Medicine and Health Sciences Commons^™

Fostering Engagement In Healthy Lifestyle Choices: A Health Management Curriculum For Community-Dwelling Older Adults, Gabriela Kay

Entry-Level Occupational Therapy Doctorate - Doctoral Capstone Symposium

The older adult population continues to grow, necessitating intentional efforts to support health maintenance and independence within this group. Current literature emphasizes that healthy aging requires a multifaceted approach, including consistent engagement in a range of health-promoting behaviors. The purpose of this capstone project was to develop an educational and interactive program for community-dwelling older adults aimed at increasing knowledge of healthy lifestyle choices and promoting active participation in these behaviors. The overarching goal was to empower older adults to better manage their health and reduce the risk of functional decline and loss of independence.

A needs assessment was conducted …

Optimizing Makeup Application Techniques For Women With Tenodesis: Adaptations And Ergonomic Solutions, Ashley J. Medina, Wendy Tremaine, Lee Ann Hoffman

Spring 2026 OTD Capstone Symposium

To enhance independence in makeup application for women utilizing a tenodesis grasp, Ashley Medina, OTS, in collaboration with Able Faith, Inc., developed and presented a capstone poster outlining a targeted program of adaptive strategies and ergonomic solutions. This program was designed to address the unique functional challenges experienced by women with spinal cord injuries (SCIs) while promoting autonomy and confidence in daily self-care routines.

The experience objectives included: (1) identifying existing adaptive equipment that supports individuals with SCIs in completing makeup application tasks; (2) examining and understanding the roles of interdisciplinary team members working with individuals with SCI in comparison …

Start With What They Know: Using Motivational Interviewing To Create A Cooking Class, A Culinary Intervention For Teens (Autistic And Non-Autistic), Gwendolyn S. Tedder

LEND Trainee Presentations

Autistic teens are at greater risk for having heart disease and diabetes as adults. Food particularity, sensory issues, fixed mindset, and anxiety over trying new things can slow down their interest in preparing food for themselves. Nurturing basic cooking skills and gently encouraging trying new foods would provide more nutritional options to teens as they move into adulthood. A cooking class preceded by Motivational Interviewing (MI) developed further interest in preparing food afterward in teens, both autistic and non-autistic, and in trying new foods for autistic teens with food concerns.

Occupational Therapy’S Role In Supporting Caregivers Of Children And Adolescents With Type 1 Diabetes, Ania G. Millan

Student Capstone Papers

Caregivers of children and adolescents with Type 1 Diabetes (T1D) often experience increased stress, occupational imbalance, and challenges related to maintaining their own health and wellness while managing their child’s complex daily care needs. Despite the significant impact caregiving responsibilities may have on daily routines, self-care, and overall quality of life, occupational therapy’s (OT) role in supporting caregivers within endocrinology settings remains underrecognized. The purpose of this capstone project was to explore caregivers’ perceptions of their health and wellness and examine the differences and similarities between caregivers’ and occupational therapy practitioners’ (OTPs) perspectives regarding OT’s role in supporting caregivers of …

Building Caregiver Capacity: Sensory Processing Education And Practical Strategies For Supporting Children In Residential Care, Karissa J. Varner

OTD Capstone Projects

This doctoral capstone project was completed through partnership with the Tennessee Baptist Children’s Homes Brentwood. Tennessee Baptist Children’s Homes is an organization with 3 campuses across Tennessee with the purpose of providing Christ-centered homes for children in hard places through compassionate on-campus homes. The goal of this project was to create informative and practical resources for staff to increase knowledge and confidence in supporting the children in their care. Two live staff trainings were conducted, introducing trauma-informed sensory processing and advocacy. Additionally, a 25-page evidence-based resource guide was developed, detailing sensory processing supports and occupational therapy strategies to assist house …

Promoting Mental Health And Wellness For Adults With Developmental And Intellectual Disabilities, Tristen Six Caceres

OTD Capstone Projects

This doctoral capstone project was completed in partnership with the Metro Parks disABILITIES Program. This community-based program provides recreational, social, and wellness opportunities for adults with intellectual and developmental disabilities (IDD) in the Nashville area. The purpose of this capstone project was to address a need for increased mental health support, education, and accessible resources for adults with IDD participating in the day programs, as well as for the staff who support these participants. Adults with IDD often experience barriers to receiving mental health care, including limited access to providers with appropriate training and confidence in working with this population. …

