Anne Fleischer - Academia.edu (original) (raw)

Papers by Anne Fleischer

Research paper thumbnail of Interdisciplinary Cancer Rehabilitation eHealth Impact on Quality of Life

Archives of physical medicine and rehabilitation, Apr 1, 2024

Research paper thumbnail of Cancer-Related Fatigue (2018–2022)

American Journal of Occupational Therapy, Feb 28, 2023

Research paper thumbnail of Self-Reported Arm Function is Associated with Stress and Fear of Physical Activity Among Women Treated for Breast Cancer

DOAJ (DOAJ: Directory of Open Access Journals), Mar 1, 2022

Research paper thumbnail of Commentary: Compassionately Balancing Hope With Patients Who Have Stage IV Cancer in Inpatient Rehabilitation

Rehabilitation oncology, Jun 28, 2022

Research paper thumbnail of Arm Function in Women Treated for Breast Cancer

Research paper thumbnail of Tools that can be used now! Person-Centered Care within cancer rehabilitation. Symposium at the American Congress of Rehabilitation Medicine

The purpose of this symposium is to provide a) the science behind the benefits of delivering pers... more The purpose of this symposium is to provide a) the science behind the benefits of delivering person-centered care, and b) practical tips, training, and resources to successfully Integrate person-centered approach into your practice [7]. This will be accomplished by illustrating what current person-centered models are being used within cancer rehabilitation setting through the use of case examples and evidence in the literature. Within this illustration, we will demonstrate how common barriers to implementing person-centered care can be reduced within your practice. Attendees will be shown a) commonly used person-centered assessments that meet accreditation standards and reimbursement requirements, and b) where to locate community resources for your clients that can be effectively and efficiently given to them. Learning Objectives: Describe current person-centered care models within the cancer rehabilitation setting Identify and describe the most common barriers to implementation of person-centered care. Locate common person-centered assessments used among providers that also meet accreditation standards and reimbursement requirements. Locate community resources for your clients and describe how to provide these to your clients effectively and efficiently. Understand how person-centered care is currently used in practice

Research paper thumbnail of Fear of Physical Activity Hinders Functional Return in Women Treated for Breast Cancer

Learning objectives: The participant will be able to: Identify relationships between fear of phys... more Learning objectives: The participant will be able to: Identify relationships between fear of physical activity and self-reported measures among women with breast cancer. Develop an understanding of the importance of personal factors for full functional recovery among women treated for breast cancer. Background/Purpose: Women with breast cancer (WBC) report decreased function and quality of life (QOL) as well as increased anxiety and fear of physical activity (PA) following cancer treatment. This study explored the relationships between fear of PA and self-reported arm function, QOL, perceived stress, and objective measures of range of motion (ROM), strength, and muscular endurance in WBC. Methods: Data from two observational studies were combined for analysis. Women diagnosed with stage 0-3 breast cancer 6-60 months prior to enrollment participated; WBC were excluded with metastatic disease, shoulder pathology, or history of shoulder/neck surgery. Self-reported function was measured with the Disabilities of the Arm, Shoulder, and Hand (DASH; n=24) or the Penn Shoulder Score (PENN; n=30). To combine self-reported shoulder function into one score, DASH and PENN scores were combined by inverting DASH scores, lower=better, to higher=better. Additional variables included FACT-B QOL, Perceived Stress Scale (PSS), Canadian Occupational Performance Measure (COPM), bilateral flexion, external and internal rotation ROM and strength, and muscular endurance. Independent samples t-tests evaluated differences in fear of PA among WBC who received physical therapy (yes/no); had axillary node dissection (yes/no); and limb involved (dominant/non-dominant). Relationships between fear of PA and all variables were explored using Pearson’s correlations. Significance was set ≤0.05 a priori. Results: Mean age and BMI of the 54 participants were 55 (SD12.36) and 28.56 (SD5.87). Mean DASH was 17.7 points (SD15); PENN score was 84.15 points (SD4.8); the combined self-reported function score was 83.67 points (SD10.6). No differences were found among the groups for fear of PA (p\u3e0.05). Fear of PA was significantly correlated to DASH (p Conclusions: Fear of PA was associated with self-reported function, QOL, and perceived stress in this population of WBC, while objective measures were not. These findings suggest that personal factors play a significant role in functional recovery. Clinical Relevance: Rehabilitation professionals must address personal factors to ensure complete and successful functional recovery among WBC

