Digital Commons Network^™

Impact Of Cuff Over Inflation On Blood Pressure Readings In Adults, Amy Toonstra Pt, Dpt, Kristin Lafebvre Pt, Phd, Jessica Denn, Matthew Goecke, Lucas Grossoehme, Emma Jarocki

DPT Capstone Posters

Purpose

• Physical therapists regularly use blood pressure (BP) readings when making clinical decisions.
• Inaccuracies in BP readings may occur when not following standard procedure.
• False or missed diagnoses of hypertension (HTN) may lead to improper medical management.

Objective

To determine the effects of cuff over inflation on BP readings compared to the standardized 20 mmHg above the loss of Korotkoff sounds when taking manual BP in adults.

Participants

109 adult participants recruited at the MN State Fair on August 28, 2019.

Methods

Data Collection

• Utilized American Heart Association (AHA) standardized positioning and procedures
• Baseline BP measurement taken using standard cuff …

Efficacy Of The Idbt-Pain Skills Training Intervention To Reduce Emotional Dysregulation And Pain Intensity In People With Chronic Pain: Protocol For A Single-Case Experimental Design With Multiple Baselines., Nell Norman-Nott, Chelsey Wilks, Negin Hesam-Shariati, Negin Hesam-Shariati, Jessica Schroeder, Jina Suh, Jina Suh, Mary Czerwinski, Sylvia Gustin

Psychology Faculty Works

Introduction Difficulties in emotional regulation are key to the development and maintenance of chronic pain. Recent evidence shows internet-delivered dialectic behaviour therapy (iDBT) skills training can reduce emotional dysregulation and pain intensity. However, further studies are needed to provide more definitive evidence regarding the efficacy of iDBT skills training in the chronic pain population. Methods and analysis A single-case experimental design (SCED) with multiple baselines will be used to examine the efficacy of a 4-week iDBT-Pain skills training intervention (iDBT-Pain intervention) to reduce emotional dysregulation and pain intensity in individuals with chronic pain. The iDBT-Pain intervention encompasses two components: (1) …

Life Skills Curriculum For Lower Middle School Students At Benton Hall Academy, Elizabeth Atkins

OTD Capstone Projects

This capstone project focused on the creation of a life skills curriculum for the lower/middle school students at Benton Hall Academy, a school for children who learn differently, in Nashville, TN. Through collaboration with stakeholders, students' top 3 life skill needs were identified, including: social and communication skills, money management and spending skills, and vocation planning. Current literature and materials, as well as students' overarching needs, were examined and used to create the above mentioned units, totaling 13 individual lessons with all needed materials also included.

Addressing Comorbidity Education Needs In Tristar Skyline’S Readmission Reduction Program, Savannah Carroll

OTD Capstone Projects

This doctoral capstone experience was completed in partnership with TriStar Skyline Medical Center’s inpatient rehabilitation Readmission Reduction Program. This project was driven by a need to increase the provision of education for patients qualifying for this program to promote successful comorbidity management upon discharge to reduce avoidable readmissions. The primary focus of this project was to develop educational materials to promote an understanding of how to successfully manage Diabetes Mellitus, COPD, and CHF to reduce disease complications and avoidable readmissions. The educational materials were developed as online interactive modules for in-room education at the patient’s own pace with voice over …

Clinicians' Perspectives On The Permobil Explorer Mini, Hannah Guffey

OTD Capstone Projects

Clinicians' Perspectives on the Permobil Explorer Mini

Clinicians' Perspectives On The Permobil Explorer Mini, Searcy Fox

OTD Capstone Projects

Clinicians' Perspectives on the Permobil Explorer Mini

Clinicians Perspectives On The Permobil Explorer Mini, Lilly Otoole

OTD Capstone Projects

Clinicians Perspectives on the Permobil Explorer Mini

Can New Civilian Counselors Deal With Veteran Ptsd Competantly?, Thomas Parker, Sonya Heckler Cheyne

Liberty University Research Week

Graduate

Theoretical Proposal

Lipscomb Ideal: Promoting Independent Living Skills In Students With Intellectual Disabilities, Abigail Hamblen

OTD Capstone Projects

Lipscomb IDEAL: Promoting Independent Living Skills in Students with Intellectual Disabilities

Withdrawing Without Withholding: A Quantitative Report Of Factors Indicative Of The Need For Early Rehabilitation Services After Intrauterine Drug Exposure, Brooke G. Bohanan

