Rehabilitation and Therapy Commons^™

Enhancing Independence And Social Connection: The Impact Of A Tailored Exercise Program On New Residents Transitioning Into Australian Residential Care Facilities, Stacey Scott, Annette Raynor, Julie Dare, Jennifer Grieve, Leesa Costello

Research outputs 2022 to 2026

Background: Transitioning from independent living to a residential care facility often results in a significant loss of independence, autonomy, and connectedness, leaving new residents with profound feelings of loss and grief. In light of these challenges, this study explored the potential benefits of a tailored in-house exercise program for new residents. Methods: The study took place in an Australian residential care facility and included four new residents (aged 72 to 88, 75% female), who participated in a 12-week tailored exercise program led by an exercise physiologist. A focused ethnographic approach was used to obtain a comprehensive data set, drawing on …

The Impact Of Computer Training On Confidence And Occupational Participation In Community-Dwelling Older Adults, Alicia Jones, Joseph A. Scazzero, Rosanne Dizazzo-Miller

The Open Journal of Occupational Therapy

Background: It is fundamental to understand why older adults choose and use technology to fully understand how to meet the needs of an aging population in a technologically advanced society. This research aimed to design and implement a holistic technology training program for older adults that explores using a laptop beyond basic internet use.

Method: A pre-post mixed-method survey study took place at a local senior center. A classroom-style program was designed to deliver information and instruction using a digital device. An 11-item survey on attitudes toward technology using a 7-point Likert scale with qualitative responses was used to collect …

Implementing A Sensory-Informed Protocol For Fall Prevention In A Skilled Nursing Facility, Riley R. Scholberg, Amy Lyons-Brown, Elizabeth Force

Summer 2026 OTD Capstone Symposium

This capstone project developed and implemented a sensory-informed admission protocol to support fall prevention at a skilled nursing facility. The development of this protocol aimed to improve the early identification of vision and hearing impairments and integrate sensory considerations into resident care planning and fall prevention. Participants included newly admitted residents and interdisciplinary staff members from rehabilitation, nursing, and administration. Methods included administering the Screening for Severe Dual Sensory Loss (SDSL), reviewing resident characteristics and fall-related indicators, educating staff on sensory-informed care, and developing practical resources to support consistent screening, documentation, and intervention. Expected outcomes included increased staff knowledge, improved …

The Vision-Enhanced Occupational Engagement Program, Zakoria Q Fox Mcelroy, Rebecca King

Summer 2026 OTD Capstone Symposium

Background: Low vision is a significant concern among older adults and can affect independence, mobility, safety, social participation, and overall quality of life. As the aging population continues to grow, understanding the challenges experienced by older adults with low vision is increasingly important for improving supportive services and promoting healthy aging.

Purpose: This capstone project examined the experiences and needs of older adults living with low vision, with a focus on how vision loss and environmental factors may influence daily functioning, independence, and participation in meaningful occupations.

Methods: A multi-method needs assessment was completed to identify the needs of residents …

The Exploration Of Leisure Occupations For Older Adults, Chloe Jisoo Kang

UNLV Theses, Dissertations, Professional Papers, and Capstones

Introduction: This capstone project involved the development and implementation of a community-based program for the exploration of leisure occupations for older adults. The program aimed to increase the life satisfaction and occupational balance of participants. A manualized program was created for the capstone site for potential continuation of the program.

Methods: The program was developed with the support of evidence-based research and the Occupational Therapy Practice Framework (OTPF-4). Two-hour events were held once a week for four weeks in a community area of the senior living community. A modified version of the Occupational Balance Questionnaire (OBQ11) and the Satisfaction with …

Golden Steps: A Dance-Based Program To Improve Balance In Older Adults — A Feasibility And Acceptability Study, Ramyr Bognot, Sophia Botelho, Nolan Caberto, Lauren Valerio, Joshua Yu, Jason Zeidman

UNLV Theses, Dissertations, Professional Papers, and Capstones

Background

Falls are a leading cause of injury and loss of independence among older adults. Evidence-based programs such as Otago and Tai Ji Quan reduce fall risk, yet barriers to access and adherence remain. Dance-based interventions may offer a practical, enjoyable approach to engage older adults in balance training.

