Digital Commons Network^™

The Missing Piece: A Sensory Toolkit For Parents, Educators, Healthcare Professionals, And Caregivers Of Children With Autism Spectrum Disorder (Asd) And Sensory Processing Disorder (Spd)., Jennavive Holm

Occupational Therapy Capstones

The purpose of this project is to create educational material pertaining to sensory processing. The intended audience includes families, caregivers, teachers, and other healthcare professional who treat and/or care for individuals diagnosed with Autism Spectrum Disorder (ASD) and/or Sensory Processing Disorder (SPD). This sensory toolkit was developed to enhance parents and caregiver education on ASD and SPD diagnoses to increase both the child’s and the caregiver’s quality of life. It is hoped that this sensory toolkit will provide caregivers with invaluable resources and tools to use outside of the clinic. This product will incorporate the expertise of occupational therapy (OT) …

The Impact Of Trauma On Occupational Performance For People Experiencing Homelessness, Isabella Jeanette Johannes

Occupational Therapy Capstones

People transitioning from homelessness experience trauma at three times the risk than the general population (McCurry, 2021). Occupational therapy can provide trauma-informed services that helps people that have experienced homelessness transition to supported housing by addressing occupational competence and identity formation through meaningful activity (McCurry, 2021). Occupational therapy can address this area by educating staff and students that work with this population to be more trauma- informed. It is important to utilize a trauma-informed approach to avoid retraumatization to people that have experienced homelessness (AOTA, 2021). There were two purposes of this project: a) develop advanced knowledge in trauma-informed care, …

Improving Occupational Engagement For Children With Executive Dysfunction, Autumn Hopkin

Occupational Therapy Capstones

A person's ability to successfully perform complex tasks requires a higher level of thinking made possible through the successful use of executive functions. Executive functions develop over time, but typical development begins in early childhood. When children experience interruptions to development, executive dysfunction can inhibit their ability to reach their full occupational potential with play, academics, and social skill development. This scholarly project aims to promote executive function using an evidence-based approach to support occupational therapy practitioners and the children they serve with executive dysfunction.

Best Practice Occupational Therapy Interventions For Addressing Trauma And Posttraumatic Stress Disorder: A Practitioner Guide, Madison Kay Ertelt

Occupational Therapy Capstones

Posttraumatic stress disorder (PTSD) impacts approximately 3.6% of adults and 5% of adolescents in the United States and has pervasive impacts on occupational performance (National Institute of Mental Health, n.d.). Occupational therapy practitioners (OTPs) likely encounter clients with PTSD frequently due to this widespread prevalence in addition to trauma being comorbid with a variety of mental and physical health conditions. Despite the widespread prevalence of trauma, many OTPs find that trauma-informed care is not adequately implemented in practice (Holman et al., 2022). There is a gap in the literature regarding occupational performance deficits experienced among clients with trauma, knowledge of …

A Holistic Approach To Promoting Sleep For People Emerging From Homelessness: A Good Night’S Rest In Your Nest Sleep Toolkit, Anna Frances Burggraf

Occupational Therapy Capstones

Sleep deprivation has been directly linked to chronic health issues, decreased physical and cognitive functioning, and overall decreased quality of life, which limits the ability to engage in desired tasks and occupations (Gonzalez & Tyminski, 2020). Individuals who have experienced homelessness consistently demonstrate higher rates of sleep inadequacies compared to the general public, which highlights the need for service providers to address the quality of sleep participation for this population (Gonzalez & Tyminski, 2020).

