HEALTH & WELLNESS

2016-501Cultivating a Holistic Occupational Therapy PracticeHealth & Wellness 1 hour 50 minute sessions

Intermediate

1) Explore the path of becoming a holistic occupational therapy practitioner. 2) Experience mindful meditation, integrative reflexology, reiki, aromatherapy, and contemplative rural-experience healing. 3) Write a plan to engage in the journey of becoming a holistic occupational therapy practitioner.

Each practitioner has their own reason for the expansion of their learning in one direction or another, and whatever it is, whatever the intention is, it serves as the seed that will further their capacity and competency in the field of occupational therapy. For me the expansion of learning has led me to grow my knowledge & expertise specifically in meditation, reflexology, reiki, aromatherapy, and contemplative rural-experience healing. It has taken me a quarter of a century to grasp the magnitude of the journey and how the learning has translated into the fusion of what I know to be holistic occupational therapy practice.

This is my story of working my way to being a whole-hearted and transparent practitioner who appreciates the health & well-being that can come from establishing a life-balance routine. I feel as a holistic-based occupational therapist, I am better able to facilitate individual/group’s engagement in meaningful & healthy life journeys. It is my life’s passion to support individuals/groups along their path of being, doing, and becoming, while navigating through everyday existence firmly believing [and knowing] that what I am calling, occupational therapy fusion, is one method to cultivating a holistic occupational therapy practice. I would like to share my path to the aforementioned holistic practices and engage participants in considering how the practices may be infused into their occupational therapy practice.

The practice is situated in the PEOP Model (with a firmly established root in the Occupational Therapy Practice Framework (AOTA, 2014) as defined by the following concepts: 1) Person: Body, mind, spirit factors of the constantly shifting self which include habits, routines, and roles. 2) Environment: Physical space and barriers, as well as, Cultural, Social and Time factors. 3) Daily & Life Occupations. 4) Everyday Occupational Performance. The most significant outcome of my journey to becoming a holistic occupational therapy practitioner is that it has helped me to better understand and utilize my therapeutic use of self-aptitude. It has assisted me in providing clients with a more wide open space to share and reveal their needs. It has solidified my knowing that we learn & relearn who we are on the basis of our encounters with objects, ideas, and people (Pollio, Henley & Thompson, 1997).

American Occupational Therapy Association (2014). Occupational therapy practice framework: Domain and Process, 3rd Edition. Bethesda: AOTA Press.

Christiansen, C.H., Baum, C.M, & Bass-Haugen, J. (Eds). (2005). Occupational therapy: Performance, participation, and well-being (3rd Ed). Thorofare: Slack.

Pollio, H.R., Henley, T.B. & Thompson, C.J. (1997). The phenomenology of everyday life: Empirical investigations of human experiences.

Occupational therapy practitioners engage persons through a journey of being, doing, and becoming, while assisting them negotiate and navigate through everyday existence. Explore the holistic traditions of meditation, reflexology, reiki, and contemplative rural healing as additions to your practice.

2016-502Culturally Competent Health Education in the CommunityHealth & Wellness Posters Introductory

1. Understand how cultural and language barriers influence the ability of Asian immigrant families to access and navigate the healthcare system 2. Recognize how occupational therapists can help provide culturally safe environments for health education in the community 3. Recognize how changes in occupational roles, habits, and routines of Asian immigrant families of children with developmental disabilities can be facilitated through culturally competent community efforts

Purpose: The purpose of this presentation is to demonstrate the role of occupational therapy in culturally safe and competent community health education and activity programs. Intent: This presentation will show the impact of culturally and linguistically appropriate, community-based occupational therapy programming on the lives of Asian immigrant families of children with developmental disabilities.

Method: Interviews capture the parent perspective of advocating for their child and navigating perceived culturally and linguistically unsafe situations. A content analysis of the interviews reveal the subtle knowledge occupational therapist can obtain to create a culturally safe environment, and to facilitate changes in occupational roles, habits, and routines.

Content: Cultural competency is critical for eliminating barriers limiting non-English speaking individuals from accessing and participating in service delivery systems. While there is no shared immigrant’s view towards disabilities, pervasive themes exist. Disabilities are often associated with shame. Families of children with disabilities may believe they are responsible for interventions, not professionals. With autism, immigrant families may refuse to accept the disorder or genuinely consider the behaviors as normal (Welterin & LaRue, 2007). For non-native Asian mothers of children with developmental disabilities, language and cultural differences weaken self-advocacy efforts and their ability to navigate the service delivery system (Jegatheesan, 2009). Moreover, language barriers have been shown to correlate with low health literacy and poor health (Sentell & Braun, 2012). Understanding these cultural nuances fosters appropriate and effective healthcare service delivery. The OT Practice Framework (AOTA, 2014) purports the role of population and organizational practices yet, there are few published examples of OT practices for the Asian immigrant in the United States. This presentation will contribute to the profession’s knowledge of cultural competency in a diverse society.

American Occupational Therapy Association. (2014). Occupational therapy practice framework: Domain and process (3rd ed.). American Journal of Occupational Therapy, 68(Suppl. 1), 1-48. http://dx.doi.org/10.5014/ajot.2014.682006

Jegatheesan, B. (2009). Cross-cultural issues in parent-professional interactions: A qualitative study of perceptions of Asian American mothers of children with developmental disabilities.

Research and Practice for Persons with Severe Disabilities, 34(3), 123-136. http://dx.doi.org/10.2511/rpsd.34.3-4.123

Sentell, T., & Braun, K. L. (2012). Low health literacy, limited English proficiency, and health status in Asians, Latinos, and other racial/ethnic groups in California. Journal of Health

Communication, 17(Suppl. 3), 82-99. http://dx.doi.org/10.1080/10810730.2012.712621 Welterlin, A., & Larue, R. H. (2007). Serving the needs of immigrant families of children with autism.

Disability & Society, 22(7), 747-760. http://dx.doi.org/10.1080/09687590701659600

Cultural and language barriers limit access to care for Asian immigrant families of children with developmental disabilities. Culturally competent efforts in the community to provide education can facilitate parents’ abilities to advocate for their children and navigate the healthcare system.

2016-503Developing a Community Wellness Program for Parkinson’s DiseaseHealth & Wellness 1 hour 50 minute sessions

Intermediate

1. Describe the practical considerations required to develop and manage a Parkinson’s specific community wellness program. 2. Identify the needs and priorities of individuals with PD, their families and caregivers to design interventions that translate to improved performance in their daily routines. 3. Understand the value of community partnerships to facilitate development, implementation, and sustainability of your program.

The purpose of this presentation is to provide occupational therapists with a practical approach for developing a community wellness program for Parkinson’s disease. The process used for program development is presented as a guide for creating content and methods of implementation. By utilizing a variety of resources, occupational therapists work collaboratively with stakeholders toward a common goal. Evidence will be used to help participants gain a deeper appreciation of challenges in daily activities from the perspective of individuals with Parkinson’s disease. Therapists will then learn how to apply knowledge of occupational performance and evidence to design client-centered program activities. As advocates for successful participation in daily life, occupational therapists are specialized to adapt program exercises and activities to the unique needs of each participant, offering a functional and individualized challenge. Various practical examples, visual aids, and a community wellness program video will be utilized to support presentation content. Lessons learned from the experiences of the presenters can be applied to program development for a variety of community wellness programs.

Allender, J.A., Rector, C. & Warner, K.D. (2014). Community and Public Health Nursing (8th Ed.). Philadelphia: Lippincott Williams & Wilkins

American Occupational Therapy Association. (2014). Occupational therapy practice framework: Domain and process (3rd Ed.). American Journal of Occupational Therapy, 68, S1-S48. doi:10.5014/ajot.2014.682006

American Occupational Therapy Association. (2015). AOTA FY 2016 Centennial Vision Priorities: Boldly Navigating a Changing World. Retrieved from

http://www.aota.org/aboutaota/get- involved/bod/2016-centennial-vision.aspx#sthash.6dTfffmM.dpuf Aoun, S., Kristjanson, L., Oldham, L. (2006). The challenges and unmet needs of people with

neurodegenerative conditions and their carers. Journal of Community Nurses, 11(1), 17-20. Retrieved from http://web.b.ebscohost.com/ehost/pdfviewer/pdfviewer?vid=3&sid=6b40f9cc-2e90-4461-b5c1-6414ec3e8a47%40sessionmgr114&hid=128

Combs, S. A., Diehl, M.D., Chrzastowski, C., Didrick, N., McCoin, B., Mox, N.,Wayman, J. (2013). Community-based group exercise for persons with Parkinson disease: A randomized controlled trial. Neurorehabilitation, 32, 117-124. doi:10.3233/NRE-130828

Crabtree, J.L. (2014). Emerging areas of practice. In Jacobs, K., MacRae, N. & Sladyk, K. (2nd ed.), Occupational Therapy Essentials for Clinical Competence (pp. 496-498). Thorofare, NJ:

SLACK, Inc. Cugusi, L., Paolo, S., Solla, P., Zedda, F., Loi, M, Serpes, R., Cannas, A.,Mercuro, G. (2014). Effects of an adapted physical activity program on motor and non-motor function and quality of life in patients with Parkinson’s disease. Neurorehabilitation, 35, 789-794. doi:10.3233/NRE-141162

Ellis, T., Cavanaugh, J.T., Earhart, G.M., Ford, M.P., Foreman, K.B., Fredman, L.,Dibble, L.E. (2011). Factors associated with exercise behavior in people with Parkinson disease. Physical Therapy, 91(12), 1838-1848. doi:10.2522/ptj.20100390

Fazio, L.S. (2008). Developing occupation-centered programs for the community (2nd Ed.). Upper Saddle River, NJ: Pearson Education, Inc. Habermann, B. (2000). Spousal perspectives of Parkinson’s disease in middle life. Journal of

Advanced Nursing, 31(6), 1409-1415. Retrieved from http://web.a.ebscohost.com/ehost/pdfviewer/pdfviewer?vid=28&sid=834a05e4-e975-443c-bf54-d67b52f9e2fe%40sessionmgr4003&hid=4207

Hildenbrand, W.C. & Lamb, A.J. (2013). Occupational therapy and wellness: retaining relevance in a new health care world. The American Journal of Occupational Therapy, 67(3), 266-271.

