Medicine and Health Sciences Commons^™

Access To And Utilization Of Primary Care: A Synthesis, Klaire M. Johnson

Kentucky Journal of Undergraduate Scholarship

Barriers to access and utilization of primary care affect nearly 9% of the nation’s population (USDHHS, n.d.a). These barriers are important to evaluate for members of the aging population due to increased need for health care as a result of chronic conditions and falls. Research indicates that access for the aging population is affected by a variety of factors, including: transportation, non-financial barriers, and internal factors. Issues surrounding current delivery of care, such as a workforce shortage of primary care physicians, have compounded the problem even further. While this issue has begun to be addressed through the Affordable Care Act, …

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 …

The Role Of Occupational Therapy In Determining The Effectiveness Of Functional Task Assessments Used To Improve Quality Of Life For Older Adults With Parkinson’S Disease., Kate L. Westphal, Brooklyn L. Wiest, Jordyn M. Wolff

Critically Appraised Topics

This critically appraised topic focuses on the role of occupational therapy in ascertaining the effectiveness of specific functional assessments in improving the quality of life of older adults with Parkinson’s disease.

Usefulness Of Kinesiotaping For Children Experiencing High Tone And Spasticity As A Symptom Of Cerebral Palsy, Hailey Koep, Hailey Mcguire, Claire Meyer

Critically Appraised Topics

This critically appraised topic focuses on the use of Kinesiotape for improving occupational engagement for children and adolescents experiencing high tone or spasticity related to the diagnosis of Cerebral Palsy treated in the outpatient setting. To develop a better understanding of the different factors in question, Cerebral Palsy and Kinesiotape are first addressed, then the impacts on the quality of life in children with CP, and finally, occupational therapy's role in the use of Kinesiotape and treatment of CP.

The Role Of Occupational Therapy In The Transition Process For Young Adults With Developmental Disabilities, Hannah Tanous, Mckenzie Ulrich, Alexis Walther

Critically Appraised Topics

This critically appraised topic (CAT) focuses on occupational therapy’s role and best practice in assisting families with young adults that have developmental disabilities in making the transition out of the home into the community, secondary education, or supported independent living. The transition experience is unique to each individual, as there are both supports and barriers to the process.

Effectiveness Of The Use Of Kinesiotape For Adults With Elbow Tendinosis In Reducing Pain To Promote Engagement In Occupations, Natasha Minar, Kinley Nordin, Kaitlyn Peterson

Critically Appraised Topics

This critically appraised topic paper focuses on the use of kinesiotape for adults experiencing chronic pain associated with elbow tendinosis that greatly influences their ability to engage fully in their meaningful occupations. Adults with elbow tendinosis may experience decreased functional mobility due to pain from their diagnosis (Eraslan et al., 2017; Karlıbel & Aksoy, 2022; Shakeri et al., 2018), thus decreasing their overall quality of life and well-being. In this paper, pain associated with elbow tendinosis, the effectiveness of kinesiotape compared to alternative interventions, and the role of occupational therapy in promoting engagement in meaningful occupations will be discussed. Kinesiotape …

Examining Occupational Therapists’ Role In Providing Client-Centered Care For School-Aged Children In The Educational Setting With Visual Impairment, Nicole Gentry, Skye Gross, Alyssa Hammon, Angela Mossman-Larson

Critically Appraised Topics

In a foundational statement outlining the profession’s belief regarding the needs of the pediatric population with visual impairments, the American Occupational Therapy Association (AOTA) stated children with visual impairments “benefit significantly from coordinated and comprehensive services to enable them to learn to use their remaining vision more efficiently and use nonvisual methods to complete activities” (Warren & Nobles, 2011, p. 2). According to Warren and Nobles (2011), individuals can have two types of visual impairments: cortical visual impairment and ocular visual impairment. Cortical visual impairment (CVI) deals with affected areas of the brain that limits visual processing, whereas ocular visual …

Telehealth Benefits In Rural Areas: Occupational Therapy, Grant E. Tolkkinen, Grace K. Torgerson, Kaitlyn J. Wanner

Critically Appraised Topics

This paper focuses on the efficacy of occupational-based interventions administered via telehealth within a rural-dwelling adult (18 years and older) population with mental health conditions. The main factors to consider in this scenario are the mental health services in rural areas, the features of the rural population, and the role of occupational therapy (OT) and telehealth in rural mental health. The Occupational Therapy Practice Framework defined health management as “activities related to developing, managing, and maintaining health and wellness routines, including self-management, with the goal of improving or maintaining health to support participation and other occupation” (AOTA, 2020, p.32).

