Addressing Psychosocial Client Factors in People with Cancer: An Occupational Therapy Guidebook

People with cancer experience a variety of physical, cognitive, and psychosocial impacts that affect their quality of life, occupational performance, and occupational engagement. Occupational therapy (OT) practitioners are well-equipped to address these impacts, however, OT is an underused service in the cancer population, resulting in a limited amount of literature addressing OT interventions in cancer care. OT interventions in the literature are focused on addressing an individual’s physical client factors. The focus on physical client factors is causing people with cancer to report that their psychosocial client factors are not being addressed. The literature demonstrates that OT practitioners do not have clear OT guidelines within the literature on how to address psychosocial client factors in their clients with cancer. The purpose of this capstone project was to create an OT guidebook to address psychosocial client factors for people with cancer. An OT guidebook was developed to educate OT practitioners on the role and scope of OT in the cancer population. The guidebook consists of four chapters that provide various assessments/screening tools, the goal setting process, interventions to address the identified psychosocial client factors of spirituality, mood, body-image, self-esteem, and cognition, a case example, and additional resources for OT practitioners and their clients. The capstone project document consists of five chapters that address the background, literature review, methodology for developing the guidebook, results, and the discussion. This capstone project will broaden the role of OT in the cancer population by providing OT practitioners with the guidance to address psychosocial client factors which will enhance the occupational engagement, occupational performance, and quality of life for people with cancer

Food Insecurity and Child Development in Nebraska: The Role of Income, Home Learning Environment, and Family Socio-Demographic Factors

Food insecurity is a well-known risk factor for delayed child development. Still, the contribution of other factors, such as income, home learning environment (HLE), and family socio-demographic factors, remains to be determined. Therefore, the study aimed to determine the association between food insecurity and child development and assess the role of income, HLE, and family socio-demographic factors in that association. We used secondary data from the Nebraska Early Childhood Study, a cross-sectional study of caregivers of children under five years old in Omaha and Lincoln. Child development, food insecurity, and HLE were measured using a caregiver report of child development. We used multiple regression to analyze the data. The results showed that food insecurity was negatively related to developmental outcomes (Est = -0.217, SE = 0.091, ES = -0.109, p =.018) even after adjusting for Income (Est = -0.222, SE = 0.092, ES =-0.112, p =.048). HLE was positively associated with children’s developmental outcomes after controlling for income, child’s age, sex, race, and ethnicity (Est = 0.376, SE = 0.092, ES = 0.198, p \u3c .001). HLE did not moderate the association between food insecurity and children’s developmental outcomes (Est = -0.287, SE = 0.185, ES = -0.095, p = .121). These results indicate that even if a child has access to a stimulating HLE, they may still experience developmental setbacks if they do not have enough nutritious food. Overall, the study found that addressing food insecurity and promoting a stimulating HLE is essential in improving child developmental outcomes, especially in high-risk populations. Further research is needed to fully understand the complex factors influencing child development in food-insecure families. This study adds to the existing literature on the relationship between food insecurity, HLE, and child development and provides valuable insights for policymakers, educators, and healthcare professionals

Addressing Psychosocial Client Factors in People with Cancer: An Occupational Therapy Guidebook

People with cancer have an increased risk of impaired occupational engagement and occupational performance due to the physical, cognitive, and psychosocial impacts of cancer and cancer treatment (Duker & Sleight, 2019; Pergolotti et al., 2016; Polo & Smith, 2018). The involvement of occupational therapy (OT) in the care of people with cancer remains limited, resulting in a finite amount of literature on OT interventions to address this population (Pergolotti et al., 2016). The primary focus of OT for people with cancer has been on physical client factors and interventions, and people with cancer report that their psychosocial factors are being overlooked (Sleight & Duker, 2016). OT practitioners have expressed confidence in the use of physical interventions because of its supporting literature (Hunter et al., 2017). Weis (2015) emphasizes that there is a limited understanding of psychosocial interventions for people with cancer. 69% of surveyed OT practitioners reported they desired more evidence-based guidance on OT interventions for people with cancer (Duker & Sleight, 2019).https://soar.usa.edu/otdcapstonessummer2023/1019/thumbnail.jp

The Effects of Cardiovascular Drugs on Bone

In this thesis,we examine various associations between three important cardiovascular drugs and bone. Fractureincidenceisthemostclinicallyrelevantfeatureofosteoporosis.Theriskto fractureaboneisdeterminedbyseveralfactors:Bonemineraldensity(BMD),micro-architecture of bone,bone structure and risk of falling.In this thesis we investigate the association between use of thiazides,ß-blockers and statins and fracture risk,but also the association between medication use and (change in) BMD and the association between medication use and hip bone structure to gain more insight in the causal chain of the as-sociation between use of medication and its effects on bone. We performed all our studies in the cohort of the Rotterdam Study.This is a prospec-tive,population-basedcohortstudyondeterminantsandoccurrenceofdiseasesin the elderly.The study started in 1990 and included 7983 persons of 55 years and older. Detailed data on many potential confounders was available and since all pharmacies in theresearchneighborhoodarecomputerizedandlinkedtoonenetwork,wehavede-tailed exposure data on drug use for all participants

The use of framing of affect or reason in communications in a services failure recovery scenario in education

