Digital Commons Network^™

Holistic Occupational Therapy Approach In Addressing Women’S Health Needs & Access To Care, Lilja Jurva

Occupational Therapy Capstones

Background: As women across the lifespan experience complex physical, emotional, and occupational challenges related to maternal transitions, mental health needs, chronic conditions, and rural healthcare disparities, occupational therapy is uniquely equipped to address the complex challenges. Services have been proven to be directly correlated to lower incidence of preterm birth, cesarean delivery, low birth weight, excessive gestational weight gain, diabetes mellitus, and hypersensitive disorders, and higher incidence of vaginal delivery. A clear gap for maternal support services was identified in the Grand Forks community through literature review, interviews, and community engagement, leading to the development of NoDak Therapy and Wellness. …

The Missing Link: Psychosocial Integration In Neuro Ot Care, Emily Nelson

Occupational Therapy Capstones

Introduction: Over 1 in 3 people are affected by neurological conditions, making it the leading cause of illness and disability worldwide (World Health Organization, 2024). Patients are often referred to inpatient rehabilitation to increase independence and functional recovery. There is a need to address psychosocial factors within this setting thus, The Missing Link: Integrating Psychosocial Factors into Neuro OT was created.

Methodology : The capstone is guided by the Model of Human Occupation (MOHO), which emphasizes the dynamic interaction between the person and their environment and its influence on psychosocial factors, personal identity, and competence. A comprehensive needs review was …

Harvesting Health: Cultivating Skills For Wellness In Agricultural Workers, Katie Renee Quinley

Occupational Therapy Capstones

Purpose: The nature of agricultural work is physically demanding and associated with an increased risk of musculoskeletal injury due to repetitive movements, heavy lifting, awkward postures, and prolonged physical labor. Despite the importance of agriculture as a meaningful occupation and major contributor to the workforce, limited resources address the unique physical demands of agricultural labor. The purpose of this scholarly project was to develop a video-based educational resource to promote safety and continued occupational participation in agricultural workers. Additionally, the project aims to assist therapy professionals in implementing ergonomic and task modifications through an accompanying resource guide.

Methodology: A literature …

The Role Of Occupational Therapy In The Prevention Of Sudden Unexpected Infant Death (Suid), Natalie Ryan Mcfarren

Occupational Therapy Capstones

Background: Each year, 3,700 infants die from SUID; this equates to about ten infants per day. SUID is an umbrella term that covers three separate subcategories: suffocation and strangulation in bed, sudden infant death syndrome (SIDS), and unknown (Cribs for Kids, 2026). Suffocation and strangulation in bed is the only subcategory that is 100% preventable with safe sleep practices, while the risk of SIDS can be decreased by adhering to safe sleep guidelines. While the prevalence of SUID has decreased since the 1992 Back to Sleep campaign, current data indicate a plateau, if not a slight increase, in SUID cases …

Family-Centered Programming For A Rural Midwest Emergency Shelter: An Occupational Lens, Ariel Kathryn Tix

Occupational Therapy Capstones

Introduction: After a period of decline in homelessness, a startling trend reversal occurred between 2023 and 2024; there was a 39% increase in families experiencing homelessness in the United States (de Sousa & Henry, 2024). Rural homelessness is less visible and often looks different from urban homelessness, which presents challenges that require a different approach (Brott et al., 2019). Individuals experiencing homelessness have challenges in every area of occupation and could benefit from novel strategies and resources. Challenges include parenting, accessing medical care, obtaining permanent housing, community mobility, and meaningful routine development (American Occupational Therapy Association, 2020; Brott et al., …

Occupational Therapy In Rural North Dakota Schools To Enhance Transition Planning, Kyra M. Schwartz

Occupational Therapy Capstones

Background: Access to services does not guarantee participation. Youth with disabilities, particularly in rural communities, continue to experience disparities in postsecondary outcomes related to employment, education, and independent living. While transition services are available, barriers related to awareness, coordination, and usability limit effective engagement. These challenges highlight a gap between service availability and access within rural systems and contribute to reduced participation outcomes.

Purpose: The purpose of this scholarly project was to develop an occupational therapy– informed, advocacy-driven approach to improve access to and navigation of transition services for youth with disabilities in rural communities.