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 …

Professional Behaviors On The Fieldwork Performance Evaluation: Perspectives Of Fieldwork Educators, Jessi S. Clark

Occupational Therapy Doctorate Capstone Projects

Occupational therapy (OT) students are assessed on their professional behavior skills during Level II fieldwork (FW) by fieldwork educators (FWEs) as measured by the Fieldwork Performance Evaluation (FWPE). Most of these professional behavior skills are not required components of entry-level OT education, therefore academic preparation may be variable. The purpose of this Capstone project was to study the perspective of FWEs regarding the seven professional behavior items on the FWPE, primarily the relative importance of and academic preparation for these items. Participants included FWEs who completed the FWPE in the last 15 years. They completed an online survey that utilized …

Program Evaluation Of A Community-Based Model For Driver Off-Road Assessment In Post-Acute Abi, Eugenia R. Herbst

Occupational Therapy Doctorate Capstone Projects

Background: Social conditions from the pandemic forced changes to outpatient rehabilitation programs, necessitating pre-driving assessment be administered via telehealth, an alternative model of OT service-delivery. As a result, Shepherd Pathways adapted the clinical pre-driving program for telehealth service delivery. Program outcomes had not been formally assessed.

Purpose:

The purpose of this Capstone project was to conduct a formal program evaluation to collect, analyze, and use data to evaluate effectiveness and efficiency of a clinical return to drive program delivered via telehealth (CDC, n.d.; The university of Kansas toolbox, n.d.). The program evaluation examined the OT process and scope of services …

Skilled Nuring Facilities Therapists' Experiences With Acquiring Wheelchairs For Their Clients, Vincent Campbell

Occupational Therapy Doctorate Capstone Projects

The United States (U.S.) population is aging resulting in an increase in Skilled Nursing Home (SNF) residents. A larger proportion of SNF residents rely on wheelchairs for mobility. Currently there are no studies that determine the processes, which therapists utilize to correctly fit their clients for wheelchairs. Poor fitting wheelchairs can have a negative impact on the residents’ ability to participate in occupational activities. Residents may also suffer physical or psychological consequences from an ill-fitting wheelchair. Therapists in SNFs often have no established criteria in providing wheelchairs for their clients. There can be institutional barriers to providing appropriate wheelchairs for …

Perspective Of Patients And Stakeholders As Members Of A Research Team, Janet L Poole, Sharon L Newbill

Pediatrics Research and Scholarship

Systemic sclerosis (SSc) is a rare orphan disease, characterized by skin thickening, vascular insufficiency, and fibrosis of internal organs. SSc affects about 100,000 people in the United States. This study explored perceived benefits and challenges of patient partners and stakeholders, who were team members on a project to revise and test a self-management program (Taking Charge of Systemic Sclerosis). Five patient partners, 1 stakeholder from the Scleroderma Foundation and 1 stakeholder from a state chapter of the Scleroderma Foundation were interviewed. Conversations were audio recorded and transcribed verbatim and analyzed. Four themes emerged from the analysis with corresponding subthemes: contributions …

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

Frank Low Research Day Posters

Purpose: 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.

Background: Children with serious or life-threatening illness are at great risk for occupational deprivation due to their complex medical needs as well as the inhibiting physical symptomology that may accompany their diagnoses (Doukkali et al., 2013; Kasven-Gonzales & Miale, 2010). Individuals working with this population have reported a need for more specialized education for working with children with medically complex needs (Gysels et al., 2005; Whiteford et al., 2020). It …

Life Skills Intervention For Formerly Incarcerated Individuals At Maricopa Reentry Center, Dalenna Bellum

OT Student Capstones

The rates of incarceration quickly rose in the United States in the late 1900’s in response to change in legislation in favor of more tough on crime movements and policy. In addition to these movements and other social, environmental, and demographic factors, certain groups of individuals faced increased risk for incarceration and increased challenges before, during, and after incarceration. The purpose of this doctoral capstone experience and report is to explore challenges during community reentry after incarceration that can lead to re-arrest, or recidivism. This is a crucial time because without the appropriate tools, resources, and supports, the individual is …

Effect Of A Wilderness Rafting Trip On Disability Identity With Those Who Have Physical Disabilities, Kathryn Bauer

OT Student Capstones

Background: Disability identity is a concept that can occur when one focuses their identity and purpose on their disability. This can be positive or negative and have direct effects on one’s quality of life. Several studies have found that being in the wilderness has improved one’s self-perception, community, and goals for the future. This project aims to measure, after going on a 12-day rafting trip in the Grand Canyon, if there is any change on one’s disability identity, as well as to analyze accessibility for those with physical disabilities.

