Medicine and Health Sciences Commons^™

Exploring Relationships And Intimacy With Adults With Intellectual And/Or Developmental Disabilities (I/Dd), Gabrielle Kennedy, Jazminne Orozco Arteaga, Thais Petrocelli

Spring 2023 Virtual OTD Capstone Symposium

This capstone project, Exploring Relationships and Intimacy with Adults with Intellectual and/or Developmental Disabilities (I/DD), was completed by a Doctor of Occupational Therapy candidate at the University of St. Augustine for Health Sciences. The purpose of the project is to increase adults with I/DD's access to intimate partner relationships, sexual expression, and occupations related to intimacy by providing adaptive, community-centered, and meaningful resources.

The current occupational deprivation that the population experiences surrounding intimacy, sexual expression, and intimate partner relationships must be addressed to improve the population’s overall quality of life, health, and well-being. This project aims to inspire and …

Neonatal Therapists' Perceptions Of Using Integrated Collaborative Care In The Neonatal Intensive Care Unit, Sarah J. Elkington

Open Access Theses & Dissertations

Occupational therapists (OTs), physical therapists (PTs), and speech-language pathologists (SLPs) who have advanced clinical knowledge in gestational and infant development can work in neonatal intensive care units (NICUs) as neonatal therapists (NTs). NTs apply their developmental expertise, therapeutic use of self, and client-centered training to create individualized goals for infants and families amid a complex, critical care medical setting. Each discipline (OT, PT, and SLP) brings a unique professional perspective and their own empirical knowledge to the NICU. Researchers have made efforts to capture work trends of NTs as they relate to direct patient care; however, researchers have also recognized …

Kids And Canines: Pawsitively Impacting Occupational Therapy Outcomes, Jessica M. Simon

Occupational Therapy Capstone Presentations

Within the scope of pediatric occupational therapy, Animal-Assisted Therapy (AAT) is a new and emerging area of practice that has shown to have a positive impact in its use with pediatric clients specifically. AAT is formally defined as, “a form of therapy that includes the presence of and/or interaction with an animal to facilitate progress toward some therapeutic goal” (Hardy & Weston, 2020, p. 197). Through the completion of this Capstone, the student aimed to develop in-depth clinical practice skills related to using AAT within pediatric occupational therapy, develop professional leadership skills, and contribute meaningful research regarding the benefits of …

Sensory Integration: Improving Participation, Behavior, And Learning In Individuals With Sensory Processing Disorder, Brooklyn K. Osborne

Occupational Therapy Capstone Presentations

This capstone project encompassed a two-fold focus on advanced clinical practice in the area of sensory integration and research on the effect of sensory integration on the family dynamic. Ayres Sensory Integration was implemented in clinical practice in order to enhance learning, behavior, and participation in individuals with sensory processing disorder and sensory concerns. The research study examined the lived experiences of parents/caregivers of children with sensory processing difficulties to understand how sensory integration has impacted their family dynamic. Qualitative phenomenological methodology was used for data collection and analysis. Sixteen parents were interviewed, and four major themes emerged including family …

The Relevance Of Sensory-Based Intervention In Improving Occupational Performance In Pediatrics, Jasmine M. Fritzemeier

Occupational Therapy Capstone Presentations

The present capstone experience highlights sensory processing differences in relation to occupational performance. Current literature suggests varying evidence on sensory processing differences and effective interventions. This capstone utilizes GAS to measure progress toward functional goals with sensory-based intervention. Results indicate improvements for all five clients in at least one area after 5 to 8 sessions of sensory-based intervention. Improvements noted on GAS demonstrate the effectiveness of sensory-based intervention to address functional differences. The scope of practice for occupational therapy practitioners, therefore, includes sensory-based intervention to improve functional performance and well-being across several settings.