Research paper thumbnail of Women’s Experiences after Hormone Positive Breast Cancer: Beginning of Radiation to 3-4 Years Post-Radiation

Occupational Therapy In Health Care

Research paper thumbnail of The experience of breast cancer survivors\u27 participation in important activities during and after treatments

Introduction: This study describes breast cancer survivors’ experiences participating in their im... more Introduction: This study describes breast cancer survivors’ experiences participating in their important activities during and after breast cancer treatment. Method: Ten survivors between the ages of 45 and 64 with Stage I, II, or III breast cancer who had been treated consecutively with surgery, chemotherapy, and radiation therapy were recruited for the study, and participated in two semi-structured interviews: end of radiation therapy and 6-months post-treatment. Findings: Interpretative phenomenological analysis led to two superordinate themes at the end of radiation (“individual outlook influences how activities are approached” and “social support reduces the stress of life”) which seemed to support participation in important activities, and two themes that discouraged participation (“side effects influence how activities are completed” and “personal and treatment stresses and struggles influenced their perspectives on life”). At 6-months post-treatment, the superordinate theme ...

Research paper thumbnail of Living a Full Life After Breast Cancer and its Treatment Through Virtual Education and Support

Over 3.5 million breast cancer survivors (BCS) live in the United States (ACS, 2002) and 3,800 Ke... more Over 3.5 million breast cancer survivors (BCS) live in the United States (ACS, 2002) and 3,800 Kentucky women will be diagnosed with breast cancer in 2020 (Siegel, Miller, & Jemal, 2020). As BCS are living longer, the need for additional support, education, and services has increased. Online support groups may be an option for BCS who live in remote areas, have multiple responsibilities or desire to have more privacy. We sought to create an online support group for BCS in rural Kentucky who had completed treatment for their breast cancer, except for Herceptin or an anti-hormone medication. A scripted message along with a Virtual Breast Cancer Support Group flyer was sent to eighty-six oncology providers via email or fax. We created the Rural Kentucky Breast Cancer Support Group Facebook page to provide Facebook Live educational sessions on a variety of BCS topics. We also used this as a platform to recruit to the study by posting our flyer. We shared this link with providers and BCS...

Research paper thumbnail of Virtual breast cancer education and support group for self-care management and function: a study protocol applying Person-centered principles

Physical Therapy Reviews, 2020

Background: Breast cancer survivors (BCS) may be limited in their ability to attend support group... more Background: Breast cancer survivors (BCS) may be limited in their ability to attend support groups due to transportation, geography, finances, and/or time. Evidence suggests that internet platforms, texting, and videoconferencing can be used to provide education and support. Objective: To evaluate if participating in Virtual Breast Cancer Education and Support Group (VBCESG) sessions via Zoom® videoconferencing will change perceived satisfaction and ability for survivors to complete their chosen activities. Methods: Support group flyers were posted on social media, emailed, and/or faxed to breast cancer providers and survivors to recruit participants. Inclusion criteria included participants who were diagnosed with Stage 0-III breast cancer, completed treatment, excluding HER2 suppressant and/or anti-hormone medications, and had internet access and basic computer skills. Canadian Occupational Performance Measure (COPM) was administered via Zoom® videoconferencing before the first an...