Methodology: A multi-method, iterative approach …

Digging Into Prevention: An Occupational Therapy Based Work-Related Upper Extremity Injury Prevention Program For Extraction And Mining Industries, Karli Teresa March

Occupational Therapy Capstones

Background: Extraction and mining industries, which play a significant role in the economic structure of Sweetwater County, Wyoming, consistently report some of the highest rates of work-related injury. Upper extremity based musculoskeletal injuries are particularly common and often lead to significant impairment and/or surgical intervention, impacting productivity, increasing lost-workdays, and contributing to long-term health outcomes. These injuries are often due to a dynamic interaction of personal, contextual, and task-based factors including fatigue, level of experience, organizational procedures and policies, repetitive motions, sustained forceful exertions, awkward positioning, and vibration exposure. Current prevention efforts are often reactive rather than proactive, with interventions …

From Play To Pressure: Understanding Early Sports Specialization Through An Occupational Lens, Kiley Jade Washnieski

Occupational Therapy Capstones

Background: Youth sport participation plays a significant role in the daily lives of children ages 6-12 (Lee et al., 2018). Participation in organized sports can offer numerous benefits; however, the expectations surrounding youth sports have evolved over time. Increased emphasis on early specialization has intensified training demands and performance pressures placed on youth athletes during critical developmental years (Brenner et al., 2019). Although occupational therapy is well positioned to address both the physical and psychosocial demands of youth sport participation, the profession’s role within this context remains underexplored (Bulan et al., 2025).

Purpose: The purpose of this scholarly project was …

Empowering Caregivers: An Occupational Therapy-Informed Educational Program For Dementia Care In Rural Communities, Maria Lynn Johnson

Occupational Therapy Capstones

Purpose: Hospitalization presents significant risks for individuals with dementia, including increased behavioral and psychological symptoms (BPSD), delirium, functional decline, and reduced occupational engagement (Boltz et al., 2023; Teichmann et al., 2019; Zwingmann et al., 2020). Acute care environments are often overstimulating, unfamiliar, and task-oriented, which can exacerbate cognitive impairment and contribute to caregiver distress. Despite strong evidence supporting nonpharmacological, occupation-based interventions, structured engagement opportunities are rarely integrated into acute care workflows (Burgdorf et al., 2023; Faeder et al., 2023). This doctoral capstone project aimed to develop occupation-based dementia activities for use during hospitalization while equipping formal and informal caregivers with …

Quality Of Life Of Individuals Residing In Senior Living Facilities, Meagan R. Danda

Occupational Therapy Capstones

Introduction: Formal caregivers play an essential role in supporting residents’ physical, emotional, and social needs which contribute to overall health and well-being (Spilsbury et al., 2024). Due to these responsibilities, caregivers need to be properly equipped with the knowledge and skills necessary to perform clinical duties with confidence. The purpose of this scholarly project is to develop a product that increases caregiver confidence by providing caregivers with occupational therapy informed education. By enhancing caregivers’ knowledge and skill set, this product may contribute to a supportive environment that fosters resident engagement in meaningful occupations and promotes improved quality of life (QoL) …

Cultivating Connections: Empowering Agricultural Community Members Through Collaborative Care, Kearyn E. Nelsen

Occupational Therapy Capstones

Background: Agriculture and mental health – two words not typically used in the same sentence; however, considering the rate of suicide among those working in the agriculture profession is significantly higher than the general population, the need for both awareness and action is critically important. Despite a lack of research specific to occupational therapy and the agricultural population, occupational therapists on an interprofessional healthcare team are uniquely positioned to serve this population. Interprofessional collaboration is essential when serving agricultural community members, whose needs involve a complexity of physical, mental, social, and environmental factors, each impacting the overall health and well-being …

Pathways To Participation: Enhancing Inclusion For Individuals With Idd, Katie Koxlien

Occupational Therapy Capstones

Background: Youth with intellectual and developmental disabilities (IDD) continue to experience barriers to meaningful community participation despite policies promoting inclusive community-based services (Friedman, 2017). Sensory sensitivities, difficulty with transitions, and overstimulating environments frequently limit engagement and increase anxiety or behavioral responses when appropriate supports are not present (Bagatell et al., 2022; Dean et al., 2018; Tint et al., 2017). Research indicates that inclusion requires intentional programming that incorporates structured supports, consistent routines, and opportunities for meaningful engagement (Edwards et al., 2021; Hall, 2016).

