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The Lotus Project: An Occupation-Based Online Module To Support Healthy Matrescence, Virginia Genato

UNLV Theses, Dissertations, Professional Papers, and Capstones

Becoming a mother is a meaningful life event that occurs amid complex physical, psychological, and social changes. During this period, individuals undergo an occupational role transition as they assume new caregiver responsibilities while navigating contextual demands. The ease of this transition influences overall maternal adjustment. The dominant sociocultural model of intensive mothering promotes child-centered caregiving, often at the expense of maternal well-being and adjustment. Efforts to meet these expectations may disrupt an individual’s transition into motherhood and place them at risk for developing postpartum mental health challenges.

The concept of matrescence provides a developmental framework that views motherhood as an …

Promoting Classroom Management Through Elementary Teacher Education On Movement-Based Social-Emotional Learning, Daija Renee Georgette

UNLV Theses, Dissertations, Professional Papers, and Capstones

This doctoral capstone project addressed a knowledge gap among K–5 th–grade teachers at Cornerstone Christian Academy (CCA) regarding the purpose, benefits, and educational value of movement-based brain breaks. Although CCA currently incorporates social–emotional learning (SEL) frameworks such as the Zones of Regulation, teachers have received limited training on how structured movement opportunities can enhance student engagement, attention, and regulation. This program aimed to strengthen teachers’ understanding and confidence by providing a series of evidence-informed workshops that explored the connections among movement, self-regulation, and classroom management.

The project consisted of orientation, teacher recruitment, needs assessment, workshop development, and program delivery over …

Healthcare Provider Trust As A Predictor Of Covid-19 Vaccine Hesitancy Among Nevada Residents, Joanna Joseph

UNLV Theses, Dissertations, Professional Papers, and Capstones

Trust in healthcare providers is one of the strongest predictors of vaccine hesitancy in the literature, yet it has not been examined as an independent predictor of COVID-19 vaccine hesitancy in Nevada. Nevada ranks last nationally in healthcare providers per capita and is among the lowest in immunization coverage for both adults and children. The COVID-19 pandemic exacerbated negative vaccine attitudes, and vaccine hesitancy continues to be a central public health issue. Prior Nevada analyses identified vaccine hesitancy across racial, political, educational, and economic groups but did not assess the role of provider trust in vaccine hesitancy. This cross-sectional study …

Postpartum Depression Protocols In A Neonatal Intensive Care Unit: Benefits And Outcomes, Myrnnda Miller

UNLV Theses, Dissertations, Professional Papers, and Capstones

This capstone project aimed to reduce postpartum depression symptoms in mothers with infants admitted to the University Medical Center (UMC) of Southern Nevada’s neonatal intensive care unit (NICU) by integrating early screening with occupation-based, trauma-informed support. The intervention combined the Edinburgh Postnatal Depression Scale (EPDS) for early detection with occupational therapy–facilitated maternal support sessions, providing emotional validation, education, and strategies for coping and parent–infant bonding. Guided by Trauma-Informed Care and Backwards Design frameworks, the project prioritized maternal safety, empowerment, and confidence. A paired sample t-test was conducted to compare pre and posttest EPDS scores and showed that the participant’s EPDS …

The Impact Of Language-Concordant Diagnosis Education On Discharge Readiness For Spanish-Speaking Patients, Jorge Noel Perdomo Rodriguez

UNLV Theses, Dissertations, Professional Papers, and Capstones

Background: Current language service practices fail to meet the needs of Spanish-speaking patients with Limited English Proficiency (LEP) resulting in decreased satisfaction with care, understanding of diagnosis education, and increased risk of post-discharge health disparities. Language-concordant care has been found to improve patient satisfaction with care and increase quality of transition from hospital to home. Research on language-concordant OT care is scarce and current studies suggest that language discordance leads to decreased quality of OT care for Spanish speakers. Problem: Language discordance leads to poor understanding of OT’s role and decreases patient-centered care for Spanish-speaking patients. Purpose: This project aimed …

Efficacy Of Dorsal Application Kinesio® Tex Tape On Esports Performance, Charlie Moua

