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An Educational Website To Foster The Participation Of Summer Campers With Disabilities, Abby Vander Laan, Steven M. Gerardi Dec 2021

An Educational Website To Foster The Participation Of Summer Campers With Disabilities, Abby Vander Laan, Steven M. Gerardi

Fall 2021 Virtual OTD Capstone Symposium

ABSTRACT NEEDED


An Occupation-Based Program For Formerly Incarcerated Youth And Staff In An Employment Re-Integration Program, Heather Fierros, Angela Blackwell, Leslie Khan-Farooqi Dec 2021

An Occupation-Based Program For Formerly Incarcerated Youth And Staff In An Employment Re-Integration Program, Heather Fierros, Angela Blackwell, Leslie Khan-Farooqi

Fall 2021 Virtual OTD Capstone Symposium

One of the most vulnerable and growing populations within the United States (U.S.) are youth involved in the juvenile justice system. Each day, approximately 60,000 youth are currently incarcerated in the U.S., signifying a necessary demand for community re-entry success. Having been incarcerated makes it more challenging for youth to attend school, obtain a license, find public housing, and attain public benefits. Furthermore, because of the effects following being a part of the juvenile justice system, the youth exemplify a lack of social interaction skills, hindered relationship patterns, altered values and beliefs. These underdeveloped skills and patterns interfere with the …


Go Baby Go! Facilitating Play And Social Participation With Blind & Visually Impaired Children, Kennedy Wischmeyer, Angela Blackwell, Gina Benevente Dec 2021

Go Baby Go! Facilitating Play And Social Participation With Blind & Visually Impaired Children, Kennedy Wischmeyer, Angela Blackwell, Gina Benevente

Fall 2021 Virtual OTD Capstone Symposium

ABSTRACT NEEDED


Occupational Therapy & Black Women’S Hair: An Educational Course, Rajaé Jones, Susan Macdermott Dec 2021

Occupational Therapy & Black Women’S Hair: An Educational Course, Rajaé Jones, Susan Macdermott

Fall 2021 Virtual OTD Capstone Symposium

The first portion of this project involved conducting original research to answer the question: What is the current knowledge, attitudes, and application of haircare (grooming & styling) as an intervention in occupational therapy? There is currently a lack in occupational therapy-based literature that addresses the occupation.

The dissimilarities amongst client and the plethora of occupations they engage in are multidimensional. Values attached to occupations often depend on cultural and sociopolitical factors (Wilcock & Townsend, 2019). OTs are currently lacking knowledge regarding the cultural importance of hairstyling within different communities and the impact on occupational identity.

Most people outside of the …


Supporting Children With Neurodevelopmental Disorders: Routines And Environmental Factors Affecting Sleep Quality, Constance Lew, Susan Macdermott, Karen Park, Becki Cohill Aug 2021

Supporting Children With Neurodevelopmental Disorders: Routines And Environmental Factors Affecting Sleep Quality, Constance Lew, Susan Macdermott, Karen Park, Becki Cohill

Summer 2021 Virtual OTD Capstone Symposium

Background: Sleep difficulties are more common among children with neurodevelopmental disorders (NDDs). There is limited research on sleep strategies used by parents of children with NDDs or resources written by occupational therapists. The study examines current sleep concerns and strategies used by parents of children with NDDs, including those affecting time it takes to fall asleep, duration of sleep, routines, and environmental factors that influence sleep.

Method: Parents and caregivers of children with NDDs (n=22) and with no diagnosis (n=6) participated in a survey and optional interview to assess current concerns and strategies used to address sleep. Data gathered included …


Exploring The Form, Function, And Meaning Of Esports, Kyle Fitzstevens, Susan Macdermott, Becki Cohill, Karen Park Aug 2021

Exploring The Form, Function, And Meaning Of Esports, Kyle Fitzstevens, Susan Macdermott, Becki Cohill, Karen Park

Summer 2021 Virtual OTD Capstone Symposium

Esports has become an internationally recognized occupation that is continuing to grow in popularity. The discipline of occupational science with a qualitative, phenomenological approach was used to study the occupation of esports. Larson, Wood, and Clark’s (2003) framework of form, function, and meaning was applied to study to explore the occupational experience of esports with five participants. Form, function, and meaning guided the methods utilized through semi-structured interviews and observation. Eight sub-themes were extracted from the data and embodied the personal occupational experiences of esports. The findings support the importance of understanding the complexities of occupations such as personal experience …


