Medicine and Health Sciences Commons^™

Benefits Of Nature-Based Play For Children: An Educational Resource For Parents, Kaitlyn Peterson

Occupational Therapy Capstones

Background: In recent years, children’s use of technology has increased, decreasing the time they spend playing in natural contexts and time spent building the parent-child relationship. The lack of time spent in outdoor contexts has negative influences on the child’s overall health and well-being. The time a child spends with their parent is vitally important for a child’s development, view of the world, and sense of belonging. Parents assist children throughout development by supporting their understanding of themselves and the world, along with supporting the child’s ability to communicate with their parents. Interactions with technology, particularly overuse, can influence a …

Increasing Occupational Therapy Student Preparedness For Level Ii Fieldwork Experiences In Hand Therapy, Claire Meyer

Occupational Therapy Capstones

Background: A level II fieldwork experience is essential within occupational therapy programs as it allows occupational therapy students to apply what they have learned in the classroom to real-life practice. Students need to complete level II fieldwork to graduate, become practicing therapists, and grow the field of occupational therapy. However, many practitioners, particularly those specializing in hand therapy, hesitate to accept students for fieldwork placements. Barriers reported by hand therapy practitioners include a lack of student knowledge, preparation, and clinical skills (Short et al., 2017; Valdes et al., 2022). Hand therapy settings' rapid pace and demanding nature require students to …

Occupational Therapy Best Practices In Partial Hospitalization Programs, Mattea June Johnson

Occupational Therapy Capstones

Introduction: Occupational therapy practitioners play a crucial role on the care team in partial hospitalization programs (PHP). Occupational therapy practitioners are a key member of the care team due to their profession’s unique view of the person and goal of supporting them in their valued occupations. Occupational therapy practitioners have training in psychosocial and mental health interventions that enable those with mental illness to engage in meaningful everyday activities. Practitioners must be equipped with the current best practice standards to support participants to engage in recovery and wellness through occupation. With the growing need for mental and behavioral services and …

Specialized Knowledge Of Sensory Interventions For Sensory Function, Cassidy Kay Filson

Occupational Therapy Capstones

Purpose: Between 5%-16.5% of the general population are estimated to have a form of atypical sensory reactivity (Ahn et al., 2004). Atypical sensory reactivity or atypical sensory processing is described as when the brain processes sensory input differently than it typically would (Ark Support Coordination, n.d.). The rates of atypical sensory reactivity increase in children with additional diagnoses such as autism (ASD), developmental delays and disabilities, and neurodivergent children (AOTA, 2023). Sensory processing and integration difficulties negatively impact the quality and quantity of a child’s occupational participation, as symptoms often make various occupations more difficult for the child to participate …

The Impacts Of Ssris In-Utero And Nicu Occupational Therapy Intervention, Kyara Crowley

Occupational Therapy Capstones

Purpose: The purpose of this product was to collaborate with the occupational therapy (OT) staff in a neonatal intensive care unit (NICU) to further knowledge and enhance role competence to provide better quality of care to the selective serotonin reuptake inhibitor (SSRI) exposed infant population. Mental health conditions are becoming more prevalent among women, therefore, more women are taking SSRIs throughout pregnancy to counteract the effects of those conditions (Cleveland Clinic, 2024). However, the effects of in-utero SSRI exposure are not fully understood. Researchers have found evidence of some short-term and long-term effects caused by the SSRI exposure as well …

Unlock Upper Extremity Rehabilitation: Interprofessional Collaboration Between Ot Hand Therapy And Surgical Teams, Collin Brown

Occupational Therapy Capstones

Background: In the journey to recovery from upper extremity injuries, outpatient hand therapists who are certified as occupational therapists (OT) play a crucial role in restoring patients' independence and functionality, both before and after surgical intervention. Researchers identified main themes experienced by participants who had acquired an upper extremity injury and were post-operation, such as functional challenges in managing conditions, difficulties in everyday life, coping strategies, differing expectations, and the impact of information on daily life (Hansen et al, 2024). In all of these areas identified, an OT hand therapist is able to identify and facilitate improvements pre- and post-surgery …

Pediatric Hearing Loss: Screening For Developmental Delays Among Children With Hearing Aids, Kelsey Wallace

