{"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}
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}
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":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12352864/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143558218","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Changes in Burnout, Pain Attitudes and Beliefs, and Confidence in Treating Patients in Pain Following Pain Education for Healthcare Providers.","authors":"Kory Zimney, Jed Droge, Adriaan Louw","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Purpose: </strong>The study aimed to explore the effect of a pain neuroscience education (PNE) course on provider burnout, attitudes and beliefs about pain and confidence in treating patients with pain.</p><p><strong>Subjects: </strong>209 healthcare professionals taking a PNE course.</p><p><strong>Methods: </strong>The healthcare providers were surveyed using the Oldenburg Burnout Inventory, Pain Attitudes and Beliefs Scale, and the Pain Care Confidence Scale before attending a PNE course and then at 1-week and 6-months post training.</p><p><strong>Results: </strong>A small effect (Cohen's d = 0.180, p = 0.024) was found for females at 1-week post-training for the burnout exhaustion score; no other significant effects were found related to burnout. Pain Attitudes and Beliefs Biomedical and Biopsychosocial subscales had significant changes at 1-week (p < 0.001 and p = 0.005) and at 6-months (p < 0.001 and p = 0.005), respectively, moving toward a more biopsychological approach for care. Pain confidence scores significantly improved at both time periods (p < 0.001 and p < 0.001).</p><p><strong>Conclusion: </strong>A significant finding was that the pain education course positively changed the healthcare providers' pain attitudes and beliefs along with confidence in pain care, but with minimal to no change in burnout scores.</p>","PeriodicalId":35979,"journal":{"name":"Journal of Allied Health","volume":"54 2","pages":"e191-e197"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144267453","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}
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}
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}
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}