bluuebunny/crossref_metadata_2025_split huggingface dataset:
Implementing the Americans With Disabilities Act of 1990 in Higher Education
Authors: Bowman O. Jayne , Marzouk Donna K. 
Published: April 2012

Abstract
The purpose of this paper is to provide educators and administrators in higher education with a greater understanding of how the Americans With Disabilities Act of 1990 (ADA) (Public Law 101–336) may affect institutions of higher education and to suggest ways that occupational therapists can assist institutions of higher education to comply with the ADA. When educators attempt to comply with the ADA in systems of higher education, the complexity of universities calls for a model reflective of that complexity. The systems approach to higher education, a model based on the general systems theory, is suggested as such a model. The three essential components of the model – input (i.e., applicants to a university), throughput (i.e., enrolled university student), and output (i.e., the student being graduated) – are acted on by many subsystems of the university. Some of those likely to be affected are application procedures, transportation, housing, dining facilities, and curricula. In planning ways to comply with the ADA, educators in higher education may find that many of these subsystems are required to adapt and make reasonable accommodations for the student with a disability. The model can be used to help identify those subsystems that will be affected by the law and to facilitate planning to comply with the law.
Although occupational therapists most often work with persons to help them adapt to change in their lives, they can also work in systems of higher education and help the systems to plan and implement programs related to the ADA. The most effective programs are usually those that are well planned and designed from a holistic perspective, rather than those that are developed as a reaction to a specific situation or incident, that is, programs that are proactive rather than reactive. By using the systems approach to higher education, occupational therapists can focus on those components and subsystems within a university that may be affected by the ADA and meet the individual needs of a university.
Reasons for Choosing Occupational Therapy as a Profession: Implications for Recruitment
Authors: Cooperstein Karen R. , Schwartz Kathleen Barker 
Published: April 2012

Abstract
This study examines the ways in which 272 recently certified occupational therapists learned of the profession of occupational therapy and the factors that influenced their decisions to choose occupational therapy as a career. The data were analyzed according to age, sex, and geographic region to identify potential ways to improve recruitment efforts. The results indicated that therapists most often learned of the profession while working in a health care setting. First exposure to occupational therapy was usually through an acquaintance in the profession, a family member, or a friend. The primary reasons for choosing occupational therapy included a desire to help people with disabilities, the promise of challenge and variety, the opportunity to work in a health care setting, and the belief that jobs are plentiful. The factors most likely to dissuade people from the profession were the expense of an education and lack of a clear understanding of occupational therapy.
Relaxation Training: A Self-Help Approach for Children With Headaches
Authors: Engel Joyce M. 
Published: April 2012

Abstract
Children and adolescents frequently complain about recurrent nonmalignant headaches. Relaxation exercises are one possible treatment for these headaches. As the role of occupational therapy in pediatric pain management emerges, relaxation training is becoming one of the treatment activities. The present study investigated the efficacy of progressive relaxation exercises in reducing headache complaints, particularly those headaches of a mixed variety. Ten subjects with a mean age of 11.5 years completed the 6-week self-help program. A multiple-baseline across-subjects design was used. Baseline periods were randomly assigned and ranged from 7 to 25 days with treatment introduced in a time-staggered fashion across subjects. After completing their treatment, 8 of the 10 subjects had a mean increase of 15% in headache-free days. Specific guidelines for relaxation training are provided in the outlined treatment program.
A Cross-Cultural Test of the Validity of Occupational Therapy Assessments With Patients With Schizophrenia
Authors: Evans Juli , Salim Ahmed Awadh 
Published: April 2012

Abstract
The validity and use of psychosocial assessments in occupational therapy are ongoing concerns (Moyer, 1984) and were the focus of this study. Fifty African patients with schizophrenia and 10 nondysfunctional African volunteers took an an assessment battery that included the Schroeder, Block, Campbell Adult Psychiatric Sensory Integration Evaluation (SBC) (Schroeder, Block, Trottier, & Stowell, 1978), a daily activity, work, and leisure activity interview based on the Model of Human Occupation (Kielhofner, 1985), and a culture-specific test of functional performance. Data on subjects’ psychiatric histories and demographics were collected. Rationale for the assessments used, methods for devising the functional assessment, methods and procedures for data collection, and analysis are presented.
A stronger relationship was found to exist between subjects’ performances on the SBC and the functional activity test than between interviews based on the Model of Human Occupation and the functional activity test, both for patients and for the whole sample. All assessments were found to differentiate between patients and nonpatients, although the SBC was the best discriminator. Among psychiatric history variables, the strongest relationships were between measures of seriousness of illness and both the SBC and functional activity assessment. The most effective way to measure performance dysfunction and seriousness of illness in persons with schizophrenia was to measure the underlying sensorimotor impairment or to use a culture-specific test of functional performance.
Effects of Aging on Adult Hand Function
Authors: Shiffman Lori M. 
Published: April 2012

