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Full-Text Articles in Entire DC Network
A Peer-Mediated Art Program For Secondary Education Students: An Occupation Based Approach, Kjersten B. Sievers
A Peer-Mediated Art Program For Secondary Education Students: An Occupation Based Approach, Kjersten B. Sievers
Occupational Therapy Capstone Presentations
The purpose of this 14-week capstone project was to explore the impact of a peer-mediated art program on the social and occupational experiences of students with disabilities. This program was designed and implemented to promote inclusion of students with disabilities by providing an opportunity to interact with typically developing peers within their school-context. The 7-week peer-mediated art program was embedded into a startup peer-program at a high school. A total of 10 participants (4 from special education) were recruited to complete the study. Students met for three 45-minute sessions and one 90-minute session each week as part of the program’s …
Incorporating Occupation-Based Activities Into Treatment For Adolescents With Substance Use Disorders To Increase Self-Efficacy, Brea E. Westberg
Incorporating Occupation-Based Activities Into Treatment For Adolescents With Substance Use Disorders To Increase Self-Efficacy, Brea E. Westberg
Occupational Therapy Capstone Presentations
In 2022, over 48.7 million people aged 12 and older reported having a substance use disorder in the past year. Adolescents are increasingly becoming involved in substance use behaviors that impact their lives daily. There is limited evidence for providing mental health interventions, including those provided by occupational therapy practitioners, to adolescents with SUDs within the substance use treatment setting. Self-efficacy is an important part of the substance use recovery process. Therefore, the purpose of the capstone project was to determine the effects on self-efficacy after incorporating occupation-based activities into programming for adolescents in treatment for SUDs. The Model of …
Occupational Impacts Of Seizures, Stephanie Nailon, Karen Park, Kelly Rodenkirch
Occupational Impacts Of Seizures, Stephanie Nailon, Karen Park, Kelly Rodenkirch
Spring 2024 Virtual OTD Capstone Symposium
This research looks at the occupational impacts of seizure disorders on the adolescent population. The research study explores how their condition impacts the adolescent and family unit. The research was gathered from multiple perspectives to gain an in-depth understanding to best aid occupational therapists and health care professionals to gain a deeper understanding of areas to address when working with this population.
Assessing The Types Of Juvenile Detention Medical Issues: A Focus On Florida, De’Angelo Dean
Assessing The Types Of Juvenile Detention Medical Issues: A Focus On Florida, De’Angelo Dean
MUSC Theses and Dissertations
The justice system for young people in the United States has been a source of worry as more people acknowledge the possible adverse outcomes of involvement in the justice system during adolescence. Involvement with law enforcement can lead to various difficulties for young people, such as heightened susceptibility to psychological problems, interruptions in their education, and reduced prospects for achievement in the future. Hence, it is crucial to understand the interplays between the health care for juveniles referred by courts or law enforcement for hospital care to identify opportunities for process and outcome improvements. The interaction between juveniles and the …
Occupational Therapy Interventions For Visual Impairments Among Adolescents With Mild Traumatic Brain Injury, Olivia Vander Haar, Molly Whitlow, Sarah Fellman
Occupational Therapy Interventions For Visual Impairments Among Adolescents With Mild Traumatic Brain Injury, Olivia Vander Haar, Molly Whitlow, Sarah Fellman
Student Systematic Reviews: Occupational Therapy
PUPROSE: The purpose of this systematic review was to synthesize the evidence of occupational therapy (OT) interventions for adolescents who have sustained a mTBI and experience visual dysfunction.
DESIGN AND METHOD: A systematic review of peer-reviewed literature was conducted. Articles were included if participants were eight to nineteen years of age and diagnosed with an mTBI. Titles and abstracts of 506 articles from three databases were screened. The full text of 26 articles was reviewed. Seven met inclusion criteria. The U.S. Preventive Services Task Force levels of certainty and grade definitions described the strength of evidence.
