Medicine and Health Sciences Commons^™

The Impact Of Moral Injury On Veterans' Occupations, Sydney Santora

Entry Level Occupational Therapy Doctoral Capstone Projects Class of 2025

Occupational therapy has been working with veterans since its origin. Once labeled as shell shock, occupational therapists addressed and continue to address veteran’s mental health, specifically Post Traumatic Stress Disorder (PTSD). While PTSD still affects veterans, there is another emerging phenomenon that is affecting veterans called moral injury. Moral injury (MI) is a condition resulting from “perpetrating, failing to prevent, bearing witness to, or learning about acts that transgress deeply held moral beliefs and expectations” (Litz et al., 2009, p. 697). There is currently limited literature regarding occupational therapy’s treatment of moral injury. This study aimed to fill the gaps …

The Phenomenon Of Sports As An Occupation, Christopher G. Cercone

Entry Level Occupational Therapy Doctoral Capstone Projects Class of 2025

The “Phenomenon of Sports as an Occupation” is a mixed-methods, survey and interview-based research study that examines the impact of sports participation on occupational performance, identity, and routines. Findings highlight the value of recognizing sports in occupational therapy and may guide future practice and professional development. The study involved three groups of participants, including college athletes, occupational therapy practitioners, and adults involved in sports activities. Each group completed different surveys based on what sports mean to them and how sports have influenced their lives. Occupational therapy practitioners were asked about their feelings regarding increased involvement in sports rehabilitation. An interview …

Promoting Caregiver-Child Attunement: Social Emotional Wellness Through Yoga, Gianna R. Delfino

Entry Level Occupational Therapy Doctoral Capstone Projects Class of 2025

This doctoral capstone program, Social-Emotional Wellness Through Yoga: Promoting Caregiver-Child Attunement, aimed to develop, implement, and evaluate a family-centered occupational therapy (OT) program designed to enhance emotional connection, co-regulation, and wellness in caregiver-child dyads at a pediatric outpatient clinic. This project was guided by a systematic review of literature on the effects of yoga on the mental health of children 3-10 years old, which suggests that yoga has positive outcomes on the mental health and wellbeing of children (Khunti et al., 2022). Grounded in neurodiversity-affirming, trauma-informed, and strengths-based care, the 10-week group was designed for children ages 3–11 and their …

Open Doors Rehab: Student-Led Courtesy Occupation-Focused Stroke Rehabilitation Clinic, Caitlin Scully

Entry Level Occupational Therapy Doctoral Capstone Projects Class of 2025

Experiencing a stroke is a life altering event. Effects range from minimal to severe, but nonetheless survivors are put in a position where they need to understand their health and how to move forward (Wolf et. al., 2009). Nagaraja et. al. (2022) draws attention to the issue that survivors who are not eligible for inpatient services are often discharged home with a home exercise program and no clinical or therapy follow- up. This creates a gap in the stroke recovery continuum of care, putting survivors at even more risk for additional health risks and complications. The need for stroke rehabilitative …

Caregiver Resources For Aging With An Intellectual And/Or Developmental Disability (Raidd), Lena M. Conway

Entry Level Occupational Therapy Doctoral Capstone Projects Class of 2025

Caregivers of individuals with intellectual and/or developmental disabilities (IDD) are essential in supporting health, well-being, and aging in place; however, they are often overlooked in policy and occupational therapy (OT) practice. Caregivers frequently experience heightened levels of stress, anxiety, depression, physical fatigue, and social marginalization. Adults with IDD face disproportionately high rates of chronic disease and mental health conditions, and despite the development of resources to support this population, caregivers report barriers to locating, understanding, and utilizing these assets. A scoping review was conducted to determine and explore the needs of caregivers and the systemic challenges they face, including fragmented …

Holistic Health: A Psychosocial Health And Wellness Program For College Students, Elizabeth C. Fasti

Entry Level Occupational Therapy Doctoral Capstone Projects Class of 2025

The Holistic Health program is a doctoral capstone quality improvement project that aims to increase the quality of life (QoL) and well-being for higher education students and increase staff and faculty knowledge of college students' mental health. Driven through education and program development, the program includes four key action plans. The first action plan was an in-person mindfulness-based program for college students. The second action plan includes a proposal for environmental adaptations to foster a safe and supportive campus environment for students. The third action plan includes expanding ready-to-use wellness and mindfulness resources for higher education students. The fourth and …

Parkinson’S Optimal Wellness And Educational Resource (Power) Project, Christina Mcfadden

