Medicine and Health Sciences Commons^™

The Implementation Of The Neonatal Eating Outcomeassessment To Evaluate Oral Feeding Skills In The Nicu, Katelyn J. Roloff

Entry-Level Occupational Therapy Doctorate - Doctoral Capstone Symposium

The Implementation of the Neonatal Eating Outcome Assessment to Evaluate Oral Feeding Skills in the NICU

Katelyn Roloff, OTDS; Stacie Forehand, OTR/L; Brooke Mulrenin PhD, MOT, OTR/L

Division of Occupational Therapy, Medical University of South Carolina

Approximately 80% of preterm infants develop oral feeding difficulties during their neonatal intensive care unit (NICU) hospitalization (Pineda et al., 2020). Preterm infants often demonstrate inadequate feeding readiness, poor arousal/state regulation, physiological instability, and poor oral motor reflexes, all essential for independent feeding (Grabill et al., 2023; Pineda et al., 2020). Common feeding assessments rely on non-standardized clinical observation, have limited ability to track …

Assessing Chatgpt As A Health Information Tool: Clinical Accuracy And Readability Of Responses To Stroke-Related Questions Queried In Spanish And English, Joanna Logue

Entry-Level Occupational Therapy Doctorate - Doctoral Capstone Symposium

Objective

Latino populations have some of the highest rates of stroke (Simonetto et al., 2023) yet are utilizing in-person healthcare less frequently due to heightened fears and existing barriers to access (Vargas et al., 2019) (Silberberg, M., et al., 2018). Therefore, Latino stroke survivors may be turning to AI for stroke-related healthcare advice. However, current AI chatbots are primarily trained on English-language data (Park, 2024), which may introduce language bias when queried in other languages. The purpose of this project was to evaluate whether ChatGPT can serve as a reliable health information tool for Spanish-speaking individuals by comparing the accuracy …

Improving Functional Electrical Stimulation Prescription For Persons With Multiple Sclerosis: A Case Series, Kurt Jackson

Thomas C. Hunt Building a Research Community Day

Purpose: Despite a growing body of evidence supporting the use of functional electrical stimulation (FES) in persons with MS (PwMS), prescription remains a highly individualized process with no well-established guidelines for assessing the immediate or long-term effects to ensure maximum benefit.  The purpose of this case series was to assess the feasibility and benefits of using wearable sensors and video analysis to provide immediate feedback on gait performance, when using lower leg and thigh stimulation individually or in combination, to improve FES prescription.

Subjects: 3 adults with multiple sclerosis (MS) with varying levels of gait dysfunction.

Methods: During …

Promoting Reintegration Across Home And School Environments For Pediatric Burn Survivors Through A Mental Health Toolkit For Children, Caregivers, And Educators, Ashtan Goodwin

Entry-Level Occupational Therapy Doctorate - Doctoral Capstone Symposium

Objective:

Pediatric burn injuries affect physical recovery, emotional well-being, social participation, and school reintegration. Mental health needs are often under-addressed, particularly for caregivers and educators supporting children post-injury. Pediatric burn patients are three times more likely to develop psychiatric conditions than uninjured individuals, with disorders such as PTSD emerging years after the injury (Duke et al., 2018). The purpose of this project was to address gaps in mental health support and resources for pediatric burn survivors and their support systems.

Methods:

A mixed-methods approach was used through a pre-survey and interviews with burn care team members. The pre-survey was distributed …

Finding A Home Away From Home: An Accessible Hotel And Short-Term Rental Guide, Atley E. Livingston

Entry-Level Occupational Therapy Doctorate - Doctoral Capstone Symposium

Travel has become a significant part of today’s social culture, allowing individuals to connect with family and friends, explore new environments, and engage in meaningful experiences. However, many wheelchair users report that traveling is often frustrating, inequitable, and difficult. To better understand the limitations of travel on this population, a needs assessment was conducted through a collaboration with a nationwide organization that supports the wheelchair community. Participants identified travel accommodations and the barriers they present as a major limitation to travel. The purpose of this capstone project is to analyze lodging and housing accessibility through the lens of the population, …