Purpose

This formative pilot study aimed to develop four dance routines grounded in evidence- based balance principles and evaluate their feasibility and acceptability among older adults, including factors influencing enjoyment and willingness to continue participation, to inform future clinical and community implementation.

Methods

Four routines (Polka, Country, Rockabilly, Salsa) were developed …

Fostering Engagement In Healthy Lifestyle Choices: A Health Management Curriculum For Community-Dwelling Older Adults, Gabriela Kay

Entry-Level Occupational Therapy Doctorate - Doctoral Capstone Symposium

The older adult population continues to grow, necessitating intentional efforts to support health maintenance and independence within this group. Current literature emphasizes that healthy aging requires a multifaceted approach, including consistent engagement in a range of health-promoting behaviors. The purpose of this capstone project was to develop an educational and interactive program for community-dwelling older adults aimed at increasing knowledge of healthy lifestyle choices and promoting active participation in these behaviors. The overarching goal was to empower older adults to better manage their health and reduce the risk of functional decline and loss of independence.

A needs assessment was conducted …

Validity Of The Promis Ability To Participate In Social Roles And Activities Measure In Older Adult Health Assessment, Theresa Raudsepp

Faculty Publications - College of Physical Therapy

Objective: The International Classification of Function is often used in older adult clinical assessments. Well recognized is the high value, and difficulty, of assessing participation in social roles. The PROMIS Ability to Participate in Social Roles (APSR) measure may augment assessments enhancing our understanding of older adults’ participation in social roles. The purpose of this study was to examine whether the APSR diverges with other clinical measures suggesting it is measuring a separate construct adding new information to the clinical assessment.

Methods: A sample of convenience of older adults (n = 89) was recruited and administered clinical assessments that include …

Increasing Older Adult's Participation/Engagement In Their Meaningful Iadls In Long-Term Care Facilities, Allison L. Hedges

Occupational Therapy Doctorate Capstone Posters

My doctoral capstone and Applied Leadership Experience (ALE) were completed at Telford Terrace, a skilled nursing and rehabilitation facility in Richmond, Kentucky. My capstone focused on education and program analysis, with the goal of increasing participation in meaningful instrumental activities of daily living (IADLs) among older adults, particularly those with memory-related diagnoses. This was accomplished by educating staff on activity adaptations and environmental modifications while incorporating resident feedback into activity planning.

Following a needs assessment, literature review, and stakeholder interviews, I identified barriers to participation, including limited staffing, varying resident interests, and differences in physical and cognitive abilities. To …

Aging With Mercy, Thriving In Place, Emma Layne Katzman, Karen Weis, Jennifer Rugletic Washko

Entry Level Occupational Therapy Doctoral Capstone Projects Class of 2026

Occupational engagement, spirituality, and quality of life are recognized as important dimensions of aging, however, these factors remain underexplored among older adults residing within faith-based communal living environments. This doctoral capstone experience, Aging with Mercy, Thriving in Place, consisted of two distinct but complementary components: an Institutional Review Board (IRB)-approved mixed methods research study and a quality improvement initiative. The purpose of the research study was to explore occupational engagement, occupational role transitions, spirituality, identity, and perceived quality of life among older adults residing within a faith-based communal living environment. Quantitative data were collected using the World Health Organization Quality …

Collaboration Between Occupational Therapy Doctorate And Doctor Of Osteopathic Medicine Students: Interprofessional Education In Fall Prevention, Linda Frasier, John V. Rider

Journal of Occupational Therapy Education

Falls among older adults are a pervasive public health concern that requires coordinated interprofessional strategies. Interprofessional education (IPE) can enhance collaboration and role clarity among students in health professions, particularly in geriatric care, where complex medical, functional, and environmental factors intersect. The purpose of this study was to examine the impact of an IPE event involving entry-level Doctor of Occupational Therapy (OTD) and Doctor of Osteopathic Medicine (DO) students focused on fall prevention in older adults. A retrospective cross-sectional design was employed to analyze written reflections from 125 students following their participation in a standardized patient IPE event. Small interprofessional …

