Medicine and Health Sciences Commons^™

Examining Factors Associated With The Use Of Face Coverings During Covid-19: A Survey Of Shoppers In Greater Grand Forks, Minnesota And North Dakota, Isaac Karikari, Tanis J. Walch, Ashley Evenson, Carenlee Bardull, Bret Weber, Stephanie Scallon, Delton Gabe, Mikale Kuntz, Gabriel Wavra, Emily Possis, Courtney Leben, Hailer Boushee, Madeline Comeau

Social Work Faculty Publications

Despite the availability of COVID-19 vaccines, the pandemic’s persistence and recent spikes in cases have heightened the need for the promotion of protective behaviors notably, the continued use of face coverings (or ‘masks’ in the common parlance for COVID-related face coverings). Effective messaging on mask use is essential to more fully resonate with individuals and their shared communities. Studies covering rural or mostly-urban regions in the U.S. are sparse. Accordingly, an interdisciplinary team of social work and public health researchers explored mask wearing behaviors in a small, urban metro community consisting of two cities spanning North Dakota and Minnesota that …

Occupational Therapy In Palliative Care: Incorporating Meaningful Occupations And Education Programs For Occupational Therapists, Emily Geissler, Mariah Herring, Katya Kivi

Critically Appraised Topics

Based on the literature reviewed for this critically appraised topic (CAT), end-of-life care has become a more popular setting, and healthcare workers are beginning to see the need for occupational therapists. Due to the undefined role of an OT in this setting, it is difficult for the client to be provided with the best care that increases their quality of life near death, as well as inadequate training for how to address intervention. The issue found within palliative care is that clients are not provided the opportunity to engage in the meaningful activities that bring them joy. The purpose of …

Effectiveness Of Executive Functioning Interventions Among Homeless Elementary Aged Students, Julia Warmack, Abby Jessen, Taylor Koopmeiners

Critically Appraised Topics

Elementary-aged children who are homeless face challenges in the areas of self-regulation, working memory, attention, and time management (Wanger-Fuhs et al., 2014). Currently, there is a lack of research on homeless elementary-aged children and the influence occupational therapy can have on their academic success. Specifically, there is no comprehensive source that details the effects of the role of occupational therapy interventions on executive functioning skills such as self-regulation, working memory, attention, and time management for the population of homeless elementary-aged school children. The purpose of this CAT paper was to determine the effect of occupational therapy interventions that focus on …

Effectiveness And Availability Of Occupational Therapy Interventions For Improving Quality Of Life For Families Dealing With Virtual Learning During The Covid-19 Pandemic And Substance Use Issues, Madison Christian, Alexis Lehmann, Hannah Steckler

Critically Appraised Topics

Currently, there is an overall lack of evidence examining the effects of occupational therapy interventions to enhance families’ quality of life while dealing with virtual learning in school-aged children and the impacts of substance use on parents. The purpose of this critically appraised topic is to determine the availability for immediate use and the quality of occupational therapy interventions for improving the quality of life for families with school-age children dealing with school issues and virtual learning during the COVID-19 pandemic, specifically with parents who are also experiencing substance use issues

The Benefits Of Habituation Altering Occupational Therapy Interventions To Improve Engagement In Adls And Iadls For Adults With Chronic Pain, Alexis Brolsma, Aleece Durbin, Casidi Pullar

Critically Appraised Topics

Adults experiencing chronic pain have difficulties performing ADLs and IADLs, consequently lowering their quality of life. Current research supports multiple interventions used by occupational therapists when working with adults with chronic pain, however, there is no primary intervention identified (Andrews et al., 2018; Guy et al., 2019; Guy et al., 2020; Nielsen et al., 2021; Schmid et al., 2019; Simon & Collins, 2017). The purpose of this CAT paper is to determine how beneficial occupational therapy interventions are at changing habits and routines (habituation) of adults (18+ years of age) with chronic pain in improving engagement in ADLs and IADLs.

