Occupational Therapy Commons^™

A Specialized Training Toolkit To Increase Inclusion Of Children With Disabilities In After School Programs, Merilyn N. Powdrill, Abby Vander Laan, Angela Blackwell

Spring 2025 OTD Capstone Symposium

The Inclusive Pathways Toolkit was developed and implemented in after-school programs to enhance staff competencies in supporting children with disabilities. This initiative aimed to create a more inclusive environment by providing staff with practical strategies and resources, thereby improving the overall experience and participation of children with disabilities in after-school activities.

Advancing Mental Health Awareness Among Persons Of Color: An Occupational Therapy Perspective, Irene Rattitham, Cassandra Nelson

Summer 2025 OTD Capstone Symposium

This capstone project aimed to advance mental health awareness among persons of color (POC) residing in a skilled nursing facility by developing and implementing a culturally responsive psychoeducational program. Informed by the Person-Environment-Occupation (PEO) model, trauma-informed care, and mindfulness-based practices, the program addressed barriers such as stigma, limited awareness, and cultural perceptions of mental health. A needs assessment guided the creation of an 8-module curriculum covering topics like emotional regulation, family involvement, and accessing support. Educational materials were translated into Spanish, Korean, Japanese, and Vietnamese to enhance accessibility. The program was delivered through group and individual sessions, in-service presentations, and …

Strength Beyond Cancer: An Occupational Therapy Guidebook For African American Breast Cancer Survivors, Taihia A. Wilson

Student Capstone Papers

This capstone project aims to explore the nuanced and often underrepresented experiences of African American women (AAW) who have survived breast cancer (BC), with a specific focus on the recovery phase. By examining the physical, cognitive, and psychosocial obstacles encountered during survivorship, the project seeks to highlight significant gaps in care and support. The primary goal of this project is to develop an accessible and culturally responsive guidebook that provides healthy strategies to enhance quality of life (QoL), promote occupational wellbeing, and empower AAW to manage their overall health beyond treatment. This paper will begin by presenting the background and …

Occupational Therapy Educators’ Perceptions Of Preparedness To Teach Students Culturally Responsive Care For Diverse Patient Populations, Jack Ruelas

Theses and Dissertations

This phenomenological investigation examined occupational therapy faculty preparedness for teaching culturally responsive care to entry-level doctorate students in Texas. Despite Accreditation Council for Occupational Therapy Education (ACOTE) mandates requiring cultural competence education, significant gaps persist between regulatory requirements and faculty readiness to deliver such instruction effectively. The study explored three interrelated dimensions: (1) faculty perceptions of their preparedness to teach cultural competence, (2) institutional training and support mechanisms, and (3) pedagogical integration strategies for culturally responsive content.

Employing interpretive phenomenology grounded in Freire's critical pedagogy and Iwama's Kawa Model, this investigation utilized a two-phase data collection methodology with eleven faculty …

Breastfeeding Interventions For Dyads With Medical Complexity: A Mixed Methods Study, Jairrah L. Godsil, Julia R. Farrell, Julia Shin, Cary C. Moore, Yongyue Qi, Vanessa D. Jewell

The Open Journal of Occupational Therapy

Background: Breastfeeding dyads with medical complexity have lower success with direct breastfeeding. Evidence to support occupational therapists working with this population is limited. This study explored occupational therapists' experiences, training, and interventions for breastfeeding dyads with medical complexity.

Method: Occupational therapists providing clinical breastfeeding services for parents and or children with medically complex conditions participated in this study. The study employed an explanatory, sequential mixed-methods design, consisting of an online survey (N = 102) followed by two 75-min semi-structured focus groups (N = 7).

Results: Occupational therapists with more clinical breastfeeding experience (p = .003) and …

Use Of Podcasts As Emerging Technology In Occupational Therapy Education, Abbigail Kubiak, Karen Jacobs, Varsha S. Kulkarni, Maruška Vizek

The Open Journal of Occupational Therapy

Podcasts are an emerging modality with a developing evidence base to reinforce their use in educational settings; in particular, to support knowledge retention and introduce topics. This research demonstrates the potential of podcasting in an educational context. Podcasts were used to educate occupational therapy (OT) students about emerging and innovative OT career opportunities. A series of 13 standardized 20- to 30-min podcasts featuring occupational therapists in emerging and innovative practice areas (E/IPA) globally were developed. In each podcast, the occupational therapist described implicit and explicit aspects of their career experiences. The podcasts were piloted in an entry-level OT doctoral course …