RESULTS: Physical conditioning, vision …
Occupational Therapy Transition Services, Olivia G. Cooper
Occupational Therapy Transition Services, Olivia G. Cooper
Occupational Therapy Capstones
Transition services include training in daily living, social, cognitive, and vocational skills that align with occupational therapy’s (OT’s) scope of practice. However, occupational therapy (OT) is minimally represented in transition services. This doctoral capstone project (DCP) aims to contribute to the development and expansion of an outpatient, hospital-based transition program for adolescents and young adults with intellectual and developmental disabilities (IDD). Group programming in this setting is a unique and feasible environment to provide services for skill-building opportunities that also emphasize caregiver involvement. This program offers a solution to the gap in OT services for adolescents and young adults with …
Educating Counselors-In-Training To Work With Parents Of Minors, Krystal M. Vaughn, Erin M. Dugan, Kellie G. Camelford
Educating Counselors-In-Training To Work With Parents Of Minors, Krystal M. Vaughn, Erin M. Dugan, Kellie G. Camelford
Louisiana Journal of Counseling
Counselor education programs offer numerous opportunities for students to receive the necessary knowledge, skills, and experiences to become professional counselors. However, due to limited time, there are areas in the program that are not covered in-depth for various reasons. One such area where students may lack educational or clinical training is in the preparation of working with minors, and more specifically, the treatment of minors surrounding parental consultation practice patterns. The purpose of this article is to define parent consultation, review ethical and legal considerations when working with minors, and to provide counselor educators considerations to utilize when preparing counselors-in-training …
A Silent Epidemic: Prevalence Of Suicide Among Asian American Adolescents, Kacie Blalock, Ashton Nance, Anna-Katrina Keco, Britney Cubley
A Silent Epidemic: Prevalence Of Suicide Among Asian American Adolescents, Kacie Blalock, Ashton Nance, Anna-Katrina Keco, Britney Cubley
Louisiana Journal of Counseling
The suicide rate among Asian American adolescents has sharply increased in recent years. This article examines the factors which influence suicidal ideation, predictors of suicide, and treatment approaches for Asian American adolescents. It is imperative that mental health professionals understand the risk factors which may predict suicidal ideation. Predictors of suicide for Asian American adolescents include mental health issues, family dynamics, and academic and societal expectations and perceived pressures. Asian American adolescents report higher levels of depression and anxiety than their European American counterparts. The risk of suicide is likely to decrease when Asian American adolescents have supportive families. In …
The Effects On Occupations And Quality Of Life After A Sports Injury In Adolescents: Emphasis On Psychosocial Factors, Mikaela Hajjar, Lindsey Williams, Monica Watford
The Effects On Occupations And Quality Of Life After A Sports Injury In Adolescents: Emphasis On Psychosocial Factors, Mikaela Hajjar, Lindsey Williams, Monica Watford
Summer 2023 Virtual OTD Capstone Symposium
The capstone project was designed to develop educational handouts for adolescents who experience psychosocial factors after an injury, using the PEOP and Biopsychosocial models. The project addressed the need for more resources to target this population's psychosocial aspects of injuries. The handouts supported existing literature on recommended coping strategies, techniques, leisure exploration activities, and additional resources for OT treatment. The project aimed to provide accessible education to OTs, coaches, parents, and athletes on the role of OT in treatment and the importance of addressing psychosocial factors. The project successfully provided background information, analyzed methodology, summarized handout development, and highlighted the …
The Effects Of Covid-19 On Cognition In The Pediatric Population, Mia Ramirez, Hope Mccarroll, Lisa Griggs-Stapleton
The Effects Of Covid-19 On Cognition In The Pediatric Population, Mia Ramirez, Hope Mccarroll, Lisa Griggs-Stapleton
Summer 2023 Virtual OTD Capstone Symposium
Coronavirus disease or COVID-19, is an infectious disease caused by the SARS-CoV-2 virus. COVID-19 can affect adults and children by causing long-term symptoms such as difficulty concentrating, anxiety, depression, long-term breathing problems, and even heart complications. Children represent about 19% of all reported COVID-19 cases since the pandemic first began. Children also can have trouble concentrating, which can impact their ability to attend school and do their daily activities that require concentration, such as dressing, showering, and social participation. Cognitive deficits due to COVID-19 can impact the pediatric population as they may have decreased occupational performance in desired occupations, such …
Identification Of Structural Brain Alterations In Adolescents With Depressive Symptomatology, J. Bashford‑Largo, R. James R. Blair, Karina S. Blair, Matthew Dobbertin, Ahria Dominguez, Melissa Hatch, Sahil Bajaj
Identification Of Structural Brain Alterations In Adolescents With Depressive Symptomatology, J. Bashford‑Largo, R. James R. Blair, Karina S. Blair, Matthew Dobbertin, Ahria Dominguez, Melissa Hatch, Sahil Bajaj
Center for Brain, Biology, and Behavior: Faculty and Staff Publications
Introduction: Depressive symptoms can emerge as early as childhood and may lead to adverse situations in adulthood. Studies have examined structural brain alternations in individuals with depressive symptoms, but findings remain inconclusive. Furthermore, previous studies have focused on adults or used a categorical approach to assess depression. The current study looks to identify grey matter volumes (GMV) that predict depressive symptomatology across a clinically concerning sample of adolescents.
