Whitney Pike OTR/L
Instructor of Clinical Occupational Therapy
Bachelor of Science (BS)
in Occupational Therapy
1993 | Indiana University
Bennett, A., Nxumalo, K., Pike, W., & Carroll, O. (2020). Abstract P480: The distinct role of occupational therapy in addressing the self-care management needs of patients with heart failure. Circulation, 141(Suppl_1), AP480. https://doi.org/10.1161/circ.141.suppl_1.P480 Show abstract
Introduction. Hospitalizations for heart failure (HF) are the highest single Medicare expenditure. This cost primarily results from readmissions linked to failed self-care. Evidence suggests that effective self-care routines are equivalent to medication in preventing HF exacerbation and hospitalization. Occupational therapists (OT) are well suited to address HF self-care needs by facilitating self-efficacy and adapting patients’ routines, roles and habits. A recent study determined that OT is the only hospital spending category associated with lower HF readmission rates.
Hypothesis. Occupational therapy has a significant role in addressing the self-care management needs of patients with HF throughout the continuum of care.
Methods. The OT department launched a HF self-care management program as part of process improvement initiatives at an AHA-recognized teaching hospital. An assessment battery was developed which included the following: The Self-Care of Heart Failure Index (SCHFI) v.6.2, Minnesota Living With Heart Failure Questionnaire, Patient Health Questionnaire-9, and the Montreal Cognitive Assessment. Administration of the OT HF assessment battery to a pilot group of 12 inpatients revealed factors that affect patient adoption and adherence to beneficial self-care management routines. Based on assessment battery data, an outpatient OT program was established. Eleven outpatients were enrolled and completed 3-6 hours of OT treatment. The SCHFI was administered at program evaluation and completion to measure self-care maintenance and confidence. To expand service access, a telehealth self-care program was introduced and a single patient case study was assessed to determine the feasibility and effectiveness of the virtual format.
Results. Assessment battery data enabled the development of outpatient treatment modules focusing on symptom monitoring, medication management, low sodium diet, activity tolerance and psychosocial strategies. All outpatients who completed the modules demonstrated improved self-care maintenance (ranging from 16-53 points) and half demonstrated improved self-care confidence (ranging from 6-39 points). The patient assessed after completing the telehealth program demonstrated improved self-care maintenance (70 points) and self-care confidence (28 points).
Conclusions. In conclusion, OT has a significant role in addressing the self-care management needs of patients with HF throughout the continuum of care. The utilization of a standardized OT HF assessment battery is effective in determining the needs of this population and for guiding the implementation of targeted individualized treatment. Outpatient and telehealth delivery of OT programming is effective in improving self-care for people with HF.
Carroll, O., Nxumalo, K., Bennett, A., & Pike, W. (2017). Abstract 245: Demonstrating the effectiveness of an outpatient occupational therapy program for individuals with heart failure [Poster presented at the American Heart Association's quality of care and outcomes research 2017 scientific sessions]. Circulation: Cardiovascular Quality and Outcomes, 10(Suppl_3), A245. https://doi.org/10.1161/circoutcomes.10.suppl_3.245 Show abstract
Objective. To demonstrate the effectiveness of an outpatient occupational therapy program on improving self-care for individuals with heart failure.
Background. Hospitalizations for heart failure (HF) are the largest Medicare expenditure, and 12% of these admissions are considered preventable. Effective self-management of the debilitating symptoms associated with HF (shortness of breath, fatigue, fluid retention, cognitive decline) helps keep patients out of the hospital. Individuals often experience difficulty incorporating self-care management activities into their daily lives. Occupational therapy (OT) is well suited to address the self-care needs of people with HF by increasing patient self-efficacy and facilitating lifestyle modification through the incorporation of new habits, roles, and routines.
Methods. Participants with HF (n=11, ages 40-86) enrolled in an outpatient OT program focusing on self-care management. Participants received weekly, bi-weekly or monthly one-hour treatments over a six-month period. Sessions addressed the following topics: low sodium diet adherence, medication management, activity tolerance, symptom monitoring and psychosocial coping strategies. The Self-Care of Heart Failure Index (SCHFI) was administered at evaluation and upon completion of the program. The SCHFI is a reliable and valid assessment tool that measures self-care maintenance, management and confidence in people with HF.
Results. All participants who received two or more treatments demonstrated 33.33% (16.67 of 49.99) to 190.01% (63.33 of 33.33) improvement in maintenance of self-care routines based on pre and post SCHFI scores. Additionally, half of these participants demonstrated 28.47% (22.16 of 77.84) to 85.33% (38.4 of 45) improvement in confidence with self-care management based on pre and post SCHFI scores.
Conclusion. Participation in an outpatient OT program that focused on incorporating lifestyle modifications into daily routines was effective at improving self-care for people with HF, specifically maintenance of self-care routines and confidence with ability to self-manage their chronic condition.
China Initiative Visits Yantai and Shanghai | October–November 2016 >
Purpose In Yantai, the team presented at the "Fourth National Congress of Rehabilitation Education of the Chinese Association of Rehabilitation Medicine." Carey Sokol and OTD Resident Lily Xu presented on OT fieldwork models in the US, while Adley Chan and OTD Resident Sherry Chen gave a…
November 27, 2016
5 awardees and 82 presenters slated for OTAC 2014 conference >
By Mike McNulty Five USC Trojans received awards and 82 Trojans presented during the 2014 conference of the Occupational Therapy Association of California, October 16-19 in Pasadena. Assistant clinical professor Sarah Bream received the Award of Appreciation, alumna Diane Mayfield received the…
October 3, 2014
39 USC Trojans presenting at the 2014 International Congress of the WFOT >
Congratulations to the 39 USC Trojan alumni and faculty members scheduled to present at the 2014 International Congress of the World Federation of Occupational Therapists in Yokohama, Japan. Congrats and Fight On! Click below to view the list.
June 11, 2014
USC Trojans Shine at 92nd AOTA Conference >
Division Associate Dean and current American Occupational Therapy Association President Florence Clark PhD (’82), OTR/L, FAOTA, presided over the 92nd annual AOTA conference, April 26-29, in Indianapolis, Ind. Conference highlights included a rousing Opening Ceremony, Clark's Presidential Address…
May 1, 2012
Trojans Presenting at OTAC Conference 2011 >
The Occupational Therapy Association of California's 35th annual Conference begins this Thursday! Click below for the full list of Trojan alumni, faculty, staff and students who will be there presenting, and remember that the USC Alumni and Student Reception is the evening of Friday, October 14. See…
October 11, 2011