Digital Commons Network^™

Prevention, Positioning, Participation: Wheelchair Education And Promotion Of Occupational Engagement For Caregivers In Snfs, Sarah Lovelace, Brandon Steffen

Occupational Therapy Capstones

Purpose: Certified nursing assistants are considered the principal caregivers within long-term care / skilled nursing facilities (Bureau of Labor Statistics, U.S. Department of Labor, 2019), and spend the most time interacting and caring for residents. Although CNAs provide approximately 60-90% of the care to elderly residents in nursing homes, they are provided with the least amount of education of the direct-care employees (Lerner, Resnick, Galik, Russ, 2010). The purpose of this scholarly project is to provide caregivers in skilled nursing facilities with adequate education and resources to increase certified nursing assistants’ knowledge of pressure injury prevention, correct positioning for increased …

The Role Of Occupational Therapy In Promoting Employment Outcomes With Individuals Diagnosed With A Serious Mental Illness, Lexie Coalwell, Allison Moran

Occupational Therapy Capstones

Purpose: The purpose of this scholarly project is to enhance occupational therapy (OT) practitioners’ and other healthcare professionals’ knowledge on the essential role OT plays in promoting employment outcomes among individuals diagnosed with a serious mental illness (SMI).

Occupational Therapy’S Role In Developing Social Skills For Adolescents With Complex Post-Traumatic Stress Disorder, Rachel Grubb, Amira Ragab

Occupational Therapy Capstones

The purpose of this scholarly project was to create a group protocol for occupational therapy practitioners to provide skilled mental health services to adolescents experiencing complex post-traumatic stress disorder (C-PTSD) due to domestic violence.

Parental Caregiver Guide For An Adolescent With Down Syndrome: Transitioning Out Of High School, Kalindi Rachey, Hailey Johnson

Occupational Therapy Capstones

Purpose: The current literature revealed a need to address the establishment, organization, and application of primary health care as well as support programs for parental caregivers of adolescents with Down syndrome, especially during the transition period out of high school (Barros, Barros, Barros, & Santos, 2017). Providing information, resources, and support to parental caregivers of adolescents with Down syndrome and health care professionals, such as occupational therapists, can help alleviate caregiver burden and promote the parents’ quality of life. Occupational therapists can play an important role during the post-secondary transition period for adolescents with Down syndrome by assisting them in …

Occupational Therapy And Primary Care: The Tools For Referral, Alexandra Grosser, Kelsey Tadman

Occupational Therapy Capstones

Individuals with chronic conditions receive the most primary care services and account for the highest annual healthcare spending with the poorest outcomes (Leland, Fogelberg, Halle, & Mroz, 2017). Primary care providers (PCP) often address acute symptom management due to inadequate time to explore underlying problems related to diagnoses due to time limitations and a shortage of PCPs. (Dahl-Popolizio, Manson, Muir & Rogers, 2016). It has been recommended that other disciplines are incorporated into primary care to increase holistic, client-centered care and to improve health outcomes. Occupational therapy has been identified as one discipline that is well suited to contribute to …

The Occupational Therapy Guide For Enabling Meaningful Social Participation Post-Tbi, Vanessa Johnson, Hope Nelson

Occupational Therapy Capstones

Introduction: The purpose of this scholarly project was to create a guide for occupational therapists to enable meaningful social participation throughout the rehabilitation phases with adults who have sustained a moderate or severe traumatic brain injury (TBI). The Guide discusses and presents assessments and interventions recommended for each phase of the rehabilitation process.

