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TWU values scholarship and creative works in support of the mission of the university. In such, Repository@TWU is a repository of scholarly products that inform the disciplines of academia and the larger community. Repository@TWU is another means of highlighting and disseminating scholarly contributions by providing free and unrestricted access to the TWU community and beyond.

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OCCUPATIONAL THERAPY AND TYPE 2 DIABETES
(2024) Randall, Audrey; Rivers, Alannah
Diabetes has been categorized as a public health emergency, which is complicated by barriers to necessary selfmanagement; including inadequate communication with physicians and poor disease knowledge. Occupational therapists offer unique services by integrating many different elements of rehabilitation with an understanding of illness and psychosocial elements, as well as a knowledge of how to analyze and adapt to one’s environment (Ellexson, 1985). The methodology is an online questionnaire conducted through Prolific and participants are patients with T2D, consisting of two subsamples; those who have seen an occupational therapist and those who have not. This poster aims to analyze how outcomes differ for patients who have worked with an occupational therapist or who have one on their care team compared to those without. We also aim to analyze occupational therapy alliance and correlates such as treatment adherence, perceived benefit, perceived burden, well-being, anxiety, depression, diabetes self-efficacy, HbA1c levels and coping strategies. (Faculty Sponsor: Dr. Alannah Rivers)
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DEVELOPMENT, CONTENT VALIDITY, AND SCALE RELIABILITY OF THE PHYSICAL THERAPY SOCIAL DETERMINANTS OF HEALTH SCALE (PT-SDHS)
(2024) Bjork, E.; Patel, R.; Rethorn, Z.; Patel, R.
This study describes the development, content validity, and reliability of the Physical Therapy Social Determinants of Health Scale (PT-SDHS). Addressing inequities is critical for providing effective clinical care and improving population health. Currently, no tool exists to assess Doctor of Physical Therapy (DPT) students’ education or competence with social determinants of health (SDOH). The Association for Medical Education in Europe best practices for developing questionnaires for educational research guided development. The PT-SDHS showed high item and scale content validity after expert validation. Factor analysis of 254 DPT student responses revealed five content domains (Knowledge, Attitudes, Personal Barriers, Professional Preparation, and Beliefs About Others) and 27 accepted items. Cronbach’s alpha ranged from 0.70 (satisfactory) to 0.96 (excellent). The PT-SDHS is the first psychometrically valid and reliable instrument related to educating DPT students on five SDOH domains. This tool could aid development and assessment of SDOH educational interventions for healthcare students. (Faculty Sponsor: Dr. Rupal Patel) Supported by TWU Center for Student Research.
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ENHANCING NURSING EDUCATION AND PATIENT SAFETY: EXPLORING THE IMPACT OF THE "ROOM OF HORRORS" SIMULATION PROJECT
(2024) Garcia, Guadalupe; Wilson, Cecilia
Patients frequently encounter harm during hospital stays, with those with diabetes particularly susceptible to medication errors and glycemic complications. The 'Room of Horrors' (ROH) project aims to bolster nursing students' critical thinking and clinical reasoning skills concerning patient errors in hospital environments. Through simulated scenarios, ROH engages students in error identification, rectification of unsafe conditions, and intervention prioritization. The project's significance lies in its potential to enhance clinical competency and patient safety by integrating theoretical knowledge with practical application. Evaluation of nursing students' satisfaction and confidence in learning will be conducted using the National League for Nursing (NLN) Student Satisfaction and Self-Confidence in Learning tool. Results are pending. (Faculty Sponsor: Dr. Cecilia Wilson)
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Exploring strategies for developing high-intensity movement
(2024) Garcia, Daniel
This Culminating Project explores the creative process employed in the development of "OMEN," a MFA culminating project focusing on high-intensity movement. Drawing inspiration from prominent choreographers, three distinct strategies were implemented: Movement Task, Hyper Physicality, and Expansion.By integrating these strategies, "OMEN" achieves a fusion of heightened physicality, intricate movement, and unconventional speeds of movement, offering insight into development of high-intensity movement in contemporary choreography.
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DANCE! Measuring an Adaptive Dance Program with an Occupational Therapy Lens and a Focus on ICF Domains: A Case Report
(2024) De Leon, Rachael
With an emphasis on ICF domains and use of an occupational therapy lens this doctoral capstone project aimed to: 1) Bridge the gap in research for how an adaptive dance program impacts upper extremity. 2) Investigate how an adaptive dance program is measured. 3) Conduct a feasibility quasi-experimental mixed-method study with clinical assessments completed pre and post intervention to determine the feasibility, impact of the intervention, and use of outcome measures. Outcome measures used in this study were the modified ashworth scale, the pediatric balance test, 6 minute walk test, BOT - 2 subtests 4 and 7, quality of upper extremity skills test, cerebral palsy quality of life, child and adolescent scale of participation as well as a post assessment semi-structured interview. Three qualitative themes were identified. The results of this study found that the outcome measures chosen to measure changes following the adaptive dance program intervention were sensitive enough to detect changes to the ICF domains of body functions, activities and participation. In addition, this capstone project concluded that adaptive dance used as a therapeutic intervention for children with cerebral palsy improved motor coordination, balance, endurance and perceived quality of life.