Digital Commons Network^™

Implementation Of A Life Skills Program With Houseless Youth, Stephanie Velasco

Capstone Projects

The goal of my capstone project was to use occupational therapy knowledge and processes to integrate life skills training into a pre-existing program of services at a not-for-profit organization that helps youth overcome being houseless on Oahu, Hawaii. Occupational therapy as a profession helps individuals to engage in everyday meaningful activities as independently as possible. The scope of occupational therapy includes education and practice of life skills. Life skills are practical abilities and behaviors that allow individuals to effectively meet the demands and challenges of everyday life. Examples of these are knowledge of food and nutrition, meal preparation, home cleanliness …

The Effects Of Customized Art-Based Interventions On The Quality Of Life Of Older Adults With Early-Stage Dementia, Kalei Hubert-Mclennan

Capstone Projects

Occupational therapy (OT) was founded during the Arts and Crafts and Moral Treatment Movement to assist veterans in acclimating to their communities after discharge. While arts and crafts were initially a large part of OT, after the paradigm shift to the medical model in the 1960s, art was replaced by technology and removed from the OT curriculum and ACOTE standards. As OT continued to grow as a profession, art shifted from being part of the psychodynamic approach to being utilized to gather information and foster relationships. While art is an activity that can span across ages, there is a lack …

A Descriptive Study: Capability For Change In Older Adult Falls Prevention Using An Intelligent And Intuitive Online Learning Platform At A Medical Care Facility, Emily N. Makowski

Capstone Projects

Older adult falls are among the most common, fatal, and costly incidents in the United States, yet they are preventable. The literature related to falls prevention education for the older adult population is vast, but evidence of effective falls prevention educational tools for indirect and direct care providers is scant. Occupational therapists collaborate with several disciplines every day and it is important for the team to work together to prevent adverse events. There is limited evidence of training delivered to an interdisciplinary team via an intelligent and intuitive online behavior change learning platform. This paper captures the impact of the …

Integrating Sport’S Vision Training Into Vision Therapy: The Role Of Occupational Therapy, Emily M. Beaird

Capstone Projects

Sports vision training (SVT) is a specialized area of vision therapy focused on enhancing an athlete's visual skills for peak athletic performance. Vision training is vital for athletes because “athletic performance can be one of the most rigorous activities for the visual system” (Khanal, 2015) and is responsible for upward of 80% of the sensory input received during an athletic performance. However, it is often overlooked in traditional training regimens. Focusing on advanced clinical practice and program development, an unmet need for SVT at Origami Rehabilitation was achieved. The main goal was to create an SVT program that catered to …

Sensory Room Protocol And Education On Sensory Processing Differences In The School Setting, Bethany R. Antor

Capstone Projects

This capstone experience and project targets the enhancement of sensory integration strategies within a school environment by upgrading a sensory room, educating paraprofessionals and teachers on sensory processing differences, associated signs, and regulation tips, and implementing new material within a sensory path for increased student regulation. Sensory processing difficulties can significantly impact a child’s learning and behavior, necessitating effective school - based interventions involving an occupational therapist. This project aims to shrink the gap between school staff’s knowledge of sensory processing differences and the needs of their students. The outcomes include improved functionality and utilization of the sensory room, increased …

Incorporation Of Animal Assisted Therapy Into Occupational Therapy Interventions For Pediatric Clients In An Outpatient Setting, Jamie Markus

Capstone Projects

Animal assisted therapy (AAT) is an emerging field that can be used to compliment traditional occupational therapy (OT). This project particularly focused on pediatric clients receiving services in an outpatient clinic. Animal assisted occupational therapy (AAOT) can be used to improve physical, social, and emotional health through the incorporation of a certified therapy dog. OT clients actively participate in a unique and individualized intervention with the therapy dog that is designed to meet their specific goals. The purpose of this project was to further develop the Therapy Dog Clinic at Unified Clinics and to expand services to community-based organizations including …

Support Group Development And Implementation For Parents With Disabilities, Jessica Zydorczyk

