Rehabilitation and Therapy Commons^™

Improving Occupational Therapy Doctoral Students’ Social Awareness For Making Equitable Policy Decisions: A Quantitative Quasi-Experimental Study, Alysson Goodwin, Denise Crowley

The Open Journal of Occupational Therapy

Occupational therapy has set a strategic vision to increase equity and health access through leadership in all practice areas. To this end, educators in occupational therapy doctorate programs must increase the students’ ability to lead with an awareness of the social impacts of policy decisions. The purpose of this study was to explore educational opportunities to support occupational therapy doctorate students in developing social awareness for decision-making. The study aimed to use an e-learning module to increase social awareness surrounding a departmental decision about a white coat ceremony. A quantitative quasi-experimental one group pre-test post-test study examined if a significant …

Associations Between Learning Environment And Study Satisfaction Across Time: Two Cross-Sectional Analyses Of Occupational Therapy Students, Gry Mørk, Susanne G. Johnson, Astrid Gramstad, Linda Stigen, Tove Carstensen, Tore Bonsaksen

The Open Journal of Occupational Therapy

There is increasing attention toward students’ satisfaction and how they perceive the quality of the program they attend. This study examined stability and change across time with regard to the relationships between learning environment factors and occupational therapy students’ satisfaction with the program. In the two consecutive cross-sectional analyses performed in this study, 163 second-year students and 193 third-year students from all six occupational therapy education programs in Norway participated. The Course Experience Questionnaire was used to assess learning environment factors and study satisfaction. The data were analyzed with Pearson’s correlation coefficient r and with hierarchical linear regression. Bivariate associations …

The Relationship Between Holistic Admissions Criteria And Program Ranking Among Occupational Therapy Entry-Level Programs, Kristian Taylor, Cat-Tien Nguyen, Jenny Grant, Mary B. Brewster, Mary A. Barrett, Teal Benevides, Sharon M. Cosper

The Open Journal of Occupational Therapy

Holistic admissions criteria are one strategy to be more inclusive of students with a variety of experiences, cultures, and beliefs. The purpose of this study is to evaluate the relationship between holistic admissions criteria and occupational therapy program ranking. We used a retrospective cross-sectional cohort descriptive study design of occupational therapy programs in the United States to understand whether top performing programs employ holistic admissions criteria. Secondary descriptive analysis from the top and bottom 50 ranked occupational therapy programs in 2020 U.S. News & World Report (Morse et al., 2020) was completed. We used a nominal scale to classify programs …

Barriers That Affect Equity In The Occupational Therapy Admissions Process: Student And Faculty Perspectives, Quinn P. Tyminski, Lenin Grajo

The Open Journal of Occupational Therapy

The use of holistic admissions in higher education has been demonstrated to increase the diversity of incoming student classes; yet, in occupational therapy (OT) research, admissions processes remain under-explored. This phenomenological study aimed to explore the process of OT admissions from the perspective of students, faculty, and staff at a single OT program with the goal to create a more inclusive, equitable, and holistic process. Focus groups were conducted with first-year students, and an online survey was sent to faculty to explore perspectives on the admissions process, necessary qualities for an OT graduate student, and suggestions for increasing inclusion and …

Perspectives Of Occupational Therapy Graduates On Sentinel Events During Transitions To Practice: A Phenomenographic Study, Nileththi Achini De Silva, Eleanor Furtado, Anne W. Hunt

The Open Journal of Occupational Therapy

Research suggests new occupational therapists face many positive and negative experiences during their transition from student to therapist. Current research lacks information regarding sentinel events that occur during this shift. An exploration of sentinel events as interpreted through the life course perspective may inform how to support the transition to occupational therapist. The purpose of this study is to (a) determine sentinel events that occur during the transition to practice for new occupational therapists and (b) the impact of these events. A phenomenographic approach guided a semi-structured interview with 14 recent occupational therapy graduates. Interviews were transcribed verbatim and thematic …

The Effects Of Cervical Cancer Diagnosis On Occupational Performance, Wynnet Sinclair, Christine Mcconnell, Emily Clark, Katie B. Mcentire, Caitlin Lewis, Lyndsi Pound, Katherine Wuertz

The Open Journal of Occupational Therapy

Background: In the United States, it was predicted that approximately 13,960 new cases of invasive cervical cancer would be diagnosed in 2023 (American Cancer Society, 2023). The research question focused on identifying changes in occupational performance for patients with cervical cancer. The areas of occupational performance considered were activities of daily living, leisure, work, education, social participation, and mental health.

