Occupational Therapy Commons^™

Predictors Of Occupational Competence In People Hospitalized With Chronic Conditions, Melanie Morriss Tkach, Patricia Bowyer, Marsha Neville, Timothy J. Wolf, Gerald Goodman

The Open Journal of Occupational Therapy

Background: Chronic diseases limit participation in meaningful daily activities, roles, and routines, which can negatively impact occupational competence, a sense of self, and life satisfaction, especially when hospitalization is required to manage disease symptoms. Standardized measures of occupational competence and related functional, cognitive, and environmental factors may enhance occupational therapists’ ability to identify potential barriers to and make targeted recommendations for self- and health management in the community.

Method: This cross-sectional study investigated occupational competence in patients hospitalized with chronic conditions. The participants completed measures of occupational competence, values, self-care function, environmental impact, and functional cognition while hospitalized. …

Social Participation And Navigation With Adolescent And Young Adult Brain Tumor Survivors: Usability And Potential Benefits, Gary Bedell, Nicole Porter, Miranda Cullen, Zachary Gould, Stephanie Freeman

The Open Journal of Occupational Therapy

Background: This study examined the usability and potential benefits of Social Participation and Navigation (SPAN), a virtual coaching goal planning intervention, which was modified for adolescent and young adult (AYA) brain tumor survivors who often experience social participation challenges.

Methods: Four AYA brain tumor survivors participated in a brief trial of the modified SPAN consisting of four weekly coaching sessions with trained supervised occupational therapy graduate students and use of a website and web application to assist with goal planning and achievement. The participants rated their social participation and SPAN-specific skills pre/post program. The participants and parents completed 1-week …

Reflections From The Other Side Of Acute Care, Debbie Amini

The Open Journal of Occupational Therapy

An occupational therapist of 40 years experiences a traumatic event during her time in an acute care hospital. She journeys through a host of life-altering experiences, including cognitive decline, delusion, paranoia, and an inability to engage in her desired occupations. While on this journey and during reflections following her return home, she is able to see more clearly how an occupational therapist may have assisted with several of the major concerns she was experiencing, thus improving her well-being and quality of life. She is an Assistant Editor for the Open Journal of Occupational Therapy (OJOT) and this is her story.

Emotional Support Animals On Campus: Relevance, Benefits, And Controversies, Grace Campbell

Honors Theses

This research pertains to Emotional Support Animals (ESAs) on university campuses. It explores the need for ESAs (specifically for college students), differentiates between types of support animals, and discusses benefits and controversies that come along with ESAs on campus. Following this, it sets up a research study that can be used at Western Michigan University relating to student experience with ESA utilization and approval. The study, if performed, would give insight to student experiences, and help the University in supporting the maximum number of students. Emotional support animals have many benefits for college students, including but not limited to, a …

Regaining Quality Of Life Painting Pet Portraits, Jennifer K. Fortuna

The Open Journal of Occupational Therapy

Tina Primer, an artist based in Illinois, provided the cover art for the Spring 2023 issue of The Open Journal of Occupational Therapy (OJOT). “Wriggly” is an 11” x 14” painting made from acrylic on stretched canvas. After a debilitating stroke, Tina began using art as therapy. When the strength in her dominant hand did not return, painting pet portraits provided the motivation to do things differently. Tina’s playful use of color and attention to detail capture each pet’s unique personality. Discovering a new way to paint improved Tina’s quality of life.

Empowering Children And Families With Food Allergies: An Innovative Role For Occupational Therapy, Salma H. Bachelani, Meredith P. Gronski, Kelly A. Carlson

The Open Journal of Occupational Therapy

Food allergies (FAs) have far-reaching implications regarding occupational participation. Children with food allergies and their families experience impacts on their daily life activities. The current standard of care for FAs fails to adequately address the wide-ranging barriers to participation in home, school, and community environments. This study used a mixed-method design to examine the impacts of FA on the needs of children and families affected by FA. Eighteen parents of children with FAs and six health care providers of children with FAs were interviewed; the parents also completed two questionnaires to identify the level of impact of FA on areas …

Understanding The Doctoral Capstone Coordinator Position: A Unique Faculty Role In Occupational Therapy Education, Hannah L.W. Harris, Anne F. Kiraly-Alvarez, Paula J. Costello, Bernadette Schmeltz

