Rehabilitation and Therapy Commons^™

Adolescents Undergoing Back Surgery & Caregiver Support Needed Before & After Surgery, Kayla R. Jaacks, Mary Jan Greer, Lee Ann Hoffman

Spring 2025 OTD Capstone Symposium

Adolescents with spinal conditions such as scoliosis, kyphosis, or fractures may require surgical intervention, with spinal fusion being the most common procedure. While these surgeries can significantly improve outcomes, parents and caregivers often feel unprepared for the responsibilities and emotional demands that follow. This lack of knowledge and support can lead to caregiver stress, feelings of isolation, and unmet self-care needs, highlighting the urgent need for better education and resources.

Balanced Bliss: Promoting Leisure Participation In A Daytime Homeless Shelter, Timarie Delony, Shelby Osborne, Angela Labrie Blackwell

Spring 2025 OTD Capstone Symposium

Opportunities to engage in leisure activities are limited for individuals experiencing homelessness who attend daytime homeless shelters (Palimaru et al., 2023). The purpose of this capstone project was to develop and implement a leisure participation program for homeless individuals attending daytime shelters, addressing the gap in leisure exploration and participation. The program was structured around an 8-week timeframe, with weekly thematic focuses on physical, social, emotional, spiritual, environmental, intellectual, financial, and occupational wellness.

The program consisted of one-hour sessions, four times a week, incorporating 32 structured activities designed to encourage engagement in diverse leisure pursuits. To support ongoing wellness, weekly …

Simulated Adventures: Occupational Therapy's Role In Outdoor Participation, Erica Martinez, Rebecca King

Spring 2025 OTD Capstone Symposium

Access to outdoor leisure activities remains limited for individuals with disabilities due to barriers such as transportation challenges, functional limitations, and social/psychological constraints. These limitations significantly reduce opportunities for participation in outdoor recreation, which has been proven to enhance the overall quality of life. This capstone program aims to address these challenges by supporting the special abilities community in developing transferable skills necessary for meaningful engagement in outdoor activities. The program emphasizes emotional regulation, social participation, health promotion, and safety education while enhancing the quality of life. Through this program, participants develop essential skills for engaging in outdoor activities by …

Aquatic Therapy In Neurorehabilitation, Alexis Poe, Rebecca King, Caitlin Boyd

Spring 2025 OTD Capstone Symposium

Healthcare workers and their patients have seen the benefits of aquatic therapy (AT), but education is lacking (Marinho-Buzelli, 2023). Research suggests that AT can improve fatigue and balance for people with an acquired brain injury (Bhatnagar et al., 2019). These findings highlight the need to enhance occupational therapy (OT) education and implementation of AT in clinical practice.

A Comprehensive Diabetes Symptom Management Program For Independent Living Facilities, Brooke A. Foster, Mary Jan Greer

Spring 2025 OTD Capstone Symposium

This project aimed to support older adults with diabetes mellitus (DM) and pre-diabetes in independent living facilities through a comprehensive symptom management program. Implemented at Coastal Heights Senior Living in Costa Mesa, California, the program focused on improving overall education and self-management of DM symptoms, emphasizing foot care, physical activity, and nutrition. Using a client-centered approach and the Person-Occupation-Environment-Performance model, participants engaged in group and individual sessions over an eight-week period. Outcomes showed an increased understanding of DM, improved self-care behaviors, and enhanced ability to manage symptoms independently, supporting aging in place and promoting overall wellness.

Sleep Program For Individuals With Sleep Issues In A Counseling Center, Adrian Flye, Rebecca King

Spring 2025 OTD Capstone Symposium

Sleep is essential for rest, restoration, and the ability to perform everyday occupations. Sleep provides numerous health benefits when an individual receives adequate sleep. Unfortunately, many individuals sleep poorly due to work demands, childcare responsibilities, and health-related issues. An inconsistency in sleep can negatively impact an individual’s physical and mental health and overall quality of life. The purpose of this project was to develop a sleep program that provides a counseling center with strategies to help improve sleep quality in individuals with sleep issues.