Empowering Independence: Strategies For Safe Aging In The Home And Community For The Older Adult Population, Madelyn Rashford, Becky King, Keegan Mckay

Summer 2025 OTD Capstone Symposium

This capstone project created an occupational therapy–based guidebook to promote safe aging in place for community-dwelling older adults. The guidebook includes fall prevention exercises, home safety strategies, and community resources to support independence in daily activities. Implementation showed increased safety awareness and confidence, reinforcing occupational therapy’s role in fostering independence and quality of life.

Facilitating Engagement And Well-Being In Older Adults Through Personalized Background Music, Anna Heady

Occupational Therapy Doctorate Capstone Posters

This capstone project explores personalized background music as a client-centered intervention to enhance engagement, emotional well-being, and quality of life for older adults in a senior living community. Conducted at Treyton Oak Towers in Louisville, KY, the project integrated meaningful music into daily leisure and social activities. Key goals included building rapport with residents and staff, assessing residents’ functional needs, planning and adapting activities, and incorporating music preferences to support participation and enjoyment. Older adults in long-term care often experience cognitive decline, low motivation, and limited engagement in meaningful occupations. Literature supports music’s ability to stimulate memory, enhance mood, and …

Fostering Intergenerational Connection Through The Implementation Of Bingocize: A Community-Based Fall-Prevention Program, Dejeigh Herrera, Shelby Humphreys, Kayla Lee, Danielle Platt

UNLV Theses, Dissertations, Professional Papers, and Capstones

Falling is an experience that can be traumatic and detrimental to the overall health of those aged 65 and older. As this portion of the population in the United States continues to grow, so does the importance of understanding the general health concerns of these individuals and the way they contribute to their risk of falling and impact their ability to live independently. One program to help address these risks is Bingocize, an evidence-based program designed by Jason Crandall, a professor of exercise science at Western Kentucky University in 2011. Bingocize is a 10-week fall prevention program designed to educate …

Integrating Positive Psychology And Spirituality To Foster Meaning And Well-Being In Older Adults, Crystal Morris

Adultspan Journal

This perspective article explores the integration of positive psychology interventions (PPIs) and spirituality in therapy to foster meaning and well-being in older adults. It highlights exercises such as the positive introduction, positive legacy, character strengths, mindfulness, mindful-based yoga, and a manifestation prayer journaling. The interventions presented are tools to support older adults that may experience depression, difficult life transitions, and the search for renewed meaning. Therapists who integrate PPIs and spirituality into therapy can promote a holistic, non-pathological approach to treatment.

Utilizing Animal-Assisted Therapy To Address Pyschosocial Implications Of The Geriatric Population In A Residential Facility, Blaire Kennon Bassham

Occupational Therapy Doctoral Capstones

Older adults in residential care frequently experience psychosocial challenges such as isolation, depression, and reduced engagement in meaningful activity. Animal-Assisted Therapy (AAT), when integrated into occupational therapy, offers a powerful, evidence-based means to address these concerns by promoting emotional well-being, social connection, and purposeful interaction. This capstone project leveraged AAT as a therapeutic intervention specifically designed to meet psychosocial needs.

Feasibility Of A Prescribed Walking Program In Older Adults With Dizziness: Challenges And Recommendations From A Pilot Pragmatic Randomized Controlled Trial, Amie Jasper, Mary T. Blackinton, Joann Gallichio, Anne Galgon

Internet Journal of Allied Health Sciences and Practice

Purpose: Walking for endurance is a component of vestibular rehabilitation (VR); however, there is no study on increasing the physical activity of older adults with peripheral vestibular hypofunction through a prescribed walking program. This pilot study aimed to assess the feasibility of conducting a pragmatic randomized controlled trial on a prescribed walking program in a clinical environment; specifically, to determine recruitment, data collection retention, and adherence, and to estimate the variances of treatment outcomes. Method: Seventeen patients were randomly assigned into vestibular rehabilitation with walking with pedometer (VRWP), vestibular rehabilitation with walking without pedometer (VRW), and VR only. Recruitment, data …

