Occupational Therapy Commons^™

Use Of Standardized Patient Encounters As Predictors Of Fieldwork Performance: A Pilot Study, Linda Frasier, John V. Rider, Ashley Fecht

The Open Journal of Occupational Therapy

Background: Although standardized patient encounters (SPEs) are being used in occupational therapy (OT) education, limited literature exists on the value these experiences have on OT student learning outcomes and preparation for fieldwork. This study sought to examine if SPEs had the potential to predict Level II A fieldwork performance.

Method: This study used a retrospective analysis of 35 entry-level OT students. Independent variables included demographics (enrollment in an entry-level OT master's or doctoral degree, age, and overall grade point average) and SPE performance. The fieldwork Level II A final performance evaluation score was used as the dependent variable. Hierarchical regression …

Sensory Preference And Learning Preference In Children With Attention Deficit/Hyperactivity Disorder And Dyslexia, Jennifer Gomez, Hope Mccarroll, Lisa Griggs-Stapleton

Spring 2022 Virtual OTD Capstone Symposium

Is there a connection between a child’s sensory preferences and their learning preference? Sensory processing disorders are a heavily researched topic in current literature and many children with sensory differences present with learning disabilities, but research is lacking concerning any connection between sensory processing and learning. This research study examines children’s sensory preferences and learning preferences and denotes trends between these two variables. 15 participants were recruited from the Accommodated Learning Academy in Grapevine, Texas, a private school for students 1st-12th grade with learning delays. The sample of 15 participants consisted of 12 females and 3 males, aged 11-15 years …

Inclusive Employment Opportunities For Adults With Down Syndrome, Valerie Schlieder, Susan Macdermott

Spring 2022 Virtual OTD Capstone Symposium

Adults with Down syndrome (DS) face several barriers to inclusive and community-based employment opportunities, including the DS phenotype, volition, and disability stigma. The purpose of this project was to create a strengths-based occupational therapy (OT) group program to address these barriers. Using information from the needs assessment as well as the Ecology of Human Performance model, the Model of Human Occupation, and the Social Model of Disability, the EmployAble program was created. EmployAble took place twice a week for five weeks and included six adults with DS, ages 19-32. The group focused on employment readiness skills such as interpersonal skills, …

Exploring The Role Of Occupational Therapy In Promoting Risky Play For At-Risk Youth, Gerald Deocariza Jr., Karen Park

Spring 2022 Virtual OTD Capstone Symposium

Climbing, racing, playing by the fire, building forts with hammers, and free independent exploration are all examples of risky play. The inherent risk-taking that comes with play is essential to children’s physical and cognitive development, social and emotional well-being, confidence, self-esteem, and risk management. However, as many as two thirds of adults in United States have reported to come across at least one adverse childhood experience (ACE) growing up. The exposures to childhood trauma have been linked to a variety of negative health, psychiatric, and behavioral outcomes. Societal attitudes may further refrain at-risk youth from opportunities to gain essential skills …

Early Intervention Occupational Therapy Program Development Abroad, Hattie Fleming, Karen Park

Spring 2022 Virtual OTD Capstone Symposium

This program aimed to address the disparity in access to early intervention (EI) occupational therapy (OT) services which exists in certain communities abroad. This project worked with The Inspiration Center (TIC) in Belize, a community identified through needs assessment as having limited access to OT services, to expand current programming to include EI OT services, to increase understanding of the role of OT, to advocate for the OT profession within Belize, and to increase access to EI services for families with children with disability and/or developmental delay within the country. An emphasis was placed on caregiver coaching and culturally responsive …

Individuals With Intellectual & Developmental Disabilities And Meaningful Employment, Bethanie Hernandez, Angela Labrie Blackwell, Evan Edward Dean

Spring 2022 Virtual OTD Capstone Symposium

Individuals with disabilities tend to face poverty at a higher rate compared to those without disabilities (Kelley, 2016). Individuals with intellectual and developmental disabilities (IDD) benefit from a variety of supports to work in their communities. Not providing services to address these needs can cause increased unemployment rates and dependence on others. Currently, there is a lack of attention by OTP on supporting individuals with IDD (14-26 years) when acquiring meaningful employment. Increasing OTP’s awareness about the relationship between self-determination and employment can promote more services. Self-Determination is about acting or causing things to happen in your life as you …

Coaching Critical Moments: An Occupation-Based Coaching Education And Training Program, Katherine Eglin, Angela Blackwell

Spring 2022 Virtual OTD Capstone Symposium

This is a poster presentation on an education and training program, created for a capstone project. The program, Coaching Critical Moments (CCM), is designed to provide occupation-based coaching education through learning modules and training through simulation. The poster highlights the background literature about occupation-based coaching in occupational therapy, the problem and purpose statements for the capstone project, the methodology for creating the program, the theoretical foundation for the project, the contents of the program, and a discussion.

