Jodie Murakami OTD, OTR/L, CKTP
Assistant Professor of Clinical Occupational Therapy
Jodie Murakami is a clinical faculty member at Keck Hospital of USC where she provides clinical services primarily to patients with advanced lung disease in acute, critical care and inpatient rehabilitation settings. She is an active member of the cystic fibrosis multidisciplinary care team.
Dr. Murakami received her bachelor’s degree in psychology and social behavior with a minor in educational studies from the University of California, Irvine. She received both her Master of Arts in occupational therapy and Doctorate of Occupational Therapy degrees from the University of Southern California. As a doctoral resident at Keck Hospital of USC, Dr. Murakami focused on advancing occupational therapy as a partner in the multidisciplinary continuum of care for adults with Cystic Fibrosis.
Doctorate of Occupational Therapy (OTD)
2017 | University of Southern California
Master of Arts (MA)
in Occupational Therapy
2016 | University of Southern California
Bachelor of Arts (BA)
in Psychology and Social Behavior
2013 | University of California, Irvine
Background. Cystic fibrosis (CF) is a complex chronic illness requiring individuals to follow a multifaceted, time-intensive, daily treatment regimen. Adherence to prescribed treatments is critical to ensuring health outcomes that support individuals with CF to live full lives. Adherence to treatments, however, is not always easy. A combination of financial, practical and psychosocial issues contribute to the challenges of sustaining daily CF care. Occupational therapists provide a holistic and unique approach to the evaluation and treatment of patients with CF by acknowledging and addressing barriers to self-management.
There are some instruments available that measure one or more aspects of self-management, however, there is no generic instrument that exists that aims to measure specific client factors that could be a barrier for self-management. Relying on these insights, we aimed to develop and validate a generic, brief and practically applicable self-management questionnaire to measure possible patient-related barriers to self-management in adults with CF.
Methods. A prototype of the “Self-Management of Cystic Fibrosis Index” was drafted, consisting of 15 questions that are frequently addressed during initial occupational therapy (OT) evaluation. To reach high content validity, a literature review and focus group with healthcare professionals as input for the tool was performed. The characteristics of self-efficacy, anxiety, coping, and perceived burden of disease were incorporated into the tool.
Preliminary Results. In total, 9 participants completed the Self-Management of Cystic Fibrosis Index - once upon initial admission to the hospital and one additional time before discharge, after at least 1-2 inpatient OT treatment sessions focusing on self-management training. Responses from each of the 15 questions were assessed and 9 out of 9 respondents demon- strated at least 1 improvement in symptom recognition, symptom manage- ment, and/or overall confidence in CF disease self-management skills.
Conclusions. The Self-Management of Cystic Fibrosis Index is a tool designed to assess three dimensions: 1) knowledge, confidence and preparedness of disease self-management; 2) provide a clinically meaningful measure; 3) provide immediate feedback to the healthcare provider for treatment goal setting. The instant scoring and specific feedback should provide significant value in the patient assessment in adults with CF.