{"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}
Maegan Powell, Kelly Atkins, Morayo Bhadmos, Jaylyn Felder, Rachel Zingale, C Scott Bickel
{"title":"Exploring Access and Barriers to Physical Therapy in Rural and Urban Medically Underserved Alabama Communities.","authors":"Maegan Powell, Kelly Atkins, Morayo Bhadmos, Jaylyn Felder, Rachel Zingale, C Scott Bickel","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Millions of Americans are designated as medically underserved, lacking adequate access to healthcare. Physical therapy (PT) is a healthcare discipline that can improve mobility and decrease secondary health conditions but is often inaccessible to medically underserved populations. In this qualitative study, persons living in urban or rural medically underserved locations in Alabama were interviewed to explore their awareness and perceptions of PT as well as barriers to access. Thirty-three in-person interviews were completed at the rural locality and 19 at the urban locality. The majority of interview subjects were female (81.8%) and most identified as Black/African American (81.8%). Three themes emerged: 1) a positive perception but incomplete awareness of the scope of PT services, 2) shared barriers to PT access across rural and urban settings, and 3) barriers unique to each locality. These findings were specific to PT but are likely relevant to a variety of allied health disciplines to improve healthcare access in medically underserved populations.</p>","PeriodicalId":35979,"journal":{"name":"Journal of Allied Health","volume":"54 2","pages":"e239-e244"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144267516","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}
Victoria S Henbest, Lisa LaCross, Robin Deacy, Abritty Abdullah
{"title":"Experiences of Minoritized Allied Health Students Seeking Meaningful Institutional Relationships: A Focus Group Study Exploring Supports and Barriers.","authors":"Victoria S Henbest, Lisa LaCross, Robin Deacy, Abritty Abdullah","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Minoritized individuals are underrepresented in the allied health professions, several of which require a graduate degree to become a certified practitioner. The purpose of this study was to identify the factors related to persistence into graduate school for minoritized undergraduate students within a college of allied health in a predominantly white institution in the southeastern United States. Via focus groups, 11 juniors and seniors were interviewed about their experiences and perspectives related to pursuing graduate-level education. Using a phenomenological approach, student responses were coded for themes and subthemes. Results indicated that personal determination and establishing meaningful relationships with faculty and peers were key to school success and the potential for transition into graduate school. Barriers included inconsistencies in meaningful relationships such as being perceived as invisible or being a part of an institution with a limited culture of inclusion. Students also reported personal barriers such as limited financial resources, lack of family support, and difficulty asking for help as obstructing the path to graduate school. We emphasize the importance of faculty-student relationships, and in particular, mentorship, both informal and formal, for increasing the likelihood of success for minoritized individuals pursuing healthcare fields.</p>","PeriodicalId":35979,"journal":{"name":"Journal of Allied Health","volume":"54 3","pages":"e349-e357"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145001495","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}
Catherine F Siengsukon, Cindy Poole, Nancy Fell, David Levine
{"title":"Sleep Content in Entry-Level Occupational Therapy and Physical Therapy Education: A National Survey.","authors":"Catherine F Siengsukon, Cindy Poole, Nancy Fell, David Levine","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Introduction: </strong>The purpose of this study was to determine the sleep evaluation and interventions content taught in entry-level OT and PT education programs.</p><p><strong>Methods: </strong>A cross-sectional descriptive study was conducted to determine sleep instructional practices. All accredited entry-level MOT, OTD, and DPT programs in the United States (n = 471) were invited to participate.</p><p><strong>Results: </strong>Ninety-three respondents completed the online survey for a 20% response rate. 91% reported informal sleep evaluation content, 42% reported formal sleep evaluation content, and 73% reported formal sleep interventions content is included in their curricula. The most selected reason for not teaching formal sleep evaluations was lack of faculty knowledge on the subject. The most selected number of hours spent teaching formal sleep evaluation and formal sleep intervention was 1 to 2 hours. A variety of sleep evaluations and interventions were being taught.