Research paper thumbnail of Perceived Stress Has a Negative Effect on Self-Reported Upper Extremity Function among Women Treated for Breast Cancer

Research Objectives Women treated for breast cancer report ongoing disability in their involved u... more Research Objectives Women treated for breast cancer report ongoing disability in their involved upper extremity, however, often objective measures do not appear to explain the level of perceived dysfunction. The purpose of this study was to investigate the relationship between perceived stress levels, fear of physical activity and self-reported upper extremity function among women treated for breast cancer. Participants 25 women with a mean age of 52 year (range 31-68) diagnosed with Stage 1-3 breast cancer between 12 and 60 months prior to data collection completed 3 patient-reported outcome scales in a single visit. Data were analyzed with Pearson’s correlation r to determine if there was a relationship between self-reported upper extremity function and/or perceived stress level and fear of physical activity. Main Outcome Measure(s) Disabilities of the Arm, Shoulder and Hand (DASH), a 30-item self-report scale of upper extremity function; Perceived Stress Scale (PSS), a 10-item self-report scale of stress in the past month; and Fear of Physical Activity/Exercise Scale - Breast Cancer (FPAX-B), a 17-item self-report scale concerning participation in physical activity for breast cancer survivors. Results: There was a significant relationship between the DASH and both the PSS , r=.074, p (one-tailed) Conclusions: Results of the study suggest that there is a significant positive relationship between the DASH and both the PSS and FPAX-B among women treated for breast cancer. Perceived stress and fear of physical activity may be impacting self-reported upper extremity functional abilities.https://encompass.eku.edu/swps_facultygallery/1034/thumbnail.jp

Research paper thumbnail of Developing a Virtual Breast Cancer Survivor Support Group

Over 3.5 million breast cancer survivors (BCS) live in the US (ACS, 2020) and 3,800 Kentucky wome... more Over 3.5 million breast cancer survivors (BCS) live in the US (ACS, 2020) and 3,800 Kentucky women will be diagnosed with breast cancer in 2020 (Siegel, Miller, & Jemal, 2020). The internet increases access to support groups (Egbert & Wright, 2019; Huang, Han, Wei, Liu, Du, Yang, Li, Yao, & Wang, 2019; Wang & Wei, 2020); however, additional research is needed to evaluate their efficacy with BCS (Pekkola & Garbrah, 2018; Son, Hertsenberg, Nahm, Corbitt, McQuaige, Jaidar, & Rosenblatt, 2019; Hendershot, 2019). We sought to create an online support group for BCS for survivors in rural Kentucky who had completed treatment, except for Herceptin or an anti-hormone medication. A scripted message and a Virtual Breast Cancer Support Group (VBCSG) flyer was sent to 86 oncology providers via email or fax. Thirteen of the 86 oncology providers responded favorably to the VBCSG. Additionally, we created the Rural Kentucky Breast Cancer Support Group Facebook page to provide Facebook Live BCS educational sessions and recruit for the study. We shared the link to the Facebook page with providers and BCS. After recruiting for several months and not having any BCS who met the criteria of living in rural Kentucky, the inclusion criteria were expanded to include BCS living in any area in the United States. Five women agreed to participate in the VBCSG. Currently these BCS are completing the pre-VBCSB needs assessment and the support group is scheduled to begin in April. References American Cancer Society (2020). How common is Breast Cancer? Retrieved from https://www.cancer.org/cancer/breast-cancer/about/how-common-is-breast-cancer.html Egbert, N., & Wright, K. B. (2019). Social Support and Health in the Digital Age. Rowman & Littlefield. Hendershot, A. L. (2019). Cancer Survivorship in a Rural County. Journal of Oncology Navigation & Survivorship, 10(12), 524–529. Huang, J., Han, Y., Wei, J., Liu, X., Du, Y., Yang, L., Li, Y., Yao, W., & Wang, R. (2019). The effectiveness of the Internet-based self-management program for cancer-related fatigue patients: A systematic review and meta-analysis. Clinical Rehabilitation, 34(3), 287-298. https://doi.org/10.1177/0269215519889394 Pekkola, M., & Garbrah, W. (2018). Social support experiences of breast cancer patients. JAMK Journal of Health and Social Studies, e72-e79. Son, H., Hertsenberg, L., Nahm, E.-S., Corbitt, N., McQuaige, M., Jaidar, N., & Rosenblatt, P. (2019). Use of Health Information Technologies for Cancer Survivorship Care: A Comprehensive Review of the Literature. Journal of Informatics Nursing, 4(4), 6-19. Wang, J., & Wei, L. (2020). Fear and Hope, Bitter and Sweet: Emotion Sharing of Cancer Community on Twitter. Social Media + Society, 6(1), 1-12. https://doi.org/10.1177/2056305119897319 Siegel, R. L., Miller, K. D., & Jemal, A. (2020). Cancer statistics, 2020. CA: A Cancer Journal for Clinicians, 70(1), 7-30. https://doi.org/10.3322/caac.2159

