Digital Commons Network^™

Kickin' It Old School: Connecting The Ages, Elyssia Lambert

Occupational Therapy Student Capstones

Problem Statement

Lack of social participation is associated with negative impacts on QoL in individuals with dementia

Lack of awareness and knowledge of OT as a career option

Connection For All: Supporting Neurodivergent-Accessible Sex And Dating Education, Emma Martinho

Occupational Therapy Student Capstones

While engaging in sexuality and dating are expressed interests for neurodivergent young adults, there is a lack of support limiting their participation.

Supporting The Transition: A Summer Camp Model For Students With Adhd Entering Middle School, Anna G. Schene

Occupational Therapy Student Capstones

Students transitioning from elementary school to middle school experience newfound independence, requiring sufficiency in their executive functioning skills. The school-based OT service delivery does not always include or target this population, leaving students without the support needed to develop these skills.

Unequal Access, Unmet Needs: Rethinking Occupational Therapy In Private Practice, Meghan Smith

Occupational Therapy Student Capstones

Individuals from low-SES backgrounds often experience barriers to occupational therapy services, while private practitioners face challenges balancing accessibility with financial sustainability. These challenges underscore the need to better prepare future occupational therapists to provide equitable, accessible, and sustainable services within private practice.

Learn As You Are: Equipping Key Educational Stakeholders With Neuro-Affirming Knowledge To Support Inclusion Of Autistic Students, Jessalyn Sulamo

Occupational Therapy Student Capstones

Students throughout the autism spectrum often experience challenges relating to social and communication difficulties, sensory challenges, and inflexible approaches that hinder their social, emotional, and academic well-being (Black et al., 2024).

Clinician Perspective And Uses Of Technology In Neurological Home Health Rehabilitation: A Quality Improvement Project, Sean Sullinger

Occupational Therapy Student Capstones

Despite advancements in technology-based intervention systems and supporting evidence on its benefits, rehabilitation clinicians often demonstrate minimal adoption rates in practice due to a lack of training, device access, and confidence in implementation skills leading to impacts on intervention variability in practice.

Fy 2024-2025 Annual Report (Lwlc), Lwlc Faculty And Staff

LWLC Publications

No abstract provided.

Dnp Final Report: Implementing The 5-2-1-0 Lifestyle Framework To Address Elevated Bmi In Pediatric Primary Care, Mary K. Williams

DNP Final Reports

Pediatric obesity remains a significant public health concern, particularly in rural areas where access to specialty care is limited. Primary care settings provide an important opportunity for early identification and intervention through family-based lifestyle modification. The purpose of this quality improvement project was to evaluate the feasibility and preliminary impact of implementing the 5-2-1-0 healthy habits framework, developed by researchers at Penn State, in a rural pediatric primary care clinic to promote improved lifestyle behaviors among children with elevated body mass index (BMI).

This project included pediatric patients ages 5–16 years presenting for well-child visits with a BMI at or …

Adaptive Sports Program & Wellness Initiatives For Individuals With Intellectual/Developmental Disabilities Beyond The Service Cliff, Jordan Pare, Erin K. Wells

OTD DEx Reports - College of Pharmacy and Health Sciences

Young adults with Intellectual and Developmental Disability over the age twenty-one face significant barriers to accessing support in mental health, physical activity, and social communication opportunities due to the loss of federal educational entitlement at this age. Individuals with a disability who lose their educational funding at age twenty-one may be forced into underfunded and uncoordinated systems for support, also known as the service cliff. This paper evaluates the benefits of implementing an adaptive sports program for this population, which research suggests can foster social and physical needs while influencing executive functioning in mental health. The benefits of providing education …

Sweet Potato Gene Clusters Control Anthocyanin Biosynthesis And Leaf Morphology, Dong An, Tiechen Shen, Shiyu Wu, Yanshen Li, Weijuan Fan, Mengxiao Yan, Yinghui Meng, Xinyi Wang, Ximing Xu, Zunfu Lv, Ling Yuan, Jun Yang, Guoquan Lu, Hongxia Wang

