Medicine and Health Sciences Commons^™

Teaching Cultural Humility Practices In Appalachia: The Value Of Conducting Conversations Based In Education, Bailey A. Riggs

Graduate Theses, Dissertations, and Problem Reports

Recent literature highlights the paradigm shift from utilizing cultural competence practices to cultural humility practices within the field of occupational therapy, and health sciences (Fisher- Borne, et al., 2015). The idea of cultural competency suggests that culture is unchanging, and individuals can master cultural knowledge. The perception of knowing culture can be perceived as an unwillingness to learn about culture. In contrast, cultural humility promotes the value of lifelong learning and introspection, encouraging greater self-awareness, reflection of personal biases, and recognition of power imbalances. This approach aims to better integrate educational approaches to serve diverse populations in a culturally affirming …

Predicting Physical Therapy Student Clinical Reasoning In Practice Using Aligned Assessments In A Curricular Domain, Joy L. Moulton

Doctor of Education (Ed.D)

Clinical reasoning (CR) is a difficult concept to assess and is a leading cause of failure for outpatient clinical experiences for physical therapy (PT) students (Silberman et al., 2018). The purpose of this study was to determine to what degree didactic assessments of CR could predict CR in clinical practice utilizing Miller’s (1990) pyramid as a conceptual framework. Using a retrospective quantitative exploratory observational design, archived data were collected for graduates in the classes of 2022 and 2023 (N = 84) from a hybrid Doctor of Physical Therapy program. Each assessment pertained to the musculoskeletal domain of PT practice and …

Training Program For Occupational Therapists Working With Skilled Caregivers In Skilled Nursing Facilities, Lovegifty Dudero, Mai Huynh, Ridhee Patel

Occupational Therapy | Graduate Capstone Projects

Dementia impairs one’s ability to live independently and participate in everyday activities (CDC, 2019). Individuals with dementia (IwD) are often referred to skilled nursing facilities (SNFs) for around-the-clock care to receive support for their everyday challenges brought on by dementia symptoms. Although certified nursing assistants (CNAs) help IwD with everyday self-care tasks, they frequently lack specialized dementia care training. Consequently, CNAs experience low self-efficacy when providing care and managing challenging behaviors IwD may have. OTs have expertise and understanding regarding the stages of dementia and how the symptoms of dementia impact participation in daily occupations. OTs working in SNFs are …

Mental Health Education Protocol For Staff Members In An Inpatient Rehabilitation Center, Charles Nicholas Salvatera

UNLV Theses, Dissertations, Professional Papers, and Capstones

Mental health illnesses have a significant impact on the lives of individuals and society. Despite the availability of effective treatments, many people with psychosocial issues or cognitive impairments do not receive the right care. This highlights the importance of timely care and effective help-seeking opportunities. Increased mental health literacy and supportive behaviors in the social networks of people with mental health disorders can be achieved by providing hospital staff with education on mental health disorders. It is believed that improvements in these areas increase the likelihood that people will seek effective assistance. When healthcare providers are educated about mental health …

Occupational Therapists’ Role In Educating Caregivers On Pediatric Sensory Interventions Guided By Neurodiversity Principles, Deanna Bourgeois

Student Capstone Papers

Background: Neurodivergent children often experience differences in sensory processing and self-regulation. Traditional sensory-based interventions are frequently used by occupational therapy practitioners (OTP) and caregivers to address dysregulation. However, sensory-based interventions, while often strengths-based, are not always neurodiversity-affirming.

Problem: There are minimal educational resources available to both OTP and caregivers that promote neurodiversity-affirming sensory interventions to support neurodivergent children.

Methods: The purpose of this project was to create self-paced educational modules to teach neurodiversity-affirming sensory interventions that promote children's self-regulation. To achieve this goal, the student investigator developed virtual educational modules and piloted them with OTP, occupational therapy …

Life Skills Guide For Supported Recovery For Individuals With Mental Health Conditions & Their Support Systems, Natalie Metzger

OTD Capstone Projects

The National Alliance on Mental Illness of Davidson County provides educational courses, support groups, and advocacy for individuals with mental health conditions and their support systems. This semester long project included advocacy for occupational therapy’s role in the mental health community, involvement in legislative events, and creation of a comprehensive recovery life skills guide for individuals who have been discharged from psychiatric hospitals. Specifically, this guide assisted them in directed recovery within the home and increased their participation in foundational skills.

