Occupational Therapy Commons^™

Optimizing Healthy Aging: A Preventative Approach To Support Community-Dwelling Older Adults, Jada Welke

Occupational Therapy Capstones

Introduction: Healthy aging is a complex and multidimensional process influenced by physical, cognitive, psychosocial, environmental, and lifestyle factors across the lifespan. Increasing evidence from researchers suggests that many health care systems continue to rely on reactive models that address decline only after functional limitations emerge. Preventive interventions initiated in midlife have the potential to significantly influence long-term health outcomes, independence, well-being, and quality of life. As a result, there is growing recognition that multidimensional, proactive screening and intervention should begin earlier, before age-related conditions become clinically significant.

Purpose: The purpose of this scholarly project was to address this need through …

From Play To Pressure: Understanding Early Sports Specialization Through An Occupational Lens, Kiley Jade Washnieski

Occupational Therapy Capstones

Background: Youth sport participation plays a significant role in the daily lives of children ages 6-12 (Lee et al., 2018). Participation in organized sports can offer numerous benefits; however, the expectations surrounding youth sports have evolved over time. Increased emphasis on early specialization has intensified training demands and performance pressures placed on youth athletes during critical developmental years (Brenner et al., 2019). Although occupational therapy is well positioned to address both the physical and psychosocial demands of youth sport participation, the profession’s role within this context remains underexplored (Bulan et al., 2025).

Purpose: The purpose of this scholarly project was …

Enhancing Wheelchair Education Throough Technology, Anna Elizabeth Voegel

Occupational Therapy Capstones

Purpose: The World Health Organization states there are more than 65 million wheelchair users worldwide, with the number expected to grow (Gilani, 2023). Many wheelchair users face challenges with not knowing how to properly maintain their equipment or develop the skills needed to navigate their environments (Boccardi et al., 2022; Morgan et al., 2015; Smith et al., 2016; Toro et al., 2017). This product aims to provide practitioners with accessible educational materials that address commonly encountered barriers, usable in the clinic setting or for patients and caregivers to access from a distance.

Methods: A needs assessment was conducted, which included …

The Role Of Ot In Enhancing Mental Health Outcomes For Primary Care Patients, Amorelle Upton

Occupational Therapy Capstones

Purpose. Primary care settings often serve as the first point of contact for individuals experiencing mental health concerns. However, occupation-based and function-focused interventions remain underutilized in these settings. The purpose of this Doctoral Experiential Capstone (DEC) was to implement an Occupational Therapy Mental Health Toolkit designed to support holistic and integrative mental health care in primary care settings.

Methods. This project was guided by the ecology of human performance (EHP) model. Methods included a literature synthesis, development of a Memorandum of Understanding (MOU) and structured learning objectives, contextual needs assessment through stakeholder collaboration and site observation, and a product design, …

Supporting Reentry: An Occupation-Based Approach, Savannah B. Ullyott

Occupational Therapy Capstones

Introduction: Individuals transitioning back into the community following incarceration need holistic care to support a successful reintegration process (National Institute of Justice [NIJ], 2023). There are a variety of supports and barriers to successful reintegration that should be considered when guiding programming for this population, as these individuals often face many challenges when transitioning back into the community (Galletta et al., 2021). Specific supports facilitating successful transitions back into the community includes those of basic or daily needs, often related to housing, employment, transportation, social supports, food security, and access to mental and physical health services (Galletta et al., 2021; …

Expanding Access To Hand Therapy In Rural Wyoming Through Telehealth, Cheyenne Rose Thompson

Occupational Therapy Capstones

Individuals living in rural Wyoming experience significant barriers to accessing specialized hand therapy services, including geographic isolation, limited availability of certified hand therapists, and inconsistent healthcare infrastructure, resulting in delayed rehabilitation and reduced functional outcomes (Hirth et al., 2022; Rural Health Information Hub, 2025). Although telehealth has emerged as a potential solution to improve access, challenges related to clinician training, safety, and adaptation of interventions to virtual environments persist (Feldhacker et al., 2022; Morris, 2024). The purpose of this scholarly project was to develop an evidence-based telehealth hand therapy program to improve access to upper extremity rehabilitation services in rural …