Entry Level Occupational Therapy Doctoral Capstone Projects Class of 2025

By 2030, over 1.3 million adults in the U.S. are predicted to be diagnosed with Parkinson’s disease (PD), with Pennsylvania exhibiting a notably high incidence (Parkinson’s Foundation, 2023; Willis et al., 2022). Despite this prevalence, non-specialist clinicians, policymakers, and the public generally remain poorly informed in adequately supporting PD (World Health Organization [WHO], 2022). There is a gap within the literature regarding occupational therapy’s (OT) role in community-based PD programming in the U.S. The Parkinson’s Optimal Wellness and Educational Resource (POWER) Project addresses this through a tertiary health approach as identified in the WHO’s Parkinson’s technical brief (2022). Informed by …

Let's Get Connected (Lcg), Delaney J. Boyd

Entry Level Occupational Therapy Doctoral Capstone Projects Class of 2025

The Let’s Get Connected (LGC) doctoral capstone project aimed to improve the social skills of primary school students through program development, education, and clinical intervention in order to encourage a more inclusive environment in the school. Regarding program development, LGC incorporated universal OT services during recess for all second grade students to socialize as a class. During the “All-In Recess” portion of the program, social emotional skills were taught through games that encouraged students to socialize and include all of their peers. The second tier included “Breakfast Bunch and Lunch Bunch”, which consisted of small social participation groups held during …

Promoting Mu, Christina A. Reilley

Entry Level Occupational Therapy Doctoral Capstone Projects Class of 2025

Despite the broad scope of occupational therapy and its significant impact on patients' lives, the profession requires a strategic marketing plan to raise awareness. To address the lack of understanding on a micro level, a comprehensive marketing plan was developed for Misericordia University’s Occupational Therapy Department to align with the current wants and needs of prospective students. Designed as a 14-week doctoral capstone project, PromOTing MU aims to advocate for the profession by showcasing the experiences of current MUOT students. The cliff of OT programs expanding while application numbers decline is a prevalent issue addressed in PromOTing MU, which targets …

Explore Your Future, Faith M. Merritt

Entry Level Occupational Therapy Doctoral Capstone Projects Class of 2025

Explore Your Future, a doctoral capstone project, was developed to aid the development and learning of low socioeconomic status (SES) children attending the McGlynn Center. This project focused on career readiness, addressing community concerns by providing resources on career possibilities, educational pathways, and skills training. A scoping review revealed gaps in research on interventions improving career readiness in low SES children, with limited studies identified across seven databases. Early intervention is proven to enhance career exploration, social-emotional outcomes, social awareness, academic performance, and vocational identity (Howard & Ferrari, 2022). Improvements in self concept, interpersonal and critical thinking skills, and confidence …

Every Blessing Crafts, Alan Frausto

OT Doctoral Capstones

Depression is highly prevalent among residents in Long-Term Care Settings (LTCS), approximately up to 50% reported in studies (Matos Quieros et al., 2021; Shrestha et al., 2020; Ulbricht et al., 2019). Occupational Injustice (OI) such as occupational deprivation is a risk factor for residents in LTCS developing depression (Janssen & Grabanski, 2023). Additionally, Causey-Upton (2015) identified occupational marginalization, occupational imbalance, and occupational deprivation as specific forms of OI that residents face.

The field of occupational therapy (OT) has utilized arts and crafts as one of the first interventions since the beginning of the profession (Christiansen & Haertl, 2019, p. 129). …

Holistic Support Toolkit: Integrating Occupational Therapy In Trauma-Informed Parenting For Adoptive And Foster Families, Zenyacy Ortega Rojero

OT Doctoral Capstones

Objective: Adoptive families often face challenges related to early childhood trauma, impacting emotional regulation and daily routines.

Methodology: A bilingual, trauma-informed toolkit was created using feedback from foster/adoptive parents and CASA staff. A pre/post questionnaire assessed the impact on staff knowledge and confidence.

Results: The toolkit significantly increased staff understanding of trauma, OT’s role, sensory processing, and caregiver support (p < .05 across all ten indicators).

Discussion: Findings highlight OT’s contribution to trauma-informed care and the importance of interdisciplinary education for those supporting foster and adoptive families.

