Digital Commons Network^™

Education To Increase Students’ Knowledge, Perceptions, And Interest In Occupational Therapy, Brooke Hineman

Capstone Projects

In response to the declining program fill rates across all levels of occupational therapy (OT) education, this Doctoral Capstone Experience (DCE) aimed to promote the field through development of informational resources and delivery of educational sessions for high school and undergraduate students. The primary objective was to foster deeper understanding, accurate perceptions, and career interest among participants. A thorough literature review and needs assessment exploring current OT knowledge, promotion efforts, student characteristics, and underrepresented groups revealed a need for intentional education to address gaps in student knowledge regarding the field of OT among all students, especially those without exposure to …

Advocacy, Outreach, And Expansion Of The Michigan Occupational Therapy Association Mental Health Special Interest Section, Isabel Evola

Capstone Projects

The history of occupational therapy (OT) is rooted in supporting mental health, emerging in the United States during World War I. Over time, the practice of OT has evolved in its scope and emerging specialties. The role of OT in mental health is underutilized and misunderstood by professional organizations. However, OT remains a vital service in supporting mental health in psychiatric and non-psychiatric settings. The focus of this doctoral capstone experience (DCE) was to address this gap by advocating for the presence and understanding of OT in mental health through the expansion of the Michigan Occupational Therapy Association (MiOTA) Mental …

Strengthening Leadership And Expanding Engagement: Enhancing Volunteer, Participant, And Donor Involvement In Michigan Victory Games, Abbey Smith

Capstone Projects

This doctoral capstone experience (DCE) addressed organizational development and community engagement within the Michigan Disability Sports Alliance (MiDSA), an adaptive sports nonprofit serving individuals with physical disabilities. The project is relevant to occupational therapy (OT) through its focus on promoting participation, health, and inclusion in meaningful occupations such as sport. A key gap identified was the lack of structured resources to support leadership, inconsistent outreach methods, and limited strategies to reduce barriers for participants, volunteers, and donors.

The objectives of this DCE included developing a centralized data management portal, creating a standardized community outreach presentation, establishing clear board role frameworks, …

Human Interactions With Artificial Intelligence: A Pilot Study, Miracle Yunana, Kjersten Heinlein

25th Annual A. Paul and Carol C. Schaap Celebration of Undergraduate Research and Creative Activity (2026)

As artificial intelligence (AI) becomes increasingly integrated into daily life, understanding AI’s impact on human communication is essential for nursing education where both effective socialization and digital literacy are key components of professional development. This pilot study seeks to establish a protocol to explore the relationship between undergraduate students’ socialization and their communication styles when interacting with AI tools. Peplau’s Interpersonal Relations Theory serves as the foundation for this study, emphasizing the importance of social connectedness and communication, highlighting how interpersonal dynamics may extend to AI-mediated interactions. A mixed methods pilot study was conducted, consisting of structured sessions with seven …

Assessing The Aesthetic Responsiveness Among Patients In A Free Clinic Setting, Jack E. Pitts

Student Scholar Showcase

Art therapy has increasingly been recognized as a complementary intervention in healthcare settings, with demonstrated benefits for stress reduction and overall biopsychosocial well-being. However, limited research has explored aesthetic engagement within medically underserved and economically disadvantaged populations. This study examines aesthetic responsiveness among patients receiving care at the Free Clinic of Central Virginia using a standardized Aesthetic Responsiveness Assessment. The assessment consists of 14 Likert-scale questions assessing individuals’ cumulative aptitude across three domains: aesthetic appreciation, intense aesthetic experience, and creative behavior. Responses and data were collected voluntarily and anonymously, and they were analyzed to better understand how patients in an …

Understanding The Role Of Lipid Metabolism On Pancreatic Cancer Metastasis, Luke Fischer, Kylie Foss, Jacob Lewis, Joshua Lewis, Emma Steinhardt, Megan Vangarven, Cody Rozeveld

Celebration of Research

Pancreatic cancer is one of the deadliest types of cancer due to late-stage detection and early metastasis. Other than smoking, one of the few known risk factors for pancreatic cancer is obesity (1). On the cellular level, excess fat can promote cell migration and invasion (2). However, the exact fat utilization pathway remains unknown. We propose that lysosomes may be exploited in pancreatic cancer to break down fat and provide energy for metastasis and invasion.

Understanding How Nurses Could Utilize Child Life Specialists, Paige Perkins

Honors Projects

Do pediatric nurses notice improvement in patient education levels when they use the resources of Child Life Specialists, understand their role, and utilize their resources to educate their patients, compared to hospitals without Child Life Specialists?

