The Role Of Rehabilitation Services In Managing Delirium In The Icu: A Retrospective Chart Review, Veronique Munier

Occupational Therapy Doctorate Capstone Projects

Executive Summary

Background: The onset of delirium during a stay in the intensive care unit (ICU) is considered a sign of complication and is associated with increased risk of mortality and longer stays. Monitoring for delirium and incorporating early rehabilitation services (occupational therapy and physical therapy) are considered promising, evidence-based strategies to manage delirium.

Purpose: The purpose of this study was to assess current practices for 1) delirium monitoring and 2) rehabilitation intervention as part of delirium management. The study verified the rate of delirium monitoring using standardized assessments, prevalence of delirium, the interval between admission to the ICU and …

Elementary Teachers' Perceptions Of The Value Of Collaboration With School-Based Occupational Therapists, Jennifer Edick

Occupational Therapy Doctorate Capstone Projects

Background: Literature review coupled with needs assessment data indicated that collaborative practices between teachers and occupational therapists might not be happening consistently and may be in need of improvement. Further research is needed to determine elementary teachers’ perceptions of the value of collaboration with occupational therapists in order to ensure maximum benefit for the students.

Purpose: This Capstone Project focused on identifying elementary teachers’ perceptions of the value of collaboration with occupational therapists and validating the need for improved occupational therapy supports in the school environment.

Theoretical Framework: This Capstone Project was guided by the National Interprofessional Competency Framework (NICF), …

Understanding Parent Beliefs And Attitudes Regarding Healthy Relationships And Sexuality Education: Bridging The Inclusivity Gap, Marie C. Zarrilli

Occupational Therapy Doctorate Capstone Projects

Children, adolescents, and young adults with Intellectual and Developmental Disabilities (IDD) are often excluded from receiving Comprehensive Sexuality Education (CSE), even though they are at increased vulnerability for sexual abuse and exploitation. Although some curricula are emerging that are adapted for individuals with IDD, rigorous effectiveness studies are sparse. The purpose of this capstone project was to empirically explore the beliefs, attitudes, and comfort level of parents with sexuality education program types and content regarding their own parent/child communication and the need for training and resources. This capstone project used a quantitative, cross-sectional, descriptive survey design. The survey consisted of …

A Comparison Of The Effectiveness Of Two Handwriting Programs On Legibility In First Grade Students, Whitney Cook

Occupational Therapy Doctorate Capstone Projects

Background: Handwriting is one of the most utilized forms of written communication and there is a lack of research comparing the effectiveness of two different handwriting programs in elementary aged students.

Purpose: The purpose of this Doctor of Occupational Therapy (OTD) Capstone project was to compare the efficacy of two handwriting programs implemented in first grade classes at one elementary school in Kentucky. The research question that guided this Capstone Project was: Which of the following handwriting programs were more effective in achieving handwriting legibility in first grade students: Handwriting Without Tears or Write Start?

Theoretical Framework: …

The Impact Of Volunteer Transportation On Older Adult’S Engagement In Meaningful Activities, Belinda Alexander

Occupational Therapy Doctorate Capstone Projects

Background: Without accessible transportation alternatives, many older adults experience declined activity levels, social isolation, and decreased occupational engagement resulting from their lack of community mobility and access. Volunteer transportation programs have been successfully used as an additional community mobility option for many older adults, especially those unable to access the traditional public transportation options, such as buses or taxis, found in many communities.

Purpose: While numerous transportation options, or alternatives, may exist in a community, no studies to date have examined or compared engagement levels related to a specific form of alternative transportation. Therefore, the purpose of this …

How Does Intraprofessional And Interprofessional Collaboration Impact The Use Of Occupation-Based Practice In Skilled Nursing Facilities, Stedmon D. Hopkins

Occupational Therapy Doctorate Capstone Projects

Background: Research shows that there are many barriers to the implementation of occupation-based practice amongst occupational therapy practitioners. One barrier that requires a more in-depth review is the process of interprofessional and intraprofessional collaboration amongst staff in skilled nursing facilities.

Purpose: The purpose of this research project was to examine how interprofessional and intraprofessional collaboration influence occupational therapists and occupational therapy assistant’s ability to provide occupation-based practice in skilled nursing facilities.

Theoretical Framework: The frameworks utilized throughout this study included the National Interprofessional Competency Framework and the Occupational Therapy Intervention Process Model (OTIPM).

Methods: This study utilized a …

Get The Wiggles Out: Sensory Paths A Motor-Based Intervention To Decrease Out-Of-Seat Events In Preschool Children With Special Needs., Teresa Ludwig

Occupational Therapy Doctorate Capstone Projects

Sensory Paths are sensory motor-based interventions that will provide opportunities for teachers to incorporate structured movement into the natural classroom routine, such as before circle time, to help the children in their classes be ready for learning by increasing attention and decreasing out of seat events.

This single subject A-B-A design project, rooted in the Ecology of Human Performance framework, explored providing structured sensory motor-based opportunities prior to circle time throughout the classroom day to decrease interfering behaviors in the classroom, such as out of seat behaviors and improve attention during circle time.