Treating Cognition Through Occupational Performance In Individuals With Neurological Disorders In Home Health, Alcina J. Park

Occupational Therapy Capstone Presentations

Neurological Disorders (ND) like Alzheimer’s Disease, is one of the leading chronic diseases in older adults (National Council on Aging, 2023). One of the most common symptoms of ND is cognitive dysfunction, which prevent individuals with NDs from pursuing their daily occupations (Liu et al., 2019). This makes the exploration of treatment that delays functional decline in NDs imperative. Occupational therapy is valued and recognized in literature, but limited research is specific to cognition in occupational performance in home health. This capstone project used cognitive therapy approaches Cognitive Stimulation Therapy, Cognitive Rehabilitation Therapy, and Cognitive Training, to combat cognitive decline …

The Role Of Occupational Therapy In Meeting Mental Health Needs Of College Students In The South Dakota Regental University System, Molly J. Graesser

Occupational Therapy Capstone Presentations

College students with mental health concerns and disabilities are at risk for poorer academic outcomes. Utilization of student support services (TRIO, disability services, and student counseling services) can mitigate these issues. However, utilization patterns and the service delivery process are not well understood in the South Dakota Board of Regents (SDBOR) system. This study aimed to investigate 1. The extent to which students utilize mental health and disability services in the South Dakota Board of Regent (SDBOR) University system. 2. How service providers deliver those services to students. Utilizing a cross sectional survey and grounded theory design, researchers found that …

Physical And Psychological Impacts Of Burn Injuries On The Pediatric Population And Their Families: An Occupational Therapy Perspective, Sadie E. Anderson

Occupational Therapy Capstone Presentations

Background: Due to the curious nature of the pediatric population, burns are a common and leading cause of non-fatal and fatal injuries among children. Following these injuries, the impacts extend beyond the physical impairments that occur and often result in long-term psychological impacts for the child and their families. With a holistic approach to care, occupational therapy is fully equipped to aid in the mitigating of these impacts. Method: Through advanced clinical practice and the development of various questionnaires, occupational therapy interventions were explored and integrated to facilitate functional outcomes and improve mental health care. Results: With the provision of …

Exploring The Occupational Transition Of Leaving A Cult, Justine Thompson, Baylee R. Chelossi, Emily Osborn, Christian J. Quitoriano

Occupational Therapy | MSOT Capstone Projects

The emergence of cult groups has introduced a new population for occupational therapists to understand and support through the unique challenges they face after transitioning out of these organizations. While research within the field of psychology is robust, little is known about the occupational transition of individuals who leave cults and how occupational therapists can provide occupational science based intervention. In this study, the frameworks of Doing, Being, Becoming (Wilcock, 2002), and Belonging (Hitch et al., 2014b) were utilized to guide theme development and enrich interpretation of 11 hand-searched first-hand accounts. First-hand accounts were analyzed from multimedia sources such as …

A Qualitative Study On Long-Term Adherence To Home Exercise Programs In People With Parkinson’S Disease, Caroline Stafford, Brennan Decena, Shawn Lopez, Judith Thepkaisone

Occupational Therapy | MSOT Capstone Projects

Exercise has been found to slow the progression of Parkinson's Disease (PD) symptoms which can increase independence for daily activities and overall quality of life. In order for the benefits of exercise to continue after a program is completed, integration of the exercises into everyday life may lead to long-term adherence. Through the use of semi-structured interviews, this study investigated if increasing facilitators while decreasing barriers improves adherence to home exercise programs, leading to the establishment of exercise integrated habits in People with Parkinson’s Disease (PwPD). This study found that long-term adherence was achieved by participants. The themes related to …

Ots Delivering Culturally Sensitive Care For Dementia Family Caregivers From Diverse Backgrounds, Abraham Lai, Lucy Palacios Mendez, Darren Sarmiento