Methods: Structural MRI data were collected from 338 clinically concerning adolescents (mean age = 15.30 SD=2.07; mean IQ = 101.01 SD=12.43; 132 F). Depression symptoms were indexed via the Mood …
Usage And Influence Of Dietary Supplementation Amongst Adolescent Athletes, Allison Harlow, Jennifer Walker, Aubrey Wagstaff
Usage And Influence Of Dietary Supplementation Amongst Adolescent Athletes, Allison Harlow, Jennifer Walker, Aubrey Wagstaff
Journal of Sports Medicine and Allied Health Sciences: Official Journal of the Ohio Athletic Trainers Association
OBJECTIVE The purpose of this study was to investigate the use of dietary supplements or ergogenic aids amongst high school athletes.
Strength-Based Occupational Therapy Interventions For Neurodiverse Adolescents And Young Adults, Ellen Howard, Christina Connell
Strength-Based Occupational Therapy Interventions For Neurodiverse Adolescents And Young Adults, Ellen Howard, Christina Connell
Occupational Therapy Evidence Projects
In collaboration with Seattle Therapy Network, an outpatient pediatric occupational and speech therapy clinic, a critical appraisal of the literature was conducted to answer the following question: How can occupational therapists provide strength-based interventions for adolescents and young adults with autism and/or ADHD that support progression toward personally meaningful outcomes? Nineteen articles were critically appraised and were found to support using such interventions to promote meaningful outcomes in seven occupational areas. It is recommended that occupational therapy practitioners utilize strength-based, identity-affirming approaches that leverage client interests and abilities when working with neurodiverse youth in order to facilitate progress toward meaningful …
Mental Health And Education Staff Perspectives Of Occupational Functioning Of Court-Involved Youth With A History Of Substance Use, Mikel Stone, Otd, Otr/L, Adam Kantor, B.S., S/Ot, Bailey Bowen, B.S., S/Ot, Hope Moore, B.S., S/Ot, Jacob Dobrowolski, B.A., S/Ot, Morgan Delong, B.S., S/Ot
Mental Health And Education Staff Perspectives Of Occupational Functioning Of Court-Involved Youth With A History Of Substance Use, Mikel Stone, Otd, Otr/L, Adam Kantor, B.S., S/Ot, Bailey Bowen, B.S., S/Ot, Hope Moore, B.S., S/Ot, Jacob Dobrowolski, B.A., S/Ot, Morgan Delong, B.S., S/Ot
Occupational Therapy Research Projects
This mixed-methods descriptive survey study investigated the occupational functioning of court-involved youth with a history or risk of substance use, from the perspectives of mental health and education staff, within a rural, Mid-western county. Millions of Americans suffer from some form of substance use disorder (The National Survey on Drug Use and Health, 2017). According to The National Survey on Drug and Health, 23% of the youth population have reportedly tried and illicit drug (SAMHSA, 2016) and as little as 10% of the youth population are receiving treatment (NIDA, 2014). The purpose of this study was to implement a mixed-methods …
Teen Driving And Community Mobility Educational Module For Ot Students, Celeste Johns, Angela Blackwell, Melissa "Missy" Bell
Teen Driving And Community Mobility Educational Module For Ot Students, Celeste Johns, Angela Blackwell, Melissa "Missy" Bell
Spring 2022 Virtual OTD Capstone Symposium
Teens with disabilities require increased support in driving and community mobility (D&CM) due to increased complexity resulting from the combination of typical teen characteristics (physiological changes and developing cognitive skills), and limitations posed by physical, cognitive, or visual impairments (Interactive Autism Network, 2011; Monahan, 2012). Due to lack of training, decreased awareness, low confidence, decreased competence, billing, and productivity concerns OT practice is limited in addressing D&CM (Dickerson et al., 2011). There is a need for more targeted information regarding teen driving and community mobility within OT education to increase competence (knowledge, skills, attitudes), and prepare them to be generalists …
Impacting Students: Students With Disabilities Participating In A Theater Occupation-Based Program, Markii D. Landry
Impacting Students: Students With Disabilities Participating In A Theater Occupation-Based Program, Markii D. Landry
Occupational Therapy Doctorate Capstone Projects
