An Analysis of the Relationship Between Perfectionism, Stress Perception, and Stress Management among Doctor of Physical Therapy Students
Abstract Tesim:
Perfectionism consists of high standards and hyper-critical self-evaluation. Doctor of Physical
Therapy (DPT) students are required to meet highly competitive admissions processes and
rigorous academic expectations. Unsurprisingly, DPT students experience increased stress levels
during their academic tenure. There is a limited understanding of how successful these students
are at managing the increased stress, especially among perfectionists. In this non-experimental,
cross-sectional study, participants completed perfectionism, stress perception, and stress
management validated measures. Results demonstrated that this sample was composed of
41.10% Adaptive Perfectionists and 25.15% Maladaptive Perfectionists. There was a moderate,
direct association of perceived stress and the perfectionism discrepancy measure (rs = .51, p <
.01). The perceived stress and perfectionism subtype logistic regression model was statisticallysignificant,
χ2(1) = 18.73, p < .01. Additionally, there was a weak, indirect association between
stress management and the perfectionism discrepancy measure (rs = -.38, p < .01). The stress
management and perfectionism subtype logistic regression model was statistically-significant,
χ2(1) = 14.40, p < .01. DPT students who are Maladaptive Perfectionists may be at greater risk
for stress-related concerns. Baseline measures of perfectionism, stress perception, and stress
management may inform curricular decisions regarding placement and sequencing of stress
management interventions. Additionally, these measures may assist educators with identifying
at-risk students and monitoring student response to stress management interventions. DPT
students who are able to effectively manage stress may ultimately have greater well-being and
lower rates of burnout.
Creator:
Richardson, Mike
Rights statement:
http://rightsstatements.org/vocab/InC/1.0/
Type:
Dissertation
Keyword:
perfectionism, perceived stress, stress management, physical therapy student and Quantitative
The Application of Shaping Techniques with Lower Extremity Exercises for Community Dwelling Adults with Chronic Stroke: A Feasibility Study
Creator:
Gustafson, Beth
Contributor:
Combs-Miller, Stephanie
Description:
Introduction: The purpose of this study was to investigate the feasibility and effects of applying the principles of shaping to part-task, pre-gait activities in persons with chronic stroke. It was hypothesized that this would be feasible and would result in positive treatment effects. Method: Eleven participants completed this prospective, repeated measures study (6 male; mean age 61.18 ±10.41years; median months post stroke 18.00 IQR 10.00; 7 left hemiparesis). The intervention was administered five times a week for two consecutive weeks for 60-minute sessions; each exercise performed for ten 30-second trials. Exercises addressed common gait impairments for individuals with chronic stroke. Verbal praise and informing participants of repetitions contributed to shaping. Outcomes assessed at baseline, post and retention were Five Times Sit to Stand (5xSTS), Functional Gait Assessment (FGA), Activities Specific Balance Confidence Scale, and gait symmetry for step length, swing time, stance time and velocity measured on an electronic walkway. Results: The group of participants met pre-determined benchmarks for feasibility: intervention completion rate (100%), safety (0 falls, 0 emergency calls), tolerance (90% tolerated 30 second trials), 15% increase in repetitions (100%) and personnel (100% required two or less helpers). There was an increase in mean repetitions per session from 594 during days 1-3 to 1026 on the final day of intervention (P=.003). Only the 5xSTS and the FGA showed statistically significant improvements over time (P<.01). Discussion: The study protocol was feasible and safe to implement for this sample. The protocol yields a high number of repetitions in a short, intense time with a positive treatment effect for functional measures of lower extremity strength and gait activity.