Wellness Promotion Through Leisure Activity Among Community-Dwelling Older Adults, Gabriela Morrell-Zucker

Spring 2022 Virtual OTD Capstone Symposium

The purpose of this capstone project is to analyze the outcomes of an occupation-based wellness program which aims to address the problem of a lack of wellness promotion programs for community-dwelling older adults. Through structured programming older-adults demonstrated increased participation in leisure activities contributing to positive health and wellness. As the older adult population continues to grow, there is a need to engage community-dwelling older adult populations in wellness promotion through leisure activities. For this purpose, a quantitative approach examines the outcomes of program development from older adults' perspectives through a the CHAMPS Older Adult Physical Activity Questionnaire.

Happy And Healthy: A Positive Mental Health Program For Early Elementary School-Aged Children, Haleigh Freeman, Angela L. Blackwell, Erik Pérez

Spring 2022 Virtual OTD Capstone Symposium

Approximately 17% of children from the ages six to 17 in the U.S. have a treatable mental health disorder, however, of those children, 70% have not received appropriate mental health care to address their mental health problems (MHP) (American Academy of Family Physicians, 2019; Mental Health Foundation, 2016). The severity of MHP identified within the literature points to a distinct need for mental health promotion, prevention, and intervention to address those needs (Albuquerque et al., 2020). Specifically, the need for school-based and after-school based mental health services continues growing at alarming rates (Map, 2013). However, school systems often lack provisions …

Sexuality Based Content In An Entry- Level Occupational Therapy Curriculum: A Content Analysis, Victoria E. Ontiberos, Steven M. Gerardi, Elizabeth Deluca

Spring 2022 Virtual OTD Capstone Symposium

Sexuality is multifaceted and is developed across the lifespan. Researchers report little advancement, consistency, and knowledge regarding incorporation of sexuality into occupational therapy (OT) curricula, which supports the need for research. The purpose of this capstone project was two-fold: a) to conduct a content analysis of an entry-level OT curriculum to identify content gaps regarding addressing sexuality in practice; and b) to develop sexuality-based educational materials as a resource for the faculty for potential inclusion in future courses. The Model of Human Occupation (MOHO) is an evidenced-based model that was used in this project, in conjunction with notional sexuality educational …

Foundational Curriculum To Engage Students In The Occupation Of Cooking, Brooke Mehus, Karen Park

Spring 2022 Virtual OTD Capstone Symposium

The reason for this project is that adolescents are not being provided with the knowledge surrounding cooking and meal preparation from their household, secondary schooling systems, and/or a lack of culinary programs resulting in a decrease in independence and life skills. Therefore, an additional program needs to be implemented in order to address these barriers.

The purpose of this project was to develop a program to enhance participation of adolescents in the occupation of cooking emphasizing life skills, safety, confidence, and knowledge within the kitchen. The program was completed at The Winston School which had an existing culinary arts program; …

A Qualitative Inquiry Of The Interdisciplinary Engagement Of Teacher's And Therapist's Providing Virtual Services To Children With Disabilities, Giovanna Rossi

Transformations: Presentation Slides

In this research project, my goal was to determine if using the sensory-based equipment, used in Sensory Fit Families, as a bridge helped promote interdisciplinary discussions leading to a better or more effective service delivery model. I did this research through virtual interviews and transcribing the data. I examined teachers’ and therapists’ perceptions toward interdisciplinary collaboration when delivering online (virtual) instruction to preschool-aged children with disabilities. With this, I was able to triangulate key information on relevant content, activities, and feedback that focus on a unique collaboration between Physical Education teachers, Occupational Therapists, Physical Therapists, Speech Pathologists, and Special Education …

Comparative Kinematic Gait Analysis In Adults With Multiple Disabilities, Lauren Rumbalski

Undergraduate Honors Thesis Projects

The purpose of this research is to identify abnormal gait parameters or patterns amongst young adults with multiple disabilities enrolled in a work transition program sponsored by a public-school system. Gait disorders are commonly seen in individuals with neurologic disorders, with significant research in children with autism. Gait disorders have been linked with fall and injury risk, with significant research in elderly populations. Gait analysis technology can be used to identify gait characteristics in populations that are abnormal or contribute to gait disorders. In an observational design, students from the transitional program promoted by Westerville City Schools, housed on Otterbein …

Impact Of Stigma On Students With Attention-Deficit/Hyperactivity Disorder: Implications For School-Based Occupational Therapists, Sidney M. Mcreynolds Mrs.