Methods: The respondents completed a cross-sectional, mixed methods Qualtrics survey. Likert scale questions captured the degree of functional impact of cervical cancer on the predetermined areas of occupational performance.

Results: Twenty-seven subjects (ages 18 to 70) fully …

Adolescent Perceptions Of Weighted Blankets And Quality Of Sleep: A Mixed Method Design, Tara D. S. Summers

The Open Journal of Occupational Therapy

Background: The purpose of this mixed methods case study was to describe the perceived sleep quality experience of an adolescent, without a pre-identified sleep need, when they used a weighted blanket during sleep.

Method: Adolescents (n = 5) 11 to 16 years of age completed a sleep diary for 7 days, sleeping with a self-selected weighted blanket for at least 3 days. A semi-structured individual interview was held after Day 7.

Results: The majority of the participants would like to continue using a weighted blanket for sleep. Eighty percent of the adolescents choose to sleep with a …

Occupational Therapists' Perceptions On Addressing Spirituality: A Cross Sectional Survey, Shannon Metzger, Jeanine Beasley, Jordan Marheineke, Amy Stites, Amy Riley, Christine Byam, Diane Maodush-Pitzer, Dawn R. Devries

The Open Journal of Occupational Therapy

Background: Occupational Therapy (OT) was founded as a holistic profession that addresses the mind, body, and spirit. Research indicates that occupational therapists feel uncomfortable incorporating spirituality into practice. Method: This study aimed to identify perceptions of occupational therapists in addressing the spiritual needs of their clients. A cross-sectional Qualtrics survey was adapted from the Religious/Spiritually Integrated Practice Assessment Scale (RSIPAS). The survey was electronically sent out by several professional OT organizations. It was sent to occupational therapists and OT assistants to obtain their perspective of incorporating spirituality in practice. Quantitative and qualitative data analysis was completed. Results: Of the 52 …

A ‘Friendly Visitor’ Volunteer Intervention For Hoarding Disorder: Participants’ Perceptions, Susan Noyes, Sarah Van Houten, Elizabeth Wilkins

The Open Journal of Occupational Therapy

Background: Determining and delivering effective interventions for Hoarding Disorder remains challenging, and appropriate resources are often unavailable. To address the need, the Friendly Visitor Program was designed in Portland, Maine, to pair people living with hoarding disorder with a trained volunteer to help with decluttering the living environment. The majority of the trained volunteers were occupational therapy students.

Method: This qualitative research study explored participants’ perceptions in a volunteer program that addresses hoarding behaviors. The study was conducted through an interpretivist, constructivist lens, examining the Friendly Visitor hoarding intervention program through individual, in-depth, semi-structured interviews with nine participants, …

Factors Influencing Driving Confidence In Older Adults, Jill Linder, Beth Ann Walker, Elizabeth Moore, Anne Hegberg

The Open Journal of Occupational Therapy

Background: It has been determined that both confidence and cognition impact driving performance and self-regulation. While it is known that cognitive decline impacts driving safety and that decreases in driving confidence can lead to self-driving regulation, further research is needed to determine whether cognition, demographics, and driving routines are associated with driving confidence.

Method: A non-experimental, cross-sectional design study using a convenience sample of 100 older adults was conducted to determine if individual factors are related to daytime and nighttime driving confidence.

Results: Multiple regression indicated that four variables predicted daytime driving confidence, including cognition, driving at …

Informing Modifications To Social Participation And Navigation (Span) For Adolescents With Social Anxiety Incorporating Pet Dogs, Nicole Porter, Gary Bedell, Jason Getzler, Megan Mueller

The Open Journal of Occupational Therapy

Background: Social anxiety is one of the most prevalent mental health challenges of adolescence and profoundly impacts social participation. This study obtained adolescent and parent feedback to inform a future modification of Social Navigation and Participation (SPAN) for use with adolescents with social anxiety incorporating pet dogs.

