Medicine and Health Sciences Commons^™

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

Capstone Projects

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

Implementing The Positive Approach To Care® Methods As An Effective Training Curriculum For Staff At An Adult Day Center, Delaney Acri

Capstone Projects

Dementia, a neurodegenerative disorder affecting multiple brain regions, significantly disrupts daily life (Feurich, 2023). Occupational therapists, guided by the Occupational Therapy and Performance Framework (OTPF-4), address cognitive and functional challenges in individuals with dementia (American Occupational Therapy Association, 2020). Therapists employ compensatory strategies to enhance quality of life of people with dementia, as well as their family caregivers. Adult day centers serve as valuable resources for family caregivers, offering respite care during working hours. Despite regulations in most states, Michigan lacks specific dementia training laws in some healthcare settings (Burke & Orlowski, 2015). As a result, many facilities that serve …

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

Capstone Projects

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

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

Capstone Projects

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

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

Capstone Projects

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

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

Capstone Projects

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

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

Capstone Projects

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

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

Capstone Projects

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

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

Capstone Projects

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

A Longitudinal Study Of The Development Of Social Anxiety In Young Autistic Children, Gillian K. Marshall

Senior Theses

Social anxiety is a prevalent anxiety disorder marked by fear and discomfort in social situations where scrutiny or evaluation by others is anticipated. This thesis investigates the interplay between social anxiety and autism spectrum disorder (ASD), a neurodevelopmental condition characterized by social and communication challenges. Individuals with ASD often face heightened levels of anxiety, intensifying their social difficulties and impeding their social development. Early identification of social anxiety symptoms, particularly in ASD children, is crucial for timely intervention and improved outcomes. However, diagnosing social anxiety in preschool-aged children, especially those with ASD, presents challenges due to the complexity of symptoms …

A Scoping Review On Racial Disparities In South Carolina’S Opioid Epidemic, Jake D'Alto

Senior Theses

This thesis examines racial disparities in opioid-related outcomes within South Carolina, highlighting the disproportionate impact of the opioid epidemic on minority communities. Using a comprehensive literature review methodology, the study analyzes the intersection of race, socioeconomic status, and systemic factors that contribute to heightened risks of opioid misuse and overdose among African American populations. The paper identifies key factors such as poverty, incarceration rates, and limited access to healthcare that exacerbate the opioid crisis in these communities. Additionally, it evaluates the effectiveness of current public health responses and legislative measures in addressing these disparities. The research proposes several actionable interventions, …

A Historical Analysis Of Health Institutions, Professionals, And Advocates In The Civil Rights Movement In Columbia, South Carolina, Anusha Ghosh

Senior Theses

From 1900 to 1970, widespread racism severely restricted healthcare access for Black citizens in the South, leading them to establish and staff alternative healthcare institutions to support their community.

Such institutions faced debilitating issues such as chronic financial shortages and patient overflow. Despite these problems, oral histories, media, and primary written sources show that Black healthcare workers in alternative healthcare institutions demonstrated a greater ability to meet the health needs of Black patients due to cultural understanding and external community involvement.

Dr. Matilda Evans was an African-American woman physician who became a leader in medicine, public health, and education in …

Pilot Study: Effects Of Whole Body Vibrational Therapy On Equine Epaxial Muscle Soreness, Riley Leibeck

Undergraduate Honors Thesis Projects

Whole body vibrational therapy (WBV) is well-studied in people, but there is a paucity of research of its effect on horses. It is suggested that WBV use in horses increases performance, aids in recovery, and stimulates nerves, bones, and muscles in ways that normal exercise does not. The purpose of this pilot study was to determine if frequent WBV therapy sessions affect back soreness in horses using pressure algometry. Most sporthorses will experience back soreness in their careers, and it is regarded as one of the most common causes of poor performance in equine athletes. Five horses were measured for …

Enhancing Pre-Vocational Programs For High School Students With Disabilities: The Impact Of Occupational Therapy And Support Staff Education, Maria Calzada

