Rehabilitation and Therapy Commons^™

Implementing Positive Mental Health Promotion In An Under-Resourced School, Cameron M. Friedel, Angela Blackwell, Cat Daniel

Spring 2026 OTD Capstone Symposium

The realities of under-resourced schools, while often described in terms of constraint, also present a meaningful opportunity for schools to intentionally promote positive mental health. By recognizing and building upon students’ existing strengths and adaptive capacities, school-based initiatives can transform everyday environments and routines into contexts that foster regulation, inclusion, and well-being for all students now and in the future. The integration of positive mental health within a school system impacts the behavior, social-emotional learning (SEL) skills, and academic development of all students. Given this information a digital toolkit was created as a targeted, occupational therapy (OT) informed solution for …

Cognitive And Mental Health Challenges: Addressing The Impact Of Traumatic Brain Injuries In Adults, Hannah E. Smith, Lesley Khan-Farooqi, Phd, Otd, Otr, Anne Mcdonnell, Mpa, Otr/L, Cbist

Student Capstone Papers

This capstone examined the challenges adults face following traumatic brain injuries (TBIs) and explored interventions aimed at enhancing cognitive functioning and mental health. This capstone also aimed to reduce caregiver stress and burnout by expanding knowledge and resources focused on cognitive and mental health within the population. TBIs can result from a variety of causes, affecting cognitive abilities, mental health, and functional outcomes. This capstone shows evidence-based interventions designed to improve cognitive functioning, facilitate engagement in meaningful activities to improve mental health, and enhance overall quality of life for adults recovering from TBI. This also will demonstrate potential for occupational …

The Necessity Of Adaptive Sports: Addressing Financial Barriers To Participation In Children With Spinal Cord Injuries, Megan G. Wells, Lesley Khan-Farooqi

Spring 2026 OTD Capstone Symposium

Children with spinal cord injuries (SCI) face significant financial barriers that limit access to adaptive sports, despite the physical and psychosocial benefits of participation. This capstone project aimed to address this gap by developing a comprehensive financial resource guide for families. Guided by the Person-Environment-Occupation-Performance (PEOP) model, a needs assessment was conducted through semi-structured interviews, clinical observations, and stakeholder input, revealing a lack of accessible and centralized funding information. In response, a guidebook was created that includes educational content, local and national funding opportunities, and practical tools for navigating financial aid and grant applications. The guide was piloted and refined …

The Mommy Wine Culture: A Scoping Review Using The Person-Environment-Occupational Model., Sabina Khan

Student Dissertations

Maternal alcohol use as a coping response to parenting-related stress has received growing attention in public health and psychology but remains underexplored within occupational therapy. This gap limits understanding of how daily role demands, environmental pressures, and individual vulnerabilities combine to shape drinking as a functional coping behavior. This dissertation aimed to identify and synthesize factors associated with maternal alcohol use in the context of parenting stress and interpret these determinants using the person–environment–occupation model. A scoping review was conducted following the Arksey and O’Malley framework and reported according to PRISMA-ScR guidelines. Five databases were systematically searched without date or …

Supporting School Readiness: A Visual-Motor Integration Program For Children Ages 2.5-10, Bailey Williams, Wendy Tremaine, Carla Hamilton

Spring 2026 OTD Capstone Symposium

This capstone project focused on supporting school readiness through the development and implementation of a visual-motor integration (VMI) program for children ages 2.5–10 with developmental delays. A needs assessment was conducted to identify gaps in caregiver knowledge and resources related to VMI development. In response, a 6-week educational program was created, incorporating targeted activities and caregiver education to promote VMI skill development. Findings indicated improved caregiver understanding of VMI concepts and increased confidence in implementing strategies at home. These results highlight the importance of early intervention and caregiver involvement in supporting children’s academic readiness and overall developmental outcomes.

