Medicine and Health Sciences Commons^™

Increasing Confidence And Mental Health In Caregivers, Lucy D. Diangelo, Libby Lowry, Kayla Mcdaniel, Clare Sauser, Shelby Terry, Erin Williams

Master of Occupational Therapy Student Critically Appraised Topics

The purpose of our critically appraised topic is to synthesize the highest-level evidence available regarding interventions for increasing confidence and mental health outcomes in caregivers taking loved ones home from inpatient rehabilitation. The final portfolio contains six research articles from peer-reviewed journals. Study designs include randomized control trials, a systematic review, and a pretest-posttest without a control group. All studies relate directly to the components of the PICO question. Four of the articles discussed both caregiver confidence and mental health while two articles discussed only mental health. There is strong evidence to support that in-person hands on training, in person …

Space Retrieval Training For Memory Enhancement In Adults With Dementia, Lauren Camenzind, Molly Kafader, Rachel Schwam, Mikayla Taylor, Zoie Wilkes, Madison Williams

Master of Occupational Therapy Student Critically Appraised Topics

The final portfolio contains 8 research articles from national and international journals. Study designs include one systematic review, one randomized control trial with pretest-posttest design, three small-scale randomized control trials, one quasi-experimental study with no control, one time-series study, and one case study. All studies relate directly to components of the evidence-based practice question and will be used to draft new recommendations for implementation regarding spaced retrieval training for memory enhancement in adults with dementia. Seven out of the eight articles looked at the effects of SR techniques on functional tasks. Articles looked at eating difficulty (1), independent use of …

Long-Term Outcomes In Children With Acute Flaccid Myelitis, Megan D. Henley, Lindie Hill, Sydney Inman, Molly Grace King, Sam Lopez, Carley Mahaffey

Master of Occupational Therapy Student Critically Appraised Topics

The purpose of our critically appraised topic is to combine the best evidence regarding the long-term outcomes in children with acute flaccid myelitis (AFM) regarding posture and movement, gross and fine motor control, and activities of daily living (ADL) performance. The final portfolio contains eight articles. The study designs of these articles include a retrospective cohort study, two retrospective non-randomized studies without a control group, a retrospective review, a nationwide follow-up questionnaire analysis study, a case report, a case series, and a multiple quantitative case study. All studies related directly to our evidence-based PICO question and were used to determine …

Exercise Interventions For Adults With Burn Injuries, Liz Burton, Carolyn Knight, Brittney Malone, Lexie Rivers, Rachel Walker, James Wright

Master of Occupational Therapy Student Critically Appraised Topics

The purpose of this critically appraised topic (CAT) is to provide the highest quality of evidence available on the implementation of exercise interventions in the early burn rehabilitation phase in adult burn victims. This portfolio contains four peer-reviewed research articles from national and international journals. The study designs include one systematic review and meta analyses, one retrospective cohort study and two randomized control trials. These articles covered three types of exercise interventions including resistance training, mobility training, and physiotherapy. Overall, the clinical bottom line of this CAT is that exercise interventions in early burn rehabilitation may be effective in improving …

Reducing Stress, Anxiety, And Depression For Nicu Parents, Amy Patton, Kylie Dunavan, Kyla Key, Steffani Takahashi, Kathryn Tenner, Megan Wilson

Master of Occupational Therapy Student Critically Appraised Topics

This project aims to appraise evidence of the effectiveness of various practices on reducing stress, anxiety, and depression among parents of infants in the neonatal intensive care unit (NICU). The project contains six research articles from both national and international journals. Study designs include one meta-analysis, one randomized controlled trial, one small scale randomized controlled trial, one prospective phase lag cohort study, on pretest-posttest study, and one mixed-methods pretest-posttest study. Recommendations for effective interventions were based on best evidence discovered through quality appraisal and study outcomes. All interventions, except for educational programs and Kangaroo Care, resulted in a statistically significant …

The Relationship Between Alternative Fieldwork Approaches And Student Competence And Confidence For Occupational Therapy In Behavioral Health, Kathryn Beckstein, Elizabeth Britton, Codee Colby, Kathleen Melei, Emily Rehmel, Sara Best

Student Journal of Occupational Therapy

Purpose: The purpose of this case-series study was to assess the relationship between three instructional methods that fall within the parameters of the revised Accreditation Council for Occupational Therapy Education fieldwork objective C.1.9 and perceived student competence and confidence in providing therapy services in a behavioral health setting.

