Impact of Community-Based Go Baby Go Project on Interprofessional Collaboration

Interprofessional education and collaborative practice (IPEC) are essential components of healthcare teams in the United States. This study aimed to explore the impact of a community-based Go Baby Go (GBG) project that used assistive technology and environmental adaptation skills to provide interprofessional education and hands-on collaboration between occupational therapy and speech-language pathology graduate students. The interprofessional collaboration (IPC) experiences provided to graduate students were centered on shared lectures and labs on role delineation, evaluation, and treatment focused on modifications through assistive technology and environmental adaptation. The culminating experience included labs with three to four students from each discipline in a team to evaluate and develop a battery-powered rideable toy car modification for a child with a disability. Students completed pre- and post-surveys followed by written reflections about the IPC experience. A paired-samples t-test was used to evaluate changes between pre- and post-survey scores. The mean score for the post-test survey scores demonstrated a statistically significant increase over the mean score for the pre-test. The themes from the qualitative analysis of student reflections included role of each discipline, collaboration, and hands-on, real-life learning, indicating that community-based IPC experiences can be beneficial in promoting team collaboration, understanding role delineation, and professional scope of practice. The GBG project of modifying and fitting the battery-powered toy car can be a fun and impactful way to promote IPC and real-world evaluation and treatment opportunities for student learning

Flip to Learn & Learn to Flip in Occupational Therapy Education: A Scoping Review

Faculty seek methods that efficiently use their time, facilitate deep learning, and acquire competencies through the curriculum. The flipped classroom, a pedagogical approach, is proposed to be one solution to these issues. This study is a scoping review of how health care professional courses apply the flipped classroom model. The specific aims of this scoping review are: (a) determine the health care disciplines using and researching flipped classrooms, (b) identify and categorize instructional/course design and teaching and learning strategies used in flipped classroom literature, and (c) classify the levels of evidence-based education and trustworthiness in the studies as defined by Kirkpatrick\u27s hierarchy. Following the PRISMA guidelines for sectioning the study, twenty studies were included in this scoping review. This scoping review identified various health care professions that have implemented the flipped classroom model at multiple levels of courses and curriculum to enhance student learning experiences. The flipped classroom design model provides different ways of improving learning environments, which could benefit student learning outcomes in academic performance and satisfaction. Pre-class and in-class active learning is the most common teaching and learning strategies; although less common, there is value identified in the after-class learning activities. Research suggests that blended learning and flipped classrooms can be effective in health care professional education to learn, retain, apply, and think critically compared to traditional teaching. Occupational therapy educators can use various learning strategies discussed in this study as an alternative or supplement to enhance or replace the traditional lecture-based teaching style

Service-Learning and Case-Based Learning’s Impact on Student’s Clinical Reasoning: A Repeated Measures Design Study

Clinical reasoning is crucial for the occupational therapy profession to thrive in an ever-changing healthcare environment but is seldom isolated for explicit instruction and outcome measurement in educational course curricula. A single-factor repeated measures design study was conducted to compare the impact of didactic case-based learning and experiential service-learning on the development of the clinical reasoning of students at a midwestern public university’s entry-level Master of Occupational Therapy program. The participants were sixteen graduate occupational therapy students who had completed their foundation-level courses. Participants explored modes of clinical reasoning in occupational therapy for eight weeks (the first half of the semester), using didactic case-based learning, and then participated in an eight-week (the second half of the semester), experiential service-learning practicum engaging uninsured and underinsured adult clients in occupational therapy evaluation and intervention. The dependent variable of clinical reasoning was measured using the Self-Assessment of Clinical Reflection and Reasoning (SACRR) survey which was administered at the start and end of both phases of the study. SACCR scores generally increased and were significant during the experiential phase (MD =7.384, t (12) = 2.27, p = .042, d = 0.63, 95% CI [0.02, 1.22]) An analysis of changes in individual SACRR items provided insights into the development of clinical reasoning modes of practice in novice clinicians. The comparison of didactic case-based learning and experiential service-learning supports the use of either or both approaches. The sequence and weightage of each strategy could be individually adjusted in course syllabi and curricula to fit student learning needs

The Perceptions of Pediatric Occupational Therapists Regarding Constraint-Induced Movement Therapy

