Medicine and Health Sciences Commons^™

Living With Chemo Brain – Tips And Tricks To Improve The Quality Of Life For Individual’S Diagnosed With Cancer, Jamie Brown

OTD Capstone Projects

This doctoral capstone project was completed through a partnership with Gilda’s Club of Middle Tennessee, a non-profit organization focused on creating a sense of community and support for individuals who are impacted by cancer. The focus of this project was to develop a resource for members that addressed executive functioning changes that occur with chemo brain with a goal of making it both applicable and user friendly. The deliverable sought to provide members with basic tips and tricks for improving their quality of life. Utilizing an occupational lens, this manual contains practical strategies to address decreased memory, cognitive fatigue, processing …

Fashion For All: An Exploration Into Adaptive Fashion, Morgan F. Harrison

OTD Capstone Projects

The purpose of this doctoral capstone was to educate future clothing designers on the adaptive/inclusive clothing market and the need for further exploration into accessible, fashion forward clothing. This project was completed through a partnership with O’More College of Architecture and Design at Belmont University. The goal of this project was to provide students with an introspective look at the interface of fashion and disability. This was achieved by creating case studies based on interviews with individuals with various disabilities regarding their relationship with clothing. The result of this project was a recorded lecture that included demographics, available adaptive clothing …

Navigating Dysautonomia: A Workbook For Empowered Living, Madison Thornton

OTD Capstone Projects

Dysautonomia Support Network (DSN) is a nonprofit organization composed of volunteers who have a passion for serving the population of individuals with dysautonomia. Dysautonomia is a complex and often debilitating disorder affecting the autonomic nervous system, which regulates involuntary bodily functions such as heart rate, blood pressure, digestion, and temperature control. Those living with dysautonomia face a myriad of challenges ranging from chronic fatigue and dizziness to gastrointestinal issues and cognitive impairment. The unpredictability of symptoms can significantly impact daily life, leading to feelings of frustration, isolation, and helplessness. However, amidst these challenges lies the potential for empowerment and transformation. …

Empowering Clients And Care Partners Living With Parkinson’S Disease Through Evaluating And Addressing Gaps In Client And Care Partner Education, Victoria E. Vik

OTD Capstone Projects

This doctoral capstone project was completed through a partnership with My LiveABILITY, LLC in College Grove, TN. My LiveABILITY is a mobile outpatient clinic that services Parkinson’s patients and their caregivers within the Williamson County area. They specifically provide in-home occupational therapy to address cognition, balance, gait, mobility, posture, strength, coordination, stamina, pain, and mental health, in-depth planning for aging in place, LSVT BIG for Parkinson’s patients, and they provide caregiver and care partner training, education, and support. The goals of this project were accomplished in two main parts. Part 1 consisted of conducting researching to gain the lived experience …

Enhancing Concussion Education And Documentation Within Belmont University’S Athletic Department, Jenna M. Ogle

OTD Capstone Projects

This doctoral capstone project was completed through a partnership with Belmont University’s Sports Medicine Department. The primary purpose of this project was to identify the department’s current needs and to develop deliverables to enhance and facilitate the concussion education and documents provided to Belmont Athletics stakeholders (including student athletes, university educators, coaching staff, and other members of administration). The process included collaboration with university athletic trainers and student-athletes to ensure usability and creation of relevant products. These resources include informational handouts designed for both student-athletes and educators, an on-field concussion assessment and protocol, concussion education resources with increased opportunities for …

Implementing Occupational Therapy Principles Into The Linden Waldorf Neurodivergent Student Population, Brooke M. Bledsoe

OTD Capstone Projects

This doctoral capstone project was completed through partnership with Linden Waldorf School in Nashville, TN. The focus of this project was development, implementation, and advocacy regarding occupational therapy techniques for the neurodivergent student population. The goal of this project was to provide direct observations, educational presentations, and various educational materials on a variety of neurodivergent deficits and diagnoses in order to help empower Linden Waldorf faculty and staff to best meet the needs of their students. The deficits and diagnoses covered in this project are as follows: executive dysfunction, emotional dysregulation, dyslexia, autism spectrum disorder, anxiety, and attention deficit hyperactivity …

