Digital Commons Network^™

Promoting Maternal Well-Being: Occupational Therapy In Pregnancy And Postpartum, Nora Udrys

Capstone Projects

Navigating pregnancy and the postpartum period can be a complex experience for women. There is a lack of diverse information, accessible resources, and support during this phase of life. Hormonal levels fluctuate not only during pregnancy but after giving birth as well, contributing to significant physical, emotional, and cognitive changes. Some of these changes may create barriers to meaningful participation in daily occupations, contributing to feelings of isolation, mood disruptions, and decreased overall well-being. Occupational therapy has a unique role in supporting women through pregnancy and postpartum by helping them navigate these transitions through a holistic, client-centered lens. The purpose …

Expanding Nbcot® Exam Readiness Resources In An Entry-Level Otd Program, Thahiyatul Sarah

Capstone Projects

The National Board for Certification in Occupational Therapy (NBCOT®) exam is a critical requirement for entry-level occupational therapy (OT) practice in the United States; however, many students face challenges in effectively preparing for its clinical reasoning demands. This literature review examines existing research on NBCOT® exam preparation strategies to inform the development of a comprehensive exam content guide and resources tailored for OT graduate students. Existing barriers, including gaps in curriculum alignment, limited access to effective study tools, and high levels of student stress, highlight the need for more structured and accessible preparation methods. By examining key themes such as …

Development Of Purposeful Movement Breaks And Sensory Pathways To Enhance Student Engagement And Participation, Ashlyn Houck

Capstone Projects

Children in school settings frequently spend extended periods seated in classrooms, which can make it difficult to meet their sensory and movement needs throughout the school day. When these needs are unmet, students may demonstrate behaviors that disrupt learning and limit participation in classroom activities. This capstone project addressed the need for sensory and movement opportunities within the school environment. Objectives included establishing a baseline of teacher knowledge related to the sensory systems, implementing movement breaks within daily classroom routines, and introducing sensory opportunities in hallways to support smoother transitions. The project was implemented with second- and third-grade classrooms. Outcomes …

Exploring Lived Experiences And Perceived Quality Of Life In Individuals With Parkinson’S Disease Engaging In Rock Steady Boxing: A Qualitative Study, Emma Norman

Capstone Projects

It is well established that exercise provides numerous benefits to the general population, including improved physical functioning, fall prevention, and better sleep (National Institute on Aging, 2025). For individuals living with Parkinson’s Disease, the benefits of exercise are especially meaningful as exercise plays a key role in managing symptoms. Regular exercise plays a critical role in managing both motor and non-motor symptoms of Parkinson’s Disease, contributing to improved quality of life and independence (Ellis & Rochester, 2018). A group fitness program for individuals with Parkinson’s Disease, called Rock Steady Boxing, has demonstrated positive quantitative outcomes, including improved balance, strength, and …

Sexuality And Intimacy: Education On Ot Approach, Abby Stritzinger

Capstone Projects

Providing proper education on sexuality and intimacy is important for increasing comfort when addressing sex and intimacy with individuals in the professional field.  “Sexual health requires a positive and respectful approach to sexuality and sexual relationships, as well as the possibility of having pleasurable and safe sexual experiences, free of coercion, discrimination and violence. For sexual health to be attained and maintained, the sexual rights of all persons must be respected, protected and fulfilled” (WHO, 2006a). Creating occupational therapists (OTs) that are comfortable addressing this topic is extremely important for the OT profession to continue to maintain its holistic, client-centered …

Expanding Access To Equine-Assisted Occupational Therapy: Integrating Clinical Application And Program Development, Deanna Rietveld

Capstone Projects

This capstone project explored the role of hippotherapy in occupational therapy through enhanced clinical practice skills as well as supporting program development through community education and funding accumulation for the capstone site organization. Guided by a needs assessment drawn from literature, site mentor input, and other local organizations providing similar services, it was determined that occupational therapy using equine movement provides more impactful results while simultaneously addressing deficits in a variety of areas, but lack of financial resources, community participation, and therapy scholarships threaten the opportunity to expand programs and provide access to individuals who would benefit from services. In …