Conclusion: The toolkit promoted caregiver confidence and trauma-responsive approaches and has potential for long-term sustainability at CASA and beyond

Enhancing Developmental Care In The Nicu: A Program Evaluation And Roadmap For Trauma- Informed Practice, Roberto Conner

OT Doctoral Capstones

This capstone evaluated the current state of trauma-informed developmental care practices in the Neonatal Intensive Care Unit at El Paso Children’s Hospital to identify barriers and inform sustainable improvement strategies. The capstone student shadowed across multiple disciplines, including occupational therapy, speech-language pathology, nursing, and lactation consultants. The capstone student surveyed NICU team members and interviewed unit leadership to assess staff knowledge, confidence, and feedback mechanisms. The capstone student found that staff expressed moderate confidence in delivering developmental care but faced barriers, including communication gaps between disciplines, limited leadership prioritization, and knowledge gaps. The capstone student developed a roadmap specific to …

Mind Matters: Addressing Food Insecurities As A Mental Health Barrier, Nicholas Thomas Guerra

OT Doctoral Capstones

Food insecurity (FI)—the limited or uncertain access to adequate food—is a growing concern among college students and is linked to increased stress, poor mental health, and reduced occupational engagement. Nationally, 41% of college students report experiencing FI, with higher rates among marginalized groups (Nickolaus et al., 2020). At the University of Texas at El Paso (UTEP), 61% of students are affected, a figure influenced by financial strain, limited access to aid, and unique border-related barriers such as immigration status and language (El Pasoans Fighting Hunger, 2022; Weigel et al., 2007). This capstone project, grounded in the Person-Environment- Occupation (PEO) model, …

Efficacy Of Low-Level Laser Therapy For Osteoarthritis Of The Knee, Emily Drummond

The PA Department Journal of Medical Science

Introduction: Osteoarthritis (OA) is a disease associated with numerous effects on quality of life (QoL) and activities of daily living (ADLs). In recent years, low-level laser therapy (LLLT) has been evaluated as a symptom management option for KOA due to its non-invasive mechanistic properties. The purpose of this paper is to assess the efficacy of LLLT as a modality of treatment to help reduce mild to moderate symptoms associated with KOA.

Methods: A search via PubMed database was made using the keywords “LLLT” AND “osteoarthritis” AND “knee” with additional specifiers resulting in 10 articles for review. Four articles were chosen …

Occupational Therapy Practitioner Perspectives On Leadership In Everyday Practice: A Descriptive Qualitative Study, Mary E. Spores

Occupational Therapy Doctorate Capstone Projects

Background: Leadership is a topic of interest for rapidly evolving healthcare professions and a cornerstone of the American Occupational Therapy Association (AOTA) Centennial Vision. The history of leadership in the profession has a robust foundation and yet calls to action for leadership in the profession remain focused on traits, behaviors and transformative processes. Occupational therapy practitioners (OTPs) are positioned to be leaders of change with the use of leadership influence however, practitioner views on their enactment of leadership in everyday practice are sparse in the literature.

Purpose: The purpose of this qualitative descriptive study was to capture the perspectives of …

Perceptions Of School-Based Occupational Therapists Regarding The Access To Educator Credential Pathways In Kentucky, Jill Edlin

Occupational Therapy Doctorate Capstone Projects

Background: In Kentucky public schools, occupational therapists are employed as classified staff without access to educator credential pathways. This study explores occupational therapist’s perceptions of how those state-level structures impact recognition, collaboration, leadership, and day-to-day practice within the educational system context. Purpose: This qualitative descriptive study examines school-based occupational therapists’ perceptions of how the absence of educator credential pathways influences their professional practice, collaboration, and leadership in Kentucky public schools. Research objectives focus on describing Kentucky school-based occupational therapists’ perceptions of leadership opportunities as shaped by state educator credentialing. Objectives also focus on exploring how credentialing influences interprofessional collaboration with …

Transitioning To Graduate Level Academics: A Preparation Program For An Entry-Level Occupational Therapy Doctoral Program, Sergio Garcia

OT Doctoral Capstones

The objective of the capstone project was to create an online preparation program for The University of Texas at El Paso’s (UTEP) Department of Occupational Therapy’s-Occupational Therapy Doctoral (OTD) program that would ease the transition experience into the program and would help increase their early academic success. The capstone project involved the planning, creation, and implementation of the program. The finalized program consists of four interactive, self-led, and self-paced modules. Interactive elements include activities, questions, opportunities for reflection, and hyperlinks. The finalized program will be implemented with incoming UTEP OTD students on a yearly basis.

Colostomy Care: Ep, Michelle Ramirez

OT Doctoral Capstones

Objective: This capstone project aimed to improve knowledge and self-efficacy in colostomy care through a structured educational booklet.

