Occupational Therapy Commons^™

Critically Appraised Topic: The Use Of Interprofessional Practice In Occupational Therapy, Rachel Cheatley, Jaecy Giegerich, Paige Mann

Critically Appraised Topics

The theoretical lens of the Ecological of Human Performance model (EHP) (Dunn et al., 1994) was used to understand why interprofessional collaborative practice is essential to occupational therapists and other health sciences across various settings. The EHP model is an occupational therapy theory model that emphasizes the importance of context on an individual’s occupational performance and their range to perform in (Dunn et al., 1994). EHP is used to describe the environmental effects on performance range, in this case, effective interprofessional practice used by occupational therapists and other healthcare stakeholders, to identify the factors that limit and support quality care. …

Critically Appraised Topic Paper: What Is Motor Learning Theory? How Can It Be Implemented Into Occupational Therapy Interventions For Individuals With Cerebrovascular Accidents?, Allyson Bourque, Alison O'Sadnick, Alexis Skogen, Callie Vold

Critically Appraised Topics

Purpose Statement

The purpose of this critically appraised topic (CAT) paper was to determine if motor learning theory guides interventions that are considered to be best practice for individuals with CVAs. We want to determine what is best practice for this population to provide practitioners with synthesized research allowing practitioners to implement the most effective, client-centered, evidence-based interventions possible.

Prevention Of Falls In Adults Older Than 60 Years Through Therapeutic Riding: A Critically Appraised Topic, Isabella Johannes, Dominique Menard, Alicia Young

Critically Appraised Topics

This critically appraised topic paper will address the focus question relating to the intervention of therapeutic riding. A critically appraised topic (CAT) is an overview of scientific literature about an intervention or practical issue and how it relates to practice (Barends et al., 2017). The use of the Ecological Human Performance (EHP) model is to guide this CAT research with a theoretical basis. EHP was chosen for its emphasis on the person, environment, and tasks. The person is described in EHP as including their experiences, sensorimotor, cognition, and psychosocial abilities (Dunn et al., 1994). The use of EHP provides a …

Integrating Assistive Technology Into Outpatient Rehabilitation Programs To Increase Independent Living In Older Adults: A Critically Appraised Topic (Cat), Josie Anhorn, Kenadee Eyre, Tiana Griffith

Critically Appraised Topics

In the United States, older adults account for about “16% of the population” (Administration on Aging, 2020, p.5). Older adults are defined as anyone aged 60 and older. There has been a steady increase in the number of older adults living in the United States, and that number is expected to continue growing at a rapid rate as it is predicted that by 2040, older adults will make up approximately “21.6% of the population” (Administration on Aging, 2020, p. 5-6). The majority of this population does not reside in assisted living facilities or nursing homes but instead lives in the …

The Effectiveness Of Intervention Facilitating Return To Work Through Improving Cognition For Those With Mild Traumatic Brain Injury, Madison Ertelt, Abbey Marinucci, Jaden Pikarski

Critically Appraised Topics

According to the Centers for Disease Control and Prevention (CDC) (2019), about 2.87 million traumatic brain injury (TBI)-related emergency department (ED) visits, hospitalizations, and deaths occurred in the United States in 2019. It is estimated that around 1.5 million Americans suffer a traumatic brain injury every year. Approximately 2.5 to 6.3 million people currently live with a TBI-related disability (Centers for Disease Control and Prevention, 2019; Faul & Coronado, 2015, as cited in Powell et al., 2016). Specific populations are at a higher risk for sustaining a TBI. High-risk age groups include children aged four years or younger, young adults …

Impact Of Stress Management Strategies And Intervention On The Mental Health Of Farmers: A Critically Appraised Topic, Logan Anderson, Zach Gascho, Nicole Gentry, Ashley Vannelli

Critically Appraised Topics

The dynamic transactions between the environment, person, and occupation play a role in the success of the farmer, their access to healthcare, and their willingness to seek support with their stressors or difficulties. Depression, stress, and other mental health conditions are highly prevalent within the farming community. This population is less likely to seek out and utilize available mental health resources and services, and in many cases, mental health resources are not available in rural areas (Gunn et al., 2021; Kennedy et al., 2020).