UNLV Theses, Dissertations, Professional Papers, and Capstones

This mixed-methods pilot study examined dorsal Kinesio® Tex Tape as a nonrestrictive occupational therapy intervention for adult PC gamers with carpal tunnel–type symptoms. As gaming participation increases, players may experience repetitive wrist and hand movements, prolonged postures, and high performance demands that contribute to discomfort, overuse symptoms, and reduced participation in meaningful gaming occupations. Four adult PC gamers completed five in-person sessions and were assigned to either dorsal wrist taping or sham scapular taping. Quantitative outcomes included the Boston Carpal Tunnel Questionnaire– Symptom Severity Scale, visual analog pain ratings, and Kovaak’s Aim Trainer performance scores and accuracy. Qualitative data were …

Evaluating An Educational Intervention On Screen-Time And Behavior Change: A Pilot Study, Kayla L. Sweeney

UNLV Theses, Dissertations, Professional Papers, and Capstones

Background: Excessive screen time among adolescents has been associated with negative health outcomes, including sleep disturbances, anxiety, and depression. Despite growing awareness, many parents lack sufficient understanding of these risks and their impact on adolescent well-being. This project evaluated whether a brief educational intervention improved parents’ knowledge of the health effects of excessive screen time. Methods: A pre-and post-survey design was used to assess changes in parents’ understanding following an educational video intervention. The educational intervention consisted of evidence-based content highlighting the impact of screen time on mental health and sleep. The survey measured knowledge, beliefs, behavioral intentions, and strategies …

Exploring A Boxing Community Exercise Porgram For Women With Parkinson's Disease, Emily Truong

UNLV Theses, Dissertations, Professional Papers, and Capstones

Objective: The purpose of this capstone project was to explore the lived experiences of 10 women with Parkinson’s disease (PD) who participate in the Rock Steady Boxing (RSB) program, an exercise community-based non-contact boxing program. Because women remain underrepresented in PD research and exercise-based interventions, this project aims to better understand how women perceive the physical, emotional, and social impacts of participating in RSB.

Methods: This qualitative case series included 10 women diagnosed with PD that participate in RSB at the Tony Cress Training Center. Data was collected through individual semi-structured interviews and audio recordings. Interviews were consented, transcribed verbatim, …

Application Of Occupational Therapy Task-Oriented For Chronic Post-Stroke Rehabilitation: A Case Study, Gia Nghi Vu

UNLV Theses, Dissertations, Professional Papers, and Capstones

Stroke remains the leading cause of long-term disability, with persistent upper extremity (UE) impairment limiting engagement in daily tasks, reducing quality of life and contributing to learned non-use in the chronic stage among stroke survivors. The Occupational Therapy Task Oriented (OTTO) approach is proposed to optimize occupational performance through the use of meaningful, functional and highly individualized tasks that enable clients to fulfill their valued roles and participate in desired daily activities. The purpose of this capstone project was to advance clinical skills by applying the OTTO approach to examine its effect on occupational performance and UE motor function in …

Development And Evaluation Of A Training Program On Pain Assessments For Pediatric Care Teams In Skilled Nursing Facilities, Rudy Velasquez-Correa

UNLV Theses, Dissertations, Professional Papers, and Capstones

This capstone project was a program development and quality improvement initiative at Silver State Pediatrics focused on improving consistency and confidence of pediatric care staff in assessing and documenting pain in children, particularly those who are non-speaking and medically complex. Although validated tools such as the Face, Legs, Activity, Cry, Consolability (FLACC), revised-FLACC (R-FLACC), and Non-communicating Children’s Pain Checklist-Revised (NCCPC-R) exists, inconsistent training and limited interdisciplinary communication have led to variability in clinical practice. This project involved implementing a brief, 20-30-minute interdisciplinary training session for nursing and rehabilitation staff on the use of validated pediatric pain assessment tools and collaborative …

Harnessing Mechanobiology Of Resident Stem Cells To Refine Cell Based Therapeutics, Dakota R. Kamm