Methods: Six adult inpatient participants at The Hospitals of Providence Memorial Campus received the booklet and completed pre- and post-surveys.

Results: Participants had a 7.37% increase in scores, with statistically significant improvements in knowledge and confidence (p < .001). Patients reported the material was easy to understand and helpful.

Discussion: The project highlights the OT's role in education and emotional support during post-operative recovery. The booklet is a sustainable, low-cost tool that can be replicated across diverse clinical settings.

Empowering Caregivers Through An Occupation-Based Approach To Physical And Mental Health, Maria Duarte

OT Doctoral Capstones

Problem Statement: The informal caregivers at Fundación Integra A.C., primarily family members providing daily, unpaid care to loved ones with significant physical and cognitive needs, often lack the training and support necessary to safely mange the physical and mental demands of caregiving, increasing their risk of injury, burnout, and reduced quality of life.

Methods: 5-module caregiver education course over 8 weeks in person/via Zoom and all material was delivered in Spanish.

Results: Increased confidence, knowledge, and reduced stress.

Discussion: Small sample size, limited statistical significance however, still showed meaningful gains.

Conclusion: Physical and mental health focused program is effective among …

Isapa 2025: Program Guide, Catherine Carty, Gerard Masdeu Yelamos

Publications

ISAPA 2025 is a landmark international event that brings together global leaders, researchers, practitioners, and advocates in Adapted Physical Activity to ignite systemic change under the unifying theme “Shifting the Dial: From Awareness to Transformation.” Hosted in Kerry, Ireland, under the patronage of UNESCO, the symposium integrates five major events into one dynamic platform.

The program reflects IFAPA’s mission to advance inclusion, research, professional excellence, and international cooperation, while also contributing meaningfully to the implementation of global frameworks such as the UN Convention on the Rights of Persons with Disabilities (CRPD), the Sustainable Development Goals (SDGs), the Paris 2024 Call …

Exploring Stress Management Spaces Using Sensory Engagement On College Campuses: A Scoping Review, Karen R. Puckett

Occupational Therapy Doctorate Capstone Projects

Background: College students experience high levels of stress, with associated negative outcomes such as poor mental and physical health. In response, colleges and universities have explored the use of stress management spaces designed to address and promote improved mental health and wellbeing, but evidence regarding the most effective design and impact of these spaces is limited.

Purpose: The purpose of this project was to conduct a scoping review of the available literature related to stress management in higher education settings. The research questions are: What are the characteristics and design features of these spaces, and how do stress management spaces …

Optimizing Pelvic Health: Evaluating The Efficacy Of Prenatal Strength And Resistance Training Combined With Pelvic Floor Muscle Exercises In Reducing Pelvic Organ Prolapse Risk, Samantha Requilman

Nursing | Senior Theses

While postnatal recovery is focused on the newborn, the mother’s health is equally important – particularly in preventing pelvic organ prolapse (POP), a condition that results in pelvic discomfort, incontinence, and a reduced quality of life. Although clinicians encourage pelvic floor muscle exercises (PFME) throughout pregnancy, POP is still prevalent among women, especially those who deliver vaginally. There are limited research studies on the effectiveness of prenatal resistance training in the prevention of pelvic dysfunctions and this study aims to address the gaps in the literature. So the question to address this study is: Does combining prenatal resistance training with …

Physical And Perceived Effects Of The Menstrual Cycle On Female Athletes, Talia E. Casarella, Alyssa M. Quiteles, Emily E. Liddick, Madelyn R. Swarthout, Rebecca J. Turner

Student Research Poster Presentations 2025

Purpose: The purpose of this study was to understand the physical and perceived effects of the menstrual cycle on female athletes’ performance during training and competition.

Hypothesis: The researchers hypothesized that there would be a significant difference in performance based on the phase of the menstrual cycle.

Methods: This study used EBSCO Academic Search Complete and Science Direct, focusing on peer-reviewed articles from the last 10 years. Search terms included: (exercise or physical fitness or physical activity) AND (menstrual cycle or period or menstruation or menses or follicular phase or luteal phase) AND (female athletes or women athletes or athletic …

Pediatric Occupational Therapists' Perception Of How Nature-Based Play Affects Fine Motor Development, Abbi M. Rosenow, Donia P. Timby, Jacquelyn D. Wiersma-Mosley, Amanda Terrell

Discovery, The Student Journal of Dale Bumpers College of Agricultural, Food and Life Sciences

