Occupational Therapy Commons^™

Developing A Community Partnership Toolkit To Expand Vocational Opportunitiesfor Adults With Disabilities In A Day Program Setting, Bonnie Chapman

Entry-Level Occupational Therapy Doctorate - Doctoral Capstone Symposium

This capstone project aimed to address the gap in community-based vocational opportunities for adults with disabilities within a day program setting. It was identified that participants lacked consistent opportunities to engage in real-world work experiences, which limited their ability to develop vocational skills and explore meaningful roles within the community. This gap was further compounded by a limited number of local businesses willing or prepared to establish partnerships with the program. Additionally, staff reported having insufficient resources and tools to effectively develop and sustain these partnerships, creating a significant barrier to expanding vocational opportunities.

The purpose of this project was …

Aligning Clinical Documentation With Payer Requirements To Improve Wheelchair Access, Alexandria Morales

Entry-Level Occupational Therapy Doctorate - Doctoral Capstone Symposium

The wheelchair acquisition process is complicated and requires an interdisciplinary team of Assistive Technology Professionals (ATP) and either Occupational Therapists (OT) or Physical Therapists (PT). Without a proper mobility device, many wheelchair users report frustration due to decreased participation in work, school, medical appointments, and social events. Improper documentation of specific wheelchair needs contributes to payment authorization denials, causing long delays in the approval process and the timeliness of patients receiving their devices. (Nancy R. Mudrick, April, 2025). According to the 2024 reporting period for Centers for Medicaid and Medicare Services (CMS), “insufficient documentation accounted for 79.7% of improper payments …

Wellness In Action: Implementation Of An Experiential Wellness Elective For Occupational Therapy Students, Heather Short

Entry-Level Occupational Therapy Doctorate - Doctoral Capstone Symposium

Wellness In Action: Implementation of an Experiential Wellness Elective for Occupational Therapy Students

Graduate student mental health is a growing concern in higher education, highlighted by the student experience of high levels of stress, burnout, and declining well-being that impair academic and daily functioning (SenthilKumar et al.,2023; Bullock et al.,2017). Research highlights the need for proactive, holistic interventions that provide education and support skill development (Henrico, 2021; Van Oss et al., 2025). To address this need, this capstone project aimed to design, implement, and evaluate an experiential wellness elective for occupational therapy (OT) doctoral students within a graduate health professions …

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 …

Interventions For Geriatric Patients With Dementia In Inpatient Psychiatric Settings, Kenya Raybon

Entry-Level Occupational Therapy Doctorate - Doctoral Capstone Symposium

Geriatric patients with dementia in inpatient psychiatric units are admitted with cognitive and behavioral challenges that often lead to increased agitation and greater reliance on 1:1 support, limiting participation in group therapy. While evidence supports structured, activity-based and sensory-informed interventions to promote regulation and engagement, implementation is often inconsistent due to workflow barriers, staffing limitations, and lack of structured guidance for staff, especially if cognitive impairment is not immediately recognizable.

This quality improvement capstone project aimed to develop and implement an evidence-informed staff training program, along with a structured activity binder system with adaptable, unit-specific interventions to support consistent activity-based …

From Fog To Function: An Occupational Therapist's Guide To Evaluating And Treating Cancer-Related Cognitive Impairments, Lauren E. Toner

Entry-Level Occupational Therapy Doctorate - Doctoral Capstone Symposium

Cancer – related cognitive impairment (CRCI) is a common side effect of cancer treatment that interferes with cancer survivors’ occupational performance, independence, and quality of life. Despite its high prevalence, CRCI remains under recognized and inconsistently addressed within oncology care. About 70% of individuals diagnosed with cancer report cognitive changes during or after treatment, yet many do not receive treatment. Occupational therapists are clinically trained to evaluate and treat functional cognition, activities of daily activities, instrumental activities of daily living, and client centered goals, positioning them as key providers in addressing CRCI. However, limited occupational therapy specific resources have hindered …

Post-Stroke Depression (Psd) And Occupational Therapy (Ot) Intensity: A Retrospective Medicare Claims Analysis, Lauren H. Allen

Entry-Level Occupational Therapy Doctorate - Doctoral Capstone Symposium

Purpose: Post stroke depression (PSD) is the most frequent and burdensome mental health complication following a stroke, affecting approximately one third of survivors. Examining how PSD relates to outpatient occupational therapy (OT) utilization may help identify gaps in post-stroke mental health care and reveal whether current billing practices adequately capture OT services.