Capstone Projects

The focus of this capstone project was to develop a peer-to-peer support group open to any parent or caregiver with a disability navigating the challenges of pregnancy and parenthood. Occupational therapy can have a large impact on the population of individuals parenting with a disability with increased awareness and understanding of their needs. Friendship, community, resource access, and awareness were all needs addressed with the development of the parent support group. The objectives set to be achieved during the 14-week experience included conducting extensive research on the disabled parenting experiences of day-to-day life, developing of handouts and resource collection on …

Implementation Of An Occupation-Focused Education Program For Community-Dwelling Older Adults, Riley Janssen

Capstone Projects

A Doctoral Capstone Experience (DCE) and project was completed at the conclusion of Western Michigan University’s Occupational Therapy program with the goal of implementing an occupation-focused educational program dedicated toward topics relevant for community-dwelling older adults. The capstone project took place at the Clinton Township Senior Adult Life Center (CTSC) under the mentorship of Ericka Tringali, CPRP. The Accreditation Council for Occupational Therapy Education (ACOTE) focus area of this project was program development. The program consisted of three educational classes focusing on topics including Basic Activities of Daily Living (BADLs), creating healthy habits and routines, and fall prevention and energy …

Development Of Clinical Practice Tools To Improve Understanding Of Neuro Vision Rehabilitation, Shreena Shah

Capstone Projects

Occupational therapy practitioners have a broad and diverse scope of practice, one of those being, an in-depth understanding of the visual system and how visual deficits impact an individual’ s functioning and overall well-being. This capstone experience was designed to improve practitioner understanding about visual deficits following significant neurological events and increase competency with deficit-driven interventions. Current literature demonstrates conceptual models of the visual system in order to conduct evaluations within the scope of OT , however there are limited publications for evidence-based clinical decision making with regards to vision interventions. The objectives of this capstone experience focused on increasing …

Evaluating Sensory Processing And Functional Outcomes Of Children Participating In A Therapeutic Horseback Riding Read And Ride Program: A Single-Subject Research Study, Samantha Dunleavy-Shotsberger

Capstone Projects

Therapeutic horseback riding (TR) can be beneficial to various populations, such as individuals with disabilities, trauma, behavioral problems, anxiety, developmental delay, depression, and learning challenges. However, individuals come with a variety of complex needs and diagnoses, therefore more research is needed to determine how TR impacts the individual. Specifically, there is a lack of understanding of how the individual’s behavior, learning, and sensory processing is affected by TR intervention. Therefore, this study examined the effects of TR on childhood sensory processing and at-risk academic occupational performance in reading as it relates to behavior and attention. A single subject ABA design …

Holistic Education To Empower And Enhance Women's Health Throughout Pregnancy, Birth, And The Postpartum Period, Hannah Wilson

Capstone Projects

Making informed healthcare decisions on behalf of oneself for optimal outcomes first begins with comprehending basic health education about one’s own body, typical bodily functioning and bodily processes and ends with empowered decision making. Health literacy is the ability of an individual to understand and apply basic healthcare information to their personal healthcare decision making and is integral for any and all healthcare providers to comprehend when educating patients in practice. Occupational therapists (OTs) are healthcare professionals that work with any demographic of people to improve satisfaction with performance of everyday living activities and quality of life. OTs’ scope of …

Impact Of Trauma On Development: Creating Training Materials For Effective Trauma Evaluations, Jessica M. Englerth

Capstone Projects

This 14-week capstone project had an education focus under ACOTE standards. This project was completed at Western Michigan University’s Resiliency Center which is part of the Unified Clinics. The focus of this capstone project was to educate new and current staff and students on the administration of trauma evaluations in pediatric and adolescent populations as well as the impact of trauma on development. The purpose of this project was to develop training materials detailing how to administer different assessments that may be used in a trauma assessment including the PDMS-3, the Occupational Regulation Questionnaire, the QNST-3, the BAYLEY-III, the Sensory …

Wild Wheels: Meaningful Art Program Designed For Adults With Intellectual And Developmental Disabilities, Alexis Bailey-Lauchie

