Occupational Therapy Commons^™

Program Evaluation Of A Community-Based Model For Driver Off-Road Assessment In Post-Acute Abi, Eugenia R. Herbst

Occupational Therapy Doctorate Capstone Projects

Background: Social conditions from the pandemic forced changes to outpatient rehabilitation programs, necessitating pre-driving assessment be administered via telehealth, an alternative model of OT service-delivery. As a result, Shepherd Pathways adapted the clinical pre-driving program for telehealth service delivery. Program outcomes had not been formally assessed.

Purpose:

The purpose of this Capstone project was to conduct a formal program evaluation to collect, analyze, and use data to evaluate effectiveness and efficiency of a clinical return to drive program delivered via telehealth (CDC, n.d.; The university of Kansas toolbox, n.d.). The program evaluation examined the OT process and scope of services …

Skilled Nuring Facilities Therapists' Experiences With Acquiring Wheelchairs For Their Clients, Vincent Campbell

Occupational Therapy Doctorate Capstone Projects

The United States (U.S.) population is aging resulting in an increase in Skilled Nursing Home (SNF) residents. A larger proportion of SNF residents rely on wheelchairs for mobility. Currently there are no studies that determine the processes, which therapists utilize to correctly fit their clients for wheelchairs. Poor fitting wheelchairs can have a negative impact on the residents’ ability to participate in occupational activities. Residents may also suffer physical or psychological consequences from an ill-fitting wheelchair. Therapists in SNFs often have no established criteria in providing wheelchairs for their clients. There can be institutional barriers to providing appropriate wheelchairs for …

The How To’S For Engaging With Medically Complex Children: A Resource Guide, Allyson Bourque

Frank Low Research Day Posters

Purpose: The purpose of this scholarly project is to identify and address the factors that serve as barriers to engagement in valued occupations for children with serious or life-threatening illness.

Background: Children with serious or life-threatening illness are at great risk for occupational deprivation due to their complex medical needs as well as the inhibiting physical symptomology that may accompany their diagnoses (Doukkali et al., 2013; Kasven-Gonzales & Miale, 2010). Individuals working with this population have reported a need for more specialized education for working with children with medically complex needs (Gysels et al., 2005; Whiteford et al., 2020). It …

Life Skills Intervention For Formerly Incarcerated Individuals At Maricopa Reentry Center, Dalenna Bellum

OT Student Capstones

The rates of incarceration quickly rose in the United States in the late 1900’s in response to change in legislation in favor of more tough on crime movements and policy. In addition to these movements and other social, environmental, and demographic factors, certain groups of individuals faced increased risk for incarceration and increased challenges before, during, and after incarceration. The purpose of this doctoral capstone experience and report is to explore challenges during community reentry after incarceration that can lead to re-arrest, or recidivism. This is a crucial time because without the appropriate tools, resources, and supports, the individual is …

Effect Of A Wilderness Rafting Trip On Disability Identity With Those Who Have Physical Disabilities, Kathryn Bauer

OT Student Capstones

Background: Disability identity is a concept that can occur when one focuses their identity and purpose on their disability. This can be positive or negative and have direct effects on one’s quality of life. Several studies have found that being in the wilderness has improved one’s self-perception, community, and goals for the future. This project aims to measure, after going on a 12-day rafting trip in the Grand Canyon, if there is any change on one’s disability identity, as well as to analyze accessibility for those with physical disabilities.

Method: Six participants with physical disabilities were included. All …

Effects Of Physical Activity, Play And Mindfulness-Based Interventions On Emotional Regulation And Emotional Awareness Skills In Adults With Developmental Disabilities At A Day-Time Assistance Program, Aaron Arndt

OT Student Capstones

Background: According to literature, deficiencies in emotional regulation and emotional awareness skills are more prevalent among adults diagnosed with developmental disabilities. Limited research shows promising support that the use of noninvasive treatments such as exercise, and play can promote emotional well-being among this population. This project aims to better understand the benefits of physical activity, play, and mindfulness-based interventions on emotional regulation skills in adults with developmental disabilities who attend a day-time assistance program.