Practical Exploration Of The Role Of Occupational Therapy In A Nature-Based School Setting, Emma Campbell

Capstone Projects

School-based occupational therapy (OT) plays a critical role in supporting children’s participation, development, and engagement in educational environments. However, non-traditional school settings often lack therapeutic supports, such as OT services. The purpose of this doctoral capstone experience (DCE) is to explore and expand the role of occupational therapy within a non-traditional academic setting, specifically a nature-based preschool program. Sunflower Farm’s preschool program provides a unique learning environment that supports children’s development through farm-based learning. While this setting offers rich opportunities for exploration and growth, additional supports are needed to facilitate students’ sensory processing, self-regulation, and participation.

The objectives of this …

“As Though You Could Never Sink”: Gender Euphoria Through Aquatic Embodiment In The Sun Also Rises, Devan Edwards

Honors Theses

Recent scholarship in disability studies and queer theory (2007-2024) reveals that Jake Barnes's war wound in Hemingway's The Sun Also Rises functions as something more complex than tragic loss. This paper argues that Jake's swimming and fishing scenes constitute moments of gender euphoria, a term borrowed from contemporary transgender studies, enabled specifically by aquatic embodiment. In these scenes, water functions as the physical and symbolic medium through which Jake's war-wounded body transcends the performative demands of 1920s heteronormative masculinity. Building on Michael Anesko's provocative reading of Jake as "accidentally transgendered" (Literature and Medicine, 2015) and Martina Kübler's argument that impotence …

Modulating Acute Stress Reactivity: Behavioral Interventions And Caffeine-Linked Stress Physiology In College Students, Kaitlyn Smith

Honors Theses

College students frequently rely on caffeine to manage academic demands, yet its physiological and psychological effects on acute stress remain poorly understood. Although caffeine is known to increase cardiovascular arousal and self‑reported anxiety, little research has compared different caffeine sources within the same individuals or examined whether brief behavioral interventions can buffer these effects. Self‑affirmation, a short writing exercise centered on personal values, has been shown to reduce stress reactivity, but its interaction with caffeine‑induced arousal has not been tested. This within‑subjects study examines how coffee, energy drinks, and a no‑caffeine control influence acute cardiovascular and self‑reported stress responses, and …

Therapeutic Applications Of Tabletop Role-Playing Games In Treatment Of Depressive And Anxious Symptoms In Young Adults, Dash Degrote

Honors Theses

Tabletop role-playing games (TTRPGs) are played by a large population and involve the engagement of social and emotional skills, with the largest portion of the population playing them being adolescents or young adults. The therapeutic application of TTRPGs in the treatment of depressive and anxious symptoms shows potential with this population. In a literature review, three major themes are identified: TTRPG culture, stakeholder perspectives of TTRPGs, and examples of therapeutically-applied TTRPGs. Overall, evidence suggests that TTRPGs can positively impact the concerned symptoms, though more research is needed for games outside of Dungeons & Dragons as well as stakeholder perspectives.

Exercise As A Non-Pharmacological Intervention For The Prevention And Delay Of Alzheimer’S Disease And Dementia, Eden Culver

Honors Theses

Alzheimer’s disease (AD) and related dementias are rapidly increasing public health concerns due to aging populations and rising life expectancy. Alzheimer’s disease is characterized by progressive neurodegeneration associated with amyloid-β plaques, tau neurofibrillary tangles, neuroinflammation, oxidative stress, and neuronal loss, leading to impairments in memory, cognition, and daily functioning. Because there is currently no cure for Alzheimer’s disease, identifying effective non-pharmacological prevention strategies is essential. This paper examines the role of physical exercise as a preventive and protective intervention for delaying the onset and progression of Alzheimer’s disease and dementia. Current research demonstrates that exercise supports brain health through several …