Exploring Sensory Processing & Inclusivity Within A Fitness Gym Environment, Deveshma Maharaj, Karen Park, Becki Cohill, Susan Macdermott Aug 2021

Exploring Sensory Processing & Inclusivity Within A Fitness Gym Environment, Deveshma Maharaj, Karen Park, Becki Cohill, Susan Macdermott

Summer 2021 Virtual OTD Capstone Symposium

An individual’s sensory processing involves the reception, modulation, integration, and organization of sensory stimuli, as well as behavioral responses to sensory input (Dunn, 2001). Adults with sensory processing challenges may come across troubles with completing routines and tasks for work, social participation, and leisure (STAR Institute for SPD, n.d.). Since most individuals with these sensory processing challenges have struggled with symptoms continuously, they are likely to encounter secondary effects such as depression, underachievement, and social isolation (STAR Institute for SPD, n.d.). Adults with sensory processing deficits may experience difficulties with establishing their role in society, maintaining social support systems, and …


The Occupational Impact Of Mass Shootings, Ashley Ellsworth, Susan Macdermott, Becki Cohill, Karen Park Aug 2021

The Occupational Impact Of Mass Shootings, Ashley Ellsworth, Susan Macdermott, Becki Cohill, Karen Park

Summer 2021 Virtual OTD Capstone Symposium

Background: As mass shootings continue to persist in the United States, their occupational impact on victims needs to be understood. The psychosocial and physical tolls of mass shootings have been investigated, but research related to the occupational impact was not found.

Objective: The purpose of this study was to examine stories shared by survivors of mass shootings to determine whether changes in occupational participation, performance, and fulfillment of meaningful roles and performance patterns occurred following the incident.

Methods: The question "What is the occupational impact of mass shootings on exposed individuals in the United States?" was asked. A qualitative research …


An Educational Resource For Young Adults With Disabilities, Their Caregivers, And Clinicians In The Driver Learning Environment, Destinee Logan, Missy Bell, Angela Labrie Blackwell Aug 2021

An Educational Resource For Young Adults With Disabilities, Their Caregivers, And Clinicians In The Driver Learning Environment, Destinee Logan, Missy Bell, Angela Labrie Blackwell

Summer 2021 Virtual OTD Capstone Symposium

Driving and community mobility are essential occupations for growing independence and identity. Young adults who are transitioning into adulthood have a desire to engage in their community, and it is at this time that an interest in driving begins. Driving is a complex occupation that requires in-depth education and experience to safely participate in.

Learning to drive can be challenging, especially for a person with a disability. Young adults with disabilities confront several community concerns that limit their ability to participate in the meaningful activity of driving. Those with disabilities often rely on their support systems to help guide their …


The Role Of Occupational Therapy In Addressing Community Mobility In Children To Young Adults With Disabilities: A Scoping Review, Shelby Reid, Steven M. Gerardi Aug 2021

The Role Of Occupational Therapy In Addressing Community Mobility In Children To Young Adults With Disabilities: A Scoping Review, Shelby Reid, Steven M. Gerardi

Summer 2021 Virtual OTD Capstone Symposium

Objective: This study aims to systematically examine and organize current literature describing the assessments, interventions, and other behaviors of occupational therapists used to treat children to young adults with community mobility needs. Gaps in the knowledge will be highlighted to impact future research.

Methods: An electronic database search, searching within found literature, contact with driving and community mobility networks and organization were used to identify the relevant literature. Data was extracted and analyzed independently by the investigator by way of finding themes and codes and producing charted data.

Results: The total number of studies included in this work was 28. …


Occupational Therapist’S Impact In Current And Changing Roles And Routines For First-Time Foster Parents, Kathryn Chatfield, Becki Cohill, Susan Macdermott, Karen Park Aug 2021

Occupational Therapist’S Impact In Current And Changing Roles And Routines For First-Time Foster Parents, Kathryn Chatfield, Becki Cohill, Susan Macdermott, Karen Park

