Digital Commons Network^™

Deaf Community, Cochlear Implants, And Language Access, Amelia Segroves

Honors Theses

This thesis looks at how getting a cochlear implant can affect a Deaf or Hard-of-Hearing person’s identity, language development, and sense of belonging. It compares people who see deafness as part of a rich culture (big “D” Deaf) with those who see it more as a medical condition (little “d” deaf). By reviewing studies and articles, the research explores how early exposure to language, school environments, and family choices influence how people communicate and see themselves.

This thesis looks at how getting a cochlear implant can affect a Deaf or Hard-of-Hearing person’s identity, language development, and sense of belonging. It …

The Use Of Stress Testing In Evaluating Systemic Risk: Lessons From The Global Financial Crisis, Katherine Laws

Honors Theses

This paper examines the role of stress testing as a crucial tool for assessing systemic risk in the financial system, particularly in the aftermath of the global financial crisis. The global financial crisis, which unfolded between 2007 and 2009, exposed significant vulnerabilities within financial institutions and highlighted the inadequacies of existing risk management frameworks. In response, regulators and financial institutions increasingly turned to stress testing to evaluate the resilience of financial systems against economic shocks.

The paper will begin by defining systemic risk and the importance of effective risk assessment strategies. The paper will outline how stress testing can simulate …

The Difference In Financial Literacy Between Students Of The Business College And The Rest Of The Student Body At Wmu, Ivane Mkheidze

Honors Theses

This thesis investigates the persistent gap in financial literacy among high school and college students, despite increased emphasis on financial education over recent decades. Drawing inspiration from Lewis Mandell’s studies, including “Financial Literacy: If It’s So Important, Why Isn’t It Improving?”, the research evaluates the effectiveness of financial literacy courses and highlights their failure to produce long-term gains in knowledge or behavioral change. Through a synthesis of academic literature and critique of methodologies, the thesis explores the inefficacy of current teaching models, including overreliance on engagement tools like the Stock Market Game, and the influence of socio-economic factors, motivation, and …

An Exploration Of The Use Of Tier I Occupational Therapy Services In An Elementary School, Emilee Schumacher

Honors Theses

This project aimed to explore how and to what extent school-based occupational therapists implement Tier 1 interventions within an elementary school setting. The research involved conducting interviews with occupational therapists and observing their interactions with students to better understand the scope and nature of the services they provide. During the project, several Tier 1 services were identified, with a particular focus on addressing fine motor skills, social-emotional development, and gross motor skills. Several benefits of implementing tier 1 services in the school setting were identified. The challenges school-based occupational therapy practitioners face when implementing Tier 1 services in the elementary …

Using Video Models Plus Feedback To Teach Interview Skills, Zoe Odom

Honors Theses

Autism is a neurodevelopmental disorder that is partially characterized by deficits in social communication and interaction. These deficits can be displayed by struggles in developing relationships and social-emotional reciprocity (American Psychiatric Association [APA], 2022). In the context of competitive employment, social skill deficits can impose challenges in securing and maintaining an employment position, with 8.1% of adults with disabilities between the ages of 16-65 unemployed (U.S. Bureau of Labor Statistics, 2024). Video-based instruction (i.e., video models and prompts) has been used to teach adults with autism a wide variety of skills up to 100% accuracy, including vocational skills such as …

Modern Creativity Thriving Through The Roots Of Occupational Therapy, Kelly Allen

The Open Journal of Occupational Therapy

Peace, a client artist at Corvilla, provided the cover art for the Spring 2025 issue of the Open Journal of Occupational Therapy (OJOT). This untitled artwork is a mixed-media painting featuring a vase of daisies, hand-drawn by Peace, which was engraved into reclaimed wood with a CNC machine, painted, and hand-sanded to reveal the image through the contrast of paint and wood. This and many other artworks are produced daily and sold in the storefront of the organization. Corvilla’s art program, Studio Five9, echoes the earliest models of arts and crafts workshops found in rehabilitation facilities in the early 20th …

Empathy In Occupational Therapy: A Call For Reflection, Razan Hamed, Vikram Pagpatan

The Open Journal of Occupational Therapy

Empathy is a building block in health care professions and it has been studied for decades in social and medical sciences given its significant role in health care outcomes and client satisfaction. In a climate where societies are congested with ideological conflicts, sociopolitical issues, racism, microaggressions, and bias, we must reflect on how we are preparing our students and future occupational therapists to be empathetic communicators and clinicians. We must also capture the evolution of empathy in new generations of occupational therapy students in the era of sociopolitical change, telehealth practices, and remote learning. Empathy decline is a documented trend …

