Rehabilitation and Therapy Commons^™

Enhancing Leisure Opportunities For People With Disabilities In Rural Communities, Joslyn Mary Nordmark

Occupational Therapy Capstones

Purpose. The purpose of this scholarly project was to promote access to leisure opportunities for people with disabilities in rural areas. The author addressed unmet needs among this population considering personal, occupational, environmental, cultural, and socioeconomic factors. The goal was to develop a product that provided opportunities regardless of abilities to promote leisure exploration and participation, social engagement, and life skill development for people with disabilities

Methods. The author conducted a needs assessment through a literature review following the Model of Human Occupation (MOHO), collaborations with site staff, and an on-site observation and environmental analysis. Data was examined to identify …

The Missing Link: Psychosocial Integration In Neuro Ot Care, Emily Nelson

Occupational Therapy Capstones

Introduction: Over 1 in 3 people are affected by neurological conditions, making it the leading cause of illness and disability worldwide (World Health Organization, 2024). Patients are often referred to inpatient rehabilitation to increase independence and functional recovery. There is a need to address psychosocial factors within this setting thus, The Missing Link: Integrating Psychosocial Factors into Neuro OT was created.

Methodology : The capstone is guided by the Model of Human Occupation (MOHO), which emphasizes the dynamic interaction between the person and their environment and its influence on psychosocial factors, personal identity, and competence. A comprehensive needs review was …

Cultivating Connections: Empowering Agricultural Community Members Through Collaborative Care, Kearyn E. Nelsen

Occupational Therapy Capstones

Background: Agriculture and mental health – two words not typically used in the same sentence; however, considering the rate of suicide among those working in the agriculture profession is significantly higher than the general population, the need for both awareness and action is critically important. Despite a lack of research specific to occupational therapy and the agricultural population, occupational therapists on an interprofessional healthcare team are uniquely positioned to serve this population. Interprofessional collaboration is essential when serving agricultural community members, whose needs involve a complexity of physical, mental, social, and environmental factors, each impacting the overall health and well-being …

Occupation-Based Transition Planning Guide For High School Students With Disabilites., Kelsey Milleson

Occupational Therapy Capstones

Background: The transition from high school to adulthood is a critical period influencing independence, employment, and community participation for students with disabilities (Carroll et al., 2025; Rosner et al., 2020). Despite mandates under the Individuals with Disabilities Education Act (IDEA), many students experience poor postsecondary outcomes, including limited employment and increased reliance on caregivers (Benson et al., 2021; U.S. Department of Education, 2020). Effective transition planning should begin early, be individualized, and emphasize real-world skill development such as daily living, vocational skills, and self-advocacy (Cleary & Persch, 2020). However, school-based programs often lack consistency, structure, and performance-based outcome measures, reducing …

Increasing Leisure Exploration In Older Adults As They Age, Jackie Middendorf

Occupational Therapy Capstones

Background: As individuals age, it is common for them to experience deficits that impact how and where they age (Dieuleveult et al., 2017; Nakahara & Yokoi, 2024; Park et al., 2021; Rimland et al., 2016; Szanton et al., 2016). These deficits commonly impact functional mobility and their ability to complete self-cares, leading to them having to leave their homes or receive services (Dieuleveult et al., 2017; Feller & Baker, 2022; Lindquist et al., 2021; Mayo et al., 2021; Spang et al., 2024). Along with deficits with functional mobility and self-cares, older adults experience decreases in their social engagement and leisure …

The Role Of Occupational Therapy In The Prevention Of Sudden Unexpected Infant Death (Suid), Natalie Ryan Mcfarren

Occupational Therapy Capstones

Background: Each year, 3,700 infants die from SUID; this equates to about ten infants per day. SUID is an umbrella term that covers three separate subcategories: suffocation and strangulation in bed, sudden infant death syndrome (SIDS), and unknown (Cribs for Kids, 2026). Suffocation and strangulation in bed is the only subcategory that is 100% preventable with safe sleep practices, while the risk of SIDS can be decreased by adhering to safe sleep guidelines. While the prevalence of SUID has decreased since the 1992 Back to Sleep campaign, current data indicate a plateau, if not a slight increase, in SUID cases …