Summer 2021 Virtual OTD Capstone Symposium

The purpose of this study was to understand occupational therapist’s impact in current and changing roles and routines for first-time foster parents as well as understanding how to establish, preserve and maintain such meaningful domains. This study allowed for insight into current and changing roles and routines for first-time foster parents. The results from this study allowed for further comprehension on how roles and routines were impacted, and that education and tools can be used to help decrease disruption to these domains. Understanding that taking on a new role as a foster parent means routines will be impacted in one …


A Scoping Review On The Role Of Occupational Therapy With Breast Cancer Survivors, Ellen Langlinais, Steven M. Gerardi Aug 2021

A Scoping Review On The Role Of Occupational Therapy With Breast Cancer Survivors, Ellen Langlinais, Steven M. Gerardi

Summer 2021 Virtual OTD Capstone Symposium

BACKGROUND: Breast cancer survivors (BCS) suffer from treatment side effects that adversely impact occupation. Occupational therapy (OT) plays a role in the treatment of BCS, however, the literature has not clearly defined the role of OT with this population.

OBJECTIVE: The purpose of this capstone project was to conduct a scoping review of the literature to clearly define the role of OT in addressing the occupational needs of BCS.

METHODS: The scoping review methodology was based upon the 5-stage framework outlined by Arksey and O’Malley (2005). The EBSCOhost search engine was utilized for access to CINAHL Complete, MEDLINE, and OpenDissertation …


Returning To Our Roots: Re-Introducing Art Back Into Occupational Therapy, Vivi Trinh Aug 2021

Returning To Our Roots: Re-Introducing Art Back Into Occupational Therapy, Vivi Trinh

Summer 2021 Virtual OTD Capstone Symposium

The usage of arts and crafts played a significant role in the fruition of the profession, but as it adopted more medically- and evidence-based treatment methods, most practitioners steered away from arts and crafts. The overall purpose of this project was to promote the use of art in OT as well as learn about the current use of art in OT through discussions held with practicing and retired occupational therapists and OT students with fieldwork experience. A portion of the project includes conducting a needs assessment at Urban Street Angels (USA), a community-based facility in downtown San Diego, CA that …


Promoting Leisure And Social Participation For Seniors In An Assisted Living Facility, Macy Clark, Becki Cohill, Susan Macdermott, Karen Park Aug 2021

Promoting Leisure And Social Participation For Seniors In An Assisted Living Facility, Macy Clark, Becki Cohill, Susan Macdermott, Karen Park

Summer 2021 Virtual OTD Capstone Symposium

Seniors in assisted living facilities (ALF) experience a decrease in leisure activity participation (Knecht-Sabres et al., 2020). This decrease could be due to the changes in the social, cultural, and physical environments and the loss of daily roles and routines (Lamarre et al., 2019). Participation in social group activities improves quality of life and provides many physical, cognitive, and socio-emotional benefits (Barnes et al., 2008; Horowitz & Vanner, 2010). Participation in group activities offers seniors a sense of community, purpose, belonging, and friendship (Dare et al., 2018). However, group activities offered in ALF may be generic and not individualized to …


The Role Of Occupational Therapy With People Living With Epilepsy: A Scoping Review, Paige Peeples, Steven M. Gerardi Aug 2021

The Role Of Occupational Therapy With People Living With Epilepsy: A Scoping Review, Paige Peeples, Steven M. Gerardi

Summer 2021 Virtual OTD Capstone Symposium

Objective: The aim of this scoping review is to systematically examine and organize current literature describing the current roles of occupational therapists with people living with epilepsy, including assessments, interventions, and other behaviors. This will help identify current gaps in the literature to facilitate future research.

Methods: Using scoping review methodology, an electronic database search was conducted using the search terms “occupational therapy and epilepsy”. Data was extracted and charted independently by the investigator by way of finding themes and codes through analysis.

Results: The total number of studies included was 12. The primary methodology noted were case studies. …


Enhancing Eating Routines To Support Occupational Functioning, Annamarie Sughair, Karen Park, Susan Macdermott, Becki Cohill Aug 2021

Enhancing Eating Routines To Support Occupational Functioning, Annamarie Sughair, Karen Park, Susan Macdermott, Becki Cohill

Summer 2021 Virtual OTD Capstone Symposium

As the prevalence of serious mental illness becomes more widespread annually, eating habits have become more recognized as a modifiable risk factor on worsening mental health symptoms (Godos et al., 2020). Eating routines are food-based activities that occur daily, weekly, monthly, and across the lifespan (Green et al., 2021). Food-based activities include obtaining food, preparing food, eating food, and more. Challenges with eating routines are prevalent in individuals in the earlier stages of mental illness (Teasdale et al., 2020). Evidence shows gaps in graduating occupational therapy students and comfortability with addressing eating routines (Wingo et al., 2018).

