Medicine and Health Sciences Commons^™

A Wellness And Social Engagement Program For Post-Lower Limb Amputees, Graciela Gonzalez, Cassandra Nelson

Spring 2025 OTD Capstone Symposium

A wellness and social engagement program was developed and implemented to provide education relating to the mental health impacts, decrease in health management, and lack of social participation after a lower-limb amputation amongst adults, 18 years or older. The program provided a manual with educational information, external resources, and visual aids to enhance independence in activities of daily living (ADLs).

Effect Of Prehabilitation On Functional Outcomes And Hospital Length Of Stay Following Total Joint Arthroplasty, Kristin Nicole Kaplewicz

Doctoral Dissertations and Projects

The purpose of this study was to determine how prehabilitation effects functional outcomes and length of stay in patients that have undergone total joint arthroplasties. Patients have continued to report being unhappy with their results of surgery and a large majority of the time is secondary to patients not being appropriately prepared for what to expect during their surgical recovery period. This information is important because occupational therapists and physical therapists continue to strive to improve patient satisfaction and outcomes. One of the ethical principles that healthcare providers commit to achieving is that of beneficence which means the clinicians must …

The Effect Of Occupational Therapy Intervention Based On A Multicontext Approach In A Patient With Traumatic Brain Injury: A Case Study, Medine Nur Özata Değerli, Yusuf İslam Değerli, Selen Aydöner

Internet Journal of Allied Health Sciences and Practice

After traumatic brain injury, individuals often experience a variety of cognitive problems. Executive function skills are usually affected, including planning, motivation, multitasking, flexible thinking, performance monitoring, memory, self-awareness, and error detection and correction. Problems in executive function skills can lead to reduced performance of instrumental activities of daily living and dependence on others for these activities in individuals with traumatic brain injury. The multicontext approach is a framework built on the combination of remedial and compensatory techniques that focuses on generalizing learning transfer in cognitive rehabilitation. This study examined the effect of an 8-week multicontext occupational therapy intervention on cognitive …

Art, Nature, And Occupational Therapy In The Arctic Circle, Erin Barrus

The Open Journal of Occupational Therapy

Even Edvardsen, a Norwegian occupational therapist and artist, provided the cover art for the Winter 2025 issue of the Open Journal of Occupational Therapy (OJOT). “Loppa 1” is a 60 x 80 oil on canvas that shares a glimpse into living in the Arctic Circle. It is the first in a series of 10 variations of the island of Loppa, a small island off the coast of Norway, further north of Tromsø. Even’s paintings are what he calls meditations on nature and everyday moments; he invites viewers to slow down and reconnect with the world around them. In today’s fast-paced …

Professional Behaviors As Forced Assimilation: A Critical Reflection On The U.S. History Of Education And Beyond, Quinn P. Tyminski, Karla Reese, Linn Wakeford

The Open Journal of Occupational Therapy

Historically, education has been used as a mechanism of assimilation for marginalized identities in the United States, demanding conformity to the dominant culture and society. The occupational therapy (OT) profession is not immune and must examine and understand how our educational systems have erected and maintained barriers designed to exclude people from historically minoritized communities through the lens of professional behaviors. Professionalism and professional behaviors are not well-defined constructs in OT, and there is significant variability among educational institutions in how professional behavior standards are written, communicated, and applied. There is significant inconsistency across OT educational programs in the US …

Psychosocial Occupational Therapy Interventions For Pediatric Traumatic Brain Injury: A Scoping Review, Sabina Khan, Christianah Edema

The Open Journal of Occupational Therapy

Background: We aimed to examine the psychosocial interventions used by occupational therapists in managing pediatric TBI, and to identify unique psychosocial needs in this population.

Methods: The scoping review was guided by Arksey and O'Malley's framework. Four databases were searched for relevant studies namely: Embase (Elsevier), Medline (PubMed), Cochrane Library, and PsycNet. Included studies were studies written in English reporting on psychosocial interventions for pediatric TBI by occupational therapists and/or the psychosocial needs of children with TBI.

