Medicine and Health Sciences Commons^™

Exploration Of Occupational Therapy’S Role Within The Lgbtq+ Population, Crystal Garcia, Pam Kasyan-Howe, Kristin Domville, Lisa Schubert

Fall 2021 Virtual OTD Capstone Symposium

There are an estimated 11 million individuals who identify as LGBTQ+ in the United States (Rosendale et al., 2019). With this number steadily increasing, it is important that occupational therapists continue to become culturally competent and educated on different strategies to transform the way individuals who identify as LGBTQ+ are given and receive treatment. The problem is that there is a gap in the literature supporting occupational therapist cultural competence to integrate occupational roles of the LGBTQ+ population into their evaluation and intervention. Without culturally competent educational opportunities, the health care system is inadequately prepared to provide responsive health care …

Descriptive Study Of A Healthy Weight Management Program For Overweight Or Obese Children And Youth, Chad Roberts, Pam Kasyan-Howe, Kristin Domville, Lisa Schubert

Fall 2021 Virtual OTD Capstone Symposium

The rise in obesity among children and youth in the last 20 years is a public health concern. The prevalence of childhood obesity has multiplied worldwide in the last four decades (“The Heavy Burden of Obesity and the Economics of Prevention,” 2019). Obesity is a complex chronic disease in which abnormal or excessive accumulation of body fat impairs health (Wharton et al., 2020). Childhood obesity can profoundly affect children's physical health, social and emotional well-being, and self-esteem (Rankin et al., 2016 & Purnell et al., 2018). The problem is a lack of an occupation-based evaluation tool utilized to link occupational …

Advocating For Occupational Therapy’S Role In Secondary Stroke Prevention, Madison Coker Cox, Becki Cohill, Karen Park

Fall 2021 Virtual OTD Capstone Symposium

Background: Cerebrovascular Accident (CVA), or stroke, is a leading cause of death and a major source of disability in the United States (Centers for Disease Control and Prevention [CDC], 2017). Stroke is classically characterized as a neurological deficit attributed to an acute focal injury of the central nervous system (CNS) by a vascular cause de (Sacco, et al., 2013). Vascular causes include cerebral infarction, intracerebral hemorrhage (ICH), and subarachnoid hemorrhage (SAH). and is a major cause of disability and death worldwide (Sacco, et al., 2013). Stroke and transient ischemic attack (TIA) patients are at a high risk for a subsequent …

The Path A Pilot Program Bringing The Hero S Journey To Occupational Therapy, Cole Milkovich, Susan Macdermott

Fall 2021 Virtual OTD Capstone Symposium

The "Hero’s Journey" is a powerful narrative therapy tool that uses the hero metaphor to help clients reframe their life circumstances (Robertson & Lawrence, 2015; Williams, 2017). However, this concept has only been utilized in the department of psychology. Occupational therapists utilize narrative reasoning to guide client-heroes through a rehabilitative rite of passage through the collaboration (Kelly, 2007). As mentors, clinicians assist client-heroes to create their stories that will be acted out to reflect their identity. Therefore, the therapeutic process aims to empower the client and enact a real positive storyline through meaningful occupation (Clark, 1993; Mattingly, 1998).

The challenge …

Supporting Foster Care Transition Into Adulthood And Independent Living, Victoria Bui, Karen Park, Susan Macdermott, Becki Cohill

Fall 2021 Virtual OTD Capstone Symposium

The focus of this project was to enhance currently existing foster youth programming to promote engagement and participation in independent living skills (ILS) development. Research shows that although such programming exists to support foster youth transitioning into independent living, services are underutilized and may greatly benefit from a more personalized and holistic approach to engage participants. The process of this project included conduction of a needs assessment to understand site-specific areas of concern impacting occupational performance. Findings from the needs assessment informed development of a manual containing occupational therapy strategies for program staff to address concerns and promote engagement and …

Exploring The Role Of Occupational Therapy In The Development Of Behavior Management Programs For Elementary School Teachers And Staff, Lauran Minark, Becki Cohill, Karen Park