Assisting Mothers In The Transition Into Motherhood, Abbey Mckenna Marinucci

Occupational Therapy Capstones

The perinatal period ranges from 22 weeks gestation to 2 years postpartum (Hoekzema et al., 2017; Seth et al., 2016; World Health Organization, n.d.). During the perinatal period, intervention is primarily provided by an obstetrician and gynecologist (OBGYN) during pregnancy. Typically, mothers are discharged on average 2.1 days after a natural birth (Podulka et al., 2011). Women are seen at 6 weeks postpartum where mothers’ physical health is the focus of the visit, leaving mothers' mental health concerns unaddressed and questions typically unanswered (American Academy of Pediatrics, 2012 & American College of Obstetricians and Gynecologists, 2012 as cited in Corrigan …

Serving The Needs Of The Autism Spectrum Disorder Population, Taylor White

Occupational Therapy Capstones

Autism spectrum disorder (ASD) is a neurodevelopmental disorder that is marked by challenges in social communication, restricted interests, and repetitive behavior which results in difficulties in many occupations (American Psychological Association [APA], 2013; Crabtree & Demchick, 2018). Occupational therapy is part of the multidisciplinary team providing services to children with ASD. The purpose of this doctoral experiential placement was to gain advanced clinical practice knowledge for serving children with ASD. Additionally, a product focused on enhancing interprofessional collaboration was developed.

Occupational Therpay’S Role When Treating Pediatric Feeding Disorders, Callie Vold

Occupational Therapy Capstones

Feeding and eating are required occupations that all humans must engage in to meet one of their most basic needs (AOTA, 2020; Maslow, 1943). While feeding and eating allows humans to meet their most basic physiological needs it also allows them to meet other needs of Maslow's Hierarchy along with engaging in valued occupations (AOTA, 2020; Maslow, 1943. Children with Pediatric Feeding Disorders (PFD) have difficulty with one or more areas of feeding which are medical, nutritional, feeding skill and/or psychosocial dysfunction (Fleet et al., 2022; Goday et al., 2019; Howe & Wang, 2013; Marshall et al., 2015; Sharp et …

Improving Transitions For Individuals With Spinal Cord Injuries: A Dual-Component Resource, Benjamin Frederick Stagg

Occupational Therapy Capstones

Returning to societal functions after a spinal cord injury is often the primary goal of most individuals (Kennedy et al., 2010). The transition out of rehabilitation is often inhibited by many difficulties ranging from a lack of quality peer supports, a gap in post-discharge care, an absence of psychological support, and experiences of unaddressed chronic pain, worries about bowel and bladder accidents, altered body image, concerns about autonomic dysreflexia, and spasms (Dickson et al., 2011; Kennedy et al., 2010). Transitions for individuals with spinal cord injuries presents a clear area of need for this scholarly project.

Addressing The Psychosocial Impacts And Recovery Of A Patient With Carpal-Metacarpal (Cmc) Arthroplasty: A Case Study, Christopher Hernandez

Occupational Therapy Capstones

Background & Purpose: Hands are an integral part of what defines us as human beings, they provide us with independence in work, leisure, self-care, and social interactions (Hannah, 2011). Injury to the upper extremity can harm one’s ability to engage in daily occupations, and often can result in a wide range of consequences affecting the physical, psychological, social, and economic aspects of a person’s everyday life (Cederlund et al., 2010; Chown et al., 2017). Treatment is often placed on the physical aspects of the injury, while the phycological symptoms associated with the injury are often not addressed (Jack & Estes, …

Occupational Therapy’S Role In Promoting Early Literacy In Head Start Programs, Paige Mann

Occupational Therapy Capstones

The purpose of this scholarly project is to create resources to support teachers and caregivers of Head Start students in supporting early literacy skill development. These resource guides and activity kits aim to support teachers and caregivers in closing the literacy gap between children raised in low-socioeconomic (SES) households and their peers from highsocioeconomic households.

