Journal of Allied Health最新文献

{"title":"Examining the Effects of Testosterone and Strength Training on Fat Mass and Functional Strength in Older Adult Males: A Systematic Review.","authors":"Roy Etta, Hamid Hadipour Jahromi, Nicholas Meyers, Brody Roberts, Ronald Barredo","doi":"10.21091/jah.2026.03065","DOIUrl":"https://doi.org/10.21091/jah.2026.03065","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to compare whether testosterone therapy combined with strength training would lead to greater increases in fat-free mass and functional strength compared to strength training alone in biological males over 60 years old.</p><p><strong>Methods: </strong>A systematic review of randomized control trials (RCT) published between January 2013 and October 2023 was conducted. Keywords were employed to identify RCTs involving older adult males aged 60 years or older who received exogenous testosterone as a sole intervention, strength training as a sole intervention, or a combination of exogenous testosterone and strength training. Predetermined sets of inclusion and exclusion criteria were used to narrow the search. The authors critically appraised the selected articles using the Critical Appraisal Skills Programme (CASP) and followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines in conducting the review.</p><p><strong>Results: </strong>Of 6,149 articles identified initially, only 4 met the inclusion and exclusion criteria and were included in the study. These articles detailed various deliveries and dosimetries in testosterone administration. Quality assessment using the CASP indicated that the articles were valid, although they were deemed unfeasible to be applied in a local setting.</p><p><strong>Conclusion: </strong>Review results showed that the administration of exogenous testosterone increased fat-free mass and decreased fat mass but did not result in significant strength gains. Administering testosterone and resistance training improved functionality and strength in some studies, but the outcomes were inconsistent across studies. The increase in fat-free mass and decrease in fat mass were significantly greater than those achieved through resistance training but demonstrated similar improvements in strength and functionality.</p>","PeriodicalId":35979,"journal":{"name":"Journal of Allied Health","volume":"55 3","pages":"545-551"},"PeriodicalIF":0.0,"publicationDate":"2026-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149026274","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":"Clinical Practicum Improves Self-Directed Learning Readiness of Physical Therapy Students: A Longitudinal Study.","authors":"Tomoyuki Asakura, Kaori Shimoda, Naoto Noguchi, Ena Sato, Takehiko Yamaji, Shigeru Usuda","doi":"10.21091/jah.2026.03057","DOIUrl":"https://doi.org/10.21091/jah.2026.03057","url":null,"abstract":"<p><p>Cultivating the ability to learn independently is essential in pre-graduate physical therapy education. This study focused on the clinical practicum, an important learning opportunity, to determine how it affects self-directed learn¬ing readiness (SDLR). The SDLR scale (SDLRS) was administered before and after the 16-week clinical practicum to examine changes in total scores and subcategories. We also examined the relationship between the subjective achievement of clinical practicum goals and SDLRS scores. The results showed that the SDLRS total score and the subcategory \"inquiring mind\" increased significantly after the clinical practicum. Furthermore, the higher the pre-practicum SDLR, the higher the subjective attainment of the practicum, and the higher the attainment, the higher the post-practicum SDLRS. By setting clear goals and providing appropriate learning resources, physical therapy clinical practicums improved students' SDLR.</p>","PeriodicalId":35979,"journal":{"name":"Journal of Allied Health","volume":"55 3","pages":"473-481"},"PeriodicalIF":0.0,"publicationDate":"2026-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149026216","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":"Professional Advocacy in Occupational Therapy: Relating Practitioners' Experiences to the Doing, Being, Becoming, Belonging Framework.","authors":"Pamela Lewis-Kipkulei, Brittany Saviers","doi":"10.21091/jah.2026.03056","DOIUrl":"https://doi.org/10.21091/jah.2026.03056","url":null,"abstract":"<p><strong>Background: </strong>Understanding how occupational therapy practitioners (OTPs) engage in advocacy and factors influencing their efforts has potential to position practitioners as empowered change agents. While advocacy is essential to occupational therapy (OT) practice, literature reveals inconsistencies in how OTPs conceptualize and implement advocacy. This study explored OTPs' perspectives on the definitions, knowledge, meaning, challenges, and experiences with professional advocacy in OT.</p><p><strong>Method: </strong>This mixed-methods study used a researcher-designed, 23-question electronic survey to collect data from OTPs across the United States. The survey explored practitioners' advocacy-related perceptions, experiences, and engagement.