Occupational Therapy Capstone Presentations

This study used the Attention/Deficit-Hyperactivity Disorder (ADHD) Stigma Questionnaire (ASQ) and the ADHD Implicit Relational Assessment Procedure (ADHD-IRAP) among school-based professionals, including occupational therapists. 24 occupational therapists and 23 other school professionals completed demographic questions and the ASQ. 22 completed scores were used for the ADHD-IRAP results. Other school professionals (36.17%) reported having experience with children with ADHD outside of their professional capacity more than occupational therapists (23.40%) which was marginally significant (F (0.96, 10.78) = [11.75], p = .051). On the ASQ subscales, there was a significant difference between groups for Self-Image (F (2.55,10.05) = [11.42], p = .002), …

Empower: An Online Staff Training Focused On Person-Centered Supports For Direct Support Professionals, Amy Castagnino, Meghan Blaskowitz

The Open Journal of Occupational Therapy

Background: Direct support professionals (DSPs) for individuals with intellectual and developmental disabilities (IDD) is one of the most rapidly growing professions in the United States. However, there is a gap in recruiting, training, and retraining DSPs to provide appropriate and effective person-centered supports.

Method: The aim of this pilot study was to measure the effectiveness of a staff training program conducted by an occupational therapy doctoral candidate, focused on improving DSPs’ confidence and competence when providing services to adults with IDD. A pretest/posttest quantitative design was used to test changes in the DSPs’ confidence from the beginning to …

The Effects Of Education With Healthcare Providers On Low Vision Assistive Devices And Their Ability To Improve Self-Care Skills, Lora L. Jester-Rains

Occupational Therapy Doctorate Capstone Projects

Background: Results of a study by Casten et al., (2005) confirmed low rates of use of devices and services for low vision by the older adult. Older adults with low vision are receptive to using low vision resources but are often unaware of them (Lighthouse International, 2021). Casten et al. (2005) further suggested that the lack of services or use of devices may be due to a lack of awareness of health care professionals. Low vision assistive devices (LVAD), whether high or low tech, or mainstream, can help maximize a client’s vision so that they can perform everyday tasks …

Impact Of Assistive Technology Applications In Higher Education For Students With And Without Disabilities, Continued, Melanie C. Barillas, Alma E. Cortez, Tamera Y. Mcneil, Geneen C. Samaniego, Julia Zasso

Occupational Therapy | MSOT Capstone Projects

Assistive technology (AT) research has historically focused on skills that AT features can support (e.g. increased spelling, increased typing speed, etc.). In contrast, new research has examined the impact of AT on occupational engagement for individuals with disabilities, and AT in higher education with varying supports (Camarena et al., 2020; Gameuda et al., 2018; Malcolm & Roll, 2017). Due to the COVID pandemic, distance teaching/learning technology has become central to higher education (HE). Distance learning has caused uncertainties for students including creating an effective study routine (Peloso, et al., 2020). Further research is required for examining AT that can support …

Andragogy And Leadership Development In Entry-Level Doctoral Occupational Therapy Education, Tracey Elaine Recigno

Dissertations and Theses

Leadership development is critical for occupational therapy practitioners to be effective in their varied roles and ultimately is necessary for the sustainability of the occupational therapy profession. Occupational therapy education needs to be the starting point for developing a leadership identity. Best practices in leadership development require that experiences are contextualized and provide opportunities for active learning and reflective practices, yet there is minimal research to understand how occupational therapy educators teach this concept. This dissertation sought to first describe leadership development in occupational therapy and then describe how occupational therapy educators approach leadership education using adult learning principles. The …

The Impact Of The Covid-19 Pandemic On Special Education: A Case Study, Megan Cercone

Williams Honors College, Honors Research Projects

The purpose of this research project is to explore the possible impact of the COVID-19 pandemic on special education by evaluating the experiences of one child with disabilities who attends public schools. METHODS: A semi-structured interview was conducted with the two parents of the child, who has physical disabilities and an IEP through his school, meaning he receives special education services through intervention teachers, physical therapists, occupational therapists, and speech therapists. The interview was recorded and transcribed, and then interview transcripts were evaluated to identify themes in the subjects’ responses regarding their child’s experience with public education during the pandemic. …

