Rehabilitation and Therapy Commons^™

Factors That Contribute To Occupational Burnout Among Occupational Therapists And Certified Occupational Therapy Assistants: A Qualitative Design, M'Kayla Davis, Kim Broussard, Mary Jan Greer

Summer 2025 OTD Capstone Symposium

This capstone project investigates the prevalence, contributing factors, and impact of occupational burnout and compassion fatigue among occupational therapists (OTs) and certified occupational therapy assistants (COTAs) in inpatient rehabilitation facilities. Using a qualitative research design, structured interviews and thematic analysis, the study identifies heavy workloads, staffing limitations, emotional demands, and sleep deprivation as primary contributors to burnout. The research employs occupational adaptation theory to explore adaptive strategies practitioners utilize, such as boundary setting and seeking professional or interrelationship support, to mitigate these effects. Findings highlight the pervasive nature of burnout among participants on professional performance and personal well-being, and the …

Addressing Psychosocial Barriers To Participation In People Experiencing Homelessness: An Occupational Therapy Workshop, Preston Bender, Steven M. Gerardi, Lacey Spark

Summer 2025 OTD Capstone Symposium

Despite the occupational therapy (OT) profession's emphasis on holistic, person-centered care, many OT practitioners and students report feeling a lack of self-efficacy and preparedness to navigate the complex psychological, social, and systemic barriers that hinder occupational participation in people experiencing homelessness (PEH). This capstone project aimed to address the perceived unpreparedness among clinicians through the creation of an 8-hour interactive educational workshop aligned with Experiential Learning Theory. The content is grounded in the Model of Human Occupation (MOHO) and informed by the Bridging the Transition from Homelessness: A Social Justice Framework (BTTF), trauma-informed care (TIC), harm reduction, and diversity, equity, …

Harmony In Motion: An Adaptive Dance Program For Enhancing Motor Skills And Social Engagement In Children With Down Syndrome, Diamond D. Sampson, Mary Jan Greer, Jennifer Johnson

Summer 2025 OTD Capstone Symposium

Harmony in Motion is an occupational therapy–inspired adaptive dance program designed to create inclusive, sensory-friendly ballet experiences for children with disabilities, including those with Down syndrome. Through tailored movement activities, environmental modifications, and the use of adaptive props, the program promotes participation, social connection, and self-expression.

Caregiver Training Program For Optimal Recovery Of Neuro Accidents: An Occupational Therapy Approach, Bennie L. Huitt Jr., Jennifer Featheringham, Cassandra Nelson

Summer 2025 OTD Capstone Symposium

Caregivers of individuals recovering from stroke, traumatic brain injury (TBI), or experiencing onset of dementia often are provided limited education and support after discharge, negatively impacting confidence and recovery outcomes. The Caremaster program was designed to bridge the educational gap between occupational therapists in the clinical setting and caregivers in the home settings through accessible online modules, support groups, and in-person demonstrations. Module topics included understanding neuro accidents and role of the caregiver, returning home (transition and adaptation), ADLs and Mobility, returning to roles, and social reintegration. This program aims to guide future development of scalable, community-based caregiver education that …

Occupational Therapy For Individuals With Low Vision Affecting Their Mental Health, De'aundria M. Gipson, Jaimee Fielder, Becky King

Summer 2025 OTD Capstone Symposium

Low vision is a prevalent public health issue among older adults, often leading to functional limitations, reduced participation in activities of daily living (ADLs), and increased risk of mental health challenges such as depression, anxiety, and social isolation. This capstone project explored the relationship between low vision and mental health by developing and evaluating a program to address both functional and psychosocial needs. Guided by the Person-Environment-Occupation (PEO) model, the program was implemented at Envision Dallas and included a needs assessment, tailored strategies, and group activities targeting emotional well-being, independence, and social participation. Data from surveys, interviews, and observation indicated …

A Specialized Training Toolkit To Increase Inclusion Of Children With Disabilities In After School Programs, Merilyn N. Powdrill, Abby Vander Laan, Angela Blackwell

Spring 2025 OTD Capstone Symposium

The Inclusive Pathways Toolkit was developed and implemented in after-school programs to enhance staff competencies in supporting children with disabilities. This initiative aimed to create a more inclusive environment by providing staff with practical strategies and resources, thereby improving the overall experience and participation of children with disabilities in after-school activities.