Digging Into Prevention: An Occupational Therapy Based Work-Related Upper Extremity Injury Prevention Program For Extraction And Mining Industries, Karli Teresa March

Occupational Therapy Capstones

Background: Extraction and mining industries, which play a significant role in the economic structure of Sweetwater County, Wyoming, consistently report some of the highest rates of work-related injury. Upper extremity based musculoskeletal injuries are particularly common and often lead to significant impairment and/or surgical intervention, impacting productivity, increasing lost-workdays, and contributing to long-term health outcomes. These injuries are often due to a dynamic interaction of personal, contextual, and task-based factors including fatigue, level of experience, organizational procedures and policies, repetitive motions, sustained forceful exertions, awkward positioning, and vibration exposure. Current prevention efforts are often reactive rather than proactive, with interventions …

Introduction Of Occupational Therapy Into A Suburban Supportive Housing Organization, Madeline Kuntz

Occupational Therapy Capstones

Abstract: Unhoused individuals experience compounded barriers beyond housing access and are often underserved within occupational therapy practice. This doctoral capstone project partnered with a nonprofit residential program to develop a research-informed onboarding manual grounded in the holistic occupational therapy framework, Model of Human Occupation (MOHO, O’Brien, 2017). The manual was designed to clarify expectations of the supportive housing program, address diverse resident needs, and promote independence as the organization expands. Development was informed by a comprehensive literature review and informal needs assessment of the organization, identifying anticipatory barriers and supports commonly experienced prior to program entry. Key areas of need …

Pathways To Participation: Enhancing Inclusion For Individuals With Idd, Katie Koxlien

Occupational Therapy Capstones

Background: Youth with intellectual and developmental disabilities (IDD) continue to experience barriers to meaningful community participation despite policies promoting inclusive community-based services (Friedman, 2017). Sensory sensitivities, difficulty with transitions, and overstimulating environments frequently limit engagement and increase anxiety or behavioral responses when appropriate supports are not present (Bagatell et al., 2022; Dean et al., 2018; Tint et al., 2017). Research indicates that inclusion requires intentional programming that incorporates structured supports, consistent routines, and opportunities for meaningful engagement (Edwards et al., 2021; Hall, 2016).

Methods: The purpose of this scholarly project was to develop a week long sensory exploration camp for …

Holistic Occupational Therapy Approach In Addressing Women’S Health Needs & Access To Care, Lilja Jurva

Occupational Therapy Capstones

Background: As women across the lifespan experience complex physical, emotional, and occupational challenges related to maternal transitions, mental health needs, chronic conditions, and rural healthcare disparities, occupational therapy is uniquely equipped to address the complex challenges. Services have been proven to be directly correlated to lower incidence of preterm birth, cesarean delivery, low birth weight, excessive gestational weight gain, diabetes mellitus, and hypersensitive disorders, and higher incidence of vaginal delivery. A clear gap for maternal support services was identified in the Grand Forks community through literature review, interviews, and community engagement, leading to the development of NoDak Therapy and Wellness. …

Rebuilding Participation: Trauma-Informed Support For At-Risk Teens, Emily A. Funk

Occupational Therapy Capstones

Background: Over half of our youth population have experienced at least one adverse childhood experience (ACE) before they reach adulthood (Madigan et al., 2025). ACEs are major factors in increasing a child’s chances of making risky lifestyle choices that negatively affect their physical, emotional, and mental health (Atchison & Suarez, 2021; Felitti et al., 1998). Dysregulation, irrational behaviors, poor academic achievements, high levels of stress, and feeling a loss of purpose are some of the challenges that at-risk youth face (Atchison & Suarez, 2021).

Purpose: The purpose of this scholarly project is to develop a toolkit that contains indirect occupational …

Empowering Caregivers: An Occupational Therapy-Informed Educational Program For Dementia Care In Rural Communities, Maria Lynn Johnson

Occupational Therapy Capstones

Purpose: Hospitalization presents significant risks for individuals with dementia, including increased behavioral and psychological symptoms (BPSD), delirium, functional decline, and reduced occupational engagement (Boltz et al., 2023; Teichmann et al., 2019; Zwingmann et al., 2020). Acute care environments are often overstimulating, unfamiliar, and task-oriented, which can exacerbate cognitive impairment and contribute to caregiver distress. Despite strong evidence supporting nonpharmacological, occupation-based interventions, structured engagement opportunities are rarely integrated into acute care workflows (Burgdorf et al., 2023; Faeder et al., 2023). This doctoral capstone project aimed to develop occupation-based dementia activities for use during hospitalization while equipping formal and informal caregivers with …