The Link Between Occupational Therapy Interventions, Quality Of Life, And Social And Leisure Participation In Adults With Chronic Conditions, Katie Deboer, Callie Kleindl, Monicah Nyakoe

Critically Appraised Topics

The focus population for this critically appraised topic (CAT) was adults aged 18 years and older with chronic conditions. For this CAT, chronic conditions included depression, heart diseases, diabetes, arthritis, respiratory diseases, chronic kidney disease, neurological disorders, and cancers. Chronic conditions greatly impact a large majority of the older adult population. Of the adult population, about 80% had at least one type of chronic condition while close to 70% had two or more (National Council on Aging, 2021). Diving deeper, the prevalence of chronic conditions in adults 65 years and older varied by race/ethnicity. According to Lim et al. (2018), …

How The Physical Long-Haul Symptoms Of Covid-19 Influence Occupational Performance From A Person-Environment-Occupation Perspective: A Critically Appraised Topic, Emmalee Burtsfield, Amber Matlock, Alyssia Pucel

Critically Appraised Topics

An increasing number of adults continue to experience the long-term physical effects of COVID-19. Currently, there is uncertainty regarding the best practices in occupational therapy to address long-haul COVID-19 symptomology and its effects on people as research on the topic continues to emerge (Robinson et al., 2021). The purpose of this critically appraised paper is to identify prominent areas on which occupational therapists should focus during evaluation and intervention planning while considering the person, environment, and occupation to encompass the ideals of best practice when working with adult clients who are facing disruptions as a result of long-haul COVID-19 symptoms.

Family-Centered Care For Preschool Children With Disabilities, Kaylee Athmann, Ashley Freund, Rachel Koenig

Critically Appraised Topics

The purpose of this critically appraised topic paper was to define family-centered care, to look at family-centered care through the model of EHP, and to show the unique role occupational therapy plays in family-centered care. More specifically, we aimed to find the effects of family-centered care on health management. While family-centered care has been cited as beneficial by occupational therapists, there is a gap in these services being provided to preschoolers with disabilities.

Effectiveness Of Occupational Therapy Self-Management Interventions Among Chronically Homeless Veterans With Mental Health And Substance Abuse Disorders, Jace Allard, Hannah Leisenheimer, Adeyinka Omotunde

Critically Appraised Topics

Homeless veterans are challenged with chronic mental health and substance abuse disorders that affect their abilities to carry out their daily functions. There is a paucity of focused literature to address the extent to which occupational therapy interventions help chronically homeless veterans that struggle with substance abuse and mental health issues. The purpose of this critically appraised topic paper was to investigate and demonstrate the extent to which substance abuse and mental health occupational therapy programs may help to increase the performance range of self-management skills of chronically homeless veterans.

Effectiveness Of Occupational Therapy Services On Quality Of Life Among Chronically Homeless Mothers With Children, Stephanie Dullum, Caitlyn Fussy, Cierra Jacobson

Critically Appraised Topics

Chronically homeless mothers face many challenges with their quality of life due to trauma, mental illness, substance abuse, and stress that impacts the person, their environment, and occupations. Currently there is a lack of occupational therapy interventions for improving the quality of life for this population. The purpose of this critically appraised topic is to address the role of occupational therapy within the population of chronically homeless mothers and how it can improve their quality of life.

Occupational Therapy’S Ability To Address Perceived Stress Levels In Caregivers Of Individuals With Dementia, Kjerstin Drugan, Molly Van Drehle, Jadalyn Wagner

Critically Appraised Topics

Caregivers of individuals with dementia face unique challenges that affect their ability to participate in their occupations and maintain low-stress levels (Armstrong et al., 2019; Chiao et al., 2015; Cooper et al., 2010; Delgarno et al., 2021; Franzosa et al., 2019; Gleason & Miller, 2021; Lloyd et al., 2019; Madruga et al., 2020; Piersol et al., 2017; Sterling et al., 2021; Yong et al., 2020). Evidence has supported the benefits of occupational therapy intervention for caregiver well-being (Burgess et al., 2021; Lloyd et al., 2019; Raj et al., 2021; Sztramko et al., 2021; Yong et al., 2020). In this critically …

Increasing Health, Wellness, And Self-Care In Older Adults Experiencing Mental Health Effects During And After A Pandemic, Hayley Blom

Occupational Therapy Capstones

The COVID-19 pandemic calls for new solutions in promoting increased health, wellness, and self-care in older adults experiencing mental health effects during and after a pandemic. As the virus began to spread in the United States in early 2020, social distancing measures were implemented to reduce the spread of the virus. During this time of uncertainty, assisted living facilities (ALF) put a halt to all program activities, mealtimes in the communal dining area, and any other activities or events that were face-to-face. Along with activity programming, most facilities restricted visitors from entering the building including residents’ loved ones. These factors …

Efficacy Of Educational Programs For Homeless Adults With Mental Illness, Madison Herbeck, Samantha Proctor, Bailee Scheer

Critically Appraised Topics

Homeless adults continually face occupational deprivation. There is a lack of reimbursement for occupational therapy community-based interventions (Gutman, 2021). This critically appraised topic aims to explore how educational programs will impact and influence positive occupational engagement and quality of life for homeless adults with mental illness.