Results: The search identified 13 relevant studies published from 2006 to 2020. Multiple psychosocial interventions were pinpointed in these studies, …

Effects Of Push-In Occupational Therapy Services In Kindergarten On Writing Foundations, Heather A. Hyndman

Occupational Therapy Doctorate Capstone Projects

Background: According to the Compensation & Workforce Survey, 24.89% of occupational therapy practitioners (OTPs) work in schools (AOTA, 2023). This researcher has worked in a public-school setting for over 20 years, and her caseload continues to grow each year, doubling in the past 10 years. Handwriting difficulties account for most referrals for this researcher.

Purpose: The purpose of this research was to determine if an occupational therapy (OT) led fine motor intervention small group along with push-in occupational therapy services during literacy instruction would improve kindergarten students’ handwriting.

Theoretical Framework: Motor learning theory is applicable to teaching handwriting. This …

Occupational Therapist's Role In Sensory Inclusive Space Design, Colleen Mcgill

SURF Posters 2025

The rise in individuals experiencing sensory processing difficulties has revealed the challenges they face in regard to engagement in different environments and social participation. Sensory processing difficulties can impact the individual's social connectedness to entertainment venues that confine larger crowds and overwhelming stimuli, causing a form of occupational deprivation. This form of occupational deprivation can not only affect the individual, but can also impact family interactions at social events. Occupational therapists have proven highly skilled when assessing and treating clients with sensory processing difficulties, as well as evaluating and adapting environments to promote successful participation. With that, there is a …

The Impact Of Moral Injury On Veterans' Occupations, Sydney Santora

Entry Level Occupational Therapy Doctoral Capstone Projects Class of 2025

Occupational therapy has been working with veterans since its origin. Once labeled as shell shock, occupational therapists addressed and continue to address veteran’s mental health, specifically Post Traumatic Stress Disorder (PTSD). While PTSD still affects veterans, there is another emerging phenomenon that is affecting veterans called moral injury. Moral injury (MI) is a condition resulting from “perpetrating, failing to prevent, bearing witness to, or learning about acts that transgress deeply held moral beliefs and expectations” (Litz et al., 2009, p. 697). There is currently limited literature regarding occupational therapy’s treatment of moral injury. This study aimed to fill the gaps …

Caregiver Resources For Aging With An Intellectual And/Or Developmental Disability (Raidd), Lena M. Conway

Entry Level Occupational Therapy Doctoral Capstone Projects Class of 2025

Caregivers of individuals with intellectual and/or developmental disabilities (IDD) are essential in supporting health, well-being, and aging in place; however, they are often overlooked in policy and occupational therapy (OT) practice. Caregivers frequently experience heightened levels of stress, anxiety, depression, physical fatigue, and social marginalization. Adults with IDD face disproportionately high rates of chronic disease and mental health conditions, and despite the development of resources to support this population, caregivers report barriers to locating, understanding, and utilizing these assets. A scoping review was conducted to determine and explore the needs of caregivers and the systemic challenges they face, including fragmented …

Parkinson’S Optimal Wellness And Educational Resource (Power) Project, Christina Mcfadden

Entry Level Occupational Therapy Doctoral Capstone Projects Class of 2025

By 2030, over 1.3 million adults in the U.S. are predicted to be diagnosed with Parkinson’s disease (PD), with Pennsylvania exhibiting a notably high incidence (Parkinson’s Foundation, 2023; Willis et al., 2022). Despite this prevalence, non-specialist clinicians, policymakers, and the public generally remain poorly informed in adequately supporting PD (World Health Organization [WHO], 2022). There is a gap within the literature regarding occupational therapy’s (OT) role in community-based PD programming in the U.S. The Parkinson’s Optimal Wellness and Educational Resource (POWER) Project addresses this through a tertiary health approach as identified in the WHO’s Parkinson’s technical brief (2022). Informed by …

Let's Get Connected (Lcg), Delaney J. Boyd

Entry Level Occupational Therapy Doctoral Capstone Projects Class of 2025

The Let’s Get Connected (LGC) doctoral capstone project aimed to improve the social skills of primary school students through program development, education, and clinical intervention in order to encourage a more inclusive environment in the school. Regarding program development, LGC incorporated universal OT services during recess for all second grade students to socialize as a class. During the “All-In Recess” portion of the program, social emotional skills were taught through games that encouraged students to socialize and include all of their peers. The second tier included “Breakfast Bunch and Lunch Bunch”, which consisted of small social participation groups held during …