Method: Six participants with physical disabilities were included. All …

Effects Of Physical Activity, Play And Mindfulness-Based Interventions On Emotional Regulation And Emotional Awareness Skills In Adults With Developmental Disabilities At A Day-Time Assistance Program, Aaron Arndt

OT Student Capstones

Background: According to literature, deficiencies in emotional regulation and emotional awareness skills are more prevalent among adults diagnosed with developmental disabilities. Limited research shows promising support that the use of noninvasive treatments such as exercise, and play can promote emotional well-being among this population. This project aims to better understand the benefits of physical activity, play, and mindfulness-based interventions on emotional regulation skills in adults with developmental disabilities who attend a day-time assistance program.

Method: This 14-week capstone project was conducted at Lauren’s Institute for Education’s Adult Day Treatment (DTA) program. The occupational therapy doctorate (OTD) student developed and implemented …

Cat Part Iv: Occupational Therapy Interventions To Support Upper Extremity Spasticity In Older Adults Following A Stroke, Mary Redlin, Allie Reiffenberger, Shannon Ring, Aubrey Rude

Critically Appraised Topics

This critically appraised topic focuses on interventions for improving hand functions in activities of daily living (ADLs) for elderly adults who have chronic upper extremity spasticity following a stroke. For the purpose of this critically appraised topic, the focus will be on the elderly population, defined as being age 55 and older; research indicates stroke is most prevalent in this population (Mayo Clinic, 2022). When considering a particular theory, the Ecology of Human Performance (EHP) is the most suitable model for our focus question (Dunn, 2017). The Ecology of Human Performance is focused on the person and environment to increase …

The Impact Of Sensory Deprivation And Sensory-Based Intervention For Incarcerated Adults Over The Age Of 65, Kyara G. Crowley, Connor N. Fuchs, Sydney L. Johnson

Critically Appraised Topics

This critically appraised topic (CAT) focuses on sensory-based interventions for improving the quality of life for older adults who are incarcerated in the United States. There are many aspects to this topic; sensory deprivation in the prison system is addressed first, followed by the importance of sensory-based interventions, and finally the relationship between occupational therapy and quality of life.

Perceptions Of Occupational Therapists Working In Established Pace Programs, Jessica L. Daugherty-Peters

Occupational Therapy Doctorate Capstone Projects

Background: The Program of All Inclusive Care for the Elderly (PACE) provides medical and social services to older adults who meet nursing home level of care but wish to remain in their own homes. Although PACE has been in existence for decades, this program is new to the state of Kentucky.

Purpose: The problem this Capstone project will address is the need for further research related to occupational therapy’s roles and experiences in PACE programs. This capstone will explore the perceptions of occupational therapists and occupational therapy assistants working in established PACE programs.

Methods: This study followed a Qualitative Descriptive …

Perceptions Of Occupational Therapy Practitioners In Recognizing And Addressing Older Adult Food Insecurity, Mitzie Marion C. Mickelson

Occupational Therapy Doctorate Capstone Projects

Background: According to productive aging initiatives from the American Occupational Therapy Association, occupational therapy practitioners play an integral role in advancing and promoting wellness and independence of adults in later life. Evidence has indicated that numerous occupational therapy interventions can enhance the quality of life and functional ability levels of older adults and may be modified to target the needs of older adults who experience the threat of hunger.

Purpose: The purpose of this qualitative descriptive study is to explore how occupational therapy practitioners view their role in enhancing older adults’ healthy eating behaviors and reducing the risk of food …

Administrators’ Perceptions Of Alternative Service Delivery Models And The School-Based Occupational Therapists’ Role, Kimberly Saccucci

Occupational Therapy Doctorate Capstone Projects

School-based occupational therapists (SBOTs) provide a range of services with collaborative consultation amongst interdisciplinary team members being one of their responsibilities. One perspective that has not been thoroughly examined within previous research is the administrators’ perceptions of the OTs’ roles and responsibilities within the school setting, which may impact how therapists can implement alternative service delivery models. This study aimed to determine administrators’ perceptions of the workload model for SBOTs, to explore their understanding of the SBOTs’ role and responsibilities, and to understand their perceptions regarding collaborative consultation.