Project Goals: This project aimed to determine whether an early PSD diagnosis predicts outpatient OT treatment intensity and describe patterns of OT billing related to mental health, including mental health current procedural terminology (CPT) code use and CPT code distributions.

Site: This project was conducted in collaboration …

Integrating Pilates Into Outpatient Occupational Therapy:A Complementary Approach To Traditional Rehabilitation, Ellie Drechsler

Entry-Level Occupational Therapy Doctorate - Doctoral Capstone Symposium

INTRODUCTION: Reformer Pilates, originally developed by Joseph Pilates as a holistic method to enhance strength, alignment, and mind–body integration, has gained increasing recognition for its therapeutic potential in rehabilitation settings. Despite evidence supporting its benefits for balance, chronic pain, functional mobility, and mental wellbeing, its use in outpatient occupational therapy (OT) and physical therapy (PT) remains limited. The purpose of this quality‑improvement project aimed to bridge that gap by developing an accessible, reformer‑based educational resource for clinicians with minimal Pilates experience and by evaluating client and clinician perceptions of its therapeutic value.

METHODS: Using mixed-methods surveys, qualitative and quantitative feedback …

Promoting Caregiver And Staff Education For Motor Development And Feeding Skills On A Pediatric Heart Center, Karina Dharia

Entry-Level Occupational Therapy Doctorate - Doctoral Capstone Symposium

Around the world, congenital heart disease (CHD) is one of the leading birth defects in infants and has been known to cause many long-term developmental effects (Scott & Neal, 2021). Given these developmental risks, recent literature suggests that there lack strong and effective resources for parents, caregivers and healthcare professionals about infant development and the application of occupational therapy in the setting of pediatric CHD (Marino et al., 2019). The purpose of this capstone was to promote parent, caregiver, and staff engagement with patients to promote motor development and feeding skills in the in-patient pediatric cardiac setting. Our aims were …

Optimizing The Utilization Of Interpreter Services In A Student Run Clinic, Mallory Vaclav

Entry-Level Occupational Therapy Doctorate - Doctoral Capstone Symposium

No abstract provided.

Collaboration In Acute Care: Enhancing Occupational Therapy Outcomes Through Canine Therapy Integration​, Deanna Hamke

Entry-Level Occupational Therapy Doctorate - Doctoral Capstone Symposium

The utilization of animal-assisted therapy has the potential to increase patient participation, motivation, and help simulate real-life experiences to promote a successful discharge from therapy services. The purpose of this doctoral capstone project was to: 1) expand collaboration between occupational therapists & canine therapy handlers through use of a communication platform and 2) to create a resource outlining in-session responsibilities to facilitate partnership between occupational therapists and canine therapy handlers. Occupational therapy treatment sessions were completed using canine therapy interventions targeting mobility, engagement, and emotional regulation. The final deliverables included multiple educational resources and a platform for communication. These deliverables …

Bridging Research And Practice In Occupational Therapy: Education On Regulation And Socioemotional Development For Caregivers And Novice Clinicians, Lily Andrews

Entry-Level Occupational Therapy Doctorate - Doctoral Capstone Symposium

Background: New graduates in pediatric occupational therapy are frequently expected to be autonomous but experience poor self-confidence and challenges with clinical decision-making (Moir & Copley, 2025). Concurrently, parents of children receiving occupational therapy to improve regulation and socioemotional development often have limited understanding of these concepts, resulting in frustration and reduced carryover of therapeutic strategies at home. This dual gap highlights a clear need to enhance clinician confidence and caregiver understanding within pediatric occupational therapy practice.

Aim: This capstone project aimed to develop resources synthesizing key principles of pediatric practice and intervention to improve student clinician and new graduate confidence …

Creating An Effective Video Case-Based Teaching Tool To Enhance Undergraduate Clinical Skills, Tyler Kam

Entry-Level Occupational Therapy Doctorate - Doctoral Capstone Symposium

No abstract provided.