Capstone Projects

Pre-vocational programs in high school serve as a crucial platform for supporting students in the transition from education to the workplace. These programs provide classroom instruction, hands-on training, and practical experiences to maximize students’ vocational skills post-high school. Pre-vocational programs provide a crucial platform for the development of IADL skills, task analysis, and the promotion of occupational engagement among diverse populations. The purpose of this DCE was program development within the pre-vocational program and provide additional education for the support staff at the high school setting. The goal was to improve vocational skills, including problem solving, self-advocacy, sequencing, and sustained …

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

Capstone Projects

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

Association Between Direct Access Laws And Physical Therapy Use And The Effect Of Change In Physical Therapy Use On Subsequent Healthcare Spending, Utilization, And Opioid Use, Dakshu Jindal

Theses and Dissertations

Background

Physical therapy (PT) has been recommended as the first-line treatment for patients with incident musculoskeletal conditions without severe trauma. Initial or early use of PT may help address some of the nation’s most pressing health policy challenges, including escalating healthcare spending and an ongoing opioid epidemic, by encouraging the use of physical therapy as a substitute for expensive surgeries and the use of opioids. Yet, state scope of practice laws have historically restricted the diagnosis and treatment of medical conditions to physicians. Traditionally, patients seeking care from a physical therapist had to obtain a referral from a physician first. …

Minimally Invasive Therapies In The Treatment Of Arthropathy, Steven Bateman

Physician Assistant Scholarly Project Papers

It is estimated that 27% of adults over 45 years of age suffer from osteoarthritis of the hip secondary to articular cartilage damage over the lifespan. Joint pain diminishes life quality, limits range of motion and overall activity, and frequently impairs basic ambulation. These functional deficits worsen the progression of comorbidities that are often referred to as lifestylerelated chronic disease as physical activity subsequently declines. This literature review explores the efficacy of minimally invasive therapies that precede and delay surgical intervention in adult patients experiencing functional limitations and pain in major joints. The study examines the effectiveness of various interventions, …

Developmental Programming Of Normal Versus Metabolically Altered Pancreas In Rat: Effect Of Gestational Diabetes, Sanabil Ali Ahmed

Dissertations

Diabetes Mellitus (DM) is a chronic condition characterised by pancreatic β-cell dysfunction and consistently elevated blood glucose levels (hyperglycaemia), either due to the inability of the body to produce any or adequate amounts of insulin or the inability of the body to effectively utilise the produced insulin (i.e., insulin resistance). DM can be classified into 3 main types: Type 1 DM (T1DM), Type 2 DM (T2DM), and Gestational Diabetes Mellitus (GDM). GDM is defined as “hyperglycaemia that is first diagnosed during pregnancy with glucose levels below those considered diagnostic of overt diabetes outside of pregnancy”.

The mature pancreas is a …

Prevalence Of Depression In Physical Therapy Environments For Young Adult Populations In The U.S.: A Systematic Literature Review, Audrey N. Baucom

Honors College Theses

Objective: This systematic review aimed to examine interactions of depression symptoms and diagnoses and its prevalence in physical therapy settings among the young adult population ages 18-24 in the United States through current literature and to identify existing literature. Methods: This review followed the PRISMA guidelines to form a systematic review. Ten databases were extensively searched. Results were screened by one researcher and those that met the criteria were verified as inclusive by a second researcher. Results: The search yielded 3,017 results and included two studies. In each study, age was not identified as a prevalent variable in mental health …

Policymaker's Perspectives And Student Experiences Of Bullying At Schools In The Uae: A Mixed-Method Approach, Alfan Saghayir Alketbi

Dissertations

Bullying is a significant issue in schools worldwide, including Abu Dhabi, the UAE. This dissertation aims to explore the dynamics of school bullying and improve anti-bullying interventions through a mixed-method approach. The primary goal is to investigate current anti-bullying efforts in the UAE and develop a comprehensive framework for school-based bullying intervention, considering policymaker perspectives and student experiences.