Equine Assisted Services To Increase Participation In Activities Of Daily Living And Social Engagement For Veterans With Ptsd, Mackenzie A. Alexander, Rebecca King, Gwen R. Morris

Summer 2025 OTD Capstone Symposium

Currently there are limited occupational therapy programs in equine assisted services that promote engagement in meaningful occupations for veterans who experience PTSD. This capstone project aims to increase occupational participation of veterans with PTSD by providing modules on education and interventions to therapy staff who work in equine assisted services. The modules focus on increasing engagement in activities of daily living and social participation to promote overall quality of life.

The Benefits Of Music In Occupational Therapy For Individuals With Dementia, Keanu Butler, Rebecca King, Keegan Mckay

Summer 2025 OTD Capstone Symposium

Alzheimer’s disease is the most common cause of dementia in older adults, leading to progressive declines in memory, behavior, and daily functioning. Music interventions, whether live or recorded, have been shown to improve mood, reduce agitation, and enhance quality of life for individuals with dementia by fostering emotional connection and relaxation. The Model of Human Occupation supports these interventions by addressing volition, routines, and performance skills, helping therapists create meaningful, structured strategies to improve daily living and engagement.

Accessible Outdoor Recreation For Individuals With Physical Disabilities: An Educational Series, Ashlyn Leonard, Zeida Gutierrez

Summer 2025 OTD Capstone Symposium

This capstone paper explores the effects of physical disabilities on outdoor recreation. An educational workshop was designed and delivered to occupational therapy students at the University of St. Augustine for Health Sciences. The purpose of the workshop was to increase their awareness of accessible outdoor recreation that way they can better mitigate barriers experienced by their future clients when trying to participate in desired outdoor activities. A pre- and post-survey was administered and analyzed to determine the applicability and effectiveness of the workshop in delivering the information.

Habit Formation Among Individuals Alcohol Use Disorder, Blaire Guidry, Cynthia Haynes

Summer 2025 OTD Capstone Symposium

This capstone project aimed to determine the efficacy of a newly developed and delivered online program that focuses on educating individuals experiencing Alcohol Use Disorder (AUD) on how to create habits with decreased executive functioning skills. With the rise in substance use and addiction related disorders throughout the United States, the urge to implement various intervention approaches that support long term recovery is crucial (Radesi, 2025). By focusing on habit formation, the goal of this capstone is to educate individuals on how to create habits that promote increased participation in meaningful occupations.

Advancing Mental Health Awareness Among Persons Of Color: An Occupational Therapy Perspective, Irene Rattitham, Cassandra Nelson

Summer 2025 OTD Capstone Symposium

This capstone project aimed to advance mental health awareness among persons of color (POC) residing in a skilled nursing facility by developing and implementing a culturally responsive psychoeducational program. Informed by the Person-Environment-Occupation (PEO) model, trauma-informed care, and mindfulness-based practices, the program addressed barriers such as stigma, limited awareness, and cultural perceptions of mental health. A needs assessment guided the creation of an 8-module curriculum covering topics like emotional regulation, family involvement, and accessing support. Educational materials were translated into Spanish, Korean, Japanese, and Vietnamese to enhance accessibility. The program was delivered through group and individual sessions, in-service presentations, and …

Occupational Therapy In Adolescent And Young Adult Oncology: An Educational Guidebook, Bailee N. Fleming, Lesley Khan-Farooqi

Summer 2025 OTD Capstone Symposium

Adolescent and young adult (AYA) cancer patients, typically aged 15 to 39, face numerous physical, emotional, and psychological challenges during and after treatment, which can significantly affect their quality of life and ability to engage in daily activities. While occupational therapy has proven effective in addressing these challenges, its integration into AYA cancer care remains underutilized. This project aimed to bridge the gap by developing a comprehensive guidebook for AYA oncology patients and their oncology care teams, providing an in-depth understanding of the impact of cancer and its treatments on occupational performance, and promoting the role of occupational therapy in …

Helping Children Cope With Sensory Overstimulation At Theme Parks: An Educational Video Series For Parents, Ashley M. Garcia, Steven M. Gerardi Phd, Otd, Mss, Otr