Jones. D., Rochester, L., Birleson, A., Hetherington, V., Nieuwboer, A., Willems, M.,Kwakkel, G. (2008). Everyday walking with Parkinson disease: Understanding personal challenges

and strategies. Disability and Rehabilitation, 30(16), 1213-1221. doi:10.1080/09638280701828955 Oss, T.V. & Olivas-De La O, T. (2009). Occupational therapy in the community: Preparing for our

future. Special Interest Section Quarterly Home and Community Health, 16(2). Retrieved from http://www.aota.org/-/media/Corporate/Files/Secure/Publications/SIS-Quarterly-Newsletters/HCH/HCHSIS%20June%202009%20lr.pdf

Obrien, C., Clemson, L. & Canning, C.G. (2016). Multiple factors, including non-motor impairments, influence decision making with regard to exercise participation in Parkinson disease: a qualitative

enquiry. Disability and Rehabilitation, 38(5), 472-481. doi:10.3109/09638288.2015.1055377 Painter, J. & Elliot, S. (2004). Developing and implementing a senior community based fall prevention

and home safety program. Occupational Therapy in Health Care, 18(3), 21-32. doi:10.1300/J003v18n03_02

Studer, M. & Thompson, C.R. (2015). Prevention practice for neurological conditions. In Thompson, C.R. (2nd Ed.), Prevention practice and health promotion: A health care professional’s guide to health, fitness, and wellness (pp. 255-256). Thorofare, NJ: SLACK Inc.

Walens, D.W., Helfrich, C.A., Aviles, A. & Horita, L. (2001). Assessing needs and developing interventions with new populations: a community process of collaboration. Occupational Therapy in Mental Health, 16(3/4), 71-95. Retrieved from http://web.a.ebscohost.com/ehost/command/detail?sid=625fe9e7-7bee-4014-a92c-69e72fc7f9c0%40sessionmgr4001&vid=4&hid=4207

Occupational Therapists are uniquely trained to enhance occupational performance through community-based practice. This presentation will provide an overview of the process, considerations and recommendations for developing and managing a wellness program for individuals with Parkinson’s disease in your community.

2016-504Honing in on Quality of Life for Adults with Developmental Disabilities Health & Wellness Posters Introductory

After viewing this poster presentation, attendees will be able to: 1. Identify the value of quality of life for individuals with developmental disabilities and the importance in measuring QOL with this population in occupational therapy practice. 2. Demonstrate an understanding about the use of the Personal Wellbeing Index.

Purpose: The purpose of this poster presentation will be to enhance the occupational therapy practitioner’s knowledge about the importance of quality of life (QOL) in individuals with developmental disabilities. In addition, the poster presentation will discuss how the Personal Wellbeing Index was used to measure QOL of adults with developmental disabilities after a 6-week course of partner dancing.

Intent: Quality of life (QOL) can be defined as the degree to which a person enjoys the important possibilities of his or her life, with possibilities referring to both opportunities and constraints, and the balance and interactions between them (Renwick, 2004, p. 27). A person’s QOL plays an important role in a person’s physical, emotional, and social wellbeing, which in return affect their daily lives and routines (Hayes & Gallagher Worthley, 2015). It can be difficult to measure QOL in people with developmental disabilities, as it requires the respondents to be able to conceptualize and rate an ephemeral construct. This poster presentation will discuss one method for assessing QOL for individuals with developmental disabilities. This tool, called the Personal Wellbeing Index, measures the subjective dimension of QOL and is specifically designed to be used with people with developmental disabilities. We will discuss the dimensions measured by the Personal Wellbeing Index, as well as it unique methods for obtaining a valid measure of QOL for people with developmental disabilities.

We will discuss the utility of using Personal Wellbeing Index in to clinical practice, and provide an example of how we administered the Personal Wellbeing Index to measure QOL in people with developmental disabilities before and after a 6-week dance program for adults with developmental disabilities.

Hayes, K., & Gallagher Worthley, J. (2015, December). Facilitating volition: Social interaction and activity participation for adults with intellectual and developmental disabilities. Developmental Disabilities Special Interest Section Quarterly, 38(4), 1-4.

Renwick, R. (2004). Quality of life: A guiding framework for practice with adults with developmental disabilities. In M. Ross & S. Bachner (Eds.), Adults with developmental disabilities: Current approaches in occupational therapy (Rev. ed., pp. 20-38). Bethesda, MD: AOTA Press.

This poster reviews the measurement of quality of life for people with developmental disabilities and provides an example of the use of the Personal Wellbeing Index to measure participant’s quality of life after a 6-week partner dance program.

2016-505Importance of Social Support in Reintegration of VeteransHealth & Wellness Posters Introductory

1. Develop an awareness of data which support social interventions for the reintegration of veterans. 2. Understand the impact which the transition to civilian life can have on the occupational performance of veterans 3. Demonstrate the role that an occupational therapist can play in facilitating the transitions of veterans throughout the deployment and discharge process by establishing adaptive behaviors for maintaining relationships.

It is widely recognized among mental health professionals in the Veterans Administration and the families of military servicemen that veterans commonly struggle with reintegration into civilian life. This challenging transition often leads to maladaptive behaviors that can result in depression, substance abuse, relationship distress, and Post-Traumatic Stress Disorder (PTSD). Previous researchers have indicated that approximately 30% of veterans of Operation Enduring Freedom, Operation Iraqi Freedom, and Operation New Dawn who use VA health care services have been diagnosed with PTSD. Data from focus groups, interviews and surveys have shown that samples of military veterans and their family members

expressed preference of family involvement in therapy sessions rather than individual therapy to facilitate reintegration and readjustment. A common theme that arose from the literature review regarded social support as a potential vehicle for successful transition. Other articles viewed the impact that military deployment inflicts on relationships. The results of this literature search yielded a positive correlation between deployment and relationship distress, which may be a result of decreased social support for both the servicemen and the family members throughout the deployment process.

[1] Cigrang, J., Talcott, G., Tatum, J., Baker, M., Cassidy, D., Sonnek, S., Snyder, D., Balderamma-Durbin, C., Heyman, R., Slep, A. (2014). Impact of combat deployment on psychological relationship health: a longitudinal study. Journal of Traumatic Stress, 27, 58-65. Retrieved from

http://onlinelibrary.wiley.com/doi/10.1002/jts.21890/epdf [2] Demers, A. (2010). When veterans return: the role of community in reintegration by Demers. Journal

of Loss & Trauma: 16: 160-179. DOI: 10.1080/15325024.2010.519281 Routledge: London. Retrieved from http://mha.ohio.gov/Portals/0/assets/Learning/CulturalCompetence/Subgroups/

Veterans/Full%20 Articles/Veterans.Community.Reintergration.pdf [3] Fischer, E., Sherman, M., McSweeney, Jean., Pyne, J., Owen, R., Dixon, L. (2015). Perspectives of

family and veterans on family programs to support reintegration of returning veterans with posttraumatic stress disorder. Psychological Services: Vol 12, 3, 187-198. Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/26213788

[4] Koenig, C.J., Maguen, S., Monroy, J.D., Mayott, L. & Seal, K.H. (2014). Facilitating culture-centered communication between health care providers and Veterans transitioning from military

deployment to civilian life. Patient Education and Counseling, 95, 414-420. doi:10.1016/j.pec.2014.03.016.

[5] Pease, J., Billera, M., Gerard, G. (2016). Military culture and the transition to civilian life: suicide risk and other considerations. Social Work, Vol 61, 1, 83-86. Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/26898003

[6] Pietrzak, R,, Johnson, D., Goldstein, M., (2009). Perceived stigma and barriers to mental health care utilization among OEF-OIF veterans. Psychiatric Services 60:1118-1122. Retrieved from http://ps.psychiatryonline.org/doi/full/10.1176/ps.2009.60.8.1118

[7] Plach, H., Sells, C. (2013). Occupational performance needs of young veterans. American Journal of Occupational Therapy, January/February 2013, Vol. 67, 73-81. doi:10.5014/ajot.2013.003871. Retrieved from http://ajot.aota.org/article.aspx?articleid=1851651&resultClick=3

[8] Rogers, C., Mallinson, T., Peppers, D. (2014). High-intensity sports for Post-Traumatic Stress Disorder and Depression: feasibility study of ocean therapy with veterans of Operation Enduring Freedom and Operation Iraqi Freedom. American Journal of Occupational Therapy, Vol 68, 395-404. Retrieved from http://ajot.aota.org/article.aspx?articleid=1884509&resultClick=3

[9] Sripada, R., Bohnert, A., Teo, A., Levine, D., Pfeiffer, P., Bowersox, N., Mizruchi, M., Chermack, S., Ganoczy, D., Walthers, H., and Valenstein, M. (2015). Social networks, mental health problems, and mental health service utilization in OEF/OIF National Guard veterans. Social Psychiatry and Psychiatric Epidemiology, 50: 1367-1378. Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/26032182

[10] Tsai, AC., Lucas, M., Sania, A., Kim, D., Kawachi, I. (2014). Social integration and suicide mortality among men: 24-year cohort study of U.S. health professions. Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/25023247

One primary challenge reported by veterans is the ability to manage relationships after discharge. A literature synthesis was performed to provide justification for further exploration of social support intervention in the reintegration of veterans to civilian life.

