Medicine and Health Sciences Commons^™

Identifying Factors Influencing Occupational Therapy Decision-Making Regarding Telehealth, In-Person, And Hybrid Care Within A Veterans Affairs Healthcare Setting In South Carolina, Christina R. Smith

Senior Theses

Telehealth has become an increasing part of healthcare service delivery, expanding client access to services across disciplines, including occupational therapy. Existing research suggests that telehealth occupational therapy can produce similar outcomes to in-person care in certain populations; however, variability in patient characteristics, technological readiness, intervention demands, and environmental contexts influences its suitability, and limited research examines how practitioners determine the appropriate service delivery model. The purpose of this qualitative study is to explore the factors that influence occupational therapy practitioners within a Veterans Affairs healthcare setting in South Carolina when determining the appropriateness of telehealth, in-person, or hybrid service delivery …

Knowledgable Births: Advancing Informed Consent In Maternal Healthcare, Ella A. Forrester

Senior Theses

Background:

Informed consent is both a legal requirement and an ethical cornerstone of healthcare, ensuring that patients understand and voluntarily agree to medical treatments. However, evidence suggests that the informed consent process is often inadequately implemented in maternal healthcare settings, particularly during childbirth. While giving birth, women retain full decision-making capacity but are not consistently provided with sufficient information or support to exercise this right. Contributing factors include ineffective patient–provider communication, limited health literacy, and insufficient access to culturally responsive educational resources.

Methods:

This study aimed to address gaps in accessible prenatal education by developing an online resource platform, Know …

Main Concept Analysis As A Predictor Of Aphasia Severity: Semantic, Phonological, And Executive Influences On Main Concept Performance, Chathurvedi Ganguru

Senior Theses

Main Concept Analysis is a discourse-based measure that captures the essential information conveyed during narrative speech and may serve as a functional indicator of communication ability in aphasia. This study will examine whether Main Concept composite scores derived from the Cinderella narrative task are associated with aphasia severity and identify the linguistic and cognitive factors that influence Main Concept performance. Participants will be drawn from the baseline cohort of the POLAR study and will include approximately 100 individuals with chronic post-stroke aphasia. Baseline measures include Western Aphasia Battery Aphasia Quotient, Pyramids and Palm Trees Test, Philadelphia Repetition Test, and Wechsler …

Implementing Hypertension Guidelines Into Clinical Practice, Misti Michele Mays

Electronic Theses and Dissertations

Hypertension is a complex chronic disease process, and it is essential to educate the patient on the disease process, as well as on all aspects of self-management. It is essential that providers choose an evidence-based guideline by which they will manage their hypertensive patients. In addition, providers must schedule regular follow-up appointments with their patients, along with a wide variety of other multifactorial components in regard to the management of patients diagnosed with hypertension. In addition, providers have a responsibility to stay informed on new approaches to blood pressure management by reviewing the professional literature on a regular basis. Much …

Designing Inclusive Dog Training Opportunities For Handlers With Diverse Access Needs: An Occupational Therapy Approach, Lauren Huffman

Capstone Projects

This doctoral capstone focused on designing inclusive dog training opportunities in the community by integrating occupational therapy approaches to empower meaningful participation and increase carryover of skills into daily life. The project addressed a need for options that are supportive of dog owners (typically referred to as “handlers” in the dog training setting) who experience health and learning barriers impacting human-dog interactions and the ability to attend dog training classes in a group setting. Occupational Therapy’s role in adaptive recreation and use of occupation-based practice guided the development of a foundations-level accessible small group class, individual adaptive sessions, and educational …

Beyond Baby: How Occupational Therapy Supports Families In The Prenatal And Postpartum Period, Taylor Maysonet

Capstone Projects

This doctoral capstone project focuses on the role of occupational therapy in maternal and infant health, supporting families during the prenatal and postnatal period. While occupational therapy has a strong foundation in promoting health, independence, participation and roles and routines, there remains a gap in community awareness of available support for families during this life transition. Many caregivers report feeling underprepared, overwhelmed, and disconnected from resources that could support their physical, emotional, and occupational wellbeing.