Developing A Curriculum Audit Tool For Justice, Equity, Diversity, And Inclusion In Occupational Therapy Education, Whitney M. Cranna, Sarah Mckinnon

Translational Science in Occupation

Background: The OT profession is calling for intentional pedagogy that builds future practitioners’ capacity for embodying justice, diversity, equity, and inclusion (JEDI) values; however, the interpretation and application of this mission remain subjective and nebulous. Developing a theory-driven audit tool may help standardize and clarify JEDI pedagogy needs to enhance OT preparation and practice.

Objective: Using a culturally responsive, justice-based theoretical lens, this paper describes the development of a JEDI Curriculum Audit Tool for a Post-Professional Doctor of Occupational Therapy (PP-OTD) program.

Design: Quantitative systematic evaluation of curricular alignment with JEDI principles, including a 3-prong retroactive self-evaluation approach.

Setting: Curriculum …

Enhancing Documentation Proficiency: Feasibility Of Integrating Ehr Go & Unfolding Case Studies In Occupational Therapy Education, Jeffery D. Holland Jr.

UNLV Theses, Dissertations, Professional Papers, and Capstones

Objective: This capstone project evaluated the feasibility of integrating EHR Go and Unfolding Case Studies (UCS) into the first-year curriculum of the University of Nevada, Las Vegas (UNLV) Occupational Therapy Doctorate (OTD) program. The goal was to enhance students’ SOAP (Subjective, Objective, Assessment, Plan) note documentation proficiency and critical thinking skills through simulation-based learning and increased exposure to real-world documentation expectations and examples. Feedback from 33 clinicians at Dignity Health St. Rose Dominican Hospital – Siena Campus informed the workshop design, and OTD faculty and graduate assistants at UNLV provided input on curriculum integration feasibility.Methods: A quasi-experimental, non-equivalent groups pretest-posttest …

Empowering Educators To Improve Social Emotional Behaviors Among K-8 Students: Quality Improvement Project, Paige Yael Bister

UNLV Theses, Dissertations, Professional Papers, and Capstones

Social and emotional learning (SEL) encompasses essential skills for effectively managing and expressing emotions. Studies have shown that SEL strengthens early education while supporting students' lifelong success by fostering positive behaviors within and beyond the classroom. In school settings, occupational therapists (OTs) aim to empower children to thrive as students and as social beings through targeted interventions and educational support for parents and teachers. In private school settings, limited access to occupational therapy services may impact teachers' ability to implement SEL strategies effectively.This capstone project addressed gaps in teachers' knowledge and confidence in applying the Zones of Regulation SEL curriculum …

Enhancing Therapeutic Use Of Self: The Value Of Unfolding Case Studies In Occupational Therapy Education, Janel Marie Gozum

UNLV Theses, Dissertations, Professional Papers, and Capstones

Objective: This capstone project evaluated the effectiveness of using unfolding case studies (UCS) as a supplemental instructional method to enhance occupational therapy (OT) students’ self-efficacy (SE) in applying therapeutic use of self (TUOS), a core competency in OT education.Methods: Four workshop modules were delivered to and completed by OT students (n=3) enrolled in the occupational therapy doctorate program at the University of Nevada, Las Vegas. The sessions included instructional content, guided discussions, unfolding case study activities, and a TUOS competency. The Self-Efficacy for Therapeutic Use of Self (SETUS) Questionnaire was administered at four points throughout to monitor perceived self-efficacy over …

Rays Of Resilience:Tbri® Nurture Group© Intervention For Improved Social-Emotional Development In Head Start, Madison Carlson

Occupational Therapy Capstone Presentations

Children exposed to adverse childhood experiences (ACEs) face challenges that impact their developmental trajectory, family dynamics, and occupational engagement (CDC, 2021a). Rays of Resilience is a trauma-informed occupational therapy capstone project designed to enhance social-emotional skills in preschoolers at a rural Head Start program guided by the TBRI® framework and the Person-Environment-Occupation (PEO) model. Using Nurture Group© small group intervention, collaboration with staff, and engagement with caregivers, this project targeted social-emotional development and relationship building in children with a higher risk of adverse childhood experiences (ACEs). Fifteen students participated in weekly lessons focused on self-regulation, identifying emotions, and communicating wants …

Aquatic Therapy In Neurorehabilitation, Alexis Poe, Rebecca King, Caitlin Boyd

Spring 2025 OTD Capstone Symposium

Healthcare workers and their patients have seen the benefits of aquatic therapy (AT), but education is lacking (Marinho-Buzelli, 2023). Research suggests that AT can improve fatigue and balance for people with an acquired brain injury (Bhatnagar et al., 2019). These findings highlight the need to enhance occupational therapy (OT) education and implementation of AT in clinical practice.

