American Journal of Occupational Therapy

Each year, the American Occupational Therapy Association publishes an online supplement to the American Journal of Occupational Therapy consisting of the peer-reviewed “research track” abstracts of presentations at the AOTA Annual Conference & Expo. The abstracts are in five categories: (1) assessment and measurement, (2) basic research, (3) health services research and education, (4) prevention and intervention, and (5) translational research. The current supplement consists of the abstracts presented April 4 to April 7, 2019, in New Orleans, Louisiana.

Date Presented 04/04/19

Executive function (EF) deficits following traumatic brain injury (TBI) negatively affect independence in daily living. The use of performance-based assessments are recommended. This cross-sectional study compared the performance of the Internet-based bill-paying task in adults with TBI to healthy adults and correlated this task to WebNeuro computerized assessment and independence in daily living. The bill-paying task has construct and initial criterion validity to assess EF deficits after TBI.

Primary Author and Speaker: Yael Nadler Tzadok

Additional Authors and Speakers: Rotem Eliav

Contributing Authors: Sigal Portnoy, Debbie Rand

Date Presented 04/04/19

This study evaluated the Specific Test of Early Infant Motor Performance (STEP), a rapid screening test of preterm infants at risk for developmental delay. The STEP administered at term and three months showed excellent reliability, required 6 to 10 minutes to administer, and had significant correlations with the Bayley III at 12 months. Although the STEP needs to be validated in a larger cohort, this new rapid assessment may identify infants at risk for delays early in the first three months of life.

Primary Author and Speaker: Patty Coker-Bolt

Additional Authors and Speakers: Dorothea Jenkins

Date Presented 04/04/19

This study explored the perceptions and practices of OT practitioners working in middle-school settings. There is an overall paucity of research specifically intended for evaluating and providing interventions for middle-school students. In an attempt to address this issue, this study intended to better understand practitioners’ perceived needs, daily practice patterns, and factors that influence their clinical reasoning in determining goals and interventions.

Primary Author and Speaker: Sonia Rodrigues

Additional Authors and Speakers: Francine Seruya

Date Presented 04/04/19

We developed the Employment Barriers Questionnaire, which identifies obstacles that people with disabilities face when trying to obtain work and maintain employment. Thirty-five participants attended this study (18 participants were employed and 17 unemployed). The questionnaire has been found to be reliable and valid. The questionnaire has been found to be an effective evaluation tool throughout the rehabilitation sequence, from the subacute hospitalization stage to the chronic stage.

Primary Author and Speaker: Maya Huber

Contributing Authors: Navah Ratzon, Tal Starik, Gabi Zeilig

Date Presented 04/04/19

An occupation-based assessment tool is needed to support therapists in their assessment of how parents’ behavior impacts how their young children's play. The usefulness of the Parent's Caregiver Support of Young Children's Playfulness (a new assessment tool) for identifying how parents' behavior influences their children's playfulness, was examined through a mixed-methods study.

Primary Author and Speaker: Amiya Waldman-Levi

Additional Authors and Speakers: Laurette Olson

Contributing Authors: Sherraine Grinon

Date Presented 04/04/19

Early intervention therapists rely on developmental milestone-focused assessments to identify deficits and justify services. However, these measures fail to assess a child’s ability to incorporate discrete skills into functional activities. The Infant Toddler Activity Card Sort (ITACS) will meet this need.

Primary Author and Speaker: Catherine Hoyt

Contributing Authors: Jianna Fernandez, Ashley Chuck, Laura Pilney, Taniya Varughese, Regina Abel, Allison King

Date Presented 04/04/19

This project is an exploratory study of levels of physical activity in boys with Duchenne Muscular Dystrophy collected in the natural environment using actigraphy. Data collected by the Actigraph GT9x is used to develop algorithms to categorize the distribution of energy expenditure throughout the day. This study presents inaccuracies with using typical pediatric actigraphy algorithms in children with disability and the need to develop custom algorithms that correlate to our population.

Primary Author and Speaker: Natalie Little

Additional Authors and Speakers: Margaret Feltman

Contributing Authors: Amy Hartman, Annmarie Kelleher, Roxanna Bendixen

Date Presented 04/04/19

The original Self-Report Assessment of Functional Visual Performance (SRAFVP) was first developed in 1995. It contained 38 functionally based items that were frequently encountered in daily life at that time. Now, technology has greatly changed how we function on a day-to-day basis, necessitating changes to the SRAFVP in order to ensure its ongoing relevance. This two-part research project was used to update the questions and bring the test into the twenty-first century.

Primary Author and Speaker: Marlene Snow

Additional Authors and Speakers: Cheryl Zemina

Date Presented 04/04/19

This study was conducted to determine if self-report on an IADL scale would coincide with performance-based functional cognitive tests that simulate a familiar IADL task. Findings support the conclusion that self-report on IADL may be useful but should always be followed by observation during a performance-based functional cognitive task.

Primary Author and Speaker: Timothy Marks

Additional Authors and Speakers: Muhammad Al-Heizan, Dorothy Farrar Edwards

Date Presented 04/04/19

Half of the postmillennial participants had an apparent ability to successfully cope with demanding tasks (e.g., managing their daily schedule) in unexpected ways. However, they were equally effective in performing the performance-based assessment and in their parents' reports on their daily performance. Therapists are therefore encouraged to use a “guided discovery” of strategies during an intervention to facilitate strategy use for those who are less able to cope with their daily tasks.

Primary Author and Speaker: Sharon Zlotnik

Contributing Authors: Eynat Gal, Tamar Wiess

Date Presented 04/04/19

This study examined sensory profile scores of 17 individuals with autism spectrum disorder and 15 neurotypical individuals’ sensory profile scores compared to temporal binding window and functional magnetic resonance imaging data to determine a relationship. There were significant differences between groups that could guide treatments for autism. This benefits OTs to assist individuals to overcome the neuronal deficits impacting sensory and behavioral responsiveness.

Primary Author and Speaker: Kelsey Long

Additional Authors and Speakers: Amy Kurowski-Burt

Contributing Authors: Paula Webster, James Lewis

Date Presented 04/04/19

The Functional Upper-Extremity Levels (FUEL) is an assessment classifying hemiplegic upper-extremity (UE) function. It provides “common language” to facilitate interdisciplinary communication of UE function. It is used to guide goal writing and UE treatment progression. This research supports a strong correlation to the Fugl-Meyer, the gold standard UE assessment poststroke. An advantage of the FUEL is that it assesses the hemiplegic UE during functional activities of daily living.

Primary Author and Speaker: Rachel Feld-Glazman

Additional Authors and Speakers: Lisa Spinelli, Ashley Foley, Daniel Geller, Steve Van Lew, Adrienne Dicembri, Nettie Capasso

Date Presented 04/04/19

This poster will highlight the need for and development of the Making Meals Performance Measure (MMPM). This assessment has been used in an occupation-based program to help people living in poverty maximize their food resources. Current assessments focus largely on knowledge acquisition and are self-report measures. The creation of performance measures such as the MMPM help demonstrate the value of occupation-based interventions and the distinct contribution of OT.

Primary Author and Speaker: Laura Schmelzer

Additional Authors and Speakers: Rebecca Hughes, Hannah Stanger

Date Presented 04/04/19

SUD impacts the individual and his family's daily occupations while posing a massive health and societal concern. OTs may contribute a unique perspective in understanding this phenomenon. This is the first study to explore pain sensitivity and SMD in SUD. Findings demonstrate that while pain and SMD coexist, SMD may serve as a risk factor for having SUD, thus indicating a potential additive value for OTs in SUD therapy.

Primary Author and Speaker: Tami Bar-Shalita

Additional Authors and Speakers: Naama Asayag

Contributing Authors: Yoram Bonneh, Shula Parush

Date Presented 04/05/19

A retrospective analysis of OT evaluations completed by individuals experiencing homelessness identified the frequency of cognitive impairment and determined the predictive ability of cognitive ability on functional performance using standardized assessments. The study results indicate there is a high prevalence of cognitive impairment among individuals experiencing homelessness; however, that cognitive impairment was not predictive of performance on functional assessments.

Primary Author and Speaker: Caitlin Synovec

Date Presented 04/05/19

Visuomotor skills are necessary to complete daily occupations. Visuomotor assessment tools are available for clinical practice. The Dynavision is an emerging tool used to assess visuomotor skills. Numerous research studies have been conducted using the Dynavision as a visuomotor assessment for athletes and recipients of healthcare services. This study utilized the Dynavision D2, nine-hole peg test, and visual cancellation tests to assess visuomotor skills in collegiate athletes and nonathletes.

Primary Author and Speaker: Julie Nastasi

Additional Authors and Speakers: Erin Burdick, Anthony Faso, Jenna Rizzuto, Mackenzie Thompson, Kristen Truskowski, Jennifer Voorman, Courtney Westermann, Rosemarie Zanardi

Date Presented 04/05/19

The Computerized Alternating Attention Test (CAAT) assesses alternating attention regularly in clinic and follow-up assessments in patients with schizophrenia. When performing the CAAT, subjects were required to alternately judge two types of rules: digit and shape. A shorter time for completing the CAAT indicates better alternating attention. Our validation of CAAT indicated that the CAAT had the acceptable test-retest agreement, negligible practice effect, and acceptable concurrent validity.