Plant and Soil Sciences Faculty Publications

Sweet potato (Ipomoea batatas) exhibits diversity in pigmentation and leaf morphology, yet the genetic architecture and regulatory organisation underlying these traits remain poorly resolved, particularly with respect to organ-specific control. We hypothesised that phenotypic variation is governed by clustered genetic modules comprising regulatory and structural genes operating in an organ-specific manner. To test this, we conducted genome-wide association studies (GWAS) using 4.6 million SNPs across 260 diverse accessions, integrated with transcriptomic, haplotype and functional analyses. GWAS identified two tandem clusters of MYB transcription factors on chromosome 5 as the primary regulators of leaf anthocyanin accumulation. Expression profiling, heterologous expression and …

Breaking Barriers: Empowering Mothers Through Occupation-Based Education, Jessica J. Valencia, Justine Faghihifar, Wendy Tremaine

Summer 2026 OTD Capstone Symposium

This capstone project evaluated the implementation of an occupational therapy-informed educational program for mothers, with children under the age of 18, who have experienced intimate partner violence at Genesis Women's Shelter & Support. The purpose of the project was to promote occupational engagement through education focused on stress management, sleep and rest, routines and habits, memory and attention, parenting and communication, and leisure participation. A needs assessment informed the development of a six-week bilingual intervention consisting of group and individual sessions. Program outcomes were evaluated using pre- and post-intervention assessments, participant feedback, and clinical observations. The project demonstrated improvements in …

Empowering Independence For Young Adults With Disabilities, Grace Sloan, Wendy Tremaine

Summer 2026 OTD Capstone Symposium

Young adults with disabilities often face challenges in maintaining and finding employment, living independently, and participating socially. The purpose of this capstone project was to develop a program to enhance job readiness, independent living, and social participation skills for young adults with disabilities. This project highlighted the need for occupation-based activities to support the transition from high school to adulthood for young adults with disabilities.

Empowering Amputees Through Education And Resources To Improve Independence And Quality Of Life, Brooke A. Hodges, Wendy M. Tremaine

Summer 2026 OTD Capstone Symposium

This doctoral capstone project aimed to develop and implement an evidence-based educational toolkit to increase community resource awareness for individuals with amputations. The project was completed at Baylor Scott & White Institute for Rehabilitation in Dallas, Texas, and involved adult patients with limb loss and rehabilitation healthcare professionals. A needs assessment was conducted using surveys, semi-structured interviews, and informal discussions to identify educational gaps and resource needs. Findings informed the development of educational materials addressing mental health, peer support, financial assistance, transportation, driving rehabilitation, home modifications, adaptive recreation, prosthetic resources, and community organizations. The toolkit was designed to accommodate varying …

Using Creative Arts In Occupational Therapy To Address Motor And Nonmotor Symptoms Of Neurodegenerative Disorders, Elizabeth L. Batista, Kristin Domville, Pam Kasyan-Howe

Summer 2026 OTD Capstone Symposium

Neurodegenerative disorders (NDD), including Parkinson's disease, Alzheimer's disease, multiple sclerosis, and amyotrophic lateral sclerosis, significantly impact motor function, cognition, self-esteem, and occupational engagement. Although creative arts interventions have demonstrated psychosocial benefits, there is limited research examining visual arts as an occupational therapy-led modality addressing both motor and nonmotor symptoms through meaningful occupation (Gros et al., 2024; Li et al., 2024; Chancellor et al., 2014).
This capstone project developed and implemented an OT-led creative arts program utilizing painting as the primary intervention for individuals with NDD residing in an assisted living facility and/or attending an adult day center. Guided by MOHO, …

Advocacy For Inclusive Play In South Dallas: Expanding Access For Children In Underserved Areas, Aryanna Fellows, Mary Jan Greer