</p><p><strong>Results: </strong>Seventy-six OTPs completed the survey, with themes emerging around advocacy as voice, education, action, and community. Practitioners cited insufficient resources and support as barriers but emphasized that advocacy training and professional community involvement could improve engagement. Analysis revealed that advocacy impacts OTPs' roles and identities, supporting the doing-being-becoming-belonging framework's relevance in conceptualizing advocacy within OT.</p><p><strong>Conclusions: </strong>This study highlighted advocacy's trans¬formative potential across the dimensions of doing, being, becoming, and belonging. Findings suggested encouraging participation in micro- and macro-level initiatives by encouraging increased student involvement, offering advocacy information to all stakeholders, considering small advocacy initiatives, and offering feasible options for support to enhance practitioner participation in the advocacy process.</p>","PeriodicalId":35979,"journal":{"name":"Journal of Allied Health","volume":"55 3","pages":"463-472"},"PeriodicalIF":0.0,"publicationDate":"2026-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149026094","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":"An Interprofessional Commentary on Justice, Equity, Diversity, and Inclusion Efforts in Allied Health Education.","authors":"Willie L Williams, Ericka P Zimmerman, Jason A Whitfield, Jeannette M Wade, Driscoll DeVaul, Jewell J Dickson-Clayton, Sarah Diamalou, Christen Goodson","doi":"10.21091/jah.2026.03061","DOIUrl":"https://doi.org/10.21091/jah.2026.03061","url":null,"abstract":"<p><p>As allied health professionals are front-line workers and drivers of population health, it is vital that their practice is rooted in and centered on quality care and equitable health for all. In recent years, justice, equity, diversity, and inclusion (JEDI) initiatives have multiplied and become more robust, particularly within allied health professions. JEDI initiatives help eliminate health disparities related to social factors like race, class, and gender, largely by creating an allied healthcare workforce that represents the culture and ideology of the patients it serves. However, growing skepticism and disdain for JEDI initiatives, driven by political, social, and ideological factors, threaten to reverse progress made in advancing equity in education and professional practice. This paper begins with conceptualizing JEDI and barriers to the usage of related terminology, highlights barriers to promoting JEDI in allied healthcare education, as well as strategies to advance health equity and autonomy. Using a team of interprofessional scholars, representing various branches of allied health, we offer a framework for allied health professionals to counter rising criticisms around JEDI initiatives and policies.</p>","PeriodicalId":35979,"journal":{"name":"Journal of Allied Health","volume":"55 3","pages":"509-518"},"PeriodicalIF":0.0,"publicationDate":"2026-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149026257","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":"Empowering Allied Health Research Roles in Hospital Systems: The Role of an Allied Health Scientist in a Pediatric Healthcare System.","authors":"Nashifa H Momin, Jennifer L Nelson, Brooke Cherven, Katie Liu, Temima Oratz, Christina Calamaro","doi":"10.21091/jah.2026.03062","DOIUrl":"https://doi.org/10.21091/jah.2026.03062","url":null,"abstract":"<p><p>This commentary describes the implementation and impact of the Allied Health Scientist role within a pediatric hospital system. A dedicated Allied Health Scientist can support allied health professionals at both the individual and system level by providing mentorship, building research capacity, and fostering a culture of evidence-based practice. To evaluate the role's impact within the institution, a retrospective review of internal and external allied health projects and dissemination activities from 2018 to 2024 was undertaken. Findings highlight how the integration of this role has positively influenced research engagement and scholarly output among allied health professionals, including notable growth in symposium participation, conference presentations, and peer-reviewed publications, alongside strong clinician-reported mentorship outcomes. By offering dedicated mentorship and infrastructure to support project development, the Allied Health Scientist has helped address common barriers such as limited time, funding, and research experience. The model may serve as a replicable strategy for advancing allied health scholarship across other healthcare systems.</p>","PeriodicalId":35979,"journal":{"name":"Journal of Allied Health","volume":"55 3","pages":"519-525"},"PeriodicalIF":0.0,"publicationDate":"2026-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149026226","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":"Effectiveness of Mind-Body Therapies on Anxiety, Burnout, Depression, and Stress in Graduate Health Professions Students: A Systematic Review.","authors":"Kent E Irwin, Elizabeth Campione, Hannah Bargouthi, Colleen Collins, Jessica Pop, Vann Reamer, Colleen Bannon","doi":"10.21091/jah.2026.03066","DOIUrl":"https://doi.org/10.21091/jah.2026.03066","url":null,"abstract":"<p><strong>Purpose: </strong>Mental health conditions are prevalent among graduate health professions students and can negatively impact academic performance, well-being, and relationships. This systematic review evaluated the effectiveness of mind-body therapies (MBTs) on anxiety, burnout, depression, and stress in graduate health professions students.