Primary Author and Speaker: Wen-Chyn Lue

Contributing Authors: Gong-Hong Lin, Shu-Chun Lee, Ching-Lin Hsieh

Date Presented 04/05/19

This study provides support for client-centered perceived function evaluation tools compared to nonindividualized physical function assessment to assess breast cancer survivors' function. The COPM detected 30 to 39% perceived impairment (PI) in self-care, 40 to 44% PI in productive activities, and 40 to 47% PI in leisure activities. The DASH detected approximately 8% more physical function impairments and symptoms than the general population (17.8 vs 10.1).

Primary Author and Speaker: Anne Fleischer

Additional Authors and Speakers: Mary Fisher, Laurie Bunger

Date Presented 04/05/19

The EFPT-e is a new version of the EFPT functional cognitive assessment. The EFPT-e was developed to address a need for a functional cognitive assessment consisting of more complex tasks to assess milder forms of executive dysfunction. A cross-sectional study design evaluated the construct validity of the EFPT-e in the breast cancer population. The EFPT-e demonstrated good construct validity within this population.

Primary Author and Speaker: Anna Boone

Additional Authors and Speakers: Timothy Wolf

Date Presented 04/06/19

Substance-use disorder (SUD) affects roles, identity, and quality of life and limits activities of daily living and social engagement. This session reports the results of a qualitative study utilizing interviews and surveys of OTs in mental-health settings to determine what assessments they use for persons with SUD. Results show that OT practitioners primarily use nonstandardized and some standardized assessments to evaluate persons with SUD.

Additional Authors and Speakers: Mary Hildebrand

Primary Author and Speaker: Andrea Boerding

Date Presented 04/06/19

The findings of a recent study highlight the importance of a comprehensive approach to rehabilitation that considers oral motor and neurobehavioral alterations to address feeding challenges associated with premature birth. This presentation will reveal these results and help to elucidate relationships between early feeding skills and key neurobehavioral components. Understanding such relationships can lead to early identification of adverse outcomes and optimize outcomes for preterm infants.

Primary Author and Speaker: Molly Grabill

Additional Authors and Speakers: Kylie VanRoekel

Contributing Authors: Roberta Pineda

Date Presented 04/06/19

The aim of this research was to improve the quality of the goal attainment scales (GAS) developed for clients with developmental disabilities. This research focused on providing feedback to therapists based on generally accepted criteria for GAS. These findings will be useful in training and providing guidance for therapists in writing GAS for their clients.

Primary Author and Speaker: Maureen Russell

Additional Authors and Speakers: Garret Candelaria, Brooke Addario

Date Presented 04/06/19

The purpose of this study was to compare the results of the Montreal Cognitive Assessment (MoCA) paper and electronic versions when administered to older adults. Additionally, factors related to participant preferences and familiarity with computerized tablets were considered. This research encourages practitioners to be cognizant of the mode of assessments they use as it may impact client performance.

Primary Author and Speaker: Mackenzie Rodgers

Additional Authors and Speakers: Elena Donoso Brown

Contributing Authors: Sarah Wallace, Richard Simpson, Alexander Kranjec, Kristin D'Acunto, Caroline Agostino, Mary Rose Zoeckler

Date Presented 04/06/19

Motion tracking sensors were added to a commercial SaeboGlove, enabling patients to engage in manual practice of instrumental activities of daily living in a computer-generated virtual world. Sensor-derived performance in completing functional tasks in the virtual environment was compared to real-world performance assessed using gold-standard measures. Statistical analysis of data collected during use by 15 stroke patients confirms the concurrent validity of the computer-generated measures.

Primary Author and Speaker: Allison Ellington

Additional Authors and Speakers: Richard Adams

Contributing Authors: Kate Armstead, Kristen Sheffield, Heather Standish

Date Presented 04/06/19

This study examined reliability and validity of the Weekly Calendar Planning Activity-Student version (WCPA-S), an assessment of EF. Participants were 120 graduate and undergraduate students, ages 18 to 30. The WCPA-S was correlated with three other EF measures. Performance of students without and with learning challenges (e.g., ADHD, LD) was examined. There were small to moderate correlations among EF measures. It is essential for OT to have psychometrically sound measures.

Primary Author and Speaker: Eddie Chu

Additional Authors and Speakers: Sharon Cermak

Contributing Authors: Rashelle Nagata, Creig Smith, Jesse Zhao, Margaret Goodfellow

Date Presented 04/06/19

The Chinese Facial Emotion Recognition Test (CFERT) assesses the ability of seven emotions recognition from facial expressions in patients with schizophrenia. Items (168 photos) bank of CFERT were selected from the database of the “Taiwan Corpora of Chinese Emotions and Relevant Psychophysiological Data—Behavioral Evaluation Norm for Facial Expressions of Professional Performer.” CFERT has acceptable reliability and trivial practice effect for clinicians to measure repeatedly.

Primary Author and Speaker: Shu-Chun Lee

Contributing Authors: Ching-Lin Hsieh

Date Presented 04/06/19

This study investigated sleep difficulties in Sensory Modulation Disorder (SMD). Parents of 105 typical children and 84 children with SMD completed both a sensory and a sleep questionnaire. Significant correlations were found. Too, tactile sensitivity, auditory filtering, seeks sensation, and low energy were significant predictors for 29% of the variance, p<.001. Knowledge of which sensory parameters are affected by poor sleep will enable practitioners to focus their interventions with efficacy.

Primary Author and Speaker: Geela Spira

Contributing Authors: Eyal Ben Mair, Dalia Schecter, Miriam Botzer

Date Presented 04/06/19

OTs who worked at forensic settings in England were expected to use the MOHO-based forensic care pathway to guide their interventions. As part of their standard procedures, therapists administered the Model of Human Occupation Screening Tool (MOHOST) and the Health of Nation Outcome Scales (HoNOS) to represent clients’ participation and their health conditions. The study built up a picture for forensic patients with assessments that were already being used regularly in practice.

Primary Author and Speaker: Chia-Wei Fan

Date Presented 04/06/19

The "My Safe and Sound Plan" workbook contributes to the available methods of fall prevention assessment and education, providing a self-assessment, home safety checklist, and education on fall risks. This instrument demonstrated content validity of all items, as rated by five experts, covering content necessary for fall prevention. Experts indicated that education alone was not sufficient to reduce falls; readiness to change was a vital factor in reducing fall risks.

Primary Author and Speaker: Brenda Howard

Additional Authors and Speakers: Kathryn Boomershine, Rachel Gramman, Clare Schirmer, Jerica Schomber

Date Presented 04/06/19

The purpose of this study was to examine internal consistency, factor structure, and test-retest reliability of the Participation and Sensory Environment Questionnaire Community Version (PSEQ-C). The PSEQ-C is intended to assess parent and caregiver perceptions of the degree to which the sensory environment impedes young children's participation in community activities. Additionally, this study examined differences in participation between children without and with autism spectrum disorders (ASD).

Primary Author and Speaker: Beth Pfeiffer

Additional Authors and Speakers: Katherine Bevans, Aimee Piller

Date Presented 04/06/19

This prospective observational study investigates the changes people with chronic cardiac conditions may experience after discharged from cardiac rehabilitation. The findings advance OT practitioners’ knowledge on short-term and long-term changes in physical activity and participation level, cognition, motivation, and fatigue and understanding of OT roles for people with chronic cardiac conditions who are postacute and postcardiac rehabilitation.

Primary Author and Speaker: Young Joo Kim

Additional Authors and Speakers: Jonathan Reeve, Deena Walters, Molly Young

Contributing Authors: Patricia Crane, Joseph Houmard, Damon Swift

Date Presented 04/06/19

Sickle cell disease is a debilitating chronic illness characterized by persistent anemia and increased risk for stroke and cognitive impairment. The current study presents findings on the cognitive and functional task performance deficits of adults with sickle cell disease. An opportunity exists for OTs to improve the long-term outcomes of this population by providing appropriate evaluation and cognitive intervention.

Primary Author and Speaker: Taniya Varughese

Additional Authors and Speakers: Mallory Varnum, Erica Hull

Contributing Authors: Regina Abel, Allison King

Date Presented 04/06/19

There are a limited number of body-powered prosthetics available for partial thumb amputates. The loss of thumb function affects operations such as manipulation and pinch. The MCPThumb is a body-powered thumb prosthetic that allows individuals with a partial thumb amputation to regain function and confidence during everyday tasks. Results from this study indicated that the participant performed to a higher functional level while utilizing the MCPThumb.

Primary Author and Speaker: Susan Denham

Additional Authors and Speakers: Ethan Powell

Contributing Authors: Jinha Jeong, Ashley Langford, Anna Moore

Date Presented 04/06/19

Visual symptoms sustained after a concussion impact occupational performance and return to activity. Evidence within OT is limited regarding current concussion-related vision disorder evaluation, referrals, and treatment. Data in this study suggest inconsistencies in practice patterns, with influences on care being years of practice and continuing education. These findings indicate a need for standardization of care regarding concussion-related vision disorders in OT.

Primary Author and Speaker: Alicia Reiser

Contributing Authors: Mitchell Scheiman, Greta Bunin

Date Presented 04/06/19

Employment rates among people with intellectual and developmental disabilities (IDD) are historically low (26%) when compared to people without disabilities (76%). Understanding a person’s strengths, hopes and dreams for the future assists them in setting and achieving vocational goals. As person-centered planning (PCP) is embraced by many state agencies serving people with IDD across the US, occupational therapists have unique skill sets to play a vital role in the PCP process.