WUSM Theses and Dissertations – All Programs

Mesenchymal stem cells (MSCs) are resident cells residing with many adult tissues such as adipose tissue and bone marrow that have the potency for multiple lineage differentiation as well as the capacity to secrete a litany of beneficial factors to maintain homeostasis and promote tissue repair. Since 1995, MSCs have been used therapeutically to treat a variety of conditions from osteoarthritis to heart disease to muscle pathologies. Great leaps have been made in improving MSC-based therapies through optimization of culture methods and select enrichment of cellular subpopulations. More recently, the physical microenvironment of tissue in vivo and culture conditions in …

Establishing A Comprehensive Framework For Sfrt Lattice Treatments: Optimization, Planning, And Clinical Evaluation, Gregory M. Gill

UNLV Theses, Dissertations, Professional Papers, and Capstones

Spatially fractionated radiation therapy (SFRT) using lattice radiotherapy (LRT) has emerged as a promising treatment technique for bulky, nonresectable tumors by delivering spatially heterogeneous dose distributions consisting of high-dose vertices embedded within lower-dose regions. Although early clinical experiences have demonstrated potential therapeutic benefit, widespread clinical implementation of LRT remains limited due to the absence of standardized treatment planning workflows, consistent optimization strategies, and clearly defined evaluation metrics for heterogeneous dose distributions. The objective of this study is to develop and evaluate a structured framework to support efficient, reproducible, and safe clinical implementation of LRT.

To address these challenges, a comprehensive …

Correlation Between Maxillary Transverse Width, Alveolar Housing Width And Palatal Bone Thickness: A Cbct Retrospective Study, Eric G. Hollensbe

UNLV Theses, Dissertations, Professional Papers, and Capstones

Background:

Accurate assessment of transverse maxillary dimensions and surrounding bone morphology is critical for safe orthodontic treatment planning. Orthodontic expansion should remain within the biological limits of the alveolar housing and palatal bone to prevent adverse periodontal outcomes, including dehiscence, fenestration, and gingival recession. Standard diagnostic methods, such as dental casts and two-dimensional radiographs, offer limited information about the three-dimensional anatomy that restricts orthodontic tooth movement. Cone-beam computed tomography (CBCT) provides detailed evaluation of skeletal dimensions and cortical bone boundaries. This study aimed to examine the relationships among maxillary transverse width, alveolar housing thickness, and palatal thickness using CBCT imaging. …

The Exploration Of Leisure Occupations For Older Adults, Chloe Jisoo Kang

UNLV Theses, Dissertations, Professional Papers, and Capstones

Introduction: This capstone project involved the development and implementation of a community-based program for the exploration of leisure occupations for older adults. The program aimed to increase the life satisfaction and occupational balance of participants. A manualized program was created for the capstone site for potential continuation of the program.

Methods: The program was developed with the support of evidence-based research and the Occupational Therapy Practice Framework (OTPF-4). Two-hour events were held once a week for four weeks in a community area of the senior living community. A modified version of the Occupational Balance Questionnaire (OBQ11) and the Satisfaction with …

Developing A Health Education Program For Adults Reentering The Community After Incarceration, Tiffany Ayame Kinugawa-Larsen

UNLV Theses, Dissertations, Professional Papers, and Capstones

Justice-impacted adults often experience challenges in confidently managing their health due to limited autonomy, disrupted health routines, and limited access to health education during incarceration. Studies have shown that incarcerated adults have a higher likelihood of developing chronic health issues, yet have limited access to resources that promote health and well-being after release from incarceration. Given that health management falls within the scope of occupational therapy (OT), the profession is positioned to promote health and well-being by applying OT principles that emphasize individualized, holistic care tailored to a justice-impacted population during community reintegration. A 5-week health education program grounded in …

Supporting Staff Social-Emotional Learning Through An After-School Program, Alexis Monique Molina

