Digital Commons Network^™

An Orientation Towards Care In Occupational Therapy: A Theoretical Framework, Myah G. Beylotte

Movement and Being: The Journal of the Christian Society for Kinesiology, Leisure and Sports Studies

The purpose of this paper is to explore Ethic of Care (Gilligan, 1936; Noddings, 1984) in an occupational therapy (OT) setting and to determine if empathetic and relational care can provide greater patient outcomes. Ethic of Care (EoC), originally established by Gilligan (1936), is a moral orientation towards care that has been applied in the areas of education, nursing, sports coaching, and other popular professions (Fisher et al., 2017; Gano-Overway et al., 2009; Knust & Fisher, 2015; Lachman, 2012; Newton et al., 2007; Noddings, 2005; Schools, et al., 2020), but has not been widely researched in the field of OT. …

Rethinking Disability Simulations For Occupational And Physical Therapy Students: Integrating The Social Model Of Disability, Sara Kate Frye, Monique C. Chabot

Internet Journal of Allied Health Sciences and Practice

Purpose: Disability simulations traditionally have been used in many healthcare profession educational programs with the intent to foster empathy and positive viewpoints towards people with disabilities. However, research is inconclusive regarding the effectiveness of these activities. The appropriateness of these activities has also been called into question when considering disability as a form of diversity and social justice, with recommendations to utilize the Social Model of Disability to frame activities. Methods: A mixed-methods study was conducted to explore the efficacy of a temporary orthopedic injury simulation assignment on first-year occupational and physical therapy students’ viewpoints regarding working with people with …

Incorporating Animal-Assisted Therapy (Aat) To Improve Handwriting Skills In Pediatric Occupational Therapy, Jessica M. Simon, Jessica Mchugh

Student Journal of Occupational Therapy

Within the field of occupational therapy, animal-assisted therapy (AAT) is becoming more widely recognized and utilized as a supplement to traditional therapeutic interventions. As this area is still an emerging area of practice within occupational therapy, research is necessary to better understand the effect of AAT on children’s progress toward various goals. The purpose of this research study was to analyze the effectiveness of using Animal-Assisted Therapy to improve children's performance with and engagement in handwriting activities in outpatient pediatric occupational therapy. This study utilized a Quasi-experimental design, assigning participants to two groups. One group participated in handwriting activities while …

Promoting Engagement Of Male Individuals With Alzheimer’S In A Memory Day Care, Tara Brophy

Entry-Level Occupational Therapy Doctorate - Doctoral Capstone Symposium

Alzheimer’s and related dementias impact an individual's cognitive, psychological, social, and physical functions resulting in impairments within the engagement of activities. Activities offer many therapeutic benefits including improvements in mood, alertness, communication, socialization, sleep, cognitive function, and quality of life. The focus of this quality improvement capstone project was to address the decreased level of engagement in male members within a memory day care center setting through engaging them in male-tailored activities. The project included the development of a website that provided tailored male-oriented activities and educational resources that were shared with the staff to revise their day care activity …

The Perceived Impact Of Direct Patient Care During The Covid-19 Pandemic On Occupational Therapy Practitioners’ Mental Health Status, Emilee N. Sasser, Kathleen French, Alison Lecompte, Carrie C. Slade, Jasper Queen

Journal of Interprofessional Practice and Collaboration

Aim: To identify the impact of severe acute respiratory syndrome-related coronavirus 2 (COVID-19) on the mental health status of occupational therapy (OT) practitioners providing direct patient care.

Methods: The researchers administered a survey to identify OT practitioners’ perceptions of mental health prior to and during the pandemic. The survey was posted online via a link on social media pages related to occupational therapy professional groups. Participants completed the self-administered survey consisting of 16 questions. Some participants provided narrative responses to select survey questions, which asked about their mental health prior to and during the COVID-19 pandemic.

Results: One hundred and …

Coaching In Context Model (Version 4), Marie-Christine Potvin, Maryjane Mulcahey, Nicole Gerhardt

Department of Occupational Therapy Faculty Papers

Coaching in Context (CinC) is a conversation-based approach intended to foster clients’ goal attainment through coach-facilitated self-discovery of insights and solutions. Anchored in positive psychology, CinC situates clients as resourceful experts, and builds upon clients’ strengths to promote awareness and insights about factors that potentially impact their goals, and to strengthen problem-solving skills. CinC conversations are contextualized within lived environments including tasks demands and life roles. CinC intends to operationalize and organize professional coaching competencies into a model that health, rehabilitation, education, and human service professionals can embed into their practice.