A Practitioner's Guide: Using The Cognitive Performance Test To Increase Independent Living Skills For Individuals With Intellectual Disabilities, Alycia Peacock, Grace Spanos

Occupational Therapy Capstones

Problem: Individuals with intellectual disabilities (ID) have the desire to live as independently as possible (Gragoudas, 2014). There are a number of barriers that impact living independently including the ability to complete self-care tasks, money management, home management, and health management (Bond & Hurst, 2010). Other barriers reported for individuals with ID include relationships with caregivers, living alone, and vulnerability (Bond & Hurst, 2010). Research identifies that it is difficult to determine the amount of support needed to promote independence in individuals with ID (Francis & Reed, 2019). Occupational therapists (OTs) possess a unique skillset to assist clients with ID …

Occupational Therapy Joining Bariatric Care Teams: A Web-Based Resource, Annabelle Tarnowski, Rylee Skyberg

Occupational Therapy Capstones

Purpose

Despite the overall positive physical and mental health results patients obtain following bariatric surgery, some individuals still experience significant negative health challenges postoperatively. Researchers have asserted that the psychosocial concerns of patients that undergo bariatric surgery are not being properly addressed prior to surgery; therefore, patients are not appropriately equipped with strategies or follow-up care to promote continued weight loss and increase quality of life post-operatively (Kalarchian & Marcus, 2019). Patients who undergo bariatric surgery have experienced maladaptive eating, substance abuse, suicide and self-harm at an increased rate (Kalarchian & Marcus, 2019; Sarwer & Heinberg, 2020). Additionally, occupational therapy …

Increasing Participation In Meaningful Occupations For Disabled Veterans Through The Promotion Of Spirituality: An Intervention Resource Manual For Occupational Therapists., Tristen Smith, Audrya Tarango

Occupational Therapy Capstones

Purpose: Veterans with psychological disorders may experience a combination of deficits that decrease their ability to engage in meaningful activities (Speicher, Walter, & Chard, 2014). Increasing the well-being and quality of life for veterans is an optimal opportunity for the OT profession to assert its distinct value in addressing the mental health needs of veterans through the enhancement of spirituality. The inclusion of spirituality in interventions are beneficial when alleviating symptoms of a physical and mental capacity, reestablishing beliefs, values, moral code, and relationships with self and the transcendent (Brémault-Phillips et al., 2019).

Youth Mental Health Community Based Ot Intervention Guide: Putting The Pieces Back Together, Bailey Schumacher, Meaghan Wolfgram

Occupational Therapy Capstones

Introduction: Each year, approximately half a million youth are brought to juvenile detention centers. Based on these statistics, 26,000 children are detained each day (Holman & Ziedenber, 2006). Many children and youth who encounter the juvenile justice system have past experiences of exposure to trauma and mental health illnesses. When these are overlooked or neglected, this may lead to worsening mental health and longstanding involvement within the criminal justice system. For young people, action of prevention to keep them in school and in the community is key: kids should not be in jail in the first place, especially not as …

Empowering Grand-Families Through Occupation: An Occupational Therapy Intervention Program For Grandchildren And Custodial Grandparents, Macie Romsdal, Gabrielle Wavra

Occupational Therapy Capstones

The purpose of this scholarly project was to create a program for occupational therapists to use with custodial grandparents and their grandchildren. The number of grandparents becoming primary caregivers to grandchildren continues to increase, and more than 5.7 million grandchildren in the United States were living with and being provided for by grandparents in 2014 (U.S. Census Bureau, 2014). Although there are benefits to being placed in grandparent care, there are also challenges. Some of the challenges custodial grandparents face are health concerns, financial resources, and changes in social supports and occupational roles (Marken & Howard, 2014). Grandchildren may have …

Coffee With Farmers, Ivy Steiger, Kelsey Sherry

Occupational Therapy Capstones

Purpose: The farming community is an underserved population in health care and historically there has been a lack of recognition of the psychosocial stress farmers endure. There is a lack of programming for addressing farmers’ psychosocial stress and mental health, specifically within the field of occupational therapy. The overall purpose of this independent study was to explore the role occupational therapy has within the farming community and develop a program that can be implemented to address psychosocial health with this population.

