Something in the Air: Effect of a Narrative-Account Podcast on Empathy and Client-Centeredness in Occupational Therapy Students

Something in the Air: Effect of a Narrative-Account Podcast on Empathy and Client-Centeredness in Occupational Therapy Student

A Podcast’s Effect on Empathy and Client-Centeredness in Occupational Therapy Students

There is mixed evidence on the effectiveness of educational approaches that address empathy and client-centeredness in occupational therapy (OT) education. The purpose of this study was to investigate the effect of listening to a personal narrative-account podcast on empathy and client-centeredness in OT students. An experimental, posttest-only control group design was used. Master’s degree level OT students were stratified by year of study and were randomly assigned to either an intervention group or control group. Following a 5-week educational intervention, levels of empathy and client-centeredness were measured and compared using the Kiersma-Chen Empathy Scale and the Patient-Practitioner Orientation Scale via post-test, respectively. Analyses were conducted using a multivariate analysis of variance (MANOVA). Results of the MANOVA demonstrated no statistically significant difference between the students who participated in the intervention versus the control on the combined (or linear combination of) dependent variables, Wilks\u27 Λ = .96, F(2.34) =.71, p =.499 partial η2 = . 04. There was no statistically significant difference in using a combination of written diagnostic information and a first-person narrative account podcast as compared to written diagnostic information only on OT students\u27 overall level of empathy and client-centeredness. As the results of the MANOVA were not significant, post hoc analyses were not conducted. Implications and recommendations are shared to guide OT educators in facilitating in their students the development of these two attributes of professionalism that are vital for effective client care

Developing a Data-driven Approach to inform Planning in County Health and Human Services Departments in the Context of a Case Study on Obesity

Since the 1970s, the obesity rate has steadily increased due to growing availability of food and declining physical activity. The existing environments within a community, including active recreation opportunities, access to healthy food options, the built environment, and transportation options, can moderate obesity. In Virginia, Fairfax County Health and Human Services (HHS) system is interested in developing the capacity for data-driven approaches to gain insights on current and future issues, such as obesity, to characterize factors at the county and sub-county level, and to use these insights to inform policy options. In exploring these questions, we developed statistical methods to combined data from a multitude of different sources including local administrative data (e.g., tax assessments, land use, student surveys), place-based data, and federal collections. Using synthetic data methods based on imputation, we recomputed American Community Survey statistics for non-Census tract geographic regions for political districts and high school attendance areas. We combined this with environmental factors, such as land dedicated to parks and recreation facilities, as well as measures of the density of healthy and unhealthy food locations to create a map of potentially obesogenic factors. Finally, we combined these data sources with Fairfax County’s youth survey and trained a random forest model to predict the effects of the environment on healthy food consumption and exercise. Our analysis highlights the need for (administrative) data at a fine scale and recommends policy changes concerning the recording and sharing of local data to better inform the policy and program development

Reducing Health Disparities In Communities of Color: Perspectives from Professions in Healthcare

While people of underrepresented ethnic groups (URGs) represent 40% of the nation\u27s population, less than 5% of admissions to PT, OT, and SLP programs are students from URGs. Suggestions for this disparity include lack of academic, social, financial, and mentoring support as barriers to enrolling URGs in health professions programs. Research indicates that health care providers who are from URGs are more likely to serve patients of color, indigent patients, and work in medically underserved communities. In addition, patients are more likely to report greater satisfaction with care from providers that share their racial/ethnic background. This presentation includes our initiative to address the lack of diversity in healthcare through a program we have developed named TRIUMPH- the Tennessee Recruitment to Increase Underrepresented Minorities into Professions of Health. This program is designed to serve as a UT system pipeline to increase URGs admissions from UT Knoxville into the University of Tennessee Health Science Center\u27s PT, OT, and SLP programs. This ultimately will assist in healing and health in communities of color. Presentation outline: The state of representation of persons of color in health care professions and its impact on communities of color Barriers that contribute to lack of representation in health care professions Explanation of the TRIUMPH program developed at UTHSC to increase the representation of URGs in PT/OT/SLP programs which will ultimately assist with health and healing in communities of color

Leveraging U.S. Army Administrative Data for Individual and Team Performance

The Army possesses vast amounts of administrative (archival) data about Soldiers. These data sources include screening tests, personnel action codes, training scores, global assessments, physical fitness scores, and more. However, the Army has yet to integrate these data to create a holistic operating picture. Our research focuses on repurposing Army administrative data to (1) operationalize social constructs of interest to the Army (e.g., Army Values, Warrior Ethos) and (2) model the predictive relationship between these constructs and individual (i.e., Soldier) and team (i.e., unit) performance and readiness. The goal of the project is to provide people analytics models to Army leadership for the purposes of optimizing human capital management decisions. Our talk will describe the theoretical underpinnings of our human performance model, drawing on disciplines such as social and industrial/organizational psychology, as well as our experience gaining access to and working with Army administrative data sources. Access to the archival administrative data is provided through the Army Analytics Group (AAG), Person-event Data Environment (PDE). The PDE is a business intelligence platform that has two central functions: (1) to provide a secure repository for data sources on U.S. military personnel; and (2) to provide a secure collaborative work environment where researchers can access unclassified but sensitive military data