Developing Pediatric Educational Resources For Occupational Therapy Fieldwork Students And New Employees, Alyssa Gottheiner

Entry-Level Occupational Therapy Doctorate - Doctoral Capstone Symposium

For occupational therapy students, the fieldwork education portion of their curriculum allows them to apply theory and principles learned in their academic program into practice with actual clients (Occupational therapy fieldwork education, 2022). Research indicates the benefit of access to resources and adapting to different learning styles in occupational therapy fieldwork education (Grenier, 2015). Research also indicates that training programs for new healthcare employees can positively impact knowledge, skills, and performance (Patel et al., 2023).  However, there is a lack of research on the availability and benefit of supplemental educational resources for students to access during fieldwork education in pediatric …

Moving With Purpose: Promoting Occupational Therapy Through Inclusive Dance, Kymberli Reynolds

OTD Capstone Projects

This capstone project explored the role of occupational therapy in promoting participation and inclusion through adaptive dance at MOVE Inclusive Dance. The project focused on developing and implementing the mOTivate Movement initiative, which emphasized community outreach, education, and advocacy for individuals with diverse abilities. Interventions included leading adaptive dance classes, creating educational materials, and conducting a pre- and post-survey to assess staff's understanding of dance as a therapeutic occupation. Results indicated increased awareness of the therapeutic benefits of dance and the role of occupational therapy in inclusive settings. This project highlights the value of creative, occupation-based interventions in fostering social …

Effects Of Gnrh And Hcg Administration On Conception Rate And The Subsequent Estrous Cycle On Day 12 Following Artificial Insemination In Holstein Cows, Mustafa Hi̇lmi̇ Yaranoğlu, Hüseyi̇n Erdem

Turkish Journal of Veterinary & Animal Sciences

The present study investigates the effects of gonadotropin-releasing hormone (GnRH) and human chorionic gonadotropin administration on the conception rate of cows 12 days after artificial insemination (AI). Included in the study were 150 high milkyielding Holstein cows housed under the same husbandry and feeding conditions. All had calved at least once between the ages of 2.5 and 6 years, and were between 90 and 220 days in milk. In accordance with the farm’s reproductive management approach, a controlled internal drug release (CIDR) device was inserted into the vagina concurrent with a GnRH injection (day 0), and the device was removed …

Age-Related Estimates Of Genetic Parameters For Growth And Ultrasonic M. Longissimus Thoracis Et Lumborum Muscle Traits In Eşme Lambs, İbrahi̇m Cemal, Orhan Karaca, Onur Yilmaz, Nezi̇h Ata

Turkish Journal of Veterinary & Animal Sciences

The growth performance and ultrasonic M. longissimus thoracis et lumborum (LTL) muscle traits of 2397 Eşme lambs raised in the Eşme district of Uşak province, an important lamb production area in Western Anatolia, were evaluated at 3 months (n = 1690) and 5 months (n = 707) of age. The average age of the lambs at the time of the first measurement (at weaning) was 100.15 days, and 152.37 days at the second. At 3 months of age, the average live weight (LW) was 29.34 kg and the average daily gain (ADG) was 248.35 g/day. By month 5, the LW …

Morphology And Histology Of The Developing Ovary In Malaysian Village Chicken (Gallus Gallus Domesticus) Chicks, Nur Athirah Lope Abdul Rashid, Mazlina Mazlan, Intan Shameha Abdul Razak, Rozaini Mohd Zohdi, Awang Hazmi Awang Junaidi

Turkish Journal of Veterinary & Animal Sciences

The Malaysian village chicken (MVC; Gallus gallus domesticus) is an indigenous breed derived from the red junglefowl (Gallus gallus), exhibiting slower growth and reproductive rates. The MVC plays an important ecological role in local farming systems and represents a valuable genetic resource. However, detailed information on ovarian development in this breed remains limited. This study provides the first comprehensive morphological and histological characterization of the developing ovary in MVC chicks. A total of 20 chicks aged 1, 2, 4, and 8 weeks (n = 5 per age group) were examined. These MVC chicks possessed a single functional left ovary positioned …

Effects Of Preslaughter Fasting On Ph And Bacterial Contamination In Akkaraman And Anatolian Merino Sheep, Sai̇m Boztepe, Özcan Şahi̇n, Talha Demi̇rci̇, Gi̇zem Coşkun, İbrahi̇m Ayteki̇n, İsmai̇l Keski̇n