Critically Appraised Topic: The Use Of Occupation-Based Sensory Intervention And Environmental Modification With School-Aged Children Who Have Experienced Trauma, Josie Huot, Abigail Kasper, Erin Siebenaler, Jessica Wetzel

Critically Appraised Topics

Children who have been exposed to trauma may develop sensory impairments, such as inadequate sensory processing and regulation when engaging in occupations within the school setting. Currently, there is a lack of evidence demonstrating the efficacy of sensory-based occupational therapy intervention with children who have experienced trauma. The purpose of this critically appraised topic paper is to describe the current evidence for utilizing sensory-based interventions, in combination with environmental modifications, to influence occupational engagement among school-aged children who have experienced adverse childhood experiences.

Effectiveness Of Early Intervention Programs Addressing Mental Health Issues Caused By Long-Haul Covid-19 In Older Adults, Grace Kleinvachter, Lauren Fischer, Kelsey Rajewsky

Critically Appraised Topics

Lannigan & Tyminski (2021) shared that occupational therapy practitioners are ready to address the many complications that COVID-19 has caused, including emotional issues, by encouraging engagement in healthy occupations in their day-to-day lives. Occupational therapists have specific skills to combat these issues, help others reclaim their occupational identity, and improve quality of life (Lannigan & Tyminski, 2021; Wilcox & Frank, 2021). Symptoms of long-haul COVID-19 have greatly impacted the valued occupations of those over 50 years old, leading to an occupational justice need for further investigation. Occupational therapists should then use that knowledge to understand the degree of impact the …

Accessibility In Rural America, Ashley Osbjornson

Occupational Therapy Capstones

Introduction: Individuals with disabilities are often faced with barriers when trying to access public spaces out in the community, which results in lack of inclusion (Chibaya et al., 2021; Sandwood, 2019). This is an ongoing barrier that if addressed, may expand inclusion for those with disabilities (CDC, 2020a). The purpose of this scholarly project was to increase accessibility and usability for rural shoppers. Thus, a manual was created for Minnesota stores to use as a guide when assessing accessibility and usability. In addition, this manual was created to help store owners understand disability and its impact and identify strategies store …

Effective Occupational Therapy Interventions For Reducing Parental Stress In The Neonatal Intensive Care Unit, Ann Landreville, Annah Greenmyer, Makayla Murden

Critically Appraised Topics

John et al.’s (2018) study found that over half of the mothers in the NICU suffer from moderate to severe anxiety. This anxiety negatively impacts parents’ abilities to engage in the occupation of caring for their child, which can have long-term consequences. Currently, there is a lack of research on occupational therapy-specific interventions that focus on reducing parental stress in the NICU setting. The purpose of this critically appraised topic (CAT) is to discover which stress-reducing occupational therapy interventions have a positive impact on the abilities of parents to successfully care for their infants in the NICU.

Tiny Humans, Huge Environments: All The Sense’S Coming Into Play, Jessica L. Blackman

Occupational Therapy Capstones

Introduction The neonatal intensive care unit (NICU) is a busy overwhelming environment that differs from the womb. In the womb, an infant is protected from noises and bright lights, tasting and smelling the mother's diet, feeling movement and pushing against the mother as they grow (Altimier & Phillips, 2016). It is ideal for a premature infant's neurodevelopment to have the NICU environment mimic the womb. Two models were selected to help guide the product development, one occupation-based model and one NICU-based model.

