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Understanding Post-Nicu Caregiver Mental Health And Occupational Participation: Implications For Healthcare Practice, Emily S. Knight

Student Capstone Papers

This capstone project explored the mental health challenges experienced by caregivers following their infant’s discharge from the neonatal intensive care unit (NICU) and the resulting impact on occupational participation. Using a mixed-methods design, data was collected through an anonymous survey of 46 post-NICU caregivers, incorporating both quantitative and qualitative responses. Findings revealed that caregivers commonly experienced significant mental health concerns, including stress, anxiety, and depressive symptoms, particularly within the first year following discharge. Although results demonstrated a statistically significant improvement in mental health over time, many caregivers reported limited access to mental health resources and professional support. Importantly, the study …

The Scarlet - Volume Civ, No. 10 (April 10, 2026), Scarlet Staff

The Scarlet (Student Newspaper) (2011-present)

The April 10, 2026 edition of The Scarlet (est. 1939), Clark University's student-run newspaper. The Scarlet is intellectually and editorially independent of the University. This issue is a satirical April Fools Day edition of The Scarlet.

From Missed To Measured: Understanding And Elevating Functional Cognition In Occupational Therapy, Taylor Card, Zeida Gutierrez, Gordon Giles

Spring 2026 OTD Capstone Symposium

Functional cognition is critical to occupational performance but is often inconsistently assessed in occupational therapy practice. This mixed-methods study explored practitioners’ perspectives, assessment practices, and barriers across clinical settings. Findings revealed a reliance on observation over standardized, performance-based assessments, despite strong recognition of its importance. Barriers included time constraints, limited resources, and role ambiguity. Results highlight a gap between current practice and evidence-based approaches, supporting the need for increased education and improved access to practical assessment tools.

Shift In Caregivers Occupations For Patients With Cerebrovascular Accidents, Hannah M. Ninan, Zeida Gutierrez

Spring 2026 OTD Capstone Symposium

The purpose of this capstone is to research the impact of assuming the caregiver role for individuals recovering from a CVA on the caregivers’ occupations and their occupational balance. Acquiring this information allows for a deeper understanding of its impacts and informs the implementation of support strategies and interventions to mitigate burnout within the first year of caregiving.

Grade School Population With Autism And The Development Of Social Emotional Skills, Sabrina Cheney, Cynthia Haynes

Spring 2026 OTD Capstone Symposium

The purpose was to create and evaluate the efficacy of an occupational therapy informed program that addressed social skills, promoted emotional well-being, and fostered a sense of belonging for grade school students with ASD by enhancing communication, interaction, and relationship-building skills.

Meeting The Needs Of Students With Low Vision Or Blindness: A Resource Guidebook Through The Occupational Therapy Lens, Zoe E. Wilson, Keisa Boykin

Spring 2026 OTD Capstone Symposium

The purpose of this project is to develop a guidebook and educational tools to support the academic and social participation needs of students with visual impairments. These tools are intended to help address common challenges children with low vision face in school including difficulties accessing classroom materials, participating in group activities, and keeping up with academic expectations. The guidebook will include evidence-based strategies such as the use of low-vision aids, optical devices, and activity-based supports shown to improve quality of life for children with low vision. By providing practical resources, this project aims to enable educators and occupational therapists to …

Promoting Safety And Community For Dancers, Lauren Tribeck

OTD Capstone Projects

This doctoral capstone was completed in partnership with MOVE Inclusive Dance in Nashville, Tennessee. MOVE Inclusive Dance is a nonprofit organization that empowers individuals of all ability levels to learn life skills through dance. The primary goal of this project was to promote safety for dancers and improve MOVE’s community outreach. The project included creating an injury prevention and body mechanics handbook that the studio would be able to keep for their dancers, parents, and teachers to access. A new framework of dance classes for individuals with Parkinson’s Disease, Alzheimer’s, and Dementia was created to allow MOVE to promote why …

Nashville Dolphins: Where Swimmers Are Built Beyond The Water, Makenzie Hendley

OTD Capstone Projects

This doctoral capstone project was completed through a partnership with Nashville Dolphins. The Nashville Dolphins offer free swim lessons and swim team programs for children and adults with disabilities. The organization serves over 300 swimmers each season and the programs are entirely run by volunteers. The focus of this project was to assist in develop programming and water safety resources. Deliverables provided to the organization include a 10-week swim curriculum for the Little Phins program, a new safety card with the Nashville Dolphins information, and list of schools and local swim teams for potential future partnerships.