An Occupational Therapy Based Guidebook For Young Adults Transitioning Into Adulthood With Sickle Cell And Renal Medullary Carcinoma, Alexcia Frelix, Cassandra Nelson

Spring 2025 OTD Capstone Symposium

This poster displays the key points within my capstone project of creating an occupational therapy-based guidebook for young adults with sickle cell anemia, and renal medullary carcinoma.

Preventing The Strain: An Educational Program To Address Upper Extremity Work-Related Musculoskeletal Disorders In The Beauty Industry, Stacy Bello, Rebecca King

Spring 2025 OTD Capstone Symposium

The program aims to enhance the safety and health of beauty professionals by addressing Work-Related Musculoskeletal Disorders (WRMSD). The educational program seeks to reduce injuries in the beauty industry by teaching ergonomic practices and joint protection strategies, which include the development of seminars targeted at cosmetology and esthetics students, as well as working professionals, with a strong emphasis on understanding body mechanics and ergonomic principles. Feedback from beauty professionals highlighted common WRMSD conditions and the critical need for preventative education and advocacy for care. The educational program strives to create a safer working environment that benefits beauty service providers throughout …

Educational Development Program For Caregivers Of Acquired Brain Injury, Kaylan Griffin, Rebecca King

Spring 2025 OTD Capstone Symposium

Acquired brain injury (ABI) disrupts normal brain function and often requires caregivers to assist with daily tasks. One-third of ABI caregivers experience burnout and psychological distress within a year of the injury, primarily due to decreased confidence, education, and social support. This burnout can significantly affect caregivers' emotional, social, financial, physical, and spiritual well-being. The purpose of the proposed capstone is to aid in preventing caregiver burnout and burden by empowering caregivers through education.

Safe Lift System: In-Bed Repositioning Assistive Device, Mariah Sparkman, Cassandra Nelson, Lee Ann Hoffman

Spring 2025 OTD Capstone Symposium

Bedridden patients require frequent repositioning toward the head of the bed. The current Safe Lift System prototype was revised and surveyed to address the gap in effective methods for in-bed repositioning of this patient population and to improve its efficacy in meeting the needs of bedridden patients, caregivers, and healthcare staff members.

An Ot Program For Amputation Individuals And Their Caregiver, Ashley Hradecky, Cassandra Nelson

Spring 2025 OTD Capstone Symposium

Amputation individuals and their caregivers currently lack sufficient education regarding residual limb management, limb positioning, mental health, and phantom limb pain. These gaps in health management skills ultimately result in relationship strains, technology abandonment, and decreased independence. The goal was to develop and implement an educational program for new amputation individuals and their caregivers targeting these topics. Six pairs successfully completed this four-week program, with each pair responding to pre and post surveys. Interventions included lower extremity positioning, prosthetic care management, residual limb management, mirror therapy, transcutaneous electrical nerve stimulation, and tactile point discrimination. When comparing the pre and post …

Poderosas: A Program To Meet The Occupational Needs Of Latina Women, Alana Govea, Mary Jan Greer, Cassandra Nelson

Spring 2025 OTD Capstone Symposium

Many women who have immigrated from Mexico and other Latin American countries and who have experienced some form of sexual trauma, sexual violence, sexual abuse, or sex trafficking have unmet occupational needs as they adjust to their lives in the United States. Limited research and resources are available to address these needs. A culturally sensitive program was curated to identify and meet the occupational needs of these women. Three themes that encompassed their primary occupational needs included the need for social participation and connection, the need for emotional and mental health promotion and maintenance, and the need for security and …

Exploring The Role Of Occupational Therapy In Collegiate Athlete Mental Health Care: A Concept Analysis, Jacquelyn Arnett, Lesley Khan-Farooqi

Spring 2025 OTD Capstone Symposium

Adverse mental health outcomes in collegiate athletes are on the rise in the United States, prompting concerns about the impact of external surroundings on their well-being. Occupational therapy (OT) is a profession that specializes in environmental- and occupation-centered intervention, approaches to mental health care not currently being utilized in collegiate athlete populations. Despite these potential benefits, OT practitioners (OTPs) are not an established member of the care team in current athlete mental health care structures, likely because many stakeholders do not understand the unique services OTPs can offer. Walker and Avant’s eight-stage concept analysis was employed to examine the role …