OTD Capstone Projects

Maternal opioid use is a proliferative epidemic leading to a widespread increase in cases of Neonatal abstinence syndrome (NAS) and intrauterine drug exposure (IUDE). Much information has yet to be discovered regarding best practice in treatment and the long-term effects of these diagnoses. This retrospective chart review was conducted to increase awareness and achieve a greater understanding of early developmental deficits and intervention in this population. The researchers hypothesized that there are predictive factors of a later need for therapy services. Potentially influential factors and the prevalence of rehabilitation services provided after discharge from the Neonatal Intensive Care Unit (NICU) …

Integration Of Occupational Therapy Into Primary Care, Averie Conn

OTD Capstone Projects

The Integration of Occupational Therapy into Primary Care is an emerging practice area only beginning to be explored. There has been a noticeable shift to support primary healthcare and its practitioners as it becomes clear the system is unsustainable for optimal patient quality care and outcomes. An occupational therapist has an in depth education in kinesiology/anatomy/pathophysiology, human development across the lifespan, cognition/perception, and psychology. Combined with their specific interest in client-centered clinical reasoning, an occupational therapist has a unique lens that allows them to facilitate a functional and fulfilling lifestyle for each person they work with. Throughout this project, the …

Traitement De L’Épicondylose Latérale Chronique Du Coude : Essai Clinique Randomisé À Simple Insu Évaluant L’Efficacité De La Fenestration Écho-Guidée Et Celle De La Chirurgie Par Approche Ouverte, Nathalie J. Bureau, Patrice Tétreault, François Desmeules, Guy Cloutier, Manon Choinière

Rapports de recherche scientifique

L’épicondylose latérale du coude, communément appelée « épicondylite » ou tennis elbow, est un syndrome douloureux et incapacitant. L’épicondylose est particulièrement fréquente dans la population en âge de travailler et touche autant les hommes que les femmes. Dans certains secteurs d’emploi, l’épicondylose peut affecter un travailleur sur cinq.

Cette pathologie est favorisée par une surutilisation du poignet et de l’avant-bras. Malgré les avancées de la médecine moderne, le traitement de l’épicondylose du coude demeure bien souvent un défi thérapeutique. Plusieurs types de traitement sont proposés. Aucun consensus ni modèle de prise en charge standardisé n’existe. Les coûts directs de …

Enhancing The Connection Between Academic Advising, Admissions, And A Dpt Program Within The Same Institution, Lyndsey Vandenberg Pt, Dpt, Edd, Hannah Brigger, Amanda Jungmann, Nick Parkhurst, Callie Rohlik

DPT Capstone Posters

Background

• Limited data exists on matriculation from an undergraduate program to a DPT program within the same institution.
• Academic advising and admissions influnce students' educational experiences and academic path throughout a student's education.
• Various marketing strategies exist to attract potential students to a graduate program.

Purpose

• Investigate academic advisors' and admission staff knowledge, practice, and resources in regard to the DPT program within the same institution.
• Identify desired resources to optimize the connectedness between the undergraduate programs and DPT program in the same institution.

Participants

• 5 Academic Advisors
• 9 Admissions Staff Members

Methods

• Qualitative data collection via surveys and focus …

Integrating Occupational Therapy And Animal Assisted Therapy, Erin Trella

OTD Capstone Projects

Pet Partners is a non-profit organization that works to educate and register handlers of multiple species as volunteer therapy teams. While therapy animal programming offered by volunteer handlers provides an invaluable service to communities, there is also a growing body of practitioners who aim to incorporate the healing power of animals into their professionalized settings. The purpose of this project was to delve into the world of AAI in the professional setting and understand the current needs of practitioners in the field. Through interviewing a variety of professionals who utilize AAI in their practice, clear gaps in services were identified, …

Supporting Working Family Caregivers And Older Adults Through An Educational Employer-Based Eldercare Program, Chanté Bowens

OTD Capstone Projects

This doctoral capstone project was completed in partnership with AgeWell Middle TN, a non-profit agency that focuses on informed, positive aging, and being a champion, advocate, and trusted community resource for older adults. Working family caregivers of older adults are struggling to balance work and caregiving duties, while employers are experiencing loss in productivity and financial return. In response, AgeWell is developing a program called “Eldercare Coach” to provide guidance to employers and working caregivers. Thus, the primary focus of this project was to develop educational materials for AgeWell’s Eldercare Coach program. These educational materials include a list of interview …

Act To Decrease Burnout: Acceptance And Commitment Therapy As An Option To Address Burnout In Occupational Therapy Practitioners, Carissa Parrish

MOT Student Capstones

Introduction: Burnout is a mental health crisis that can occur when a person is overwhelmed and under-appreciated. The research reports that occupational therapy practitioners (OTs) may self-address burnout through yoga or self-reflection (Costa, 2018). However, the research does not support or deny the use of Acceptance and Commitment Therapy (ACT) to address burnout among OTs. ACT has been established in the research as a frame of reference and intervention to utilize with people experiencing burnout (Reeve et al, 20 I 8). This project aims to provide a basis for future research on the topic of ACT to address burnout among …