Enhancing Occupational Therapy Education In Cancer Rehabilitation​, Elizabeth A. Dorn

Entry-Level Occupational Therapy Doctorate - Doctoral Capstone Symposium

This doctoral capstone project aimed to enhance entry-level occupational therapy (OT) education by developing and evaluating evidence-based instructional materials addressing musculoskeletal and oncology rehabilitation within a doctorate curriculum. Designed as an oncology-focused experience, the project involved a two-phase approach: (1) testing educational techniques by implementation and evaluation of an elbow pathology lecture and lab, and (2) development of an asynchronous oncology rehabilitation unit informed by outcomes from the initial phase. The project was guided by the ASSURE instructional design model and emphasized active, visual, and case-based learning strategies to support clinical reasoning.

Student outcomes were assessed using pre- and post-lecture …

Empowering Women Through Surf Therapy: A Trauma-Informed Facilitation Toolkit, Ashlie Steppe

Entry-Level Occupational Therapy Doctorate - Doctoral Capstone Symposium

Women who have experienced trauma often face challenges with emotional regulation, sense of safety and daily functioning. Additionally, one in three women experience trauma throughout their lifetime and this can lead to difficulty with connection, body awareness, and engagement in meaningful activities. A local non-profit surf therapy organization was established to provide women with a supportive community and meaningful, nature-based activity to promote healing and connection. The purpose of this quality improvement capstone experience was to address and develop a sustainable trauma-informed wellness toolkit to support facilitators in delivering structured wellness activities within the program. The toolkit specifically addressed key …

Occupational Therapy Fellowship Curriculum Design: A Framework And Curriculum Mapping, Sydney Mitchell

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

Objective. There is little published research on occupational therapy (OT) fellowships and varying levels of understanding around fellowships. The purposes of this IRB-exempt capstone were to identify stakeholder perception of OT fellowships, create a neurologic OT fellowship to bridge the gap in access to this training in the Southeast, and apply a conceptual framework during development. Methods. Anonymous surveys and semi-structured interviews were used to identify stakeholder needs for the curriculum. Methods focused on curriculum outline, development of one educational lesson, and incorporating formative and summative assessments. Five volunteers rated the module on usability and overall experience. The curriculum was …

The Feasibility Of A Telerehabilitation Screening Protocol For Wheelchair Follow-Up In A Rural Clinic: A Pilot Exploration, Rachel G. Taylor

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

Objective: This capstone project aimed to determine the feasibility of a telerehabilitation approach to wheelchair follow-up care coordination within the East Carolina University Student Run Clinic (SRC). Methods: A Wheelchair Follow-Up Protocol was developed and piloted with a student clinician. Guided by the AHRQ Care Coordination Measurement Framework, this 9-week feasibility project was completed in 3 steps: (1) resource and process development, (2) student training, (3) implementation and data collection. Quantitative and qualitative pilot data were collected from the student clinician who completed the Wheelchair Follow-Up Protocol to examine the feasibility and acceptability of the protocol. Questions included …

Nourishing Skills: Online Education Materials For The General Pediatric Feeding Therapist, Hannah Cox

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

Introduction: There has been a rise in pediatric feeding difficulties, with up to 50% of typically developing children and 89% of children with developmental disabilities having a variation of feeding difficulties (Benjasuwantep et al., 2013). With occupational therapy (OT) being a field of practice that addresses activities of daily living and developmental milestones, it is imperative that providers are prepared to treat this population. Methods: Four REDcap surveys were completed by stakeholder groups to determine knowledge gaps and training methodology amongst pediatric therapy providers (Harris et al 2009, 2019). With 233 survey responses, results were gathered nationwide (123 clinicians, 39 …

Occupational Therapy Assessment & Intervention In The Neonatal Intensive Care Unit At Shawn Jenkins Children’S Hospital, Lauren G. Murphy