An Exploration Of Sexual Consent, Sexual Non-Consent, And Nonverbal Sexual Consent Communication Behaviors, Amongst Community Stakeholders., Brent Stewart

Theses and Dissertations

Sexual Consent is a central concept in the field sexual violence and sexual violence prevention (Beres, 2007). However, despite disproportional rates of sexual violence amongst LGBT+ community, currently our understanding sexual consent and its practice is primarily focused on heterosexual encounters of traditional college aged students (CDC, 2017, Muehlenhard, Humphreys, Jozkowski & Peterson, 2016). The current study utilized the Delphi method to develop a better understanding of sexual consent, sexual non-consent, and nonverbal sexual consent communication behaviors among two distinct groups: sexual researchers and men who have sex with men (MSM). Thirty-five panelists (13 researchers 22 MSM) completed one- three …

Addressing Culture Throughout The Occupational Therapy Process: Beyond The Basics, Samantha Plutko, Jacey Savage

Occupational Therapy Capstones

Purpose: Our product, a continuing education course for occupational therapy practitioners, was created with the purpose of giving attendees an opportunity to engage in hands-on learning exercises that will assist them with addressing culture throughout the occupational therapy process.

Improving School Readiness In Home-Based Care Settings, Malea Peters, Shelby Wittenberg

Occupational Therapy Capstones

Introduction: The purpose of this project was to create a resource guide for home-based daycare providers to promote school readiness skills in preschool-age children. Several national and local policies promote children’s school readiness in early childhood years (NEGP, 1995). Children in home-based daycares may be at-risk for lower school readiness skills upon school entry compared to similar-age children in other childcare arrangements (Bassok, Greenberg, Fitzpatrick, & Loeb, 2016). Occupational therapists can play a role in supporting home-based daycare providers to implement school readiness activities for preschool-age children into their daily routines.

Effectiveness Of Diet/Exercise In Prevention Of Gestational Diabetes Mellitus And Associated Cesarean Section Delivery, Jonathyn Marx

Physician Assistant Scholarly Project Posters

Gestational diabetes mellitus (GDM) is becoming a more common diagnosis during pregnancy. GDM is defined as glucose intolerance diagnosed during pregnancy. Women diagnosed with GDM during pregnancy are at an increased risk for emergent or planned cesarean section delivery and the development of overt diabetes mellitus post pregnancy. Complications related to GDM include eclampsia, macrosomia, shoulder dystocia, stillbirth, and cesarean section delivery. Initial treatment consists of diet and exercise and if glucose can not be controlled then pharmacotherapy is introduced. A literature review was performed utilizing scientific databases, mesh terms, and keywords to gather statistically relevant research to analyze the …

Impact Of Social Skills Groups On School Aged Children With Emotional Disturbance, Stephanie Coauette, Kaitlyn Ekre, Benjamin Stagg

Critically Appraised Topics

According to the Individuals with Disabilities Education Act (U.S. Department of Education, 2017, Sec. 300.8), emotional disturbance is defined as a condition in which there are one or more of the following symptoms that interferes with a child’s ability perform successfully in their education: “An inability to learn that cannot be explained by intellectual, sensory, or health factors, an inability to build or maintain satisfactory interpersonal relationships with peers and teachers, inappropriate types of behavior or feelings under normal circumstances, a general pervasive mood of unhappiness or depression, and a tendency to develop physical symptoms or fears associated with personal …

Identifying Occupational Therapy’S Role In The Interprofessional Team For Combating Barriers To Correct Medication Adherence For Older Adults, Megan Berginski, Bryce Graves, Christopher Hernandez

Critically Appraised Topics

Occupational therapy is crucial to the interprofessional team, with a focus on client-centered interventions, a holistic approach to health promotion and prevention and a comprehensive overlook on quality of life. The focus of occupational therapy is to collaborate with clients to find meaningful engagement in occupations to promote participation. The occupational therapist’s perspective on the person holistically marks their contribution to the interprofessional team in order to meet the needs to provide for the client, their families, and their community (Doll & Earland, 2020). Other than occupational therapists, the interdisciplinary team may consist of nurses, pharmacists and caregivers. Nurses are …

Evidence For The Use Of Health Promotion Programs In Schools, Anna Burggraf, Kathryn College, Taylor White