Thriving Beyond Barriers: A Wellness Guide For Athletes And Coaches, Sydnie Allen, Ots, Lesley Khan-Farooqi, Phd, Otd, Otr, Emily Andersen, Otd, Otr

Spring 2025 OTD Capstone Symposium

This project addressed gaps in knowledge and skills among athletes and coaches regarding the social, physical, and environmental dimensions of wellness, which impact participation, health, quality of life, and overall wellness. The purpose was to create a wellness guide focused on the social, physical, and environmental dimensions of wellness, which may inhibit participation, health, quality of life, and overall wellness while fostering social inclusion and accommodating individual abilities to reduce injury risk and promote motivation. Though research on occupational therapy (OT) in sports is limited, emerging studies highlight the importance of participation for long-term independence. Environmental barriers like accessibility issues …

Integrating Sensory Processing And Self- Regulation Strategies In Daily Teaching Practices, Alana D. Foster, Angela L. Blackwell

Spring 2025 OTD Capstone Symposium

This capstone project addressed the critical need for early childhood educators to improve their understanding and application of sensory processing and self-regulation strategies within the classroom setting. The project was implemented at an early learning center and aimed to enhance educators’ ability to support student participation and occupational performance through a structured coaching framework. Guided by Dunn’s Sensory Processing Framework and the Person-Environment-Occupation-Performance (PEOP) model, the intervention included five individualized coaching sessions and the development of two key capstone products: a sensory processing coaching framework and a sensory processing toolkit and activity binder. The coaching framework incorporated observational tools, quick …

Reminiscence-Based Occupational Therapy: A Concept Analysis, Paige E. Laurent, Steven M. Gerardi

Spring 2025 OTD Capstone Symposium

Dementia impacts cognitive function, emotional well-being, and occupational engagement, leading to diminished quality of life for older adults. Reminiscence therapy (RT) has been established as a viable approach to enhancing mood, cognitive performance, and social participation among individuals with dementia, however, its integration within occupational therapy (OT) practice remains under defined. The lack of the clear, defined role of OT in RBOT poses challenges for OT practitioners aiming to integrate reminiscence intervention within their scope of practice. The lack of a clearly defined role of OT in RBOT poses challenges for OT practitioners aiming to incorporate reminiscence interventions within their …

Educating Occupational Therapy Students On The Role, Scope, And Delivery Of Occupational Therapy Services In End-Of-Life Care, Zaria Favorite, Angela Labrie Blackwell, Shannon Kauppila

Spring 2025 OTD Capstone Symposium

Patients at the end-of-life (EoL) experience a decline in body functions and performance skills along with challenges in maintaining occupational roles, routines, habits, and performance patterns (American Occupational Therapy Association [AOTA], 2020). Despite their decline, patient want to continue to participate in their chosen occupations, which are unfulfilled due to the role, scope, and delivery of OT services in EoL care being misunderstood by OT students and practitioners, healthcare professionals, patients, families, and caregivers (Hammill et al., 2019; Knecht-Sabres et al., 2019; Mueller et al., 2021). There is a need for increased education and training so OT students can better …

The Role Of Occupational Therapy In Bladder And Bowel Management For Individuals With Spinal Cord Injuries: An Educational Video Series, Julia Ryan

Student Capstone Papers

Occupational therapy (OT) practitioners are uniquely positioned to support individuals with spinal cord injury (SCI) in developing effective bowel and bladder management (BBM) routines. However, most existing literature approaches BBM from a medical perspective, offering limited guidance on how to translate occupation-based strategies into OT practice. This lack of discipline-specific resources contributes to reduced confidence among generalist practitioners and hinders the consistent implementation of BBM interventions across inpatient and community settings. To address this gap, a nine-part educational video series was developed to enhance OT practitioners’ knowledge, clinical reasoning, and confidence in delivering BBM interventions for clients with SCI. The …

Developing Independent Living Skills In People With Intellectual Or Developmental Disabilities: A Guide For Direct Support Professionals, Nigel Yeo Mr.