Methods: The purpose of this scholarly project was to develop a week long sensory exploration camp for …

Determining Driving Ability Following Traumatic Brain Injury, Shauna M. Corrigan

Occupational Therapy Capstones

Introduction: A traumatic brain injury (TBI) can be a severe injury that causes lasting effects such as visual changes, challenges with concentration and memory, and problems with coordination and balance (Centers for Disease Control, 2024). This can impact an individual’s ability to safely return to the valued occupation of driving. Occupational therapists will commonly assess an individual’s ability to return to drive following a TBI, but they experience challenges in doing so due to a lack of standard method in assessing one’s safety while operating a motor vehicle (Baker et al., 2015; Tamietto et al., 2006; Classen et al., 2009; …

Optimizing Healthy Aging: A Preventative Approach To Support Community-Dwelling Older Adults, Jada Welke

Occupational Therapy Capstones

Introduction: Healthy aging is a complex and multidimensional process influenced by physical, cognitive, psychosocial, environmental, and lifestyle factors across the lifespan. Increasing evidence from researchers suggests that many health care systems continue to rely on reactive models that address decline only after functional limitations emerge. Preventive interventions initiated in midlife have the potential to significantly influence long-term health outcomes, independence, well-being, and quality of life. As a result, there is growing recognition that multidimensional, proactive screening and intervention should begin earlier, before age-related conditions become clinically significant.

Purpose: The purpose of this scholarly project was to address this need through …

Introduction Of Occupational Therapy Into A Suburban Supportive Housing Organization, Madeline Kuntz

Occupational Therapy Capstones

Abstract: Unhoused individuals experience compounded barriers beyond housing access and are often underserved within occupational therapy practice. This doctoral capstone project partnered with a nonprofit residential program to develop a research-informed onboarding manual grounded in the holistic occupational therapy framework, Model of Human Occupation (MOHO, O’Brien, 2017). The manual was designed to clarify expectations of the supportive housing program, address diverse resident needs, and promote independence as the organization expands. Development was informed by a comprehensive literature review and informal needs assessment of the organization, identifying anticipatory barriers and supports commonly experienced prior to program entry. Key areas of need …

Expanding Access To Hand Therapy In Rural Wyoming Through Telehealth, Cheyenne Rose Thompson

Occupational Therapy Capstones

Individuals living in rural Wyoming experience significant barriers to accessing specialized hand therapy services, including geographic isolation, limited availability of certified hand therapists, and inconsistent healthcare infrastructure, resulting in delayed rehabilitation and reduced functional outcomes (Hirth et al., 2022; Rural Health Information Hub, 2025). Although telehealth has emerged as a potential solution to improve access, challenges related to clinician training, safety, and adaptation of interventions to virtual environments persist (Feldhacker et al., 2022; Morris, 2024). The purpose of this scholarly project was to develop an evidence-based telehealth hand therapy program to improve access to upper extremity rehabilitation services in rural …

Occupation-Based Transition Planning Guide For High School Students With Disabilites., Kelsey Milleson

Occupational Therapy Capstones

Background: The transition from high school to adulthood is a critical period influencing independence, employment, and community participation for students with disabilities (Carroll et al., 2025; Rosner et al., 2020). Despite mandates under the Individuals with Disabilities Education Act (IDEA), many students experience poor postsecondary outcomes, including limited employment and increased reliance on caregivers (Benson et al., 2021; U.S. Department of Education, 2020). Effective transition planning should begin early, be individualized, and emphasize real-world skill development such as daily living, vocational skills, and self-advocacy (Cleary & Persch, 2020). However, school-based programs often lack consistency, structure, and performance-based outcome measures, reducing …

The Lens Of Farmers: Understanding Culture To Improve Occupational Therapy Care, Allison Marie Stephani

Occupational Therapy Capstones

Introduction: Accessible healthcare is essential for farmers due to their limited available time and hazardous job duties (Hildebrand et al., 2019; Hopkins et al., 2023; Salmon et al., 2025; U.S. Department of Agriculture, 2023). Due to the high incidence of injuries that occur within the profession, it is crucial that farmers seek appropriate healthcare services to address these concerns. However, a significant barrier for seeking healthcare assistance is the limited cultural competence among healthcare professionals in understanding the unique needs within farming communities (Gordon et al., 2024; Hildebrand et al., 2019; Hopkins et al., 2023; Purc-Stephenson et al., 2024). The …

Future Mining: Learning For Safety And Security, Md Sazedur Rahman, Mizanur Rahman Jewel, Sanjay Madria

Computer Science Faculty Research & Creative Works

Mining industry is rapidly transforming into an AI-driven cyber-physical ecosystem where safety and operational reliability depend on robust perception, resilient communication, trustworthy distributed intelligence and continuous monitoring of miners and equipment. Real-world mining environments impose severe constraints like poor illumination, dust, occlusion, GPS-denied conditions, irregular underground topologies, and intermittent connectivity. These factors degrade perception quality, disrupt situational awareness, impair trajectory prediction and weaken the reliability of distributed learning systems. Emerging cyber-physical threats, including backdoor triggers, sensor spoofing, label-flip attacks and poisoned model updates, further jeopardize operational safety, particularly as mines increasingly adopt autonomous vehicles, humanoid assistance, and federated learning for …