Primary Author and Speaker: Meghan Blaskowitz

Additional Authors and Speakers: Lindsay Layer, Sarah Scalero, Abigail Gore, Amy Castagnino, Katrina McNally

Date Presented 04/06/19

This poster describes a completed NIH Phase I study, a prototype of the Human Action Recognition Engine (HARE) utilizing the three-dimensional body mapping technology of the X-box Kinect to automate the extraction of infant postural and motor data of the infant during floor play with the parent in the natural environment of the home. This demonstrates the feasibility of an automated developmental risk screener to achieve state-of-the-art accuracy in the assessment of infant motor development.

Primary Author and Speaker: Teresa Fair-Field

Contributing Authors: Bharath Modayur

Date Presented 04/06/19

The purpose of this study was to examine internal consistency, factor structure, test-retest reliability, and scale distribution of the Parent Effort Scale Home Version (PES-H) in children between the ages of two and seven. The PES-H measures a parent’s effort to support their child’s participation in daily activities in natural environments. Additionally, this study examined differences in parental effort between children with and without autism spectrum disorders.

Primary Author and Speaker: Beth Pfeiffer

Additional Authors and Speakers: Aimee Piller, Katherine Bevans

Date Presented 04/06/19

The overall purpose of the proposed research project is to examine the psychometric properties of a bank of items (SCL-90-R) related to an individual's psychological condition (depression and somatization).

Primary Author and Speaker: Leigh Lehman

Additional Authors and Speakers: Lauren Almanza, Robert Lowery, Rachel Pace, Sydney Sweinhart

Date Presented 04/06/19

This study compared performance in 101 drivers age 65 and older on the Useful Field of View and Trail Making Test–Part B to blinded ratings on the 4Cs screening tool completed by the driver’s personal physician. Previous studies reported the 4Cs showed promise predicting fitness to drive of at-risk drivers. Current results indicate the Trails-B may be a better office-based assessment for physicians to use to determine the need to recommend a comprehensive fitness to drive evaluation.

Primary Author and Speaker: Kathleen Golisz

Additional Authors and Speakers: Jeanine Stancanelli

Date Presented 04/06/19

The OCIA provides a tool to promote students’ reflection on clinical experiences, giving educators a method to address the dissonance in clinical experiences and academic education. Using the OCIA as a tool to modify interventions to increase occupation-centered practice, further embracing the profession’s philosophy, may be one strategy to facilitate professional socialization.

Primary Author and Speaker: Vanessa Jewell

Additional Authors and Speakers: LouAnn Griswold

Date Presented 04/06/19

Identifying subtle motor delays in early childhood is challenging. Accelerometry is a novel way to characterize upper-extremity motor patterns in typically developing children. Differences are identified between typical children and those with unilateral motor deficits.

Primary Author and Speaker: Catherine Hoyt

Contributing Authors: Andrew Van, Mario Ortega, Jon Koller, Elyse Everett, Annie Nguyen, Catherine Lang, Brad Schlaggar, Nico Dosenbach

Date Presented 04/06/19

To understand the limitation of clients who experienced neurological impairment, OTs should evaluate their functioning with behavioral observation assessments with cross-cultural adaptions. This study aims to perform a cross-cultural adaptation for the Korean population of the Activities of Daily Living (ADL)-focused Occupation-Based Neurobehavioral Evaluation (A-ONE) and examine its reliability and validity.

Primary Author and Speaker: Jaewon Kang

Contributing Authors: Hae-Yean Park, Jung-Ran Kim, Ji-Hyuk Park

Date Presented 04/06/19

Demographics related to aging of women in the US will be presented, and research related to changes in fine motor skills and other upper-extremity functioning as one ages will be summarized. A study comparing visual motor skills of typical women in their 30s with those of typical women in their 70s will be presented and clinical implications for practice addressed.

Primary Author and Speaker: O. Jayne Bowman

Date Presented 04/06/19

The current study aims to examine the utility of the First Years Inventory, a parent-report screener for early identification of autism spectrum disorder (ASD), as a potential tool for distinguishing ASD from other developmental delays. Despite being rarely addressed by previous studies in the field, the differentiation between these two outcome groups is critical for practitioners to be able to provide targeted interventions. Our findings suggest promising predictive validity for young infants.

Primary Author and Speaker: Yun-Ju Chen

Contributing Authors: John Sideris, Grace Baranek

Date Presented 04/06/19

While many pediatric assessments are based on developmental milestones, achievement of discrete skills may not truly capture their use in functional contexts. Difficulties in transferring skills to everyday life may manifest in specific activity deficits, creating a need for direct measures of participation. The Infant Toddler Activity Card Sort (ITACS) was created to fill this gap by summarizing occupational development in early childhood. Here, we describe the ITACS test-retest reliability.

Primary Author and Speaker: Ashley Chuck

Additional Authors and Speakers: Laura Pilney

Contributing Authors: Catherine Hoyt, Taniya Varughese, Evelyn Shen, Allison King, Regina Abel, Hannah Manis, Kelly Baker, Emma Grandgeorge, Jianna Fernandez

Date Presented 04/06/19

An individual may face many challenges to recovery after stroke, particularly with regaining use of their upper extremity. Although repetitive task-oriented training is considered an optimal intervention in stroke rehabilitation, there is limited research using this type of treatment in a virtual context. The purpose of the study was to provide two virtual-reality interventions over four weeks to adults who were poststroke and measure their change in function in their affected upper extremity.

Primary Author and Speaker: Tamara Mills

Additional Authors and Speakers: Sara Buggelli

Contributing Authors: Evan Brooks, Rayyan Bukhari, Veronika Marikovska, Emily McClean, Alyssa Sellers, Arrah Thomas

Date Presented 04/06/19

There has been a lasting debate over whether sensory features are a core characteristic or comorbid phenomenon of ASD. This study explores whether sensory reactivity (hyper and hypo reactivity) may be a distinguishing characteristic of ASD. Understanding these phenotypic characteristics of ASD can help inform personalized OT intervention for sensory features as well as aid in early diagnosis.

Primary Author and Speaker: Carly Rosenthal

Additional Authors and Speakers: Roseann Schaaf, Rachel Dumont, Rachel Kim, Margaret Ryan, Lauren Santoro, Taylor Sivori

Contributing Authors: Judith Ross

Date Presented 04/06/19

The purpose of the study is to examine the validity of the anger scale. Three hundred and eleven normal subjects and 322 persons with mental illness were recruited to participate in the study. The data were analyzed using the Rasch measurement model with Winsteps 3.56 and SPSS 22. The results of the study demonstrated the adequate reliability and construct validity of the anger scale when applied to normal subjects and persons with mental illness in Taiwan.

Primary Author and Speaker: Ay-Woan Pan

Additional Authors and Speakers: Tsyr-Jang Chen

Date Presented 04/06/19

The purpose of this study was to explore the psychometrics of commercially available activity monitors for remote monitoring of repetitive task practice. This was completed in a controlled setting with healthy middle-age adults, as a precursor to clinical exploration.

Primary Author and Speaker: MacKenzie Gough

Additional Authors and Speakers: Taylor McElroy, Elena Donoso Brown, Fiona Kessler, Jenna Gallipoli

Contributing Authors: Rachael Miller Neilan

Date Presented 04/06/19

Initial development of the Scale of Parental Playfulness Attitude during the co-occupation of play (PaPA, or Escala AJugar in Spanish) will be detailed. The PaPA is the first self-report measure, developed with the purpose of evaluating whether the approach of parents playing with their children between 2.5 and 6 years 11 months, reflects a playful attitude. It is expected to serve as a useful tool for professionals working on play with families of children with developmental challenges.

Primary Author and Speaker: Rosa Roman-Oyola

Additional Authors and Speakers: Chastiti Vazquez-Gual

Contributing Authors: Itzamar Dasta-Valentin, Graciela Diaz-Lazzarini, Glorian Collazo-Aguilar, Coraly Yambo-Martinez, Anita Bundy, Shelly Lane, Victor Bonilla-Rodriguez

Date Presented 04/06/19

This study explores the reliability of the iPhone leveling application in measuring active range of motion of the wrist and forearm in order to establish a way for a client to monitor progress in range of motion at home. The leveling application is free and located within the compass function. Goniometric and iPhone measurements were obtained and compared between the examiners and subjects. A Skype or Facetime session was conducted a week later and self-measurements were repeated and analyzed.

Primary Author and Speaker: Sunni Alford

Additional Authors and Speakers: Jessica Tietz, Margaret Munro, Kara Greiner, Jack Dickens, Adrian Cochren

Date Presented 04/06/19

We introduced the COPM to guide our multidisciplinary polytrauma rehab team’s efforts in order to focus on client-identified goals and more cohesive client-centered care. Paired sample t-tests conducted for our 78 participants revealed significant functional improvement (t = -13.23, p < 0.001) and improvement in satisfaction with performance (t = -14.36, p < 0.001) from admission to discharge. Team members agree that the instrument supports more cohesive and client-centered care.