A Comparison of Print and Cursive Handwriting in Fifth and Sixth Grade Students: A Pilot Study

Background: Handwriting is an important skill to master because handwriting demands take up a significant portion of the school day. Pediatric occupational therapists evaluate and treat children who are experiencing challenges with handwriting; therefore, it is important for practitioners to understand the performance of children using both of these writing styles. Method: A convenience sample of 36 fifth and sixth grade students participated in the study. Print and cursive handwriting samples were collected on two separate occasions, and a Wilcoxon-Mann-Whitney test was used to examine speed and legibility differences in these writing styles. Results: Speed in print writing did not differ significantly for gender between the fifth and sixth graders. Cursive writing speed improved significantly for the sixth grade female students compared to the fifth grade female students. Female print legibility scores decreased from the fifth to the sixth grade. Regardless of grade level, the female students were faster with cursive than the male students. Conclusion: The female students consistently used cursive, and their writing speed increased from one year to the next, as compared to the male students, who did not use a consistent writing style. It is important for occupational therapists to educate teachers and parents on the importance of consistent handwriting instruction and practice

Disparities in Healthy Food Zoning, Farmers\u27 Market Availability, and Fruit and Vegetable Consumption Among North Carolina Residents

Background: Context and purpose of the study. To examine (1) associations between county-level zoning to support farmers\u27 market placement and county-level farmers\u27 market availability, rural/urban designation, percent African American residents, and percent of residents living below poverty and (2) individual-level associations between zoning to support farmers\u27 markets; fruit and vegetable consumption and body mass index (BMI) among a random sample of residents of six North Carolina (NC) counties. Methods: Zoning ordinances were scored to indicate supportiveness for healthy food outlets. Number of farmers\u27 markets (per capita) was obtained from the NC-Community Transformation Grant Project Fruit and Vegetable Outlet Inventory (2013). County-level census data on rural/urban status, percent African American, and percent poverty were obtained. For data on farmers\u27 market shopping, fruit and vegetable consumption, and BMI, trained interviewers conducted a random digit dial telephone survey of residents of six NC counties (3 urban and 3 rural). Pearson correlation coefficients and multilevel linear regression models were used to examine county-level and individual-level associations between zoning supportiveness, farmers\u27 market availability, and fruit and vegetable consumption and BMI. Results: At the county-level, healthier food zoning was greater in more urban areas and areas with less poverty. At the individual-level, self-reported fruit and vegetable consumption was associated with healthier food zoning. Conclusions: Disparities in zoning to promote healthy eating should be further examined, and future studies should assess whether amending zoning ordinances will lead to greater availability of healthy foods and changes in dietary behavior and health outcomes

Farmers\u27 market use is associated with fruit and vegetable consumption in diverse southern rural communities

Background While farmers’ markets are a potential strategy to increase access to fruits and vegetables in rural areas, more information is needed regarding use of farmers’ markets among rural residents. Thus, this study’s purpose was to examine (1) socio-demographic characteristics of participants; (2) barriers and facilitators to farmers’ market shopping in southern rural communities; and (3) associations between farmers’ market use with fruit and vegetable consumption and body mass index (BMI). Methods Cross-sectional surveys were conducted with a purposive sample of farmers’ market customers and a representative sample of primary household food shoppers in eastern North Carolina (NC) and the Appalachian region of Kentucky (KY). Customers were interviewed using an intercept survey instrument at farmers’ markets. Representative samples of primary food shoppers were identified via random digit dial (RDD) cellular phone and landline methods in counties that had at least one farmers’ market. All questionnaires assessed socio-demographic characteristics, food shopping patterns, barriers to and facilitators of farmers’ market shopping, fruit and vegetable consumption and self-reported height and weight. The main outcome measures were fruit and vegetable consumption and BMI. Descriptive statistics were used to examine socio-demographic characteristics, food shopping patterns, and barriers and facilitators to farmers’ market shopping. Linear regression analyses were used to examine associations between farmers’ market use with fruit and vegetable consumption and BMI, controlling for age, race, education, and gender. Results Among farmers’ market customers, 44% and 55% (NC and KY customers, respectively) reported shopping at a farmers’ market at least weekly, compared to 16% and 18% of NC and KY RDD respondents. Frequently reported barriers to farmers’ market shopping were market days and hours, “only come when I need something”, extreme weather, and market location. Among the KY farmers’ market customers and NC and KY RDD respondents, fruit and vegetable consumption was positively associated with use of farmers’ markets. There were no associations between use of farmers’ markets and BMI. Conclusions Fruit and vegetable consumption was associated with farmers’ market shopping. Thus, farmers’ markets may be a viable method to increase population-level produce consumption