Methods: The study included a convenience sample of (n=49) graduate students enrolled in an entry-level Doctor of Occupational Therapy program and a Doctor of Physical Therapy program in the Midwest. The participants attended a presentation on bipolar disorder and were randomly assigned to engage in one of three instructional methods: …

Zero Balancing And Occupational Therapy: Removing Restrictions To Life Flow, Deanna Waggy Otr, Loren Waggy Otr

Journal of Transformative Touch

Zero Balancing is an effective complementary and integrative health treatment tool for Occupational Therapy practitioners. It helps remove restrictions and restore balance to a patient’s life flow, improving overall occupational performance.

Occupational Therapist Role In Post-Secondary Education Transition Program: Emphasis On Self-Advocacy Skills, Nikki K. Voorhees

Student Capstone Papers

It is becoming increasingly important for individuals to obtain post-secondary education in order to gain employment (Alverson et al., 2019; Chandroo et al., 2018). This increased importance to attend post-secondary education makes it imperative for students who are graduating from high school to be fully prepared for the transition to post-secondary education (Rothman et al., 2008). The transition from high school to post-secondary education is difficult for any individual. However, it is even more difficult for students with learning differences, as they tend to have problems in the areas of social skills, communication, problem solving, self-advocacy, and executive functioning (Alverson …

Governor Gains: A Remote Program Connecting Home And School, Madison L. Michels

Occupational Therapy Capstone Presentations

The purpose of this capstone project was to create and implement the Governor Gains remote home program aimed at increasing parent involvement in home-based activities to promote academic performance among children with disabilities. This capstone experience was completed within the Pierre, SD Public School System, specifically with elementary-aged students. An occupational therapy student worked with a faculty mentor (OTD), site mentor(OTR/L), and interprofessional team (physical therapists, speech therapists, psychologists, and general and special education teachers) to complete this project. The capstone project began with advanced clinical practice then transitioned into program development. Governor Gains provided a focus on fine motor …

Occupational Therapy Services For Sheltered Individuals Experiencing Homelessness, Ariana Oorlog

Occupational Therapy Capstone Presentations

There is a need for interventions to help people experiencing homelessness learn home management, transportation, and health maintenance skills. The purpose of this capstone experience was to administer an occupational therapy program to support sheltered adults experiencing homelessness to improve their preparedness in obtaining and maintaining housing, community reintegration, and long-term success in life. I completed the capstone experience at Hope Street of Siouxland, a sober living home for adult males who are recovering from homelessness, addiction, and mental illness. I completed a Needs Assessment and developed the program based on the identified needs of Hope Street guests. The program …

Caregiver Perceptions Of Environmental Modifications For Sensory Processing, Jaimie Lynn Smith

Occupational Therapy Capstone Presentations

This capstone project explored in-depth clinical practice skills in sensory based therapy along with caregiver perceptions of sensory environmental modifications. In person and telehealth treatment sessions focused on the achievement of sensory based goals. A three-part continuing education course was also completed to expand knowledge and understanding of sensory environmental modifications and strategies that were family friendly. The main project was to gain an understanding of caregiver perceptions of sensory environmental modifications. This was accomplished through interviews with families that focused on sensory aspects of the environmental, completion of Participation and Sensory Environmental Questionnaire, and feel-good menus. After environmental recommendations …

Complex Conditions Of The Hand: A Resource For Rural Therapists, Jay D. Cooper

Occupational Therapy Capstone Presentations

The purpose of this project was to address multiple disparities in the complex treatment of upper extremity conditions and injuries in the rural therapy setting with an accessible educational resource. These disparities include the lack of continuing education specifically targeted at the rural healthcare setting, the barriers to unique occupation-based treatment which occupational therapists are obligated to administer, and the need to provide information regarding hand therapy protocols to bridge the communication gap between hand specialists and rural therapists. The project was completed at the Monument Health Orthopedic and Specialty Hospital in Rapid City, SD, in an outpatient hand therapy …

Advanced Practice In Aquatic Therapy: Exploring Occupational Therapy In An Aquatic Environment, Brenna K. Barash