The Importance Of Trauma-Informed Care In The Juvenile Justice System, Kalinowski Lillian

Honors Theses

Trauma is a common experience among justice-involved youth, though its developmental and behavioral impacts are not always fully accounted for within juvenile justice systems. Trauma-informed care has emerged as a promising framework for addressing these challenges, however, limited research has examined how consistently such approaches are implemented in practice. This study explores the implementation and perceived effectiveness of trauma-informed care within the juvenile justice system by drawing on semi-structured interviews with five clinicians who have professional experience working with justice-involved youth in the Midwest. The findings indicate that trauma-informed care is not consistently implemented across institutional settings, with 80% of …

The Benefits Of Handcrafting, Madison Mallory

Honors Theses

Handcrafting encompasses physical creative activities such as crochet, wood working, pottery, knitting, and many others. This study includes qualitative research to focus on the impact of handcrafting on individuals. This research was conducted via interviews with 11 individuals. The parameters for individuals to be included in this study is being 18 years of age or older and having experience with handcrafting. Through these interviews two interviewees referred to hand crafting as a form of meditation while seven others expressed feeling similarly using words such as feeling present, calm, focused, and relaxed. Two people share experiences of using handcrafting as coping …

Exploring How Experiential Learning Enhances Undergraduate Education: Insights From The Wmu Cold Case Program With Michigan State Police, Maura Killips

Honors Theses

Experiential learning has become an increasingly important component of undergraduate education, particularly in fields that demand high levels of professional judgment, empathy, and technical skills. This thesis examines how the Western Michigan University (WMU) Cold Case Program (CCP), in partnership with the Michigan State Police, serves as a model of experiential learning that both enriches students’ academic experiences and contributes to real-world investigative work. Drawing on literature about experiential learning as well as my firsthand participation in the program, I analyze how structured hands-on engagement with unsolved homicide and missing persons cases has shaped undergraduate development at WMU.

Key program …

Narratives, Neurons And Narcotics: The Neurological Impacts Of Biased Crime Media And How It Disproportionately Impacts Black And Brown Drug Defendants, Jade Celestine

Honors Theses

This thesis examines how crime media and neurological bias shape the experiences of Black and Brown drug defendants in the United States criminal justice system. Drawing on existing research in psychology and neuroscience, this explanation outlines the role of perception and threat detection in the formation of implicit bias while also emphasizing a need to expand the use of neurocriminology to all legal actors. Particular attention is given towards the influence of media portrayals of criminal cases, especially for drug-related offenses and how that impacts the audiences on a neurological level. An analysis of historical factors, such as the War …

The Impact Of Cannabis Use On Pulmonary Function Among Young Adults: A Literature Review, Ava Petersen

Honors Theses

Cannabis is the most used illicit drug among young adults and many of these users perceive cannabis as harmless and do not believe the drug to be addictive. Cannabis is derived from the flower of the hemp plant and contains cannabinoids THC (tetrahydrocannabinol) and CBD (cannabidiol). THC is the psychoactive component that interacts with the endocannabinoid system to produce a coveted euphoric state among users. Cannabis can be consumed in an edible or combusted and inhaled via joint, pipe, bong, etc. The purpose of this review is to examine the effects of inhaled cannabis on pulmonary function with a specific …

Development Of A Grease Resistant Barrier For Food Industry Applications, Mira Marino

Honors Theses

The objective of this project is to develop a grease-resistant barrier coating for paper-based food packaging and to evaluate the economic feasibility of implementing this coating system at an industrial scale. As demand increases, this project focuses on identifying an optimal pigment and binder combination that enhances barrier performance while maintaining cost-effectiveness. The primary goal was to maximize grease and moisture resistance of coated paper while ensuring the process is economically viable and compatible with existing paper mill operations.