Entry-Level Occupational Therapy Doctorate - Doctoral Capstone Symposium

Children with hearing impairments are at risk for developmental delay, and research has shown that children born with sensorineural hearing loss (SNHL) are at a higher risk for delays in motor, sensory, and social skills development. The literature points to an obvious impact of hearing loss on development, but also a lack of screening for this phenomenon beyond language development skills. A doctoral capstone project was conducted to pilot a process for the implementation of developmental screening for children with hearing aids (HAs), as well as subsequent therapy referrals and parent education, in collaboration with a hospital-based pediatric audiology department. …

Enhancing Wellbeing Through Caregiver Support: Improving Quality Of Life For Individuals With Special Needs And Complex Medical Diagnoses In Nicaragua, Jenna K. Devchand

Entry-Level Occupational Therapy Doctorate - Doctoral Capstone Symposium

Individuals with disabilities living all over the world are constantly faced with additional barriers. In low-income countries, such as Nicaragua, there is often a gap in access to resources and education, for both individuals living with disabilities and their caregivers. Access is essential to provide high quality care to meet unique needs. This occupational therapy doctoral capstone project was created to support individuals providing care to children with special needs and complex medical diagnoses in Nicaragua by providing community-based education and sustainable resources to caregivers to enhance wellbeing in daily life. The deliverable was presented in country in Nicaragua to …

Nurturing Potential: Building Teacher Capacity To Support Infant Developmentin Low Income Daycares, Jeanae A. Williams

Entry-Level Occupational Therapy Doctorate - Doctoral Capstone Symposium

Nurturing Potential: Building Teacher Capacity to Support Infant Development in Low Income Daycares

Jeanae Williams, OTDS

Faculty Mentor: Kelly McGloon, PhD, OTR/L

ABRSTRACT:

Early childcare centers play a critical role in fostering young children’s learning and development. Each year, approximately 600,000 infants are born at risk for developmental delays, yet less than 50% are identified early. Early detection and support are crucial in reducing long-term developmental challenges and improving outcomes for reaching milestones. This capstone project aims to enhance the capacity of infant classroom teachers in low-income daycare settings by providing education on typical development and increasing awareness of resources …

Improving Home Exercise Program Adherence In Stroke Survivors: Examining Influencing Factors And Developing Educational Resources For A Behavioral Intervention, Megan E. Thompson

Entry-Level Occupational Therapy Doctorate - Doctoral Capstone Symposium

Improving Home Exercise Program Adherence in Stroke Survivors: Examining Influencing Factors and Developing Educational Resources for a Behavioral Intervention

Nearly 800,000 individuals experience a stroke annually in the United States and stroke often results in upper extremity functional limitation which can impact the individual’s ability to perform their activities of daily living. Because of this, home exercise programs are prescribed to facilitate rehabilitation; however, adherence is inadequate which ultimately impacts overall functional recovery. The purpose of this capstone is to enhance understanding of factors that influence home exercise program adherence and to improve upper extremity functional recovery post stroke through …

Occupational Therapy In Oncology: Enhancing Quality Of Life For Head And Neck Cancer Survivors, Anna C. Hildebrand

Entry-Level Occupational Therapy Doctorate - Doctoral Capstone Symposium

This occupational therapy capstone project was completed through collaboration with a site that aims to eradicate cancer through multidisciplinary patient care, innovative research, and education and training. The purpose of the project is to improve the quality of life (QoL) in Head and Neck Cancer survivors through resources created to enhance self-efficacy, symptom management, and overall well-being throughout the cancer trajectory. The project included the goal of furthering the health care team’s understanding of occupational therapy’s role within the cancer population, specifically HNC, by providing these supportive resources. Educational patient handouts were distributed to HNC care providers to then distribute …

Stroke Recovery Throughout The Continuum Of Care: A Dual Component Educational Manual, Jordyn Marie Wolff

Occupational Therapy Capstones

Introduction: One of the leading causes of death in the United States are strokes (Centers for Disease Control and Prevention [CDC, 2024]). People who have had a stroke and their caregivers go through various phases of recovery throughout the continuum of care. Therefore, providing education to the individual who had a stroke and their caregiver is a critical component through different phases of recovery. Not only is education an important component, but addressing team communication strategies are critical as well for improved quality of care and team collaboration. The goal of this capstone was to improve the educational need by …