Program Development For Maternal Mental Health During The Transition To Motherhood, Lindsey A. Lindsley, Cassandra Nelson

Spring 2026 OTD Capstone Symposium

The transition to motherhood can be both rewarding and challenging, with many women experiencing increased vulnerability to postpartum depression (PPD). This capstone project focused on developing and implementing a six-week maternal mental health program designed to support postpartum women through education, occupational engagement, and peer connection. Grounded in the Model of Human Occupation (MOHO), the program used a hybrid format combining in-person and virtual sessions to improve accessibility. Program outcomes were evaluated using surveys, the Occupational Self Assessment (OSA), and participant feedback. Participants demonstrated increased knowledge of postpartum mental health, greater confidence in their maternal roles, and improved ability to …

Occupational Therapy For People With Internet Gaming Disorder: A Concept Paper, Samuel R. Bender, Steven Gerardi

Spring 2026 OTD Capstone Symposium

Internet Gaming Disorder (IGD) is associated with occupational imbalance and disrupted routines, contributing to challenges in occupational participation and performance. Due to there being a gap in occupational therapy-based research and guidance for people with IGD, this capstone project focused on the development of a concept paper informed by The Model of Human Occupation (MOHO) that frames problematic video gaming as an occupational issue. The concept paper organizes assessment strategies, identifies problems, outlines intervention ideas, and discusses potential next steps for assisting people with IGD within occupational therapy. This capstone project is intended to help current occupational therapists more effectively …

Integrating Maternal Pelvic Floor And Mental Health In Occupational Therapy, Diana S. Theodore, Lesley Sally Khan-Farooqi, Amanda Ciecior, Teresa Martinez, Brooke Caldwell

Spring 2026 OTD Capstone Symposium

This poster highlights an integrated occupational therapy approach to maternal pelvic floor and mental health. Postpartum recovery is often addressed in fragmented ways, separating physical symptoms from emotional and functional impact. This work emphasizes the connection between pelvic floor function, nervous system regulation, and daily activities. Drawing from clinical experiences across acute, outpatient, and community settings, this project presents practical, client-centered strategies to support recovery. Key areas include breathing, bowel and bladder health, and functional movement. By focusing on occupational performance, such as toileting, mobility, sleep, and caregiving. This approach demonstrates the role of occupational therapy in supporting whole-person postpartum …

Pathways To Independence: A Transitional Education Program For Adults With Neurodevelopmental Disabilities, Joseph Ribaudo, Zeida Gutierrez

Spring 2026 OTD Capstone Symposium

Pathways to Independence is a transitional education program implemented into the young adult program of a school for individuals with neuro developmental disabilities (NDD). The objective of program implementation was to progress the skills of the adult with NDD students to promote increased independence upon the transition out of IDEA services. The program was delivered to 20 adult with NDD students ranging from 18-21 years old.

Optimizing Makeup Application Techniques For Women With Tenodesis: Adaptations And Ergonomic Solutions, Ashley J. Medina, Wendy Tremaine, Lee Ann Hoffman

Spring 2026 OTD Capstone Symposium

To enhance independence in makeup application for women utilizing a tenodesis grasp, Ashley Medina, OTS, in collaboration with Able Faith, Inc., developed and presented a capstone poster outlining a targeted program of adaptive strategies and ergonomic solutions. This program was designed to address the unique functional challenges experienced by women with spinal cord injuries (SCIs) while promoting autonomy and confidence in daily self-care routines.

The experience objectives included: (1) identifying existing adaptive equipment that supports individuals with SCIs in completing makeup application tasks; (2) examining and understanding the roles of interdisciplinary team members working with individuals with SCI in comparison …

Occupational Therapy’S Role In Supporting Caregivers Of Children And Adolescents With Type 1 Diabetes, Ania G. Millan

Student Capstone Papers

Caregivers of children and adolescents with Type 1 Diabetes (T1D) often experience increased stress, occupational imbalance, and challenges related to maintaining their own health and wellness while managing their child’s complex daily care needs. Despite the significant impact caregiving responsibilities may have on daily routines, self-care, and overall quality of life, occupational therapy’s (OT) role in supporting caregivers within endocrinology settings remains underrecognized. The purpose of this capstone project was to explore caregivers’ perceptions of their health and wellness and examine the differences and similarities between caregivers’ and occupational therapy practitioners’ (OTPs) perspectives regarding OT’s role in supporting caregivers of …

Bridging Cultures: Developing A Culturally Responsive Educational Website For Pediatric Service Providers, Aimun Aziz, Wendy Tremaine

Spring 2026 OTD Capstone Symposium

The increasing cultural diversity of the pediatric population in the United States highlights the need for culturally responsive, family-centered care. However, many providers report limited training and practical resources to support the integration of cultural humility into clinical practice. This capstone project aimed to develop and evaluate an evidence-based educational website to support pediatric service providers in delivering culturally responsive care.

