Lana Svien - Academia.edu (original) (raw)
Papers by Lana Svien
Journal of Occupational Therapy Education
Interprofessional teams of occupational therapy, physical therapy, physician assistant, and denta... more Interprofessional teams of occupational therapy, physical therapy, physician assistant, and dental hygiene students from the University of South Dakota participated in a service-learning experience in Guatemala. Student perceptions were measured using the Interprofessional Attitudes Scale and the Transcultural Self-Efficacy Tool. Qualitative data were obtained through written reflections and discussions during the immersion component of the service-learning experience. Students reported statistically significant improvements in transcultural self-efficacy as defined by their confidence in interviewing individuals from different cultures; their values, attitudes, and beliefs regarding cultural awareness, acceptance, appreciation, recognition, and advocacy; and their knowledge on how cultural factors influence care. Slightly different findings emerged concerning students' attitudes about interprofessional practice. Qualitative analysis of personal reflections showed that many students felt purposeful when working as part of an interprofessional team and appreciated the dialogue with other professionals when discussing patient care.
Journal of Physical Therapy Education, 2018
Purpose: To examine and describe the structure, curricular objectives, and outcome measurement pr... more Purpose: To examine and describe the structure, curricular objectives, and outcome measurement practices of faculty developing and providing international opportunities in physical therapy (PT) education programs, and to provide guidance and initial recommendations for faculty. Background: Physical therapy educational programs are adding international opportunities as a way to address the increasingly global nature of the profession. Guidelines to enhance practice, optimize the experience, and provide structure for managing risk are warranted. Methods: A researcher-developed survey was distributed to 216 PT education programs and professional listservs. Respondents from fifty-six programs (26%) returned the survey. Data were analyzed descriptively. Results: The majority of respondents cited global understanding as critical to the PT profession, and the reason for involving students in global learning opportunities. Knowledge of host site, sustainability, and potential strength of partnership were cited as the most important factors when choosing an international community partner. Risk management efforts included supplemental insurance, availability of emergency contact information, safe transportation and housing plans, and plans for adverse occurrences. Conclusion: This study supplements previous literature in designing international student experiences. Activities addressing clear purposes and expected outcomes for all participants, including the community partner, and the university-community partnership prior to, during, and after the experience are essential.
Journal of Geriatric Physical Therapy, 2018
Background and Purpose: The Otago exercise program is a strengthening, balance, and walking progr... more Background and Purpose: The Otago exercise program is a strengthening, balance, and walking program designed to decrease falls among community-dwelling older adults. Few studies have examined the effects of the Otago program in an assisted living environment. The purpose of the current study was to assess the effects of an Otago-based home exercise program in decreasing falls and the risk of falls among older adults living in an assisted living facility. Methods: A retrospective chart review of 30 individuals residing at either of 2 assisted living facilities in central Florida was undertaken. Participants had a mean age of 87 years, were at risk for falls as determined by the Tinetti Performance-Oriented Mobility Assessment (POMA), and were provided with an Otago-based intervention by home health physical therapy. The outcome measures were the number of falls in the previous year, the number of falls in the year following the intervention, and Tinetti POMA scores pre-and postintervention. Results and Discussion: The mean number of falls significantly decreased from 1.4 (0.9) to 0.5 (0.7) fall per person per year after home health physical therapy with the tailored Otago based-exercise intervention. The intervention resulted in a statistically significant improvement in Tinetti POMA scores from 11.8 (2.5) to 17.6 (3.8). Conclusions: An Otago-based strengthening, balance, and walking home exercise program can potentially be used to decrease the number of falls and the risk of falling among older adults residing in an assisted living facility.
Pediatric physical therapy : the official publication of the Section on Pediatrics of the American Physical Therapy Association, 2014
This case report describes the effects of a 6-week progressive tap dance program on static and dy... more This case report describes the effects of a 6-week progressive tap dance program on static and dynamic balance for a child with type 1 congenital myotonic muscular dystrophy (congenital MMD1). A 6-year-old girl with congenital MMD1 participated in a 1-hour progressive tap dance program. Classes were held once a week for 6 consecutive weeks and included 3 children with adaptive needs and 1 peer with typical development. The Bruininks-Oseretsky Test of Motor Proficiency, second edition (BOT-2) balance subsection and the Pediatric Balance Scale were completed at the beginning of the first class and the sixth class. The participant's BOT-2 score improved from 3 to 14. Her Pediatric Balance Scale score did not change. Participation in a progressive tap dance class by a child with congenital MMD1 may facilitate improvements in static and dynamic balance.
