Tara Dickson, Edward P Mulligan, Yuyan Xia, Patrick S Pabian
{"title":"Financial Anxiety, Financial Self-Efficacy, and General Social Support Among Physical Therapy Students: Reliability of Assessments.","authors":"Tara Dickson, Edward P Mulligan, Yuyan Xia, Patrick S Pabian","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>Educational debt continues to increase across the health professions. Assessment tools for financial self-efficacy and social support have not been evaluated for reliability among any group of health professions students, though research suggests they may mitigate financial anxiety. This study assesses the reliability of tools measuring financial anxiety, financial self-efficacy, and general social support in a graduate health profession student population.</p><p><strong>Methods: </strong>The Financial Anxiety Scale (FAS), Financial Self-Efficacy Scale (FSES), and General Social Support Scale (GSSS) were completed by 510 physical therapist students. Item response theory was used to assess reliability and item fit for each assessment.</p><p><strong>Results: </strong>All studied measures are reliable and demonstrate good item fit among the population of physical therapist students in the United States. The analysis showed that the three scales meet the conditions for a good fit with the data, that their general factors explain a sufficient proportion of the variance, and that the psychometric properties of individual items are acceptable.</p><p><strong>Conclusions: </strong>The FAS and FSES provide a large amount of test information for physical therapist students. The GSSS, by contrast, may be best utilized as a screening tool for those who have very low levels of general social support.</p>","PeriodicalId":35979,"journal":{"name":"Journal of Allied Health","volume":"54 1","pages":"e57-e69"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143558200","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Christopher Voltmer, Michael Tautonico, Matthew Botros, Gillian Scherer, Paige Trombley, Lindsey Dilorio, Michael Romeo
{"title":"Home Health Physical Therapists' Perceptions Regarding the Utilization of the CDC STEADI Initiative.","authors":"Christopher Voltmer, Michael Tautonico, Matthew Botros, Gillian Scherer, Paige Trombley, Lindsey Dilorio, Michael Romeo","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>Falls are the leading cause of injuries in older adults and are often preventable. Of particular concern, is a lack of universally utilized guidelines for assessing the risk for falls within the physical therapy field.</p><p><strong>Purpose: </strong>To explore home health physical therapists' (PTs) perceptions regarding fall risk assessment and their awareness, comfort, utilization, education, and interest in the CDC STEADI initiative.</p><p><strong>Methods: </strong>A 27-question survey collected data from home health PTs.</p><p><strong>Results: </strong>A total of 131 responses were analyzed. Respondents (84.7%) believed it is important to assess the risk for falls in patients regardless of setting and diagnosis. Less than half (48.1%) were aware of the CDC STEADI initiative available to PTs. Respondents (36.0%) reported being taught the CDC STEADI initiative in their PT program. Respondents (92.1%) reported an interest in utilizing the initiative.</p><p><strong>Conclusions: </strong>The CDC STEADI initiative may be underutilized in home health secondary to decreased awareness, comfort, and education.</p>","PeriodicalId":35979,"journal":{"name":"Journal of Allied Health","volume":"54 1","pages":"e87-e95"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143558214","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Tricia L Widenhoefer, Steven E Sullivan, Justin W Berry, Taylor N Jenkins
{"title":"Debt Management Education in Physical Therapy Educational Programs.","authors":"Tricia L Widenhoefer, Steven E Sullivan, Justin W Berry, Taylor N Jenkins","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Aims: </strong>Student loan debt is a growing concern within the physical therapy profession with educational expenses often outpacing income. The purpose of this study was to determine any debt management education provided during physical therapy education, overall satisfaction with this education, awareness of student debt/income ratios, knowledge of available financial resources, and if debt management strategies were implemented.</p><p><strong>Methods: </strong>Physical therapists (PTs) and physical therapist assistants (PTAs) from 8 states who graduated between 2011-2021 were surveyed about their experience with debt management education.</p><p><strong>Results: </strong>82.4% of respondents did not receive debt management education. Of these respondents, 84.8% thought it would have been helpful. When education occurred, it typically was late in the program with low satisfaction. Satisfied respondents had lower program and total student loan debt. Loan amounts were not what was expected for 48.8% of respondents, while 72% were unaware of debt/income ratios. 39.6% of respondents who received education implemented learned strategies.</p><p><strong>Conclusion: </strong>Prevalence of debt management education within programs was low with decreased respondent awareness of debt/income ratios and available resources. Based on the results of our survey, programs should provide education throughout the curriculum, including increasing student awareness of resources to reduce student loan debt.</p>","PeriodicalId":35979,"journal":{"name":"Journal of Allied Health","volume":"54 1","pages":"e31-e39"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143558198","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Inner and Outer Workings of the Journal of Allied Health.","authors":"Thomas W Elwood","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Long days' journey for some journal manuscripts: As the Spring 2025 issue of the Journal of Allied Health is being made ready for distribution, shown below is an example illustrating the lengthy passage of time that can occur for processing a single paper. The Present and Future of Peer Review: A perspective offered in the journal Proceedings of the National Academy of Sciences of the USA (PNAS) asks is there something wrong with the peer review system? Generative Artificial Intelligence and Academic Writing: As noted in the Journal of Clinical Epidemiology, authors have used a combination of reporting guidelines and other tools, such as journals' guidelines, to optimize reporting.</p>","PeriodicalId":35979,"journal":{"name":"Journal of Allied Health","volume":"54 1","pages":"e1"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143558216","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Bruce W Newton, Michelle D Green, Zachary T Vaskalis