Quality Of Life Of Individuals Residing In Senior Living Facilities, Meagan R. Danda

Occupational Therapy Capstones

Introduction: Formal caregivers play an essential role in supporting residents’ physical, emotional, and social needs which contribute to overall health and well-being (Spilsbury et al., 2024). Due to these responsibilities, caregivers need to be properly equipped with the knowledge and skills necessary to perform clinical duties with confidence. The purpose of this scholarly project is to develop a product that increases caregiver confidence by providing caregivers with occupational therapy informed education. By enhancing caregivers’ knowledge and skill set, this product may contribute to a supportive environment that fosters resident engagement in meaningful occupations and promotes improved quality of life (QoL) …

Determining Driving Ability Following Traumatic Brain Injury, Shauna M. Corrigan

Occupational Therapy Capstones

Introduction: A traumatic brain injury (TBI) can be a severe injury that causes lasting effects such as visual changes, challenges with concentration and memory, and problems with coordination and balance (Centers for Disease Control, 2024). This can impact an individual’s ability to safely return to the valued occupation of driving. Occupational therapists will commonly assess an individual’s ability to return to drive following a TBI, but they experience challenges in doing so due to a lack of standard method in assessing one’s safety while operating a motor vehicle (Baker et al., 2015; Tamietto et al., 2006; Classen et al., 2009; …

Regulation Creations: A Trauma-Informed Resource Addressing Sensory And Socio-Emotional Childhood Challenges, Meagan Noel Barnes Pearson

Occupational Therapy Capstones

Introduction: Trauma is ubiquitous and can negatively impact many life outcomes. Though trauma can occur across the lifespan, particular emphasis has been placed on the outcomes of experiences that occur in childhood. Adverse childhood experiences (ACEs), as coined by Felitti et al. (1998), pertain to traumatic events that occur before the age of 18, and the correlation between the number of ACEs and poor health outcomes is significant. Children can begin demonstrating unfavorable symptoms upon becoming exposed to trauma. Current literature has illustrated particular differences in sensory systems and social skills for young children. These challenges can lead to hardship …

Supporting The Development Of Emotion Regulation For Engagement In Occupation, Alexis Karen Smith

Occupational Therapy Capstones

Purpose: Many children with mental, behavioral, and neurodevelopmental health conditions internalize and externalize symptoms of anxiety, depression, and anger at higher rates compared to children without these conditions (Tajik-Parvinchi, 2021). Difficulties with emotion regulation may lead to heightened experiences of symptoms from mental, behavioral, and neurodevelopmental health conditions (Tajik-Parvinchi, 2021). Occupational therapy practitioners can support children with emotional dysregulation by using evidence-based best practices. The identified problem is the application of evidence-based emotion regulation evaluation and interventions to support children with difficulty in emotion regulation and their caregivers. The challenge of implementing evidence-based emotion regulation services is limited research and …

Benefits Of Nature-Based Play For Children: An Educational Resource For Parents, Kaitlyn Peterson

Occupational Therapy Capstones

Background: In recent years, children’s use of technology has increased, decreasing the time they spend playing in natural contexts and time spent building the parent-child relationship. The lack of time spent in outdoor contexts has negative influences on the child’s overall health and well-being. The time a child spends with their parent is vitally important for a child’s development, view of the world, and sense of belonging. Parents assist children throughout development by supporting their understanding of themselves and the world, along with supporting the child’s ability to communicate with their parents. Interactions with technology, particularly overuse, can influence a …

Increasing Occupational Therapy Student Preparedness For Level Ii Fieldwork Experiences In Hand Therapy, Claire Meyer

Occupational Therapy Capstones

Background: A level II fieldwork experience is essential within occupational therapy programs as it allows occupational therapy students to apply what they have learned in the classroom to real-life practice. Students need to complete level II fieldwork to graduate, become practicing therapists, and grow the field of occupational therapy. However, many practitioners, particularly those specializing in hand therapy, hesitate to accept students for fieldwork placements. Barriers reported by hand therapy practitioners include a lack of student knowledge, preparation, and clinical skills (Short et al., 2017; Valdes et al., 2022). Hand therapy settings' rapid pace and demanding nature require students to …

