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Introduction
Current institution
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July 2007 - June 2011
August 2011 - present
Publications
Publications (64)
Importance: Persons with Parkinson’s disease (PD) become more dependent in activities of daily living (ADL) as the disease progresses. Occupational therapy practitioners aware of the stages of PD can design interventions to promote and maintain occupational performance.
Objective: To evaluate the ADL independence and dependence profiles of patients...
Background
Concussions damage neurologic tissue, increasing release of intercellular proteins including phosphorylated Tau (pTau) and neurofilament light (NfL). Disrupted sleep from a concussion negatively impacts the ability of the glymphatic system to remove cellular waste from the brain.
Objective
The purpose of this study was to determine if e...
All humans have the occupational right to sleep; therefore, occupational therapy practitioners must prioritize sleep with their clients. In this column, we identify ways to incorporate sleep health into the education and training of occupational therapy practitioners. This starts with identifying entry-level and continuing education opportunities t...
Objective
Cognitive behavioral therapy for insomnia (CBT-I) is the gold standard treatment for insomnia, but there is limited evidence on the treatment effect of CBT-I in individuals after a concussion. Therefore, the main purpose of this study was to evaluate the treatment effect of CBT-I on sleep outcomes and postconcussion symptoms.
Setting
Thi...
Background
Recently, it has been suggested that gender disparity in Occupational Therapy has to do with segregated gendered job norms that position female dominated professions as a ‘step down’ for many males. Interestingly, this suggestion was not underpinned by experiences of males in the profession.
Aims and Methods
Thirteen male Occupational T...
Introduction
Sleep disturbances among Japanese university students negatively affect their academic performance and mental health. Student habits, such as naps and using smartphones in bed, may lead to sleep problems. We hypothesized the Sleep Health through University Student Habits (SHUSH) program, a four-week cognitive-behavioral therapy for ins...
Introduction
Students’ lifestyles change after entering the university negatively impacting effective sleep regulation, daytime alertness, motivation to learn, and mental health. An evening chronotype has been increasingly associated with negative impacts upon performance and well-being. Greater understanding of chronotype differences in sleep-rela...
Introduction
Inadequate sleep among university students, especially in Japan, contributes to low academic performance and mental health challenges. Sleep health, including adequate sleep duration and quality, may serve a protective role in promoting performance and full participation in daily life. We sought to identify factors explaining sleep dur...
This study investigates the psychometric properties of the Meaningful Activity Participation Assessment-Meaning (MAPA-M) scale using the Rasch measurement model. For the psychometric properties of MAPA-M, principal component analysis, Rasch analysis, and differential item functioning analysis were conducted. Participants in this study were 480 olde...
Importance: Sleep is a foundational occupation in the Occupational Therapy Practice Framework: Domain and Process (2nd ed.), yet little is known about how occupational therapists assess and address sleep in practice.
Objective: To survey practicing occupational therapists’ comfort with their level of knowledge about sleep, how they are assessing an...
Importance: The inability to participate in meaningful activities is one of stroke survivors’ main difficulties and has a negative effect on their satisfaction and quality of life.
Objective: To assess the reliability and validity of the Persian version of the Engagement in Meaningful Activities Survey (EMAS–P) and predictors of participation in me...
Objectives:
To create a Japanese version of the Engagement in Meaningful Activities Survey (EMAS) and assess internal consistency, test-retest reliability, convergent and structural validity.
Method:
We conducted a cultural translation and validation study of the Japanese version of the EMAS (EMAS-J) in a sample of 96 community-dwelling older ad...
BACKGROUND
Sleep disturbances post-concussion have been associated with more frequent and severe concussion symptoms and may contribute to poorer recovery. Cognitive behavioral therapy for insomnia (CBT-I) is an effective treatment for insomnia, yet it remains unclear if this treatment method is effective in improving sleep outcomes and reducing co...
