Medicine and Health Sciences Commons^™

Implementation Of Functional Cognition Screening Tool And Program Development In An Inpatient Rehabilitation Setting, Michelle Spotskey

OT Student Capstones

This project aims to develop and educate occupational therapists on functional cognition screening tools and interventions in an inpatient setting. This program development is intended to improve occupational therapist evaluation processes at Banner Baywood Facility to include cognitive components and improve the interdisciplinary approach to treating cognitive deficits amongst other professionals, especially speech pathologists. The implementation of this program development provided the therapist with tools and resources vital for determining the disposition and level of independence for medication management/bill paying upon discharge. Therapists gained skill levels to implement appropriate functional cognition interventions, goals, and family training to guide the plan …

Implementation Of A Protocol For Conservative Treatment Of Thumb Carpometacarpal Osteoarthritis, Kylie R. Eklund

OT Student Capstones

Background and Purpose. Pain and stiffness in the hands often occurs in older age because of osteoarthritis. The thumb carpometacarpal joint is the most affected site, producing more pain and disability than any other joint in the hand. Conservative treatment to stabilize the joint, including manual therapy, joint mobilization, splinting, education, activity modification, stretches, and exercises, has proven effective to slow disease progression. Inclusion of functional activity is not studied yet is warranted. Methods. Five participants were included. All participants were between 53 and 82 years old. Participants completed several weeks of hand therapy depending on their presentation. Measures included …

Occupational Therapy Scope Of Practice: Pediatric Mental Health Across The Continuum, Kacey Varnell

OT Student Capstones

This capstone project was completed in a pediatric hospital setting and is written to generalize observations, resources created, and a plan for implementing change to a larger population. Pediatric mental health conditions and the related psychosocial components are underserved client factors in the hospital setting. It typically falls second to physical limitations of the client when it comes to therapy, especially in the intensive care setting. Long term outcomes that are seen post-hospitalization include negative psychosocial consequences that decline overall quality of life. Anxiety, depression, and PTSD are the main conditions that can follow the traumatic experiences related to being …

A Comprehensive Manual Of The Shoulder Exercise Machine And An Introduction To The Potential Benefits Of The Novel Device, Angus Lochhead

OT Student Capstones

The most common standard therapy exercise equipment for upper extremity (UE) strengthening consists of elastic/resistance bands, dumbbells, and dowels. During the rehabilitation process, more effective equipment may assist patients in achieving the strength needed for optimal UE functioning. The novel shoulder exercise machine allows linear movement exercises in any direction and attaches to nonporous surfaces (horizontal to vertical surfaces) via two powerful vacuum cups. It uses resistance bands to provide tension during resistance training to target muscles of the shoulder complex. The machine enhances safety by providing controlled linear movements and increased UE support and stabilization compared to using weights …

Identifying An Association Between Sensory Processing And Food Sensitivities, Taylor Tonks

OT Student Capstones

Introduction: Feeding difficulties are quite common in children and can lead to a multitude of poor health outcomes. Children with sensory processing difficulties can present with feeding difficulties. The relationship between sensory processing and feeding difficulties in children has been previously researched. However, most of the existing research focuses on children diagnosed with autism spectrum disorder. Methods: The purpose of the present study was to identify the association between sensory processing and food sensitivities in children of varying diagnoses using retrospective data. In the study, the researcher included 47 children who presented to an outpatient pediatric clinic for a feeding …

Occupational Health And Safety For Commercial Pilots During The Coronavirus Pandemic, Autumn M. Dawley

OT Student Capstones

BACKGROUND

The aviation industry has been growing with the number of aircraft pilots jumping from 590,038 in 2015 to 664,563 in 2019. With an increasing demand for distribution of cargo, a review of the effects of work-related stressors during the coronavirus pandemic and, further, a solution to increase the health and well-being of individuals in the industry is essential. The Federal Aviation Administration (FAA) addresses fatigue and routinely revises regulations which alleviate job stress; however, the coronavirus pandemic has added new stressors to the aviation industry.