Dynamic Hub-Aware Knowledge Distillation For Efficient Traffic Flow Forecasting, Xiangjie Kong, Can Shu, Wenchao Weng, Zhenzhen Zhao, Guojiang Shen, Lei Wang, Sajal K. Das

Computer Science Faculty Research & Creative Works

Real-time traffic forecasting acts as a critical enabling service for IoT-driven Intelligent Transportation Systems (ITS). While existing Spatiotemporal Graph Neural Networks (STGNNs) achieve superior forecasting accuracy, their intensive computational complexity and high latency create a deployment bottleneck for resource-constrained IoT edge devices. To address this resource-accuracy mismatch, we propose a novel framework termed Dynamic Hub-Aware Knowledge Distillation (DHKD). Unlike traditional uniform distillation paradigms, DHKD introduces a topology-aware strategy to transfer knowledge from a complex teacher to a lightweight Spatiotemporal Multi-Layer Perceptron (STMLP) student model. Specifically, we design a dynamic hub-aware gating (DHAG) mechanism that adaptively identifies time-varying pivotal sensing nodes …

Digital Twin Freshness Maximization In Edge Computing, Jing Li, Jianping Wang, Weifa Liang, Quan Chen, Sajal K. Das, Xiaohua Jia

Computer Science Faculty Research & Creative Works

Mobile Edge Computing (MEC) shifts powerful computing resource provisioning from remote powerful data centers to the edge of core networks. Meanwhile, Digital Twin (DT) has surfaced as a promising technology to provide comprehensive and dynamic descriptions of physical objects in cyberspace with bidirectional and real-time interactions. Moreover, Internet of Things (IoT) devices have contributed abundant, heterogeneous and continuous data from interconnected devices to the explosion of DTs. With technologies evolution, there is an increasing necessity to address the freshness of both DT states and DT data, through timely synchronizations between DTs and their objects in a highly dynamic IoT environment. …

Feddot: Defending Federated Learning Against Overwhelming Targeted Attacks, Priyesh Ranjan, Ashish Gupta, Federico Coro, Sajal K. Das

Computer Science Faculty Research & Creative Works

Federated Learning (FL), which facilitates collaborative model training and protects users' privacy, has drawn great interest from the research community. With FL, participants train their models on local data and submit the corresponding updates for aggregation to a server. While concealing the identities of the participants, FL may attract adversaries in order to hamper the underlying model. In this paper, we propose an FL framework, FedDOT, to defend against adversaries performing targeted attacks. FedDOT incorporates two powerful defense algorithms, Maximum Spanning Tree based attacker detection (MSTAD) and Densest graph-based attacker detection (Density-AD), which leverage correlation between weight updates and graph …

Utility-Preserving Federated Graph Learning With Dual-Perspective Fairness, Renqiang Luo, Huafei Huang, Shuo Yu, Fengqi Yu, Feng Xia, Sajal K. Das, Chengqi Zhang

Computer Science Faculty Research & Creative Works

Fairness-aware federated graph neural networks (FedGNNs) necessitate consideration of both the server and the clients. However, fairness-aware methods struggle to enhance dual-perspective (i.e., server and clients) fairness without sacrificing utility due to the distributed learning framework. As a consequence, the utility sacrifices of fairness-aware graph learning methods are even exacerbated in federated frameworks. In this work we propose F3GL, a dual-perspective fairness federated graph learning method that enhances both global (for the server) and local fairness (for clients) while preserving utility. Through theoretical analysis, we delineate the similarity between original sensitive features and those after convolution under different spectra. Our …

Escher: Efficient And Scalable Hypergraph Evolution Representation With Application To Triad Counting, S. M. Shovan, Arindam Khanda, Sanjukta Bhowmick, Sajal K. Das

Computer Science Faculty Research & Creative Works

Higher-order interactions beyond pairwise relationships in large complex networks are often modeled as hypergraphs. Analyzing hypergraph properties such as triad counts is essential, as hypergraphs can reveal intricate group interaction patterns that conventional graphs fail to capture. In realworld scenarios, these networks are often large and dynamic, introducing significant computational challenges. Due to the absence of specialized software packages and data structures, the analysis of large dynamic hypergraphs remains largely unexplored. Motivated by this gap, we propose ESCHER, a GPU-centric parallel data structure for Efficient and Scalable Hypergraph Evolution Representation, designed to manage largescale hypergraph dynamics efficiently. We also design …

