- Indianapolis, Indiana, United States
Jeffrey L Crabtree
Indiana University Indianapolis, Occupational Therapy, Faculty Member
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Date Presented 4/7/2016 Translation guidelines for the Role Checklist Version 2: Quality of Performance are evaluated for feasibility and utility to produce valid translated assessments in Icelandic and Mandarin. Valid translations can... more
Date Presented 4/7/2016 Translation guidelines for the Role Checklist Version 2: Quality of Performance are evaluated for feasibility and utility to produce valid translated assessments in Icelandic and Mandarin. Valid translations can reveal important trends in international role participation. Primary Author and Speaker: Leah Van Antwerp Additional Authors and Speakers: Jeffrey Crabtree, Patricia Scott Contributing Authors: Kristjana Fenger, Lena Haglund, Fengyi Kuo
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Using Heideggerian interpretive phenomenology, this study illuminates the lived experience of an adapted dance program for individuals with Down syndrome and their family members. The overall pattern from both dancers and family members... more
Using Heideggerian interpretive phenomenology, this study illuminates the lived experience of an adapted dance program for individuals with Down syndrome and their family members. The overall pattern from both dancers and family members was adapted dance: connecting mind, body and soul. The primary theme from dancer interpretations was expressing a mosaic of positive experiences, and the primary theme from family member interpretations was experiencing pride in their loved ones. The dance program provided dancers an opportunity to express their authentic self while experiencing moments of full embodiment in the connection of their mind, body and soul. While dancers experienced the connection of mind-body-soul, family members recognized the importance of this connection in their loved one. This research is instrumental in advocating for opportunities for individuals with Down syndrome to experience dance as a social, physical and intellectual activity that results in learning and inc...
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Date Presented 04/05/19 OTs help determine the most effective hospital discharge placement for patients. By identifying patients’ personal needs and risk factors for readmission, OTs may accurately predict discharge placement for patients... more
Date Presented 04/05/19 OTs help determine the most effective hospital discharge placement for patients. By identifying patients’ personal needs and risk factors for readmission, OTs may accurately predict discharge placement for patients with a low socioeconomic status. This retrospective study found the likelihood of readmission was 2.63 times higher for those patients with low socioeconomic status who did not follow the OT discharge recommendations. Primary Author and Speaker: Alyssa Formyduval Contributing Authors: Jeffrey Crabtree
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ABSTRACT.Evidence-based practice (EBP) has become a universal standard for prac-tice among healthcare professions, but due to barriers to EBP, the most effective ways of teaching EBP are not well understood. The purpose of this study was... more
ABSTRACT.Evidence-based practice (EBP) has become a universal standard for prac-tice among healthcare professions, but due to barriers to EBP, the most effective ways of teaching EBP are not well understood. The purpose of this study was to report stu-dents ’ EBP knowledge and skill gained from an entry-level Master’s of Science in Oc-cupational Therapy course in EBP. The Adapted Fresno Test of EBP was administered at the beginning and end of the course and after fieldwork experience. Results indicated that EBP knowledge and skills increased between the precourse and postcourse mea-surements (t = −7.98; p < 0.001), but declined between postcourse and postfieldwork measurements (t = 6.65; p< 0.001) indicating that the course improved basic EBP skills and knowledge, but was ineffective in giving the students the strategies to retain and use those skills beyond the classroom. Suggestions are made to strengthen the student re-tention and use of EBP skills and knowledge after gradu...
There is little information about prison-related occupational deprivation, and about doing research in prison. To document an occupational therapist and two prisoners' critical reflections on an informal occupational therapy education... more
There is little information about prison-related occupational deprivation, and about doing research in prison. To document an occupational therapist and two prisoners' critical reflections on an informal occupational therapy education program using participatory action research (PAR), we reflect on our combined experiences of evaluating an occupational therapy program. The reflections include articulation of power differentials and examples of occupational deprivation and injustice at every stage of the program evaluation process. We found that the PAR process allowed all collaborators to engage of co-occupation and gain a keener understanding of occupational justice. With co-occupation came personal growth and an appreciation for each other's humanity despite our diverse backgrounds. Recognizing that research in prison can be challenging, the results suggest it can also be rewarding. We offer insights and practical suggestions for doing research in prison.