UNLV Theses, Dissertations, Professional Papers, and Capstones

This doctoral capstone project aimed to develop and implement an occupational therapy- informed social-emotional learning (SEL) training program for after-school staff at the Hollywood Recreation Center in Las Vegas, Nevada. The project addressed a critical gap in the skills and competence of staff needed to manage emotional and behavioral challenges in community-based youth programs. Guided by the Person-Environment-Occupation (PEO) model, adult learning theory, and the Collaborative for Academic, Social, and Emotional Learning (CASEL) framework, the fourteen-week program incorporated weekly lessons to enhance self-awareness, emotional regulation, and relational competence among staff. Through interactive lessons, reflection promotion, and feedback surveys, participants engaged …

A Warm Welcome: Developing Strategies And Tactics To Address The Resolution Of Neonatal Hypothermia, Sarah J. Musovski

UNLV Theses, Dissertations, Professional Papers, and Capstones

Purpose/Aim:

This project aimed to promote the use of a standardized checklist for newborn care that incorporated evidence-based practices. The goal was to maintain newborn temperatures in the normothermic range of 36.5–37.5 °C while receiving care in the hospital setting.

Purpose/Aim:

This project aimed to promote the use of a standardized checklist for newborn care that incorporated evidence-based practices. The goal was to maintain newborn temperatures in the normothermic range of 36.5–37.5 °C while receiving care in the hospital setting.

Description of the Undertaking/Best Practice:

The checklist that was provided included a series of evidence-based actions to promote and advance …

Sense Of Belonging And Professional Identity In Acute Care Occupational Therapists: A Phenomenological Study, Shania Marion D. Novilla

UNLV Theses, Dissertations, Professional Papers, and Capstones

Occupational therapy practitioners (OTPs) play a crucial and demanding role in acute care, addressing complex diagnoses and facilitating safe discharge; however, the fast-paced biomedical environment often pressures them to compromise their occupation-based philosophy, potentially leading to professional burnout and low retention rates. Although professional identity (the self-perception of one's role) and a sense of belonging (feeling valued and connected) are recognized as correlated concepts vital for professional resilience, this relationship remains critically underexplored within the acute care OT population. Guided by the Occupational Adaptation Model (Schkade & Schultz, 1992), this qualitative study explores how experienced occupational therapists working in an …

Empowering Educators: Transforming Online Classrooms Through Interactive Training, Jodie Peterson

UNLV Theses, Dissertations, Professional Papers, and Capstones

Faculty teaching in online nursing programs must continually adapt to evolving educational technologies and pedagogical methods to ensure high-quality learning experiences. However, nursing faculty may lack the resources, knowledge, and skills needed to effectively implement technology-driven, learner-centered strategies that facilitate engagement in virtual classrooms. Supporting faculty development in available interactive technologies is essential to enhance instructional effectiveness and improve student engagement and learning outcomes. This Doctor of Nursing Practice project focuses on strengthening faculty knowledge and competence in using interactive, learner-centered strategies in online education. The project was implemented within a southern Nevada university’s school of nursing and provided an …

Correlation Between Maxillary Sinus Volume And Maxillomandibular Size, Position, And Dental Occlusion: A Cbct Retrospective Study, Philip Villanueva Punzalan

UNLV Theses, Dissertations, Professional Papers, and Capstones

This investigation used cone beam computed tomography (CBCT) based three dimensional imaging to evaluate correlations between maxillary sinus volume and maxillomandibular skeletal size, position, and dental occlusion in an adult orthodontic population. A retrospective sample of 107 pretreatment CBCT scans (40 males and 67 females), aged 18–59 years, was analyzed. Right and left maxillary sinuses were segmented independently using semi-automatic volumetric segmentation in ITK-SNAP software, and total sinus volume was calculated in cubic millimeters (mm³). Linear and angular skeletal measurements of the maxilla and mandible were obtained using Anatomage TxSTUDIOViewer application software. Patients were categorized according to anteroposterior (A-P) skeletal …

Psychological Impact Of Nexus Program On Persons Living With Mild Dementia, Kaleigh Gailynn Quinlan

