Rehabilitation and Therapy Commons^™

Scaling New Heights: A Prospective Survey Of Rock Climbing's Impact On Mental Health, Kathy Chen, Swetha Sundaram, David F Lo, Ahmed Gawash, Charalampos Papachristou, Altamash E Raja

Rowan-Virtua School of Osteopathic Medicine Departmental Research

BACKGROUND: Sport climbing, officially added to the 2020 Summer Olympics, has grown rapidly, with U.S. climbing gyms increasing from 310 in 2013 to 591 in 2021. Over the past decade, European research has identified bouldering as a potential psychotherapeutic treatment for anxiety and depression. Randomized controlled trials have compared bouldering psychotherapy (BPT) to cognitive behavioral therapy (CBT), showing that BPT produces comparable results and positively impacts mental health.

PURPOSE: There have been very few studies dedicated to the use of rock climbing as a therapy in the United States; further, there are few surveys that investigate whether American climbers would …

Comprehensive Breast Cancer-Related Lymphedema Management Programs Addressing Both Psychosocial And Physical Needs: A Scoping Review, Amanda Wheeler, Claudine Campbell, Chenchen Cui

The Open Journal of Occupational Therapy

Background: Breast cancer is the leading cause of female cancer worldwide, which can lead to many negative sequelae, with up to a third of women developing breast cancer-related lymphedema. Breast cancer-related lymphedema requires chronic maintenance and is associated with worse physical and mental health outcomes compared to women without lymphedema. Occupational therapists are well-positioned to address the complex needs of women with breast cancer-related lymphedema. This review aimed to identify existing research that reports outcomes of lymphedema management programs addressing both physical and mental health needs of women with breast cancer-related lymphedema.

Method: A scoping review was conducted …

Holistic Health: A Psychosocial Health And Wellness Program For College Students, Elizabeth C. Fasti

Entry Level Occupational Therapy Doctoral Capstone Projects Class of 2025

The Holistic Health program is a doctoral capstone quality improvement project that aims to increase the quality of life (QoL) and well-being for higher education students and increase staff and faculty knowledge of college students' mental health. Driven through education and program development, the program includes four key action plans. The first action plan was an in-person mindfulness-based program for college students. The second action plan includes a proposal for environmental adaptations to foster a safe and supportive campus environment for students. The third action plan includes expanding ready-to-use wellness and mindfulness resources for higher education students. The fourth and …

Exploring Stress Management Spaces Using Sensory Engagement On College Campuses: A Scoping Review, Karen R. Puckett

Occupational Therapy Doctorate Capstone Projects

Background: College students experience high levels of stress, with associated negative outcomes such as poor mental and physical health. In response, colleges and universities have explored the use of stress management spaces designed to address and promote improved mental health and wellbeing, but evidence regarding the most effective design and impact of these spaces is limited.

Purpose: The purpose of this project was to conduct a scoping review of the available literature related to stress management in higher education settings. The research questions are: What are the characteristics and design features of these spaces, and how do stress management spaces …

Athletes Thriving Health, Resilience, And Inspiration For Victory And Empowerment (Thrive): A University Athletics Mental Health Program, Grace E. Yeatman

Entry Level Occupational Therapy Doctoral Capstone Projects Class of 2025

Athletes Thriving Health, Resilience, and Inspiration for Victory and Empowerment (THRIVE) is an occupational therapy (OT) doctoral capstone project that was created to address increased rates of mental health concerns as well as significant levels of mental health stigma among university athletes (Johnson, 2022). The goals of this capstone project were to educate and train athletes in mental health and wellness to support healthy engagement in occupations, promote self-advocacy with seeking mental health services, and increase athletic department staff comfortability and capability with addressing athlete mental health. OT programs and interventions with this population are mainly in the context of …

Program Analysis And Development In A Kentucky Specialty Court Program, Brooke Mahanna

Occupational Therapy Doctorate Capstone Posters

This capstone was completed with a Specialty Court program within Kentucky. The focus was education and advocacy for occupational therapy (OT) in a setting that currently lacks these services. The goals included identifying OT's role in substance use treatment, especially for justice-involved individuals and developing OT-informed resources to support holistic care and wellness.

