Rehabilitation and Therapy Commons^™

Transitioning To Graduate Level Academics: A Preparation Program For An Entry-Level Occupational Therapy Doctoral Program, Sergio Garcia

OT Doctoral Capstones

The objective of the capstone project was to create an online preparation program for The University of Texas at El Paso’s (UTEP) Department of Occupational Therapy’s-Occupational Therapy Doctoral (OTD) program that would ease the transition experience into the program and would help increase their early academic success. The capstone project involved the planning, creation, and implementation of the program. The finalized program consists of four interactive, self-led, and self-paced modules. Interactive elements include activities, questions, opportunities for reflection, and hyperlinks. The finalized program will be implemented with incoming UTEP OTD students on a yearly basis.

Colostomy Care: Ep, Michelle Ramirez

OT Doctoral Capstones

Objective: This capstone project aimed to improve knowledge and self-efficacy in colostomy care through a structured educational booklet.

Methods: Six adult inpatient participants at The Hospitals of Providence Memorial Campus received the booklet and completed pre- and post-surveys.

Results: Participants had a 7.37% increase in scores, with statistically significant improvements in knowledge and confidence (p < .001). Patients reported the material was easy to understand and helpful.

Discussion: The project highlights the OT's role in education and emotional support during post-operative recovery. The booklet is a sustainable, low-cost tool that can be replicated across diverse clinical settings.

Empowering Caregivers Through An Occupation-Based Approach To Physical And Mental Health, Maria Duarte

OT Doctoral Capstones

Problem Statement: The informal caregivers at Fundación Integra A.C., primarily family members providing daily, unpaid care to loved ones with significant physical and cognitive needs, often lack the training and support necessary to safely mange the physical and mental demands of caregiving, increasing their risk of injury, burnout, and reduced quality of life.

Methods: 5-module caregiver education course over 8 weeks in person/via Zoom and all material was delivered in Spanish.

Results: Increased confidence, knowledge, and reduced stress.

Discussion: Small sample size, limited statistical significance however, still showed meaningful gains.

Conclusion: Physical and mental health focused program is effective among …

Isapa 2025: Program Guide, Catherine Carty, Gerard Masdeu Yelamos

Publications

ISAPA 2025 is a landmark international event that brings together global leaders, researchers, practitioners, and advocates in Adapted Physical Activity to ignite systemic change under the unifying theme “Shifting the Dial: From Awareness to Transformation.” Hosted in Kerry, Ireland, under the patronage of UNESCO, the symposium integrates five major events into one dynamic platform.

The program reflects IFAPA’s mission to advance inclusion, research, professional excellence, and international cooperation, while also contributing meaningfully to the implementation of global frameworks such as the UN Convention on the Rights of Persons with Disabilities (CRPD), the Sustainable Development Goals (SDGs), the Paris 2024 Call …

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 …

Optimizing Pelvic Health: Evaluating The Efficacy Of Prenatal Strength And Resistance Training Combined With Pelvic Floor Muscle Exercises In Reducing Pelvic Organ Prolapse Risk, Samantha Requilman

Nursing | Senior Theses

While postnatal recovery is focused on the newborn, the mother’s health is equally important – particularly in preventing pelvic organ prolapse (POP), a condition that results in pelvic discomfort, incontinence, and a reduced quality of life. Although clinicians encourage pelvic floor muscle exercises (PFME) throughout pregnancy, POP is still prevalent among women, especially those who deliver vaginally. There are limited research studies on the effectiveness of prenatal resistance training in the prevention of pelvic dysfunctions and this study aims to address the gaps in the literature. So the question to address this study is: Does combining prenatal resistance training with …

Caregiver Perspectives On Sensory Diets, Naomi Sosa, Catharina Smith, Skylar Simpson, Giavanna Stavros