Methodology The Person, Environment, Occupation (PEO) model Law et al. (1996) was selected to be used as it …

A Research Study To Identify Gaps And Barriers To Mental Health Treatment In Natrona County, Jedekiah Zean May

Occupational Therapy Capstones

Problem: Individuals with a mental health diagnosis in Natrona County may face many barriers to treatment, including a lack of access and a lack of providers. Furthermore, the unique cultural aspects may render available treatment undesirable to these people. Wyoming has various population level mental health challenges including a suicide rate of 24.8 per 100,000 in comparison to the national average of 14.2 per 100,000 (Kaiser Family Foundation [KFF], 2020). Mental Health America (MHA) shows Wyoming ranking 48th in the nation as a state on their access/prevalence ranking as of 2020, indicating high prevalence of mental illness with low access …

Supporting Participation In Daily Tasks, Quality Of Life, And Well-Being For Individuals With Parkinson’S Disease Dementia, Miranda Kay Evanson

Occupational Therapy Capstones

Introduction Parkinson’s disease dementia (PDD) is a progressive neurological disorder characterized by a decline in cognitive functioning severe enough to impact participation in daily life which can occur for individuals living with Parkinson’s disease (PD) at least one year or more following their PD diagnosis (Alzheimer’s Association, 2022b). There are currently almost one million people living with PD in the United States with about two thousand of those individuals living in North Dakota (Alzheimer’s Association, 2022b; Parkinson’s Foundation, 2022b). Studies show that 50-80% of those individuals will develop PDD throughout the course of the illness (Alzheimer’s Association, 2022b). The treatment …

Bridging The Gap: A Comprehensive Discharge Guide, Ashley Marie Mutziger

Occupational Therapy Capstones

Much attention is paid to clients while they receive services, but after they have met their goals and are ready for their next steps, they can perceive a lack of support and feelings of uncertainty. Returning home from any healthcare setting can be a time of uncertainty for clients. There are many questions to be answered and potential unknowns surrounding the discharge processes. Literature shows there is a need for improving discharge practices to promote client understanding and follow-through to end the treatment experience with the confidence that the client has the tools and resources necessary to be successful in …

Protecting Against Pain And Stress In The Nicu: An Evidence-Based Eye Examination Guideline, Heather Jo Bowman

Occupational Therapy Capstones

Purpose: The purpose of this project was to create an evidence-based Neonatal Intensive Care Unit (NICU) eye examination guideline and associated resources that supported use of non-pharmacological interventions and emphasized the importance of parent education and involvement from both an interdisciplinary and occupational therapy perspective.

Literature Review: Although medically necessary, researchers and practitioners in the NICU interdisciplinary field have discussed pain and stress associated with preterm infant eye examinations (American Academy of Pediatrics [AAP], 2016; Fierson, 2018; Francis, 2016; Pollaci et al., 2020; Samra & McGrath, 2009). Pain and stress likely impact sensory and overall brain development (AAP, 2016; Brummelte …

Bridging The Gap Between Ancillary Health Professions And Rural Community Health Needs, Mckenzie Rae Peterson

Occupational Therapy Capstones

Introduction Rural communities are home to nearly one-fifth of the American population, and they face unique challenges when working to access healthcare (Health Resources & Services Administration, 2021; Slagle et al., 2012). Ancillary health professionals (AHPs) are healthcare professionals, excluding physicians, nurses, and dentists (Ancillary Care Services, 2015). The scholarly project aimed to find what evidence existed in regard to bridging the gap between the healthcare needs of rural communities, and the availability of AHPs.

Methods The scoping review followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews (PRISMA-ScR) guidelines (Tricco et al., 2018). Based …

Pediatric Telehealth Simplified: A Toolkit For The Rural Pediatric Occupational Therapy Practitioner, Stacy Michelle Buschette

Occupational Therapy Capstones

Purpose: The purpose of this scholarly project is to promote occupational therapy to rural pediatric populations by means of effective and efficient telehealth service delivery via an extensive toolkit. The toolkit is meant to enhance the occupational therapy practitioner’s skills, abilities, and competencies pertaining to telehealth to ease the transition to telehealth implementation.

