Medicine and Health Sciences Commons^™

The Effects Of Customized Art-Based Interventions On The Quality Of Life Of Older Adults With Early-Stage Dementia, Kalei Hubert-Mclennan

Capstone Projects

Occupational therapy (OT) was founded during the Arts and Crafts and Moral Treatment Movement to assist veterans in acclimating to their communities after discharge. While arts and crafts were initially a large part of OT, after the paradigm shift to the medical model in the 1960s, art was replaced by technology and removed from the OT curriculum and ACOTE standards. As OT continued to grow as a profession, art shifted from being part of the psychodynamic approach to being utilized to gather information and foster relationships. While art is an activity that can span across ages, there is a lack …

A Descriptive Study: Capability For Change In Older Adult Falls Prevention Using An Intelligent And Intuitive Online Learning Platform At A Medical Care Facility, Emily N. Makowski

Capstone Projects

Older adult falls are among the most common, fatal, and costly incidents in the United States, yet they are preventable. The literature related to falls prevention education for the older adult population is vast, but evidence of effective falls prevention educational tools for indirect and direct care providers is scant. Occupational therapists collaborate with several disciplines every day and it is important for the team to work together to prevent adverse events. There is limited evidence of training delivered to an interdisciplinary team via an intelligent and intuitive online behavior change learning platform. This paper captures the impact of the …

Integrating Sport’S Vision Training Into Vision Therapy: The Role Of Occupational Therapy, Emily M. Beaird

Capstone Projects

Sports vision training (SVT) is a specialized area of vision therapy focused on enhancing an athlete's visual skills for peak athletic performance. Vision training is vital for athletes because “athletic performance can be one of the most rigorous activities for the visual system” (Khanal, 2015) and is responsible for upward of 80% of the sensory input received during an athletic performance. However, it is often overlooked in traditional training regimens. Focusing on advanced clinical practice and program development, an unmet need for SVT at Origami Rehabilitation was achieved. The main goal was to create an SVT program that catered to …

Sensory Room Protocol And Education On Sensory Processing Differences In The School Setting, Bethany R. Antor

Capstone Projects

This capstone experience and project targets the enhancement of sensory integration strategies within a school environment by upgrading a sensory room, educating paraprofessionals and teachers on sensory processing differences, associated signs, and regulation tips, and implementing new material within a sensory path for increased student regulation. Sensory processing difficulties can significantly impact a child’s learning and behavior, necessitating effective school - based interventions involving an occupational therapist. This project aims to shrink the gap between school staff’s knowledge of sensory processing differences and the needs of their students. The outcomes include improved functionality and utilization of the sensory room, increased …

Incorporation Of Animal Assisted Therapy Into Occupational Therapy Interventions For Pediatric Clients In An Outpatient Setting, Jamie Markus

Capstone Projects

Animal assisted therapy (AAT) is an emerging field that can be used to compliment traditional occupational therapy (OT). This project particularly focused on pediatric clients receiving services in an outpatient clinic. Animal assisted occupational therapy (AAOT) can be used to improve physical, social, and emotional health through the incorporation of a certified therapy dog. OT clients actively participate in a unique and individualized intervention with the therapy dog that is designed to meet their specific goals. The purpose of this project was to further develop the Therapy Dog Clinic at Unified Clinics and to expand services to community-based organizations including …

Support Group Development And Implementation For Parents With Disabilities, Jessica Zydorczyk

Capstone Projects

The focus of this capstone project was to develop a peer-to-peer support group open to any parent or caregiver with a disability navigating the challenges of pregnancy and parenthood. Occupational therapy can have a large impact on the population of individuals parenting with a disability with increased awareness and understanding of their needs. Friendship, community, resource access, and awareness were all needs addressed with the development of the parent support group. The objectives set to be achieved during the 14-week experience included conducting extensive research on the disabled parenting experiences of day-to-day life, developing of handouts and resource collection on …

Implementation Of An Occupation-Focused Education Program For Community-Dwelling Older Adults, Riley Janssen