</p><p><strong>Conclusion: </strong>Most respondents reported teaching informal and formal sleep interventions, while less than half taught evaluation using standardized sleep instruments. While some instructional variability in sleep evaluation and sleep interventions is reasonable, the variability may indicate a need for standardized curricular guidelines for entry-level OT and PT programs on sleep evaluation and intervention content.</p>","PeriodicalId":35979,"journal":{"name":"Journal of Allied Health","volume":"54 3","pages":"e303-e312"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145001498","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":"Physical Therapists' Perceptions and Attitudes About Sleep: A Compilation and Comparison of Survey Data from Three Countries.","authors":"Garrett Baber, Mayis Aldughmi, Alham Al-Sharman, Cristina Frange, Eber S Beck, Catherine Siengsukon","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Sleep is critical for health, well-being, and recovery after injury or illness. Recognizing sleep disorders as part of physical therapists' (PT) roles is gaining traction. This secondary analysis compared PTs' education, perceptions, and attitudes regarding sleep in the United States, Jordan, and Brazil. Means and standard deviations (SD) were calculated for continuous variables; frequency distributions for categorical data. Fisher's exact tests assessed group differences at a <0.05, with post-hoc analyses using Bonferroni correction at a <0.017. Participants included 76 U.S. PTs (83% female, age 41.99 ± 10.94), 87 Jordanian PTs (57% female; age 28.13 ± 4.44), and 164 Brazilian PTs (82% female; age 36.03 ± 7.93). Over 90% agreed on the importance of sleep and that PTs should inquire about sleep issues. However, most lacked sleep education in PT school (64-79%) or after graduation (65-93%). Only 26-56% routinely assessed sleep, 21-43% educated patients on its importance, and 18-59% provided guidance on improving sleep quality. Differences existed in attitudes, education, and practices regarding sleep across countries. Despite recognizing sleep's importance, PTs lack the necessary education to address it adequately. Equipping PTs globally to address sleep issues is a critical opportunity to enhance sleep health and mitigate health consequences of poor sleep worldwide.</p>","PeriodicalId":35979,"journal":{"name":"Journal of Allied Health","volume":"54 3","pages":"e359-e364"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145001520","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}
Albert K Okrah, J Dustin Tracy, Jespher Onyango, Audrey Eubanks, Tiffany Coleman, Gianluca De Leo
{"title":"Interprofessional Education in Allied Health Programs: Opportunity or Superfluous Effort?","authors":"Albert K Okrah, J Dustin Tracy, Jespher Onyango, Audrey Eubanks, Tiffany Coleman, Gianluca De Leo","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>There has been growing recognition of the importance of interprofessional education (IPE) in preparing healthcare professionals for collaborative and patient-focused practices. While allied health professional programs have included IPE in their curricula for years, there is limited evidence of its impact on graduates' professional lives and its contribution to improved patient care. Faculty from eight accredited allied health programs were invited to complete a web-based survey. Most participants (n=190) reported already implementing IPE in their programs. Three-quarters of participants (n=143, 75%) reported they were not measuring the impact of IPE on graduates' professional lives. Among those that do measure it, one-third reported that IPE had \"a great deal\" or \"a lot\" of impact (n=17, 36.2%) on the professional lives of their graduates. Similarly, most participants (n=158, 84%) reported not assessing IPE's impact on overall patient care. Among those who did consider the effect on patient care, more than one-third (n=14, 45.2%) of the respondents indicated that IPE had \"a great deal\" or \"a lot\" of impact on patient care. Our results show that few programs measure IPE's effect on professional practice, with even fewer assessing its impact on patient care. Future research should prioritize longitudinal studies evaluating IPE's effectiveness in clinical settings and its connection to interprofessional practice in health settings.</p>","PeriodicalId":35979,"journal":{"name":"Journal of Allied Health","volume":"54 3","pages":"e257-e263"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145001548","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}
Caleb Brown, Emory Latimer, Sol de Jesus, Kelly Karpa
