Medicine and Health Sciences Commons^™

Implementing The Copm To Create Occupation-Based Interventions In Outpatient Adult Rehabilitation, Kelcee A. Bacon

Occupational Therapy Capstone Presentations

Worldwide, people continue to live longer, with the number of people over the age of 60 predicted to double by 2050; many of those people also have chronic diseases that could benefit from rehabilitation services. Outpatient rehabilitative services, including occupational therapy, have increased occupational performance, strength, mobility, and coordination for those diagnosed with musculoskeletal or neurological conditions. This capstone focused on three components: 1) in-depth clinical practice using occupation-based assessments and interventions with the adult population, 2) understanding the administrative roles of private practice therapists, and 3) creating educational materials to increase knowledge and skills surrounding outpatient occupational therapy for …

S.M.A.R.T. Program Implementation To Promote Engagement And Participation In A School Setting, Emily Mickelson

Occupational Therapy Capstone Presentations

The purpose of this capstone project is to educate educational professionals on multi-sensory approaches and to implement the Stimulating Maturity Through Accelerated Readiness Training (S.M.A.R.T.) program to increase students’ engagement in academic learning. This project used pre- and post-tests to determine baseline knowledge. The occupational therapy student participated in S.M.A.R.T. training, and the junior kindergarten students participated in eight-weeks of S.M.A.R.T. program implementation. The students’ pre- and post-test assessments were completed by the students one-week pre-intervention and following eight weeks of program implementation. The educational professionals’ pre- and post-test assessments were completed by the kindergarten teachers before and after receiving …

Yoga Program For Children At Risk For Trauma: Promoting Self-Regulation And Educational Participation, Sydney Gonzales, Rebecca King

Spring 2024 Virtual OTD Capstone Symposium

This presentation describes implementing a yoga-based program within an early childhood education setting. Occupational therapists can utilize yoga-based activities and advocate for their use in classrooms to promote the positive development of self-regulation and educational participation for at-risk populations.

Ot's Role With Survivors Of Sexual Assault, Myracle N. Carter, Cassandra M. Nelson

Spring 2024 Virtual OTD Capstone Symposium

Sexual assault can lead to a multitude of symptoms that can negatively impact an individual’s occupational participation and quality of life. However, the literature and programming surrounding the use of occupational therapy (OT) with survivors of sexual assault is limited or outdated. Therefore, this program was created to be a resource and guide to increase the use of OT with survivors. This program included a total of five modules, which provided education and occupation-based activities to the participants to increase their occupational participation, specifically in work and education, and their overall quality of life. Following the conclusion of the implementation …

A Guide For Supplemental Education On Seating And Positioning For Parents And Caregivers Of Individuals With Cerebral Palsy, Grace Johnson, Mary Jan Greer, Franchesca Cox

Spring 2024 Virtual OTD Capstone Symposium

An educational program that educates caregivers and families on the importance of proper seating and positioning during play, feeding, bone development and growth, speech, reaching, toy manipulation, handwriting and interacting with peers.

The Relationship Between Holistic Admissions Criteria And Program Ranking Among Occupational Therapy Entry-Level Programs, Kristian Taylor, Cat-Tien Nguyen, Jenny Grant, Mary B. Brewster, Mary A. Barrett, Teal Benevides, Sharon M. Cosper

The Open Journal of Occupational Therapy

Holistic admissions criteria are one strategy to be more inclusive of students with a variety of experiences, cultures, and beliefs. The purpose of this study is to evaluate the relationship between holistic admissions criteria and occupational therapy program ranking. We used a retrospective cross-sectional cohort descriptive study design of occupational therapy programs in the United States to understand whether top performing programs employ holistic admissions criteria. Secondary descriptive analysis from the top and bottom 50 ranked occupational therapy programs in 2020 U.S. News & World Report (Morse et al., 2020) was completed. We used a nominal scale to classify programs …

Barriers That Affect Equity In The Occupational Therapy Admissions Process: Student And Faculty Perspectives, Quinn P. Tyminski, Lenin Grajo

