Occupational Therapy Commons^™

Promoting Cultural Arts Access Through Sensory-Friendly Theatre, Chanelle Bautista, Alyssa Cho, Jazmine Cunanan, Ariana Marino, Miko Ramos

Occupational Therapy | Graduate Capstone Projects

Children with sensory processing differences have “reduced participation in recreational and community activities compared to children with both typical development and other developmental disabilities” due to their difficulties with social communication, and strict social settings (Giserman-Kiss et al., 2020). Sensory-friendly theatre programs aim to dismantle social participation barriers for individuals with sensory processing differences by creating a relaxed theatre experience that includes preparatory materials, environmental modifications, and specialized training (Umeda, 2017). We implemented a pilot sensory-friendly performance of Willy Wonka, Jr. in collaboration with youth actors at the Throckmorton Theatre in Mill Valley, CA on February 13th, 2022. Approximately 80 …

Exploring The Occupational Transition Of Leaving A Cult, Justine Thompson, Baylee R. Chelossi, Emily Osborn, Christian J. Quitoriano

Occupational Therapy | Graduate Capstone Projects

The emergence of cult groups has introduced a new population for occupational therapists to understand and support through the unique challenges they face after transitioning out of these organizations. While research within the field of psychology is robust, little is known about the occupational transition of individuals who leave cults and how occupational therapists can provide occupational science based intervention. In this study, the frameworks of Doing, Being, Becoming (Wilcock, 2002), and Belonging (Hitch et al., 2014b) were utilized to guide theme development and enrich interpretation of 11 hand-searched first-hand accounts. First-hand accounts were analyzed from multimedia sources such as …

Measuring Outcomes Of Occupational Therapy Facilitated In Natural Settings With Young Children, Amie Smith, Deepak Dale, Brinda Saini, Zoe Peters, Amanda Laccone

Occupational Therapy | Graduate Capstone Projects

To date, there is limited evidence to support the effectiveness of Occupational Therapy (OT) services delivered outside in nature. This study explored the benefits of OT intervention in Natural Settings (NS) for children by examining development in the areas of self-regulation, social skills, sensory processing, confidence, and motor skills. A quantitative, quasi-experimental pre-test/post-test design was used in this study. Researchers partnered with a local outpatient OT clinic that offers an 8-week outdoor program. Seven children and their parents were recruited and participated in the study. A modified version of the COPM and two BOT-2 subtests, along with a novel log …

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 …

Occupation-Based Cna Program To Build Caregiver Knowledge And Self-Efficacy In Dementia Care, Lucky Ung, Judy Chen, Michelle Hong

Occupational Therapy | Graduate Capstone Projects

Certified nursing assistants (CNAs) are primary caregivers to individuals with dementia (IwD) who reside in skilled nursing facilities (SNFs). CNAs are also expected to know how to provide person-centered and occupation-based care while managing challenging behaviors of IwD without formal training which become sources of strain and stress for CNAs and often leads to feelings of uncertainty and inadequacy (Pelissier et al., 2015). Further research shows that specialized dementia care training programs are beneficial to CNAs in acquiring the knowledge and skills required to provide high quality dementia care and that CNAs prefer the use of a multimodal education program …

Ots Delivering Culturally Sensitive Care For Dementia Family Caregivers From Diverse Backgrounds, Abraham Lai, Lucy Palacios Mendez, Darren Sarmiento

Occupational Therapy | Graduate Capstone Projects

As occupational therapists, addressing key cultural barriers that may obstruct access to dementia care and education for individuals with dementia and their caregivers from diverse backgrounds is a priority for client-centered care. Stress, racial discrimination, and distrust may exacerbate symptoms and prevalence of dementia in certain populations, such as Chinese- Americans and Latinx (Quinones et al. 2020). Immigrants’ experiences of aging and health are diverse due to belonging to different socioeconomic, ethnic, cultural, and linguistic groups and having varying levels of education and work experience (R. S. 2020). There are existing cultural differences regarding caregiving and family networks, perception and …

An Exploration Of The Occupational Needs Of College Students, Christian D. Gabon, Jennifer Brady, Kaela Jules Antonio, Kayla Twite Lehnen, Beatriz Go

Occupational Therapy | Graduate Capstone Projects

This paper analyzes the barriers and supports for Dominican University of California students in meeting their occupational needs and what services might be beneficial to them. To be able to answer this question, we conducted a survey using convenience sampling with twenty-seven Dominican undergraduate students, interviewed staff, and conducted a focus group with the students who participated in the survey. Our results indicated four main themes which include: occupational needs, barriers to meeting occupational needs, supports to meeting occupational needs, and services recommended. For the implications for occupational therapy, we found that OTs are beneficial in several aspects of students’ …