Reading The Warning Signs: Preventive Mental Health Youth Education Program, Cammy Cate Robertson

Occupational Therapy Capstones

Wyoming is the third leading state in suicide related death (Centers for Disease Control and Prevention [CDC], 2018; Wyoming Department of Health, n.d.). According to the National Institute of Mental Health (2022), suicide is the second leading cause of death in individuals aged 10-14. One in six youth experiences a mental health disorder yearly, while 50% of individuals aged 14 begin to have lifelong mental health concerns (Kessler et al., 2005; Whitney & Peterson, 2019). Students who experience depression are twice as likely to drop out of school, and students with mental, emotional, or behavioral concerns are three times more …

The People Left Behind: Older Adults In Custody, Therese Pettersen

Occupational Therapy Capstones

The number of older adults in custody has significantly increased over the past few decades, now accounting for 10% of the total prison population (Carson & Sabol, 2016). It has been documented that older adults in custody have been subjected to bullying, lack of understanding and knowledge among prison staff, harassment, isolation, lack of age-appropriate occupations and more (Du Toit & McGrath, 2018). Increased staff training on older adult care (Brooke & Ryback, 2020; Williams et al. 2012), environmental modifications (Bierie, 2018; Brooke et al., 2020; Du Toit et al., 2019; Du Toit & McGrath, 2018; Maschi et al., 2012), …

How Adaptive Sports Promote Occupational Engagement And Quality Of Life For Individuals With Disabilities In A Rural Community, Michael Helgeson

Occupational Therapy Capstones

Health management, play, leisure, and social participation are all valued occupations related to sports. However, individuals with physical disabilities face many barriers that inhibit them from engaging in sports, depriving them of these occupations. Some of these barriers include a lack of adaptive sports resources, adaptive equipment, adaptive sports programs in rural communities, and knowledge of how to include individuals with disabilities (Obradovic et al., 2021). The purpose of this scholarly project was to address these barriers through the development of adaptive sports programs; hereby, increasing occupational engagement, quality of life (QOL), and life satisfaction for individuals with disabilities. To …

Exploring Nature-Based And Animal-Assisted Therapies As A Therapeutic Modality, Rachel Cheatley

Occupational Therapy Capstones

Animal-assisted therapy (AAT) is characterized by integrating animals into the therapy process as a therapeutic partner and modality (Laskowski et. al., 2019). AAT shows positive outcomes for those who take part in the practice (Ein et. al., 2018; Feng et. al., 2021; Mapes & Rosén, 2016; Nieforth et. al., 2021). Common goals that are targeted via AAT include anxiety and related symptoms, depression and related symptoms, coordination, fine motor skills, reaching, hand-eye coordination, body balance, body awareness, communication, and relationship building (Ein et. al., 2018; Feng et. al., 2021; Mapes & Rosén, 2016; Nieforth et. al., 2021). Even with the …

Sensory-Based Universal Design Strategies For Head Start Students To Optimize Educational Engagement, Lexi Elizabeth Zahn

Occupational Therapy Capstones

This scholarly project aims to educate and enable early childhood education teachers on how children’s sensory systems can be positively or negatively influenced to improve overall classroom experiences for all children. A teacher’s resource guide was developed to inform early education teachers about the sensory system and sensory regulation so that they can better understand the sensory needs of their students. The guide provides them with universally designed, sensory-based strategies to implement in the classroom to increase the performance ranges of students in their educational pursuits.

Primitive Reflex Screening And Caregiver Education And Support. A Product To Support Children With Retained Primitive Reflexes Transitioning Into The Formal Education System., Anna Justine Logan

Occupational Therapy Capstones

Infants are born with movement patterns called primitive reflexes. Primitive reflexes are active for approximate times during the first few years of life (Smet et al, 2020; Myott et al., 2016). Retained primitive reflexes are primitive reflexes that have not integrated in the expected time. Retained primitive reflexes have been linked to a variety of developmental delays in older children including fine and gross motor (Gieysztor et al., 2018a), visual (Andrich et al., 2018), and academic performance (Feldhacker et al., 2021; Calvin & Ramli, 2020).