How Does Exposure To Pelvic Health Content In Entry Level Physical Therapy Curricula Impact Students’ Comfort Level Discussing Sexual Health With Future Patients?, Elizabeth Levay

Graduate Theses, Dissertations, and Capstones

The purpose of this quantitative study was to investigate the relationship between exposure to pelvic health content in physical therapy school curricula and Doctor of Physical Therapy (DPT) students’ comfort levels discussing sexual health issues with future patients. As holistic, autonomous health care providers, physical therapists must be confident in addressing all aspects of health with patients, including sexual health. Lack of attention to patients’ sexual issues may result in aspects of health going unaddressed, leading to poor patient care. The research hypothesis was that increased exposure to pelvic health topics within entry level physical therapy education will improve students’ …

Gaining Experience In Academic Setting Of Entry-Level Doctoral Program, Conner Hansen

Department of Occupational Therapy Entry-Level Capstone Projects

Worked with faculty advisors to develop activities and assignments within the OTD 8271: Interventions 1: Psychosocial and Community course for students to guide their interactions with children volunteers from A Kid’s Place (AKP). The pre-existing relationship with AKP allowed for the incorporation of hands-on activities to increase the excellence of education, confidence in clinical skills, and quality of practitioners entering the field.

Postpartum And Pediatric Education Program For Mothers, Lacie T. Ellithorpe

Department of Occupational Therapy Entry-Level Capstone Projects

My capstone experience included the focus area(s) of Clinical Practice Skills and Education. The aim of this capstone project was to create an ergonomic education program to address new motherhood and their occupations of health management and maintenance, sleep and rest, breastfeeding and other baby care, community mobility, and leisure. My Capstone Mentor was Dr. Kari Rasmussen, OTD, OTR/L. Becoming a new mother is considered a major life event, due to significant role changes that impact a mother’s everyday occupations. The population I served was new and expectant mothers in order to provide ergonomic education as they relate to the …

Exploring The Knowledge And Perception Of The Role Of Occupational Therapy In Concussion Management In An Interdisciplinary Sports Medicine Center, Courtney J. Leiter

Department of Occupational Therapy Entry-Level Capstone Projects

The purpose of this project was to identify the need for occupational therapists (OTs) in the management of sport-related concussion symptoms and work to educate and advocate for the field to be included as a part of an interdisciplinary concussion care team. The primary focus was to determine support for the use of interdisciplinary educational (IPE) demonstrations to educate health care professionals and graduate students on the scope and services OTs can offer within concussion care. A pre-post survey was utilized to evaluate the agreement levels on the use of an IPE demonstration to increase knowledge and perception of the …

Advancing Type 2 Diabetes As A Condition For Primary Referral To Physiotherapy In Canada, Sarah M. Janssen

Electronic Thesis and Dissertation Repository

Obesity and sedentary lifestyle are increasingly prevalent risk factors for type 2 diabetes (T2D), characterized by high blood glucose levels. Adoption and maintenance of healthy eating, physical activity, and exercise is recommended for lowering blood glucose and weight management. Physiotherapists are experts in prescribing safe, effective exercise to optimize health for people with co-morbid health conditions. However, T2D is not a primary condition for referral to physiotherapy services in Canada. The overall question guiding a series of three related studies was, What is the current education and perspectives of Canadian physiotherapists about their role in managing T2D? Study one surveyed …

Non-Pharmacological Management Of Community Dwelling Individuals With Osteoporosis Or At Risk Of Developing Osteoporosis, Christina Ziebart

Electronic Thesis and Dissertation Repository

Background:

Osteoporosis is a bone disease that increases the risk of fractures. In adults aged 50-65 years, a wrist fracture is usually the first sign of osteoporosis. Fracture risk increases if these individuals are not taught to exercise, eat properly, and/or identify fall risk factors early in their diagnosis.