Capstone Projects

A Doctoral Capstone Experience (DCE) and project was completed at the conclusion of Western Michigan University’s Occupational Therapy program with the goal of implementing an occupation-focused educational program dedicated toward topics relevant for community-dwelling older adults. The capstone project took place at the Clinton Township Senior Adult Life Center (CTSC) under the mentorship of Ericka Tringali, CPRP. The Accreditation Council for Occupational Therapy Education (ACOTE) focus area of this project was program development. The program consisted of three educational classes focusing on topics including Basic Activities of Daily Living (BADLs), creating healthy habits and routines, and fall prevention and energy …

Evaluating Sensory Processing And Functional Outcomes Of Children Participating In A Therapeutic Horseback Riding Read And Ride Program: A Single-Subject Research Study, Samantha Dunleavy-Shotsberger

Capstone Projects

Therapeutic horseback riding (TR) can be beneficial to various populations, such as individuals with disabilities, trauma, behavioral problems, anxiety, developmental delay, depression, and learning challenges. However, individuals come with a variety of complex needs and diagnoses, therefore more research is needed to determine how TR impacts the individual. Specifically, there is a lack of understanding of how the individual’s behavior, learning, and sensory processing is affected by TR intervention. Therefore, this study examined the effects of TR on childhood sensory processing and at-risk academic occupational performance in reading as it relates to behavior and attention. A single subject ABA design …

Holistic Education To Empower And Enhance Women's Health Throughout Pregnancy, Birth, And The Postpartum Period, Hannah Wilson

Capstone Projects

Making informed healthcare decisions on behalf of oneself for optimal outcomes first begins with comprehending basic health education about one’s own body, typical bodily functioning and bodily processes and ends with empowered decision making. Health literacy is the ability of an individual to understand and apply basic healthcare information to their personal healthcare decision making and is integral for any and all healthcare providers to comprehend when educating patients in practice. Occupational therapists (OTs) are healthcare professionals that work with any demographic of people to improve satisfaction with performance of everyday living activities and quality of life. OTs’ scope of …

Impact Of Trauma On Development: Creating Training Materials For Effective Trauma Evaluations, Jessica M. Englerth

Capstone Projects

This 14-week capstone project had an education focus under ACOTE standards. This project was completed at Western Michigan University’s Resiliency Center which is part of the Unified Clinics. The focus of this capstone project was to educate new and current staff and students on the administration of trauma evaluations in pediatric and adolescent populations as well as the impact of trauma on development. The purpose of this project was to develop training materials detailing how to administer different assessments that may be used in a trauma assessment including the PDMS-3, the Occupational Regulation Questionnaire, the QNST-3, the BAYLEY-III, the Sensory …

Wild Wheels: Meaningful Art Program Designed For Adults With Intellectual And Developmental Disabilities, Alexis Bailey-Lauchie

Capstone Projects

The Wild Wheels program was designed to offer adults with intellectual and developmental disabilities (IDD) an opportunity to engage in meaningful and purposeful art-based activities. The aim supports the distinctive value of occupational therapy (OT) defined as enhancing the health and quality of life (QOL) of individuals by promoting participation and engagement in meaningful daily activities. Typically, for individuals with IDD options for meaningful engagement are limited due to various physical/mental limitations and increased need for assistance. The Center for Disability Services (CDS) at Western Michigan University (WMU) introduced the Wild Wheels program to enable participants to create unique artwork …

Development Of Carf Accreditation Requirements For A Vocational Rehabilitation Program For Individuals Independently Living With Post-Traumatic Brain Injury, Samantha Kowalczyk

Capstone Projects

The purpose of this capstone project was to assist a vocational rehabilitation program at Community Connections in Sterling Heights, Michigan with developing requirements for CARF Accreditation for individuals independently living with post-traumatic brain injury. This work program site is unique in the fact it is primarily run by Occupational Therapists and Certified Occupational Therapy Assistants. Achieving CARF Accreditation, which stands for Commission on Accreditation of Rehabilitation Facilities, demonstrates that standards are being met and provides greater satisfaction and the possibility for reimbursement and funding for a program. The overall aim was to assist in the development of the primary materials …

Expanding Menstrual Health And Hygiene Management At Western Michigan University, Kaitlyn R. Brady

Capstone Projects

Menstrual health and hygiene are vital yet often overlooked components of women’s well-being with implications for academic success, physical health, and social equity. This capstone project, conducted with Western Michigan University’s Broncos. Period program, aimed to address the critical issue of period poverty and inadequate menstrual hygiene management on campus. Through comprehensive needs assessments, key gaps and opportunities were identified. Objectives were created based on results from the needs assessments and implemented to secure grant funding for menstrual products, establish formal partnerships, and develop educational materials. As a result of the objectives, the project secured funding to restock partner locations, …