Summer 2025 OTD Capstone Symposium

Parents of children with sensory processing challenges often feel overwhelmed and unprepared when visiting high-stimulation environments such as theme parks. Loud sounds, bright lights, crowded walkways, and unpredictable routines can contribute to sensory overload, creating distress for both children and caregivers. Although theme parks aim to provide joyful family experiences, they may not fully account for the needs of neurodivergent children, including those with autism spectrum disorder, attention-deficit/hyperactivity disorder, or sensory processing disorder. Parents of children with debilitating sensory issues are unsure and uncertain on how to prepare to assist their child to cope with the overwhelming sensory stimuli at …

Fostering Inclusive Care: Advancing Cultural Humility In Healthcare Professional Education: A Micro-Credential, Delaney A. Williams, Lacey Spark, Angela Blackwell

Summer 2025 OTD Capstone Symposium

Health outcomes are the results of healthcare and rehabilitative therapy interventions and describe what a client can accomplish through the rehabilitative therapy process. To achieve positive outcomes, practitioners identify possible barriers impacting clients’ participation in tasks and administer interventions to address these barriers in order to facilitate participation. As a result, cultural humility has been labeled as “paramount in therapeutic practice” (American Occupational Therapy Association [AOTA], 2020) due to it being a foundational principle underpinning effective client care and professionalism. Cultural humility is an ongoing process of acknowledging one’s biases and limitations through self-reflection and self-critique, while actively seeking to …

Strength Beyond Cancer: An Occupational Therapy Guidebook For African American Breast Cancer Survivors, Taihia A. Wilson

Student Capstone Papers

This capstone project aims to explore the nuanced and often underrepresented experiences of African American women (AAW) who have survived breast cancer (BC), with a specific focus on the recovery phase. By examining the physical, cognitive, and psychosocial obstacles encountered during survivorship, the project seeks to highlight significant gaps in care and support. The primary goal of this project is to develop an accessible and culturally responsive guidebook that provides healthy strategies to enhance quality of life (QoL), promote occupational wellbeing, and empower AAW to manage their overall health beyond treatment. This paper will begin by presenting the background and …

Examining The Relationship Between Stigma And Physical Disability Through Lived Experiences, Apphia M. Donoghue

Student Journal of Occupational Therapy

The primary objective of this study is to examine the relationship between stigma and physical disability, to discover the impact that perceived stigma has on several factors in a person’s life including overall health, well-being, and quality of life. A qualitative research design was used. Six semi-structured interviews were conducted to examine the relationship between stigma and physical disability, and to discover the impact of stigma on overall health and well-being. Three themes are identified: stigma narratives, shifts in awareness, and factors inhibiting quality of life. Stigma narratives contained three subthemes: experiences with stigma, frequency of stigma, and settings where …

Contributions Of Occupational Therapy In Sport Provider Training Using A Health-Promoting Environment For Positive Youth Development, Jennifer Papenfuse Otd, Otr/L, Chc, Camille Skubik-Peplaski Phd, Otr/L, Faota, Shirley P. O'Brien Phd, Otr/L, Faota

Student Journal of Occupational Therapy

Rising youth public health disparities can be attributed to the social determinants of health that influence health and wellness. Youth sport providers can be influential in creating healthier environments that facilitate positive youth development and social emotional learning, thus positively impacting life-long health behaviors choices and public health. The purpose of this study was to explore the impact of an education module developed by an occupational therapist on sport’s providers perceptions of their capacity to implement positive youth development programming and to create a health-promoting environment.

A qualitative descriptive approach was used in this study allowing for purposive sampling, inductive …

The Experience Of People Living With Dementia (Pwd) In Participating In Virtual Cognitive Stimulation Therapy (Vcst)—A Qualitative Systematic Review, Hau Ying Chan, Heather Bullen

Student Journal of Occupational Therapy

Background: This systematic review aims to explore the experiences of people living with dementia (PwD) participating in virtual cognitive stimulation therapy (vCST). With the global shift of cognitive stimulation therapy (CST) online during the COVID-19 pandemic, little research has explored how PwD experience telehealth interventions. This is the first qualitative systematic review on the experience of PwD participating in vCST.