Capstone Projects

The Wild Wheels program was designed to offer adults with intellectual and developmental disabilities (IDD) an opportunity to engage in meaningful and purposeful art-based activities. The aim supports the distinctive value of occupational therapy (OT) defined as enhancing the health and quality of life (QOL) of individuals by promoting participation and engagement in meaningful daily activities. Typically, for individuals with IDD options for meaningful engagement are limited due to various physical/mental limitations and increased need for assistance. The Center for Disability Services (CDS) at Western Michigan University (WMU) introduced the Wild Wheels program to enable participants to create unique artwork …

Development Of Carf Accreditation Requirements For A Vocational Rehabilitation Program For Individuals Independently Living With Post-Traumatic Brain Injury, Samantha Kowalczyk

Capstone Projects

The purpose of this capstone project was to assist a vocational rehabilitation program at Community Connections in Sterling Heights, Michigan with developing requirements for CARF Accreditation for individuals independently living with post-traumatic brain injury. This work program site is unique in the fact it is primarily run by Occupational Therapists and Certified Occupational Therapy Assistants. Achieving CARF Accreditation, which stands for Commission on Accreditation of Rehabilitation Facilities, demonstrates that standards are being met and provides greater satisfaction and the possibility for reimbursement and funding for a program. The overall aim was to assist in the development of the primary materials …

Expanding Menstrual Health And Hygiene Management At Western Michigan University, Kaitlyn R. Brady

Capstone Projects

Menstrual health and hygiene are vital yet often overlooked components of women’s well-being with implications for academic success, physical health, and social equity. This capstone project, conducted with Western Michigan University’s Broncos. Period program, aimed to address the critical issue of period poverty and inadequate menstrual hygiene management on campus. Through comprehensive needs assessments, key gaps and opportunities were identified. Objectives were created based on results from the needs assessments and implemented to secure grant funding for menstrual products, establish formal partnerships, and develop educational materials. As a result of the objectives, the project secured funding to restock partner locations, …

Mindful Teaching In Adolescent Dance Educaton: Prioritizing Mental Health, Camille Chimner

Capstone Projects

Mental health continues to be a concern for all ages, especially those within the period of adolescence. Adolescence is a time of great physical, cognitive, social, and emotional change that can be positively facilitated with support and strong coping skills. Adolescent dancers have additional demands placed upon them within the dance space. Adults can play a large role in this support, especially adults who serve as educators and coaches. Dance educators have the opportunity to work closely with dancers and can have great influence on both their physical and emotional health, but are not often trained to be mindful of …

Promoting And Sustaining An Adaptive Sports Program On A College Campus Through Outreach And Resource Developmen, Morgan E. Otero

Capstone Projects

Participation in physical activity is essential for an individual’s health and well-being. However, persons with disabilities have limited access to physical activity due to personal, environmental, institutional, and/or social barriers. This limited access increases a disabled individual’s likelihood of developing secondary health conditions, decreased mental health outcomes, and feelings of social isolation. To combat this, it is important that these individuals have equitable access to and knowledge of adaptive physical activity opportunities such as adaptive sport, recreation, and fitness. To address this need, this capstone project focused on promoting and sustaining an existing adaptive sports and recreation program through the …

Therapeutic Recreation And Adaptive Ice Skating For Individuals With Disabilities, Anna Tamburrino

Capstone Projects

This 14-week doctoral capstone experience (DCE) was completed at Warren Special Recreation Association (WSRA) and Rising Stars Adaptive Skating program, with the focus of program development, education, and leadership. The primary goal of this capstone was to develop an adaptive ice-skating program at WSRA in collaboration with the Rising Stars Adaptive skating program. Further objectives during the capstone experience included the development and provision of training resources for both sites related to the skating program, as well as supplemental trainings for WSRA specific programs. I provided education and training resources to staff and volunteers to promote the distinct value of …

Connections Over Compliance: A Toolkit To Create A Pathway To Success For Teachers, Paraprofessionals, And Students, Mary Kate Nelson