Acting Creates Therapeutic Success (ACTS Jr.) is a program that uses theater and drama activities to address a variety of skills. Theater advantageously offers a variety of activities that suit the individual (costume and prop making, set design, screenplay writing, etc.), many that fall under the scope of occupational therapy, and is executed well as a form of group therapy given its innate camaraderie of actors and production members working together to form a final cohesive product (Phillips, 1996). The purpose of this study was to demonstrate how theater can be used as a meaningful activity for students with disabilities …
Routine Outcome Measurement In Adolescents Seeking Mental Health Services: Standardization Of Honosca In Kenyan Sample, Grace Nduku Wambua, Manasi Kumar, Fredrik Falkenström, Pim Cuijpers
Routine Outcome Measurement In Adolescents Seeking Mental Health Services: Standardization Of Honosca In Kenyan Sample, Grace Nduku Wambua, Manasi Kumar, Fredrik Falkenström, Pim Cuijpers
Brain and Mind Institute
Abstract: Background The evaluation of treatment outcomes is important for service providers to assess if there is improvement or not. The Health of the Nation Outcome Scales for Children and Adolescents (HoNOSCA) was developed for this use in child and adolescent mental health services. Outcome measurement in routine mental health services is limited. This paper evaluates the psychometric properties of the self and clinician rated versions of the HoNOSCA for routine use in child and adolescent mental health services in Kenya.
Methods Using a prospective design, the clinician- and self-rated versions of the HoNOSCA and the Paediatric Symptom Checklist (PSC) …
Promoting Social Participation For Adolescents With Burn Injury: A Guideline For Occupational Therapy Practice, Amanda M. Lange, Lenin Grajo
Promoting Social Participation For Adolescents With Burn Injury: A Guideline For Occupational Therapy Practice, Amanda M. Lange, Lenin Grajo
The Open Journal of Occupational Therapy
Adolescents with burn injury are vulnerable to psychosocial dysfunction because of the complex nature of their neurobiological, cognitive, and interpersonal changes that occur during this developmental stage. Physical differences in appearance also make these adolescents prone to peer bullying and at further risk for social functioning challenges. These social functioning challenges may involve underlying difficulties with cognitive functions needed to support adaptive social functioning and can present as social isolation, inappropriate social behaviors, or social anxiety. Promoting social participation is a recognized intervention to support positive mental health and is necessary for identity formation during transition into adulthood. This guideline …
Examining Criteria For Defining Persistent Post-Concussion Symptoms In Children And Adolescents, Grant L. Iverson, Justin E. Karr, Bruce Maxwell, Ross Zafonte, Paul D. Berkner, Nathan E. Cook
Examining Criteria For Defining Persistent Post-Concussion Symptoms In Children And Adolescents, Grant L. Iverson, Justin E. Karr, Bruce Maxwell, Ross Zafonte, Paul D. Berkner, Nathan E. Cook
Psychology Faculty Publications
Researchers operationalize persistent post-concussion symptoms in children and adolescents using varied definitions. Many pre-existing conditions, personal characteristics, and current health issues can affect symptom endorsement rates in the absence of, or in combination with, a recent concussion, and the use of varied definitions can lead to differences in conclusions about persistent symptoms and recovery across studies. This study examined how endorsement rates varied by 14 different operational definitions of persistent post-concussion symptoms for uninjured boys and girls with and without pre-existing or current health problems. This cross-sectional study included a large sample (age range: 11–18) of girls (n = …
Occupational Therapists’ Consideration Of Sexual Orientation And Gender Identity When Working With Adolescents: An Exploratory Study, Kristin Willey
Occupational Therapists’ Consideration Of Sexual Orientation And Gender Identity When Working With Adolescents: An Exploratory Study, Kristin Willey
Occupational Therapy Doctorate Capstone Projects
Executive Summary
Background: A review of the Occupational Therapy Practice Framework (AOTA, 2020) and scholarly literature within healthcare fields, including occupational therapy, discuss the contextual issues of occupational justice and health disparities in situations when sexual orientation and gender identity (SOGI) are not considered as part of the occupational therapy process.