The purpose of …


Exploration Of Aerial Arts As An Occupation, Kristine De Guzman, Susan Macdermott, Becki Cohill, Karen Park Aug 2021

Exploration Of Aerial Arts As An Occupation, Kristine De Guzman, Susan Macdermott, Becki Cohill, Karen Park

Summer 2021 Virtual OTD Capstone Symposium

Introduction: Aerial arts is a performance art with acrobatic and dance principles that includes a variety of apparatuses, such as silks, hammock, and lyra. Aerial arts has been transforming over the years; it was once a form of entertainment and is now utilized in occupational therapy interventions. Occupational science, the academic discipline of studying occupations, has emerged to inform occupational therapy practice. Understanding the occupation of aerial arts through an occupational science framework, Doing, Being, Becoming, and Belonging, and Model of Human Occupation offered an in-depth description of the occupation that can provide more knowledge on how to use occupations …


Occupational Therapy’S Role In Reducing Barriers For Team-Based Sports Participation For Adolescents, Dennis Nguyen, Karen Park, Becki Cohill, Susan Macdermott Aug 2021

Occupational Therapy’S Role In Reducing Barriers For Team-Based Sports Participation For Adolescents, Dennis Nguyen, Karen Park, Becki Cohill, Susan Macdermott

Summer 2021 Virtual OTD Capstone Symposium

Participating in team-based sports has numerous benefits that includes not only increased physical fitness, but also cognitive abilities and academic performance. With the many benefits of participating in team sports can provide, it will be significant to understand adolescents' specific barriers and assist in reducing the barriers for successful participation. The purpose of the capstone project was to identify and understand adolescent barriers to bridge the gap between conventional rehabilitation and team sports participation. Multiple barriers and motivators were identified including financial management, time management, and physical/athletic skill. Facing these determinants may possibly support in increasing team sports participation and …


The Role Of Ot With Individuals Living With Eating Disorders: A Scoping Review, Claudia Ritchey, Steven M. Gerardi Aug 2021

The Role Of Ot With Individuals Living With Eating Disorders: A Scoping Review, Claudia Ritchey, Steven M. Gerardi

Summer 2021 Virtual OTD Capstone Symposium

Background: Eating disorders (ED) are mental and physical illnesses that affect an individual globally, disrupting their ability to function and participate in daily life.

Objectives: The objective of this capstone project was to conduct a scoping review of the literature to define the role of OT in the treatment of clients with ED.

Methods: A database search was performed using the following electronic databases: CINAHL Complete, Medline, APA PsycInfo, and OpenDissertations, using the search terms “occupational therapist or occupational therapy” and “eating disorders or anorexia nervosa or bulimia or disordered eating”. Articles were screened and reviewed for the …


The Development And Implementation Of An Inclusive Community Sports League For Children With Disabilities, Delnai Filip, Angela Blackwell Aug 2021

The Development And Implementation Of An Inclusive Community Sports League For Children With Disabilities, Delnai Filip, Angela Blackwell

Summer 2021 Virtual OTD Capstone Symposium

Many developed sports leagues are tailored toward non-disabled children and adults, even though, in the United States, about 26 percent of the population live with a disability and one out of every three people within this population want to participate in sports (Centers for Disease Control and Prevention [CDC], 2020a; Activity Alliance, 2018). This ultimately leads to decreased sporting opportunities for individuals with disabilities. This higher rate of development of sports leagues for children without disabilities is due to the competitive environment of sports. This competitive environment leads to the marginalization of children with disabilities who want to participate in …


Exploring The Form, Function, And Meaning Of Brazilian Jiu-Jitsu, Alvin Ma, Susan Macdermott, Becki Cohill, Karen Park Aug 2021

Exploring The Form, Function, And Meaning Of Brazilian Jiu-Jitsu, Alvin Ma, Susan Macdermott, Becki Cohill, Karen Park