Critically Appraised Topics

Health promotion is defined as “a process of enabling people to increase control over and to improve their health” (Scaffa, 2019, p. 442). Promotion of health is a common goal that is shared by numerous disciplines (Reitz & Graham, 2019). Health promotion directed towards occupational therapy is the “client-centered use of occupations, adaptations to context, or alteration of context to maximize individuals’, families’, communities’, and groups’ pursuit of health and quality of life” (Reitz & Graham, 2019). Health promotion is essential for all age groups, especially for young children who are completing their beginning years of school. Children’s thoughts, behaviors, …

Sexy For Me: Enjoyment Of Sexualization, Embodiment, And Psychological Well-Being In Recreational Pole Dancers, Kelly Cuccolo

Theses and Dissertations

Purpose: Recreational pole dancing may have dual implications for women’s mental health. Previous research (Pellizzer, et al., 2016) conducted under the framework of Objectification Theory has reported that enjoyment of sexualization can exert negative effects on body image through self-objectification and positive effects on body image through embodiment. The purposes of this study were to a.) replicate findings from Pellizer et al., (2016) and b.) to examine the theorized outcomes of Objectification Theory not addressed by previous research (eating disorder (ED) symptomatology, depressive affect). Methods: Recreational pole dancers (N = 82) were recruited from five recreational pole dancing schools. Participants …

Effect Of Adolescent Sleep Quality On Appetite, Dietary Intake, And Body Mass Index, Janell Faye Juelich

Theses and Dissertations

Purpose and Background: Several factors have been associated with excess weight gain in adolescents, including loss of sleep. The purpose of this study was to examine the effect of sleep quality, quantity, latency, and hygiene on appetite, dietary intake, and body mass indices (BMI) of adolescents.

Theoretical Framework: Orem’s Self-Care Deficit Theory guided this study to examine the relationship of adolescents’ sleep effects on their appetite, dietary intake, and BMI.

Specific Aims: 1. To analyze demographics, sleep quality, sleep quantity, sleep latency, and sleep hygiene of adolescents and determine the levels of appetite, dietary intake, and BMI levels of adolescents. …

Validity Of A Culturally Sensitive Depression Scale For Native American Youth, Todd Phelps

Theses and Dissertations

This research investigated the validity of a Culturally Sensitive Depression Scale (CSDS). Data were collected on 30 Native American youth living throughout South Dakota. Participants underwent a condensed semi-structured clinical interview for Major Depressive Disorder to confirm diagnosed (n=16) or undiagnosed (n=14). Participants completed two depression scales: the Columbia Depression Scale (CDS) and the CSDS. Both scales were tested for criterion-related validity via concurrent validity which analyzed each scale’s accuracy in categorizing diagnosed and undiagnosed individuals. Construct validity was tested via convergent validity through the Pearson product-moment correlation between the CDS and CSDS. Area Under Curve (AUC) analysis tested each …

The Impact Of Social Anxiety On Co-Witness Suggestibility, Susan Schober

Theses and Dissertations

Misleading post-event information, especially presented through co-witness discussion, has consistently shown to be a powerful way to alter a witness’s memory for an event. Less is known about how misleading co-witness information affects those with specific individual difference traits, however. The current study analyzed the impact of social anxiety on susceptibility to co-witness misinformation and memory conformity (i.e., co-witness suggestibility). Participants viewed a short film of a simulated home robbery and some discussed the film with a confederate posing as a co-witness. During the discussion, the confederate introduced either accurate or misleading information about events in the film. After the …

Development Of A Dynamic Force Sensor, Olusola Andrew Bolaniran

Theses and Dissertations

Sensors are employed for various applications in different industries. Chief of these applications is in the process and equipment monitoring. Most sensors used in the equipment monitoring are mostly after-market devices. This research answered the question of how can we include the condition monitoring of equipment into the design phase of the equipment. This research developed a dynamic force sensor using a PolyVinyliDene Fluoride (PVDF) film. The piezoelectric film attached to a fixed-fixed substrate which serves to support film and the properties of which the sensor equations were based. The sensor was tested in the laboratory by subjecting it to …

Factors That Impact Nursing Faculty Members' Job Satisfaction And Intent To Stay, Stephanie Christian