Enhancing Interdisciplinary Care In Functional Cognition, Madison Anne Thomas

Occupational Therapy Capstones

Purpose: Functional cognition plays a critical role in determining a patient’s ability to safely perform daily activities, manage medications, and discharge from acute care settings. Functional cognition refers to the integration of cognitive processes and performance skills necessary for completing real-world tasks safely and independently (American Occupational Therapy Association [AOTA], 2023). Occupational therapy practitioners are uniquely positioned to assess functional cognition using performance-based measures and support safe discharge planning. Limited awareness and understanding of functional cognition impairments among hospitalists and interdisciplinary team members may lead to inconsistent occupational therapy referrals and potential safety concerns during discharge planning (D’Cruz et al., …

Supporting Inclusion: Occupational Therapy’S Role In Paraprofessional Education For Sensory Processing Difference, Jalen Taylor

Occupational Therapy Capstones

Background: Students with individualized education programs (IEPs) in rural school settings often experience challenges related to sensory processing and emotional regulation, which can impact their ability to engage in classroom routines and academic activities. Paraprofessionals play a significant role in supporting these students throughout the school day, however, many report limited access to formal training, practical strategies, and clear guidance for addressing sensory and behavioral needs. These gaps can lead to inconsistent support and decreased opportunities for student participation in educational occupations and classroom activities.

Purpose: The Paraprofessional Sensory and Regulation Training Program was developed to increase paraprofessional knowledge, confidence, …

Occupational Wellness For Mother & Baby: Education For Young Mothers In Rural North Dakota, Kaelyn Talley

Occupational Therapy Capstones

Purpose: The purpose of this project was for an occupational therapy doctoral student to collaborate with the staff of a maternity home in rural North Dakota. The goal of this collaboration was to provide the residents of the maternity home with education on safety and caring for their child as well as information regarding pregnancy, postpartum, and bonding with their child. This will help to support the mother in her newfound role as well as the child in their various occupations as an infant. Women face many barriers in pregnancy that may lead to them being in maternity homes. The …

Enhancing Leisure For Older Adults In Senior Living Communities, Hannah Louise Street

Occupational Therapy Capstones

Introduction: Older adults living in senior living communities are at an increased risk of social isolation, depression, boredom, and decreased quality of life (Donovan & Blazer, 2020; du Toit et al., 2019). Increasing access to meaningful, person-centered leisure activities can improve life satisfaction and overall quality of life for older adults (Chang et al., 2021; Shryock & Meeks, 2020). The purpose of this project was to develop a product to increase meaningful leisure engagement amongst older adults living in senior living communities for an overall improved quality of life.

Methodology: The model of human occupation (MOHO) was utilized as the …

The Lens Of Farmers: Understanding Culture To Improve Occupational Therapy Care, Allison Marie Stephani

Occupational Therapy Capstones

Introduction: Accessible healthcare is essential for farmers due to their limited available time and hazardous job duties (Hildebrand et al., 2019; Hopkins et al., 2023; Salmon et al., 2025; U.S. Department of Agriculture, 2023). Due to the high incidence of injuries that occur within the profession, it is crucial that farmers seek appropriate healthcare services to address these concerns. However, a significant barrier for seeking healthcare assistance is the limited cultural competence among healthcare professionals in understanding the unique needs within farming communities (Gordon et al., 2024; Hildebrand et al., 2019; Hopkins et al., 2023; Purc-Stephenson et al., 2024). The …

Occupational Therapy In Rural North Dakota Schools To Enhance Transition Planning, Kyra M. Schwartz

Occupational Therapy Capstones

Background: Access to services does not guarantee participation. Youth with disabilities, particularly in rural communities, continue to experience disparities in postsecondary outcomes related to employment, education, and independent living. While transition services are available, barriers related to awareness, coordination, and usability limit effective engagement. These challenges highlight a gap between service availability and access within rural systems and contribute to reduced participation outcomes.

Purpose: The purpose of this scholarly project was to develop an occupational therapy– informed, advocacy-driven approach to improve access to and navigation of transition services for youth with disabilities in rural communities.