Expanding Health Literacy Among Community-Dwelling Older Adults: Developing And Delivering Educational Sessions, Mary H. Lambert

Entry-Level Occupational Therapy Doctorate - Doctoral Capstone Symposium

Older adults face numerous challenges in maintaining their health and independence, often due to limited access to health information that supports aging in place. This capstone project was executed in a community-based setting catered to older adults and focused on increasing health literacy to promote independence and overall well-being. Through interactive educational sessions, the project aimed to enhance participants’ understanding of key health topics relevant to their daily lives.

The overarching goals of this project were to provide accessible, engaging, and practical health education to older adults, empowering them to make informed decisions about their health. Specifically, the sessions addressed …

Review Of High-Intensity Interval Training (Hiit) Protocols For Older Adults With Cardiovascular Diseases: A Systematic Review, Matthew G. Carter, Emma Pole, Elizabeth Buonanno, Abigail Curtis, Nicole Paranich

Student Research Poster Presentations 2025

Background: Cardiovascular disease (CVD) is the leading cause of death worldwide, with approximately 17.9 million lives lost each year, and has an incidence of 77-80% amongst those 60-80 years old. HIIT is not the initial treatment of choice in those with CVD among physical therapists because of the fear and concern relating to the patient’s response to high-intensity exercise.

Objective: The purpose of this systematic review was to determine the effectiveness of high-intensity interval training (HIIT) on older adults with cardiovascular disease and, if it was effective, find the proper protocol for this population. This systematic review intends to find …

Know More Falling: Community-Based Fall Prevention, Edward R. Mcwithey

Entry Level Occupational Therapy Doctoral Capstone Projects Class of 2025

The aging population is expected to grow to 2 billion worldwide by 2050 (Rosado et al., 2021). Aging is classified as a determinant risk factor for falls and fall-related injuries (Rosado et al., 2021). This capstone project aimed to promote understanding and address fall prevention in the older adult population with multiple stakeholders throughout the Dallas, Pennsylvania community. Project goals included developing community partnerships, providing education and addressing wellness and health equity among community-dwelling older adults through multifaceted interventions. The literature search yielded a synthesis and analysis of current evidence focused on community-based fall programming, adding to the body of …

Age-Related Differences In Eye Movements And The Association With Archimedes Spiral Tracing Performance In Young And Older Adults, Brittany Heintz Walters, Wendy E. Huddleston, Kristian M. O'Connor, Jinsung Wang, Marie K. Hoeger Bement, Kevin G. Keenan

Physical Therapy Faculty Research and Publications

Age-related hand motor impairments may critically depend on visual information though few studies have examined eye movements during tasks of hand function in older adults. The purpose of this study was to assess eye movements and their association with performance while tracing on a touchscreen in young and older adults. Eye movements of 21 young (age 20–38 years; 12 females, 9 males) and 20 older (65–85 years; 10 females, 10 males) adults were recorded while performing an Archimedes spiral tracing task, a common clinical assessment sensitive to age-associated impairments in hand function. Participants traced an Archimedes spiral template on a …

A Guide To Falls In A Skilled Nursing Facility, Sarah Ghione

Doctoral Projects

Approximately one in four older adults experiences a fall each year in the United States (Centers for Disease Control and Prevention [CDC], 2024b; Kakara et al., 2023). Among those residing in nursing homes for either short-term rehabilitation or long-term care, the risk of falls is doubled (Acker & Janssen, 2017; Shao et al., 2023). The purpose of this doctoral capstone project was to develop an educational resource aimed at enhancing staff education and fall prevention efforts within a single nursing home, supporting the facility’s goal of reducing fall rates. Methods included a needs assessment, observational experiences, resource development, and the …