Farmers’ market use is associated with fruit and vegetable consumption in diverse southern rural communities

Background While farmers’ markets are a potential strategy to increase access to fruits and vegetables in rural areas, more information is needed regarding use of farmers’ markets among rural residents. Thus, this study’s purpose was to examine (1) socio-demographic characteristics of participants; (2) barriers and facilitators to farmers’ market shopping in southern rural communities; and (3) associations between farmers’ market use with fruit and vegetable consumption and body mass index (BMI). Methods Cross-sectional surveys were conducted with a purposive sample of farmers’ market customers and a representative sample of primary household food shoppers in eastern North Carolina (NC) and the Appalachian region of Kentucky (KY). Customers were interviewed using an intercept survey instrument at farmers’ markets. Representative samples of primary food shoppers were identified via random digit dial (RDD) cellular phone and landline methods in counties that had at least one farmers’ market. All questionnaires assessed socio-demographic characteristics, food shopping patterns, barriers to and facilitators of farmers’ market shopping, fruit and vegetable consumption and self-reported height and weight. The main outcome measures were fruit and vegetable consumption and BMI. Descriptive statistics were used to examine socio-demographic characteristics, food shopping patterns, and barriers and facilitators to farmers’ market shopping. Linear regression analyses were used to examine associations between farmers’ market use with fruit and vegetable consumption and BMI, controlling for age, race, education, and gender. Results Among farmers’ market customers, 44% and 55% (NC and KY customers, respectively) reported shopping at a farmers’ market at least weekly, compared to 16% and 18% of NC and KY RDD respondents. Frequently reported barriers to farmers’ market shopping were market days and hours, “only come when I need something�, extreme weather, and market location. Among the KY farmers’ market customers and NC and KY RDD respondents, fruit and vegetable consumption was positively associated with use of farmers’ markets. There were no associations between use of farmers’ markets and BMI. Conclusions Fruit and vegetable consumption was associated with farmers’ market shopping. Thus, farmers’ markets may be a viable method to increase population-level produce consumption

The Cytogenetic Landscape of Pediatric Chronic Myeloid Leukemia Diagnosed in Chronic Phase

Simple Summary Philadelphia chromosome-positive chronic myeloid leukemia (CML) is characterized by the translocation of the chromosomes 9 and 22. Additional non-Philadelphia aberrations of chromosomes (nPhAs) and their prognostic relevance for the disease course are comparably well known in adult patients with CML. However, due to the rarity of CML in children and adolescents, nPhAs have hardly been determined systematically in these age groups. Here, we present a large analysis of nPhAs detected in a cohort of 161 patients younger than 18 years who had been diagnosed with CML in chronic phase and enrolled in the German national CML-PAED-II registry. We found a distinct distribution of nPhAs in this pediatric cohort with possible impact on treatment response whereas the survival remained unaffected. Our findings emphasize differences in the disease biology between pediatric and adult patients and prompt further joint international efforts to acquire more data on the disease in this age group. Abstract Philadelphia chromosome-positive chronic myeloid leukemia (CML) is cytogenetically characterized by the classic translocation t(9;22)(q34;q11), whereas additional non-Philadelphia aberrations (nPhAs) have been studied extensively in adult patients with CML, knowledge on nPhAs in pediatric patients with CML is still sparse. Here, we have determined nPhAs in a cohort of 161 patients younger than 18 years diagnosed with chronic phase CML and consecutively enrolled in the German national CML-PAED-II registry. In 150 cases (93%), an informative cytogenetic analysis had been performed at diagnosis. In total, 21 individuals (13%) showed nPhAs. Of these, 12 (8%) had a variant translocation, 4 (3%) additional chromosomal aberrations (ACAs) and 5 (3%) harbored a complex karyotype. Chromosome 15 was recurrently involved in variant translocations. No significant impact of the cytogenetic subgroup on the time point of cytogenetic response was observed. Patients with a complex karyotype showed an inferior molecular response compared to patients carrying the classic translocation t(9;22)(q34;q11), variant translocations or ACAs. No significant differences in the probability of progression-free survival and overall survival was found between patients with nPhAs and patients with the classic Philadelphia translocation only. Our results highlight the distinct biology of pediatric CML and underline the need for joint international efforts to acquire more data on the disease pathogenesis in this age group