Purpose: This study explored if occupational therapists (OTs) considered a client’s SOGI when providing services to an adolescent. Subsequent research questions were: do OTs perceive that SOGI influences adolescents’ occupations, and do OTs perceive gaps in their knowledge related to SOGI?
Theoretical Framework: This research project was based on …
Developing Financial Literacy Skills For A Secondary Transition Program For Students With Learning Differences, Rose Marie Borillo, Becki Cohill, Susan Macdermott
Developing Financial Literacy Skills For A Secondary Transition Program For Students With Learning Differences, Rose Marie Borillo, Becki Cohill, Susan Macdermott
San Marcos, Fall 2019
Under the Individuals with Disabilities Education Act (IDEA), schools are required to provide transition planning for students with disabilities and mental illness by age 16 (Eismann et al, 2017). Occupational therapists have been underutilized in secondary transition planning, despite their expertise in targeting functional abilities, comprehension, and health using activity analysis to promote skill attainment and achieve independence (Mankey 2012; Eismann et al, 2017).
At the Winston School, there was no formal transition program aside from the individual college counseling provided by a staff member. A coordinated transition program was indicated to prepare students for life after high school to …
“There Was Something Magical About This Group”: Building Cohesion In A Psychiatric Hospital, Mariah L. Logan
“There Was Something Magical About This Group”: Building Cohesion In A Psychiatric Hospital, Mariah L. Logan
Expressive Therapies Capstone Theses
This capstone details the development and implementation of Hope Notes, an expressive arts therapy intervention used in a private psychiatric hospital setting. Hope Notes was carried out in the group setting with adolescent and adult clients in a partial-hospitalization or inpatient hospitalization with a range of diagnoses and symptoms including, but not limited to, depression, anxiety, bipolar disorder, schizophrenia, trauma disorders including post-traumatic stress, and obsessive-compulsive disorder with symptoms of delusions, hallucinations, suicidality and homicidally. Using expressive arts therapy the clients worked together to collaboratively discuss, create, design, and build an art piece intended to increase group cohesion and connection …
Effects Of Vibration Plates On Postural Instability Of Healthy Individuals, Anthony Wene, Dustin Grooms, Jeffrey A. Russell
Effects Of Vibration Plates On Postural Instability Of Healthy Individuals, Anthony Wene, Dustin Grooms, Jeffrey A. Russell
Journal of Sports Medicine and Allied Health Sciences: Official Journal of the Ohio Athletic Trainers Association
Please enjoy Volume 5, Issue 1 of the JSMAHS. In this issue you will find Professional and under graduate research abstracts, case reports, and critically appraised topics.
This research was funded by an OATA Research Grant
Thank you for viewing this 5th Annual OATA Special Edition.
Exercise And Autism Spectrum Disorder, Savannah Hollifield, Karlee Moore
Exercise And Autism Spectrum Disorder, Savannah Hollifield, Karlee Moore
EXSI 432/532: Research Methods in Exercise Science: Research Proposal Posters
No abstract provided.
An Investigation Of Youth Swimming Skills And Method Of Instruction, Carol C. Irwin, Jennifer R. Pharr, Todd E. Layne, Richard L. Irwin
An Investigation Of Youth Swimming Skills And Method Of Instruction, Carol C. Irwin, Jennifer R. Pharr, Todd E. Layne, Richard L. Irwin
International Journal of Aquatic Research and Education
Drowning is a leading cause of death for US children. Teaching youth to swim in a formal setting from certified instructors is a consistent drowning prevention recommendation. Purposes for this investigation was to examine type of swimming instruction and ability to swim and compare to attitudes toward swimming among US youth. Methods were similar to previous USA Swimming studies in 2008 and 2010. YMCA associations in five cities were used to recruit adolescent survey respondents (n=600) aged 12-18 years. Results showed African American youth had the lowest rate of formal swimming instruction (29%) compared to White (32%) and Hispanic (42%) …
Effects Of Partnerships Between Adolescents With Developmental Disabilities And Service Dogs, Terry K. Crowe, Jean C. Deitz, Melissa Y. Winkle, Rachel A. Nelson, Jennifer Woolf
Effects Of Partnerships Between Adolescents With Developmental Disabilities And Service Dogs, Terry K. Crowe, Jean C. Deitz, Melissa Y. Winkle, Rachel A. Nelson, Jennifer Woolf
The Open Journal of Occupational Therapy
Background: With increasing frequency, service dogs are being placed with children with developmental disabilities (DDs). Occupational therapists and other professionals have advocated for the therapeutic use of service dog partnerships to facilitate greater independence and quality of life. There are no studies that examine service dog intervention with adolescents.