Fall 2021 Virtual OTD Capstone Symposium

Background: Behavior, how one acts, influences occupation, the things one needs and wants to do. When a student struggles with the ability to regulate their behavior and actions, they are more likely to exhibit behaviors in the classroom that negatively impact their overall ability to participate in academic learning in the classroom (Walls & Rauner, 2015). Examples of these student behaviors include: Eloping from the classroom, yelling, tantrums, task refusal, physical and verbal aggression, standing on furniture, throwing materials, etc. Dealing with difficult student behaviors is difficult. This can impact a teacher’s ability to perform their responsibilities required of their …

Adaptive Fashion: Access, Advocacy, And Occupational Therapy, Tiffany Truong, Susan Macdermott, Karen Park

Fall 2021 Virtual OTD Capstone Symposium

Background: Adaptive apparel is specially designed to make the dressing experience easier for individuals with disabilities (Azher et al., 2012). Some barriers to accessing adaptive apparel include limited retailers, limitations in design, and affordability. Though dressing is an occupation within occupational therapy’s scope of practice, there are limited research, programs, and projects defining occupational therapy’s role and presence in adaptive clothing.

Objective: The purpose of this study was to examine and understand individuals with disabilities' perceptions and experiences of fashion and apparel, and to better define occupational therapy’s role in this field.

Methods: The qualitative study used …

Understanding Ot’S Role In Fall Prevention And Analyzing The Perceived Barriers From Nurses And Occupational Therapists In An Inpatient Setting, Kyle B. Esguerra, Becki Cohill, Susan Macdermott

Fall 2021 Virtual OTD Capstone Symposium

The aim of this project was to analyze current fall prevention strategies, work and environmental-related barriers, and OT’s role in fall prevention in a hospital setting. Two online surveys consisting of quantitative questions (multiple-choice, select-all-that-apply, and Likert scale) with the option for open-ended answers were given to OT practitioners and nurses with inpatient experience. A total of 341 OT practitioners and 21 nurses completed the survey. The results were transferred to a password-protected Microsoft Excel document in preparation for analysis. Data analysis derived several themes including lack of resources, lack of training, inter-professional collaboration, workload, work culture, cognitive and physical …

Ot’S Role In A Social Enterprise Jobs Training Program For Homeless Youth, Luke Drohan, Susan Macdermott

Fall 2021 Virtual OTD Capstone Symposium

This capstone outlines a jobs training program for transition-aged youth (TAY), ages 18 – 25, currently residing at Urban Street Angels, a transitional housing facility for youth experiencing homelessness located in San Diego, California. The purpose of this project was to incorporate occupational therapy services into the site’s dormant social enterprise program, 8West. 8West produces a line of artisanal hand soaps created in-house by the youth living at Urban Street Angels. Through experiential and didactic learning, youth developed integral skills in customer service, communication, sales, marketing, professionalism, and production. The project addressed an unmet need for job skills training and …

Microaggressions Experienced By Lgbtq Individuals In Cjclds Contexts, Jane Bell

Fall Student Research Symposium 2021

Relative to heterosexual and cisgender individuals, sexual and gender minorities (SGM) have elevated rates of minority stress and heightened chances of health problems, including mental health disorders and suicidal ideation. This process can be exacerbated in a conservative Christian religious setting, such as in the context of the Church of Jesus Christ of Latter-day Saints (CJCLDS). Although CJCLDS doctrine embraces love for all, LGBTQ+ individuals experience discrimination, sometimes through subtle verbal/nonverbal barbs called microaggressions. There is limited research on this intersection of experience, which makes it difficult to understand how to help the individuals being adversely affected. This study seeks …

The Impact Of China's Recent Economic Growth Has Had On The Environment: Challenging The Assumption That In Order To Protect The Environment We Must Sacrifice Development., Mckay Overton

