Occupational Therapy Commons^™

Implementation Of Functional Cognition Screening Tool And Program Development In An Inpatient Rehabilitation Setting, Michelle Spotskey

OT Student Capstones

This project aims to develop and educate occupational therapists on functional cognition screening tools and interventions in an inpatient setting. This program development is intended to improve occupational therapist evaluation processes at Banner Baywood Facility to include cognitive components and improve the interdisciplinary approach to treating cognitive deficits amongst other professionals, especially speech pathologists. The implementation of this program development provided the therapist with tools and resources vital for determining the disposition and level of independence for medication management/bill paying upon discharge. Therapists gained skill levels to implement appropriate functional cognition interventions, goals, and family training to guide the plan …

A Cognitive Protocol For Individuals With Concussion, Faith M. Urbanik

OT Student Capstones

Background: Concussions have been identified in the literature to cause impairments in several cognitive domains. Limited research exists for cognitive interventions for occupational therapists (OTs) working with concussions and post-concussion syndrome (PCS) using a bottom-up approach that targets domains of cognition. This pilot study responds to these shortcomings by identifying and implementing evidence-based treatment options for OTs working with individuals with concussion and PCS to mitigate associated cognitive deficits. Method: The researcher included participants, ages 18 years or older, who are three days’ to six months’ post-concussion with concussions or PCS in this study. The researcher administered a cognitive protocol …

The Role Of Occupational Therapy In A Multidisciplinary Outpatient Concussion Setting: Persistent-Post Concussion Symptoms, Lina Rivera

OT Student Capstones

Background and Purpose: Nearly 15%-20% of individuals with a concussive or mTBI experience persistent residual cognitive, psychosocial or physical symptoms (Cogan et al., 2019). Majority of patients who sustain a concussion recover within 10 days, however, 15-20% of individuals experience prolonged recovery lasting longer than 10 days or suffer from post concussive symptoms affecting one’s participation in daily occupations (Patricios et al., 2015 & Harris et al., 2019.) With increased awareness of concussions, concussion management approaches have shifted from complete rest to a holistic, whole-body approach and graded return to activity to improve functional outcomes. The purpose of this study …

Neuropsychological Test Performance In Individuals With Persistent Post-Concussion Symptoms: A Data-Driven Method To Conceptualize Ot Cognitive Rehabilitation Toward Return-To-Work, Naomi Melendez

OT Student Capstones

Cognitive deficits, secondary to concussion, can impact return to work; people may be held from work due to symptoms. Common difficulties include trouble learning new tasks, or needing more time to perform job tasks. In 10-20% of cases, symptoms can persist for months, and are more likely to persist one year post-injury. Studies have examined cognitive performance after concussion with mixed results, warranting further research in cognitive deficits and cognitive rehabilitation. The OT scope of practice is inclusive of rehabilitation at the physical, cognitive, and affective domains; however, concussion cognitive rehabilitation services are under-represented in literature.

The purpose of this …

Functional Cognitive Activities For Adults With Traumatic Brain Injury: Pilot Case Studies, Karen Huang, Ashley Cook, Ajay Pala

Student Research Posters

These pilot case studies investigated the effectiveness of the Functional Cognitive Activities for Adults with Brain Injury: A Sequential Approach (FCA) in generalizing functional cognitive skills across meaningful occupations for adults with traumatic brain injury (TBI). This quasi-experimental pretest-posttest design consisted of two participants with TBI. Both participants received occupation-based intervention sessions twice a week and equaled a total of 14 sessions each. For pretest, the two participants were given three assessments to track changes with aspects of functional cognition and engagement in occupations: the Canadian Occupational Performance Measure (COPM), Kohlman Evaluation of Living Skills (KELS), and Goal Attainment Scale …

Computer-Based Cognitive Retraining For Adults With Chronic Acquired Brain Injury: A Pilot Study, Kitsum Li, Julie Robertson, Joshua Ramos, Stephanie Gella