A program development framework was used, incorporating family needs assessments, pre- and post-intervention surveys of pediatric therapy staff, and thematic analysis of key factors related to communication, trust, and provider preparedness. Community field visits with diverse populations informed the …

Ready, Set, Play! Empowering Caregivers Through Adaptive Playground Resources, Makenna Thigpen, Angela Blackwell, Brianne Harryman

Spring 2026 OTD Capstone Symposium

This doctoral capstone project addressed the need for accessible, caregiver-friendly education to support inclusive play opportunities for children of diverse abilities. Guided by occupational therapy frameworks emphasizing participation, environmental supports, and family-centered care, this project involved collaboration with the local Parks and Recreation Department to better understand community needs and existing inclusive playground resources. Through this partnership, the project supported efforts to promote awareness and accessibility of inclusive play spaces within the community.

As part of the project, educational video resources were developed to increase caregiver knowledge of inclusive playground equipment, play strategies, and environmental modifications. Content focused on promoting …

Enhancing Student Engagement In Leadership And Advocacy, Rosanoemi A. Mejia, Jazminne Orozco Arteaga

Spring 2026 OTD Capstone Symposium

Occupational therapy has a unique capacity to foster social change and occupational justice. Leadership and advocacy are essential components of the daily academic practice for occupational therapists. However, leadership development within the field is largely socially driven, and students often lack access to structured, mentored pathways that would empower them to speak up and engage in advocacy. This capstone project aimed to fill this gap by addressing the shortage of coordinated mentorship and leadership development opportunities, which hinder advocacy efforts and professional growth. The study employed a mixed-methods approach, involving occupational therapy students in quantitative Likert-scale surveys and qualitative semi-structured …

Language Barriers In The Healthcare System, Gulten Altunbulak

Student Capstone Papers

Language barriers in healthcare can negatively affect quality of care, patient satisfaction, and health equity, particularly among individuals with limited English proficiency (LEP). This capstone project aimed to develop and implement an occupational therapy communication protocol in a skilled nursing facility to address these barriers. A mixed-methods approach was used, including a pre-survey of 25 staff members, post-implementation interviews, and observational feedback to evaluate communication practices, interpreter use, and staff confidence. Interventions included staff education on interpreter services and culturally responsive care, as well as bilingual communication tools, personalized resident posters, and a Language Line training video. Guided by the …

Gaming The Simulation To Assess Dpt Student Learning, Laura Stephens, Gretchen R. Prather

Journal of Innovation in Health Sciences Education

Introduction: The purpose of this study was to assess Doctor of Physical Therapy student learning and motivation through participation in a novel, gamified case study simulation while describing the application of International Nursing Association of Clinical Simulation and Learning (INACSL) Healthcare Simulation Standards of Best Practice^TM and application of game elements. Gamification is an emerging interest in health care education but has been minimally explored within physical therapy education in the United States. Additionally, published studies often fail to detail INACSL standards of simulation best practice or game elements in simulation design.

Methods: Sixty-five DPT students participated in …

Mediapipe-Based Extraction Of Joint Rom And Position From Patient Videos For The Functional Movement Screen: An Exploratory Study, Joshua Paul Verdillo, Lily Ann Bautista

Philippine Journal of Physical Therapy

Introduction. The Functional Movement Screen (FMS) is widely used to identify movement deficiencies and potential injury risk. However, its reliance on visual inspection introduces subjectivity, requires specialized training, and necessitates face-to-face assessment. Advances in computer vision, offer opportunities to automate and better objectify functional movement assessment. This exploratory study aimed to evaluate the feasibility of using a MediaPipe-based system, Software-Optimized Movement Assessment (SOMA), to extract joint range of motion (ROM), joint position, and compensatory movement patterns from patient videos during FMS performance.

Methods. SOMA was developed using MediaPipe Pose and MediaPipe Hands libraries integrated with Python-based tools to analyze videos …

Biomechanics Of The Ribs During Respiration At The Costotransverse Joint: An In-Vivo Retrospective Pilot Study, Michael Maninang, Greg Almeter, Erik Pearson, Arvie Vitente

Philippine Journal of Physical Therapy

Introduction: Scarce in‑vivo data describe how ribs move at the costotransverse joints during quiet breathing—knowledge critical to thoracic biomechanics and pain mechanisms. This pilot study uses four‑dimensional computed tomography (4D‑CT) to quantify, for the first time, the three‑dimensional magnitude and direction of rib motion at these joints throughout quiet respiration.