{"title":"Cognitive and Affective Empathy of Doctor of Physical Therapy Students: A Modified Cross-Sectional Study.","authors":"Bruce W Newton, Michelle D Green, Zachary T Vaskalis","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This study was performed to determine how cognitive and affective empathy changes as doctor of physical therapy (DPT) students go through training. Cognitive empathy was measured using the Jefferson Scale of Empathy, and affective empathy was measured using the Balanced Emotional Empathy Scale. Each survey instrument was given at the start and end of each of the 3 academic years. The cohorts consisted of first-, second-, and third-year DPT students. Cognitive empathy scores had a non-significant increase for each cohort, but the steady rise in cognitive empathy scores for each cohort suggested the students are becoming more comfortable communicating with patients to form an empathic bond of trust. Affective empathy scores significantly increased only for first-year students and indicate the students are more aware of their initial vicarious reaction to patients. Affective empathy scores stabilized for cohorts two and three with no significant changes. There needs to be an awareness about the possibility of future burnout associated with some students having too much affective empathy. DPT students with affective empathy scores ≥ 2.0 SD above the population norm need to be taught to partially blunt their affective response to not let their own internal emotional state decrease their ability to effectively treat the patient.</p>","PeriodicalId":35979,"journal":{"name":"Journal of Allied Health","volume":"54 1","pages":"e21-e29"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143558196","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Patterns in Pediatric Medicaid Dental Claims and Payment Amounts: An Analysis of Settings and Dental Providers.","authors":"Katherine Mommaerts, Indrakshi Roy, Cassandra Bonah, Natalie Reznicek, Denise Muesch Helm","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Objective: </strong>To determine the trends in the settings and types of providers that provide oral health services to pediatric patients using Medicaid in Arizona.</p><p><strong>Methods: </strong>In a retrospective descriptive study, we examined the place of service and provider type of Medicaid-paid dental claims among pediatric patients from January 2016 to December 2019. We analyzed Medicaid reimbursed dental services using dental claims data.</p><p><strong>Results: </strong>More Arizona children aged birth to 21 were treated in health clinics than in private practice/dental support organization settings in 2019 than in 2016. Preventive and minor restorative dental claims were significantly higher in 2019 than in 2016 for pediatric patients in Arizona. Further, there was an increase in dental claims paid to non-dentists, such as dental hygienists and nurse practitioners, in 2019 compared to 2016.</p><p><strong>Conclusions: </strong>The place of service and provider type are shifting among pediatric Medicaid patients in Arizona. Not only is there a shift from place of service, but preventive and minor restorative dental claims are being filed by more non-dental providers. This reveals the movement towards integrated oral health in primary care for pediatric Medicaid patients in Arizona.</p>","PeriodicalId":35979,"journal":{"name":"Journal of Allied Health","volume":"54 1","pages":"e49-e55"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143558218","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Advanced Motivational Interviewing Education in Nutrition and Dietetics Improves Use of Motivational Interviewing by Graduate-Level Dietetic Students.","authors":"Ashlea C Braun, Jon M Houck","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Despite a long-standing appreciation for the importance of effective communication to facilitate health behavior change, many allied health professionals, including registered dietitians, receive only introductory training in advanced approaches, such as motivational interviewing (MI). This study evaluated the implementation and preliminary effects of a dietetics course that integrated intensive, competency-based MI training. Enrolled graduate dietetics students (n = 18) consented to participate in this pilot single-arm trial with pre-post data collection (i.e., survey and completion of real-play counseling sessions evaluated using the Motivational Interviewing Treatment Integrity Code [MITI]). Baseline MITI scores indicate participants were mostly unable to provide MI, though improvements were seen at post-course. Significant improvements were seen in MITI scores, MI knowledge, and MI-related confidence (all P<0.01).</p>","PeriodicalId":35979,"journal":{"name":"Journal of Allied Health","volume":"54 1","pages":"e77-e85"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143558069","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Suzanne R O'Brien, Michelle Denninger, Tara Moore, Sydney Williams, Jillianne Wilson