Research paper thumbnail of Twitter, Telepractice, and the COVID-19 Pandemic: A Social Media Content Analysis

American Journal of Speech-Language Pathology, 2021

Purpose Telepractice was extensively utilized during the COVID-19 pandemic. Little is known about... more Purpose Telepractice was extensively utilized during the COVID-19 pandemic. Little is known about issues experienced during the wide-scale rollout of a service delivery model that was novel to many. Social media research is a way to unobtrusively analyze public communication, including during a health crisis. We investigated the characteristics of tweets about telepractice through the lens of an established health technology implementation framework. Results can help guide efforts to support and sustain telehealth beyond the pandemic context. Method We retrieved a historical Twitter data set containing tweets about telepractice from the early months of the pandemic. Tweets were analyzed using a concurrent mixed-methods content analysis design informed by the nonadoption, abandonment, scale-up, spread, and sustainability (NASSS) framework. Results Approximately 2,200 Twitter posts were retrieved, and 820 original tweets were analyzed qualitatively. Volume of tweets about telepractice...

Research paper thumbnail of Creating an Interprofessional Collaborative Research Opportunity for Physical and Occupational Therapy Students

Journal of allied health, 2019

Physical therapy (PT) and occupational therapy (OT) professional associations assert the importan... more Physical therapy (PT) and occupational therapy (OT) professional associations assert the importance that entry-level therapists learn and apply the knowledge and skills necessary for interprofessional collaborative practice; however, the majority of PT and OT programs do not have the other discipline at their university. A challenge exists for the creation of a transparent active learning opportunity promoting interprofessional student engagement when the two professions do not reside in the same university. This case study provides a model for how to feasibly create an interprofessional experience for students in universities that do not include a complementary or collaborative allied health professional program, using various technologies. While creating this collaborative project, we provided opportunities to meet the Interprofessional Education Collaborative's (IPEC) competencies: a) value/ethics for interprofessional practice, b) roles and responsibilities, c) interprofessi...

Research paper thumbnail of Notalgia Paresthetica: Successful Treatment with Exercises

Acta Dermato Venereologica, 2011

Research paper thumbnail of Perceived Stress Levels May Impact Upper Extremity Function Among Women Treated for Breast Cancer

American Journal of Occupational Therapy

Date Presented 4/20/2018 Positive relationships between lower perceived arm function and higher p... more Date Presented 4/20/2018 Positive relationships between lower perceived arm function and higher perceived stress and fear of physical activity were demonstrated among breast cancer survivors with functional shoulder range of motion. Stress-reducing techniques when engaging in occupations to restore function may be beneficial. Primary Author and Speaker: Anne Fleischer Contributing Authors: Mary Fisher

Research paper thumbnail of Exploring Therapist Engagement Using Process Consultation

American Journal of Occupational Therapy

Research paper thumbnail of Acute-Care OT Practice: Application of the Canadian Occupational Performance Measure (COPM) in a Palliative-Care Program

American Journal of Occupational Therapy

Research paper thumbnail of Fear of Physical Activity Limits Women Treated for Breast Cancer's Perceived Function