Primary Author and Speaker: Christine Gentry

Additional Authors and Speakers: Sherri Pearson

Date Presented 04/06/19

People with Multiple Sclerosis (PwMS) often experience executive function (EF) deficits affecting daily living. The Weekly Calendar Planning Activity (WCPA) is a recently developed tool requiring management of a cognitively challenging functional task. This study sought to validate the WCPA as an assessment of functional cognition for PwMS. We established the WCPA’s discriminant, concurrent, and construct validity. Overall, it can be a useful tool to assess EF function difficulties among PwMS.

Primary Author and Speaker: Diane Rose Allid

Additional Authors and Speakers: Melissa Orenstein

Contributing Authors: Yael Goverover

Date Presented 04/06/19

The psychometric properties examined in this research study will enable evidence-informed decision making for OTs to select robust assessment tools when working with children with cerebral palsy. This study reports on the significantly better ability of the Upper-Extremity Cerebral Palsy Profile of Health and Function Computerized Adaptive Test in detecting a change in UE function of children with cerebral palsy when compared to other measures.

Primary Author and Speaker: Namrata Grampurohit

Contributing Authors: Mary Slavin, Pengsheng Ni, Alan Jette, MaryJane Mulcahey

Date Presented 04/06/19

Reports support the hypothesis that sensory issues may be related to atypical defecation habits in children. Practice in this area is limited by the lack of validated measures. We used Rasch analysis, directed content analysis, and expert review to validate the Toileting Habit Profile Questionnaire (THPQ). After adjusting items, we examined the construct validity of the revised version (THPQ-R). The THPQ-R appears to capture challenging defecation behaviors related to sensory over-reactivity.

Primary Author and Speaker: Isabelle Beaudry-Bellefeuille

Contributing Authors: Shelly Lane, Anita Bundy, Alison Lane, Eduardo Ramos-Polo

Date Presented 04/06/19

The focus of the Home for Life Design (HFLD) app-based home assessment is to determine a person’s ability to safely complete an occupation in context, and if and how the environment limits safety. An inter-rater reliability study with OT students (n=32) used online training v.5; ICC between individual raters and the author was high (.92; 95% CI). These findings contribute to the evidence that the HFLD home assessment is a reliable tool for OTs making home-safety recommendations.

Primary Author and Speaker: Debra Lindstrom

Additional Authors and Speakers: Carolyn Sithong, Katherine Sullivan

Date Presented 04/06/19

OT students are faced with a variety of challenges in today’s diverse healthcare system. Educators need to ensure there are placements that best prepare them for these demands. Role-emerging fieldwork offers a distinct opportunity to both meet curricular requirements and afford students the chance to develop skills unique to this type of placement. The purpose of this mixed-methods study is to examine the experiences of OT students who engaged in a role-emerging fieldwork.

Primary Author and Speaker: Amy Mattila

Date Presented 04/06/19

In order for OT practitioners to make recommendations that are age appropriate, consistent with cultural practices, and evidence-based, this study examined the prevalence of household chores for school-age children as a pilot study for the development of age norms for chores. Survey results (N= 252) identified caregivers’ priorities for childhood occupations, as well as the age at which children are regularly and sometimes completing 17 different chores.

Primary Author and Speaker: Kate Barlow

Additional Authors and Speakers: Michael Salemi

Date Presented 04/06/19

This study analyzed the VMI tasks according to theories of neuropsychology, from which we created a new scoring system. The models of cognitive development together with psychological constructs of figurative (direct perception) and operative (analysis and action) schemes provided the format for evaluating a child’s productions. VMI records of 39 children were scored using the new detailed system. Regression analysis found that the new scoring, and not the VMI, significantly predicted age.

Primary Author and Speaker: Carol Cote

Additional Authors and Speakers: Carol Reinson

Date Presented 04/06/19

This study presents norms for the bulb dynamometer for the older adult population. The study demonstrates that the bulb dynamometer is less painful and more comfortable to use compared to the Jamar dynamometer. Regressions show that age and gender have a significant impact on grip strength.

Primary Author and Speaker: Rochelle Mendonca

Additional Authors and Speakers: Colleen Maher, Jennifer Wright, Maribeth Keith, Aaron Simon, Angeline Danan, Rachelle Aningalan, Vien Phan

Date Presented 04/06/19

This poster summarizes the results of a study of the inter-rater and intra-rater reliability of the Kansas University Sitting Balance Scale, a tool for describing balance in an objective and measurable manner. Results of the study indicate that the tool can reliably be used by OTs to describe the sitting balance of their adult patients.

Primary Author and Speaker: Ingrid Franc

Additional Authors and Speakers: Magdalea Roberts

Contributing Authors: Samantha Mauldin, Gregoria Rosa-Distefano

Date Presented 04/06/19

OTs are well positioned to support older drivers (65+) with determining their fitness to drive but are in need of an evidence-informed method to identify at-risk older drivers. This presentation will discuss 10 years of research and development of the Fitness-to-Drive Screening Measure (FTDS) for identifying at-risk older drivers. The FTDS may aid OTs with initial fitness-to-drive decisions and in determining an older driver’s risk probability.

Primary Author and Speaker: Shabnam Medhizadah

Additional Authors and Speakers: Sherrilene Classen, Sandra Winter

Date Presented 04/06/19

Reports indicate that sensory issues may be related to atypical defecation habits in some children. Practice in this area is limited by the lack of validated measures. The THPQ-R appears to capture defecation behaviors related to sensory over-reactivity. While preliminary studies regarding the THPQ-R are promising, further examination of its validity is warranted. In this study, we examined discriminative and concurrent validity.

Primary Author and Speaker: Isabelle Beaudry-Bellefeuille

Contributing Authors: Shelly Lane, Simon Chiu, Alison Lane, Eduardo Ramos-Polo

Date Presented 04/06/19

Psychometric properties of a novel, mobile application-based measure of group playground play sophistication were evaluated using the Rasch partial credit model. The results demonstrate strong evidence for validity and emerging evidence for reliability of this measurement strategy. This type of measurement can advance the role of OTs in universal playground interventions and playground design.

Primary Author and Speaker: Patricia Grady

Additional Authors and Speakers: Anita Bundy

Date Presented 04/06/19

Preterm infants have a heightened risk of feeding problems. The NEO can be used to assess prefeeding or oral feeding capacity, and the scoring criteria are based on the infant’s current postmenstrual age. Previous work on the tool demonstrates that the NEO holds promise for being an important and psychometrically sound measurement of feeding for preterm infants in the NICU. In this talk, testing procedures and scoring of the NEO will be introduced.

Primary Author and Speaker: Bobbi Pineda

Date Presented 04/07/19

We conducted a validation study on a performance-based assessment of EF called Front Desk Duty in mild stroke patients. Preliminary findings suggest that FDD can be scored reliably and distinguishes between groups of healthy adults and those with mild stroke who fail an EF screen. This study expands the repertoire of available multitasking assessments, which will contribute to better identification of people with mild stroke who could benefit from OT intervention.

Primary Author and Speaker: Ginger Carroll

Additional Authors and Speakers: Romina Takimoto

Contributing Authors: Mary Radomski, Jerry Halsten, Shayne Hopkins, Kristen Johnson, Kristina Kath, Rob Kreiger, Amy Meyers, Stacey Rabusch

Date Presented 04/07/19

This prospective study determined the driving errors underlying a strategic driving maneuver that validly predicted passing versus failing an on-road assessment in drivers with multiple sclerosis (MS). Study findings indicate that through lane maintenance or speed regulation errors, the strategic driving maneuver may supplement on-road driving performance to help determine pass versus fail outcomes in drivers with MS.

Primary Author and Speaker: Sarah Krasniuk

Contributing Authors: Sherrilene Classen, Sarah Morrow

Date Presented 04/07/19

Promoting participation is the core practice of OT. As ideal participation is so individualized and affected by personal and environmental factors, to date we still have not reached consensus on what the gold standard is for measuring participation outcome. This study compared construct validity of two participation measures commonly used in traumatic brain injury. We aimed to help clinicians select a psychometric sound instrument to identify those with participation challenges.

Primary Author and Speaker: Pey-Shan Wen

Contributing Authors: Julia Waid-Ebbs

Date Presented 04/07/19

This paper summarizes the results of a study of the discriminant and concurrent validity of a functional sitting balance assessment tool, the Sock Test for Sitting Balance. This instrument was designed by OTs for use in the acute-care setting. Results of the study confirms the tool’s discriminant validity, advances concurrent validity, and includes normative data. Results of the study are interpreted through the lens of balance theory and the theory of Occupational Adaptation.

Primary Author and Speaker: Ingrid Franc

Contributing Authors: Mary Baxter

Date Presented 04/07/19

We describe a new approach for assessing executive functions in everyday life and its unique expression in adolescents with epilepsy, using the Weekly Calendar Planning Activity (WCPA). The WCPA provides functionally relevant information on task performance and strategy use that can guide intervention and measure outcomes. We recommend that OTs assess EF among adolescents with epilepsy using a performance-based assessment.

Primary Author and Speaker: Sharon Zlotnik

Contributing Authors: Aharon Schiff

Sarit Ravid, Eli Shahar, Joan Toglia

Date Presented 04/07/19

Adults with ABI on an inpatient rehabilitation unit were significantly less accurate and efficient, used fewer strategies, and followed fewer rules, compared to healthy controls on the short Weekly Calendar Planning Activity (WCPA-10). The WCPA-10 was quick, feasible, and provided functionally relevant information on those that exhibited mild to no cognitive impairments on a cognitive screening tool, highlighting the importance of performance-based tools in identifying functional cognitive deficits.