The objective of this project was to identify gaps within the interdisciplinary team during the prenatal and postpartum period. From there, I was able to …

An Occupational Therapy Approach To Sensory Education: Training Paraprofessionals To Support Students’ Sensory Needs, Sophia Hubber

Capstone Projects

Sensory processing plays an important role in the development and participation across the lifespan and is a key focus of occupational therapy (OT) in school settings. This doctoral capstone project addresses the gap in sensory education and training among paraprofessionals, who spend much of the day supporting students with the highest level of needs. While occupational therapists have extensive knowledge in sensory processing, their large caseloads often limit the opportunities to provide direct education to staff.

To address this gap, the project involved collaborating with the occupational therapy department, conducting research on sensory processing, and developing five educational videos with …

Enhancing Feeding Skills: Development And Implementation Of A Pediatric Feeding Group Program In An Outpatient Setting, Alexia Spyrka

Capstone Projects

Children with autism spectrum disorder are five times more likely to present with feeding difficulties when compared to the general pediatric population (Baraskewich,et.al., 2021). Pediatric feeding difficulties can include picky eating, restrictive diets, limited independence with feeding skills, and limited food repertoire. Not only can this effect the child’s nutrition and growth but can affect family members as they are additionally focusing on their child's socialization, communication, and regulation. When addressing feeding difficulties, occupational therapy services are provided 1:1 with clients while educating and supporting family members to improve carry over into the home. However, there is a gap in …

Sensory Processing At A Children’S Advocacy Center: Staff Education And Resource Development To Support Trauma-Informed Care, Hayley Jackson

Capstone Projects

This capstone addresses a critical gap in understanding sensory processing within trauma-informed care for children who have experienced sexual abuse. Occupational therapy (OT) offers a unique perspective for supporting children’s sensory processing and regulation needs; however, OT is not utilized in Children’s Advocacy Center (CAC) settings. This project aimed to enhance understanding of OT's scope within trauma-informed care, provide education on sensory-based strategies, and develop resources to support regulation in clinical, home, and school settings. Project objectives were achieved through the development of caregiver and educator handouts, a SMART room sensory binder, a visual schedule binder, SMART movement cards, and …

The Importance Of Holistic Care: The Development And Implementation Of Spiritual Resources For Caregivers And Staff At Joni’S House El Salvador, Chloe Veilleux

Capstone Projects

It is within the occupational therapy (OT) scope of practice to not only address client needs related to mind, body, and spirit, but also those of caregivers as a means of fostering overall improved quality of life. Additionally, when OTs address spirituality and implement spiritual/spirituality-informed interventions, correlations of improved psychosocial factors such as well-being, motivation, and reduced stress have been shown, as well as improved hope and reduced burden for caregivers. There remains, however, a gap in the research and implementation of spiritually informed care and resources specifically as it pertains to caregivers of those with disabilities. To address this …

Occupational Therapy And Grief: Building Knowledge, Justifying Scope, And Supporting Practice, Jessica Jacques

Capstone Projects

Grief can disrupt individuals’ ability to participate in meaningful daily occupations (Hoppes & Segal, 2010), yet occupational therapy (OT) remains underutilized in grief support. Given OT’s focus on occupational performance, practitioners are uniquely positioned to address the functional and emotional challenges associated with grief. Despite this alignment, a gap exists in structured, occupation-based grief support, as well as limited integration of OT within community-based grief services. This capstone aimed to address this need by developing and implementing grief-informed, occupation-based resources and educational materials. Objectives included revising a grief resource manual, creating evidence-based handouts for community and school settings, promoting sensory …

Creative Art-Based Program To Address Body Image In Cancer Survivors And Caregivers, Tisa Lightfoot

Capstone Projects

This doctoral capstone experience (DCE) explored the role of occupational therapy in promoting the use of creative art-based interventions to address body image in cancer survivors and caregivers. Within the oncology population, body image concerns are a prevalent psychosocial factor that affects survivors’ self-perception, emotional well-being, and occupational engagement in their daily lives. To address this gap, a six-week program was developed to promote art as a meaningful occupation to support the psychosocial well-being related to body image in cancer survivors and caregivers. Additional initiatives of the program included resource development and integration of education on current literature on the …

Developing And Implementing Pediatric Pelvic Health Education Groups For Autistic Youth Focused On Toilet Training, Sasha Poland