Best Practice For Creating A Sensory Garden And Calming Cart For Preschool-Aged Children At A Reggio-Inspired Preschool, Emmalee Lawrence

OTD Capstone Projects

The goal of this capstone project was to create program plans for a sensory garden and calming cart as well as create resources for parents and teachers on the use and benefit of these plans for the children at First Presbyterian Church Early Preschool. Research on current programs at the preschool indicated the school could benefit from additional sensory and calming opportunities. The programs created during this capstone project were meant to improve sensory exploration, increase overall emotional well-being, as well as support developmental milestones in preschool-aged children. The goals of this project were achieved through collaboration with staff, teachers, …

Metro Parks Adults With Disabilities - Health Management, Kaylee M. Lane

OTD Capstone Projects

This doctoral capstone project was completed through a partnership with Metro Parks adults with disABILITIES. This agency is a local day program focused on providing every Nashville citizen in Davidson County with intellectual and developmental disABILITIES with an equitable opportunity for safe recreational and cultural activities. Metro Parks offers a variety of age and ability appropriate activities that highlight the ABILIITIES of all members. The primary focus of this capstone experience was to create an evidenced based program designed specifically for this population. The goal of the project was to increase participation in meaningful occupations and overall wellbeing for attending …

Expanding Impact To Promote Wellness And Functional Independence, Margaret Stacy

OTD Capstone Projects

This doctoral capstone project was completed in partnership with Spiral Spine Pilates (SSP). SSP is a studio that specializes in supporting the scoliosis community, offering a range of resources for everyone, no matter their age, curve, or where they are in their journey. SSP utilizes evidence-based methods to lengthen and strengthen the body while empowering clients to live happily, pain-free, and fearlessly. The objective of this project was to expand the positive impact SSP can make on promoting wellness and functional independence for its clients through the development and refinement of resources. This included increasing the usability and accessibility of …

”To Be Or Not To Be – It’S Good”: Actor And Student Experiences In A Drama Club For People With Aphasia, Jade K. Hannan

Senior Theses

Individuals with aphasia, a disorder caused by damage to the brain’s language network, confront a variety of social and emotional struggles. While leaving their cognition largely intact, aphasia tremendously impacts a person’s ability to communicate confidently, fracturing their social network and contributing to feelings of loneliness and frustration. To address this persistent need in the chronic aphasia population, the Play on Words drama club at the University of South Carolina provides a forum for people with aphasia (PWA) to engage in dramatic exercises focused on non-verbal communication of emotions, ideas, and stories, culminating the production of an original devised play. …

A Multiple-Site Case Inquiry To Identify The Attributes Of Socio-Academic Culture In Successful Entry-To-Practice Respiratory Therapy Programs, Thomas D. Jones

Doctor of Education (Ed.D)

Background: Organizational structure and culture have been explored extensively in higher education. Nonacademic factors influence student engagement, motivation, and success. Research describing socio-academic culture in health professions programs is limited. Achievement of fundamental social-emotional learning (SEL) competencies empowers students to learn and achieve educational goals. SEL has not been established as a theoretical framework in health professions education. SEL competencies closely align with respiratory therapy (RT) learner needs and essential professional skills. Attributes of socio-academic culture in successful RT programs and their impact on student success are unknown. Objective: To identify the attributes of socio-academic culture in successful entry-to-practice respiratory …

Promoting And Sustaining An Adaptive Sports Program On A College Campus Through Outreach And Resource Developmen, Morgan E. Otero

Capstone Projects

Participation in physical activity is essential for an individual’s health and well-being. However, persons with disabilities have limited access to physical activity due to personal, environmental, institutional, and/or social barriers. This limited access increases a disabled individual’s likelihood of developing secondary health conditions, decreased mental health outcomes, and feelings of social isolation. To combat this, it is important that these individuals have equitable access to and knowledge of adaptive physical activity opportunities such as adaptive sport, recreation, and fitness. To address this need, this capstone project focused on promoting and sustaining an existing adaptive sports and recreation program through the …

