Digital Commons Network^™

Implementation Of A Recreational Program For Those With Visual Impairments, Caitllyn Fussy

Occupational Therapy Capstones

Purpose: Quality of life can be found through participation in meaningful and rewarding occupations (Cote-Letlerc, 2017). Studies have shown that individuals with visual impairments have impacted occupational performance and engagement in occupations leading to a loss of independence, changes to identity, and lowered self-esteem (Duquette, et. al., 2019; Kumar, et. al., 2022). Some barriers these individuals face that impact their ability to participate in meaningful occupations include having fewer opportunities available, difficulty navigating, having impaired proprioception, accessibility, and physical or cognitive impairments (Diaz, 2019; Hill, 2023). Opportunities to engage in recreational activities presented as a clear need for this scholarly …

Inclusive Physical Education And Its Impact On Adolescents With Disabilities In A School Setting, Ashley Renee Freund

Occupational Therapy Capstones

Background: Adolescents with disabilities frequently encounter barriers preventing participation in physical education alongside their peers. The absence of inclusive practices and adaptations tailored to students with disabilities poses challenges that impact students' physical health and mental well-being (Carbone et al., 2021). Fostering improved mental and physical health for adolescents with and without disabilities is related to group-based programming as well as instructor leadership and knowledge regarding disability and activity modification (Shirazipour et al., 2020). By integrating these elements, physical education teachers can optimize the benefits of participation in physical education, including enhanced mental health, increased physical participation and engagement, and …

A Resource Guide For Improving Participation In The Pediatric Casper Community, Rylie Garner

Occupational Therapy Capstones

Title: A Resource Guide for Improving Participation in the Pediatric Casper

Community Background and Problem: Regardless of ability level, all children should have the same rights, access, and opportunities to participate in leisure, social, physical, and recreational activities. Research shows that typically developing children participate more in social, physical, and recreational activities than children with disabilities (Solish et al., 2010). Identified barriers that can decrease participation for children with disabilities include the child’s functional limitations, high costs, accessibility, and lack of known nearby facilities, programs, and sports (Murphy & Carbone, 2018; Aytur et al., 2018). Participation in leisure, social, physical, …

A Holistic Approach To Occupational Therapy Intervention: Addressing Psychosocial Factors And Upper Extremity Injuries, Aleece N. Durbin

Occupational Therapy Capstones

Purpose: Occupational therapy practitioners (OTPs) working in a hand therapy setting primarily focus on neuromusculoskeletal injuries of the upper extremity (UE) (Kurrus et al., 2023). However, clients who experience UE injuries can also experience adverse psychosocial factors limiting their performance in daily activities (Kurrus et al., 2023). Psychosocial factors are rarely addressed in the practice setting due to institutional barriers and a lack of confidence in OTPs (Kurrus et al., 2023). This project aims to provide OTPs with resources to provide occupational therapy intervention to address psychosocial factors despite the barriers present within the practice setting of hand therapy.

Methods: …

Supporting Community Integration For Veterans With Mental Health Conditions Through The Lens Of Recovery: Rise-Ing Together, Erin Marie Ferebee

Occupational Therapy Capstones

Title: Supporting Community Integration for Veterans with Mental Health Conditions Through the Lens of Recovery: RISE-ing Together

Introduction: This paper delves into the VA's commitment, aligned with AOTA guidelines, to enhance Veterans' well-being through the PEO model in occupational therapy during community reintegration. Highlighting recovery as a transformative process, it addresses mental health challenges, including PTSD, depression, anxiety, bipolar disorder, and schizophrenia, underscoring the central role of occupational therapy practitioners in providing tailored care. Shifting focus to the environment, drawing on studies (Pedersen & Wiser, 2021; Phelan et al., 2018; Sayer et al., 2021), the paper accentuates challenges and opportunities, …

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

Occupational Therapy Capstones

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

Peer To Peer: Implementing An Inclusive Program At A Midwestern School, Kaitlyn Rose Ekre