Background:
Sleep disturbances post concussion have been associated with more frequent and severe concussion symptoms and may contribute to poorer recovery. Cognitive behavioral therapy for insomnia (CBT-I) is an effective treatment for insomnia; however, it remains unclear if this treatment method is effective in improving sleep outcomes and redu...
Background:
Participation in meaningful activities contributes to individual well-being, so it is essential to have specific evaluation tools that can assess this complex construct.
Objectives:
To create a Spanish version (EDIAS) of the Engagement in Meaningful Activities Survey (EMAS) by following best practices in instrument translation. Metho...
Student service members/veterans (SSM/V) are distinct from non-veteran students in a variety of ways, including in their cannabis use patterns and potentially their motives for cannabis use. Additionally, previous research has shown that men and women endorse different motives for their cannabis use. The present study was designed to assess whether...
Importance: Veterans often experience chronic insomnia, and professionals capable of delivering effective interventions to address this problem are lacking.
Objective: To evaluate the efficacy of the Restoring Effective Sleep Tranquility (REST) program, an occupational therapist–led cognitive–behavioral therapy for insomnia (CBT–I) intervention to...
Introduction
Existentialism is more of a literary than a philosophical phenomenon. It was associated with a cultural movement that flourished in Europe in the 1940s and 1950s (Crowell, 2017). However, its origin can be traced back to, and may appear indistinguishable from phenomenology (Jones, 2001). Its development can be conceptualized as having...
Background
Meaningful Activity Participation Assessment (MAPA) is an appropriate tool for assessing both objective and subjective aspects of participation.
Objectives
This study aimed to investigate the psychometric properties of MAPA in chronic stroke survivors.
Methods
Translation of MAPA was done according to the standard protocol of forward-b...
Importance:
Occupational therapy practitioners can use therapeutic activity to promote veterans' well-being, but the mechanisms through which participation promotes well-being are poorly understood.
Objective:
To examine whether coping ability, meaningful activity, and social support mediate the relationship between participation and two indicat...
Importance:
Occupational therapists can foster student veterans' resilience, but targets for intervention must be developed.
Objective:
To explain factors influencing student veterans' successful adaptation to past combat exposure, we hypothesized that participants with high life meaning would have greater levels of protective factors and lower...
Objective
First, to establish empirically-based effect size interpretation guidelines for rehabilitation treatment effects. Second, to evaluate statistical power in rehabilitation research.
Data Sources
The Cochrane Database of Systematic Reviews (CDSR) was searched through June 2019.
Study Selection
Meta-analyses included in the CDSR with “rehab...
Objective:
The purpose of this study was to identify specific and modifiable supported education (SEd) service needs for the veteran population. To do so, we compared veterans participating in SEd services to other veterans on campus with respect to service-related challenges, community reintegration, and academic-related challenges. Identifying i...
Background:
Evidence-based treatments for service-related health conditions such as posttraumatic stress disorder (PTSD), depression, and traumatic brain injury (TBI) are not effective for all veterans. Equine-assisted interventions are emerging as an additional treatment modality, but little is known regarding the safe and effective delivery of t...
Objective: To understand whether symptoms of health conditions explain the negative association between combat exposure and student Veterans’ achievement of a meaningful life. Participants: 153 combat Veterans enrolled in college between November 2013 and April 2018. Methods: Through an online survey, participants reported combat exposure, health s...
Objective:
Studies of combat emphasize its impact upon health-related outcomes (e.g., depression). Little is known regarding the risk that combat poses to positive outcomes, such as meaning in life, and factors that mitigate this risk. We sought to investigate whether combat poses an indirect risk to life meaning and protective factors that mitiga...
Date Presented 04/06/19
In a sample of 389 student veterans, we employed regression to establish that the meaningfulness of occupation mediated the relationship between social and community-based occupation and both psychological and subjective well-being. Occupation was also associated with greater coping skills and social support, in turn contrib...
This study examined relationships between instructor autonomy support, academic self-efficacy, academic problems and academic achievement among student service members/veterans (SSM/V). Participants included veterans, active duty or National Guard/Reservists of the US military (N = 172) enrolled in a postsecondary institution. Online surveys genera...