Fall Student Research Symposium 2021

Pollution is a major issue in China effecting both the health and environment of the Chinese people. Since its rapid rise in economic and technological development, China has become one of the global leaders in business and technology. Conversely, China has also become one of the global leaders in the amount of pollution it creates. Every day, large amounts of coal and fossil fuels are burned. There are few regulations to protect the environment, and even fewer that are actually enforced. High levels of pollution cause high rates of cancer as well as high rates of lung and heart issues …

A Method To Assess Response Inhibition During A Balance Recovery Step, Molly Rowley

Fall Student Research Symposium 2021

Background: Correlations between falls and executive function tests, particularly those tests emphasizing inhibitory control, suggests that the ability to suppress automatic, but unwanted action, is important in fall prevention. Response inhibition has been a topic of considerable interest in the cognitive neuroscience community for many decades, bringing with it, the development of techniques that could be used to inform assessment of reactive balance. Research question: Can we apply a method used in traditional cognitive testing - the stop signal task - to measure response inhibition in a speeded, balance recovery task? Methods: Twenty healthy, young adults completed a novel reactive …

Pcos: What They Should Be Telling You, Gracie Leavitt

Fall Student Research Symposium 2021

It is speculated that out of 14 million women in the United States, 70% are being affected by Polycystic Ovarian Syndrome, and yet it continues to be one of the most misdiagnosed or undiagnosed diseases. PCOS is a condition that stems from the endocrine system and is often determined by cysts in the ovaries, but studies have proven that that isn’t always the case nor the determining diagnostic criteria. Women aren’t given enough information when being diagnosed with PCOS, nor substantial treatment options. In a world with incredible medical advances and research happening continuously, PCOS seems to be lacking in …

The Role Of Occupational Therapy In The Adaptive Scuba Diving Industry, Erin Wallace, Karen Park

Fall 2021 Virtual OTD Capstone Symposium

Background: Adaptive scuba diving is an activity that provides many therapeutic benefits to individuals living with physical, visual, and/or cognitive disabilities. Occupational therapists (OTs) specialize in using valued activities as therapeutic interventions, however, the literature supporting the profession’s value in the adaptive scuba diving industry is limited. There are no clearly defined job descriptions for OTs contributing to the adaptive scuba diving industry although evidence shows the therapeutic potential that OTs can contribute to it.

Purpose: The purpose of this project is to demonstrate OT’s value in the adaptive scuba diving industry by creating an adaptive diving reference …

Assessing Occupational Access And Enhancing Occupational Engagement At Inpatient Psychiatric Facilities, Cristina Ruelas, Susan Macdermott, Ingrid Leu

Fall 2021 Virtual OTD Capstone Symposium

Many individuals at inpatient psychiatric facilities experience limited participation in activities of daily living, minimal opportunities for purposeful occupations, very few productive roles, and almost no occupational choice and autonomy (Murphy & Shiel, 2019). Many people report experiencing boredom throughout their stay (Marshall, et. al., 2020). This boredom can lead to poor patient satisfaction, frustration, aggression, or incidents of self-harm (Foye, et al., 2020). Individuals at psychiatric facilities are deprived of participation in daily occupations (Murphy & Shiel, 2019) and they experience an injustice of occupational deprivation.

Occupational Therapy And The Transition Into Fatherhood, Rheanne Sager, Karen Park, Aaron Bonsall

Fall 2021 Virtual OTD Capstone Symposium

Background: There are few resources that address the postpartum time period in fathers and the transition period of becoming a new parent specifically for males (Goldstein et al., 2020). Males experience postpartum symptoms almost as frequently as women (Madsen, 2009); however, men display different symptoms than women and are often not thought of because they did not physically carry the infant (O’Connell-Binns, 2009). The transition period for becoming a new parent is stressful on males as well as females, yet the male role is not always clear for the individuals (Asenhed et al., 2014).