South Dakota medicine : the journal of the South Dakota State Medical Association, 2010
Unintentional injuries are the leading cause of death in children around the world and are an und... more Unintentional injuries are the leading cause of death in children around the world and are an under-recognized public health problem in the United States. The purpose of this study was to highlight the nature of the problem in South Dakota and outline interventions that have been successful in reducing childhood injuries in other states. This quantitative retrospective study examined mortality files in South Dakota for children birth to 19 years of age who died between January 1, 2000 to December 28, 2007. Although the number of deaths declined considerably from 2006 to 2007, South Dakota had the second-highest rate in the nation of childhood unintentional injury deaths from all causes between 2000-2005. The majority of deaths occurred in males and were associated with transportation-related deaths. Suffocation was the leading cause of death for newborns to age 1 year. Childhood accidental death in South Dakota is clearly a critical public health problem. Intervention efforts to red...
South Dakota medicine : the journal of the South Dakota State Medical Association, 2010
The purpose of this study was to examine depression and fatigue in individuals with a seropositiv... more The purpose of this study was to examine depression and fatigue in individuals with a seropositive confirmed history of West Nile virus (WNV) infection. The South Dakota State Epidemiologist sent 218 letters inviting residents with a diagnosis of WNV to participate in the study. Forty-five subjects were tested. An occupational therapist and a physical therapist met with each participant to assess performance parameters, including depression and fatigue levels. Subjects (n=42) completed the Revised Center for Epidemiologic Studies Depression Scale (CES-D) during the assessment. The Modified Fatigue Impact Scale (MFIS) was sent to participants as a follow-up questionnaire, and 29 were returned. Subjects were placed within one of three diagnosis groups: West Nile Fever (WNF), West Nile Neuroinvasive Disease (WNND) and WNV without fever or neuroinvasive disease (clinical/unspecified). Frequency of those reporting low risk of depression was similar between diagnosis groups (each approxim...
Pediatric Physical Therapy, 2006
All articles published in Pediatric Physical Therapy (PPT) within the first 15 years of publicati... more All articles published in Pediatric Physical Therapy (PPT) within the first 15 years of publication were reviewed to determine research trends. Methods: All articles published in PPT (n ϭ 262) were categorized as research or nonresearch, classified as experimental or nonexperimental, and further categorized as examination/evaluation, intervention, prognosis, and economics. The data were divided into the following three groups: Volumes 1-5, Volumes 6-10, and Volumes 11-15. Results: During the 15-year period, 64% of all published articles were derived from original research (p ϭ 0.01). Thirty-two articles (12% of the total number of articles) met the definition of experimental, and 136 articles (52% of the total number of articles) met the definition of nonexperimental. Four research articles disseminated results from randomized-control clinical trials. The number of articles reporting experimental research did not show a significant increase during the 15-year period. Conclusions: Pediatric Physical Therapy is a major source of information, including evidencebased research, for pediatric physical therapists, meeting the demand of therapists to base clinical decisions on research.
Pediatric Physical Therapy, 1992
This theory emerged from General Systems Theory by scholars who found it had many applications to... more This theory emerged from General Systems Theory by scholars who found it had many applications to families and other social systems. Any system is defined as a bounded set of interrelated elements exhibiting coherent behavior as a trait. (Constantine, 1986). Another definition is an assemblage of objects related to each other by some regular interaction or interdependence (Webster). Families are considered systems because they are made up of interrelated elements or objectives, they exhibit coherent behaviors, they have regular interactions, and they are interdependent on one another.