Occupational Therapy Capstones

Purpose: Transitioning to and between school settings (i.e., home to elementary, elementary to middle school, middle school to high school) can be a challenging experience for everyone. In middle school, there is an increase in academic, behavioral, and social demands (Chen et al., 2020; Fontil et al., 2020). While most students are able to navigate the different demands of middle school, students with disabilities struggle with building relationships and interacting with their peers along with academics leading to low involvement in extracurricular activities, inconsistent access to the general education classroom, and an absence of peer interactions throughout the day (Biggs …

Occupational Therapy Intervention To Promote Rest And Its Role In Inpatient Rehabilitation Recovery, Kjerstin Drugan

Occupational Therapy Capstones

Background: Insufficient sleep is a public health epidemic that affects 10-30% of the population, impacts brain functioning, mood, attention, memory, and healing (CDC, 2015) and increases the likelihood of serious medical conditions such as diabetes, high blood pressure, and heart disease (Ho & Sui, 2018). The rate of sleep difficulties increases to 47-67% in the hospitalized population (Miller et al., 2019). According to Poole et al. (2022), 98% of occupational therapists reported believing that sleep assessment and intervention are important in rehabilitation, but less than 25% implemented any intervention. The physical effects and stress of illness and the inpatient rehabilitation …

Nature-Based Therapy Supporting Veterans With Mental Health Difficulties, Kaitlyne Dittberner

Occupational Therapy Capstones

Background: Using nature has been linked to improvements in well-being for individuals with depression, anxiety, and post-traumatic stress disorder (Bettmann et al., 2019). Combining nature with physical activity can increase feelings of revitalization, positive engagement, and energy with decreased feelings of tension, confusion, anger, and depression (Coon et al., 2011). Group-based activities for veterans can assist with the reintegration process back into the community as combat veterans value connections with like peers (Hawkins et al., 2016). Occupational therapy practitioners have the skills to analyze activities to make accommodations to allow veterans to be successful in the occupations in the nature-based …

Making Strides: An Occupational Therapy Program Developing Work Readiness Skills In Adolescents With Aces, Using Equine And Barn Tasks., Lauren Alexis Fischer

Occupational Therapy Capstones

Background: The Center of Disease Control and Prevention (CDC, 2022) defines adverse childhood experiences (ACEs) as any traumatic event that occurs from birth to 18 years. ACEs can lead to various issues in the child's future, such as health problems, mental illness, substance abuse, and challenges with education and employment (CDC, 2022). Associated barriers that inhibit at-risk youth when transitioning into the workforce include lack of work skills, habits, knowledge about labor rights, realistic job opportunities, and how to pursue employment (Ivzori et al., 2020). Increasing support in their pre-vocational skills can increase their success in employment. Rhew et al. …

Physical And Psychosocial Wellness For Individuals With Neurological Impairments, Emmalee Burtsfield

Occupational Therapy Capstones

Purpose: Neurological impairments have been identified as the first leading cause of disability across the world and the second leading cause of death globally. There is a substantial financial impact associated with neurological conditions. Therefore, it is essential to consider how effective use of best therapy practices can help to reduce costs accompanying neurological impairments and promote quality of life amongst patients. The goal of this scholarly project was to promote physical and psychosocial wellness for individuals with neurological impairments. The project serves as a resource that can be utilized by patients and caregivers alike. The materials in this resource …

Developing A Sensory Room For Children With Autism Living On The Navajo Reservation, Rudessa Bedonie

Occupational Therapy Capstones

Background: Autism spectrum disorder (ASD) is a developmental disability characterized by challenges in social interaction, communication, and restrictive or repetitive behaviors (Hirota & King, 2023). Children with autism demonstrate sensory challenges impacting their participation in activities of daily living and social engagement (Schaaf et al., 2014 & Travers et al., 2022). Occupational therapists often employ techniques and settings to enrich sensory experiences when working with children diagnosed with autism. Accessibility and awareness of occupational therapy services on the Navajo reservation are also restricted (Casimir, 2023). People on the Navajo reservation may experience cultural and language barriers with others, and limited …

The Wyld Outdoors: A Community Based Occupational Therapy Program To Address Mental Health Strategies In Rural Wyoming, Emily Ray

Occupational Therapy Capstones

Title: The WYld Outdoors: A Community-Based Occupational Therapy Program to Address Mental Health Strategies in Rural Wyoming