Introduction
Chronic insomnia is a prevalent condition negatively impacting the health and daily functioning of many Veterans. Occupational therapy is focused on helping individuals maximize performance and participation in their daily activities. Sleep is our largest occupation consuming around 1/3rd of our lives and sleep challenges create barrie...
Student service members/veterans (SSM/Vs) may experience diminished social support and meaningful activity due to health-related sequelae, in turn threatening their community reintegration. Social and community participation may foster both social support and meaningful activity. This study assessed whether social and community participation explai...
The school playground provides a natural context for play observation for children of all abilities. However, play promoters interested in designing and assessing playground interventions are limited by a lack of quantitative observation tools to measure playground play sophistication for groups of children. We used Rasch analysis to evaluate the p...
Meaning in occupation is an essential concept for occupational science because its presence is thought to foster human development, health, and well-being. We explored this concept using qualitative research synthesis and integrated 11 qualitative studies of meaning in occupation from the Journal of Occupational Science published between 1993 and 2...
Background:
Experiences of hedonia (i.e., seeking pleasure) and eudaimonia (i.e., actualizing human potential in pursuit of meaningful goals) are central to the study of human well-being.
Purpose:
This study sought to examine levels of hedonia (pleasure) and eudaimonia (productivity) in a convenience sample of college (university) students' ( n...
Objective:
We examined the feasibility of Aging Well by Design, a Lifestyle Redesign(®)-inspired intervention for community-dwelling older adults. The original Lifestyle Redesign program was shortened to 3 mo and implemented as a community outreach program of a major health care system.
Method:
Community-dwelling older adults participated in the...
Introduction
The prevalence of chronic insomnia in post-9/11 Veterans is substantial, especially for those with service-connected injuries. Veterans’ access to cognitive behavioral therapy for insomnia (CBT-I) is limited and expanding access to CBT-I is a critical need. Sleep is an area of concern for occupational therapists (OTs) and studies of OT...
Introduction
The purpose of this pilot study was to establish the feasibility of completing a future controlled trial of a multi-component cognitive behavioral therapy for insomnia program for military veterans with sleep disturbance.
Method
This was a single-arm feasibility and pilot study. Participants were United States post-9/11 veterans with...
The purpose of this study was to assess how post-9/11 university student veterans differ from nonveteran university students on four mental health indicators. In comparison to a demographically matched sample of nonveteran students, it was found that veterans in this study had significantly higher levels of depression and post-traumatic stress symp...
Objective:
To examine differences in psychosocial protective factors (social support, meaningful occupation, and academic self-efficacy) and health-related vulnerability factors (posttraumatic stress, depression, and somatic symptoms) contributing to resilience in post-9/11 veterans with service-related injuries and nonveterans in postsecondary ed...
The purpose of this study was to further assess the psychometric properties of the PPR Profile, a newly developed tool which assesses people's experiences of pleasure, productivity, and restoration in the occupational context of their time use. The relationships between mean pleasure, productivity and restoration scores, a global indicator of occup...
Date Presented 4/16/2015
Among post-9/11 veterans with service-related trauma who were in college, lower social support, lower meaningful occupation, and lower academic self-efficacy—as well as higher posttraumatic stress, higher depression, and higher somatic pain—were found when they were compared with a matched sample. This highlights the need f...
As definitions of life balance continue to proliferate within occupational science, ongoing testing of underlying assessment approaches are needed to inform the life balance construct. Within the present study a subjective definition of life balance was proposed that included the assessment of both meaningful activity and needs for meaningful activ...
The current study used a prospective longitudinal design to determine whether change in meaningful activity over an 11-month period could help explain change in meaning in life in a sample of 174 undergraduate and graduate students. The Engagement in Meaningful Activities Survey, Basic Psychological Needs Scales (i.e., autonomy, competence, related...
The concept of life balance has received growing attention as a way to understand human well-being. Within this paper a novel subjective definition of life balance is proposed, such that persons should evaluate their ongoing occupations as meaningful while concurrently not perceiving a substantive need for more meaning in their occupations. The Mea...