Substance use negatively impacts personal, social, and occupational participation (Doğu & Özkan, 2023; Sadaqat et al., 2023). OT’s focus on quality of life is an approach shown to improve long-term outcomes. Lack of OT services in the project setting highlights a gap in holistic care for program …

The Role Of Occupational Therapy In Mental And Behavioral Health, Claudia Robertson

Occupational Therapy Doctorate Capstone Posters

The purpose of this capstone was to promote preparedness of occupational therapy (OT) students for mental and behavioral health practice through the creation of a learning module. This project was completed in collaboration with the University of Kentucky College of Nursing Behavioral Health and Wellness Environments for Living and Learning (BH WELL) research team. Recently, OT students reported a perceived lack of preparedness for level II fieldwork (Bergstresser-Simpson et al., 2023). The literature review and SWOT analysis highlighted a gap between the needs of the mental and behavioral health populations and OT student preparation for level II fieldwork. Though the …

Using The Background Of Occupational Therapy To Argue Our Role In Stress Management: Proposed Lines Of Inquiry, Klaire M. Gowins

Occupational Therapy Doctorate Capstone Posters

The purpose of this ALE presentation is to present research in support of the development of the Student Stress Management Center (SSMC) at EKU. The researchers’ long-term proposition, beyond the scope of this poster, is to effectively communicate to various audiences the importance and occupation-based characteristics of a Student Stress Management Center for students within the higher education setting. In preparation for that goal, this poster reviews scholarly literature relevant to the field of occupational therapy and its philosophical roots to lay groundwork for clarifying whether and how a revised articulation of the philosophical base is needed, relative to the …

The Impact Of Social Participation Through Adaptive Sports On Quality Of Life In Individuals With Spinal Cord Injury, Mikayla Martin, Zeida Gutierrez

Spring 2025 OTD Capstone Symposium

This project researched and explored how socialization through adaptive sports in this case impacts the perception of quality of life among individuals who have sustained a spinal cord injury.

Improving Postpartum Outcomes Through Therapeutic Individual And Group Occupational Therapy Sessions In Hospitalized Antepartum Patients, Melissa C. Learish

Graduate Theses, Dissertations, and Problem Reports (ETD)

Extended hospitalization in the postpartum period is occasionally medically indicated due to a variety of diagnoses, but can pose challenges to the psychosocial well-being of pregnant women, such as social isolation, anxiety, alteration of normal life routines, and less preparation for postpartum life. In acute care settings, however, maternal management tends to focus on physical stabilization rather than holistic maternal care, including opportunities for emotional support, occupational engagement, and postpartum planning. This doctoral capstone project was designed to assess the effect of individualized and group-based occupational therapy interventions for antepartum women who have been hospitalized for extended periods of time, …

Evaluating Entry-Level Occupational Therapy Education And Practice: A Qualitative Swot Study In The Philippines, Paolo Miguel P. Bulan, Janice A. Rojas, John Ray O. Suerte, Nikki Y. Pestaño, Maria Menierva G. Lagria, Cristito P. Dimitiman Jr., April Grace A. Chiongbian, Frances Vince E. Dimitiman, Martina Nicole A. Ligutom, Debbie Rose D. Cabañero, Jay Arr M. Sale

Journal of Occupational Therapy Education

Occupational therapy education plays a pivotal role in equipping professionals to meet the dynamic demands of healthcare systems. This study evaluated the Bachelor of Science in Occupational Therapy (BSOT) program at Velez College in the Philippines, utilizing a qualitative analysis framework to explore its strengths, weaknesses, opportunities, and threats (SWOT) as perceived by educators, students, alumni, and practitioners. Findings highlight the program’s robust generalist curriculum, strong community-based partnerships, and interprofessional collaboration opportunities. However, challenges such as limited access to standardized assessment tools, high educator turnover, and insufficient specialization opportunities were identified. Notably, emerging demands in mental health and holistic care …