Background: Globally, there is an expressed need to address mental health promotion and prevention strategies in community-based settings (World Health Organization [WHO], 2022). To work toward meeting these needs it is important to start at a local level. Statewide initiatives in Wyoming have risen in recent years with goals to expand upon mental and behavioral health, but culture and lack of environmental means significantly impact accessibility to these resources (State of Wyoming [SOW], 2023). Based on literature findings there are even fewer local …

Health Sciences Students’ Career Commitment, Mental Health, And Physical Activity During The Covid-19 Pandemic, David Wrucke, Marie K. Hoeger Bement, April L. Harkins, Sandra K. Hunter, Stacy Stolzman, Astrida S. Kaugars

Physical Therapy Faculty Research and Publications

Objective: To understand the biopsychosocial dimensions of university health sciences students’ experiences during the COVID-19 pandemic.

Participants: Health sciences students (n = 297) from two universities in July and August 2020.

Methods: Participants completed a Web-based survey asking about depression, anxiety, physical activity, coronavirus threat, and career commitment.

Results: Moderate or severe depression and anxiety were reported by 28.6% and 31.3% of respondents, respectively. Depression and anxiety were positively correlated with perceived coronavirus threat and negatively correlated with career commitment and strenuous physical activity. A change in career commitment interests during the COVID-19 pandemic was reported by 11% of …

Activity Levels Across The Intensity Spectrum In Athletes: A Systematic Review Protocol, Jacob J. Capin, Jena Heck Street, Alissa V. Fial, Nicola D. Ridgers, Grant R. Tomkinson

Physical Therapy Faculty Research and Publications

Physical activity (PA) promotes better cardiometabolic health, physical function, brain health and longevity. In contrast, prolonged sedentary behaviour (SB) is a risk factor for many chronic diseases and poor health. Limited research has evaluated or synthesised how competitive sports participation influences PA across the lifespan. Some evidence suggests, ironically, that former competitive athletes may be insufficiently active and current athletes may be highly sedentary away from sport. This study describes the protocol for a systematic review and meta-analysis on activity levels across the intensity spectrum in athletes, addressing the primary research question: is sports participation significantly associated with PA and/or …

Midlife Health Crisis Of Former Competitive Athletes: Dissecting Their Experiences Via Qualitative Study, Jacob J. Capin, Taylor Wolf, Jena Heck Street, Carolyn S. Smith, Shannon L. Lennon, William B. Farquhar, Sandra K. Hunter, Linda B. Piacentine

Physical Therapy Faculty Research and Publications

Sports participation confers many health benefits yet greatly increases injury risk. Long-term health outcomes in former athletes and transition to life after competitive sports are understudied. Ending a sport may pose physical and psychosocial challenges. The purpose was to determine the lived experiences of former competitive athletes and how their sports participation impacted their long-term health and well-being. Former college varsity athletes participated in semistructured interviews focusing on their experiences, including past and current health, the impact of injuries, activity, exercise, diet and transition to life after competitive sport. Thematic analysis was completed using a collaborative, iterative process. Thirty-one (16 …

Methods That Support The Validation Of Agent-Based Models: An Overview And Discussion, Andrew Collins, Matthew Koehler, Christopher Lynch

Engineering Management & Systems Engineering Faculty Publications

Validation is the process of determining if a model adequately represents the system under study for the model’s intended purpose. Validation is a critical component in building the credibility of a simulation model with its end-users. Effectively conducting validation can be a daunting task for both novice and experienced simulation developers. Further compounding the difficult task of conducting validation is that there is no universally accepted approach for assessing a simulation. These challenges are particularly relevant to the paradigm of Agent-Based Modeling and Simulation (ABMS) because of the complexity found in these models’ mechanisms and in the real-world situations they …

Teaching Analytics Online: A Self-Study Of Professional Practice, Andrew J. Collins, Brandon Butler, James F. Leathrum Jr., Christopher J. Lynch