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The occupational therapy profession in the United States is considering another shift in the level of entry-to-practice education. Currently, all accredited U.S. occupational therapy education programs offer graduate-entry master's... more
The occupational therapy profession in the United States is considering another shift in the level of entry-to-practice education. Currently, all accredited U.S. occupational therapy education programs offer graduate-entry master's degrees or clinical doctorates. In 2014, the American Occupational Therapy Association Board of Directors published a position statement supporting the idea of moving all entry-level occupational therapy education programs to the clinical doctorate level by 2025. This article provides an overview of the proposed reasons for doing so and the potential impact of this move on future students, education providers, clients and families, employers, and third-party payers and funding bodies along with the implications for the occupational therapy profession internationally. An open, informed, transparent, multiperspective, comprehensive debate about this education paradigm shift is recommended. In August 2015 the Accreditation Council for Occupational Therap...
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Internationally, occupational therapy education has gone through several paradigm shifts during the last few decades, moving from certificate to diploma to bachelors to masters and now in some instances to clinical doctorate as the... more
Internationally, occupational therapy education has gone through several paradigm shifts during the last few decades, moving from certificate to diploma to bachelors to masters and now in some instances to clinical doctorate as the entry-level professional credential to practice. In the United States there is a recommendation under consideration by the American Occupational Therapy Association (AOTA) that by 2025, all occupational therapy university programs will move to the clinical doctorate level. It should be noted, however, that the AOTA Board can only make recommendations and it is the Accreditation Council for Occupational Therapy Education (ACOTE) who has regulatory authority to approve such a change. What are the potential implications for the profession, our clients, and funders of occupational therapy services? What are the primary drivers for the move towards the clinical doctorate being the educational entry point? Is the next step in the evolution of occupational therapy education globally a shift to the entry-level clinical doctorate? This article reviews current literature and discusses issues about the occupational therapy entry-level clinical doctorate. The published evidence available about the occupational therapy entry-level clinical doctorate is summarized and the perceived or frequently cited pros and cons of moving to the clinical doctorate as the singular entry point to occupational therapy practice are considered. The potential impacts of the introduction of the clinical doctorate as the entry-to-practice qualification across the United States on the occupational therapy community internationally will be briefly discussed. If the United States moves toward the entry-level clinical doctorate as the only educational starting point for the profession, will other jurisdictions follow suit? Further discourse and investigation of this issue both inside and outside of the United States is needed so that informed decisions can be made.
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This preliminary educational research study examined occupational therapy students' perceptions of the learning through discussion (LTD) method. The study incorporated both quantitative and qualitative strategies. A convenience sample... more
This preliminary educational research study examined occupational therapy students' perceptions of the learning through discussion (LTD) method. The study incorporated both quantitative and qualitative strategies. A convenience sample of nine post-professional occupational therapy doctoral students participated. Overall, participating students reported positive experiences when engaging in LTD, reporting that they had actively engaged in critical thinking and learning and experienced transformative learning. However, the results of nonparametric analysis revealed no significant change in the perceptions of the students of their classroom performances. Findings are discussed in light of current educational programs in occupational therapy. Future research studies are recommended to further examine the efficacy of LTD and explore its utility for training allied health professionals.
Research Interests: Mechanical Engineering, Program Evaluation, Psychology, Communication, Transformative Learning, and 14 moreOccupational Therapy, Higher Education, Medical Education, Active Learning, Group Processes, Medicine, Learning, Allied Health, Humans, United States, Clinical Sciences, Self Assessment, Public health systems and services research, and Students health occupations
Abstract In 1999, the landmark Mental Health: A Report of The Surgeon General in the United States, urged mental health systems to utilize knowledge gained from research to improve service delivery in mental health. These services have... more
Abstract In 1999, the landmark Mental Health: A Report of The Surgeon General in the United States, urged mental health systems to utilize knowledge gained from research to improve service delivery in mental health. These services have been called evidence-based practice (EBP). The implementation of EBP is rapidly becoming standard practice and required by most funding sources in the United States. By 2003, forty-eight states responded to the country’s State Mental Health Agency Profiles System shows that all responded states are actively working to provide EBP to mental health consumers (National Association of State Mental Health Program Directors Research Institute [NRI], 2004). This movement of implementing evidence-based practice is becoming the trend for psychiatric rehabilitation in the United States. The purposes of this article are to introduce and provide an overview of the six EBPs for psychiatric rehabilitation which are developed and implemented in the United States and to identify some of the opportunities for occupational therapy services based on these EBPs.
