Medicine and Health Sciences Commons^™

Occupation Based Program Enhancement: Promoting Social And Leisure Participation Post-Stroke, Emma Welch, Amy Lyons-Brown

Spring 2023 Virtual OTD Capstone Symposium

This presentation describes the importance of social and leisure participation for individuals who have had a stroke and explores the role of occupational therapy in promoting this area of occupation for the population.

Functional Literacy In Early Education, Katelyn Welch, Lakeisa Boykin, Thais Petrcelli

Spring 2023 Virtual OTD Capstone Symposium

The significance of this project is to promote, adapt, and incorporate occupational functional literacy components in the current reading program in second grade. By educating professionals inside the school system to establish a mindset that literacy is not just reading books it will also develop skills to improve functional activities and instrumental activities of daily living in the classroom with second-grade students.

Past, Present, And Projected Occupational Impacts Of Adults Who Experienced Parentification In Childhood, Olivia Vanni, Jazminne Orozco-Arteaga

Spring 2023 Virtual OTD Capstone Symposium

Background: Parentification is a functional and/or emotional role reversal where the child sacrifices their own needs for attention, comfort, and guidance in order to accommodate and care for the needs of a parent and/or sibling. OTs need an understanding of how to recognize and support the impact of parentification during childhood, adolescence, and adulthood.

Methods: Mixed methods were used to explore the experience of adults (18-65) that served as caregivers for their sibling(s), and/or their parent(s) during their childhood/adolescence. Quantitative and qualitative data were collected through questionnaires (N=20) and interviews (n=6), allowing for a deeper understanding of the …

Guidebook For Occupational Therapy For End-Of-Life Care, Shannon Sudrla, Mary Smith, Alexandria Cannata, Anna Norene Carlson

Spring 2023 Virtual OTD Capstone Symposium

Patients at the end-of-life (EoL) experience functional decline in response to terminal illness and the active dying process, inhibiting participation and engagement in meaningful daily activities. Occupational therapy practitioners (OTP) are equipped to address patients’ occupational needs and desires despite their declining capacities; however, the absence of occupational therapy (OT) services in EoL care leaves patients’ occupational needs unmet, directly affecting their quality of life. The literature demonstrates the need for enhanced education and training among occupational therapy students (OTS) and practitioners to better prepare them to work with terminally ill patients who face progressive functional decline and imminent death. …

Is College Liberating For All Students? The Impact Of Sensory Challenges On Participation Of Students On The Autism Spectrum And With Other Neurodivergent Diagnoses, Sophia Starvaggi, Mary Smith Otr/L, Phd

Spring 2023 Virtual OTD Capstone Symposium

Neurodiversity describes unique ways in which an individual's brain works, impacting skills such as executive function, social interaction, communication, and sensory processing. Sensory processing describes the system which receives, processes, organizes, and responds to sensory information received in several environments throughout the day. Sensory sensitivity involves both over- and under-responsiveness to sensory information received, both causing an impact on one’s participation. An occupational area that seems to lack support for sensory challenges is that of postsecondary, or college, settings.

Several policies exist to protect the right to equal education for students with disabilities, however, these protections only last until students …

Occupation-Based Social Skills Training Program With Animal-Assisted Therapy For Individuals With Intellectual/Developmental Disabilities (I/Dd), Jason Sebastian, Karen Park

Spring 2023 Virtual OTD Capstone Symposium

This presentation describes the development and implementation of an occupation-based social skills training program with Animal-Assisted Therapy (AAT) for Individuals with Intellectual/Developmental Disabilities (I/DD) and the implications for occupational therapy after program implementation.

Expanding Accessibility For Guests With Autism-Spectrum Disorder (Asd) Who Visit The Jacksonville Zoo And Gardens In Jacksonville, Fl, Lauren Schermerhorn, Thais Petrocelli

Spring 2023 Virtual OTD Capstone Symposium

Problem: Due to public events being commonly characterized by crowded spaces, loud volumes, and unpredictable changes, attractions such as the Jacksonville Zoo can be challenging for those with ASD without proper accommodations (Kimura et al., 2020)

Purpose: The purpose of this capstone project was to advocate for updated evidence-based sensory accommodations at the Jacksonville Zoo and Gardens for those with an ASD diagnosis with the intention of creating a more inclusive zoo experience.