Purpose: The purpose of …

Exploring Occupational Therapy’S Role In Supporting Health And Wellness In The Transition To Motherhood, Katelynn A. Lillibridge, Karen Park, Susan Macdermott

Fall 2021 Virtual OTD Capstone Symposium

The transition to motherhood [matrescence] is a time of major life changes. All aspects of a new mother’s life are impacted during matrescence as she assumes her new role, identity, responsibilities, and learns the occupational skills of mothering. During this time, health, wellness, and occupational balance may all be impacted. This is a sensitive time for mothers with potential implications for both short and long-term health. Using an occupation-based approach can be a way to provide comprehensive support and care to mothers during this period to promote health and wellness, enhance occupational engagement, and support meaningful co-occupations. Currently …

Occupational Therapy’S Role In Emergency And Disaster Preparation For The Population Of Physically Disabled Individuals, Aldin Cerillo, Susan Macdermott, Karen Park

Fall 2021 Virtual OTD Capstone Symposium

Emergencies and disasters may occur anywhere in the world, with no population immune to their effects. Vulnerable populations, including individuals with physical disabilities, are more at risk and lose the ability to maintain crucial occupations in the event of an emergency or disaster (Rutkow et al., 2015). Currently occupational therapy services have a strong presence in post emergency situations, in a recovery capacity. Despite Safety and Emergency Maintenance being an Instrumental Activity of Daily Living, a gap exists in the literature regarding what occupational therapists may do when engaging in emergency and disaster preparation with individuals who have a physical …

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 …

Addressing Food Insecurity Among College Students: A Life Skills Program, Lizbeth Mapa, Karen Park, Susan Macdermott, Becki Cohill

Fall 2021 Virtual OTD Capstone Symposium

Background: Food insecurity, or the “limited or uncertain availability of nutritionally adequate, safe foods, or inability to acquire personally acceptable food in socially acceptable ways,” is becoming a prevalent problem. College students are one of the susceptible groups to food insecurity, impacting many aspects of a student’s daily life. At present, there is limited OT-based programming that addresses the multiple internal and external factors of food insecurity in college students.

Purpose: The purpose of this capstone project was to develop a life skills program for college students experiencing food insecurity. The program aimed to address internal and external …

Exploring The Impact Of Infertility On Women, Leslie Trinh, Susan Macdermott, Karen Park

Fall 2021 Virtual OTD Capstone Symposium

Background: In the United States, approximately 16% of couples, or roughly five million individuals, are diagnosed with infertility (Collins, 2019). The literature demonstrates that the experience of infertility limits the ability to participate in daily occupations and fulfill occupational roles. The goal of this study was to gain a better understanding of how occupations and roles are impacted by the experience of infertility and use that information to determine whether there is a potential role for occupational therapy in providing care to this population.

Methods: This study took a qualitative approach using interviews and photo elicitation to gain a deeper …

The Impact Of Culture On Family-Centered Care, Summer Akbar, Susan Macdermott, Karen Park

Fall 2021 Virtual OTD Capstone Symposium

Consistent caregiver involvement in therapy services is a necessity for an increase in therapeutic outcomes for children and caregiver confidence. A caregiver’s cultural background plays a significant role in choices made on behalf of their child and the amount of caregiver engagement that is involved in their child’s therapy services. When cultural factors and needs are unacknowledged or unmet by therapists, this can lead to a decrease in motivation for caregivers and their children to participate in therapeutic interventions. Due to the essential need for a caregiver to be involved in their child’s pediatric therapy services, pediatric OTs must learn …

Exploring Occupational Therapy’S Role In Sports-Related Concussions, Rajvi Patel, Karen Park

Fall 2021 Virtual OTD Capstone Symposium

Background: Concussions or mild traumatic brain injuries are caused by a bump, blow or jolt to the head or body causing the head and brain to move rapidly back and forth inside the skull (CDC, 2019). Concussions are one of the most common sports injuries reported in the pediatric population (Browne & Lam, 2006). According to the Center for Disease Control, from 2010-2016, a yearly average of 283,000 children, aged 17 and younger, checked into an emergency department for a sports recreation related concussion (CDC, 2019).