Summer 2026 OTD Capstone Symposium

This capstone project aimed to advocate for more inclusive and accessible playgrounds for children of all abilities in underserved communities in South Dallas. Guided by the Person-Environment-Occupation-Performance (PEOP) Model, the project evaluated playground accessibility and identified environmental barriers that limit participation for children with disabilities. Methods included a community needs assessment, playground observations using a standardized accessibility assessment tool, surveys, and stakeholder collaboration. Participants included community members, caregivers, organizational stakeholders, and children who utilize local playgrounds. Findings were synthesized to develop evidence-based recommendations and educational resources to support future playground improvements. The expected outcomes included increased awareness of inclusive playground …

Calm, Confident, Capable: An Educational Manual To Support Effective Oral Care For Children With Autism, Jared D. Morgan, Leah I. Stein Duker, Carrie Alvarado, Angela Labrie Blackwell

Summer 2026 OTD Capstone Symposium

Dental health professionals report limited confidence, perceived competence, and preparedness when providing oral health care to autistic children, which can significantly impact patient participation, quality of care, and overall dental experience. Autistic children are more likely to have dental conditions compared to their neurotypical peers. The methods of this project consisted of four phases being development, preview, revision, and dissemination. The purpose of this project was to develop an educational manual that provides dental health professionals with practical knowledge, skills, and abilities to address the needs of autistic children, to ensure effective oral health care. The expected outcomes of this …

Navigating Concussion Recovery: An Educational Module-Based Approach To Strengthening Occupational Therapist Confidence And Effectiveness In Concussion Rehabilitation, Alejandra Abella, Wendy Tremaine

Summer 2026 OTD Capstone Symposium

Background: Mild traumatic brain injury (mTBI), commonly known as concussion, presents with complex physical, cognitive, visual, vestibular, and emotional symptoms that can significantly affect an individual's ability to participate in meaningful daily occupations. Although occupational therapists play an essential role in concussion rehabilitation, many clinicians report that confidence in evaluating and treating this population develops primarily through years of clinical experience rather than structured education. Inconsistent exposure to concussion cases and limited access to current evidence-based resources contribute to variations in clinical confidence and practice.

Purpose: The purpose of this doctoral capstone project was to develop and implement a comprehensive …

Occupational Therapy Education In A Changing Climate, Elizabeth Ballenger, Amy Lyons-Brown, Elizabeth Richardson

Summer 2026 OTD Capstone Symposium

This doctoral capstone explored how occupational therapy can strengthen its response to climate change and planetary health through education, collaboration, and organizational development. In partnership with SOTER and Project PrOTect, the project used literature review, needs assessment, stakeholder engagement, and interdisciplinary learning to develop strategic frameworks, educational resources, and digital dissemination tools. The project emphasized building organizational capacity, expanding occupational therapy’s role in planetary health, and leveraging international collaboration to support sustainable, occupation-centered action.

Supporting Participation Through Sensory Inclusion, Karla Bonilla, Jazminne Orozco Arteaga

Summer 2026 OTD Capstone Symposium

This capstone project focused on promoting sensory-inclusive environments to support play and social participation among autistic children. The project was conducted in partnership with Straight From The Heart, a foster care organization in San Diego County. A community profile, literature review, and needs assessment were completed using caregiver and social worker surveys and semi-structured interviews with community organization professionals to identify environmental barriers, caregiver education needs, and resource priorities. The findings informed the development of sensory-inclusive educational resources and educational workshop. Stakeholder feedback was used to refine the resources and evaluate their perceived relevance and usefulness. The project highlights the …

Beyond The Athlete: An Autoethnographic Exploration Of Occupational Identity, Sofia Paniagua-Bauer, Karen Park