The Power Of Connection: Evidence-Based Strategies For Supporting Learners With Autism At Illuminate Academy, Sloan E. Sylvan

OTD Capstone Projects

This doctoral capstone project was completed in partnership with Illuminate Academy, an alternative educational program serving children with autism and developmental disabilities. The project aimed to provide evidence-based support for the organization’s classroom strategies and improve communication of these approaches to families and staff. Key outcomes included the development of a parent-friendly, evidence-based overview of Illuminate Academy’s core strategies, highlighting their role in supporting regulation, engagement, and participation. A concise literature synthesis was created to reinforce these approaches, focusing on sensory processing, co-regulation, play, and participation. Additional contributions included observing a learner during a classroom transition and developing individualized supports …

Bridging Movement Science And Clinical Care: Advancing Evidence-Based Scoliosis Care Through Professional Education And Outreach Initiatives, Megan B. Tenery

OTD Capstone Projects

This doctoral capstone project was completed in collaboration with Spiral Spine Pilates (SSP), a Pilates studio specializing in scoliosis that serves clients from adolescents to older adults. SSP offers virtual and in-person private lessons, group classes, teacher training, and a scoliosis-focused retreat. These services are designed to educate individuals with scoliosis and movement practitioners on evidence-based, functional correction movements that support daily living. The primary objectives of this project were to expand SSP’s educational and community reach through the development of a new Pilates certification, an educational email series, a health and wellness podcast, and other outreach efforts. The primary …

Empowerment Of Patients Through Sexual Wellness Programming, Carly M. Busby

OTD Capstone Projects

Abstract:

This doctoral capstone project was completed in collaboration with Dr. Jenny Archer with Archer Physical Pelvic Floor Therapy. This project highlights empowerment of Dr. Archer and her team through administrative tasks and empowerment of clientele through education materials. The primary deliverable of my project is a six week ‘course,’ addressing pelvic pain through evidence-based therapy practices. Other deliverables include education materials that cover an expanse of pelvic floor and pregnancy related topics. The prominent goal of this capstone project was empowerment through education.

Advocating For Children And Youth With Special Healthcare Needs Through Development Of A Sustainable Ambassador Program At The Center For Courageous Kids.Pdf, Alexandria West

OTD Capstone Projects

Children and youth with special healthcare needs (CYSHCN) often benefit from community-based programs that promote participation, social engagement, and psychosocial well-being. The Center for Courageous Kids (CCK) is a nonprofit medical camp dedicated to providing empowering camp experiences for children with disabilities or lifelong illnesses and their families at no cost. During this doctoral capstone experience, a needs assessment identified limited structured university outreach, decreased volunteer awareness, and the need for improved long-term volunteer recruitment and advocacy efforts.

The purpose of this capstone project was to develop a sustainable ambassador program designed to increase community engagement, strengthen advocacy efforts, and …

Enhancing Family Centered Care, Participation, And Well-Being In The Nicu, Abigail Schweickhardt

Entry-Level Occupational Therapy Doctorate - Doctoral Capstone Symposium

Background

Caregiver mental health is often overlooked or not addressed in the neonatal intensive care unit (NICU). When diving into the literature, themes of anxiety, stress, depression and PTSD are reported from NICU caregivers. A metanalysis study reported many caregivers received short discharge notices, and NICU staff deemed caregivers competent in using their child’s medical equipment after a 15-minute brief. The short notices and lack of knowledge in medical equipment causes caregivers to not feel confident in taking care of their infant (Padratzik, 2022). To help improve caregiver mental health, the family centered care model is the gold standard. Caregivers …

Holding Hope: Empowering Parents Through Perinatal And Nicu Palliative Care, Huntington N. Cotten