Occupational Therapy | OTD Research Papers

A sensory diet, a targeted sensory intervention designed to address an individual’s sensory needs, requires a child to engage in frequent, brief activities throughout their day that promote an adaptive response and improve occupational performance. While occupational therapists formulate the sensory diet, the role of administering the sensory diet ultimately lies with the child’s caregiver. Several studies have examined the effectiveness of sensory-based interventions and how caregivers support children with sensory processing disorders; however, caregiver perspectives on implementing sensory diets for their children have yet to be studied. Methods: This study used a descriptive, mixed-methods survey approach capturing quantitative data …

Professional Identity Levels Of Occupational Therapists In Different Practice Settings, Megan Maekawa, Alyssa Vessel, Ryan Yambao

Occupational Therapy | OTD Research Papers

Occupational therapists may experience weakened professional identity when their practice settings’ cultures, policies, resources, or interdisciplinary teams do not support occupational therapy’s core philosophies and values. Each practice environment has different workplace cultures and resources that influence an occupational therapist's ability to provide quality service for their clients. For example, when an occupational therapist works in a practice setting that does not support a core philosophy like occupation-based practice, they may experience a blurring of roles and responsibilities with other professionals. Overlap and confusion of responsibilities can lead to unclear expectations about their unique contribution to the client’s care. Additionally, …

Physical And Perceived Effects Of The Menstrual Cycle On Female Athletes, Talia E. Casarella, Alyssa M. Quiteles, Emily E. Liddick, Madelyn R. Swarthout, Rebecca J. Turner

Student Research Poster Presentations 2025

Purpose: The purpose of this study was to understand the physical and perceived effects of the menstrual cycle on female athletes’ performance during training and competition.

Hypothesis: The researchers hypothesized that there would be a significant difference in performance based on the phase of the menstrual cycle.

Methods: This study used EBSCO Academic Search Complete and Science Direct, focusing on peer-reviewed articles from the last 10 years. Search terms included: (exercise or physical fitness or physical activity) AND (menstrual cycle or period or menstruation or menses or follicular phase or luteal phase) AND (female athletes or women athletes or athletic …

Pediatric Occupational Therapists' Perception Of How Nature-Based Play Affects Fine Motor Development, Abbi M. Rosenow, Donia P. Timby, Jacquelyn D. Wiersma-Mosley, Amanda Terrell

Discovery, The Student Journal of Dale Bumpers College of Agricultural, Food and Life Sciences

This study explored the benefits of nature-based pediatric occupational therapy (OT) and the influence of nature and nature-based play on fine motor development. It was hypothesized that nature and nature-based play would positively impact a child’s fine motor skills (FMS) and that nature-based OT would offer unique benefits to a child’s therapeutic experience. To examine these relationships, a survey was distributed to pediatric occupational therapists (OTs) across the United States. The survey was designed to gather insights into how OT supports fine motor development, how nature-based play/therapy enhances these skills, and the perceived benefits of incorporating nature into therapeutic practices. …

Gait During Community Ambulation And Laboratory-Based Walking In People With Mild Traumatic Brain Injury, Prokopios Antonellis, Jae W. Lee, Peter C. Fino, Margaret M. Weightman, Siting Chen, Margaret Stojak, Mark E. Lester, Carrie W. Hoppes, Leland E. Dibble, Laurie A. King

Physical Therapy Faculty Publications

Background: Gait impairments are common in individuals with mild traumatic brain injury (mTBI), presenting in the acute phase and often persisting in subtle ways over time. Despite the prominence of laboratory gait evaluations, a comprehensive understanding of gait deficits post-mTBI necessitates the examination of various gait domains in real-world environments. Assessing gait during a community ambulation task (CAT) may capture real-world challenges and influence focused interventions or rehabilitation in individuals with mTBI.