Methods:

A meta-analysis was conducted to determine whether a home fall hazard identification program could reduce the risk of falls in community dwelling adults and an overview of exercise in individuals with a distal radius fracture (DRF). CINHAL, PubMed, EMBASE, Scopus, and Psych INFO were used to identify articles. A survey …

Promoting Engagement In A School Setting, Jordyn M. Sippel

Occupational Therapy Capstone Presentations

The sensory system influences development and an individual’s ability to participate in their daily occupations, like education. Many students have difficulty participating in their school environment because they have difficulties processing or integrating sensory stimuli. These children may be hypersensitive or hyposensitive to sensory stimuli which may impact their ability to participate in the classroom. An occupational therapist can implement a sensory integrative approach to enhance the student’s ability to process the incoming information. The purpose of the capstone experience was to develop sensory-based strategies and implement the Stimulating Maturity through Accelerated Readiness Training (SMART) program to improve participation in …

Development Of Online Modules To Introduce Prospective Students To The Profession Of Occupational Therapy, Hosia Towery

UNLV Theses, Dissertations, Professional Papers, and Capstones

Prospective students interested in Occupational Therapy academic programs are subject to the admission criteria of each educational institution, including experiential learning, clinical observation hours, volunteer experiences, or similar prerequisites. There are no standardized criteria established for these prerequisite requirements b the accreditation agency, as it is within the scope of Higher Education. There is no accountability at the regional or local level to ensure educational opportunities for prospective students interested in higher education, creating a gap as highlighted in the recent global pandemic, where student access to education was further challenged. Students are reliant on a variable set of requirements …

Occupational Therapy Education To Support Families Affected By Huntington's Disease And Their Care Team, Morgan R. Weber

Occupational Therapy Capstone Presentations

Introduction: Huntington’s Disease (HD) is a neurodegenerative disease that presents with motor, cognitive, and psychiatric and behavioral symptoms. This project aimed to understand the benefits of incorporating occupational therapy education within an HD clinic, creating educational material to support the HD care team, and advocating for occupational therapy. Methods: The project was created to gain advanced clinical practice skills to understand occupational therapy’s role on an interdisciplinary HD clinic team and to implement occupational therapy education in an HD clinic to support patient and caregiver care. Additionally, it was designed for education to create educational material based on HD to …

Physical Therapy Alumni Rural Employment Assessment, Karen Aleyda Santos, Nikkita Jacob Crozier

UNLV Theses, Dissertations, Professional Papers, and Capstones

Introduction and Purpose: The University of Nevada, Las Vegas Doctor of Physical Therapy program (UNLVPT) encourages rural and underserved employment by requiring students to complete one clinical experience in either a rural or underserved setting. Students who participate in rural clinical experiences may be more likely to practice in rural settings. UNLVPT also assesses rural interest level during each student’s education. The purpose of this study was to determine if relationship exists between students’ pre- or post-clinical experience rural interest level and their practice location within the first two years after graduation. We hypothesized that an interest in rural practice …

The Occupational Therapy Approach To Pain Treatment: A Pain Curriculum, Rosalee Howell

UNLV Theses, Dissertations, Professional Papers, and Capstones

It is within the scope of the occupational therapy profession to treat patients experiencing pain. The holistic approach used to assess and treat patients to improve functional performance is vital in treating pain. The focus is to decrease the detrimental impact of pain on the patient’s mental health, enhancing their ability to function in social and vocational roles. However, education is not adequately addressed in occupational therapy programs and is vital in preparing clinicians to meet the patient’s needs effectively.

