Medicine and Health Sciences Commons^™

The Experiences Of Children With Neurological Conditions And Families, Charmaine Alexis Pasion, Jazminne Orozco Arteaga

Fall 2022 Virtual OTD Capstone Symposium

Children with chronic neurological conditions and their families experience various challenges that impact their quality of life and occupational participation as they reintegrate back into their communities (Dumas & Grajo, 2021; Taib et al., 2021). However, rehabilitation for children with chronic neurological conditions focuses on addressing functional impairments and self-care activities rather than transitioning home (Diener et al., 2021). Therefore, children and their families are in need of resources and interventions to address their occupational impact as they return to their occupations (Diener et al., 2021). This capstone research study explored the lived experiences of children with chronic neurological conditions …

Enhancing Leisure Participation In An Inpatient Mental Health Setting, Jawad Aqil, Susan Macdermott

Fall 2022 Virtual OTD Capstone Symposium

This capstone project, Enhancing Leisure Participation in an Inpatient Mental Health Setting, was completed by a Doctor of Occupational Therapy candidate at the University of St. Augustine for Health Sciences. Project objectives aimed to identify and address internal and external barriers related to leisure participation in inpatient mental health settings from an occupational therapy perspective. A literature review of leisure engagement demonstrates beneficial mental health outcomes in correlation with increased leisure engagement during inpatient mental health treatment. However, leisure is often an underutilized facet of mental health treatment. Additionally, individuals with mental health challenges present with individualistic barriers decreasing leisure …

Assessing Asian American And Pacific Islander (Aapi) Teachers’ Workplace Wellness, Fiona Tang, Karen Park, Susan Macdermott, Deja Anderson

Fall 2022 Virtual OTD Capstone Symposium

Teachers have many instructional, behavioral and classroom management, and administrative responsibilities (Cormier et al., 2021; Hilger et al., 2021; Roeser et al., 2022). There is limited research on occupational therapy's role in teacher wellness. This study aimed to assess the challenges and barriers that Asian American and Pacific Islander (AAPI) teachers face, the causes of burnout, and the impact of the COVID-19 pandemic on AAPI teachers' wellness. This study used a mixed methods research design, including an online survey and semi-structured interviews, focused on the challenges, barriers, strengths, and needs that AAPI teachers face in public, middle, and high schools …

The Farriers’ Perspective Of Ergonomics, Hailey Harrington, Gwen Morris

Fall 2022 Virtual OTD Capstone Symposium

Farriers, or individuals who specialize in the shoeing of horses, navigate a variety of ergonomic challenges. Such challenges have the potential to severely impact their working ability and other major areas of their lives. Early research from Holler (1984) and King (2003) investigated farrier perceptions of hazardous job requirements and tool hazards in relations to strain on their bodies. Additional factors to consider include other external factors such as human and animal interactions, physiological, and psychological factors (Flunker et al., 2020; Gombeski et al., 2017).The purpose of this study is to learn about the ergonomic conditions of farriers and their …

Occupational Therapy's Role In Transition Planning For Students With Learning Differences And The Significance Of The Kawa Model, Rita Marzeena, Jazminne Orozco-Arteaga, Holly Reed

Fall 2022 Virtual OTD Capstone Symposium

This capstone project seeks to define the role of occupational therapy in supporting a high school to college and career transition program by providing occupation-based interventions for the unique needs of students in the classroom. Using the KAWA Model, the students begin on a journey of self-discovery to identify the individual supports, strengths and barriers that help them to understand the factors that influence their life. In this process, the KAWA Model attempts to merge the holistic approach that is common in the western themes of occupational therapy with the expectations and trajectory that is common of a secondary student …

Resilience Development In Children With Adverse Childhood Experiences: The Role Of The Occupational Therapist And The Interdisciplinary Team, Kayla Frederick

Student Journal of Occupational Therapy

Research has revealed adverse childhood experiences (ACEs) can have a negative effect on a child’s development and put a child at an increased risk of physical and mental health problems in adulthood including obesity, diabetes, depressed mood, and attempted suicide (Anda et al., 2006; Felitti et al., 1998; Gilbert et al., 2015; Putamen, 2006). Some children have been able to counteract the negative effects of ACEs and achieve positive life outcomes using a principle called resilience (Zolkoski & Bullock, 2012). While researchers have begun to identify the key skills and character traits associated with resilience in children, few have explored …