The Open Journal of Occupational Therapy

The doctoral capstone coordinator (DCC) position is a required faculty position in U.S. entry-level OTD programs, but there is limited information about this role. This descriptive study aimed to explore the demographics of DCCs; their required workload, tasks, and responsibilities; and the supports available to DCCs. The researchers administered an online survey and analyzed the data using descriptive statistics and content analysis. The results revealed much variability in DCCs’ experiences, workloads, and responsibilities across OTD programs. Of the DCCs survey, 74.0% previously held leadership positions in academia or clinical practice before taking the role, and 60.5% of the DCCs worked …

Perceptions Of The Delivery Of Group And Individual Writing Telehealth Interventions For Students 7 To 12 Years Of Age Using Two Virtual Platforms: A Pilot Study, Denise K. Donica, Lauren Turbeville, Taylor Whaley, Sarah Woodlief

The Open Journal of Occupational Therapy

Background: Existing evidence supports occupational therapy’s (OT) role in improving handwriting skills; however, evidence is limited regarding the delivery of virtual intervention.

Method: This pilot study reviewed the use of a virtual interprofessional writing program for five children 7 to 12 years of age that addressed both handwriting (OT) and spelling (speech-language pathology) skills. The program included eight weekly sessions using Microsoft Teams (first four sessions) and Cisco WebEx (last four sessions). A parent survey consisting of 14 questions was conducted to gauge overall satisfaction with the program as well as learn about platform preferences. In addition, the …

The Effect Of Alternative Seating On School Function And Task Behavior In A Second-Grade Classroom, Julie H. Hunley, Stephanie Beisbier, Cynthia Clough

The Open Journal of Occupational Therapy

Background: The purpose of this study was to explore the effect of alternative seating (KidsErgo chairs) on second-grade students’ attention and task behavior/completion skills during academic instruction and work time.

Method: The quasi-experimental two-group pretest/posttest study included 24 students in one urban parochial school classroom. A subset of students was identified for close momentary time sampling of classroom behaviors while all students were assessed with the behavior/task completion subtest of the School Function Assessment (SFA).

Results: SFA scores improved in the students with low baseline SFA scores (LSFA), but not in the students with high baseline SFA …

Novice And Expert Observer Accuracy Of The Threshold Wheelchair Skill: A Pilot Eye-Tracking Study, Diane E. Mackenzie, R. Lee Kirby, Cher Smith, Zainab Al Lawati, Eric Lee, Sorayya Askari

The Open Journal of Occupational Therapy

Background: Moving a wheelchair over a low threshold is an entry-level mobility skill. Observation is critical to the assessment and training of this skill. The primary objective of this exploratory pilot study was to determine if a difference between novice and expert visual attention allocation pattern was linked to the accuracy of rating skill performance and decision confidence.

Methods: Twelve expert occupational therapists and nine non-expert occupational therapy students observed 30 first-attempt recordings of able-bodied persons learning the low threshold skill. Randomized recordings included 10 recordings from each rating group of “pass,” “pass with difficulty" (pwd), and “fail.” …

Identifying Grasp And Pinch Patterns In Ceramic Interventions: Video Analysis Of Adults Completing Ceramic Activities, Jeanine Beasley, Amber Chapman, Brianne Halliwill, Allison M. Mann, Kaitlyn S. Spalding, Jennifer K. Fortuna, Dianna Lunsford, Madeline Kaczmarczyk

The Open Journal of Occupational Therapy

Background: Occupation-based interventions are effective in hand rehabilitation. The purpose of this study was to identify the grasp and pinch patterns used during specific ceramic activities for rehabilitative interventions.

Method: A convenience sample of 59 videos with 38 subjects were taken of adults without hand dysfunction completing various ceramic activities. Elementary Grasp Actions (EGA’s) were analyzed to identify the different grasps and pinch patterns.

Results: The EGA’s occurred 279 times across 12 ceramics activities. The EGA’s with the highest frequencies include nonprehensile, pinch, and lateral pinch. Nonprehensile was the most frequently used grasp used by the left …

Satisfaction With Customizable 3d-Printed Finger Orthoses Compared To Commercial Silverring™ Splints, Natasha Irani, Rebecca Ozelie

The Open Journal of Occupational Therapy

Background: Emerging research primarily supports 3D-printing as a customizable, replicable orthosis option. However, more research emphasizing orthotic users’ viewpoints is necessary to address challenges with orthotic wear adherence and satisfaction.