Capstone Projects

This Doctoral Capstone Experience focuses on the development of a comprehensive toolkit tailored specifically for early childhood professionals, including teachers and paraprofessionals. The aim of this toolkit is to provide effective support to students facing various challenges both within and beyond the classroom environment. It encompasses a diverse range of meticulously curated resources and educational materials with occupational therapy principles in mind designed to address critical areas of concern. This toolkit explores sensory processing disorders and equips early childhood professionals with essential knowledge and strategies to support their students. By facilitating ways to create a sensory-friendly environment and supporting the …

Systematics, Biogeography, And Floral Trait Evolution Of The Plant Genus, Medinilla (Melastomataceae), John Peter Quakenbush

Dissertations

Medinilla is a large paleotropical genus in the plant family Melastomataceae with a long history of systematic uncertainty. The first objective of this research is to test the monophyly of Medinilla. A species tree is estimated using 599 nuclear gene trees, and 87 concatenated chloroplast genes are used to estimate the plastid phylogeny. Sampling includes 272 Medinilla and outgroups. Pachycentria and Plethiandra are resolved within Medinilla. Other fleshy-fruitedgenera long associated with Medinilla (i.e., Catanthera, Heteroblemma, Kendrickia) belong to other clades. With this new evolutionary framework, an infrageneric classification system is proposed for Medinilla consisting of …

Current To Best Practice: An Approach To Establishing A Clearinghouse, Alycia Sterenberg Mahon

Dissertations

Clearinghouses provide a central location for evaluating and synthesizing studies to inform practice and policy. Many stakeholders rely on these clearinghouses to make evidence-based decisions for practice and research. This investigation aims to develop and evaluate a sequence of methods that fields/disciplines can use to establish a clearinghouse. Specifically, this research provides a roadmap to form a clearinghouse for music therapy (MT) intervention-based research. This work consists of three individual research studies. Each study addresses a component of how the field of MT, through a clearinghouse, can provide a solution for disseminating evidence-based practices. Study 1 provides a framework to …

Development Of Enzyme-Based Biotechnology For Removing Stickies And Regaining Fiber Quality In Paper Recycling, Yun Wang

Dissertations

Producing paper with recycled paper consumes about 30-70% less energy and emits less GHG than using virgin wood. However, with current recycling practices, more foreign matters are commingled with the recycled paper including hot-melt adhesives, food residues, inks, resins/sizing agents, and coating adhesives, which result in stickies issues in the paper remanufacturing process. On the other hand, recycled fibers inherently have lower quality due to mechanical treatment, heating, chemical processing, and aging in various types of application/use of paper products, limiting the production of high-quality paper grades from recycled fibers. The goal of this dissertation research is to address both …

Say Her Name: A Phenomenological Study On Black Women’S Experiences With Fearful Encounters With The Police, Marilyn Shantey Buford

Dissertations

Police violence is a historical, systemic issue that continues to plague the Black community to this day. Research discussing the systemic oppression of police violence on Black people has seen an increase over the past decade. However, little has been discussed on the effects of police violence on Black people’s health and wellness, particularly their mental health. The research that exists surrounding police violence and mental health is largely concentrated on the experiences of Black men. Little is known about how Black women personally experience police violence or how these experiences impact their mental, emotional, and physical health. Not exploring …

Three Essays On Fertility Rates In China, Lichun Cai

Dissertations

China is currently facing the issue of low fertility rates. In three chapters, I discuss the reasons for the low fertility rate in China from three different microeconomics perspectives, by using econometric methods including machine learning tools.