Mindful Teaching In Adolescent Dance Educaton: Prioritizing Mental Health, Camille Chimner

Capstone Projects

Mental health continues to be a concern for all ages, especially those within the period of adolescence. Adolescence is a time of great physical, cognitive, social, and emotional change that can be positively facilitated with support and strong coping skills. Adolescent dancers have additional demands placed upon them within the dance space. Adults can play a large role in this support, especially adults who serve as educators and coaches. Dance educators have the opportunity to work closely with dancers and can have great influence on both their physical and emotional health, but are not often trained to be mindful of …

Promoting And Sustaining An Adaptive Sports Program On A College Campus Through Outreach And Resource Developmen, Morgan E. Otero

Capstone Projects

Participation in physical activity is essential for an individual’s health and well-being. However, persons with disabilities have limited access to physical activity due to personal, environmental, institutional, and/or social barriers. This limited access increases a disabled individual’s likelihood of developing secondary health conditions, decreased mental health outcomes, and feelings of social isolation. To combat this, it is important that these individuals have equitable access to and knowledge of adaptive physical activity opportunities such as adaptive sport, recreation, and fitness. To address this need, this capstone project focused on promoting and sustaining an existing adaptive sports and recreation program through the …

Therapeutic Recreation And Adaptive Ice Skating For Individuals With Disabilities, Anna Tamburrino

Capstone Projects

This 14-week doctoral capstone experience (DCE) was completed at Warren Special Recreation Association (WSRA) and Rising Stars Adaptive Skating program, with the focus of program development, education, and leadership. The primary goal of this capstone was to develop an adaptive ice-skating program at WSRA in collaboration with the Rising Stars Adaptive skating program. Further objectives during the capstone experience included the development and provision of training resources for both sites related to the skating program, as well as supplemental trainings for WSRA specific programs. I provided education and training resources to staff and volunteers to promote the distinct value of …

Connections Over Compliance: A Toolkit To Create A Pathway To Success For Teachers, Paraprofessionals, And Students, Mary Kate Nelson

Capstone Projects

This Doctoral Capstone Experience focuses on the development of a comprehensive toolkit tailored specifically for early childhood professionals, including teachers and paraprofessionals. The aim of this toolkit is to provide effective support to students facing various challenges both within and beyond the classroom environment. It encompasses a diverse range of meticulously curated resources and educational materials with occupational therapy principles in mind designed to address critical areas of concern. This toolkit explores sensory processing disorders and equips early childhood professionals with essential knowledge and strategies to support their students. By facilitating ways to create a sensory-friendly environment and supporting the …

It Takes A Village To Raise A Grandchild: Developing Communities Of Support For Grand-Families On Pei, Canada, Christina Murray, Laura Bain, Nora Spinks, Donald Avery

GrandFamilies: The Contemporary Journal of Research, Practice and Policy

In this practice brief, we outline our research focused on grandparents raising grandchildren in Prince Edward Island (PEI), Canada. Specifically, we highlight a series of collaborative community workshops implemented as part of our research project. Using a participatory action research approach, we worked with grandparents raising grandchildren to co-design and implement the workshops, which we titled It Takes a Village to Raise a Grandchild. These workshops brought together grandparents raising grandchildren and key community members, including clergy, educators, healthcare providers, politicians, social services, child services, and researchers. The goal of these workshops was to build awareness and increase understanding …

A Global Perspective On Intersecting Social And Systemic Barriers Experienced By Grandparent-Caregivers: A Qualitative Systematic Review, Schola N. Matovu, Deborah M. Whitley, Heather M. Young

GrandFamilies: The Contemporary Journal of Research, Practice and Policy

Globally, many grandparents are taking on the caregiving role for their grandchildren without public or government interjection of support, particularly financial assistance for basic needs such as housing, health care and living expenses. This paper aimed to broaden understanding of social and systemic barriers experienced by grandparent-caregivers across the globe. Of the 2,828 relevant grandparent caregiving studies identified in the literature, 34 representing eight countries met our inclusion criteria to answer the research question and the focus of this paper: What are the social and systemic barriers experienced by grandparent-caregivers across the globe? We utilized Noblit’s and Hare’s (1988) meta-ethnography …