Student Capstone Papers

Over one percent of the world has intellectual or developmental disabilities (IDD). Many of these people lack the living skills needed to live independently. Direct support professionals (DSPs) are people who provide daily assistance, care, and support to improve the wellbeing and quality of life among people with IDD. DSPs often have minimal training to perform their role, especially in support of the development of independent living skills. Independent living skills are adaptive behavioral competencies related to self-sufficiency, with focus on conceptual skills such as language abilities, social skills including interpersonal and social problem-solving, and practical skills that relate to …

Exploring Occupational Identity And Cultural Belongingness Of Chinese Transracial Intercountry Adoptees: A Qualitative Study, Kenzie Butts, Karen Park

Spring 2025 OTD Capstone Symposium

Chinese transracial intercountry adoptees may experience discrimination, microaggressions, and stereotyping by not feeling like they fit in with White American or traditional Chinese cultures due to an upbringing of a different race and ethnicity. These barriers may result in a lack of engagement in cultural experiences further impacting their sense of identity and cultural belongingness. A qualitative phenomenological research approach was used to understand how seven Chinese transracial adoptees identity development and sense of cultural belongingness relate to their occupational participation during their early adulthood years. Data was collected through a 45-minute, audio-recorded virtual semi-structured interview via Microsoft Teams and …

The Role Of Occupational Therapy In The Care Of Informal Caregivers Of People With Dementia: A Concept Analysis, Ashley M. Taylor

Student Capstone Papers

Informal caregivers (care partners) are people, such as family members, who provide care to those who cannot care for themselves, including people with dementia (PwD). Care partners assist PwD in their daily occupations, often without training. Caring for PwD can lead to emotional, physical, financial, and occupational challenges for care partners. Occupational therapy (OT) has a role to play in the care of PwD. However, if clinicians do not operate from a dyadic model, care partners’ needs may be overlooked. Problem: Although addressing the care partner dyad is important to the delivery of OT, the role of OT in the …

Air Travel Experiences Of Families With Autistic Children, Tiffany Pham, Karen Park

Spring 2025 OTD Capstone Symposium

This mixed-methods research design aimed to understand families' experiences traveling by plane with autistic children to identify supports, needs, challenges, and barriers that influence participation and well-being. Although air travel offers significant benefits for families and their children, including promoting personal growth, strengthening communication and bonding, reducing stress, and improving the overall quality of life and life satisfaction across many domains, families with autistic children face significant challenges due to sensory and environmental barriers that make the experience stressful and unpredictable. Findings highlight a need for autism-informed policies, training among airport and airline staff, sensory-friendly spaces, and extended support to …

Supporting Occupational Identity In Senior Collegiate Athletes, Kara Montilla, Amy Lyons-Brown

Spring 2025 OTD Capstone Symposium

Capstone project designed to support the transition of retired collegiate athletes by promoting occupational identity and mental well-being. Built upon occupational therapy theories, the program addresses key challenges such as loss of routine, social reintegration, and identity development post-sport. It incorporates goal setting, time management strategies, and group discussions to foster self-exploration and resilience. The project aims to build a supportive environment that empowers athletes to thrive beyond their athletic careers.

Influence Of Collectivist Cultural Values On Occupational Roles And Mental Health Of First-Generation College Students, Guenne Sarmiento, Jazminne Orozco Arteaga

Spring 2025 OTD Capstone Symposium

First-generation college students (FGCS) from collectivist backgrounds often encounter unique challenges as they navigate academic duties alongside familial responsibilities. These challenges are influenced by collectivist cultural values (CCV), which prioritize family ties, community cohesion, and collective well-being. This capstone project utilizes the Kawa Model to illustrate the supportive and unsupportive factors in the lives of these students, examining how cultural expectations, occupational roles, and mental health intersect. It emphasizes the critical role of occupational therapy in unraveling and addressing these complexities.

