developed in childhood to engineer her recovery. It also illustrated how Jenny used a recursive process of narrative construction and engagement in self-devised graduated occupations, including studying, playing music, writing, computer graphics, and theater production, to create a new identity and develop capacities to process complex information and exercise creativity.
Jenny’s story illustrates the usefulness of gaining a perspective on patients as occupational beings through the gathering of life histories focused on occupation, the importance of collaborative patient-therapist goal setting, and the necessity for considering both the doing (practic) and the meaning (narrative) aspects of occupation. Her story supports many scholars’ arguments that the therapeutic relationship, and thus occupational therapy practice, may be enhanced through the use of life history interviewing in occupational therapy evaluation and treatment.
Perceptions and Experiences of Occupational Therapists in Rural Schools
Authors: Wills Karen , Case-Smith Jane 
Published: April 2012

Abstract
Occupational therapy practice in rural schools is influenced by a number of factors unique to rural settings, such as geographic barriers, cultural diversity, limited access to external resources, and lack of personnel with specialist skills. The purpose of this ethnographic study was to identify the unique experiences of occupational therapists who practice in rural schools and to explore how they perceived their roles in rural schools. Six occupational therapists were interviewed and observed in the field. Analysis of interview data revealed five themes: (a) jack-of-all-trades, which described how the participants viewed themselves as generalists; (b) bridging the span between services, which described their roles in coordinating the students’ medical services, which tended to be disjointed; (c) the world can get kind of lonely out there, which described the sources of support seen as reducing their sense of isolation; (d) trust and teaming, which described their attempts to provide an integrated intervention service and the challenges they faced; and (e) I cannot do it all, but I wish I could, which described how they selected their service delivery models to meet the demands of their practice. The participants believed that their work in rural schools required creativity, resourcefulness, and self-reliance. These characteristics, as well as support from their colleagues, were important to coping with the challenges of practice in rural schools.
Occupational Therapy Task Observation Scale (OTTOS)©: A Rapid Method for Rating Task Group Function of Psychiatric Patients
Authors: Margolis Russell L. , Harrison Sharon A. , Robinson Hilary J. , Jayaram Geetha 
Published: April 2012

Abstract
Objective. We designed a simple rating instrument, the Occupational Therapy Task Observation Scale (OTTOS)©, to facilitate evaluation and documentation of patient performance during occupational therapy task groups and to improve the communication between occupational therapists and other treatment team members.
Method. After analysis of other rating instruments, a preliminary version of OTTOS was designed, extensively field tested, and further modified. Interrater reliability was determined, and validity was tested against three established rating instruments: the Bay Area Functional Performance Evaluation, the Comprehensive Occupational Therapy Evaluation Scale, and the Milwaukee Evaluation of Daily Living Skills.
Results. The final version of OTTOS contains two parts, 10 items for evaluation of specific task functions and 5 items for rating general behavior. Field use demonstrated that the scale successfully tracked changes in functional capacity and included most facets of patient function evaluated during task groups. Use of OTTOS required minimal training, and scoring required less than 2 min for each patient. The correlation between the scores of experienced occupational therapists was high (.92 for the total scores). The correlation between OTTOS and the other rating instruments ranged from .880 to .340; the highest correlations, as expected, were with test subscales that most closely resembled OTTOS.
Conclusion. Preliminary data indicated that OTTOS offers a reliable and valid method for rapidly rating the function of patients with psychiatric illness attending task groups. In addition, use of OTTOS improved the communication between occupational therapists and other health care providers, facilitated the education of occupational therapy students, and met the documentation requirements of third-party payers.
Managed Care Fundamentals: Implications for Health Care Organizations and Health Care Professionals
Authors: Landry Charles , Knox Joe 
Published: April 2012

