Medicine and Health Sciences Commons^™

Inclusive Sports Environments: Youth Gymnastics Coaches’ Perceptions On Promoting Inclusivity For Autistic Athletes, Alec D. Sheaffer

Occupational Therapy Doctorate Capstone Projects

Background: Despite the positive physical, psychological, and social benefits of sports, children with disabilities participate in sports at a lower rate than their typically developing peers. Partnerships between occupational therapists and youth sports providers can facilitate inclusive sports environments that enable equitable access to sports for all children.

Purpose: The purpose of the Capstone Project was to explore youth gymnastics coaches’ perceptions on inclusive sports participation following an educational module.

Theoretical Framework. The occupational justice framework (Townsend & Wilcock, 2004) guided the development of the project through the view that equitable participation in preferred occupations is an individual right.

Methods. …

Resilience As A State, "A Learned Trait," Among The Brain Injury Population: A Narrative Analysis, Bailey Gifford

Occupational Therapy Doctorate Capstone Projects

Background: Traumatic brain injuries (TBI) are acquired injuries resulting from an external trauma to the head (Brain Injury Association of America, 2019). The impact of a TBI is significant with those affected experiencing cognitive decline, decreased mobility, communication barriers, reduced social participation and impairments with engagement in valued occupations.

Purpose: The purpose of this study is to explore the existing literature regarding state resilience for persons who have experienced TBI.

Theoretical Framework: Occupational Adaptation Model promotes occupational performance in meaningful activities through adaptation, which is a continual process based on fluctuating changes in adversity.

Methods: This project design was a …

Perceptions Of Occupational Therapy Practitioners In Recognizing And Addressing Older Adult Food Insecurity, Mitzie Marion C. Mickelson

Occupational Therapy Doctorate Capstone Projects

Background: According to productive aging initiatives from the American Occupational Therapy Association, occupational therapy practitioners play an integral role in advancing and promoting wellness and independence of adults in later life. Evidence has indicated that numerous occupational therapy interventions can enhance the quality of life and functional ability levels of older adults and may be modified to target the needs of older adults who experience the threat of hunger.

Purpose: The purpose of this qualitative descriptive study is to explore how occupational therapy practitioners view their role in enhancing older adults’ healthy eating behaviors and reducing the risk of food …

How Do Informal Caregivers Of A Person With Dementia Experience Stress And Which Supports Help Mitigate The Effect Of These Stressors?, Kwandra Andrews Brinson

Occupational Therapy Doctorate Capstone Projects

Background: Alzheimer's disease or related dementias (ADRD) are one of the most rapidly growing epidemics that the world is facing. Caring for a person with ADRD is challenging and often causes informal caregivers stress, loneliness, and social isolation.

Purpose: The aim of this qualitative instrumental case study was to obtain a better understanding of how informal caregivers of persons with ADRD experience stress and which supports helped mitigate the effect of these stressors in their role as a caregiver.

Theoretical Framework: The Model of Human Occupation focuses on therapy helping persons to engage in occupational behaviors that maintain, restore, reorganize, …

Perceptions Of Occupational Therapists Working In Established Pace Programs, Jessica L. Daugherty-Peters

Occupational Therapy Doctorate Capstone Projects

Background: The Program of All Inclusive Care for the Elderly (PACE) provides medical and social services to older adults who meet nursing home level of care but wish to remain in their own homes. Although PACE has been in existence for decades, this program is new to the state of Kentucky.

Purpose: The problem this Capstone project will address is the need for further research related to occupational therapy’s roles and experiences in PACE programs. This capstone will explore the perceptions of occupational therapists and occupational therapy assistants working in established PACE programs.

Methods: This study followed a Qualitative Descriptive …

Don’T Forget The Importance Of Leisure Occupations For The Community Dwelling Elder, Susan Witt

Occupational Therapy Doctorate Capstone Projects

Leisure exploration is important to the community dwelling elder (CDE) as research indicates that social and leisure activities correlate with well-being in this population (Adams et al., 2011). This research project aimed to gain insight on the CDE’s perspective on leisure as they age in place and the role occupational therapists play in leisure promotion for this population. This mixed method study included quantitative data from the Activity Card Sort (ACS) assessment which provided data on how leisure and activities of daily living have changed with aging. Qualitative data was gained through semi-structured interview and explored the perspectives of the …

Occupational Therapists’ Clinical Reasoning In Aat With Dogs In Pediatric Therapy, Catherine C. Goodman

Occupational Therapy Doctorate Capstone Projects

Purpose: The purpose of the study was to understand the clinical reasoning used by occupational therapists to select animal assisted therapy with a dog to be included in a treatment plan for their pediatric occupational therapy clients

Theoretical Framework. The Ecology of Human Performance model supports the study purpose and emphasizes the effect of a person’s context and environment on their ability to function and perform tasks.