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This study documents the need for public transportation access to nutritional food for adequate nutrition. A secondary data analysis of the 1994 National Health Interview Survey on Disability population-based survey was conducted.... more
This study documents the need for public transportation access to nutritional food for adequate nutrition. A secondary data analysis of the 1994 National Health Interview Survey on Disability population-based survey was conducted. Controlling for age, race, and health status, results revealed that the presence of an impairment that prevents or limits use of public transportation, standing for 2 hours, sitting for 2 hours, lifting/carrying 10 pounds ( p < .001), and difficulty walking ( p = .0009) were significant in predicting whether respondents reported experiencing difficulty shopping for groceries. These significant findings were repeated when examining frequency of shopping for groceries, missing meals due to inability to go to the grocery store, running out of food due to inability to go to the grocery store, and needing help with grocery shopping. This study supports the need for occupational therapy practitioners to address public transportation deficits that compromise s...
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ABSTRACT This article explores certain characteristics of the population of older adults at the intersection of driving with a disabling condition and potentially being a public transportation passenger with a disabling condition. This... more
ABSTRACT This article explores certain characteristics of the population of older adults at the intersection of driving with a disabling condition and potentially being a public transportation passenger with a disabling condition. This population will likely place considerable pressure on society to help those who can drive, to continue to drive, and to help those who cannot drive, to use alternative transportation including public transportation. The dynamic interaction of health conditions and personal and contextual factors pose considerable challenges to rehabilitation practitioners. In this article, we also explore training and education as a possible method of helping people extend their community mobility life expectancy.
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ABSTRACT Evidence-based practice (EBP) has become a universal standard for practice among healthcare professions, but due to barriers to EBP, the most effective ways of teaching EBP are not well understood. The purpose of this study was... more
ABSTRACT Evidence-based practice (EBP) has become a universal standard for practice among healthcare professions, but due to barriers to EBP, the most effective ways of teaching EBP are not well understood. The purpose of this study was to report students&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;#39; EBP knowledge and skill gained from an entry-level Master&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;#39;s of Science in Occupational Therapy course in EBP. The Adapted Fresno Test of EBP was administered at the beginning and end of the course and after fieldwork experience. Results indicated that EBP knowledge and skills increased between the precourse and postcourse measurements (t = -7.98; p &amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;lt; 0.001), but declined between postcourse and postfieldwork measurements (t = 6.65; p &amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;lt; 0.001) indicating that the course improved basic EBP skills and knowledge, but was ineffective in giving the students the strategies to retain and use those skills beyond the classroom. Suggestions are made to strengthen the student retention and use of EBP skills and knowledge after graduation.
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In this article, I propose that the unique end, or goal, of occupational therapy is to help persons with performance deficits of any kind make and express meaning through organized human performance, which I call occupation. To support... more
In this article, I propose that the unique end, or goal, of occupational therapy is to help persons with performance deficits of any kind make and express meaning through organized human performance, which I call occupation. To support this thesis, I show that, too often, philosophers, psychologists, and others who have studied meaning do not see human performance as a crucial way of making and expressing meaning. This article challenges the assumption that meaning making is only a cognitive process in which Language is its primary expression and shows that the nature of humans is to make meaning through occupation. Furthermore, this article reveals why occupational therapy should emphasize human performance and its role in meaning making. Finally, I propose that occupation is properly defined as intentional human performance organized in number and kind to meet the demands of self maintenance and identity in the family and community. I justify this definition and discuss the likely...