The final plant design consists of one continuous stirred tank reactor (CSTR) and three centrifugal pumps integrated into an existing paper …

Investigating The Cost And Efficiency Of Two Chemical Pathways To Produce The Plant-Based Coagulants, Taylor Nixon

Honors Theses

Plant-based coagulants are promising sustainable alternatives for water treatment due to their biodegradability, low toxicity, and reduced risk of secondary pollution. Unlike conventional inorganic coagulants, they generate less sludge and avoid secondary contamination in the environment. This project examines two chemical modification strategies for producing cationic cellulose coagulants. The first involves direct amination of cellulose using CHPTAC, while the second employs periodate-oxidized dialdehyde cellulose, which enables reductive amination through reactive aldehyde groups. These approaches are expected to yield materials with differing charges, surface functionalities, and structural properties that may influence coagulation performance. The study evaluates the technical and economic feasibility …

Navigating Screens For Neurodivergent Individuals, Avery Wilson

Honors Theses

As technology becomes more prevalent in everyday life, it is important to consider the implications that this may have for one's mind and well-being. These implications are particularly important for vulnerable populations, such as neurodivergent individuals, who may have unique sensitivities to technology consumption. This paper reviews current literature to provide an overview of the implications of using media on the neurodivergent population, such as individuals with Autism Spectrum Disorder (ASD) and Attention Deficit/Hyperactivity Disorder (ADHD), who often possess unique brain sensitivities that influence technology consumption.

To begin, the paper examines the changes in brain structure and functioning in children …

Development Of 6-Week Tier 2 Intervention Tracks Within An Elementary Mtss Framework, Maxwell Lyle

Capstone Projects

The Multi-Tiered System of Supports (MTSS) is designed to provide levels of support with differing intensity that align with student needs. Tier 1 is universal instruction provided to all students in the classroom. Students who do not demonstrate adequate progress may receive Tier 2 interventions, which are primarily small-group and, when appropriate, individual interventions that are skill-specific, time-bound (6–8 weeks), and include progress monitoring. Students who do not respond to Tier 2 may require Tier 3 supports, which are intensive, individualized interventions. Many school systems lack consistent, structured Tier 2 supports, particularly in Occupational Therapy-related skills, such as fine motor …

From Browsing To Building: Navigating Your Google Resource Space (Drive & Site), Libby Cunningham

Capstone Projects

This capstone project aimed to develop a trauma-informed, evidence-based support hub for Court Appointed Special Advocates (CASA) working with children involved in the foster care system. CASA advocates are frequently exposed to secondary trauma, burnout, and compassion fatigue, which can impact their effectiveness and overall well-being. Additionally, trauma exposure significantly affects children’s emotional regulation, behavior, and participation in daily occupations. The primary objective of this project was to design, develop, and organize a comprehensive digital resource platform tailored to the needs of Kalamazoo CASA and their active cases. Utilizing evidence-based literature on trauma-informed care and secondary trauma, relevant resources were …

The Missing Link Between Occupational Therapy And Hemodialysis: Program Development And Implementing Intradialytic Ot In A Rural Hospital Setting, Madison Maki

Capstone Projects

Occupational therapy (OT) has demonstrated effectiveness in supporting individuals undergoing hemodialysis, a life‑altering yet lifesaving treatment for end‑stage renal disease (ESRD) and chronic kidney disease (CKD). Despite this, hospitalized patients who require dialysis often receive reduced rehabilitation services due to the time‑intensive nature of dialysis and the productivity demands placed on therapists. Additionally, gaps in therapist knowledge regarding the unique functional deficits and educational needs of this population further limit service delivery.

This doctoral capstone project (DCE), conducted at Upper Peninsula Health System (UPHS), a hospital in rural Northern Michigan, addressed these barriers through the development of a comprehensive resource …

Addressing Barriers To Occupational Therapy Access For Foster Youth Through Advocacy And Education, Josephine Sanders

Capstone Projects

Occupational therapy (OT) is well positioned to support regulation, sensory processing, and participation in daily activities, yet its role in trauma-informed care is often underrecognized. Foster youth experience disproportionately high rates of trauma exposure, which can affect emotional regulation, behavior, relationships, and participation in meaningful occupations. Despite these needs, barriers within healthcare systems and limited awareness of OT’s role often prevent foster youth from accessing services.

