Rehabilitation and Therapy Commons^™

The Importance Of Preferred Meaningful Occupations For Children With Medically Complex Conditions, Kaylee S. Schmit

Occupational Therapy Capstone Presentations

Children with medically complex conditions experience limitations in their ability to engage in preferred meaningful occupations. Additionally, when these children are in the hospital setting, the environment poses another barrier to accessing preferred meaningful occupation opportunities. This capstone project aimed to explore how preferred meaningful occupations could be utilized with children with medically complex conditions in the pediatric inpatient setting. The literature and needs assessment indicated the need for preferred meaningful occupations to be used as a motivator and a way to target specific skills a patient wanted to regain. With the focus of occupational therapy on return to occupation …

Occupational Therapy Services In Pediatric Mental Health, Hallie Jerome

Occupational Therapy Capstone Presentations

Children and youth experiencing mental health concerns often have limited or decreased engagement in meaningful occupations. Additionally, children and youth who experience mental health concerns at an early age are more likely to experience negative health outcomes such as poor occupational engagement, academic achievement, adverse childhood experiences (ACES), maltreatment/abuse/neglect, family and peer conflict/rejection, low self-esteem, early substance use, and many others impacting their overall health and well-being. My capstone project aimed to administer occupation-based interventions in a pediatric mental health program while I advance my skills working with an interdisciplinary team. The literature and needs assessment indicated a need for …

Incorporating Occupation-Based Activities Into Treatment For Adolescents With Substance Use Disorders To Increase Self-Efficacy, Brea E. Westberg

Occupational Therapy Capstone Presentations

In 2022, over 48.7 million people aged 12 and older reported having a substance use disorder in the past year. Adolescents are increasingly becoming involved in substance use behaviors that impact their lives daily. There is limited evidence for providing mental health interventions, including those provided by occupational therapy practitioners, to adolescents with SUDs within the substance use treatment setting. Self-efficacy is an important part of the substance use recovery process. Therefore, the purpose of the capstone project was to determine the effects on self-efficacy after incorporating occupation-based activities into programming for adolescents in treatment for SUDs. The Model of …

A Program Based On Meaningful Occupations To Improve Perceived Health And Well-Being For People Experiencing Homelessness, Annika Overgaard

Occupational Therapy Capstone Presentations

Individuals experiencing homelessness face a variety of barriers to occupational performance and participation, thereby negatively impacting their quality of life, health, and well-being. Occupational therapists are uniquely qualified to address the health and well-being needs of individuals experiencing homelessness due to their holistic client-centered approach, their efforts in promoting occupational participation, and providing opportunities for occupational empowerment. Occupational therapy with this population is a growing area of practice, and there is a lack of literature focusing on interventions related to meaningful occupations. My capstone project aimed to create a meaningful occupation-based program for individuals experiencing homelessness at a drop-in day …

The Impact Of Habit Formation On Healthcare Workers: An Occupational Therapy Approach To Well-Being, Hillary Littlefield Msot, Otr/L

All Student Scholarship

Occupational therapists have an opportunity to act as consultants in their healthcare systems to provide education, resources and guidance to interdisciplinary team members. This concept aimed to provide evidence to support an occupational therapy-based program focused on incorporation of healthy habits and routines into one’s daily life as a means to improve nursing altruism, quality of life and perception of one’s successes and value in their occupation. Pre- and post- survey data was utilized to evaluate the effectiveness of an occupational therapy-based initiative that provided 1:1 and group coaching to a population of acute care nurses as an evaluation of …

Mindfulness For Middle School Students Receiving Adapted Physical Education Services: Quality Improvement Program, Kaila Mangrum