Interventions For Geriatric Patients With Dementia In Inpatient Psychiatric Settings, Kenya Raybon

Entry-Level Occupational Therapy Doctorate - Doctoral Capstone Symposium

Geriatric patients with dementia in inpatient psychiatric units are admitted with cognitive and behavioral challenges that often lead to increased agitation and greater reliance on 1:1 support, limiting participation in group therapy. While evidence supports structured, activity-based and sensory-informed interventions to promote regulation and engagement, implementation is often inconsistent due to workflow barriers, staffing limitations, and lack of structured guidance for staff, especially if cognitive impairment is not immediately recognizable.

This quality improvement capstone project aimed to develop and implement an evidence-informed staff training program, along with a structured activity binder system with adaptable, unit-specific interventions to support consistent activity-based …

Bridging Cultures: Developing A Culturally Responsive Educational Website For Pediatric Service Providers, Aimun Aziz, Wendy Tremaine

Spring 2026 OTD Capstone Symposium

The increasing cultural diversity of the pediatric population in the United States highlights the need for culturally responsive, family-centered care. However, many providers report limited training and practical resources to support the integration of cultural humility into clinical practice. This capstone project aimed to develop and evaluate an evidence-based educational website to support pediatric service providers in delivering culturally responsive care.

A program development framework was used, incorporating family needs assessments, pre- and post-intervention surveys of pediatric therapy staff, and thematic analysis of key factors related to communication, trust, and provider preparedness. Community field visits with diverse populations informed the …

Ready, Set, Play! Empowering Caregivers Through Adaptive Playground Resources, Makenna Thigpen, Angela Blackwell, Brianne Harryman

Spring 2026 OTD Capstone Symposium

This doctoral capstone project addressed the need for accessible, caregiver-friendly education to support inclusive play opportunities for children of diverse abilities. Guided by occupational therapy frameworks emphasizing participation, environmental supports, and family-centered care, this project involved collaboration with the local Parks and Recreation Department to better understand community needs and existing inclusive playground resources. Through this partnership, the project supported efforts to promote awareness and accessibility of inclusive play spaces within the community.

As part of the project, educational video resources were developed to increase caregiver knowledge of inclusive playground equipment, play strategies, and environmental modifications. Content focused on promoting …

Enhancing Student Engagement In Leadership And Advocacy, Rosanoemi A. Mejia, Jazminne Orozco Arteaga

Spring 2026 OTD Capstone Symposium

Occupational therapy has a unique capacity to foster social change and occupational justice. Leadership and advocacy are essential components of the daily academic practice for occupational therapists. However, leadership development within the field is largely socially driven, and students often lack access to structured, mentored pathways that would empower them to speak up and engage in advocacy. This capstone project aimed to fill this gap by addressing the shortage of coordinated mentorship and leadership development opportunities, which hinder advocacy efforts and professional growth. The study employed a mixed-methods approach, involving occupational therapy students in quantitative Likert-scale surveys and qualitative semi-structured …

Language Barriers In The Healthcare System, Gulten Altunbulak

Student Capstone Papers

Language barriers in healthcare can negatively affect quality of care, patient satisfaction, and health equity, particularly among individuals with limited English proficiency (LEP). This capstone project aimed to develop and implement an occupational therapy communication protocol in a skilled nursing facility to address these barriers. A mixed-methods approach was used, including a pre-survey of 25 staff members, post-implementation interviews, and observational feedback to evaluate communication practices, interpreter use, and staff confidence. Interventions included staff education on interpreter services and culturally responsive care, as well as bilingual communication tools, personalized resident posters, and a Language Line training video. Guided by the …

Identifying Factors Influencing Occupational Therapy Decision-Making Regarding Telehealth, In-Person, And Hybrid Care Within A Veterans Affairs Healthcare Setting In South Carolina, Christina R. Smith