This Doctoral Capstone was developed to highlight the importance and the benefit of education in preparing clinicians to treat patients …

Integrating Best Practice In Belmont’S Otd Curriculum Through Research, Dissemination, And Development Of Supplemental Course Materials, Alyson Graham

OTD Capstone Projects

This project was focused on researching best practice for teaching to large class sizes in preparation for the increasing cohort sizes within Belmont University's OTD program. Research included best practice for large class sizes as well as best practice within occupational therapy programs. This research was consolidated into a paper which included recommendations that could potentially be implemented into the OTD program. Additional materials were created based on that research for potential use within the mental health curriculum of the OTD program and were included in a Blackboard Sandbox course which faculty can access and utilize in the future.

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 …

Educational Level As A Moderator Between Stress And Suicidal Ideation Among Law Enforcement Officers, Sittipong Permsookjit

Walden Dissertations and Doctoral Studies

Law enforcement officers are exposed to occupation-related stress at a level greater than any other occupation, save war combatants, such stress can lead to suicidal ideation. There is a growing trend of suicidal ideation among law enforcement officers. This trend will threaten the stability of society if it is allowed to continue. Educational level has been shown to improve quality of life and is considered a quantitative resource. Using the theoretical framework of appraisal theory, this study’s purpose was to examine the moderating effects of educational level on stress and suicidal ideation among law enforcement officers. A total of 72 …

Weight Reduction Motivation In Osteoarthritis Patients Through Nurse Practitioner Driven Education And Follow-Up: A Pilot Project, Caoilfhionn Mulvey, Martha Fuller Phd

Doctor of Nursing Practice Final Manuscripts

Purpose of Project: The ultimate goal of this short-term pilot project is for

overweight or obese osteoarthritis patients to increase their knowledge on the benefits of

weight loss and physical activity. Research shows that for every kilogram of weight lost,

2.2–4.0 kilograms of weight is taken off of the joint and could reduce joint pain up to

thirty to fifty percent and improve quality of life. Following education from the provider,

patients will understand the correlation of osteoarthritis symptom management with

weight loss.

EBP Model/Frameworks: This project utilizes the Iowa Model of Evidence-Based

Practice to Promote Quality Care. This addresses …

Empathic Instruction Through Literary Narratives: A Quasi-Experimental Study Of An Occupational Therapy Course, Cavenaugh P. Kelly

Electronic Theses and Dissertations

This study examines concerns within the field of occupational therapy on the growing disconnect between the profession’s roots and espoused beliefs in empathic-centered care, and the modern realities of health care. In particular, the study examined whether the empathy levels of occupational therapy students would change after a course involving the close reading of literary narratives. Close reading of literary narratives has correlated with improved levels of empathy. Empathy is defined as a four-step dynamic process involving Theory of Mind (ToM), emotional resonance, emotional regulation, and empathy as a willful act. Initial study of the proposed curriculum found improved scores …

A Capstone In Education: Current Challenges For Occupational Therapist Clinicians Transitioning To Role Of Academician, Jacie Schneider

Department of Occupational Therapy Entry-Level Capstone Projects

The doctoral capstone I participated in for my entry-level Doctor of Occupational Therapy program was in a focus area of education with a mentor who was a professor in a master’s program. I supported my mentor in her role as a professor of a physical dysfunction intervention course and had the opportunity to present a module to students on wheelchair seating interventions. Using experience gained during my capstone as well as information learned during the review of literature, I created a guide for OTs interested in making the transition into academia to meet the capstone project requirement.

Parent Education And Creative Art Interventions For Foster Families, Alyssa Haselsteiner

OT Student Capstones

The purpose of this doctoral capstone project was to develop a program to provide parent education on topics that address trauma-informed care in order to facilitate healthy development in children and adolescents. This education was provided to foster parents and topics included attachment and healthy bonding, mental health in children and adolescents, management of challenging behaviors, and use of creative art and mindfulness interventions. Creative art interventions were practiced with parents so they could use the interventions with their kids at home. Each topic addressed provided education to guide foster parents through difficult situations with the goal of setting their …

A Review Of Horticultural Therapy And Horticultural Therapy Education In The United States: Addressing Challenges And Opportunities, Derrick R. Stowell

Doctoral Dissertations

The Horticultural Therapy (HT) profession has been formally organized in the United States since 1973. Despite the long history of horticulture being used as therapy, the profession of HT in the United States has not advanced as quickly as other allied healthcare professions. This study will review the current challenges and opportunities for HT and HT education in the United States.