Methods. The descriptive qualitative study used interviews of seven occupational therapy practitioners who have included dogs in therapy sessions with children. Interactive coding and theme development was employed with member checking applied to …

Coaching, Capacity, And Change: Youth Sport Providers' Perceptions On Creating A Health-Promoting Environment, Jennifer Papenfuse

Occupational Therapy Doctorate Capstone Projects

Background: Rising youth public health disparities can be attributed to the social determinants of health that influence health and wellness. Youth sport providers can be influential in creating healthier environments that facilitate positive youth development, positively impacting life-long healthy behaviors.

Purpose: The purpose of this Capstone Project was to explore youth sport provider’s perceptions, after completing an educational module, of their capacity to implement positive youth development and to create a health-promoting environment. Theoretical Framework. The Model of Human Occupation and the Transtheoretical Model of Behavioral Change guided this project’s assumption that the multicontextual environment’s influence on the process of …

A Comparison Of The Effectiveness Of Two Handwriting Programs On Legibility In First Grade Students, Whitney Cook

Occupational Therapy Doctorate Capstone Projects

Background: Handwriting is one of the most utilized forms of written communication and there is a lack of research comparing the effectiveness of two different handwriting programs in elementary aged students.

Purpose: The purpose of this Doctor of Occupational Therapy (OTD) Capstone project was to compare the efficacy of two handwriting programs implemented in first grade classes at one elementary school in Kentucky. The research question that guided this Capstone Project was: Which of the following handwriting programs were more effective in achieving handwriting legibility in first grade students: Handwriting Without Tears or Write Start?

Theoretical Framework: …

The Impact Of Volunteer Transportation On Older Adult’S Engagement In Meaningful Activities, Belinda Alexander

Occupational Therapy Doctorate Capstone Projects

Background: Without accessible transportation alternatives, many older adults experience declined activity levels, social isolation, and decreased occupational engagement resulting from their lack of community mobility and access. Volunteer transportation programs have been successfully used as an additional community mobility option for many older adults, especially those unable to access the traditional public transportation options, such as buses or taxis, found in many communities.

Purpose: While numerous transportation options, or alternatives, may exist in a community, no studies to date have examined or compared engagement levels related to a specific form of alternative transportation. Therefore, the purpose of this …

How Does Intraprofessional And Interprofessional Collaboration Impact The Use Of Occupation-Based Practice In Skilled Nursing Facilities, Stedmon D. Hopkins

Occupational Therapy Doctorate Capstone Projects

Background: Research shows that there are many barriers to the implementation of occupation-based practice amongst occupational therapy practitioners. One barrier that requires a more in-depth review is the process of interprofessional and intraprofessional collaboration amongst staff in skilled nursing facilities.

Purpose: The purpose of this research project was to examine how interprofessional and intraprofessional collaboration influence occupational therapists and occupational therapy assistant’s ability to provide occupation-based practice in skilled nursing facilities.

Theoretical Framework: The frameworks utilized throughout this study included the National Interprofessional Competency Framework and the Occupational Therapy Intervention Process Model (OTIPM).

Methods: This study utilized a …

Assistive Technology In Transition Programming For Individuals With Intellectual Disabilities, Jennifer L. Veenendall

Occupational Therapy Doctorate Capstone Projects

Individuals with intellectual disabilities are employed at lower rates than those without disabilities and evidence supports the use of assistive technology (AT) to improve vocational outcomes for this population. This preliminary study investigated the impact of AT training among special educators in secondary transition programming. The results provide useful information that can be used to guide decisions regarding additional training and interventions to build capacity in quality AT service delivery for young adults transitioning into work roles within this program. Successful implementation of person-centered AT problem-solving and decision-making could positively impact the integrated employment options and opportunities for young adults …