This doctoral capstone experience focused on increasing access to OT for foster youth through advocacy, education, and advanced clinical learning and practice. The experience took place at CAYA Therapies in Grand Rapids, Michigan, where …

Development Of Resources To Support Independence In And Access To Nature-Based Activities, Riley Carpender

Capstone Projects

This capstone paper discusses the need for resources that support independence in and access to nature-based activities that support health and wellbeing. Occupational therapists (OTs) have expertise in recommending and implementing adaptations to increase individuals’ engagement in nature-based activities. There is currently a gap in the literature regarding access to nature-based activities, and a lack of understanding of how these activities may be implemented, either by caregivers, educators or healthcare professionals. During my capstone I created a guide with modifications for gardening activities for children, wrote an article on how to adapt nature journaling to be more accessible, coded and …

Exploring Occupational Therapy’S Role In Addressing Mental Health Disparities And Emergency Service Utilization Among Homeless Populations: A Comprehensive Review, Megan Darnell

Capstone Projects

Occupational Therapy (OT) is a healthcare profession focused on enabling individuals to engage in meaningful activities and roles through a client-centered approach. This doctoral capstone experience (DCE) was completed in the Emergency Department (ED) at Bronson Methodist Hospital, where individuals experiencing homelessness frequently present with unmet mental health needs. A gap was identified in the accessibility and utilization of community-based mental health and social resources, contributing to repeated ED utilization. The purpose of this DCE was to examine how resource provisions impact the frequency of ED visits and engagement with community mental health services among this population. Objectives include developing …

Advocating For Occupational Therapy Services In Adult Outpatient Physical Therapy Clinics: Enhancing Interprofessional Collaborative Care, Hannah Peyerk

Capstone Projects

The topic of this capstone project is to define occupational therapy’s (OT) role at an adult outpatient physical therapy (PT) clinic. The project focuses on advocacy and education related to OT’s scope of practice and role on an outpatient interdisciplinary team. Literature suggests that healthcare professionals have limited understanding of OT’s specific roles on the rehabilitation team. This can impact referrals and involvement of OT in interprofessional collaboration. The best way to advocate and educate about OT’s role is by active collaboration with other healthcare professionals. This project takes place at Ivy Rehab Physical Therapy (Ortonville), an outpatient PT clinic …

Role Of Occupational Therapy In Hippotherapy And Therapeutic Riding: A Mental Health Perspective, Ava Morrison

Capstone Projects

The purpose of my doctoral capstone experience (DCE) was to gain knowledge about the unique role that occupational therapy (OT) plays in equine-assisted therapy at the Cheff Therapeutic Riding Center, with an emphasis on Therapeutic Riding. Equine-assisted therapy, including hippotherapy and therapeutic riding, is an emerging area of occupational therapy practice that promotes physical, cognitive, emotional, and social well-being through structured interactions with horses. Despite growing evidence supporting the therapeutic benefits of equine-assisted interventions, confusion remains regarding the distinctions between hippotherapy and therapeutic riding, highlighting the need for increased education and advocacy within the field. In addition, there is a …

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 …

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 …

Refreshing Recess: An Every Moment Counts Initiative For Engaging Recess Participation, Paige Kuhn

Capstone Projects

Research supports the role of occupational therapy (OT) in school-based mental health promotion and the use of occupation-based interventions to enhance student participation, social-emotional learning, and self-regulation. However, there is limited evidence on the implementation of Every Moment Counts (EMC): Refreshing Recess in elementary school settings, particularly when adapted to real-world contexts. The focus of this doctoral capstone experience (DCE) was to address this gap through the development and implementation of an adapted recess-based program at Douglas Elementary School in Douglas, Michigan.

This project involved implementing a six-week Refreshing Recess program designed to promote inclusive play, peer interaction, and emotional …