Occupational Therapy Capstone Presentations

Properties of water have been utilized as a therapeutic treatment method for the past 100 years (Becker, 2009). Aquatic-based occupational therapy services are used as an adjunct to traditional land-based occupational therapy intervention (Franken et al., 2013). The OTS developed a 14-week capstone project with assistance provided by faculty and site mentors. The purpose of this capstone project was to develop aquatic-based intervention skills and explore the use and benefits of aquatic-based occupational therapy in patient care. To facilitate appropriate outcomes, three learning objectives with numerous project deliverables were developed. In order to demonstrate competence and understanding of aquatic-based occupational …

Exploring Occupational Therapy With Athletes Using Principles Of Lifestyle Redesign® To Support Academic Success And Life Balance., Michaela M. Dendinger

Occupational Therapy Capstone Presentations

Occupational therapists have a range of skills that can benefit a variety of populations. Despite these skills, occupational therapy has limited exploration within the field of athletics. The capstone project gave insight to the services occupational therapy can provide to the student-athlete population. Through the lens of Lifestyle Redesign®, the Student-Athlete Wellness Program was created to support student-athlete academic success and life balance. Following a needs assessment an online program was developed. The program was provided to students and athletes a University in the Midwest U.S. The program attracted 21 student-athletes and five students. Limited participation in surveys provided difficulties …

Creating Inclusive Classroom Environments Through Education And Coaching, Leah Hagen

Occupational Therapy Capstone Presentations

The aim of this capstone project was to educate teachers on inclusive practices and strategies to create an inclusive classroom environment for students with disabilities and at-risk needs. An educational workshop including eight hours of asynchronous pre-recorded modules and four one-hour synchronous sessions was created. The workshop covered the following topics: Introduction to inclusion, accommodations and modifications, assistive technology, supporting sensory needs, supporting physical needs, supporting academic and learning needs, supporting social, emotional, and behavioral needs, virtual inclusion, empowering students, and creating an inclusive classroom environment. Optional inclusive classroom coaching sessions were offered to promote implementation of inclusive practices and …

Culminating Capstone Project: Critical Illness Myopathy, Min S. Yu

Department of Occupational Therapy Entry-Level Capstone Projects

The capstone project was completed in the focus area of clinical practice skills at AdventHealth hospital. The objective was to educate the rehabilitation team on critical illness myopathy (CIM), a condition that was requested to be further investigated by Megan Graf, OTR/L, who served as the capstone mentor. Through an extensive search, a literature review was completed. The rehabilitation team was informed scholarly and clinically with a PowerPoint presentation. Currently there is a gap within the literature between occupational therapy and CIM. Conversely, physical therapy had a plethora of research conducted on patients with CIM

Essential Competencies For Occupational Therapy In End-Of-Life Care, Karmella Bognot

UNLV Theses, Dissertations, Professional Papers, and Capstones

Occupational therapists carry an abundance of expertise in helping patients and caregivers navigate the end-of-life journey. The lack of knowledge of OT’s role impacts occupational therapy utilization and service provision in hospice. It reduces opportunities for this population to increase their understanding on how to maintain quality-of-life. The more a patient is able to do lessens the burdens shouldered by the caregiver. Education on pain management and promoting comfort are typical priorities addressed; however, not enough training is focused on maximizing independence or engagement in occupations. Competencies encompass a unique set of skills, knowledge, and abilities necessary for successful performance …

Supporting Caregivers And Survivors Of Stroke In Their Journey Through Stroke Recovery Via Telehealth Services, Keri Kamphoff

Occupational Therapy Capstone Presentations

Supporting Caregivers and Survivors of Stroke in their Journey through Stroke Recovery via Telehealth Services

Background: Strokes are a prevalent condition around the world that cause chronic functional deficits. Survivors of stroke and their caregivers in the community report limited social participation, decreased involvement in favored occupations, worse health outcomes, and increased rates of anxiety and stress. Occupational therapists have the skills to provide education and support for this population through community programs using telehealth.