Purpose: The purpose of this program is to better understand occupational therapy’s …

Ot’S Role In Older Adult Transitions To Assisted Living, Michelle Chavez, Karen Park

Fall 2021 Virtual OTD Capstone Symposium

Background: The transition of moving to an assisted living facility as an older adult can be accompanied by many physical and psychological challenges affecting adjustment to such a facility. Occupational therapists assist clients as they prepare for and cope with major life transitions, however this role is most often seen in childhood and early adulthood transitions. Occupational therapists are skilled at facilitating the re-establishment of roles, habits, routines, and rituals and are knowledgeable in how the environment serves as a major influence on this. Because of this, it would be ideal for occupational therapists to have a role in facilitating …

Advocating For Occupational Therapy’S Presence In Chronic Pain Programs, Taylor Borin, Susan Macdermott, Karen Park

Fall 2021 Virtual OTD Capstone Symposium

Background: The purpose of this project is to advocate for occupational therapy’s presence in chronic pain programs. In a chronic pain setting occupational therapy currently focuses on enabling individuals to achieve satisfying performance in activities of daily living (ADLs) and instrumental activities of daily living (IADLs) despite pain and fatigue (Hill, 2016). Treatment interventions focus on activity management, problem solving, activity adaptation, planning/pacing, stress management, relaxation training, and coping skills training (Hill, 2016). Occupational therapy can provide individuals with chronic pain a more diverse and unique perspective on pain management. They can utilize their consideration of psychosocial factors and occupation …

Evaluation Of College And Career Readiness Class Efficacy For Students With Learning Differences, Karen M. Travis, Karen Park, Susan Macdermott

Fall 2021 Virtual OTD Capstone Symposium

A significant percentage of first year students in post-secondary education (PSE) do not persist through their first year and high schools continue to seek new ways of supporting students’ college and career readiness (CCR). Studies show lack of persistence derives not only from academic deficits but in non-academic skill deficits such as self-determination and executive function skills. Public school CCR programs have had limited resources to address these non-academic challenges to their students’ success whereas private high schools have significantly lower student to counselor ratio and many provide enhanced CCR programming. One small private school has provided a new semester …

An Online Educational Resource On Adaptive Sports For People With Spinal Cord Injuries, Rachel Morgan, Steven M. Gerardi

Fall 2021 Virtual OTD Capstone Symposium

A spinal cord injury (SCI) has a serious impact on an individual’s participation in everyday life activities, leading to a high risk of a sedentary life-style. There is a paucity of research pertaining to adaptive sport participation post-injury and the role of occupational therapy (OT). Additionally, there are limited resources available that inform people with SCI on the benefits of adapted sports or where to go to engage in them. As such, this paper describes the development of a doctoral capstone project to address this need. The purpose of this capstone project was to create an educational web page that …

Transition Program To Postsecondary Education For Students With Traumatic Brain Injury, Eung Gyeong Park, Susan Macdermott, Becki Cohill, Karen Park

Fall 2021 Virtual OTD Capstone Symposium

Traumatic brain injury (TBI) is a condition that occurs due to an external blow to the skull that damages the brain (Carulli et al., 2018). According to the Centers for Disease Control and Prevention, 2.5 million TBI have been reported each year. Many students with TBI face physical, cognitive, environmental, and social challenges in their transition to post-secondary education (Bedell et al., 2017). Individuals with TBI experience social and behavioral changes that interfere with their participation as they face difficulties initiating, regulating their social behaviors, and experiencing increased introversion (Bedell et al., 2017). Physical challenges include fatigue, headaches, sleep disturbances, …

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

An Exploration Of Dating As An Occupation For Autistic Adults, Maryam Binaei, Susan Macdermott

Fall 2021 Virtual OTD Capstone Symposium

Despite the presence and popularity of dating cultures in the media, the occupation of dating is highly complex and still prematurely understood through research. Recent research has found autistic adults to experience increased variety in their gender and sexual identity as well as challenges to achieving dating goals. A doctoral capstone project was completed to explore current approaches to resources and programs to address their dating needs, as well as understand their experiences in more depth. A needs assessment was carried out through an occupational therapist working with autistic adults in a day program. The need’s assessment revealed that autistic …