UNLV Theses, Dissertations, Professional Papers, and Capstones

Middle school students with disabilities are often isolated from their peers with decreased opportunities for participation, struggle with social emotional regulation, and self-efficacy. This has been evident among students with various disabilities who are from various age groups receiving special education services including adapted physical education (APE). Research has shown mindfulness amplifies learning and promotes a positive environment that supports children’s overall wellbeing. This quality improvement project focused on developing an occupational therapy centered mindfulness program to enhance social participation, self-efficacy, and social-emotional regulation. Data collection occurred pre and post program from specialized program teacher assistants (SPTAs) using the School …

Decreasing Work-Related Injuries Among Working Adults In Labor Intensive Fields, Calin Clark

Occupational Therapy Doctoral Capstones

Developing the Doctoral Capstone Health and Wellness Program Manual consisted of formulating of a ready-to-work screening tool and utilizing it to formulate client-centered, diagnosis-specific intervention plans. The intervention plans address many factors, including decreasing the risk of work-related injury and improving occupational performance through education, proper body mechanics, ergonomics, rest/sleep strategies, and any other resources they might need. The Health and Wellness Program Manual includes the ready-to-work screening tool and diagnosis-specific intervention plans focusing on improving the health and wellness of the working adult. To promote health and wellness, the objectives of the Doctoral Capstone project were to 1.) increase …

Enhancing Resources For Individuals Diagnosed With Parkinson’S Disease In Northeast Arkansas, Tinsley Clark

Occupational Therapy Doctoral Capstones

The doctoral capstone experience and project aim to provide the same holistic approach to all PD clients to ensure that every client’s needs are being met to improve occupational performance and QOL. The literature strengthens the need for the Doctoral Capstone project to address disease-specific interventions, interprofessional collaboration, and access to local resources such as support groups and a disease-specific boot camp program.

Enhancing Rehabilitative Services For The Spinal Cord Injury Population In Northeast Arkansas, Emily Nichols

Occupational Therapy Doctoral Capstones

The student promoted occupational justice by enhancing the spinal cord injury population’s access to quality care services in an inpatient rehabilitation facility.

Improving Health, Well-Being, And Quality Of Life Of Older Adults With Alzheimer’S Disease Residing In Assisted Living Facilities, Allison Landreth

Occupational Therapy Doctoral Capstones

The purpose of the doctoral capstone project was to improve the health, well-being, and quality of life among residents with Alzheimer’s by addressing common barriers to their leisure and social participation found within the literature and during the needs assessment conducted at the site.

Forming The Foundation For Success In Occupational Therapy Doctorate Students, Danielle Harris

Occupational Therapy Doctoral Capstones

Create a preparatory bootcamp for incoming occupational therapy doctorate students to provide education on studying methods, coping strategies, stress management, occupational balance, and mindfulness practices to prepare students and promote their success within the occupational therapy doctorate program.

Farm Chores For Life Skills: A Farm Based Therapy Program, Katelyn Murphy

Occupational Therapy Doctoral Capstones

The purpose of the doctoral capstone project is to advocate for farm-based therapy services through the development of an evidence-based farm-based therapy program.

Bucks For Better Mental Health: Supporting Community College Students, Ansley Simmons

Occupational Therapy Doctoral Capstones

The main project for the doctoral capstone project was to create a professional development course to educate faculty and staff on how to best support student mental health on campus.

Identifying Barriers To Successful Transition For Foster Adolescents To Adulthood, Madi Wood

Occupational Therapy Doctoral Capstones

For the Doctoral Capstone project, an Independent Living Skills Program was developed for Northeast Arkansas foster adolescents consisting of life skills modules, a mentorship module, and community partnerships. The Person-Environment-Occupation-Performance Model (PEOP) was used to guide the project.

Can Occupational Therapy Take A Hit? A Guide To High-Intensity Training In Stroke Rehabilitation, Jared Demke

UNLV Theses, Dissertations, Professional Papers, and Capstones

Objective: Stroke has been considered a leading cause of functional impairment (Tsao et al., 2022). Recent evidence has supported a treatment approach that increases dosage (Scheets et al., 2021). High-intensity training (HIT) has shown promising evidence for functional recovery poststroke (Crozier et al., 2018). There have been minimal programs related to Occupational therapy (OT) and HIT have been created (Lamoureux, 2023). This doctoral capstone focused on program development of the OT-based HIT program. Theoretical frameworks included the Model of Human Occupation and Motor Learning Theory to provide a foundational structure.