Primary Author and Speaker: Alexis Lussier

Additional Authors and Speakers: Joan Toglia

Date Presented 04/04/19

This descriptive study examined the experience of OT and PT clinicians involved in research. Needs, supports, and barriers were identified for involvement in research. Strategies were discovered to enhance the development of clinical researchers. This new knowledge can foster the preparation of more OT clinician researchers, ensuring achievement of Vision 2025, enhancing effective solutions for participation in everyday life by creating evidence for practice, and improving outcomes.

Primary Author and Speaker: Elizabeth Ridgway

Additional Authors and Speakers: Carol Terilli, Tim Conly, Joanne Hunt, Donna Kelly, Roseann Schaaf

Date Presented 04/04/19

This study aimed to use a novel data-collection method to characterize the existing low-vision service delivery system and calculate the prevalence rate of VI within Massachusetts. Existing services were identified and mapped. Synthetic estimation was used to make estimates of the prevalence of VI of the 351 towns in Massachusetts, using national estimates of VI and town-level census data. Data were then used to identify gaps and prioritize need and could be applied to other states with other populations.

Primary Author and Speaker: Jennifer Kaldenberg

Date Presented 04/04/19

Cancer care and oncology is an emerging area of practice in OT. It is imperative to compare current practice trends to the literature that supports evidence-based OT interventions in order to maximize therapeutic outcomes for cancer survivors. Results from this survey research aim to describe how OT practitioners are addressing side effects of survivorship within intervention and compare these practice trends to a systematic review of the literature.

Primary Author and Speaker: Katie Polo

Additional Authors and Speakers: Meghan Harkness

Kelsey Badger, Jennifer Lynn, Addie Jacobs, Elizabeth Mathews

Date Presented 04/04/19

This qualitative pilot study used an interpretative phenomenological design to examine mothers’ reported challenges and supports in performing the co-occupation of caregiving for their preterm infants upon discharge from the NICU. There are several implications for future OT practice, particularly as it relates to supporting maternal facilitation of infant play and sleep occupations and easing the transition from NICU to home during the first few weeks postdischarge.

Primary Author and Speaker: Allison Smith

Additional Authors and Speakers: Megan Karpf, Molly Jow, Morgan Jardon, Tiffany Yu, Brianca Hutchins

Date Presented 04/04/19

This poster describes how individuals living above and below the federal poverty line spend their time engaged in occupation and the meaningfulness associated with this time-use. Results from this study indicate that systematic barriers, such as poverty, may influence how individuals spend their time and the type and amount of meaning associated with their time-use. This information may be used to guide the OT process when working with individuals at varying socioeconomic levels.

Primary Author and Speaker: Ashley Koralewski

Additional Authors and Speakers: Adam Newcomer, Laura Schmelzer

Date Presented 04/04/19

This poster describes a completed research study that examined to what extent the built environment, physical functioning, and fatigue impact community participation for individuals poststroke.

Primary Author and Speaker: Emily McManus

Additional Authors and Speakers: Lisa Tabor Connor

Contributing Authors: Marjorie Nichols

Date Presented 04/04/19

This study seeks to advance practice by articulating the importance of community-based occupational participation (CMP) on health and well-being. The study was designed in direct response to AOTA's call for research, articulating community mobility's impact on health and QOL.

Primary Author and Speaker: Claire Mulry

Additional Authors and Speakers: Giselle Rivera, Kristopher Musini, Alex Rankin, Marissa Astorini

Date Presented 04/04/19

Autistic adults struggle to achieve successful employment. This qualitative study explored autistic adults’ perspectives of barriers to work through an online survey of open-ended questions. Data was analyzed via grounded theory until saturation was reached. Multiple researchers and data sources insured rigor and trustworthiness of the data and triangulation. This study provides a framework from which to develop interventions to improve autistic adults’ participation in the occupation of work.

Primary Author and Speaker: Barbara Kornblau

Additional Authors and Speakers: Scott Robertson, Sarah Mbiza

Date Presented 04/04/19

The study implicated that when helping schizophrenic people obtain flow experience through daily activities, OTs should not only provide activities that correspond to their abilities and interests but also facilitate their self-determined behaviors and self-efficacy. This theory-based study may serve as a piece of evidence in practice to establish the foundations for further inquiring OT intervention outcomes and cross-cultural differences.

Primary Author and Speaker: LIN-JYE HUANG

Additional Authors and Speakers: Fu-Chang Hu, Chinyu Wu, Yi-Hong Yang, Shu-Chun Lee, Powen Lin, Shih-Jui Hu

Date Presented 04/04/19

The purpose of this study is to explore the usage patterns within a group of OTs on Facebook. Social media is widely used to collaborate, share practical knowledge and resources, and provide social support. There is an absence of research examining how OTs participate in social media and the kinds of information exchanged. Posts were analyzed to determine the types of knowledge shared, themes of communication, and OTPF-3 correspondence. Facebook groups are useful professional practice tools.

Primary Author and Speaker: Cheryl Sheffield

Date Presented 04/04/19

This report will discuss multi-institutional data regarding student perceptions on the use of a mobile app as a required textbook before and after use. Outcomes reveal that student preference for using a mobile app over a traditional textbook improve significantly after exposure in a lab setting. When introducing new technologies, it is important to acknowledge how lack of experience can affect student preconceived notions and how attitudes can be altered after exposure within a classroom.

Primary Author and Speaker: Amanda Giles

Additional Authors and Speakers: Orli Weisser-Pike

Date Presented 04/04/19

Fragile X syndrome (FXS) is the most common inherited form of intellectual and developmental disability and the most common single gene cause of autism spectrum disorder (ASD). FXS has been widely researched, primarily via a medical model. Yet, the FXS literature lacks occupation-based outcome measures capturing improvements in everyday life. This research examined individual cases as part of a clinical trial and compared standardized testing results to occupation-based family interviews.

Additional Authors and Speakers: Laura Hess

Primary Author and Speaker: Tracy Ye

Additional Authors and Speakers: Decerie Mendoza, Martina Dualan, Elena Javier

Date Presented 04/04/19

This is the first study to demonstrate abnormal neurophysiological resting state activity in SOR individuals under task-free. Findings may indicate a fundamental deficiency in brain activity that may underlie the daily difficulties experienced by individuals with SOR. Moreover, the brain activity pattern found validates previous findings associating SOR and pain sensitivity. This study may suggest a new direction for a remedial approach using neurofeedback in individuals with SOR.

Primary Author and Speaker: Tami Bar-Shalita

Contributing Authors: Irit Weissman-Fogel, Yelena Granovsky

Date Presented 04/04/19

A guidepost of Vision 2025, OT is influential in changing policies, environments, and complex systems, and the profession needs to hone leadership skills amid students and practitioners. Students’ perceptions of leadership abilities were evaluated for leadership themes. Thoughts of needing years of experience and being granted permission to lead were among the included themes. Leadership is an important issue for the profession as a whole.

Primary Author and Speaker: Suzanne Rappaport

Date Presented 04/04/19

A number of studies have emerged in the OT, occupational science, and interdisciplinary literature that explore the occupational and time use experiences of homeless persons. Since these studies have begun to accumulate, it is advantageous to provide a summary of their findings to direct future occupation-based research in the area of homelessness. Using JBI guidelines, we conducted a systematic review and performed a meta-aggregation of included studies.

Primary Author and Speaker: Carrie Anne Marshall

Additional Authors and Speakers: Lee Westover

Contributing Authors: Leonie Boland, Rebecca Gewurtz, Bonnie Kirsh, Laurence Roy, Jenni Mace, Sarah Wickett

Date Presented 04/04/19

Training patients with spinal-cord injury on the use of a bladder management method is essential for the independence in self-care. Intermittent self-catheterization (ISC) decreases the presence urinary tract lesions. There have been good results in patients with a C6 motor level, despite upper-limb impairment. The aim of this study is to explore the level of assistance in ISC that tetraplegic patients have received at discharge of the inpatient rehabilitation program in FLENI.

Primary Author and Speaker: Nicole Nagelkop

Contributing Authors: Mariana Bonetto

Date Presented 04/04/19

This study examined whether sleep quality is associated with hand function above and beyond what can be explained by pain and carpal tunnel syndrome (CTS) severity to hand function in clients with CTS. Manual Ability Measure-20, Pittsburgh Sleep Quality Index, Pain Visual Analogue Scale, and Electromyography for CTS diagnosis and severity level were measured outcomes in 53 participants. Sleep quality was significantly associated with manual ability after controlling for CTS severity and pain.

Primary Author and Speaker: Angela Goorman

Additional Authors and Speakers: Colleen Schneck, Doris Pierce

Contributing Authors: Spencer Dawson

Date Presented 04/04/19

Engagement in video-game play has become a popular meaningful occupation for clients today. For individuals who have sustained upper-extremity injury or amputation that limits function, game play through the use of custom-adapted game controllers can provide a multitude of psychological and functional benefits. This mixed-methods study explored the impact of adapted video-game controller use on the quality of life of 20 participants who sustained upper-extremity amputations or injuries.