Facilitating Student Advancement: A High School Toolkit For Developing Professional Skills, Makenzie J. Mccain

Post-Professional Occupational Therapy Doctorate - Innovations in OT Symposium: Transforming Possibilities into Practice

Objective:

As students transition from high school to their next step, they are expected to demonstrate a different and often higher level of professional skills to successfully navigate their new roles. Existing research identifies these skills as highly valuable in industry and education, however there is a gap in research and resources that focus on high school students developing these essential skills. This quality improvement project focused on the development of a toolkit to fill this gap, providing an explicit, student-centered resource for professional skill development.

Methods:

The development of the Professional Skills Student Toolkit utilized established theoretical frameworks and …

Thriving Beyond Barriers: A Wellness Guide For Athletes And Coaches, Sydnie Allen, Ots, Lesley Khan-Farooqi, Phd, Otd, Otr, Emily Andersen, Otd, Otr

Spring 2025 OTD Capstone Symposium

This project addressed gaps in knowledge and skills among athletes and coaches regarding the social, physical, and environmental dimensions of wellness, which impact participation, health, quality of life, and overall wellness. The purpose was to create a wellness guide focused on the social, physical, and environmental dimensions of wellness, which may inhibit participation, health, quality of life, and overall wellness while fostering social inclusion and accommodating individual abilities to reduce injury risk and promote motivation. Though research on occupational therapy (OT) in sports is limited, emerging studies highlight the importance of participation for long-term independence. Environmental barriers like accessibility issues …

Integrating Sensory Processing And Self- Regulation Strategies In Daily Teaching Practices, Alana D. Foster, Angela L. Blackwell

Spring 2025 OTD Capstone Symposium

This capstone project addressed the critical need for early childhood educators to improve their understanding and application of sensory processing and self-regulation strategies within the classroom setting. The project was implemented at an early learning center and aimed to enhance educators’ ability to support student participation and occupational performance through a structured coaching framework. Guided by Dunn’s Sensory Processing Framework and the Person-Environment-Occupation-Performance (PEOP) model, the intervention included five individualized coaching sessions and the development of two key capstone products: a sensory processing coaching framework and a sensory processing toolkit and activity binder. The coaching framework incorporated observational tools, quick …

Personal Narrative As Pedagogy: A Model For Socially Responsive Narrative-Based Education In Occupational Therapy, Johnna Belkiewitz, Sally Wasmuth

The Open Journal of Occupational Therapy

The practice of occupational therapy relies on the collection and analysis of life narratives to provide responsive client-centered care. As developing holistic practitioners, occupational therapy students are taught to consider these shared stories within a larger context of historical and societal systems by acknowledging such factors as social determinants of health. Case studies are a frequently used tool to teach these skills; however, evidence supports that the identities of these educational stories’ authors can influence which perspectives are shared and, ultimately, impact developing occupational therapists’ perpetuation of or opposition to existing systems of oppression. Critical Race Theory and qualitative methodology …

A Survey-Based Quantification Of Imposter Phenomenon In Occupational Therapy, Dina Prisco, Siobhan Walsh

The Open Journal of Occupational Therapy

Background: Imposter phenomenon is a professional issue that negatively affects health professionals’ performance and well-being. This study examined imposter phenomenon’s prevalence in occupational therapy (OT). Researchers hypothesized that imposter phenomenon is prevalent in OT, more so in underrepresented groups. The rate of imposter phenomenon throughout OT was quantified and rates between demographic groups compared.