{"title":"Utility of Community-Based Gait Speed Outcome Measures and Cut-Offs for Stroke.","authors":"Suzanne R O'Brien, Michelle Denninger, Tara Moore, Sydney Williams, Jillianne Wilson","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Purpose: </strong>Chronic stroke is associated with declines in gait speed (GS) associated with loss of participation, endurance, and increased institutionalization. GS categories described by Perry and Fulk can designate gait function and set goals for rehabilitation. It is unknown which GS tests and associated functional categories have better utility for goal setting in a group of community-dwelling patients with chronic stroke.</p><p><strong>Methods: </strong>An observational cohort design. A community-based clinic affiliated with a Doctor of Physical Therapy program. Included 21 patients with severe stroke. Patients received 10 weekly 1-hour pro-bono physical therapy sessions. GS was measured by the 10-meter walk test (10MWT) and 6-minute walk test (6MWT).</p><p><strong>Results: </strong>Gains were found in the 6MWT (p=0.023) but not the 10MWT (p=0.569); however, minimum clinically important difference was not attained for either test. At discharge, fewer participants achieved the faster Fulk cut-offs than Perry cut-offs.</p><p><strong>Discussion: </strong>Treatment was associated with improved GS using the 6MWT but not the 10MWT. Treatment impact was likely attenuated due to the limited dose of intervention. Applying functional GS categories as described by Fulk to people with severe stroke living in the community has more utility for program planning since achieving faster GS could prevent undesirable functional declines.</p>","PeriodicalId":35979,"journal":{"name":"Journal of Allied Health","volume":"54 1","pages":"e71-e76"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143558226","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Tilley Pain, Achamma Joseph, Matthew Taylor, Gayle Hazelwood, Sharee Nan-Tie, Thao Dang, Barbara Brooks, Shanti Mistry, Daniel Lindsay, Rachel L Morton
{"title":"Use of Patient Reported Outcome Measures (PROMs) in Clinical Care: A Community-Based Allied Health Setting.","authors":"Tilley Pain, Achamma Joseph, Matthew Taylor, Gayle Hazelwood, Sharee Nan-Tie, Thao Dang, Barbara Brooks, Shanti Mistry, Daniel Lindsay, Rachel L Morton","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Objectives: </strong>Measuring patient health outcomes is important for effective healthcare. Community-based allied health care provides services for people with complex and often deteriorating conditions. The purpose of this study was to evaluate if a single outcome measure was applicable across a multidisciplinary team of eight allied health professions to measure the impact of the team. The chosen measure was the EuroQoL, 5-dimension, 5-level (EQ-5D-5L) which we compared to changes in discipline specific functional and quality of life measures.</p><p><strong>Methods: </strong>Any adult attending community-based services could participate. Both measures were administered at the start of care and repeated 3 months later or at time of discharge. Disciplines and outcome measures included were: psychology (DASS-21); occupational therapy (COPM); social work (ORS); dietetics (Qualcibo); podiatry (wound depth); physiotherapy (6 minute walk test); exercise physiology (Quick¬DASH); and speech pathology (AusTOMs).</p><p><strong>Results: </strong>Improvements in discipline specific measures were seen in occupational therapy; social work; dietetics; podiatry; and speech pathology (swallow impairment, swallow distress). There was no statistical difference in mean EQ-5D-5L utility score and visual analogue scale. At 3-month follow-up, less participants reported moderate, severe/extreme problems or inability to complete tasks for mobility, usual activities, pain/discomfort, and anxiety/depression dimensions but were not significant.</p><p><strong>Implications: </strong>Results suggest the EQ-5D-5L was unresponsive to the improvement demonstrated with discipline-specific measures in a community-based allied health setting over a 3-month time frame.</p>","PeriodicalId":35979,"journal":{"name":"Journal of Allied Health","volume":"54 1","pages":"e41-e48"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143558224","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jessica S Kruger, Isok Kim, Patricia J Ohtake, Michael R Brown, Daniel J Kruger
{"title":"UB iSDoH Scale--A Measure of Students' Skills Related to Social Determinants of Health and Interprofessional Collaborative Practice.","authors":"Jessica S Kruger, Isok Kim, Patricia J Ohtake, Michael R Brown, Daniel J Kruger","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Identification and mitigation of health barriers associated with social determinants of health (SDoH) is an increasingly recognized as an important component of healthcare provided by interprofessional teams. However, valid and reliable tools for assessing healthcare provider SDoH competency are lacking. This study describes the development of the University at Buffalo interprofessional SDoH scale (UB iSDoH scale) and examines its psychometric properties. This 11-item self-report instrument measures perceived skills associated with SDoH assessment and solution implementation to mitigate barriers using an interprofessional approach. Dose-response sensitivity to content and experience was examined, as well as the predictive capacity of a 1-item reflective question. The UB iSDoH scale was completed by 1,775 health professions students during Fall 2021 and Spring 2022 semesters following interprofessional learning experiences. Our analyses confirmed that the UB iSDoH scale 1) exhibited high inter-item reliability, 2) was sensitive to both the extent of SDoH content in IP learning experiences and students' previous experiences, and that 3) the reflective question was predictive of the overall scale score. These findings indicate that the UB iSDoH scale is a valid and reliable measure to assess health professions students' perceived skills associated with SDoH assessment and solution implementation using an interprofessional approach.</p>","PeriodicalId":35979,"journal":{"name":"Journal of Allied Health","volume":"54 1","pages":"e3-e10"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143558220","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}