Medicine and Health Sciences Commons^™

Biopsychosocial Occupational Therapy Interventions For Complex Regional Pain Syndrome – A Pilot Manuscript, Cinthia Hartman

UNLV Theses, Dissertations, Professional Papers, and Capstones

Occupational therapists (OTs) have an essential role in the treatment of upper extremity Complex Regional Pain Syndrome (CRPS) in outpatient therapy settings. Occupational therapy (OT) guidelines and research focus treatment on the Budapest Criteria’s biological signs and symptoms. The International Association for the Study of Pain (IASP) now recognizes CRPS as a primary chronic pain condition and not an autonomic disorder, as it was thought to be in the past. This recognition, along with the psychological and social impacts of the condition, highlight the need for updated OT treatment interventions incorporating a biopsychosocial model. Combining evidence-based CRPS OT interventions for …

Pediatric Trauma-Informed Care And Implications For Occupational Therapy Practitioners, Quaneka Hoskin-Chase

UNLV Theses, Dissertations, Professional Papers, and Capstones

Occupational therapy practitioners are provided a wealth of knowledge through school and professional fieldwork experiences to understand and skillfully address the needs of children who have been exposed to trauma. Therapists are competently prepared to provide holistic and client-centered care that is dedicated to meaningful and volitional engagement (Lynch et al., 2021). However, many therapists still lack the confidence and awareness of their role related to trauma-informed care in the pediatric environment (Piller, 2022). Trauma compromises each domain of occupation (Lynch et al., 2021). As early intervention specialists, the lack of responsiveness to children’s trauma can have devastating and enduring …

The Impact Of Educating Interprofessional Healthcare Workers On The Role Of Occupational Therapy In The Cardiac Acute Care Setting, Jennifer L. Taosuvanna

UNLV Theses, Dissertations, Professional Papers, and Capstones

The acute care setting has been a vastly growing practice area for the occupational therapy profession. Occupational therapists assist clients in the acute care setting with activities of daily living retraining and functional transfer training to increase independence. Each client demonstrates a different discharge course from the acute care setting and occupational therapists play a key role in assisting the clients the most appropriate rehabilitative setting. All professionals in the acute care setting work cohesively to provide clients with the best outcome.

The doctoral project explored the importance of interprofessional healthcare worker education about occupational therapy practices in the acute …

Promoting The Benefits Of An Occupational Therapy Health And Wellness Coaching Program For Adults Living With Chronic Illnesses And Their Self-Management, Natasha Findley

UNLV Theses, Dissertations, Professional Papers, and Capstones

Improved health-related outcomes for individuals 18 years or older living with a chronic condition or multiple chronic conditions can be positively impacted by health and wellness coaching. The primary purpose of this capstone project was to develop a community-based health and wellness coaching program with an occupational therapy-based approach to empower and motivate individuals in discovering their strategies, make healthier choices, and be accountable for their self-management (medication adherence, physical activity, sleep hygiene, healthy eating, stress management, and pain management). According to the American Occupational Therapy Association (2015), occupational therapy focuses on promoting health and wellness by enabling clients to …

Acquired Brain Injury: A Vision Screening Protocol For Occupational Therapists, Sebastian Cheung

UNLV Theses, Dissertations, Professional Papers, and Capstones

Occupational therapists have a unique set of skills that allow them to assess individuals with an acquired brain injury who have visual impairments. However, it is frequently neglected in practice owing to a lack of confidence, knowledge, or training. There is a need for a vision screening protocol that will help occupational therapists learn more about visual impairments in adults with an acquired brain injury (ABI) and feel more confident in their ability to identify them. This quality improvement capstone project was a feasibility study and consisted of a sample size of N = 6, utilizing a one group pretest-posttest …

Increasing Self-Perceived Competence In Performing Independent Living Skills Among Unhoused Youth And Young Adults, Stacie M. Gomez

UNLV Theses, Dissertations, Professional Papers, and Capstones

Purpose: The aim of this project is to determine if the development and implementation of an independent living skills workshop would improve the perceived competence of unhoused youth in performing independent living skills.Methods: The Casey Life Skills Short Assessment was used as a pre-test and post-test. It was found that unhoused young adults generally scored low on finding affordable housing, budgeting, banking skills, education training, and feeling a sense of pride in their lives. A four-week independent living skills program was designed and implemented, which included workshops focused on identified needs. The data was analyzed using a Paired Samples t-Test …