PURPOSE

The purpose of this study was to examine the impact of the pandemic …

Fostering Healthy Therapeutic Relationships: Foster Parent Education Program, Sydnie Barboza

OT Student Capstones

Background: Children who have been placed in the foster care system due to trauma often have difficulty coping with past experiences. These traumatic experiences can often affect their development, physically and mentally, and emotional regulation, relationships, and attachment. As of April 2021, more than 13,400 children were placed in the foster care system in Arizona. While removing children from their birth home to a safer environment is critical, it brings along many challenges such as emotional trauma and inconsistent caregiving. Methods: The foster parent educational program described in this paper, “Fostering Healthy Therapeutic Relationships,” is a foster and adoptive parent …

Effective Occupational Therapy Interventions For Reducing Parental Stress In The Neonatal Intensive Care Unit, Ann Landreville, Annah Greenmyer, Makayla Murden

Critically Appraised Topics

John et al.’s (2018) study found that over half of the mothers in the NICU suffer from moderate to severe anxiety. This anxiety negatively impacts parents’ abilities to engage in the occupation of caring for their child, which can have long-term consequences. Currently, there is a lack of research on occupational therapy-specific interventions that focus on reducing parental stress in the NICU setting. The purpose of this critically appraised topic (CAT) is to discover which stress-reducing occupational therapy interventions have a positive impact on the abilities of parents to successfully care for their infants in the NICU.

Understanding Perceptions Of Social Eating During Lunch For Adolescents With Anorexia Nervosa: An Instrumental Case Study, Madelyn Duzyk

Occupational Therapy Doctorate Capstone Projects

Background: Current literature on adolescents with Anorexia Nervosa (AN) show that social participation is a key factor of community reintegration and long-term recovery (Mekori et al., 2017; Preyde et al., 2017); however, there is little known about the impact of social eating for adolescents with AN.

Purpose: The purpose of this instrumental case study is to more fully understand the meaning of social eating during lunch for adolescents with AN and begin to illustrate social eating’s impact on treatment, community re-integration, and long-term remission.

Methods: A qualitative case-study methodology was developed to gain perceptions of social eating from adolescents with …

The Effects Of Education With Healthcare Providers On Low Vision Assistive Devices And Their Ability To Improve Self-Care Skills, Lora L. Jester-Rains

Occupational Therapy Doctorate Capstone Projects

Background: Results of a study by Casten et al., (2005) confirmed low rates of use of devices and services for low vision by the older adult. Older adults with low vision are receptive to using low vision resources but are often unaware of them (Lighthouse International, 2021). Casten et al. (2005) further suggested that the lack of services or use of devices may be due to a lack of awareness of health care professionals. Low vision assistive devices (LVAD), whether high or low tech, or mainstream, can help maximize a client’s vision so that they can perform everyday tasks …

The Use Of Compression To Treat Phlebolymphedema Symptomology: A Systematic Review, Naomi Moran

Occupational Therapy Doctorate Capstone Projects

Background: There is a lack of clinical practice guidelines regarding treating phlebolymphedema symptomology. To facilitate client centered evidence-based practice, occupational therapists (OTs) who are Certified Lymphedema Therapists (CLTs) need disease specific evidence for treating phlebolymphedema. Finding available evidence regarding the use of complete decongestion therapy (CDT) for this population will support evidence-based practice. For this capstone compression usage is the one component of CDT that will be researched.

Purpose: A systematic review of evidence related to use of static compression for treatment of lower leg phlebolymphedema that is within the scope of a CLT who is not wound care certified. …

"Making Change By Shared Doing": An Examination Of Occupation In Processes Of Social Transformation In Five Case Studies., Sandra Schiller, Hanneke Van Bruggen, Sarah Kantartzis, Debbie Rudman, Ryan Lavalley, Nick Pollard

Occupational Therapy Publications

BACKGROUND: As social and health inequalities deepen around the world, scholarship in occupational therapy and occupational science has increasingly emphasised the role of occupation as a powerful tool in transformative processes.

OBJECTIVE: To explore how opportunities for everyday doing together may contribute to processes of social transformation by identifying ways occupation is being taken up in socially-transformative practice.