Abstract
The effects that normal aging have on adult hand function and functional performance are not well understood. An empirical study was conducted examining relationships between prehension pattern type and frequency, hand strength, and performance time in functional tasks. Four groups of 10 adults were selected by age and gender, ranging from 24 to 87 years. Subjects were asked to pour milk into a cup and remove money from a wallet while being videotaped. Prehension patterns were identified with a functionally based classification system. Grip and three types of pinch were measured with a dynamometer and a pinch gauge.
Prehension pattern selection did not seem to differ with age. Statistically significant differences in age were found for prehension pattern frequency, hand strength, and performance time. Nondysfunctional older subjects were observed resetting identical prehension patterns secondary to lateral pinch weakness, which contributed to increased prehension pattern frequency and performance time.
Hand function seemed to remain stable until age 65 years, after which it diminished slowly. After age 75 years, age differences in performance were most apparent.
Occupational Adaptation: Toward a Holistic Approach for Contemporary Practice, Part 1
Authors: Schkade Janette K. , Schultz Sally 
Published: April 2012

Abstract
A theoretical perspective designed for clinical application and based on fundamental occupational therapy principles is offered. This perspective, the occupational adaptation frame of reference, is presented as an articulation of (a) a normal developmental process leading to competence in occupational functioning;(b) the process through which the benefits of occupational therapy occur; and (c) a perspective that promotes holistic practice. The person is viewed as operating occupationally through an idiosyncratic configuration of sensorimotor, cognitive, and psychosocial systems, all of which are inevitably involved in each occupational response. This occupational functioning is described as occurring through interaction of the person with a work, play and leisure, or self-care context that has distinctive physical, social, and cultural properties (i.e., the occupational environment). Occupational adaptation is a perspective that can influence practice, education, and research.
An Occupational Therapy Perspective in the Treatment of Multiple Personality Disorder
Authors: Waid Karen M. 
Published: April 2012

Abstract
Adult persons with multiple personality disorder have survived a traumatic past. After diagnosis and the initiation of psychotherapy, they frequently face a long and arduous treatment process. During this time, intense emotions and memories are retrieved that can disrupt functional life skills in an already disjointed life. The stresses of life combine with therapeutic issues to perpetuate the dissociation that interrupts functional performance. The original traumas occurred when the child was functioning primarily at a sensorimotor level. Occupational therapy can identify sensorimotor activities that provide a focal point of control to reduce stress during the therapeutic process and to develop new life skills.
Career Self-Efficacy in Occupational Therapy Practice
Authors: Bush JoAnn V. , Powell Nancy J. , Herzberg Georgiana 
Published: April 2012

Abstract
Career expectations contribute to job satisfaction, which ultimately affects personnel retention. This paper focuses on a current trend in career literature: career self-efficacy, judgments about the efficacy of one’s career choice and adjustment. Career self-efficacy is relevant to occupational therapy in that therapists are leaving the profession because of unmet career expectations. This paper explores Bandura’s self-efficacy theory (the basis of career self-efficacy) and discusses the authors’ experience in clinical practice and education relating the application of career self-efficacy to occupational therapy. Suggested methods for enhancing career self-efficacy include the implementation of a professional development course based on Bandura’s self-efficacy theory; incorporation of self-efficacy content into the professional theory and practice courses; clinical supervision that creates realistic self-perceptions of performance during the fieldwork experience; and transitional programs for entry-level practitioners that identify and explore personal career expectations and support for the experienced practitioner.
Computer-Assisted Functional Assessment and Documentation
Authors: Smith Roger O. 
Published: April 2012

Abstract
Occupational therapy personnel spend considerable time on functional assessment and documentation. The rapid and error-free information processing ability of computers offers methods for data collection, clinical decision making, and reporting of functional assessment results, which may be more effective and efficient than the current paper-and-pencil methods.
Computers can provide assistance throughout the many steps of the functional assessment and reporting process. Software is available to assist in direct data collection, data reduction, and analysis, or to assess complex data systems and databases. Additionally, computers can use assessment techniques, such as dynamic question sets and expert systems, which have not been possible with paper-and-pencil methods. Furthermore, data collected on computers are readily available to be integrated in computer-assisted report writing and can be compiled into large databases for analysis. These databases can be used for program evaluation, continuous quality improvement exercises, and other research objectives. This paper provides a snapshot of these computer uses in the assessment process.
Adaptive Computer Use for a Person With Visual Impairment
Authors: Buning Mary Ellen , Hanzlik Jodie Redditi 
Published: April 2012

