Michèle Verdonck

Although there is growing evidence that the flipped classroom approach (FCA) positively impacts the student learning experience and outcomes, much less is known about the educator's experience. This study aimed to explore how educators across several disciplines in a regional Australian University describe their experience of using the FCA. Qualitative description methodology guided the research whereby individual face-to-face semi-structured interviews collected qualitative data from educators who had used the FCA in the previous 4 years which was then analysed using reflexive thematic analysis. Eleven educators across seven disciplines were recruited, eight of whom had fully and three partially flipped a course. Four broad themes described the educator's experience of the FCA namely, the environmental influence, preparation and implementation, emotional response and metacognition. There were 20 sub-themes across the four themes. Educators in this study were both ambivalent and internally motivated by the FCA, valued scholarly and institutional support, highlighted the importance of reflexive teaching practice and appreciated the affordance of more active learning opportunities in class. The human aspect of competing emotions was clear when implementing the FCA. Educators need to prepare themselves for the emotional investment that accompanies the FCA, to be responsive and adaptive in what and how content is delivered. Institutions should provide adequate support to cater for both the well-being of educators as well as the practicalities of implementing the FCA.

Wheelchair basketball (WCBB) often includes reverse integration (RI), defined as the inclusion of athletes without impairment in a sport traditionally aimed at athletes with an impairment. This study explored how RI in WCBB was understood by internal stakeholders. Data were gathered from athletes, coaches, and administrators at an Australian club competition and at a Canadian elite training center. Analysis of semistructured interviews with 29 participants led to the identification of eight themes. Collectively, the findings showed that RI was embedded within WCBB, RI was considered to be a way to advance the growth and improve the quality of WCBB as well as a way to increase awareness of WCBB and disability. There were some concerns that RI may not be equitable, as WCBB is a “disability sport.” Stakeholders’ perspectives on RI could provide useful information for sport policymakers, managers, administrators, sports organizations, and athletes interested in further developing WCBB.

Objective: The objective of this scoping review was to map research in the use of digital technologies in occupational therapy and physiotherapy education in terms of the type of digital technology used, how the digital technology is applied, as well as the author-reported outcomes of digital technology use. Introduction: The ubiquitous nature of digital technology has influenced higher education, offering benefits of integrating digital technologies into curricula. However, the extent of the application of digital technologies in higher education in occupational therapy and physiotherapy warrants investigation. This scoping review mapped the reported applications of digital technology in both undergraduate and postgraduate occupational therapy and physiotherapy education. Inclusion criteria: Research studies on the use of digital technology in undergraduate and/or postgraduate education in occupational therapy and/or physiotherapy were considered for inclusion in this scoping review. Methods: The JBI scoping review methodology guided this review. The protocol related to this scoping review was published in the JBI Database of Systematic Reviews and Implementation Reports. A comprehensive search strategy using multiple databases was employed to find relevant studies. Keywords and the derivatives of "digital technology", "education", "occupational therapy" and "physiotherapy" were used. The databases searched included: MEDLINE via PubMed, the Cochrane Controlled Trials Register, Physiotherapy Evidence Database (PEDro), EBSCOhost Education Research Complete, EBSCOhost ERIC, EBSCOhost MasterFILE Premier, EBSCOhost CINAHL Complete, OT Database, OT Seeker and Scopus. Google Scholar was also searched. The filter "humans" was applied, where possible. Peer-reviewed qualitative and quantitative research studies were considered for inclusion. Owing to the rapid development of technologies, studies that were published in the last six years from January 2013 to April 2019 were included. This review only included papers available in English. The relevant studies and their reported outcomes were organized and analyzed thematically. Results: The initial search yielded 2853 articles. Title, abstract and full text review yielded 52 suitable papers meeting criteria. The final data set represented 4038 participants. Data were analyzed according to three main categories, namely, type of technology used, application of digital technology and author-reported outcomes. The review showed that occupational therapy and physiotherapy educators have used a wide variety of digital technologies, including quizzes, videos, social media, learning management systems and content repositories. Digital technologies have been applied in a range of learning and teaching contexts, including feedback and assessment, clinical skills and techniques, professional behaviors, clinical reasoning and fieldwork supervision. Author-reported outcomes varied between studies and were associated with student factors (e.g. anxiety, self-efficacy), technical difficulties when implementing digital technology, as well as financial costs. Conclusion: A wide variety of digital technologies can support learning and teaching across many contexts in occupational therapy and physiotherapy education. Technology should not be used in isolation and must be aligned to the proposed learning outcomes. Studies highlight the need for face-to-face contact with lecturers and fellow students in addition to the use of digital technology.

When students are given the opportunity to articulate their experiences in a technology-enabled space, we gain insights into how the space impacts on their learning. This research contributes to the growing interest in the development of technology-enabled learning spaces in Australian higher education. A qualitative participatory research approach incorporating Photovoice, provided insights into students' experiences of a tiered technology-enabled learning space. Participants included students who attended courses delivered in a 4-tiered learning space which accommodates 75 students at 14 small group desks. Thematic analysis of 85 student Photovoice reflections identified both learning environment challenges and affordances. Findings suggest that physical and technological affordances of this type of learning environment accommodate collaborative learning and indicate that technology-enabled learning spaces can encourage group work, self-directed learning and facilitate deeper learning through collaboration.

The aim of this metasynthesis review of published qualitative research was to investigate the lived experience and meaning ascribed to speech-generating devices (SGDs) by people with complex communication needs and their familiar communication partners. Bibliographic databases were searched up to June 2016, and selected articles were assessed for their relevance to the research aim. The metasynthesis included 21 original articles and resulted in the identification of six main themes, each of which was comprised of two or more sub-themes that related to the experience of using SGD: It's an Inefficient Voice, It's Not a Natural Voice, Making the Most of This Voice, It's My Voice, It's More Than a Voice, and Having a Voice: Being Heard. The findings depict how use of an SGD is a complex process of understanding the limitations of the device, acknowledging expectations of society, using strategies to optimize communication, being aware of what an SGD represents, and using the SGD to enable social participation and a sense of empowerment.

Purpose: To synthesize qualitative study findings on the meaning ascribed to wheelchairs and wheeled mobility devices (WMD) by WMD users. Method: Bibliographic databases were systematically searched up to January 2015 to identify relevant papers. Reviewers selected studies, assessed methodological quality and thematically synthesized findings using a metasynthesis process described by Thomas and Harden (2008). Results: Twenty articles were included. Four descriptive themes emerged: physical environment interaction; sociocultural experiences; participation in activities and occupations; and WMD-self relationship. WMD use was found to be a complex experience that can fluctuate through interaction with aspects of the environment and opportunities for participation. The analytic theme, dynamic duality of WMD experience, addressed the simultaneous enabling and disabling aspects of WMD use. Conclusions: Metasyntheses enable researchers to gain a deeper understanding of issues by examining findings across studies. Findings of this study provide a framework for understanding the complexity of WMD use. The framework has practical applications for clinicians and users of WMD in understanding the experience of WMD to be neither singular nor static.