Digital Commons Network^™

Enhancing Wheelchair Education Throough Technology, Anna Elizabeth Voegel

Occupational Therapy Capstones

Purpose: The World Health Organization states there are more than 65 million wheelchair users worldwide, with the number expected to grow (Gilani, 2023). Many wheelchair users face challenges with not knowing how to properly maintain their equipment or develop the skills needed to navigate their environments (Boccardi et al., 2022; Morgan et al., 2015; Smith et al., 2016; Toro et al., 2017). This product aims to provide practitioners with accessible educational materials that address commonly encountered barriers, usable in the clinic setting or for patients and caregivers to access from a distance.

Methods: A needs assessment was conducted, which included …

Enhancing Leisure For Older Adults In Senior Living Communities, Hannah Louise Street

Occupational Therapy Capstones

Introduction: Older adults living in senior living communities are at an increased risk of social isolation, depression, boredom, and decreased quality of life (Donovan & Blazer, 2020; du Toit et al., 2019). Increasing access to meaningful, person-centered leisure activities can improve life satisfaction and overall quality of life for older adults (Chang et al., 2021; Shryock & Meeks, 2020). The purpose of this project was to develop a product to increase meaningful leisure engagement amongst older adults living in senior living communities for an overall improved quality of life.

Methodology: The model of human occupation (MOHO) was utilized as the …

Enhancing Leisure Opportunities For People With Disabilities In Rural Communities, Joslyn Mary Nordmark

Occupational Therapy Capstones

Purpose. The purpose of this scholarly project was to promote access to leisure opportunities for people with disabilities in rural areas. The author addressed unmet needs among this population considering personal, occupational, environmental, cultural, and socioeconomic factors. The goal was to develop a product that provided opportunities regardless of abilities to promote leisure exploration and participation, social engagement, and life skill development for people with disabilities

Methods. The author conducted a needs assessment through a literature review following the Model of Human Occupation (MOHO), collaborations with site staff, and an on-site observation and environmental analysis. Data was examined to identify …

Increasing Leisure Exploration In Older Adults As They Age, Jackie Middendorf

Occupational Therapy Capstones

Background: As individuals age, it is common for them to experience deficits that impact how and where they age (Dieuleveult et al., 2017; Nakahara & Yokoi, 2024; Park et al., 2021; Rimland et al., 2016; Szanton et al., 2016). These deficits commonly impact functional mobility and their ability to complete self-cares, leading to them having to leave their homes or receive services (Dieuleveult et al., 2017; Feller & Baker, 2022; Lindquist et al., 2021; Mayo et al., 2021; Spang et al., 2024). Along with deficits with functional mobility and self-cares, older adults experience decreases in their social engagement and leisure …

Quality Of Life Of Individuals Residing In Senior Living Facilities, Meagan R. Danda

Occupational Therapy Capstones

Introduction: Formal caregivers play an essential role in supporting residents’ physical, emotional, and social needs which contribute to overall health and well-being (Spilsbury et al., 2024). Due to these responsibilities, caregivers need to be properly equipped with the knowledge and skills necessary to perform clinical duties with confidence. The purpose of this scholarly project is to develop a product that increases caregiver confidence by providing caregivers with occupational therapy informed education. By enhancing caregivers’ knowledge and skill set, this product may contribute to a supportive environment that fosters resident engagement in meaningful occupations and promotes improved quality of life (QoL) …

A Survey Of Student Opinions About A Haiku Writing Assignment, Manish Rami

Communication Sciences & Disorders Faculty Publications

This study examined the instructional value of a haiku writing assignment (HWA) from the graduate students’ perspective via a survey of their opinions. Fifty-eight students wrote and submitted haiku over the course of a semester. A 10-item survey instrument was used to elicit students’ opinions about the assignment. The probability of responses to each of the items on the survey was compared to chance occurrence. Chi-Square tests found that students enjoyed the assignment and the example haiku; they believed that the assignment helped them grasp concepts and be more engaged with the course content; and recommended the use of such …

