The Impact of Racism and Ethnic Discrimination on Students\u27 Educational Experiences

This study explored how occupational therapy students’ perceptions of racism and ethnic discrimination impacted their educational experiences. Participants included 226 students ages 18-60 years old enrolled in occupational therapy entry-level, post-professional, or assistant programs throughout the United States. Students completed an anonymous web-based survey that included a demographic questionnaire, the Brief Perceived Ethnic Discrimination Questionnaire-Community Version (PEDQ-CV), and open-ended survey questions. Results found that students’ educational performance were negatively impacted by their experiences with racism and ethnic discrimination. While students reported to have experienced racism or ethnic discrimination within the classroom and fieldwork settings, classroom conversations and content related to topics on diversity, equity, and inclusion (DEI) and anti-racism were limited. Based on the study’s findings, schools are encouraged to increase these conversations and implement supportive resources for students who have experienced racism and ethnic discrimination. Implications for improved occupational therapy educational experiences for students included recommendations to: a) acquire additional education in DEI-related subjects; b) continue to incorporate more conversations related to topics of DEI, racism, and ethnic discrimination in the classroom and fieldwork settings; c) provide simulated or real-life hands-on opportunities and experiences to work with people of color within the community; d) teach students how to appropriately behave and respond to racism and ethnic discriminatory situations; e) create program curriculums that focus on DEI and anti-racism content; f) host support groups with diverse people to encourage mentorship between students, practitioners, and community members; and g) diversify course content to include images, perspectives, and stories of people of color

Occupational Therapy and Therapeutic Horticulture for Women with Cancer and Chronic Pain: A Pilot Study

Background: Chronic pain among individuals with cancer can adversely affect quality of life (QOL) and physical, social, and emotional functioning. Therapeutic horticulture has been shown to be effective for treating various medical conditions; however, the focus on cancer survivors with chronic pain is marginal. This study evaluated the effectiveness of therapeutic horticulture for women with cancer living with chronic pain. Method: A mixed methods experimental design was used to examine the impact of a 6-week therapeutic horticulture program with seven females with cancer who presented with chronic pain for longer than 3 months. Perception of pain, QOL, and functional fitness were examined using quantitative measures followed by interviews and focus group discussions to explore the subjective experience of the program. Results: Participation in the therapeutic horticulture program resulted in significant improvement in vitality (p = 0.018), lower body flexibility (p = 0.043), and agility and dynamic balance (p = 0.043). There were no significant changes in perception of pain. Four themes emerged from the qualitative data, illustrating the factors that contributed to the experience of the program. Conclusion: Therapeutic horticulture is potentially beneficial as an occupation-based intervention for individuals with cancer living with chronic pain to improve vitality, lower body flexibility, and agility

The Feigned Annoyance and Frustration Test to Activate the Sympathoadrenal Medullary System

When perceived as threatening, social interactions have been shown to trigger the sympathoadrenal medullary system as well as the hypothalamic-pituitary-adrenal axis resulting in a physiologic stress response. The allostatic load placed on human health and physiology in the context of acute and chronic stress can have profound health consequences. The purpose of this study was to develop a protocol for a lab-based stress stimulus using social-evaluative threat. While several valid, stress-stimulating protocols exist, we sought to develop one that triggered a physiologic response, did not require significant lab resources, and could be completed in around 10 min. We included 53 participants (29 men and 24 women) and exposed them to a modified version of the Stroop Color-Word Interference Task during which the participants were made to feel they were performing the task poorly while the lead researcher feigned annoyance and frustration. After exposure to this Feigned Annoyance and Frustration (FAF) Test, both the men and women in this study demonstrated a statistically significant and clinically meaningful increase in subjective stress on the visual analog scale. Additionally, the men in this study demonstrated a statistically significant increase in heart rate and salivary α-amylase concentrations after exposure to the test. The women in this study did not demonstrate a statistically significant increase in the physiologic stress biomarkers. This protocol for the FAF Test shows promise to researchers with limited time and resources who are interested in experimentally activating the sympathoadrenal medullary system

COVID-19 and Telehealth Use Among Occupational Therapy, Physical Therapy, and Speech-language Pathology Practitioners in the United States

Purpose: To explore occupational, physical, and speech-language pathology therapists’ perceived effectiveness of telehealth and how the COVID-19 pandemic has affected their professional roles. Method: Participants were recruited for the study through a research flyer distrusted via postal mail, emails, social media, and national association websites. An anonymous electronic 19-item survey was developed for this study by the researchers based on a review of the literature and clinical experience. Results. In total, 186 survey responses were obtained, with 152 meeting the inclusion criteria. The average age of participants was 38.6 years with an average work duration of 12.7 years ± 12.5 in their current profession. Participants reported an average of 32.2 ± 17.4 patients on their case load per week, of which 58% were face-to-face, 50.85% were seen via video, and 3.2% via phone. Results from the Likert scale questions revealed that almost 60% of the participants reported they viewed telehealth as a relevant service delivery method and 48.7% reported it is effective in delivering therapy. However, only 17.8% of participants agreed that telehealth is as effective as in-person therapy. Approximately 77% of participants did not have experience with using telehealth before the pandemic and 42.1% felt they did not receive adequate training for the use of telehealth during the pandemic. Benefits of using telehealth reported by participants include increased access to care (38.8%), reduced travel time (53.3%), schedule flexibility (49.3%), and improved continuity of care (26.3%). Conclusions. The findings of this study reveal that the switch to telehealth services provided multiple benefits for therapist and client. Many therapists also held multiple roles such as spouse and parent during the pandemic, making it important to understand how to deal with professional disruption while continuing to deliver therapy services with minimal interruption in client-centered care

The association between ambient fine particulate matter and incident adenocarcinoma subtype of lung cancer

Abstract Background Adenocarcinoma (AC) is the most common lung cancer among non-smokers, but few studies have assessed the effect of PM2.5 on AC among never smokers. The purpose of this study was to assess the association between ambient PM2.5 and incident lung AC in the Adventist Health and Smog Study-2 (AHSMOG-2), a cohort of 80,044 non-smokers (81% never smokers) followed for 7.5 years (597,177 person-years) (2002–2011). Methods Incident lung AC was identified through linkage with U.S. state cancer registries. Ambient PM2.5 levels at subjects’ residences were estimated for the years 2000 and 2001, immediately prior to study start. Results A total of 164 incident lung AC occurred during follow-up. Each 10 μg/m3 increment in PM2.5 was associated with an increase in the hazard rate of lung AC [HR = 1.31 (95% confidence interval (CI) 0.87–1.97)] in the single-pollutant model. Excluding those with prevalent non-melanoma skin cancer (NMSC) strengthened the association with lung AC (HR = 1.62 (95% CI, 1.11–2.36) for each 10 μg/m3 PM2.5 increment. Also, limiting the analyses to subjects who spent more than 1 h/day outdoors, increased the estimate (HR = 1.55, 95% CI: 1.05, 2.30). Conclusions Increased risk of AC was observed for each 10 μg/m3 increment in ambient PM2.5 concentrations. The risk was higher among those without prevalent NMSC and those who spent more than 1 h/day outdoors