</p><p><strong>Methods: </strong>Five healthcare/academic databases were searched from 2008 through August 25, 2023.</p><p><strong>Inclusion criteria: </strong>1) graduate health professions students; 2) MBT interventions; and 3) anxiety, burnout, depression, and/or stress outcomes. Title/abstract screening, full-text review, level of evidence, and quality assessment were performed by author pairs.</p><p><strong>Results: </strong>Of 2,511 screened records, 24 met inclusion criteria, representing 2,220 students across 6 health professions programs. Studies described 8 anxiety, 2 burnout, 7 depression, and 10 stress outcomes. The average QuADS score was 73.64% (range 53.85-100%). Fifteen studies reported significant improvements in at least 1 anxiety, depression, or stress outcome. Of 9 studies that measured anxiety, 5 demonstrated reductions. Depression results were inconsistent, with only 1 of 7 studies showing improvements. Stress outcomes improved most frequently, with 13 of 22 studies reporting benefits. None of the 3 burnout studies showed positive results.</p><p><strong>Conclusions: </strong>MBTs such as mindfulness, meditation, yoga, and breathing exercises show promise in reducing anxiety and stress. Evidence supporting improvements in burnout and depression remains quite limited.</p>","PeriodicalId":35979,"journal":{"name":"Journal of Allied Health","volume":"55 3","pages":"553-577"},"PeriodicalIF":0.0,"publicationDate":"2026-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149026260","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":"Ethical Dilemmas in Audiology: A Comparative Analysis of Perspectives from the Middle East, North Africa, and the United States.","authors":"Basem Marie, Celia Zhang, Fadi Najem","doi":"10.21091/jah.2026.03051","DOIUrl":"https://doi.org/10.21091/jah.2026.03051","url":null,"abstract":"<p><strong>Purpose: </strong>The current study aimed to identify the ethical sensitivity of audiologists in Arabic-speaking countries of the Middle East and North Africa (MENA) and compare it with audiologists in the United States (U.S.) as reported in the 2002 and 2006 studies by Hawkins and colleagues.</p><p><strong>Methods: </strong>In a cross-sectional survey, 123 audiologists from different countries in the MENA region were surveyed on their ethical perspectives regarding 18 ethical situations. An online survey was designed and posted in Arabic using the Qualtrics platform. The link to the survey was distributed via email to audiology providers in the MENA countries, as well as via social media to professional audiology groups.</p><p><strong>Results: </strong>The ethical sensitivity of MENA audiologists based on the ethical sensitivity criteria used in the present study was: 1) emerging for Q1, Q3, Q4, and low for Q2 in the \"Business Incentives from Hearing Aid Manufacturers\" category, 2) emerging for Q8 and low for Q5, Q6, Q7, Q9, Q10 in the \"Entertainment, Small Gifts, and Visits from Manufacturer Representatives\" category, 3) low for all questions Q11, Q12, Q13, Q14 in the \"Continuing Education Unit Events Sponsored by Hearing Aid Manufacturers\" category, and 4) emerging for Q15 and low for Q16, Q17 in the \"Business Practices\" category. Also, Q18 in the business practices section revealed emerging ethical sensitivity among MENA audiologists toward paying referral fees to physicians. Significant differences in ethical perception were found between the MENA audiologists and their U.S. counterparts across multiple situations in all four domains, with MENA audiologists generally showing lower ethical sensitivity, particularly in relation to professional development opportunities and manufacturer relationships.</p><p><strong>Conclusions: </strong>Despite the temporal discrepancy between the contemporary MENA data and historical U.S. data, this study establishes a baseline for understanding the ethical landscape of audiology in the MENA region. Our comparison with historical U.S. data revealed significant regional differences in ethical sensitivity, particularly regarding interactions with hearing aid manufacturers and business practices. These findings underscore an urgent need for the development of culturally sensitive ethics education and stronger professional oversight within the MENA region.</p>","PeriodicalId":35979,"journal":{"name":"Journal of Allied Health","volume":"55 3","pages":"419-432"},"PeriodicalIF":0.0,"publicationDate":"2026-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149026269","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":"Burnout and Job Satisfaction in Allied Health Professionals: Searching for Evidence Informed Interventions and Their Impact: A Scoping Review.","authors":"Benjamin S Modde, Chris A Sebelski, Randy R Richter","doi":"10.21091/jah.2026.03064","DOIUrl":"10.21091/jah.2026.03064","url":null,"abstract":"<p><p>Healthcare professionals are experiencing increased rates of burnout, turnover, and low job satisfaction. Burnout and job satisfaction have been studied extensively in medicine and nursing. This scoping review explores the evidence on burnout and job satisfaction among physical