Archives of Physical Medicine and Rehabilitation

Research paper thumbnail of Interdisciplinary Cancer Rehabilitation eHealth Impact on Quality of Life

Archives of physical medicine and rehabilitation, Apr 1, 2024

Research paper thumbnail of Cancer-Related Fatigue (2018–2022)

American Journal of Occupational Therapy, Feb 28, 2023

Research paper thumbnail of Self-Reported Arm Function is Associated with Stress and Fear of Physical Activity Among Women Treated for Breast Cancer

DOAJ (DOAJ: Directory of Open Access Journals), Mar 1, 2022

Research paper thumbnail of Commentary: Compassionately Balancing Hope With Patients Who Have Stage IV Cancer in Inpatient Rehabilitation

Rehabilitation oncology, Jun 28, 2022

Research paper thumbnail of Arm Function in Women Treated for Breast Cancer

Research paper thumbnail of Tools that can be used now! Person-Centered Care within cancer rehabilitation. Symposium at the American Congress of Rehabilitation Medicine

The purpose of this symposium is to provide a) the science behind the benefits of delivering pers... more The purpose of this symposium is to provide a) the science behind the benefits of delivering person-centered care, and b) practical tips, training, and resources to successfully Integrate person-centered approach into your practice [7]. This will be accomplished by illustrating what current person-centered models are being used within cancer rehabilitation setting through the use of case examples and evidence in the literature. Within this illustration, we will demonstrate how common barriers to implementing person-centered care can be reduced within your practice. Attendees will be shown a) commonly used person-centered assessments that meet accreditation standards and reimbursement requirements, and b) where to locate community resources for your clients that can be effectively and efficiently given to them. Learning Objectives: Describe current person-centered care models within the cancer rehabilitation setting Identify and describe the most common barriers to implementation of person-centered care. Locate common person-centered assessments used among providers that also meet accreditation standards and reimbursement requirements. Locate community resources for your clients and describe how to provide these to your clients effectively and efficiently. Understand how person-centered care is currently used in practice

Research paper thumbnail of Fear of Physical Activity Hinders Functional Return in Women Treated for Breast Cancer

Learning objectives: The participant will be able to: Identify relationships between fear of phys... more Learning objectives: The participant will be able to: Identify relationships between fear of physical activity and self-reported measures among women with breast cancer. Develop an understanding of the importance of personal factors for full functional recovery among women treated for breast cancer. Background/Purpose: Women with breast cancer (WBC) report decreased function and quality of life (QOL) as well as increased anxiety and fear of physical activity (PA) following cancer treatment. This study explored the relationships between fear of PA and self-reported arm function, QOL, perceived stress, and objective measures of range of motion (ROM), strength, and muscular endurance in WBC. Methods: Data from two observational studies were combined for analysis. Women diagnosed with stage 0-3 breast cancer 6-60 months prior to enrollment participated; WBC were excluded with metastatic disease, shoulder pathology, or history of shoulder/neck surgery. Self-reported function was measured with the Disabilities of the Arm, Shoulder, and Hand (DASH; n=24) or the Penn Shoulder Score (PENN; n=30). To combine self-reported shoulder function into one score, DASH and PENN scores were combined by inverting DASH scores, lower=better, to higher=better. Additional variables included FACT-B QOL, Perceived Stress Scale (PSS), Canadian Occupational Performance Measure (COPM), bilateral flexion, external and internal rotation ROM and strength, and muscular endurance. Independent samples t-tests evaluated differences in fear of PA among WBC who received physical therapy (yes/no); had axillary node dissection (yes/no); and limb involved (dominant/non-dominant). Relationships between fear of PA and all variables were explored using Pearson’s correlations. Significance was set ≤0.05 a priori. Results: Mean age and BMI of the 54 participants were 55 (SD12.36) and 28.56 (SD5.87). Mean DASH was 17.7 points (SD15); PENN score was 84.15 points (SD4.8); the combined self-reported function score was 83.67 points (SD10.6). No differences were found among the groups for fear of PA (p\u3e0.05). Fear of PA was significantly correlated to DASH (p Conclusions: Fear of PA was associated with self-reported function, QOL, and perceived stress in this population of WBC, while objective measures were not. These findings suggest that personal factors play a significant role in functional recovery. Clinical Relevance: Rehabilitation professionals must address personal factors to ensure complete and successful functional recovery among WBC