Summer 2021 Virtual OTD Capstone Symposium

Brazilian Jiu-Jitsu (BJJ) is a grappling martial art derived from Judo and primarily uses chokeholds and joint locks to incapacitate an attacker. These techniques require little strength and can apply tremendous amounts of force to anatomically weaker areas of the body. BJJ is a growing martial art due to its popularity in self-defense and its effectiveness in sports like mixed martial arts (MMA). This study uses a phenomenological approach and aims to increase the understanding of the form, function, and meaning of BJJ through the lived experiences of BJJ practitioners from different experience levels. Participants will be recruited and interviewed …


An Occupational Therapy Practice Guide For Sport-Related Concussion In Student Athletes, Jenny Park, Steven M. Gerardi, Mary Ann Smith Aug 2021

An Occupational Therapy Practice Guide For Sport-Related Concussion In Student Athletes, Jenny Park, Steven M. Gerardi, Mary Ann Smith

Summer 2021 Virtual OTD Capstone Symposium

Sport-related concussion (SRC) is a prevalent injury that affects millions of youth and young adults every year (McKeithan et al., 2019). The sequelae associated with an SRC can interfere with a student athletes’ ability to participate in school, return to play, and perform daily tasks (DeMatteo et al., 2018). Common practice in concussion management highlights the significance of getting individuals back to engaging in all areas of their lives; and this is consistent with the emphasis on participation by occupational therapy (OT) practitioners (DeMatteo et al., 2018). Despite the beneficial role that OT may offer, not only is there limited …


Transitional Vocational Program For Persons With Low Vision And Other Visual Impairments, Andria Lubben, Karen Park, Susan Macdermott, Becki Cohill Aug 2021

Transitional Vocational Program For Persons With Low Vision And Other Visual Impairments, Andria Lubben, Karen Park, Susan Macdermott, Becki Cohill

Summer 2021 Virtual OTD Capstone Symposium

Background: Low Vision is a life-altering visual disability (CDC, 2015). OTs work with individuals with low vision and work in the workplace and education, however, there is no research on OTs working with individuals with low vision in work or post educational settings (Butler, 2016). Vocational and educational needs are often not being met for individuals with low vision (Barbieri et al., 2019).

Problem: OTs have a limited role in adolescent transition to the workplace and higher education in individuals with low vision and other visual impairments.

Purpose: To understand transitional programs that support vocational and educational development of individuals …


The Role Of Occupational Therapy: Military Dependents Transitioning Into Motherhood, Ria Allen, Becki Cohill, Susan Macdermott, Karen Park Aug 2021

The Role Of Occupational Therapy: Military Dependents Transitioning Into Motherhood, Ria Allen, Becki Cohill, Susan Macdermott, Karen Park

Summer 2021 Virtual OTD Capstone Symposium

Background: Motherhood is a time of adjustments and changes. Mothers are learning how to balance taking care of a newborn, household responsibilities, and self-care. Adjustments of routine in everyday occupations can change quickly as the baby's needs evolve over time and established routines are disrupted and new routines are created. For military spouses, military culture and lifestyle can affect adjustments to motherhood as well including deployments, frequent moves, and reestablishing support systems. An in-depth literature review revealed that there is limited occupational therapy research, programming, and resources available to military dependent mothers

Purpose: The purpose of this study was to …


Enhancing Discharge Preparation For Adults With Substance Use Disorder Within A Residential Treatment Facility, Piper Virva, Susan Macdermott, Becki Cohill, Karen Park Aug 2021

Enhancing Discharge Preparation For Adults With Substance Use Disorder Within A Residential Treatment Facility, Piper Virva, Susan Macdermott, Becki Cohill, Karen Park

Summer 2021 Virtual OTD Capstone Symposium

The community reintegration process is a vital aspect of the recovery journey, which requires sufficient planning and preparation prior to discharge from treatment (Read & Stoffel, 2019). Individuals enrolled in a residential treatment program for SUD indicated that higher levels of assistance and preparation during the transition to community living and involvement in comprehensive discharge planning would better prepare them for community reintegration (Manuel et al., 2017). Historically, the role of occupational therapy (OT) with this population has been to facilitate the resumption of meaningful roles, identify supportive habits and routines, and address executive functioning deficits related to SUD (Champagne …


An Exploratory Study Of Individuals’ Transition To Adoptive Parenthood, Emily Brandt, Karen Park, Susan Macdermott, Becki Cohill Aug 2021

An Exploratory Study Of Individuals’ Transition To Adoptive Parenthood, Emily Brandt, Karen Park, Susan Macdermott, Becki Cohill

Summer 2021 Virtual OTD Capstone Symposium

The purpose of this study was to explore individuals’ transition to adoptive parenthood through an occupational therapy lens. More specifically, this study aimed to investigate how individuals’ performance patterns and daily occupations change through this transition. Ultimately, the purpose of this study was to gain insight into this population’s lived experience to inform occupational therapy services in order to meet the specific needs of the adoptive parent population.