Methods: A needs assessment was performed at the Saint George …

Developing A College Readiness Skills Program Aimed At Improving Self-Efficacy For Foster Youth In Academic Settings, Natasa Janjusic

UNLV Theses, Dissertations, Professional Papers, and Capstones

The proposed work focused on the development and feasibility of a project aiming to introduce college readiness skills to youth who were in the foster care system in order to increase their perception of self-efficacy in an educational setting. With this increase in self-efficacy, foster youth who are generally disadvantaged when attaining and completing a college degree can have the skills necessary to combat this barrier. The project involved the development of contents of the program and the procedures performed at Bamboo Sunrise Foster Care Agency, where this Capstone project was carried out. Participants in the program consisted of three …

Improving Occupational Therapy Student Utilization Through A Community Engagement Program For Individuals With Dementia, Andrew Stevenson

UNLV Theses, Dissertations, Professional Papers, and Capstones

The contents of this doctoral project include an introduction to some of the difficulties people with dementia face in regard to engaging in the community, and how that may impact their health. It goes on to support how occupational therapists (OTs) have the skills to provide treatment addressing this issue but have faced difficulty entering settings such as memory care. A literature review demonstrates some of the positive benefits that can result from providing people with dementia opportunities for community engagement and reveals some of the difficulties associated with providing quality dementia care. This helps to explain the purpose of …

Occupational Therapy’S Role In Developmental Programming At Early Childhood Education And Childcare Centers: A Qualitative Study, Alexis N. Foehrkolb, Jenna Lenhart, Hayley Woods, Madison Wetzel, Breanna Adkins, Sueann R. Woods

Graduate Student Scholarship

This research study aimed to discover what strategies of developmental programming are integrated into early childhood curriculum, whether occupational therapy had a role in the formation of the guidelines, and the importance of early intervention on child development. A case study with ethnographic methods was used, including observations and interviews, to gain an understanding of how sociocultural phenomena affect rural childcare centers in Morgantown, West Virginia. Data was collected and coded into 14 themes, and then analyzed by student researchers. Results from interview data found that daycare teachers are given the choice to follow provided lesson plans or individualize their …

Pediatric Trauma-Informed Care And Implications For Occupational Therapy Practitioners, Quaneka Hoskin-Chase

UNLV Theses, Dissertations, Professional Papers, and Capstones

Occupational therapy practitioners are provided a wealth of knowledge through school and professional fieldwork experiences to understand and skillfully address the needs of children who have been exposed to trauma. Therapists are competently prepared to provide holistic and client-centered care that is dedicated to meaningful and volitional engagement (Lynch et al., 2021). However, many therapists still lack the confidence and awareness of their role related to trauma-informed care in the pediatric environment (Piller, 2022). Trauma compromises each domain of occupation (Lynch et al., 2021). As early intervention specialists, the lack of responsiveness to children’s trauma can have devastating and enduring …

Increasing Self-Efficacy With Menstrual Management For Young Adults Experiencing Homelessness Using The Inclusive “U N Me” Education Program, Edellene Ignacio

UNLV Theses, Dissertations, Professional Papers, and Capstones

The purpose of the study was to increase self-efficacy with the occupation of menstrual management in young adults experiencing homelessness using the "Understanding and Navigating Menstrual Experience" or "U N ME" program. The objectives of this study were a reported increase in self-efficacy with menstrual management, the development of the U N ME program, and to promote the spread of accurate information to other menstruators in the community.