Moving Beyond What Pays The Bills: Implementing New Assistive Technology Outcome Measures, Connor Nathan Fuchs

Occupational Therapy Capstones

Purpose: The World Health Organization states that measuring outcomes is paramount to understanding the efficacy of assistive technology (AT) intervention (World Health Organization, 2022). Over 1 billion people across the globe use assistive technology, which is expected to double over the next 50 years. Outcome measures such as the Functional Mobility Assessment (FMA) or Psychosocial Impact of Assistive Devices Scale (PIADS) provide practitioners with information regarding the efficacy of AT interventions. This product aims to provide practitioners with a comprehensive, quick, and straightforward resource that outlines 14 assistive technology outcome measures for frequent use in practice.

Methods: A needs assessment …

Risk Factor Patterns For Elder Abuse Among United States Indigenous Peoples: Native Elder Maltreatment Survey Secondary Data Analysis, Maylynn Riding In

Theses and Dissertations

Elder abuse is a significant public health issue, with findings indicating that 9% to 10% of older adults in the United States experience abuse. This figure is likely mirrored among Indigenous Peoples residing within tribal boundaries, although specific data is scarce. This study aims to fill the gap in understanding the prevalence and risk factors associated with elder abuse among United States Indigenous Peoples (USIP) through a secondary data analysis of the Native Elder Maltreatment Survey (NEMS). The NEMS employs two key instruments: the Hwalek-Sengstock Elder Abuse Screening Test (HS EAST), which is validated for community use, and the Native …

Exploring The Detrimental Effects Of Sleep Deprivation, Brooklyn Shereck

Psychology Student Publications

No abstract provided.

The Efficacy Of Probiotic Use In Patients With Anxiety And Depression, Joanna Mcclelland

Physician Assistant Scholarly Project Posters

The gut-brain connection has become more widely researched for its impacts on anxiety and depression. This bodes the question that if the gut microbiome can be altered, would there be a decrease in symptoms of anxiety and depression as a result? One way to alter gut microbiome is to implement a prebiotic or probiotic. To determine if this is an effective treatment option for anxiety and depression, a literature review was conducted using primarily randomized clinical trials. PubMed was the primary database that was used for this research. Articles were sorted and chosen based upon applicability to the problem being …

Addressing Occupational Deprivation And Alienation In Rural Skilled Nursing Facilities Through An Activities Resource Guide, Stephanie Dullum

Frank Low Research Day Posters

The purpose of this product was to create a resource guide on leisure activities for the activities department in a rural skilled nursing facility (SNF) to address common chronic conditions and support the needs or wants of the SNF residents.  With aging comes more chronic conditions and less physical activity, socialization, and time engaged in meaningful activities, affecting quality of life(QOL) and well-being (Causey-Upton, 2015; Cudjoe et al., 2020; Nedjeljeko et al., 2021; Portillo etal., 2023; Sen et al., 2022; Small field & Molitor, 2018;World Health Organization [WHO], 2022). Providing residents with more meaningful leisure activities will assist the …

The Impact Of Mobile Technology Interventions With Older Adults Diagnosed With A Cognitive Deficit, Emily Funk, Adam Nadeau, Savannah Ullyott

Critically Appraised Topics

This critically appraised topic (CAT) paper focuses on the impact of technology-based interventions in occupational therapy in daily functioning within older adults with cognitive deficits. When considering the components of this CAT, the theoretical framework was described, then a description of the population paired with a description of cognition and its components, followed by the types and use of technology-based interventions with adults, and the impact cognitive conditions and symptoms have on occupational performance.