Understanding Preeclampsia In High-Altitude Bolivia: Clinical Profiles And Development Of Culturally Appropriate Resources, Katie J. Dace

Entry-Level Occupational Therapy Doctorate - Doctoral Capstone Symposium

INTRODUCTION: Pregnant women in Bolivia face unique health risks compared to women in other countries due to living at an altitude of 3,600 meters above sea level (12,000 feet). Current local interventions do not fully meet the needs of mothers as evidenced by high maternal mortality rates. Additionally, there is a lack of local research initiatives and educational materials. This capstone project aims to contribute to both these gaps with the development of culturally appropriate educational materials and by laying the foundation for further research on preeclampsia in La Paz, Bolivia.  METHODS: A mixed-methods approach was taken to gather the …

The Impact Of Sensory Modulation Through Multi-Sensory Stimulation Within Dementia Day Centers, Kristin Hood

Entry-Level Occupational Therapy Doctorate - Doctoral Capstone Symposium

Dementia is a growing global health concern, with prevalence expected to double every 20 years as the population ages, and approximately 6.7 million individuals in the United States currently living with Alzheimer’s disease and related dementias (Cheng, 2017; Akincigil, 2024). Individuals with dementia commonly experience behavioral and psychological symptoms such as agitation, anxiety, pacing, withdrawal, and decreased engagement in meaningful activities, creating challenges for care staff and caregivers.

The purpose of this capstone project was to design and implement a multi-sensory stimulation room (MSSR) within a day program serving community-dwelling adults with dementia. The project aimed to provide a client-centered, …

Supporting Educators Through Executive Function Education And Tier 1 Regulation Strategies In The Classroom, Sarah Robbins

Entry-Level Occupational Therapy Doctorate - Doctoral Capstone Symposium

Early support for students to develop strong executive functioning skills is crucial, as these abilities are linked to lifelong success, well-being, financial stability, and overall quality of life (Diamond, 2013). A needs assessment conducted via REDCap revealed that while educators were generally familiar with executive function, they reported limited access to resources, reduced confidence in implementing strategies, and time constraints within the classroom.

The purpose of this doctoral capstone project was to enhance educators understanding and confidence in implementing strategies and techniques to address executive function challenges in the classroom. This project involved the development and delivery of educational resources …

Variation In Rehabilitation Related Durable Medical Equipment Use And Cost Among Stroke Survivors: A Retrospective Analysis Of Medicare Beneficiaries, Madison Gersper

Entry-Level Occupational Therapy Doctorate - Doctoral Capstone Symposium

Title: Variation in Rehabilitation-Related Durable Medical Equipment Use and Cost Among Stroke Survivors: A Retrospective Analysis of Medicare Beneficiaries.

Purpose: In the US, stroke is a leading cause of disability (Centers for Disease Control and Prevention, 2017). Stroke survivorship is expected to rise significantly in the coming years (Feigin et al., 2024; Martin et al., 2025), resulting in a large number of people with disabilities who rely on Rehabilitation-Related Durable Medical Equipment (RR-DME) for daily living. However, there is limited published research on equipment access and costs.

The overall objective of this study was to identify predictors of access to …

The Importance Of Optimizing Engagement In Early Childhood Classrooms: The Development Of An Evidence-Based Teacher Resource Kit, Elizabeth G. Campbell

Entry-Level Occupational Therapy Doctorate - Doctoral Capstone Symposium

Doctoral Capstone Project: The Importance of Optimizing Engagement in Early Childhood Classrooms: The Development of an Evidence-Based Teacher Resource Kit