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This pilot study explored the strengths and weaknesses of an informal education program and identified elements of the program valued by participants. Participants were men living in a minimum security prison who had been incarcerated for... more
This pilot study explored the strengths and weaknesses of an informal education program and identified elements of the program valued by participants. Participants were men living in a minimum security prison who had been incarcerated for ten or more years. The outside researcher was joined by three former program participants as co-researchers. Together, they interviewed 27 residents who completed the informal education program. Interviews were transcribed and de-identified. Researchers used the summative content analysis approach to analyze the data. Initial content analysis yielded five concepts: doing (engaging in purposeful activities); information (program handouts and discussions that included data and descriptions of all of the topics discussed); re-entry fears (socialization; making amends with victims and/or reuniting with family and friends); technology (includes, but not limited to, using smartphones, internet and other technology in all areas of occupation); and self-wo...
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The use of paratransit services has significantly increased since the passage of the Americans with Disabilities Act of 1990 (ADA), and paratransit services are more expensive to provide than fixed route services. Public transportation... more
The use of paratransit services has significantly increased since the passage of the Americans with Disabilities Act of 1990 (ADA), and paratransit services are more expensive to provide than fixed route services. Public transportation agencies in many communities are challenged to find a balance between ADA compliance, reducing the cost of providing paratransit services, and providing quality services that lead to customer satisfaction. In addition, public transportation agencies face the challenge of meeting the needs of people with disabling conditions whose abilities to use fixed-route services vary across populations and often vary daily within individuals. The purpose of this study was to describe the demographics, disabling conditions, self-reported needs, and environmental barriers of paratransit applicants living in Indianapolis, Indiana using a retrospective and descriptive research design. Data obtained from eligibility interviews between December 2005 and June 2006 were ...
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Background: In 2013 about 10 million people were involved in various stages of imprisonment world-wide. In that same year there were about 1,574,700 persons in state and federal prisons in the United States, and 29,905 in Indiana (state... more
Background: In 2013 about 10 million people were involved in various stages of imprisonment world-wide. In that same year there were about 1,574,700 persons in state and federal prisons in the United States, and 29,905 in Indiana (state and federal) prisons. Most of those people will return to society, but for how long? According to the most recent data available, a little over two-thirds (67.8%) of those released were arrested for a new crime within 3 years and over three-quarters (76.6%) were arrested for a new crime within 5 years. Education is one of the most effective reducers of recidivism, but it is unclear what kinds of education best prepare people to not only return to society, but to thrive in society. Objectives: The first of a two-part study explored how 27 residents of a minimum security prison responded to an Occupational Therapy Community Living Skills Program (OTCLS) developed to help prepare residents for successful reentry into society. Method: Using a participato...
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1. Cultural Competence in Rehabilitation: An Introduction 2. Rehabilitation & Discrimination 3. Communication in Multicultural Settings 4. Ethics of Culture in Rehabilitation 5. European Americans 6. African Americans 7. Native Americans... more
1. Cultural Competence in Rehabilitation: An Introduction 2. Rehabilitation & Discrimination 3. Communication in Multicultural Settings 4. Ethics of Culture in Rehabilitation 5. European Americans 6. African Americans 7. Native Americans 8. Asian Americans 9. Arab Americans 10. Understanding Judaism and Jewish Americans 11. The Smorgasbord of the Hispanic Cultures 12. Pacific Island Peoples and Rehabilitation 13. Cross-Cultural Meaning of Disability 14. Poverty in the US: Making Ends Meet 15. Gender & Culture 16. Age as Culture in Rehabilitation 17. Understanding Sexual Minorities
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Date Presented 4/20/2018 Living in correctional facilities for long periods may cause occupational deprivation and hinder development of appropriate community reentry goals. This study suggests that an occupational therapy program that... more
Date Presented 4/20/2018 Living in correctional facilities for long periods may cause occupational deprivation and hinder development of appropriate community reentry goals. This study suggests that an occupational therapy program that incorporates specific, measurable, attainable, relevant, and time-based (SMART) goal writing can help individuals in successful community reentry. Primary Author and Speaker: Kelsey Rosswurm Additional Authors and Speakers: Jeffrey Crabtree
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Introduction Despite advances in addiction research and practice, addiction remains a significant public health problem with strikingly high relapse rates and low treatment retention rates. This study explored whether the concept of... more
Introduction Despite advances in addiction research and practice, addiction remains a significant public health problem with strikingly high relapse rates and low treatment retention rates. This study explored whether the concept of addiction-as-occupation aligned with the experiences of ten persons with addiction(s), and suggests that further development of a model based on this concept may help to elucidate and address some barriers to addiction recovery services. Methods Semi-structured interviews were performed to gain descriptions of the occupational lives and first-hand experiences of ten persons with addiction(s). Transcripts were analysed using a qualitative thematic analysis methodology. Results Seven themes were identified in the data: connection, locus of control, penetration, habituation, identity, motivation, and coping/escape. Participants in this study described their addictions using occupational terms, and addressed both the gains and harms of performing their addic...