The CinC model was developed and published in four …

Improving Access To Mainehealth Care At Home, Amanda Kunkel, Mhcah Intake Department, Mhcah Scheduling Department, Mhcah Clinical Leadership Team

Operations Transformation

It is known that there are capacity limitations at MaineHealth Care at Home caused by a decrease in staffing. This leads to limited availability of home health services to patients in the community and can also contribute to increased length of stay for patients in acute care hospitals. MaineHealth Care at Home needs a way to measure current capacity to accept referrals and improved systems for communicating with referral sources.

Promoting Action Observation In Stroke Rehabilitation By Facilitating Knowledge Translation, Madison Medina

Occupational Therapy Capstone Projects

Occupational therapists can improve stroke survivors’ hand and arm movement and participation in daily activities through action observation (AO). AO involves watching another person’s hand or arm complete a movement or task. While research supports the use of AO with stroke survivors, there is a delay in applying the information from AO research studies to stroke rehabilitation. Also, limited AO videos are available to occupational therapists which makes applying AO challenging. The purpose of this capstone project was to increase awareness of AO and access to AO videos for stroke survivors, occupational therapists, and researchers. Collaboration with experts on AO …

Developing A Practice Guide For Occupational Therapy Services Within A Novel Interdisciplinary Infant Mental Health Clinic In Atlanta, Georgia, Allyssa Bidwell

Occupational Therapy Capstone Projects

Georgia faces a significant pediatric mental health crisis, with an estimated 126,000 out of 900,000 children aged 0–6 years old needing mental health services (IECMH State Issue Brief #1, 2021; IECMH State Issue Brief #2, 2023). The detrimental impact of toxic stress, trauma, and adverse childhood experiences (ACEs) on a child's developing brain is well documented (National Scientific Council on the Developing Child, 2005/2014; Nelson et al., 2020). Early exposure to trauma and toxic stress can lead to behavioral and emotional difficulties, developmental delays, and deficits in executive function, affecting occupational performance (Nelson et al., 2020). Despite the proven efficacy …

Developing An Occupational Therapy Trauma-Informed Guide For Practitioners To Address The Needs Of Adults Following Trauma-Inducing Events, Michael Santos Jr

Occupational Therapy Capstone Projects

This paper explores the role of occupational therapy in providing trauma-informed care to adults, highlighting the importance of integrating trauma-informed principles into practice. Trauma, regardless of its origin, can profoundly impact the lives of individuals. In consideration to this, occupational therapy practitioners are gradually beginning to embrace the concept of implementing trauma-informed principles in their organizations and in their everyday practice. Following a comprehensive review of the literature, this capstone research paper aims to develop practical resources to support the role of occupational therapists in treating adults who have experienced trauma. Furthermore, this paper explores trauma, its impact, and how …

Creating An Occupation-Based Psychosocial And Life Skills Program For Refugee Adolescents, Jennifer Saj

Occupational Therapy Capstone Projects

Objective: The objective of this capstone was to develop a psycho-social and life skills program for refugee adolescents at Georgia Fugees Academy Charter School (GFACS). The aim of this project was to create a psychosocial and life skills program addressing communication and relationships, organization and time management, stress management, habits and health promotion, and creative self-expression.

Design: This study applied a cross-sectional phenomenological design using semi-structured interviews.

Participants: The participants were staff members at GFACS who work closely with and support students (n=3).

Main Outcome Measure(s): Participants provided feedback through open-ended questions regarding the effectiveness of the program, focusing on …

A Health And Wellness Program For Young Adults With Down Syndrome At Gigi's Playhouse: An Occupational-Therapy Based Perspective, Erin B. Wooten

Occupational Therapy Capstone Projects

Gigi’s Playhouse (Gigi’s) is an achievement center for individuals with Down Syndrome (DS), from birth to adulthood, and their families. Gigi’s provides resources, advocacy support, programming, and tutoring free of cost to families. Gigi’s Playhouse plays a significant role in supporting individuals and their families and encouraging connections between families and within the community.

