Medicine and Health Sciences Commons^™

The Impact Of Habit Formation On Healthcare Workers: An Occupational Therapy Approach To Well-Being, Hillary Littlefield Msot, Otr/L

All Student Scholarship

Occupational therapists have an opportunity to act as consultants in their healthcare systems to provide education, resources and guidance to interdisciplinary team members. This concept aimed to provide evidence to support an occupational therapy-based program focused on incorporation of healthy habits and routines into one’s daily life as a means to improve nursing altruism, quality of life and perception of one’s successes and value in their occupation. Pre- and post- survey data was utilized to evaluate the effectiveness of an occupational therapy-based initiative that provided 1:1 and group coaching to a population of acute care nurses as an evaluation of …

Bridging The Gap Between The Occupational Therapy Department And The Education Department At An Inclusive Preschool, Brenna C. Hunt

OTD Capstone Projects

This doctoral capstone project was completed through a partnership with First Steps Inc. in Nashville, TN. First Steps Inc. is both an outpatient therapy clinic and an inclusive childcare facility that provides education for children with special needs alongside their typically developing peers. This project sought to bridge the gap between the occupational therapy department and the education department at First Steps to promote participation, inclusion, and developmental growth in the classrooms. The focus of the project was the development and implementation of various OT tools and resources to be used in the classrooms. Deliverables included choice boards, visual schedules, …

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 …

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 …

Social Participation Program For Older Adults With Dementia Residing In Long Term Care Facilities, Keri Mcclelland

Student Capstone Papers

Social participation is characterized by activities that involve social interaction with others and supports social interdependence; individuals engage in this occupation through a variety of contexts including with their community, family, friends, and peers (American Occupational Therapy Association, 2020). Social participation has been discovered to influence general health and well-being, cognitive health, risk of dementia, and stress (Sommerlad et al., 2023). Dementia is a prevalent disease affecting approximately 50 million individuals worldwide (Sommerlad et al., 2023) causing increased dependence and disability among the older adult population and is shown to be growing as the aging population increases in number (Wang …

Developmentally Appropriate Care In The Neonatal Intensive Care Unit (Nicu), Ashten Cenkus

Graduate Theses, Dissertations, and Problem Reports

As specialized healthcare professionals educated in developmental care, occupational therapy practitioners (OTPs) have a role in educating, coaching, and assessing the needs of infants, their families, and the staff in the NICU. These high-risk and medically fragile infants require specialized care that considers the incorporation of neurodevelopment, neurobehavioral regulation, sensory stimulation, and motor development through supportive and appropriate interventions. A project addressing these needs across 14 weeks was implemented as part of an Occupational Therapy Doctoral (OTD) capstone experience at WVU Medicine Children’s in Morgantown, West Virginia. This project examined the results of the NICU staff's confidence, knowledge, and awareness …

The Role Of Occupational Therapy In Meeting Mental Health Needs Of College Students In The South Dakota Regental University System, Molly J. Graesser

Occupational Therapy Capstone Presentations

College students with mental health concerns and disabilities are at risk for poorer academic outcomes. Utilization of student support services (TRIO, disability services, and student counseling services) can mitigate these issues. However, utilization patterns and the service delivery process are not well understood in the South Dakota Board of Regents (SDBOR) system. This study aimed to investigate 1. The extent to which students utilize mental health and disability services in the South Dakota Board of Regent (SDBOR) University system. 2. How service providers deliver those services to students. Utilizing a cross sectional survey and grounded theory design, researchers found that …

Addressing The Needs Of Parkinson’S Disease Care Partners, Jenna Wall

Occupational Therapy Capstone Presentations

Parkinson’s Disease (PD) is a neurodegenerative disease that can affect all aspects of life, requiring individuals with this condition to require support from a care partner. The extensive support PD care partners provide impacts their health and well-being resulting in an increased prevalence of negative health outcomes. Furthermore, these care partners do not receive adequate support which only compiles the effect of caregiving. The main goals of this capstone project were the development and implementation of a 4-week PD care partner support protocol, the creation of an electronic resource, and improving community awareness about PD and PD care partner needs. …

New-R Intervention For Clients With Severe Mental Illness And Obesity: Grant Writing For Implementation Funds Supporting Occupational Therapy Interventions, Kaitlyn Hoffman