(2026) Desegregating The Community Of Inquiry In Philosophy For / With Children: A Dialogue On Racism, Maughn Rollins Gregory, Darren Chetty

Collected Papers of Maughn Rollins Gregory

This dialogical article examines persistent challenges in engaging racism, colonialism, and white supremacy within the theory and practice of Philosophy for/with Children (P4/wC). Framed as a mutual interview between two long-standing colleagues, the dialogue revisits formative encounters in the P4/wC community and situates them within broader intellectual traditions, including American pragmatism, deliberative democracy, and Africana philosophy. Drawing on personal experience, archival material, and critical scholarship, the authors interrogate the metaphilosophical assumptions underpinning the “community of inquiry,” particularly its commitments to reasonableness, consensus, and democratic dialogue. Concepts such as the “gated community of inquiry,” white ignorance, nonideal theory, and insurrectionist ethics …

(2026) Three Traditions Of Philosophical Dialogue, Maughn Rollins Gregory

Collected Papers of Maughn Rollins Gregory

This chapter distinguishes and interrelates three major traditions of philosophical dialogue: inquiry, political, and contemplative. Inquiry dialogue, exemplified by the “community of philosophical inquiry,” emphasizes collaborative reasoning aimed at forming the most reasonable judgments about contested concepts. Political dialogue, exemplified by the story circle, shifts the focus toward democratic transformation, highlighting how discourse is shaped by power, ideology, and the need for emancipatory critique and action. Contemplative dialogue, exemplified by lectio divina, foregrounds self-awareness, ethical disposition, and attentive presence as conditions for meaningful exchange. Across these traditions, dialogue is presented as a normative practice that simultaneously cultivates the self and …

To Kill And Let Suffer: The Incompatibility Of The Death Penalty And Medical Aid In Dying, And The Necessity For A Fundamental Right To Life, Nicholas Stackhouse

Dickinson Law Review (2017-Present)

Currently, the Supreme Court holds that the death penalty is constitutional and that a person has no right to Medical Aid in Dying, resulting in a legal environment in which a person can unwillingly be put to death while simultaneously having no ability to end their own life if terminally ill and in pain. The conclusion drawn from the Supreme Court’s decisions means that death row inmates who wish to end their lives have a greater right to die than law-abiding citizens. This state of affairs is untenable and contradictory to the founding principles of the United States. This Comment …

From Privacy To Profit: The Evolution Of Name, Image, And Likeness Rights And The Revolution In College Athletics Toward Collegiate Capitalism, Donald M. Remy

Dickinson Law Review (2017-Present)

The story of Name, Image, and Likeness (NIL) rights in American law is one of adaptation, transformation, and ultimately, revolution. What began as a modest recognition of personal dignity in the late 19th century has evolved into a multibillion-dollar framework that has fundamentally altered the landscape of college athletics. The journey from Samuel Warren and Louis Brandeis’s seminal articulation of the “right to be let alone” to the June 2025 approval of the House v. NCAA¹ settlement represents not merely a doctrinal evolution but a profound shift in how American society conceptualizes the relationship between identity, commerce, and fair …

Name, Image, Likeness And The Great American Pastime, Barbara Lauriat

Dickinson Law Review (2017-Present)

The ability of high-profile athletes to commercialize name, image, and likeness (NIL) rights is at the center of many current controversies about the future of college sports in the United States. This Article describes how what we call NIL protection— largely based on publicity rights doctrines developed in the mid-20th century—is historically recent, conceptually unstable, and insufficiently scrutinized, even though it now underwrites major entertainment markets in sports. Just as baseball is a sport particularly identified with the United States, there is also a peculiarly American approach to the protection of persona. Using baseball as the central case study, the …

Losing Your Driver’S License; Just What The Doctor Ordered?, Shawna Traver

Dickinson Law Review (2017-Present)

Having a medical scare or living with a chronic medical condition is a common experience for many people in the United States. But should you go to a doctor in Pennsylvania and tell them of your condition or experience, a little-known law may force the doctor to report you to the Pennsylvania Department of Transportation— without your knowledge. Once the report is received, the Department can recall your license. You can attempt to restore your license by attending a hearing, though you are fighting an uphill battle. Essentially, Pennsylvania drivers may be blindsided by a license recall merely because they …