Implementation and Outcomes of an Education Focused Professional Development Series for Occupational Therapy Practitioners

As new educational programs emerge and student enrollment increases, the demand for new academicians, fieldwork educators, and capstone mentors is growing rapidly within the occupational therapy (OT) profession. Academic programs must prepare practitioners to teach and supervise their students who will become OTs and occupational therapy assistants (OTA). In conjunction with the state OT association, one university doctoral OT program created and implemented a free education-focused professional development series for community partners who were interested in developing their teaching knowledge and skills. The series covered unique aspects of OT and OTA education: fieldwork, the doctoral capstone experience and project, and how to become an academic educator. In total, 131 participants attended the three-part professional development series: 10% attended all three sessions, 12% attended two sessions, and 78% attended just one session. A post course evaluation found the majority of participants agreed they will apply the information learned into their practice, they valued the free professional development opportunities, and they were interested in attending future professional development opportunities. Participants had a high level of agreement that they achieved the specific learning objectives of the course. Not only did the community partners find the sessions to be beneficial, but the university OT program noted benefits to hosting it, with 83% of the participants reporting wanting to take a capstone student and 73% reporting a desire to become an academic educator. The purpose of this educational innovation article is to disseminate the content, objectives, and outcomes of the professional development series, in addition to sharing implications for OT and OTA educational programs

Therapists as Educators: the Importance of Client Education in Occupational Therapy

Client education is a major component of everyday health care practice. Entry-level occupational therapy (OT) accreditation standards require educators to teach students how to demonstrate the ability to educate clients, family, caregivers, and significant others to facilitate their skills related to personal occupations. Although these standards are a necessity, entry-level programs are not required to teach students the teaching methodologies that support human learning. However, the educational standards do require students to apply the principles of teaching and learning processes. This project explored the evidence in teaching and learning strategies and how these were introduced to OT students during their program. Faculty from the School of Occupational Therapy and School of Education developed a module for entry-level OT students. Data analysis found that students were able to benefit from the additional information on teaching and learning theory

Occupational Therapy’s Role in Addressing College Campus Well-Being

The purpose of this study is to (1) explore occupational therapy’s role in mental health and (2) investigate the effects of Cranial Electrotherapy Stimulation and mindfulness in reducing symptoms of depression, stress or insomnia among college students. This study utilized a pre/posttest design with participants randomized into 2 groups: CES alone (Group A) and mindfulness meditation and CES (Group B). A purposeful sample of college students were recruited, all with a previous diagnosis or self-report of stress/anxiety. This study measured sleep, anxiety, trait mindfulness, and daily function using the Hamilton Anxiety Rating Scale, Freiburg Mindfulness Inventory, Functional Status Questionnaire, and Pittsburgh Sleep Quality Index. Measurements were taken at baseline, weeks 5, 8, and 12. Following intake, students began the 5-week treatment protocol. In week 1, participants completed CES or CES/meditations for 7 days. In weeks 2-5, participants completed 4-5 times/week, 20-40mins each, depending on tolerated dosage. Repeated-measures ANOVA revealed a significant effect of time over 8 weeks for HAM-A [F(1,22) = 19.42, p \u3c 0.05], FMI [F(2,21) = 10.41, p \u3c 0.05], PSQI [F(2,22) = 19.01, p \u3c 0.05], and FSQ Social Role Function [F(2,21) = 5.00, p \u3c 0.05]. There were no significant differences between groups for all four assessments, nor a significant effect of time for the Physical/Psychological FSQ categories. Results reveal that time is the biggest factor in reducing anxiety, and increasing mindfulness, sleep, and daily function, despite differences in groups. This demonstrates that CES and mindfulness might be effective treatment methods for mental health in OT

Early emergence of CD19-negative human antibody secreting cells at the plasmablast to plasma cell transition

Long-lived human plasma cells (PCs) play central roles in immunity and autoimmunity and are enriched amongst the subpopulation of CD19-negative human PCs. However, whether human CD19-negative PCs are necessarily ″aged″ cells that have gradually lost CD19 expression is not known. Assessing peripheral blood samples at steady state and during the acute response to influenza vaccination in healthy donors we identify the presence of phenotypic CD19-negative plasmablasts, the proliferative precursor state to mature PCs, and demonstrate by ELISpot that these are antibody-secreting cells (ASCs). During the acute response to influenza vaccination CD19-positive, CD19-low and CD19-negative ASCs secrete vaccine-specific antibody and show linked IGHV repertoires. To address precursor/product relationships we employ in vitro models which mimic both T-dependent and T-independent differentiation finding that the CD19-negative state can be established at the plasmablast to PC transition, that CD19-negative PCs increase as a percentage of surviving PCs in vitro, and that CD19-negative and CD19-positive PCs can be maintained independently. These data provide proof-of-principle for the view that newly generated ASCs can acquire a mature PC phenotype accompanied by loss of CD19 expression at an early stage of differentiation and that ″aging″ is not an obligate requirement for a CD19-negative state to be established

Adaptation of the African Couples HIV Testing and Counseling Model for Men who have Sex with Men in the United States: an Application of the ADAPT-ITT Framework