Explore Your Future, Faith M. Merritt

Entry Level Occupational Therapy Doctoral Capstone Projects Class of 2025

Explore Your Future, a doctoral capstone project, was developed to aid the development and learning of low socioeconomic status (SES) children attending the McGlynn Center. This project focused on career readiness, addressing community concerns by providing resources on career possibilities, educational pathways, and skills training. A scoping review revealed gaps in research on interventions improving career readiness in low SES children, with limited studies identified across seven databases. Early intervention is proven to enhance career exploration, social-emotional outcomes, social awareness, academic performance, and vocational identity (Howard & Ferrari, 2022). Improvements in self concept, interpersonal and critical thinking skills, and confidence …

Occupational Therapy Practitioner Perspectives On Leadership In Everyday Practice: A Descriptive Qualitative Study, Mary E. Spores

Occupational Therapy Doctorate Capstone Projects

Background: Leadership is a topic of interest for rapidly evolving healthcare professions and a cornerstone of the American Occupational Therapy Association (AOTA) Centennial Vision. The history of leadership in the profession has a robust foundation and yet calls to action for leadership in the profession remain focused on traits, behaviors and transformative processes. Occupational therapy practitioners (OTPs) are positioned to be leaders of change with the use of leadership influence however, practitioner views on their enactment of leadership in everyday practice are sparse in the literature.

Purpose: The purpose of this qualitative descriptive study was to capture the perspectives of …

Pediatric Occupational Therapists' Perception Of How Nature-Based Play Affects Fine Motor Development, Abbi M. Rosenow, Donia P. Timby, Jacquelyn D. Wiersma-Mosley, Amanda Terrell

Discovery, The Student Journal of Dale Bumpers College of Agricultural, Food and Life Sciences

This study explored the benefits of nature-based pediatric occupational therapy (OT) and the influence of nature and nature-based play on fine motor development. It was hypothesized that nature and nature-based play would positively impact a child’s fine motor skills (FMS) and that nature-based OT would offer unique benefits to a child’s therapeutic experience. To examine these relationships, a survey was distributed to pediatric occupational therapists (OTs) across the United States. The survey was designed to gather insights into how OT supports fine motor development, how nature-based play/therapy enhances these skills, and the perceived benefits of incorporating nature into therapeutic practices. …

Developing Staff Training Modules To Enhance Neurodiversity-Affirming Care In An Inpatient Psychiatric Setting, Haley Morris

Entry-Level Occupational Therapy Doctorate - Doctoral Capstone Symposium

Introduction: Individuals with autism spectrum disorder (ASD) are admitted to psychiatric hospitals at higher rates and for longer durations compared to neurotypical individuals (Kuriakose et al., 2018). Externalizing behaviors, such as aggression and self-injury, significantly increase hospitalization risk, yet standard psychiatric interventions (e.g., traditional process groups) are often ineffective for this population. A key barrier is the lack of ASD-specific training among hospital staff (Siegel & Gabriels, 2012). This capstone project aimed to address this gap by developing and implementing an educational training program to improve patient-centered, neurodiversity-affirming care across all inpatient psychiatric units. The primary aims were to: …

Exploring Perceptions Of Accommodations In Ot Fieldwork: A Mixed Methods Study, Courtney A. Gohean, Courtney Gohean

West Chester University Doctoral Projects

This study employed a convergent parallel mixed-methods design to explore the perceptions and experiences of occupational therapy (OT) fieldwork educators, academic fieldwork coordinators (AFWCs), and Level II OT students with disabilities regarding accommodations during fieldwork. Quantitative data were collected through an online Qualtrics questionnaire completed by 45 fieldwork educators. Qualitative data were gathered through semi-structured interviews with seven AFWCs and seven OT students/new graduates who had used Section 504 accommodations during Level II fieldwork. Thematic analysis revealed key themes among students and AFWCs, including barriers to disclosure, variability in support and communication, the need for proactive planning, and concerns regarding …