Establishing A Sustainable Occupational Therapy Student-Led Pro Bono Clinic At The University Of Saint Augustine In Austin, Texas, Daija Chumley

Student Capstone Papers

Under-resourced and underserved communities across the United States experience significant health disparities. These communities lack access to valuable services resulting in health inequities that impinge on their health, quality of life, and engagement in meaningful occupations. There is a need for occupational therapy to provide valuable services to the under-resourced and underserved community to address the historical inequity that impacts their overall quality of life. Universities have the potential to fulfill the gaps within these communities by establishing a pro bono clinic. The purpose of this capstone project is to establish a sustainable occupational therapy pro bono clinic at the …

A Manualized Occupational Therapy Mindfulness Module For Clients With Ptsd, Michael Ramirez

Student Capstone Papers

Posttraumatic stress disorder (PTSD) adversely impacts an individual’s functioning across areas of daily occupation. There is a paucity of literature addressing occupational therapy (OT) for people with PTSD. The literature has advocated for the development of a manualized OT intervention with the inclusion of mindfulness as one of its components. To date, a mindfulness-based OT treatment guide or manualized program specifically for clients with PTSD has not yet been developed. The aim of this paper is to bridge a gap in the literature and to develop a resource for occupational therapists to employ mindfulness as a clinical intervention with clients …

Transportation As A Barrier To Healthcare Access For Older Adults Of Low Socioeconomic Status, Yanira Barajas, Susan Macdermott, Jazminne Orozco Arteaga

Summer 2022 Virtual OTD Capstone Symposium

The older adult population of those in the age group 65+ is one of the fastest growing populations in the following years. This project sought to identify what barriers older adults of low socioeconomic status face when trying to access transportation to healthcare appointments. The project also sought to understand what barriers healthcare professionals saw when their senior clients tried using transportation as well as what opportunities occupational therapists have to address the barriers if any. There was a theme of disconnect which appeared between healthcare professionals and their senior clients across multiple healthcare disciplines. This project was able to …

The Role Of Occupational Therapy In Unplanned Motherhood, Cierra Stewart, Karen Park

Summer 2022 Virtual OTD Capstone Symposium

For women experiencing unplanned pregnancy, the thought of becoming a mother can increase stress and affect the mother’s mental health. Maternal adjustment can include depression, anxiety, worry, stress, and happiness (Mihelic et al., 2016). The impact that this new role has effects daily demands, leading to a disruption in occupational engagement, environmental changes, and overall less time for the mother (Horne et al., 2005). There is currently not a well-defined role for occupational therapy within pregnancy medical clinics to support women experiencing unplanned pregnancy and their transition to motherhood. The purpose of this project is to provide care to new …

Occupational Therapy's Role In Athletic Retirement, Diana Mellin, Karen Park, Madison Harris

Summer 2022 Virtual OTD Capstone Symposium

Athletic retirement is described as a life transition involving withdrawal from the athletic role. Throughout the process of athletic retirement, individuals experience a loss of identity, roles, routines, and social support which has shown to negatively impact their overall mental health and well-being (Marterella & Smoot, 2017). This study investigated elite athletes’ experiences throughout their transition to athletic retirement, a ten-question online survey and semi-structured interviews were administered. Themes that emerged from the data are occupational adjustment and relearning roles, experiencing a crossroads of identity, external expectations, and pressures. Participants shared experiencing a period of burnout and detachment right after …

Perceptions Of Using Diabetic Alert Dogs To Promote Occupations And Quality Of Life, Haley Speake, Rocio Alvarenga, Adam Gibson

Summer 2022 Virtual OTD Capstone Symposium

This capstone project consisted of a pilot phenomenological qualitative research study with the goal of assessing diabetic alert dogs' impact on their owners' occupations and quality of life from the owner's perspective. Individuals with type 1 diabetes that personally own a diabetic alert dog were interviewed virtually using a semi-structured approach. The goal of the interview questions was to gather information regarding health management, daily occupations, and quality of life. Gaps in the research were identified, and it was found that few research studies focused on the impact or benefits of a diabetic alert dog from the owner’s perspective. Therefore, …

Prison Or Paradise? Perceptions Of Communication Between Cohabitating Couples During Covid-19 Restrictions, Caroline Fenker, Olivia Fisher, Amy Hodel, Clayton Lange, Jory Swider, Jena Thompson

Student Journal of Occupational Therapy

Purpose: Due to the immediacy of the COVID-19 phenomenon, researchers recognized a need to examine the effects of restrictions on communication patterns between committed, cohabiting partners. Prior literature investigated factors contributing to communication satisfaction; however, a substantial gap remains within the occupational therapy (OT) literature. The study explored perceived satisfaction of quantity and quality of communication before and during COVID-19 restrictions between cohabitating, committed partners and its relation to occupation.