Impact Of Covid-19 On Students And Faculty In Higher Education, Joshua Manio, Kirsten Bas, Megan Griffith, Sophia Mendoza, Christian Jiao

Occupational Therapy | MSOT Capstone Projects

On March 11th, 2020, the World Health Organization (WHO) officially announced that COVID-19 was a “pandemic” (Kapasia et al., 2020). The impact of COVID-19 on higher education has been substantial. Teaching has changed from traditional in-person, classroom formats to distance learning platforms. As students experienced unprecedented disruptions, faculty faced challenges to provide high-quality teaching and build learning communities with their students. Preliminary global research on the COVID-19 impact on higher education has revealed mental health implications including anxiety and depression (Cao et al., 2020). Additionally, the transition to distance learning has hindered college students’ motivation, academic performance, and educational plans. …

The Impact Of A Psychosocial-Focused Experiential Learning Activity On Occupational Therapy Students’ Perceived Clinical Reasoning, Molly Bathje, Kristi Escobar, Meghan Crisp, Catherine Killian, Charlotte Royeen

Journal of Occupational Therapy Education

A primary objective of occupational therapy education is to facilitate development of clinical reasoning skills. These skills are complex and difficult to cultivate in classroom settings, therefore educators often use experiential learning activities to support clinical reasoning development. Most of the literature about experiential learning activities aimed at developing clinical reasoning focuses on activities occurring in-person, with individuals in physical disabilities settings. This research addresses the gap in the literature by evaluating the impact of a group based, psychosocial focused experiential learning activity that occurred virtually and in-person on entry-level occupational therapy students’ perceived clinical reasoning. Students (n=36) …

Changes In Epistemic And Ontological Cognition Of Occupational Therapy Students During Fieldwork: A Qualitative Study, Anita W. Mitchell, Lauren Woods

Journal of Occupational Therapy Education

The purpose of this study was to represent occupational therapy students’ perspectives of their beliefs about knowledge and knowing, or epistemic and ontological cognition (EOC), before and after their first level 2 fieldwork experience. Twenty participants from four classes of entry-level Master of Occupational Therapy (MOT) students who had successfully completed 18 months of didactic coursework provided written explanations of self-ratings on the modified Four-Quadrant Scale of Ontology and Epistemology and written responses to four open-ended questions. Four major themes emerged: 1) Concrete knowledge may have a specific right or wrong answer, 2) Knowledge can change depending on the client, …

Evolution Of Level I Fieldwork During An International Pandemic: Students’ Perceptions Of The Effectiveness Of Virtual Simulation-Based Level I Fieldwork, Rebecca Ozelie, Shiori Domenighetti, Amanda Sugar, Samantha Conrad

Journal of Occupational Therapy Education

Fieldwork education is an essential component of occupational therapy (OT) curriculum; yet national shortages and the COVID-19 pandemic have affected fieldwork availability. To combat the shortage, some academic programs implemented simulation-based Level I fieldwork experiences. The objective of this research study was to compare the perceived knowledge, confidence, and attitude of OT students that completed a virtual simulation-based Level I fieldwork to those that completed a traditional Level I fieldwork. This study involved a sample of 26 doctorate of OT students that completed a traditional or virtual simulation-based Level I fieldwork. Students completed pre-and-post fieldwork surveys regarding their perceived knowledge, …

Active Learning And Occupational Therapy Theory: A Mixed Methods Study Of A Course Redesign, Mackenzie L. Feldhacker, Diana R. Feldhacker

Journal of Occupational Therapy Education

The use of theory to guide practice is what distinguishes an occupational therapist’s professional judgment and reasoning from simply technical skills. However, occupational therapists continue to lack confidence and skills in understanding application of theory to inform practice. Thus, effective course design related to theory is imperative in professional formation. This study assessed the effectiveness of a graduate-level occupational therapy theory course redesigned using andragogical, learner-centered, and active learning principles to address gaps in applying and understanding theory. A mixed methods retrospective cohort design was utilized. This included a pretest/post-test survey along with end-of-semester course and instructor evaluation. Eighty-four students …

A Process Framework For The Education-Focused Capstone: Supporting Expansion And Sustainable Outcomes, Sierra Clair, Sarah Corcoran, Emily Bubel, Debbie Amini