Kitsum Li

This study evaluated the effectiveness of a computer-based cognitive retraining (CBCR) program on improving memory and attention deficits in individuals with a chronic acquired brain injury (ABI). Twelve adults with a chronic ABI demonstrating deficits in memory and attention were recruited from a convenience sample from the community. Using a quasi-experimental one-group pretest–posttest design, a significant improvement was found in both memory and attention scores postintervention using the cognitive screening tool. This study supported the effectiveness of CBCR programs in improving cognitive deficits in memory and attention in individuals with chronic ABI. Further research is recommended to validate these findings …

Computer-Based Cognitive Retraining For Adults With Chronic Acquired Brain Injury: A Pilot Study, Kitsum Li, Julie Robertson, Joshua Ramos, Stephanie Gella

Kitsum Li

This study evaluated the effectiveness of a computer-based cognitive retraining (CBCR) program on improving memory and attention deficits in individuals with a chronic acquired brain injury (ABI). Twelve adults with a chronic ABI demonstrating deficits in memory and attention were recruited from a convenience sample from the community. Using a quasi-experimental one-group pretest–posttest design, a significant improvement was found in both memory and attention scores postintervention using the cognitive screening tool. This study supported the effectiveness of CBCR programs in improving cognitive deficits in memory and attention in individuals with chronic ABI. Further research is recommended to validate these findings …

Computer-Based Cognitive Retraining For Adults With Chronic Acquired Brain Injury: A Pilot Study, Kitsum Li, Julie Robertson, Joshua Ramos, Stephanie Gella

Kitsum Li

This study evaluated the effectiveness of a computer-based cognitive retraining (CBCR) program on improving memory and attention deficits in individuals with a chronic acquired brain injury (ABI). Twelve adults with a chronic ABI demonstrating deficits in memory and attention were recruited from a convenience sample from the community. Using a quasi-experimental one-group pretest–posttest design, a significant improvement was found in both memory and attention scores postintervention using the cognitive screening tool. This study supported the effectiveness of CBCR programs in improving cognitive deficits in memory and attention in individuals with chronic ABI. Further research is recommended to validate these findings …

Bridge/Adapt: A Systematic Cognitive Rehabilitation Curriculum, Julie S. Bergen, Natalie Repin, Amy Bennet, Abigail Lafrenz

Dissertations, Masters Theses, Capstones, and Culminating Projects

Cognitive impairment, including deficits in memory, attention, visual perception, executive functioning, and self-awareness, is a common consequence of acquired brain injury (ABI). Subsequently, these cognitive impairments result in functional impairments in daily life activities for clients with ABI. Rehabilitation efforts are categorized under two broad approaches: remediation and adaptation. Computer-assisted cognitive retraining (CACR) is a remediation approach using a computer platform to deliver cognitive exercises. CACR therapy can lead to improvements in memory and attention for adults with chronic ABI. However, memory and attention improvements from CACR may not carry over to functional improvements in occupational performance. Research suggested that …

Computer-Based Cognitive Retraining For Adults With Chronic Acquired Brain Injury: A Pilot Study, Kitsum Li, Julie Robertson, Joshua Ramos, Stephanie Gella

Collected Faculty and Staff Scholarship

This study evaluated the effectiveness of a computer-based cognitive retraining (CBCR) program on improving memory and attention deficits in individuals with a chronic acquired brain injury (ABI). Twelve adults with a chronic ABI demonstrating deficits in memory and attention were recruited from a convenience sample from the community. Using a quasi-experimental one-group pretest–posttest design, a significant improvement was found in both memory and attention scores postintervention using the cognitive screening tool. This study supported the effectiveness of CBCR programs in improving cognitive deficits in memory and attention in individuals with chronic ABI. Further research is recommended to validate these findings …

Occupational Therapist Practices Regarding Cognitive Deficits In Mild Acquired Brain Injury, Kristina Babbitt

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

This study examined occupational therapists’ current knowledge and practices in cognitive rehabilitation for adults with mild acquired brain injury (mABI). A survey was sent to 250 occupational therapists with questions that addressed assessment, treatment, and discharge planning for this population. Fifty-seven therapists (22.8%) returned the survey and met inclusion criteria. The Mini-Mental State Examination was the most well-known and used assessment overall and the Assessment of Motor and Process Skills and Executive Function Performance Test were the most well-known and used occupationally based assessments. Therapists cited availability of an assessment as the main reason for use and lack of knowledge …