Entry-Level Occupational Therapy Doctorate - Doctoral Capstone Symposium

Families receiving perinatal and neonatal Palliative Care (PC) services can experience significant emotional and practical challenges while caring for a child with medical complexities. The Care Companion, a family centered, educational resource, was created in response to survey findings indicating that rehabilitation therapists (OT, PT, and SLP) encountered challenges in providing PC services, followed by site‑specific insights that highlighted additional gaps in family support, education, and parent–infant bonding. This Occupational Therapy (OT) Capstone project was completed within a large academic pediatric medical center providing interdisciplinary PC services to families whose infants have been diagnosed with serious, life‑limiting conditions. The purpose …

Parental Awareness And Response To Cyberbullying: A Qualitative Study Of Nigerian Parents, Adaobi Jennifer Iloakasia, Nneka Anthonia Obumse

Jurnal Kajian Bimbingan dan Konseling

The problem of cyberbullying has been gaining momentum in modern society because of the dynamic development of digital technologies and the extensive use of social media by adolescents. This paper thus examined the parental cognition and reaction to cyberbullying of Nigerian parents with a particular emphasis on Anambra State. The research design in the study was a qualitative one, based on a phenomenological approach to reflect the experiences of parents. Purposive selection of parents with children in secondary schools was done (30 parents). The collection of data was done via semi-structured interviews, and thematic analysis was used to analyze the …

Adapting As Pioneers: A Phenomenological Study Of First-Batch Medical Students In A New Medical Faculty, Hilma Tsurayya Ifitahurroza, Tisnalia Merdya Andyastanti, Anditri Weningtyas, Rosalie Aurellie Wibowo, Callysta Neysa Yusangka

Jurnal Kajian Bimbingan dan Konseling

Entering medical faculty is inherently demanding for first year student and the challenges are amplified for first-batch students in newly established faculties. These students must navigate academic, social, and professional adaptation simultaneously with evolving institution systems. Understanding their adaptation is essential to support success and resilience. This study aimed to explore the adaptation experiences of first-batch medical students in their first year in a new medical faculty. A descriptive phenomenological approach was employed. Data were collected through semi-structured interviews conducted in September 2024 with seven first-year students at the Faculty of Medicine, State University of Malang, established in 2023. Participants …

A Bibliometric And Analytical Study Of Previous Studies Related To Digital Citizenship, Hafidha Bint Saif Bin Suleiman Al- Karusi, Ruqaiya Bint Khamis Al- Alshibli

Journal of Arts and Social Sciences

The current study aimed to investigate previous studies that addressed the topic of curriculum analysis in light of digital citizenship. To achieve the current study’s objective, the researchers employed the descriptive approach “bibliometric analysis.” They used an analysis card to evaluate 31 peer-reviewed scientific studies prepared during the past seven years, from 2017 to 2023. The current study reached several results, the most important of which are: Through its bibliometric analysis of previous studies, the current study demonstrated the low inclusion of digital citizenship in educational curricula, reaching a low rate of 90%. The researchers from Kingdom of Saudi Arabia …

Planning For The Transition To Adulthood: Parent Perspectives On The Planning Process And Experiences Of Young Adults With Fragile X Syndrome, Leonard Abbeduto, Jessica Klusek, Julie Lounds Taylor, Angela John Thurman

Faculty Publications

Objectives Relatively few young adults with fragile X syndrome (FXS) meet the normative expectations of adulthood, although there is heterogeneity in this regard. The present study examined the preparation for the transition to adulthood experienced by young adults with FXS and their parents.

Methods Thirty-nine young adults with FXS and their primary caregiving parents participated. Those with FXS were in their last year of, or had recently left, high school or a formal transition program. Parents completed surveys about the formal transition planning process. We examined the role of the young adults’ adaptive behavior skills in transition planning.