Research Question: The aim of the study was to compare gait performance across independent gait domains in individuals with and without mTBI using wearable sensors during both the …

Occupational Therapy's Role In Supporting Sustainable Trauma-Informed Wellness Practices In A Surfing Program For Women, Margaret J. O'Hara

Entry-Level Occupational Therapy Doctorate - Doctoral Capstone Symposium

Individuals living with trauma-related mental health conditions are often less participatory in meaningful occupations. Additionally, women are two to three times as likely as men to experience a trauma-related mental health condition or event (Olff, 2017). A local surf therapy organization was founded to provide local women who have experienced trauma an empowering community and meaningful activity to heal. The purpose of this quality improvement capstone experience was to enhance the sustainability of the skills taught within clinics through the creation and dissemination of a user-friendly resource platform. The skills specifically addressed are 1) Mindfulness, 2) Growth Mindset, 3) Comfort …

Developing Staff Training Modules To Enhance Neurodiversity-Affirming Care In An Inpatient Psychiatric Setting, Haley Morris

Entry-Level Occupational Therapy Doctorate - Doctoral Capstone Symposium

Introduction: Individuals with autism spectrum disorder (ASD) are admitted to psychiatric hospitals at higher rates and for longer durations compared to neurotypical individuals (Kuriakose et al., 2018). Externalizing behaviors, such as aggression and self-injury, significantly increase hospitalization risk, yet standard psychiatric interventions (e.g., traditional process groups) are often ineffective for this population. A key barrier is the lack of ASD-specific training among hospital staff (Siegel & Gabriels, 2012). This capstone project aimed to address this gap by developing and implementing an educational training program to improve patient-centered, neurodiversity-affirming care across all inpatient psychiatric units. The primary aims were to: …

Empowering Families In A Pediatric Intensive Care Unit, Grace A. Avin

Entry-Level Occupational Therapy Doctorate - Doctoral Capstone Symposium

In the U.S., it is estimated that at least 239,000 children were admitted to the intensive care unit (ICU) in the year 2019 (Killeen et al., 2023). Post Intensive Care Syndrome (PICS) describes the adverse impacts that patients suffer from after the ICU, and children are especially vulnerable in the critical period of growing and developing (Smith & Rahman, 2023). The Sleep, Play, Heal (SPH) program is a pediatric ICU liberation movement at a local children’s hospital aimed to decrease PICS and improve outcomes for children and families. Through team interviews, the need for educational resources to maintain a continuum …

Exploring Perceptions Of Accommodations In Ot Fieldwork: A Mixed Methods Study, Courtney A. Gohean, Courtney Gohean

West Chester University Doctoral Projects

This study employed a convergent parallel mixed-methods design to explore the perceptions and experiences of occupational therapy (OT) fieldwork educators, academic fieldwork coordinators (AFWCs), and Level II OT students with disabilities regarding accommodations during fieldwork. Quantitative data were collected through an online Qualtrics questionnaire completed by 45 fieldwork educators. Qualitative data were gathered through semi-structured interviews with seven AFWCs and seven OT students/new graduates who had used Section 504 accommodations during Level II fieldwork. Thematic analysis revealed key themes among students and AFWCs, including barriers to disclosure, variability in support and communication, the need for proactive planning, and concerns regarding …

Caregiver Perceptions Of Gobabygo Car Usage, Sierra L. Hays, Erin L. Hefner, Richelle Gray, Carrie Smith-Bell

Graduate Student Scholarship

This qualitative study aims to understand caregiver perceptions of their child’s play using a modified ride-on toy car (MROC). Caregivers of children with disabilities participated in a semi-structured interview and a photo-elicitation interview to better understand their beliefs, attitudes, values, and feelings about their children’s play with a MROC. A directed content analysis was used based on constructs of the model for the Process for Establishing Children’s Occupations (PECO; Wiseman et al., 2005). Most constructs of the PECO model, including stages of play and influences on play, were identified within the caregivers’ descriptions of children's play with the MROC. Additional …