Enhancing Pre-Vocational Programs For High School Students With Disabilities: The Impact Of Occupational Therapy And Support Staff Education, Maria Calzada

Capstone Projects

Pre-vocational programs in high school serve as a crucial platform for supporting students in the transition from education to the workplace. These programs provide classroom instruction, hands-on training, and practical experiences to maximize students’ vocational skills post-high school. Pre-vocational programs provide a crucial platform for the development of IADL skills, task analysis, and the promotion of occupational engagement among diverse populations. The purpose of this DCE was program development within the pre-vocational program and provide additional education for the support staff at the high school setting. The goal was to improve vocational skills, including problem solving, self-advocacy, sequencing, and sustained …

Development Of Carf Accreditation Requirements For A Vocational Rehabilitation Program For Individuals Independently Living With Post-Traumatic Brain Injury, Samantha Kowalczyk

Capstone Projects

The purpose of this capstone project was to assist a vocational rehabilitation program at Community Connections in Sterling Heights, Michigan with developing requirements for CARF Accreditation for individuals independently living with post-traumatic brain injury. This work program site is unique in the fact it is primarily run by Occupational Therapists and Certified Occupational Therapy Assistants. Achieving CARF Accreditation, which stands for Commission on Accreditation of Rehabilitation Facilities, demonstrates that standards are being met and provides greater satisfaction and the possibility for reimbursement and funding for a program. The overall aim was to assist in the development of the primary materials …

Incorporation Of Animal Assisted Therapy Into Occupational Therapy Interventions For Pediatric Clients In An Outpatient Setting, Jamie Markus

Capstone Projects

Animal assisted therapy (AAT) is an emerging field that can be used to compliment traditional occupational therapy (OT). This project particularly focused on pediatric clients receiving services in an outpatient clinic. Animal assisted occupational therapy (AAOT) can be used to improve physical, social, and emotional health through the incorporation of a certified therapy dog. OT clients actively participate in a unique and individualized intervention with the therapy dog that is designed to meet their specific goals. The purpose of this project was to further develop the Therapy Dog Clinic at Unified Clinics and to expand services to community-based organizations including …

Connections Over Compliance: A Toolkit To Create A Pathway To Success For Teachers, Paraprofessionals, And Students, Mary Kate Nelson

Capstone Projects

This Doctoral Capstone Experience focuses on the development of a comprehensive toolkit tailored specifically for early childhood professionals, including teachers and paraprofessionals. The aim of this toolkit is to provide effective support to students facing various challenges both within and beyond the classroom environment. It encompasses a diverse range of meticulously curated resources and educational materials with occupational therapy principles in mind designed to address critical areas of concern. This toolkit explores sensory processing disorders and equips early childhood professionals with essential knowledge and strategies to support their students. By facilitating ways to create a sensory-friendly environment and supporting the …

Therapeutic Recreation And Adaptive Ice Skating For Individuals With Disabilities, Anna Tamburrino

Capstone Projects

This 14-week doctoral capstone experience (DCE) was completed at Warren Special Recreation Association (WSRA) and Rising Stars Adaptive Skating program, with the focus of program development, education, and leadership. The primary goal of this capstone was to develop an adaptive ice-skating program at WSRA in collaboration with the Rising Stars Adaptive skating program. Further objectives during the capstone experience included the development and provision of training resources for both sites related to the skating program, as well as supplemental trainings for WSRA specific programs. I provided education and training resources to staff and volunteers to promote the distinct value of …

Holistic Education To Empower And Enhance Women's Health Throughout Pregnancy, Birth, And The Postpartum Period, Hannah Wilson

Capstone Projects

Making informed healthcare decisions on behalf of oneself for optimal outcomes first begins with comprehending basic health education about one’s own body, typical bodily functioning and bodily processes and ends with empowered decision making. Health literacy is the ability of an individual to understand and apply basic healthcare information to their personal healthcare decision making and is integral for any and all healthcare providers to comprehend when educating patients in practice. Occupational therapists (OTs) are healthcare professionals that work with any demographic of people to improve satisfaction with performance of everyday living activities and quality of life. OTs’ scope of …