Theses and Dissertations

A shortage of qualified nurse educators limits the ability of nursing program to increase student enrollment to meet the increased demand for Registered Nurses (RNs) needed to meet current and anticipated healthcare needs across the United States (US). In order to educate more nurses to increase the nursing workforce, qualified nurse educators are necessary to graduate competent nurses with critical thinking and clinical reasoning skills required to provide quality care to complex patients, families and communities. This descriptive study used Herzberg’s Motivation Hygiene theory to explore motivation and hygiene factors that influence nursing faculty job satisfaction and intent to stay …

Mental Health Impact Of Forced Marriages, Neha Batool

Theses and Dissertations

To address the mental health impact of forced marriage in the United States, this study examined the lived experiences of nine women who were forced to marry between the ages of 10 and 25. Semi structured interviews, Interpretive Phenomenological Analysis (IPA), and Feminist Standpoint theory were utilized to explore their experiences prior to, during, and after their forced marriage, with a particular focus on their psychological wellbeing, coping mechanisms, help seeking behaviors, barriers, and needs. A total of eight superordinate themes emerged that highlighted the role of gender socialization, intergenerational violence and trauma, and adverse childhood experiences in forced marriages, …

Building Active Intersectional Allyship In Middle School Youth, Maura Ferguson

Theses and Dissertations

This thesis explores how an understanding of concepts of the framework of intersectionality may build resilience and increase ability for middle schoolers to learn to be active, effective allies for one another. Allyship is discussed as a necessary skill to learn and not a label one can self-select. A literature review is presented with a specific focus on intersectionality; trauma, resilience, and long-term impact of childhood trauma; and active allyship. These concepts are then framed through a social work lens, focusing on micro, mezzo, and macro levels. As human connection is critical for psychosocial health, this thesis then presents a …

Educators’ Perceptions Of Youth Behavioral Health Training In Schools Across North Dakota, Elisa Laura Diederich

Theses and Dissertations

During the 2019 North Dakota legislative session (the 66th Legislative Assembly), Senate Bill 2149 was introduced to amend the North Dakota Century Code (NDCC) at Title 15.1 Elementary and Secondary Education, Chapter 07 School Districts, Section 34, which addresses behavioral health (including mental health) in an educational setting. This bill was enacted.The purpose of this flexible design qualitative study was to investigate experiences teachers, principals, and school counselors have had related to their students’ mental and behavioral health. Furthermore, this study investigated the perceptions North Dakota educators have had related to professional development on student behavioral health. Finally, this study …

Effects Of Hiv-1 Gp120 On Intracellular Levels Of Iron And Reactive Oxygen Species: Implications For Lysosomal Stress, Koffi L. Lakpa

Theses and Dissertations

Approximately 1.2 million people in the U.S.A are living with HIV-1. The development of antiretroviral therapeutics has increased the life expectancy of people living with HIV-1 (PLWH). Yet, there is a growing concern for aging HIV-positive individuals because about 50% of PLWH develop neurological impairments, termed HIV-associated neurocognitive disorders (HAND). There are no treatments for HAND and the mechanisms underlying its pathogenesis remain unclear. Several factors are implicated in HAND pathogenesis, such as HIV-1 coat protein gp120, endolysosome and mitochondrial dysfunction, and elevated levels of reactive oxygen species (ROS). Endolysosomes are acidic organelles that contain readily releasable stores of cations, …

The Relationship Between Digit Ratio (2d:4d) And Muscular Fitness: A Systematic Review And Meta-Analysis, Brooke Pasanen

Theses and Dissertations

Background: Digit ratio (2D:4D), a marker of prenatal testosterone exposure, is a weak negative correlate of sports/athletic/fitness performance. While numerous studies have examined the relationship between 2D:4D and physical fitness, there has never been a comprehensive study that has synthesized studies examining relationships between 2D:4D and muscular fitness. Objectives: To systematically review and meta-analyze the relationship between 2D:4D and muscular fitness measured as handgrip strength (HGS). Methods: This study systematically searched five electronic databases, reference lists, topical systematic reviews/meta-analyses, and personal libraries in November 2020. Peer-reviewed, cross-sectional studies that reported Pearson’s correlation coefficients between objectively measured 2D:4D and HGS were …