Digital Commons Network^™

Promoting Reintegration Across Home And School Environments For Pediatric Burn Survivors Through A Mental Health Toolkit For Children, Caregivers, And Educators, Ashtan Goodwin

Entry-Level Occupational Therapy Doctorate - Doctoral Capstone Symposium

Objective:

Pediatric burn injuries affect physical recovery, emotional well-being, social participation, and school reintegration. Mental health needs are often under-addressed, particularly for caregivers and educators supporting children post-injury. Pediatric burn patients are three times more likely to develop psychiatric conditions than uninjured individuals, with disorders such as PTSD emerging years after the injury (Duke et al., 2018). The purpose of this project was to address gaps in mental health support and resources for pediatric burn survivors and their support systems.

Methods:

A mixed-methods approach was used through a pre-survey and interviews with burn care team members. The pre-survey was distributed …

Finding A Home Away From Home: An Accessible Hotel And Short-Term Rental Guide, Atley E. Livingston

Entry-Level Occupational Therapy Doctorate - Doctoral Capstone Symposium

Travel has become a significant part of today’s social culture, allowing individuals to connect with family and friends, explore new environments, and engage in meaningful experiences. However, many wheelchair users report that traveling is often frustrating, inequitable, and difficult. To better understand the limitations of travel on this population, a needs assessment was conducted through a collaboration with a nationwide organization that supports the wheelchair community. Participants identified travel accommodations and the barriers they present as a major limitation to travel. The purpose of this capstone project is to analyze lodging and housing accessibility through the lens of the population, …

Supporting Emotional Wellness After Neurologic Injury: Development Of A Workbook To Improve Self-Awareness And Healthy Habits, Erin L. O'Donnell

Entry-Level Occupational Therapy Doctorate - Doctoral Capstone Symposium

Emotional challenges such as depression, anxiety, loss of identity, and reduced motivation are common after neurologic injury and can hinder rehabilitation and daily functioning (Guo et al., 2022; Villa et al., 2018; Raggi et al., 2024). However, traditional rehabilitation often emphasizes physical recovery, with fewer accessible interventions targeting emotional wellness. This capstone project addresses this gap by developing and evaluating an emotional wellness workbook to support recovery, incorporating evidence that lifestyle factors like exercise can improve mood and reduce symptoms of depression and anxiety (Carek et al., 2011). Guided by the Person-Environment-Occupation-Performance (PEOP) model (Bass et al., 2024), this quality …

Supporting Educators Through Executive Function Education And Tier 1 Regulation Strategies In The Classroom, Sarah Robbins

Entry-Level Occupational Therapy Doctorate - Doctoral Capstone Symposium

Early support for students to develop strong executive functioning skills is crucial, as these abilities are linked to lifelong success, well-being, financial stability, and overall quality of life (Diamond, 2013). A needs assessment conducted via REDCap revealed that while educators were generally familiar with executive function, they reported limited access to resources, reduced confidence in implementing strategies, and time constraints within the classroom.

The purpose of this doctoral capstone project was to enhance educators understanding and confidence in implementing strategies and techniques to address executive function challenges in the classroom. This project involved the development and delivery of educational resources …

Variation In Rehabilitation Related Durable Medical Equipment Use And Cost Among Stroke Survivors: A Retrospective Analysis Of Medicare Beneficiaries, Madison Gersper

Entry-Level Occupational Therapy Doctorate - Doctoral Capstone Symposium

Title: Variation in Rehabilitation-Related Durable Medical Equipment Use and Cost Among Stroke Survivors: A Retrospective Analysis of Medicare Beneficiaries.

Purpose: In the US, stroke is a leading cause of disability (Centers for Disease Control and Prevention, 2017). Stroke survivorship is expected to rise significantly in the coming years (Feigin et al., 2024; Martin et al., 2025), resulting in a large number of people with disabilities who rely on Rehabilitation-Related Durable Medical Equipment (RR-DME) for daily living. However, there is limited published research on equipment access and costs.