Exploring Student Experiences And Perceptions Of Digital Storytelling In Occupational Therapy Education: A Comprehensive Analysis And Evaluation, Alexis M. F. Morin, Justin R. Eck

Journal of Occupational Therapy Education

The COVID-19 pandemic heightened the need for digital transformation in higher education, emphasizing the importance of incorporating digital pedagogy. This study explored student experiences and perceptions of digital storytelling, a multimedia-based narrative technique, as an innovative assessment method in occupational therapy education. First-year, first-semester entry-level Doctor of Occupational Therapy students created digital stories on mental health topics and completed self-reflection papers. A retrospective qualitative descriptive method was employed, analyzing 14 consented self-reflection papers. Emerging qualitative themes revealed that digital storytelling enhanced students' understanding of occupational performance impacts, led to the development and utilization of transferrable skills for clinical practice, and …

Exploring Occupational Therapy Assistant Student Experiences In Mental Health, Behavioral Health, And Psychosocial Level I Fieldwork, Tiffany L. Benaroya, Michelle Zechner, Meredith Cimmino, Ann A. Murphy, Margaret Swarbrick, Pamela Rothpletz-Puglia

Journal of Occupational Therapy Education

Occupational therapy services offered in behavioral health remain low despite the growing number of individuals with behavioral health and psychosocial needs who could benefit from these services. Concurrently, in academia, all occupational therapy and occupational therapy assistant students must complete at least one fieldwork focused primarily on mental health, behavioral health, and/or psychosocial needs. Research is limited regarding these fieldwork experiences, especially among occupational therapy assistant students. This project aimed to understand this gap better and comprehend how these experiences impact readiness to work with individuals labeled with a serious mental illness. Forty-five occupational therapy assistant students completed pre- and …

Barriers And Motivators To Attending Group Exercise Classes In Women With Anxiety, Depression And Post-Traumatic Stress Disorder, Sarah Ford

Theses: Doctorates and Masters

Research has demonstrated the positive effect of exercise on mental health disorders such as anxiety disorder, depression and post-traumatic stress disorder. Studies have also investigated the barriers and motivators that women in particular experience when contemplating the ways in which to engage in physical activity. However, a literature gap exists regarding women who experience anxiety disorder, depression and post-traumatic stress disorder, and the barriers and motivators that they specifically navigate when looking to attend group exercise classes. In this body of research for the award of Master of Medical and Health Science by Research, a scoping review was first conducted …

Assistive Technology Abandonment With Veterans And Leisure Activities, Tara Lamson, Lee Ann Hoffman, Mary Greer

Fall 2024 OTD Capstone Symposium

Veterans using assistive technology (AT) often face barriers that limit their participation in meaningful leisure activities, negatively impacting their mental health and quality of life. This project aimed to address these challenges by developing an educational program focused on improving AT management, reducing abandonment, and promoting leisure engagement. A needs assessment of veterans in Abilene, TX, revealed critical issues, including barriers to leisure, limited community involvement, and gaps in AT maintenance education. The program delivered web-based and in-person resources on AT use, adaptive leisure strategies, and equipment recycling. Key outcomes included enhanced social participation, improved independence, and sustainable solutions for …

Utilizing Pupper, A Social Robot Dog, To Increase Happiness And Improve Mood In Pediatric Patients Of A Cardiac Step-Down Unit, Angela Feng Wu

Master's Projects and Capstones

Objective The usage of social robots in pediatrics is an emerging field of study. Preliminary research shows that they are effective at improving the psychosocial well-being of pediatric patients. This quality improvement project focuses on Pupper, a newly developed quadruped social robot dog, and its ability in improving mood and happiness in pediatric patients of a cardiac step-down unit. Aim The aim of this project is to increase average mood scores of pediatric cardiac patients aged 3-25 years by 50% from their baseline of 3.75 to 5.63 on a six-point scale within a one-month time frame. Methods Before intervention and …