Virtual Visitation: Promoting Social Occupations In Dementia Care, Carly Spina, Lizann Jovanovich, Ashley Jones, Pamela Baraceros, Rena Ribeiro

Occupational Therapy | Graduate Capstone Projects

Approximately two thirds of skilled nursing facilities (SNFs) residents in the United States have some form of cognitive impairment such as dementia (Gaugler, et.al, 2014). Care practices in SNFs highlighting safety and therapeutic exercises may further isolate and decrease social opportunities, which can contribute to sensory deprivation in this population and result in lower quality of life (Haigh & Mytton, 2015; Nakamae et al., 2014). COVID-19 visitation restrictions, as well as ongoing barriers of geographical distance, present additional challenges when seeking to engage PLwD residing in SNFs in meaningful social occupations.

Reminiscence has potential to remediate effects of isolation and …

A Virtual View Of Occupation: Transactionalism In Mmorpgs, John Miklos, Alex Nold, Shasta Rice, Amanda Flores

Occupational Therapy | Graduate Capstone Projects

To date, most research on massive multiplayer online role-playing games (MMORPGs) has focused on the effects playing MMORPGs has on players’ health and wellness. The virtual environment of MMORPGs has yet to be explored as a space where meaningful occupations occur. This qualitative study explored the virtual environment using a transactional perspective in order to define the qualities of virtual worlds, how transactional relationships operate more clearly within these virtual worlds to construct occupational meaning, and subsequently to provide a foundation of qualitative data to support future research including virtual worlds. The sample included six MMORPG players with experience playing …

Adults With Sensory Defensiveness And Their Use Of Coping Strategies, Cassidy Mccurdy, Sonia Patiño, Julia Mcmahon, Sophia Hagen

Occupational Therapy | Graduate Capstone Projects

Purpose: The purpose of this study was to develop and pilot a questionnaire examining the relationship between sensory defensiveness and coping strategies, as well as establish typical ratings for sensory defensiveness among the adult population. Methods: Through snowball sampling, 91 participants completed the Sensory Response Questionnaire containing 69 questions. Participants’ responses to questions concerning sensations and coping strategies in various situations indicated levels of sensory defensiveness. Levels of sensory defensiveness were determined by mean ratings: < 2 low sensory defensiveness (Low SD), 2-2.5 some sensory defensiveness (Some SD), > 2.5 moderate sensory defensiveness (Moderate SD). Discussion: Kinnealy et al. (1995), estimates that 15% of the population has some level of sensory defensiveness that impacts …

Batok: The Exploration Of Indigenous Filipino Tattooing As A Collective Occupation, Ana Cabalquinto, Carmela Dizon, Chelsea Ramirez, Mai Santiago

Occupational Therapy | Graduate Capstone Projects

Batok (also known as Fatek/Burik/Tatak/Batek/Patik) is an indigenous Filipino tattooing practice where the practitioner marks the skin by hand-tapping the ink using bone/wood implements. Previous research on tattooing has explored an occupational science perspective on Western tattooing and its engagement and implication on the individual - recognizing its practice to be considered as an occupation (Kay & Brewis, 2017). Framed in theories of Collective Occupation (Ramugondo & Kronenberg, 2015), Doing, Being, Becoming (Wilcock, 2002), and Belonging (Hitch et al., 2014) the research explores how batok as a collective occupation affects the experiences of Filipino communities. Three individual Filipino people with …

Exploration Of Occupational Barriers Of At-Promise Youth With Photovoice, Francis Bie, Brianna Baisch, Quyntz Ellenwood, Kerry Krohn, Iliana Santellan

Occupational Therapy | Graduate Capstone Projects

Numerous circumstances affect the quality of life of youth including a higher risk for poverty, social exclusion, discrimination, mental health challenges and/or stigma, which effects their ability to engage in occupations (Iwasaki, 2014, p. 317). Through highlighting how photovoice has been utilized in the past with under-represented groups, we wanted to address occupational injustices faced daily by “At-promise” youth. Through utilizing participatory-led research, we wanted to further empower youth to be advocates in their community. Our research aim was to utilize Participatory Action Research and photovoice as a guide for at-promise youth to explore occupational injustices, how to understand the …

Holistic Occupational Therapy Dining Interventions Supporting Individuals With Dementia In Skilled Nursing Facilities, Kathleen Osio, Sabrina Anne Cezar, Ashley Lorton, Lisa Worsham