MATERIAL AND METHODS: A generic descriptive qualitative case study design was utilised in order to describe current practice examples and identify ways occupation was being taken up in five initiatives working towards social transformation located in Canada, Germany, South Africa and the …

Situating Occupational Injustices Experienced By Children With Disabilities In Rural India Within Sociocultural, Economic, And Systemic Conditions, Tanya Elizabeth Benjamin-Thomas, Debbie Rudman, Colleen Mcgrath, Debra Cameron, Vinod Joseph Abraham, Jeshuran Gunaseelan, Samuel Prasanna Vinothkumar

Occupational Therapy Publications

This paper contributes to diversifying and situating understandings of occupational injustices through presenting findings from the knowledge generation phase of a participatory action research (PAR) project that utilized participatory filmmaking with children with disabilities in rural South India as co-researchers. Centering on situations of occupational injustices generated through a participatory analysis conducted with the child co-researchers, a critical theoretical analysis, informed by critical occupational science and critical disability perspectives, was carried out. This theoretical analysis of data generated through the filmmaking process, as well as data generated with parents of children with disabilities, community members, and service providers, was used …

Promoting Critically Informed Learning And Knowing About Occupation Through Conference Engagements, Rebecca Aldrich, Roshan Galvaan, Alison Gerlach, Debbie Rudman, Lilian Magalhaes, Nick Pollard, Lisette Farias

Occupational Therapy Publications

As occupation-focused discussions and applications of critical theoretical perspectives increase, attention must also be paid to how different spaces of knowledge dissemination, exchange, and production support critically informed learning and knowing about occupation. This paper presents the reflections of a group of international scholars and lecturers whose shared interest in critical theoretical perspectives prompted the incremental co-development of a series of conference engagements. We describe how our group came together, what kinds of learning experiences we developed to promote and support engagement with critical theoretical perspectives, and what understandings we gained through ongoing critical reflexivity about those learning experiences. Our …

The “Nature” Of Growth: A Virtual Education Platform For Caregivers Of Children With Trauma, Katelyn Rose Mclellan

Occupational Therapy Capstones

Title: The “Nature” of Growth: A Virtual Education Platform for Caregivers of Children with Trauma

Background: More than two thirds of all children report having been exposed to at least one traumatic event prior to the age of 16 (Substance Abuse and Mental Health Services Administration [SAMHSA], 2021). These children are considered at risk due to the previous trauma that they have been exposed to (Ryan, Jane, & Powers, 2017). Children exposed to trauma face significant barriers to engagement in meaningful tasks, delays in development, longterm health issues, and unpredictable emotions (Forkey et al., 2021). Caregivers of these children have …

Coaching, Capacity, And Change: Youth Sport Providers' Perceptions On Creating A Health-Promoting Environment, Jennifer Papenfuse

Occupational Therapy Doctorate Capstone Projects

Background: Rising youth public health disparities can be attributed to the social determinants of health that influence health and wellness. Youth sport providers can be influential in creating healthier environments that facilitate positive youth development, positively impacting life-long healthy behaviors.

Purpose: The purpose of this Capstone Project was to explore youth sport provider’s perceptions, after completing an educational module, of their capacity to implement positive youth development and to create a health-promoting environment. Theoretical Framework. The Model of Human Occupation and the Transtheoretical Model of Behavioral Change guided this project’s assumption that the multicontextual environment’s influence on the process of …

Occupational Therapy Practitioners’ Perceptions Of The Effectiveness Of Employer-Sponsored Evidence-Based Practice Activities, Kelli Spayd

Occupational Therapy Doctorate Capstone Projects

Background: Evidence-based practice is an expectation for the practice of occupational therapy, however, practitioners are not engaging regularly in it. Employers have started to offer activities, such as journal clubs and case studies, or access to research articles and continuing education activities, to help increase evidence-based practice use.

Purpose: The purpose of this descriptive open-ended survey study was to evaluate the perceived effectiveness of employer-sponsored evidence-based practice activities by occupational therapy practitioners. It was the goal of the research to answer the question: what are occupational therapists’ perceptions regarding employer-sponsored evidence-based activities?

Theoretical Framework. The Model of Human Occupation provides …

Use Of Concept Mapping Within A Functional Neuroanatomy Course To Promote Critical Thinking Skills In Occupational Therapy Students, Alissa R. Baker

Occupational Therapy Doctorate Capstone Projects

Background: Critical thinking involves examining and reflecting on one’s own biases, assumptions, and thinking processes. Within occupational therapy (OT), critical thinking skills are foundational skills to support effective clinical reasoning and decision making; however, there is limited evidence on how these skills can be developed and applied within OT education to support positive student outcomes.