This study was a convergent parallel mixed-method study rooted in a phenomenological approach. The intervention featured four weekly workshops featuring education, group discussion, and an activity to tie the topic of the …

Promoting Positive Dementia Attitudes Through Occupational Engagement: The Development Of A Dementia Awareness Program For Community Older Adults, Cynthia Lee

UNLV Theses, Dissertations, Professional Papers, and Capstones

Purpose: This capstone project explored the effects of adding occupational engagement into a dementia awareness program on attitudes toward dementia among community-dwelling older adults, aiming to challenge dementia myths and promote an inclusive environment through occupational therapy perspectives. Methods: This project used a pre-test, post-test design with convenience sampling to develop and assess a dementia awareness program based on insights from Silverado Red Rock Memory Care Community and participation from members of the Osher Lifelong Learning Institute (OLLI) at the University of Nevada, Las Vegas in the program. Changes in positive attitudes toward dementia were measured using the Dementia Attitudes …

Seated Athletes' Motivation For Participation In Wheelchair Sports: A Qualitative Study, Audrey Lynn Miller

UNLV Theses, Dissertations, Professional Papers, and Capstones

The purpose for this phenomenological design qualitative analysis was to gain an understanding of the perspectives of seated athletes’ motivation for participation in adapted athletics and argues that there is a component of seating that affects motivation. Occupational therapists build client interventions using meaningful occupations. This study aimed to increase awareness of adapted athletics impact on occupational performance. There was a gap in the literature for qualitative research exploring the lens of adapted sports participation through the perspective of seated athletes. This study utilized one-time individual semi-structured interviews with five participants that currently participate on a wheelchair court sports team …

Feasibility Of An Occupation-Based Intervention Manual For Outpatient Hand Clinics, Mia Moralez

UNLV Theses, Dissertations, Professional Papers, and Capstones

Purpose

The purpose of this quality improvement study was to determine the usefulness of an Occupation-based Intervention Manual (OBI) for hand therapists in Southern Nevada and if the utilization of the OBI manual supported client-centered outcomes regardless of diagnosis, age, or population.

Methods

Convenience sampling was used, and five participants met the inclusion criteria in the twelve-week study. Pre-interview questionnaire responses from the therapists were used to develop the OBI manual content and corresponding Utilization Tracker. Post-interview questionnaire responses were used to determine the application and outcomes of the OBI manual. Descriptive statistics, frequency distribution, and thematic analysis were used …

Effectiveness Of An Occupational Therapy-Focused Stroke Transitional Care Program In An Inpatient Rehabilitation Facility, Danniel Tapat

UNLV Theses, Dissertations, Professional Papers, and Capstones

Introduction: As a global health issue, stroke is one of the most common causes of disability for individuals around the world. The American Heart Association (2024) mentions that stroke is the fifth-highest cause of mortality and the top cause of disability in the United States. Objective: This project aimed to assess the change in the perceived readiness of individuals after implementing an occupational therapy (OT)-focused transitional care program for patients with stroke and their caregivers before returning home. Methods: The recruitment process for participants involved purposive sampling methods. The study utilized both the Readiness for Hospital Discharge Scale-Short Form (RHDS-SF) …

An Educational Toolkit For Addressing Women’S Sexual Health And Activity: Preparation For Occupational Therapists, Brittan Wright

UNLV Theses, Dissertations, Professional Papers, and Capstones

Despite being an activity of daily living within the scope of Occupational Therapy, issues and concerns related to sexual health are infrequently addressed within practice. This gap is especially prevalent as it relates to women's sexual health and sexual activity specifically. This capstone project evaluated Occupational Therapists' level of knowledge and comfort when discussing sexual activity and women's sexual health. It measured the effectiveness of creating an online educational toolkit to increase knowledge and confidence. The project used a quality improvement approach with pre-and post-test surveys to determine the effectiveness of the educational toolkit to enhance knowledge and confidence in …