Best Interventions For Working Adults Experiencing Chronic Musculoskeletal Pain, Hailey Koep, Samantha Larson, Michelle Mcnamee

Critically Appraised Topics

Chronic musculoskeletal pain is defined as ongoing pain felt in the bones, joints, and tissue of the body that persists for longer than three months (Booth et al., 2017; Joelsson et al., 2017). Worldwide, 30% of the population has experienced some form of chronic pain in their lifetime (Guy et al., 2020). When living with chronic pain, it can become difficult for working adults to engage in their everyday occupations such as activities of daily living (ADL), instrumental activities of daily living (IADL), health management, social participation, and leisure (American Occupational Therapy Association [AOTA], 2020). These troubles can affect an …

Interventions That Reduce Anxiety And Depression To Support Mediation Of Lifestyle Balance In Middle School Students, Briana M. Kent, Aleksander R. Kohn, Cammy C. Robertson

Critically Appraised Topics

Mental health disorders are internationally known as a leading cause of disability throughout almost 20% of the adolescent population experiencing devastating mental health problems. Current statistics note that the prevalence of impaired mental health within this population has increased by 21% from 2001 to 2011, indicating a continuation of severe effects from poor mental health on this vulnerable population (Danielson et al., 2020). Allison et al. (2014) estimated that at the time the article was written, 14 million children in the United States had a mental health disorder that interfered with their daily life. Research from the Centers for Disease …

Effectiveness Of Kind Behavior Promotion In Bullying Prevention Among School-Aged Adolescents, Isabell Fetsch, Megan Fuka, Lexi Zahn

Critically Appraised Topics

Bullying is an important and prevalent issue among school-aged adolescents and adolescents. The highest rates of bullying were reported in middle schools, followed by high schools, combined schools, and primary schools, respectively. Approximately 1 in 5 high school students experience bullying at school and about 1 in 6 experience cyberbullying. The rates of bullying also differ between groups of individuals. LGBTQ+ students are more likely to be bullied than their heterosexual counterparts, females are more likely to be bullied than males, and White students reported higher rates of bullying than Hispanic and Black students (Centers for Disease Control and Prevention …

Efficacy Of Cognitive Behavioral Therapy On Adults Experiencing Chronic Musculoskeletal Pain, Emma Lehman, Abbigail Smith, Krista Weiland

Critically Appraised Topics

The purpose of this critically appraised topic (CAT) paper is to explore the effectiveness of pain reduction through cognitive behavioral therapy (CBT) in assisting men and women who have chronic musculoskeletal pain with instrumental activities of daily living. There is a gap in the literature regarding the effect of cognitive behavioral therapy when managing and perceiving chronic musculoskeletal pain. There is also a gap in long-term research in the performance and satisfaction of instrumental activities of daily living (IADLs) when living with chronic pain. Aegler and Satink (2009), Cheng et al. (2017) and Ehde et al. (2014) discussed the impact …

Evidence For Planning As An Intervention Approach For Adults Transitioning Into Retirement, Emily Knust, Olivia Myers, Bridget Reuss

Critically Appraised Topics

The retirement age in America is continuing to become older. Seven in ten working adults in the Baby Boomer generation said that they expect to work past age 65 or are already past that age and are still working. Of this generation, 42% would prefer to transition into their retirement by lessening their hours at their current career (Edlerson, 2019). Those who are choosing to retire later in their life are prolonging this transition to delay the loss of a meaningful occupation that they have held for several decades. For this critically appraised topic, the authors have operationally defined retirement …

Aging In Place: Causes And Importance Of Fall Prevention Education, Molly Banks, Danielle Halstead, Mariah Leroux

Critically Appraised Topics

Falls are a significant concern for older community-dwelling adults’ ability to age in place, specifically those who aged 60 and older. Many factors contribute to the risk of falls in older adults that need to be addressed by health care facilities, home health providers, and caretakers. Occupational therapy has a role to educate older adults, as well as health care providers on how to prevent the risk factors of older adults and falls. The purpose of this CAT is to take a deeper look at why this population has so many falls and examine the research addressing education and risk …