UNLV Theses, Dissertations, Professional Papers, and Capstones

Increasing numbers of people suffer from obesity and severe mental illness co-morbidly. If these conditions remain untreated, they can harm an individual's health and well-being. Unfortunately, there are very few programs currently available that target both management and improvement of these conditions simultaneously. Even so, despite the lack of programming options, it must be noted that the NEW-R program strives to reach those goals, although there hasn't been an abundance of literature supporting the effectiveness of this program. This poses a concern for occupational therapy practitioners who hope to assist their clients in managing these conditions as occupational therapy treatments …

Assistance Dog Considerations: A Lecture For Occupational Therapy Students, Kayla Kinney

UNLV Theses, Dissertations, Professional Papers, and Capstones

Assistance dogs can mitigate the effects of an individual’s disability. Occupational therapists consider the whole being when providing interventions through the individual’s meaningful occupations to improve health, well-being, and quality of life. Occupational therapists can make referrals or become a valuable team member for clients who wish to explore assistance dogs as an assistive technology option to improve physical, mental, and psychosocial considerations for increased independence in their clients. Few occupational therapy practitioners are educated about the benefits and disadvantages of the partnership between assistance dog and handler. Therefore, they are unable to adequately recommend assistance dogs for their clients, …

The Efficacy Of An Educational Toolkit To Enhance Knowledge Of Pediatric Reflux Management Among Occupational Therapists, Kelly Cullerton

UNLV Theses, Dissertations, Professional Papers, and Capstones

This manuscript describes a quality improvement project completed by a student in the University of Nevada Las Vegas Occupational Therapy Doctorate Program. The project tests the efficacy of an educational toolkit for occupational therapists staffed at an acute care hospital in Las Vegas, Nevada, to increase their perceived knowledge of and ability to educate families on conservative management techniques for pediatric reflux management. Results indicate that the toolkit demonstrated efficacy in achieving this objective. The toolkit provided useful staff education and parent handouts for the occupational therapists to utilize in patient care as appropriate. This project’s ultimate aim was to …

Promoting Early Detection In Primary Care: Program Evaluation Of The Dementia Care Aware Program In Orange County, Ennah Cabading

UNLV Theses, Dissertations, Professional Papers, and Capstones

The aging population is growing quickly, raising concerns about the increasing numbers of those with Alzheimer's disease and related dementias, as age is the common risk factor for acquiring the disease. The increase in the elderly population may influence higher healthcare costs and the need for more healthcare professionals like primary care professionals. However, primary care professionals face challenges meeting this population's demands due to the lack of training, confidence, and understanding of dementia care. A new California initiative called Dementia Care Aware aims to support primary care professionals by offering training, tools, and resources to increase early detection and …

The Feasibility Of A Large-Amplitude Aquatic-Based Exercise Occupational Therapy Program For Individuals With Early Parkinson’S Disease, Brigitte Baker

UNLV Theses, Dissertations, Professional Papers, and Capstones

Purpose: The purpose of this research was to determine if a 4-week aquatic-based, large-amplitude exercise program would increase strength and coordination for occupational performance in areas of activities of daily living (ADLs) and mobility in individuals with Parkinson's disease (PD) stage I-II, functional mobility as measured by Timed Up and Go test, and quality of life as measured by PDQ-39 in relation to occupational engagement.Methodology: Recruitment was through capstone placement site, Hands on Rehab, 7921 Professional Circle, Huntington Beach, CA 92648, in which a signed EAA was on file. Informed Consent was reviewed by the student-clinician as well as the …

Increasing Foster Parent Awareness Of An Occupation-Based Approach To Child Well-Being, Taylar Hirte

UNLV Theses, Dissertations, Professional Papers, and Capstones

Foster parents are an integral part of the child welfare system. They provide temporary care to children who otherwise cannot stay in their homes. They are required to be state or county licensed and each licensing agency has their own requirements including varying hours of training. The literature indicates foster parents do not receive enough training to feel prepared and confident to care for children with increased mental health, behavioral, school-related, cognitive, and peer relationship challenges that foster children often experience (AOTA, 2017; Lotty et al., 2020; Paul-Ward et al., 2014; Smith, 2022).The purpose of the present capstone project was …