Methods: Following the Joanna Briggs Institute (JBI) methodology for qualitative systematic reviews, a comprehensive search was conducted across six databases and the grey literature from January 1, 2013, to August 31, 2023.

Conclusion: Two synthesized findings were identified from two …

Aquatic Based Exercise For Adults With Lymphedema To Improve Quality Of Life, Abigail Bancroft, Cassandra Nelson

Spring 2025 OTD Capstone Symposium

Individuals diagnosed with lymphedema can face physical, emotional, and psychosocial complications. Since lymphedema is a lifelong condition, symptom management is crucial to an individual’s daily routine and well-being. Aquatic therapy is an approach where individuals perform exercises in the water, and the characteristics of the water provide many benefits for lymphedema. The purpose of this capstone was to develop an aquatic-based exercise program for individuals with lymphedema to increase social participation and improve overall quality of life. Increasing the awareness of aquatic therapy for lymphedema can educate individuals and occupational therapists on another treatment option to help manage lymphedema symptoms.

Educational Program For Individuals With Spinal Cord Injuries Over Bowel And Bladder Management, Hannah H. Bacino, Rebecca King, Leah Holderbaum

Spring 2025 OTD Capstone Symposium

A spinal cord injury (SCI) is a life-altering event that impacts many domains of an individual's life. Individuals may experience a decreased ability to participate in meaningful activities and a loss of voluntary body functions. The most common symptom following an SCI is loss of voluntary bowel and bladder control. Literature highlights the importance of education on bowel and bladder management following a SCI. However, there is a lack of accessible and comprehensive education on this topic for individuals affected by an SCI. To address this problem, an educational resource was created. The purpose of the educational resource was to …

The Inner Blueprint: Unlocking Your 24/7 Potential, Mackenzie Zurcher, Becky King

Spring 2025 OTD Capstone Symposium

Inner Blueprint is a trauma-informed, occupation-based intervention designed to address the complex needs of adolescent girls with histories of trauma, substance use, and mental health conditions. Grounded in occupational science, the program emphasizes the integration of brain function, sensory processing, emotional regulation, and hormonal influence to promote self-awareness, resilience, identity development, self-worth, and functional independence. The intervention incorporates manualized content delivered through interactive group activities, reflective exercises, and routine-based skill building to support gains in emotional regulation, self-concept development, and daily life performance. A central therapeutic emphasis is placed on enhancing interoceptive awareness and empowering participants to recognize that their …

Program For Caregivers Caring For Children With Juvenile Arthritis, Elizabeth M. Lette-Fortune, Mary Jan Greer, Lee Ann Hoffman

Spring 2025 OTD Capstone Symposium

This capstone program aims to educate and support children with juvenile rheumatic diseases (JRDs) and their caregivers, addressing the lack of educational resources available for families. The program conducted a needs assessment, developed targeted educational content, and covered topics such as flare management, treatment options, and caregiver support. The initiative was evaluated for its effectiveness in improving caregiver knowledge, reducing stress, and enhancing the quality of life for children with JRDs.

An Ot Web-Based Program For Assessing And Treating Vision Deficits In Tbis, Brooklynn Bycott, Rebecca King, Jaimee Fielder

Spring 2025 OTD Capstone Symposium

This capstone project supported occupational therapists in addressing vision deficits associated with traumatic brain injuries (TBIs) through a web-based educational program. The program focused on assessment strategies, intervention techniques and strategies, and caregiver education. Guided by the Person-Environment-Occupation-Performance model and the Occupational Adaptation frame of reference, the project promoted occupational engagement and improved quality of life for individuals with vision deficits associated with TBIs and their caregivers by increasing clinicians’ confidence and knowledge.