The Open Journal of Occupational Therapy

The use of holistic admissions in higher education has been demonstrated to increase the diversity of incoming student classes; yet, in occupational therapy (OT) research, admissions processes remain under-explored. This phenomenological study aimed to explore the process of OT admissions from the perspective of students, faculty, and staff at a single OT program with the goal to create a more inclusive, equitable, and holistic process. Focus groups were conducted with first-year students, and an online survey was sent to faculty to explore perspectives on the admissions process, necessary qualities for an OT graduate student, and suggestions for increasing inclusion and …

Education And Advocacy For Universal Design And Accessibility In Housing, Apisara Vairojanakich, Amy Lyons-Brown, Molly Wuebker

Spring 2024 Virtual OTD Capstone Symposium

In the United States, there is a lack of adequate numbers of universally designed and accessible houses in the housing market for the older population and people with disabilities. Many barriers, such as financial support and lack of knowledge for housing-related professionals, can prevent this population from participating in home occupations. The project developed educational products, including the universal design housing experience booklet, universal design housing checklist, and universal design blueprints. These products were delivered through the blog post on Uncurbed LinkedIn website. The needs assessment was conducted to provide the guidelines for the chapters in the booklet and checklist. …

Barriers And Facilitators To Enhance Interprofessional Education For Rehabilitation Science Graduate Students, Mary A. Riopel, Kimberly Wynarczuk, Taylor Grube

The Qualitative Report

Interprofessional education (IPE) aims to develop healthcare practitioners who work effectively in teams, demonstrate strong communication skills, respect others, and have a working knowledge of the roles and responsibilities of other professionals. Of identified research to date, it is unclear what students perceive as important for effective IPE delivery and learning. The purpose of this study was to identify graduate students' perceptions of facilitators and barriers to learning interprofessional practice using phenomenology. Three semi-structured focus groups were conducted including athletic training, occupational therapy, or speech-language pathology students and the transcripts were analyzed using thematic analysis. Four themes emerged about IPE …

A Scoping Review Of Universal Design For Learning In United States Allied Health & Medical Education, Karolina Gawron, Madison Tomlinson, Nicole Mohan, Laura H. Vanpuymbrouck

The Open Journal of Occupational Therapy

Background: Universal design for learning (UDL) is considered best-practice for embracing inclusion for students with disabilities and there is growing evidence of its effectiveness in primary, secondary, and postsecondary education. However, little is known about if and how UDL is being implemented into United States graduate allied health and medical school curriculum as well as evidence of its benefits.

Method: We used Arksey and O’Malley’s (2005) methodological framework. Search engines were: PubMed, CINAHL Complete, ERIC, GoogleScholar, and Scopus. Data were analyzed by the research team using Covidence to organize articles, screen, and complete a full-text review. Data extraction …

State Of The Journal: Introducing The Policy And Advocacy Category, Diane Powers Dirette

The Open Journal of Occupational Therapy

No abstract provided.

Survey Of Pain Curriculum Among Entry-Level Occupational Therapy Programs In The United States, John V. Rider, Vicki Khau, Kristin A. Valdes

Journal of Occupational Therapy Education

Occupational therapy practitioners address pain management across settings, populations, and the lifespan. Occupational therapy practitioners offer unique contributions to pain management through biopsychosocial approaches, targeting supported self-management and occupational engagement. Comprehensive pain education is necessary to prepare entry-level occupational therapy practitioners to address pain in practice, yet no standards exist in entry-level occupational therapy education. This survey describes the status of pain-related education in entry-level occupational therapy programs across the United States. A total of 41 entry-level occupational therapy programs completed the survey. Total instructional time for pain content was reported to be an average of 9.68 hours, ranging from …

A Pilot Sexual Device Adaptation Project For Occupational Therapy Students: A Skills-Based Approach To Teaching Sexual Activity As An Adl Through Assistive Technology, Benjamin E. Canter, Zoe M. Loitz, Victoria E. Richardson, Tatiana B. Pontes, Leanna Katz, Kevin Berner, Pedro Htq Almeida

Journal of Occupational Therapy Education

Despite being categorized as an activity of daily living since the first edition of the Occupational Therapy Practice Framework, no Accreditation Council for Occupational Therapy Education (ACOTE) standards exist to provide guidance on teaching occupational therapy students about sexual activity as an activity of daily living (ADL). When discussed, sexual activity is usually taught via didactic lecture, but is a subject that would benefit from a skills-based approach to teaching. This pilot pedagogical exercise in a two-credit assistive technology class taught occupational therapy students to address the ADL of sexual activity with clients by having students adapt a sexual toy …