2016-506

Occupational Therapy for Sleep Disturbances in Older AdultsHealth & Wellness Posters Introductory

1) Participants will describe the most effective occupational therapy interventions for treating sleep disturbances. 2) Participants will better understand the effects of sleep preparation. 3) Participants will understand how sleep inefficiency impacts daily functions.

This is a literature synthesis, not human research. Sleep disturbances are becoming increasingly common in older adults. The American Occupational Therapy Association (AOTA) has described sleep inefficiency as a health crisis, and in many occasions, older adults are the most susceptible (Leland, N. E., Marcione, N., Niemiec, S. L., & Fogelberg, K. K., 2014). The purpose of the literature synthesis is to identify specific occupational therapy interventions that can be applied to older adults with sleep disturbances. The hypothesis is that a change in sleep preparation routines over a prolonged period of time will facilitate increased sleep time. Research articles article will be collected through Ebsco Host, OT Seeker, PubMed, OT Search, and ProQuest. Inclusion criteria for research articles will be: study must be within 5 years of the current date, must be specific to the adult population, must be specific to insomnia or other sleep disorders, participants must not be medicated during the treatment interventions. Each article will be review and if it does not meet the inclusion criteria, it will be excluded. There were eight articles selected and critically analyzed to answer the research question. In older adults, what are the most effective occupational therapy interventions for sleep disturbances?

Results have shown that as adults age, sleep disturbances become more common and can cause an increased risk in dementia, depression and dysfunction in daily activities. It has also shown that cognitive behavioral therapy for insomnia is the most effective treatment and uses occupational therapy techniques to provide an improved quality of sleep.

Black, D. S., O'Reilly, G. A., Olmstread, R., Breen, E. C., & Irwin, M. R. (2015, April). Mindfulness Meditation in Sleep-Disturbed Adults. Retrieved March 22, 2016, from http://archinte.jamanetwork.com/article.aspx?articleid=2110998

Harris J; Lack L; Kemp K; Wright H; Bootzin R. (2012) A randomized controlled trial of intensive sleep retraining (ISR): a brief conditioning treatment for chronic insomnia. SLEEP

2012;35(1):49-60.) Ling, A., Lim, M. L., Gwee, X., Ho, R. C., Collinson, S. L., & Ng, T. (2016, January). University of the

Sciences in Philadelphia. Retrieved March 21, 2016, from http://www.sciencedirect.com.db.usciences.edu/science/article/pii/S1389945715019929)

Leland, N. E., Marcione, N., Niemiec, S. L., & Fogelberg, K. K. (2014, July 29). What is occupational therapy’s role in addressing sleep problems among older adults? Retrieved March 22, 2016, from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4115019/

Marquie, J., Folkard, S., Ansiau, D., & Tucker, P. (2012, August 1). Effects of Age, Gender, and Retirement on Perceived Sleep Problems: Results from the VISAT Combined Longitudinal and Cross-Sectional Study. Retrieved March 22, 2016, from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3397815/

M. Holmqvist, N. Vincent, K. Walsh (2014). Web- vs telehealth-based delivery of cognitive behavioral therapy for insomnia: a randomized controlled trial. Sleep Medicine. Retrieved at: http://www.sciencedirect.com/science/article/pii/S1389945713020388

Jarnefelt, H., Sallinen, M., Luukkonen, R., Kajaste, S., Savolainen, A., & Hublin, C. (2014). Cognitive behavioral therapy for chronic insomnia in occupational health services: Analyses of outcomes up to 24 months post-treatment. Retrieved from http://www.sciencedirect.com/science/article/pii/S000579671400028X

Abell, J. G., Shipley, M. J., Ferrie, J. E., Kivimaki, M., & Kumari, M. (2016). Association of chronic insomnia symptoms and recurrent extreme sleep duration over 10 years with well-being in

older adults: A cohort study. Retrieved March 22, 2016, from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4746459/

This literature synthesis is developed to identify the most effective occupational therapy interventions to treat sleep disturbances in older adults. The hypothesis is that cognitive behavioral therapy will be the most effective over four different interventions.

2016-507Occupational Therapy for Suicide SurvivorsHealth & Wellness 1 hour 50 minute sessions

Introductory

1. Identify unique aspects of the grieving process associated with being a suicide survivor. 2. Identify the risk factors associated with being a suicide survivor. 3. Understand the needs of suicide survivors that can be addressed through occupational therapy interventions. 4. Identify methods of implementing occupational therapy for suicide survivors.

There are an estimated 42,773 completed suicides occurring annually in the U.S. (American Foundation for Suicide Prevention, 2016). It is estimated that for every completed suicide, there is an average of six suicide survivors (family members/friends of the individual who has died by suicide) (Xu & Li, 2014). This presentation provides the results of a scoping literature review examining the evidence related to the grief process, identified risks, and the needs of individuals who are suicide survivors. There is evidence which indicates that not only do suicide survivors grieve differently �(Bailley, Kral, & Dunham, 1999; Fielden, 2003; Terhorst & Mitchell, 2012), but that there are also identified risk characteristics associated with experiencing a loss by suicide which can affect a survivor’s mental and physical well-being, quality of life, and everyday function (Xu & Li, 2014; Terhorst & Mitchell, 2012; Jordan & McMenamy, 2004; Rostila, Saarela, & Kawachi, 2014). Coping strategies and interventions that facilitate health and well-being (including functional performance) have been identified (Jordan & McMenamy, 2004; Fielden, 2003; Terhorst & Mitchell, 2012; Dyregrov, 2011). These strategies and interventions can be further enhanced through the application of the philosophy and approach supported within the Occupational Therapy Practice Framework (American Occupational Therapy Association, 2014).

A brief personal reflection will also be shared with attendees by this presenter who is an occupational therapist and a suicide survivor. This reflection will highlight the personal application of the philosophy of occupational therapy in promoting personal health and well-being as a suicide survivor.

American Foundation for Suicide Prevention (2016). Suicide Statistics. Retrieved from http://afsp.org/about-suicide/suicide-statistics/

American Occupational Therapy Association. (2014). Occupational therapy practice framework: Domain and process (3rd ed.).American Journal of Occupational Therapy, 68(Suppl. 1), S1-S48. doi: http://dx.dio.org/10.5014/ajot.2014.682006

Bailley, S.E., Kral, M. J., & Dunham, K. (1999). Survivors of suicide do grieve differently: Empirical support for a common sense proposition. Suicide and Life-Threatening Behavior, 29(3),

256- 271. Cerel, J., Bolin, M. C., & Moore, M. M. (2013). Suicide exposure, awareness and attitudes in college

students. Advances in Mental Health, 12(1), 46-53. Dyregrov, K. (2011). What do we know about needs for help after suicide in different parts of the world?

A phenomenological perspective. Crisis, 32(6), 310-318.

Fielden, J. M. (2003). Grief as a transformative experience: Weaving through different lifeworlds after a loved one has completed suicide. International Journal of Mental Health Nursing, 12, 74-85.

Grad, O.T., Clark, S., Dyregrov, K., & Andriessen, K. (2004). What helps and what hinders the process of surviving the suicide of somebody close? Crisis, 25(3), 134-139.

Jordan, J. R., & McMenamy, J. (2004). Interventions for suicide survivors: A review of the literature. Suicide and Life-Threatening Behavior, 34(4), 337-349.

Rostila, M., Saarela, J., & Kawachi, I. (2014). The psychological skeleton in the closet: Mortality after a sibling’s suicide. Social Psychiatry and Psychiatric Epidemiology, 49, 919-927.

Schneider, B., Grebner, K., Schnabel, A., & Georgi, K. (2011). Is the emotional response of survivors dependent on the consequences of the suicide and the support received? Crisis, 32(4),

186-193. Terhorst, L., & Mitchell, A. M. (2012). Ways of coping in survivors of suicide. Issues in Mental Health Nursing, 33, 32-38. Xu, G., & Li, N., (2014). A comparison study on mental health status between suicide survivors and

survivors of accidental deaths in rural China. Journal of Psychiatric and Mental Health Nursing, 21, 859-865.

An estimated 42,773 suicides occur in the U.S. annually. Suicide survivors (i.e., family/friends of the deceased) may experience unique aspects of grief that challenge life balance, well-being and personal survival. Occupational therapy has a role in addressing survivor’s needs.

2016-508Occupational Therapy's Role in Suicide AwarenessHealth & Wellness Posters Introductory

Upon viewing the poster, participants will be able to: Understand the connection between suicide awareness and the role of OT as it relates to the OTPF. Understand ways in which occupational therapists can identify contributing factors that warrant OT intervention. Identify the appropriate actions that an OT should take when a client displays or verbalizes warning signs related to suicidal ideation. The purpose of this poster is to present the evidence associated with the role of occupational therapy (OT) in suicide awareness and prevention. A focused literature review has shown that there are a multitude of at-risk characteristics associated with suicidal ideations that can be addressed through occupational therapy.

The review shows that occupational therapy has a positive impact on overall quality of life by addressing elements of the Occupational Therapy Practice Framework (OTPF) such as client factors, performance skills and patterns, context and environment, and occupations. Occupational therapists will encounter a variety of individuals who may display risk factors that could lead to suicidal ideation. In the occupational therapy process, all clients are treated with a holistic approach which is what makes occupational therapists suitable to identify and address these risk factors. Additionally, occupational therapists should be aware of identified warning signs that necessitate immediate referral to other members of the multidisciplinary team. The critically appraised paper (CAP) format was used to analyze all articles. Databases searched include: CINAHL, Medline, and ScienceDirect.