Occupational Therapy Best Practices In Partial Hospitalization Programs, Mattea June Johnson

Occupational Therapy Capstones

Introduction: Occupational therapy practitioners play a crucial role on the care team in partial hospitalization programs (PHP). Occupational therapy practitioners are a key member of the care team due to their profession’s unique view of the person and goal of supporting them in their valued occupations. Occupational therapy practitioners have training in psychosocial and mental health interventions that enable those with mental illness to engage in meaningful everyday activities. Practitioners must be equipped with the current best practice standards to support participants to engage in recovery and wellness through occupation. With the growing need for mental and behavioral services and …

Specialized Knowledge Of Sensory Interventions For Sensory Function, Cassidy Kay Filson

Occupational Therapy Capstones

Purpose: Between 5%-16.5% of the general population are estimated to have a form of atypical sensory reactivity (Ahn et al., 2004). Atypical sensory reactivity or atypical sensory processing is described as when the brain processes sensory input differently than it typically would (Ark Support Coordination, n.d.). The rates of atypical sensory reactivity increase in children with additional diagnoses such as autism (ASD), developmental delays and disabilities, and neurodivergent children (AOTA, 2023). Sensory processing and integration difficulties negatively impact the quality and quantity of a child’s occupational participation, as symptoms often make various occupations more difficult for the child to participate …

The Impacts Of Ssris In-Utero And Nicu Occupational Therapy Intervention, Kyara Crowley

Occupational Therapy Capstones

Purpose: The purpose of this product was to collaborate with the occupational therapy (OT) staff in a neonatal intensive care unit (NICU) to further knowledge and enhance role competence to provide better quality of care to the selective serotonin reuptake inhibitor (SSRI) exposed infant population. Mental health conditions are becoming more prevalent among women, therefore, more women are taking SSRIs throughout pregnancy to counteract the effects of those conditions (Cleveland Clinic, 2024). However, the effects of in-utero SSRI exposure are not fully understood. Researchers have found evidence of some short-term and long-term effects caused by the SSRI exposure as well …

Unlock Upper Extremity Rehabilitation: Interprofessional Collaboration Between Ot Hand Therapy And Surgical Teams, Collin Brown

Occupational Therapy Capstones

Background: In the journey to recovery from upper extremity injuries, outpatient hand therapists who are certified as occupational therapists (OT) play a crucial role in restoring patients' independence and functionality, both before and after surgical intervention. Researchers identified main themes experienced by participants who had acquired an upper extremity injury and were post-operation, such as functional challenges in managing conditions, difficulties in everyday life, coping strategies, differing expectations, and the impact of information on daily life (Hansen et al, 2024). In all of these areas identified, an OT hand therapist is able to identify and facilitate improvements pre- and post-surgery …

Occupational Therapy’S Role In Enhancing Awareness And Treatment Of Pelvic Floor Dysfunction In Women’S Health, Nicole Gentry

Occupational Therapy Capstones

Background: There are a variety of reasons that pelvic floor dysfunction can occur in women throughout their life, however, pelvic floor therapy is a minimally invasive and a holistic treatment option that can make significant differences (Cozean & Cozean, 2016; Moody & Fashokun, 2021; Wallace et al., 2019). Pelvic floor therapists can treat and provide interventions to help women manage symptoms associated with pelvic floor dysfunction. Currently, there is limited research on the correlation between pelvic floor dysfunction and recurrent vaginal and urinary infections. However, research suggests that recurrent infections can lead to inflammation, high muscle tone, increased tissue sensitivity, …

Stroke Recovery Throughout The Continuum Of Care: A Dual Component Educational Manual, Jordyn Marie Wolff

Occupational Therapy Capstones

Introduction: One of the leading causes of death in the United States are strokes (Centers for Disease Control and Prevention [CDC, 2024]). People who have had a stroke and their caregivers go through various phases of recovery throughout the continuum of care. Therefore, providing education to the individual who had a stroke and their caregiver is a critical component through different phases of recovery. Not only is education an important component, but addressing team communication strategies are critical as well for improved quality of care and team collaboration. The goal of this capstone was to improve the educational need by …