A mix-method study was created using both surveys and semi-structured interviews. The survey contained both open and closed ended questions, as well as Likert Scale questions. There were forty survey participants and …


Exploring The Occupation Of Rest, Emilee Eckhart, Susan Macdermott, Becki Cohill, Karen Park Aug 2021

Exploring The Occupation Of Rest, Emilee Eckhart, Susan Macdermott, Becki Cohill, Karen Park

Summer 2021 Virtual OTD Capstone Symposium

Rest is an occupation that encompasses many aspects of the human experience. It is an occupation that looks different for everyone. The field of occupational therapy has always emphasized the importance and relevance of the occupation of rest. After a review of literature on the topic, there was little information about how rest and restful occupations are addressed in occupational therapy practice. This capstone project explored the occupation of rest and how it was understood and addressed in occupational therapy practice. This was a qualitative research design, where a survey was produced for occupational therapy practitioners (OTP). The survey questions …


Promoting Partner-Inflicted Brain Injury Awareness Within The Domestic Violence Community, Christina Debowski, Heather Javaherian, Karen Park Aug 2021

Promoting Partner-Inflicted Brain Injury Awareness Within The Domestic Violence Community, Christina Debowski, Heather Javaherian, Karen Park

Summer 2021 Virtual OTD Capstone Symposium

Background: Brain injury has been shown in research to decrease individuals’ ability to participate in their meaningful activities by negatively impacting their cognitive, emotional, and physical systems. Recent research has begun to indicate that survivors of domestic violence (DV) are at extreme risk for experiencing partner inflicted brain injury (PIBI)--brain injury that results from the physical violence of a survivor's intimate partner. However, despite the prevalence of PIBI within the DV community, research shows that survivors and DV service providers alike are not aware of how PIBI can impact survivors' daily life and wellbeing.

Purpose: The purpose of this project …


An Ipa Analysis Examining Transportation, Community Engagement, And Healthcare Access Of Elderly Adults In A Rural Border Community, Madison Rowlinson, Angela Blackwell, Karen Aranha Apr 2021

An Ipa Analysis Examining Transportation, Community Engagement, And Healthcare Access Of Elderly Adults In A Rural Border Community, Madison Rowlinson, Angela Blackwell, Karen Aranha

Spring 2021 Virtual OTD Capstone Symposium

Introduction: There is a lack of understanding about the accessibility needs of elderly borderland residents, and the barriers that they face when they try to maintain their health and well-being.

Objectives: To analyze transportation and community engagement in a rural community on the US-Mexico border. To analyze the findings of transportation and community engagement in a rural community on the US-Mexico border.

Methodology: A triangulated study using the Place Standard Assessment, Semi-Structured Interviews, and a walking survey with the theoretical framework of the Person, Occupation, Environment, Performance (N=3). Data analysis consisted of comparing means generated by the PSA on 14 …


The Role Of Occupational Therapy With The Homeless Population: A Scoping Review, Shelby Osborne, Steven M. Gerardi, Gina Benevente Apr 2021

The Role Of Occupational Therapy With The Homeless Population: A Scoping Review, Shelby Osborne, Steven M. Gerardi, Gina Benevente

Spring 2021 Virtual OTD Capstone Symposium

Homelessness is a global and national occurring pandemic. Individuals experiencing homelessness tend to lack education; health resources; stress management; social, independent, vocational, and leisure skills. These causes of homelessness create adverse impacts on occupations leading to situations described as occupational injustice and barriers to occupational engagement. Due to these adverse impacts on occupations, homelessness is of concern to the occupational therapy profession. It is necessary to identify in what behaviors occupational therapy practitioners are engaging with this population to increase occupational performance and decrease occupational injustice.

The theoretical framework of the Model of Human Occupation and the Occupational Therapy Practice …