Occupational Therapy | Graduate Capstone Projects

The purpose of this project is to provide occupational therapy practitioners (OTPs) with a Holistic Occupational Therapy Dementia Dining Toolkit to enhance the dining experience in the SNF setting for individuals in all stages of dementia. Dementia is a prevalent condition seen in skilled nursing facilities (SNF) that is expected to continue to rise; in 2016, 47.8 percent of individuals living in a SNF had a diagnosis of dementia (Center of Disease Control, 2020). Dining experiences for individuals with dementia (IwD) are impacted by an individual’s cognition, physical, environmental, and psychosocial factors. Additionally, the task oriented and structured approach to …

Performers' Experiences Of Participation In Sensory Friendly Performances, Molly M. Vilaithong, Brooke E. Grupe, Lucy Chen, Andrea N. Wurster, Carleigh J. Robinson

Occupational Therapy | Graduate Capstone Projects

Background: Individuals with disabilities have decreased levels of community social participation and encounter environmental barriers that limit access to community participation in cultural arts, which negatively impacts quality of life. Existing literature on sensory friendly theatre focuses on parent and organizational stakeholders and supports the promise of sensory friendly programming designed with occupational therapy consultation to increase access for individuals with sensory processing challenges.

Purpose: This study explored the lived experiences of youth performers in a sensory friendly performance The research examined youth performers' sensory friendly participation experiences, including their perceptions of sensory friendly program components and their preparation and …

Transgender College Student Equity And Inclusion Program, Allison Quintilla, Benji Harrington

Occupational Therapy | Graduate Capstone Projects

Understanding the inequities experienced by Transgender college students on university campuses is fundamental to promoting the occupational engagement of Transgender individuals. The Transgender community in the United States (U.S.) today is more widely varied and accepted than ever before in the recorded history of post-European colonialization of this country (Beemyn, 2014). Dowers, White, Kingsley and Swenson (2019) explain the risk for increased occupational injustice for Transgender college students due to their complex experience of occupations and the influencing factors. Current research has significant gaps in our understanding of how to counteract the effects of occupational injustice for Transgender college and …

A Cross-Content Validation: Sosi-M & Bot-Sf, Eleanor Brewer, Emily Yuen, Alyssa Asuncion, Taylor Hanson, Mariella Villanueva

Occupational Therapy | Graduate Capstone Projects

This thesis paper examines a new assessment, Structured Observations of Sensory Integration- Motor (SOSI-M), and it’s concurrent validity against the well-validated Bruininks- Oseretsky Test of Motor Proficiency Second Edition (BOT-2). This research study answers the question of “Do the scores from SOSI-M correlate with scores from the BOT-2 in a sample of children 5 to 14 years of age?”. The participants for this study are school-aged children between the ages of five to fourteen years old, all genders, English-speaking, ambulate without assistance or use of orthotic devices, and have motor and sensory abilities sufficient in order to complete both motor …

Adaptive Gaming As An Occupation: Motor Phenomena And Lived Experiences, Christina Floyd, Melanie Blaisdell, Madeleine Pope, Audrey Metzger, Donna Chen Tubig, Lauren Andaya, Christine Vincent

Occupational Therapy | Graduate Capstone Projects

Purpose: This qualitative study examined the lived experience and motor phenomena that occur in people with disabilities during the occupation of video gaming. Historically, the occupation of video gaming, also referred to as gaming, has not been inclusive of individuals with disabilities due to the design of traditional video gaming controllers. Typical gaming controllers require fine motor control, finger dexterity, and in-hand manipulation to grasp and use the controls on the device. Although, many people with disabilities do not have the fine motor skills required to access these devices, creating a barrier for this population to engage in …

Occupation-Based Volunteer Training Program To Increase Social Engagement For Residents With Dementia In Skilled Nursing Facilities, Kiyomi Kuroda, Nhat Hoang, Victoria Ramia, Kelsy Wallace

Occupational Therapy | Graduate Capstone Projects

The population of individuals with dementia (IwD) is increasing, and IwD are often admitted into skilled nursing facilities (SNFs) due to greater need for care (Alzheimer’s Association, 2020b). Admittance leads to social isolation as a result of decreased engagement in co-occupations. Co-occupations are occupations, or meaningful activities necessary for wellbeing and survival, that are performed with others (American Occupational Therapy Association [AOTA], 2014). IwD exhibit behaviors and symptoms that create challenges for family caregivers to engage in co-occupations (Ono et al., 2014). Without guidance or support, family members or volunteers may be less likely to visit or facilitate quality visits, …

Relationship Between Sensory Integration And Occupational Participation For School-Aged Children, Natalie Piwinski, Jordan Hoss, Rebecca Velasco, Victoria Jess