Navigating Improvement For A Master Of Occupational Therapy Program: Enhancing Content For A Mental Health Course, Emily Markovicz

Capstone Projects

Education is the forefront to the field of occupational therapy. As occupational therapists advocate for the significance of their profession, it is expected to grow further. In recent decades, the research of many health professions have increasingly explored the impact of trauma. As occupational therapy evolves to address this public health concern, more research, increased integration into occupational therapy curriculum, and clear practical guidelines are necessary. Considering the mental health risks stemming from adverse life events, the complexities of mental health conditions should remain a crucial part of occupational therapy education, ensuring that students are well-prepared to deliver optimal care …

Comparing Children’S Engagement In Storybook Reading With And Without Access To Aac With A Literacy Supportive Feature, Brooke Zimmerman

Graduate Theses and Dissertations

Purpose: This thesis evaluates the effects of comparing children’s engagement in storybook reading with and without access to high-tech augmentative and alternative communication (AAC) with a literacy supportive feature. Literacy skills are a fundamental cornerstone for engagement in the lives of young children. Among these skills, the ability to decode words, or phonetically sound them out, plays a pivotal role in the acquisition of literacy. Proficiency in literacy also broadens the communication capabilities of individuals with developmental disabilities who rely on augmentative and alternative communication (AAC) methods. However, existing AAC technologies currently fall short in adequately strengthening literacy development, particularly …

Cultural Adaptation Of The Ayres Sensory Integration® (Asi) Caregiver Education Module 1: "The Importance Of Play In Asi" For Parents Of Children In Hong Kong With Sensory Integration Challenges, Stephen Chan

Post-Professional Occupational Therapy Doctorate Culminating Presentations

Introduction: Occupational therapy using Ayres Sensory Integration® is an evidence-based intervention that includes parent education and participation to support outcomes. However, culturally-adapted guidelines for this parent component in Hong Kong have not been published.

Objective: To culturally and linguistically adapt Module 1 of the Ayres Sensory Integration® Caregiver Education Guidebook: “The Importance of Play” for Hong Kong parents of children with sensory integration challenges and obtain user input to determine if it is useful, easy to understand, and culturally relevant.

Method: Survey methodology from a convenient sample of 10 occupational therapists using Ayres Sensory Integration for at least 5 years. …

Parent Perceived Facilitators And Barriers To Implementation Of Ayres Sensory Integration® (Asi) Parent Education Modules For Autistic Children, Emily E. Lowry, Ms, Otr/L

Post-Professional Occupational Therapy Doctorate Culminating Presentations

Introduction: Ayres Sensory Integration® (ASI) is an evidence-based intervention for children with challenges in sensory integration. Parent education is an integral part of ASI (Parham et al., 2011). To address parent education, researchers developed the ASI Parent Education Modules, developed by a team of researchers (Schaaf et al., 2015) and embellished by others (Roan et al., 2022) designed to educate parents about their child’s sensory integrative challenges, ideas for addressing these at home, and to promote collaboration between therapists and parents.

Objective: To examine parental perceptions of the facilitators and barriers impacting the implementation of ASI Parent Education Modules for …

The Experience Of The Pediatric Outpatient Therapy Waiting Room Design For Autistic Children, Maria J. Vetter, Ms, Otr/L

Post-Professional Occupational Therapy Doctorate Culminating Presentations

Introduction: Autistic children attend an annual average of 41.5 outpatient visits, while typically developing children attend an average of 3.3 visits (Liptak, Stuart, & Auinger, 2006). Autistic children generally experience sensory processing and self-regulation differences. Outpatient therapy waiting rooms are frequented by autistic children for outpatient services. These settings consist of unpredictable and uncontrollable stimuli that may be difficult for children with different sensory needs to tolerate, leading to high stress levels and struggles with self-regulation impacting their experience (Higuera-Trujillo et al., 2020; Schaaf et al., 2011). However, there is scant occupational therapy research informing the design of supportive waiting …