Abstract
Managed care is changing our health care delivery system as radically as the computer chip has changed telecommunications. Health care professionals and organizations that do not understand managed care’s implications will not be prepared for the future. For example, one implication of managed care is payment capitation, which is the transfer of financial risk from the insurer to the provider. As a result, health care providers, including occupational therapy professionals, need to be better managers of scarce resources by recognizing the cost implications among various alternative procedures while still delivering quality care. Under managed care with capitation, occupational therapists will need to learn to provide services within the parameters of a fixed budget, requiring reengineering of the therapies and processes of care and a considerable reduction in the procedures and modalities for any given treatment or therapy. As a result, patients will be required to do more for themselves, and occupational therapists will have to become better patient educators and motivators. Additionally, managed care will require changes in professional curriculums, emphasis through continuing education, and assimilation of better cost information to practitioners to facilitate decision making. Implications of managed care other than payment capitation are assigning to enrollees a gatekeeper who is responsible for limiting access to costly specialty services, practicing utilization review to audit usage patterns and provide constructive recommendations to reduce costs and improve service quality, and forming networks and associations among medical providers for developing economies of scale and providing an integrated continuum of health care services to enrollees.
Interest Among Occupational Therapy Managers in Measuring Workload for Case Costing
Authors: Cockerill Rhonda , Scott Elizabeth , Wright Maureen 
Published: April 2012

Abstract
Objectives. Interest in costing health care delivery on an individual case basis has increased in recent years as concern with overall health care costs has heightened. Costing exercises have been largely oriented around medical classification systems. Measures to incorporate the contributions of allied health activities such as occupational therapy are relatively recent. The objective of this study was to examine the attitudes and opinions of senior occupational therapy managers toward workload measurement on the basis of case mix.
Method. A survey was sent to all 198 senior occupational therapy managers in accredited Canadian facilities, which was completed by 182 respondents for a response rate of 92%. The questionnaire asked about workload measurement system(s) currently used, satisfaction with the system(s), and needs and expectations of workload systems in general.
Results. The majority of respondents were using a time recording workload measurement system and expressed relatively low levels of satisfaction with it. Current systems were unable to provide costing data, which respondents ranked as very important for themselves as managers. The majority of respondents believed that it would be useful or very useful to be able to cost occupational therapy services by a diagnostic grouping system and to establish standard protocols per diagnosis, standard times per procedure per institution, and standard times per procedure for the profession.
Conclusion. There is support for developing or expanding current methods of measuring workload. Senior occupational therapy managers would like to be able to predict their workload prospectively, a step that will accommodate the move toward case costing and program management.
The Experience of Head Injury on the Impairment of Gender Identity and Gender Role
Authors: Gutman Sharon A. , Napier-Klemic Jeanette 
Published: April 2012

Abstract
Objectives. This study explored the disruption of gender identity and gender role as a result a traumatic brain injury (TBI).
Method. Four adults (two men, two women) who sustained a TBI between the ages of 18 and 30 years and were at least 1 year postinjury participated in six 1-hr interviews concerning changes in (a) perceived masculinity or femininity, (b) involvement in intimate relationships, (c) enactment of gender roles, and (d) organization of activities that support gender roles.
Results. The men expressed greater feelings of gender inadequacy postinjury than did the women and appeared to have greater difficulty resolving rites of passage (e.g., achievement of the adult work role, marriage, parenting) and developmental issues characteristic of the life stage at which they experienced their injury. The men appeared to depend more heavily on traditional gender-specific activities before and after injury to define and support gender role; the women relied more on cross-gender activities. The women appeared to be able to maintain more preinjury activities postinjury than did the men.
Conclusion. Postinjury possession of a personally satisfying sense of gender appears to be related to the ability to maintain much of the preinjury activities that defined and supported the participants’ sense of masculinity or femininity. The ability to satisfactorily resolve rites of passage or developmental issues characteristic of the life stage at which the brain injury occurred appears to be related to the ability to participate in activities that define and express gender role during that particular life stage.
Reliability of Potential Clinical Measures of Muscle Tone in the Elbows of Patients After Stroke
Authors: Worley J. Scott , Harmon Nan , Miller Georganna J. , Hollis Sharon Bowen , Harlow Sue , Briggs Vickie 
Published: April 2012