Primary Author and Speaker: Kaitlyn Jones

Additional Authors and Speakers: Carol Coté

Date Presented 04/04/19

Many symptoms of young adults with multiple sclerosis (MS) affect their age appropriate milestones, such as education, family, and vocational planning. This dissertation study shows how fine-motor skills of young adults with MS (YAwMS) play a role in their occupational performance as they attempt to achieve planned life goals. This mixed-method study addresses how the quantitative results of the study support the qualitative findings through cross-case comparison and merged findings.

Primary Author and Speaker: Mary Squillace

Date Presented 04/04/19

This study examined the types of alternative therapy methods that are used by OT and PT practitioners as therapeutic interventions. It also examined the therapists’ perceptions of the effectiveness of these methods in improving the limiting factors that impact patients' functional performance in adults with physical disabilities.

Primary Author and Speaker: Carolyn Murphy

Additional Authors and Speakers: Amanda Henderson, Laura Dunham, Ashley Elkin

Contributing Authors: Jenny Hasson, Amanda Latimer

Date Presented 04/04/19

The purpose of this qualitative phenomenological study was to gain a deeper understanding of attitudes, beliefs, and personal experiences about reproductive decision making and its influence on QOL from the perspective of those with HD and their spouses. OTs are uniquely trained to evaluate and provide interventions based on client factors that may impact health, well-being, and participation in occupations. Implications for OT were discussed.

Primary Author and Speaker: David LeVan

Contributing Authors: Kathryn Fillman, Juliet Corrigan, Rachael Mack, Zoe Maslowski

Date Presented 04/04/19

This study investigated the relationships of home layout and the ADL, physical, cognitive, and psychosocial functions in community-dwelling older adults. The findings support the idea that the spatial layout of a home affects the ability to live in one's own home independently.

Primary Author and Speaker: Yoonjeong Lim

Additional Authors and Speakers: Kinsuk Maitra, Sang-Heon Lee, Sonit Bafna

Contributing Authors: Audrey Reiner, Veronica Betancourt, Ben Allen, Marianna Thomas, Eric Minter, Wei Wang, Amanda Pitts, Hayat Akmel, Jonathan Cam, Mary Alvarez

Date Presented 04/04/19

This phenomenological study explored the perceptions and experiences of newly graduated OTs working in skilled-nursing facilities. Four themes emerged: evolution of entry-level competence, negotiation of relationships with colleagues, navigation of systems, and transition from idealism to realism. Findings implicate the need for change on multiple professional levels to enable new graduates to successfully transition into practice.

Primary Author and Speaker: Nicole Fidanza

Additional Authors and Speakers: Salvador Bondoc

Date Presented 04/04/19

Researchers implemented a massed practice- and task-specific protocol with use of the SaeboGlove with an individual with an incomplete SCI. The purpose of this study was to determine changes in performance and satisfaction in meaningful occupations and changes in UE motor recovery following use of the SaeboGlove with an individual with an SCI. Results indicate the SaeboGlove has potential to improve engagement in occupations and improve UE motor function with individuals with incomplete SCI.

Primary Author and Speaker: Whitney Henderson

Additional Authors and Speakers: Brittany Nickelson

Date Presented 04/04/19

College students with learning and attention disorders face obstacles related to time and time management. This qualitative analysis delineates and describes the types of strategies that students use to compensate for time-related challenges across multiple domains, which include academics, career preparation, and social and daily life. Understanding these strategies and how they are used is important for informing interventions that support occupational performance.

Primary Author and Speaker: Consuelo Kreider

Additional Authors and Speakers: Mackenzi Slamka, Sharon Medina

Date Presented 04/04/19

Focus group interviews were used to learn about the experiences of seven direct-care providers who provide services to young adults with disabilities during the transition to adult life in the community. A focus was on the relationships formed when assisting the young adults with ADLs and IADLs required for independent adult life. The Five Cs of Compassionate Supports model emerged to describe the participants’ experiences and the relationships formed with the young adults and their families.

Primary Author and Speaker: Meira Orentlicher

Additional Authors and Speakers: Rena Fazilov, Nicole Taubman, Talya Weinstock

Date Presented 04/04/19

This qualitative research examined the experiences of families living with FXS through an occupation-centered lens. We investigated family occupations via their own voice, through semistructured, recorded interviews. By analyzing occupations, including routines, behaviors, thoughts, interactions, and contexts, OTs can create individualized interventions and promote further research. Results are presented in a conceptual model: Occupations of FXS: Dynamic Interactions of Nested Contexts.

Primary Author and Speaker: Laura Hess

Additional Authors and Speakers: Katelyn Harden, Raechel Jacala, Amanda Lee, Holly Snyder

Date Presented 04/04/19

This poster will highlight a new model of low-vision rehabilitation service delivery that addresses the chronic nature of visual impairment, as well as the pilot roll-out. Data collected from key stakeholders, including individual factors (knowledge, skills), interpersonal (social environment), community (family and community supports), organizational (health and social systems), and public policy factors (reimbursement), will be illustrated and integration of data into the model will be discussed.

Primary Author and Speaker: Jennifer Kaldenberg

Date Presented 04/04/19

The influence on sensory processing characteristics on occupational choices among the typical population has not been thoroughly studied. The purpose of this study was to understand the connection between the experiential characteristics of pleasurable occupations and sensory processing characteristics in typical adults utilizing two existing surveys. Cluster analysis on 451 respondents yielded six clusters establishing potential links between activity choices and sensory processing patterns.

Primary Author and Speaker: Erna Blanche

Additional Authors and Speakers: Megan C. Chang, L. Diane Parham

Date Presented 04/04/19

The study identified perceptions of livability among New Haven, CT, city-dwelling residents as they age. Five emerging themes resulted from the initial domains discussed, including accessibility, affordability, social opportunity, stigma, and future planning. Implications include opportunities for consultative services and advocacy with both residents and local town officials to eliminate barriers and optimize strengths of a community's livability.

Primary Author and Speaker: Erica DeFrancesco

Additional Authors and Speakers: Amber Gianni, Samantha Hilse, Julia Manzi, Meghan Sheridan

Date Presented 04/04/19

This session presents findings from an interpretive descriptive study exploring OTs’ perspectives of patient education in outpatient physical rehabilitation. The recognition of “I don’t have a magic wand” drove the purpose and process of patient education and encouraged alignment of practice with the profession's agentic and client-centered philosophy. Discussion of findings will facilitate attendees’ critical reflection on their own views of patient education.

Primary Author and Speaker: Abigail Brody

Additional Authors and Speakers: Brocha Stern, Emma Gentile, Emma Hecht, Kathryn Pelech

Contributing Authors: Promita Banik, Alisa Doshi, Prema Khan, Joy Sarraf

Date Presented 04/04/19

Utilization of evidence-based practice (EBP) is an essential requirement of delivering high quality healthcare. This presentation will highlight the findings of a research study that investigated the perception of OTs' and PTs' perception of EBP. Participants attending this presentation will gain a thorough understanding of OTs' and PTs’ perception of EBP and acquire strategies to advocate and implement EBP in practice.

Primary Author and Speaker: Angela Lampe

Additional Authors and Speakers: Keli Mu, Yongyue Qi

Contributing Authors: Yali Wang, Kaiti Brown-King, Brady Moran, Elizabeth Talian

Date Presented 04/04/19

This study will share findings about OT student experiences using what they know about evidence and occupation-based practice during Level II fieldwork. Information about barriers to and supports for students to be successful applying what they know will be presented. Implications for OT practice and education will also be discussed.

Primary Author and Speaker: Leslie Jackson

Additional Authors and Speakers: Kaylen Bye, Daniel Drumm, Mireya Elizondo, Jasmine Murphy

Date Presented 04/04/19

This study evaluated the relationship between sensory processing and social responsiveness in young adults with ASD and age-matched neurotypical controls. Compared to controls, young adults with ASD had significant differences on all four quadrants of the sensory profile. However, low registration and sensory gating (the ability to filter irrelevant information) appear to be key predictors of social responsiveness.

Primary Author and Speaker: Jewel Crasta

Additional Authors and Speakers: Patricia Davies

Contributing Authors: William Gavin

Date Presented 04/04/19

Suicide is the second-leading cause of death among youth ages 10 to 24 in the US, and youth who receive OT services may be at risk. Yet, little is known about OT provider capabilities to identify and reduce suicide risk in pediatric clients. In this study, we surveyed pediatric OT providers about their knowledge, comfort, and training needs related to youth suicide. This information is necessary to inform steps to enhance the impact OT can make on the reduction of youth suicide.

Primary Author and Speaker: Anne Kirby

Contributing Authors: Alexandra Terrill, Jarrett Henderson

Date Presented 04/04/19

This study examines the relationship between parent stress and sensory processing differences in preschool-age children who were referred to a multidisciplinary pediatric psychiatry clinic. A correlation was found between elevated parent stress and sensory processing differences in their children. These results provide evidence to support the role of the OT in pediatric mental-health settings and encourage collaboration between OTs and mental-health professionals.

Primary Author and Speaker: Kristina Daily

Contributing Authors: Alexis Clyde, Brandon Oscarson

Date Presented 04/04/19

This research study sought to understand parent perspectives on their child’s long-term therapy needs. This study utilized participatory action research (PAR). A shared decision-making tool was developed and tested as a method for enhancing collaborative conversations between the parent and therapist about a long-term therapy plan. Use of PAR was effective in allowing parents and therapists to cocreate a change regarding long-term therapy planning for children with chronic conditions.