The overall objective of this study was to identify predictors of access to …

Implementation Of Standardized Volunteer Training Protocol To Support Executive Functioning Outcomes In Therapeutic Riding, Sydney R. Cornwell

Entry-Level Occupational Therapy Doctorate - Doctoral Capstone Symposium

Executive functioning (EF) skills including inhibition, working memory, and cognitive flexibility, are essential for successful participation in daily occupations. Therapeutic riding (TR) programs offer a unique environment where cognitive, sensory, and motor systems can be engaged simultaneously. Limited research, however, exists on how occupational therapy (OT) principles targeting EF can be systemically integrated into TR settings. This quality improvement project was conducted at a nonprofit therapeutic riding program serving children and adults with psychological, emotional, physical, and cognitive challenges. The purpose of the project was to enhance the structure, consistency, and therapeutic values of the riding sessions by introducing and …

Implementation Of A Classroom-Based Sensory Regulation Toolkit To Enhance Participation In Students With Severe Disabilities, Camryn R. Woods

Entry-Level Occupational Therapy Doctorate - Doctoral Capstone Symposium

Students with severe and multiple disabilities often experience sensory processing differences that can adversely impact their ability to engage, participate, and regulate within the classroom environment. Educators frequently report feeling underprepared to address sensory needs and implement effective, practical strategies to support these students. The purpose of this doctoral capstone project was to develop and implement a classroom-based sensory regulation toolkit within a specialized educational setting serving students with significant physical and cognitive disabilities.

The primary goals of the project were to (1) increase teacher knowledge and confidence in recognizing sensory processing patterns, (2) provide accessible, evidence-based strategies to support …

Reducing Inter-Rater Discrepancies During Administration Of The Canadian Occupational Performance Measure (Copm) Within An Interdisciplinary Research Team, Julia E. Moore

Entry-Level Occupational Therapy Doctorate - Doctoral Capstone Symposium

Background: Consistent administration of outcome measures is essential for producing reliable research data, particularly in stroke rehabilitation where client-centered goals guide intervention (Kelly-Hayes, 2004). The Canadian Occupational Performance Measure (COPM) is widely used to evaluate self-identified occupational performance goals; however, variability in administration among research team members may introduce inter-rater discrepancies and bias in data collection (COPM) (n.d.). Within the Medical University of South Carolina Stroke Recovery Research Center, inconsistent COPM administration was identified during analysis of data and informal interviewing from an ongoing study. Informal interviews were conducted with 7 occupational therapists experienced in neurorehabilitation to identify barriers to …

Enhancing Workplace Readiness Through Social Skills Training For Adults With Idd, Caroline Crowe

Entry-Level Occupational Therapy Doctorate - Doctoral Capstone Symposium

Adults with intellectual and developmental disabilities (IDD) often experience barriers to employment related to limited opportunities to develop and practice professional social skills within supportive environments. This capstone project aimed at enhancing workplace readiness among adults with IDD by implementing a structured social skills training program focused on professional communication. The program was conducted at a day center for adults with IDD and served 10–15 participants seeking employment opportunities, with staff involvement to support sustainability.

A mixed-methods approach was used, incorporating informal staff interviews, participant observations, weekly skill demonstration scoring, and post-intervention surveys completed by both participants and staff. The …

Analyzing Variations In 48-Hour Mortality Rates Following Hospital Admission For Trauma Injuries Across Urban And Rural Hospitals, Kimberly Gilbert Henderson

MUSC Theses and Dissertations

Purpose:  To examine 48-hour in-hospital mortality among trauma admissions and evaluate patient- and hospital-level factors associated with early death, with emphasis on rural–urban differences.