Occupational Disruption In Graduate Students: Literature On The Effects Of Financial Strain And New Responsibilities Of Graduate School On Mental Health, Emilee Armstrong, Samantha Edwards, Arianna Z. Cook

OCCUPATION: A Medium of Inquiry about Health through Occupation

This exploratory paper examines the intricate phenomenon of occupational disruption among graduate students, in an attempt at investigating the effect of financial strain and newly acquired responsibilities during graduate school on mental health. The research question guiding this exploration is centered on understanding the specific occupational disruptions experienced by graduate students, particularly those arising from financial strain and newly acquired occupations inherent in graduate school. The methodology involves a systematic search of pertinent literature across three databases, including The American Journal of Occupational Therapy (AJOT), Google Scholar, and the National Institute of Health (NIH). Preliminary findings from the literature review …

Benefits Of Occupation-Based Outdoor Physical Activity To Mental Health, Jessica S. Eady, Kayleigh E. Hollywood

OCCUPATION: A Medium of Inquiry about Health through Occupation

This paper examines the benefits of occupation-based outdoor physical activity as an intervention for individuals with mental health conditions to increase their psychological well-being. We conducted a focused review of the literature to support the participation in physical activity, if any within the lives of people with mental health concerns. We utilized the Model of Human Occupation (MOHO) framework to understand and to determine the relevance of this review to find support in incorporating outdoor physical activities in occupational therapy interventions. We propose that engaging in outdoor recreation can facilitate meaningful occupational engagement and subsequent identity development which may potentially …

Individualized Sensory Based Functional Activity Program For Individuals With Intellectual And Developmental Disability With A Co-Morbidity Of A Mental Health Condition, Dakota Laporte, Cynthia Haynes, Rebekah Jarrar

Fall 2024 OTD Capstone Symposium

This Program was designed for individuals with intellectual and developmental disabilities who have a co-occurring mental health condition. This program was designed based on the individual's sensory needs to improve occupational performance in their lives. This capstone project filled a knowledge gap by creating a sensory based activity program for individuals with IDD and mental health conditions. Its primary goal was to educate participants about their sensory needs and integrate these into functional activities to improve occupational performance.

Powerful Families Podcast: The Role Of Occupational Therapy In Family Education Of Mental Health Conditions And Substance Use Disorder, Wessleigh Holloway, Cynthia Haynes

Fall 2024 OTD Capstone Symposium

Mental health conditions and SUD significantly impact family members emotionally and physiologically, yet these effects are often insufficiently recognized and addressed (Delaney, 2023). Existing education programs focus on individuals in recovery, leaving families without the necessary knowledge and skills to support their loved ones effectively, resulting in feelings of powerlessness and confusion. This capstone project created an education program to equip family members of individuals with SUD or mental health challenges with the knowledge and skills needed to navigate addiction and recovery effectively. The program focuses on improving understanding of SUD, fostering healthier coping mechanisms, strengthening family trust, and enhancing …

Advocating For Occupational Therapy Intervention With In-House Athletics, Jatia Littles, Cynthia Haynes

Fall 2024 OTD Capstone Symposium

Occupational therapists (OT) have the opportunity to work with athletes by outsourcing through orthopedic centers with professional leagues such as the National Football League (NFL) (Jobs in Sports, 2022) but rarely do you see OTs within the sports complex working in-house. Although many studies go into great detail on the benefits of occupational therapy during the rehabilitation process, there are only a limited number of studies that explore occupational therapy intervention in athletics (Andreas et al., 2021). This project designed and implemented an occupational therapy-focused advocacy project that involves informing interprofessional sports faculty on the benefits of OTs being a …

Considerations Of Medicare Telehealth Services With Older Adults, Sonah Kho, Amanda Dediego

Adultspan Journal

The onset of the COVID-19 pandemic set in motion a rapid expansion of mental health services offered via telehealth. With this rapid expansion came the need to examine how policy and practice should be shaped in a future where telehealth is considered common in counseling practice. For counselors to understand how to support older adult clients in using telehealth services, they must understand telehealth policy. Following the eligibility of licensed counselors to participate in Medicare, counselors need to stay abreast of regulatory changes regarding restrictions and regulations on use of telehealth for mental and behavioral health services, including video and …