Background

Preschool classrooms play a critical role in preparing children for future academic and social success. Engagement in daily learning activities and appropriate classroom behaviors are essential for school readiness, yet many preschool-aged children struggle with sustained participation due to environmental, sensory, and developmental factors (Zubler et. Al.. 2022). Teachers are often the first to observe these challenges but may lack practical strategies and resources to support children effectively. Occupational therapy emphasizes participation in meaningful occupations, making it well-suited to …

Implementation Of A Classroom-Based Sensory Regulation Toolkit To Enhance Participation In Students With Severe Disabilities, Camryn R. Woods

Entry-Level Occupational Therapy Doctorate - Doctoral Capstone Symposium

Students with severe and multiple disabilities often experience sensory processing differences that can adversely impact their ability to engage, participate, and regulate within the classroom environment. Educators frequently report feeling underprepared to address sensory needs and implement effective, practical strategies to support these students. The purpose of this doctoral capstone project was to develop and implement a classroom-based sensory regulation toolkit within a specialized educational setting serving students with significant physical and cognitive disabilities.

The primary goals of the project were to (1) increase teacher knowledge and confidence in recognizing sensory processing patterns, (2) provide accessible, evidence-based strategies to support …

Reducing Inter-Rater Discrepancies During Administration Of The Canadian Occupational Performance Measure (Copm) Within An Interdisciplinary Research Team, Julia E. Moore

Entry-Level Occupational Therapy Doctorate - Doctoral Capstone Symposium

Background: Consistent administration of outcome measures is essential for producing reliable research data, particularly in stroke rehabilitation where client-centered goals guide intervention (Kelly-Hayes, 2004). The Canadian Occupational Performance Measure (COPM) is widely used to evaluate self-identified occupational performance goals; however, variability in administration among research team members may introduce inter-rater discrepancies and bias in data collection (COPM) (n.d.). Within the Medical University of South Carolina Stroke Recovery Research Center, inconsistent COPM administration was identified during analysis of data and informal interviewing from an ongoing study. Informal interviews were conducted with 7 occupational therapists experienced in neurorehabilitation to identify barriers to …

Enhancing Workplace Readiness Through Social Skills Training For Adults With Idd, Caroline Crowe

Entry-Level Occupational Therapy Doctorate - Doctoral Capstone Symposium

Adults with intellectual and developmental disabilities (IDD) often experience barriers to employment related to limited opportunities to develop and practice professional social skills within supportive environments. This capstone project aimed at enhancing workplace readiness among adults with IDD by implementing a structured social skills training program focused on professional communication. The program was conducted at a day center for adults with IDD and served 10–15 participants seeking employment opportunities, with staff involvement to support sustainability.

A mixed-methods approach was used, incorporating informal staff interviews, participant observations, weekly skill demonstration scoring, and post-intervention surveys completed by both participants and staff. The …

Enhancing Family Centered Care, Participation, And Well-Being In The Nicu, Abigail Schweickhardt

Entry-Level Occupational Therapy Doctorate - Doctoral Capstone Symposium

Background

Caregiver mental health is often overlooked or not addressed in the neonatal intensive care unit (NICU). When diving into the literature, themes of anxiety, stress, depression and PTSD are reported from NICU caregivers. A metanalysis study reported many caregivers received short discharge notices, and NICU staff deemed caregivers competent in using their child’s medical equipment after a 15-minute brief. The short notices and lack of knowledge in medical equipment causes caregivers to not feel confident in taking care of their infant (Padratzik, 2022). To help improve caregiver mental health, the family centered care model is the gold standard. Caregivers …

Holding Hope: Empowering Parents Through Perinatal And Nicu Palliative Care, Huntington N. Cotten

Entry-Level Occupational Therapy Doctorate - Doctoral Capstone Symposium

Families receiving perinatal and neonatal Palliative Care (PC) services can experience significant emotional and practical challenges while caring for a child with medical complexities. The Care Companion, a family centered, educational resource, was created in response to survey findings indicating that rehabilitation therapists (OT, PT, and SLP) encountered challenges in providing PC services, followed by site‑specific insights that highlighted additional gaps in family support, education, and parent–infant bonding. This Occupational Therapy (OT) Capstone project was completed within a large academic pediatric medical center providing interdisciplinary PC services to families whose infants have been diagnosed with serious, life‑limiting conditions. The purpose …