Heart To Heart: Educating Allied Healthcare Students And Professionals About Heart Failure, Samantha M. Barefoot

Occupational Therapy Doctorate Capstone Projects

Heart failure (HF) is a health problem which providing necessary education to healthcare professionals who serve individuals with HF allows for continuity of care and the promotion of disease management for this population. The intent of this research was to determine if providing an educational in-service to allied healthcare students and practitioners increased their knowledge of OT’s role with HF clients and about HF itself as a condition interfering with occupation. The design of this study involved collecting pre/post survey data to evaluate the knowledge of the participants about the HF population and gathering participant satisfaction data regarding the in-service. …

Understanding Therapists' Perceptions Of Co-Occurring Substance Use Disorders Using The Model Of Human Occupation Screening Tool, Jaimie K. Estreet

Occupational Therapy Doctorate Capstone Projects

Background: Exploring occupational therapy (OT) practitioners’ competence when working with clients with co-occurring substance use disorders (SUD). Current literature demonstrates a gap regarding OT practice and SUD as a co-occurring diagnosis.

Purpose: The purpose of this qualitative instrumental case study design is to illustrate and more fully understand the issue of OT evaluation and intervention for clients co-diagnosed with SUD, specifically using the Model of Human Occupation Screening Tool (MOHOST) (assessment) in multiple settings.

Theoretical Framework: The Occupational Therapy Practice Framework (OTPF) and the Model of Human Occupation (MOHO) is the framework and theoretical lens used to guide this project. …

What Stops Some Occupational Therapy Practitoners From Providing Fieldwork Education?, Jacqueline S. Schafer-Clay

Occupational Therapy Doctorate Capstone Projects

A critical fieldwork shortage exists for the profession of occupational therapy and an evidence gap was found; literature with practitioners who do not provide fieldwork education was missing. The purpose of this capstone project was to identify the barriers that stop some occupational therapy practitioners from providing fieldwork education and what benefits and supports may motivate these same individuals to become fieldwork educators. A quantitative descriptive and correlational study with an online survey design, with 25 closed ended questions was distributed through snowball sampling across the United States. Responses were received from 42 states plus the District of Columbia. There …

Training Appalachian, Hospital-Based Occupational Therapists On The Use Of Standardized, Occupation-Based Outcome Measures And Treatment Concepts For Traumatic Upper Extremity Injuries: A Pilot Program, Donald G. Pitts

Occupational Therapy Doctorate Capstone Projects

Executive Summary

Background. Traumatic injuries to the upper extremity, such as crush injuries, tendon lacerations, burns, and amputations, are common and may result in missed work, decreased independence in activities of daily living, and decreased the quality of life. In urban areas, traumatic upper extremity injuries are often treated by a Certified Hand Therapist (CHT), who is an occupational or physical therapist with specialized training who has passed a national certification examination. In the Appalachian region of Kentucky, people with traumatic hand injuries are most likely to be treated in a hospital-based outpatient orthopedic setting that is primarily staffed with …

Occupational Therapy Intervention For Project Search Interns With Autism Spectrum Disorder: Potential For Improved Transition Outcomes, Jessie L. Bricker

Occupational Therapy Doctorate Capstone Projects

As the prevalence of autism spectrum disorders (ASD) continues to rise, it is increasingly important to address the needs of adults with ASD as they transition into the work world. Project SEARCH, an internationally recognized program, has been successful in assisting individuals with disabilities in attaining competitive employment. Yet even in this program model, individuals with ASD have lower employment outcomes than individuals in other disability categories. The purpose of this action research study was to explore the needs of individuals with high functioning autism spectrum disorder (HFASD) within the Project SEARCH program from their own perspectives, and to examine …

Perceptions Of Atp Certified Occupational Therapy Practitioners On Assistive Technology Education In Occupational Therapy Programs, Karen M. Dishman Otd, Otr, Atp

Occupational Therapy Doctorate Capstone Projects

This capstone project focused on identifying which categories of assistive technology (AT) that practitioners perceived to be needed in entry-level master’s occupational therapy (OT) programs; and validating the need for post-professional AT training and post-professional AT certificate programs. For this capstone project, a survey approach was used as the data collection method. The purpose of the survey was to determine perceptions of OT practitioners on AT education received during their entry-level OT program. The survey was returned by 148 occupational therapy practitioners certified as assistive technology professionals (ATP) by the Rehabilitation and Engineering Society of North America (RESNA). Results indicated …