Occupational Therapy’S Role In Supporting Persons With Cognitive And Communication Impairment In Acute Hospital Settings, Molly Bathje, Carole Schwartz, Carly Ebert, Allison Harvey

The Open Journal of Occupational Therapy

It is estimated that 10.9% of adults in the United States live with a cognitive disability and 10% experience communication disorders. When hospitalized, people who have co-occurring cognitive and communication impairments (CCI) experience more hospital-related complications, longer lengths of stay, and higher risks for readmission and mortality. Co-occurring CCI refers to people who are hospitalized for a primary condition who also have a pre-existing or hospital acquired CCI.

Occupational therapists make important contributions to interprofessional care teams for persons with disabilities in hospital settings. This article explores the complexity of individual- and system-level factors contributing to poorer health outcomes for …

Accessibility Status To Pediatric Occupational Therapy Services: Views From Health Care Providers At A Rehabilitation Hospital In Rwanda, Jean Claude Tuyishime, Lizahn Gracia Cloete, Jerome Peter Fredericks

The Open Journal of Occupational Therapy

Background: Occupational therapy is a growing profession in Rwanda. Since the commencement of the occupational therapy training program at the University of Rwanda in 2014, accessibility to newly established occupational therapy services in Rwanda is unknown. This study aimed to explore health care providers’ views on access to pediatric occupational therapy services at a rehabilitation hospital in Rwanda.

Methods: An exploratory qualitative design with an interpretive descriptive approach was used. Purposive sampling was employed to select a sample of 10 health care providers working at an orthopedic and rehabilitation hospital in Rwanda. The semi-structured interviews were audio-recorded, followed by verbatim …

Personal Narrative As Pedagogy: A Model For Socially Responsive Narrative-Based Education In Occupational Therapy, Johnna Belkiewitz, Sally Wasmuth

The Open Journal of Occupational Therapy

The practice of occupational therapy relies on the collection and analysis of life narratives to provide responsive client-centered care. As developing holistic practitioners, occupational therapy students are taught to consider these shared stories within a larger context of historical and societal systems by acknowledging such factors as social determinants of health. Case studies are a frequently used tool to teach these skills; however, evidence supports that the identities of these educational stories’ authors can influence which perspectives are shared and, ultimately, impact developing occupational therapists’ perpetuation of or opposition to existing systems of oppression. Critical Race Theory and qualitative methodology …

Exploring The Relationship Between Preadmission Grade Point Average And Selected Occupational Therapy Program Outcomes, Robyn Wu, Jason Straub

The Open Journal of Occupational Therapy

Grade point averages (GPAs) are often considered in admissions to occupational therapy programs, but the predictive value of GPAs has not been well-studied. The current study investigated if preadmission GPAs predicted whether students passed all occupational therapy program coursework and the National Board for Certification in Occupational Therapy (NBCOT) exam on the first attempt. We analyzed 419 records of students who had matriculated in a master’s or doctoral occupational therapy program between 2010 and 2019. Binary logistic regression analyses were used to determine the effects of the independent variables science GPA and overall GPA on non-passing grades and on NBCOT …

Occupational Therapy’S Role For Gender-Affirming Genital Surgeries: Metoidioplasty And Phalloplasty, Adam Steuer, Kaysen Walker

The Open Journal of Occupational Therapy

This article explores the new surgical population of gender-affirming surgery, specifically genital surgeries of phalloplasty and metoidioplasty for transgender and gender-diverse people. There are established perioperative rehabilitation guidelines for nearly all other surgeries. A growing population of people is seeking gender-affirming health care that includes genital surgery. This article reviews the guidelines set forth by the World Professional Association for Transgender Health Standards of Care, Version 8, explores the occupational needs of this population, as well as provides suggestions for future versions of the Occupational Therapy Practice Framework, version 4, to provide more inclusive language for the unique needs …

Examining Content Validity Of Home For Life Design Home Assessment For Home Safety And Accessibility, Debra K. Lindstrom, Jade Nguyen

The Open Journal of Occupational Therapy

Background: Older adults aging in place face daily challenges in functional mobility and increased fall risk. Home environments lack accessibility and safety features that promote safety, independence, and longevity. Quality home assessments that are reliable, valid, and efficient are necessary to help determine the safety and accessibility of the built environment for persons aging in place.