Entry-Level Occupational Therapy Doctorate - Doctoral Capstone Symposium

BACKGROUND: There is a current lack of literature and evidence to supply neonatal intensive care unit (NICU) occupational therapists with appropriate standardized assessments and interventions. This project aims to explore at which age occupational therapy services will be most beneficial and widely accepted by NICU team members. Goals of this project include understanding current best occupational therapy practices, providing the NICU with the most up to date research and outcomes of interventions and assessments on the high risk neonatal and pediatric populations, improving communication and collaboration skills to engage with all NICU team members, and leading educational sessions about evidence …

Utilization Of Digital Platforms To Enhance Usability And Knowledge For Fieldwork Educators; Increasing Access To The Intentional Fieldwork Education Model (Ifwem), Patrick C. Lewis

Entry-Level Occupational Therapy Doctorate - Doctoral Capstone Symposium

Fieldwork education plays a pivotal role in shaping student outcomes in occupational therapy programs. The effectiveness of fieldwork education is significantly influenced by the fieldwork educator's communication style, teaching approach, learning preferences, competency, self-efficacy, and level of preparedness. The Intentional Fieldwork Education Model (IFWEM) and its associated IFWEM course provide an evidence-based framework designed to enhance fieldwork educators’ competency, self-efficacy, and preparedness prior to student fieldwork. In collaboration with the creators of the IFWEM, efforts were made throughout this capstone project to increase the usability, availability, and accessibility of the current IFWEM course. This project aimed to create a more …

Supporting Families And Providers Of Children With Low Vision/ Cvi Through Comprehensive Resource And Website Development, Alexandria D. Mcdonald

Entry-Level Occupational Therapy Doctorate - Doctoral Capstone Symposium

Cerebral/Cortical Visual Impairment (CVI) is the most prevalent cause of visual impairment in children. Children with CVI face unique challenges that significantly affect their development and participation in daily life. This capstone project aimed to support both therapists and families of children with CVI by fostering a deeper understanding of the condition and enhancing access to evidence-based resources. Guided by the Person-Environment-Occupation-Performance (PEOP) model, the project focused on identifying existing gaps in available materials, then addressing them through the creation of tailored resources and the development of a comprehensive, user-friendly website.

Deliverables included a digital resource library/website with over 40 …

Empowering Future Practitioners: Using Constructivist Learning Strategies To Teach Occupational Therapy’S Role In Oncology Rehabilitation, Erin L. Latimer

Entry-Level Occupational Therapy Doctorate - Doctoral Capstone Symposium

This capstone project developed educational materials on occupational therapy’s role in oncology rehabilitation for first-year OT students at an accredited program. The deliverables included a lecture and lab session, guided by the constructivism theory and 5 Es educational model, to integrate foundational oncology content into early curricula. By addressing this gap, the project aims to better prepare future OTs to serve cancer survivors. Goals included enhancing students’ knowledge of oncology’s continuum of care and improving clinical reasoning during evaluations. Students completed a Pre-Quiz (testing general oncology/pathophysiology knowledge), Post-Quiz (lecture-specific questions), and Post-Survey (34 respondents). Results showed strong comprehension, with one …

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 …

Preparing Adults With Intellectual Disabilities For External Employment And Increased Occupational Engagement, Ann B. Barwick

Entry-Level Occupational Therapy Doctorate - Doctoral Capstone Symposium

Intellectual disabilities refer problems within intellectual and adaptive functioning. In the United States, 6.5 million people have an intellectual disability (Schaepper). Adults with intellectual disabilities face many challenges throughout life. Employment is one of those challenges for a multitude of reasons including communication skills, discrimination, feelings of underappreciation, etc (Special Olympics). Only 21-44% of adults with intellectual disabilities are employed. There are services to help these individuals including occupational therapy, transition service counselors, and vocational rehab. Yet, the majority remains unemployed.