Methods:  This retrospective observational study used the 2022 Healthcare Cost and Utilization Project–National Inpatient Sample (HCUP-NIS). Trauma admissions were identified using HCUP injury indicators and ICD-10-CM codes restricted to initial encounters. To reduce transfer-related bias, analyses were limited to non-transfer admissions after excluding 22,195 transfer-in cases, 6,723 transfer-out cases, and 66 observations with missing data, yielding 182,560 admissions. Early mortality was defined as death within 48 hours. Bivariate differences were assessed using χ² tests, and multivariable …

Generative Ai In An English Language Program: Practitioner Action Research In A Community Of Practice, David Patent, David T. Lind, Amy M. Walker, Olga Oganesyan, Jeff W. Jiang, Haley L. Berl, Tara K. Manion, Kelsey Rae Gillette

College of Professional Studies - All Scholarship

Generative AI (GenAI) adoption in English language programs (ELPs) has outpaced training and institutional support. This practitioner action research (AR) study investigates how eight professionals in a university-based ELP navigated GenAI integration through structured inquiry within a Community of Practice (CoP) framework (Wenger, 1998). Following Burns's (2010) cyclical AR model and Whitehead and McNiff's (2006) living theory approach, participants engaged in a semester-long AR cycle (January–April 2025). Data comprised transcriptions of three recorded meetings and four researcher journals, analyzed using reflexive thematic analysis (Braun & Clarke, 2006). Five themes were identified: implications of GenAI on professional practices, personal and professional …

Program Development Of Incorporating Dance Therapy Into Occupational Therapy Practice For Sensory Regulation In Autism Spectrum Disorder, Taylor Briske, Keisa Boykin, Katherine O'Hara

Spring 2026 OTD Capstone Symposium

The purpose of this project was to develop and implement a program to educate occupational therapists on how to effectively integrate dance therapy as an intervention to address sensory regulation in children with autism.

Library Discovery Kiosks Using Microsoft Webview2, Andres Cazares Reyes, Tom Tran

Library Services Publications

This presentation describes how our library developed a Primo discovery search kiosk using Microsoft WebView2. The session will cover kiosk inactivity reset automation, navigation controls, and deployment.

Understanding The Binding Of Nickel(Ii) Bromide To A Zirconium Metal-Organic Cage For Heterogeneous Catalysis, Luci Green

Caroliniana Undergraduate Research Journal

Heterogeneous catalysts offer inherent advantages in improving the sustainability of industrial chemical processes. Their high ease of separation and recyclability has the potential to reduce the cost, waste, and energy consumption of processes that currently rely on homogeneous catalysts. Metal–organic cages (MOCs) are an attractive material for heterogeneous catalysis due to their discrete and highly tunable structures, which can be functionalized by binding these complexes with catalytically active metals. The specific objective of this study is to provide preliminary insight into the binding of nickel(II) bromide (NiBr₂) to zirconium MOCs, which was done by studying the binding of …

Silent Spaces: The Suppression Of Black Culture At Predominantly White Institutions, Anita James

Honors Theses - Providence Campus

This study examines how Black students experience cultural expression, identity, and belonging within a predominantly White institutional (PWI) environment. Using a mixed-methods approach, data were collected from 20 participants, including survey responses and six semi-structured interviews with three undergraduate students and three alumni. A thematic analysis was conducted to identify patterns across participant experiences. Findings revealed that Black students frequently engage in cultural suppression and identity regulation, including code-switching and modifying their appearance and behavior, in order to navigate academic and social spaces. Participants also described heightened self-awareness, social isolation, and the need to manage how they are perceived in …

Merrimack County Advisory Council 2025-2026 Meeting Minutes, Extension

UNH Cooperative Extension

No abstract provided.

Instrumental Activities Of Daily Living (Iadl) Education To Support Role Transition For Teen Mothers In Underserved Communities, Ayanna Johnson, Lakeisa Boykin, Jessica De Brun

Spring 2026 OTD Capstone Symposium

This project focuses on researching the unique challenges faced by teenage mothers in low-socioeconomic communities and developing occupation-based strategies to support their transition into motherhood. The aim was to enhance their independence and effectiveness in instrumental activities of daily living (IADLs), such as child-rearing, home and financial management, community engagement, and meal preparation.

Mgrre_Thinsections_Mgrre-140_5, Mgrre

Thin Sections

No abstract provided.

Virtual Reality For Clinical Education In The Department Of Communication Sciences & Disorders: A Student-Driven Evaluation, Charles Nudelman

One University Assessment Celebration

No abstract provided.