Supporting Holistic Wellness In Transitional Housing: Implementation Of A Wellness Program For Individuals Experiencing Homelessness, Ashley Lauren Kirk

Entry-Level Occupational Therapy Doctorate - Doctoral Capstone Symposium

Housing insecurity and homelessness continue to increase in the United States, with over 771,480 individuals experiencing homelessness on a single night in 2024—an approximate 18% increase from 2023 (U.S. Department of Housing and Urban Development, 2024). Individuals facing homelessness often experience complex physical, mental, and emotional health challenges that can hinder successful community reintegration. The capstone site was a nonprofit organization that provides transitional housing through a relationship-centered model emphasizing individualized support and resource accessibility to those experiencing homelessness. The purpose of this project was to develop a comprehensive toolkit to educate residents on holistic wellness, provide practical strategies for …

Promoting Participation In Adults With Intellectual Disabilities (Id) Through Inclusive Theatre Education And A Professional Theatre Partnership, Lila R. Clark

Entry-Level Occupational Therapy Doctorate - Doctoral Capstone Symposium

Intellectual Disabilities (ID) are characterized by a deficit in intellectual and adaptive function that affects between 1% and 3% of the general population (Patel et al., 2020). As young people age out of the school system between 18 and 21 years of age, opportunities for meaningful participation in their community drop drastically (Codd & Hewitt, 2020). This lack of opportunity can lead to decreased overall mental health and quality of life, possibly explaining why adults with ID are disproportionately affected by mental illness when compared to their typically developing peers (Hall, 2017; Pinals et al., 2022). The purpose of this …

Evaluating A Low-Burden, Client-Centered Home Activity Program For Stroke Survivors: A Mixed Feasibility Study, Latia A. Jones

Entry-Level Occupational Therapy Doctorate - Doctoral Capstone Symposium

Importance

Stoke survivors often find it difficult to adhere to home exercise programs (HEPs), specifically those that are repetitive, impairment-based, or require technology, which can create barriers related to digital literacy, cognitive load, and access (Mahmood et al., 2019; Bol et al., 2018; Verma et al., 2022; Lang et al., 2007).

Objective

To evaluate the feasibility, usability and acceptability, and perceived usefulness of a low-burden, client-centered home activity program for adults with chronic stroke.

Design

A mix-methods feasibility study using structured quantitative measures and semi-structured qualitative interviews conducted after one week of home activity use.

Setting

MUSC Stroke Recovery Research …

Improving Implementation And Effectiveness Of Self-Regulation Strategies In Clinical And Home-Based Settings, Carlie M. Foltz

Entry-Level Occupational Therapy Doctorate - Doctoral Capstone Symposium

Self-regulation is defined as an individual’s ability to manage behavior, emotions, thoughts, and attention in order to achieve goal-directed actions (Chen et al., 2024). Occupational therapists support participation in meaningful occupations such as school, play, and self-care, where limited self-regulation skills may hinder engagement. Despite the well-documented importance of self-regulation, inconsistent implementation and assessment of self-regulation tools limit carryover and long-term effectiveness.

This doctoral capstone project, completed in collaboration with a local pediatric occupational therapy rehabilitation clinic, aimed to improve the implementation and carryover of self-regulation tools for children ages 4-13. As identified in a prior needs assessment, children reported …

Enhancing Pediatric Outpatient Occupational Therapythrough Self-Regulation Interventions, Teresa L. Marinaccio

Entry-Level Occupational Therapy Doctorate - Doctoral Capstone Symposium

Enhancing Pediatric Outpatient Occupational Therapy  Through Self-Regulation Interventions

Self-regulation is defined as the understanding, acceptance, and regulation of emotional responses necessary for successful adaptation to one’s psychosocial environment, goal achievement, and overall mental health (Alarcón-Espinoza et al., 2022). This project was conducted in collaboration with two Charleston based mentors who developed a self-regulation education program with the mission to empower children and their caregivers through research-informed, trauma-sensitive strategies. The program emphasizes interoception, mindful awareness, and compassionate connection to support children in understanding their sensory needs and fostering emotional regulation.