Abstract
A single-subject research design that used multiple baselines across behaviors compared traditional adaptations (e.g., the use of readers) to adapted computer technologies for typical reading activities performed by an adult with severe visual impairment. A Macintosh IIci™ equipped with software that translated information displayed on the monitor into synthesized speech was paired with a page scanner and optical character recognition software to convert scanned images of printed text into computer documents. These computer technologies were applied to three reading behaviors: proofreading of word-processed documents, reading of printed research articles, and reading of common printed materials such as letters and instruction sheets. The findings demonstrated that the use of adapted computer technology, rather than traditional methods, increased the subject’s reading efficiency and frequency. The increased functional independence that occurred as a result of the computer technology improved the subject’s patterns of adaptation in reading-related tasks and improved the quality of her life.
Occupation Embedded in a Real Life: Interweaving Occupational Science and Occupational Therapy
Authors: Clark Florence 
Published: April 2012

Abstract
This lecture presents an example of research in the genre of interpretive occupational science and demonstrates how occupational science can inform clinical practice. The innovative qualitative methodology used blended elements of the anthropological tradition of life history ethnography, ethnomethodology, the naturalistic methods used by Mattingly and Schön to study practice, and especially narrative analysis as described by Polkinghorne. The bulk of the paper is presented in the form of a narrative analysis that provides an account of a stroke survivor’s personal struggle for recovery, a story that emerged from transcription, coding, and analysis of transcripts from approximately 20 hours of interview time. First, this narrative analysis provides an example of how the occupational science framework can evoke a particular kind of storytelling in which childhood occupation can be related to adult character. Storytelling of this kind is later shown to be therapeutic for the stroke survivor. Next, the narrative illustrates how rehabilitation can be experienced by the survivor as a rite of passage in which a person is moved to disability status and then abandoned. Finally, a picture is given of how occupational story making and occupational storytelling embedded in real life can nurture the human spirit to act and can become the core of clinical practice.
Issues in Assessment of Psychosocial Components of Function
Authors: Bonder Bette R. 
Published: April 2012

Abstract
For occupational therapy to provide a holistic view of meaningful activity, we must understand the relationship between physical, psychological, and social variables, especially as they affect our psychosocial evaluations and treatment. Existing definitions of psychosocial variables are unclear and, for occupational therapy practice, must be linked to activity and occupational performance.
Occupational therapists need to become more educated about the uses and limitations of psychosocial instruments and to develop new instruments that address the central tenets of occupational therapy by focusing on whether or not a person is able to do what is necessary and fulfilling. Further, understanding what is meant by meaningful activity and what people need to accomplish it will advance our effectiveness in occupational therapy assessment and practice.
Evaluating Activities of Daily Living: Directions for the Future
Authors: Law Mary 
Published: April 2012

Abstract
Current assessments of simple activities of daily living (ADL) and more complex, instrumental activities of daily living (ADL) could be improved. These assessments are criticized because there are so many different tests for various diagnostic populations, because they rely on self-report rather than observation, because they are based on such varied conceptual frameworks, because they are often cumbersome and lengthy to administer, and because they often rely on outdated or specific cultural perspectives. Improvement of ADL and IADL assessment lies in making them more contextual and client specific, (i.e., by addressing clients’ needs in real-life contexts that consider roles, culture, varying environments, and developmental stage).
Client-Centered Assessment
Authors: Pollock Nancy 
Published: April 2012

Abstract
When occupational therapists assess function or occupational performance, they must consider each person’s unique needs and abilities, as well as the environmental and social factors that may be affecting the clients’ performance. Therefore, occupational therapists must use evaluation tools that are individualized and sensitive to the clients’ varying needs and situations. One approach to individualized evaluation is the use of a client-centered process of setting goals and assessing change. This paper describes the development of a methodology for a client-centered assessment currently being used in Canada, the Canadian Occupational Performance Measure (COPM). The conceptual model, administration and scoring procedures, and preliminary feedback to the COPM are described.
Sequence Comparison Methodology for the Analysis of Movement Patterns in Infants and Toddlers With and Without Motor Delays
Authors: Miller Lucy Jane , Roid Gale H. 
Published: April 2012