therapists, occupational therapists, and speech-language pathologists, including a review of objective measures or interventional strategies to address these issues. Using the PRISMA for scoping reviews framework, searches were completed in PubMed, CINAHL, APA PsychInfo, SCOPUS, ABI Inform, and gray literature. Overall, the searches resulted in 839 articles. After exclusion of ineligible studies, 30 studies were included for review. Burnout was linked to workplace ethics, compassion fatigue, secondary trauma, and workload demands. Job satisfaction was negatively associated with productivity requirements and positively associated with satisfaction with job supervision. Three of the 30 studies had intervention groups and were evaluated further for evidence-based intervention strategies impacting burnout and job satisfaction. The findings of this scoping review reveal the significant gaps in the literature to understand the impact of burnout and job satisfaction within the allied health professions of physical therapy, occupational therapy, and speech-language pathology.</p>","PeriodicalId":35979,"journal":{"name":"Journal of Allied Health","volume":"55 3","pages":"533-543"},"PeriodicalIF":0.0,"publicationDate":"2026-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149026237","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":"Exploring Race, Ethnicity, Gender, and Training in Compensation Negotiation Among Early-Career Physical Therapists: A Cross-Sectional Study.","authors":"John J Mischke, Jennifer J Bell, Tara Dickson, Edward P Mulligan","doi":"10.21091/jah.2026.02030","DOIUrl":"10.21091/jah.2026.02030","url":null,"abstract":"<p><strong>Introduction: </strong>Physical therapist compensation is influenced by several factors, including salary negotiation. The frequency of salary negotiation in new graduate physical therapists and factors related to negotiation behaviors is unknown. This study aimed to investigate: 1) the relationship between race, ethnicity, and gender and new graduates' likelihood of engaging in negotiation, and 2) the impact of negotiation training on their decision to negotiate their first position.</p><p><strong>Methods: </strong>763 licensed physical therapists completed the web-based survey. Descriptive statistics were used to characterize all categorical variables. Pearson chi-square test of independence was performed to analyze the associations between gender, race and ethnicity, and salary negotiation training and negotiating first compensation. Linear regression analyzed the association between \"negotiating first compensation\" and first salary.</p><p><strong>Results: </strong>Most respondents, 70.5%, did not negotiate their first compensation package. Men were more likely to negotiate (X2(5) = 23.98, p<0.001). There was no association between race or ethnicity and negotiation (X2(8) = 5.61, p=0.691). Receiving salary negotiation training was significantly associated with negotiating (X2(1) = 29.89, p<0.001).</p><p><strong>Discussion: </strong>Gender disparities persist in negotiation behaviors among physical therapists, with men negotiating more frequently than women. The lack of negotiation training may contribute to these trends, indicating an opportunity for physical therapist programs.</p>","PeriodicalId":35979,"journal":{"name":"Journal of Allied Health","volume":"55 2","pages":"257-268"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148164517","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":"Health Professions Clinical Education Update: Recommendations and Strategies 2026. A Report of the ASAHP Clinical Education Committee.","authors":"Julie O'Sullivan-Maillet, Sue Ann Sisto, Christopher O'Brien, Peter Hu, Amber Boyd, Clotilde Dudley-Smith, Yasmen Simonian, Aaron Rindflesch","doi":"10.21091/jah.2026.02025","DOIUrl":"10.21091/jah.2026.02025","url":null,"abstract":"<p><p>The 2026 ASAHP (Association of Schools Advancing Health Professions) Clinical Education Committee recommendations present a framework for advancing clinical education across health professions. This report emphasizes the importance of expanding clinical education settings, integrating artificial intelligence and telehealth into curricula, ensuring alignment of interprofessional competencies with accreditation standards, and continuing to facilitate collaborative practice across disciplines. These efforts are essential to training a workforce that is not only clinically competent but also adaptable, mindful of equity, and capable of thriving in diverse, team-based care settings. Equally critical is the call to elevate research and scholarly activity within clinical education. The report emphasizes the need for academic-clinical partnerships that support and complete an inquiry into the value, effectiveness, and innovation of clinical training. These recommendations aim to advance a responsive, inclusive, and outcomes-driven clinical education system that benefits students, educators, healthcare systems, and the communities they serve. These efforts reflect ASAHP's name and mission to advance health professions.</p>","PeriodicalId":35979,"journal":{"name":"Journal of Allied Health","volume":"55 2","pages":"217-226"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148164682","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}