Journal of Occupational Therapy Education

This article aims to share a process framework created to guide entry-level occupational therapy doctoral programs in operationalizing and expanding the scope of the education-focused capstone described by the Accreditation Council for Occupational Therapy Education (ACOTE^®).The impetus for this work was the completion of a professional development, education-focused capstone that proved to be novel, sustainable, and transformative for the capstone team, including the student, faculty mentor, site mentor, and doctoral capstone coordinator. This capstone ultimately created a professional development course covering the social determinants of health for occupational therapy practitioners, now offered through the American Occupational Therapy Association. …

Impact Of Motivations For Volunteering On Well-Being Among Health Sciences Students, Allison J. Naber, Rebecca Benson, Katie Ericsson, Macey Genzlinger

Journal of Occupational Therapy Education

Motivations for volunteering as a meaningful occupation can influence well-being. This study explored the relationship between motivations for volunteering and perceived well-being among students enrolled in one of ten departments in a School of Health Sciences. A cross-sectional survey incorporating the RAND 36-Item Short Form Survey and Volunteer Function Inventory was employed. Most of the 95 participants were students enrolled in the health science undergraduate and occupational therapy graduate programs. Approximately 75% had volunteered in the past year. RAND SF-36 findings indicated good perceived well-being among many categories. Primary motivations for volunteering included values (Mdn = 30) and understanding …

Changes In Study Approaches, Self-Efficacy, And Mental Health In Allied Healthcare Students During The Covid-19 Crisis, Elaina J. Dalomba, Tore Bonsaksen, Mary Jan Greer, Saji Mansur

Journal of Occupational Therapy Education

There is growing concern about student mental health, particularly during the COVID-19 crisis. Mental health factors impact self-efficacy and study behaviors, thus there is a need to explore changes in these factors during the pandemic. The aim of this study was to explore changes in allied healthcare students’ approaches to studying, self-efficacy and positive mental health before and during the COVID-19 crisis. The Approaches and Study Skills Inventory for Students, General Self-efficacy scale, Mental Health Continuum – Short Form were given to graduate students (n=26) prior to, and one year into the pandemic. Repeated measures analyses of variance were performed. …

Cohort Analysis Of Four Graduating Classes Of Occupational Therapy Students' Knowledge Of Aging, Lavona Traywick, Brittany N. Saviers, Terry Wayne Griffin, Teressa Brown

Journal of Occupational Therapy Education

At the same time that the number of senior adults in the United States is steadily rising, there is also a rising shortage of allied health care professionals, including occupational therapists, to meet the current and expected needs of the senior adult population. There are national standards that all occupational therapy programs must meet; however, there is not a set national curriculum. It is assumed that students will enter their respective occupational therapy programs with a base knowledge of aging due to prerequisite requirements. To test that assumption, with Institutional Review Board approval, over four consecutive years 192 first-year, first-semester …

“We Weren’T Taught How To Recover From A Pandemic:” Recent Occupational Therapy Graduates’ Reflections On Covid-19, Laura H. Vanpuymbrouck, Carli Friedman

Journal of Occupational Therapy Education

In the spring of 2020, graduates from occupational therapy (OT) programs across the globe were entering a world of clinical unknowns. The students from this graduating cohort likely had little to no education or training on how to deliver OT in the wake of COVID-19. How well prepared did these new graduates perceive themselves to be to enter a healthcare climate in a pandemic and what were their biggest concerns? The objective of this study was to understand new graduates’ perspectives of the impact of COVID-19 on their future as occupational therapy practitioners (OTPs), and their sense of preparedness to …

Service-Learning And Case-Based Learning’S Impact On Student’S Clinical Reasoning: A Repeated Measures Design Study, Gordon B. Tsubira, Traci Garrison, Sapna Chakraborty, Shana Cerny

Journal of Occupational Therapy Education

Clinical reasoning is crucial for the occupational therapy profession to thrive in an ever-changing healthcare environment but is seldom isolated for explicit instruction and outcome measurement in educational course curricula. A single-factor repeated measures design study was conducted to compare the impact of didactic case-based learning and experiential service-learning on the development of the clinical reasoning of students at a midwestern public university’s entry-level Master of Occupational Therapy program. The participants were sixteen graduate occupational therapy students who had completed their foundation-level courses. Participants explored modes of clinical reasoning in occupational therapy for eight weeks (the first half of the …