Key words include: suicide awareness, suicide prevention, mental health, adolescents, geriatrics, disabilities, and occupational therapy. Identified contributing factors such as environmental contexts, anxiety or depression, and physical ailments are included in the domain of occupational therapy in accordance with the OTPF. However, further research is necessary to appropriately identify effective interventions to proactively address contributing factors.

American Occupational Therapy Association. (2014). Occupational therapy practice framework: Domain and process (3rd ed.). American Journal of Occupational Therapy, 68(Suppl. 1), S1-S48. doi: http://dx.dio.org/10.5014/ajot.2014.682006

Arbesman, M., Bazyk, S., & Nochajski, S. M. (2013). Systematic review of occupational therapy and mental health promotion, prevention, and intervention for children and youth. The American Journal Of Occupational Therapy: Official Publication Of The American Occupational Therapy

Association, 67(6), e120-e130. doi:10.5014/ajot.2013.008359 Almeida, O., Pirkis, J., Kerse, N., Sim, M., Flicker, L., Snowdon, J., Draper, B., Byrne, G., Goldney, R.,

Lautenschlager, N., Stocks, N., Alfonso, H., & Pfaff, J. (2012). A randomized trial to reduce the prevalence of depression and self-harm behavior in older primary care patients. Annals of Family Medicine 10(4). 347-356. Doi: 10.1370/afm.1368. Aviles, A., & Helfrich, C. (2006). Homeless youth: causes, consequences and the role of occupational

therapy. Occupational Therapy In Health Care, 20(3/4), 99-114. Caine, E. D. (2013). Forging an Agenda for Suicide Prevention in the United States. American Journal Of

Public Health, 103(5), 822-829 8p. doi:10.2105/AJPH.2012.301078 Centers for Disease Control. (2015). Suicide data sheet. Retrieved March 18, 2016, from

http://www.cdc.gov/ViolencePrevention/pdf/Suicide-DataSheet-a.pdf Chen, Y., Ay-Woan, P., Ping-Chuan, H., Lyinn, C., Jin-Shei, L., Shur-Fen, G., and Tsyr-Jang, C. (2015).

Life adaptation skills training (LAST) for persons with depression: A randomized controlled study. Journal Of Affective Disorders 185, 108-114. MEDLINE, EBSCOhost (accessed January 13, 2016). Doll, J., & Brady, K. (2013). Project HOPE: Implementing Sensory Experiences for Suicide Prevention in

a Native American Community. Occupational Therapy In Mental Health, 29(2), 149-158 10p. doi:10.1080/0164212X.2013.788977

Draper, B. (2014). Suicidal behaviour and suicide prevention in later life. Maturitas, 79:2, 179-183. doi: http://dx.doi.org/10.1016/j.maturitas.2014.04.003

Glogoski-Williams, C. (2000). Recognition of depression in the older adult. Occupational Therapy In Mental Health, 15(2), 17-34 18p.

Gutierrez, P. M., Brenner, L. A., Rings, J. A., Devore, M. D., Kelly, P. J., Staves, P. J., & Kaplan, M. S. (2013). A qualitative description of female veterans' deployment-related experiences and potential suicide risk factors. Journal Of Clinical Psychology, 69(9), 923-935. doi:10.1002/jclp.21997

Gutman, S. (2005). Understanding suicide: what therapists should know. Occupational Therapy In Mental Health, 21(2), 55-77.

Kimball-Carpenter, A., & Smith, M. (2013). An Occupational Therapist's Interdisciplinary Approach to a Geriatric Psychiatry Activity Group: A Case Study. Occupational Therapy In Mental Health, 29(3), 293-298 6p. doi:10.1080/0164212X.2013.819731

Knis-Matthews, L., Richard, L., Marquez, L., & Mevawala, N. (2005). Implementation of occupational therapy services for an adolescent residence program. Occupational Therapy In Mental Health, 21(1), 57-72.

LeFevre, M. L. (2014). Screening for suicide risk in adolescents, adults, and older adults in primary care: u.s. Preventive services task force recommendation statement. Annals Of Internal Medicine, 160(10), 719-726 8p. doi:10.7326/M14-0589

Nash, T., Vrbanac, H., Collins R., Frankson, G., & Hewitt, K. Suicide prevention and the role of occupational therapy [Professional Issue Forum]. Retrieved from Lecture Notes Online Web site: http://www.caot.ca/default.asp?pageid=2136

Role for Occupational Therapy in Community Mental Health: Using Policy to Advance Scholarship of Practice. (2015). Occupational Therapy in Health Care, 29(4), 397-410 14p. doi:10.3109/07380577.2015.1051689

Shtayernman, O. (2008). Suicidal ideation and comorbid disorders in adolescents and young adults diagnosed with asperger’s syndrome: A population at risk. 18(3), 201-328.

Doi:10.1080/10911350802427548 Tryssenaar, J. (2003). Suicide what occupational therapists need to consider regarding the risk of suicide

among their clients. Retrieved from http://www.caot.ca/default.asp?pageid=613 Wahlin, R., Backman, T. B., Lundin, L. Haegermark, A., Winblad, A., & Anvret, M. (2000). High

suicidal ideation in persons testing for Huntington's disease. Acta Neurologica Scandinavica, 102(3), 150-161. Doi: 10.1080/10911350802427548

World Health Organization. (2013). Preventing Suicide. Retrieved from: http://www.who.int/mental_health/suicide-prevention/exe_summary_english.pdf?ua=1

In the U.S., one person completes suicide every 13 minutes. Occupational therapists need to be aware of risk/contributing factors of suicidal behavior in order to implement appropriate referrals and interventions. OTs have a role in promoting awareness of suicide.

2016-509Pediatric Massage and OTHealth & Wellness 2 hour 50 minute

Introductory

At the end of the course attendees will: 1. List neuromuscular and neurovascular benefits of massage 2. List indicators of massage readiness with an infant, such as precautions, behavioral state and timing 3. Name materials required and environmental considerations before initiating massage 4. Verbalize stress signals in the infant and the reasons to discontinue massage 5. Demonstrate five basic massage strokes on a doll

Massage is a therapeutic technique that benefits both infants and parents in the home and medical settings. It relaxes and minimizes stress, and relieves stomach discomfort from constipation, gas and colic. It normalizes muscle tone and helps circulation. Infants will sleep better! A more restful sleep stimulates brain development and enhances sensory awareness. Additionally, the caregiver/infant bond is strengthened through this nurturing connection. When parents are able to interpret the messages that their infant conveys through behavioral cues and body language they become more aware of their infant’s needs, and are better able to respond in a more timely manner. Objectives will be achieved through lecture, video critique, and hands on experience.

References:1. Arora, J., Kumar, A., Ramji, S. (2005) Effect of oil massage on Growth and neurobehavior in very low

birth weight preterm neonates. Indian Pediatrics. 42:1092-1110. 2. Browne, J.V. (2000). Considerations for touch and massage in the neonatal intensive care unit.

Neonatal Network. 19 (1). 61-64. 3. Daga, S., Ahuja V. K., and Lunkad, N. (1998) a warm touch improves Oxygenation in newborn babies.

Journal of Tropical Pediatrics 1998 44(3) 170-172. 4. Diego, M.A., Field, T., &Hernandez-Reif, M., (2005). Vagal activity, gastric motility, and weight gain

in massage preterm neonates. Journal of Pediatrics. 147. 50-55. 5. Hall, R.W., & Anand, K., (2005). Physiology of pain and stress in the newborn. Neonatal Review.

6(2). 61-67. 6. Jain, S. Kumar, P., and McMillan, D., (2006). Prior leg massage decreases pain responses to heel stick

I preterm babies.

7. Kilgo JL. Tactile-kinesthetic stimulation: Effect on the development of preterm infants and the anxiety level of mother implementing the stimulation. Dissertation Abstract International 1988:

47: 836. 8. Lappin, G. (2006) Infant massage: A strategy to promote self-efficacy in parents of blind infants. The

British Journal of Visual Impairment. 24 (3). 145-148. 9. McGrath, J. & Kenner, C. (2004). Developmental care of newborns &infants: a guide for health

professionals, Mobsy. 10. Scafidi, F.A., Field, T.M., Schanberg, S.M., Bauer C.R. (1990). Massage stimulates growth in preterm

infants: A replication. Infant Behavior and Development, 13, 176-188. 11. Vickers, A., Ohlsson, A., Lacy, J.B., &Horsley, A., (2004). Massage for promoting growth and

development of preterm and/or low-birth-weight infants. Cochrane Database System Review. 4. 12. Weeden, A., Scafidi, F.A., Field, T., Ironson, G, Valdeon, C., & Bandstra, E. (1993). Massage effects

on cocaine-exposed preterm neonates. Developmental and Behavioral Pediatrics, 14, 318-322. 13. Thermoregulation CHOP Nursing Standards Manual 19.1a-b and 19.2 Temperature Monitoring and

Management of a Temperature Evaluation. �14. Patient Family Education Sternal Precautions 32: B: 110. 15. Back to Sleep Statement http://www. �

nichd.nih.gov/sids/ b

Touch is considered absolutely essential for the growing and developing infant. Without appropriate touch, infants may suffer from poor growth and delayed bonding (Mainous 2002). The goal of this workshop is to provide therapist with the foundation of infant massage, massage strokes, benefits, and precautions.