Critically Appraised Topic: Hippotherapy Intervention For School Age Children With Autism Spectrum Disorders, Jedekiah May, Delanie Vitosh, Karleen Vonkrosigk

Critically Appraised Topics

The prevalence of autism spectrum disorders (ASD) has risen nearly 600 percent in the past two decades, with estimates suggesting that 1 in 68 children worldwide have a clinical diagnosis (Centers for Disease Control and Prevention [CDC], 2014). Children with ASD experience resultant challenges in occupational functioning due to impairments in communication, social interaction, and sensory processing. Sensory modulation issues can cause negative impacts on physical and social functioning. Modulation allows filtering of irrelevant stimuli and maintenance of an optimal level of arousal that facilitates attention to environmental demands with longer engagement in tasks (Llambias, Magill-Evans, Smith, & Warren, 2016). …

Therapeutic Use Of Self: Continuing Education For Occupational Therapy Practitioners And Students, Jessica Anderson, Hannah Halbakken

Occupational Therapy Capstones

Only half of occupational therapy students graduating from occupational therapy programs feel sufficiently trained in therapeutic use of self (Taylor, Lee, Kielhofner & Ketkar, 2009). There are also many healthcare trends that make forming the therapeutic relationship difficult (Moreno, Delgado, Leyva, Casanova & Montes, 2019). The purpose of this scholarly project was to enhance the knowledge and skills of occupational therapy practitioners and students regarding therapeutic use of self. A literature review was completed with information regarding therapeutic use of self, rapport, the Intentional Relationship Model (Taylor, 2008), empathy, cultural competence, healthcare barriers and trends, and current training available for …

A Website Designed To Equip Occupational Therapists With Information And Strategies For Holistically Addressing Sexual Activity With The Geriatric Population, Amber Fernandez, Ashleigh Mora

Occupational Therapy Capstones

As individuals age, they are likely to experience occupational deprivation. Occupational deprivation occurs in many forms. Many older adults experience occupational deprivation relating to the activity of daily living, sexual activity. Older adults experience many age-related changes, which impacts their ability to engage in sexual activity. Health care professionals have a responsibility to ensure older adults are able to engage in safe sexual practices. Yet, healthcare professionals, including occupational therapists, are not addressing this need with their clients in a routine manner. A literature review was conducted in order to gain a comprehensive understanding of all the barriers older adults …

The Evolution Of Occupational Therapy Practice: Life History Of Susan Haiman, Mps, Ot/L, Faota, Jacey Savage, Meaghan Wolfgram

Oral History Posters

Objective: This life history is one of 30 life history interviews, which are part of a larger project, Histories of Individuals Who Have Been Influential in Developing Occupational Therapy (OT) at the National Level and Beyond. The purpose of this qualitative study is to provide current and future generations of occupational therapists a view of the history of occupational therapy and how the practice has evolved from the beginning to its current practice through the life history stories of accomplished occupational therapists.

Method: An in-depth, semi-structured, 120-minute interview was conducted with Susan Haiman via telephone from the University of North …

Wellness Programming For Men In Long-Term Care, Katie Hautman, Ashley Heinze

Occupational Therapy Capstones

Introduction: The purpose of this project was to develop a wellness guide for staff to implement in long-term care (LTC), to increase participation of meaningful activities and well-being for male residents of all abilities, both physically and psychosocially.

Methodology: A literature review was conducted to understand the need for activities of male residents in LTC. Sources included: online databases, textbooks, and government websites. The Canadian Model of Occupational Performance and Engagement (CMOPE) was selected to direct the development of the program guide. The CMOP-E promotes engagement in occupations and enablement of occupational performance, both of which are important for male …

Enabling Occupational Competence Through Stress Reduction For Parents In The Neonatal Intensive Care Unit (Nicu), Jenna Nelson, Rachel Trieff

Occupational Therapy Capstones

Each year, thousands of infants are admitted to the Neonatal Intensive Care Unit (NICU). Research has shown evidence that parents, of babies who are admitted to the NICU, experience increased stress levels and are at an increased risk for mental health issues after discharge from the hospital. The objective of this scholarly project was to develop an occupation-based group protocol that focuses on enabling an occupational adaptive response for parents in the NICU, through the use of evidenced-based stress reduction techniques. An extensive literature review was conducted to identify research to be used to support the development of this product. …

Evolution Of Occupational Therapy Practice: Life History Of Elizabeth Skidmore, Phd, Otr/L, Faota, Facrm, Emily Annen, Seira Goddard

Oral History Posters

Objective: The purpose of the study is to provide current and future generations of occupational therapists a view of the history and how occupational therapy practice has evolved from its inception to current practice through the life history stories of occupational therapists who have held leadership roles at the national level and beyond. It is anticipated that the life history process will be a powerful way to gather this information.