Methods: This retrospective, descriptive pilot study analyzed ten 4D‑CT scans obtained from patients undergoing thoracic imaging prior to radiation therapy. End‑expiration and end‑inspiration phases were aligned with a demons deformable‑registration algorithm. For each costotransverse joint, the three‑dimensional displacement vector, its absolute magnitude, and its components along the lateral–medial (L–M), …

Standardizing Assessment Of Clinical Performance In Physical Therapy: From Good Intentions To Shared Standards, Arvie Vitente, Carmina Rafael, Rolando Lazaro

Philippine Journal of Physical Therapy

Clinical education is the crucible in which physical therapy students integrate knowledge, skills, and professional judgment into safe, ethical, and person-centered practice. Yet globally, the assessment of clinical performance remains highly variable, shaped by disparate tools, rubrics, and levels of assessor preparation. While several countries have adopted nationally standardized approaches to clinical assessment, many contexts—including the Philippines—continue to rely on locally developed or institution-specific systems, resulting in inconsistent expectations, inequitable student experiences, and limited capacity for benchmarking, research, and quality improvement. This editorial argues that good intentions alone are insufficient and that the profession must move toward shared, trustworthy standards …

Precision Education In Health Sciences Education: A Call-To-Action For Developing An Interprofessional Strategy, Arvie Vitente, Jennifer Bosworth, Robert Sweet, Rebecca Cozzi, Christopher Galloway, Piotr Szczurek, Melanie Obispo-Young, Eron Bozec, Erica Brkovic, Tina Bobo, Jennifer Lubinski

Philippine Journal of Physical Therapy

Introduction. Growing learner diversity, expanding biomedical knowledge, and rapid clinical digitization have exposed the limits of on-size-fits-all health sciences training. Competency-Based Education (CBE) has sharpened the focus on outcomes, yet many programs still move learners through fixed sequences, infrequent assessments, and retrospective remediation. Precision Education (PE) offers a complementary, data-enabled approach that uses learning analytics, artificial intelligence (AI), and continuous feedback loops. Embedded within CBE, PE converts competencies from static milestones into dynamic trajectories that can be measured, visualized, and adjusted in real time across the curriculum. This abstract highlights the need for an interprofessional strategy to design, fund, and …

Feasibility And Function Of A Tilt-In-Space Wheelchair Insert For Low Resource Settings (Development Of The Open Tilt Base), Luke Mcauley, Karen Menard

Student Capstone Papers

The ability to move and be mobile is a basic part of human function. For those without the muscle control and/or strength to attain and maintain the posture necessary for basic movement and mobility a device is necessary to support them and provide them with the highest level of independence possible. This type of device comes at a significant cost and need for highly customizable products which are difficult to obtain in most situations, but especially in Low-Middle-Income Countries (LMIC). The product discussed in this paper is designed to provide a cost effective solution for those in need of a …

Work-Life Conflict, Anxiety, And Depression In Collegiate Athletic Trainers With Children Under 5, Jordan Helton, Glenn R. Penny, Seth Swary

Student Dissertations

The research problem for this study was that collegiate athletic trainers with children under 5 years old experience significant work-life conflict and negative mental health outcomes. The purpose of this study was to explore how collegiate ATs with young children describe their experiences of work-life conflict and to how these experiences relate to symptoms of anxiety and depression. Guided by interrole conflict theory and work-life conflict theory the study posed two research questions: (1) How do collegiate ATs with children under 5 describe their experiences of work-life conflict? (2) What is the relationship work-life conflict experiences on the symptoms …

Empowerment Through Creating An Adaptive Sports And Recreation Program For Persons With Disabilities, Sarah Kadri, Angela Labrie Blackwell

Fall 2025 OTD Capstone Symposium

Adaptive sports and recreation (ASR) refers to recreational and competitive physical activities modified to be inclusive and accessible for persons with disabilities (PWD), adjusting equipment, rules, instruction, and environmental setup to support participation across a wide range of physical, cognitive, and sensory abilities. PWD often report feeling disempowered due to social stigma, inaccessible environments, and limited opportunities to make meaningful choices about leisure and community life. A lack of diverse and consistent ASR opportunities within communities collectively hinders participation and negatively impacts overall well-being. Utilizing the Person Environment Occupation Performance (PEOP) theoretical framework, this capstone project developed a 10-week swimming …

Empowering Parenting & Bonding For Women With Young Children In A Transition Home, Payge Side, Mary Jan Greer Phd, Otr