Pediatric Physical Therapy, 2001
Pediatric Physical Therapy, 2001
The purpose of this case report is to describe the gross motor development of a toddler with Bart... more The purpose of this case report is to describe the gross motor development of a toddler with Barth Syndrome, an X-linked genetic disorder. Summary of Key Points: Barth Syndrome is an unusual pediatric cardiovascular and neuromuscular disorder with a combination of features, including dilated cardiomyopathy, persistent aciduria, skeletal myopathy, severe neutropenia, and growth retardation. The child described in this report has a complicated medical history, including the diagnosis of Barth syndrome at 38 months of age. He began receiving early intervention services, including physical therapy, because of developmental delays at 13 months. This report was written when the child was 45 months old. Implications for working with a child with a cardiomyopathy and neutropenia are presented. Cardiovascular changes following transcatheterization for an atrial septal defect are described. Developmental changes secondary to an early intervention program that included physical therapy are discussed. Recommendations: Multiple aspects of care need to be considered when working with a child with a genetic syndrome that involves a cardiac defect and cardiomyopathy. When working with a child with a known cardiomyopathy, the physical therapist must watch for signs of cardiorespiratory distress. In addition, neutropenia is often associated with Barth syndrome, so the therapist must be cognizant of exposing the child to any illnesses.
Pediatric Physical Therapy, 2001
Pediatric Physical Therapy, 2003
Currents in Pharmacy Teaching and Learning, 2012
ABSTRACT Objectives To evaluate the effectiveness of a virtual world, Second Life (Linden Labs; h... more ABSTRACT Objectives To evaluate the effectiveness of a virtual world, Second Life (Linden Labs; http://secondlife.com), in interprofessional case discussions for health professions students.Methods Students from pharmacy, nursing, physician assistant, physical therapy, and occupational therapy programs used Second Life to conduct hour-long interprofessional discussions of a mock patient case. The sessions were facilitated by a pharmacy faculty member. Pre- and post-activity surveys evaluated students' opinions on the use of Second Life for interprofessional education (IPE).ResultsForty-seven students participated in one of the nine interprofessional team meetings with participants located in any of four cities. Group size ranged from four to seven students. All students completed the pre- and post-activity surveys. The students had favorable impressions of the activity with 60% of the participants agreeing or strongly agreeing that Second Life was an effective method of conducting IPE. In addition, a larger percentage of students clearly identified important characteristics of an effective interprofessional team after the virtual IPE. Students cited convenience, flexibility, the ability to discuss the case in real-time with other students, and the interactive nature of the session as the major advantages to the use of Second Life. Technical issues were the most commonly reported challenges in using Second Life.Conclusions This pilot study demonstrated that Second Life can be an effective option for interprofessional case discussions, although continued efforts to minimize technical challenges are needed.
Assessment for Effective Intervention, 2003
The Bayley Scales of Infant Development II (BSID-II) and the Wechsler Intelligence Scale for Chil... more The Bayley Scales of Infant Development II (BSID-II) and the Wechsler Intelligence Scale for Children-Third Edition (WISC-III) are frequently used across cultures in standard assessment batteries for learners between 6 and 17 years of age, respectively. Responses of American Indian students on the BSID-II and WISC-III were examined for patterns of performance across items. Information gathered from the BSID-II protocols indicate that expressive language items were lower than scores obtained in other categories and lower than scores on the total group of items. Results from the WISC-III suggest that, in some situations, student performance may be distorted. Issues of poverty, remoteness, access to resources, and health care need to be considered before sweeping conclusions can be made about performance on nationally normed, standardized instruments. Results may indicate that testing of American Indian students results in an inaccurate assessment due to cultural biases of test items.
Topics in Geriatric Rehabilitation, 2008
Cerebral palsy (CP) is a common cause of disability that impacts a person across his or her lifes... more Cerebral palsy (CP) is a common cause of disability that impacts a person across his or her lifespan. In addition to aging-related diseases, decline in function in adulthood can be attributed to conditions secondary to the impairments associated with CP. There are substantial literature on unique health needs and impact of CP on children and fewer studies specifically investigating the health needs and impact of CP on the aging adult. The purpose of this article is to present current literature on the effects aging has on adults with CP. In addition, the article will discuss the importance of preventive healthcare and wellness and iterate the challenges of accessing appropriate healthcare and healthcare providers by adults with CP. Recommendations are provided encouraging service providers to plan interventions, services, and supports to improve the participation of adults with CP in a contemporary system of care.