Method: This study used an exploratory, survey-based research design. Survey sections included informed consent, demographics, and the Clance Imposter Phenomenon Scale (CIPS). The CIPS measured rates of imposterism. Analyses of variances and independent group t-tests were performed to identify significant differences between groups. Inclusion criteria …

Perspectives Of School-Based Occupational Therapists, Hannah Smiles, Charlie Mechling, Steven D. Taff, Lauren E. Milton

The Open Journal of Occupational Therapy

Background: In the United States, schools are the second largest employer of occupational therapists (AOTA, 2020a). While research on school-based topics exist, to date there is no comprehensive study on school-based occupational therapy (OT) practice. The purpose of this study was to describe current implementation of the school-based OT process and better understand perspectives of school-based occupational therapists.

Methods: This descriptive study consisted of a researcher-developed survey with open- and close-ended demographic and practical questions related to the school-based OT process. A convenience sample of school-based occupational therapists were recruited with a snowball recruitment strategy via email and …

Supporting Elementary Educators Through A Nervous System Regulation And Social-Emotional Learning Skills Workshop Intervention: An Musc Capstone Project, Lily Morgan

Entry-Level Occupational Therapy Doctorate - Doctoral Capstone Symposium

Teachers have a great influence on developing children’s emotional intelligence, regulatory capacity, and occupational engagement. These professionals also happen to report some of the highest rates of stress, mental health challenges (Agyapong, B. et al, 2022), and burnout (Xie, M., et al, 2022). Providing teachers with education and support on nervous system regulation, social-emotional learning skills, and related topics can improve their ability to manage job stress, enhance modeling and interactions with students, and improve their quality of life. This project aimed to enhance knowledge, provide access to resources, and serve to support elementary educators at an inner-city school in …

The Impact Of A Sel-Based School Transition Readiness Program For Fifth Grade Students, Abigail V. Hall, Cynthia Haynes, Trish Chialastri

Spring 2025 OTD Capstone Symposium

This poster presents a study that developed and evaluated a Social-Emotional Learning (SEL) based educational program designed to support fifth-grade students transitioning to middle school. This program targeted five key SEL skills: Self-Awareness, Self-Management, Social-Awareness, Relationship Skills, and Responsible Decision-Making. The study aimed to improve students' occupational performance and self-perceived skill sets while also expanding knowledge on the role of OT with a psychosocial emphasis. The research addresses the gap in knowledge regarding SEL-based interventions for supporting students during critical educational transitions.

Fostering Autonomy And Self Efficacy: An Informal Caregiver's Guide To Encouraging Participation In Self-Care, Jade A. Evans, Steven M. Gerardi, Precious Osuoha

Spring 2025 OTD Capstone Symposium

Helping Hands and Active Lives is a practical guidebook designed to empower informal caregivers to support senior independence and well-being. It offers evidence-based strategies to enhance communication, mobility, and daily function while emphasizing the impact of caregiving approaches on occupational success.

A Wellness And Social Engagement Program For Post-Lower Limb Amputees, Graciela Gonzalez, Cassandra Nelson

Spring 2025 OTD Capstone Symposium

A wellness and social engagement program was developed and implemented to provide education relating to the mental health impacts, decrease in health management, and lack of social participation after a lower-limb amputation amongst adults, 18 years or older. The program provided a manual with educational information, external resources, and visual aids to enhance independence in activities of daily living (ADLs).

Generative Artificial Intelligence In Education: Insights From Rehabilitation Sciences Students, Robert Dekerlegand, Alison Bell, Malachy Clancy, Erin Pletcher, Travis Pollen

Department of Occupational Therapy Faculty Papers

Little is known about how students in rehabilitation sciences accept and use generative artificial intelligence (GenAI) in their educational endeavors. We explored student perceptions, acceptance, and utilization of GenAI in school and their beliefs about its usefulness and ease of use. A cross-sectional online survey was conducted of adult students enrolled in rehabilitation sciences programs within a private urban academic university. The survey was based on the Technology Acceptance Model with questions specific to the use of GenAI in school. A total of 196 responses were included in the analysis (32.9% response rate), with responses received across all rehabilitation sciences …

Rethinking Systematic Review Assignment Design In Graduate Health Science Education: Librarians' Perspectives, Laura Lipke, Carrie Price Mls

Library Scholarship

Background: This article examines the problematic phenomenon of faculty assigning graduate health science students systematic reviews as semester-based assignments while expecting a health science librarian to be a willing support system for those students. Despite published conduct and reporting guidelines establishing that systematic reviews require a team, time, and methodological expertise, some faculty still turn to full systematic review assignments in the classroom. The authors propose applying cognitive load theory and chunking the systematic review process into manageable steps, allowing both faculty and students to better understand the required methodologies and to enhance educational outcomes.