Increasing Quality Of Life And Well-Being Among Older Adults Living In An Assisted Living Facility Through Engaging In A Wellness Program., Hannah Steckler

Occupational Therapy Capstones

Purpose: The focus of this scholarly project was to create a group protocol to increase the quality of life and well-being of older adults living in an assisted living facility (ALF). Furthermore, it promotes increased engagement in meaningful activities to combat health disparities and provide education on various areas of wellness. Older adults' quality of life and well-being are impacted when residing in an ALF due to decreased engagement in wellness activities (Bartley et al., 2018; Morgan et al., 2016). Furthermore, risk factors and health disparities increase among the older adult population, which causes a negative impact on everyday routines …

An Intergenerational Program Approach To Support Successful Aging And Decrease Social Isolation In Nursing Home Residents, Mariah Herring

Occupational Therapy Capstones

Purpose As older adults transition to nursing facilities, their involvement in community activities diminishes, impacting their physical health, cognitive abilities, and social engagement (Lowry et al., 2012; Serrat-Graboleda et al., 2010). Evidence suggests that utilizing intergenerational programs in nursing facilities can effectively reduce social isolation, enhance quality of life for residents, and support academics and social skills in preschool students (Gustavsson, 2015; Lowry et al., 2012; Mondaca et al., 2018; Pillemer et al., 2022; Tak et al., 2015). This scholarly project aims to support successful aging and decrease social isolation in nursing facilities through the development of occupation-based psychomotor activities …

Addressing Occupational Deprivation And Alienation In Rural Skilled Nursing Facilities Through An Activities Resource Guide, Stephanie Dullum

Occupational Therapy Capstones

Purpose: The purpose of this product was to collaborate with residents and the activities department in a rural skilled nursing facility (SNF) to create leisure activities to address common chronic conditions and the needs or wants of the residents. With aging comes more chronic conditions and less physical activity, socialization, and time engaged in activities, affecting quality of life (QOL) and well-being (Causey-Upton,2015; Cudjoe et al., 2020; Nedjeljeko et al., 2021; Portillo et al., 2023; Sen et al., 2022; Smallfield & Molitor, 2018; World Health Organization [WHO], 2022). Providing residents with more meaningful leisure activities will assist the SNF staff …

Cat Part Iv: Occupational Therapy Interventions To Support Upper Extremity Spasticity In Older Adults Following A Stroke, Mary Redlin, Allie Reiffenberger, Shannon Ring, Aubrey Rude

Critically Appraised Topics

This critically appraised topic focuses on interventions for improving hand functions in activities of daily living (ADLs) for elderly adults who have chronic upper extremity spasticity following a stroke. For the purpose of this critically appraised topic, the focus will be on the elderly population, defined as being age 55 and older; research indicates stroke is most prevalent in this population (Mayo Clinic, 2022). When considering a particular theory, the Ecology of Human Performance (EHP) is the most suitable model for our focus question (Dunn, 2017). The Ecology of Human Performance is focused on the person and environment to increase …

Development Of Wellness And Nutrition Through The Use Of Gardening, Josie Anhorn

Occupational Therapy Capstones

The population of older adults has been rising exponentially in recent years (Duffin, 2022), leading to an influx in people moving into retirement or independent living communities. This transition may cause many changes in the new residents’ occupational participation and overall well-being. Research has shown specific areas of concern in socialization, nutrition, self-esteem, physical abilities, and continued participation in meaningful occupations (Holland et al., 2017; Knecht-Sabres et al., 2020; Smith, 2015; Sommerfeld et al., 2018; Swann, 2006; Swann, 2010). Gardening has been shown to positively impact these areas of health and well-being and ease some of the negative symptoms (Thompson, …

Attitudes Of Graduating Health Practitioners Toward Older Persons In Ghana, Grace Karikari, David K. Lohrmann, Lesa Huber, Margaret Adamek, Oghenekaro Omodior

Indigenous Health Faculty Publications

Purpose: This study examined attitudes of graduating medical and nursing students toward older persons in Ghana. The association between the overall quality of students’ experiences with older persons and their attitudes was also examined to identify educational interventions to increase interest in geriatrics.