Building Resilience Through Pregnancy Utilizing Tools From Occupational Therapy And Yoga, Rachel Brown

OTD Capstone Projects

This doctoral capstone project was completed through a partnership with Nurture Nashville, a local yoga and movement studio focused on promoting wellness and connection for pregnant and postpartum people throughout their journey in motherhood. The primary focus of this project was developing resources to promote resilience during the perinatal period by utilizing tools from both occupational therapy and yoga practice. Outcomes included the synthesis of research into a resilience toolkit, the creation and implementation of a 5-week yoga and sharing circle curriculum, and the re-establishment of a community-centered studio event titled “Meet the Doulas.”

Biofeedback And Anxiety Reduction: An Occupational Therapy Intervention For Persons With Long Covid, Colette Freda

Occupational Therapy Doctorate Capstone Projects

Background: People who acquire Covid 19 may have symptoms lasting over three months, called Long Covid. It is estimated that one in five people in the United States has Long Covid. Unpleasant symptoms of Long Covid are many including anxiety. People with Long Covid have a difficult time engaging in everyday activities and have a poor quality of life. Occupational therapy practitioners using heart rate variability (HRV) biofeedback may help decrease anxiety in the Long Covid population. There is limited research on occupational therapy and HRV biofeedback.

Purpose: The problem the study addressed was to investigate the use of HRV …

Client Perceptions On The Value Of Pre-Surgical Education Regarding The Recovery Process After Carpometacarpal Arthroplasty, Alice J. Mullholand

Occupational Therapy Doctorate Capstone Projects

Executive Summary

Background: The delivery of client education is an intervention that has a substantial influence on healthcare outcomes. However, the significance of preoperative education for outpatient hand treatments remains inadequately supported by research. Occupational therapists possess the necessary skills and knowledge to effectively address the issue of health literacy and make valuable contributions toward the promotion of health equity. The existing research fails to provide adequate evidence to support the claim that preoperative education is important for outpatient hand procedures. It is important to promote the adoption of best practices and enhance clients' health literacy regarding hand surgery to …

The Environment Of Interprofessional Education In Graduate Education: Exploring Professional Programs Of Occupational Therapy, Physician Assistant, And Physical Therapy, Allison R. Kaczmarek

Theses and Dissertations

Interprofessional education (IPE) is an educational approach of increasing popularity in professional schools for the preparation of a collaborative ready healthcare workforce. The accrediting bodies of professional education programs in occupational therapy (OT), physician assistant (PA), and physical therapy (PT) have incorporated standards for outcomes addressing IPE. Although they have endorsed the Health Professions Accreditors Collaborative (HPAC) consensus document on quality IPE, we do not have a contemporary snapshot of the IPE environments in the curriculum of their accredited programs. This dissertation, a collection of three distinct inquiries, has two aims: first, to provide a description of IPE as it …

Mindfulness With Children And Youth: A Hermeneutic Phenomenological Inquiry Into Paediatric Therapists' Experiences, Kirsten S. Smith

Electronic Thesis and Dissertation Repository

Background: Mindfulness has become popular as a treatment approach for many health conditions and has been taken up by diverse health practitioners in recent years. While research into mindfulness-based interventions is on the rise, much of this research originates in the field of psychology and is aimed toward adult populations. Occupational therapists, including those working with children and youth, have begun to take up mindfulness to support their clients to participate in daily activities, and there is evidence that clinical uptake has outpaced research in this area.

Method: A scoping review was undertaken to understand the breadth of literature regarding …

An Occupational Therapy Guidebook For Individuals With Substance Use Disorder, Cassidy B. Ardoin

Student Capstone Papers

Individuals with substance use disorder (SUD) experience barriers and challenges that impact their daily occupational performance, engagement, well-being, and quality of life. In addition to disrupting and distorting an individual’s unique occupational outcomes, SUDs can limit, replace, and dictate an individual’s daily meaningful activities, habits, routines, and skills that support healthy occupational engagement. Occupational therapy (OT) practitioners have a unique and valuable role in SUDs treatment as they are equipped to identify these barriers and implement strategies for supportive skill development or restoration. Based on the literature review conducted, OT practitioners do not have an OT practice guideline, protocol, or …

Strategies For Enhancing Racially Diverse Student Satisfaction In Graduate-Level Occupational Therapy Programs, Kolbí L. Holmes, Christina Kane

Department of Occupational Therapy Entry-Level Capstone Projects

A survey investigated satisfaction levels of racially diverse, graduate-level OT students at NSU and strategies for enhancing student satisfaction to ultimately meet the OT profession’s diversity goals. Overall, racially diverse students were satisfied with their OT program experience and identified diverse faculty and scholarship opportunities as desired resources needed for continuation in OT programs.