Pain Neuroscience Education With A Veteran Population, Kate Westphal

Occupational Therapy Capstones

Introduction: In 2021, upper extremity (UE) injuries accounted for 21.3% of injuries by U.S. active duty service members (Mahlmann et al., 2024). Right or left shoulder pain were the top two diagnoses in active-duty service members between fiscal years 2016 and 2021, with overuse/non-specific injury being the most common UE injury (Isaacson et al., 2024). Pain often follows service members after discharge. It is estimated 66% of the 20 million Veterans in the United States experience musculoskeletal pain, and chronic pain is more intense in a Veteran population, limiting their ability to engage in preferred activities of daily living (Areias …

Rehabilitation Not Punishment: Adults In Custody Learning Skills Needed To Survive In Society, Kaitlyn J. Wanner

Occupational Therapy Capstones

Introduction: The U.S has one of the highest populations of incarcerated individuals in the world and must shift from the use of punishment to rehabilitation for these individuals (Huynh et al., 2015; Muñoz, 2019; Phelps & Aldrich, 2022). While in prison, these individuals are limited in their ability to participate in meaningful activities and lose skills needed to function in society (Lares & Montgomery, 2020). Occupational therapy assists individuals of a variety of populations engage in activities that are meaningful to them. The set of skills that occupational therapy has to offer results in a broad area of settings that …

Brain Injury (Bi) In Survivors Of Intimate Partner Violence (Ipv): The Importance Of Identifying Bi Symptoms And The Impact On Daily Occupations, Alexis Walther

Occupational Therapy Capstones

Introduction: Survivors of intimate partner violence (IPV) and resulting brain injury (BI) often experience unmet occupational needs. Specifically, there are barriers to occupations like health management, social participation, work, and education. These barriers occur due to lasting IPV and BI related trauma and symptoms, negative societal views, underreported nature of the injury, and lack of awareness on the topic. This poses a problem, as many service providers may not be educated or aware of the link between IPV and BI, since it is an emerging area of practice. This results in a gap in literature and services related to IPV …

Addressing Sleep Within The Hand Therapy Practice Context, Grant Edwin Tolkkinen

Occupational Therapy Capstones

Background: Sleep is an essential pillar for health and well-being, yet this is not well understood by the general public. Many clients seen within the occupational therapy advanced practice context of hand therapy are at risk of sleep disturbances which will impact the sensorimotor, cognitive, and psychosocial components of the client. Sleep disturbances also negatively affect many aspects which are required for successful recovery and return to occupational engagement for those with conditions of the upper extremity. Addressing sleep within practice allows occupational therapy practitioners within the advanced practice context of hand therapy to promote occupational performance across all waking …

Integrating A Canine Comfort Program With Occupational Therapy Services For Emerging Adults With Mental Health Diagnoses, Emily Vieth

Occupational Therapy Capstones

Background: Mental health plays a critical role in the lives of emerging adults (ages 18-29) including how they identify, their coping strategies, and social skills (Matud et al., 2020). Occupational therapists (OTs) can play a vital role in the management of depressive and anxiety symptoms for the promotion of an individual’s well-being (American Occupational Therapy Association [AOTA], 2020). OT can address depressive and anxiety symptoms through the incorporation of animal-assisted therapy (AAT). AAT is a therapeutic approach that uses animals to improve overall health and well-being (Pandey et al., 2024). Though still limited in evidencebased research, emerging interventions like canine …

Enhancing Quality Of Life: Occupational Therapy’S Role In Managing Chronic Conditions, Aubrey Rude

Occupational Therapy Capstones

Introduction: Chronic conditions are among the most common health concerns, and often cause disruption to daily routines, roles, self-identity, and quality of life (Fields & Smallfield, 2022). In fact, they are the leading cause of disability in the United States (Centers for Disease Control, 2019). It is estimated that 129 million adults are living with at least one chronic condition as defined by the US Department of Health and Human Services (Centers for Disease Control and Prevention, 2020). Trying to manage a chronic condition is extremely time consuming, with people spending at least two hours every day on health-related activities …