Rights statement:
http://rightsstatements.org/vocab/InC/1.0/
License Tesim:
http://www.europeana.eu/portal/rights/rr-r.html
Language:
en
Publisher:
University of Indianapolis
Identifier:
Gustafson, Beth Final DP Manuscript 8.15.17_Redacted.pdf
Assessing Reliability and Validity of a Functional Pain Measure for Joint Hypermobility
Abstract Tesim:
The Pediatric Outcomes Data Collection Instrument (PODCI) is a self-reported outcome measure designed to assess upper extremity function and pain in adolescents. The purpose of this study was to determine the test-retest reliability and concurrent validity of the upper extremity function and pain portions of the PODCI (PODCI UEF and PODCI P) as an outcome measure in adolescents diagnosed with joint hypermobility (JH). The study also sought to establish the responsiveness of the PODCI subscales by calculating the standard error of measurement (SEM) and the minimal detectable change (MDC). One hundred and fifty adolescents (ages 11-18 years) with JH were recruited for the study. Test-retest reliability of both portions of the PODCI was examined with 83 participants using Lin’s concordance correlation coefficient (ƿc) There was a very high test-retest reliability for the PODCI UEF, ρc = .81 (p < .001) and moderate test-retest reliability for the PODCI P, ρc = .68 (p < .001). To establish concurrent validity, the PODCI UEF was compared to the Patient Reported Outcomes Measurement Information System Pediatric Upper Extremity-Short Form (PROMIS PUE-SF) and the PODCI P was compared to Numeric Rating Scale (NRS) using Spearman rho correlations. There was a very high correlation between the PODCI UEF and the PROMIS PUE-SF, rs = .80 (p < .001) and a moderate inverse relationship rs = -.73 (p < .001) between PODCI P and NRS scores. These results, indicate concurrent validity between instruments. Occupational and physical therapists may consider using the PODCI clinically and in future research.
Association of Functional Movement and Injury in Collegiate Soccer Athletes
Abstract Tesim:
Tools such as the Functional Movement Screen (FMS) and Y-Balance Test Lower Quarter (YBT-LQ) have been used to assess quality of functional movement. To date, research has been inconclusive regarding the association between performance on the FMS and YBT-LQ and lower extremity injury incidence in collegiate soccer athletes. The purpose of this retrospective study was to explore whether functional movement, as measured by the FMS and Y-balance tests, in junction with athlete demographics, is associated with lower extremity injury. The study included retrospective data collected on 143 men’s and women’s soccer athletes over three years (2014-2016) from NCAA Division III Lebanon Valley College located in south-central Pennsylvania. Using chi-square tests and Mann Whitney U tests, functional movement and demographic data were compared to determine if differences existed in the data in relation to injury categories. In addition, gender differences between the FMS and YBT-LQ were explored. Gender, body mass index, injury history, FMS composite score, and YBT-LQ reach asymmetries were not associated with lower extremity injury. Additionally, the scores were not related to lower extremity noncontact injury categories. There were no significant differences between genders in YBT-LQ reach asymmetries or in the FMS CS. However, significant differences between genders were noted on ASLR and trunk stability push-up components of the FMS. Future research should seek to establish population-specific normative data for, and clinical utility of, the FMS and YBT-LQ. Clinicians should use caution in using any of these factors in isolation in clinical decision making with regard to injury prevention and return to play after injury.
Creator:
Ulrich, Erin
Rights statement:
http://rightsstatements.org/vocab/InC/1.0/
Type:
Dissertation
Keyword:
functional movement, Functional Movement Screen, Y-Balance, soccer, injury, lower extremity injury, noncontact injury and Quantitative
Body Appreciation, Self-Esteem, and Resilience in Adolescents with a Congenital Hand or Upper Extremity Anomaly
Abstract Tesim:
Adolescents with a congenital hand or upper extremity (CHUE) anomaly who underwent surgical correction at an early age may be sensitive to psychosocial well-being during a vulnerable period of development. As a dominant amount of literature focuses on improving and maintaining functional capacity after surgery, it is also necessary to understand psychosocial factors (PSFs) that may contribute to long-term treatment outcomes. The purpose of this study was to explore PSFs of body appreciation, self-esteem, and resilience within a population of adolescents with a surgically corrected CHUE anomaly; ascertain if these factors are influenced by gender, age, or extremity involvement; and determine what variables may predict resilience in the population. Using a non-experimental, analytic cross-sectional study design at a tertiary pediatric orthopedic institution, a total of 31 participants responded to a survey incorporating the Body Appreciation Scale-2 (BAS-2), the Rosenberg Self-Esteem Scale (RSES), and the Child and Youth Resilience Measure (CYRM-R). Statistical significance (p = .011) was found for RSES scores between young (10-13 year-old) and old (14-19 year-old) adolescents. Correlation coefficients were greater than .30 for both BAS-2 and RSES scores when compared to CYRM-R scores. Multiple regression analysis resulted in a model that explained 44.3% of the variance, with a linear predictive model of F(2, 25) = 9.96, p < .001; R2 = .44. Patients who appreciate and find value regarding their anomaly are speculated to have greater resilience and therefore more favorable long-term outcomes.