Capstone Projects

Occupational therapists (OTPs) have a crucial role in treating pelvic health conditions as toileting is an activity of daily living. However, pelvic health research is primarily focused through a physical therapy lens and doesn’t always address challenges pertaining to children, and even more so neurodivergent youth. Furthermore, there is a gap in the literature in how specifically OTPs can assist in providing pelvic health care to all individuals including neurodivergent youth. The goal of this doctoral capstone was to create and provide educational sessions to educate parents, educators, and BCBAs on the role of pelvic health OT in solving their …

Social Skill Program Development: Social Thinking Curriculum, Anna Holman

Capstone Projects

This capstone project examined the implementation of the Social Thinking It: Tweens and Teens curriculum to support adolescent social participation within a group-based setting. Social participation is a core domain of occupational therapy; however, many adolescents experience challenges with communication, emotional regulation, and peer relationships. This project addressed a gap in structured, evidence-based social skills programming at the capstone site. Primary objectives included implementing the Social Thinking curriculum, facilitating weekly group sessions, evaluating participant engagement, and skill development. Intervention strategies included role-playing, guided discussion, modeling, and reflective activities embedded within the curriculum framework. Outcomes demonstrated increased participant engagement and improved …

The Bronco Well: An Educational Podcast For Pediatric Caregivers’ Wellbeing & Quality Of Life, Molly Veldheer

Capstone Projects

Pediatric caregivers of children with increased and complex physical, cognitive, and emotional needs are an often-overlooked population. Though their children may be involved in many essential services including occupational therapy, the needs of these caregivers largely go unmet. Occupational therapists are equipped to provide valuable care and education to the entire family and not just their pediatric clients. In efforts to fill the unmet needs, this occupational therapy-based podcast was created as resource for pediatric caregivers about pediatric caregivers. The development of this capstone considered the time, energy, and financial strains that are often placed on pediatric caregivers and determined …

Occupational Therapy & Zoo Exhibit Design: Embedding Accessibility Within, Jacqui Randall

Capstone Projects

This doctoral capstone project was completed at the Indianapolis Zoo. Zoos and museums infrequently contract, but very few employ an occupational therapist to assist with exhibit design development. An occupational therapy consultant could assess exhibit accessibility and provide potential solutions to make them more accessible and inclusive for individuals with disabilities. The goal of the project was to create a list of refined recommendations to make the oceans building more accessible and incorporate more multisensory experiences when it is renovated in the spring of 2027. Also, the Accessibility and Sensation Among Zoo Exhibits and Interactives: Checklist and Application Guide was …

From Theory To Practice: Splint Fabrication Through Occupational Therapy Video Library, Caitlyn Mccaughey

Capstone Projects

This doctoral capstone experience (DCE) highlights the need for educational resources on occupational therapy splint fabrication by producing a comprehensive video library to aid skill acquisition among students and new graduates. This project involved developing 21 tutorial videos featuring detailed, step-by-step demonstrations designed to accommodate visual, auditory, and kinesthetic learning styles amongst individuals. A literature review emphasized the growing popularity of video-based education and the lack of accessible, high-quality splinting resources, with a needs assessment revealing low confidence levels among occupational therapy students due to limited educational support. Through collaboration and integration of evidence-based practices, this project successfully produced an …

Bridging The Gap: A Trauma-Informed Approach To Real-Time Counselor Support Training At Kesem, Elizabeth Fallon

Capstone Projects

This capstone project involved the development and implementation of a trauma-informed care training program for college-aged counselors within Kesem, a nonprofit organization supporting children affected by a parent or caregiver’s cancer. The project addressed gaps in existing counselor training related to recognizing and responding to trauma in real time. The literature identified increased risk for psychosocial challenges in this population, including anxiety, depression, as well as the importance of peer support, safe environments, and developmentally appropriate communication.