The Integrated Support Plan For End-Of-Life Care (Isp-Eolc), Kaitlin R. Sugarman

Entry Level Occupational Therapy Doctoral Capstone Projects Class of 2025

The Integrated Support Plan for End-of-Life Care (ISP-EoLC) workbook was developed to address the growing need for structured, occupation-based resources for occupational therapy practitioners (OTPs) working in end-of-life care. Rooted in evidence-informed practice, this workbook guides OTPs in supporting patients and caregivers through one of life’s most complex transitions. Each chapter of the workbook focuses on a key topic, including early recognition of OT needs, meaningful role participation, iterative interventions, caregiver support, and interdisciplinary collaboration. Designed to be both educational and interactive, the workbook includes patient and caregiver-directed activities that promote communication, reflection, and emotional connection. It also offers practical …

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 …

A Parent's Guide To Success, Marina D. Bucciarelli

Entry Level Occupational Therapy Doctoral Capstone Projects Class of 2025

A Parent’s Guide to Success, a doctoral capstone project, explored occupational therapy’s (OT) role in family-centered practice (FCP). The project focused on areas of education, advocacy, and program development which were informed by the completion of a scoping review. This capstone project was developed as a primary prevention resource for parents and caregivers of children from birth to three years. It was designed to prepare, inform, and support new parents and caregivers with educational videos and resources that depict the skills, knowledge, and support needed for optimized family outcomes. Education was also a valuable aspect of this project as the …

Death And Dying Across The Lifespan, Paige Sala

Entry Level Occupational Therapy Doctoral Capstone Projects Class of 2025

Death and Dying Across The Lifespan centers on the creation of three interdisciplinary educational courses focused on end-of-life care for three distinct age groups: geriatrics, adults, and pediatrics. The courses aim to improve undergraduate students’ competence in addressing death and dying with patients, caregivers, and other healthcare professionals within the team. The courses were developed in response to growing evidence that supports the need for education on death, dying, and caring for individuals at the end of life. Many students are not adequately exposed to these topics in current curricula, despite the importance of interdisciplinary collaboration in this area of …

Students Obtaining Tools To Achieve Regulation (Soar), Lacey D. Sanguinito

Entry Level Occupational Therapy Doctoral Capstone Projects Class of 2025

Students Obtaining Tools to Achieve Regulation (SOAR) is a doctoral capstone project that addressed the need for integrated social emotional learning (SEL) in elementary education. SEL is an evidence-based approach shown to improve academic outcomes, behavior, and long-term life success, yet implementation barriers remain in school settings. This project aimed to enhance student regulation, classroom engagement, and teacher confidence in SEL techniques through a multi-tiered approach. A scoping review of SEL literature identified the implementation methods and barriers to SEL curricula in elementary education, which informed the development of SOAR. SOAR consisted of (a) a 20-session, movement-based SEL curriculum targeting …

Meaning Within The Lines, Melody Kneller

Entry Level Occupational Therapy Doctoral Capstone Projects Class of 2025

“Meaning Within the Lines” was a doctoral capstone project developed to improve children’s handwriting through program development, education, and advocacy. Through an occupational therapy handwriting program at Misericordia University, local children struggling with handwriting received pro-bono occupational therapy services that improved their overall handwriting skills, using the Handwriting Without Tears curriculum and manipulatives. This project also advanced the knowledge of undergraduate occupational therapy students' through observation of OT sessions. Education workshop opportunities increased underclassman knowledge in handwriting development and provided resources that they can use for their future practice. Advocacy efforts to educate area school district personnel was completed to …

Preventing Diabetes In At-Risk Youth, Abrielle Milling

Entry Level Occupational Therapy Doctoral Capstone Projects Class of 2025

A unique diabetes prevention program was developed by an OT doctoral candidate to run in a non-traditional format in a school-based setting. The implementation of this program aimed to enhance students' understanding of diabetes through occupation-based interventions and health education. The program was conducted with 8th-grade students and focused on developmental skills suitable for this age level. The program utilized hands-on activities to enhance participation and promote carryover. Diabetes prevention has become an increasing area of health promotion as the condition continues to pose challenges within the adolescent population, becoming an emerging health problem. This incurable chronic disease has many …