2016-510Promoting Self-Management of Chronic Conditions in Elderly RefugeesHealth & Wellness Posters Introductory

1. Assess the impact of a 4-week educational program on the attitudes of caregivers towards providing care of elderly refugees with chronic conditions 2. Evaluate how beneficial the 4-week educational program will be on the caregivers’ attitudes towards providing care to elderly refugees with chronic condition(s) 3. Discuss and compare the role of culture on caregiving

Upon relocating from their nation of origin, refugee older adults face sudden upheaval and the need to quickly adapt to a new environment [3]. One of the difficulties faced by the elderly refugee population is the high rate of chronic conditions following resettlement in the Unites States with higher reported rates of poor health status and hospitalization [2][3]. Elderly refugees with chronic conditions face the lack of access to appropriate healthcare usually attributed to lack of knowledge. Due to the increase difficulty faced by elderly refugee upon resettling to a new environment, elderly refugees tend to require the assistance of informal caregivers, unpaid family members, friends or neighbors [4].

A total of 7 caregivers of elderly Afghan, Bhutanese or Iraqi refugees with a chronic condition were selected to participate in this pilot 4-week program. The participants selected were English speaking caregivers of Afghan, Bhutanese, and Iraqi elderly refugees (55 years old and older) with no reported cognitive impairment living in the Philadelphia area. Trained and certified healthcare interpreters, assigned by NSC, were utilized to assist caregivers with interpreting healthcare information. Participants and programmer collaborated on 1 day a week for 4 weeks to conduct the program within their home. Week I consisted of the administration of 3 pre-assessments, Caregiver Burden Inventory, Preparedness of Caregiver Scale, and Cultural Justification Scale. Week II consisted of general discussion of chronic illness, quality of life, physical activity/nutrition, and leisure. Week III consisted of discussion regarding medication management, psychosocial conditions (depression, caregiver stress and anxiety) and self-

advocacy. Week IV consisted of administration of 3 post-assessments, the Caregiver Burden Inventory, Preparedness of Caregiver Scale, and Satisfaction Scale. Weeks II and III were open to addition topics depending on client interest.

[3] Hatzidimitriadou, E. (2010). Migration and aging: Settlement experiences and emerging care needs of older refugees in developed countries. Hellenic Journal of Psychology, 7, pp. 1-20

[4] Reinhard, S. C., Huhtala-Petlick, N., & Bemis, A. (2008). Supporting Family Caregivers in Providing Care. In B. Given (Author), Patient Safety and Quality: An Evidence-Based Handbook for Nurses. Rockville, MD: Agency for Healthcare Research and Quality. Retrieved March 29, 2016, from http://www.ncbi.nlm.nih.gov/books/NBK2665/#

[2] Sudha, S. (2014). Intergenerational relations and elder care preferences of asian indians in north carolina. Journal of Cross Cultural Gerontology, 29, pp 87-107

[1] Yun, K., Fuentes-Affleck, E., & Desai, M. (2012). Prevalence of chronic disease and insurance coverage among refugees in the united states. Journal of Immigrant Minority Health, 14, pp.933-940

Evidence has shown high rates of chronic illness among elderly refugees [1]; creating a high dependency on caregivers [2]. We aim to assess a 4-week educational program on caregivers’ attitudes towards providing care to elderly refugees with chronic condition(s).

2016-511Quality of Life after Stroke: A Thematic AnalysisHealth & Wellness Posters Intermediate

After attending this poster, participants will be able to: 1. Identify themes and trends across the synthesized literature, and 2. Articulate the methodological challenges and the importance of this specific subset of quality of life literature.

Stroke is a growing national and global burden, affecting the health and wellness of survivors in numerous ways (American Heart Association, 2014). Stroke impacts innumerable aspects of quality of life, and qualitative research portrays the subjective experience of the stroke survivor (Moeller & Carpenter, 2013). Therefore, the purpose of this poster is to present the themes found through a thematic analysis, which aimed to identify key concepts across qualitative studies to better understand the implications related to the experience of quality of life by survivors of stroke.

A thematic-analysis methodology was used to determine relevant articles related to the purpose, find themes throughout the articles, and then synthesize the themes to introduce them to relevant stakeholders (Gewurtz, Stergiou-Kita, Shaw, Kirsh, & Rappolt, 2008). Data were gathered through searching CINAHL, Medline, PsycINFO, and PubMed, abstracts were screened, and articles were read and appraised for quality using a modified version of the Critical Appraisal Skills Program Quality Checklist (CASP-QC). Themes were generated, and peer debriefing and triangulation were consistently used throughout the data selection, screening, extraction, and analysis processes. The themes found during this thematic analysis can improve the use of evidence-based practice through informing attendees, such as occupational therapists, on trends in this current disparity in the literature (Williams & Murray, 2013). All healthcare professionals can utilize this information to better understand the quality of life of individuals who have experienced a stroke. As a result of this poster, more research and better practice will hopefully be conducted with this population in the future to improve their health and wellness.

American Heart Association. (2014). Statistical update: Heart disease and stroke statistics-2015 update. Circulation, 131(4), e29-e322. doi:10.1161/CIR.0000000000000152.

Gewurtz, R., Stergiou-Kita, M., Shaw, L., Kirsh, B., & Rappolt, S. (2008). Qualitative meta-synthesis: Reflections on the utility and challenges in occupational therapy. Canadian Journal of

Occupational Therapy, 75(5), 301-308. doi:10.1177/000841740807500513 Moeller, D., & Carpenter, C. (2013). Factors affecting quality of life for people who have experienced a

stroke. International Journal of Therapy and Rehabilitation, 20(4), 207-216. doi:10.12968/ijtr.2013.20.4.207.

Williams, S., & Murray, C. (2013). The experience of engaging in occupation following stroke: A qualitative meta-synthesis. British Journal of Occupational Therapy, 76(8), 370-378. doi:10.4276/030802213X13757040168351

The purpose of this poster is to disseminate the results of a thematic analysis of qualitative studies conducted to understand the subjective experience of quality of life after stroke. This poster contains information about the generated themes.

2016-512Reiki and OT Health & Wellness Posters Introductory

1. Articulate the clinical use of Reiki, as approved by the American OT Association since 2005. 2. Receive instructional and resource information about Reiki being used as a preparatory technique for a wide variety of clinical conditions and locations. 3. Showcase Reiki’s relationship to spirituality, health and wellness. 4. Understand ethical, pragmatic, cultural and ideological philosophies when using Reiki as a complementary medicine modality.

Reiki and OT, Level I was presented for the first time at the 2015 POTA Conference with 99.6% excellent/very good and .04% good evaluation ratings (Austill-Clausen). Significant interest in Reiki was expressed by dozens of people unable to attend the five-hour training. Presenter is providing a Reiki poster, and Level I and II Reiki trainings at the 2016 AOTA Annual Conference. Reiki is a safe, non-invasive energy modality. Poster will highlight OT's involvement with Reiki, and provide snapshot views about how Reiki can be used by OT's as a preparatory activity for occupation based treatment (Braveman, 2014). Documents demonstrating AOTA’s acceptance of Reiki will be presented in a graphically appealing manner including: Complementary and Alternative Medicine paper, adopted by RA, 2011. OT Practice Framework, 3rd edition, 2014. AOTA’s Centennial Vision, specifying OT’s involvement in Health and Wellness, one of six practice areas, 2007. Current ACOTE Accreditation Standards with health and wellness as applicable practice domains, 2011. Reiki’s effectiveness with a variety of clients and conditions (commonly for cancer, arthritis, pain, depression, lack of self-worth and those in hospice) will be showcased. (Peppard, 2014) A variety of clinical locations that can benefit from Reiki and OT service will be depicted including hospitals, hospice, skilled nursing facilities, community based programs and mental health arenas.

Numerous OT resources and networking avenues, cultural and ethical considerations will be highlighted on this colorful and engaging poster. Reiki is a concrete example of spirituality. An OT can be trained to provide Reiki in just a one day, 5-6 hr session. Advanced Reiki techniques can also be taught to OT's in a second one day 5-6 hr session. Over one million Reiki practitioners attest to its effectiveness. OT is the perfect allied health program to lead the rapidly expanding wellness market (PR Newswire.2009).

Braveman, B. AOTA: OT Connections. Complementary and Alternative Medicine, Posted April 14, 2014.

AOTA. (2011). Complementary and Alternative Medicine. Adopted by RA. Revised by COP 2011, replaced 2005 document. AJOT, 65, 6 (Supplement), S26-31. AOTA. (2014). OT Practice Framework: Domain and Process, 3rd Edition. AJOT, S1. AOTA. (2007). AOTA’s Centennial Vision and Executive Summary. AJOT, 61, 613-614. AOTA. (2011). Current ACOTE Accreditation Standards. www.acoteonline.org. Peppard, K. (2014). Reiki in Occupational Therapy. International Reiki News Magazine, 2, 59-61. PR

Newswire. $232 Billion Personalized Medicine Market to Grow 11 Percent Annually. Pricewaterhouse Cooper, Dec. 8, 2009.

Reiki has been approved by AOTA since 2005. An overview of common client diagnoses and locations will be highlighted, when using Reiki as a preparatory activity for occupation based treatment. Cultural and ethical considerations will be reviewed and resources provided.

2016-513Reiki and OT, Level i (part 1 of 2 Institutes)Health & Wellness 2 hour 50 minute Institutes

Introductory

1. Describe the appropriate purpose and use of Reiki with Occupational Therapy. 2. Explain how Reiki enhances occupation-based and client-centered empowerment while facilitating stress reduction, relaxation and self-healing. 3. Understand how to document, bill, market and use Reiki resources and networking avenues for OT practitioners using this complementary medicine modality.