Senior Theses

Telehealth has become an increasing part of healthcare service delivery, expanding client access to services across disciplines, including occupational therapy. Existing research suggests that telehealth occupational therapy can produce similar outcomes to in-person care in certain populations; however, variability in patient characteristics, technological readiness, intervention demands, and environmental contexts influences its suitability, and limited research examines how practitioners determine the appropriate service delivery model. The purpose of this qualitative study is to explore the factors that influence occupational therapy practitioners within a Veterans Affairs healthcare setting in South Carolina when determining the appropriateness of telehealth, in-person, or hybrid service delivery …

Designing Inclusive Dog Training Opportunities For Handlers With Diverse Access Needs: An Occupational Therapy Approach, Lauren Huffman

Capstone Projects

This doctoral capstone focused on designing inclusive dog training opportunities in the community by integrating occupational therapy approaches to empower meaningful participation and increase carryover of skills into daily life. The project addressed a need for options that are supportive of dog owners (typically referred to as “handlers” in the dog training setting) who experience health and learning barriers impacting human-dog interactions and the ability to attend dog training classes in a group setting. Occupational Therapy’s role in adaptive recreation and use of occupation-based practice guided the development of a foundations-level accessible small group class, individual adaptive sessions, and educational …

Beyond Baby: How Occupational Therapy Supports Families In The Prenatal And Postpartum Period, Taylor Maysonet

Capstone Projects

This doctoral capstone project focuses on the role of occupational therapy in maternal and infant health, supporting families during the prenatal and postnatal period. While occupational therapy has a strong foundation in promoting health, independence, participation and roles and routines, there remains a gap in community awareness of available support for families during this life transition. Many caregivers report feeling underprepared, overwhelmed, and disconnected from resources that could support their physical, emotional, and occupational wellbeing.

The objective of this project was to identify gaps within the interdisciplinary team during the prenatal and postpartum period. From there, I was able to …

An Occupational Therapy Approach To Sensory Education: Training Paraprofessionals To Support Students’ Sensory Needs, Sophia Hubber

Capstone Projects

Sensory processing plays an important role in the development and participation across the lifespan and is a key focus of occupational therapy (OT) in school settings. This doctoral capstone project addresses the gap in sensory education and training among paraprofessionals, who spend much of the day supporting students with the highest level of needs. While occupational therapists have extensive knowledge in sensory processing, their large caseloads often limit the opportunities to provide direct education to staff.

To address this gap, the project involved collaborating with the occupational therapy department, conducting research on sensory processing, and developing five educational videos with …

Enhancing Feeding Skills: Development And Implementation Of A Pediatric Feeding Group Program In An Outpatient Setting, Alexia Spyrka

Capstone Projects

Children with autism spectrum disorder are five times more likely to present with feeding difficulties when compared to the general pediatric population (Baraskewich,et.al., 2021). Pediatric feeding difficulties can include picky eating, restrictive diets, limited independence with feeding skills, and limited food repertoire. Not only can this effect the child’s nutrition and growth but can affect family members as they are additionally focusing on their child's socialization, communication, and regulation. When addressing feeding difficulties, occupational therapy services are provided 1:1 with clients while educating and supporting family members to improve carry over into the home. However, there is a gap in …

Sensory Processing At A Children’S Advocacy Center: Staff Education And Resource Development To Support Trauma-Informed Care, Hayley Jackson

Capstone Projects

This capstone addresses a critical gap in understanding sensory processing within trauma-informed care for children who have experienced sexual abuse. Occupational therapy (OT) offers a unique perspective for supporting children’s sensory processing and regulation needs; however, OT is not utilized in Children’s Advocacy Center (CAC) settings. This project aimed to enhance understanding of OT's scope within trauma-informed care, provide education on sensory-based strategies, and develop resources to support regulation in clinical, home, and school settings. Project objectives were achieved through the development of caregiver and educator handouts, a SMART room sensory binder, a visual schedule binder, SMART movement cards, and …

The Importance Of Holistic Care: The Development And Implementation Of Spiritual Resources For Caregivers And Staff At Joni’S House El Salvador, Chloe Veilleux

Capstone Projects

It is within the occupational therapy (OT) scope of practice to not only address client needs related to mind, body, and spirit, but also those of caregivers as a means of fostering overall improved quality of life. Additionally, when OTs address spirituality and implement spiritual/spirituality-informed interventions, correlations of improved psychosocial factors such as well-being, motivation, and reduced stress have been shown, as well as improved hope and reduced burden for caregivers. There remains, however, a gap in the research and implementation of spiritually informed care and resources specifically as it pertains to caregivers of those with disabilities. To address this …