Method: A mixed-method study was conducted to determine if the Home for Life Design (HfLD) Home Assessment is a valid assessment for measuring safety and accessibility in the home. Eight experienced occupational therapists completed a Content Validity Index (CVI) and qualitative interview …

Evaluation Of An Occupational Therapy Intervention In Prisons To Prepare Incarcerated Individuals For Successful Community Reentry, Dalenna Bellum, Sue Dahl-Popolizio, R. Curtis Bay, Angela Zhu, Jeremiah Fine, Bruce Kotter, Abbey Glenn, Rebecca L. Wolf

The Open Journal of Occupational Therapy

Background: Literature suggests that to reduce recidivism and facilitate successful community reintegration, incarcerated individuals need life skills training before release. This study evaluated the effectiveness of such an occupational therapy (OT) program.

Methods: We provided and evaluated a 12-session pilot OT program with incarcerated men providing life skills education for community reentry. We used forced-choice and open-ended questions with pre/post Employee Self-Assessment Tool (ESAT), assessing interpersonal, self-management, analytical skills, and skills used in an organization, and Life Skills Program Daily Surveys (LSDS) assessing participants’ perceptions of program effectiveness.

Results: Ninety-three of the residents participated; 69 completed …

Patient-Generated Graphs To Measure Pain And Fatigue In Persons With Neuralgic Amyotrophy, Renske Mj Janssen, Jos Ijspeert, Jan T. Groothuis, Nens Van Alfen, Alexander Ch Geurts, Maud Jl Graff, Tanya L. Packer, Edith Hc Cup

The Open Journal of Occupational Therapy

Background: Patients with neuralgic amyotrophy (NA) often experience limitations in daily activities because of pain and fatigue. Visual analogue graphs with a 24-hour x-axis can be used to rate pain and fatigue severity during a typical day. This study aimed to investigate the reliability and validity of the visual analogue graphs in patients with NA.

Method: Eight patients completed pain and fatigue graphs on three moments to examine inter-rater and test-retest reliability using Intraclass Correlation Coefficients (ICCs). Concurrent validity (n = 47) was tested by determining correlations between mean pain graph scores and numerical rating scale for pain (NRS-pain) and …

Influence Of A Disrupted Practice Context On Occupational Therapists' Clinical Reasoning: A Qualitative Study, Perrine Vermeulen, Joseph-Omer Dyer, Marie-Christine Hallé, Marjorie Gingras, Anne Mingant, Manon Parisien, Annie Rochette

The Open Journal of Occupational Therapy

Background: Clinical reasoning in occupational therapy involves integrating client factors, professional knowledge, and practice context to guide decision-making. The COVID-19 pandemic disrupted health care contexts, potentially affecting therapists' reasoning. This study explored the factors that influenced occupational therapists' clinical reasoning during this crisis.

Method: A qualitative descriptive study was conducted using semi-structured remote interviews with 11 occupational therapists in Quebec, Canada. The 60-min interviews, realized in 2021 and 2022, were recorded, transcribed verbatim, and analyzed inductively to identify reasoning-related themes. Deductive analysis involved coding text segments based on the 14 domains of the Theoretical Domains Framework. Transcripts were coded by …

A Survey-Based Quantification Of Imposter Phenomenon In Occupational Therapy, Dina Prisco, Siobhan Walsh

The Open Journal of Occupational Therapy

Background: Imposter phenomenon is a professional issue that negatively affects health professionals’ performance and well-being. This study examined imposter phenomenon’s prevalence in occupational therapy (OT). Researchers hypothesized that imposter phenomenon is prevalent in OT, more so in underrepresented groups. The rate of imposter phenomenon throughout OT was quantified and rates between demographic groups compared.