Mindfulness For The Occupational Therapy Practitioner: Enhancing Client-Centered Practice And Stress Management, Samuel Shepherd

MOT Student Capstones

Background: Occupational therapy can be an emotionally demanding profession that is not immune to the effects of stress and burnout. Studies on mindfulness have found this practice can be a useful tool to relieve the symptoms of burnout. This capstone project aimed to help therapy practitioners working in a high productivity setting of skilled nursing understand the stress and burnout related to healthcare and how mindfulness practice positively influences stress management and client-centered practice. Methods: This project involved an in-service presentation with a pre- and post-survey for therapy practitioner participants educating on research related to stress and burnout experiences for …

Does Computer-Based Classroom Instruction Impact Student Participation?, Paige Hyer

MOT Student Capstones

COVID-19 has caused a disruption of typical teaching methods forcing students to receive instruction virtually. Computer-based classroom instruction was implemented to allow for quick transition between virtual and face-to-face instruction as determined by COVID-19 cases. This research explores how computer-based classroom instruction has impacted student participation within the classroom and the role of occupational therapy to support students who utilize this method of learning. Eighteen elementary school teachers who currently utilize this method of learning were surveyed and data was collected to determine feedback on the impact of computer-based classroom instruction. Data determined that student participation is impacted by computer-based …

Benefits Of Montessori Method Use In Activity Involvement On Individuals With Dementia, Megan Canzoneri

MOT Student Capstones

Background: The Montessori Method was a teaching approach developed by Dr. Maria Montessori for children who did not have access to proper education and materials. She used this method by teaching them through familiar tasks, puzzles, and self-driven interest. This taught them independence, problem-solving, and decision make. This project discusses the use of the method within the geriatric and memory care population to help them remain independent through choosing activities that interest them. These activities consist of familiar tasks such as setting a table, washing dishes, and folding clothes. Method: This project used a needs survey, pre- and post-survey, and …

Capstone Project: Early Active Motion Versus Early Passive Motion Following A Flexor Tendon Repair, Matthew Angle

MOT Student Capstones

Flexor tendon injuries are relative)y rare, occurring in 7.0/100,000 people. An early active motion or early passive motion protocol have been the two primary methods used by occupational therapists for rehabilitation of a flex or tendon repair. Each of these methods have their own strengths and weaknesses, but the intervention that leads to a better outcome while maintaining integrity of the flexor tendon repair was researched. Common complications that occur during the rehabilitation of a flex or tendon that can affect the integrity of the repair included tendon lag, scar adhesions, tendon rupture, and joint contracture. Research focused on the …

An Occupational Therapy Approach To Ergonomic Intervention, Kristy Hege

MOT Student Capstones

The occurrence of work-related shoulder and neck injuries is on the rise for computer workers due to extended work hours, fewer breaks, and repetitive movements involving neck rotation, shoulder movement, and awkward posture. The individual's workstation and environment's design play a key role contributing to neck and shoulder injuries. An occupational therapist is equipped with the knowledge and skills to modify and adapt a person's workstation and improve their shoulder and neck pain or injuries. The capstone project's purpose was developed to identify risk factors, promote an occupational therapy ergonomic intervention program, suggest workstation and environment modification/adaptations, and promote posture …

Expressive Arts In Occupational Therapy: Children Traumatized From Opioid-Addicted Caregivers, Laura Maclean

MOT Student Capstones

Occupational therapy has been associated with expressive arts and the act of healing the body and mind since the inception of the profession. Children use expressive arts to self-express, explore, and enhance the development of the brain and body. Children that have experienced trauma may have trouble recognizing and expressing emotions, thus react with negative behaviors, poor social skills, and learning challenges. Trauma may occur in children from caregivers' behaviors due to opioid addiction. The use of expressive arts through occupational therapy's holistic perspective provides traumatized children with a guide to recognize and express emotions, increase attention, and improve social …

Increasing Law Enforcement Understanding Of Special Needs And Disability Populations: The Role Of The Occupational Therapist, Rekha Tabjula

MOT Student Capstones

Incidences of fatalities and injuries among populations with disabilities continue to occur during police interactions. There is an increased need to address this concern with a new method, or reform, to training that has not allowed law enforcement to properly and safely engage with those who have Autism Spectrum Disorder, Intellectual Disabilities, Traumatic Brain Injuries, and mental health conditions. Occupational therapists can provide a collaborative approach to increasing law enforcement's awareness, knowledge, and confidence to these aforementioned 0 conditions. Law enforcement officers from the Charlotte-Mecklenburg Police Department viewed a training video on various conditions with a supplemental video with guest …