Implementation Of Modified Constraint-Induced Therapy In Upper Limb Stroke Rehabilitation In An Inpatient Rehabilitation Hospital, Umana W. Udoeyop

Occupational Therapy Doctorate Capstone Projects

Background: Despite increasing and strong evidence of modified constraint-induced therapy (mCIT) as an effective intervention approach for patients with chronic and subacute stroke in outpatient settings, it is still not widely used for the rehabilitation of patients with acute stroke who are typically admitted to inpatient rehabilitation hospitals.

Purpose: The purpose of this study is to implement an evidence-based approach using mCIT in the upper extremity rehabilitation of patients with acute stroke in an inpatient rehabilitation hospital and to demonstrate its feasibility and efficacy in increasing the motor recovery, and the amount and quality of arm use when compared to …

Sensory-Based Group Treatment In Reducing Physically Acting-Out Behaviors And Perceived Levels Of Distress, Tiffany Barnette

Occupational Therapy Doctorate Capstone Projects

Background: Mental health legislation over the last several decades has focused on restricting the use of seclusion and restraints within facilities receiving federal financial assistance. Facilities serving psychiatric populations have looked for strategies to eliminate the need for these forced interventions. One strategy is the use sensory-based treatment in occupational therapy intervention. Sensory approaches that have been adopted as ‘best practice’ include the use of sensory rooms, groups and kits to help users learn how to regulate psychological and emotional states of arousal.

Purpose: The purpose of this Capstone Project was to examine the effectiveness of a sensory-based …

Exploring Clinical Fieldwork Educators’ Perceptions And Expectations Of Occupational Therapy Student Professional And Technical Skills At The Beginning Of Level Ii Fieldwork, Jessica A. Mason

Occupational Therapy Doctorate Capstone Projects

Educational programs must ensure students are prepared for clinical practice prior to initiating the mandated fieldwork experiences defined by ACOTE. This is done through a multitude of educational learning strategies including lectures, service learning opportunities, and skill competence. Occupational therapy professionals serving as fieldwork educators can offer unique insight to occupational therapy educators in how to best prepare students for clinical practice.

The Experiences Of The Parents Of Children Undergoing Occupational Therapy Intervention For The Occupation Of Feeding, Michael A. Coldiron

Occupational Therapy Doctorate Capstone Projects

Occupational therapy practitioners practice under the values of client-centered care and cultural sensitivity. This valuates the role of the occupational therapy practitioner in pediatric feeding intervention pertaining to diverse diets. The problem is that there is a lack of research into the experiences of individuals who consume a diverse diet as they undergo occupational therapy intervention for the occupations of feeding and eating. The purpose of this study was to enable individuals with diverse diets to self-report these experiences. Participants were questioned on the challenges they encountered and detailed questions regarding the types of experiences they face. The study was …

Container Culture: An Educational Program To Reduce The Overuse, Ashleigh R. Toy

Occupational Therapy Doctorate Capstone Projects

The increased pace of society, improved safety, mobility and the need for parent efficiency have created a vast market of infant products to meet these demands: car seats that clip in and out of everything from the car to the grocery cart, jumpers, walkers, exersaucers, swings, bouncers and bumbos. These infant equipment products are helpful and can be beneficial if used effectively, however, the problem synthesized from the literature and clinical observation is that these containers designed to support safety and mobility are being overused causing a decrease in tummy time and human interaction which is leading to delays in …

Enriching Occupational Therapy In Early Intervention: Using And Documenting The Evidence, Shelli Dry, Christine Myers

Occupational Therapy Doctorate Capstone Projects

Occupational therapists working in Kentucky’s Early Intervention System (First Steps) are required to use evidence-based practice within their treatment sessions. Evidence-based practice incorporates information from scientific research, the clinician’s expertise and the family’s values in an all-encompassing treatment approach. Implementing evidence-based practice into treatment sessions promotes efficiency in treatment by improving clinical outcomes in a shorter period of time. This capstone project was developed as a first step in identifying methods to promote the implementation and documentation of evidence-based practice into early intervention services. This project included developing an online continuing education course and exploring changes in occupational therapists perceptions …