Occupational Therapy Commons^™

Facilitating Community Integration Following Inpatient Rehabilitation: The Importance Of Caregivers, Alysa N. Jensen

Occupational Therapy Capstone Presentations

Community integration (CI) is a significant benchmark for successful rehabilitation following traumatic brain injury (TBI). The purpose of this capstone was to utilize occupational therapy assessments, interventions, and resources to support patients and their caregivers during the transition from the clinical setting to the community. Methods included assessment and intervention for patient function, cognition as it relates to burden of care, patient discharge statistics, development and implementation of caregiver resources, and semi-structured caregiver interviews. The outcomes of this project indicate that although TBI survivors are discharging home, they continue to require substantial caregiver support. Outcomes also indicate that there is …

Sensory Processing Difficulties In Children Born Preterm And The Needs Of Their Families, Shelby J. Buie

Occupational Therapy Capstone Presentations

Children who are born preterm frequently experience sensory processing difficulties due to their underdeveloped brains and the atypical early sensory experiences that are associated with increased medical needs. These factors impact the development of a child’s sensory system, which ultimately influences how a child participates in daily activities. Having a child born preterm that requires increased medical attention causes stress on the family. Increased stress and a decrease in mental health can disrupt the parent-child bond. This project aimed to provide sensory-based occupational therapy treatment sessions to children who were born preterm to improve their sensory processing skills. Furthermore, the …

Occupation-Based Sexual Health Education For Adolescents With Disabilities, Elizabeth J. Klocke

Occupational Therapy Capstone Presentations

Individuals with intellectual and developmental disabilities experience barriers to learning about sexual health education even though there is documented interest in this subject. Additionally, caregivers of children with disabilities lack experience and knowledge of their children’s sexual developmental needs. My capstone project aimed to provide comprehensive sexual education to adolescents with disabilities and education on childhood sexual development to healthcare professionals, educators, and parents. The literature and needs assessment indicated a need for sexual health education for both students with intellectual and developmental disabilities and caregivers. Due to viewing clients in a holistic manner, occupational therapy is uniquely qualified to …

“Growing Together”: Addressing The Support Needs Of Caregivers Postpartum Through Occupational Therapy Intervention, Garrett Bagdon, Stephanie Iwasaki, Kelli Kawamoto, Alexa Mahoney

Occupational Therapy Evidence Projects

Through a collaboration with a practicing occupational therapist in Tacoma, Washington who is currently interested in opening a private practice focused on providing care to caregivers in the postpartum period, the researchers posed the question, “When treating caregivers with children under one year of age, what is the effectiveness of existing interventions within the scope of occupational therapy in improving occupational performance?” Through a critical appraisal of topic project, it was found that the existing evidence supports occupational therapy interventions in the form of brief motivational interviewing, behavioral treatments, self-regulation education, wrist stabilization techniques, and group treatments aimed at decreasing …

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 …

Meeting Mental Health Needs Of Parents Caring For Children With Disabilities By Facilitating Occupational Balance And Well-Being, Emily J. Heumiller

Occupational Therapy Capstone Presentations

Parents caring for children with disabilities experience unique challenges which affects their well-being and occupational balance. The affects can contribute to further limitations within their family systems. The purpose of this capstone project is to explore the need and effectiveness of an occupation therapy-based program to address parents’ mental health needs. Needs assessment results and literary evidence supported the need for the proposed program, titled the Well Parent Program. Program development was guided by occupational therapy models and frames of reference. Three assessments were used to evaluate the effect of program interventions on parents’ perceived stress, perceived well-being, and goal …

Analysis Of Occupational Therapy’S Role To Promote Healthy Sleep Participation To Support Caregivers Of Children With Autism Spectrum Disorder, Sophia N. Roman