Artworks: Art As Occupation, Erin Barrus

The Open Journal of Occupational Therapy

A collaborative effort from various artists at MRC artWorks located in Kalamazoo, MI contributed to the cover art for the Winter 2024 issue of the Open Journal of Occupational Therapy (OJOT). MRC Industries is a non-profit organization that focuses on supporting individuals with developmental disabilities, cognitive or emotional impairments or illnesses, and people who have experienced traumatic brain injuries. One particular program has become a staple in the Kalamazoo community – MRC artWorks, a professional working art studio for adults with disabilities to learn skills, both physical and emotional, through art instruction and art-making.

Exploring The Spiritual Alliance Of Maintaining A 5-Acre Tropical Farm Through The Lens Of Occupational Engagement, Jose Rafols, Amy Wagenfeld

The Open Journal of Occupational Therapy

Large-scale commercial farmers and small scale “hobby” farmers engage in growing crops for subsistence and survival for themselves, their families, communities, and beyond. Their reverence and passion for farming make them good stewards of both community and world population nourishment. We suggest there may be a collective physical, emotional, and spiritual draw to farming that is interwoven with occupational engagement. Through a personal narrative approach, we reflect on the meaning and the work-focused occupation of farming and specifically how spirituality may be a guiding force that supports engagement despite seemingly insurmountable environmental and personal hardships. With an increasing interest in …

Occupational Therapists' Role In Sexual Education For Teens And Young Adults Living With Autism Spectrum Disorder, Taylor M. Urban, Reeti R. Douglas

The Open Journal of Occupational Therapy

Teens and young adults living with autism spectrum disorder (ASD) do not have equal access to sexual education, thus having lower sexual awareness, little knowledge of preventative sexual health care, and having a more difficult time reading sexual body language (Hannah & Stagg, 2016; Holmes et al., 2019; Mogavero & Hsu, 2020). Deficits in these and many other skills may make it more challenging for teens and young adults living with ASD to engage in an intimate or sexual relationship with a consenting partner. Skilled intervention on the occupation of sexual activity and its related dimensions, such as communication and …

When Music Becomes Me: Occupational Therapy’S Role In Caring For Upper Extremity Disorders In Musicians, Kathryn S. Halsted, Kristin Biggins, Kimberly Davis

The Open Journal of Occupational Therapy

Musicians are a distinct population with a high rate of developing musculoskeletal and neurological disorders affecting their ability to participate in music-based occupations. These injuries negatively affect the musician’s health and well-being in physical, financial, psychosocial, and emotional dimensions. Given music’s complex and integrated role in the musicians’ life, treatment must be multi-dimensional, considering aspects of the person, the type of instrument, environment, context, and social obligations. Occupational therapy providers are uniquely qualified to treat musicians because of their focuse on holistic, occupation-based, and client-centered care. This manuscript describes the role of occupational therapy in this client population based on …

Outcomes Of The Nurosleeve And Occupational Therapy On Upper Limb Function Of An Individual With Chronic Hemiparesis Following A Stroke: A Case Report, Nicole M. Gerhardt, Jeremy P. Armstrong, Mijail D. Serruya, Mj Mulcahey

The Open Journal of Occupational Therapy

Background: Upper limb neuromuscular impairments can adversely impact function. This case report investigates the process and outcomes of occupational therapy (OT) for training in the use of the NuroSleeve, a novel research-grade exoskeletal powered orthosis, with a participant with chronic right hemiparesis following a stroke.

Method: The participant engaged in 24 OT sessions using the NuroSleeve over 10 weeks. Therapeutic interventions included neuromuscular reeducation, device management, and engagement in occupation-based activities with training to use the NuroSleeve. The Canadian Occupational Performance Measure (COPM), ABILHAND, Patient Reported Outcomes Measurement Information System Upper Extremity Short Form 7a (PROMIS UE SF), …

Covid-19 Pandemic’S Effect On Occupational Therapy Students’ Time-Use And Occupational Engagement On Returning To In-Person Learning, Jhannell Hannah D. Ocampo, Susan Macdermott, Karen Mccarthy