Materials and Methods: A sample of 135 final year medical and nursing students from a public institution in Ghana participated in a cross-sectional study by completing a web-based self-administered questionnaire consisting of the 14-item University of California at

Los Angeles Geriatric Attitudes (UCLA-GA) scale and demographic questions. Data analysis involved a two-sample t-test and a one-way ANOVA. …

Incidence Of Coronary Artery Disease And Testosterone Replacement Therapy, Stephen Leard

Physician Assistant Scholarly Project Papers

In the United States, males see a decrease in testosterone levels around the age of 40, potentially leading to a condition known as hypogonadism. Testosterone administration is the leading treatment for symptomatic hypogonadism. Testosterone Replacement Therapy (TRT) has increased in popularity amongst practicing healthcare providers. This literature review aims to investigate differences in incidence rates of cardiovascular events in males receiving testosterone therapy compared to untreated males with hypogonadism. Given the conflicting evidence regarding the association between exogenous testosterone and cardiovascular risk, published studies and meta-analysis were reviewed to prove this relationship. A comprehensive literature review was performed using electronic …

The Link Between Occupational Therapy Interventions, Quality Of Life, And Social And Leisure Participation In Adults With Chronic Conditions, Katie Deboer, Callie Kleindl, Monicah Nyakoe

Critically Appraised Topics

The focus population for this critically appraised topic (CAT) was adults aged 18 years and older with chronic conditions. For this CAT, chronic conditions included depression, heart diseases, diabetes, arthritis, respiratory diseases, chronic kidney disease, neurological disorders, and cancers. Chronic conditions greatly impact a large majority of the older adult population. Of the adult population, about 80% had at least one type of chronic condition while close to 70% had two or more (National Council on Aging, 2021). Diving deeper, the prevalence of chronic conditions in adults 65 years and older varied by race/ethnicity. According to Lim et al. (2018), …

Effectiveness Of Early Intervention Programs Addressing Mental Health Issues Caused By Long-Haul Covid-19 In Older Adults, Grace Kleinvachter, Lauren Fischer, Kelsey Rajewsky

Critically Appraised Topics

Lannigan & Tyminski (2021) shared that occupational therapy practitioners are ready to address the many complications that COVID-19 has caused, including emotional issues, by encouraging engagement in healthy occupations in their day-to-day lives. Occupational therapists have specific skills to combat these issues, help others reclaim their occupational identity, and improve quality of life (Lannigan & Tyminski, 2021; Wilcox & Frank, 2021). Symptoms of long-haul COVID-19 have greatly impacted the valued occupations of those over 50 years old, leading to an occupational justice need for further investigation. Occupational therapists should then use that knowledge to understand the degree of impact the …

Occupational Therapy’S Ability To Address Perceived Stress Levels In Caregivers Of Individuals With Dementia, Kjerstin Drugan, Molly Van Drehle, Jadalyn Wagner

Critically Appraised Topics

Caregivers of individuals with dementia face unique challenges that affect their ability to participate in their occupations and maintain low-stress levels (Armstrong et al., 2019; Chiao et al., 2015; Cooper et al., 2010; Delgarno et al., 2021; Franzosa et al., 2019; Gleason & Miller, 2021; Lloyd et al., 2019; Madruga et al., 2020; Piersol et al., 2017; Sterling et al., 2021; Yong et al., 2020). Evidence has supported the benefits of occupational therapy intervention for caregiver well-being (Burgess et al., 2021; Lloyd et al., 2019; Raj et al., 2021; Sztramko et al., 2021; Yong et al., 2020). In this critically …

Enhancing The Leisure, Social Participation, And Quality Of Life Of Older Adults Isolated During The Covid-19 Pandemic, Mariah Leroux

Occupational Therapy Capstones

Title: Enhancing the Leisure, Social Participation and Quality of Life of Older Adults Isolated during the COVID-19 Pandemic

APA Citation Mariah LeRoux, OTDS. Enhancing the Leisure, Social Participation and Quality of Life of Older Adults Isolated during the COVID-19 Pandemic. Department of Occupational Therapy, University of North Dakota School of Medicine and Health Sciences, 1301 N Columbia Rd, Grand Forks, ND 58203.