Addressing Interoceptive Awareness In Elementary School Students Affected By Childhood Trauma To Improve Emotional Regulation, Alison O’Sadnick

Occupational Therapy Capstones

Childhood trauma can affect students’ interoceptive awareness affecting their ability to emotionally regulate within the classroom environment (Neal, 2021). Evidence demonstrates that for students to emotionally regulate, they must have interoceptive awareness (Mahler, 2020). Interoceptive awareness is described as the ability to detect the physiological state of the body such as recognizing signals of respiratory effort, temperature, fatigue, hunger, thirst, satiety, pain, muscle aches, and heart rate (Mahler et al., 2022). Children who have experienced trauma commonly have difficulty identifying and describing internal arousal states, labeling, and expressing emotions and making their needs and wants to be known (Scaffa, 2019).

Occupational Therapy’S Role In Addressing The Intersectionality Of Veterans Who Are Chronically Homeless, Mental Health, And Sleep Deprivation, Maci Bakken, Abby Eken, Morgan Halliday

Critically Appraised Topics

Currently, there are interventions available for rest and sleep for the general population. However, those interventions do not usually address the unique needs of the population of veterans who are homeless with mental health disorders. While there is information on the person, environmental, and occupational factors surrounding this topic separately, there is limited literature regarding how to address all of these factors when they transact with each other. The purpose of this critically appraised topic paper is to examine the impacts that being a veteran, having a mental health disorder, and being homeless have on sleep deprivation as well as …

A Holistic Approach To Promote Sleep For People Emerging From Homelessness: A Good Night’S Rest In Your Nest Sleep Toolkit, Anna Burggraf

Frank Low Research Day Posters

Background: Sleep deprivation has been linked to chronic health issues, decreased physical and cognitive functioning, and overall decreased quality of life, which limits the ability to engage in desired tasks and occupations (Gonzalez & Tyminski, 2020). Obtaining restful sleep serves as a foundation for optimal cognitive and physical functioning during daily tasks, roles, and activities (AOTA, 2017). Individuals who have experienced homelessness consistently demonstrate higher rates of sleep inadequacies compared to the general public, highlighting the need for service providers to address the quality of sleep participation for this population (Gonzalez & Tyminski, 2020).

Purpose

• Promote sleep participation for …

The How To’S For Engaging With Medically Complex Children: A Resource Guide, Allyson Bourque

Occupational Therapy Capstones

The purpose of this scholarly project is to identify and address the factors that serve as barriers to engagement in valued occupations for children with serious or life-threatening illness.

Und Leads: A Strategic Vision For The University Of North Dakota, University Of North Dakota

LEADS Implementation Documents

Official UND LEADS strategic plan for the University of North Dakota. The plan presents UND’s mission and vision, introduces the five LEADS core values of Learning, Equity, Affinity, Discovery, and Service, and outlines the strategic priorities guiding UND’s implementation work.

An Occupation-Based Approach To Chronic Pain In Rural Alaska, Emma Lehman

Frank Low Research Day Posters

Background: Adults with chronic pain living in rural communities experience occupational deprivation due to a lack of access to healthcare resources and tend to report higher levels of pain compared to urban areas [4, 8]. Chronic pain is multifaceted and managed by many professionals. Occupational therapy (OT) has a significant role in offering effective strategies to improve quality of life, self-efficacy, and daily functioning for those who experience chronic pain [5, 7].

Purpose: The purpose of this scholarly project was to advocate for the profession of occupational therapy within rural Alaska areas as well as develop an evidence-based, model-driven, culturally …

Jason N. Houle And Fenaba R. Addo. A Dream Defaulted: The Student Loan Crisis Among Black Borrowers. Cambridge, Ma: Harvard Education Press, 2022. 208p. Paper, $39 Isbn: 978-1-68253-756-5, Kyra Hahn, Heather James