Engineering Management & Systems Engineering Faculty Publications

As the COVID-19 pandemic caused severe disruption to education enterprises throughout the world, the main response by educational institutions was to move to online learning environments. The purpose of this study was to understand better how instructors could improve online learning for a professional-level week-long short course in a highly technical area (data analytics), which had, pre-COVID, been a hands-on computer, laboratory-based learning experience. The authors used self-study of professional practice to elicit and understand the major issues and concerns of the transition to an online learning environment. Under the guidance of a colleague in teacher education, three course instructors …

Nanosecond Pulsed Electric Fields Increase Antibiotic Susceptibility In Methicillin-Resistant Staphylococcus Aureus, Alexandra E. Chittams-Miles, Areej Malik, Erin B. Purcell, Claudia Muratori

Bioelectrics Publications

Staphylococcus aureus is the leading cause of skin and soft-tissue infections (SSTIs). SSTIs caused by bacteria resistant to antimicrobials, such as methicillin-resistant S. aureus (MRSA), are increasing in incidence and have led to higher rates of hospitalization. In this study, we measured MRSA inactivation by nanosecond pulsed electric fields (nsPEF), a promising new cell ablation technology. Our results show that treatment with 120 pulses of 600 ns duration (28 kV/cm, 1 Hz), caused modest inactivation, indicating cellular damage. We anticipated that the perturbation created by nsPEF could increase antibiotic efficacy if nsPEF were applied as a co-treatment. To test this …

Money Matters To All Students, George Padilla, Michelle H. Abrego

Organization and School Leadership Faculty Publications

The question whether money matters in education strikes at the foundation of America’s democracy—an educated electorate. Despite decades of evidence that money does matter, the question still remains unanswered among many and even answered to the contrary of the evidence. It is important to fully understand that money does matter in American education, American lives, and America’s future and to increase awareness of political and social factors that undermine that money matters for all students to learn.

Analyse Longitudinale Et Comparative Des Absences Et Des Départs Hâtifs Dans Un Milieu D’Éducation Au Québec : Une Étude Exploratoire, Alessia Negrini, Jacques Perron, Samantha Vila Masse, Charles-Édouard Giguère, Andrea Gragnano, Marc Corbière

Rapports de recherche scientifique

Problématique de santé et de sécurité du travail et objectifs. Le secteur de l’éducation au Québec n’est pas épargné par les coûts importants qui découlent des absences pour invalidité physique et psychologique (Purenne et Busque, 2022), des départs hâtifs, comme la retraite avec des pénalités financières du personnel en fin de carrière et par le décrochage des enseignants au cours des cinq premières années de carrière. Les Centres de services scolaires (CSS) du Québec prennent en charge l’assurance des absences du travail pour invalidité (ATI) de leur personnel (en autoassurance) et colligent des données d’absence certifiées par des professionnels …

Supporting Clients And Caregivers Of Full-Time Wheelchair Users At Risk For Pressure Injuries, Jessica Lynn Wetzel

Occupational Therapy Capstones

Title: Supporting Clients and Caregivers of Full-Time Wheelchair Users at Risk for Pressure Injuries

Purpose: Wheelchair users are classified as a population at a great risk for developing pressure injuries due to their decreased sensation and extensive time seated on bony prominences (Mervis & Phillips, 2023). Affecting around three million adults each year in the United States alone, the number of pressure injuries is a cause for concern (Mervis & Phillips, 2023). More severe pressure injuries can cause sedentary lifestyles, further leading to occupational deprivation of the individual experiencing them. Although there are many strategies to prevent pressure injury formation, …

An Occupational Therapy Approach To Chronic Condition Self-Management, Makayla Marie Tucker

Occupational Therapy Capstones

Background Chronic health conditions often lead to decreased engagement in valued occupations, habits, roles, and routines secondary to the effects of the diagnosis (Lorig et al., 2020). This community project aims to explore occupation-based intervention approaches to assist adults in self-managing their chronic conditions. Additionally, the project aims to fill the gap in healthcare to improve healthcare professionals’ collaboration to improve clients’ health outcomes. Occupational therapy’s role in health management may include developing habits and management strategies for nutrition, physical activity, medications, stress and coping, and improving social skills for problem solving and communication. A literature review and informal interviews …

Enhancing The Service Delivery For Adolescents Using The Mental Health Continuum Through Occupational Therapy, Jadalyn Lane Wagner

Occupational Therapy Capstones

Purpose: The purpose of this scholarly project was to understand how occupational therapy services can enhance the quality of mental health services for adolescents and across the life span. The materials developed provide occupational therapy practitioners resources to demonstrate their unique value and role within the interdisciplinary teams and settings within the mental health continuum of care.