To respond to the need for new HIV prevention services for men who have sex with men (MSM) in the United States, and to respond to new data on the key role of main partnerships in US MSM epidemics, we sought to develop a new service for joint HIV testing of male couples. We used the ADAPT-ITT framework to guide our work. From May 2009 to July 2013, a multiphase process was undertaken to identify an appropriate service as the basis for adaptation, collect data to inform the adaptation, adapt the testing service, develop training materials, test the adapted service, and scale up and evaluate the initial version of the service. We chose to base our adaptation on an African couples HIV testing service that was developed in the 1980s and has been widely disseminated in low- and middle-income countries. Our adaptation was informed by qualitative data collections from MSM and HIV counselors, multiple online surveys of MSM, information gathering from key stakeholders, and theater testing of the adapted service with MSM and HIV counselors. Results of initial testing indicate that the adapted service is highly acceptable to MSM and to HIV counselors, that there are no evident harms (e.g., intimate partner violence, relationship dissolution) associated with the service, and that the service identifies a substantial number of HIV serodiscordant male couples. The story of the development and scale-up of the adapted service illustrates how multiple public and foundation funding sources can collaborate to bring a prevention adaptation from concept to public health application, touching on research, program evaluation, implementation science, and public health program delivery. The result of this process is an adapted couples HIV testing approach, with training materials and handoff from academic partners to public health for assessment of effectiveness and consideration of the potential benefits of implementation; further work is needed to optimally adapt the African couples testing service for use with male–female couples in the United States

Network analysis identifies proinflammatory plasma cell polarization for secretion of ISG15 in human autoimmunity

Plasma cells (PCs) as effectors of humoral immunity produce Igs to match pathogenic insult. Emerging data suggest more diverse roles exist for PCs as regulators of immune and inflammatory responses via secretion of factors other than Igs. The extent to which such responses are preprogrammed in B-lineage cells or can be induced in PCs by the microenvironment is unknown. In this study, we dissect the impact of IFNs on the regulatory networks of human PCs. We show that core PC programs are unaffected, whereas PCs respond to IFNs with distinctive transcriptional responses. The IFN-stimulated gene 15 (ISG15) system emerges as a major transcriptional output induced in a sustained fashion by IFN-α in PCs and linked both to intracellular conjugation and ISG15 secretion. This leads to the identification of ISG15-secreting plasmablasts/PCs in patients with active systemic lupus erythematosus. Thus, ISG15-secreting PCs represent a distinct proinflammatory PC subset providing an Ig-independent mechanism of PC action in human autoimmunity

Current Control and Future Risk in Asthma Management

Despite international and national guidelines, poor asthma control remains an issue. Asthma exacerbations are costly to both the individual, and the healthcare provider. Improvements in our understanding of the therapeutic benefit of asthma therapies suggest that, in general, while long-acting bronchodilator therapy improves asthma symptoms, the anti-inflammatory activity of inhaled corticosteroids reduces acute asthma exacerbations. Studies have explored factors which could be predictive of exacerbations. A history of previous exacerbations, poor asthma control, poor inhaler technique, a history of lower respiratory tract infections, poor adherence to medication, the presence of allergic rhinitis, gastro-oesophageal reflux disease, psychological dysfunction, smoking and obesity have all been implicated as having a predictive role in the future risk of asthma exacerbation. Here we review the current literature and discuss this in the context of primary care management of asthma

Urban morphological determinants of temperature regulating ecosystem services in two African cities

Urban green infrastructure provides important regulating ecosystem services, such as temperature and flood regulation, and thus, has the potential to increase the resilience of African cities to climate change. Differing characteristics of urban areas can be conceptualised and subsequently mapped through the idea of urban morphology types (UMTs) – classifications which combine facets of urban form and function. When mapped, UMT units provide biophysically relevant meso-scale geographical zones which can be used as the basis for understanding climate-related impacts and adaptations. For example, they support the assessment of urban temperature patterns and the temperature regulation services provided by urban green structures. UMTs have been used for assessing regulating ecosystem services in European cities but little similar knowledge is available in an African context. This paper outlines the concept of UMTs and how they were applied to two African case study cities: Addis Ababa, Ethiopia and Dar es Salaam, Tanzania. It then presents the data and methods used to understand provision of temperature regulation services across the two cities. In total, 35 detailed UMT classes were identified for Addis Ababa and 43 for Dar es Salaam. Modelled land surface temperature profiles for each of these UMTs are presented. The results demonstrate that urban morphological characteristics of UMTs, such as land surface cover proportions and associated built mass, have a much larger potential to alter neighbourhood level surface temperatures compared to projected climate changes. Land surface cover differences drive land surface temperature ranges over 25 ◦C compared to climate change projections being associated with changes of less than 1.5 ◦C. Residential UMTs account for the largest surface area of the cities, which are rapidly expanding due to population increase. Within the Residential UMTs, informal settlements and traditional housing areas are associated with the lowest land surface temperatures in Addis Ababa. These have higher proportions and better composition of green structures than other residential areas. The results have implications for planning policies in the cities. In Addis Ababa, the current urban renewal strategy to convert high density informal unplanned settlements into formal planned housing needs to explicitly account for green structure provision to avoid adverse effects on future supply of temperature regulation services. In Dar es Salaam, condominium UMTs have some of the largest proportions of green structures, and the best provision of temperature regulation services. In this case the challenge will be to maintain these into the future