The study of decision-making of people has its origins in economic theory, with a more rational approach. However, several studies have shown that decision-making follows also an emotional model. In great part, decisions are influenced by information we receive through communication framing. In education, students decisions are largely affected by the information they receive through communication issued by the service provider. In a scenario of service failure recovery the influence of emotional or rational messages is little studied. The motivation of this study is the absence of works relating attitudes to services when failure recovery occurs in higher education services, particularly when the framing of the communication signals some position to students, aiming to persuade them. The results showed that rational communication was more effective than emotional ones. It was also found that interpersonal influences tends to reduce positive responses from students to HEI communication strategy, though a moderation process

A internet como ferramenta do marketing de relacionamento: estudo de caso de uma instituição educacional da cidade de São Paulo

O tema do trabalho é sobre o uso da internet como ferramenta do marketing de relacionamento em uma instituição educacional. O objetivo deste estudo é verificar as ferramentas virtuais utilizadas no marketing de relacionamento de uma instituição de ensino e destacar a importância do relacionamento nas instituições de ensino. A metodologia utilizada foi de pesquisa bibliográfica e estudo de caso com a aplicação de um questionário ao gerente de comunicação do Colégio Bilac. Conclui-se com a análise que o uso da internet fortalece o marketing de relacionamento e proporciona vantagem competitiva à empresa que a utiliza de forma correta

Relationship and search for discounts, and their effects on loyalty and e-commerce, when mediated by satisfaction and trust

This study analyzes the e-commerce relationships, since it can be less humanized and characterized by the search for discounts. Marketing stablishes that the consumption relationships must be based in multiple gains and on a long-term vision. However, although virtual environment fosters economies of scale to the organizations and more attractive prices to consumers, the intensification of this process suggests that there will be only price comparisons in the long term, eroding profitability and improving spurious relationships between companies and consumers. Through structural equation modeling, this study identified that the relationships based on propension to discount lead to satisfaction and trust, more than relationship based relations, as on more human business approaches. We also identified the mediation of loyalty and trust in online consumption environment by replicating the findings in physical stores, to reinforce business to consumer relations

Gestão ambiental e o descarte do óleo de cozinha: estudo de caso de empresas de alimentação e população do centro da cidade de São Sebastião

O trabalho foi desenvolvido com uma visão generalizada do marketing ambiental como um instrumento de diferenciação das empresas no mercado em que atuam. A imagem de empresa ambientalmente correta é um elemento de grande importância porque o comportamento dos consumidores está mudando quanto ao descarte de resíduos no meio ambiente, frente a esta necessidade de atender os clientes com efetividade, as empresas tendem a utilizar esta ferramenta para tornar-se competitiva no mercado. O trabalho tem como objetivo analisar a Logística Reversa de Pós-Consumo de óleo de cozinha empregados pelas empresas alimentícias da cidade de São Sebastião como estratégia de Marketing verde e a importância da Gestão ambiental para a comunidade local. Este estudo se justifica por empregar esta ferramenta para evitar a degradação ambiental de maneira a utilizá-la como incentivo para as empresas que participam de movimentos ambientais, pois além de contribuir com a preservação dos recursos naturais elas podem obter benefícios financeiros e valorização de sua marca no mercado. Esses elementos são relevantes para uma organização que visa estar à frente de seus concorrentes

O liderar de um líder: estudo de caso de uma farmácia de manipulação, São Sebastião – sp

Este trabalho tem como tema a percepção da equipe ao analisar as características e o modelo de liderança exercido pelo líder. O objetivo é analisar o modelo de liderança exercido pelo líder, assim como as características percebidas pela equipe de trabalho em que atua. As metodologias empregadas são: a pesquisa bibliográfica e o estudo descritivo em conjunto com o estudo de caso, realizados através da pesquisa qualitativa e quantitativa. A coleta de dados efetivou-se por meio de dois tipos de questionários com perguntas abertas e fechadas, de entrevista com a proprietária e de observação participante na empresa Energética Farmácia de Manipulação, localizada em São Sebastião. O resultado da pesquisa demonstrou, através das características das líderes e percepção da equipe, que o modelo de liderança exercido por elas é a liderança democrática, na qual as líderes participam das atividades desenvolvidas pela equipe e têm uma relação de troca de ideias para chegar a uma decisão. As líderes devem aprimorar seus conhecimentos constantemente, para exercer o poder de talento e obter a capacidade de transformação para moldar a equipe. As organizações devem ter um líder eficaz, pois para obter resultados positivos é necessário que o líder influencie a equipe para alcançar o sucesso empresarial

Segmentation Based on Personal and Spiritual Life Balance During Covid-19, and Its Relations with Materialism, Frugality, Well-Being, and Positive Emotions

Purpose: The objective of this study is to analyze the relationships between material, or frugal, consumption and the congruence between personal and spiritual life, mediated by the search for well-being, generating a segmentation proposal. Methodology/approach: Structural Equation Modeling and regression tests were used for mediation and moderation analysis, complemented by Latent Class Analysis for sample segmentation Originality/Relevance: The study pioneeringly investigates material, frugal, and wellness consumption relationships, as well as the indirect role of positive emotions with the congruence between personal and spiritual life, to propose a segmentation of consumers in a crisis situation.  Key findings: The results indicated that well-being and positive emotions allow for moderate mediation, enabling consumers to reconcile both frugal and material goals with a balanced life, individually and spiritually. The proposed segmentation identified three distinct groups based on congruence between practical and spiritual life. Theoretical/methodological contributions: The study advances the understanding of heterogeneous consumer profiles in crisis situations, proposing to practitioners and policymakers to better know the profile of consumers in a health crisis. Methodologically the study combines structural equation modeling, mediation and moderation analysis, and latent class analysis to reach the study’s objective