Occupational Therapy And Grief: Building Knowledge, Justifying Scope, And Supporting Practice, Jessica Jacques

Capstone Projects

Grief can disrupt individuals’ ability to participate in meaningful daily occupations (Hoppes & Segal, 2010), yet occupational therapy (OT) remains underutilized in grief support. Given OT’s focus on occupational performance, practitioners are uniquely positioned to address the functional and emotional challenges associated with grief. Despite this alignment, a gap exists in structured, occupation-based grief support, as well as limited integration of OT within community-based grief services. This capstone aimed to address this need by developing and implementing grief-informed, occupation-based resources and educational materials. Objectives included revising a grief resource manual, creating evidence-based handouts for community and school settings, promoting sensory …

Creative Art-Based Program To Address Body Image In Cancer Survivors And Caregivers, Tisa Lightfoot

Capstone Projects

This doctoral capstone experience (DCE) explored the role of occupational therapy in promoting the use of creative art-based interventions to address body image in cancer survivors and caregivers. Within the oncology population, body image concerns are a prevalent psychosocial factor that affects survivors’ self-perception, emotional well-being, and occupational engagement in their daily lives. To address this gap, a six-week program was developed to promote art as a meaningful occupation to support the psychosocial well-being related to body image in cancer survivors and caregivers. Additional initiatives of the program included resource development and integration of education on current literature on the …

Developing And Implementing Pediatric Pelvic Health Education Groups For Autistic Youth Focused On Toilet Training, Sasha Poland

Capstone Projects

Occupational therapists (OTPs) have a crucial role in treating pelvic health conditions as toileting is an activity of daily living. However, pelvic health research is primarily focused through a physical therapy lens and doesn’t always address challenges pertaining to children, and even more so neurodivergent youth. Furthermore, there is a gap in the literature in how specifically OTPs can assist in providing pelvic health care to all individuals including neurodivergent youth. The goal of this doctoral capstone was to create and provide educational sessions to educate parents, educators, and BCBAs on the role of pelvic health OT in solving their …

Social Skill Program Development: Social Thinking Curriculum, Anna Holman

Capstone Projects

This capstone project examined the implementation of the Social Thinking It: Tweens and Teens curriculum to support adolescent social participation within a group-based setting. Social participation is a core domain of occupational therapy; however, many adolescents experience challenges with communication, emotional regulation, and peer relationships. This project addressed a gap in structured, evidence-based social skills programming at the capstone site. Primary objectives included implementing the Social Thinking curriculum, facilitating weekly group sessions, evaluating participant engagement, and skill development. Intervention strategies included role-playing, guided discussion, modeling, and reflective activities embedded within the curriculum framework. Outcomes demonstrated increased participant engagement and improved …

The Bronco Well: An Educational Podcast For Pediatric Caregivers’ Wellbeing & Quality Of Life, Molly Veldheer

Capstone Projects

Pediatric caregivers of children with increased and complex physical, cognitive, and emotional needs are an often-overlooked population. Though their children may be involved in many essential services including occupational therapy, the needs of these caregivers largely go unmet. Occupational therapists are equipped to provide valuable care and education to the entire family and not just their pediatric clients. In efforts to fill the unmet needs, this occupational therapy-based podcast was created as resource for pediatric caregivers about pediatric caregivers. The development of this capstone considered the time, energy, and financial strains that are often placed on pediatric caregivers and determined …

Occupational Therapy & Zoo Exhibit Design: Embedding Accessibility Within, Jacqui Randall

Capstone Projects

This doctoral capstone project was completed at the Indianapolis Zoo. Zoos and museums infrequently contract, but very few employ an occupational therapist to assist with exhibit design development. An occupational therapy consultant could assess exhibit accessibility and provide potential solutions to make them more accessible and inclusive for individuals with disabilities. The goal of the project was to create a list of refined recommendations to make the oceans building more accessible and incorporate more multisensory experiences when it is renovated in the spring of 2027. Also, the Accessibility and Sensation Among Zoo Exhibits and Interactives: Checklist and Application Guide was …