An anonymous electronic survey was distributed to public school administrators within Rhode …

A One-Day In Person Workshop To Assess Novice Occupational Therapists’ Perceived Level Of Preparedness In Supervising Level Ii Fieldwork Students., Inken Prochilo

Occupational Therapy Doctorate Capstone Projects

Occupational therapy fieldwork education is an in-depth experience required by the American Council of Occupational Therapy Education (ACOTE) to demonstrate entry-level skills as a practitioner. Level II Fieldwork allows the student to apply knowledge gained in the classroom, in a clinical setting under the guidance and mentorship of a qualified therapist, also referred to as a fieldwork educator (FWE). Fieldwork shortages have long been documented and continue to present challenges for academic fieldwork coordinators (AFWC) across the countryThe purpose of this Capstone was to evaluate the impact of an in-person workshop focused on the skills required for the fieldwork supervisory …

Critiquing Representations Of Intellectual Disability In Occupation-Based Literature, Rachel Reparon, Pamela Block, Ann Fudge Schormans, Debbie Laliberte Rudman, Gail Teachman

Occupational Therapy Publications

Background: Within and beyond occupation-based scholarship, concerns abound regarding the pervasiveness of discourses that promote a negative, deficit-based view of intellectual disability and associated consequences for disabled people’s lives. Such representations risk reducing the complexities of human doing and being and can limit the occupational possibilities of this group. Yet, there is a lack of critically reflexive research exploring how disability is discursively constructed in occupation-based literature.

Aims/Objectives: This paper critically analyses representations of intellectual disability within occupation-based literature. It considers the influence of such representations on the occupational possibilities of people labelled intellectually disabled.

Methods: This review employed a …

Is Playtime Over? Exploring Socio-Cultural Barriers And Enablers To Adult Playtime, Karen Mccarthy, Sabrina Solis, Leticia Monelli, Catherine Solomon, Rosalind Nolde

Occupational Therapy | Faculty Conference Presentations

No abstract provided.

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

Occupational Therapy | Graduate Student Research Posters

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 …

Examining The Efficacy Of Yoga Nidra On Sleep Quality With Persons With Parkinson’S Disease (Pwpd), Kimberly Morrow, Karen Aranha, Angela Blackwell

Fall 2023 Virtual OTD Capstone Symposium

A pilot mixed methods study utilizing quantitative and qualitative phenomenological study methods to understand the overall the benefits of using Yoga Nidra on sleep quality and sleep management, and more precisely the dosage of Yoga Nidra.

Occupational Therapy Practitioners’ Perceptions Of Their Confidence And Skills When Providing Community And Social Interventions After A Guided Educational Experience, Jenny Williams

Occupational Therapy Doctorate Capstone Projects

Background: As the population is aging, occupational therapy practitioners (OTPs) are well placed to address the community and social needs of older adults to promote healthy aging. However, OTPs seem to be lacking the resources and guidance to implement community and social interventions routinely.

Purpose: This quantitative non-experimental, pre-, and post-survey design aims to determine the impact of a guided education intervention on how OTPs perceive their skills and confidence when providing community and social interventions.

Theoretical Framework: The Model of Health Promotion (Wilcocks, 2006) and Lifestyle Redesign® (Clark et al., 1997) program were used as the guiding theory and …

Asynchronous Online Telehealth Training: Occupational Therapist’S Perceptions Of Knowledge And Confidence, Breanna L. Campbell

Occupational Therapy Doctorate Capstone Projects

Telehealth was not a typical practice in occupational therapy prior to the pandemic (Allen-McHugh & Schleg, 2022; Douglass et al., 2023; Wittmeier et al., 2022). Understanding OT clinician knowledge and confidence in the delivery mode has progressed as a result (Allen-McHugh & Schleg, 2022; Douglass et al., 2023; Soba et al., 2022; Wittmeier et al., 2022). The purpose of this study was to investigate the effectiveness of an asynchronous online training module in increasing self-reported knowledge and confidence in occupational therapy clinicians utilizing telehealth with the pediatric population. A pre-experimental pre-posttest quantitative design was used to measure therapist’s perceived knowledge …