Summer 2026 OTD Capstone Symposium

Adolescent student-athletes experience unique demands as they navigate the expectations of competitive sport alongside academic, social, and developmental responsibilities. These demands may influence mental health, executive functioning, occupational balance, and the development of occupational identity. The purpose of this Doctor of Occupational Therapy (OTD) capstone project was to explore the development of occupational identity through the lived experience of growing up as a competitive athlete and to examine how participation in sport influenced mental health, self-regulation, executive functioning, and engagement in meaningful occupations. An autoethnographic approach was used to reflect on my personal experiences while completing a capstone experience at …

Supporting Firefighter Families: Addressing Occupational Disruptions Through An Occupation-Centered Approach, Tiana M. Gomez, Jazminne Orozco Arteaga, Karen Park

Summer 2026 OTD Capstone Symposium

Firefighting involves long shifts, unpredictable schedules, sleep disruption, and repeated exposure to occupational stressors that may affect not only firefighters but also their families. This doctoral capstone examined how the occupational demands of firefighting influence family roles, routines, habits, participation, and overall well-being. A convergent mixed-methods study included active or retired firefighters (n = 18) and adult firefighter family members (n = 10), with three participants also completing optional semi-structured interviews. Quantitative survey data were analyzed descriptively, while interview transcripts and open-ended responses were analyzed thematically using the Model of Human Occupation as a guiding framework. Findings demonstrated disruptions in …

Collectivist Culture Values And Self-Esteem In Asian Americans With Adhd, Skye Taemi Jieling Sakashita

Doctoral Dissertations

This study is a quantitative correlational analysis that evaluated the relationship between collectivism and self-esteem in Asian American adults diagnosed with Attention-Deficit/Hyperactivity Disorder (ADHD). A total of 29 Asian American adults with ADHD participated in this study that included a survey of three scales assessing for collectivism, self-esteem, and ADHD symptoms. The results indicated that the correlation between self-esteem and collectivism in participants was not statistically significant. The correlation between self-esteem and ADHD symptoms was also found to be not statistically significant. However, certain correlational analyses regarding collectivism and ADHD symptoms were found to be statistically significant. Specifically, the results …

Interaction Of Mitochondrial Bioenergetics With Nephropathy And Hepatic Insufficiency In Diabetic/ Obesity C57bl/6 Mouse Model, Oyinkansola Mudasiru, Vivian Etugbo, Bhuvana L. Chandrashekar, Reginald Adiele, Ramiro Cisneros

School of Podiatric Medicine - Student Research

Introduction/Purpose: Obesity has become an epidemic with over six million adult individuals affected by this metabolic condition, and it is associated with over 40% of deaths worldwide. Diabetic kidney disease (DKD) is a major cause of kidney disease globally and it is a major cause of mortalities associated with diabetes. In DKD, impaired glucose regulation results in hyperglycemia-induced metabolic dysfunction that culminate in abnormal energy utilization and mitochondrial dysfunction and play critical role in the pathogenesis of DKD. Incidentally, mitochondrial functions and dynamics are impaired in liver insufficiencies of multiple origins. Prevention of triglyceride and lipotoxic accumulations by hepatic mitochondria …

The Effect Of The Continuous Care Model On Self-Practices And Quality Of Life Among Preeclamptic Women, Amira Ahmed Altweel, Salma Abd-Elatty Moawed, Amr Mahmoud Riad, Shaimaa Hassan Mohamady

Nursing

No abstract provided.

Hybrid Type 1 Randomized Controlled Trial Of Technology-Assisted Stepped Care Behavioral Health Intervention For Caregivers And Children Following Pediatric Traumatic Injury, Leigh E. Ridings, Kari N. Thomsen, Margaret A. Prentice, Ebonie Powell, Gabriela Becerra, Martina Mueller, Rochelle Hanson, Christian J. Streck, Peter Ehrlich, Linda Ewing-Cobbs, Meghan L. Marsac, Ryan Spurrier, Tatiana Davidson, Kenneth J. Ruggiero

