As part of the Program in Occupational Therapy’s ongoing mission, our faculty engages in innovative research every day and constantly pursues funding for projects that can enhance community health. These research initiatives have a direct impact on people with disabilities, chronic health conditions or those at-risk in their jobs and at home. Below are examples of research projects that lead to real life improvements in community health across the continuum of care.
Heartland Sickle Cell Disease Network
The Child Health and Education Laboratory led by Allison King, MD, PhD, focuses on children with chronic illness, specifically those with sickle cell disease (SCD) or brain tumors. In addition, Dr. King currently directs The Heartland Sickle Cell Disease Network, a partnership with sickle cell disease care providers and community organizations to improve overall care and quality of life of patients with SCD in a four-state region that includes Missouri, Iowa, Kansas and Nebraska. The network is funded by a grant from the U.S. Health Resources and Services Administration (HRSA).
A network collaborative web site is in development to support publicly posted educational materials as well as a secure area for data submission from Heartland Network collaborators. Site visitors will be able to sign up for newsletters, contact local SCD organizations, access webinars and other educational resources from network members, and find providers in their area.
Fall Protection Resource Website
Falls from heights are the top cause of construction fatalities and account for one-third of on-the-job injury deaths in the industry. When the Occupational Safety and Health Administration (OSHA) changed its residential fall protection requirements, they published a document highlighting pictures of devices for each building stage but without the device names or identifying information to help construction professionals find it. Vicki Kaskutas, OTD, MHS, OTR/L, FAOTA, received a grant from the Center for Construction Research and Training through the National Institute of Occupational Safety to develop a website that demonstrates the fall prevention devices available to protect residential construction workers when working at heights.
Launched in October 2014, the Fall Protection Resource for New Home Construction website (ot.wustl.edu/fptech/homepage.htm) demonstrates 148 fall prevention devices. It includes conventional methods of fall protection such as guardrails, personal fall arrest systems and safety nets, as well as other equipment including scaffolds, lifts, hole covers and ladder accessories that can improve safety when working at heights. The site has had more than 37,000 page views since the launch and was distributed nationwide by OSHA to its education center, field office and employees with a role in construction as well as to several trade organizations.
Expanding Fitness to Drive
The work of Peggy Barco, OTD, OTR/L, SCDCM, in the Driving and Community Mobility Laboratory focuses on studying medical fitness to drive in various populations including older adults with dementia, stroke, Parkinson’s disease, and visual disorders. She works in collaboration with David Carr, MD, and is funded by Missouri Department of Transportation (MODOT).
Barco's current research project focuses on the development of the Traffic Sign Naming Test (TSNT), which has face validity related to the IADL of driving. The TSNT is a common test used by driving rehabilitation specialists and licensing agencies during testing and/or renewal. However, test administration and scoring procedures are not standardized. In collaboration with Missouri Department of Revenue and Missouri Department of Transportation Division of Highway Safety, Barco is standardizing the test, developing training materials and determining the test’s effectiveness in predicting safe driving performance in older adults with medical impairment. This project will also study the unique challenges in performing comprehensive driving evaluations for older adults who live in rural environments by modifying the on-road assessment and addition of the novel functional assessments. Fitness to drive evaluations for this project are offered to persons with dementia who meet the inclusion criteria and by medical referral. These evaluations are provided at The Rehabilitation Institute of St. Louis (TRISL).
Home Hazard Removal Program
The Home Hazard Removal Program (HARP), funded by the Department of Housing and Urban Development, aims to implement an effective home-modification intervention to prevent falls through local Area Agencies on Aging. The principal investigator, Susy Stark, PhD, OTR/L, FAOTA, used community-engaged research approaches to receive input from both older adults and service providers in order to adapt an existing program that was successfully implemented in Australia to work within the aging services network in the United States. The adapted program is now undergoing pilot testing with older adults in the St. Louis Area.
The Performance, Environment and Participation Laboratory team works with the St. Louis and Mid-East Area Agency on Aging to identify older adults at risk for falling that may be interested in testing the adapted program. HARP provides older adults with a home hazard evaluation and home modifications to reduce fall risk in the home by an occupational therapist. Home modifications are provided through grant funding and local organizations that provide adaptive equipment, home repairs and modifications for accessibility.