Results Among …

Effects Of Velocity-Based Training On Muscular Performance In Middle-Aged And Older Adults, Bryson Hughes

Doctorate in Kinesiology

The purpose of this study was to investigate the effects of velocity-based training (VBT) on muscular power and strength in middle-aged adults. Thirteen participants (48.9 ± 9.0 years) completed an 8-week VBT intervention performed at peak power (PP) on the chest press (CP; n = 12) and leg press (LP; n = 11). Participants trained using their individualized load at peak power (LPP) and velocity at peak power (VPP). Repeated-measures ANOVA revealed significant time effects for CP PP (p < .001, ηp² = .661), 3-repetition maximum (3-RM) (p < .001, ηp² = .722), LPP (p < .001, ηp² = .643), as well as LP 3-RM (p < .001, ηp² = .836) and LPP (p < .001, ηp² = .509). Pairwise comparisons demonstrated significant differences across all time points for CP PP (p = .001–.013), CP 3-RM (p < .001–.003), CP LPP (p < .001–.048), and LP 3-RM (p < .001). LP LPP reached significance only from pre- to post-testing (p = .006). Friedman’s test also showed significant time effects for LP PP (p < .001, W = .917), with significant changes across all time points (p = .003–.004). No significant changes in VPP were observed across the intervention. This study provides an early examination of VBT performed at PP in middle-aged adults. Although findings are limited to the current sample, results demonstrate the potential efficacy of VBT at PP for improving muscular strength and power in this population. Future studies should report force and velocity intercepts and include comparative groups to better determine the practical significance of VBT in this demographic.

Evaluating Resistance Training Knowledge Among Secondary School Educators And Coaches: Development And Impact Of A Professional Development Program, Josh Redden

Doctorate in Kinesiology

Resistance training is a critical component of health-related fitness in secondary education, yet research has consistently demonstrated that physical education teachers and coaches lack sufficient content knowledge to effectively instruct and supervise these programs. This action research study evaluated resistance training content knowledge among physical education (PE) teachers, adapted physical education (APE) teachers, and sport coaches within a Louisiana school district and assessed the impact of a one-hour asynchronous professional development course delivered via school district email. Twenty-six participants completed pre- and post-assessments using a 20-item instrument developed through a modified Delphi process with an expert panel. Data were analyzed …

Effect Of Irrigation Scheduling On Forage Yield And Quality Of Rhodes Grass And Common Vetch Under Water Stress Conditions, Abdo Bakri Fakirah, Adel Alhjami

Journal of King Abdulaziz University: Meteorology, Environment and Arid Land Agriculture

This study examined the effects of different irrigation intervals (7, 14, 21, and 28 days) on the growth, yield, and quality of Rhodes grass (Chloris gayana) and common vetch (Vicia sativa L.) under field conditions in Sana'a Governorate, Yemen, during two growing seasons. A randomized complete block design with a split-plot arrangement was employed. Short irrigation intervals (7 and 14 days) significantly enhanced plant height, fresh weight, and dry matter yield in both forage species, whereas moderate water stress (21 days) increased crude protein concentration. Rhodes grass showed higher biomass production, while common vetch achieved superior forage …

Risk Factors Affecting Functional Outcomes Of Traumatic Brain Injury Patients During Long-Term Acute Care Hospital Rehabilitation, Arturo Olazabal

Walden Dissertations and Doctoral Studies

Traumatic brain injury (TBI) is a major public health concern associated with long-term disability and high healthcare utilization. Evidence guiding post-acute rehabilitation for medically complex TBI populations remains limited, particularly in long-term acute care hospital (LTACH) settings serving medically unstable patients. This study examined clinical and system-level factors associated with functional rehabilitation outcomes among adults with moderate-to-severe TBI in LTACHs. Guided by the Socioecological Model, recovery was conceptualized as interactions across individual, clinical, and organizational levels. This dissertation included three manuscripts using cross-sectional logistic regression and CMS Section GG measures. In Manuscript 1, longer time from injury to LTACH admission …

Volume Cxlv, Number 17, April 10, 2026, Lawrence University

The Lawrentian

No abstract provided.