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.

Sub-Nanometer Nanoclusters Of Copper Atop Single-Atom Copper Moieties Toward Electrochemical Co2 Hydrogenation To Methane, Ahmed Badreldin, Mohammad Bilal Minhas, Shengyao Wang, Gabriella Smith, Shaoqin Chen, Shiwen Wu, Carter Racine, Jin Feng, Yun Hang Hu, Tao Li, Ying Li

Michigan Tech Publications

The electrochemical CO2 reduction (eCO2R) offers a compelling route for converting CO2 into value-added fuels and chemicals. Among CO2-derived products, methane (CH4) occupies a distinct position, serving both as a key intermediate for emerging cascade electro-oxidation to oxygenates and as a strategically important extraterrestrial fuel that can be generated in situ from off-planet CO2 resources. Although Cu-based catalysts capable of selectively producing CH4 have been reported, they seldom sustain high selectivity at practically relevant current densities. Here, we created a single-step co-pyrolysis strategy toward generating and anchoring Cu sub-nanometer clusters (CuSNC) atop Cu-Nx single-atom (SA) motifs embedded within N-doped carbon …

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.

Singing Not To Sing: The Interplay Of The Environment And Behavior On The Reproductive Success Of Forest Breeding Migratory Birds, Miranda Bliss Zammarelli

Dartmouth College Ph.D Dissertations

Habitat selection is a key behavior that has consequences for fitness, which can shift with environmental variation. The environment can affect reproductive success indirectly by shaping behavior or via direct impacts. Many forest breeding migratory birds choose a habitat by establishing territories. To understand the interplay of environment and behavior on the reproductive success of forest breeding migratory birds, I leveraged long-term data and newly collected species-specific data from Hubbard Brook Experimental Forest, New Hampshire, USA. I analyzed over 50 years of territory maps from seven species occupying a 10-ha plot to understand how birds distribute themselves in a habitat. …

Cebuano For Missionaries - Missionary Training Center Grammar Book, Jaden Sigua

Instructional Psychology and Technology Graduate Student Projects

This project presents the design and development of Cebuano for Missionaries, a grammar resource created to support language instruction at the Missionary Training Center (MTC). The purpose of the project was to align grammar instruction with communicative missionary tasks and support learners in achieving Intermediate-Low proficiency on the ACTFL scale. The resource was developed using an iterative design process informed by stakeholder interviews, task analysis, and pilot testing. Key design features include simplified grammar explanations, visual reference charts, and task-based study activities to support classroom instruction, tutoring, and independent study. The project also outlines implementation plans, evaluation strategies, and …

Differentials As Models: Constructing A Differentials-Within-Limits Framework For First-Year Calculus And Examining Students' Understanding Of Limits, Differentials, And Derivatives Within It, Alexander A. Swindler

Theses and Dissertations

Work in first-year calculus has clearly shown the power that treating differentials (such as dx) as tiny quantities affords for first-year calculus learning, yet a traditional limits-based approach leaves no room for them. While some researchers have loosely described informal differentials and limits within the same paradigm, their actual conceptual definitions and relationships have not been explicitly constructed. Continued progress in this area could benefit from theoretical consideration of (a) providing clearer intuitive definitions for differentials inside a limits-based approach to calculus, and (b) defining more exactly the relationships between differentials and limits. In this study, I propose a theoretical …

Leading Through Stability: How Relational Leadership And Stability Transformed The Culture Of Boone Middle School, Luke P. Thuston

Dissertations

Principal turnover remains a persistent challenge in American education, yet limited research has examined the long-term cultural consequences of chronic leadership instability or the mechanisms through which schools recover. This convergent mixed-methods case study investigated how leadership stability and intentional relationship-building practices influenced the transformation of school climate and culture at Boone Middle School, a suburban middle school in Missouri with a sustained history of administrative turnover. Between 2001 and 2022, the school experienced seven principals and fifteen assistant principals, contributing to normalized instability, diminished relational trust, and skepticism toward organizational change. This study examined the period of leadership stabilization …

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.

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 …