Occupational Therapy | MSOT Capstone Projects

As occupational therapists, addressing key cultural barriers that may obstruct access to dementia care and education for individuals with dementia and their caregivers from diverse backgrounds is a priority for client-centered care. Stress, racial discrimination, and distrust may exacerbate symptoms and prevalence of dementia in certain populations, such as Chinese- Americans and Latinx (Quinones et al. 2020). Immigrants’ experiences of aging and health are diverse due to belonging to different socioeconomic, ethnic, cultural, and linguistic groups and having varying levels of education and work experience (R. S. 2020). There are existing cultural differences regarding caregiving and family networks, perception and …

Life After Brain Injury - Survivor And Family Perspectives, Brandon Duenas, Gary Eng, Haleli Moalem, Miguel Regidor

Occupational Therapy | MSOT Capstone Projects

Background: Acquired brain injuries (ABI) is an umbrella term for mild to severe injuries on the brain with different etiologies, such as traumatic brain injuries (TBI) caused by an external force like a motor vehicle accident, or a non-traumatic brain injury (NTBI) results from an internal force, such as a stroke or aneurysm (Oyesanya, 2017). Current practice trends anchored in traditional rehabilitation models provide the most services and interventions for brain injury survivors (BIS) within the first year post injury. Yet, ABI can have lifelong occupational engagement impacts and there is limited research focused on the brain injury survivor’s (BIS) …

Measuring Outcomes Of Occupational Therapy Facilitated In Natural Settings With Young Children, Amie Smith, Deepak Dale, Brinda Saini, Zoe Peters, Amanda Laccone

Occupational Therapy | MSOT Capstone Projects

To date, there is limited evidence to support the effectiveness of Occupational Therapy (OT) services delivered outside in nature. This study explored the benefits of OT intervention in Natural Settings (NS) for children by examining development in the areas of self-regulation, social skills, sensory processing, confidence, and motor skills. A quantitative, quasi-experimental pre-test/post-test design was used in this study. Researchers partnered with a local outpatient OT clinic that offers an 8-week outdoor program. Seven children and their parents were recruited and participated in the study. A modified version of the COPM and two BOT-2 subtests, along with a novel log …

Promoting Cultural Arts Access Through Sensory-Friendly Theatre, Chanelle Bautista, Alyssa Cho, Jazmine Cunanan, Ariana Marino, Miko Ramos

Occupational Therapy | MSOT Capstone Projects

Children with sensory processing differences have “reduced participation in recreational and community activities compared to children with both typical development and other developmental disabilities” due to their difficulties with social communication, and strict social settings (Giserman-Kiss et al., 2020). Sensory-friendly theatre programs aim to dismantle social participation barriers for individuals with sensory processing differences by creating a relaxed theatre experience that includes preparatory materials, environmental modifications, and specialized training (Umeda, 2017). We implemented a pilot sensory-friendly performance of Willy Wonka, Jr. in collaboration with youth actors at the Throckmorton Theatre in Mill Valley, CA on February 13th, 2022. Approximately 80 …

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 …

Development And Usefulness Of An Advocacy Toolkit To Promote Systems-Level Advocacy Among Occupational Therapy Students In Nevada, Mary Angela Mendoza Terencio

UNLV Theses, Dissertations, Professional Papers, and Capstones

Advocating at the systems level to influence legislation and regulation can protect, promote, and progress the occupational therapy profession. This quality improvement project aimed to create and evaluate an advocacy toolkit for professional students in Nevada. The toolkit was developed under the guidance of a team of advocacy experts and leaders. Twenty-five students were recruited through convenience sampling to evaluate the toolkit. Data was collected through a one-group pretest-posttest qualitative improvement design to capture changes in awareness of Nevada-specific regulatory and legislative information, attitudes toward advocacy efforts, and the toolkit’s usability. Comparisons between the pre- and post-toolkit surveys were analyzed …

Serving Victims Of Human Trafficking In Northeast Arkansas, Chasity Garrett

Occupational Therapy Doctoral Capstones

According to (Jordan & Mossman, 2018), a study conducted in Kenya shows that a self-defense course for girls of all ages to be beneficial in decreasing the risk of sexual assault. Outcomes of the course showed improvements in self-esteem, self- efficacy, assertiveness, and physical defense skills, along with decreased levels of fear. Self-defense programs can reduce the rates of sexual victimization, increase confidence, reduce fear and decline the rates of human trafficking which would benefit the DCE at Hope Found.