Occupational Therapy | Graduate Capstone Projects

Given the wide-spread use of sensory integration intervention for the pediatric population in occupational therapy practice, it is necessary to explore the connection between sensory integration and children’s participation in daily occupations. Although there is a wide breadth of knowledge examining the impact of sensory integration intervention, there is currently a gap in the literature establishing the underlying relationship between sensory integration and children’s occupational participation. This study recruited 22 children, ages 5-12 to examine the relationship between sensory integration and occupational participation by utilizing two parent report measures: Sensory Processing Measure (SPM) and Participation & Environment Measure- Children and …

Supporting Dining Occupations For Dementia Residents In Skilled Nursing Facilities, Esther Yu, Nooshin Moslehi, Vickie Nguyen, Aileen Quach, Cierra Passey, Julia Lee

Occupational Therapy | Graduate Capstone Projects

Dementia Friendly Dining provides skilled nursing facilities (SNFs) with a practice guideline and training resources for caregivers. The program is informed by existing research on environmental modifications, both physical and social, to enhance the occupations of feeding, eating, and dining for individuals with dementia (IwD) in SNF settings. The physical and social environment has a significant effect in supporting the dining experience for IwD and their caregivers (Keller et al., 2015; Hung et al, 2016; Palese et al., 2018), but many facilities have not integrated physical and social modifications, creating a gap in practice. Therefore, an evidence-based dining program that …

Adaptive Video Gaming In The Classroom, Lauren Ferrell, Daniela Mari Recinto, Desarae Finck-Fugazi, Christine Angela Manalang, Noémie Von Kaenel

Occupational Therapy | Graduate Capstone Projects

Background: Limited resources exist to support adaptive gaming in school programming using Microsoft® Xbox Adaptive Controller for children. On the other hand, there is abundant evidence supporting motor, cognitive, and social benefits to gaming in rehabilitation.

Objectives: The goal of this program development project was to create a virtual gaming toolkit to support the interdisciplinary team’s use of adaptive gaming during school programming.

Methods: Through our needs assessment and collaboration with our community partner, we discussed the parent and caregiver need for guidance in order to use the Microsoft® Xbox Adaptive Controller and facilitate gameplay with peers. Through an extensive …

Early Bird Caregiver Education: A Program To Support Caregivers Of Individuals Living With Early Stage Dementia Or Memory Loss Or Other Cognitive Impairments, Mia Lopez, Tyler Trees, Brock Albee

Occupational Therapy | Graduate Capstone Projects

The number of individuals living with dementia continues to rise every year, with the need for caregiver education increasing as a result. Occupational therapists (OTs) have the skills and training needed to educate caregivers on how to care for not only themselves, but their loved one as well. The Early-Bird Caregiver Education Program was created to support caregivers of individuals living with early-stage dementia, memory loss, or other cognitive impairments in providing the highest quality of care possible, while also maintaining their own well-being. The program is intended to be led by an occupational therapy practitioner and aims to provide …

Imposter Phenomenon: The Occupational Experiences Of First-Generation College Students, Jamie Zabat, Jacqueline Salas, Yashi Severson, Kevin Chavez, Krysta Gastelum, Javier Gomez

Occupational Therapy | Graduate Capstone Projects

Background: First-generation college students (FGCS) represent an underserved population navigating through higher education and therefore receive less support. There is a current gap in the literature that overlooks the interactions of occupational experiences, imposter phenomenon (IP), and first-generation college students. The purpose of this study is to use grounded theory to observe the impact of IP among FGCS enrolled in a four-year university in California.

Method: This research is a qualitative study using thematic analysis grounded theory. Data was collected through a screening survey and follow-up interview via video chats and in-person sessions, and a live transcription software …

An Exploration Of Experiences That Influence Occupational Therapy Students' Motivations To Pursue Occupational Therapy As A Career, Kayla-Marie Bartolome Gigante, Alyssa Cantrell, Michelle Nguyen, Garrett Teagarden

Occupational Therapy | Graduate Capstone Projects

Occupational therapy (OT) is a client-centered healthcare profession that uses therapeutic activities to increase an individual’s, group’s, or population's participation in meaningful activities, otherwise known as occupations. The general underlying factors that motivate one’s decision to choose this career path is well established within the existing literature. However, research into the experiences of students working alongside an occupational therapist (OT) prior currently faces a significant gap. The aim of this study is to identify and understand what first-hand experiences of OT brought OT students to pursue a career in occupational therapy. Through the lens of narrative inquiry, participants were given …