Exploring The Usefulness Of The Alert Program On Children With Developmental Delays Or Disabilities At Positively Kids, Ashley Cassandra Manabat Tolentino

UNLV Theses, Dissertations, Professional Papers, and Capstones

This quality improvement project explored the implementation of the Alert Program's (AP) first and second phases within the Foundation for Positively Kids social skills program, PK Social ETC. This study focused on three staff members' perception of the Alert Program's usefulness on their clients' self-regulation skills and occupational participation when engaged in their daily social skills group. The Alert Program was delivered through weekly education sessions for the staff, followed by two groups involving the children to provide visual demonstrations for the staff over eight weeks. Data was collected through a pre- and post-survey using a Qualtrics survey to capture …

The Importance Of An Educational Occupation-Based Work Program For Young Adults With Intellectual & Developmental Disabilities, Jennifer Zielinski

UNLV Theses, Dissertations, Professional Papers, and Capstones

Barriers to occupations and transitions to vocational opportunities can be difficult for adolescents and young adults with intellectual and developmental disabilities (I/DD)s to feel confident and pursue job opportunities. Some of the problems stem from the stigma related to the individual’s disability, the contexts surrounding them, and the performance of the work tasks expected. Individuals with I/DDs expressed that not having enough support in the community and the workforce creates significant obstacles to retaining a job. Occupational therapists (OT)s can play a unique role in transition and employment for individuals with an I/DD. With a focus on self-determination and successful …

Development Of A Post-Op Transgender Care Program For Acute Occupational Therapy Practice, Marieliz Llanos

UNLV Theses, Dissertations, Professional Papers, and Capstones

Transgender people have experienced adverse health outcomes and barriers to care, ranging from the inability to provide a safe environment for inclusive and equitable care, lack of social support, and limited cultural competency and healthcare provider training. Furthermore, the scarcity of research in transgender care within the field of occupational therapy contributes to the disconnect between the needs of the transgender and gender-diverse (TGD) populations and the lack of preparedness in addressing the occupational performance deficits of transgender clients and individuals undergoing the transitioning process contribute to disparities that are reflected deeply in the experiences of these individuals. In the …

The Importance Of Educating Patients And Staff About Implementing The Neurogenic Bowel Training Program (Nbtp) For Spinal Cord Injury (Sci) In The Acute Care Phase, Silvia Lobaina

UNLV Theses, Dissertations, Professional Papers, and Capstones

According to Borsh et al. (2019), a spinal cord injury (SCI) is damage to a tight bundle of cells and nerves, the spinal cord, that send and receive signals from the brain to and from the rest of the body. A direct injury can cause damage to the spinal cord itself or to the tissues and bones that surround it, which can cause temporary or permanent changes in sensation, movement, strength, and body functions below the injury site (Borsh et al., 2019). Unfortunately, the extent of the disability depends on the severity and location of the SCI; an injury higher …

Assistance Dog Considerations: A Lecture For Occupational Therapy Students, Kayla Kinney

UNLV Theses, Dissertations, Professional Papers, and Capstones

Assistance dogs can mitigate the effects of an individual’s disability. Occupational therapists consider the whole being when providing interventions through the individual’s meaningful occupations to improve health, well-being, and quality of life. Occupational therapists can make referrals or become a valuable team member for clients who wish to explore assistance dogs as an assistive technology option to improve physical, mental, and psychosocial considerations for increased independence in their clients. Few occupational therapy practitioners are educated about the benefits and disadvantages of the partnership between assistance dog and handler. Therefore, they are unable to adequately recommend assistance dogs for their clients, …

The Impact Of An Ostomy Training Workshop On Occupational Therapy Practitioners’ And Students’ Confidence In Client Education On Ostomy Management, Amanda Rae Shizue Shimabukuro

UNLV Theses, Dissertations, Professional Papers, and Capstones

The objective of this quality improvement study was to assess if an ostomy training workshop with a hands-on component would impact the confidence of occupational therapy practitioners and students in client education on ostomy management. The hypothesis is that the training workshop would improve the confidence of occupational therapy practitioners and students in client education on ostomy management. Participants were occupational therapists, occupational therapy assistants, or occupational therapy students in Henderson, Nevada; North Las Vegas, Nevada; or Las Vegas, Nevada. The study utilized a time-series design with a preand post-workshop survey that included a sample size of 30. Occupational therapy …