Method: This study used an exploratory, survey-based research design. Survey sections included informed consent, demographics, and the Clance Imposter Phenomenon Scale (CIPS). The CIPS measured rates of imposterism. Analyses of variances and independent group t-tests were performed to identify significant differences between groups. Inclusion criteria …

D.A.D.S. Club: Pilot Study Outcomes Of A 5-Week Parenting Program For Fathers In Recovery From Substance Use Disorder, Oaklee Rogers, Kristin Riordan, Elaina Corbin, Shannon Forman, Kara Grace Zahariades, Andrea Clemens, Keely Mcdowell

The Open Journal of Occupational Therapy

Background: Over 44 million adults have a substance use disorder, with approximately two million children living with a parent with this disorder. Approximately 40% to 60% of men who receive treatment have a child under 18 years of age. However, most parenting programs are developed and implemented for mothers with addiction, leaving fathers without this fundamental knowledge and skills.

Method: A pilot study using a longitudinal interventional study was conducted to explore the feasibility and effectiveness of an occupational therapy-developed program for fathers in recovery. Pre and post surveys, including the Parenting Sense of Competence, were collected from the …

Sensory Processing And Sleep In Infants And Toddlers In Health Provider Shortage Areas - A Cohort Study, Bryan M. Gee, Nicki L. Aubuchon-Endsley

The Open Journal of Occupational Therapy

Background: This study delves into the interplay between sleep quality and sensory processing in infants and toddlers in underserved rural areas in the U.S. Despite established links between these variables in typically developing children, limited research explores this relationship in communities facing elevated rates of mental, behavioral, and developmental disorders.

Methods: We aimed to examine the connections between sensory processing at 10, 14, and 18 months postpartum and sleep quality at 18 months in a rural and medically underserved setting. A total of 44-53 participants completed the questionnaire and survey measures at the specified time points.

Results: Utilizing the Infant …

Perspectives Of School-Based Occupational Therapists, Hannah Smiles, Charlie Mechling, Steven D. Taff, Lauren E. Milton

The Open Journal of Occupational Therapy

Background: In the United States, schools are the second largest employer of occupational therapists (AOTA, 2020a). While research on school-based topics exist, to date there is no comprehensive study on school-based occupational therapy (OT) practice. The purpose of this study was to describe current implementation of the school-based OT process and better understand perspectives of school-based occupational therapists.

Methods: This descriptive study consisted of a researcher-developed survey with open- and close-ended demographic and practical questions related to the school-based OT process. A convenience sample of school-based occupational therapists were recruited with a snowball recruitment strategy via email and …

Guidelines For Conducting Survey Research: Part 2 – Administration And Analysis, Rob Lyerla, Diane Powers Dirette

The Open Journal of Occupational Therapy

In the Fall 2024 issue of The Open Journal of Occupational Therapy (OJOT), the letter from the editor discussed the background of survey research and introduced the readers to a guideline for conducting research with a focus on survey development and recruitment of participants (Dirette & Lyerla, 2024). In this issue, we are following up with Part 2, which focuses on administering a survey and analyzing the results. We hope you find these guidelines useful for conducting quality survey research.

Preservation And Integrity Of Laboratory Solutions: Understanding The Impact Of Storage Practices On Chemical Stability And Experimental Accuracy, Azza Al Jahdhami

Honors Theses

Chemical storage methods represent a key matter ignored within labs, educational sites, workplaces, and even households. Many people, including various students and instructors within the chemistry field, are unaware of the proper methods for storing and disposing of common chemicals. This study aims to understand the effects of storage practices on chemical stability and experimental accuracy, dealing with the following questions: What kind of effects result from improper chemical disposal? How can improper storage affect the overall chemical effectiveness? Why is sink disposal of many solutions discouraged, and why is waste container disposal always necessary?

Through a literature review, this …

Investigating Cold Homicide Cases In Michigan: Combining Systematic Research With Experiential Insight, Jaqueline Chavarria

Honors Theses

According to the Michigan State Police (2023), murder/non-negligent manslaughter, commonly known as homicide, is the “willful (non-negligent) killing of one human being by another.” The Murder Accountability Project suggests there could be over 20,000 unsolved homicide cases in Michigan between 1965 and 2023 (2024). Despite the prevalence of unsolved cases, scholarly analysis on the topic is limited. This study examines solvability factors, also known as clearance factors, for cold homicide cases in Michigan by conducting a systematic literature review with news publications. Additionally, this study incorporates experiential insight, offering a holistic exploration of solvability factors. Using a systematic approach, 15 …

Fd&C Red Dye No. 40 (Allura Red) Effects On Non-Human Animal Testing: A Systematic Review, Vilate Winfrey