Increasing Health And Wellness For Low Socioeconomic Status Children At The Bryant Boys And Girls Club, Bethany D. Hutchinson

Occupational Therapy Doctoral Capstones

The Occupational Adaptation Theory was used to guide the experience and project by identifying deficits and creating adaptive responses as solutions to the found deficits.

Advocating For The Implementation Of Interprofessional Collaboration In A Pediatric Private Practice, Morgan Weaver Gilbert

Occupational Therapy Doctoral Capstones

The purpose of the capstone project was to establish clinical pathways for Occupational and Physical Therapy within a pediatric private practice setting. The DCE focused on the interprofessional collaboration of the rehabilitation team, which includes merging the care between physical (PT), occupational (OT), and speech therapy (ST).

Mental Health Educational Program For Law Enforcement Officers, Elizabeth Allen

Occupational Therapy Doctoral Capstones

A mental health educational program was created to educate corrections officers on various mental health diagnoses, psychiatric treatments , mental health law, cultural sensitivity, and deescalation skills. The purpose of the program was to enhance mental health knowledge in corrections officers and increase the health and wellness outcomes of the inmates. Mental health resources given at the end of the program could be utilized by the inmates after leaving the facility and by the corrections officers if they required services, as well.

Effectiveness Of Life Skills Training To Increase Self-Sufficiency In Individuals With Substance Abuse: A Research Study, Shayla Dickson

Occupational Therapy Doctoral Capstones

Drug and alcohol addiction is a growing disease of concern in society. There is also a lack of evidence regarding the contribution that occupational therapy (OT) can offer this particular population. Due to the varying needs of the individuals and the occupational disturbances that are a central component of addiction (Martin et al., 2015), diverse focus areas of OT could provide a more holistic provision of services to build life skills needed for improved self-sufficiency for sustained sobriety.

Self-Management Program For Homeless Veterans, Sydney Sims

Occupational Therapy Doctoral Capstones

The purpose of the self-management for homeless veterans' program is to enhance self-management skills and improve the health and wellness of each homeless veteran being served at the cottages. The program will be facilitated over 6 weeks and comprised of group and individual sessions.

Sensory Integrative Occupation-Based Programming For Therapeutic Horseback Riding (Thr) Summer Camp, Rebecca Mccarron-Coggin

Occupational Therapy Doctoral Capstones

Create facility implementable sensory-inclusive summer camp programming to increase occupational performance in Trinity Farm therapeutic riding summer camp participants.

Development Of Life Skills Training Modules For Adolescents With Intellectual And Developmental Disabilities, Nicole Jones

Occupational Therapy Doctoral Capstones

The purpose of the capstone project was to develop occupation-based life skills training modules to increase self-efficacy, self-advocacy, role competency, and well-being of transition-age youth to promote better outcomes throughout the transition process into adulthood. The life skills training modules were developed at diverse learning levels and implemented at Camp BOLD to meet the needs of adolescents with intellectual and developmental disabilities.

An Ergonomic Approach For Esport Athletes: The Potential For Less Injury And Increased Occupational Performance, Nicholas Nalic Pierides Jr.

UNLV Theses, Dissertations, Professional Papers, and Capstones

The purpose of developing the case study was to determine the satisfaction of implementing an ergonomic protocol tailored to esport athletes in addition to tracking improvements in performance through KovaaK’s tracking trainer while reducing the risk of repetitive strain injuries. Occupational therapists are trained to assess individuals with a holistic lens while treating the deficits that prevent them from living a meaningful life. Occupational therapists advise ergonomically correct positioning for their clients to decrease the risk of injury and to optimize the person’s performance. There is a need for an ergonomic protocol tailored to esport athletes because of the increase …

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 …

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 …

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 …

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 …

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 …