It is well agreed upon across research that Down Syndrome manifests as complications of the neurological, musculoskeletal, and cardiovascular systems, typically presenting as muscle hypotonia, intellectual disabilities, congenital heart defects, and short stature (Antonarakis et al., 2020; Mazurek & Wyka, 2015; Pikora et al., 2014; Stefanowicz-Bielska …

Developing A Peer Mentor Training Guide For An Inclusive Postsecondary Education Program, Rosemary Ellen Peters

Occupational Therapy Capstone Projects

The IDEAL program at Georgia State University is an inclusive postsecondary education program for young adults with intellectual and developmental disabilities (IDD). The purpose of this capstone project is to create a peer mentor training guide to ensure consistent training and competence of peer mentors in providing social, academic, and employment support. The goal is to provide comprehensive peer mentor training reflecting best practice standards, so students receive high-quality support in the inclusive postsecondary education (IPSE) program. An informal needs assessment was conducted with the program manager, followed by a literature review. Sample peer mentor training manuals were reviewed, and …

A Community Re-Integration Mental Health Occupational Therapy Program For Veterans At The Sioux Falls Veterans Affairs Hospital, Holly M. Forrester

Occupational Therapy Capstone Presentations

The Veteran population continues to be disproportionately impacted by mental health disorders despite growing efforts to address this epidemic. Despite an increase in Veterans Affairs (VA) sponsored programs to mitigate the disparity, the interdisciplinary team tasked with implementing the novel programs remains undiversified. My capstone project aimed to provide a comprehensive community reintegration program to the Veterans in the inpatient behavioral health setting and advocate for the role of occupational therapy on the mental health interdisciplinary team. The literature and needs assessment indicated a need for the implementation of occupational therapy specific groups that aimed to increase functional independence and …

Occupational Therapy Intervention To Promote Recovery Of Individuals Impacted By Human Trafficking And Service Provider Well-Being, Carlyn J. Paxton

Occupational Therapy Capstone Presentations

Individuals impacted by human trafficking experience prolonged traumatic experiences and a lack of personal autonomy. Literature indicates that after exiting trafficking situations, individuals face barriers re-integrating into the community. Additionally, workers and advocates who provide after-care services experience increased occupational hazards impacting the quality of care provided and personal well-being. This capstone project aims to increase student’s clinical skills for providing trauma informed occupational therapy to individuals exiting trafficking and to expand OT’s role in combating occupational hazards for providers through self-care-based occupations. Using a previously conducted needs assessment and a conceptual framework comprised of evidence-based models, this project includes …

An Eye-Opening Capstone: A New Perspective On Occupation-Based Treatments For Neurologic-Based Visual Deficits, Katlyn J. Knakmuhs

Occupational Therapy Capstone Presentations

The purpose of this 14-week capstone experience was to gain hands on in depth clinical experience working with individuals post neurologic injury, specifically post-concussion, who were experiencing a visual perceptual deficit. Additionally, the focus of this capstone was to implement occupation-based skills and activities into therapy sessions for individuals experiencing those visual perceptual deficits post-concussion. This capstone experience took place at the Sanford Outpatient Rehabilitation Clinic in Sioux Falls, South Dakota and was completed under the supervision of a licensed occupational therapist who is a certified brain injury specialist. Eight individuals post-concussion with visual perceptual deficits who were patients of …

Healing Horses: An Occupational Therapy Approach In An Equine Environment, Ashlyn Renee Yoder

Occupational Therapy Capstone Presentations

Aim: This project focused on the development of advanced clinical skills of OT-based hippotherapy in a pediatric setting and program development of the Genesis Therapeutic Riding Center. Information was gathered from primary and secondary sources to promote student skill acquisition, client goal progress, and parent-caregiver education of at-home interventions.

Objective: Goals focused on gaining knowledge and competencies of OT-based hippotherapy, key clinical information, and interdisciplinary roles. The purpose of this project was to highlight the impact of staff responsibilities and OT-based hippotherapy on physical and cognitive deficits.