Student Capstone Papers

Children with autism spectrum disorder (ASD) face sleep disturbances. Healthy sleep habits are essential for children with ASD and their caregivers to properly engage in their everyday lives. Occupational therapists are trained to evaluate clients in areas that contribute to sleep dysfunction and to focus on promoting optimal sleep performance. There is limited research on caregivers’ perceptions of their child’s sleep disturbances, these disturbances’ influence on occupational engagement, and whether occupational therapists have collaborated with caregivers of children with ASD to treat this area of occupation. Collecting data from caregivers by using a questionnaire can provide occupational therapy (OT) practitioners …

Inclusion In Religion And Spirituality For Children With Special Needs, Mackinzie C. Weiss

Student Capstone Papers

The proposed vision of this capstone project will focus on using occupational therapy interventions to help a local church be more inclusive to children and families with special needs. This capstone project will partner with a pre-existing special needs program to develop evidence based volunteer training, implement a parent respite program, and introduce a movement based program.

Caregiver Perspectives On Telehealth: A Service Delivery For Occupational Therapy, Rebecca Johnston

Student Capstone Papers

Telehealth; also known as telerehabilitation, telecare, telemedicine, teletherapy, and telepractice; is an emerging healthcare service that is utilized in various healthcare facilities with a span of ages, conditions, and locations (World Federation of Occupational Therapy [WFOT], 2014). Telehealth utilizes information and communication technologies to deliver services to a patient when the healthcare provider is not in the same location (WFOT, 2014). Telehealth can provide an online platform for evaluations, consultations, monitoring, supervision, and intervention with patients and other professionals (WFOT, 2014).

Telehealth is an emerging method of delivering occupational therapy (OT) services to various populations, including: children and youth; productive …

Engaging Caregivers In Family-Centered Pediatric Occupation Therapy, Sidney Carlson, Sarah Schwartz

Occupational Therapy Capstones

Purpose Family-centered care is considered the gold standard when working with children and their families (Darrah, Wiart, Magill-Evans, Ray, & Andersen, 2010). Despite there being a strong push toward family-centered care, there remains a disconnect in outpatient pediatric settings when working with children ages 3-18. The purpose of this scholarly project is to raise awareness of the need for caregiver engagement in pediatric, outpatient occupational therapy and identify best practice principles for caregiver engagement.

Methods An extensive literature review was conducted in order to understand caregiver engagement in pediatric occupational therapy. The information obtained from the literature review was analyzed …

The Impact Of Interactive Education On Caregivers Caring For Individuals With Dementia, Lisa K. Hong

Occupational Therapy Doctorate Capstone Projects

Background: Alzheimer’s disease and related dementias are becoming more prevalent and individuals with the disease requiring much physically and emotionally from caregivers. As caregivers are often thrust unprepared into their roles, the need for quality education becomes increasingly important.

Purpose: The purpose of this study was to identify changes in caregiver perception after participation in an interactive educational program. The following research questions were used: 1) What is the perception of both professional and family caregivers about their ability to provide care following an interactive education program for dementia care? 2) Does an education program change the caregiver’s general knowledge …

Caregiver Selection Of Treatments For Their Child With Autism, Amy Kurowski-Burt

Graduate Theses, Dissertations, and Problem Reports

This project was completed to understand what treatments caregivers are selecting for their child with autism and why treatments were selected and discontinued. Caregivers of children with autism participated in a mixed methods study. An online survey was completed (N=127) to identify treatments used for their child. Interviews were completed (n=14) to understand why treatments were selected and discontinued. Selection of medical, dietary, therapeutic, complimentary/ alternative medicine, community-based, behavioral, and educational treatments were mostly influenced by recommendations of others. Caregivers reported discontinuing because relationships and professionalism were lacking between provider and family. Providers must consider all the variables that influence …

Dementia: Incorporating Families And Caregivers In Direct Speech-Language Intervention, Jocelyn Hartley

Online Theses and Dissertations

In a survey, 50% of 1,000 caregivers reported that they received no information on dementia at the time of diagnosis (Thompson & Pulsford, 2012). This statistic provides strong evidence as to why caregivers feel ill-prepared to care for individuals with dementia. The role of a speech-language pathologist (SLP) is suggested to not only treat the individual with dementia, but consider the role and perspective of the caregiver (Watson, Aizawa, Savundranayagam & Orange, 2013). Providing education and training to caregivers of individuals with dementia is within the scope of practice of speech-language pathologists (Watson et al., 2013).