A doctoral capstone project was completed and presented in collaboration with a dog bakery whose mission is to provide …

Occupational Therapy Guided Interactive Workbook For College Students With Autism Spectrum Disorder For Transition Into The Workplace, Makayla Kirkley

Entry-Level Occupational Therapy Doctorate - Doctoral Capstone Symposium

The number of students with autism spectrum disorder entering college has been steadily increasing. When these graduates enter the workforce, the support and accommodations available throughout their education may not necessarily be readily available in their new workplace. This quality improvement project aimed to increase the resources of a college program whose purpose is to support autistic and neurodivergent students throughout their college career. The project aims were to create an interactive job readiness and independent living workbook to assist and provide resources for students during their transition into the workforce. The senior cohort completed seventeen fillable workbook pages with …

Development Of A Mobile App For Parents And Caregivers Of Children With Autism, Laurie Tison

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

Background: Caring for children with autism who experience sensory challenges often leads to increased caregiver stress and reduced self-efficacy. Research suggests that smartphone apps can effectively mitigate stress and empower parents. A needs assessment highlighted the necessity for an app centered on sensory processing tools and strategies, considering the limited resources available for addressing children’s emotions and behaviors.

Objective: This project aimed to develop and evaluate a comprehensive app to support parents and caregivers of children with autism, focusing on reducing stress and enhancing parental efficacy. Objectives included: 1) designing the app with relevant resources, 2) assessing the app’s content, …

The Use Of Equine-Assisted Services To Develop Life Skills And Improve Educational Outcomes In Young Adults With Disabilities, Mackenzie Marcum

Entry-Level Occupational Therapy Doctorate - Doctoral Capstone Symposium

Young individuals with disabilities often face significant challenges in acquiring essential life skills, primarily those with cognitive impairments. This often limits their ability to live independently and fully participate in daily activities. Without progress in developing these skills, individuals may struggle with tasks such as Activities of Daily Living (ADLs) and Instrumental Activities of Daily Living (IADLs). Equine-assisted services (EAS), as defined by The Journal of Alternative and Complementary Medicine, is "recommended as an optimal unifying term to refer to multiple services in which professionals incorporate horses and other equines to benefit people" (Wood et al., 2021).

A doctoral …

From Data To Impact: Integrating Research, Data Analysis, And Data Visualizations To Shape The Future Of Stroke Rehabilitation, Abigail Mcnaughton

Entry-Level Occupational Therapy Doctorate - Doctoral Capstone Symposium

This capstone project highlights the essential role of research in advancing occupational therapy (OT) practice and underscores the importance of data analysis and visualization in enhancing the communication and dissemination of research findings. Grounded in the Myers and Lotz Framework for Evidence-Based Practice and the CO-OP approach to problem-solving, the experience was structured around three core pillars: (1) gaining hands-on experience as a research therapist, (2) conducting in-depth data analysis, and (3) creating effective data visualizations to support scientific communication.

As a research therapist, I contributed to two ongoing studies: the Cognitive Priming (Cog-P) study and the Patient Quality Rating …

After-School Program For Teens With Intellectual And Developmental Disabilities, Hayden E. Davis

Entry-Level Occupational Therapy Doctorate - Doctoral Capstone Symposium

Introduction: According to the Centers for Disease Control and Prevention, 1 in 36 children have Autism Spectrum Disorder (ASD) (CDC, 2023) with 31% of children with ASD having an Intellectual Disability (ID) (Autism Speaks, 2023), and 1 in every 700 babies are born with Down Syndrome (CDC, 2023b). According to the National Longitudinal Transition Study-2 (Shattuck et al, 2011) nearly 40% of individuals with ASD after exiting high school were not receiving any services, such as occupational therapy, case management, medical assessments, etc. The purpose of this capstone is to implement an after-school program for teens with Intellectual and Developmental …

Impact Of A Case-Based Learning Module: Integrating Authentic Treatment Videos, Electronic Documentation, And Hands-On Simulation, Emily Martin

Entry-Level Occupational Therapy Doctorate - Doctoral Capstone Symposium

INTRODUCTION: Developing student confidence and competence is essential for effective fieldwork preparation in occupational therapy (OT) education. Educators use diverse instructional methods to foster clinical readiness, including case-based learning (CBL), video cases, documentation practice, and simulation. CBL enhances critical thinking, clinical reasoning, self-awareness, and confidence. With advancements in technology, video CBL has become more accessible, using authentic patient videos to promote higher-level clinical reasoning, documentation, and communication skills, especially when paired with complementary learning activities. CBL video cases offer a logical opportunity to incorporate structured documentation training, an area in which health professions students often report feeling underprepared. Simulation …