Methodology: A multi-method, iterative approach …

Early Occupational Therapy Services: Addressing Health Disparities Following Discharge From The Nicu, Ellie Maree Schumacher

Occupational Therapy Capstones

Background and Purpose: One out of ten infants born in the United States are admitted to the Neonatal Intensive Care Unit (NICU); a status that has been directly linked to ongoing infant health disparities and disabilities, requiring continued support and education following discharge (Griffith et al., 2022; National Center for Health Statistics, 2025). NICU graduates and their families work with occupational therapy to address or prevent developmental delays and ensure well-being (Craig, 2018; Riley & de Sam Lazaro 2021).

Methodology: A literature review was conducted to determine the needs of the population and context and include NICU admissions, family needs, …

Swimming With Confidence From An Occupational Therapy Perspective, Emma M. Schultz

Occupational Therapy Capstones

Background: Autism Spectrum Disorder (ASD) is a neurological disorder that impacts thousands of people and their families. Those with an ASD diagnosis demonstrate difficulty with safety awareness are at an increased risk to die due to drowning. Those with autism are often drawn to water for a multitude of reasons especially after an elopement attempt. There has been an increased awareness and development in aquatic therapy to reduce the drowning risks for those with ASD. Occupational therapists have begun to develop interventions that targets basic swimming and water safety. During these interventions, occupational therapists use their skills of activity analysis, …

The Effect Of Sensory Processing And Integration On Engagement In Occupations For Children With Sensory Processing Disorders, Ashley Schindele

Occupational Therapy Capstones

Background: Sensory Processing Disorder (SPD) is a condition where the person is unable to process and respond to sensory information (Guardado & Sergeant, 2023). Children who are lacking sensory integration skills may have more behavior problems due to their inability to regulate their responses (Guardado & Sergeant, 2023; Pfeiffer et al., 2013). Children with SPD may have abnormal sensitivities in any or all the sensory systems which may cause the child to not participate in their occupations (Guardado & Sergeant, 2023; Parham & Mailloux, 2020).

Purpose: The purpose of this scholarly project was to provide parents/caregivers a handout that thoroughly …

Caregiver Resources For Children With Sensory Needs, Kennedy E. Reimann

Occupational Therapy Capstones

Purpose: Children with autism spectrum disorder (ASD) frequently experience sensory processing differences that impact participation in daily activities, social engagement, and family routines. These challenges often extend beyond the child, influencing caregiver well-being and overall family functioning. Although occupational therapy (OT) plays a critical role in addressing sensory processing needs through sensory-based interventions and environmental modifications, caregivers often report limited access to clear, practical, and evidence-based resources. The purpose of this scholarly project was to develop caregiver-friendly educational materials that translate sensory-based strategies into accessible and practical tools for everyday use.

Methods: This project was guided by the Ecology of …

Achieving Successful Occupational Performance During Transitions In Eating Disorder Treatment, Elise Kay Ramberg

Occupational Therapy Capstones

Introduction: Individuals with eating disorders experience challenges in occupational engagement that stem from contributing meaning, value, and purpose to occupations that support eating disorder behaviors rather than promote quality of life (Mack et al., 2023). Recovery is highly dependent on the transition between both levels of care and back into the patient’s natural environment. Occupational therapists play an essential role in supporting patients as they transition and learn to re-engage in their lives outside of their eating disorder (Mack et al., 2023). The purpose of this project was to create materials for the occupational therapist to employ with eating disorder …

Harvesting Health: Cultivating Skills For Wellness In Agricultural Workers, Katie Renee Quinley

Occupational Therapy Capstones

Purpose: The nature of agricultural work is physically demanding and associated with an increased risk of musculoskeletal injury due to repetitive movements, heavy lifting, awkward postures, and prolonged physical labor. Despite the importance of agriculture as a meaningful occupation and major contributor to the workforce, limited resources address the unique physical demands of agricultural labor. The purpose of this scholarly project was to develop a video-based educational resource to promote safety and continued occupational participation in agricultural workers. Additionally, the project aims to assist therapy professionals in implementing ergonomic and task modifications through an accompanying resource guide.