Fall 2025 OTD Capstone Symposium

This capstone project was completed at Star of Hope, a transitional housing facility for women and children. A needs assessment revealed that mothers struggled with routine consistency, emotional regulation, and parent–child bonding due to environmental demands. In response, a customized parenting guidebook was developed using occupational therapy principles to provide structure, bonding activities, and self-reflection strategies. Mothers who engaged with the guidebook reported improvements in organization, confidence, and interactions with their children. Sustainability was supported by leaving the guidebook with the facility and training staff for continued use. The project highlights the impact of simple, structured OT interventions in …

Virtual Reality (Vr) To Enhance Occupational Therapy (Ot) Sessions For Children With Developmental Delays, Macy M. Smith, Zeida Gutierrez

Fall 2025 OTD Capstone Symposium

This capstone project developed an educational guidebook to help pediatric OTs integrate evidence-based VR strategies into practice. The guidebook was created to enhance engagement, for children with developmental delays, impacting sensory and motor skills. By exploring VR’s benefits and barriers, the project guides therapists in adapting tech-enhanced approaches to individual needs.

Education And Advocacy For People With Disabilities: Adaptive Clothing Awareness, Mansi Patel, Zeida Gutierrez

Fall 2025 OTD Capstone Symposium

The purpose of this educational capstone project is to develop and implement educational sessions that provide resources, raise awareness, and support individuals with disabilities in accessing adaptive clothing. The aim was to bridge the knowledge and awareness gap and provide hands-on learning opportunities to promote dressing independence.

Inclusive Education And Autism Spectrum Disorder: Preparing University Students To Support Secondary Learners, Kristen M. Lucke, Cynthia Haynes

Fall 2025 OTD Capstone Symposium

Autism spectrum disorder (ASD) affects approximately 1 in 31 children in the United States, highlighting the need for future teachers and occupational therapists (OTs) to support students with ASD in inclusive educational settings. This mixed-methods capstone examined how an OT-informed professional learning session influenced university students’ knowledge, confidence, and readiness to support learners with ASD. Fifteen graduate students participated in a 75-minute instructional session addressing six ASD learning domains. Pre- and post-session measures included demographic information, the investigator-developed Knowledge and Perceptions of Autism Spectrum Disorder (KPASD) assessment, Likert-scale ratings, and qualitative reflections. Participants demonstrated significant increases in total KPASD scores …

A Guidebook For Occupational Therapy Practitioners To Promote Adaptive Sports, Ivy M. Shimkus, Heather Rennerfeldt, Angela Blackwell

Fall 2025 OTD Capstone Symposium

Adaptive sports offer meaningful physical, social, and emotional benefits for adolescents with disabilities; however, many occupational therapy (OT) practitioners report limited training and resources to support these activities within practice. This capstone project aimed to address this gap by developing Sports for All, an educational guidebook designed to help OT practitioners promote engagement in adaptive sports among adolescents with disabilities. Guided by the Canadian Model of Occupational Performance and Engagement and the PERMA well-being framework, the project emphasized the importance of person, environment, occupation, and positive psychological factors that support meaningful engagement in activities that promote overall well-being in …

The Application Of Smart Technology To Reduce Caregiver Burden, Miranda D. Martin, Cassandra Nelson

Fall 2025 OTD Capstone Symposium

Caregiver burden often increases during hospital-to-home transitions, limiting patient independence and placing strain on caregivers. Smart home and wearable technologies offer promising solutions; however, limited awareness, confidence, and training hinder their adoption. This capstone project developed an educational program to improve familiarity and practical use of smart technology among patients, caregivers, and healthcare professionals. A needs assessment involving surveys, interviews, and clinical observations identified key barriers, including cost concerns, limited technological literacy, and low clinician confidence. An educational presentation and smart technology catalog were then implemented, with pre- and post-surveys used to measure changes in knowledge and confidence. Findings showed …

Redesigning Beauty: Promoting Universal Design For Upper Extremity Deficits, Sierra Louise Forkey, Cynthia Haynes

Fall 2025 OTD Capstone Symposium

The purpose of this capstone project is to research and identify barriers individuals with upper extremity deficits face when participating in personal hygiene and grooming tasks and to use this information to advocate for individuals with upper extremity deficits by promoting inclusive design, educating consumers, and informing beauty manufacturers on the importance of implementing a universal design component to allow products to be more accessible.