The Integrated Support Plan For End-Of-Life Care (Isp-Eolc), Kaitlin R. Sugarman

Entry Level Occupational Therapy Doctoral Capstone Projects Class of 2025

The Integrated Support Plan for End-of-Life Care (ISP-EoLC) workbook was developed to address the growing need for structured, occupation-based resources for occupational therapy practitioners (OTPs) working in end-of-life care. Rooted in evidence-informed practice, this workbook guides OTPs in supporting patients and caregivers through one of life’s most complex transitions. Each chapter of the workbook focuses on a key topic, including early recognition of OT needs, meaningful role participation, iterative interventions, caregiver support, and interdisciplinary collaboration. Designed to be both educational and interactive, the workbook includes patient and caregiver-directed activities that promote communication, reflection, and emotional connection. It also offers practical …

Know More Falling: Community-Based Fall Prevention, Edward R. Mcwithey

Entry Level Occupational Therapy Doctoral Capstone Projects Class of 2025

The aging population is expected to grow to 2 billion worldwide by 2050 (Rosado et al., 2021). Aging is classified as a determinant risk factor for falls and fall-related injuries (Rosado et al., 2021). This capstone project aimed to promote understanding and address fall prevention in the older adult population with multiple stakeholders throughout the Dallas, Pennsylvania community. Project goals included developing community partnerships, providing education and addressing wellness and health equity among community-dwelling older adults through multifaceted interventions. The literature search yielded a synthesis and analysis of current evidence focused on community-based fall programming, adding to the body of …

A Parent's Guide To Success, Marina D. Bucciarelli

Entry Level Occupational Therapy Doctoral Capstone Projects Class of 2025

A Parent’s Guide to Success, a doctoral capstone project, explored occupational therapy’s (OT) role in family-centered practice (FCP). The project focused on areas of education, advocacy, and program development which were informed by the completion of a scoping review. This capstone project was developed as a primary prevention resource for parents and caregivers of children from birth to three years. It was designed to prepare, inform, and support new parents and caregivers with educational videos and resources that depict the skills, knowledge, and support needed for optimized family outcomes. Education was also a valuable aspect of this project as the …

Meaning Within The Lines, Melody Kneller

Entry Level Occupational Therapy Doctoral Capstone Projects Class of 2025

“Meaning Within the Lines” was a doctoral capstone project developed to improve children’s handwriting through program development, education, and advocacy. Through an occupational therapy handwriting program at Misericordia University, local children struggling with handwriting received pro-bono occupational therapy services that improved their overall handwriting skills, using the Handwriting Without Tears curriculum and manipulatives. This project also advanced the knowledge of undergraduate occupational therapy students' through observation of OT sessions. Education workshop opportunities increased underclassman knowledge in handwriting development and provided resources that they can use for their future practice. Advocacy efforts to educate area school district personnel was completed to …

Preventing Diabetes In At-Risk Youth, Abrielle Milling

Entry Level Occupational Therapy Doctoral Capstone Projects Class of 2025

A unique diabetes prevention program was developed by an OT doctoral candidate to run in a non-traditional format in a school-based setting. The implementation of this program aimed to enhance students' understanding of diabetes through occupation-based interventions and health education. The program was conducted with 8th-grade students and focused on developmental skills suitable for this age level. The program utilized hands-on activities to enhance participation and promote carryover. Diabetes prevention has become an increasing area of health promotion as the condition continues to pose challenges within the adolescent population, becoming an emerging health problem. This incurable chronic disease has many …

The Sensational Students Sensory Program, Ashlie Kohr

Entry Level Occupational Therapy Doctoral Capstone Projects Class of 2025

The Sensational Students Sensory Program focused on the areas of program development, clinical skills, and education. It was developed and implemented for Dallas Area School District to empower students' knowledge about their emotions and how their body feels when they experience certain emotions. Resources and tools were developed for students to use as self-regulation strategies. The students had the opportunity to participate in group sessions with peers to create sensory tools to build a sensory toolbox they could use during the school day to help with self-regulation. The goal was to help these students better understand their emotions and how …

Allstar Abilities Sports Camp: A Community-Based Sports Program For Children With Disabilities, Kolby D. Engel

Entry Level Occupational Therapy Doctoral Capstone Projects Class of 2025

The focus of this Doctoral Capstone Experience (DCE) was creating the Allstar Abilities: Sports Camp to provide children with disabilities with the opportunity and environment to participate in team sports and sports activities. Within the local community surrounding Misericordia University there are few opportunities for children with disabilities to participate in these kinds of activities. This creates an occupational injustice for this population. Through research and needs assessments it was found that only sports such as baseball and basketball were locally available for this population to safely participate in. The Allstar Abilities: Sports Camp was then created to fill this …