The training program included different modules on trauma, grief, and child development, as well as interactive role-play scenarios tailored to different age groups …

Life Skills To Promote Independence Following Discharge From Inpatient Psychiatric Care, Alli Bammert

Capstone Projects

This doctoral capstone experience focused on program development through the creation and implementation of a structured life skills program and the initial planning of a simulated life skills training space within an inpatient psychiatric setting at Kalamazoo Psychiatric Hospital. Individuals with serious mental illness often experience barriers to community reintegration following hospitalization and benefit from opportunities to practice daily living skills prior to discharge (Gibson et al., 2011). In response to this need, a 12-week life skills curriculum was developed and piloted to address topics including daily routines, medication management, emotional regulation, grocery shopping, cooking, employment readiness, technology use, and …

Implementation Of A Cardio Drumming Program To Promote Health And Wellbeing In Community-Dwelling Older Adults, Amanda Moyer

Capstone Projects

This doctoral capstone experience focused on implementation of a cardio drumming program at the Ecumenical Senior Center (ESC), a day center for older adults, in Kalamazoo Michigan. Cardio drumming is a unique way of exercise that combines drumming to upbeat music with an exercise ball, laundry basket, and drumsticks. Cardio drumming is low impact and can be adapted to many different abilities. This form of exercise can be done in a seated or standing position. The program began once a week for 30 minutes but soon increased to two times a week for 35 minutes and lasted 9 weeks due …

Creation And Implementation Of Nature And Sensory Based Therapy Programming To Support The Health And Well-Being Of Catholic Dominican Sisters, Sydney Payne

Capstone Projects

As the older generation ages, diseases such as dementia can cause sensory processing systems to be less efficient. When they become less efficient, it can create confusion and undermine one’s sense of safety (Champagne, 2018 pg 29-30). Engaging in sensory experiences provides support for these deficits while fostering participation in everyday life activities (Champagne, 2018 pg 30). This capstone project included a sensory garden (nature-based therapy) and associated multi-sensory activities. This was done through creation of nature and sensory-based programming, implementation of this programming one-on-one with sisters, two group sensory, dementia-friendly activities, and formation of a sustainability binder. Occupational therapy …

Mental Health Literacy Among Perinatal Healthcare Professionals In The United Arab Emirates: A Multiphase Convergent Mixedmethods Study, Rouwida Khalil Elkhalil

Dissertations

Perinatal mental disorders (PNMDs) pose a significant public health concern due to their impact on maternal well-being, infant development, and family functioning. Effective identification and management of PNMDs depend largely on the mental health literacy (MHL) of healthcare professionals, particularly those working in perinatal settings. However, MHL among perinatal healthcare professionals in the United Arab Emirates (UAE) remains underexplored. This dissertation aimed to examine and conceptualize MHL among perinatal healthcare professionals in the UAE, explore factors influencing its application in clinical practice, and inform evidence-based improvements in perinatal mental health care. A multiphase convergent mixed-methods design was employed across four …

Perceptions Of Virginia Dentists And Dental Hygienists Towards Emerging Alternative Dental Hygiene Workforce Provider Models, Lauren B. Mangum

Dental Hygiene Theses & Dissertations

Background: A perceived shortage of dental hygienists in the United States has been linked to delays in preventive care and concerns about declining oral health outcomes. In response, some states have proposed alternative pathways permitting internationally trained dentists, dental students, and oral preventive assistants (OPAs) with limited or inconsistent education requirements to provide dental hygiene services. Limited evidence exists regarding whether these strategies would effectively address access to care and workforce challenges. Concerns have also been raised about the potential effects of expanding scope of practice for providers with limited education or training on patient safety and quality of care. …

Modeling Early Indicators For Success In An Associate Degree In Nursing Program, Joseph D. Moss

Educational Leadership & Workforce Development Theses & Dissertations

Persistent nursing workforce shortages across the United States have increased the importance of Associate Degree in Nursing (ADN) programs as primary entry points into the profession. Community colleges prepare a substantial portion of the nursing workforce; however, attrition within ADN programs limits the number of graduates entering practice. Understanding factors associated with academic performance and program completion is essential for strengthening nursing education pathways and supporting workforce development. The purpose of this quantitative study was to examine early academic and sociodemographic factors associated with successful completion of an ADN program at a suburban community college.

Guided by Becker’s Human Capital …

Learning In Motion: How Small Groups Can Promote Self-Regulated Learning In Physical Therapy Students, Sara Mclaren

STEMPS Theses & Dissertations

Self-regulated learning (SRL) is a critical skill for success in rigorous graduate health professions programs, where students must independently manage complex academic demands. Despite its importance, limited research has examined SRL processes among Doctor of Physical Therapy (DPT) students in the didactic phase of training. Guided by Zimmerman’s cyclical model of self-regulated learning, this study examined SRL behaviors among second-year DPT students and explored how small group learning contexts may influence engagement in SRL processes and academic performance.

