Theses and Dissertations
This collection includes both ASU Theses and Dissertations, submitted by graduate students, and the Barrett, Honors College theses submitted by undergraduate students.
Displaying 1 - 4 of 4
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- All Subjects: Physical Therapy
- Creators: School of Nutrition and Health Promotion
- Creators: Turaga, Pavan
Description
As the application of interactive media systems expands to address broader problems in health, education and creative practice, they fall within a higher dimensional space for which it is inherently more complex to design. In response to this need an emerging area of interactive system design, referred to as experiential media systems, applies hybrid knowledge synthesized across multiple disciplines to address challenges relevant to daily experience. Interactive neurorehabilitation (INR) aims to enhance functional movement therapy by integrating detailed motion capture with interactive feedback in a manner that facilitates engagement and sensorimotor learning for those who have suffered neurologic injury. While INR shows great promise to advance the current state of therapies, a cohesive media design methodology for INR is missing due to the present lack of substantial evidence within the field. Using an experiential media based approach to draw knowledge from external disciplines, this dissertation proposes a compositional framework for authoring visual media for INR systems across contexts and applications within upper extremity stroke rehabilitation. The compositional framework is applied across systems for supervised training, unsupervised training, and assisted reflection, which reflect the collective work of the Adaptive Mixed Reality Rehabilitation (AMRR) Team at Arizona State University, of which the author is a member. Formal structures and a methodology for applying them are described in detail for the visual media environments designed by the author. Data collected from studies conducted by the AMRR team to evaluate these systems in both supervised and unsupervised training contexts is also discussed in terms of the extent to which the application of the compositional framework is supported and which aspects require further investigation. The potential broader implications of the proposed compositional framework and methodology are the dissemination of interdisciplinary information to accelerate the informed development of INR applications and to demonstrate the potential benefit of generalizing integrative approaches, merging arts and science based knowledge, for other complex problems related to embodied learning.
ContributorsLehrer, Nicole (Author) / Rikakis, Thanassis (Committee member) / Olson, Loren (Committee member) / Wolf, Steven L. (Committee member) / Turaga, Pavan (Committee member) / Arizona State University (Publisher)
Created2014
Description
The purpose of this study was to determine if there was a relationship between the constructs of motivational theories, Self-Determination Theory and Health Belief Model, and adherence to a home exercise program. The constructs of Self-Determination Theory are autonomy, competence, and social relatedness. The constructs of Health Belief Model are perceived benefits, perceived barriers, perceived severity, and perceived susceptibility. Participants were receiving therapy at two outpatient clinics located in the Phoenix metropolitan area (n=40). Autonomy was assessed with a modified Treatment Self-Regulation Questionnaire. Competence was assessed with a modified Perceived Competence Scale. Social relatedness was assessed with a modified Health Care Climate Questionnaire. Perceived benefits and barriers were measured with a modified Exercise Benefits/Barriers Scale. Perceived severity and susceptibility were measured with a modified Health Beliefs Questionnaire. Adherence was measured with one Likert-type question that was created by the researchers. The data was scored and analyzed with the scoring guidelines provided by the questionnaires and the statistics software, IBM Statistical Package for the Social Sciences. The results showed that competence was the only construct that was significantly correlated with home exercise program adherence. The results from this study should be used for further research that focuses on creating a competence-supportive environment in physical therapy settings.
ContributorsAutrey, Makenna Noelle (Co-author) / Hamilton, Marissa (Co-author) / Hoffner, Kristin (Thesis director) / Broman, Tannah (Committee member) / School of Nutrition and Health Promotion (Contributor) / Department of Psychology (Contributor) / Barrett, The Honors College (Contributor)
Created2018-12
Description
Research indicates patient adherence to physical therapy home exercise programs is low and this is confirmed anecdotally by people working in the field. Many patients do not improve at the desired rate because they are only coming into the clinic for two to three days a week and then do not continue with their exercises at home. This thesis project was focused on designing a mobile application that would better help physical therapists facilitate home exercises for their patients. The goals of this application were to make it easier for patients to remember what they need to do and how often they need to do it, to increase patient improvements by making it easier to access and complete assigned exercises, and to make the physical therapist more efficient and effective by assigning the exercises through a program that can be easily altered. In order to create this application, research on self-efficacy, adherence, and behavior strategies and theories was collected. Then, interviews with physical therapists and patients were completed to determine what content should be added to the application for patients to be successful and to determine what features they believed would best facilitate exercise adherence. Lastly, the application and its features were designed based on the collected research and interviews.
ContributorsMoran, Alyssa Marie (Author) / Broman, Tannah (Thesis director) / Feser, Erin (Committee member) / School of Nutrition and Health Promotion (Contributor) / Barrett, The Honors College (Contributor)
Created2018-12
Description
The purpose of the present study was to determine if a relationship exists between adaptive patterns of causal attributions, adherence, and outcome success in physical therapy behavior. Adaptive casual attributions were defined as internal, controllable, and stable attributions as per Weiner's Attribution Theory of Motivation. Participants were seeking physical therapy for a post-surgical knee injury, with (n=3). Attributions were measured using the CDSII questionnaire, and outcome success was measured by the KOOS questionnaire to assess various dimensions of knee functionality. The respective physical therapist for the patient also completed the RAdMAT questionnaire to measure adherence. The data collected for all participants was analyzed qualitatively, with some emphasis on quantitative findings. Results showed mixed evidence for a relationship between adaptive attributions and adherence across the three participants. A trend toward a relationship between adaptive attributions and outcome success was observed in one participant. In addition, it was observed that adherence does play an indirect role in relating adaptive attributions and outcome success for physical therapy. Conclusions drawn from this pilot study should be used to further educate physical therapists and respective patients in how to improve adherence and experience positive outcomes for rehabilitation.
ContributorsDougher, Amelia Jane (Author) / Hoffner, Kristin (Thesis director) / Broman, Tannah (Committee member) / Shaibi, Stefany (Committee member) / Barrett, The Honors College (Contributor) / School of Nutrition and Health Promotion (Contributor)
Created2013-05