The purpose of this project was to expand pediatric self-regulation resources …

Translating Self-Regulation Concepts Into Practice: A Pediatric Outpatient Occupational Therapy Activity Toolkit, Catherine Spaulding

Entry-Level Occupational Therapy Doctorate - Doctoral Capstone Symposium

Translating Self-Regulation Concepts into Practice: A Pediatric Outpatient Occupational Therapy Activity Toolkit 

Self-regulation is a foundational skill that enables individuals to manage emotions, behaviors, attention, and physiological responses to engage meaningfully in daily life. In childhood, the development of self-regulation predicts academic success, social relationships, mental health, and lifelong wellbeing (Philpott-Robinson et al., 2023; Robson et al., 2020). When children experience self-regulation difficulties, early identification and intervention by pediatric occupational therapists (OTs) can help prevent future mental health and wellbeing challenges (Philpott-Robinson et al., 2023). Pediatric OTs support self-regulation through sensory-based strategies, mindfulness practices, environmental modifications, caregiver education, and collaboration …

Interprofessional Collaboration: A Functional Vestibular Screening Framework For Children With Hearing Loss, Corinne Marascio

Entry-Level Occupational Therapy Doctorate - Doctoral Capstone Symposium

Introduction: The vestibular system is comprised of five organs located in the inner ear that support balance, coordination, and spatial awareness (Cleveland Clinic, 2024). Due to the proximity of the hearing and vestibular organs, children with hearing loss are at an increased risk for vestibular dysfunction (Cushing & Papsin, 2018; Kelly et al., 2021). Early recognition and treatment of vestibular disorders via vestibular rehabilitation therapy can support healthy development throughout childhood (Monshizadeh et al., 2022; Wrobel et al., 2020). While vestibular assessment falls within the audiological scope of practice, barriers preclude routine screening of vestibular deficits in pediatric patients with …

Developing A Community Partnership Toolkit To Expand Vocational Opportunitiesfor Adults With Disabilities In A Day Program Setting, Bonnie Chapman

Entry-Level Occupational Therapy Doctorate - Doctoral Capstone Symposium

This capstone project aimed to address the gap in community-based vocational opportunities for adults with disabilities within a day program setting. It was identified that participants lacked consistent opportunities to engage in real-world work experiences, which limited their ability to develop vocational skills and explore meaningful roles within the community. This gap was further compounded by a limited number of local businesses willing or prepared to establish partnerships with the program. Additionally, staff reported having insufficient resources and tools to effectively develop and sustain these partnerships, creating a significant barrier to expanding vocational opportunities.

The purpose of this project was …

Improving Anesthetic Management Of Pheochromocytoma: ​ ​An Educational Initiative Led By Student Registered Nurse Anesthetists​, Kerryn Nicholls

Scholars Week

Anesthetic management of pheochromocytoma presents challenges to experienced nurse anesthetists and recent graduates alike due to the rarity and complex pathophysiology. The purpose of this DNP project was to provide information and education informed by an extensive literature review regarding the anesthetic management of pheochromocytoma for the benefit of future nurse anesthesia practice. The project was accomplished through an educational presentation and novel clinical care flow chart focused on perioperative anesthetic care of pheochromocytoma excision to an audience of practicing certified registered anesthetists (CRNA’s) in two rural Kentucky hospitals. The findings of this project demonstrated that student nurse anesthesia students …

Exploring The Impact Of A Multifaceted Standardized Wellness Program On Physical, Mental, Emotional, And Spiritual Health In Nurse Anesthesia Students, Lauren Kulaszewski, Amber Hurt

Scholars Week

Abstract

Purpose

Nurse anesthesia students experience substantial academic and clinical stress, placing them at increased risk for anxiety, depression, burnout, and suicidal ideation. Despite this risk, there is limited guidance on the effectiveness of standardized, programmatic wellness initiatives in nurse anesthesia education. The purpose of this project was to evaluate whether implementation of a standardized wellness program, compared with reliance on independent student-initiated practices, could improve mental, physical, emotional, and spiritual well-being among second- and third-year nurse anesthesia students.