Chapter One considers the effects of income on fertility rate. There is a widely accepted view that the improvement of the education level has led to a decline in fertility. I critique this view and propose a new perspective: the childbirth choice of a family member is not only related to the education level, but also to the differences in education level between …

The Effects Of Combined Evaluative And Memo, Matrix, And Graphic Objective Feedback On Performance When Receiving Fixed Pay, Amber L. Derthick

Dissertations

The purpose of this current study was to examine the relative effectiveness of written feedback in the form of a memo that displays the performer’s current performance (memo feedback), written feedback in the form of a matrix that displays the performer’s current performance along with past performance (matrix feedback), and graphic feedback that displays the performer’s current performance along with past performance on a line graph (graphic feedback) when individuals receive fixed pay. The memo, matrix, and graphic feedback displayed “objective” feedback. Participants were 70 undergraduate students who were randomly assigned to one of the four conditions. Participants attended a …

Pathways To Leadership In A Professional Association, Cheryl Lynn Endres

Dissertations

This purpose of this exploratory qualitative study was to explore the experiences of former volunteer leaders who served in the role of president for a professional association. A qualitative design framed by phenomenology is appropriate when seeking to understand individual reflections on a common experience (Brinkmann, 2008, Patton, 2018, Creswell & Poth, 2018). The research was framed as exploratory due to the limited qualitative studies on leadership in professional associations, and more information to understand this experience can be gained by using the qualitative phenomenological method. The phenomenon of focus in this study is motivations related to volunteer leadership, in …

From Doctoral Student To Professor: The Professional Socialization And Career Development Of International Counselor Educators, Ayla Martine Ludwig

Dissertations

Becoming a counselor educator is a complex and rigorous process wherein students grow both personally and professionally (Dollarhide et al., 2013). Throughout this process, students develop in accordance with doctoral competency standards (CACREP, 2021) which help socialize them into the role of professor. For international learners, their education has historically included unique challenges such as language barriers (Behl et al., 2017; Hegarty, 2014; Jang et al., 2014; McDowell et al., 2012; Ng, 2012; Pollock et al., 2017; Sato & Hodge, 2015; Sherry et al., 2010), cultural adjustment (Jang et al., 2014; Kuo et al., 2018; Woo et al., 2015), and …

Shigella Flexneri Diguanylate Cyclases Regulate Pathogenesis, Ruchi Ojha

Dissertations

The intracellular human pathogen Shigella invades the colonic epithelium to cause disease. Prior to colon invasion, this bacterium navigates through different environments within the human body, including acidic conditions in the stomach and the small intestine which contains antimicrobial molecules including bile acids. To adapt to changing environments, Shigella uses the bacterial second messenger c-di-GMP signaling system. C-di-GMP is synthesized by diguanylate cyclases (DGCs) encoding GGDEF domains. Shigella encodes 10 DGCs in its genome, but 6 of these genes have acquired mutations that presumably inactivated the c-di-GMP synthesis activity of these enzymes. In this study, we first expressed VCA0956, a …

Longitudinal Evaluation Of Vitamin D Concentrations In Relation To The Onset Of Type 2 Diabetes In American Adults: A Secondary Data Analysis, Kathryn Michelle Schurr

Dissertations

Background: Prior research has suggested that low levels of Vitamin D may have negative effects on various biological functions, including Type 2 diabetes. The relationship between Vitamin D and the risk of Type 2 Diabetes has not yet been fully investigated. The objective of this research is to examine patients’ laboratory test data longitudinally to determine how vitamin D and other covariates of interest affect Type 2 diabetes status over time.

Methods: This study used retrospective data review from Quest Diagnostics from January 1, 2010, through December 31, 2022. Patients included in the study were required to have consecutive test …

New Alternative Methods Developed For The Measurement Of Active And Total Clay In Foundry Green Sands, Piao Jian Tan

Dissertations

Precise measurement of active clay content in molding sand is essential in the metal casting foundry to produce high quality end products with no defects. The historical methylene blue (MB) test was considered qualitative, subjective and prone to operator bias in regard to the reading of the halo. A new spectrophotometric or digital clay technique has been developed. The test utilizes the cation exchange capabilities of the Cu(II)-triethylenetetramine dye and the absorbance reading of the sequestered solution through a UV-Vis spectrophotometer. Working with multiple laboratories (Decher, MTI, EJ, and JD) on actual foundry green sand samples, the method was optimized …