Rehabilitation and Therapy Commons^™

Occupational Therapy Role In Aiding Health Management For Caregivers Of Children With Neurological Conditions, Peyton Mcgee, Mary Jan Greer, Caitlin Boyd

Fall 2024 OTD Capstone Symposium

Neurological disorders are identified as a dysfunction on any part of the nervous system that cause disability (Kumar et al., 2022). In order to enhance the outcome of children with neurological conditions, there should be an emphasis on the role and well-being of their caregivers. Common symptoms of neurological disorders among children include delayed developmental milestones, seizures and epilepsy, regression of skills, abnormal movements and behaviors, headaches, sensory processing issues, and communication difficulties. Adjusting to a new normal can be overwhelming for caregivers, especially when children transition out of rehab. The aim of the proposed capstone project is to aid …

Improving Adls, Iadls, And Qol In Breast Cancer Survivors, Tincy Samuel, Rebecca King

Fall 2024 OTD Capstone Symposium

Breast cancer and its treatment can significantly impact breast cancer survivor’s ability to perform Activities of Daily Living (ADLs), Instrumental Activities of Daily Living (IADLs), and Quality of Life (QoL). Physical activity programs have been found to positively impact various aspects of quality of life in breast cancer patients, including physical condition, state of mind, and selfesteem. However, there is a gap in the OT practice and the literature regarding how to improve independence in ADLs, IADLs, and overall quality of life in breast cancer survivors. A program was created to improve Activities of Daily Living (ADLs), Instrumental Activities of …

Conceptualization, Measurement, And Contributors To Participation Among People Living With Parkinson’S Disease, Moon Young Kim

WUSM Theses and Dissertations – All Programs

Participation is a key outcome of rehabilitation and key to successful aging. Individuals with Parkinson’s disease (PD) often experience significant challenges in maintaining participation in meaningful activities and roles. This dissertation examines the influence of living with PD on participation by integrating findings from three studies: a systematic review, a cross-sectional study, and a longitudinal study.

The systematic review synthesized the existing quantitative research on participation in people with PD, revealing inconsistencies in the conceptualization of participation. While the evaluation tools aimed at assessing participation in PD showed acceptable coverage of domains of participation, the assessment of the aspects of …

Facilitators And Barriers For Occupational Therapy Using Ayres Sensory Integration® (Ot-Asi) For School-Aged Autistic Students: Special Education Team Perspectives, Brooke E. Loughery, Ms, Otr/L

Post-Professional Occupational Therapy Doctorate Culminating Presentations

Introduction: Occupational therapy using Ayres Sensory Integration® (OT-ASI) is an evidence-based approach that addresses sensory integration differences to support participation for autistic students in daily occupations, including education (Hume et al., 2021; Schaaf & Mailloux, 2015). However, its evidence for its use in school-based practice is still emerging (Whiting et. al., 2023; Whiting et al., 2025). A recent study showed that occupational therapists feel this approach is valuable and are interested in using it in schools (Cerase McKeon et al., 2024), but more information is needed to explore teacher and school administrators’ perception of its use.

Objectives: To explore the …

Perceived Facilitators And Barriers To The Implementation Of Ayres Sensory Integration® In South African Primary School Settings, Celiané Van Der Westhuizen, Bot

Post-Professional Occupational Therapy Doctorate Culminating Presentations

Introduction

Ayres Sensory Integration^® is a highly preferred evidence-based occupational therapy approach that is utilized worldwide (Benson et al., 2019; Cerase et al., 2023; van der Merwe et al., 2011). However, more data is needed on its application and utilization in school settings (Schaaf et al., 2018; van der Merwe et al., 2011), which is a major working environment for occupational therapists (American Occupational Therapy Association, 2023; Frolek Clark & Hollenbeck, 2019; Jackson, 2007; Sonday et al., 2012).