UNLV Theses, Dissertations, Professional Papers, and Capstones

Objective: Dementia is a global health concern due to the rapidly growing aging population (WHO, 2023). A wealth of evidence exists to support the notion that lifestyle interventions not only slow cognitive decline but improve cognition (Ngandu et al., 2015; Rosenberg et al.., 2018; Meng et al., 2022). However, there is a distinct lack of qualitative evidence examining the experience of being in a lifestyle redesign program. Lifestyle interventions require a large overhaul of an individual’s habits and performance patterns, and as such, there must be a subjective experience attached. Methodology: Through convenience sampling of the residents participating in the …

Identifying Well-Being Factors For At-Risk Young Adult Women: A Scoping Review, Carolina A. Quinonez

UNLV Theses, Dissertations, Professional Papers, and Capstones

Purpose

This scoping review has systematically explored and mapped the range of literature that pertains to the influences of well-being for at-risk young adult women, to inform occupational therapy practice, guide future research, and enhance the knowledge of holistic well-being.

Methodology

Four online databases, including Google Scholar, were searched to identify publications, in the past 20 years, on relevant data for at-risk women and their well-being levels. Data was tracked using a PRISMA-ScR diagram with guidance from JBI protocol.

Results

There were 39 studies that met all the inclusion criteria. The studies were categorized into the types of well-being and …

Expanding Neurological Interventions: An Aquatic-Based Occupational Therapy Toolkit For Inpatient Rehabilitation, Kate Jannelle Rye

UNLV Theses, Dissertations, Professional Papers, and Capstones

Objective: The objective of this project was to develop an evidence-informed aquatic therapy toolkit aimed at improving occupational therapy practitioners’ self-efficacy in planning aquatic interventions for individuals with neurological injuries.

Methods: This project utilized a quality improvement approach, involving the development of a toolkit, an in-service educational training, and a hands-on skills session. Practitioner self-efficacy was measured using a modified General Self-Efficacy Scale, which was administered before and after the educational training and hands-on skills session. Guided reflections and feedback from occupational therapy practitioners were also utilized to evaluate self-efficacy and the applicability of the toolkit.

Outcomes: Participation in the …

Movement-Based Program To Support Quality Of Life For Adults With Down Syndrome, Jillian Sanalila

UNLV Theses, Dissertations, Professional Papers, and Capstones

This doctoral project focused on the development, implementation, and evaluation of a community-based movement program designed to support quality of life (QoL) among adults with Down syndrome and other intellectual and developmental disabilities at GiGi’s Playhouse Las Vegas. Adults with Down syndrome often experience significant health and participation disparities that negatively impact quality of life. These disparities include reduced physical activity, limited opportunities for social engagement, and barriers to engagement in meaningful occupations. Grounded in occupational therapy principles, this project introduced a structured intervention integrating dance, Pilates, and yoga to promote physical, emotional, and social well-being. A program development design …

Efficacy Of The Dorsal Application Of Kinesiotape For Carpal Tunnel Syndrome On Sleep, Alyanna San Pedro

UNLV Theses, Dissertations, Professional Papers, and Capstones

Carpal tunnel syndrome (CTS) is a common upper-extremity condition among university students who frequently engage in prolonged computer and device use. CTS symptoms, specifically in nocturnal pain, tingling, and numbness, often disrupt sleep quality, which can lead to negative effects on daytime functioning and participation in meaningful occupations. Despite growing interest in conservative management strategies, there is limited research on the potential role of kinesiotape (KT) in addressing sleep-related symptoms of CTS. This study aims to examine changes in sleep quality, nocturnal symptoms severity, and participation in meaningful activities in university students experiencing mild to moderate CTS symptoms. Participants were …

Addressing Sexual Health For Older Veterans By Healthcare Providers: A Mixed Method Study, Andrew James White

UNLV Theses, Dissertations, Professional Papers, and Capstones

Background: Older adults remain sexually active, yet sexual health is frequently under-discussed in healthcare settings, particularly within veteran populations. Sexual health is essential to overall quality of life, and prior studies have shown that older patients value these conversations. However, veterans often face unique factors such as military-related trauma, including military combat exposure and post-traumatic stress disorder, in addition to compounded stigma from these topics in regards to open discussions about sensitive health issues to their healthcare providers. This study is significant in its potential to uncover systemic, cultural, and interpersonal influences that shape these dynamics, with a particular emphasis …