A survey design for …

Examining The Lived Experience Of Caregivers Learning A Home Program From A Pediatric Occupational Therapist, Michelle Finet

Theses and Dissertations

The purpose of this study was to examine the lived experiences of family caregivers as they learned a home program from an occupational therapist for their child. Gaining information from the caregiver on experiences with patient education may enable therapists to develop an understanding of the needs of caregivers during the educational process that occurs when a therapist is giving the caregiver a home program. Meeting the learning needs of the caregivers may possibly reduce the amount of overall therapy needed by the child. This phenomenological approach sought to answer the following research questions: (a) what are the lived experiences …

Fitness-To-Drive Screening Measure© : Constructing And Validating The Short Form, Shabnam Medhizadah

Electronic Thesis and Dissertation Repository

The valid and reliable Fitness-to-Drive Screening Measure^© (FTDS) is a free online proxy measure that screens for at-risk older drivers using 54 driving-related items. This secondary data analysis aims to construct and validate a short form FTDS, using 200 caregiver FTDS response sets and 200 older driver on-road assessment pass/fail outcomes. To construct the short form, exploratory factor analysis and classical test theory techniques were employed to determine the most interpretable factor model and the minimum number of items that might be used to predict fitness to drive. Next, receiver operating characteristics curves were generated to evaluate the concurrent …

The Lived Experience Of Informal Caregivers Of Chronic Stroke Patients, Ann Snider Wigginton

Online Theses and Dissertations

The purpose of this phenomenological study is to contribute to the literature surrounding stroke-survivor caregivers and to understand the caregivers’ perspective on leisure participation and quality of life. Four caregivers of clients with chronic stroke were recruited for the study via convenience sampling. Participants were audio-recorded during a semi-structured interview lasting 60-80 minutes. The interview guide was consistent across participants and included open-ended questions about the caregiver’s leisure participation and quality of life. Recorded data was transcribed and in-vivo coding was completed. Eight categories were developed from the identified codes and narrowed into primary meaning units: role shift, loss of …

Tbi-Apps.Com: Teaching Caregivers How To Use Mobile Applications As Compensatory Cognitive Aids For Traumatic Brain Injury, Ana Wright, Megan Caine, Raymond Reed

School of Occupational Therapy Master's Theses (2010-2015)

Long-term cognitive deficits resulting from traumatic brain injury (TBI) can profoundly impact a person’s role competence and ability to perform daily activities (AOTA, 2014a). Mobile technologies, including smartphones and tablets, have shown potential as effective compensatory aids for memory and executive functioning in individuals with TBI (Waite, 2012). A website was created to provide caregivers tools to independently select, program, and use Apple iOS devices with TBI survivors. The website featured five tutorials for iOS applications, one tutorial for an iOS accessibility feature, and tips for teaching application use to individuals with TBI. It also included general information on the …

Parenting After Traumatic Brain Injury: A Web-Based Support For Caregivers, Arien N. Mcomber, Kristin W. Moore

School of Occupational Therapy Master's Theses (2010-2015)

Aggression is common in traumatic brain injury (TBI) survivors (Rao et al., 2009) and can increase caregiver burden (Gan et al., 2006). For TBI survivors who are parents, aggression may also negatively impact parenting skills (Charles, et al., 2007). Resources that support survivors as parents are few (Kieffer-Kristensen, Teasdale, & Bilenberg, 2011), as are supports for their caregivers (Turner et al., 2010). We created a website to educate caregivers about TBI, stressmanagement techniques that help TBI survivors manage aggression, and family activities that facilitate positive interactions with children. When piloted to four people, feedback demonstrated that all goals were met …