Methodology: An in-depth literature review of current research was conducted to determine the common barriers and supports that are experienced by occupational therapy practitioners implementing telehealth service delivery. Due to the occurrence of the COVID-19 pandemic, numerous occupational therapy practitioners were compelled to transition to telehealth intervention …

Oral Hygiene Education For Patients And Staff In An Inpatient Rehabilitation Setting, Cassandra L. Madsen

Occupational Therapy Capstones

Individuals recovering from a stroke or hip fracture may have comorbidities, medication side effects, and symptoms that can decrease independence with self-care tasks and lead to a decline in oral health (DeBiase & Austin, 2003). Poor oral health has been associated with systemic infections, diabetes, aspiration pneumonia, and other comorbidities that negatively impact overall health and recovery from illness or injury (Danckert, Ryan, Plummer, & Williams, 2016). Few patients are aware of the importance of oral care and its impact on overall health. Even fewer patients are aware of the importance of oral care after stroke or hip fracture and …

Interoception Toolkit: A Resource For Occupational Therapy Practitioners To Use With Children And Their Families, Heidi Lynn Janssen

Occupational Therapy Capstones

Purpose: Interoception refers to one’s ability to sense the internal condition of the body, including sensory messages from body parts and internal organs (Craig, 2002). In the past 30 years, scientists and researchers have discovered a powerful connection between interoceptive appraisal skills and self-regulation, emotional identification, emotional regulation, social skills, and nearly every task in daily life (Mahler, 2017). The purpose of this project is to provide practitioners with an educational platform that describes the sensorimotor skill of interoception applied throughout the occupational therapy process.

Methods: The development of this product was initiated with a thorough review of literature to …

Pathway Through Nature: A Nature-Based Occupational Therapy Program To Support Adolescent Mental Health, Danielle Grace Halstead

Occupational Therapy Capstones

Title: Pathway Through Nature: A Nature-Based Occupational Therapy Program to Support Adolescent Mental Health

Background: Adolescent mental health conditions have risen 13% between 2007-2017, with increased rates of untreated and unrecognized mental health challenges (World Health Organization [WHO], 2021; WHO, n.d.). Primary challenges include anxiety, depression, suicidal ideation, stress, coping skills, and self-identity (Kim, 2021; Magson et al., 2021; Rapee et al., 2019). Decreased access to professionals within the mental health field have presented as a barrier to combat the rise of the challenges listed above (Asher & De Silva, 2017). Nature-based therapy provides services within the most natural context …

Programming To Help At-Risk Youth Find Success In And Outside Of The Classroom, Nora Carlson

Occupational Therapy Capstones

Title: Senior Portfolios: A guide to Help Students Plan for the Transition to Adulthood Nora Carlson, OTDS, Dr. Andrea Young, OTD, OTR/L, Faculty Advisor, Department of Occupational Therapy, University of North Dakota School of Medicine Health Sciences, 501 North Columbia Rd, Grand Forks, ND 58202

Purpose: The purpose of the project was to assist at-risk students attending an alternative learning center (ALC) with secondary transition planning into adulthood to promote a successful first year out of high school. Planning is essential to ensure a smooth transition (Mankey, 2011). This project also aimed to showcase occupational therapy’s role in transition services, …

Sex, Drugs, & Rockin’ Referrals: An Interprofessional Guide For Young Adults With Cancer, Nicole Cathryn Merchlewicz

Occupational Therapy Capstones

Title: Sex, Drugs, & Rockin’ Referrals: An Interprofessional Guide for Young Adults with Cancer

Introduction According to the National Cancer Institute (2020), about 89,000 adolescents and young adults (AYAs) ages 15-39 are diagnosed with cancer each year, accounting for about five percent of all cancer diagnoses in the United States. It is common for AYAs to be diagnosed with pediatric cancers yet receive treatment in a setting that is dedicated either children or older adults. Due to unique developmental milestones that occur during adolescence and young adulthood, the models of care for pediatric or older adult patients do not meet …

Developing An Occupational Therapy Role In Pediatric Private Practice, Sydnie R. Merriman-Ferri

Occupational Therapy Capstones

Background An estimated 17.4% of children may be classified as children and youth with special health care needs (CYSHCN) (NSCH 2019 20: Children with Special Health Care Needs, Minnesota, n.d.). In MN there are an estimated 180,000 CYSHCN (Children and Youth with Special Health Needs (Cyshn) - Minnesota Department of Health, n.d.). These children are those with or at increased risk for a chronic physical, developmental, behavioral, or emotional condition (Children and Youth with Special Health Needs (Cyshn) - Minnesota Department of Health, n.d.). Occupational therapists’ scope of practice includes working with such children. Similarly, speech-language pathologists (SLPs) also provide …