Mental Health In College Athletes: An Ot Perspective, Olivia Sarik, Lakeisa Boykin, Susan Didino

Spring 2023 Virtual OTD Capstone Symposium

Problem: There is often increased stigma surrounding college athletes in the spotlight, thus preventing them from seeking help with their mental health (Kaier et al., 2015). There are currently no known programs that offer resources specifically for college athletes (Sudano & Miles, 2016). It is important for occupational therapists to advocate for mental health resources for student-athletes to create healthy habits and routines within the athletic environment.

Purpose: The purpose of this capstone was to increase awareness of mental health resources that are available to student-athletes and coaching staff at Baldwin Wallace University to improve mental health in athletics and …

An Exploration Of Intimate Partner Violence In Lgbt Relationships, Amaris Sanvictores, Karen Park

Spring 2023 Virtual OTD Capstone Symposium

Background: Lesbian, gay, bisexual, and transgender (LGBT) individuals experience disproportionate rates of intimate partner violence (IPV) compared to their heterosexual and cisgender counterparts. Findings report rates of IPV among LGBT individuals ranging from 31.1%-61.1%, which is higher compared to 29%-35% with their cisgender peers. There is limited research regarding the impact of IPV in LGBT relationships through an occupational therapy lens. Purpose: This research project intends to identify occupational limitations by addressing the required needs and resources of individuals from LGBT IPV to improve their quality of life. The research acquired can be used to identify problem areas to provide …

Improving Performance And Participation Of Elementary School Students Through A Coteaching Model, Carson Roberts, Angela Labrie Blackwell, Anna Fung

Spring 2023 Virtual OTD Capstone Symposium

This project explored the use of a coteaching program with a general education teacher and OTD student at an elementary school. The poster provides an overview of the methods used, an overview of the coteaching program that was implemented, and the significance and implications of this project. The purpose of this coteaching program was to develop a coteaching program in which occupational therapists and general education teachers work together in classrooms to improve performance and participation of students with and without disabilities.

A Mindfulness Intervention For Veterans With Post-Traumatic Stress Disorder, Ashley N. Ries, Steven M. Gerardi Phd, Otd, Mss, Otr, Mary Horne Lcsw

Spring 2023 Virtual OTD Capstone Symposium

Every day, many United States veterans are suffering from the effects of post-traumatic stress disorder (PTSD). Responses to trauma may vary from person to person; however, a diagnosis of PTSD includes the individual experiencing clinically significant distress in their social and occupational areas of functioning. The impact of PTSD on a veteran’s life could impact their ability to carry out activities of daily living, decrease the amount of social participation they have, and limit their ability to perform instrumental daily activities, such as grocery shopping. Mindfulness is the practice of paying full attention to the present moment, without judgment, and …

Occupational Therapy's Role In Mealtime Participation In Schools, Jaidee Mae Reyes, Karen Park

Spring 2023 Virtual OTD Capstone Symposium

A mixed-methods research design was utilized to explore the role of occupational therapy in mealtime participation in school-based settings. Interviews and surveys were completed to understand occupational therapy practicers' perceptions, attitudes, and experiences with providing services related to mealtime. The themes that emerged from the study including (a) occupational therapy practitioners experience inhibiting and supporting contextual factors that affect their involvement in mealtime, (b) admin and occupational therapy culture and the interpretation of educational relevance can differ between each school, and (c) occupational therapy practitioners go through a decision-making process when deciding to address mealtime.

