Occupational therapy programs include practice education, which is a vital aspect of professional practice preparation. We evaluated the effectiveness of the Community–Academia Student Tutoring program for enhancing occupational therapy students’ perceived readiness for their practice placement, thus reducing their feelings of anxiety.
Method
The study included 84 first-year undergraduate occupational therapy students aged 21–35 years, of whom 43 participated in the Community–Academia Student Tutoring group program and the rest comprised the control group. Participants completed the Student Self-Competency and Readiness for Fieldwork questionnaire prior to their first practice placement.
Findings
Anxiety was related to the Student Self-Competency and Readiness for Fieldwork’s components and total score. The Community–Academia Student Tutoring group scored significantly higher (p < .05) than the controls in the Evaluation and Communication with Patients components of the questionnaire, after controlling for anxiety level.
Implications
It appears that it is possible to enhance students’ readiness for their practice placement through a structured and intensive community-based mentoring program that is guided by faculty and includes activities of briefing and debriefing, such as the Community–Academia Student Tutoring program.
American Occupational Therapy Association (1999) Standards for an accredited educational program for the occupational therapist: Accreditation Council for Occupational Therapy Education of the American Occupational Therapy Association, Inc. American Journal of Occupational Therapy53(6): 575–582.
2.
American Occupational Therapy Association (2007) AOTA centennial vision and executive summary. American Journal of Occupational Therapy61(6): 613–614.
3.
American Occupational Therapy Association (2008) Occupational therapy practice framework: Domain and process (2nd ed.). American Journal of Occupational Therapy62(6): 625–683.
4.
Anderson J and Hill D (2001) Principles of good practice for service-learning in preservice teacher education. In: Anderson J and Hill D (eds) Service-Learning in Teacher Education: Enhancing the Growth of New Teachers, their Students, and Communities. Washington, DC: AACTE, pp.64–84.
5.
BeltranROScanlanJNHancockNet al.(2007) The effect of first year mental health fieldwork on attitudes of occupational therapy students towards people with mental illness. Australian Occupational Therapy Journal54(1): 42–48.
6.
BrownTMuKPeytonCGet al.(2009) Occupational therapy students’ attitudes towards individuals with disabilities: A comparison between Australia, Taiwan, the United Kingdom, and the United States. Research in Developmental Disabilities30(6): 1541–1555.
7.
CoppardBMDickersonA (2007) A descriptive review of occupational therapy education. The American Journal of Occupational Therapy61(6): 672–677.
8.
DienhartCMaruyamaGSnyderMet al.(2016) The impacts of mandatory service on students in service-learning classes. The Journal of Social Psychology156(3): 305–309.
9.
HaynesC (2011) Active participation in Fieldwork Level I: Fieldwork educator and student perceptions. Occupational Therapy in Health Care25(4): 257–269.
10.
Hodgetts S, Hollis V, Triska O, et al. (2007) Occupational therapy students and graduates’ satisfaction with professional education and preparedness for practice. Canadian Journal of Occupational Therapy 74(3): 148–160.
11.
IqbalSGuptaSVenkataraoE (2015) Stress, anxiety & depression among medical undergraduate students & their socio-demographic correlates. Indian Journal of Medical Research141(3): 354–356.
12.
JenkinsGDouglasFChamberlainE (2008) Compulsory volunteering: Using service learning to introduce occupation to occupational therapy students. British Journal of Occupational Therapy71(1): 38–40.
13.
Knecht-SabresL (2010) The use of experiential learning in an occupational therapy program: Can it foster skills for clinical practice?Occupational Therapy in Health Care24(4): 320–334.
14.
Knecht-SabresLJKovicMWallingfordMet al.(2013) Preparing occupational therapy students for the complexities of clinical practice. Open Journal of Occupational Therapy1(3): 1–14.
15.
LovellGPNashKSharmanRet al.(2015) A cross-sectional investigation of depressive, anxiety, and stress symptoms and health-behavior participation in Australian university students. Nursing &Health Sciences17(1): 134–142.
16.
MackenzieL (2002) Briefing and debriefing of student fieldwork experiences: Exploring concerns and reflecting on practice. Australian Occupational Therapy Journal49(2): 82–92. https://doi.org/10.1046/j.1440-1630.2002.00296.
17.
MaloneySMMyersCBazykJ (2014) The influence of a community-based service-learning experience on the development of occupational therapy students’ feelings of civic responsibility. Occupational Therapy in Mental Health30(2): 144–161.
18.
MulhollandSDerdallM (2007) An early fieldwork experience: Student and preceptor perspectives. Canadian Journal of Occupational Therapy74(3): 161–171.
19.
ParmenterVThomasH (2015) WOW! Occupational therapy education and experiential service learning through community volunteering. British Journal of Occupational Therapy78(4): 241–252. https://doi.org/10.1177/0308022614563945.
20.
PriceAPriceB (2009) Role modeling practice with students on clinical placements. Nursing Standard24(11): 51–56.
21.
ScaffaMESmithTM (2004) Effects of level II fieldwork on clinical reasoning in occupational therapy. Occupational Therapy in Health Care18(1–2): 31–38.
22.
SladykKSheckleyB (2001) Clinical reasoning and reflective practice: Implications of fieldwork activities. Occupational Therapy in Health Care13(1): 11–22.
23.
StevensCRussellBAHHatfieldBD (2014) The effect of anticipatory anxiety on performance in an attention task. International Journal of Exercise Science: Conference Proceedings9(2): 78. https://digitalcommons.wku.edu/ijesab/vol9/iss2/78.
24.
Tal-Saban M, Pereg D and Weintraub N (2012) The Student Self-Competency and Readiness for Fieldwork questionnaire (SCARF). Unpublished measure. The School of Occupational Therapy of Hadassah and the Hebrew University. Jerusalem, Israel.
25.
TanKPMeredithPMcKennaK (2004) Predictors of occupational therapy students’ clinical performance: An exploratory study. Australian Occupational Therapy Journal51(1): 25–33. https://doi.org/10.1046/j.1440-1630.2003.00383.
26.
TaylorRR (2008) The changing landscape of therapeutic use of self in occupational therapy: An historical overview. In: TaylorRR (ed.) The Intentional Relationship, Philadelphia, PA: FA Davis, pp. 3–18.
27.
TaylorRR (2013) Therapeutic relationship and client collaboration: Applying the intentional relationship model. In: Boyt SchellBAGillerGScaffeME (eds) Willard & Spackman's Occupational Therapy, New York, NY: Wolters Kluwer, pp. 425–436.
28.
TownsEAshbyS (2014) The influence of practice educators on occupational therapy students’ understanding of the practical applications of theoretical knowledge: A phenomenological study into student experiences of practice education. Australian Occupational Therapy Journal61(5): 344–352. https://doi.org/10.1111/1440-1630.12134.
29.
World Federation of Occupational Therapists (2016) Revised minimum standards for the education of occupational therapists. In: Hocking C and Ness NE (eds) The Council of the World Federation of Occupational Therapists 1958. World Federation of Occupational Therapists. London: Taylor & Francis, 1–80.