Background: Research has shown constraint-induced movement therapy (CIMT) to be of benefit in pediatric occupational therapy practice to treat children with hemiplegia. The perceptions of adult clients, pediatric clients, child caregivers, and occupational therapists working with the adult population has been explored in the past. However, little is known about the perceptions of occupational therapists working with the pediatric population regarding CIMT. This qualitative study explored the perceptions of pediatric occupational therapists who had awareness of CIMT as an intervention method. Methods: Eight pediatric occupational therapists from the Midwest United States participated in the study. Structured interviews were conducted focusing on the participants’ knowledge, implementation practices, and current perceptions of CIMT in pediatric practice. Coding and thematic analysis was used to determine themes. Results: Three themes emerged from the data: perceived benefits of CIMT, varying comfort levels with delivery of the intervention, and differing methods of implementation. Conclusion: This study was a preliminary attempt to understand pediatric occupational therapists’ perceptions and implementation of CIMT. Future research should expand on findings by exploring the perceptions of pediatric occupational therapists from across the country as well as adapting the interview to allow for more open-ended responses

The Perceptions of Pediatric Occupational Therapists Regarding Constraint-Induced Movement Therapy

Background: Research has shown constraint-induced movement therapy (CIMT) to be of benefit in pediatric occupational therapy practice to treat children with hemiplegia. The perceptions of adult clients, pediatric clients, child caregivers, and occupational therapists working with the adult population has been explored in the past. However, little is known about the perceptions of occupational therapists working with the pediatric population regarding CIMT. This qualitative study explored the perceptions of pediatric occupational therapists who had awareness of CIMT as an intervention method. Methods: Eight pediatric occupational therapists from the Midwest United States participated in the study. Structured interviews were conducted focusing on the participants’ knowledge, implementation practices, and current perceptions of CIMT in pediatric practice. Coding and thematic analysis was used to determine themes. Results: Three themes emerged from the data: perceived benefits of CIMT, varying comfort levels with delivery of the intervention, and differing methods of implementation. Conclusion: This study was a preliminary attempt to understand pediatric occupational therapists’ perceptions and implementation of CIMT. Future research should expand on findings by exploring the perceptions of pediatric occupational therapists from across the country as well as adapting the interview to allow for more open-ended responses

The global, regional, and national burden of adult lip, oral, and pharyngeal cancer in 204 countries and territories:A systematic analysis for the Global Burden of Disease Study 2019

Importance Lip, oral, and pharyngeal cancers are important contributors to cancer burden worldwide, and a comprehensive evaluation of their burden globally, regionally, and nationally is crucial for effective policy planning.Objective To analyze the total and risk-attributable burden of lip and oral cavity cancer (LOC) and other pharyngeal cancer (OPC) for 204 countries and territories and by Socio-demographic Index (SDI) using 2019 Global Burden of Diseases, Injuries, and Risk Factors (GBD) Study estimates.Evidence Review The incidence, mortality, and disability-adjusted life years (DALYs) due to LOC and OPC from 1990 to 2019 were estimated using GBD 2019 methods. The GBD 2019 comparative risk assessment framework was used to estimate the proportion of deaths and DALYs for LOC and OPC attributable to smoking, tobacco, and alcohol consumption in 2019.Findings In 2019, 370 000 (95% uncertainty interval [UI], 338 000-401 000) cases and 199 000 (95% UI, 181 000-217 000) deaths for LOC and 167 000 (95% UI, 153 000-180 000) cases and 114 000 (95% UI, 103 000-126 000) deaths for OPC were estimated to occur globally, contributing 5.5 million (95% UI, 5.0-6.0 million) and 3.2 million (95% UI, 2.9-3.6 million) DALYs, respectively. From 1990 to 2019, low-middle and low SDI regions consistently showed the highest age-standardized mortality rates due to LOC and OPC, while the high SDI strata exhibited age-standardized incidence rates decreasing for LOC and increasing for OPC. Globally in 2019, smoking had the greatest contribution to risk-attributable OPC deaths for both sexes (55.8% [95% UI, 49.2%-62.0%] of all OPC deaths in male individuals and 17.4% [95% UI, 13.8%-21.2%] of all OPC deaths in female individuals). Smoking and alcohol both contributed to substantial LOC deaths globally among male individuals (42.3% [95% UI, 35.2%-48.6%] and 40.2% [95% UI, 33.3%-46.8%] of all risk-attributable cancer deaths, respectively), while chewing tobacco contributed to the greatest attributable LOC deaths among female individuals (27.6% [95% UI, 21.5%-33.8%]), driven by high risk-attributable burden in South and Southeast Asia.Conclusions and Relevance In this systematic analysis, disparities in LOC and OPC burden existed across the SDI spectrum, and a considerable percentage of burden was attributable to tobacco and alcohol use. These estimates can contribute to an understanding of the distribution and disparities in LOC and OPC burden globally and support cancer control planning efforts

The global burden of adolescent and young adult cancer in 2019 : a systematic analysis for the Global Burden of Disease Study 2019