Method: Forty persons were recruited at an academic medical center. After wearing each orthosis for 8 hr (or as long as tolerated), the participants completed post-satisfaction surveys to measure satisfaction with different aspects of both orthoses worn.

Results: Forty participants (21 females, 19 males, mean age = 24.98 years) were enrolled in the study. Satisfaction scores (N = 40) were not statistically significant for 3D-printed orthoses compared …

Neuromuscular Electrical Stimulation For Infants With Neonatal Brachial Plexus Palsy: A Pilot Study, Denise Justice, Kate Wan-Chu Chang, Lynnette T. Rasmussen, Lynda J-S Yang

The Open Journal of Occupational Therapy

Background: Biceps recovery is a critical determinant for treatment decision-making in patients with neonatal brachial plexus palsy (NBPP). One treatment intervention used by therapists is neuromuscular electrical stimulation (NMES), but its use remains controversial. This study’s aim was to determine the effect and safety of NMES on biceps function in infants with NBPP compared to standard therapy.

Methods: In this pilot, randomized controlled study, patients were randomized to the NMES treatment or control/sham group. Inclusion criteria were infants 3 to 9 months of age with a confirmed diagnosis of NBPP and biceps weakness, without other comorbidities. The parents …

A Program To Improve The Quality Of Life Of Caregivers Of Older Adults With Chronic Conditions: A Pilot Study, Lori Reynolds, Brandi Buchanan, Shannon Crabtree, Elton Bordanave

The Open Journal of Occupational Therapy

Background: Among the nearly 41.8 million family caregivers of older adults 50 years of age and older in the United States, only 30% of caregivers report receiving the education, resources, and support they need to feel competent in their role. Many existing programs focus on dementia-related caregiving, and programs are needed to address the caregiving needs of individuals with chronic conditions.

Method: A pilot study using a mixed methods design was conducted with eight participants. The pre and post. measure, Adult Carer Quality of Life (AC-QoL), and post program individual interviews were conducted.

Results: Six of the …

Education And Perceptions Of Post-Therapy Maintenance Programs In Long-Term Care: A Mixed Methods Exploratory Study, Laura S. Novak, Vanessa D. Jewell, Michael Gerg, Andrea Thinnes

The Open Journal of Occupational Therapy

Background: Occupational therapists develop maintenance programs (MPs) for long-term care (LTC) residents to optimize participation in everyday activities. The purpose of this study was to examine nursing professional attitudes and knowledge of MPs and to evaluate the effectiveness of an occupational therapist-led in-service.

Method: Nursing staff (n = 20) attended the in-service, completed a pre and posttest, and completed interviews (n = 5). We used an exploratory sequential mixed methods design with a one-group quasi-experimental design for the quantitative portion and a descriptive qualitative approach for the interviews.

Results: The results indicated significantly increased knowledge regarding MPs, …

Occupational Therapists' Perspectives On Nursing Home Culture And Addressing The Psychosocial Needs Of Residents: Mixed Methods Design, Nayeli Mendoza, Mikayla C. Wandersee, Divya Sood

The Open Journal of Occupational Therapy

Background: The purpose of this study was to explore occupational therapists’ perspectives on the culture change movement to address the psychosocial components of care among nursing home residents and identify supports and barriers to implementing the culture change movement.

Methods: We used a sequential explanatory mixed methods design. Electronic surveys were completed by 102 occupational therapists who work in nursing home facilities. Three focus groups were conducted via conference call with occupational therapists (n = 9). The survey was analyzed using descriptive statistics and content analysis. Focus groups were analyzed using thematic analysis.

Results: Seventy-four of survey …

Imposter Phenomenon: The Occupational Experiences Of First-Generation College Students, Karen Mccarthy, Kevin Chavez, Krysta Gastelum, Javier Gomez, Jacqueline Salas, Yashi Severson, Jamie Zabat

The Open Journal of Occupational Therapy

Background: First-generation college students (FGCS) represent an underserved population navigating higher education. There is a current gap in the literature regarding the interaction of occupational experiences, imposter phenomenon (IP), and FGCS. The purpose of this study is to use grounded theory to explore the occupational experience of IP among FGCS enrolled in a four-year university in California.