Objectives

This study assessed the use of OT-ASI intervention in South Africa and explored the perceived facilitators and barriers of South …

An Educational Video Guide To Aging In Place, Cecilia Ramos, Steven Gerardi Phd, Otd, Mss, Otr, Elizabeth Deluca-Berg Otd, Otr, Caps

Fall 2024 OTD Capstone Symposium

The growing population of older adults in the U.S. faces numerous challenges in maintaining independence while aging in place. Key findings from the needs assessment and literature review underscore the importance of accessible resources, health promotion, and health literacy in fostering autonomy and well-being among older adults. Occupational therapy addresses individual needs, educates on resource availability, and promotes interventions to enhance older adults' independence and safety. The purpose of this project was to create an educational video guide aimed at empowering older adults and their families with the knowledge and tools to overcome barriers to aging in place. This project …

A Multifactorial Fall Prevention Program, Virale Patel, Zeida Gutierrez

Fall 2024 OTD Capstone Symposium

Falls among older adults are a pressing public health concern, leading to significant physical, psychological, and economic consequences. This capstone project aimed to design and implement a multifactorial fall prevention program to address unmet occupational needs and enhance safety and occupational participation among long-term care residents at a skilled nursing facility. The six-week program included targeted weekly sessions focusing on behavior modification, footwear safety, adaptive equipment training, strength and balance exercises, toileting strategies, and environmental modifications. Pre- and post-program assessments utilized the Fall Efficacy Scale International (FES-I) and participant surveys to evaluate changes in confidence, fear of falling, and satisfaction …

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 …

Occupational Therapy Education And Advocacy For Individuals With Parkinson’S Disease, Francis Green, Cynthia Haynes

Fall 2024 OTD Capstone Symposium

Parkinson’s disease (PD) is a progressive neurological disorder that profoundly affects individuals' daily lives. While occupational therapy (OT) has been shown to enhance independence, motor function, cognitive health, and emotional well-being for individuals with PD, awareness and understanding of these services remain limited among patients and caregivers. This capstone project sought to address this gap by developing and distributing tailored educational materials. Weekly handouts, supported by in-person discussions, were designed to raise awareness of OT’s role and provide actionable strategies for managing PD symptoms. Surveys conducted throughout the project provided valuable feedback on the educational materials created, ensuring the materials' …

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 …

An Occupational Therapy Educational Guidebook For Participating In African American Hair Care, Kyra Mann, Lakeisa Boykin

Fall 2024 OTD Capstone Symposium

This educational guidebook offers resources for occupational therapy practitioners (OTPs) to support African American hair care during Activity of Daily Living (ADL) interventions. The materials aim to enhance OTPs' awareness, knowledge, and confidence, fostering inclusive and effective approaches to improve participation and success in these tasks.

The Benefit Of Creative Arts-Based Interventions For Children With Autism Spectrum Disorder, Marissa Patrick, Zeida Gutierrez

Fall 2024 OTD Capstone Symposium

Autism Spectrum Disorder (ASD) is a neurodevelopmental condition that significantly affects emotional regulation, social communication, and executive functioning. Addressing emotional regulation in children with ASD is essential for enhancing mental health, quality of life, and functional independence in occupations such as social participation. Despite evidence supporting the use of creative arts-based interventions to improve mental health, limited research exists on their specific application for emotional regulation in this population.

This project aimed to implement and evaluate a creative arts-based intervention program designed to improve emotional regulation skills in children with ASD within occupational therapy (OT) practice. Conducted over five weeks …

Benefits Of Occupational Therapy In Concussion Treatment For Professional Athletes, Alexandria Brown, Zeida Gutierrez Ph.D., Mhs, Otr/L, James Wersal Otd, Msot, Otr/L, Cbis, Drs, Dcs

Fall 2024 OTD Capstone Symposium

Concussions are a significant concern in sports, with an estimated 1.6 to 3.8 million cases in the U.S. annually, many of which go unreported. These traumatic brain injuries result from various impacts, causing symptoms like headaches, dizziness, and memory loss, which can disrupt an athlete's daily life. Recovery typically follows a staged protocol, with professional organizations implementing concussion management guidelines. Despite these measures, athletes often hesitate to report symptoms due to concerns about playing time or team expectations. There is a gap in treatment for concussions as activities of daily living and occupations are not addressed. Occupational therapy can help …