A qualitative study of the status of the profession was conducted to determine what challenges and opportunities the profession of HT currently has and how the profession can meet those challenges and opportunities. The study sample was recruited from …

An Exploration Of Leadership Qualities Demonstrated During Level Ii Fieldwork, Amy Maurer, Summer Besteman, Jessica Mooney, Katelyn Campbell

Education

Background. Occupational therapy (OT) students are expected to demonstrate leadership qualities throughout their Level II Fieldwork experiences; however, it has been reported that students lack this quality. The purpose of this project was to identify the leadership characteristics that master’s-level OT students demonstrate and develop during their Level II Fieldwork experiences.

Method. This study utilized an online survey tool, Qualtrics, to understand the perceptions of Fieldwork Educators (FWEds) who have taken a Level II Fieldwork student within the past five years. A code-recode procedure was used to analyze open-ended questions. The frequency and mode of responses were used to report …

Rural Or Underserved Practice Interest Among Doctor Of Physical Therapy Students. Do Clinical Education Experiences Change Opinions?, Brandon Godin, Trenton Poulson, Mac Neil Moresca, Tyler Satoshige

UNLV Theses, Dissertations, Professional Papers, and Capstones

Background and Purpose: People living in rural and underserved areas are poorly served by our country's healthcare system. The Federal Office of Rural Health Policy reports that approximately 18% of people in the United States live in rural areas. Within the physician and nursing literature the largest reported predictor of rural practice is having a rural background. Mandated rural medical rotations during training have been shown to positively alter interest in rural practice and employment. While nursing and medical students have been thus studied, limited evidence exists for physical therapists. The objective of this study was to determine how rural …

Complex Trauma: Counselors' Self-Efficacy And Treatment, Breeze Valenska Rueda

Theses and Dissertations

The purpose of this descriptive and exploratory mixed-method study was twofold: to explore counselors’ perceptions and knowledge regarding complex trauma and, assess counselors’ perceptions regarding their level of confidence when working with this population. The study determined what relevant factors were related to counselors’ perceived self-efficacy concerning complex trauma. Although complex trauma is emerging as an important issue, there is limited research regarding counselors’ experiences with complex trauma. The current study explored participants’ perceptions when providing services to individuals with prolonged and cumulative trauma and provided a greater understanding of counselors’ recognition and selfefficacy when working with this population. A …

Development Of A Caregiver Education Support Tool For Family Caregivers Of Older Adults With Dementia, Sarah Guariglia

Occupational Therapy Program Student Theses, Dissertations and Capstones

For every person diagnosed with dementia, four family members are affected and burdened with providing care. Providing familial care is associated with greater psychological, social, and emotional burden on the caregiver. Caregivers are not provided with adequate education to support successful caregiving and aging in place. This capstone project developed and piloted a caregiver education support tool to simplify the process of finding caregiver education. Five caregivers participated in interviews to guide the development of the support tool, next completed the Likert questionnaire, and tested the caregiver education support tool. Four themes were identified: (1) burden, (2) loss, (3) unmet …

Creating Confident And Connected Families: A Program To Improve Parental Self-Efficacy In The Neonatal Intensive Care Unit, Kelly Simpson

Occupational Therapy Program Student Theses, Dissertations and Capstones

Infants in the Neonatal Intensive Care Unit (NICU) require life sustaining intervention for weeks to months after birth. This intervention is remarkably stressful for both the infant, who is ill-equipped to handle life outside the womb, and for the parents who are filled with fear and stress due to the illness of their son or daughter. The experience of hospitalization can lead to stress, shame, anxiety, and even post-traumatic stress disorder for families of NICU infants. Knowledge about the unique stressors, challenges, and needs for support of preterm infants has proven helpful to boost confidence and feelings of wellbeing within …