Foley Library Scholarship

To discuss student loan debt and racial injustice may seem to be disparate conversations, yet these two crises in our society are so ubiquitous that they feel like the water we swim in. We all feel the water is noxious and poisoning us. In A Dream Defaulted: The Student Loan Crisis among Black Borrowers, Houle and Addo patiently and thoroughly connect the quantitative data with the lived experiences of nearly fifty individuals who are both student loan borrowers and Black in order to show “that student debt is a new mechanism by which racial, social, and economic inequalities are …

Disagreement Matters: Exploring Internal Diversification For Redundant Attention In Generic Facial Action Analysis, Xiaotian Li, Zheng Zhang, Xiang Zhang, Taoyue Wang, Zhihua Li, Huiyuan Yang, Umur Ciftci, Qiang Ji, Jeffrey Cohn, Lijun Yin

Computer Science Faculty Research & Creative Works

This paper demonstrates the effectiveness of a diversification mechanism for building a more robust multi-attention system in generic facial action analysis. While previous multi-attention (e.g., visual attention and self-attention) research on facial expression recognition (FER) and Action Unit (AU) detection have been thoroughly studied to focus on "external attention diversification", where attention branches localize different facial areas, we delve into the realm of "internal attention diversification" and explore the impact of diverse attention patterns within the same Region of Interest (RoI). Our experiments reveal that variability in attention patterns significantly impacts model performance, indicating that unconstrained multi-attention plagued by redundancy …

(2023) Charles Peirce And The Community Of Inquiry, Maughn Rollins Gregory

Collected Papers of Maughn Rollins Gregory

This article reconstructs and clarifies Charles S. Peirce’s conception of the relationship between inquiry and community, responding to the widespread use of the phrase “community of inquiry” in educational, philosophical, and civic contexts. After tracing the genealogy of the phrase, the essay offers a systematic account of Peirce’s theory of inquiry by identifying five central elements—anti-intuitionism, fallibilism, the belief–doubt–inquiry cycle, the logic of inquiry, and self-correction—and by explicating three indispensable roles that community plays within that theory: semiosis, corroboration, and mutual criticism. The article then examines the first educational adaptation of this idea in the work of Matthew Lipman, Ann …

Comment: Unpaid Internships And The Rural-Urban Divide, Susan D. Carle

Washington and Lee Law Review

In this Comment, I first note how much the existing literature on unpaid internships under the FLSA focuses on urban contexts. Next, I briefly sketch some of the literature on the rural-urban divide, a topic I argue needs much more analysis from legal scholars in coming years. Third, I show how Morris’s work brings together these two literatures, which to this point have not been in conversation with each other. Finally, I note a few questions Morris’s work raises for future attention.

A Material Question: Does Title Vii Apply To Minor Employment Actions?, Robert A. Kearney

Maryland Law Review Online

No abstract provided.

Zerschlagen: German Unification And Divided Identity, Harrison Quinn

Honors Theses

The Unification of East and West Germany ended one of the Cold War’s longest divides, but only on paper. After decades under a unified German state, former East Germans face lower standards of living, economic opportunities, and access to national utilities compared to their Western counterparts. This inequality stems from the bifurcated German identity, which remains largely unaddressed amid German state ambitions for a central role in international institutions. The failure to properly acknowledge East German identity and the suppression thereof demonstrates the failure of Unification to unite the German nation. Political ambitions outweighed a true reconciliation of German nationhood, …

Deconstructing Campus Sexual Assault Among Black Students: An Assessment Of Campus Climate At Predominately White Institutions, Ariana A. Gambrell

Honors Theses

Interpersonal violence is a prominent issue on university and college campuses within the United States. Women attending college are a particularly vulnerable population to experiencing sexual violence. Many of the previous research studies have focused on white women in relation to campus sexual assault (CSA). The primary goal of the present study is to measure the prevalence of sexual assault within minority based populations on campus. Previous research studies have found members of minoritized groups to be at a higher risk of experiencing campus interpersonal violence than are White Women, people without disabilities, and cisgender individuals. In addition, being apart …