Exploration Of Occupational Therapy Program Development Through Nih Grant Writing, Larissa Silcox

UNLV Theses, Dissertations, Professional Papers, and Capstones

There is a gap in current literature which describes the effects of yoga-based exercise on the physical health, mental health, and well-being among adults with Down syndrome (Ds). In addition, there is limited research available which describes the impact these effects may have on participation in everyday occupations. Individuals with Ds are living longer lives and will require evidence-based occupational therapy (OT) interventions to ensure healthy growth, development across the lifespan, and ability to participate in meaningful occupations as they age. The current project explores the process of writing a National Institutes of Health R03 grant application that includes a …

An Adolescent Concussion Management Toolkit For Occupational Therapists, Coby Yoshimura

UNLV Theses, Dissertations, Professional Papers, and Capstones

The aim of this project was to demonstrate the role occupational therapists may serve during concussion recovery, by integrating current research and findings into an instructional resource from an occupational therapy (OT) lens. An OT-based toolkit was created to prioritize the identification, assessment, and treatment of two realms of concussion management: functional cognition and vision. The development of a pre and post survey using a modified version of the Generalized Self-Efficacy (GSE) scale was used to determine occupational therapists’ perceived self-efficacy before and after reviewing the created OT-based toolkit. A related samples Wilcoxon signed rank-test was used to analyze pre …

The Feasibility Of A Large-Amplitude Aquatic-Based Exercise Occupational Therapy Program For Individuals With Early Parkinson’S Disease, Brigitte Baker

UNLV Theses, Dissertations, Professional Papers, and Capstones

Purpose: The purpose of this research was to determine if a 4-week aquatic-based, large-amplitude exercise program would increase strength and coordination for occupational performance in areas of activities of daily living (ADLs) and mobility in individuals with Parkinson's disease (PD) stage I-II, functional mobility as measured by Timed Up and Go test, and quality of life as measured by PDQ-39 in relation to occupational engagement.Methodology: Recruitment was through capstone placement site, Hands on Rehab, 7921 Professional Circle, Huntington Beach, CA 92648, in which a signed EAA was on file. Informed Consent was reviewed by the student-clinician as well as the …

An Immersive Virtual Reality Treatment Learning Module For Unlv Occupational Therapy Students, Paolo Castro

UNLV Theses, Dissertations, Professional Papers, and Capstones

Virtual reality refers to the technology used to create multi-sensory, three-dimensional environments its users can interact with. Occupational therapists may find virtual reality-based therapy appealing as it allows them to access many virtual environments and tasks that would be difficult to recreate in traditional settings. Despite literature suggesting their willingness to use it in practice, there is an evidence-to-practice gap caused by low self-efficacy and knowledge of how to operate and apply it. The author created a learning module for occupational therapy students to see how it affects perceived clinical competency. The results of the learning module showed statistically significant …

Driving And Community Mobility: An Online Educational Program For Generalist Occupational Therapy Practitioners, Gerard Blanco

UNLV Theses, Dissertations, Professional Papers, and Capstones

Driving is an important daily activity that often goes unnoticed, yet it enables individuals to engage in crucial tasks such as grocery shopping, going to work, and participating in social activities. Occupational therapy (OT) practitioners must recognize and address the significance of driving in their daily routines to promote clients' independence and fulfillment. However, despite being well-equipped to assist clients with driving-related issues, many practitioners avoid or neglect this area of occupation. A reluctance to addressing driving and community mobility (DCM) can arise from a lack of confidence, available resources, support, or fear of losing a client's trust. These barriers …

New-R Intervention For Clients With Severe Mental Illness And Obesity: Grant Writing For Implementation Funds Supporting Occupational Therapy Interventions, Kaitlyn Hoffman

UNLV Theses, Dissertations, Professional Papers, and Capstones

Increasing numbers of people suffer from obesity and severe mental illness co-morbidly. If these conditions remain untreated, they can harm an individual's health and well-being. Unfortunately, there are very few programs currently available that target both management and improvement of these conditions simultaneously. Even so, despite the lack of programming options, it must be noted that the NEW-R program strives to reach those goals, although there hasn't been an abundance of literature supporting the effectiveness of this program. This poses a concern for occupational therapy practitioners who hope to assist their clients in managing these conditions as occupational therapy treatments …