Floor-To-Stand Transfers In Older Adults: Insights Into Strategies And Lower Extremity Demands, Lyndsay Stutzenberger, Tyler Whited

Faculty Publications - College of Physical Therapy

Background/Objectives: Getting up from the floor is an important functional skill for independence in older adults but is not often assessed clinically. The purpose of this study was to investigate how floor-to-stand transfer (FTS) ability is related to self-report measures and five-time sit-to-stand (5XSTS) performance, as well as compare peak joint angles during common FTS strategies and lower extremity demands between the 5XSTS and a commonly instructed FTS strategy. Methods: Thirty-four community-dwelling older adults completed self-report measures and performed the 5XSTS, a FTS in a self-selected manner, and an instructed FTS strategy. Biomechanical analysis of the lower extremities was used …

Older Adult's Fall Prevention Program, Myles Butler, Rebecca King

Fall 2024 OTD Capstone Symposium

The decline in bodily functions with aging increases older adults' vulnerability to falls, which is a leading cause of death within this population. The poster presents an educational based fall prevention program focused on safety awareness and risk management for older adults. In conclusion, implementing a fall prevention program leads to increased awareness regarding risk factors that are detrimental to the safety and well-being of the older adult community

Supporting Leisure Exploration And Participation For Older Adults To Improve Occupational Performance, Jack Fong, Karen Park, Jazminne Orozco Arteaga

Fall 2024 OTD Capstone Symposium

This capstone project aimed to develop a program advocating for leisure exploration and participation among older adults to address functional decline and improve quality of life. The program utilized a comprehensive needs assessment, including interviews, interest screening, and observations, to identify participants' preferences and barriers to participation. Through education and advocacy, the program encouraged engagement in meaningful leisure activities tailored to individual interests and abilities. Participants reported satisfaction with their leisure participation, emphasizing the importance of socialization and maintaining physical and cognitive health. Modifications, such as activity adjustments, enabled participation despite health-related challenges. This project highlights the value of responsive …

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 …

Understanding The Perceptions Of Technology In Homes For Aging In Place, Jinelle Abugan, Amy Lyons-Brown Ms, Otd, Otr/L, Molly Wuebker Otd, Otr/L, Actcp

Fall 2024 OTD Capstone Symposium

The purpose of this study is to understand the thoughts and experiences of technology in homes and the use of technology-based home modifications to help individuals with participation and performance in daily activities. The education of perceptions of culture in homes will be supported by faculty, OTs, professional designers, about the need to explore culture in technology for home modifications aging in place.

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 …

Second Language Learning In Older Adults Modulates Stroop Task Performance And Brain Activation, Douglas H. Schultz, Alison Gansemer, Kiley Allgood, Mariah Gentz, Lauren Secilmis, Zoha Deldar, Cary R. Savage, Ladan Ghazi Saidi

Center for Brain, Biology, and Behavior: Faculty Publications

Introduction: Numerous studies have highlighted cognitive benefits in lifelong bilinguals during aging, manifesting as superior performance on cognitive tasks compared to monolingual counterparts. Yet, the cognitive impacts of acquiring a new language in older adulthood remain unexplored. In this study, we assessed both behavioral and fMRI responses during a Stroop task in older adults, pre- and post language-learning intervention.

Methods: A group of 41 participants (age: 60–80) from a predominantly monolingual environment underwent a four-month online language course, selecting a new language of their preference. This intervention mandated engagement for 90 minutes a day, five days a week. …

Leisure Education Program For Older Adults At Beatitudes Campus, Kendall Morrissey

OT Student Capstones

As individuals age they may experience a decrease in quality of life that impacts their overall health and well-being. One way to improve quality of life in older adults it through leisure activities that can provide a sense of purpose, autonomy, and roles or routines within their lives. The purpose of this doctoral capstone experience and report is to enhance older adult’s leisure competence through to improve leisure satisfaction and overall quality of life. The occupational therapy capstone student developed a five-session Leisure Education Program for residents at a continuing care retirement community, Beatitudes Campus. Using an occupational therapy point …