The Participation And Exploration Of Play For Children In Foster Care, Isabella J. Relph, Jazminne Orozco Arteaga

Spring 2023 Virtual OTD Capstone Symposium

This capstone project, The Participation and Exploration of Play for Children in Foster Care, was completed by a Doctor of Occupational Therapy candidate at the University of St. Augustine for Health Sciences. Project objectives develop an understanding of the occupational therapy involvement in foster care and how to improve current advocacy and educational efforts related to play. A literature review of play participation, engagement, and exploration was conducted in conjunction with analysis of environmental barriers, generalized background information on children in foster care, and the role of occupational therapy for children in foster care. Play is essential for the pediatric …

Cultural Humility When Caring For Lgbtqia+ Older Adults: A Resource Guide For Occupational Therapy Practitioners And Students, Michele Ramos, Deb Meyers, Mary Ann Smith

Spring 2023 Virtual OTD Capstone Symposium

The LGBTQIA+ older adult population has unique needs due to their experience as diverse individuals in a cisgender, heteronormative society. Experiences and effects of discrimination need to be considered when providing care. Occupational therapists have a role in addressing disparities of all marginalized groups, including LGBTQIA+ older adults. Practitioners may utilize cultural humility and trauma-informed practices when treating the LGBTQIA+ population. Existing resources to guide culturally humble occupational therapy care for LGBTQIA+ older adults are insufficient. The purpose of this project was to build on existing cultural humble resources and create a website on the focus of occupational therapy cultural …

Interpretive Phenomenological Analysis [Ipa]: Examining The Impact Of Sleep Disturbances On Lived Experiences Of Persons With Parkinson’S Disease (Pwpd), Adriana Ornelas, Angela Blackwell, Karen Aranha

Spring 2023 Virtual OTD Capstone Symposium

Introduction: This investigation aimed to examine the lived experiences of PwPD who suffer from insomnia. Sleep disturbance affects up to 96% of individuals with PD. The non-motor symptom (NMS) significantly reduces HR-QOL, positively correlates with disease severity and duration, and increases the disease burden of care. Due to the nature of the disease, typical sleep hygiene protocols may not be the most effective intervention for this population. Understanding their challenges is vital to developing a sleep hygiene protocol tailored to their needs.

Methodology: A pilot qualitative study using an interpretive phenomenological analysis (IPA) with PwPD (N=12). The study received IRB …

Exploring The Occupational Impact Of Experiencing An Unexpected Death In Adulthood, Amanda Reann O'Donnell, Susan Macdermott

Spring 2023 Virtual OTD Capstone Symposium

Experiencing the unexpected death of a close family member or friend may cause occupational disruptions in social participation, work and school performance, home management, and personal care maintenance (Simpson & Elberty, 2018; Forhan, 2010; Hoppes, 2005; Weis et al., 2019). Little research highlights the unique occupational impacts of unexpected loss, distinguished from other types of loss, and from a direct occupational perspective. Therefore little is known about how to provide aid, resources, and programming to this population. The purpose of this research project was to understand how occupations are uniquely impacted by experiencing the unexpected death of a loved one. …

An Occupational Therapy Guide To Regulation And Resilience In The Classroom, Catherine Newton, Jazminne Orozco-Arteaga

Spring 2023 Virtual OTD Capstone Symposium

An occupational therapy educational program that focuses on increasing teachers' knowledge surrounding childhood trauma as well as promoting regulation and resilience in the classroom.

Sexual Activity And Intimacy Within Occupational Therapy Practice, Anya Levanduski, Susan Macdermott

Spring 2023 Virtual OTD Capstone Symposium

Sexual activity is often the forgotten ADL, that is underdressed in practice, and not spoken about in academia. This presentation aims to explore the role of occupational therapy addressing sexuality and intimacy following the onset of long term physical or neurological disabilities. This project outlines the role of OT in emerging practice in advocating for the development of a referral pathway specific for sexual activity and intimacy, and OT within an emerging setting.