Perceived Usefulness, Ease Of Use, And Satisfaction Of A Swaddle Bathing Educational Guide Among Parents/Guardians Of Nicu Premature Infants, Makenzie Leigh Hogbin

UNLV Theses, Dissertations, Professional Papers, and Capstones

The current availability of high-quality and comprehensive educational resources made available to parents and guardians with infants admitted to the Neonatal Intensive Care Unit is limited in terms of content and provision. Additionally, there exists a plethora of information regarding the impact of the sensory environment on premature and critically ill infants as well as interventions to mitigate these effects that are not efficiently conveyed to their families. Previous research asserts that consistency with the application of sensory interventions with these infants bodes well for positive outcomes, leading one to believe that caregivers may benefit from learning these strategies so …

Increasing Occupational Therapy Practitioners’ And Students’ Perceived Self-Confidence And Knowledge In Pelvic Floor Disorders Specifically In Stress Urinary Incontinence, Sarah L. Pond

UNLV Theses, Dissertations, Professional Papers, and Capstones

This quality improvement project used a pre-and post-survey to explore the effectiveness of an online learning module and determine if the approach increased occupation therapy practitioners' and occupational therapy students' perceived self-confidence and knowledge in pelvic floor therapy.The course was a pre-recorded module launched on Teachable. Participants were recruited through an online flyer posted on social media and email. The online module was open for 27 days, with 130 respondents in the pre-assessment and 99 who completed the module and the post-assessment. The use of an open-ended question was used to obtain qualitative data regarding the online course. The online …

Feasibility Of The Every Moment Counts Initiative At A Southern Nevada Elementary School, Amber Lee Eddy

UNLV Theses, Dissertations, Professional Papers, and Capstones

Over the past 20 years, multiple legislative acts have been passed mandating support and services for the mental health needs of children and youth in schools; however, Nevada continues to rank last for the provision of such services. Children and youth who are mentally healthy are more likely to be successful in their homes, schools, and communities (Arbesman et al., 2013). Those who have increased mental health needs are more at risk for developmental and long-term consequences that jeopardize overall health and wellness, not to mention the immense effects that the COVID-19 pandemic has had on children and youth. With …

Effectiveness Of A Workshop For Improving Awareness And Identification Of Racial Microaggressions Among Occupational Therapy Faculty And Students, Hannah Kalegzabher

UNLV Theses, Dissertations, Professional Papers, and Capstones

As a professor or student in occupational therapy (OT), an important role is advocating for students and clients. Taking action is important to practice and promote justice, equity, diversity, and inclusion (JEDI) within the profession. This quality improvement project aimed to determine the effectiveness of a racial microaggression workshop for OT, OT assistant (OTA) students, and faculty to improve awareness and ability to identify racial microaggressions to support Black, Indigenous, People of Color (BIPOC). Participants were recruited by convenience sampling through email to members of the Coalition of Occupational Therapy Advocates for Diversity (COTAD) and COTAD-Educators (COTAD-ED). The workshop was …

Yoga As An Occupational Therapy Intervention For Inpatient Rehabilitation, Sydney Sladek

UNLV Theses, Dissertations, Professional Papers, and Capstones

The purpose of this capstone project was to develop and determine if an adapted and individualized yoga-based program can support and have an impact on patients’ physical, mental, emotional, and spiritual health and improve patients’ perceptions of recovery at Encompass Health Rehabilitation Hospital of Henderson. This was a project focused on quality improvement, focused on the ACOTE focus area of clinical program development in which the student developed and tested outcomes of an occupational therapy (OT) program in a clinical setting. The research design was a quality improvement design with pre and post-measures. Five patients participated in the program one …

Mental Health Education Protocol For Staff Members In An Inpatient Rehabilitation Center, Charles Nicholas Salvatera

UNLV Theses, Dissertations, Professional Papers, and Capstones

Mental health illnesses have a significant impact on the lives of individuals and society. Despite the availability of effective treatments, many people with psychosocial issues or cognitive impairments do not receive the right care. This highlights the importance of timely care and effective help-seeking opportunities. Increased mental health literacy and supportive behaviors in the social networks of people with mental health disorders can be achieved by providing hospital staff with education on mental health disorders. It is believed that improvements in these areas increase the likelihood that people will seek effective assistance. When healthcare providers are educated about mental health …