Methodology: The Model of Human Occupation was utilized to organize the literature review that led to the creation of the materials (O’Brien, 2017). Reviewing the literature with the model allowed for a thorough understanding of the needs of adolescents with mental illness, the …

An Occupation-Based Approach To Stroke Recovery In Rural America, Julia Warmack

Occupational Therapy Capstones

Purpose In the United States, strokes are one of the leading causes of death as well as a leading cause of long-term disability (Centers for Disease Control and Prevention [CDC], 2022). Due to the disease's demanding and intense nature, occupational therapists must provide evidence-based care to help support those in need. Occupation-based treatment has been proven to provide better long-term results and improve the transferability of skills (Rostami et al., 2017). However, many practitioners still rely on rote exercise due to lacking resources, access, or training (Centers for Disease Control and Prevention [CDC], 2017).

Methodology A model-guided literature review was …

Real Individuals Striving For Excellence (Rise): An Occupational Therapy Based Re-Entry Program For A Rural Jail Facility, Kennedy Tooke

Occupational Therapy Capstones

Title: Real Individuals Striving for Excellence (RISE): An occupational therapy based re-entry program for a rural jail facility.

Introduction: The United States criminal justice system continues to be known for currently holding over 2 million people within state, federal, local, and juvenile correctional facilities (prisonpolicy.org, 2021). Jail incarceration rates have increased 15% from 2020 to 2021 following a 26% decline from midyear 2019 (Zeng, 2022). Many individuals involved in the criminal justice system will be arrested again within the same year due to unsuccessful transitions back into the community. The purpose of this scholarly project was to develop a program …

Improving Occupational Performance For Survivors Of Sex Trafficking: An Executive Functioning Program, Riley P. Thomas

Occupational Therapy Capstones

Purpose: In 2021, the U.S. reported 10,360 human trafficking cases, of which 7,499 or 72% were explicitly identified as instances of sex trafficking (National Human Trafficking Hotline, 2021). Sex trafficking is “a form of modern-day slavery in which individuals perform commercial sex through the use of force, fraud, or coercion” (National Human Trafficking Hotline, n.d., para. 1). Due to survivors of sex trafficking being exposed to dehumanizing and traumatic events, this may impact the ability to participate and engage in daily activities related to an individual's executive functioning and life skills. The purpose of this scholarly project was to analyze …

The Legally Binding Character Of The International Holocaust Remembrance Alliance Working Definition Of Anti-Semitism, Kenneth L. Marcus

Lewis & Clark Law Review

No abstract provided.

Intersectionality Matters In Food And Drug Law, Colleen Campbell

University of Colorado Law Review

Feminist scholars critique food and drug law as a site of gender bias and regulatory neglect. The historical exclusion of women from clinical trials by the FDA prioritized male bodies as the object of clinical research and therapies. Likewise, the FDA’s prior restriction on access to contraceptive birth control illustrates how patriarchal and paternalistic attitudes within the Agency can harm women’s reproductive health. However, there is little analysis of how race and gender intersect in this domain. This Article uses the regulation of skin-lightening cosmetics products to illustrate why and how intersectionality matters in food and drug law. While the …

Beyond Discrimination: Market Humiliation And Private Law, Hila Keren

University of Colorado Law Review

Market humiliation is a corrosive relational process to which the law repeatedly fails to respond due to the law’s heavy reliance on the discrimination paradigm. In this process, providers of market resources, from housing and work to goods and services, use their powers to reject or mistreat other market users due to their identities. They thus cause users severe harm and deprive them of dignified participation in the marketplace. The problem has recently reached a peak. The discussion in 303 Creative v. Elenis indicates that the Supreme Court might legitimize market humiliation by granting private providers broad free speech exemptions …