Abstract
In an attempt to quantify the theoretical construct quality of movement, a set of measurable constructs were identified by subject matter experts, and a scale (the Toddler and Infant Motor Evaluation [TIME]) incorporating those constructs was developed and pilot tested. Sequence comparison data analysis methodology was examined for its applicability to examining series of movements. The study sample consisted of randomly selected children from a pilot edition of the scale. Because research indicates that specific individual positions cannot provide an accurate indication of the normalcy or dysfunction of the motor performance of infants and toddlers, this study researched the ability of series of movement positions in each of five postures (prone, supine, sit, quadruped, and stand) to discriminate between normal and atypical molar development. It was hypothesized that children with motor delays would demonstrate different sequences of movements than children without motor delays. The findings confirmed the hypothesis, because in this sample there was a significant difference in the performance of children with developmental delays in motor abilities compared with that of children who had normal movement abilities. Children with motor delays had poorer mobility, which was characterized by fewer transitions between movement patterns than children with normal motor abilities.
Discriminative Versus Evaluative Assessment: Some Observations on Goal Attainment Scaling
Authors: Ottenbacher Kenneth J. , Cusick Anne 
Published: April 2012

Abstract
Goal attainment scaling has been described in the rehabilitation literature as a method of evaluation designed to monitor client progress, structure team conferences, and provide information on overall program evaluation. The appropriate use of goal attainment scaling in clinical environments depends on a clear understanding of its strengths and weaknesses. The primary strength of goal attainment scaling is the ability to evaluate individualized longitudinal change. Goal attainment scaling is not a methodology designed to assess functional status. Confusion occurs when evaluation tools designed to discriminate between persons (determine status) are used to assess change in individual patients over time. This paper describes the strengths and weaknesses of goal attainment scaling as a methodology for evaluating clinical change. The process of evaluative assessment with goal attainment scaling is compared to discriminative assessment where the purpose is to distinguish between persons or to classify persons into predefined categories.
Using a Sensory Integrative Approach to Treat Self-Injurious Behavior in an Adult With Profound Mental Retardation
Authors: Reisman Judith 
Published: April 2012

Abstract
The treatment of self-injurious behavior in adults with mental retardation is a major challenge. A critical review of the literature compares sensory-based treatment studies by behavioral psychologists with sensory integrative treatment studies by occupational therapist. In general, therapists have used direct intervention in concentrated daily sessions. This report includes a single subject study that (a) demonstrates the clinical reasoning involved in the assessment and treatment planning process, (b) documents the efficacy of multiple short treatment sessions spread throughout the day, and (c) presents an alternative model of service provision in which direct care staff provide sensory and adaptive activities under the supervision of an occupational therapist. The use of sensory integration with adults with profound handicaps is presented as a valid application of a theory and treatment that was originally developed from work with higher functioning children with learning disabilities.
The Effect of Life Review Reminiscence Activities on Depression and Self-Esteem in Older Adults
Authors: Stevens-Ratchford Regena G. 
Published: April 2012

Abstract
The purpose of the study was to investigate the effect of life review reminiscence activities on reported depression and self-esteem. The study used a pretest–posttest experimental design in which 24 well older adults living in a retirement community were randomly assigned to experimental and comparison groups. The experimental group participated in six life review sessions, after which all subjects were readministered the Beck Depression Inventory and the Rosenberg Self-Esteem Survey.
An analysis of covariance indicated that life review reminiscence activities did not significantly affect depression and self-esteem. These findings imply that participation in life review activities did not negatively affect this sample of well older adults and that life review reminiscence is a worthwhile activity for this age group.
Grip Strength of Children Aged 3 to 7 Years Using A Modified Sphygmomanometer: Comparison of Typical Children and Children With Rheumatic Disorders
Authors: Dunn Winnie 
Published: April 2012

Abstract
The standard methods for testing grip strength can cause pain and inhibit accuracy of results when persons have rheumatic diseases. The first purpose of this study was to gather data on grip strength of typical children 3 to 7 years of age using the modified sphygmomanometer technique. Modified grip strength testing requires the person to squeeze an inflated sphygmomanometer (blood pressure device). Gender, age, height, weight, hand preference, and grip strength of 273 children 3 to 7 years old were recorded. Results illustrate that grip strength increases steadily from younger to older children. No differences were noted related to height, weight, or grip strength between girls and boys. The second purpose of this study was to compare the grip strength of a preliminary sample of children with rheumatic disorders to the grip strength of a sample of typical children. Results indicate that grip strength of the sample of 17 children with rheumatic disorders was significantly lower. This study offers therapists some guidance about grip strength expectations for children aged 3 to 7 years that can then be applied to a variety of special populations.