Examining The Utility Of The Canadian Occupational Performance Measure (Copm) Vs. Cognitive Mapping And Motivational Interviewing (Cm/Mi) To Provide Person-Centered Care (Pcc) For People With Parkinson’S Disease (Pwpd), Mary Lagasca, Karen Aranha

Spring 2023 Virtual OTD Capstone Symposium

Background: Parkinson’s disease (PD) limits occupational engagement and quality of life. Clinicians need tools to help understand the lived experiences of people with PD to provide more person-centered care (PCC). The Canadian Occupational Performance Model (COPM) is one tool used with this population, but its predetermined categories may be limiting. In contrast, Cognitive Mapping and Motivational Interviewing (CM/MI) is a non-standardized method that may provide more insight. Objective: To identify the benefits of the COPM to CM/MI in delivering more person-centered care (PCC). Methodology: A qualitative phenomenological self-study was used. Data collection compared the assessments and reflected on determining if …

Exploring Relationships And Intimacy With Adults With Intellectual And/Or Developmental Disabilities (I/Dd), Gabrielle Kennedy, Jazminne Orozco Arteaga, Thais Petrocelli

Spring 2023 Virtual OTD Capstone Symposium

This capstone project, Exploring Relationships and Intimacy with Adults with Intellectual and/or Developmental Disabilities (I/DD), was completed by a Doctor of Occupational Therapy candidate at the University of St. Augustine for Health Sciences. The purpose of the project is to increase adults with I/DD's access to intimate partner relationships, sexual expression, and occupations related to intimacy by providing adaptive, community-centered, and meaningful resources.

The current occupational deprivation that the population experiences surrounding intimacy, sexual expression, and intimate partner relationships must be addressed to improve the population’s overall quality of life, health, and well-being. This project aims to inspire and …

Employment And Career Planning Opportunities For Young Adults With Disabilities: Advocating For Occupational Therapy, Ashley Jenkins, Keisa Boykin

Spring 2023 Virtual OTD Capstone Symposium

Problem: There is greater involvement of OT in transition planning services to provide a unique, client-centered perspective to enable greater engagement in meaningful employment opportunities

Purpose: The purpose of this capstone project is to advocate for the role of OT in employment-based training programs for young adults with disabilities following their transition out of high school.

Ot Employment Program Addressing Homelessness For Women Experiencing Homelessness, Amber Hoffman, Susan Macdermott

Spring 2023 Virtual OTD Capstone Symposium

Women experiencing homelessness face many barriers to employment participation. Occupational therapy (OT) is a well-suited profession to address employment barriers; however, there is a lack of OT programs that address the unique barriers to employment participation for women experiencing homelessness. The purpose of the capstone project was to develop a program focused on employment obtainment and maintenance for women experiencing homelessness. The employment program was developed based upon the findings from an in-depth literature review and needs assessment.

Collaboration Between Occupational Therapists And Architects To Incorporate Universal Design To Increase Accessibility, Michelle C. L. Hoff, Susan Macdermott

Spring 2023 Virtual OTD Capstone Symposium

The design of the built environment plays a key role in occupational participation. When the built environment is poorly designed, it severely limits accessibility for an individual with a disability. In contrast, when the built environment is well designed, it can support the occupational performance of individuals of all ages and abilities. Interprofessional collaboration between occupational therapists and architects can improve environmental barriers to occupational participation within home and community settings. Interprofessional collaboration between occupational therapists and architects has involved direct input through consultations, interprofessional education experiences, and the formation of interprofessional organizations. However, barriers to interprofessional collaboration have included …

Disability Advocacy In Fashion Design, Erin Higinbotham, Susan Macdermott Otd, Otr/L

Spring 2023 Virtual OTD Capstone Symposium

Originally marketed towards older adults followed by children, adaptive fashion greatly impacts the everyday independence of all disabled people. Utilizing the Person-Environment-Occupation model and understanding the relationship between the disabled community, clothing, and occupational participation and again with the fashion company, the designer, and their fulfillment of a need or gap in accessibility lead to the purpose of this capstone of identifying occupational therapy’s role in designing ready-to-wear adaptive clothing through understanding and bridging the gaps in fashion education for designers. To address this, advocacy in education and educational materials were created to fill this gap and promote accessibility and …

An Online Adapted Yoga Program For Adults With Parkinson's Disease, Abby Hani, Mary Smith, Christienne Parten

Spring 2023 Virtual OTD Capstone Symposium

Background: Parkinson’s (PD) is a neurodegenerative disorder affecting nearly 10 million people and ~1 million Americans (Parkinson’s Foundation, 2022). PD affects motor and nonmotor functions, increasing disability over time (Dutta, 2020). Research shows that yoga improves motor function, balance, and functional mobility, reduces anxiety and depression, and increases QoL for patients with PD (Ban et al., 2021, Green et al., 2019).