Background In estimating the global burden of cancer, adolescents and young adults with cancer are often overlooked, despite being a distinct subgroup with unique epidemiology, clinical care needs, and societal impact. Comprehensive estimates of the global cancer burden in adolescents and young adults (aged 15-39 years) are lacking. To address this gap, we analysed results from the Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) 2019, with a focus on the outcome of disability-adjusted life-years (DALYs), to inform global cancer control measures in adolescents and young adults. Methods Using the GBD 2019 methodology, international mortality data were collected from vital registration systems, verbal autopsies, and population-based cancer registry inputs modelled with mortality-to-incidence ratios (MIRs). Incidence was computed with mortality estimates and corresponding MIRs. Prevalence estimates were calculated using modelled survival and multiplied by disability weights to obtain years lived with disability (YLDs). Years of life lost (YLLs) were calculated as age-specific cancer deaths multiplied by the standard life expectancy at the age of death. The main outcome was DALYs (the sum of YLLs and YLDs). Estimates were presented globally and by Socio-demographic Index (SDI) quintiles (countries ranked and divided into five equal SDI groups), and all estimates were presented with corresponding 95% uncertainty intervals (UIs). For this analysis, we used the age range of 15-39 years to define adolescents and young adults. Findings There were 1.19 million (95% UI 1.11-1.28) incident cancer cases and 396 000 (370 000-425 000) deaths due to cancer among people aged 15-39 years worldwide in 2019. The highest age-standardised incidence rates occurred in high SDI (59.6 [54.5-65.7] per 100 000 person-years) and high-middle SDI countries (53.2 [48.8-57.9] per 100 000 person-years), while the highest age-standardised mortality rates were in low-middle SDI (14.2 [12.9-15.6] per 100 000 person-years) and middle SDI (13.6 [12.6-14.8] per 100 000 person-years) countries. In 2019, adolescent and young adult cancers contributed 23.5 million (21.9-25.2) DALYs to the global burden of disease, of which 2.7% (1.9-3.6) came from YLDs and 97.3% (96.4-98.1) from YLLs. Cancer was the fourth leading cause of death and tenth leading cause of DALYs in adolescents and young adults globally. Interpretation Adolescent and young adult cancers contributed substantially to the overall adolescent and young adult disease burden globally in 2019. These results provide new insights into the distribution and magnitude of the adolescent and young adult cancer burden around the world. With notable differences observed across SDI settings, these estimates can inform global and country-level cancer control efforts. Copyright (C) 2021 The Author(s). Published by Elsevier Ltd.Peer reviewe

The global burden of cancer attributable to risk factors, 2010-19 : a systematic analysis for the Global Burden of Disease Study 2019

Background Understanding the magnitude of cancer burden attributable to potentially modifiable risk factors is crucial for development of effective prevention and mitigation strategies. We analysed results from the Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) 2019 to inform cancer control planning efforts globally. Methods The GBD 2019 comparative risk assessment framework was used to estimate cancer burden attributable to behavioural, environmental and occupational, and metabolic risk factors. A total of 82 risk-outcome pairs were included on the basis of the World Cancer Research Fund criteria. Estimated cancer deaths and disability-adjusted life-years (DALYs) in 2019 and change in these measures between 2010 and 2019 are presented. Findings Globally, in 2019, the risk factors included in this analysis accounted for 4.45 million (95% uncertainty interval 4.01-4.94) deaths and 105 million (95.0-116) DALYs for both sexes combined, representing 44.4% (41.3-48.4) of all cancer deaths and 42.0% (39.1-45.6) of all DALYs. There were 2.88 million (2.60-3.18) risk-attributable cancer deaths in males (50.6% [47.8-54.1] of all male cancer deaths) and 1.58 million (1.36-1.84) risk-attributable cancer deaths in females (36.3% [32.5-41.3] of all female cancer deaths). The leading risk factors at the most detailed level globally for risk-attributable cancer deaths and DALYs in 2019 for both sexes combined were smoking, followed by alcohol use and high BMI. Risk-attributable cancer burden varied by world region and Socio-demographic Index (SDI), with smoking, unsafe sex, and alcohol use being the three leading risk factors for risk-attributable cancer DALYs in low SDI locations in 2019, whereas DALYs in high SDI locations mirrored the top three global risk factor rankings. From 2010 to 2019, global risk-attributable cancer deaths increased by 20.4% (12.6-28.4) and DALYs by 16.8% (8.8-25.0), with the greatest percentage increase in metabolic risks (34.7% [27.9-42.8] and 33.3% [25.8-42.0]). Interpretation The leading risk factors contributing to global cancer burden in 2019 were behavioural, whereas metabolic risk factors saw the largest increases between 2010 and 2019. Reducing exposure to these modifiable risk factors would decrease cancer mortality and DALY rates worldwide, and policies should be tailored appropriately to local cancer risk factor burden. Copyright (C) 2022 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY 4.0 license.Peer reviewe