The study includes a systematic scoping review, qualitative studies with policymakers, a SWOT analysis of Abu Dhabi's anti-bullying approaches, and a cross-sectional survey of students' perceptions, attitudes, and awareness in Al-Ain City. These methods provide an integrated view of bullying in the …

The Effects Of Covid-19 Stressors And Supervisor Support On Emotional Exhaustion And Work Engagement, Meiqiao Gu

Psychology Theses & Dissertations

Since the onset of the COVID-19 pandemic, working conditions have worsened, subjecting employees to numerous stressors. Analyzing the impact of COVID-19 stressors on employees‘ well-being and work motivation is crucial. The job demands-resources model (JD-R; Demerouti et al., 2001a) provides a framework for evaluating how COVID-19 stressors affect employees‘ well-being and motivation in the workplace. Given the complexity of job characteristics during the COVID-19 pandemic, coupled with challenges in obtaining adequate support from supervisors who are also facing considerable work pressure, this study examines the continued relevance of the JD-R model in this evolving work environment. Specifically, four hypotheses were …

Sleeveless Guides Are More Accurate Than Sleeved Guides: An In Vitro Study, Jenna Hang

Master's Theses (2009 -)

BACKGROUND: Esthetic and functional results of an implant and its final prosthesis depend largely on the accuracy of implant placement. Fully-guided surgeries have been proven to be more accurate than non-guided implant placement. Surgical guides with metal keys are often used during guided surgery, but add tolerance to the guides. Sleeveless guides may improve accuracy of implant placement. OBJECTIVE: This study aims to examine the difference between surgical guides with (S) and without sleeves (SL) in terms of trueness and precision. A secondary aim was to assess the impact of the distance of the guide to the implant platform. METHODS: …

Preemptive Analgesia And Pain After Periodontal And Implant- Related Procedures: A Systematic Review And Meta-Analysis, Christos Gousias

Master's Theses (2009 -)

Objective: The purpose of this systematic review and meta-analysis is to document the effect of preemptive analgesia on patient-reported pain following periodontal and implant-related surgical procedures. Methods: A comprehensive search of the literature was conducted in PubMed, Cochrane, and Web of Science (PROSPERO ID: CRD42023471166). Randomized placebo-controlled clinical trials on adults undergoing periodontal and implant-related surgeries were included. A meta-analysis was performed comparing pain data at postoperative hours 1, 3, 6, 8, 24 and 72 between pre-emptive medication versus placebo groups. Results: Two independent reviewers screened 1,044 titles and included 15 studies (open flap debridement 6/12; flap and osseous surgery …

Impact Of Learning-Style-Based Education On Student Performance And Perception In Preclinical Endodontics: Part Ii, Rebecca Flaugher

Master's Theses (2009 -)

Objectives: This study aimed to investigate if providing supplemental learning materials aligned to students’ learning modes is equally beneficial among all modes both subjectively and objectively. Methods: IRB approval was obtained (Approval #HR-3746). Second-year dental students (n=92) enrolled in Preclinical Endodontics took Kolb Experiential Learning Profile (KELP) questionnaire to determine their learning mode: Abstract Conceptualization (AC), Active Experimentation (AE), Reflective Observation (RO), or Concrete Experience (CE). Students were assigned into groups corresponding to their learning mode. Students performed non-surgical root canal treatment (NSRCT) on a #9 typodont tooth and were graded to determine baseline performance (Project 1). Students were then …

In Vitro Comparison Of Cellular Cytoxicity Of Conventional Vs. Cad/Cam Denture Base Materials, Zainab Hill Albasry

Master's Theses (2009 -)

Aim: Adverse reactions and local irritation of the oral mucosa to prostheses constructed from PMMA include allergic response, erythema, and a burning sensation of the tongue and mucosal tissues. Evidence on the cytotoxic effects of digitally manufactured denture base materials remains scarce. The aim of this study was to evaluate and compare the cytotoxic effects of CAD/CAM fabricated denture bases versus conventionally heat-cured acrylic resin materials. Materials and Methods: In total, 75 disks of five different denture resin materials – 15 disks per group were prepared: Ivocap (group 1; control), Ivotion denture base (group 2), Lucitone 3D denture base (group …