Life Review And Reminiscence In Occupational Therapy Practice: An Educational Video Series, Andrea Garza, Steven M. Gerardi Phd, Otd, Mss, Otr

Fall 2024 OTD Capstone Symposium

Dementia is a progressive neurological disorder that impacts millions of people, leading to cognitive decline and functional impairment. Life review therapy and reminiscence therapy are effective treatment approaches that have been used with people with dementia to stimulate cognitive processes and provide emotional support by reflecting on past experiences. Although therapeutic occupations based on reminiscence and life review have been used in occupational therapy (OT) practice, there is limited literature on the topic to guide clinical practice. Problem: There is a lack of guidance on the integration of occupation-based life review and reminiscence into OT practice for people with dementia. …

Increasing Teacher-Ot Collaboration In A School-Based Setting, Shayla Ransome, L. Brook Sawyer, Angela Labrie Blackwell

Fall 2024 OTD Capstone Symposium

Pre-service PreK-4 teachers receive little to no education about SBOT practice, which hinders not only collaboration opportunities but also potentially impacts student performance and participation outcomes negatively. This capstone seeks to develop an interprofessional educational unit to increase collaboration between pre-service PreK-4 teachers and pre-OT practitioners, which will promote positive student performance and participation outcomes.

Adapting Classroom Activities To Increase Social Engagement, Ivie Hacker, Mary Jan Greer Ph.D., Otr

Fall 2024 OTD Capstone Symposium

This capstone program focuses on enhancing the development of children with disabilities through adaptive play strategies. It aims to create a supportive, engaging environment that accommodates the unique needs of children on the autism spectrum. By incorporating individualized play techniques, the program promotes social, emotional, and cognitive skills, fostering greater communication, creativity, and physical coordination. The project explores the role of adaptive play in improving social interactions, reducing sensory sensitivities, and building self-confidence, ultimately contributing to the overall well-being and development of children with autism.

Art As An Intervention For Healing And Empowerment, Erin Barrus

The Open Journal of Occupational Therapy

Komal Patel, an occupational therapist and artist residing in New Jersey, USA, provided the cover art for the Fall 2024 issue of the Open Journal of Occupational Therapy (OJOT). “Emotions” is a piece made from acrylic on canvas that depicts the emotional complexities the human mind goes through during a person’s experience or stage of life. The inspiration comes from her personal journey of moving to the United States from India and the emotional turbulence, both negative and positive, she experienced. Art has become part of the healing story for herself and others. She shares how incorporating this intervention leads …

Preventing Musculoskeletal Disorders In Navajo Weavers, Ramona F. Yazzie, Kimberly Masker, Kristin Biggins

The Open Journal of Occupational Therapy

The Navajo Nation is one of the many reservations that lack access to health care services, leading to increasing chronic health conditions. Navajo rug weaving is a common creative occupation on the reservation. Navajo rug weaving involves multiple steps in creating a beautiful rug. The multiple steps include repetitive gripping, pinching, reaching, pulling, and prolonged sitting. Therefore, weavers are at risk for developing musculoskeletal disorders (MSDs), preventing individuals from participating in meaningful occupations. Occupational therapists have the skills to provide appropriate education through active listening, visual handouts, and family members. However, occupational therapists must demonstrate and understand cultural sensitivity to …

Teaching Occupational Adaptation Using Constructs Of The Model, Linda R. Struckmeyer, Anna B. Galloway

The Open Journal of Occupational Therapy

Background. Quality, evidence-based health care practice and research is guided by theory; therefore, theory should be one of the first courses in health care professional curriculums. Signature andragogical methods of case-based learning, small and large group discussion, active learning, and self-reflection developed the teaching and learning activities to teach the occupational adaptation (OA) model in this study.