Problem/Purpose: Individuals with PD experience decreased function in many areas of occupational performance and lack access to alternative options for yoga, such as a resource for an online adapted yoga program. The purpose of this project was …

Analysis Of Firefighters’ Psychological Trauma And Interrupted Domains, Alyssa Garcia, Pamela Kasyan-Howe, Kristin Domville, Kristian Llaca

Spring 2023 Virtual OTD Capstone Symposium

Firefighters are at a high risk of experiencing posttraumatic stress, anxiety, depression (Teoh et al., 2019), suicidality, substance abuse (Bing-Canar et al., 2019), and burnout (Teoh et al., 2019). Firefighters are regularly exposed to traumatic events on calls which results in their decreased mental health; and associated decreased participation in meaningful occupations, routines, and roles (Edgelow & Cramm, 2020; Edgelow et al., 2021; Wittwer et al., 2021). This project contains both research and a program. The purpose of this research was to understand how firefighter demographics interact with interrupted occupations, routines, and roles and at what frequency when faced with …

An Occupational Therapy Approach To Promote Body Positivity In Middle School Aged Youth, Janis Galindez, Jazminne Orozco Arteaga

Spring 2023 Virtual OTD Capstone Symposium

Middle school aged children are in a vulnerable developmental period that pose challenges toward maintaining a positive body image. Consequently, body image can be a mental health concern that can lead to a decrease in occupational performance in education, leisure, and social participation.

School settings currently do not have the appropriate resources or mental health initiatives to address occupational performance problems related to body image with middle school aged youth. However, occupational therapists (OTs) have the potential to provide mental health services to address body image in school and community settings that promote skills needed for meaningful participation in education, …

An Occupational Therapy Approach To Play For Pediatric Cancer Patients, Michelle Erika Dytan, Karen Park

Spring 2023 Virtual OTD Capstone Symposium

Play as an occupation has been long identified as a primary aspect of a child’s life (Moore & Lynch, 2017). Play provides children with ways to explore the world while learning skills to improve critical thinking, creativity, and positive self-esteem, and simply to have fun (Guirguis, 2018; Yanof, 2019). Children with cancer face barriers that limit their ability to engage in play, with negative consequences to their social, cognitive, and emotional development (Nijhof et al., 2018). There is an evident gap in a lack of play opportunities in community-based settings, which may limit a child’s personal development, social skills, and …

Adaptive Sports Equipment: A Resource For Clinicians, Coaches, & Athletes, Allison Chown, Steven M. Gerardi, Christopher Ebner

Spring 2023 Virtual OTD Capstone Symposium

About 61 million adults who live in the United States (US) have a disability, which equates to about one in four adults in the US (Centers for Disease Control and Prevention [CDC], 2020). Unfortunately, only one out of every ten people who need assistive technology (AT) have access to the proper equipment, with lack of awareness of the devices being one of the causes (World Health Organization [WHO], 2018). It has been noted in literature that a lack of awareness exists amongst clinicians, coaches, & athletes regarding available adaptive equipment (AE) to support participation in adaptive sports ([AS] Bergem, 2020). …

An Exploration Of The Experience Of Leisure Among Adults Who Immigrated To The United States From Latin American Countries, Violeta Chavez Serrano, Jazminne Orozco Arteaga, Karen Mccarthy

Spring 2023 Virtual OTD Capstone Symposium

Kaplan (1975) defined leisure as a self determined activity that is pleasant and allows for personal growth. Although the diversity among the population in the United States has continued to increase over the past years (United States Census Bureau, 2019) the amount of leisure research related to race and ethnicity is relatively limited. According to Floyd et al., (2008) only 4.5% of published articles highlighted the impact of race and ethnicity on leisure. Exploring how personal context influences occupational engagement, by examining a specific group's experience engaging in an occupation can help further develop the understanding of how personal factors …