Pain Neuroscience Education With A Veteran Population, Kate Westphal

Occupational Therapy Capstones

Introduction: In 2021, upper extremity (UE) injuries accounted for 21.3% of injuries by U.S. active duty service members (Mahlmann et al., 2024). Right or left shoulder pain were the top two diagnoses in active-duty service members between fiscal years 2016 and 2021, with overuse/non-specific injury being the most common UE injury (Isaacson et al., 2024). Pain often follows service members after discharge. It is estimated 66% of the 20 million Veterans in the United States experience musculoskeletal pain, and chronic pain is more intense in a Veteran population, limiting their ability to engage in preferred activities of daily living (Areias …

Rehabilitation Not Punishment: Adults In Custody Learning Skills Needed To Survive In Society, Kaitlyn J. Wanner

Occupational Therapy Capstones

Introduction: The U.S has one of the highest populations of incarcerated individuals in the world and must shift from the use of punishment to rehabilitation for these individuals (Huynh et al., 2015; Muñoz, 2019; Phelps & Aldrich, 2022). While in prison, these individuals are limited in their ability to participate in meaningful activities and lose skills needed to function in society (Lares & Montgomery, 2020). Occupational therapy assists individuals of a variety of populations engage in activities that are meaningful to them. The set of skills that occupational therapy has to offer results in a broad area of settings that …

Brain Injury (Bi) In Survivors Of Intimate Partner Violence (Ipv): The Importance Of Identifying Bi Symptoms And The Impact On Daily Occupations, Alexis Walther

Occupational Therapy Capstones

Introduction: Survivors of intimate partner violence (IPV) and resulting brain injury (BI) often experience unmet occupational needs. Specifically, there are barriers to occupations like health management, social participation, work, and education. These barriers occur due to lasting IPV and BI related trauma and symptoms, negative societal views, underreported nature of the injury, and lack of awareness on the topic. This poses a problem, as many service providers may not be educated or aware of the link between IPV and BI, since it is an emerging area of practice. This results in a gap in literature and services related to IPV …

Cultural Competency Of The Interprofessional Team In Burn Care Through An Occupational Therapy Model, Brooklyn Wiest

Occupational Therapy Capstones

Purpose: Burn injuries are considered one of the most devastating injuries globally (Farzan et al., 2023). Those suffering from serious burns are likely to be affected in all areas of life (physical, social, mental, emotional, spiritual, environmental, intellectual, and psychological) (Abrams et al., 2016). Some of these impacts include changes in appearance, social isolation, stress, anxiety, depression, self-esteem, employment, financial burden, and family problems. These are devastating outcomes are seen throughout diverse populations (Nair & Adetayo, 2019). As diverse populations are rising, an increase in equitable medical care is needed (Peters et al., 2022). Education and increasing awareness of culturally …

Addressing Sleep Within The Hand Therapy Practice Context, Grant Edwin Tolkkinen

Occupational Therapy Capstones

Background: Sleep is an essential pillar for health and well-being, yet this is not well understood by the general public. Many clients seen within the occupational therapy advanced practice context of hand therapy are at risk of sleep disturbances which will impact the sensorimotor, cognitive, and psychosocial components of the client. Sleep disturbances also negatively affect many aspects which are required for successful recovery and return to occupational engagement for those with conditions of the upper extremity. Addressing sleep within practice allows occupational therapy practitioners within the advanced practice context of hand therapy to promote occupational performance across all waking …

Integrating A Canine Comfort Program With Occupational Therapy Services For Emerging Adults With Mental Health Diagnoses, Emily Vieth

Occupational Therapy Capstones

Background: Mental health plays a critical role in the lives of emerging adults (ages 18-29) including how they identify, their coping strategies, and social skills (Matud et al., 2020). Occupational therapists (OTs) can play a vital role in the management of depressive and anxiety symptoms for the promotion of an individual’s well-being (American Occupational Therapy Association [AOTA], 2020). OT can address depressive and anxiety symptoms through the incorporation of animal-assisted therapy (AAT). AAT is a therapeutic approach that uses animals to improve overall health and well-being (Pandey et al., 2024). Though still limited in evidencebased research, emerging interventions like canine …