Journal of Occupational Therapy Education
Interprofessional teams of occupational therapy, physical therapy, physician assistant, and denta... more Interprofessional teams of occupational therapy, physical therapy, physician assistant, and dental hygiene students from the University of South Dakota participated in a service-learning experience in Guatemala. Student perceptions were measured using the Interprofessional Attitudes Scale and the Transcultural Self-Efficacy Tool. Qualitative data were obtained through written reflections and discussions during the immersion component of the service-learning experience. Students reported statistically significant improvements in transcultural self-efficacy as defined by their confidence in interviewing individuals from different cultures; their values, attitudes, and beliefs regarding cultural awareness, acceptance, appreciation, recognition, and advocacy; and their knowledge on how cultural factors influence care. Slightly different findings emerged concerning students' attitudes about interprofessional practice. Qualitative analysis of personal reflections showed that many students felt purposeful when working as part of an interprofessional team and appreciated the dialogue with other professionals when discussing patient care.
Journal of Physical Therapy Education, 2018
Purpose: To examine and describe the structure, curricular objectives, and outcome measurement pr... more Purpose: To examine and describe the structure, curricular objectives, and outcome measurement practices of faculty developing and providing international opportunities in physical therapy (PT) education programs, and to provide guidance and initial recommendations for faculty. Background: Physical therapy educational programs are adding international opportunities as a way to address the increasingly global nature of the profession. Guidelines to enhance practice, optimize the experience, and provide structure for managing risk are warranted. Methods: A researcher-developed survey was distributed to 216 PT education programs and professional listservs. Respondents from fifty-six programs (26%) returned the survey. Data were analyzed descriptively. Results: The majority of respondents cited global understanding as critical to the PT profession, and the reason for involving students in global learning opportunities. Knowledge of host site, sustainability, and potential strength of partnership were cited as the most important factors when choosing an international community partner. Risk management efforts included supplemental insurance, availability of emergency contact information, safe transportation and housing plans, and plans for adverse occurrences. Conclusion: This study supplements previous literature in designing international student experiences. Activities addressing clear purposes and expected outcomes for all participants, including the community partner, and the university-community partnership prior to, during, and after the experience are essential.
Journal of Geriatric Physical Therapy, 2018
Background and Purpose: The Otago exercise program is a strengthening, balance, and walking progr... more Background and Purpose: The Otago exercise program is a strengthening, balance, and walking program designed to decrease falls among community-dwelling older adults. Few studies have examined the effects of the Otago program in an assisted living environment. The purpose of the current study was to assess the effects of an Otago-based home exercise program in decreasing falls and the risk of falls among older adults living in an assisted living facility. Methods: A retrospective chart review of 30 individuals residing at either of 2 assisted living facilities in central Florida was undertaken. Participants had a mean age of 87 years, were at risk for falls as determined by the Tinetti Performance-Oriented Mobility Assessment (POMA), and were provided with an Otago-based intervention by home health physical therapy. The outcome measures were the number of falls in the previous year, the number of falls in the year following the intervention, and Tinetti POMA scores pre-and postintervention. Results and Discussion: The mean number of falls significantly decreased from 1.4 (0.9) to 0.5 (0.7) fall per person per year after home health physical therapy with the tailored Otago based-exercise intervention. The intervention resulted in a statistically significant improvement in Tinetti POMA scores from 11.8 (2.5) to 17.6 (3.8). Conclusions: An Otago-based strengthening, balance, and walking home exercise program can potentially be used to decrease the number of falls and the risk of falling among older adults residing in an assisted living facility.
Pediatric physical therapy : the official publication of the Section on Pediatrics of the American Physical Therapy Association, 2014
This case report describes the effects of a 6-week progressive tap dance program on static and dy... more This case report describes the effects of a 6-week progressive tap dance program on static and dynamic balance for a child with type 1 congenital myotonic muscular dystrophy (congenital MMD1). A 6-year-old girl with congenital MMD1 participated in a 1-hour progressive tap dance program. Classes were held once a week for 6 consecutive weeks and included 3 children with adaptive needs and 1 peer with typical development. The Bruininks-Oseretsky Test of Motor Proficiency, second edition (BOT-2) balance subsection and the Pediatric Balance Scale were completed at the beginning of the first class and the sixth class. The participant's BOT-2 score improved from 3 to 14. Her Pediatric Balance Scale score did not change. Participation in a progressive tap dance class by a child with congenital MMD1 may facilitate improvements in static and dynamic balance.