Social Participation In College Students With Chronic Pain, Megan Chamberlain, Megan Chinn, Jennifer Pineda, Camille Santiago, Jamie Spitzer, Patricia Tran

Occupational Therapy | Graduate Capstone Projects

College students with chronic pain often experience difficulty engaging in social activities both on and off campus due to stigma, misconceptions, or social exclusions (Culp & Rojas-Guyler, 2014). To fully understand the barriers to social engagement, the researchers used a qualitative phenomenological approach and semi-structured interviews to explore the lived experiences of 15 college students with chronic pain (pain lasting more than six months). Four main themes were identified: the additional influence of personality on social participation; stigma and lack of understanding of chronic pain; the “domino effect” of pain impacting energy, sleep quality, and ability to function throughout the …

Creating Focused Occupational Therapy Interventions For Clients With Heart Failure In Skilled Nursing Facilities, In Hwa Chae, Camille Marcia Schilling, Elena Ruth Vaccaro

Occupational Therapy | Graduate Capstone Projects

The ultimate goal of the SNF is to help clients stabilize their medical conditions and attain their therapy goals so that they can return home (Orr, Boxer, Dolansky, Allen, & Forman, 2016). However, approximately 27% of heart failure (HF) clients are readmitted to the hospital after being discharged from the SNF (Allen et al., 2011). High readmission rates may be due to the cognitive (Dickson, Tkacs, and Riegel, 2007), psychosocial (Halliday, 2010), and lifestyle barriers (Maeda, Shen, Schwarz, Farrell, & Mallon, 2013) HF clients face. However, interventions in the SNF tend to emphasize activities of daily living (ADLs) and therapeutic …

Are All Instrumental Activities Of Daily Living Equal? A Pilot Study On The Performances Of Adults With Acquired Brain Injury, Crystal Lee, Samantha Schauer, Amy Tam, Yareli Vargas

Occupational Therapy | Graduate Capstone Projects

Aim: To determine if a relationship exists among performances of different instrumental activities of daily living (IADLs) in adults with acquired brain injury (ABI).

Methods: A two-group correlational design was used to examine the relationship among performances in cooking, medication management, and financial management in nine adults with ABI who returned to driving and nine adults with ABI who did not return to driving. The Executive Function Performance Test (EFPT) measured initiation, organization, sequencing, judgment and safety, and completion.

Physiological Responses & Coping Strategies Of Sensory Defensive Adults, Benjamin Cohen, Alexandria Donaldson, Jenny Park-Chan, Jessica Valenzuela

Occupational Therapy | Graduate Capstone Projects

Purpose: The purpose of this study was to learn how adults cope with their sensory defensiveness (SD) and how physiological responses differ between adults who self-report as high SD versus low SD. Methods: In this continuation study participants (age 18-64; n=23) were categorized as low SD (control group; n=9) or high SD (experimental group; n=14) via their Adolescent Adult Sensory Profile (AASP) scores and Sensory Response Questionnaire (SRQ) scores (Brown, & Dunn, 2002 & Wilbarger, 2009). The last nine participants also completed the Coping Strategies Questionnaire (CSQ). All participants partook in the sensory challenge protocol which examined their electrodermal activity …

Impacts Of Assistive Technology Applications In Higher Education For Students With And Without Disabilities, Christine Jacob, Michelle Morello, Cayla Chapman, Grace Erhardt, Erin Camarena, Sara Delucchi, Bethany Young

Occupational Therapy | Graduate Capstone Projects

Current trends in higher education include an increased enrollment of students who have a disability and a rising trend of technology use within the classroom. Assistive technology (AT) has been shown to enhance academic success and influence learning strategies. Furthermore, the combination of AT and individualized support has the potential to promote and enhance engagement in meaningful occupations, such as participation in school, for individuals with and without disabilities. However, the procurement of AT alone can often have less impact than AT combined with individualized support. Occupational therapists (OT) can play a significant role in HE providing training and individualized …

Evaluation Of User Interface In Drive Focus® Application, Bailey Kiser, Paul S. Peritos, Noreen Hasan, Anjelica J. Collins

Occupational Therapy | Graduate Capstone Projects

Technology is used in healthcare settings to aid clinicians in accessing client information, researching data, and enhancing communication with the client and other healthcare team members. In order for an app to best support client engagement, the app needs to have a well-developed user interface design There are four main aspects of user interface design, context, fidelity, accessibility, and consistency. The Drive Focus® application (app) is designed to identify how an individual recognizes, prioritizes, and reacts to information during real-world driving simulations. The Drive Focus® app has efficacy and feasibility, however, the user interface design has never been assessed. Therefore, …