Methods. A mixed-methods design of qualitative open-ended questions and quantitative survey were used to measure student understanding and application of theoretical concepts. The lab assignment integrated andragogical methods, the use of the Relative Mastery Measurement Scale (RMMS) for individual and social adaptation, and …

Mapping The Way Forward: Prioritizing Education For Global Occupational Therapy Practice In Addressing Sexuality And Intimacy - A Delphi Approach, Beth Ann Walker, Jenn Soros, Abbie Alter, Bridget Downs, Courtney Cummings, Ireland G. Greenwell, Kayla Elstien, Kyli Luna

The Open Journal of Occupational Therapy

The World Health Organization identifies sexual functions and intimate relationships as a functioning domain in the Package of Interventions for Rehabilitation (WHO, 2023). Addressing sexual functions and intimate relationships is a key area of practice for occupational therapists (Walker et al., 2020), and it is important to ensure that occupational therapists are prepared to address this important domain. With the worldwide call to ensure the sexuality and intimacy needs of individuals receiving rehabilitation services are addressed, it is time to establish a new direction for education, practice, and research. This study used a Delphi approach to gather and analyze evidence, …

Choosing Wisely® In Academia, Strategies For Clinical And Classroom Curricula, Jennifer Tokash, Glen Gillen, Virginia Koenig

The Open Journal of Occupational Therapy

Incorporating evidence-based practice (EBP) into occupational therapy (OT) program curricula is best practice and mandated by the Accreditation Council for Occupational Therapy Education (ACOTE). The Choosing Wisely® campaign, founded by the American Board of Internal Medicine (ABIM) and adopted by the American Occupational Therapy Association (AOTA), provides 10 recommendations for evidence-based OT. This project focused on the Choosing Wisely® campaign's incorporation into OT program curricula. A 40-min educational program focusing on the history of Choosing Wisely®, its adoption by the AOTA as a specialty society partner, and strategies to bridge the campaign's evidence-based recommendations from classroom to clinical experience were …

How Have Occupational Therapy Services Been Delivered During The Covid-19 Pandemic?, Hulya Yucel, Selen Aydoner

Internet Journal of Allied Health Sciences and Practice

The provision of traditional healthcare services has encountered obstacles due to the Coronavirus Disease-2019 (COVID-19) pandemic. The inability of healthcare professionals and clients to survive the pandemic and the inadequacy of personal protective equipment have created uncertainties regarding the appropriate practices for addressing individuals' health conditions. Furthermore, the field of rehabilitation, including occupational therapy, has experienced changes in the delivery of traditional practices. Therefore, this review aimed to examine occupational therapy services delivered during the COVID-19 pandemic. As a result of the literature review, the most commonly provided services by occupational therapists during COVID-19 were discussed and a total of …

Interventions To Improve Or Maintain Activity Of Daily Living Performance In Adults With Dementia: A Systematized Review, Abbey J. Seevers, Tristen F. Toelle, Tate M. Pfeifer, Jake D. Cera, Danielle Westmark, Stacy Smallfield, Molly Whitlow

Student Systematized Reviews: Occupational Therapy

Importance: Dementia is a progressive cognitive disorder that leads to the degradation of one’s abilities until they are dependent for all activities of daily living (ADLs) (Andersen et al., 2004). There’s an increasing importance to search for effective ways to preserve independence in ADLs and quality of life for adults with dementia (Weng et al., 2019).

Objective: To identify effective occupational therapy (OT) interventions for maintaining or improving ADL performance among adults with dementia.

Data Sources: PubMed, CINAHL, PsycINFO. This search was conducted by a medical librarian.

Design: Inclusion criteria encompassed interventions within the scope of OT, at least one …

Outdoor Recreation For People With Spinal Cord Injuries: An Educational Video Series, Siarra Walker

Student Capstone Papers

More than 15 million people globally are living with spinal cord injury (SCI). Only half of people with SCI engage in leisure activities and approximately 71% of the population reports dissatisfaction in their leisure participation. There are numerous intrinsic and extrinsic barriers that lead to these significant declines in leisure exploration and participation, including lack of knowledge and inaccurate accessible online information. In correlation with these barriers, occupational therapy practitioners underutilize leisure participation during the rehabilitation process for people with SCI and this is an underreported topic in the literature. Occupational therapy practitioners and people with SCI lack knowledge of …

Occupational Therapy Services Within Women’S Shelters For Women With Disabilities Who Have Experienced Intimate Partner Violence (Ipv), Meira Becirovic, Jessica De Brun, Angela Labrie Blackwell