Psychiatry Faculty Publications

Pediatric traumatic injury (PTI) has substantial physical and emotional health impacts, sometimes resulting in hospitalization and/or the development of posttraumatic stress disorder (PTSD) and depression in children. Caregivers are a key source of support for children following PTI; however, many caregivers experience their own distress and psychological reactions following injury. The CAARE (Caregivers' Aid to Accelerate Recovery after pediatric Emergencies) model is a technology-assisted, stepped care intervention to support the emotional and behavioral recovery of preadolescent children hospitalized after PTI and their caregivers. The CAARE model seeks to provide a systematic, evidence-based screening and intervention procedure that is feasible to …

Comparison Of The 1c2 Reference Filtered Cigar To The 1r6f Reference Filtered Cigarette, Amrita Machwe, Samuel B. Clark, Halle Harned, Tanvi Sawardekar, Stacey A. Slone, Huihua Ji, David K. Orren

Markey Cancer Center Faculty Publications

Introduction: Filtered cigars are a class of tobacco products that can be consumed similarly as conventional cigarettes. Here we have compared tobacco smoke condensates prepared from the 1C2 reference filtered cigar with those from the 1R6F reference cigarette with respect to effects on cell proliferation and viability and AhR-mediated gene expression. Methods: Tobacco smoke condensates were prepared using ISO, Health Canada Intense (HCI) or Cigar Smoking (CSR) regimens and certain HPHCs were measured. Cell proliferation and viability assays were performed on immortalized human bronchial or oral epithelial cell lines. AHR-mediated gene expression was measured using a mouse hepatoma cell line …

Life After Divorce: Effects Of Joint Custody On Parents And Children, Stella Canessa, Gordon B. Dahl, Anna Hasselqvist, Costas Meghir, Susan Niknami, Mårten Palme, Helmut Rainer, Olof Rosenqvist, Pengpeng Xiao

Cowles Foundation Discussion Papers

Divorce reshapes family life, yet little is known about one of its most consequential features: the allocation of child custody. We study the impact of joint versus sole custody on both parents and children using rich administrative data from Sweden linked to over 25 years of newly-collected court custody rulings. To address selection concerns, we exploit random assignment of custody disputes to judges who differ sharply in their propensity to grant joint custody. For fathers, joint custody substantially raises earnings and improves mental health, consistent with sustained paternal involvement enhancing labor market attachment and psychological well-being. In contrast, there are …

Ai Premium, Nicola Borri, Yukun Liu, Aleh Tsyvinski

Cowles Foundation Discussion Papers

Using 380 trillion tokens of realized AI consumption across more than four hundred large language models from the licensed proprietary OpenRouter dataset covering approximately 2 percent of current global monthly AI token consumption, we analyze how AI affects firms, markets, and workers. Leveraging the unprecedented size, scope and granularity data, we construct the AI Factor from growth in tokens, dollars, and users, estimate firm-level AI Betas from stock return comovement, and characterize the AI Premium. First, we build a high-frequency AI factor and decompose it into salient components. Second, we show that firms whose returns covary more positively with the …

Domestic Outsourcing And Young-Worker Entry Into The Formal Sector, Mayara Felix, Michael B. Wong

Cowles Foundation Discussion Papers

We provide evidence that domestic outsourcing increases young-worker entry into the formal sector. Leveraging a pair of 1993–1994 Brazilian reforms that reduced the relative cost of outsourcing security guards, a triple-differences design shows that the reforms increased formal guard employment by 4% and hiring from unemployment or informality by 7%, while reallocating formal employment from older to younger workers and leaving demographic-adjusted wages unchanged. Census data corroborate the rise in formality, driven by the youngest cohorts. The compositional shift mirrors a general pattern in Brazil’s matched employer–employee records: conditional on total firm size, employers with greater occupation-specific scale hire younger …

Lawyers' Manual For Appealing Parole Denials: Administrative Appeals And Article 78 Petitions, Parole Preparation Project

All Categories

No abstract provided.