Enhancing Simulation Fidelity In Occupational Therapy Education: Considerations For Standardized Patient Training And Implementation, John V. Rider, Linda Frasier, Jessica Parkin

Journal of Occupational Therapy Education

The use of high-fidelity simulation and standardized patients (SPs) in occupational therapy (OT) education is expanding. However, the implementation of simulation varies across programs, leading to inconsistent outcomes and research limitations. Furthermore, details on SP use and training are lacking in OT literature. This article aims to provide OT educators with considerations for improving simulation fidelity by effectively using highly trained SPs. For example, recruiting SPs from diverse backgrounds is necessary to improve sociological fidelity, and proper training of SPs is required to ensure psychological fidelity. This article also emphasizes the need for standardized training for SPs and recommends following …

The Occupational Therapy Practitioner Experience And Practice Related To Upper Limb Loss Or Difference And Prosthetics, Amanda H. Sugar, Rebecca Ozelie, Kristi Turner

Journal of Occupational Therapy Education

Despite occupational therapy’s critical role on the rehabilitation team for individuals with upper limb loss or difference (ULL/D) and prosthetics, this population is not extensively covered in many occupational therapy (OT) program curricula. As such, many clinicians work with patients with ULL/D with little expertise or confidence for this complex population. The aim of this study was to evaluate the OT practitioner experience and practice related to ULL/D and prosthetics in their education and practice. Utilizing snowball sampling, 150 OT practitioners completed a 24-question survey, which assessed OT practitioners’ experience with ULL/D, the prosthetic education in their OT program, and …

Use Of Formal And Informal Strategies To Manage Stress During Level Ii Occupational Therapy Fieldwork, Ryan Thomure

The Open Journal of Occupational Therapy

Stress may play a role in the performance of occupational therapy students during Level II fieldwork, but little research exists regarding the causes of stress or the stress management strategies students use. The objective of this study was to determine factors that contribute to fieldwork-related stress and strategies students use to manage that stress on Level II fieldwork.

Students or recent graduates of occupational therapy or occupational therapy assistant programs who completed at least one Level II fieldwork experience in the previous 36 months were eligible to participate. An online survey was distributed to participants through snowball sampling. The participants …

Application Of A Model Of Family-Centered Harm Reduction In Community-Based Programming, Johnna Belkiewitz, Victoria G. Wilburn, Sydney Larson, Kate Schrader

The Open Journal of Occupational Therapy

Coupling high substance use disorder rates with the effects of the COVID-19 pandemic, our nation faces a growing mental health crisis and a shortage of adequately trained mental and behavioral health providers. As occupational therapists work toward recognition as qualified providers in this practice area, we must ensure that future therapists can meet client needs. Traditional mental and behavioral health educational practices in occupational therapy use a model of harm reduction that minimizes negative outcomes for a select subset of the population engaging in specific “high-risk” behaviors, such as individuals engaging in substance use and sexual activity. Expanding our understanding …

Advocating And Educating The Role Of Occupational Therapy For Adaptive Swim Lessons Among Children With Autism, Charlotte Leonard, Zeida Gutierrez, Jon Edenfield

Fall 2023 Virtual OTD Capstone Symposium

Drowning is the number one cause of death for children ages 1-4 and the second leading cause of death for children ages 5-14 (Centers for Disease Control and Prevention [CDC], 2022). Children with autism are 160x more likely to drown than their neurotypical peers (Autism Society of Florida, n.d.). Many parents and caregivers put protective layers in place such as locks, gates, and fencing. However, children with autism are known to wander from safe spaces. According to the Autism Society of Florida (n.d.) children with autism are naturally drawn to water due to its ability to ease sensory needs. Brenner …

Occupational Therapy Curricula Patterns For Acquired Brain Injury-Related Vision Disorders For Entry-Level Programs: A Survey, Laura Schmeiser, Alicia Reiser, Caitlyn Foy