Primary Author and Speaker: Victoria McQuiddy

Contributing Authors: Kristin Winston, Sonia Kay, Terrianne Jones

Date Presented 04/04/19

As the number of homebound adults increases, depression among this population is doubling to tripling. This study found significant correlation between loneliness and depression. Loneliness was correlated to limited visitors and decreased meaningful activities. OTs can impact this population through using the occupational profile to determine ways to increase meaningfulness in activities or serve as advisors to local agencies to determine ways to decrease loneliness and social isolation.

Primary Author and Speaker: Alissia Garabrant

Date Presented 04/04/19

Exploring and understanding OTs’ experiences of working with home healthcare clients to manage their medication will provide useful information to develop appropriate medication management guidelines and competency standards to improve overall OT in home healthcare practice. OTs who know their role in medication management and are well-informed about medication can collaborate with the home healthcare team more effectively.

Primary Author and Speaker: Julie Blum

Additional Authors and Speakers: Jennifer Fogo, Judith Malek-Ismail

Date Presented 04/04/19

Deficits in ADL have been linked to the older adults’ ability to remain at home; little research has focused on the environmental modifications, equipment, and other strategies needed. This study used a technology survey and interviews to explore the ADL strategies used by community-dwelling older adults and their perspectives on factors impacting their ability to stay at home. Results will inform the development of effective ADL interventions using technology and environmental supports.

Primary Author and Speaker: Kathleen Foley

Additional Authors and Speakers: Jamie Gentry, Tralisa Myers, Lindsay Rankin, Kristin Shepard

Date Presented 04/04/19

The practice of spirituality is believed to be an essential and powerful force in the lives of African American women. Missing from the story of African American female spirituality is a deep understanding of the way that spirituality manifests in daily practices and the corresponding contribution to well-being. This qualitative research reveals the way in which spiritual experience, through the examination of the dynamics between decisions and actions, relates to a perception of well-being.

Primary Author and Speaker: Clarissa Saunders-Newton

Date Presented 04/04/19

This presentation will highlight the findings of a scoping review examining measurement and evaluation of stakeholder engagement in clinical research. We will also discuss strategies for using our findings to enhance future investigations as an additional strategy for enhancing OT’s distinct value and building capacity for rehabilitation-specific stakeholder engagement.

Primary Author and Speaker: Jenny Martinez

Contributing Authors: Carin Wong, Karin Saric, Dawn Clayton Bieber, Bonita Perry, Natalie Leland

Date Presented 04/04/19

The purpose of this study was to compare women with and without Chronic Fatigue Syndrome (CFS) in social support, participation in occupations, and life satisfaction. The study included 110 women: 41 diagnosed with CFS and 69 healthy controls. Findings demonstrate that women with CFS report lower participation in occupations, less satisfaction with life, and less social support compared to healthy women. These findings suggest that women with CFS may benefit from OT intervention.

Primary Author and Speaker: Michal Avrech Bar

Contributing Authors: Tami Bar-Shalita, Morit Rosenberg, Galia Rahav

Date Presented 04/04/19

Current research indicates that a correlation exists neurologically among anxiety, sensory over responsively, GI dysfunction, and behavior. To gain better understanding of correlations among SPD and GI dysfunction, and how they impact family occupations, assessments were given to parents of children 18 months through 12 years who were seen for GI dysfunction at Children's Hospital of Philadelphia. Preliminary results indicate positive correlations among SPD, GI dysfunction, and parent stress.

Primary Author and Speaker: AnnMarie Murphy

Additional Authors and Speakers: Amy Lynch

Contributing Authors: Katherine Bevans

Date Presented 04/04/19

The purpose of this presentation is to educate OT practitioners about functional movement disorder (FMD) from the perspective of the people living with the condition. It will include data from five participants living with FMD about how the disorder has impacted their participation in major areas of life. It aims to raise awareness about the disorder and the opportunity for the OT profession to play a key role in improving the quality of life for people living with FMD.

Primary Author and Speaker: Stephanie Zuba-Bates

Contributing Authors: Perla Serrano, Peggy Pareti, Alma Lopez, Fatimah Chaudhary, Kassi Cambron, Erika Banks

Date Presented 04/04/19

Special Olympics athletes are individuals with intellectual disabilities who participate in sports training and competition to encourage their development of physical fitness and life skills. In addition, Special Olympics regularly conducts health promotion programming. Health outcomes between Special Olympic athletes and nonathletes with intellectual disabilities were compared using a state-wide Medicaid data set to determine potential benefits of participation in Special Olympics.

Primary Author and Speaker: Karla Ausderau

Additional Authors and Speakers: Brittany St. John, Elisabeth Hladik, Holly Romaniak, Muhammad Al-Heizan

Date Presented 04/04/19

Researchers hypothesize that independent mobility affects the development of cognitive function in infants and young children. In our experimental research, typically developing precrawling infants were randomly assigned to a robotic mobility or a nonmobile condition. Preliminary results showed that limited experience with independent mobility significantly impacted cognitive development in the mobility group, supporting the need for early mobility aids for infants with motor impairment.

Primary Author and Speaker: Carole Dennis

Contributing Authors: Nancy Rader, Sharon Stansfield, Hélène Larin, Judith Pena-Shaff

Date Presented 04/04/19

The purpose of this study was to describe participation in everyday activities and social roles, and quality of life for persons with ABI-related oculomotor impairments. Forty subjects were interviewed with a semistructured format. Results of the study describe symptoms, quality of life, and participation difficulties in everyday activities and social roles. Implications of results will be discussed, including areas to assess and the complexity of the challenges with this population.

Primary Author and Speaker: Sharon Wagener

Contributing Authors: Robert Krieger

Date Presented 04/04/19

Celiac disease is a chronic condition that requires daily health management of a strict lifelong gluten-free diet. Adherence and self-management among adolescents can be challenging. Understanding the relationships between the skills involved in managing the diet, while participating in food-related activities, may assist in promoting adherence and self-management. This approach may contribute to developing occupational-based interventions in an emerging field of chronic health management.

Primary Author and Speaker: Sonya Meyer

Additional Authors and Speakers: Sara Rosenblum

Date Presented 04/04/19

OTs should be addressing social participation when working with those with ASD, as it is within their scope of practice and is one of the greatest areas of needs for this population. In this presentation, the results of a study comparing the effectiveness of two OT group interventions, a humor-based group and a board-game group, to encourage social participation among six adolescents with autism will be analyzed and the statistical significance discussed.

Additional Authors and Speakers: Bailee Hymers

Primary Author and Speaker: Rachel Chaiet

Additional Authors and Speakers: Jessica Piatak

Date Presented 04/04/19

PAR is one approach to involving stakeholders in research. We conducted interviews with academic researchers (n=7) and coresearchers with ID (n=6) to develop a model describing the process of engagement in PAR for people with ID. Results suggest the solicitation of input from coresearchers with ID initiates a cycle of increasing engagement and input. Application of this model could lead to more socially valid OT research.

Primary Author and Speaker: Ariel Schwartz

Contributing Authors: Jessica Kramer, Ellen Cohn, Katherine McDonald

Date Presented 04/05/19

This study explored how homelessness influences the daily routines and occupational experiences of young people. OTs can support homeless young people through community programming to facilitate development of productive routines, engagement in meaningful occupations, and social participation.

Primary Author and Speaker: Emily Simpson

Contributing Authors: Evan Semmelhack, Bridget Conniff, Breanna Faber

Date Presented 04/05/19

Women in social housing are situated in environments that may impose negative impacts on their psychosocial health. We used an exploratory, sequential, mixed-methods design to identify the met and unmet psychosocial needs and disabilities experienced by this population. Several psychosocial needs of the women went unmet, and disability was significant. Participants identified several areas for how their needs could be addressed. Research and practice implications will be explored.

Primary Author and Speaker: Carrie Anne Marshall

Contributing Authors: Carina Tjornstrand, Fiona Drake, Emily Downs, Rebecca Eerkes

Date Presented 04/05/19

This study utilized a researcher-developed survey to investigate collaboration among school-based professionals. Participants included 243 OTs and other school professionals, including PTs, SLPs, psychologists, and teachers from across the US. Findings described include the amount and type of collaboration prevalent among school-based professionals as well as factors that contribute to successful collaboration and barriers that limit collaborative practices.

Primary Author and Speaker: Meira Orentlicher

Additional Authors and Speakers: Diana Lashinsky, Sarah Bergstein Teixeira

Contributing Authors: Amy Mograby

Date Presented 04/05/19

A longitudinal multicohort study was conducted to evaluate the impact of task training on upper-extremity musculoskeletal discomfort in health professional students. Differential effects on pain and grip strength were noted in dental hygiene students as compared to OT students. This study validates that repetitive task training has a negative impact on health and illuminates a need for development and implementation of preventive interventions for dental hygiene students.

Primary Author and Speaker: Shawn Roll

Contributing Authors: Naoko Kono, Jane Forrest, Wendy Mack

Date Presented 04/05/19

This study examined the relationship between sleep, social media (SM) usage, and social media disorder (SMD) among adolescents. Results show that excessive SM usage decreases sleep quantity, increases sleep onset latency, and increases the risk for a higher SMD score. Evidence from this study can inform OT practitioners of the need for client-centered sleep education programs to improve sleep outcomes and reduce the risk for adverse mental-health outcomes in this population.

