Resilience Programming for Occupational Therapy Students

Study Overview
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Brief Summary
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The purpose of this study is to explore the effectiveness of integrated health and resiliency programs into the Entry-Level Doctor of Occupational therapy curriculum. The objectives are to: Determine if students perceive health and resiliency programming as beneficial for their health and well-being Determine if students' lifestyle behaviors, self-esteem, attachment security, and mindfulness improve with health and resiliency programming Determine if students' symptoms of depression and anxiety reduce after participating in health and resiliency programs Students will engage in resilience programming as part of their regular coursework and be invited to complete pre and post assessments to test the effectiveness of programming.

Detailed Description
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University students are experiencing more challenges with anxiety, depression, and mental health. Health and resiliency programs embedded into the 3-year course curriculum may improve student health and wellness. This study will utilize a quasi-experimental design to explore the effectiveness of health and resilience programming for occupational therapy students while they are enrolled in the program. Pre and post data will be gathered through questionnaires. Additionally, qualitative data will be obtained from student discussion board posts/assignments, interviews or focus groups will be used to supplement the quantitative data. The purpose of this study is to explore the effectiveness of integrated health and resiliency programs into the Entry-Level Doctor of Occupational Therapy curriculum. Objectives: Determine if students perceive health and resiliency programming as beneficial for their health and well-being Determine if students' lifestyle behaviors, self-esteem, attachment security, and mindfulness improve with health and resiliency programming Determine if students' symptoms of depression and anxiety reduce after participating in health and resiliency programs

Official Title
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Effectiveness of Health and Resilience Programming for Occupational Therapy Students

Conditions
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Health and Wellbeing of Occupational Therapy Students

Intervention / Treatment
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* Behavioral: Health and resiliency programming


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: students enrolled in the Entry Level Doctor of Occupational Therapy program at Loma Linda University Enrolled during June 2023 to June 2029 Between 18-65 years of age Of any gender Of any ethnic background Exclusion Criteria: N/A

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 65 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Prevention
Intervention Model: Single Group Assignment
Interventional Model Description: This study will utilize a quasi-experimental design to explore the effectiveness of health and resilience programming for occupational therapy students while they are enrolled in the program. Pre and post data will be gathered through questionnaires. Additionally, qualitative data will be obtained from student discussion board posts/assignments, interviews or focus groups will be used to supplement the quantitative data.
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Intervention<br>Occupational therapy students will engage in health and resiliency programming as part of their course work over their three year program. | Behavioral: Health and resiliency programming<br>* Students will engage in resilience programming as part of their regular coursework including mindfulness training, lifestyle medicine interventions, and creating a coping plan.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Health Promoting Lifestyle II (Walker, Sechrist, & Pender, 1987) | This questionnaire contains 52 statements about respondents' present way of life or personal habits. Respondents are asked to respond to each item as accurately as possible on a 4-point Likert scale (never, sometimes, often, routinely). Example items include Inspect my body at least monthly for physical changes/danger signs. | Three years | 
| Rosenberg Self-Esteem Scale (Rosenberg, 1989) | Include a list of 10 statements dealing with general feelings about oneself. Respondents are asked to indicate how strongly they agree or disagree with each statement on a 4-point Likert scale (strongly agree, agree, disagree, strongly disagree). An example item is I am able to do things as well as most other people. | Three years | 
| State Adult Attachment Measure (Gillath et al., 2009) | Contains 21 statements concerning how the respondent feels right now in their relationship with others and self. Respondents indicate how much they agree or disagree with the statement as it reflects their current feelings on a 7-point sliding scale with 7 indicating 'agree strongly'. An example statement is I wish someone close could see me now. | Three years | 
| Patient Health Questionnaire-9 (PHQ-9; Kroenke et al., 2001) | Asks respondents to indicate how often they have been bothered by any of the following nine problems listed, over the last 2 weeks. Respondents use a 4-point Likert scale (not at all, several days, more than half the days, nearly everyday). An example statement is Poor appetite or overeating. | Three years | 
| General Anxiety Disorder (GAD-7; Williams, 2014) | Asks respondents to indicate how often they have been bothered by any of the following seven problems listed, over the last 2 weeks. Respondents use a 4-point Likert scale (not at all, several days, more than half the days, nearly everyday). An example problem is Not being able to stop or control worrying. | Three years | 
| 15-Facet mindfulness questionnaire (Baer et al., 2008) | Contains 15-items related to mindfulness. Respondents rate how much they agree with each item on a 5-point Likert scale (very often or always, often true, sometimes true, rarely true, very rarely true). An example item is When I have distressing thoughts or images I just notice them and let them go. | Three years |