A Community Grant Application To Support People With Dementia And Their Caregivers, Jessica Montomery

Occupational Therapy Capstones

In upcoming years, the population of older adults with dementia is expected to rise exponentially, with the expectation that the majority of these individuals will choose to age in place with increased caregiver support (AARP, 2011; National Alliance for Caregiving, 2009; Vincent & Velkoff, 2010). Without adequate education to prepare for the caregiving role, education, instruction, and support, informal caregivers are at an increased risk for caregiving burden, stress, and mortality rates (Morimoto, Schreiner, & Asano, 2003; Schulz & Beach, 1999; Thinnes & Padilla, 2011). The goal for this scholarly project was to create a home and community-based program for …

Between Wind And Water: Experiences Of Mothers Of Adolescents With Autism During The Post-High School Transition, Devon R. Casey

Honors Theses and Capstones

Research Question: How do mothers of adolescents with autism experience and prepare for their child's post- high school transition?

Occupational Therapy Caregiver's Guide To Spinal Cord Injury, Kelsey Berg, Amanda Larson

Occupational Therapy Capstones

In 2006, it was estimated that there were 253,000 Americans living with spinal cord injuries (SCI) (Spinal Cord Injury Information Network, 2003, p. 1). Current literature suggests that individuals are transitioning into the community earlier with the majority of care being provided by informal caregivers (Boschen, Tonack, & Gargaro, 2005). These caregivers are often unprepared for the major role they will be assuming in the care of their loved one and often their health and well-being is compromised due to the overwhelming nature of caregiving.

A comprehensive literature review was conducted to explore and identify the needs of caregivers. Topics …

Alzheimer's Toolbox: A Caregiver's Guide, Kristen Eastwood, Gerry Smith

Occupational Therapy Capstones

“Alzheimer’s disease is the most common cause of dementia in North America and Europe” and “accounts for sixty percent of all irreversible dementia cases” (Moore, 2003, p. 50,126). Along with the 4.5 million Americans who suffer from Alzheimer’s, there are also the caregivers who are suffering alongside their loved one. The stress of caring for a loved one with Alzheimer’s can be overwhelming. This affects the quality of life for those with Alzheimer’s and the health of the caregiver.

A comprehensive literature review was conducted to explore and identify effective techniques and interventions, pertinent to both the caregiver and patient's …

Caregiver Activity Guide To Promote Occupational Function In Individuals With Alzheimer's Disease, Lacey Konickson

Occupational Therapy Capstones

No abstract provided.

Traumatic Brain Injury (Tbi): Caregiver And Family Education Handbook, Heather Yekel, Breana Medlock

Occupational Therapy Capstones

Life can be very confusing for the friends, family member(s), and caretaker(s) of those individuals who are diagnosed with a Traumatic Brain Injury (TBI). The people who live with and care for the individual with a TBI want to know how they can help and what they can do to speed up the recovery. They also want to know what they can expect from their loved one, how much time the recovery will take, and what is causing the changes in their behavior?

A review of the literature was conducted and professionals, who are currently providing services to individuals diagnosed …

Recreational Manual For Caregivers Of Individuals With Cerebral Palsy, Erica Bucher

Occupational Therapy Capstones

A brief literature review was conducted on cerebral palsy to gain general information and statistics. After reviewing the literature, it was noted that there is a significantly high number of children diagnosed with cerebral palsy each year. These individuals are at a high risk to experience the lack of opportunity for a wide choice of recreational activities. To understand the magnitude of the problem an extensive literature review was done on this topic. It was found that the lack of access and participation in independent recreational opportunities may lead to the development of dependent behavioral patterns, learned helplessness and depression. …

Maintaining A Balanced And Healthy Lifestyle For Caregivers, David Nelson

Occupational Therapy Capstones

No abstract provided.