The Open Journal of Occupational Therapy

Occupational therapists are among the first providers to encounter individuals after an acquired brain injury (ABI). Evidence suggests that most occupational therapists learn about ABI-related vision disorders from continuing education and on-the-job training. A better understanding of entry-level curricula patterns for ABI-related vision disorders is important because of their high prevalence and impact on occupational performance. A descriptive online survey was administered to occupational therapy educators at ACOTE-accredited entry-level programs to explore curricula patterns for ABI-related vision disorders. Of 1,391 occupational therapy educators invited to participate, 71 (5%) began the survey, and 66 met the inclusion criteria. Vision screening methods …

The Participation And Exploration Of Play For Children In Foster Care, Isabella J. Relph, Jazminne Orozco Arteaga

Spring 2023 Virtual OTD Capstone Symposium

This capstone project, The Participation and Exploration of Play for Children in Foster Care, was completed by a Doctor of Occupational Therapy candidate at the University of St. Augustine for Health Sciences. Project objectives develop an understanding of the occupational therapy involvement in foster care and how to improve current advocacy and educational efforts related to play. A literature review of play participation, engagement, and exploration was conducted in conjunction with analysis of environmental barriers, generalized background information on children in foster care, and the role of occupational therapy for children in foster care. Play is essential for the pediatric …

Mental Health Education Protocol For Staff Members In An Inpatient Rehabilitation Center, Charles Nicholas Salvatera

UNLV Theses, Dissertations, Professional Papers, and Capstones

Mental health illnesses have a significant impact on the lives of individuals and society. Despite the availability of effective treatments, many people with psychosocial issues or cognitive impairments do not receive the right care. This highlights the importance of timely care and effective help-seeking opportunities. Increased mental health literacy and supportive behaviors in the social networks of people with mental health disorders can be achieved by providing hospital staff with education on mental health disorders. It is believed that improvements in these areas increase the likelihood that people will seek effective assistance. When healthcare providers are educated about mental health …

Training Program For Occupational Therapists Working With Skilled Caregivers In Skilled Nursing Facilities, Lovegifty Dudero, Mai Huynh, Ridhee Patel

Occupational Therapy | Graduate Capstone Projects

Dementia impairs one’s ability to live independently and participate in everyday activities (CDC, 2019). Individuals with dementia (IwD) are often referred to skilled nursing facilities (SNFs) for around-the-clock care to receive support for their everyday challenges brought on by dementia symptoms. Although certified nursing assistants (CNAs) help IwD with everyday self-care tasks, they frequently lack specialized dementia care training. Consequently, CNAs experience low self-efficacy when providing care and managing challenging behaviors IwD may have. OTs have expertise and understanding regarding the stages of dementia and how the symptoms of dementia impact participation in daily occupations. OTs working in SNFs are …

Disability Advocacy In Fashion Design, Erin Higinbotham, Susan Macdermott Otd, Otr/L

Spring 2023 Virtual OTD Capstone Symposium

Originally marketed towards older adults followed by children, adaptive fashion greatly impacts the everyday independence of all disabled people. Utilizing the Person-Environment-Occupation model and understanding the relationship between the disabled community, clothing, and occupational participation and again with the fashion company, the designer, and their fulfillment of a need or gap in accessibility lead to the purpose of this capstone of identifying occupational therapy’s role in designing ready-to-wear adaptive clothing through understanding and bridging the gaps in fashion education for designers. To address this, advocacy in education and educational materials were created to fill this gap and promote accessibility and …

Occupational Therapists’ Role In Educating Caregivers On Pediatric Sensory Interventions Guided By Neurodiversity Principles, Deanna Bourgeois

Student Capstone Papers

Background: Neurodivergent children often experience differences in sensory processing and self-regulation. Traditional sensory-based interventions are frequently used by occupational therapy practitioners (OTP) and caregivers to address dysregulation. However, sensory-based interventions, while often strengths-based, are not always neurodiversity-affirming.

Problem: There are minimal educational resources available to both OTP and caregivers that promote neurodiversity-affirming sensory interventions to support neurodivergent children.