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.

Applying Self-Compassion And Stress Management Techniques To Increase Healthy Behaviors Among Women At The New Beginnings Center, Payton Knupp

OTD Capstone Projects

The New Beginnings Center is a nonprofit organization that serves as an empowerment program for women from disadvantaged backgrounds in the Nashville area. Current curriculum includes a 12-week program focused on nutrition, exercise, and positive lifestyle changes that provide a holistic approach to long-term behavior change and a lasting support system. The objective for this project was to provide updated programming based on current research and relevant topics for the population, utilizing the cognitive behavioral frame of reference to facilitate behavior change, reframing negative and distorted thinking into healthy and productive habits. The subjects of the two workshops focused on …

Dirfloortime: An Innovative Approach To Supporting Development Through Connection And Understanding, Jessica Townsend

Department of Occupational Therapy Entry-Level Capstone Projects

Children with developmental delays and neurobehavioral disorders such as autism spectrum disorder (ASD) and attention deficit hyperactivity disorder (ADHD), often have social, emotional, or behavioral delays. Children who are not reaching developmental milestones or are reaching them at a slower rate may need extra support and services to reach their full potential. An innovative approach to treatment of developmental delay commonly used among therapists is called DIRFloortime®. DIRFloortime® (also referred to as Floortime) is the application of the Developmental, Individual-Differences, & Relationship-Based (DIR) model in practice. The purpose of this capstone project was to explore Floortime as a holistic intervention …

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 …

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

Occupational Therapy Doctorate Capstone Projects

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

Effective Mental Health Accommodations For Occupational Therapy Students And Practitioners, Allison Jo Naber

Dissertations and Theses

The process of transitioning from high school to higher education and from academic programs outside of the health sciences to the workplace is documented; however, the transitional experiences of those in the health professions and occupational therapy specifically are less understood. This dissertation research aimed to identify the formal accommodations and informal adaptations occupational therapy students and entry-level practitioners have employed to address their mental health needs as they transition from the classroom to fieldwork or capstone and entry-level practice. The link between empirical literature, theories surrounding transitions, and the Occupational Adaptation Model provided the foundation for this research. This …

Increasing Social Inclusion For Children With Disabilities In Faith-Based Settings: A Four-Part Dissertation, Valerie Miller

Theses and Dissertations--Rehabilitation Sciences

The aim of this dissertation is to increase the body of research in occupational therapy about how to increase the social inclusion of children with disabilities in faith-based settings. Even since the advent of important legislation like the Americans with Disabilities Act, which paved the way for community participation for individuals with disabilities, individuals with disabilities continue to face barriers to participating in society. Decreased inclusion for individuals with disabilities is seen throughout all sectors of society. One area of regular societal participation for many Americans is in faith-based settings such as churches, synagogues and temples. It has been reported …

Incorporation Of An Occupational Therapist In The Prevention Through Active Community Engagement (Pace) Program, Chelsea R. Lincoln

Department of Occupational Therapy Entry-Level Capstone Projects

No abstract provided.

Physical Therapy/Occupational Therapy And Applied Behavior Analysis Forming An Interdisciplinary Bridge For Positive Patient Outcomes, Rachel Ann Vaughn

Honors College Theses

Physical therapy, Occupational therapy, and Applied Behavior Analysis work within the pediatric population and are used to help children reach milestones throughout their development. This survey is meant to assess the amount of interdisciplinary collaboration that is occurring within these disciplines. The research team believes that this interdisciplinary collaboration could be beneficial to the pediatric population, but understands that this survey is a baseline and needs further research. Through a survey, there were 29 total participants, 22 PT/OT and 7 ABA therapists. The survey showed evidence of ABA techniques being used within PT and OT sessions for betterment of the …