Purpose: The purpose of this research project was to explore the use of explicit instruction on critical thinking paired with concept mapping as teaching methods to support entry-level OT student mastery of content knowledge related to functional neuroanatomy. This study aimed to answer the following …

Holistic Occupational Therapy Dining Interventions Supporting Individuals With Dementia In Skilled Nursing Facilities, Kathleen Osio, Sabrina Anne Cezar, Ashley Lorton, Lisa Worsham

Occupational Therapy | MSOT Capstone Projects

The purpose of this project is to provide occupational therapy practitioners (OTPs) with a Holistic Occupational Therapy Dementia Dining Toolkit to enhance the dining experience in the SNF setting for individuals in all stages of dementia. Dementia is a prevalent condition seen in skilled nursing facilities (SNF) that is expected to continue to rise; in 2016, 47.8 percent of individuals living in a SNF had a diagnosis of dementia (Center of Disease Control, 2020). Dining experiences for individuals with dementia (IwD) are impacted by an individual’s cognition, physical, environmental, and psychosocial factors. Additionally, the task oriented and structured approach to …

Pediatric Stroke Outcome Measures: A Systematic Review, Janice Brown, Jordan Ng, Reilly Todd, Alyssa Vo

Occupational Therapy | Graduate Student Research Posters

In collaboration with SFSU/UCSF Physical Therapy and Dominican University of California Occupational Therapy, this systematic review took a critical look at the pediatric stroke outcome measures in the current literature. By ascertaining what is currently in place,

occupational therapists as members of the interprofessional team, can better advocate for occupation centered outcome measures in research and clinical care for children and families who have experienced pediatric stroke.

Impact Of Assistive Technology Applications In Higher Education For Students With And Without Disabilities, Continued, Melanie C. Barillas, Alma E. Cortez, Tamera Y. Mcneil, Geneen C. Samaniego, Julia Zasso

Occupational Therapy | MSOT Capstone Projects

Assistive technology (AT) research has historically focused on skills that AT features can support (e.g. increased spelling, increased typing speed, etc.). In contrast, new research has examined the impact of AT on occupational engagement for individuals with disabilities, and AT in higher education with varying supports (Camarena et al., 2020; Gameuda et al., 2018; Malcolm & Roll, 2017). Due to the COVID pandemic, distance teaching/learning technology has become central to higher education (HE). Distance learning has caused uncertainties for students including creating an effective study routine (Peloso, et al., 2020). Further research is required for examining AT that can support …

Occupational Therapy Collaboration In Creating Accessible Theatre, Chanelle Bautista, Alyssa Cho, Jazmine Cunanan, Ariana Marino, Miko Ramo

Occupational Therapy | Graduate Student Research Posters

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. Our program illustrates occupational therapists’ ability to collaborate with theatres and contribute knowledge on sensory processing differences and environmental modification to increase community cultural arts participation for people with disabilities and their families.

Occupation And Time-Use: The Narratives Of One Individual With Tetraplegia, Amanda Balser

Occupational Therapy Doctorate Capstone Projects

Background: Successful health-management habits of individuals with tetraplegia have correlated with better quality of life and occupational engagement. Objectives: Little is known about the experience of time-use during these practices and the influence these routines have on participation in other meaningful occupations. This study aimed to explore the stories an individual with tetraplegia has about time-use in health management practices, influences on time-use, and feelings about quality of life and life satisfaction. Methodology: Narrative inquiry was used to explore the stories of time-use of one individual living with tetraplegia. Findings: Eleven interpretive stories were thematically represented illustrating the complexity of …

Interprofessional Collaboration Practice Between Nurses And Occupational Therapists, Kimberly Lamke

Occupational Therapy Doctorate Capstone Projects

Background: There is limited research on the interprofessional relationship between occupational therapists and nurses in pediatric outpatient settings, as well as the understanding nurses have of occupational therapy. Interprofessional collaboration is a key component in pediatric client care, regardless of the setting. Interprofessional collaboration is imperative to ensure that health care teams are efficient and able to provide clients with the highest quality of care (Loy et al., 2015).