South Dakota medicine : the journal of the South Dakota State Medical Association, 2010
Unintentional injuries are the leading cause of death in children around the world and are an und... more Unintentional injuries are the leading cause of death in children around the world and are an under-recognized public health problem in the United States. The purpose of this study was to highlight the nature of the problem in South Dakota and outline interventions that have been successful in reducing childhood injuries in other states. This quantitative retrospective study examined mortality files in South Dakota for children birth to 19 years of age who died between January 1, 2000 to December 28, 2007. Although the number of deaths declined considerably from 2006 to 2007, South Dakota had the second-highest rate in the nation of childhood unintentional injury deaths from all causes between 2000-2005. The majority of deaths occurred in males and were associated with transportation-related deaths. Suffocation was the leading cause of death for newborns to age 1 year. Childhood accidental death in South Dakota is clearly a critical public health problem. Intervention efforts to red...
South Dakota medicine : the journal of the South Dakota State Medical Association, 2010
The purpose of this study was to examine depression and fatigue in individuals with a seropositiv... more The purpose of this study was to examine depression and fatigue in individuals with a seropositive confirmed history of West Nile virus (WNV) infection. The South Dakota State Epidemiologist sent 218 letters inviting residents with a diagnosis of WNV to participate in the study. Forty-five subjects were tested. An occupational therapist and a physical therapist met with each participant to assess performance parameters, including depression and fatigue levels. Subjects (n=42) completed the Revised Center for Epidemiologic Studies Depression Scale (CES-D) during the assessment. The Modified Fatigue Impact Scale (MFIS) was sent to participants as a follow-up questionnaire, and 29 were returned. Subjects were placed within one of three diagnosis groups: West Nile Fever (WNF), West Nile Neuroinvasive Disease (WNND) and WNV without fever or neuroinvasive disease (clinical/unspecified). Frequency of those reporting low risk of depression was similar between diagnosis groups (each approxim...
Pediatric Physical Therapy, 2006
All articles published in Pediatric Physical Therapy (PPT) within the first 15 years of publicati... more All articles published in Pediatric Physical Therapy (PPT) within the first 15 years of publication were reviewed to determine research trends. Methods: All articles published in PPT (n ϭ 262) were categorized as research or nonresearch, classified as experimental or nonexperimental, and further categorized as examination/evaluation, intervention, prognosis, and economics. The data were divided into the following three groups: Volumes 1-5, Volumes 6-10, and Volumes 11-15. Results: During the 15-year period, 64% of all published articles were derived from original research (p ϭ 0.01). Thirty-two articles (12% of the total number of articles) met the definition of experimental, and 136 articles (52% of the total number of articles) met the definition of nonexperimental. Four research articles disseminated results from randomized-control clinical trials. The number of articles reporting experimental research did not show a significant increase during the 15-year period. Conclusions: Pediatric Physical Therapy is a major source of information, including evidencebased research, for pediatric physical therapists, meeting the demand of therapists to base clinical decisions on research.
Pediatric Physical Therapy, 1992
This theory emerged from General Systems Theory by scholars who found it had many applications to... more This theory emerged from General Systems Theory by scholars who found it had many applications to families and other social systems. Any system is defined as a bounded set of interrelated elements exhibiting coherent behavior as a trait. (Constantine, 1986). Another definition is an assemblage of objects related to each other by some regular interaction or interdependence (Webster). Families are considered systems because they are made up of interrelated elements or objectives, they exhibit coherent behaviors, they have regular interactions, and they are interdependent on one another.