Method: This research is a qualitative study using grounded theory. Data was collected through a screening survey and interview with 11 participants who identified as FGCS.

Results: Thematic analysis generated five themes: (a) emotional aspects of IP, (b) collectivism, (c) balance, (d) communities …

Shared Concepts Guiding The Practice Of A Community Occupational Therapy Program Serving Youth With Psychosocial Challenges, Chi-Kwan Shea, Nancy Jackson, Marianna Ayers Sordille

The Open Journal of Occupational Therapy

Background: Occupational therapy services to youth with trauma experiences and mental health challenges may follow unique practice concepts that deserve to be explored and illuminated. The study aimed to explore and identify shared concepts that have been guiding the occupational therapy practice of a community-based program serving the youth population.

Method: The qualitative study analyzed data from transcripts of one-on-one interviews with occupational therapists who serve youth clients in the community-based program. Using a grounded theory qualitative approach, the analysis aimed to highlight unique concepts that the occupational therapists employed in their day-to-day practice with youth who experience …

Initial Validity And User Experience Of A Dynamic Assessment Of Occupational Performance For Transitional Age Youth, Christine Haworth, Genevieve Cyrs, Chi-Kwan Shea

The Open Journal of Occupational Therapy

Background: The Double OT (DOT) assessment is occupation-based and dynamic, designed with a client-centered format requiring skill demonstration. It was developed to support youth transitioning into the workplace. This research intended to analyze initial validity and users’ experience.

Method: This study includes qualitative and quantitative analyses of data collected from surveys from 169 client participants (APs) and 30 recipient participants (ARRs) from eight sites in the USA and Europe. AP were 14­ to 25 years of age and engaged in residential, educational, and vocational settings. The ARRs comprised partners who had received DOT assessment summaries about APs with …

Promoting Equity For Women In Medical Journal Editing, Allison Chamberlain Miller, Diane Powers Dirette

The Open Journal of Occupational Therapy

No abstract provided.

Therashield, Llc A Company Designing Products To Increase Comfort And Maintain Skin Integrity, Alissa Remijan

Capstone Projects

TheraShield, LLC is a company producing products designed to increase comfort and maintain skin integrity while utilizing an unweighted harness system. TheraShield, LLC developed the product Harness Mates, which increase the surface area of contact points between the harness and skin reducing friction and shear, resulting in decreased risk of wounds and increased comfort for the client, as well as improved tolerance to time spent in the harness, allowing for an improved therapeutic response. Harness Mates come in 4 different sizes (long, wide, thick, narrow) to increase the versatility of usage. Harness Mates are designed to be impermeable, allowing to …

Creating Opportunity For The Homeless Population To Engage In Meaningful Occupations, Jada S. Toliver

Capstone Projects

Creating an opportunity for the homeless population to learn life skills, and improve their engagement in meaningful occupations is critical in helping people reintegrate back into the community. Through the development of Life Skills workshops the homeless population could learn appropriate life skills, receive education and advocate for their basic needs to be met. The needs addressed were increasing participation in occupations such as work, socialization, leisure activities, and promoting the importance of maintaining their health. The objectives were: (1) developing professional reasoning skills through scholarly exploration, (2) achieving greater resiliency by implementing goal attainment scaling, (3) utilizing evidence based …

Interdisciplinary Collaboration Between Occupational Therapy And Dentistry For Autistic Patients And Sensory Processing Differences, Mallory Fox

Capstone Projects

Dental care is the most frequently cited unmet healthcare need for children with special needs (Cermak et al., 2015). Given the increased research linking oral health to overall health, it is important to ensure that dental care is accessible to all individuals. Oral hygiene and health management are both occupations included in the Occupational Therapy Practice Framework (4th ed). Combined with the unique training of an occupational therapist in sensory processing and environmental adaptations, the profession of occupational therapy has an important role in addressing the availability of dental care for those with disabilities.