Method: This study focused on the effects of partnerships between service dogs and three participant dyads, each including an adolescent with DDs and a parent. A single-subject, alternating treatment design was used to compare the effects of two conditions (service dog present or not present). The effects were examined …
From Perceiving To Achieving: Experiences Of An Adolescent With Autism Spectrum Disorder In A Summer Day Program, Spencer Thomas Hammond
From Perceiving To Achieving: Experiences Of An Adolescent With Autism Spectrum Disorder In A Summer Day Program, Spencer Thomas Hammond
Online Theses and Dissertations
Literature describing the experiences of adolescents and their families with summer day-programs is scarce. This study sought to reveal such experiences from one individual participating in a summer program, HorseAbility, in which individuals with disabilities interact with each other through planned and self-directed activities, therapeutic riding, and activities associated with taking care of horses. Interviews were conducted with an adolescent diagnosed with Autism Spectrum Disorder, his parent, a staff member of the summer day program, and the therapeutic riding instructor. Observation data and personal journaling was also used for data collection mechanisms. Data sources were triangulated to provide a rich …
Concept Mapping And The Co-Op Approach With Adolescents With Autism Spectrum Disorder: Exploring Participant Experiences, Jessie Wilson, Angela Mandich, Lilian Magalhaes, Kaity Gain
Concept Mapping And The Co-Op Approach With Adolescents With Autism Spectrum Disorder: Exploring Participant Experiences, Jessie Wilson, Angela Mandich, Lilian Magalhaes, Kaity Gain
The Open Journal of Occupational Therapy
Background: To explore the experiences of adolescents with ASD participating in a novel occupationally based intervention.
Methods: The intervention used concept mapping in combination with the CO-OP approach with 10 adolescents with ASD in a 4-week program focused on developing life skills they deemed as important in their transition to adulthood. A descriptive qualitative approach was employed using deductive thematic analysis informed by Self-Determination Theory and occupationally relevant theoretical frameworks. This study is part of a larger feasibility project and focuses on the analysis of participant reflections and researcher field notes.
Results: Five themes emerged: finding a sense of balance …
Increasing Competency For Parents Of Adolescents With Executive Functioning Deficits: Enhancing Occupational Performance With Mindfulness, Kimberly S. Mollo, Bernardo A. Merizalde, Jennifer E. Lape
Increasing Competency For Parents Of Adolescents With Executive Functioning Deficits: Enhancing Occupational Performance With Mindfulness, Kimberly S. Mollo, Bernardo A. Merizalde, Jennifer E. Lape
The Open Journal of Occupational Therapy
Background: Executive functions are higher order cognitive processes occurring in the frontal lobe that influence cognitive, emotional, and behavioral functions. Adolescents with executive functioning deficits are at risk for difficulties in all domains of occupational functioning. Parents of these adolescents often live in a persistent state of stress that leads to highly reactive exchanges with their children. Studies have shown that a mindful approach to parenting can enhance a parent’s caregiving ability and self-awareness in the family unit.
Methods: A pretest/posttest study evaluated the effectiveness of a 6-week mindful parenting program. Four parents of adolescents with executive function deficits participated …
Utilizing The Cognitive Orientation To Occupational Performance Approach For Improved Performance And Executive Functioning, Casey Mendoza, Caitlin Mitchell, Emily Reynolds
Utilizing The Cognitive Orientation To Occupational Performance Approach For Improved Performance And Executive Functioning, Casey Mendoza, Caitlin Mitchell, Emily Reynolds
School of Occupational Therapy Master's Capstone Projects (2016-2021)
The Outreach Program (TOP) in the Kent School District assists young adults in their transition from high school to adulthood. The research team and Dr. Abbott, an occupational therapist at TOP, sought to address whether better outcomes when teaching instrumental activities of daily living (IADLs) to adolescents with intellectual disabilities occur when addressing underlying performance skills and client factors through the Cognitive Orientation to Occupational Performance (CO-OP) approach or when addressing them through traditional occupational therapy practices. There is strong evidence to support CO-OP as an effective strategy to improve performance and moderate evidence indicating that it improves executive functioning …