From Theory To Practice: Splint Fabrication Through Occupational Therapy Video Library, Caitlyn Mccaughey

Capstone Projects

This doctoral capstone experience (DCE) highlights the need for educational resources on occupational therapy splint fabrication by producing a comprehensive video library to aid skill acquisition among students and new graduates. This project involved developing 21 tutorial videos featuring detailed, step-by-step demonstrations designed to accommodate visual, auditory, and kinesthetic learning styles amongst individuals. A literature review emphasized the growing popularity of video-based education and the lack of accessible, high-quality splinting resources, with a needs assessment revealing low confidence levels among occupational therapy students due to limited educational support. Through collaboration and integration of evidence-based practices, this project successfully produced an …

Bridging The Gap: A Trauma-Informed Approach To Real-Time Counselor Support Training At Kesem, Elizabeth Fallon

Capstone Projects

This capstone project involved the development and implementation of a trauma-informed care training program for college-aged counselors within Kesem, a nonprofit organization supporting children affected by a parent or caregiver’s cancer. The project addressed gaps in existing counselor training related to recognizing and responding to trauma in real time. The literature identified increased risk for psychosocial challenges in this population, including anxiety, depression, as well as the importance of peer support, safe environments, and developmentally appropriate communication.

The training program included different modules on trauma, grief, and child development, as well as interactive role-play scenarios tailored to different age groups …

Life Skills To Promote Independence Following Discharge From Inpatient Psychiatric Care, Alli Bammert

Capstone Projects

This doctoral capstone experience focused on program development through the creation and implementation of a structured life skills program and the initial planning of a simulated life skills training space within an inpatient psychiatric setting at Kalamazoo Psychiatric Hospital. Individuals with serious mental illness often experience barriers to community reintegration following hospitalization and benefit from opportunities to practice daily living skills prior to discharge (Gibson et al., 2011). In response to this need, a 12-week life skills curriculum was developed and piloted to address topics including daily routines, medication management, emotional regulation, grocery shopping, cooking, employment readiness, technology use, and …

Implementation Of A Cardio Drumming Program To Promote Health And Wellbeing In Community-Dwelling Older Adults, Amanda Moyer

Capstone Projects

This doctoral capstone experience focused on implementation of a cardio drumming program at the Ecumenical Senior Center (ESC), a day center for older adults, in Kalamazoo Michigan. Cardio drumming is a unique way of exercise that combines drumming to upbeat music with an exercise ball, laundry basket, and drumsticks. Cardio drumming is low impact and can be adapted to many different abilities. This form of exercise can be done in a seated or standing position. The program began once a week for 30 minutes but soon increased to two times a week for 35 minutes and lasted 9 weeks due …

Creation And Implementation Of Nature And Sensory Based Therapy Programming To Support The Health And Well-Being Of Catholic Dominican Sisters, Sydney Payne

Capstone Projects

As the older generation ages, diseases such as dementia can cause sensory processing systems to be less efficient. When they become less efficient, it can create confusion and undermine one’s sense of safety (Champagne, 2018 pg 29-30). Engaging in sensory experiences provides support for these deficits while fostering participation in everyday life activities (Champagne, 2018 pg 30). This capstone project included a sensory garden (nature-based therapy) and associated multi-sensory activities. This was done through creation of nature and sensory-based programming, implementation of this programming one-on-one with sisters, two group sensory, dementia-friendly activities, and formation of a sustainability binder. Occupational therapy …

Evaluating Forearm Strength Variability In Collegiate Tennis Players Over The Course Of A Competitive Season, Jeffrey Williams, Payton Jensen, Kevin Laudner

Clinical Practice in Athletic Training

The muscles of the forearm undergo routine, forceful, and repetitive contractions while playing tennis and may experience adaptive changes that can precede injury. An understanding of forearm strength profiles of tennis players following a competitive season would assist clinicians’ evidence-based management of the forearm’s readiness for training, competition, and return-to-sport participation. Therefore, the purpose of this study was to explore the effects of a competitive tennis season on forearm strength among collegiate tennis athletes. A prospective, case-series design was used to examine a convenience sample of 15 asymptomatic NCAA Division I tennis players (males = 10, height = 182.88 [SD …