{"title":"Outcomes of an Online, Interprofessional Stroke Simulation: Mixed Methods Analysis.","authors":"Caleb Brown, Emory Latimer, Sol de Jesus, Kelly Karpa","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Introduction: </strong>Educational approaches used in distance learning courses may be applicable to interprofessional education (IPE) simulation events to promote student engagement and learning.</p><p><strong>Methods: </strong>Various strategies known to be effective when teaching online courses (real world applications, self-directed learning, reliance on previous life experiences, communities of practice, and emotional engagement) were incorporated into an interprofessional simulation event. Learning outcomes were captured quantitatively through student ratings of learning objective accomplishment and qualitatively through thematic analyses of learner reflections.</p><p><strong>Results: </strong>Cumulative Likert responses for 375 interprofessional students exceeded 4.15±0.57 (1=disagree strongly; 5=strongly agree) for each learning objective statement. Students collectively submit¬ted 1,044 reflection comments. Inductive thematic analysis of skills and knowledge reinforced from participation identified 84 codes corresponding to 10 thematic areas: collab¬oration, communication, efficiency, knowledge, leadership, patient-centeredness, personal growth, roles, teams, and values/ethics. Moreover, a separate theoretical thematic analysis using newly revised 2023 Interprofessional Education Collaborative (IPEC) subcompetencies as a framework revealed that each subcompetency was reflected by ≥1 student comment.</p><p><strong>Conclusion: </strong>Distance-learning principles can be applied to IPE events to promote engagement, accomplish learning objectives, and facilitate professional identify formation.</p>","PeriodicalId":35979,"journal":{"name":"Journal of Allied Health","volume":"54 3","pages":"e265-e273"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145001562","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}
Mirela Bruza-Augatis, Roderick S Hooker, Andrzej Kozikowski, Kasey Puckett
{"title":"Economic Implications of Postgraduate Training for Physician Assistants/Associates: A Comparative Analysis.","authors":"Mirela Bruza-Augatis, Roderick S Hooker, Andrzej Kozikowski, Kasey Puckett","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The entry-level physician assistant/associate (PA) education offers a solid foundation for general medical knowledge and clinical skills. Yet, there has been an increasing trend for PAs to complete a postgraduate (PG) fellowship/residency to gain specialized expertise in specific medical disciplines. We analyzed national data and compared PAs' annual income, educational attainment, background, and professional attributes with a PG fellowship/residency and those without. Descriptive and bivariate statistics, along with quantile regression, were conducted. We found distinct differences in demographic/practice characteristics of the two groups (all p<0.001). PAs with PG fellowship/residency vs those without were older (median age, 42 vs 38), identified as male (42.4% vs 29.4%), Black/African American (4.8% vs 3.3%), and Hispanic/ Latino(a/x) (8.0% vs 6.6%). Most PAs completed their PG fellowship/residency in emergency medicine and worked in hospitals. Furthermore, income levels between PAs with a PG fellowship/residency and those without, revealed a significant gap of $10,000 in favor of those with a fellowship/residency. However, after adjusting for confounders, quantile regression analysis estimated a narrowed gap ($1,500.60). These findings indicate that additional education may not be associated with a substantial income increase. Further research should investigate the income growth trajectory of a PG fellowship/residency, providing a deeper understanding of the economic implications.</p>","PeriodicalId":35979,"journal":{"name":"Journal of Allied Health","volume":"54 3","pages":"e429-e436"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145001579","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":"Artificial Intelligence and the Journal of Allied Health.","authors":"Thomas W Elwood","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Artificial intelligence (AI) increasingly has been integrated into medical publishing. As expressed in a recent publication, serious concerns persist regarding ethical implications, authorship attribution, and content reliability. Clearly, AI has a significant role to play in the realm of publications in periodicals, including the Journal of Allied Health (JAH). Some members of the JAH editorial board recently considered the following kinds of questions: when a paper is submitted, is it worthwhile to determine if the author(s) used AI in any way when preparing it? If so, how relevant is it to identify (a) which portions of the manuscript are involved, and (b) are proper acknowledgements being included in the list of references? Similarly, should these concerns also be applied to peer reviewers so that it also becomes apparent which portions of their respective analyses represent genuine personal contributions and which have been acquired from AI?</p>","PeriodicalId":35979,"journal":{"name":"Journal of Allied Health","volume":"54 4","pages":"e437"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145688348","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}