Method: OT hippotherapy session observation and facilitation, extensive literature review, and multidisciplinary interviews …

Promoting Wakefulness To Increase Occupational Engagement In Military Service Members Experiencing Insomnia Following Mtbi, Leah N. Myers

Occupational Therapy Capstone Presentations

Sustaining a traumatic brain injury of any severity is associated with an extremely high prevalence of insomnia. Military service members, being exposed to hazardous equipment and conditions, are one of the most likely populations to sustain sleep concerns following TBI. This student capstone project aimed to support military service members experiencing sleep disturbances due to TBI through direct advanced clinical skill attainment, Light Therapy program development, and by initiating research and clinic resource creation relating to shift work and sleep. To target this population, the project was completed at the Fort Carson Intrepid Spirit Center in Colorado where outpatient concussion …

Facilitating Community Integration Following Inpatient Rehabilitation: The Importance Of Caregivers, Alysa N. Jensen

Occupational Therapy Capstone Presentations

Community integration (CI) is a significant benchmark for successful rehabilitation following traumatic brain injury (TBI). The purpose of this capstone was to utilize occupational therapy assessments, interventions, and resources to support patients and their caregivers during the transition from the clinical setting to the community. Methods included assessment and intervention for patient function, cognition as it relates to burden of care, patient discharge statistics, development and implementation of caregiver resources, and semi-structured caregiver interviews. The outcomes of this project indicate that although TBI survivors are discharging home, they continue to require substantial caregiver support. Outcomes also indicate that there is …

Promoting Social, Emotional, And Behavioral Development For Children In A School Setting Using Targeted Occupational Therapy Intervention, Mykenzie N. Hall

Occupational Therapy Capstone Presentations

Children who have experienced trauma often have poor emotional regulation skills which can lead to peer rejection, decline in engagement at school, and poor academic performance. Occupational therapists have the knowledge and skills to create a client-centered approach when working with children who have experienced trauma. This emotional regulation program is guided by a trauma-informed care approach and a public health approach to mental health. The program consisted of 59 students between transitional kindergarten and 5th grade meeting in small groups once a week for 30 minutes over 11 to 12 weeks. The sessions included activities related to emotional regulation …

Filling The Gap: Educating Caregivers And Patients Post Stroke In An Acute Care Setting, Gabrielle A. Blecke

Occupational Therapy Capstone Presentations

Background: According to the U.S. Department of Health and Human Services (2022), every 40 seconds someone in the United States experiences a cerebrovascular accident (CVA), also known as stroke. A recent study suggests that 63% of these individuals will need informal caregiving from family, friends, or loved-ones throughout their rehabilitation process in order to safely transition home. Research suggests that patients and caregivers post stroke are not receiving enough education to prevent concerns such as caregiver burden, decreased caregiver wellness, and decreased patient outcomes, all which are within the scope of occupational therapy. Methods: Experiences at MyMichigan Midland Hospital drove …

Play, Splash, Ride: A Multidimensional Approach To Occupational Therapy Intervention For Sensory Processing Difficulties, Britney A. Bradwisch

Occupational Therapy Capstone Presentations

Sensory processing disorder affects between five and 16.5 percent of the population and up to 90% of individuals with disabilities. Occupational therapists are equipped to treat sensory processing difficulties using occupation-based, sensory-based, and client-centered interventions. There is limited evidence on how occupational therapists can use multiple intervention environments including typical sensory gyms, aquatic therapy, and equine-assisted therapy to specifically target sensory processing. Therefore, the purpose of the capstone project was to explore the effectiveness of multiple occupational therapy interventions for children with sensory processing difficulties. The capstone project focused on advanced clinical practice while incorporating education and program development to …

Enhancing Resident Engagement: Optimizing Meaningful Occupations In Skilled Nursing Facilities, Drew J. Couch

Occupational Therapy Capstone Presentations

Older adults residing in skilled nursing facilities (SNFs) face a multitude of challenges in engaging in meaningful occupations. They are at risk of occupational deprivation due to the regulations of the facility, physical limitations, and restricted choices of activities (Keane et al., 2023). Though the occupational therapy profession acknowledges the impacts this has on older adults little has been done to combat these issues. The purpose of the 14-week capstone project was to promote meaningful occupational engagement for residents residing in an SNF. Additionally, this project advocated for occupational therapy’s distinct role in identifying and promoting meaningful occupations. Multiple goals …

A Peer-Mediated Art Program For Secondary Education Students: An Occupation Based Approach, Kjersten B. Sievers

Occupational Therapy Capstone Presentations

The purpose of this 14-week capstone project was to explore the impact of a peer-mediated art program on the social and occupational experiences of students with disabilities. This program was designed and implemented to promote inclusion of students with disabilities by providing an opportunity to interact with typically developing peers within their school-context. The 7-week peer-mediated art program was embedded into a startup peer-program at a high school. A total of 10 participants (4 from special education) were recruited to complete the study. Students met for three 45-minute sessions and one 90-minute session each week as part of the program’s …