Research paper thumbnail of Women’s Experiences after Hormone Positive Breast Cancer: Beginning of Radiation to 3-4 Years Post-Radiation

Occupational Therapy In Health Care

Research paper thumbnail of The experience of breast cancer survivors\u27 participation in important activities during and after treatments

Introduction: This study describes breast cancer survivors’ experiences participating in their im... more Introduction: This study describes breast cancer survivors’ experiences participating in their important activities during and after breast cancer treatment. Method: Ten survivors between the ages of 45 and 64 with Stage I, II, or III breast cancer who had been treated consecutively with surgery, chemotherapy, and radiation therapy were recruited for the study, and participated in two semi-structured interviews: end of radiation therapy and 6-months post-treatment. Findings: Interpretative phenomenological analysis led to two superordinate themes at the end of radiation (“individual outlook influences how activities are approached” and “social support reduces the stress of life”) which seemed to support participation in important activities, and two themes that discouraged participation (“side effects influence how activities are completed” and “personal and treatment stresses and struggles influenced their perspectives on life”). At 6-months post-treatment, the superordinate theme ...

Research paper thumbnail of Living a Full Life After Breast Cancer and its Treatment Through Virtual Education and Support

Over 3.5 million breast cancer survivors (BCS) live in the United States (ACS, 2002) and 3,800 Ke... more Over 3.5 million breast cancer survivors (BCS) live in the United States (ACS, 2002) and 3,800 Kentucky women will be diagnosed with breast cancer in 2020 (Siegel, Miller, & Jemal, 2020). As BCS are living longer, the need for additional support, education, and services has increased. Online support groups may be an option for BCS who live in remote areas, have multiple responsibilities or desire to have more privacy. We sought to create an online support group for BCS in rural Kentucky who had completed treatment for their breast cancer, except for Herceptin or an anti-hormone medication. A scripted message along with a Virtual Breast Cancer Support Group flyer was sent to eighty-six oncology providers via email or fax. We created the Rural Kentucky Breast Cancer Support Group Facebook page to provide Facebook Live educational sessions on a variety of BCS topics. We also used this as a platform to recruit to the study by posting our flyer. We shared this link with providers and BCS...

Research paper thumbnail of Virtual breast cancer education and support group for self-care management and function: a study protocol applying Person-centered principles

Physical Therapy Reviews, 2020

Background: Breast cancer survivors (BCS) may be limited in their ability to attend support group... more Background: Breast cancer survivors (BCS) may be limited in their ability to attend support groups due to transportation, geography, finances, and/or time. Evidence suggests that internet platforms, texting, and videoconferencing can be used to provide education and support. Objective: To evaluate if participating in Virtual Breast Cancer Education and Support Group (VBCESG) sessions via Zoom® videoconferencing will change perceived satisfaction and ability for survivors to complete their chosen activities. Methods: Support group flyers were posted on social media, emailed, and/or faxed to breast cancer providers and survivors to recruit participants. Inclusion criteria included participants who were diagnosed with Stage 0-III breast cancer, completed treatment, excluding HER2 suppressant and/or anti-hormone medications, and had internet access and basic computer skills. Canadian Occupational Performance Measure (COPM) was administered via Zoom® videoconferencing before the first an...