The aim of my doctoral capstone …

Outdoor Community Based Rehabilitation Program Development, Dylan Pritel

Capstone Projects

The purpose of this capstone paper is to promote Outdoor Community Based Rehabilitation (CBR) as an adjunctive therapeutic approach to traditional treatment for rehabilitation professionals working in outpatient settings. The primary objective of this project was to create a comprehensive program proposal for an Outdoor CBR program for patients receiving outpatient services at Oroville Hospital. It included creating program activities, a patient referral process, identifying possible community partners, locating applicable grants, determining program staffing, as well as creating a workable budget, which included overall activity costs, staffing costs, equipment costs and reimbursement procedures. (See appendix A and B) The program …

Advocating For Occupational Therapy At The Systemic Level, Alyssa Schwartz

Capstone Projects

The future of occupational therapy, a commonly misunderstood and underutilized profession, is largely influenced by advocacy at the systemic level. The following capstone project was completed at the American Occupational Therapy Association with the federal advocacy department. The capstone site mentor, Abe Saffer, is a lobbyist who mainly works on workforce, mental health, and school-based occupational therapy issues. Throughout this project, the capstone student advocated for occupational therapy and those that occupational therapy serves through legislation, networking, and by facilitating the development of OTP advocates. Additionally, the student acquired skills to continue to advocate for herself, the clients she works …

Occupational Therapy In A Daytime Homeless Shelter Setting, Ruth Erin Garcia

Capstone Projects

Occupational therapy (OT) is an allied health profession that works with individuals on improving their engagement and performance in meaningful occupations. This doctoral capstone project (DCE) was completed at Ministry with Community (MwC), a daytime shelter and resource center. There is emerging but limited literature regarding the role of OT working within a homeless shelter setting. Additionally, individuals experiencing homelessness are at risk for occupational injustice, or restriction to engagement in meaningful life activities.

The primary goal of this DCE was to improve engagement in meaningful occupations. The focus was program development with a secondary focus on advocacy. The objectives …

Efficacy Of Using Virtual Reality To Reduce Perceived Exertion During Therapy When Compared To Traditional Ot Intervention, Luke Lee

Capstone Projects

This project looked at the differences in perceived and actual exertion in virtual reality therapy interventions and upper extremity ergometer. The goal of this project was to quantify the efficacy of virtual reality interventions as an alternative to more traditional upper extremity interventions. This project wanted to address the lack of research focused on perceived exertion in virtual reality interventions. The student objectives focused on conducting research, familiarizing oneself with the use of virtual reality in the in-patient setting, and dissemination of the results. This study found that there was no significant difference in perceived exertion scores, changes in heart …

Disability Advocates Of Kent County (Dakc) Consumer Follow-Up For Aging In Place, Bianca Cordova

Capstone Projects

Disability Advocates of Kent County (DAKC) is a non-profit organization with an occupational therapy (OT) department that aims to keep primarily community-dwelling, low-income, older adults safe and independent in their home. The organization provides home assessments which identifies the barriers and supports for daily activities within the home. After the home assessment evaluation, adaptive equipment and/or home modification recommendations are provided. Literature supports the restorative approach DAKC uses to facilitate aging in place. There was a lack of quantitative and qualitative evidence on how consumers were aging in place post-intervention. This capstone project focused on creating a pilot follow-up program …

Addressing Sensory Processing And Mental Health Needs In The Middle School Setting, Kate Bergsma

Capstone Projects

Rooted in policy and program development, this occupational therapy doctoral capstone experience focused on addressing sensory processing and mental health needs at Grand Rapids Christian Middle School (GRCMS). With a significant proportion of students suffering from sensory processing difficulties and mental health concerns, the field of occupational therapy is distinctly equipped to address both needs within the context of school (Nielsen at al., 2021, Mental health for adolescents, n.d.). Occupational therapy’s background and expert training in both sensory processing as well as mental health needs proved vital the completion of this capstone. An intensive literature review was conducted to guide …

Therapeutic Gardening For Older Adults At A Community-Based Day Center: A Doctoral Capstone Experience, Anna Serbantez

Capstone Projects

As we age, it is common for individuals to participate in less meaningful and purposeful occupations due to cognitive and physical declines. Research has shown that gardening is a popular leisure activity that offers many therapeutic benefits. This capstone project involved creating an evidence-based therapeutic gardening program for older adults at Care Resources. This community-based day center offers many activities and opportunities for participants to get involved with; however, after completing a needs assessment, it was clear that participants could benefit from more hands on and productive activities that help encourage regular attendance to the day center. The objectives of …