This program was presented at POTA Annual Conference 2015 with 99.6% excellent/very good and .04% good evaluation ratings (1). It was also presented at AOTA Annual Conference 2015 and 2016. AOTA accepted complementary and alternative medicine as appropriate to use with OT in 2005 (AOTA, 2011). Reiki, a complementary energy modality works well in delivery of OT services as (a) preparatory method or purposeful activity to facilitate the ability of clients to engage in their daily life occupations. �(AOTA, 2011). According to the NIH Center for Complementary and Alternative Medicine, Nearly 40 percent (of Americans) use healthcare approaches developed outside of mainstream Western, or conventional medicine. (http://nccam.nih.gov/health/whatiscam) Reiki uses universal life energy, �sometimes called chi to aid an individuals’ self-healing process. Reiki practitioners send energy through their hands, which are placed slightly above, or gently on a client’s body. The client receives Reiki energy, and in collaboration with their OT, can increase occupation driven behavior by alleviating pain, restoring a sense of well-being and/or reducing stress.

Over one million Reiki practitioners attest to Reiki effectiveness. Part 1 of this two part Institute program will instruct OT practitioners in Reiki philosophy using didactic demonstrations and discussion with extensive active participation. The appropriate use of complementary energy medicine in collaboration with OT will be discussed. The ethical and pragmatic use of Reiki with sensitivity to a person’s cultural background will be reviewed. Appropriate documentation, billing, marketing and OT resources will be covered. Therapists will be attuned to Reiki energy, begin self-healing using newly taught Reiki hand positions, and experience moments of self-reflection. Attendance at both Part 1 and Part 2 Reiki and OT Institutes is required to achieve appropriate training. Upon completion, attendees will be qualified to provide Reiki on themselves and their clients.

Austill-Clausen, R. (2015). Reiki and OT :“ Level 1 Workshop Evaluation. Author designed 8-category evaluation form. Downingtown, PA: Complementary Health Works.

AOTA. (2011). Complementary and Alternative Medicine. Adopted by the Representative Assembly. Revised by the Commission on Practice 2011, replaced 2005 document. AJOT, 65, S(Supplement), S26-

31. Ibid, p. S27. Complementary, Alternative, or Integrative Health: What’s In a Name? http://nccam.nih.gov/health/whatiscam AOTA. (2015). 95th Annual Conference & Expo: Conference Program Announcement. AOTA. (2016). 96th Annual Conference & Expo: Conference Program Announcement.

Reiki facilitates stress reduction, relaxation, reduces pain and promotes self-healing. Combining Reiki with OT can improve a client’s occupational performance. Attunement to Reiki energy, billing, marketing and OT resources provided. Part 1 of this two part Reiki Level 1 training.

2016-514Reiki and OT, Level I (part 2 of 2 Institutes)Health & Wellness 2 hour 50 minute Institutes

Introductory

1. Provide Reiki to clients and self, to help improve occupational performance using a variety of hand positions and methods. 2. Actively involve the client using ethical, confidential, pragmatic and culturally sensitive behaviors to determine when to provide Reiki with OT. 3. Understand, integrate and utilize appropriate techniques from Reiki and OT, Level 1 Training, part 1 and part 2 in order to receive a Reiki Level 1, specialty in OT certificate.

Part 2: Reiki and OT Level 1 Training Institute will teach attendees self-instructional and client centered Reiki techniques. Attendees must attend Part 1. Reiki helps a person experience their connectedness to the moment, to self, to others, to nature, and to the significant or sacred: AOTA’s spirituality definition. (AOTA, 2014). The OT Practice Framework: 3rd ed. speaks about occupation-based intervention plans that facilitate change or growth in client factors (including) spiritualty. (AOTA, �2014). Reiki serves as a concrete example of spirituality. Combining Reiki with OT enhances a client’s self-empowerment by improving purposeful occupation driven behavior, a powerful and effective approach to facilitate client healing. Common diagnoses for Reiki include clients with cancer, arthritis, joint pain, depression, lack of self-worth and those in hospice. Reiki is a safe non-invasive modality. Dynamic audience participation using demonstration, pairing, sharing and group process to experience self and client usages of Reiki will occur.

The wellness market including complementary and alternative medicine is projected to (be) over $290 billion by 2015. (PR Newswire, 2009). Health and Wellness, identified in the AOTA Centennial Vision is 1 of 6 essential practice areas (AOTA, 2007). ACOTE incorporates health and wellness instruction in accreditation standards (AOTA, 2011). OT is the ideal allied health profession to lead the rapidly expanding wellness industry. It is time for OT practitioners to receive Reiki training and become a leader in the growing complementary medicine market. Traditionally Reiki I training costs at least $200-300. Attendees receive a bargain by obtaining Reiki I training at POTA. The Reiki Master instructor, a 20 year Reiki practitioner and AOTA Fellow is pleased to donate her time. Level 1 Reiki Certificates which enable attendees to provide OT when they attend both part 1 and part 2 Reiki and OT, will be available at the end of this Part 2 Institute.

AOTA. (2014). OT Practice Framework: Domain and Process, 3rd Edition. AJOT, S1. Ibid, p. S45. PR Newswire. $232 Billion Personalized Medicine Market to Grow 11 Percent Annually. Pricewaterhouse Cooper, Dec. 8, 2009. AOTA. (2007). AOTA’s Centennial Vision and Executive Summary. AJOT, 61, 613-614. AOTA. (2011). Current ACOTE Accreditation Standards. www.acoteonline.org

Reiki techniques, numerous hand positions and methodology for immediate Reiki and OT use will be taught. Significant experiential practice on self and attendees will occur. Reiki Level 1 Certificate provided. Attendance required at both Part 1 and 2 Institutes.

2016-515Reiki and OT, Level II (part 1 of 2 Institutes)Health & Wellness 2 hour 50 minute Institutes

Intermediate

1. Explain how and where Reiki can be used as a preparatory activity in a variety of clinical settings including hospitals, skilled nursing facilities, hospice, mental health arena’s, and community based practice while being responsive to each client’s cultural and moral attributes. 2. Understand, demonstrate and use advanced energy techniques and three Reiki symbols to appropriately help heal clients and self. 3. Articulate the scientific principles of adjunctive modalities including crystalline, vibrational, sound and long distance healing techniques that can be used to empower client’s skills and abilities.

Reiki and OT, Level I was presented at the 2015 POTA Conference with 99.6% excellent/very good and .04% good evaluation ratings (Austill-Clausen). Attendees highly encouraged presenter to provide Level II training as a Level I training adjunct. Presenter is providing Reiki and OT Level I and II at AOTA Annual Conference 2016. (AOTA, 2016). This proposal is the first of two Reiki and OT, Level II Institutes. Participants must attend both Reiki Level II workshops to obtain a Reiki and OT Level II certificate. AOTA accepted complementary medicine for use by OT since 2005 (AOTA, 2011). AOTA’s Centennial Vision includes health and wellness as one of six practice areas. (AOTA, 2007). ACOTE incorporates health and wellness in accreditation. (AOTA, 2011). The science of Reiki will be dynamically explored including three primary Reiki symbols. Individual and group practice with advanced Reiki energy techniques including long distance healing will be highlighted. A variety of interactive activities to facilitate the integration and appropriate use of Reiki complementary medicine, as an OT preparatory activity, will occur. (Braveman, Brent. April 2014).

Crystalline vibrational energy and sound healing as adjunctive modalities will be experientially explored. Practitioners will be taught how to empower clients’ use of Reiki. Reiki Level II broadens the scope of Reiki. It allows the OT practitioner to experience and direct Reiki energy, enabling the practitioner to assist in the growth and management of the clients’ own healing process. An individual and group reflective period will be provided. Significant discussion about the use of Reiki during OT will occur, with specific concentration on providing Reiki in hospitals, skilled nursing facilities, hospice programs, mental health centers, private practice, and home health. Numerous interactive group processes will expand OT's awareness of how Reiki can be used. Reiki is used by over one million practitioners worldwide.

Austill-Clausen, R. (2015). Reiki and OT - Level 1 Workshop Evaluation. Author designed 8-category evaluation form. Downingtown, PA: Complementary Health Works.

AOTA. (2016). Conference Program Guide, 96th Annual Conference & Expo, April 6-10. AOTA. (2011). Complementary and Alternative Medicine. Adopted by RA. Revised by COP 2011,

replaced 2005 document. AJOT, 65, 6 (Supplement), S26-31. AOTA. (2007). AOTA’s Centennial Vision and Exec Summary. AJOT, 61, 613-614. AOTA. (2011). Current ACOTE Accreditation Standards. www.acoteonline.org. Braveman, B. AOTA:

OT Connections. Complementary and Alternative Medicine, Posted April 14, 2014.

Advanced Reiki techniques and scientific principles for crystalline, vibrational, sound and long distance experiential healing will occur. Dynamic discussions on using Reiki with OT. Participants must be Reiki Level I certified and attend both parts of Reiki Level II Institutes.

2016-516Reiki and OT, Level II (part 2 of 2 Institutes)Health & Wellness 2 hour 50 minute Institutes

Intermediate

1. Objectively discuss the scientific and energetic principles supporting Reiki and its use as a preparatory activity for OT clients. 2. Understand and utilize appropriate anatomical and physiological functions during targeting Reiki energy work. 3. Articulate the role of spirituality, health and wellness in OT practice as it relates to Reiki, being mindful of each client’s ethical, cultural and personal ideology.