The author of this study proposed and examined a theoretical model in which meaningful activity fulfills basic psychological needs and contributes to meaning in life. Hypotheses derived from the Meaningful Activity and Life Meaning model and tested within this study included: (1) meaningful activity will be associated with meaning in life, (2) mean...
Background:
The Dynamic Gait Index (DGI) has emerged as a valid indicator of functional gait abilities for people with balance and vestibular disorders. Recent Rasch-based analyses have indicated possible concerns for multidimensionality and a ceiling effect within the DGI.
Objective:
The aim of this study was to evaluate the DGI in a sample of...
Occupational science has held a peripheral interest in the role personality
traits may serve in influencing people’s engagement in occupation. Like
occupation, personality has been identified as a significant factor in explaining
personal well-being within the social sciences. Recent models implicate
personality, personal projects or life tasks, an...
Objective:
This study evaluated the measurement characteristics of the Engagement in Meaningful Activities Survey (EMAS) in an age-diverse sample.
Method:
The sample included 154 older adults and 122 college students (age range = 18-100 yr). A Rasch-Andrich rating scale model was used to evaluate the EMAS. Analyses addressed rating scale design,...
Fieldwork is essential for training future mental health practitioners. In this study, the authors identified factors predicting the number of students engaged in mental health fieldwork education. Proactive efforts (e.g., setting up structured fieldwork programs), such as offering both Level I and Level II fieldwork experiences, and perceiving no...
This study evaluated the psychometric properties of the American English (Am. Eng.) version of the Occupational Value Assessment with predefined items (OVal-pd). The OVal-pd is a 26-item Likert-like questionnaire designed to assess the construct of occupational value as framed within the Value and Meaning in Occupations model (ValMO). Following a t...
This study evaluated the psychometric properties of the Engagement in Meaningful Activities Survey (EMAS) (Goldberg, Brintnell, & Goldberg, 2002) in a sample of older adults living in the greater Los Angeles area. The EMAS evidenced moderate test-retest reliability (r = .56) and good internal consistency (α = .89). Exploratory factor analysis (prin...
The Meaningful Activity Participation Assessment (MAPA), a recently developed 28-item tool designed to measure the meaningfulness of activity, was tested in a sample of 154 older adults. The MAPA evidenced a sufficient level of internal consistency and test-retest reliability and correlated as theoretically predicted with the Life Satisfaction Inde...
The Engagement in Meaningful Activities Survey (EMAS) (Goldberg, Brintnell, & Goldberg, 2002) demonstrated sufficient psychometric properties in a sample of 122 adults. The EMAS was found to have adequate test-retest (r = .71) and internal consistency (α = .88) reliability; significant positive correlations between the EMAS and the subscales of the...
Applications of complexity science, including dynamic systems and chaos theories, have become ever-present in the social sciences. Diverse academic fields have begun to explore their central constructs from a complexity perspective. Occupational science has also begun to discover complexity science as an explanatory framework to aid in the study of...
Older adults in long-term care are at great risk of injury from falling. An interdisciplinary fall prevention team recommended four classes of interventions for 25 long-term care residents with significant fall histories. Data were collected covering 90-day, pre- and post-intervention time frames. Resident falls evidenced a 39.8% decline (p = .0001...
The present study examined the ecological validity of neuropsychological tests relative to instrumental activities of daily living (IADLs) among 55 participants in a post-acute brain injury rehabilitation program. Stronger intellectual abilities, visual memory, delayed memory, verbal learning, and cognitive flexibility were significantly associated...
Like occupational science, complexity science is a new and emerging academic discipline which has emphasized interdisciplinary cooperation. A variety of theories have been developed within complexity science to help understand the behavior of complex, nonlinear systems. The roots of complexity science can be traced to general systems theory, and it...
Thesis (M.S.)--Western Michigan University, 1992. Includes bibliographical references (leaves 51-56).