This mixed-methods study included 39 DPT students enrolled in a physical therapy program at a public university in the southeastern United States. …

Ptsd Symptoms And Cannabis Use Among College Students: Examining The Role Of Trauma-Related Cannabis Use To Cope, Christopher T. Latourrette

Psychology Theses & Dissertations

Individuals with posttraumatic stress disorder (PTSD) are more than four times as likely to develop cannabis use disorder (CUD) as those without PTSD. This common co-occurrence is often interpreted through a self-medication framework in which cannabis is used to manage PTSD symptoms. Prior work has relied heavily on veteran samples, includes measures of cannabis coping that are not specific to PTSD, and has most commonly examined total PTSD symptom severity, limiting precision in understanding how discrete symptom clusters relate to cannabis outcomes. The present study sought to examine associations between individual PTSD symptom clusters and cannabis use severity and to …

Mechanisms Of Synergy Between Nanosecond Pulsed Electric Field (Nspef) And Cold Atmospheric Pressure Plasma Discharge (Cap) In Pancreatic Cancer: The Role Of Ros-Mediated Oxidative Stress And Apoptosis, Zobia Minhas

Theses and Dissertations in Biomedical Sciences

Pancreatic ductal adenocarcinoma is a highly lethal malignancy characterized by poor prognosis and resistance to conventional therapies. Novel treatment strategies are needed to overcome this resistance. Non-thermal physical modalities, including nanosecond pulsed electric field (nsPEF) and cold atmospheric pressure plasma discharge (CAP), have emerged as potential anticancer approaches; however, the mechanisms underlying their combined effects remain unclear.

This study evaluated whether nsPEF enhances CAP-induced cytotoxicity and investigated the associated molecular mechanisms using the murine Pan02 pancreatic cancer cell line. Cell viability was assessed by WST-1 metabolic activity assays and electric cell–substrate impedance sensing (ECIS). Intracellular reactive oxygen species (ROS) were …

Investigating Social Justice Implications Of Glyphosate Residues In Human Urine, Ananya Malhotra

Electronic Theses, Projects, and Dissertations

Background: Glyphosate, the nominal active ingredient in professional-grade Roundup weed and grass killer, is the most extensively used herbicide globally and in the United States (U.S. Environmental Protection Agency, 2020). An increasing level of concern has surfaced regarding its health consequences, particularly because of contamination of our food supplies. Recent research indicates distressing levels of detection of glyphosate in human blood and urine samples, revealing many instances of frequent human exposure (Conrad et al., 2017; Zhang et al., 2020).Most of the research about exposure is focused on agricultural workers or individuals living in close vicinity to agricultural lands.  Few …

Reducing Humpty Dumpty Syndrome In Pediatric Inpatients, Jeanene Burns

Electronic Theses and Dissertations

The Doctor of Nursing Practice project examined pediatric inpatient falls. The healthcare agency involved in the project identified concerns regarding pediatric inpatient falls. Data were collected on pediatric inpatient falls that occurred on two nursing units at this agency based on the Generalized Risk Assessment for Pediatric Inpatient Falls and the Humpty Dumpty Falls Prevention Scale. Results from the project indicated marginal statistical significance, with approximately a 60% reduction in falls after the implementation of the Humpty Dumpty Falls Prevention Scale. A recommendation for future research is a comparison of the two pediatric fall risk assessment tools after the Humpty …

A Comparative Analysis Of Group Care: Trust, Professional Identity, And Health System Structure In The United Kingdom And The Netherlands, Samantha J. Kohlmann

Senior Theses

Group prenatal care (Group Care) has been associated with improved maternal experiences and select clinical outcomes, yet less is understood about how it functions within high-resource health systems and what mechanisms underlie its impact. This study examines how Group Care is implemented in the United Kingdom and the Netherlands, with particular attention to professional roles, relational dynamics, and health system context.

I employed a qualitative, comparative design and conducted four semi-structured interviews with midwife researchers involved in Group Care implementation in both countries. Data were analyzed thematically, with attention to cross-context similarities and differences.

Findings indicate that Group Care operates …