This is the second part of Reiki and OT Level II Institute that is divided into two 2 hour and 50 minutes sessions. Participants must attend the first Reiki and OT -Level II Institute in order to participate in part two, and receive a certificate for Level II Reiki training. Expansion of OTs awareness of the anatomical and physiological components of our bodies in relation to Reiki energy will occur, enabling OT practitioners increased skill at identifying and targeting Reiki energy for specific client conditions. (Quest, P. 2011) Reiki principles, karmic energy and the incorporation of spirituality into OT practice will be highlighted (AOTA, 2014). Positive energy generated from Reiki will be showcased as an instructional technique to teach clients how to self-empower themselves to advance their own healing capabilities. (Hay, L. 2004). Extensive experiential practice with a variety of partners and small groups will enable Reiki II practitioners to feel energetic differences, practice advanced Reiki techniques, and understand cultural and diversity requirements when using Reiki, as a preparatory technique for occupation based treatment. (Braveman, AOTA 2014).

Local and non-local experiential practice with long distance healing will be followed by a lively discussion about ethical, pragmatic and implementation considerations (McCormack, G.L. and Gupta, J. 2007). Periods of individual and group self-reflection will occur. A variety of scientific research related to Reiki will be dissected including issues of intentionality, intuition, and distance healing. Experiential involvement with sound and vibrational skills as they relate to OT client usage will occur. Numerous resources highlighting OTs involvement in Reiki will be reviewed and networking avenues encouraged. OTs involvement in the rapidly expanding health and wellness market, expected to top $290 billion by 2015 (PR Newswire, 2009) will be highlighted. A Reiki Level II certificate, with an OT speciality will be received upon completion.

Quest, P. (2011). The Reiki Manual: A Training Guide for Reiki Students, Practitioners, and Masters. New York, NY: Jeremy P. Tarcher/Penguin, 158-172.

AOTA. (2014). OT Practice Framework: Domain and Process, 3rd Edition. AJOT, S1. Hay, L. (2004). You Can Heal Your Life. Carlsbad, CA: Hay House, Inc. Braveman, Brent. AOTA: OT

Connections. Complementary and Alternative Medicine, posted April 14, 2014. McCormack, G.L. & Gupta, J. (2007). Using Complementary Approaches to Pain Management. AOTA,

OT Practice, July 30, 16-20. PR Newswire. $232 Billion Personalized Medicine Market to Grow 11 Percent Annually. Pricewaterhouse Cooper, Dec.

8, 2009.

Anatomical and physiological relationship to Reiki energy, spirituality and advanced Reiki techniques will be highlighted. Extensive individual and group partnering occurs. Reiki research

showcased. Must attend first Level II Reiki Institute. Certificate provided upon completion of both Level II Institutes.

2016-517Reiki: Finding the Energy in OTHealth & Wellness Posters Introductory

The poster presentation attendees will: 1. Demonstrate an understanding of Reiki and the benefit of incorporating it into skilled occupational therapy practice. 2. Recognize the way in which Reiki yields physical improvements and contributes to psychological well-being for improved function. 3. Recognize the value of continued research and publication of studies that emphasize the use of Reiki in occupational therapy.This poster displays the outcome of a focused literature review on Reiki and its application to the practice of occupational therapy.

Within the Occupational Therapy Practice Framework (OTPF), occupational therapists can consider the use of Reiki as a preparatory activity, which can impact an individual's ability to be ready to engage in purposeful activities. The OTPF emphasizes the importance of emotional regulation, a Performance Skill, as well as the Occupation of rest. Both emotional regulation and rest, which can be enhanced with Reiki, are important elements for a person's well-being. Specifically, Reiki is a relaxation treatment tool that has been shown through published studies to benefit the autonomic nervous system as well as reduce pain, stress, and anxiety (Mackay, Hansen, & McFarlane, 2004). The critical appraisal of the literature has parameters set with inclusion and exclusion criteria related to Reiki and its relationship to occupational therapy. Databases included were CINAHL, OT Seeker, Medline, and Science Direct. The reviewed research provides evidence that recipients of Reiki showed improved general psychological well-being, particularly as it relates to these components within the OTPF.

American Occupational Therapy Association. (2014). Occupational therapy practice framework: Domain and process (3rd ed.). American Journal of Occupational Therapy, 68(Suppl. 1), S1- S48. doi: http://dx.doi.org/10.5014/ajot.2014.682006

Mackay, N., Hansen, S., & McFarlane, O. (2004). Autonomic nervous system changes during Reiki treatment: A preliminary study. Journal of Alternative & Complementary Medicine, 10(6), 1077-1081. doi:10.1089/acm.2004.10.1077

Orsak, G., Kajumba, M., Stevens, A. M., Brufsky, A., & Dougall, A. L. (2015). The effects of Reiki therapy and companionship on quality of life, mood, and symptom distress during chemotherapy.

Journal of Evidence-Based Complementary & Alternative Medicine, 20(1), 20-27. doi:10.1177/2156587214556313

vanderVaart, S., Gijsen, V., de Wildt, S., & Koren, G. (2009). A systematic review of the therapeutic effects of Reiki. Journal of Alternative & Complementary Medicine, 15(11), 1157-1169. doi:10.1089/acm.2009.0036

Reiki can be used as a preparatory method to promote subtle psychological shifts in clients for a balanced flow of life events. The Occupational Therapy Practice Framework supports the use of Reiki, specifically in areas of rest and emotional regulation.

2016-518Shedding Light on Spiritual Care for Adults at End of Life Health & Wellness Posters Introductory

After attending the poster presentation, attendees will be able to: Identify different forms of spirituality from an occupational therapy perspective. Increase awareness on the importance of spiritual care for clients at end of life. Recognize the role of occupational therapy in spirituality as a core focus to increase quality of life and motivation at end of life.

The Occupational Therapy Practice Framework: Domain and Process defines spirituality as the aspect of humanity that refers to the way individuals seek and express meaning and purpose and the way they experience their connectedness to the moment, to self, to others, to nature, and to the significant or sacred (3rd edition, 2014). �

Occupational therapy provides individualized care which is contingent on the client’s needs, wants, and values. An examination of the evidence indicates individuals at end of life frequently seek support from their loved ones while they reflect upon past relationships and experiences. The literature also suggests that spirituality is found to be more meaningful at end of life. The OTPF indicates that spirituality is a client factor and may have relevance in an individualized, client-centered approach. One role as an occupational therapist is to incorporate the client’s internal and external motivations.

Motivations could include religion, spiritual beliefs, valued relationships, mind and body awareness, or meaningful activities. Literature was analyzed to investigate the different aspects of spirituality and the potential for clinical application in working with individuals at end of life. The challenge of including spirituality as a component of care needs to be addressed because health professionals are not often trained or confident in this area. Occupational therapists play a critical role in addressing spirituality through meaningful client-centered approaches. The critically appraised (CAP) format was used to examine all articles with relative information on the topic. Databases searched included: CINAHL, Medline, OTSeeker, and Google Scholar. Key words include: spirituality, end of life, occupational therapy, terminal, quality of life, depression, palliative care, hospice, cancer, faith, and well-being.

American Occupational Therapy Association. (2014). Occupational therapy practice framework: Domain and process (3rd ed.). American Journal of Occupational Therapy, 68(Suppl. 1), S1-S48.

Asgeirsdottir, G.H., SigurbjÃrnsson, E., Traustadottir, R., Sigurdardottir, V., Gunnarsdottir, S., & Kelly, E. (2013). To cherish each day as it comes: A qualitative study of spirituality among persons receiving palliative care. Support Care Cancer, 21, 1445-1451.

Bovero, A., Leombruni, P., Miniotti, M., Rocca, G., & Torta, R. (2015). Spirituality, quality of life, psychological adjustment in terminal cancer patients in hospice. European Journal of Cancer Care. doi: 10.1111/ecc.12360

Daaleman, T. P., Usher, B. M., Williams, S. W., Rawlings, J., & Hanson, L. C. (2008). An exploratory study of spiritual care at the end of life. Annals of Family Medicine, 6(5), 406-411.

Gijsberts, Marie-Jos HE, Et al. (2013). Spiritual end-of-life care in Dutch nursing homes: An ethnographic study. Journal of the American Medical Directors Association (14) 679-684.

Johnson, M. (2011). A randomized study of a novel Zen dialogue method for producing spiritual and well-being enhancement: implications for end-of-life care. Journal of Holistic Nursing, 29(3), 201-210. doi:10.1177/0898010110391265

Mthembu, T. G., Ahmed, F., Nkuna, T., & Yaca, K. (2015). Occupational therapy students’ perceptions of spirituality in training. Journal of Religion and Health, 54(6), 2178-2197.

Spirituality often becomes more meaningful at end of life. However, spirituality is not commonly addressed by health professionals. It is imperative that occupational therapy practitioners use their knowledge to integrate the client’s spiritual motivators for engagement in valued occupations.

2016-519

The Effect of Healthy Lifestyle Modifications on Secondary StrokeHealth & Wellness Posters Introductory

1. Understand the connection between healthy lifestyle modifications and lowering secondary stroke rates. 2. Understand the role occupational therapists have in implementing lifestyle modifications during the rehabilitation process after stroke. 3. Compare healthy lifestyle modifications to no lifestyle restrictions and the effect they have on secondary stroke and readmission rates.

Stroke is caused by a wide variety of factors from lifestyle choices to family history. Lifestyle choices have been proven to be a leading cause of stroke, including smoking, poor eating habits, and physical inactivity. Of the millions of people who have a stroke every year, 1 in 5 stroke survivors will suffer from a secondary stroke according to the National Stroke Association. This literature synthesis will explore if healthy lifestyle choices could reduce secondary stroke thereby decreasing hospital readmissions. Occupational therapists work with stroke patients in a wide variety of settings. Additionally, occupational therapists focus on lifestyle modifications as an intervention to promote optimal engagement in occupational performance. The research question proposed is: In patients recovering from stroke, does participating in a healthy lifestyle compared to no lifestyle restrictions reduce readmission rates? �

This question is imperative to explore because there are currently a plethora of studies exploring the correlation between strokes and healthy lifestyle choices; however, the literature seems to lack in making the connection between healthy lifestyles, second strokes, and readmission. Databases searched included CINAHL, PubMed, OT Search, and ProQuest. 11 articles were retrieved, but it was narrowed down to 8 based on inclusion/exclusion criteria. The 8 articles were critically appraised to determine if healthy lifestyle interventions would reduce second strokes and decrease hospital readmissions. This poster synthesizes all eight of the found articles to conclude secondary stroke and readmission rates could be decreased through healthy lifestyle modifications.