Occupational Therapy In Caregiver Education And Dementia Care, Sophie Winter

Entry Level Occupational Therapy Doctoral Capstone Projects Class of 2025

The doctoral capstone project addresses education on optimal care for individuals with dementia to increase occupational performance and limit excess disability through training sessions with caregivers. The community program created took place at a community memory care adult day program. The bulk of the project focuses on education for caregivers of those with dementia through creating educational handouts, practicing through trainings, and creating personally tailored activities for cognition maintenance and participation. Caregiver manuals were made to address caregiver burnout, education, and competency. The other major part of this capstone was program development assessing the needs of the population and creating …

Addressing Fine Motor Skills In Kindergarten Through Embedding Occupational Fine Motor Skills In Classrooms, Mary L. Hesterwerth

Occupational Therapy Doctorate Capstone Projects

Background: Fine motor and visual–motor delays are becoming more common among young children, driven by the shift from traditional physical play to screen time and worsened by the COVID-19 pandemic. These issues are particularly concerning for kindergarten students, whose academic demands for handwriting and classroom participation are increasing despite their limited prior school experience.

Purpose: This Capstone project aimed to evaluate the effects of an occupational therapist-led training workshop for kindergarten teachers, focusing on how it helps integrate fine motor activities into daily bellwork routines. The main research question was whether this Tier 1, classroom-based strategy could enhance students’ fine …

Translating Acceptability To Sustained Delivery: Clinician And Manager Perspectives On Implementing Modified Constraint-Induced Movement Therapy In An Early-Supported Discharge Rehabilitation Service, Ashan Weerakkody, Erin Godecke, Barby Singer

Research outputs 2022 to 2026

Background: Modified constraint-induced movement therapy (mCIMT) improves upper limb (UL) function after stroke. Despite up to one-third of stroke survivors being eligible, clinical uptake remains poor. To address this, a multi-modal behaviour change intervention was implemented across a large seven-site early-supported discharge (ESD) rehabilitation service. This study investigated the acceptability of mCIMT implementation within this ESD service and identified adaptations required for sustained delivery.

Methods: This qualitative study was nested within a mixed-methods process evaluation of mCIMT implementation. Four focus groups (n = 24) comprising therapists (two groups), therapy assistants (one group), and allied health managers (one group) were conducted. …

Mind The Gap, Klaire Perry

OTD 721: Cultural Responsiveness & Occupation

I went in to OT to make the world more accessible. I love how OT views people as their hopes, dreams, values, strengths, and facilitators...NOT as an injury or disease. At this point, every room I enter becomes a personal case study of accessibility. I can't help but wonder how many spaces have hung huge signs that say "YOU ARE NOT WELCOME" that are only visible to some. I'm thankful for my love ones who agreed to help me with this project. While I can never fully understand their experience, I can listen.

Klaire Perry, Class of 2027

Summer School: The Experience Of An Occupational Therapy Student Exploring Culture In Spokane!, Lulu Brady

OTD 721: Cultural Responsiveness & Occupation

This zine illustrates my experience in this OTD 721 Cultural Responsiveness class, led by Dr. Kirkpatrick. The class took place in the summer of 2025. It was absolutely inspiring, and I wanted to be able to share my takeaways and learnings from my experiences in this class. Culture is so relevant to the field of occupational therapy (OT) because occupations are often shaped by culture, OT cannot be truly client-centered without respective culture. Not only did this class help me grow as a future occupational therapist practitioner, but it also helped me grow as a person. It showed me the …

Welcomed In: A Love Letter To Okinawa, Taylor Fernandez

OTD 721: Cultural Responsiveness & Occupation

This zine is a personal, reflective project exploring Okinawan culture through my lens as a long-term guest -- first as a military child, then as an adult returning "home" to visit the island where my parents still live. While I am not Okinawan, the culture has deeply influenced my values, worldview, and understanding of community, aging, and wellness.

Through this project, I have sought to honor the richness of Okinawan traditions -- not as an authority, but a someone shaped by the grace of being welcomed in. The pages blend scholarly knowledge, lived experience, and cultural observation to explore how …