Public Health Emergency Management For Interprofessional Learners: Development Of A Curriculum, Terry D. Cooper

Health Science Doctoral Thesis

In our world, hazards and disasters are becoming more frequent and destructive. The impacts that disasters have on physical, mental, and environmental health are substantial and can be devastating. Responding to and recovering from disasters with increasing complexities requires interdisciplinary teams with the knowledge, skills, and attitudes that transcend several fields. This thesis aims to investigate the essential educational factors of interprofessional education (IPE) to inform the development of an effective curriculum that implements IPE for education in public health emergency management (PHEM). The thesis was supported by a quantitative survey with open-ended questions. Curriculum development followed the Kern 6-step …

Understanding The Role Of Adverse Childhood Experiences On Resilience In Police Officers, Wayne F. Handley

Counseling & Human Services Theses & Dissertations

Police officers are subject to a variety of stressors not only from job-related events resulting from direct or vicarious trauma exposure (Andersen & Papazoglou, 2014; Brown et al., 1999; Iversen et al., 2008) but also from family and personal concerns (Burke, 1998; Page & Jacobs, 2011), and administrative pressures originating from within their own agencies (Violanti et al., 2018; White et al., 2016). Prior to their careers as police officers, individuals may also be exposed to traumatic events early in life. Adverse Childhood Experiences (ACEs) are described as negative events related to emotional, physical, or sexual abuse or neglect, exposure …

Effects Of Balance Training On Spinal Reflexive Excitability Modulation, Corticospinal Excitability, And Balance Performance In Individuals With Chronic Ankle Instability, Sunghoon Chung

Rehabilitation Sciences Theses & Dissertations

Chronic ankle instability (CAI) is a neurophysiologic deficit resulting in diverse sensorimotor impairments. Following acute ankle sprains, pain, mechanical instability, and joint deafferentation reduce sensory input to the central nervous system (CNS). In response, the CNS sends altered motor signals to lower extremity muscles. These CNS changes contribute to various neuromuscular impairments in CAI patients, the most common of which is reduced balance performance. Specifically, CAI patients struggle to modulate spinal reflex excitability of the soleus muscle when progressing from simpler to more complex balance tasks. This overreliance on spinal reflexes results in inconsistent activation of the ankle stabilizing muscle. …

Exploring The Experiences Of School Counselors Advocating For Social Justice Within Urban Pk-12 Charter Schools, Betsy Marina Perez

Counseling & Human Services Theses & Dissertations

School counselors serve students’ academic, career, and social/emotional needs through a comprehensive school counseling program, and center their work on concepts of equity, advocacy, social justice, and systemic change, to remove barriers and increase opportunities for all PK-12 students. Charter schools are also unique public school settings as they offer flexibility, innovation, and autonomy to staff to create individualized experiences for their students. Held in common by these two educational services is the commitment to serving the needs of historically marginalized populations (Black, Indigenous, People of Color [BIPOC] and those from low socioeconomic backgrounds) and the opportunity to advocate for …

Supervision Needs Of Novice Behavioral Health Providers In Integrated Primary Care Settings: A Delphi Study, Nicholas D. Schmoyer

Counseling & Human Services Theses & Dissertations

The integration of behavioral health providers (BHPs, i.e., clinical mental health counselors, clinical psychologists, clinical social workers, marriage and family therapists) into primary care settings has developed as a healthcare practice associated with enhanced patient clinical outcomes, enhanced patient satisfaction, reduced healthcare expenditures, and enhanced provider wellness and satisfaction, known together as the Quadruple Aim. For BHPs practicing in integrated primary care (IPC) settings, researchers have highlighted a variety of challenges they experience when integrating in these settings, with a consistent challenge being a lack of satisfactory training and supervision. Clinical supervision has been hailed as the “signature pedagogy” for …