Methodology: A literature …

Enhancing Leisure Opportunities For People With Disabilities In Rural Communities, Joslyn Mary Nordmark

Occupational Therapy Capstones

Purpose. The purpose of this scholarly project was to promote access to leisure opportunities for people with disabilities in rural areas. The author addressed unmet needs among this population considering personal, occupational, environmental, cultural, and socioeconomic factors. The goal was to develop a product that provided opportunities regardless of abilities to promote leisure exploration and participation, social engagement, and life skill development for people with disabilities

Methods. The author conducted a needs assessment through a literature review following the Model of Human Occupation (MOHO), collaborations with site staff, and an on-site observation and environmental analysis. Data was examined to identify …

Promoting Parent Well-Being And Balance During Neonatal Intensive Care Unit (Nicu) Stays, Lauren Brooke Nelson

Occupational Therapy Capstones

Introduction: Families in the Neonatal Intensive Care Unit (NICU) experience challenges that influence quality of life, occupational balance, and participation in meaningful activities, limiting their ability to nurture their infants. Currently, occupational therapists in the NICU focus on observable infant occupations including oral feeding, holding, and social interaction. Occupational therapy can support families by promoting engagement in meaningful cooccupations, encouraging balanced routines and roles, providing caregiver education, and adapting tasks or environments to meet family needs.

Methodology: A literature review was conducted prior to arrival on site to understand the needs of parents in the NICU. After the arrival on …

The Missing Link: Psychosocial Integration In Neuro Ot Care, Emily Nelson

Occupational Therapy Capstones

Introduction: Over 1 in 3 people are affected by neurological conditions, making it the leading cause of illness and disability worldwide (World Health Organization, 2024). Patients are often referred to inpatient rehabilitation to increase independence and functional recovery. There is a need to address psychosocial factors within this setting thus, The Missing Link: Integrating Psychosocial Factors into Neuro OT was created.

Methodology : The capstone is guided by the Model of Human Occupation (MOHO), which emphasizes the dynamic interaction between the person and their environment and its influence on psychosocial factors, personal identity, and competence. A comprehensive needs review was …

Supporting Occupational Competence Among American Indian/ Alaska Native Students, Adam Nadeau

Occupational Therapy Capstones

Introduction: American Indian and Alaska Native (AIAN) students face significant systemic barriers in higher education, resulting in the lowest enrollment and graduation rates of any student cohort (Dabdoub et al., 2025; McMillan et al., 2025). Challenges such as cultural discontinuity and a lack of supportive “counterspaces” often led to occupational alienation and deprivation (Buckingham et al., 2023; Fetter et al., 2024; McMillan et al., 2025; Reitz & Graham, 2019). There is a critical need for culturally grounded interventions that address the unique needs of these students to foster a sense of belonging (Delgado-Guerrero & Gloria, 2025; Kuchynka et al., 2025). …

Occupation-Based Transition Planning Guide For High School Students With Disabilites., Kelsey Milleson

Occupational Therapy Capstones

Background: The transition from high school to adulthood is a critical period influencing independence, employment, and community participation for students with disabilities (Carroll et al., 2025; Rosner et al., 2020). Despite mandates under the Individuals with Disabilities Education Act (IDEA), many students experience poor postsecondary outcomes, including limited employment and increased reliance on caregivers (Benson et al., 2021; U.S. Department of Education, 2020). Effective transition planning should begin early, be individualized, and emphasize real-world skill development such as daily living, vocational skills, and self-advocacy (Cleary & Persch, 2020). However, school-based programs often lack consistency, structure, and performance-based outcome measures, reducing …

Cultivating Connections: Empowering Agricultural Community Members Through Collaborative Care, Kearyn E. Nelsen

Occupational Therapy Capstones

Background: Agriculture and mental health – two words not typically used in the same sentence; however, considering the rate of suicide among those working in the agriculture profession is significantly higher than the general population, the need for both awareness and action is critically important. Despite a lack of research specific to occupational therapy and the agricultural population, occupational therapists on an interprofessional healthcare team are uniquely positioned to serve this population. Interprofessional collaboration is essential when serving agricultural community members, whose needs involve a complexity of physical, mental, social, and environmental factors, each impacting the overall health and well-being …