Methods: The study had two phases: Phase 1 included interviews with adolescents with social anxiety (n = 8) about their social participation experiences, strategies, pet dogs, and thoughts on a proposed intervention to promote social participation; and Phase 2 included on-line survey completed by the adolescents and their parents (n = 14) assessing …

Artificial Intelligence: Analysis And Guidelines For Scholarly Writing, Diane Powers Dirette

The Open Journal of Occupational Therapy

No abstract provided.

Program Development For Group Interventions Targeting Loneliness In Older Adults, Antoinette Cave

Capstone Projects

The topic of loneliness is complex and subjective in nature, and treatment of the condition requires the client-centered approach that occupational therapy encompasses within its scope of practice. Using an occupation-based, mental health approach to develop the program, weekly focus groups were created based on participant-preferred activities to decrease loneliness among older adults at PACE InnovAge’s outpatient and assisted living locations in Thornton, Colorado. Education was provided to participants and staff throughout the 14-week experience. Further training and sustainability efforts were created and distributed among participants and staff at the end of the experience through an occupation-based handout with external …

Enhancing Pre-Vocational Programs For High School Students With Disabilities: The Impact Of Occupational Therapy And Support Staff Education, Maria Calzada

Capstone Projects

Pre-vocational programs in high school serve as a crucial platform for supporting students in the transition from education to the workplace. These programs provide classroom instruction, hands-on training, and practical experiences to maximize students’ vocational skills post-high school. Pre-vocational programs provide a crucial platform for the development of IADL skills, task analysis, and the promotion of occupational engagement among diverse populations. The purpose of this DCE was program development within the pre-vocational program and provide additional education for the support staff at the high school setting. The goal was to improve vocational skills, including problem solving, self-advocacy, sequencing, and sustained …

Holistic Education To Empower And Enhance Women's Health Throughout Pregnancy, Birth, And The Postpartum Period, Hannah Wilson

Capstone Projects

Making informed healthcare decisions on behalf of oneself for optimal outcomes first begins with comprehending basic health education about one’s own body, typical bodily functioning and bodily processes and ends with empowered decision making. Health literacy is the ability of an individual to understand and apply basic healthcare information to their personal healthcare decision making and is integral for any and all healthcare providers to comprehend when educating patients in practice. Occupational therapists (OTs) are healthcare professionals that work with any demographic of people to improve satisfaction with performance of everyday living activities and quality of life. OTs’ scope of …

A Pilot Intervention For Adolescent Adoptees: The Interoception Curriculum, Francie X. Bailey

Capstone Projects

This pilot study sought to evaluate the efficacy of Mahler’s (2019) Interoception Curriculum on increasing emotional regulation and interoceptive awareness among adolescent adoptees. A pre - posttest design was employed to assess changes in emotional regulation and interoceptive awareness following a condensed, 10 - week version of the curriculum. Six participants, and their respective parent, completed pretest and posttest assessments following the completion of the weekly intervention. Results demonstrated minimal improvements in both parent and adolescent perceived emotional regulation competency but significant improvement in adolescents’ ability to notice and attend to their bodily sensations, listen to their body cues, and …

Trauma Informed Care Resources For Foster And Adoptive Families, Nitasha Cooper

Capstone Projects

Trauma informed care is meeting the needs of children who have undergone trauma by addressing the direct impact caused by the trauma the child experienced. My objectives looked to assist parents in the carryover from the occupational therapy clinic to home by providing videos on techniques to address behaviors occurring in and out of the home and building a connected relationship between child and caregiver as well as resources such as books for children and caregivers; podcasts; social media personnel; support groups; and a respite list. These objectives resulted in a plethora of resources for caregivers and families to access …

Inclusive Yoga Programming For Children With Diverse Needs, Allison H. Hansel

Capstone Projects

Limited research exists to support the use of yoga as an occupational therapy intervention for children with disabilities. In the studies that are available, yoga is primarily used to target children with autism spectrum disorder (ASD). Currently there is no research available that explores use of yoga in a group of children with a variety of disabilities and diagnoses. The aim of my doctoral capstone experience was to design and implement an inclusive yoga group for children with diverse needs. Objectives were created to guide this capstone project such as creating intake forms, pre/post surveys, weekly yoga curriculum and weekly …