This study explored the benefits of nature-based pediatric occupational therapy (OT) and the influence of nature and nature-based play on fine motor development. It was hypothesized that nature and nature-based play would positively impact a child’s fine motor skills (FMS) and that nature-based OT would offer unique benefits to a child’s therapeutic experience. To examine these relationships, a survey was distributed to pediatric occupational therapists (OTs) across the United States. The survey was designed to gather insights into how OT supports fine motor development, how nature-based play/therapy enhances these skills, and the perceived benefits of incorporating nature into therapeutic practices. …

Gait During Community Ambulation And Laboratory-Based Walking In People With Mild Traumatic Brain Injury, Prokopios Antonellis, Jae W. Lee, Peter C. Fino, Margaret M. Weightman, Siting Chen, Margaret Stojak, Mark E. Lester, Carrie W. Hoppes, Leland E. Dibble, Laurie A. King

Physical Therapy Faculty Publications

Background: Gait impairments are common in individuals with mild traumatic brain injury (mTBI), presenting in the acute phase and often persisting in subtle ways over time. Despite the prominence of laboratory gait evaluations, a comprehensive understanding of gait deficits post-mTBI necessitates the examination of various gait domains in real-world environments. Assessing gait during a community ambulation task (CAT) may capture real-world challenges and influence focused interventions or rehabilitation in individuals with mTBI.

Research Question: The aim of the study was to compare gait performance across independent gait domains in individuals with and without mTBI using wearable sensors during both the …

Occupational Therapy's Role In Supporting Sustainable Trauma-Informed Wellness Practices In A Surfing Program For Women, Margaret J. O'Hara

Entry-Level Occupational Therapy Doctorate - Doctoral Capstone Symposium

Individuals living with trauma-related mental health conditions are often less participatory in meaningful occupations. Additionally, women are two to three times as likely as men to experience a trauma-related mental health condition or event (Olff, 2017). A local surf therapy organization was founded to provide local women who have experienced trauma an empowering community and meaningful activity to heal. The purpose of this quality improvement capstone experience was to enhance the sustainability of the skills taught within clinics through the creation and dissemination of a user-friendly resource platform. The skills specifically addressed are 1) Mindfulness, 2) Growth Mindset, 3) Comfort …

Developing Staff Training Modules To Enhance Neurodiversity-Affirming Care In An Inpatient Psychiatric Setting, Haley Morris

Entry-Level Occupational Therapy Doctorate - Doctoral Capstone Symposium

Introduction: Individuals with autism spectrum disorder (ASD) are admitted to psychiatric hospitals at higher rates and for longer durations compared to neurotypical individuals (Kuriakose et al., 2018). Externalizing behaviors, such as aggression and self-injury, significantly increase hospitalization risk, yet standard psychiatric interventions (e.g., traditional process groups) are often ineffective for this population. A key barrier is the lack of ASD-specific training among hospital staff (Siegel & Gabriels, 2012). This capstone project aimed to address this gap by developing and implementing an educational training program to improve patient-centered, neurodiversity-affirming care across all inpatient psychiatric units. The primary aims were to: …

Empowering Families In A Pediatric Intensive Care Unit, Grace A. Avin

Entry-Level Occupational Therapy Doctorate - Doctoral Capstone Symposium

In the U.S., it is estimated that at least 239,000 children were admitted to the intensive care unit (ICU) in the year 2019 (Killeen et al., 2023). Post Intensive Care Syndrome (PICS) describes the adverse impacts that patients suffer from after the ICU, and children are especially vulnerable in the critical period of growing and developing (Smith & Rahman, 2023). The Sleep, Play, Heal (SPH) program is a pediatric ICU liberation movement at a local children’s hospital aimed to decrease PICS and improve outcomes for children and families. Through team interviews, the need for educational resources to maintain a continuum …

Exploring Perceptions Of Accommodations In Ot Fieldwork: A Mixed Methods Study, Courtney A. Gohean, Courtney Gohean

West Chester University Doctoral Projects

This study employed a convergent parallel mixed-methods design to explore the perceptions and experiences of occupational therapy (OT) fieldwork educators, academic fieldwork coordinators (AFWCs), and Level II OT students with disabilities regarding accommodations during fieldwork. Quantitative data were collected through an online Qualtrics questionnaire completed by 45 fieldwork educators. Qualitative data were gathered through semi-structured interviews with seven AFWCs and seven OT students/new graduates who had used Section 504 accommodations during Level II fieldwork. Thematic analysis revealed key themes among students and AFWCs, including barriers to disclosure, variability in support and communication, the need for proactive planning, and concerns regarding …