Research paper thumbnail of Perceived Stress Has a Negative Effect on Self-Reported Upper Extremity Function among Women Treated for Breast Cancer

Research Objectives Women treated for breast cancer report ongoing disability in their involved u... more Research Objectives Women treated for breast cancer report ongoing disability in their involved upper extremity, however, often objective measures do not appear to explain the level of perceived dysfunction. The purpose of this study was to investigate the relationship between perceived stress levels, fear of physical activity and self-reported upper extremity function among women treated for breast cancer. Participants 25 women with a mean age of 52 year (range 31-68) diagnosed with Stage 1-3 breast cancer between 12 and 60 months prior to data collection completed 3 patient-reported outcome scales in a single visit. Data were analyzed with Pearson’s correlation r to determine if there was a relationship between self-reported upper extremity function and/or perceived stress level and fear of physical activity. Main Outcome Measure(s) Disabilities of the Arm, Shoulder and Hand (DASH), a 30-item self-report scale of upper extremity function; Perceived Stress Scale (PSS), a 10-item self-report scale of stress in the past month; and Fear of Physical Activity/Exercise Scale - Breast Cancer (FPAX-B), a 17-item self-report scale concerning participation in physical activity for breast cancer survivors. Results: There was a significant relationship between the DASH and both the PSS , r=.074, p (one-tailed) Conclusions: Results of the study suggest that there is a significant positive relationship between the DASH and both the PSS and FPAX-B among women treated for breast cancer. Perceived stress and fear of physical activity may be impacting self-reported upper extremity functional abilities.https://encompass.eku.edu/swps_facultygallery/1034/thumbnail.jp

Research paper thumbnail of Developing a Virtual Breast Cancer Survivor Support Group

Over 3.5 million breast cancer survivors (BCS) live in the US (ACS, 2020) and 3,800 Kentucky wome... more Over 3.5 million breast cancer survivors (BCS) live in the US (ACS, 2020) and 3,800 Kentucky women will be diagnosed with breast cancer in 2020 (Siegel, Miller, & Jemal, 2020). The internet increases access to support groups (Egbert & Wright, 2019; Huang, Han, Wei, Liu, Du, Yang, Li, Yao, & Wang, 2019; Wang & Wei, 2020); however, additional research is needed to evaluate their efficacy with BCS (Pekkola & Garbrah, 2018; Son, Hertsenberg, Nahm, Corbitt, McQuaige, Jaidar, & Rosenblatt, 2019; Hendershot, 2019). We sought to create an online support group for BCS for survivors in rural Kentucky who had completed treatment, except for Herceptin or an anti-hormone medication. A scripted message and a Virtual Breast Cancer Support Group (VBCSG) flyer was sent to 86 oncology providers via email or fax. Thirteen of the 86 oncology providers responded favorably to the VBCSG. Additionally, we created the Rural Kentucky Breast Cancer Support Group Facebook page to provide Facebook Live BCS educational sessions and recruit for the study. We shared the link to the Facebook page with providers and BCS. After recruiting for several months and not having any BCS who met the criteria of living in rural Kentucky, the inclusion criteria were expanded to include BCS living in any area in the United States. Five women agreed to participate in the VBCSG. Currently these BCS are completing the pre-VBCSB needs assessment and the support group is scheduled to begin in April. References American Cancer Society (2020). How common is Breast Cancer? Retrieved from https://www.cancer.org/cancer/breast-cancer/about/how-common-is-breast-cancer.html Egbert, N., & Wright, K. B. (2019). Social Support and Health in the Digital Age. Rowman & Littlefield. Hendershot, A. L. (2019). Cancer Survivorship in a Rural County. Journal of Oncology Navigation & Survivorship, 10(12), 524–529. Huang, J., Han, Y., Wei, J., Liu, X., Du, Y., Yang, L., Li, Y., Yao, W., & Wang, R. (2019). The effectiveness of the Internet-based self-management program for cancer-related fatigue patients: A systematic review and meta-analysis. Clinical Rehabilitation, 34(3), 287-298. https://doi.org/10.1177/0269215519889394 Pekkola, M., & Garbrah, W. (2018). Social support experiences of breast cancer patients. JAMK Journal of Health and Social Studies, e72-e79. Son, H., Hertsenberg, L., Nahm, E.-S., Corbitt, N., McQuaige, M., Jaidar, N., & Rosenblatt, P. (2019). Use of Health Information Technologies for Cancer Survivorship Care: A Comprehensive Review of the Literature. Journal of Informatics Nursing, 4(4), 6-19. Wang, J., & Wei, L. (2020). Fear and Hope, Bitter and Sweet: Emotion Sharing of Cancer Community on Twitter. Social Media + Society, 6(1), 1-12. https://doi.org/10.1177/2056305119897319 Siegel, R. L., Miller, K. D., & Jemal, A. (2020). Cancer statistics, 2020. CA: A Cancer Journal for Clinicians, 70(1), 7-30. https://doi.org/10.3322/caac.2159