Purpose The purpose of this scholarly project was to enhance the performance range of older adults in assisted living by equipping them with the skills to engage in meaningful occupations throughout a pandemic. The meaningful occupations outlined in …

Relationships Between Handgrip Strength Asymmetry And Multimorbidity In Canadian Adults Aged 40 Years And Older: Results From The Canadian Health Measures Survey, Morgan Ann Flann

Theses and Dissertations

Background: Hand-grip strength (HGS) is a convenient, valid, and reliable measure of overall muscle strength that is significantly related to current and future health. HGS asymmetry is an additional aspect of muscle function that can also be measured using handheld dynamometry. The aim of this study was to examine associations between HGS asymmetry and multimorbidity in a nationally representative sample of Canadian adults aged 40 years or older. Methods: A secondary analysis of cross-sectional data was performed on adults aged 40-79 years from six cycles (2007- 2017) of the Canadian Health Measures Survey (CHMS). HGS was assessed using handheld dynamometry, …

Associations Between Handgrip Strength Asymmetry And Health Related Quality Of Life Among Canadian Adults: An Analysis Of The Canadian Health Measures Survey, Jessica Lembke

Theses and Dissertations

Background: Health related quality of life (HRQOL), a measure of perceived quality of health is significantly related to current and future health. Handgrip strength (HGS) asymmetry is an aspect of muscle function that can be measured using handheld dynamometry. While several studies have examined relationships between HGS asymmetry and HRQOL, few have used nationally-representative data, and none have used Canadian data. The aim of this study, therefore, was to examine the association between HGS asymmetry and HRQOL in a nationally-representative sample of Canadian adults.

Methods: A secondary analysis of cross-sectional data from cycles 5 and 6 (2016–17 and 2018–19) of …

4ms Framework For Aging Healthcare, Christine Zaki

Nursing Capstones

Background: At the beginning of the pandemic, primary care clinics in North Dakota (ND) had just a trickle of daily telehealth encounters. Over time, these encounters increased, primarily for the youngest seniors (55 – 70 years old). Due to increased COVID-19 cases among the elderly population in ND, the Geriatric Workforce Enhancement Program (GWEP) allocated a grant to the University of North Dakota (UND) to promote telehealth use in the elderly residing in rural ND and receiving home care through the desired home care agency. This project aims to promote telehealth to reduce exposure to COVID-19 among the geriatric populations …

Telehealth Assessment In The Elderly Using The 4m'S, Janet Obonyo

Nursing Capstones

COVID-19 has accelerated an already urgent need for telehealth in the United States. While health care systems have been providing telehealth for years, the number of providers and patients who need to participate in telehealth has ballooned overnight. Though telehealth has been in use for a while, the geriatric population seems to be disadvantaged, especially those who reside in rural settings. Due to increased COVID 19 cases among the elderly population in North Dakota, the Geriatric Workforce Enhancement Program (GWEP) allocated a grant to the University of North Dakota to promote telehealth in the elderly receiving homecare services in rural …

Invasive Needling Therapy For Myofascial Pain Syndrome, Katelyn Corine Krueger

Physician Assistant Scholarly Project Papers

Myofascial pain syndrome (MPS) is one of the most common musculoskeletal conditions characterized by tight bands of fascia and muscle fibers known as myofascial trigger points (MTrP). Empirical evidence suggests that deactivation of MTrP’s is best accomplished with invasive needling therapy such as dry needling, trigger point injections, and Botulinum toxin-A (BTX-A) injections. The objective of this systemic review is to compare the effectiveness of various needling therapies on pain intensity and determine if ultrasound guidance and obtaining a local twitch response (LTR) improves clinical outcomes. A comprehensive search of five databases including PubMed, Science Direct, Google Scholar, Cochran, and …

Anticholinergic Medications And Risk Of Developing Dementia, Heidi N. Artz Schmaltz

Physician Assistant Scholarly Project Papers

Abstract (to Come)

March 4, 2021: Agenda, University Of North Dakota

University Senate Meeting Minutes

Agenda for the March 4, 2021, meeting of the University Senate. 50 pages