Methodology: This project was completed at the American Stroke Foundation (ASF), which was operating virtually due to the COVID-19 pandemic. Webinars, caregiver support groups, daily …

The Benefits Of Utilizing A Sensory Room In A Pediatric Outpatient Setting, Mackenzie L. Wand

Occupational Therapy Capstone Presentations

The purpose of this Capstone project was to develop a sensory room in an outpatient setting to support child-led sensory integration. The Capstone experience was completed at Mayo Clinic Health System in Mankato, Minnesota in an outpatient setting. The project was geared towards working primarily with the pediatric population with a diagnosis of Sensory Processing Disorder (SPD) and Autism Spectrum Disorder (ASD). The main learning objective was creating the sensory room which included creating a list of equipment for the room and setting up the room once the items were delivered. Another main learning objective was creating binders to provide …

Service-Learning And Case-Based Learning’S Impact On Student’S Clinical Reasoning : A Repeated Measures Design Study, Gordon B. Tsubira

Occupational Therapy Capstone Presentations

Clinical reasoning is crucial for the occupational therapy profession to thrive in an ever-changing healthcare environment but is seldom isolated for explicit instruction and outcome measurement in course curricula. A single-factor repeated measures design study was conducted to compare the impact of didactic case-based learning and experiential service-learning on the development of the clinical reasoning of students at a midwestern public university’s entry-level master of occupational therapy program. The participants were sixteen graduate occupational therapy students who had completed their foundation-level courses.

Participants explored modes of clinical reasoning in occupational therapy for eight weeks (the first half of the semester), …

Doctoral Capstone Experience In Program Development - Valley Rescue, Kyra P. Brown

Department of Occupational Therapy Entry-Level Capstone Projects

Homelessness is an increasing problem with various implications on individual’s physical, mental, and occupational wellness (Tsang et al., 2013). Occupational therapy is positioned to provide holistic, client-centered, and trauma-informed care to those experiencing homelessness (Salsi et al., 2017). While residents at Valley Rescue Women and Children’s Center (Valley Rescue) have access to a variety of services, occupation-based education and interventions are extremely limited. This paper describes the completion of a capstone experience at Valley Rescue, with a focus in program development and advocacy. Residents of the shelter expressed interest in education on mental health and wellness and occupational engagement. Throughout …

Health And Wellness Competencies For An Entry-Level Doctorate Occupational Therapy Course, Teresa Liccardo

UNLV Theses, Dissertations, Professional Papers, and Capstones

The Accreditation Council for Occupational Therapy Education (2018) standards state that the entry-level occupational therapy curriculum must prepare students to practice in a broad range of practice settings, including new and emerging areas of occupational therapy. Health and wellness remain an emerging and not widely populated area of occupational therapy despite the growing research on its importance. Stancanelli (2020) stated that “with the expected growth of health care in the community and the expected increase in the older adult population, occupational therapy students need to be prepared to practice in the community and address health promotion and wellness needs of …

Program Development At A Nonprofit Organization For Individuals With Intellectual Disabilities, Victoria E. You

Department of Occupational Therapy Entry-Level Capstone Projects

There are over six million individuals in the United States alone with developmental, or intellectual disabilities (ID). ID is defined by the American Association of Intellectual and Developmental Disabilities (2021) as significantlimitations in both intellectual functioningand in adaptive behavior, which covers many everyday social and practical skills. This type of disability originates before the age of 22. Historically, members of this population have fewer opportunities for engagement than their typically developing peers. This can be for a variety of reasons, including limited funding, the public’s lack of education on ID, and even ableism. Ableism is defined as “discrimination or social …

The Relationship Of Rehabilitation Therapy Clients And Grit: A Pilot Study, Kamilla Kisch

Honors Theses

Client experience is an important consideration in physical and occupational therapy (known as rehabilitation therapy.) The personality trait of grit has been studied in many different settings and populations and could have an impact on rehabilitation therapy clients’ perceptions and experiences. The purpose of this study is to identify the relationship between scores on Dr. Angela Duckworth’s Grit Scale (that identifies the presence and strength of grit) and perceptions of experiences by rehabilitation therapy clients. Seven males and twelve females (age: 56.78 ± 15.83) participated in this study. The Grit Scale was used to assess participants’ grit. Multiple-choice questions were …

Early Bird Caregiver Education: A Program To Support Caregivers Of Individuals Living With Early Stage Dementia Or Memory Loss Or Other Cognitive Impairments, Mia Lopez, Tyler Trees, Brock Albee