Adapted Cheerleading Program For The Pediatric Population, Hailee Cantrell, Mary Greer, Jasmine Mathew

Summer 2024 OTD Capstone Symposium

There are limited adapted programs with educated professionals that exist for children with childhood disabilities to be able to adapt activities to the specific needs of the child. Due to the limited opportunities for participation in leisure activities, these children have limited opportunities to improve physical, verbal, or emotional skills with their peers. The objective of this capstone was to create an adapted cheerleading program for the pediatric population to improve their physical, emotional, and verbal abilities as well as improve their mental health and overall quality of life.

Flow: An Ot-Based Yoga Program, Na'talia Orebeau, Keisa Boykin, Sadé Barnswell

Summer 2024 OTD Capstone Symposium

At-risk youth are at risk for decreased mental wellness and occupational engagement. There are limited programs available from an occupational therapist standpoint for the population. Flow: An OT-Based Yoga Program focused on bridging this gap by providing a 10-week program focusing on emotional regulation skills, social skills, and occupational engagement.

Understanding Athletes’ Experience When Transitioning To Life Beyond Sport: A Pilot Study, Alyssa L. Moore

Department of Occupational Therapy Entry-Level Capstone Projects

No abstract provided.

Occupational Therapy And Self-Awareness For Adolescents With Mental Health Concerns, Deriyon Johnson, Rebecca King

Summer 2024 OTD Capstone Symposium

The project created an occupation-based program to address the unique needs of adolescents at risk of mental health concerns and promote improved occupational success. The problem presented is the lack of support available to assist adolescents experiencing profound emotional and behavioral challenges, triggering negative impacts on social participation, academics, self-care, and leisure. In addition, the program will introduce coping strategies and improve daily functions to increase motivation for engagement in desired activities. The purpose of the program was to improve these areas through a series of structured activities focusing on mental health awareness, emotional regulation, and personal development. The results …

Occupational Therapy And Expressive Strategies For Youth Trauma Recovery, Darin Lewis, Rebecca King

Summer 2024 OTD Capstone Symposium

The purpose of this capstone project was to develop a program to address youth mental health concerns through expressive strategies and interventions.

An Anxiety And Coping Mechanism Educational Program For Children And Adolescents, Amanda Garrett

Department of Occupational Therapy Entry-Level Capstone Projects

The following capstone project encompassed creating and implementing an educational program focusing on anxiety and coping mechanisms for adolescents 12-15 years of age at the YMCA in Largo, Florida. The academic program focuses on six different types of anxiety, which are generalized anxiety, social anxiety, test anxiety, feelings of panic, feelings of stress, and health anxiety, all in a PowerPoint format. Each of these topics also included a coping mechanism that the teens completed after learning about each different type of anxiety. These coping mechanisms included journaling, creating a stress ball, participating in a yoga class, completing a scavenger hunt …

Development Of An Intensive Outpatient Program (Iop) For Adolescents Of American Military Members Deployed Overseas To Support Mental Health, Aaron N. Brion, Tyler J. Russo

Department of Occupational Therapy Entry-Level Capstone Projects

No abstract provided.

Advocating For The Role Of Occupational Therapy In A Community-Based Setting Through The Use Of Journaling For Individuals With Chronic Mental Illness, Taylor Muzik-Eversdijk

Department of Occupational Therapy Entry-Level Capstone Projects

Individuals who battle severe mental illness (SMI) experience a range of deficits that affect various aspects of daily life, including activities of daily living (ADLs), instrumental activities of daily living (IADLs), social participation, sleep and rest, education, work, leisure, and play. Research suggests that journaling can help individuals with SMI express their emotions and provide a healthy outlet for coping with symptoms. This doctoral capstone project aimed to identify the unique needs of individuals with SMI and explore how journaling and other occupational therapy (OT) interventions could expand the scope of practice within Boley Centers' assertive community treatment (ACT) teams …