Methods: A questionnaire sent via e-mail recruited subjects from an occupational therapy doctorate (OTD) program who self-identified as having quarantined with a committed partner during COVID-19 restrictions. A mixed-methods …

Black Occupational Therapists’ Experiences On The Occupational Impacts Of Racism, Kenzie Saleh, Susan Macdermott

Spring 2022 Virtual OTD Capstone Symposium

Research indicates that there is a correlation between racism and impact on occupations (Beagan & Etowa, 2009; Gershenson et al., 2016; Lavalley & Johnson, 2020). The purpose of this study was to expand on the existing research of occupational impacts of racism on the Black community and discover any differences or new themes that have occurred in the past decade. Additionally, this research project investigated specific examples and experiences that lead to these occupational impacts. The student researcher used surveys and in-depth qualitative interviews to gather data focused on the occupational needs and engagement of this population. The research question …

Exploring The Experience Of Dating As A Surviving Partner And Impact On Occupational Therapy, Jessica Blum, Susan Macdermott, Karen Mccarthy

Spring 2022 Virtual OTD Capstone Symposium

Background: Limited research has been conducted that explores the experience of dating as a member of the surviving partner community. This study aims to address this gap in literature by capturing the dating experience for those who are surviving partners.

Method: A qualitative, phenomenological research design was used to gather data from thirteen surviving partners who have actively dated in the past, are currently dating, or are currently in a casual or serious relationship.

Results: Interview data revealed that the participants' dating experiences were impacted by their identity as a surviving partner. Participants reported experiencing pressure to engage in dating …

The Role Of Occupation Therapy In Homeless Transition-Aged Youth Programs, Cortney Kirby Yap, Susan Macdermott

Spring 2022 Virtual OTD Capstone Symposium

The purpose of this project was to evaluate current programming with staff at Urban Street Angels (USA) and explore the role of occupational therapy (OT) with youth experiencing homelessness or are at risk of homelessness in San Diego, California. The project informed the development of proposals aimed to enhance programming and OT services already in place at the USA La Mesa site for the staff and the youth enrolled in services through the USA organization and the Housing Our Youth (HOY) collaborative program.

Occupational Therapy Return To Work Program For Individuals Following A Traumatic Brain Injury, Kalynn R. Johnson, Lisa Griggs-Stapleton

Spring 2022 Virtual OTD Capstone Symposium

Individuals with a traumatic brain injury (TBI) often experience difficulty returning to the workforce and lack the necessary resources to facilitate a successful return to work. This capstone project focuses on developing a resource that equips occupational therapists with tools and resources to provide valuable and effective return to work services for this population.

Exploring The Occupational Impact Of Pregnancy And The Role Of Occupational Therapy During The Prenatal Period, Monica Wutzke, Karen Park, Susan Macdermott

Spring 2022 Virtual OTD Capstone Symposium

Background: Pregnancy is a major transitional period accompanied by different physiological changes that can impact performance and engagement in meaningful and needed daily occupations. There is currently limited research that examines the transition to parenthood during the prenatal period through an occupational therapy (OT) perspective.

Objective: The purpose of this study was to explore the impact pregnancy has on an individual’s roles, routines, and daily occupations. This study aimed to investigate this through an OT lens in order to better identify how the needs of pregnant individuals fall within the scope of OT.