The Open Journal of Occupational Therapy

The COVID-19 pandemic emotionally and physically impacted students in occupational therapy and occupational therapy assistant programs. College students lost autonomy and access to meaningful occupations and environments. As students returned to campus, they struggled to navigate and adapt to in-person occupations and how they use their time. This study uses a mixed method descriptive research design to understand how the pandemic affected occupational therapy students' time-use and occupational engagement during the transition to in-person learning. Seventy-three students completed an online survey, while 12 of those students additionally participated in a follow-up time-use diary and interview. Eighty-three percent of the participants …

Osces’ Impact On Occupational Therapy Student Learning: Insights From Second- And Third-Year Focus Groups, Craig R. St. Jean, Karin Werther, Mary R. Roberts

The Open Journal of Occupational Therapy

Background: Objective Structured Clinical Examinations (OSCEs) are widely used in health programs to assess clinical skills. We present results of a qualitative study investigating occupational therapy students’ perceptions of OSCEs’ impact on their learning and readiness for clinical practice.

Method: Six second and six third year students in the University of Alberta’s Master of Science in Occupational Therapy program were interviewed in separate focus groups. Independent reviewers applied thematic analysis to the focus group transcripts to identify, analyze, and report themes in the data.

Results: Five themes were constructed from the data: from learning to action, transition …

Hand Strength Changes Following A Clinical Rotation In Hand Therapy: A Pilot Study, Gretchen L. Bachman, Josh Macdonald, Rhian Sage

The Open Journal of Occupational Therapy

Background: Hand therapy clinical rotations are 12 weeks, and one common anecdotal change frequently expressed is an increase in hand strength. Quantifiable measures of change are not documented in the literature. The purpose of this study is to determine if students experience significant increases in strength during a clinical rotation.

Methods: This study is a quasi-experimental, double-blinded, non-randomized sample of convenience. Grip and pinch strength were assessed pre, mid, and post clinical rotation. Demographic data were collected and reported. Paired t-tests were used to compare means between groups. SPSS 27.0 was used for data analysis.

Results: After …

Predictors Of General Well-Being In Postprofessional Students Of Occupational Science And Occupational Therapy, Elena Wong Espiritu, Paul E. Yeatts, Cynthia L. Evetts

The Open Journal of Occupational Therapy

Background: Doctoral students experience decreased well-being during their educational experience. Self-compassion, engagement in meaningful occupations, and occupational balance positively impact well-being in individuals. This study examined the relationships between these constructs in postprofessional occupational science and occupational therapy students.

Method: This quantitative cross-sectional study collected national survey data (N = 113) using the Self-Compassion Scale – Short Form, the Engagement in Meaningful Activities Survey, the Occupational Balance Questionnaire 11, and the 14-item Scales of General Well-Being. Multiple linear regression analysis determined how well each construct predicted general well-being and the strength of each construct’s relationship compared to other …

A Scoping Review Of Universal Design For Learning In United States Allied Health & Medical Education, Karolina Gawron, Madison Tomlinson, Nicole Mohan, Laura H. Vanpuymbrouck

The Open Journal of Occupational Therapy

Background: Universal design for learning (UDL) is considered best-practice for embracing inclusion for students with disabilities and there is growing evidence of its effectiveness in primary, secondary, and postsecondary education. However, little is known about if and how UDL is being implemented into United States graduate allied health and medical school curriculum as well as evidence of its benefits.

Method: We used Arksey and O’Malley’s (2005) methodological framework. Search engines were: PubMed, CINAHL Complete, ERIC, GoogleScholar, and Scopus. Data were analyzed by the research team using Covidence to organize articles, screen, and complete a full-text review. Data extraction …

Practice And Recommendations For Universal Design For Learning In Occupational Therapy Client Education, Heather L. Panczykowski, Lynne F. Murphy, Victoria Christmas, Whitely Macintyre

The Open Journal of Occupational Therapy

Background: Universal Design for Learning (UDL), an educational framework that describes flexible approaches to teaching and learning, can be used to address problems related to limitations in health literacy in health care settings.

Methods: This exploratory observational study, using a web-based online survey, was undertaken to discern how occupational therapists use the principles of UDL in educating their clients and to determine if differences exist between degree type or practice settings and UDL implementation.

Results: Of the 147 respondents only 30.6% indicated prior awareness of UDL principles. The most frequently cited means of client engagement were displaying …