Research paper thumbnail of Twitter, Telepractice, and the COVID-19 Pandemic: A Social Media Content Analysis

American Journal of Speech-Language Pathology, 2021

Purpose Telepractice was extensively utilized during the COVID-19 pandemic. Little is known about... more Purpose Telepractice was extensively utilized during the COVID-19 pandemic. Little is known about issues experienced during the wide-scale rollout of a service delivery model that was novel to many. Social media research is a way to unobtrusively analyze public communication, including during a health crisis. We investigated the characteristics of tweets about telepractice through the lens of an established health technology implementation framework. Results can help guide efforts to support and sustain telehealth beyond the pandemic context. Method We retrieved a historical Twitter data set containing tweets about telepractice from the early months of the pandemic. Tweets were analyzed using a concurrent mixed-methods content analysis design informed by the nonadoption, abandonment, scale-up, spread, and sustainability (NASSS) framework. Results Approximately 2,200 Twitter posts were retrieved, and 820 original tweets were analyzed qualitatively. Volume of tweets about telepractice...

Research paper thumbnail of Creating an Interprofessional Collaborative Research Opportunity for Physical and Occupational Therapy Students

Journal of allied health, 2019

Physical therapy (PT) and occupational therapy (OT) professional associations assert the importan... more Physical therapy (PT) and occupational therapy (OT) professional associations assert the importance that entry-level therapists learn and apply the knowledge and skills necessary for interprofessional collaborative practice; however, the majority of PT and OT programs do not have the other discipline at their university. A challenge exists for the creation of a transparent active learning opportunity promoting interprofessional student engagement when the two professions do not reside in the same university. This case study provides a model for how to feasibly create an interprofessional experience for students in universities that do not include a complementary or collaborative allied health professional program, using various technologies. While creating this collaborative project, we provided opportunities to meet the Interprofessional Education Collaborative's (IPEC) competencies: a) value/ethics for interprofessional practice, b) roles and responsibilities, c) interprofessi...

Research paper thumbnail of Notalgia Paresthetica: Successful Treatment with Exercises

Acta Dermato Venereologica, 2011

Research paper thumbnail of Perceived Stress Levels May Impact Upper Extremity Function Among Women Treated for Breast Cancer

American Journal of Occupational Therapy

Date Presented 4/20/2018 Positive relationships between lower perceived arm function and higher p... more Date Presented 4/20/2018 Positive relationships between lower perceived arm function and higher perceived stress and fear of physical activity were demonstrated among breast cancer survivors with functional shoulder range of motion. Stress-reducing techniques when engaging in occupations to restore function may be beneficial. Primary Author and Speaker: Anne Fleischer Contributing Authors: Mary Fisher

Research paper thumbnail of Exploring Therapist Engagement Using Process Consultation

American Journal of Occupational Therapy

Research paper thumbnail of Acute-Care OT Practice: Application of the Canadian Occupational Performance Measure (COPM) in a Palliative-Care Program

American Journal of Occupational Therapy

Research paper thumbnail of Fear of Physical Activity Limits Women Treated for Breast Cancer's Perceived Function

Archives of Physical Medicine and Rehabilitation