Pediatric Physical Therapy, 2001
Pediatric Physical Therapy, 2001
The purpose of this case report is to describe the gross motor development of a toddler with Bart... more The purpose of this case report is to describe the gross motor development of a toddler with Barth Syndrome, an X-linked genetic disorder. Summary of Key Points: Barth Syndrome is an unusual pediatric cardiovascular and neuromuscular disorder with a combination of features, including dilated cardiomyopathy, persistent aciduria, skeletal myopathy, severe neutropenia, and growth retardation. The child described in this report has a complicated medical history, including the diagnosis of Barth syndrome at 38 months of age. He began receiving early intervention services, including physical therapy, because of developmental delays at 13 months. This report was written when the child was 45 months old. Implications for working with a child with a cardiomyopathy and neutropenia are presented. Cardiovascular changes following transcatheterization for an atrial septal defect are described. Developmental changes secondary to an early intervention program that included physical therapy are discussed. Recommendations: Multiple aspects of care need to be considered when working with a child with a genetic syndrome that involves a cardiac defect and cardiomyopathy. When working with a child with a known cardiomyopathy, the physical therapist must watch for signs of cardiorespiratory distress. In addition, neutropenia is often associated with Barth syndrome, so the therapist must be cognizant of exposing the child to any illnesses.
Pediatric Physical Therapy, 2001
Pediatric Physical Therapy, 2003
Currents in Pharmacy Teaching and Learning, 2012
ABSTRACT Objectives To evaluate the effectiveness of a virtual world, Second Life (Linden Labs; h... more ABSTRACT Objectives To evaluate the effectiveness of a virtual world, Second Life (Linden Labs; http://secondlife.com), in interprofessional case discussions for health professions students.Methods Students from pharmacy, nursing, physician assistant, physical therapy, and occupational therapy programs used Second Life to conduct hour-long interprofessional discussions of a mock patient case. The sessions were facilitated by a pharmacy faculty member. Pre- and post-activity surveys evaluated students' opinions on the use of Second Life for interprofessional education (IPE).ResultsForty-seven students participated in one of the nine interprofessional team meetings with participants located in any of four cities. Group size ranged from four to seven students. All students completed the pre- and post-activity surveys. The students had favorable impressions of the activity with 60% of the participants agreeing or strongly agreeing that Second Life was an effective method of conducting IPE. In addition, a larger percentage of students clearly identified important characteristics of an effective interprofessional team after the virtual IPE. Students cited convenience, flexibility, the ability to discuss the case in real-time with other students, and the interactive nature of the session as the major advantages to the use of Second Life. Technical issues were the most commonly reported challenges in using Second Life.Conclusions This pilot study demonstrated that Second Life can be an effective option for interprofessional case discussions, although continued efforts to minimize technical challenges are needed.
Assessment for Effective Intervention, 2003
The Bayley Scales of Infant Development II (BSID-II) and the Wechsler Intelligence Scale for Chil... more The Bayley Scales of Infant Development II (BSID-II) and the Wechsler Intelligence Scale for Children-Third Edition (WISC-III) are frequently used across cultures in standard assessment batteries for learners between 6 and 17 years of age, respectively. Responses of American Indian students on the BSID-II and WISC-III were examined for patterns of performance across items. Information gathered from the BSID-II protocols indicate that expressive language items were lower than scores obtained in other categories and lower than scores on the total group of items. Results from the WISC-III suggest that, in some situations, student performance may be distorted. Issues of poverty, remoteness, access to resources, and health care need to be considered before sweeping conclusions can be made about performance on nationally normed, standardized instruments. Results may indicate that testing of American Indian students results in an inaccurate assessment due to cultural biases of test items.
Topics in Geriatric Rehabilitation, 2008
Cerebral palsy (CP) is a common cause of disability that impacts a person across his or her lifes... more Cerebral palsy (CP) is a common cause of disability that impacts a person across his or her lifespan. In addition to aging-related diseases, decline in function in adulthood can be attributed to conditions secondary to the impairments associated with CP. There are substantial literature on unique health needs and impact of CP on children and fewer studies specifically investigating the health needs and impact of CP on the aging adult. The purpose of this article is to present current literature on the effects aging has on adults with CP. In addition, the article will discuss the importance of preventive healthcare and wellness and iterate the challenges of accessing appropriate healthcare and healthcare providers by adults with CP. Recommendations are provided encouraging service providers to plan interventions, services, and supports to improve the participation of adults with CP in a contemporary system of care.