Caregiver Education In Early Intervention, Payton Schilke

Occupational Therapy Capstones

Background: Early intervention services are provided for children ages birth to three years who have identified developmental delays (North Dakota Health and Human Services, n.d.). Services that are provided in early intervention include home visits, consultations, and parent coaching from a multidisciplinary team (North Dakota Health and Human Services, n.d.). The health-related practices of parents during the first two years of their children’s lives plays an important role in terms of influencing children’s health and development (Boelsma et al., 2021). It is the responsibility of the caregivers to utilize the information that is provided and implement within the child’s daily …

Addressing Delirium In The Intensive Care Unit: An Interprofessional Approach, Olivia Grace O'Neill

Occupational Therapy Capstones

Purpose: Successful recovery from an intensive care stay is influenced by many factors, including length of stay, medical ventilation requirements, and the extent of surgical interventions such as cardiac, intracranial surgery, neurosurgery, and vascular neurosurgery. A major barrier to achieving a full recovery can be delirium, which is seen in 80% of critical care patients. Delirium is described as a severe change in mental abilities and a short-term cause of cerebral impairment that can present as distortion or psychosis and is associated with numerous conditions. While critical care-related delirium typically lasts less than a week, those affected by longer periods …

Nature-Based Practices In Early Childhood Through An Occupational Therapy Lens, Angela Mossman

Occupational Therapy Capstones

Background: Early childhood experiences are the building blocks for all future behavior and health (Warmbold,2015). These experiences, whether positive or negative, build the foundation of the brain's architecture (Center on the Developing Child at Harvard University, 2016). The developing brain comprises neural connections that develop through an ongoing process that begins before birth and continues into adulthood (Center on the Developing Child at Harvard University, 2016). This capstone project aims to demonstrate the therapeutic benefits of naturebased practices through the lens of occupational therapy. Ginsburg et al. (2007) stated that play is essential for optimal child development. The benefits of …

Chronic Pain Management In Adults In Rural Areas And Its Effect On Health And Well-Being: An Occupational Therapist’S Guide For Clients, Kinley Jo Nordin

Occupational Therapy Capstones

Background: Chronic pain is a common problem among individuals in the United States (Cleveland Clinic, 2021). It can affect any area of occupation including activities of daily living (ADLs), instrumental activities of daily living (IADLs), health management, rest and sleep, education, work, play, leisure, and social participation (American Occupational Therapy Association, 2020). It can also negatively influence an individual’s overall health, well-being, and quality of life (Cleveland Clinic, 2021).

Purpose: The purpose of this scholarly project was to address the need for additional resources for individuals living in rural areas who experience chronic pain to help manage their health and …

Pelvic Health Rehabilitation: A Guide For Postpartum Women In Rural Areas To Enhance Occupational Engagement, Joslynn Kay Parks

Occupational Therapy Capstones

Background: Of the over 3 million births in the US each year, 570,000 women experience a birth related injury, leading to pelvic health issues during the postpartum period (DeLancey et al., 2024). Pelvic floor dysfunction (PFD) affects 25% of American women, directly impacting quality of life (QoL), psychosocial factors, and the ability to successfully engage in meaningful occupation (Baker et al., 2017; Burkhart et al., 2021; Khan, 2023; Nygaard et al., 2008; Peinado Molina et al., 2023; Synder et al., 2022b). Although PFD has a neuromuscular etiology, the physiological effects can lead to psychosocial impacts, including, but not limited, to …

The Impact Of The Provision Of Occupational Therapy Services For Oncology Care Patients Within The Interprofessional Team, Natasha M. Minar

Occupational Therapy Capstones

Purpose: There is growing evidence to suggest that occupational and other therapy interventions can play a role in positively affecting the outcomes of individuals with cancer and cancer survivors. Occupational therapists can address peripheral neuropathy, lymphedema, pain, fatigue, cognitive deficits, and psychosocial issues (Baxter et al., 2017; Stout et al., 2021; Vining Radomski et al., 2021). Through appropriate assessment, intervention, education, and discharge planning, occupational therapists and other rehabilitation specialties can attempt to collaboratively change the outcome of an individual’s cancer course (Munoz et al., 2015). Individuals with cancer and cancer survivors have difficulty engaging in their own life in …