Turkish Journal of Veterinary & Animal Sciences

The present study investigates the effects of the preslaughter fasting on pH and bacterial contamination in Akkaraman and Anatolian Merino sheep. Included in the study were 10 Akkaraman and 10 Anatolian Merino sheep (n = 20) that were fasted for 24 h prior to slaughter, and a further 10 Akkaraman and 10 Anatolian Merino sheep (n = 20) that continued to be fed until slaughter as a control group. The total mesophilic aerobic bacteria (TMAB) measured at 0 and 24 h in the fasting Akkaraman and Anatolian Merino sheep were 4.87/4.79 and 4.75/5.57 log CFU/g, respectively, and the corresponding Enterobacteriaceae …

The Effects Of Sodium Perborate Tetrahydrate On Digestibility And Nutrient Transporters In Rats, Büşra Özmen, Emre Şahi̇n, Muhammed Tokmak, Veysi̇ Kayri̇, Ramazan Özmen, Kazi̇m Şahi̇n

Turkish Journal of Veterinary & Animal Sciences

Boron (B) is an essential micronutrient involved in hormone activity, energy metabolism, antioxidant defense, bone development, wound healing, and immune function. The present study explores the effects of sodium perborate tetrahydrate (SPT) on nutrient digestibility and the modulation of specific nutrient transporters in the jejunum and ileum of rats. A total of 40 rats were divided into four equal groups: 1) control, 2) SPT 0.5 (0.5 mg B/kg body weight [BW]), 3) SPT 1 (1 mg B/kg BW), and 4) SPT 2 (2 mg B/kg BW), and were fed the respective diets for a period of 4 weeks. The digestibility …

Housing System And Gender Effect On Carcass And Meat Quality Characteristics In Turkish Pekin Ducks, Hasan Önder, Uğur Şen, Mi̇ne Yilmaz, Si̇bel Bozkurt, Eli̇f Ci̇lavdaroğlu, Di̇lek Gökçek, Ahmet Uçar, Kadi̇r Erensoy, Burcu Kurnaz

Turkish Journal of Veterinary & Animal Sciences

Improving meat quality is one of the most important aims for scientists and breeders. This study aimed to evaluate the effects of housing system (indoor vs. free-range) and gender on carcass and meat quality traits in Pekin ducks. The animal material consisted of 20 male and 20 female birds in each housing system. Our results show cold carcass weights of 3174.10 ± 80.65 g and 2672.60 ± 59.63 g for male and female birds in the indoor housing system and 2821.10 ± 50.53 g and 2306.90 ± 43.32 g for male and female birds in the free-range housing system. The …

Experiences Of Maternal Care In The Gypsy, Roma, And Traveller Population In The United Kingdom: A Cultural Care Model, Sarah Englebert Crowson

Walden Dissertations and Doctoral Studies

Gypsy, Roma, and Traveller women (GRT) in the United Kingdom face persistent maternal health disparities and show poor engagement with healthcare services. Exclusion, discrimination, and a lack of cultural competence from healthcare professionals contribute to poor health outcomes including preterm births; and GRT women have more babies born with congenital anomalies than non-GRT women in the United Kingdom. The purpose of this focused ethnographic qualitative study was to explore how self-identified GRT women living in the United Kingdom experienced maternal care and how cultural identity and social structures influenced their interactions with healthcare providers based on Madeleine Leininger’s cultural care …

Creativity And Generosity: From Therapy To Canvas, Kelly Allen

The Open Journal of Occupational Therapy

Teresa Grzeslo, a retired occupational therapist and artist from Chicago, IL, created the artwork for the Spring 2026 issue of the Open Journal of Occupational Therapy (OJOT). The acrylic painting, Wetland Heron (2023), features a great blue heron with its characteristic piercing gaze and elegant form, standing still in a marshland environment among tall grasses and shallow water. Painted using only her right side while seated in her wheelchair at home in her art studio, the painting’s rich textures and detail reflect careful observation and a reverence for birds and wildlife. Grzeslo’s artistic practice began after developing multiple sclerosis (MS), …

The Occupation Of Dance And Its Potential Effects On Trauma, Magan Higgins Gramling

The Open Journal of Occupational Therapy

Trauma is a complex phenomenon. Because of its subjective nature, it can be defined in a variety of ways depending on the health care provider being asked. Though there are various forms of trauma, most definitions are comprised of components that establish its broad understanding of an emotional response to a disturbing incident. Trauma is a subjective experience and can occur in any setting, to any person. How trauma is stored in the body is less subjective though, with most experts understanding it not only lives in the brain, but also in the very cells affecting health and wellness on …

Perspectives On An Unconventional Partnership Between Occupational Therapists And Pediatric Dental Professionals, Marissa Holsonback, Reeti Douglas, Leslie Gazdeck