Method: A detailed, semi-structured interview was conducted at the University of North Dakota School of Medicine and Health Sciences. The interview took approximately 120 minutes to complete, followed …

The Evolution Of Occupational Therapy: Life History Of Shirley A. Wells, Drph, Otr, Faota, Hope Schuster, Hailey Johnson

Oral History Posters

Objective: The purpose of the life history of Dr. Shirley Wells is to gain an insight about her life experiences and leadership throughout her years of work in the profession of occupational therapy.

Method: An in-depth, semi-structured, hour and a half interview was conducted via the telecommunication app, Zoom. The interview was later transcribed verbatim and coded for the emergent categories and corresponding themes.

Results: The predominant categories representing the major elements of her life history were overcoming challenges, providing a seat at the table, and developing practice. The findings indicate that she made a significant impact for …

A Group Protocol For Promoting Wellness In Rural Community-Dwelling Older Adults, Emily Bachmeier, Laurel Busch

Occupational Therapy Capstones

Purpose: In the United States, there are currently 46 million citizens aged 65 and older. This number is projected to more than double by the year 2060 (Mather, 2016). As the elderly population continues to grow, the need for evidence-based, client centered prevention programs for community-dwelling older adults becomes more crucial to promote independence and preserve well-being in the community. Older adults living in rural areas are at an even higher risk of losing independence secondary to decline in activity tolerance, which further elevates their need for targeted interventions (Park, Kim, & Lee, 2015). Creating a preventative program to maintain …

Navigating Cultural Differences Between Fieldwork Educators And Students, Tiana Brown, Norris Chin

Occupational Therapy Capstones

Background Cultural competency is an awareness and incorporation of knowledge about individuals and groups of people into specific policies, practices, standards and attitudes by incorporating the client's personal views, values and belief (Suk, Oh, & Im, 2018). Although it is important for future health care professionals and faculty to understand our growing diverse population, there is little to no emphasis on improving the interactions of diverse students and their fieldwork educators. Currently, there is no literature that provides guidance on facilitating culturally competent interactions and challenges for fieldwork educators or students. The purpose of this project was to develop a …

Occupational Therapy In Primary Care: Progressive Neurological Disorder, Amanda Callahan, Danielle Chartier

Occupational Therapy Capstones

The purpose of this scholarly project is to provide occupational therapists with a quick reference guide describing the unique role of occupational therapy to provide treatment for patients with multiple sclerosis within a primary care setting.

A substantial literature review was completed to gather knowledge on multiple sclerosis, occupational therapy, primary care, and the intertwining of these three concepts. The findings from the literature review assisted to guide the development of the product.

A collaborative client and therapist guide was developed to guide treatment for individuals with multiple sclerosis within a primary care setting. Occupational therapists bring a holistic perspective …

Implementing An Occupational Therapy Student-Run Clinic At The University Of North Dakota, Ryan Walter, Kennedy Bresnahan

Occupational Therapy Capstones

Introduction: The curriculum of the occupational therapy program at the University of North Dakota (UND) includes approximately 185 hours of level I fieldwork experience where students work to integrate and practice skills learned within the classroom in a clinical setting. Students report that these experiences are often observation-based. Additionally, academic fieldwork coordinators are having an increasingly difficult time finding placements to support the growing number of students nationwide. A contributing factor to placement shortages is the tradition of using the apprenticeship model of supervision, where one student is supervised by one fieldwork educator (FWE). In order to ensure a consistent …

Toda La Familia: An Occupational Therapy Resource Guide For Working With Latino Children Diagnosed With Asd And Their Families, Rachel Fritzler, Stacey Sigmond