The Role Of Occupational Therapy In Vision Rehabilitation In The Rural Outpatient Setting, Hailey Jo Mcguire

Occupational Therapy Capstones

Background: Vision is a complex part of the sensory system that is often overlooked in patient care or mistaken for cognitive impairment (Aravich & Troxell, 2021). As visual disruption often comes secondary to a plethora of physical and cognitive health conditions, addressing the visual system is part of the role of occupational therapy in treating clients holistically. There is a lack of available resources to support practitioners in rural outpatient settings in working with patients who have vision-related complications. Oculomotor skills are one of the three foundational skills considering at the visual system (Warren, 1993) and has multiple subskills underlying …

Acquired Brain Injury And The Impact On Functional Cognition, Jocelyn Rae Kirk

Occupational Therapy Capstones

Introduction: Occupational therapy practitioners often work with individuals with deficits in cognition due to an acquired brain injury (ABI). Individuals who experience an ABI may have deficits in functional cognition, making it difficult to complete everyday complex tasks, resulting in decreased independence, safety, engagement, health, and wellness (Engel et al., 2019; Erez & Katz, 2018; Klepo et al., 2022; O’Donoghue et al., 2022; Scharaga & Holtzer, 2015). Implementing current evidence-based functional cognition evaluations is difficult for occupational therapy practitioners due to the 17-year lag between evidence and implementation into clinical practice; therefore, practitioners need support in these efforts (Rubin, 2023). …

A Guide To Tier 1 Supports In The General Education Classroom, Aly Levinson

Occupational Therapy Capstones

Background: Thirty-two percent of students were estimated to be behind grade level in the 2023-24 school year (National Center for Education Statistics, 2024). Many children in the classroom experience barriers to learning. One factor in the decreasing academic levels is the decrease in attention spans (D’Aurizio, n.d.). A student’s education is impacted by a teacher’s ability to keep students’ attention (Hanley et al., 2017). To receive one-on-one occupational therapy intervention, a student must qualify. Many students who may benefit from occupational therapy services will not receive the needed services. The focus of this doctoral capstone experience was to help address …

Psychosocial Perspectives To Client Care In Orthopedic Settings – The Role Of Occupational Therapy, Ainsley E. Ahrndt

Occupational Therapy Capstones

Background: The purpose of this scholarly project is to increase practitioner and client knowledge regarding the interconnectedness of the mind and body, specifically when it comes to physical healing. Currently, in orthopedic care, there is a large focus on the biomechanical aspects of healing. While this approach is appropriate, it can fail to acknowledge non-physical factors that influence physical healing. Orthopedic injuries and conditions are very common which emphasizes the need for comprehensive care to support individuals as they heal from an injury or manage a condition. Occupational therapists have a unique skillset in that they can address both physical …

Incorporating A Facility Dog Into Practice: A Guide For Occupational Therapists In Mental Health Settings, Anneka Harris

Occupational Therapy Capstones

Introduction: The field of animal assisted therapy (AAT) is growing as the evidence on the effectiveness of incorporating animals into the rehabilitation process evolves; however, there is currently a lack of guidance for occupational therapy (OT) practitioners working with facility dogs in an adult mental health population. In a setting where clients have traumatic brain injuries (TBI), substance use disorders (SUD), and serious mental illness (SMI), it is important to combine best practice for both OT and AAT approaches. The objective of this project was to understand current resources available, conceptualize appropriate interventions, and provide a guide for practitioners using …

Moving Beyond What Pays The Bills: Implementing New Assistive Technology Outcome Measures, Connor Nathan Fuchs

Occupational Therapy Capstones

Purpose: The World Health Organization states that measuring outcomes is paramount to understanding the efficacy of assistive technology (AT) intervention (World Health Organization, 2022). Over 1 billion people across the globe use assistive technology, which is expected to double over the next 50 years. Outcome measures such as the Functional Mobility Assessment (FMA) or Psychosocial Impact of Assistive Devices Scale (PIADS) provide practitioners with information regarding the efficacy of AT interventions. This product aims to provide practitioners with a comprehensive, quick, and straightforward resource that outlines 14 assistive technology outcome measures for frequent use in practice.

Methods: A needs assessment …