Examining The Effects Of Tailored Ergonomic Interventions On Reducing Musculoskeletal Disorders For Taxi Drivers, Amal Youssouf

UNLV Theses, Dissertations, Professional Papers, and Capstones

Taxi drivers are frequently exposed to prolonged sitting, whole-body vibration, limited rest opportunities, and psychosocial stressors, placing them at increased risk for musculoskeletal disorders (MSDs). This can be mitigated with the use of ergonomics, which changes one's environment to match an individual's needs within the context and demands of the job. Although ergonomics is a recognized area of occupational therapy (OT) practice, current research is limited to office-based or computer-related settings, leaving a gap in OT-led ergonomic interventions tailored for professional drivers. This capstone project aimed to determine whether OT-based ergonomic strategies, along with an ergonomic checklist as a guideline …

Assessing The Reliability And Minimal Detectable Change Of Frontal Plane Projection Angles During Functional Tasks In Individuals With Patellofemoral Pain, Isabella Keefer, Derrick Smith, Brendan Yawn

UNLV Theses, Dissertations, Professional Papers, and Capstones

Purpose/Hypothesis: Single-limb dynamic weight-bearing tasks are frequently used to evaluate lower extremity and trunk movement patterns in individuals with patellofemoral pain (PFP). These individuals frequently exhibit abnormal frontal plane projection angles (FPPAs) at the trunk, pelvis, and lower extremities, indicative of altered movement patterns such as knee valgus, pelvic drop, and lateral trunk lean. While test-retest reliability and minimal detectable change (MDC) values for various FPPAs have been established in pain-free individuals, comprehensive data for individuals with PFP remain limited. Therefore, the purpose of this study was to evaluate test-retest reliability, as well as the standard error of measurement (SEM) …

Effectiveness Of Cognitive Stimulation Therapy On The Quality Of Life Of Adults With Dementia: A Secondary Analysis, Evelyn Airam

UNLV Theses, Dissertations, Professional Papers, and Capstones

This secondary analysis study evaluated the effectiveness of Cognitive Stimulation Therapy (CST) on quality of life (QoL), depressive symptoms, and cognitive function in 108 community-dwelling older adults with cognitive impairments, including dementia. Outcomes involved Quality of Life (QoL) measured by the Quality of Life in Alzheimer’s Disease (QoL-AD), symptoms of depression by the Cornell Scale for Depression in Dementia (CSDD), and cognitive function using the Saint Louis University Mental Status (SLUMS). After the CST, significant improvements were observed in QoL (p = .004), depressive symptoms (p = .002), and cognitive function (p < .001), with small effect sizes. Additionally, a significant interaction between sex and dementia diagnosis status was found in predicting cognitive changes, suggesting that the relationship between dementia diagnosis and cognitive improvement differs by sex. No between-group differences were found for QoL or depression. Findings support CST as a multidimensional, non-pharmacological intervention that improves cognitive, psychological, and social outcomes. Although effects were small, consistent improvements are clinically meaningful given the progressive nature of dementia. This study extends existing literature by demonstrating CST’s effectiveness in a community-based setting and reinforces its alignment with occupational therapy’s emphasis on participation and holistic care. Results highlight the need for early intervention and expanded access to CST programs to enhance quality of life in this population.

Integrating Social-Emotional Learning To Foster Regulation And A Positive Classroom Climate, Klarika Meghan V. Alquisada

UNLV Theses, Dissertations, Professional Papers, and Capstones

Social-emotional learning (SEL) supports the development of emotional regulation, interpersonal skills, and meaningful participation in academic environments. Increasing regulatory demands within classrooms highlight the need for structured approaches that support both educators and students in maintaining engagement and fostering positive learning environments. Occupational therapy (OT) practitioners are uniquely positioned to collaborate with educators to integrate regulation-focused strategies within daily classroom routines.This quality improvement project aimed to develop and implement an OT-informed SEL program for educators serving students with diverse learning needs. Teachers received consultation and tailored SEL strategies, implemented them for 5 weeks, and provided feedback on their effects on …