Occupational Therapy | MSOT Capstone Projects

The number of individuals living with dementia continues to rise every year, with the need for caregiver education increasing as a result. Occupational therapists (OTs) have the skills and training needed to educate caregivers on how to care for not only themselves, but their loved one as well. The Early-Bird Caregiver Education Program was created to support caregivers of individuals living with early-stage dementia, memory loss, or other cognitive impairments in providing the highest quality of care possible, while also maintaining their own well-being. The program is intended to be led by an occupational therapy practitioner and aims to provide …

Occupation-Based Volunteer Training Program To Increase Social Engagement For Residents With Dementia In Skilled Nursing Facilities, Kiyomi Kuroda, Nhat Hoang, Victoria Ramia, Kelsy Wallace

Occupational Therapy | MSOT Capstone Projects

The population of individuals with dementia (IwD) is increasing, and IwD are often admitted into skilled nursing facilities (SNFs) due to greater need for care (Alzheimer’s Association, 2020b). Admittance leads to social isolation as a result of decreased engagement in co-occupations. Co-occupations are occupations, or meaningful activities necessary for wellbeing and survival, that are performed with others (American Occupational Therapy Association [AOTA], 2014). IwD exhibit behaviors and symptoms that create challenges for family caregivers to engage in co-occupations (Ono et al., 2014). Without guidance or support, family members or volunteers may be less likely to visit or facilitate quality visits, …

An Exploration Of Experiences That Influence Occupational Therapy Students' Motivations To Pursue Occupational Therapy As A Career, Kayla-Marie Bartolome Gigante, Alyssa Cantrell, Michelle Nguyen, Garrett Teagarden

Occupational Therapy | MSOT Capstone Projects

Occupational therapy (OT) is a client-centered healthcare profession that uses therapeutic activities to increase an individual’s, group’s, or population's participation in meaningful activities, otherwise known as occupations. The general underlying factors that motivate one’s decision to choose this career path is well established within the existing literature. However, research into the experiences of students working alongside an occupational therapist (OT) prior currently faces a significant gap. The aim of this study is to identify and understand what first-hand experiences of OT brought OT students to pursue a career in occupational therapy. Through the lens of narrative inquiry, participants were given …

Transgender College Student Equity And Inclusion Program, Allison Quintilla, Benji Harrington

Occupational Therapy | MSOT Capstone Projects

Understanding the inequities experienced by Transgender college students on university campuses is fundamental to promoting the occupational engagement of Transgender individuals. The Transgender community in the United States (U.S.) today is more widely varied and accepted than ever before in the recorded history of post-European colonialization of this country (Beemyn, 2014). Dowers, White, Kingsley and Swenson (2019) explain the risk for increased occupational injustice for Transgender college students due to their complex experience of occupations and the influencing factors. Current research has significant gaps in our understanding of how to counteract the effects of occupational injustice for Transgender college and …

Improving Quality Of Life Among Individuals With Neurocognitive Disorders Using Occupational Therapy And A Sensory Integration Approach, Makenzie K. Johnson

Occupational Therapy Capstone Presentations

Abstract

Currently, 50 million people worldwide are affected by major neurocognitive disorder (MND). Those with MND often exhibit behavioral and psychological symptoms that have a significant impact on occupational participation and overall quality of life. Symptoms are frequently treated with anti-psychotics; however, a need for a non-pharmacological approach to alleviate these symptoms is indicated through current research. This 14-week Capstone experience was completed in the memory care neighborhoods at Sunrise Retirement Community in Sioux City, Iowa. Throughout this experience, knowledge related to effective caregiving strategies and sensory based interventions was enhanced, education was provided to memory care staff and occupational …

Complementary And Integrative Approaches For Occupational Therapy Practitioners: An Educational Experience, Wanda Kay Lauer

Occupational Therapy Capstone Presentations

Background and purpose: The use of complementary health approaches and integrative health (CHAIH) practices are on the rise in the United States. The American Occupational Therapy Association (AOTA) supports their use as occupations, activities, or interventions to support occupations yet many occupational therapists do not feel comfortable discussing or implementing complementary approaches in their therapy practice. The purpose of this project was to develop a two-day continuing education course to provide occupational therapy practitioners with information to increase their competency and confidence in utilizing complementary and integrative approaches in practice.

Methods: A literature review was completed to determine if there …