Forecasting Future Precipitation In Basrah City, Iraq Using The Statistical Downscaling Model (Sdsm), Ahmed Sagban Khudier

Warith Scientific Journal of Engineering and Technology

Accurate rainfall predicting has become for securing managing water resources, chiefly in light of escalating climate crises. Basrah is among the Iraqi cities most vulnerable to these changes, as climate fluctuations are clearly impacting water availability and hydrological sustainability indicators in the region. The results of this study, through using the Statistical Downscaling Model (SDSM), indicate that the future precipitation was predicted for Basrah Governorate/Iraq up to 2085. Future precipitation projections were developed under group of Representative Concentration Pathway (RCP) scenarios which RCP (2.6, 4.5, and 8.5). The CanESM2 global climate model was used to generate large-scale atmospheric predictors for …

Review Of The Hemodynamic Effects Of Nitroglycerin Use In Acute Myocardial Infarction Subtypes, John Charles

Research Day

Background: Nitroglycerin (NTG) is a medication commonly used for chest pain, often administered in prehospital settings during acute myocardial infarctions (AMI). Current guidelines from the American Heart Association (AHA) and European Society of Cardiology (ESC) recommend avoiding NTG in suspected right ventricular myocardial infarctions (RVMI).

Objectives: Review the hemodynamic effects of nitroglycerin in acute myocardial infarction subtypes to reevaluate the validity of its contraindications.

Method: PubMed and Google Scholar databases were searched, yielding five publications that retrospectively analyzed the effects of NTG on blood pressure (BP) in AMI.

Results: Recent evidence suggests that NTG does not cause a harmful hemodynamic …

Taking A Punch Out Of Medical Imaging: Creating An Affordable 3d Printed Boxers Fracture Hand Model For Radiographic Education., Tanner Leisten, Tyler Greer, Erick Moberg, Joshua Krech, Robert Brockman

Research Day

The most common hand fracture occurs in the fifth metacarpal, and is known as a “boxer’s fracture.” These fractures typically result from direct trauma from punching an object with a closed fist, falls, or motor vehicle accidents. Boxer’s fractures are diagnosed using X-rays to confirm the injury and assess severity. However, extensive bruising and tissue swelling often hides the characteristic depression of the metacarpal head, making clinical evaluation challenging. This project aims to create a low-cost, 3D-printed hand model featuring a boxer’s fracture that can be molded and X-rayed. The model will provide medical students and professionals with an affordable …

Ot’S Role In Promoting Independence And Employment Readiness Skills For Adults With Intellectual Or Developmental Disabilities (Idd), Grace Tompkins, Cynthia Haynes

Spring 2026 OTD Capstone Symposium

This capstone project is a six-week program that addresses OT's role in work readiness skills for adults with intellectual or developmental disabilities (IDD) who are living independently in Jacksonville, Florida. This program consisted of six group sessions with topics including social participation, time management, stress management, financial management, personal hygiene, and executive functioning.

Bridging The Unemployment Gap For Individuals With Developmental Disabilities: An Educational Program, Desiree Polite, Cynthia Haynes

Spring 2026 OTD Capstone Symposium

Improving work readiness skills for individuals with developmental disabilities to increase work/volunteer opportunities.

Occupational Therapy In Action: Enhancing Diabetes Awareness And Support In Rural Schools, Sierra Cook, Cynthia Haynes

Spring 2026 OTD Capstone Symposium

The rising prevalence of type 2 diabetes among adolescents highlights the need for early prevention-focused interventions. This capstone project implemented an occupation-based program for middle school students targeting body awareness, nutrition, movement, and stress management. Five interactive workshops incorporated hands-on activities, including energy check-ins, meal planning, movement stations, and coping strategy development, to promote engagement and support the development of healthy routines.

The Role Of Occupational Therapy In Adaptive Sports: Implementation Of A Young Athletes Program In St. Johns County, Gabriellea Elizabeth Zito Fernandez, Cynthia Haynes

Spring 2026 OTD Capstone Symposium

This doctoral capstone project examined the feasibility and acceptability of implementing the Special Olympics Young Athletes Program (YAP) within St. Johns County, Florida, an area with limited early childhood adaptive sports opportunities. Grounded in Social Cognitive Theory and the occupation-centered program development model, the project aimed to support participation in inclusive recreation for children ages 2–7 with and without disabilities.

A comprehensive needs assessment, community resource mapping, and collaboration with Brooks Rehabilitation Adaptive Sports & Recreation informed program planning and implementation. A five-week YAP pilot program was conducted, focusing on foundational motor skill development through structured, play-based activities centered on …