Occupational Therapy Capstones

The purpose of this scholarly project was to create a resource guide for occupational therapists working with Latino children diagnosed with ASD and their families. Autism Spectrum Disorder (ASD) is a developmental disability that has become increasingly prevalent within the United States (Baio, Wiggins, and Christensen, 2018), with ASD rates triplining in Hispanic children between the years of 2002 through 2006 (Pedersen et al., 2002). Blanche, Diaz, Barretto, and Cermak (2015) indicated that multiple family members, not just primary caretakers, are aiding in caring for a child diagnosed with ASD. However, many extended households which may include grandparents, aunts, uncles, …

The Experiences Of Occupational Therapists Working In Oncology Care And The Implications Of The Referral Process, Samantha Albrigtson, Jade Clement

Occupational Therapy Capstones

Purpose: The purpose of this independent study was to explore the current role of occupational therapists working in oncology care and to understand the implications of the referral process for this specific population.

Methodology: A phenomenological research design, derived from Giorgi and Giorgi (2008), was used to implement this study. The researchers interviewed 6 occupational therapists, from a variety of settings, in the Midwest region using a semi-structured interview style. The interviews were recorded, transcribed, and broken down into key constituents (Giorgi & Giorgi, 2008).

Results: The subsequent results from the 6 interviews were developed from 11 key constituents that …

Access To Occupational Therapy Practice: A Review Of Current Licensing Processes In The United States, Melissa Groth, Martha Scoby

Occupational Therapy Capstones

Purpose This study was conducted to gain insight on the 50 United States and Washington D.C. occupational therapy (OT) licensure application process. This study sought to examine the accessibility of the OT licensure websites as well as the compliance each OT state licensure application has with the Americans with Disabilities Act (ADA). The researchers predicted that, while the profession of OT seeks inclusion for all individuals, there is discrimination prominent in the OT state licensure process for individuals living with disabilities.

Methodology A two-fold process was used to collect information regarding accessibility and accommodation within licensing processes for OT licensure …

Pain Management Resource Guide For Caregivers Of Children With Phantom Limb Pain, Micaela Monn, Amanda Steffen

Occupational Therapy Capstones

Approximately 80% of children, under the age of 18, develop phantom limb pain within one year after receiving an amputation (Burgoyne, Billups, Jiron, Kaddoum, Wright, Bikhazi, Parish, & Pereiras, 2012; Krane & Heller, 1995). Research on treating phantom limb pain has been focused on the adult population and often includes the use of pharmacological interventions (Subedi & Grossberg, 2011). Because phantom limb pain can cause psychological and physical dysfunction, it can negatively impact a child's ability to engage in everyday life. Currently, no holistic treatment guides are available for caregivers to refer to when helping their child manage his or …

Occupational Therapy With An Adventurous Twist, Ashley Cambronne, Mikaela Karpen

Occupational Therapy Capstones

The purpose of this scholarly project is to increase knowledge and awareness of adventure therapy (AT) for occupational therapists (OTs) practicing in mental health settings or who are interested in practicing in mental health settings within the United States. Currently, there is a lack of knowledge and awareness of AT by OTs practicing within the United States. This lack of knowledge and awareness is due to a lack of research, especially research focused on AT implementation by OTs. The process for gathering data and creating the scholarly project was first, identifying a problem, then searching CINAHL, PubMed, PsychInfo, and Academic …

Occupational Therapy At Stable Days: Supporting A Christian Worldview, Liz Nerhus, Jordan Mooney

Occupational Therapy Capstones

Purpose: The purpose of this project was to provide a framework for use by an occupational therapist providing integrated services from a Christian worldview perspective within a faith-based setting.

Methodology: An extensive literature review was completed on the topics of occupational therapy in integrated faith-based settings, with an emphasis on spirituality, experience of practitioners, current tools of the profession, and the basic tenants of the Christian faith. The search databases used included: CINAHL, OTSEARCH, Pubmed, SocIndex, and PsycINFO. The literature review revealed that nearly 80% of Americans identify spirituality as an important part of their life (Williams-Reade, Lobo and Gutierrez, …