Methods: Pregnant individuals participated in an online …

Advocating For Occupational Therapy In The Pediatric Primary Care Setting, Margaret Bauer

Spring 2022 Virtual OTD Capstone Symposium

This project explored the experiences of caregivers interacting within the pediatric primary care setting in order to determine a need for occupational therapy to help support acquisition of child developmental milestones, screening for developmental delays, and implementation of health behaviors into family routines. An IRB research study was conducted to survey primary caregivers of children across the country to ascertain their experiences and knowledge of OT, ease of health behavior implementation, and comfortably discussing child development with their pediatrician's. A needs assessment survey was distributed at a San Diego pediatric primary care clinic, and a program was developed to support …

Translating Neurobiological Knowledge Into Trauma-Informed Occupational Therapy, Kimberley Pierce, Jessica De Brun, Karen Park

Spring 2022 Virtual OTD Capstone Symposium

There is a growing need for an expanded understanding of the experience of trauma in light of many socio-political and cultural events of the previous years. Occupational therapy literature mentions a growing understanding of neuroscience that is leading to trauma-informed protocol reform, however, consistently concludes with the acknowledgment that more information is needed. The purpose of this project was to advocate for occupation as a significant tool in addressing traumatic stress. This project included a scoping review of non-peer-reviewed and peer-reviewed literature and manuscripts as well as a phenomenological qualitative research study interviewing occupational therapy practitioners who work with individuals …

Qualitative Evaluation Of Occupational Therapy Assessments In Treating Veterans With Ptsd Who Are Transitioning Into Civilian Life, Natalia Marquez-Sterling

Spring 2022 Virtual OTD Capstone Symposium

Presentation on the capstone paper Qualitative Evaluation of Occupational Therapy Assessments in Treating Veterans with PTSD Who are Transitioning into Civilian Life. Explores the strengths and limitations of an OT assessment toolkit as well as the role of OTs in treating veterans with PTSD transitioning into civilian life.

Sexuality Based Content In An Entry- Level Occupational Therapy Curriculum: A Content Analysis, Victoria E. Ontiberos, Steven M. Gerardi, Elizabeth Deluca

Spring 2022 Virtual OTD Capstone Symposium

Sexuality is multifaceted and is developed across the lifespan. Researchers report little advancement, consistency, and knowledge regarding incorporation of sexuality into occupational therapy (OT) curricula, which supports the need for research. The purpose of this capstone project was two-fold: a) to conduct a content analysis of an entry-level OT curriculum to identify content gaps regarding addressing sexuality in practice; and b) to develop sexuality-based educational materials as a resource for the faculty for potential inclusion in future courses. The Model of Human Occupation (MOHO) is an evidenced-based model that was used in this project, in conjunction with notional sexuality educational …

Habituation In Occupational Therapy For People With Alcohol Use Disorder, Sarah Garces, Steven M. Gerardi

Spring 2022 Virtual OTD Capstone Symposium

Alcohol use disorder (AUD) is an ongoing chronic health problem affecting millions of people worldwide. Habituation is a construct used by the occupational therapy (OT) practice model, the Model of Human Occupation (MOHO). Habituation relates to a persons’ roles, habits, and routines, and how these interact to shape occupational participation and performance. Since the habitual use of alcohol is a key component of AUD, an understanding of how habituation is addressed in OT intervention is essential. The OT literature has not been systematically reviewed to determine how habituation is addressed in OT practice in clients with AUD, leaving it difficult …

An Examination Of The Occupational Impact On Family Life Having A Child In Competitive Sports, Kelsey Hamilton, Karen Park, Susan Macdermott

Spring 2022 Virtual OTD Capstone Symposium

The purpose of this capstone research project was to examine the impact of having a child in competitive sports has on the performance patterns of a family. As youth sports culture intensifies in America, it is important to provide an occupational therapy perspective on this aspect of life. A mixed methods research study was conducted with twenty-seven parents of children in competitive team sports. Survey and semi-structured interviews provided insight into the lived experiences of families with a child in competitive sports.

Improving Occupational Engagement: An Occupation-Based Virtual Program For Caregivers Of Individuals With Dementia, Betsabel Garcia, Pam Kasyan-Howe, Kristin Domville, Lisa Schubert

Spring 2022 Virtual OTD Capstone Symposium

Dementia is a progressive disorder that affects many people worldwide including informal caregivers of individuals with dementia (Harrison et al., 2019). Every year, more than 16 million Americans provide more than 17 billion hours of unpaid care for family and friends with Alzheimer’s disease or other related dementias (CDC, 2019). As a result, many informal caregivers experience higher levels of caregiver burden, depression, and anxiety (Amato et al., 2021; Raj et al., 2021; Walter & Pinquart, 2020). This causes an occupational imbalance in caregivers' ability to meet their needs and those of their loved one. Leisure is within occupational therapy's …