The results indicate that the Sensory Paths …

An Interprofessional Learning Experience With Occupational Therapy Assistant And Physical Therapist Assistant Students Through A Simulated Educational Environment, Brooke Gentry

Occupational Therapy Doctorate Capstone Projects

The purpose of this explanatory sequential mixed methods study is to explore if occupational therapy assistant students demonstrate increased perceived confidence and communication skills. This was completed through interprofessional interactions during a simulated lab-based case with physical therapist assistant students. The perceived confidence and communication are measured through a pre and post survey using the Interdisciplinary Education Perception Scale (IEPS). Each student completed the Interdisciplinary Education Perception Scale (IEPS) pretest prior to the event. The students underwent an educational lecture, lab demonstrations, and training for the performance of the practical application. The students participated in a simulated patient experience of …

Parental Educational And Engagement Through Positioning And Play, Gaile E. Seay

Occupational Therapy Doctorate Capstone Projects

Background: This project is to increase the confidence of parents/caregivers via education about their infants that may not otherwise be provided by other health care professionals. This project also provides early intervention to the infants in efforts to facilitate their maximum development through proper positioning for sleeping and play. Purpose: The purpose of this project was a parental education class for parents/primary caregivers of babies ages 0-6 months. They were educated about their child’s development, and how to engage their baby through play and positioning for optimal cognitive, communication, and social-emotional development. This class and project sought to enhance parents’ …

Examining Cognitive, Social And Teaching Presence In A Virtual Professional Continuing Education Workshop, Christina Bretz

Occupational Therapy Doctorate Capstone Projects

Background: Due to COVID 19, there has been an increase in opportunities for online learning due to the reduction of in-person trainings. As occupational therapist practitioners, we have a responsibility to complete our professional continuing education and maintain our skills proficiently, whether those trainings are in-person or virtually. Therefore, the effectiveness and quality of professional training should not decrease when the delivery system is switched from in person to online.

Purpose: This study addressed professional continuing education for occupational therapists, occupational therapy assistants, and Pre-K thru 5th grade teachers in a virtual environment. The primary purpose of this study was …

Effectiveness Of Collaborative Handwriting Curriculum: Handwriting Without Tears And Orton-Gillingham, In Kindergarten Classroom Setting., Merry G. Harper

Occupational Therapy Doctorate Capstone Projects

Background: Formal handwriting instruction, using evidence-based, developmentally appropriate handwriting programming, in school based occupational therapy is necessary to support the role of a student. Handwriting is an occupation of children in the school environment. Without formal handwriting instruction in place there is evidence to support occupational therapy intervention providing a handwriting program can improve handwriting success.

Purpose: The purpose of this research study is to determine the clinical efficacy of a hybrid approach to handwriting instruction pairing the Handwriting Without Tears and Orton-Gillingham instructional programming for prewriting and handwriting skills in the kindergarten population. The research question addressed is: Will …

Interdisciplinary Collaboration In The Homecare Setting, Erica J. Arndt

Occupational Therapy Doctorate Capstone Projects

Background: Communication among interdisciplinary team members is a key component in providing quality care to patients. In the homecare setting, there are unique challenges to ensure effective communication occurs.

Purpose: To compare perceived interdisciplinary collaboration and work engagement between a team of homecare clinicians who were involved with identifying why critical clinical and social information is not communicated with a team of homecare clinicians who were not involved

Theoretical Framework. The Person Environment Occupation Performance (PEOP) model provided the theoretical framework for this project.

Methods. A quasi-experimental interrupted time series design with an intervention and control group was used. The …

Does Pre-Operative Education Increase Activity Participation And Decrease Perceived Arm Dysfunction In Breast Cancer Patients?, Stephanie R. Rexing

Occupational Therapy Doctorate Capstone Projects

Executive Summary

Background: Currently there is sufficient evidence indicating safety with upper extremity resistive exercise among those at risk for developing breast cancer related lymphedema. However, there is insufficient evidence of the benefits of pre-operative lymphedema prevention education, upper body strengthening exercises, and strategies to continue or resume physically demanding activities that breast cancer survivors need to do, want to do, or are expected to do.

Purpose: This project described the impact pre-operative education has on activity participation, and perceived upper extremity function among individuals diagnosed with breast cancer compared to those who do not receive pre-operative education. The capstone …

Therapists’ Perceptions Of Student Preparedness Regarding Hand Therapy And The Use Of Occupation-Based Interventions, Stephanie Ye

Occupational Therapy Doctorate Capstone Projects

Current literature suggests OT Level II students may not be sufficiently prepared to begin a Level II fieldwork hand therapy placement. ACOTE standards are generalized for the orthopedic content in curriculum for occupational therapy programs. OT students, faculty, and practitioners recognize there may be additional specific demands for upper extremity rehabilitation practice not included in the ACOTE standards. Biomechanical assessments are more likely to be used rather than occupation-based assessments in hand therapy clinics. In addition, previous research found that occupation-based interventions within hand therapy practice have declined due to a primarily biomechanical approach.

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 …

Assistive Technology In Transition Programming For Individuals With Intellectual Disabilities, Jennifer L. Veenendall

Occupational Therapy Doctorate Capstone Projects

Individuals with intellectual disabilities are employed at lower rates than those without disabilities and evidence supports the use of assistive technology (AT) to improve vocational outcomes for this population. This preliminary study investigated the impact of AT training among special educators in secondary transition programming. The results provide useful information that can be used to guide decisions regarding additional training and interventions to build capacity in quality AT service delivery for young adults transitioning into work roles within this program. Successful implementation of person-centered AT problem-solving and decision-making could positively impact the integrated employment options and opportunities for young adults …

A Case Study Of Children's Programming In Transitional Housing, Crystal L. Coffman

Occupational Therapy Doctorate Capstone Projects

Background: Female-headed households with children makeup nearly 30% of the homeless population, and are challenged to become self-sufficient while embodying multiple roles with inadequate supports (Bassuk, 2010; Crncec, 2008; Fisher, 2000; Schultz-Krohn & Tyminski, 2018). While there is growing literature to support the social-cultural and occupational needs of adults in this population, few programs and research efforts have explored the life skill and developmental needs of children (Fleary et al., 2019).

Purpose: The purpose and objectives of this capstone project were to examine the planning, execution, follow-up, and contextual adaptation of the programs provided to children and youth at a …