The Empowerment Through Assistive Devices: A Program For Older Adults Post-Stroke And Their Caregivers, Gillian L. Cole, Cassandra Nelson

Spring 2025 OTD Capstone Symposium

This capstone project aimed to develop a holistic and sustainable educational program for post-stroke adults using mobility devices in long-term care at CC Young. The program was to empower stroke survivors to regain independence, enhance their quality of life, and reduce caregiver burden by focusing on functional mobility, safety, caregiver support, device adherence, and multiple other factors that increase functional independence and safety. The program achieved significant outcomes through in-depth training, consistent education, feedback incorporation, and ongoing follow-up. Device usage rates were notably increased, helping participants continue using mobility aids effectively and consistently. Additionally, the program played a critical role …

Increasing Access To Adequate Care For Low-Resource Children With Autism Spectrum Disorder, Breanna A. Culver, Rebecca King

Spring 2025 OTD Capstone Symposium

Exploring and understanding the barriers to accessing adequate neurodivergent affirming care for autistic children and their families. Taking steps to decrease financial barriers, poor health literacy, and lack of available resources by developing a non-profit organization that will increase access to adequate care for these families. Participating in community outreach to raise awareness of and education about autism spectrum disorder in the local community of Corsicana, Texas on the needs of the autistic community.

An Ot Program Manual For Ipv Survivors Living In Transitional Housing, Mccall Cowart, Rebecca King

Spring 2025 OTD Capstone Symposium

This capstone project aimed to address the financial instability and employment challenges experienced by female survivors of intimate partner violence (IPV) residing in transitional housing. Grounded in the Occupational Adaptation model, the project involved the development and implementation of a client-centered job readiness and money management program tailored to the unique needs of this population. A comprehensive literature review identified critical barriers to economic independence among IPV survivors, including economic abuse, lack of education, and limited access to resources. Through collaboration with the YWCA of Palm Beach County’s Harmony House, a six-week program was delivered, incorporating lessons on budgeting, financial …

Interprofessional Education Program For Parkinson's Disease Care Considerations, Jennifer Nunez, Cassandra Nelson

Spring 2025 OTD Capstone Symposium

Research suggests that having interprofessional education for disease-specific care can improve patient outcomes and satisfaction. This program focused on providing a basic IPE program to rural hospital staff of various disciplines on the care considerations for individuals with Parkinson's Disease when they are hospitalized. Using an occupational therapy vantage point, the program was created to address increasing occupational performance for healthcare workers and individuals with Parkinson's Disease. Topics included in the program were motor symptoms, non-motor symptoms, medication management, mobility and ADLs, cognition, mental health, sleep, dietary patterns, dysphagia, and voice.

Social Program For Adults Living In Group Homes, Kailee Oram, Mary Jan Greer

Spring 2025 OTD Capstone Symposium

Adults with intellectual or developmental disabilities (IDDs) living in group homes have lower quality of life outcomes, particularly for the domain of social inclusion, compared to adults with IDDs who live alone or with family. This capstone experience aimed to develop, implement, and evaluate a social program for this population to promote community engagement and interpersonal relationships. The 8-week social program was planned for participants living in group homes led by Trinity Services in suburban IL. A needs assessment included interviews with clients and staff about supports and barriers to social participation and ideas for community activities. The program was …

Early Intervention Pediatric Adaptive Sports Program, Emily Horsley, Cassandra M. Nelson

Spring 2025 OTD Capstone Symposium

This doctoral capstone focused on developing a community-based program to improve access to pediatric adaptive sports for children with physical disabilities in the Dallas-Fort Worth (DFW) area. A needs assessment of families, occupational therapists, and recreational therapists revealed significant gaps in awareness and accessibility of entry-level adaptive sports programs. In response, a multi-component program was developed, including a centralized resource website (DFWAdaptiveSports.com), an educational outreach initiative for families and providers, and a six-week introductory adaptive sports curriculum. Guided by the Person-Environment-Occupation-Performance (PEOP) model, the program aims to increase participation, promote social and motor development, and reduce barriers to community-based recreation …

Daily Routine Redesign To Optimize Occupational Performance For Individuals With Cancer During And Post-Treatment, Summer M. Mazade, Cassandra Nelson

Spring 2025 OTD Capstone Symposium

Cancer and cancer treatment impacts individual's ability to participate in daily activities due to the symptoms or side effects that they experience. With advancements in cancer screenings and treatments, there is a growing population of those living with long term side effects that lower their quality of life. A program was developed to redesign cancer survivors' daily routine based on their symptoms and priorities to increase occupational performance in activities of daily living. The program showed a positive impact on the lives of cancer survivors' daily lives.