Primary Author and Speaker: Megan Chang

Additional Authors and Speakers: Lisa Benjamin, Cathlin Burkey

Contributing Authors: Torrey Blake, Arlon Chau

Date Presented 04/05/19

While many studies focus on the impact of somatosensory changes on participation after stroke, they do not address the lived experience of all sensory systems (e.g., taste and smell). Researchers used a qualitative descriptive method using semistructured interviews to collect data. Results from this study could be utilized to inform healthcare providers about stroke survivors’ sensory needs and preferences to help them design interventions that match their needs.

Primary Author and Speaker: Dua'a Alwawi

Additional Authors and Speakers: Ashleigh Heldstab, Evan Dean, Winnie Dunn, Lisa Mische-Lawson

Date Presented 04/05/19

Community-Based Rehabilitation (CBR) was developed by the World Health Organization to fill the gap between increased disability and the lack of rehabilitation services in low- and middle-income countries. Research has shown that countries adopting the CBR model vary considerably in services offered and outcomes for program success. This abstract will reveal results from a systematic review that aimed to gather the evidence from all the published research on CBR programs since the year 2000.

Primary Author and Speaker: Rawan AlHeresh

Contributing Authors: Megan Griffin, Jenny Li

Date Presented 04/05/19

Women with disabilities receive mammograms at lower rates than nondisabled women, and research has shown that these lower rates have not changed over time. Little is known about the barriers women with disabilities face to mammography. This study illuminates the barriers to mammography that collaborative advocacy between OT practitioners and women with disabilities can address as IADLs, along with self-advocacy as intervention and outcome, to improve the health and well-being of women with disabilities.

Primary Author and Speaker: Sarah Mbiza

Additional Authors and Speakers: Barbara Kornblau, Debora Oliveira

Date Presented 04/05/19

This qualitative study explored older adults’ feelings toward driving cessation, driving cessation preparedness, and the role CarFit may play in helping individuals prepare for driving cessation. The three themes discovered were loss of independence, lack of preparedness for driving cessation, and benefits of CarFit education. The key role OT practitioners can help play in helping older adults prepare for driving cessation based on findings will be reviewed.

Primary Author and Speaker: Megan Edwards Collins

Date Presented 04/05/19

Sensory processing disorder (SPD) poses unique occupational challenges. However, most of the understanding is through a pediatric lens. To obtain information about the adult lived experience, a phenomenological study was conducted using Colaizzi's seven-step method and interpretive phenomenological analyses and the PEO model. The resulting conclusion is that adults with SPD experience an extreme paradoxical relationship with occupations.

Primary Author and Speaker: Nicole Quint

Additional Authors and Speakers: Chelsea McKenna, Amanda Messingschlager, Alexia Bien, Emma Smith

Date Presented 04/05/19

A qualitative phenomenological design was used to gather the accounts of mental-health consumers with mental illness and community stakeholders in a rural midwestern town in the US. Participants gave personal accounts concerning availability of mental-health services, unmet needs, and recovery. Findings contribute to research concerning rural community treatment programming and exploration and support for how OT has a role on Assertive Community Treatment teams.

Primary Author and Speaker: Lauren Lain

Date Presented 04/05/19

The number of individuals living with dementia is rapidly increasing. Individuals with dementia often have difficulty interacting with the environment, thus affecting their quality of life. This research analyzed the most recent research evidence to determine environmental factors that impact quality of life among individuals with dementia. OTs may use this research to further their own practice or to take on a consultative role in designing or modifying facilities.

Primary Author and Speaker: Danielle Jecklin

Date Presented 04/05/19

Productive aging is a key area for research and intervention to meet the needs of our rapidly aging society. For older adults living in a skilled-nursing facility, the opportunity for productive aging is often lost as a result of physical and cognitive deficits, and the incidents of depression in skilled-nursing facilities is high. This pilot study examined the effects of a six-week therapeutic biking program designed to provide an opportunity for extended mobility outside in a social context.

Primary Author and Speaker: Tammy Bickmore

Additional Authors and Speakers: Nick Viti, Angela Hunt

Date Presented 04/05/19

OT older adult interventions employed in a skilled-nursing facility were linked to Level III ICF categories using a specific and precise linking process. This study revealed that the majority of the interventions employed were linked to the ICF category exercise tolerance functions. This study demonstrated how the ICF may be used in OT practice. The results of this study reflect the focus of OT practice in two skilled-nursing facilities.

Primary Author and Speaker: Janel Anne Belarmino

Additional Authors and Speakers: Vanessa Jewell

Date Presented 04/05/19

Emotional intelligence, attachment style, and resilience were found to work together to predict time perception, which literature has shown to predict academic achievement in doctoral students. OT academicians can use these results to enhance admission criteria by screening for emotional intelligence, attachment style, and resilience and help at-risk students in online distance doctoral programs strengthen these predictors.

Primary Author and Speaker: Pat Precin

Date Presented 04/05/19

The purpose of this study was to identify the causes of falls in Skilled-Nursing (SNF) and Long-Term Care (LTC) facilities. Data was acquired via fall reports and staff surveys in four facilities. Staff perceived that most falls occurred due to general weakness (96%) and between 8 pm and 8 am (52%). Fall reports indicated that most falls occurred due to unsafe transfers (58%) and the majority occurred between 8 pm and 8 am (42%). This study provides a basis for the development of fall-prevention programs.

Primary Author and Speaker: Patti Calk

Additional Authors and Speakers: Whitney Francis, Jonann Arrant, Mary Doss

Contributing Authors: Linda Jones

Date Presented 04/05/19

This quantitative study examined clinical reasoning development achieved through case-based learning during one year of an entry-level OT curriculum. Self-Assessment of Clinical Reflection and Reasoning identified statistically significant changes in clinical reasoning skills in total score and 10 individual items based on this instructional method. Results were supported by student feedback regarding the benefits of case formats that promoted reasoning and enriched the learning experience.

Primary Author and Speaker: Lynne Murphy

Additional Authors and Speakers: Jennifer Radloff

Date Presented 04/05/19

The purpose of this phenomenological study was to explore how individuals with Parkinson’s disease (PD) perceived noncontact boxing to influence their social and community engagement. This study found that those with PD who perceived noncontact boxing positively were positively influenced by it in both their social engagement and their physical and cognitive abilities. This study supports the feasibility of clinicians to utilize community-based, movement-focused activities to assist in the management of PD symptomology.

Primary Author and Speaker: Casey Humphrey

Additional Authors and Speakers: Dana Howell

Contributing Authors: Melba Custer

Date Presented 04/05/19

Postural management in the lying orientation should be routinely addressed for those with impaired movement. This study found that the implementation of a nighttime positioning (NTP) program yielded significant improvements in the health-related quality of life (HRQoL) of those with multiple disabilities, including difficulty moving independently. Highlighting the therapeutic benefits of supporting the body at nighttime will advance OT practice.

Primary Author and Speaker: Kourtni Reed

Date Presented 04/05/19

OTA education teaches theory and application skills to encourage clinical reasoning in entry-level practitioners for dynamic and complex environments across life spans to promote meaningful lives. Through survey methodology, researchers used open- and close-ended questions to identify the frequency of instructional methods and if a relationship with the National Board of Certification of OT (NBCOT) pass rates could be identified.

Primary Author and Speaker: Marlene Vogt

Contributing Authors: Vanessa Jewell, Amy Maxeiner

Date Presented 04/05/19

The purpose of this study is to explore if children with learning disabilities experience praxis deficits due to sensory processing disorder. Results suggest that individuals with learning disabilities and ADHD score much more than others on movement processing and body positioning processing. Relationships between praxis skills and sensory processing were inconclusive.

Primary Author and Speaker: Phil Esposito

Additional Authors and Speakers: Del Aguilar

Date Presented 04/05/19

This systematic review evaluates the effectiveness of interventions at improving activities of daily living (ADLs) in children and adolescents with autism spectrum disorders. Overall, moderated evidence supported family-based interventions and strong evidence supported individual, therapist-led interventions targeting ADLs. However, specific intervention approaches and ADL outcomes were heterogeneous, making cross-study comparisons difficult.

Primary Author and Speaker: Matthew Walczak

Additional Authors and Speakers: Michele Severson, Jessica Muesbeck, Shannon Kant, Karla Ausdreau

Date Presented 04/05/19

Results of this nationwide survey indicated that school OTs believe they should be addressing bullying against students with disabilities in their practice; however, overwhelmingly they are not. They reported their lack of knowledge and the lack of evidence in our field as primary barriers. This study illuminates the need for our profession to advocate for our involvement in addressing school bullying and for entry-level programs and continuing education to include the topic.

Primary Author and Speaker: Janet Njelesani

Contributing Authors: Beth Schweitzer, Aisha Faulkner, Hayden Jeon

Date Presented 04/05/19

We examined the constructs of behavioral response and threshold of Dunn’s four-quadrant model of sensory processing. We tested if these axes, as measured by the Adult and Adolescent Sensory Profile, are ordinal ranges and if variation is consistent with external measures of characteristics that may also reflect sensory processing, Eysenck's personality model, and somatosensory event-related potentials and sensory gating.

Primary Author and Speaker: Alexia Metz

Contributing Authors: Daniella Boling, Ashley DeVore, Holly Holladay, Karen Karmol, Jo Fu Liao