Program Development For Group Interventions Targeting Loneliness In Older Adults, Antoinette Cave

Capstone Projects

The topic of loneliness is complex and subjective in nature, and treatment of the condition requires the client-centered approach that occupational therapy encompasses within its scope of practice. Using an occupation-based, mental health approach to develop the program, weekly focus groups were created based on participant-preferred activities to decrease loneliness among older adults at PACE InnovAge’s outpatient and assisted living locations in Thornton, Colorado. Education was provided to participants and staff throughout the 14-week experience. Further training and sustainability efforts were created and distributed among participants and staff at the end of the experience through an occupation-based handout with external …

Development Of Occupation-Based And Trauma-Informed Care Resources To Promote Successful Reentry Following Release From Prison, Anna Burch

Capstone Projects

This 14-week capstone project focused on program development and education to establish occupational therapy-based resources into the Region 4 OS Reentry program through Michigan Department of correction (MDOC). The project was based out of Kent County Parole Office with the target population focusing on people who are actively on parole. Region 4 OS Reentry provides those on parole with many resources including bus cards, transitional housing, food vouchers, clothing/self-care assistance, trauma counseling and more. The purpose of this project was to utilize an occupational therapy lens to create resources revolving around ADL/IADLs, mental health, connecting the program with other community …

Integrative Sensory Room For General Education And Special Education 3rd-5th, Julia Henderson

Capstone Projects

Everyone has a unique sensory system that continues to change and adapt throughout their lifespan. In an 8-hour school day, children take in so much information with very little consideration of how their sensory systems may be reacting in response to varying environments and social situations. The gap within the school system remains to be seen as a lack of understanding of sensory systems and how they affect children’s learning capabilities. The objective throughout my capstone experience was to support Greyhound Intermediate School by creating a sensory room for both special education and general education students. This was done by …

Trauma Informed Care Resources For Foster And Adoptive Families, Nitasha Cooper

Capstone Projects

Trauma informed care is meeting the needs of children who have undergone trauma by addressing the direct impact caused by the trauma the child experienced. My objectives looked to assist parents in the carryover from the occupational therapy clinic to home by providing videos on techniques to address behaviors occurring in and out of the home and building a connected relationship between child and caregiver as well as resources such as books for children and caregivers; podcasts; social media personnel; support groups; and a respite list. These objectives resulted in a plethora of resources for caregivers and families to access …

A How-To Guide For Implementing Level I Faculty-Facilitated Fieldwork Sites: A Western Michigan University Model, Jordyn Diaz

Capstone Projects

Since the Covid-19 pandemic, community partners and fieldwork educators have been overwhelmed by the demand of occupational therapy (OT) students seeking fieldwork placements. The faculty-facilitated model is a desirable option to relieve this burden and provide services for the community. Faculty-facilitated sites have a 1:6 fieldwork educator- to-student ratio. These sites can occur on-campus, within a community organization, or virtually as demonstrated by Western Michigan University (WMU). However, barriers to implementing this model include financial concerns, time constraints, space limitations, and the associated workload required to sustain these sites.

The focus of this doctoral capstone experience was to create a …

Student Comprehension Of Addressing Acote Standards Related To Fieldwork Educators And Level I Fieldwork Sites, Baileigh Grabow

Capstone Projects

Accreditation Council of Occupational Therapy Education (ACOTE) standards are the rules and procedures occupational therapy academic programs across the country are mandated to follow and uphold (ACOTE, 2018). The standards are the framework to ensure quality education of the same rigor across OT/OTA programs preparing the future practitioners of occupational therapy. The ACOTE Standards (2018) have an “A” section related the resources, faculty experience, public policies, curriculum framework, and strategic plan requirements, a “B” section related to didactic program content requirements, a “C” section for fieldwork requirements, and a “D” section related to capstone requirements.