Creator:
Beckwith, Terri
Rights statement:
http://rightsstatements.org/vocab/InC/1.0/
Type:
Dissertation
Keyword:
adolescent, body appreciation, self-esteem, resilience, congenital hand anomaly and Quantitative
Bridging the Gap Between Healthcare Professionals, Families and Alzheimer's disease
Creator:
Barber, Ashley
Description:
The focus of this mixed methods experience was to explore the gap between healthcare professionals, families, and residents with Alzheimer's disease (AD) in order to establish meaningful connections and provide quality care. Due to the inadequate supply of healthcare professionals adequately trained to treat individuals with AD (Warshaw & Bragg, 2014) as well as nursing staff expressing difficulties when communicating with individuals with AD (Yang, 2017), it is a valuable area to address the lack of knowledge for healthcare professionals. This experience was held at Cumberland Trace memory care unit, Cherished Memories. Data was collected through observation hours on Cherished Memories and surveys completed by staff members and family. Surveys were developed, one for staff members and one for residents' family members, in order to address their concerns. Staff survey results indicated staff members had concerns regarding effective communication strategies, stages of AD, and caregiver burnout. Family member surveys indicated they had a basic knowledge of AD but had a desire to learn more about the disease itself as well as additional components including communication strategies, therapy options, caregiver resources, and stages of AD. These results led to an educational in-service for staff members on Cherished Memories and a family care packet for residents' family members. Sustainability was created through discussion with Cherished Memories unit manager. Findings are relevant for those who are developing educational programs for staff members working directly with elderly adults and family members who are impacted by AD. Keywords: Alzheimer's disease, communication, healthcare, memory care
Burnout of Rehabilitation Therapists in Long-Term Care Settings
Abstract Tesim:
Background: Given the demands of their profession, burnout among healthcare workers is growing, particularly among long-term care staff, along with physical and emotional repercussions. Research is limited on how rehabilitation therapists (occupational, physical, and speech) perceive and experience burnout in long-term care settings. An in-depth understanding of healthcare professionals' experiences with burnout within long-term care settings is necessary to understand and address burnout. Objective: This study investigated the perceptions and experiences of rehabilitation therapists while working in long-term care settings and the potential for burnout. Method: The researcher utilized a basic interpretive qualitative approach to guide semi-structured, individual interviews with rehabilitation therapists. Interviews were audio recorded, then transcribed verbatim. Along with a second researcher, the data was analyzed through a structured coding process, followed by development of overarching themes. Results: Six themes emerged from the data: causes of stress and burnout, individual ways of managing stress and burnout, systemic changes for managing stress and burnout, COVID-19 and mental health, the definition of burnout, and change over time in work experience. Discussion: Rehabilitation therapists can feel empowered to advocate for themselves to their employers when discussing issues, and employers will see the importance of changing policies to help reduce the prevalence of burnout in therapists and promote systemic changes from within the companies. One universal policy all participants acknowledged was that productivity expectations were unrealistic. Future research, advocacy, and policy should address systemic and organizational factors related to burnout to relieve the related consequences and promote a thriving therapy workforce.
Keywords: rehabilitation therapists, burnout, long-term care, memory deficits