Occupational Therapy's Role In Post-Secondary Transition Programing For Young Adults With Disabilities, Mallory Rubley

Capstone Projects

Post-secondary transition programs for young adults with intellectual or developmental disabilities (IDD) are designed to support young adults with IDD in areas of independent living, academics, relationships, financial management, health and safety, and employment. All of which are within the scope of occupational therapy (OT). Within the limited post-secondary transition programs that exist for these young adults, OT is rarely included as a provided service, creating an unintentional disadvantage to the students and clients. The purpose of this Doctoral Capstone Experience (DCE) was program development and advocacy for the role of occupational therapy within Ready for Life (RFL), a post-secondary …

Implementation Of A Bilingual Feeding Program For Hispanic Children With Autism Spectrum Disorder, Sarah Aguilar

Capstone Projects

Feeding is an important occupation that contributes to a child’s physical, emotional, and social development and is also influenced by cultural and environmental factors, (Korth & Maune, 2020). In individuals with developmental delays, specifically autism spectrum disorder (ASD), feeding difficulties have been reported in as many as 75% of children (Nygren et al., 2021). These difficulties often result in increased feelings of anxiety experienced by the child and caregiver. Limited information exists on the impact of these on minority populations, such as Spanish speaking families that face many challenges when accessing healthcare services like language and cultural barriers. Similarly, group …

Integrating Sport’S Vision Training Into Vision Therapy: The Role Of Occupational Therapy, Emily M. Beaird

Capstone Projects

Sports vision training (SVT) is a specialized area of vision therapy focused on enhancing an athlete's visual skills for peak athletic performance. Vision training is vital for athletes because “athletic performance can be one of the most rigorous activities for the visual system” (Khanal, 2015) and is responsible for upward of 80% of the sensory input received during an athletic performance. However, it is often overlooked in traditional training regimens. Focusing on advanced clinical practice and program development, an unmet need for SVT at Origami Rehabilitation was achieved. The main goal was to create an SVT program that catered to …

Mindful Teaching In Adolescent Dance Educaton: Prioritizing Mental Health, Camille Chimner

Capstone Projects

Mental health continues to be a concern for all ages, especially those within the period of adolescence. Adolescence is a time of great physical, cognitive, social, and emotional change that can be positively facilitated with support and strong coping skills. Adolescent dancers have additional demands placed upon them within the dance space. Adults can play a large role in this support, especially adults who serve as educators and coaches. Dance educators have the opportunity to work closely with dancers and can have great influence on both their physical and emotional health, but are not often trained to be mindful of …

Evaluating Sensory Processing And Functional Outcomes Of Children Participating In A Therapeutic Horseback Riding Read And Ride Program: A Single-Subject Research Study, Samantha Dunleavy-Shotsberger

Capstone Projects

Therapeutic horseback riding (TR) can be beneficial to various populations, such as individuals with disabilities, trauma, behavioral problems, anxiety, developmental delay, depression, and learning challenges. However, individuals come with a variety of complex needs and diagnoses, therefore more research is needed to determine how TR impacts the individual. Specifically, there is a lack of understanding of how the individual’s behavior, learning, and sensory processing is affected by TR intervention. Therefore, this study examined the effects of TR on childhood sensory processing and at-risk academic occupational performance in reading as it relates to behavior and attention. A single subject ABA design …

Implementing The Positive Approach To Care® Methods As An Effective Training Curriculum For Staff At An Adult Day Center, Delaney Acri

Capstone Projects

Dementia, a neurodegenerative disorder affecting multiple brain regions, significantly disrupts daily life (Feurich, 2023). Occupational therapists, guided by the Occupational Therapy and Performance Framework (OTPF-4), address cognitive and functional challenges in individuals with dementia (American Occupational Therapy Association, 2020). Therapists employ compensatory strategies to enhance quality of life of people with dementia, as well as their family caregivers. Adult day centers serve as valuable resources for family caregivers, offering respite care during working hours. Despite regulations in most states, Michigan lacks specific dementia training laws in some healthcare settings (Burke & Orlowski, 2015). As a result, many facilities that serve …