Purpose: The purpose of this Capstone is to determine how nursing students perceive occupational therapy in a pediatric setting and to examine their perceptions of the interprofessional relationship. Further, it will …

Occupational Therapists’ Clinical Reasoning In Aat With Dogs In Pediatric Therapy, Catherine C. Goodman

Occupational Therapy Doctorate Capstone Projects

Purpose: The purpose of the study was to understand the clinical reasoning used by occupational therapists to select animal assisted therapy with a dog to be included in a treatment plan for their pediatric occupational therapy clients

Theoretical Framework. The Ecology of Human Performance model supports the study purpose and emphasizes the effect of a person’s context and environment on their ability to function and perform tasks.

Methods. The descriptive qualitative study used interviews of seven occupational therapy practitioners who have included dogs in therapy sessions with children. Interactive coding and theme development was employed with member checking applied to …

Understanding The Experiences Of Occupational Therapists Assessing And Treating Functional Cognition Following Stroke, Emma R. Gregg

Occupational Therapy Doctorate Capstone Projects

Background. Stroke is one of the leading causes of long-term disability in the United States, with many stroke survivors experiencing cognitive impairment. Despite the prevalence and impact of cognitive impairment amongst the post stroke population, the evidence for functional cognition assessment and intervention in occupational therapy practice is not well described, and there is currently no evidence available exploring the perceptions of occupational therapists regarding functional cognition for stroke survivors.

Purpose. The purpose of this study is to explore the perceptions of occupational therapists assessing and treating functional cognition in individuals following stroke.

Methods. This qualitative descriptive study included occupational …

Effectiveness Of Electrical Stimulation In Treating Upper Extremity Pain For Older Adult Clients Residing In A Skilled Nursing Facility, Cody L. West

Occupational Therapy Doctorate Capstone Projects

Background: It is estimated that 55% of older adults who reside in skilled nursing facilities (SNFs) have chronic pain that affects their daily function. However, limited research has been conducted on the effectiveness of electrical stimulation (e-stim) in treating upper extremity (UE) pain for the older adult population specifically.

Purpose: The purpose of this study was to examine whether electrical stimulation can decrease UE pain in clients age 65+ residing in a SNF. A sub-question in the study was whether e-stim can improve UE functional performance in older adult clients.

Theoretical Framework: There are two guiding theoretical …

Maintaining Occupations For Long-Term Care Residents, Lara Albano

Occupational Therapy Doctorate Capstone Projects

This Capstone project focused on client-chosen occupations and the use of client-centered evaluations and interventions for long-term care residents. Client-chosen occupations keep our clients actively engaged in therapy, gives them a sense of control, and maintains their identity. The purpose was to prepare occupational therapists to address long-term care residents’ unique occupational needs and promote participation in their chosen and meaningful occupations. It aimed to examine how occupational therapists interpret and include client-chosen occupations and occupation-based assessments in evaluations and interventions for long-term care residents in skilled nursing facilities.

Andragogy And Leadership Development In Entry-Level Doctoral Occupational Therapy Education, Tracey Elaine Recigno

Dissertations and Theses

Leadership development is critical for occupational therapy practitioners to be effective in their varied roles and ultimately is necessary for the sustainability of the occupational therapy profession. Occupational therapy education needs to be the starting point for developing a leadership identity. Best practices in leadership development require that experiences are contextualized and provide opportunities for active learning and reflective practices, yet there is minimal research to understand how occupational therapy educators teach this concept. This dissertation sought to first describe leadership development in occupational therapy and then describe how occupational therapy educators approach leadership education using adult learning principles. The …

Self-Care: An Occupational Therapy Student Perspective, Isabelle Laposha, Stacy Smallfield

Journal Articles: Occupational Therapy

Health professional students, including occupational therapy students, report increasing rates of stress, anxiety, depression, and burnout while completing their academic programs of study. Self-care is one potential solution to this crisis, as engagement in evidence-based self-care practices has been found to improve the health and well-being of various student populations; however, the self-care practices of occupational therapy students have not been well studied. Therefore, this study explored how occupational therapy students understand and practice self-care, and how self-care correlates to perceived stress. Twenty participants engaged in a focus group and completed a 72-hour time diary. Focus group results indicated that …