Empowering Pregnancy And Postpartum: Supporting Motherhood Through Occupational Therapy Education, Alison Drexler

Occupational Therapy Capstone Presentations

During pregnancy and postpartum, women are at increased risk for physical and psychological health concerns due to the changes and challenges that come with the transition. The purpose of this 14-week capstone was to develop and implement educational sessions using occupational therapy concepts and integrate them into a community parenting program to ease the transition during the perinatal period. It also aimed to advocate for the role of occupational therapy in pregnancy and postpartum. Methods included preparing and sharing supplemental educational materials, developing and implementing occupation-based sessions, creating a folder of resources, and developing a manuscript advocating for occupational therapy …

Implementing The Copm To Create Occupation-Based Interventions In Outpatient Adult Rehabilitation, Kelcee A. Bacon

Occupational Therapy Capstone Presentations

Worldwide, people continue to live longer, with the number of people over the age of 60 predicted to double by 2050; many of those people also have chronic diseases that could benefit from rehabilitation services. Outpatient rehabilitative services, including occupational therapy, have increased occupational performance, strength, mobility, and coordination for those diagnosed with musculoskeletal or neurological conditions. This capstone focused on three components: 1) in-depth clinical practice using occupation-based assessments and interventions with the adult population, 2) understanding the administrative roles of private practice therapists, and 3) creating educational materials to increase knowledge and skills surrounding outpatient occupational therapy for …

A Program Based On Meaningful Occupations To Improve Perceived Health And Well-Being For People Experiencing Homelessness, Annika Overgaard

Occupational Therapy Capstone Presentations

Individuals experiencing homelessness face a variety of barriers to occupational performance and participation, thereby negatively impacting their quality of life, health, and well-being. Occupational therapists are uniquely qualified to address the health and well-being needs of individuals experiencing homelessness due to their holistic client-centered approach, their efforts in promoting occupational participation, and providing opportunities for occupational empowerment. Occupational therapy with this population is a growing area of practice, and there is a lack of literature focusing on interventions related to meaningful occupations. My capstone project aimed to create a meaningful occupation-based program for individuals experiencing homelessness at a drop-in day …

Incorporating Occupation-Based Activities Into Treatment For Adolescents With Substance Use Disorders To Increase Self-Efficacy, Brea E. Westberg

Occupational Therapy Capstone Presentations

In 2022, over 48.7 million people aged 12 and older reported having a substance use disorder in the past year. Adolescents are increasingly becoming involved in substance use behaviors that impact their lives daily. There is limited evidence for providing mental health interventions, including those provided by occupational therapy practitioners, to adolescents with SUDs within the substance use treatment setting. Self-efficacy is an important part of the substance use recovery process. Therefore, the purpose of the capstone project was to determine the effects on self-efficacy after incorporating occupation-based activities into programming for adolescents in treatment for SUDs. The Model of …

Animal-Assisted Therapy In An Outpatient Pediatric Occupational Therapy Setting, Peyton N. Stolle

Occupational Therapy Capstone Presentations

The use of animals to assist in the healthcare industry has been around for some time now, however, only recently have those in the occupational therapy industry begun looking at the effects that it would have on patients within their scope of practice. Animal-assisted therapy (AAT) has various uses, and recent studies have shown that the use of dogs within a healthcare setting can greatly increase patient motivation and well-being. However, prior literature shows that there are limited studies on the effects of AAT in a pediatric occupational therapy (OT) setting, specifically an outpatient setting. My capstone project aimed to …

Occupational Therapy’S Role In Developmental Programming At Early Childhood Education And Childcare Centers: A Qualitative Study, Alexis N. Foehrkolb, Jenna Lenhart, Hayley Woods, Madison Wetzel, Breanna Adkins, Sueann R. Woods

Graduate Student Scholarship

This research study aimed to discover what strategies of developmental programming are integrated into early childhood curriculum, whether occupational therapy had a role in the formation of the guidelines, and the importance of early intervention on child development. A case study with ethnographic methods was used, including observations and interviews, to gain an understanding of how sociocultural phenomena affect rural childcare centers in Morgantown, West Virginia. Data was collected and coded into 14 themes, and then analyzed by student researchers. Results from interview data found that daycare teachers are given the choice to follow provided lesson plans or individualize their …