The Open Journal of Occupational Therapy

Pediatric clients with disabilities are at increased risk for dental problems, including periodontal disease. Developmental delay and sensory processing dysfunction hinder acceptance of the stimulating dental environment and engagement in oral care routines at home. This health disparity is magnified by many dental professionals’ lack of training and confidence with children who have special needs. The holistic occupational therapy scope of practice is inclusive of oral care, pediatric diagnoses, sensory integration, and behavior management, allowing occupational therapists to collaborate with pediatric dental professionals to address the oral health disparity. This perspective manuscript provides occupational therapists with an evidence-supported understanding of …

Occupational Therapy Fieldwork Educators’ Perceptions Of Ot Student Rapport-Building Abilities During Level Ii Fieldwork, Carson Elwell, Tylar Fallaw, Ryan Harley, Abby Key, Kathleen Maley, Ryan M. Carrick

The Open Journal of Occupational Therapy

Background: The aim of this study was to inform Occupational Therapy (OT) practice and future OT educational content through identification of rapport- building components. Fieldwork educators are uniquely positioned to assess OT students’ abilities and readiness for client rapport building during fieldwork.

Methods: A descriptive survey of 55 fieldwork educators (FWEs) investigated skills that FWEs consider necessary for OT students to build client rapport at a Level II fieldwork experience. A Qualtrics survey assessed FWEs’ perceptions of OT student rapport- building readiness components at the beginning of Level II fieldwork.

Results: Data from 55 responses revealed that …

The Use Of Gamification In Occupational Therapy Education, Chris Mulligan, Leslie Bennett, Donald F. Graves

The Open Journal of Occupational Therapy

Gamification is an approach to game-based learning, also called educational games. These fun supplemental tools are infused into K-12 and higher education curriculums. This study aimed to discover faculty and student perspectives and explore gamification or game-based learning in accredited occupational therapy graduate programs through the lens of faculty (n = 47) and students (n =54). The primary researcher distributed two anonymous surveys: Survey 1 to current faculty and Survey 2 to students in occupational therapy programs, examining their use of game-based learning tools. The findings revealed that most faculty (n = 38, 85%) and students (n = 48, 92%) …

Occupational Therapy Student Performance In Level Ii Fieldwork Before And During A Global Pandemic, Ann M. Marsico, Cara A. Lekovitch, Ketki Raina

The Open Journal of Occupational Therapy

The COVID-19 pandemic disrupted academic curricula and clinical settings, creating uncertainty about its impact on occupational therapy (OT) student learning, fieldwork performance, and competence. This study examined OT student performance during Level II fieldwork and the support required from the Academic Fieldwork Coordinator (AFWC) across prepandemic (2019), emerging (2020), and postemergence (2021–2022) periods in an accredited entry-level OT doctorate (OTD) program. The study used a retrospective observational study and employe secondary data analysis using the American Occupational Therapy Association Fieldwork Performance Evaluation (AOTA FWPE) from 2019–2022. Two-hundred and two OTD students from four cohorts at one institution participated. Student performance …

Exploring Stress Contagion: The Effect Of Faculty Stress Levels On Occupational Therapy Graduate Students, Dana Kolbfleisch

The Open Journal of Occupational Therapy

Research has indicated a relationship between faculty and students as it pertains to stress levels and subsequent well-being in occupational therapy (OT) programs (Grab et al., 2021), a potential indication of a stress contagion effect. This research aimed to determine if faculty stress levels affect student stress levels in OT graduate programs. The researcher used an ecological correlational study design with a nonprobability convenience sampling procedure. Faculty and students (n = 19 and n = 165, respectively) from 367 accredited OT graduate programs across the United States completed a survey consisting of demographic questions and the PSS-10. In addition, OT …

Ethically Integrating Ai In Occupational Therapy Education: Enhancing Learning And Practice For The Future, Amy Sadek, Sabrina Gowette

The Open Journal of Occupational Therapy

Artificial intelligence (AI) has been around since the 1950s and is gaining traction in higher education and among health care professions. In this era of technology, it is imperative we equip both educators and students to have tech centric skills to support learning, improve efficiency, and enhance skills. Faculty and students alike need to be able to understand the ethics behind using digital information, such as that from AI tools and sources. As educators and students become more reliant on technology, and specifically AI, it is imperative not to lose the human connection in education. Educators are an integral part …

Doing Drag: Exploring The Experiences Of Drag As An Occupation For Performers In California, Alicia Montes, Anna Ranario, Lilibeth Rosales, Eileen Spahle, Nathan Gelman, Laura Greiss Hess, Karen Mccarthy

The Open Journal of Occupational Therapy

Background: Drag is a performative art where individuals explore identity, challenge societal norms, and foster community through exaggerated gendered performance. Drag in the United States is facing potential restrictions and remains underexplored in occupational science and occupational therapy literature.