Honors Theses

Artificial food dye is added to foods to enhance their color and appearance for consumers. This systematic review aims to review the literature on Red Dye No. 40 and its effects on non-human animals. Studies were included if (a) exposure to Red Dye No. 40 was the independent variable, (b) nonhuman animals were the subjects, and (c) at least one behavioral, neurological, or physiological dependent variable was reported. An article search was conducted with Scopus Elsevier. An abstract review was conducted to determine whether the articles met all inclusion criteria. The author conducted a multi-stage application of inclusion criteria to …

Truly We Speak Podcast - Creative Thesis Project: "Uplifting Faith, Community, And Education Through The Voice Of The People.", Sierra Ward

Honors Theses

This creative thesis has been curated by Sierra Ward, a Sales and Marketing student at Western Michigan University. The intent behind this project was to combine shared interests between Faith, Community, and education to create a podcast, interviewing prominent members of the community, in hopes of inspiring others to “speak truly” and use their voice to evoke everlasting change. A wide range of guest were chosen to have authentic conversations with the purpose of educating the audience about real life situations. The filming of this project started in Fall of 2024 and concluded in the Spring of 2025.

Growing up …

Who Needs More Than 1 Water Bottle? Apparently, Everyone., Jazmyn Weddig

Honors Theses

This research investigates the interplay between a good’s functional durability, and its collectability, focusing on the Stanley Quencher water bottle market as a case in point, which has recently gained widespread consumer interest. It examines the economic and psychological factors driving consumer behavior and the market dynamics associated with durable goods that become collectibles. This paper begins with a comprehensive analysis of Stanley and the history of the company to provide a better understanding of their evolving marketing strategies. This paper takes special interest in collecting behavior, planned obsolescence, market structures and economic utility to help explain consumer behavior within …

The Laureate, Brooklyn Hoover

Honors Theses

The Laureate’s mission is to provide undergraduate students at Western Michigan University a medium through which to publish their fiction, poetry, nonfiction, photography, graphic novels, and other creative works. The Laureate strives to be a professional and engaging journal that appeals to all. The 23^rd edition of The Laureate is unique in that, despite having no strict guidelines on themes, mediums, or styles, we found that many students expressed themes of grief, recovery, self-discovery, and new beginnings. Together, these works create a complex story of introspection and reflection.

Co-editors, Grace Cieslikowski and Brooklyn Hoover facilitated the launch of the …

Library At The Concert Hall: An Interdisciplinary Library Outreach Strategy For Unexpected Spaces, Michael J. Duffy Iv, Jessica M. Abbazio

University Libraries Faculty & Staff Presentations

This poster highlights strategies for staging pop-up libraries aligned with campus events. The presenters share perspectives on connecting with campus affiliates and community members at performing arts venues at two separate institutions, and share longitudinal data that illustrates the value of this outreach strategy for engaging a range of potential library users. Attendees will explore ideas for highlighting connections between potential visitors’ interests and library collections, and discover strategies for collaborating with library colleagues across disciplines to meet these needs. Participants will learn methods for leveraging this flexible approach to fit their own capacity and collection parameters. Objective 1: Explore …

The Internal Flame, Bailey Robydek

Interior Design Capstones

This body of research and design explores the vital relationship between interior environments and the well- being of firefighters. Challenging the traditional assumptions about how fire station design impacts their health and recovery. Firefighters endure significant physical exertion, psychological stress, and exposure to traumatic events, yet many fire station interiors remain focused primarily on operational functionality rather than personal wellness.

This research underscores the urgent need for fire station design to transcend traditional assumptions and evolve into a model that actively supports holistic recovery. Firefighters require spaces that address the cumulative impacts of their profession, both physical and mental taxation. …

Sensory Processing At Bethany Christian Services: Education And Implementation Of Sensory Needs For Adolescent Males Through A Trauma Responsive Lens, Tatum L. Johnson

Capstone Projects

This capstone project addressed a critical gap in sensory processing support and understanding among adolescent males with sexual behavior problems at Bethany Christian Services’ Ridgeview Residential Program. The project aimed to enhance awareness of Occupational Therapy (OT) among staff and residents, improve inter-organizational communication, support classroom sensory regulation, and promote mindfulness practices within the facility. These objectives were achieved through a range of learning activities, including “What is OT?” educational videos, OT communication binders for each resident, a training binder for incoming OT students pertaining to Bethany Christian Services, sensory kits for classroom use with corresponding educational videos, scheduled classroom …