Abstract
Objectives. This study investigated the reliability of joint resting position (EJP), resistance to passive movement (ERM), and the angle of appearance of the resistance (EAR) as measures of muscle hypertonus of elbow flexors in patients after stroke. Previously, similar measures had been found reliable when applied to measuring shoulder and wrist hypertonus in patients after stroke.
Method. Forty-five subjects with stroke were randomly selected from occupational therapy admissions at two rehabilitation centers. Tone of elbow flexors was measured twice at the same sitting by two examiners. EJP and EAR were measured with a goniometer, and ERM was measured with a resistance rating scale. Correlations were calculated between first and second measurements by center and by high tone and poor upper extremity function subgroups (with correction for multiple correlations) to determine reliability.
Results. Each of the three measures was highly reliable as demonstrated by a high correlation in at least one of the subgroups (Center 1: EJP, r =.964 for high tone subgroup; ERM, r =.789, EAR, r =.902, both in poor upper extremity function subgroup; and Center 2: EJP, r =.892, ERM, r =.938, both in poor upper extremity function subgroup; EAR, r =.666 for all subjects; all p values &lt; .05). Correlations were especially high when data for subjects with high upper extremity function were eliminated.
Conclusion. Reliability of these three methods of measuring upper extremity muscle tone enhances their usefullness as well as therapists’ confidence in their judicial application.
The Historical Development of Neuroscience in Physical Rehabilitation
Authors: Cohen Helen , Reed Kathlyn L. 
Published: April 2012

Abstract
Neuroscience and occupational therapy in physical rehabilitation have developed along parallel tracks. As physicians began to study the neural bases of motor control, they also began to reconsider the sequelae of “hopeless” diagnoses as conditions that they could influence. This change in some phyicians’ understanding of the neural mechanisms of motor control influenced other clinicians’ ideas about patient care. Early work on treatment of patients with cerebral palsy and polio led to improvements in treatment approaches used to facilitate motor skill and functional motor ability in patients with upper motor neuron disorders. From the 1950s to the present, therapists have refined their treatment techniques as knowledge from neuroscience has become available. A few therapists, who are gradually increasing in number, have turned to the laboratory to study basic neuroscience problems that affect clinical treatment. This article describes the development of neuroscience research and neurorehabilitation theories and indicates common themes.
Work and Leisure: Transcending the Dichotomy
Authors: Primeau Loree A. 
Published: April 2012

Abstract
The contribution of a balance of work and leisure to health and a sense of well-being is a common sense assumption in everyday knowledge as well as in occupational therapy. The impact of the organization and balance of occupations in daily life on health, adaptation, life satisfaction, and a sense of well-being are central issues in occupational science. One of occupational science’s potential contributions to society is the ability to provide understanding and insights that transcend common sense assumptions and everyday knowledge about occupations. This article will address, through a review of the literature, some of the limitations inherent in belief about a healthy balance of work and leisure. It will demonstrate how distinctions between work and leisure are culturally bound and perpetuate the assumption that they are dichotomous experiences. This dichotomy is shown to be a false one and must be transcended in order to explore the question of what is a healthy balance within daily life. This article concludes with consideration for occupational therapy research and practice that may arise from transcendence of the dichotomy of work and leisure.
Legitimizing Occupational Therapy’s Knowledge
Authors: Wood Wendy 
Published: April 2012

Abstract
Proceeding from the ethic that occupational therapy is the rightful keeper of its own practice and knowledge, this article strives to bring the profession’s knowledge concerning the role of occupation in adaptation into sharp relief. Knowledge generated by many occupational therapists represented in the profession’s historic literature, scholarship, practice models, position papers, and research is analyzed through a heuristic framework that distinguishes the process from the state of adaptation. This analysis offers evidence that, in the service of persons with profound and often medically incurable disabilities, occupational therapy has begun to explicate the role of occupation as a vital adaptive medium and cornerstone of quality in daily living. Related areas of knowledge development in which legitimate progress can be claimed are suggested. Nevertheless, it is argued that occupational therapy’s knowledge must be further developed and its societal value better communicated through the concerted efforts of all practitioners, educators, and researchers.
Factors That Relate to Good and Poor Handwriting
Authors: Cornhill Heidi , Case-Smith Jane 
Published: April 2012

Abstract
Objective: This study investigated the relationships between specific performance components, eye–hand coordination, visuomotor integration, in-hand manipulation, and handwriting skill.
Method: A sample of 48 typical first grade students were identified as good and poor handwriters by their teachers. Each child completed the Motor Accuracy Test; the Developmental Test of Visual–Motor Integration (VMI); two tests of in-hand manipulation, including a rotation and a translation task; and the Minnesota Handwriting Test (MHT).
Results: All test scores for the subjects with good handwriting were significantly higher than those of the subjects with poor handwriting. Each performance component test was significantly correlated to MHT scores. Translation, VMI, and rotation scores were significant predictors of MHT scores, accounting for almost 73% of variance. A discriminant analysis using the performance components correctly classified 98% of the students as good or poor handwriters.
Conclusion: In-hand manipulation has significant association to handwriting skill.