A Pilot Program To Inform High School Students About Allied Healthcare Professions, Nhu Mac

UNLV Theses, Dissertations, Professional Papers, and Capstones

The literature revealed the lack of diversity in the workforce, limited recruiting and retention methods, and lack of exposure to these professions as the contributions to the shortage and demand for the profession of occupational therapy (OT), physical therapy (PT), and speech- language pathology (SLP). As a result, the fourteen-week program to inform high school students about OT, PT, and SLP roles in the community and public health was implemented at Desert Pines High School in Clark County School District (CCSD) to see if it would influence their perceived attitudes, knowledge, beliefs, and the likelihood of pursuing these careers. Using …

Occupational Therapy Fieldwork In An Emerging Justice-Based Setting: Hope For Prisoners, Noah Claypool

UNLV Theses, Dissertations, Professional Papers, and Capstones

This capstone occurred through a partnership with HOPE for Prisoners in Las Vegas, Nevada. As an emerging area of practice, the occupational therapy profession needs more resources and programs focused on the justice system. The lack of evidence-based resources to support future level I fieldwork students at HOPE for Prisoners poses a barrier for students to maximize their fieldwork experience and effectively engage with the organization’s population of incarcerated and formerly incarcerated men, women, and young adults in southern Nevada.This capstone experience involved a 14-week immersion at HOPE for Prisoners, including participation in training and workshops and engagement with clients, …

Ergonomic Education For Entry-Level Administrative Staff, Mitzi De La Cruz-Garcia

UNLV Theses, Dissertations, Professional Papers, and Capstones

In the United States, 2.6 million work-related musculoskeletal disorders (WMSDs) were reported in 2020, which are costly to employers, individuals, and our healthcare system. The most commonly affected workers are entry-level staff, who often do not receive training or education on office ergonomics during their onboarding process. Evidence exists on the benefits of ergonomics for workers, but there is a gap in disseminating information to these individuals. In addition, what is available on the internet can be of low quality, not based on evidence, and written at a higher-than-average reading level.There is a need for easily accessible ergonomic education and …

The Development Of A Pilot Program Related To The Application Of High-Intensity In Occupational Therapy, Philip Lamoreaux

UNLV Theses, Dissertations, Professional Papers, and Capstones

Among the many diagnoses affecting an individual’s ability to participate in occupation, strokes are among the most common (Tsao et al., 2022). With the decrease in mortality rates by 35.8% due to advancements in medicine (Wolf & Nilsen, 2015), there is a need to remediate, adapt, or modify the life-changing impairments associated with stroke. The most significant evidence for motor learning, which is associated with regaining function, is in relation to high-intensity training in the context of ambulation (Middleton et al., 2015; Moore et al., 2020). By utilizing the neural plastic principles of repetition, salience, task-specificity, and intensity, an individual …

Utilizing An Interdisciplinary Approach: Education Of Early Progressive Mobility Protocol In The Icu/Acute Setting, Mary Ashley Galan-Gornal

UNLV Theses, Dissertations, Professional Papers, and Capstones

Prior to the COVID-19 pandemic, Early Progressive Mobility (EPM) was used more frequently in an interdisciplinary approach to improve patient outcomes. The aim is to create a protocol that takes an interdisciplinary approach and makes use of early progressive mobility. In the acute setting, occupational therapists are equipped to promote quality of life and independence both, during and after hospitalization, which is critical for early mobilization being beneficial for patients who are able to participate in therapy.This Doctoral Capstone project was aimed at demonstrating the value of occupational therapists in the intensive care unit (ICU)/acute setting by utilizing EPM in …

Increasing Foster Parent Awareness Of An Occupation-Based Approach To Child Well-Being, Taylar Hirte

UNLV Theses, Dissertations, Professional Papers, and Capstones

Foster parents are an integral part of the child welfare system. They provide temporary care to children who otherwise cannot stay in their homes. They are required to be state or county licensed and each licensing agency has their own requirements including varying hours of training. The literature indicates foster parents do not receive enough training to feel prepared and confident to care for children with increased mental health, behavioral, school-related, cognitive, and peer relationship challenges that foster children often experience (AOTA, 2017; Lotty et al., 2020; Paul-Ward et al., 2014; Smith, 2022).The purpose of the present capstone project was …