Summer 2024 OTD Capstone Symposium

This capstone project focuses on enhancing the role of occupational therapy (OT) practitioners in supporting women with disabilities who have experienced intimate partner violence (IPV) and are residing in women’s shelters. These women often face significant barriers to engaging in daily activities crucial for their health, well-being, and overall life satisfaction. The project aims to equip OT practitioners with the tools and strategies necessary to address the complex needs of this population, particularly in areas such as activities of daily living (ADLs), instrumental activities of daily living (IADLs), work, education, home management, parenting, and leisure.

By utilizing evidence-based practices and …

Barriers And Supports To Academic Success Among Autistic College Students: A Qualitative Study, Isabella M. Ortiz, Steven M. Gerardi, Mary Zadnik

Summer 2024 OTD Capstone Symposium

Autism spectrum disorder (ASD) is a neurological and developmental disorder that affects many college students, impacting their everyday life activities and making transitions challenging. Occupational therapists serve a role in treating students with autism, but there is little evidence in the literature about their perceived barriers and strengths during the high school to college transition. This study utilized a semi-structured interview & thematic analysis to uncover the unique challenges & successes these students with autism face in an academic setting & identify effective support mechanisms/barriers.

Research Questions:

1. What are the perceived barriers to participation and performance in academic activities among …

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Ot’S Role In Facilitating Foster Youth's Transition To College And Career Exploration, Stacey Tang, Amy Lyons-Brown

Summer 2024 OTD Capstone Symposium

Foster youths often face numerous adversities, limiting their occupational performance and ability to transition into adulthood, specifically regarding career and education. This poster explores the role of Occupational Therapy (OT) in supporting these youths as they age out of foster care, particularly focusing on college and career exploration. Using the Person-Environment-Occupation-Performance (PEOP) and KAWA River models, a needs assessment was conducted in collaboration with Foster Love, a non-profit organization. The assessment revealed gaps in resources and support for foster youths, leading to the development of workshops that foster self-reflection, emotional regulation, and goal setting as they navigate their transition into …

Occupational Therapy’S Role In Addressing Wellness In Underserved Communities, Kimberlyna Chheang, Amy Lyons-Brown, Anna Saavedra

Summer 2024 OTD Capstone Symposium

This capstone project addresses sociodemographic disparities in community wellness and health services in Kern County, CA, focusing on underserved communities facing trauma and systemic inequalities. In collaboration with the Community Action Partnership of Kern (CAPK) and their East Kern Family Resource Center (EKFRC), it aims to lay the foundation for community-based, tailored interventions using occupational therapy (OT) to enhance community well-being and promote access to critical services to support wellbeing.

Outdoor Recreation For People With Spinal Cord Injuries: An Educational Video Series, Siarra N. Walker, Steven M. Gerardi, Heather Rennerfeldt

Summer 2024 OTD Capstone Symposium

More than 15 million people globally are living with spinal cord injury (SCI). Only half of people with SCI engage in leisure activities and approximately 71% of the population reports dissatisfaction in their leisure participation. There are numerous intrinsic and extrinsic barriers that lead to these significant declines in leisure exploration and participation, including lack of knowledge and inaccurate accessible online information. In correlation with these barriers, occupational therapy practitioners underutilize leisure participation during the rehabilitation process for people with SCI and this is an underreported topic in the literature. Occupational therapy practitioners and people with SCI lack knowledge of …

Occupational Impact Of Urinary Incontinence, Hannah Case, Karen Park

Summer 2024 OTD Capstone Symposium

The purpose of this capstone project was to conduct a research study to identify if children with UI encountered occupational impacts due to their condition, as well as their caregivers. Twelve caregivers participated in an online survey investigating the occupational impact (supports, barriers, and limitations) of being a caregiver to a child who encounters UI. The survey addressed how their child’s UI affects various occupations. The findings indicate a significant impact on leisure participation and home management. The qualitative data was acquired through unobtrusive methods, including narratives, blogs, and lived experiences, to provide the perspective of how UI affects children. …