Methods: This qualitative study explored the experiences of drag performers in California, applying an occupational perspective through the framework of form, function, and meaning. Five drag performers were interviewed. Reflective thematic analysis was used to interpret qualitative data.

Findings: Identity was the central theme, interconnected with form, belonging, non-belonging, meaning and motivation, and resistive occupation. Findings highlight drag …

Addressing Feeding And Eating Issues With The Pediatric Population Using A Telehealth Service Delivery Model: A Case Report, Lyndsay Fait, Raegan Furman, Devani Emery, Bryan M. Gee

The Open Journal of Occupational Therapy

Background: This case report reviews the implementation of telehealth-based occupational therapy interventions for pediatric feeding issues in a client with autism spectrum disorder (ASD) and Avoidant/Restrictive Food Intake Disorder (ARFID). It highlights the use of a synchronous telehealth service delivery model to address sensory-based feeding issues.

Method: A single-patient case report was conducted, outlining the occupational therapy process with an 11-year-old male with ASD and ARFID who receives most nutrition through G-tube feedings and presents food selectivity. Telehealth sessions were conducted via Zoom, with occupational therapy assistant students providing interventions under faculty supervision.

Results: Telehealth interventions were successfully implemented to …

Empowering Parents Through Occupational Therapy And Primary Care Partnerships: A Feasibility Study, Maureen M. Fischer, Jennifer E. Lape

The Open Journal of Occupational Therapy

Background: Partnerships between occupational therapists and primary care providers may increase parents' accessibility to needed information to support their children’s development and promote occupational engagement. The purpose of this study was to explore the feasibility and potential impact of occupational therapy-led parent education sessions in pediatric primary care.

Method: We designed a mixed methods feasibility study with two individualized parent education sessions within 2 weeks. The study took place at a pediatric primary care practice. Convenience sampling was used to recruit nine parents who met these criteria: parent/caregiver of a child 3 years of age or under, 18 years of …

Exploring Quality Of Life After Traumatic Brain Injury: Insights From The Peo Model, Natalie S. King, Bryan M. Gee, Mary Shotwell, Mark A. Campbell

The Open Journal of Occupational Therapy

Background: Traumatic brain injury (TBI) is a major global health concern, affecting millions of people each year. TBI often results in long-term physical, cognitive, and emotional impairments that can drastically reduce survivors' quality of life (QOL). These impairments influence daily activities, emotional well-being, social participation, and overall life satisfaction, highlighting the importance of a comprehensive approach to rehabilitation. This study seeks to provide deeper insights into the factors that influence the QOL for TBI survivors.

Methods: This research employed a phenomenological qualitative approach to understand how survivors navigate their post injury lives. Fourteen TBI survivors, aged 18 to …

G1p3 Dysregulates Interferon-Stimulated Gene Expression In Er (+) Breast Cancer Cells, Karina Santana

Honors Theses

Even with advances in diagnosis and treatment, breast cancer remains the second leading cause of cancer-related death in women, with nearly 90% of fatalities linked to drug resistance driven by metastasis and recurrence. G1P3, an anti-apoptotic mitochondrial protein, is upregulated in breast cancer and has been associated with increased metastatic potential and poor prognosis. Recent findings show that G1P3 enhances interactions between Rab5-containing endosomes (RCEs) and mitochondria, and emerging evidence suggests that mitochondria play a critical role in initiating interferon (IFN) responses. Based on this, we hypothesized that G1P3-mediated interactions between RCEs and mitochondria promote interferon-stimulated gene (ISG) expression in …

A Digital Diabetes Prevention Program For Hispanic Adolescents (Fit24+): Protocol For A Feasibility Randomized Controlled Trial, Erica G Soltero, Marbelly Partida, Sandra Mihail, Lizette Villanueva, Callie Lopez, Salma M Musaad, Teresia M O'Connor, Maria J Redondo, Matthew Buman, Debbe Thompson

Faculty, Staff and Students Publications

Background: Hispanic youth are disproportionately impacted by obesity and subsequent type 2 diabetes (T2D) yet remain underrepresented in diabetes prevention research. Digital health interventions hold promise for increasing the accessibility to and engagement in disease prevention programming, particularly among high-risk populations. However, there is a significant gap in the literature regarding digital T2D prevention programs for adolescents or Hispanic youth.

Objective: The objective of this article is to describe the protocol for examining the feasibility of a 12-week digital diabetes prevention program among Hispanic adolescents with obesity.

Methods: Participants (N=40; aged 12-16 years) will be randomized (1:1) to a 12-week …