Methods: The purpose of this project was to create self-paced educational modules to teach neurodiversity-affirming sensory interventions that promote children's self-regulation. To achieve this goal, the student investigator developed virtual educational modules and piloted them with OTP, occupational therapy …

Educational Modules Promoting Neurodiversity-Affirming Sensory Interventions, Deanna Bourgeois, Mary Smith, Gina Benavente

Spring 2023 Virtual OTD Capstone Symposium

Neurodivergent children often experience differences in sensory processing and self-regulation. Traditional sensory-based interventions are frequently used by occupational therapy practitioners (OTP) and caregivers to address dysregulation. Sensory-based interventions are strengths-based but not always neurodiversity-affirming. There are few educational resources available that promote neurodiversity-affirming sensory interventions.

The purpose of this project was to create self-paced educational modules to teach neurodiversity-affirming sensory interventions promoting children's self-regulation. The student investigator developed virtual educational modules and piloted them with OTP, occupational therapy students, and caregivers during the capstone experience. The participants engaged with the modules and also submitted responses to pre-and post-surveys. Based on …

Life Skills Guide For Supported Recovery For Individuals With Mental Health Conditions & Their Support Systems, Natalie Metzger

OTD Capstone Projects

The National Alliance on Mental Illness of Davidson County provides educational courses, support groups, and advocacy for individuals with mental health conditions and their support systems. This semester long project included advocacy for occupational therapy’s role in the mental health community, involvement in legislative events, and creation of a comprehensive recovery life skills guide for individuals who have been discharged from psychiatric hospitals. Specifically, this guide assisted them in directed recovery within the home and increased their participation in foundational skills.

Trauma-Informed Care Professional Development For K-12 Educators From An Occupational Therapy Perspective, Sarah Farrance

Occupational Therapy Doctoral Student Capstone Posters

According to SAMHSA, more than 66% of children report that they have experienced at least one traumatic event by the age of 16. The focus of this capstone project was create a trauma-informed care professional development program to equip K-12 educators in traditional school settings so that they can address trauma in their students appropriately and successfully. This was done through understanding, working with, and implementing the Every Moment Counts mental health promotion initiative with the students at Bridges Learning Center in Akron Public Schools.

Applying An Anti-Racist Pedagogy To Develop And Deliver A Racial Microaggressions Workshop For Occupational Therapy Students, Shannon Giannitsopoulou, Jane A. Davis, Bismah Khalid, Ruheena Sangrar

Journal of Occupational Therapy Education

Many workshops about identifying, understanding, and responding to microaggressions have been designed and delivered to learners within health education. However, few workshops implement an anti-racist pedagogical approach, and none presented in the literature have been created specifically for occupational therapy students. Anti-racist pedagogical approaches explicitly link interpersonal and institutional/structural oppressions to ensure that the impacts of microaggressions are not minimized by focusing solely on interpersonal interactions. A specific workshop is needed to address the noted persistence of racial microaggressions directed at clients, families, students, and practitioners within occupational therapy contexts and due to the embeddedness of practitioners in clients’ daily …

Impact Of Virtual Simulation-Based Level I Fieldwork On Level Ii Fieldwork Performance, Rebecca Ozelie, Maggie Moeller, Taylor Newmark

Journal of Occupational Therapy Education

Fieldwork is an essential part of a student’s education and development to become competent in entry-level occupational therapy skills (ACOTE, 2018). The implications of COVID-19 coupled with staffing shortages and an increase in academic programs resulted in academic fieldwork coordinators competing for a limited number of spots. The Accreditation Council of Occupational Therapy Education (ACOTE) integrated the use of simulation as an instructional method to meet Standard C.1.9 for Fieldwork I. This study used a retrospective cohort design to determine the impact of virtual simulation-based Level I fieldwork on performance in Level II fieldwork. Thirty-seven Doctor of Occupational Therapy students’ …

Gender Career Stereotypes, Implicit Bias, And Occupational Therapy, Laura H. Vanpuymbrouck, Carli Friedman

Journal of Occupational Therapy Education

Implicit (unconscious) gender bias and stereotypes can affect clinical decisions and interactions between healthcare professionals, as well as impact careers. However, there is no research exploring the implicit gender bias or stereotypes of occupational therapy students or practitioners. Therefore, the aim of this study was to examine the gender-career bias of occupational therapy students. To do so, occupational therapy students (n = 54) from three Midwestern United States graduate occupational therapy programs completed the gender-career attitudes implicit association test (IAT) – biases associating women with family, and men with career – as well as a survey polling demographic information. …