Andersen, H. E., Schultz-Larsen, K., Kreiner, S., Forchhammer, B. H., Eriksen, K., & Brown, A. (2000). Results of a randomized clinical study: a postdischarge follow-up service for stroke survivors. American Heart Association Journal, 31, 1038-1045. doi:10.1161/01.STR.31.5.1038

Andersen, K. K. and Olsen, T. S. (2013). The obesity paradox in stroke: lower mortality and lower risk of readmission for recurrent stroke in obese stroke patients, Intellectual Journal of Stroke, 10 (1), 99-104. doi: 10.1111/ljs.2016

Hankey, G. J. & Warlow C. P. (1999). Treatment and secondary prevention of stroke: evidence, costs, and effects on individuals populations. The Lancet 354(9188), 1457-63. doi:10.1016/S0140-

6736(99)04407-4 Keyhani, S., Myers, L. J., Cheng, E., Hebert, P., Williams, L. S., & Bravata, D. M. (2014). Effect of

clinical and social risk factors on hospital profiling for stroke readmission: a cohort study. Annals of Internal Medicine 161 (11), 775-784. doi: 10.7326/M14-0361 Lund, A., Michelet, M., Kneken, I., Wyller, T. B., Sveen, U. (2012). Development of a person-centered

lifestyle interventions for older adults following a stroke or transient ischemic attack. Scandinavian Journal of Occupational Therapy 19 (2), 140-149. doi: 10.3109/11038.2011.603353

Ostwald, S., Davis, S., Hersch, G., Kelley, C., & Godwin, K. M. (2008). Evidence-based educational guidelines for stroke survivors after discharge home. J Neurosci Nurs, 40(3), 173-191. Retrieved from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2743441/

Ng, S. W., Chan, D. Y., Chan, M. K., & Chow, K. Y. (2013). Long-term efficacy of occupational lifestyle redesign programme for strokes. Hong Kong Journal of Occupational Therapy, 23(2),

46-53. doi:10.1016/j.hkjot.2013.09.001

Schmid, A. A., Butterbaugh, L. Egolf, C., Richards, V., & Williams, L. (2008). Prevention of secondary stroke in VA: Role of occupational therapists and physical therapists. Journal of Rehabilitation Research and Development, 45 (7), pp. 1019-1026.

Healthy lifestyle modifications often a main focus in order to aid in restoring patients’ everyday occupations. Studies are continuously done on occupational therapy interventions that utilize healthy lifestyle modifications to lower the risk of secondary stroke and readmission rates.

2016-520Trauma-Sensitive Yoga: What is Occupational Therapy’s Role?Health & Wellness 2 hour 50 minute Institutes

Intermediate

1. Discover the evidence-based benefits of yoga for trauma survivors and the key aspects of a trauma-sensitive yoga session. 2. Experience the opportunity to observe and/or engage in a trauma-sensitive yoga circle to deepen understanding of promoting trauma-informed care in occupational therapy practice. 3. Identify strategies for collaboration with yoga instructors and resources for increasing clinical competency in yoga instruction.

Evidence indicates yoga is an effective body-mind-spirit intervention at improving emotional regulation and sense of self and reducing symptoms of anxiety, depression, and PTSD (Chugh-Gupta, 2013; Rhodes, 2015). Additional resources recommend providing yoga with a trauma-sensitive approach to increase accessibility to survivors of trauma (Emerson, 2009; van der Kolk, 2014). This workshop will begin with a discussion of the current definition of trauma and its holistic effects on the human condition. Trauma is understood to be a unique and personal experience, often decreasing the efficiency of stress regulatory systems of the body (Spinazzola, 2011). Emerging research indicates a need for interventions to address both the physical and mental distress elicited by traumatic experiences (Spinazzola, 2011). Yoga has been shown to improve occupational performance by targeting various client factors and performance skills including energy and drive, emotional regulation, experience of self, and social skills (AOTA, 2014; Stoller, 2012). A current peer-reviewed study identified occupational therapy students as most likely to refer clients to yoga compared to students of other health professions (Sulenes, 2015). This workshop will provide strategies for incorporating trauma sensitivity and yoga philosophy into occupational therapy treatment to promote trauma-informed care. Discussion will include recommendations for collaboration with yoga instructors and avenues for pursuing clinical competency in yoga instruction. Participants will have a hands-on opportunity to experience a trauma-sensitive yoga circle and icebreaker activities as part of the workshop.

American Occupational Therapy Association. (2014). Occupational therapy practice framework: Domain & process (3rd ed.). American Journal of Occupational Therapy, 68(Suppl. 1) S1-S48.

Chugh-Gupta, N., Baldassarre, F. G., & Vrkjan, B. H. (2013). A systematic review of yoga for state anxiety: Considerations for occupational therapy. Canadian Journal of Occupational Therapy, 80(3), 150-170.

Emerson, D., Sharma, R., Chaudhry, S., & Turner, J. (2009). Trauma-sensitive yoga: Principles, practice, research. International Journal of Yoga Therapy, 19, 123-128.

Rhodes, A. M. (2015). Claiming peaceful embodiment through yoga in the aftermath of trauma. Complementary Therapies in Clinical Practice, 21, 247-256.

Spinazzola, J., Rhodes, A. M., Emerson, D., Earle, E., & Monroe, K. (2011). Application of yoga in residential treatment of traumatized youth. Journal of the American Psychiatric Nurses Association, 17, 431-444.

Stoller, C. C., Greuel, J. H., Cimini, L. S., Fowler, M. S., & Koomar, J. A. (2012). Effects of sensory-enhanced yoga on symptoms of combat stress in deployed military personnel. American Journal of Occupational Therapy, 66, 59-68.

Sulenes, K., Freitas, J., Justice, L., Colgan, D. D., Shean, M., & Brems, C. (2015). Underuse of yoga as a referral resource by health professions students. The Journal of Alternative and Complementary

Medicine, 21(1), 53-59. Van der Kolk, B. A., Stone, L., West, J., Rhodes, A., Emerson, D., & Spinazzola, J. (2014). Yoga as an

adjunctive treatment for posttraumatic stress disorder: A randomized controlled trial. Journal of Clinical Psychiatry, 75, e1-e7.

This is an experiential, discussion-based session created for occupational therapists interested in learning about incorporating trauma-sensitive yoga philosophy into current practice. Attendees will learn the benefits of yoga and strategies to promote trauma-informed care.

2016-521Truckin’ Along: Occupational Therapy and WellnessHealth & Wellness 50 minute sessions

Introductory

Participants in this session will: 1. understand a specific at-risk population for numerous health problems who are prime candidates for occupational therapy services 2. identify how lifestyle modification services through telehealth can be effective in improving health and wellness amongst PTDs

Professional truck drivers (PTD) have been identified as an at-risk population due to their multitude of challenging experiences related to their physical and mental health and wellness because of their working environment and lifestyle choices1, which includes countless on-the-road hours, sedentary lifestyle, and stressful environment due to productivity requirements. The program developers were invited to collaborate with local community agencies to effectively address PTDs’ needs through the development of a health and wellness program based on information gathered from the literature and interviews with PTDs and other stakeholders. The program developers utilized the Person-Environment-Occupation model for the development of the program by addressing the transactional relationship between dynamics of the persons, the environment, and their engagement in meaningful occupations2. The social cognitive theory, however, was used to influence PTDs’ behaviors through establishment of self-efficacy and beliefs that the benefits outweigh the change3. This model and theory were used in conjunction to identify and alter the health-related behaviors necessary to be successful in their occupation.

Occupational therapy practitioners can provide prevention services through education or health promotion to identify, decrease, or prevent the onset of illness and minimize the prevalence of unhealthy conditions, risk factors, diseases, or injury4. Lifestyle modifications modules were developed referencing diverse materials to form a program addressing the six identified areas of priority based upon the themes gathered from the literature and interviews. The six priority areas are sleep, nutrition, physical activity, stress management, social relationships, and management of chronic conditions. These modules were created to be used by occupational therapists to provide health promotion services through telehealth.

1Apostolopoulos, Y., Sanmez, S., Shattell, M., Gonzales, C., & Fehrenbacher, C. (2013). Health survey of US long-haul trucker drivers: Work environment, physical health, and healthcare access. Work, 46(1), 113-123. doi: 10.3233/WOR-121553

2Law, M., Cooper, B., Strong, S., Stewart, D., Rigby, P., & Letts, L. (1996). The person-environment-occupation model: A transactive approach to occupational performance. Canadian Journal of Occupational Therapy, 63(1), 9-23. doi: 10.1177/000841749606300103

3Bandura, A. (1989a). Social cognitive theory. In R. Vasta (Ed.), Annals of child development (Vol. 6, pp.1-60). Greenwich, CT: JAI Press.

4American Occupational Therapy Association (AOTA). (2014).Occupational therapy practice framework: Domain and process (3rd Edition) [Supplement 1]. American Journal of Occupational Therapy; 68, S1-S48. doi: 10.5014/ajot.2014.682006

An Occupational Therapy Department partnered with a community agency and other professional truck driver (PTD) networks to develop a wellness program for PTDs that will enhance overall health and promote healthy lifestyles, while meeting job demands.