The purpose of this doctoral …

Inclusive Yoga Programming For Children With Diverse Needs, Allison H. Hansel

Capstone Projects

Limited research exists to support the use of yoga as an occupational therapy intervention for children with disabilities. In the studies that are available, yoga is primarily used to target children with autism spectrum disorder (ASD). Currently there is no research available that explores use of yoga in a group of children with a variety of disabilities and diagnoses. The aim of my doctoral capstone experience was to design and implement an inclusive yoga group for children with diverse needs. Objectives were created to guide this capstone project such as creating intake forms, pre/post surveys, weekly yoga curriculum and weekly …

Enhancing Self-Regulation Skills With The Zones Of Regulation, Sara Hayes

Capstone Projects

It has been highlighted that children with Autism Spectrum Disorder (ASD), Cognitive Impairments, Emotional Impairments, and other Sensory Processing Disorders. often lack the ability to self-regulate appropriately. Self-regulation is defined as the ability to control one’s emotions and behaviors, get along with others and engage in learning. Self-regulation helps children learn effectively, obtain, and maintain relationships, and communicate appropriately. A tool proven to teach and implement appropriate self-regulation is Leah Kupyers’ Zones of Regulation curriculum. The purpose of this literature review is to analyze the potential for OT involvement in the implementation of the Zones of Regulation curriculum within the …

The Development Of An 8-Week Neurodiversity-Affirming Caregiver Co-Regulation Coaching Program., Carissa Heestand

Capstone Projects

The realm of pediatric care is witnessing the rapid emergence of two innovative practices centered on nurturing safety within a child's nervous system. This program development endeavors to synergize these practices to optimize occupational balance within the familial unit. The first pioneering approach involves Neurodiversity (ND) affirming care, which is seamlessly integrated into therapy sessions. Here, therapists honor and embrace the diverse nature of each child's brain, while acknowledging and celebrating their unique abilities. The second innovative practice involves caregiver coaching sessions, with a primary focus on educating caregivers about co-regulation techniques. Previous research has highlighted the efficacy of such …

The Role Of Occupational Therapy In Transition Programs For High School Students With Disabilities, Kara Hutchison

Capstone Projects

Students with disabilities frequently experience a gap in services as they grow older and after exiting the public education system. During school, students have Individualized Education Plans (IEPs) to support their education, but once they graduate, the services they were receiving expire. Occupational therapy is under- utilized in transition planning for students after graduating high school and entering adulthood. The purpose of this DCE was program development and advocacy with the Project SEARCH transition program while exploring the role of occupational therapy has in transition planning for high school students with disabilities. The goal of this project was to improve …

Friends At Work: Creating A Peer-To-Peer Program For Individuals With Disabilities In The Workplace, Claire Johnson

Capstone Projects

Students with disabilities face social isolation, loneliness, mental health conditions, and unemployment rates at a disproportionately high rate compared to their typically developing peers (Choiseul-Praslin et al., 2019). Peer support programs and transition to work organizations have the ability to combat these factors. The following Doctoral Capstone Experience depicts the development and implementation of a peer-to-peer program within a transition to work program to increase social participation amongst transitional students with disabilities. The program was implemented at Project SEARCH at Corewell Health Beaumont Troy Hospital. Additionally, this project attempts to quantitatively qualify the effectiveness of the Project SEARCH program in …

The Integration Of Occupational Therapy In Transition Programs To Improve Outcomes For Students, Morgan Jagiela

Capstone Projects

Numerous studies exist depicting the benefit and efficacy of an occupational therapy (OT) presence within post-secondary transition programs. Both transition programs and occupational therapists aim to help students with disabilities improve independent living skills, vocational skills, and social/communication skills, so they may live functional adult lives with as few supports as possible. Despite this success and the overlap in scope, OT is rarely found in transition programs. The purpose of this doctoral capstone experience (DCE) was to develop a program that would implement occupational therapy into the Empower U transition program. Through the creation and completion of objectives, success and …