Promotion Of Fine Motor Skills Through Video Supports, Kaitlin Hasher

MOT Student Capstones

Pediatric occupational therapists working with students in a school-based setting are consistently facing challenges with time management due to their high caseload numbers and limited documentation time in school-based settings. Along with time constraint issues, schoolbased occupational therapists find it difficult to communicate with caregivers on the skills being practiced in the school setting due to limited face-to-face time with caregivers. Children continue to require therapeutic services in school-based settings, however as occupational therapists continue to take on more responsibilities in this setting it becomes more challenging to find time to provide effective and efficient means to educate and reinforce …

Promoting Awareness And Healing In Persons In Mental Health And Addiction Recovery In Middle Tennessee, Savannah Rain Flint

OTD Capstone Projects

This doctoral capstone project was completed in partnership with Healing Arts Project, Inc., also known as HAPI. HAPI exists to fill a gap in recovery and rehabilitation services by providing free art supplies and art classes at partnered facilities, by providing art exhibition and publication opportunities for HAPI program participants, and by participating in outreach events throughout the year. These opportunities help spread awareness and inclusivity of mental health and addiction recovery within the community and helps artists to externalize their personal struggles, thoughts, and feelings through various creative outlets.

My project focus was to increase community awareness of HAPI …

Adult Persistent Post-Concussion Syndrome: Occupational Therapy Practitioners’ Current State Of Practice, Megan Eisses, Megan Hicks, Megan Mitchell, Sabrina Vanderklipp

Masters Theses

BACKGROUND: Persistent post-concussion syndrome (PPCS) is a complex diagnosis involving symptoms that affect nearly all domains of occupational therapy (OT) for adults. Currently, there is a lack of clarity in PPCS symptoms and diagnosis criteria, as well as little research reflecting the best practice patterns of OT practitioners treating adults with PPCS. This study’s primary purpose was to conduct a survey to understand OT practitioners’ current state of practice for adult patients with PPCS, as well as their current knowledge of PPCS.

METHOD: This research project involves a cross-sectional design, mixed methods, 23-question survey that was distributed to OT practitioners …

The Importance Of Cognitive Screening To Promote Clinical Decision-Making Skills, Bonnie L. Rogulj

Physical Therapy Collection

Description:

Research has revealed decreased cognitive function to be associated with mobility deficits and increased fall risk. The role of the physical therapist as the "Movement Specialist" of the patient-centered team should include screening for cognitive dysfunction in an effort to promote clinical decision-making and early intervention.

The presentation will discuss cognitive changes associated with aging to improve understanding of normal aging, mild and major neurocognitive disorder. The presentation will identify tools commonly used for cognitive screening and assist participants in the selection process. Participants will analyze sample screening findings necessary for clinical decision-making skills. The presentation will recognize the …

Creating Home Modification Solutions For Individuals With Spinal Cord Injury, Ryan Heuer

OTD Capstone Projects

Tucker's House provides home accessibility assessments and modifications to children with disabilities and their caregivers. As a small non-profit Tucker's House is not able to tailor its process to specific conditions and diagnoses. The present project focused on creating and enhancing the evidence-based resources that Tucker's House can provide to individuals with spinal cord injury and spina bifida. These resources are designed to help this population safely participate in the home environment and improve their occupational performance and wellness.

Addressing Adherence And Barriers To Long-Tenn Elimination Diet Therapy Through Occupational Therapy In Order To Improve Quality Of Life In Adults With Eosinophilic Esophagitis, Alexis White

MOT Student Capstones

The six-food elimination diet {SFED) is an effective treatment approach for eosinophilic esophagitis {EoE), but it can be challenging and affect patients' quality of life. The aim of this study assesses patients' potential factors influencing adherence to long-term elimination diets. This project employed participant questionnaires to measure attitudes and practice regarding living with EoE; and an education presentation ppt with a pre- and post-survey for key stakeholders synthesizing research findings while aligning patient-provider interaction to promote improved diet adherence. Using data electronic surveys, analysis was conducted using electronic statistical software to determine patient barriers; and to determine accuracy and impact …

Understanding Benefits Of A Community Garden On Those Impacted By Food Insecurity, Taylor Boone

MOT Student Capstones

Occupational therapy professionals can support individual and community interventions for improved health and wellness. Occupational therapists have the unique ability to assess the multi-faceted contexts that impact an individual's and/or community's ability to participate in daily occupations and their level of occupational performance. Addressing nutrition can improve the individual's overall health and wellness and subsequently improve occupational performance, and ability to participate in daily occupations. Many community-based programs act as resources, or access, to improved nutritional intake for community members working towards food security. Occupational therapy has a role in these community-based programs to facilitate improved nutritional intake through functional …