Increasing Leisure Exploration In Older Adults As They Age, Jackie Middendorf

Occupational Therapy Capstones

Background: As individuals age, it is common for them to experience deficits that impact how and where they age (Dieuleveult et al., 2017; Nakahara & Yokoi, 2024; Park et al., 2021; Rimland et al., 2016; Szanton et al., 2016). These deficits commonly impact functional mobility and their ability to complete self-cares, leading to them having to leave their homes or receive services (Dieuleveult et al., 2017; Feller & Baker, 2022; Lindquist et al., 2021; Mayo et al., 2021; Spang et al., 2024). Along with deficits with functional mobility and self-cares, older adults experience decreases in their social engagement and leisure …

The Role Of Occupational Therapy In The Prevention Of Sudden Unexpected Infant Death (Suid), Natalie Ryan Mcfarren

Occupational Therapy Capstones

Background: Each year, 3,700 infants die from SUID; this equates to about ten infants per day. SUID is an umbrella term that covers three separate subcategories: suffocation and strangulation in bed, sudden infant death syndrome (SIDS), and unknown (Cribs for Kids, 2026). Suffocation and strangulation in bed is the only subcategory that is 100% preventable with safe sleep practices, while the risk of SIDS can be decreased by adhering to safe sleep guidelines. While the prevalence of SUID has decreased since the 1992 Back to Sleep campaign, current data indicate a plateau, if not a slight increase, in SUID cases …

Digging Into Prevention: An Occupational Therapy Based Work-Related Upper Extremity Injury Prevention Program For Extraction And Mining Industries, Karli Teresa March

Occupational Therapy Capstones

Background: Extraction and mining industries, which play a significant role in the economic structure of Sweetwater County, Wyoming, consistently report some of the highest rates of work-related injury. Upper extremity based musculoskeletal injuries are particularly common and often lead to significant impairment and/or surgical intervention, impacting productivity, increasing lost-workdays, and contributing to long-term health outcomes. These injuries are often due to a dynamic interaction of personal, contextual, and task-based factors including fatigue, level of experience, organizational procedures and policies, repetitive motions, sustained forceful exertions, awkward positioning, and vibration exposure. Current prevention efforts are often reactive rather than proactive, with interventions …

Introduction Of Occupational Therapy Into A Suburban Supportive Housing Organization, Madeline Kuntz

Occupational Therapy Capstones

Abstract: Unhoused individuals experience compounded barriers beyond housing access and are often underserved within occupational therapy practice. This doctoral capstone project partnered with a nonprofit residential program to develop a research-informed onboarding manual grounded in the holistic occupational therapy framework, Model of Human Occupation (MOHO, O’Brien, 2017). The manual was designed to clarify expectations of the supportive housing program, address diverse resident needs, and promote independence as the organization expands. Development was informed by a comprehensive literature review and informal needs assessment of the organization, identifying anticipatory barriers and supports commonly experienced prior to program entry. Key areas of need …

Beyond Survival: Empowering Mental Health Recovery After Acquired Brain Injury, Paige Mackenzie Kozak

Occupational Therapy Capstones

Purpose: Individuals with acquired brain injury (ABI) frequently experience psychosocial and cognitive challenges, including depression, anxiety, emotional dysregulation, and identity changes which can significantly impact rehabilitation outcomes and participation in daily occupations. Despite this, outpatient rehabilitation clinicians may feel underprepared to recognize and address these concerns within their scope of practice. The purpose of this scholarly project was to develop an educational onboarding program to support interdisciplinary rehabilitation staff in identifying and responding to psychosocial needs of individuals with ABI, while promoting trauma-informed and patient-centered care.

Methodology: A literature review was conducted to examine common psychosocial and cognitive outcomes following …

Pathways To Participation: Enhancing Inclusion For Individuals With Idd, Katie Koxlien

Occupational Therapy Capstones

Background: Youth with intellectual and developmental disabilities (IDD) continue to experience barriers to meaningful community participation despite policies promoting inclusive community-based services (Friedman, 2017). Sensory sensitivities, difficulty with transitions, and overstimulating environments frequently limit engagement and increase anxiety or behavioral responses when appropriate supports are not present (Bagatell et al., 2022; Dean et al., 2018; Tint et al., 2017). Research indicates that inclusion requires intentional programming that incorporates structured supports, consistent routines, and opportunities for meaningful engagement (Edwards et al., 2021; Hall, 2016).

Methods: The purpose of this scholarly project was to develop a week long sensory exploration camp for …