Methodology

A pre–post intervention design was used over a six-month period at a large academic institution. Second- and third-year nurse anesthesia …

Occupational Sevoflurane Exposure And Awareness Of Health Effects Among Anesthesia Providers, Hayden Fell

Scholars Week

Key words:

Sevoflurane exposure Occupational safety CRNAs Anesthetic gas exposure Workplace hazard

The anesthetic gas sevoflurane is of unique interest amongst anesthesia providers as a potential workplace hazard. This project aimed to evaluate CRNA knowledge, clinical practices, symptoms, and perceptions related to occupational sevoflurane exposure amongst Certified Registered Nurse Anesthetists (CRNAs) at a regional hospital in Kentucky.

This quality improvement project used a pre- and post-intervention survey design. Ten CRNAs participated in the project. A pre-survey was given, followed by an educational session informing participants of guidelines regarding Sevoflurane exposure and literature findings of Sevoflurane as a potential workplace …

Aligning Clinical Documentation With Payer Requirements To Improve Wheelchair Access, Alexandria Morales

Entry-Level Occupational Therapy Doctorate - Doctoral Capstone Symposium

The wheelchair acquisition process is complicated and requires an interdisciplinary team of Assistive Technology Professionals (ATP) and either Occupational Therapists (OT) or Physical Therapists (PT). Without a proper mobility device, many wheelchair users report frustration due to decreased participation in work, school, medical appointments, and social events. Improper documentation of specific wheelchair needs contributes to payment authorization denials, causing long delays in the approval process and the timeliness of patients receiving their devices. (Nancy R. Mudrick, April, 2025). According to the 2024 reporting period for Centers for Medicaid and Medicare Services (CMS), “insufficient documentation accounted for 79.7% of improper payments …

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

Entry-Level Occupational Therapy Doctorate - Doctoral Capstone Symposium

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

A needs assessment was conducted …

Folic Acid–Carbon Dot–Gemcitabine Nanoparticles For Targeted Cancer Drug Delivery, Irfan Huda, Hua Mei

SPARK Symposium Presentations

This project aims to develop a folic acid-attached carbon dot nanoparticle system (FA-CDs-GEM) for the targeted delivery of gemcitabine to cancer cells. While gemcitabine is widely used, its effectiveness is limited because a short in vivo half life and lack of selectivity, which lead to severe side effects. Carbon dots offer a simple and modifiable platform as the drug delivery and bioimaging agent. Conjugation of folic acid to the carbon dots enables selective targeting of cancer cells that overexpress folate receptors. In this study, we synthesized and characterized FA-CD-GEM nanoparticles and developed an HPLC calibration curve of GEM to accurately …

Something In The Air? Uncovering The Air Quality Of St. Mary's University, Isaiah Charles, Keagan Farrell, Antonio Martinez, Andrea Realyvasquez, Kelly Swyers

Presentations - 2026

What is air quality?

Measurement of how clean or polluted the air is in a certain area. The Environmental Protection Agency uses Air Quality Index (AQI), a scale that describes the quality of air. The six major pollutants measured are: •ground- level ozone •particulate matter •carbon monoxide •sulfur dioxide •nitrogen dioxide •lead   Impacts of air pollution
•Acid rain •Climate change •Damage to plants and crops •Loss of biodiversity
•Respiratory illnesses •Cardiovascular damage •Premature death •Coughing and asthma