A Program To Empower Neurodivergent Individuals And Their Caregivers To Advocate For Individualized Sensory Needs And Prepare For Medical Appointments, Eden Singh, Jazminne Orozco Arteaga, Valerie Schlieder

Spring 2025 OTD Capstone Symposium

Neurodivergent individuals frequently experience sensory processing challenges that can limit participation in healthcare. This project aimed to develop a program that equips neurodivergent individuals and their caregivers with the tools to understand sensory processing, advocate for individualized needs, and effectively prepare for medical appointments. Guided by occupational therapy theory and frameworks, the program includes caregiver education, interactive activities, and accessible resources focused on sensory regulation and advocacy. This project emphasizes the role of occupational therapy in promoting equitable and person-centered healthcare experiences.

Occupational Impact Of Losing A Parent At A Young Age, Hailee Litchfield, Susan Macdermott

Spring 2025 OTD Capstone Symposium

This qualitative study explored the lived experiences of children who faced the death of a parent before the age of 18. With an emphasis on the specific occupational impact that resulted directly after the loss and then further into adulthood, 5 themes arose from the participants' responses. Unexpected roles changes, fear of loss, lack of support, loss of meaning, and family traditions lead to the identification of varying occupations, environmental factors and performance patterns that were impacted in some way. The results of this study highlight the need for more equipped, accessible and age appropriate bereavement services, as well as …

An App-Based Education Course Empowering Coaches To Support Neurodivergent Athletes, Caroline Morton, Karen Park

Spring 2025 OTD Capstone Symposium

Neurodivergent children face significant barriers to participation in youth sports due to a lack of coach education and inclusive practices, which limits access to the physical, cognitive, and social-emotional benefits of recreational activities. This doctoral capstone project aimed to address these barriers through the development and implementation of CoachAbility, an app-based educational course designed to equip youth sports coaches with neurodiversity-affirming approaches. The course includes interactive modules, scenario-based quizzes, and downloadable resources covering key areas such as sensory processing, communication, emotional regulation, inclusion, family collaboration, and motor skill development. Participating coaches at KidStrong Carlsbad completed the course over four …

Opening The Outdoors: Experiences Of Black, Indigenous, And People Of Color (Bipoc) Adults In Outdoor Occupations To Support Mental Health, Jasmine Reynoso, Amy Lyons-Brown

Spring 2025 OTD Capstone Symposium

This mixed methods study explores the experiences of Black, Indigenous, and People of Color (BIPOC) adults in exploring and engaging in outdoor occupations to support mental health. Through 15 survey responses and 2 semi-structured interviews, data was collected and analyzed using descriptive statistics and reflective thematic analysis. The findings revealed three overarching themes: Barriers to Outdoor Occupations, Facilitators to Encourage Participation, and Personally Experienced Benefits. Participants explained how outdoor activities contribute to improved mental health, emotional regulation, and a sense of holistic well-being. By addressing the gap in research on nature-based occupations within BIPOC communities, this study highlights the need …

Discovering The Cultural Impacts On Asian American, Pacific Islander (Aapi) Occupations From Adolescent Experiences, Jasmine Chew, Karen Park

Spring 2025 OTD Capstone Symposium

Background: Among the Asian American Pacific Islander (AAPI) population, there is a gap in mental health (MH) utilization and seeking support for anxiety and depression (Wu et al., 2021). Adolescents experience a higher risk for self-isolating behaviors and struggle to find appropriate support (Ai et al., 2022; Santos & Kawabata, 2023). Based on cultural and socio-political contexts, what is the occupational impact on AAPI adolescents? How do cultural factors impact the utilization of community-based MH services?

Method: A convergent mixed methods study of unobtrusive data (n = 14), surveys (n = 29), and interviews (n = 4) was …

Family-Centered Care In Pediatric Oncology, Olivia B. Hope, Jazminne Orozco Arteaga Otd, Otr/L

Spring 2025 OTD Capstone Symposium

Pediatric cancer is a medical condition defined by the development of cancerous cells in children and adolescents. Play is a child’s job; it creates a sense of belonging, fills their internal desire to participate in various environments, and allows them to develop sensory, motor, and cognitive skills. The PEOP model further structured this study by providing a comprehensive framework that considers the interactions between the child, their environment, and their occupational participation. This research project used a qualitative, exploratory design to understand how play-based interventions may enhance FCC in the pediatric oncology setting. Thematic analysis was utilized to create five …