Experience: The authors have often …

Escape From Diabetes, J E. Jochum, J Carmack, J Toon

Clinical Practice in Athletic Training

Introduction: In the past decade, interprofessional education (IPE) to promote interprofessional collaborative practice has become an integral component of pre-licensure education in the health professions. Research shows that IPE activities involving problem-solving in patient care that requires cooperation and communication among the professions is most effective. An effective activity to meet interprofessional competencies is the use of escape rooms. Escape rooms are team-based games where groups of individuals solve puzzles to accomplish a specific goal, typically in a limited amount of time. There are many benefits to using escape rooms in education, including promoting problem-solving, teamwork, and creativity, improving focus …

Modification Of Ergonomics For A World-Class Brass Instrumentalist With A Congenital Limb Difference: Level 3 Case, O G. Newhouse

Clinical Practice in Athletic Training

Background: A drum and bugle corps is a musical marching organization that consists of approximately 160 brass, percussion, and color guard performers. There are currently twenty-one drum corps organizations at the world-class level that compete. Organizations learn their 8–10-minute show in the late spring and begin traveling the country performing and competing in the early summer until August. Rehearsal days can be up to 10 hours of practice including visual and music. It has been reported that the incidence of upper limb pain is higher in those who have longer practice times, in which is a symptom of overuse. These …

The Effects Of A Joint Reduction Trainer On Confidence Levels In Professional Athletic Training Students, T Franklin, S Hacherl

Clinical Practice in Athletic Training

Introduction: Dislocations are common injuries managed by athletic trainers, yet athletic training students are unlikely to practice reduction techniques during clinical experiences. Current standards set by the Commission on Accreditation of Athletic Training Education require accredited programs to prepare students to manage patients with dislocations, including joint reductions. Research indicates the use of simulation techniques, such as joint reduction simulators, in education can fill clinical experience gaps and improve student confidence and skills. Shoulder dislocations make up nearly 50% of dislocations with several reduction techniques identified in the current literature. The use of a joint reduction simulator may provide athletic …

Barriers To The Implementation Of The Amsterdam 2022 Statement In The Secondary School Setting, L Torres, J L. Baldari, F A. Gardin, A M. Price

Clinical Practice in Athletic Training

Introduction: The Amsterdam 2022 International Consensus Statement on Concussion in Sport provides a summary of contemporary best practice recommendations for healthcare providers who are involved in the care of athletes at risk of sport-related concussion (SRC). Given that athletic trainers (ATs) have a professional responsibility to continually educate themselves on topics of great importance to the population that they care for, such as SRC management, it is reasonable to expect them to evolve their concussion management protocols to better align themselves with the recommendations found this statement. The purpose of this study was to identify the barriers associated with the …

Using Ai-Generated Scenarios To Enhance Learning Of The Emergency Assessment Process, D Cobble, L Schroeder, J Vaughn, S Ford

Clinical Practice in Athletic Training

Introduction: Rigorous accreditation standards require students to demonstrate competency in various clinical proficiencies through clinical practice or simulation-based educational activities. Therefore, simulation has become an integral component of athletic training education, as scenarios can provide realistic and reproducible experiences for all students. To that end, our study had two primary objectives: investigate the ability of artificial intelligence (AI) to generate accurate and realistic athletic training simulation scenarios and evaluate AI's effectiveness in teaching and reinforcing the emergency assessment process through student-created scenarios. Methods: Phase one, AI developed three different scenarios for patients experiencing (1) an ovarian cyst, (2) a hypoglycemic …

Athletic Trainer Compensation Characteristics, J P. Young, K Ef Mair, L E. Eberman

Clinical Practice in Athletic Training

Introduction: Athletic trainers (ATs) are integral to healthcare yet face ongoing challenges that affect job satisfaction and retention. Factors such as long work hours, low pay, and work-family conflict contribute to dissatisfaction and a desire to leave the profession. Salary disparities and lack of administrative support are key factors impacting professional fulfillment and career longevity. Identifying how compensation influences job satisfaction is essential for improving retention and advancing the profession. Our study aimed to examine the compensation characteristics of ATs and determine the key factors that predict gross income. Methods: A cross-sectional, web-based survey was conducted. The survey was validated …