The Sensational Students Sensory Program, Ashlie Kohr

Entry Level Occupational Therapy Doctoral Capstone Projects Class of 2025

The Sensational Students Sensory Program focused on the areas of program development, clinical skills, and education. It was developed and implemented for Dallas Area School District to empower students' knowledge about their emotions and how their body feels when they experience certain emotions. Resources and tools were developed for students to use as self-regulation strategies. The students had the opportunity to participate in group sessions with peers to create sensory tools to build a sensory toolbox they could use during the school day to help with self-regulation. The goal was to help these students better understand their emotions and how …

Allstar Abilities Sports Camp: A Community-Based Sports Program For Children With Disabilities, Kolby D. Engel

Entry Level Occupational Therapy Doctoral Capstone Projects Class of 2025

The focus of this Doctoral Capstone Experience (DCE) was creating the Allstar Abilities: Sports Camp to provide children with disabilities with the opportunity and environment to participate in team sports and sports activities. Within the local community surrounding Misericordia University there are few opportunities for children with disabilities to participate in these kinds of activities. This creates an occupational injustice for this population. Through research and needs assessments it was found that only sports such as baseball and basketball were locally available for this population to safely participate in. The Allstar Abilities: Sports Camp was then created to fill this …

Occupational Therapy In Caregiver Education And Dementia Care, Sophie Winter

Entry Level Occupational Therapy Doctoral Capstone Projects Class of 2025

The doctoral capstone project addresses education on optimal care for individuals with dementia to increase occupational performance and limit excess disability through training sessions with caregivers. The community program created took place at a community memory care adult day program. The bulk of the project focuses on education for caregivers of those with dementia through creating educational handouts, practicing through trainings, and creating personally tailored activities for cognition maintenance and participation. Caregiver manuals were made to address caregiver burnout, education, and competency. The other major part of this capstone was program development assessing the needs of the population and creating …

W.O.R.K. Towards Inclusivity In Employment, Chloe N. Tinklepaugh

Entry Level Occupational Therapy Doctoral Capstone Projects Class of 2025

W.O.R.K. Towards Inclusivity in Employment was a doctoral capstone project focused on promoting sustainable employment for neurodiverse individuals. Despite their capabilities, neurodivergent individuals often face barriers to employment due to employers’ misconceptions about their abilities (Bonaccio et al., 2020). This project addressed these challenges through three main components: researching employers’ perspectives, curriculum revision, and educating employers. For research, Luzerne and Lackawanna county employers were surveyed to assess their training, resources, and perspectives on neurodiversity in the workplace. Findings indicated that employers were open to receiving more education and training on how to support their employees, but they currently lack the …

Promoting Optimal Pediatric Development, Rachel N. Mills

Entry Level Occupational Therapy Doctoral Capstone Projects Class of 2025

This quality improvement capstone project embodied a multifaceted approach to supporting the infant and early childhood populations at a local pediatric outpatient clinic. The capstone project endeavors were guided by the theoretical underpinnings of the literature and results of in-depth needs assessments. The themes that emerged from the systematic review of the literature, which involved the efficacy of parent education programs in increasing parental knowledge and competence in supporting their child's physical and emotional development, were seamlessly integrated into the program. Evidence-based practice, principles of early intervention, and preventative care were used at the clinic to support infant and early …

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 …

Adjusting Your L.E.N.S: Learn And Educate With Neurodiverse Students, Jenna Potter

Entry Level Occupational Therapy Doctoral Capstone Projects Class of 2025

This doctoral capstone project, Adjusting Your L.E.N.S: Learn & Educate with Neurodiverse Students, focused on how occupational therapy (OT) can play a unique role in contributing to an inclusive postsecondary higher education (IPSE) program at a local university. This capstone project focused on supporting faculty, staff, and peer academic coaches, developing a transition camp for high school students, and enhancing the university’s current IPSE program to ensure that students with intellectual disability and autism can access higher education and learn within an inclusive and supportive setting. A faculty, staff, and academic coach training program was implemented to equip participants with …