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Advertisement. Close Window. Close Window. Thank you for choosing to subscribe to the eTOC for Home Healthcare Nurse. Enter your Email address: Wolters Kluwer Health may email you for journal alerts and information, but ...
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This pilot study explored the strengths and weaknesses of an informal education program and identified elements of the program valued by participants. Participants were men living in a minimum security prison who had been incarcerated for... more
This pilot study explored the strengths and weaknesses of an informal education program and identified elements of the program valued by participants. Participants were men living in a minimum security prison who had been incarcerated for ten or more years. The outside researcher was joined by three former program participants as co-researchers. Together, they interviewed 27 residents who completed the informal education program. Interviews were transcribed and de-identified. Researchers used the summative content analysis approach to analyze the data. Initial content analysis yielded five concepts: doing (engaging in purposeful activities); information (program handouts and discussions that included data and descriptions of all of the topics discussed); re-entry fears (socialization; making amends with victims and/or reuniting with family and friends); technology (includes, but not limited to, using smartphones, internet and other technology in all areas of occupation); and self-worth as a person. Further interpretation per the summative content analysis method yielded three themes: doing (engaged in purposeful activities), validation of self-worth (confirmation of being a valued human being in spite of having committed a serious crime) and concerns about the future (being able to successfully engage in virtually all occupations). Whilst informal education programs may help people who are incarcerated gain information, gain a sense of self-worth and allay some reentry fears, understanding the long-term affect such programs may have such as preparing them for successful re-entry to society or reducing recidivism rates, will require long-term follow-up.
Regardless of the occupational therapy intervention, the practice of occupational therapy in the criminal justice system needs to be client-centred. Because of the small number of participants and limited access to participants, one should not generalize the findings of this study to other situations or populations. Further research to examine the effectiveness of an occupational therapy education program is warranted.
Regardless of the occupational therapy intervention, the practice of occupational therapy in the criminal justice system needs to be client-centred. Because of the small number of participants and limited access to participants, one should not generalize the findings of this study to other situations or populations. Further research to examine the effectiveness of an occupational therapy education program is warranted.
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(Book chapter) In R. Saini (Ed.), Fundamentals of clinical research and trials.
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To investigate the association between touch sensation of the affected hand and performance and satisfaction with performance of valued activities in individuals with chronic stroke. Using a cross-sectional study design, this study... more
To investigate the association between touch sensation of the affected hand and performance and satisfaction with performance of valued activities in individuals with chronic stroke. Using a cross-sectional study design, this study correlated factors related to hand sensation and activity performance in individuals with chronic stroke. The Touch Test Evaluators and Canadian Occupational Performance Measure (COPM) were used. Correlations were used to determine the relationships between touch sensation of the affected hand and individuals&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;#39; performance and satisfaction with performance of valued activities. There was a good to excellent relationship between sensation and performance and satisfaction with performance of valued activities for individuals with intact touch sensation of the affected hand who scored higher on the COPM. There was little to no relationship between touch sensation of the affected hand and performance of valued activities for individuals with impaired sensation. This is the first study to relate touch sensation of the affected hand and performance and satisfaction with performance of valued activities in individuals with stroke. The findings suggest that rehabilitation therapists need to continue to address sensory function in evaluation and intervention as it relates to performance in valued activities. This study serves as a foundation for future research in sensation and performance of valued activities in individuals with chronic stroke.