Sensory Room Protocol And Education On Sensory Processing Differences In The School Setting, Bethany R. Antor

Capstone Projects

This capstone experience and project targets the enhancement of sensory integration strategies within a school environment by upgrading a sensory room, educating paraprofessionals and teachers on sensory processing differences, associated signs, and regulation tips, and implementing new material within a sensory path for increased student regulation. Sensory processing difficulties can significantly impact a child’s learning and behavior, necessitating effective school - based interventions involving an occupational therapist. This project aims to shrink the gap between school staff’s knowledge of sensory processing differences and the needs of their students. The outcomes include improved functionality and utilization of the sensory room, increased …

Promoting And Sustaining An Adaptive Sports Program On A College Campus Through Outreach And Resource Developmen, Morgan E. Otero

Capstone Projects

Participation in physical activity is essential for an individual’s health and well-being. However, persons with disabilities have limited access to physical activity due to personal, environmental, institutional, and/or social barriers. This limited access increases a disabled individual’s likelihood of developing secondary health conditions, decreased mental health outcomes, and feelings of social isolation. To combat this, it is important that these individuals have equitable access to and knowledge of adaptive physical activity opportunities such as adaptive sport, recreation, and fitness. To address this need, this capstone project focused on promoting and sustaining an existing adaptive sports and recreation program through the …

Development Of Occupation-Based And Trauma-Informed Care Resources To Promote Successful Reentry Following Release From Prison, Anna Burch

Capstone Projects

This 14-week capstone project focused on program development and education to establish occupational therapy-based resources into the Region 4 OS Reentry program through Michigan Department of correction (MDOC). The project was based out of Kent County Parole Office with the target population focusing on people who are actively on parole. Region 4 OS Reentry provides those on parole with many resources including bus cards, transitional housing, food vouchers, clothing/self-care assistance, trauma counseling and more. The purpose of this project was to utilize an occupational therapy lens to create resources revolving around ADL/IADLs, mental health, connecting the program with other community …

A How-To Guide For Implementing Level I Faculty-Facilitated Fieldwork Sites: A Western Michigan University Model, Jordyn Diaz

Capstone Projects

Since the Covid-19 pandemic, community partners and fieldwork educators have been overwhelmed by the demand of occupational therapy (OT) students seeking fieldwork placements. The faculty-facilitated model is a desirable option to relieve this burden and provide services for the community. Faculty-facilitated sites have a 1:6 fieldwork educator- to-student ratio. These sites can occur on-campus, within a community organization, or virtually as demonstrated by Western Michigan University (WMU). However, barriers to implementing this model include financial concerns, time constraints, space limitations, and the associated workload required to sustain these sites.

The focus of this doctoral capstone experience was to create a …

Student Comprehension Of Addressing Acote Standards Related To Fieldwork Educators And Level I Fieldwork Sites, Baileigh Grabow

Capstone Projects

Accreditation Council of Occupational Therapy Education (ACOTE) standards are the rules and procedures occupational therapy academic programs across the country are mandated to follow and uphold (ACOTE, 2018). The standards are the framework to ensure quality education of the same rigor across OT/OTA programs preparing the future practitioners of occupational therapy. The ACOTE Standards (2018) have an “A” section related the resources, faculty experience, public policies, curriculum framework, and strategic plan requirements, a “B” section related to didactic program content requirements, a “C” section for fieldwork requirements, and a “D” section related to capstone requirements.

The purpose of this doctoral …

Enhancing Self-Regulation Skills With The Zones Of Regulation, Sara Hayes

Capstone Projects

It has been highlighted that children with Autism Spectrum Disorder (ASD), Cognitive Impairments, Emotional Impairments, and other Sensory Processing Disorders. often lack the ability to self-regulate appropriately. Self-regulation is defined as the ability to control one’s emotions and behaviors, get along with others and engage in learning. Self-regulation helps children learn effectively, obtain, and maintain relationships, and communicate appropriately. A tool proven to teach and implement appropriate self-regulation is Leah Kupyers’ Zones of Regulation curriculum. The purpose of this literature review is to analyze the potential for OT involvement in the implementation of the Zones of Regulation curriculum within the …