Method: This 14-week capstone project was conducted at Lauren’s Institute for Education’s Adult Day Treatment (DTA) program. The occupational therapy doctorate (OTD) student developed and implemented …

Perceptions Of Occupational Therapists Working In Established Pace Programs, Jessica L. Daugherty-Peters

Occupational Therapy Doctorate Capstone Projects

Background: The Program of All Inclusive Care for the Elderly (PACE) provides medical and social services to older adults who meet nursing home level of care but wish to remain in their own homes. Although PACE has been in existence for decades, this program is new to the state of Kentucky.

Purpose: The problem this Capstone project will address is the need for further research related to occupational therapy’s roles and experiences in PACE programs. This capstone will explore the perceptions of occupational therapists and occupational therapy assistants working in established PACE programs.

Methods: This study followed a Qualitative Descriptive …

Perceptions Of Occupational Therapy Practitioners In Recognizing And Addressing Older Adult Food Insecurity, Mitzie Marion C. Mickelson

Occupational Therapy Doctorate Capstone Projects

Background: According to productive aging initiatives from the American Occupational Therapy Association, occupational therapy practitioners play an integral role in advancing and promoting wellness and independence of adults in later life. Evidence has indicated that numerous occupational therapy interventions can enhance the quality of life and functional ability levels of older adults and may be modified to target the needs of older adults who experience the threat of hunger.

Purpose: The purpose of this qualitative descriptive study is to explore how occupational therapy practitioners view their role in enhancing older adults’ healthy eating behaviors and reducing the risk of food …

Administrators’ Perceptions Of Alternative Service Delivery Models And The School-Based Occupational Therapists’ Role, Kimberly Saccucci

Occupational Therapy Doctorate Capstone Projects

School-based occupational therapists (SBOTs) provide a range of services with collaborative consultation amongst interdisciplinary team members being one of their responsibilities. One perspective that has not been thoroughly examined within previous research is the administrators’ perceptions of the OTs’ roles and responsibilities within the school setting, which may impact how therapists can implement alternative service delivery models. This study aimed to determine administrators’ perceptions of the workload model for SBOTs, to explore their understanding of the SBOTs’ role and responsibilities, and to understand their perceptions regarding collaborative consultation.

An anonymous electronic survey was distributed to public school administrators within Rhode …

A One-Day In Person Workshop To Assess Novice Occupational Therapists’ Perceived Level Of Preparedness In Supervising Level Ii Fieldwork Students., Inken Prochilo

Occupational Therapy Doctorate Capstone Projects

Occupational therapy fieldwork education is an in-depth experience required by the American Council of Occupational Therapy Education (ACOTE) to demonstrate entry-level skills as a practitioner. Level II Fieldwork allows the student to apply knowledge gained in the classroom, in a clinical setting under the guidance and mentorship of a qualified therapist, also referred to as a fieldwork educator (FWE). Fieldwork shortages have long been documented and continue to present challenges for academic fieldwork coordinators (AFWC) across the countryThe purpose of this Capstone was to evaluate the impact of an in-person workshop focused on the skills required for the fieldwork supervisory …

Critiquing Representations Of Intellectual Disability In Occupation-Based Literature, Rachel Reparon, Pamela Block, Ann Fudge Schormans, Debbie Laliberte Rudman, Gail Teachman

Occupational Therapy Publications

Background: Within and beyond occupation-based scholarship, concerns abound regarding the pervasiveness of discourses that promote a negative, deficit-based view of intellectual disability and associated consequences for disabled people’s lives. Such representations risk reducing the complexities of human doing and being and can limit the occupational possibilities of this group. Yet, there is a lack of critically reflexive research exploring how disability is discursively constructed in occupation-based literature.

Aims/Objectives: This paper critically analyses representations of intellectual disability within occupation-based literature. It considers the influence of such representations on the occupational possibilities of people labelled intellectually disabled.

Methods: This review employed a …

Is Playtime Over? Exploring Socio-Cultural Barriers And Enablers To Adult Playtime, Karen Mccarthy, Sabrina Solis, Leticia Monelli, Catherine Solomon, Rosalind Nolde

Occupational Therapy | Faculty Conference Presentations

No abstract provided.

Measuring Outcomes Of Occupational Therapy Facilitated In Natural Settings With Young Children, Amie Smith, Zoe Peters, Brinda Saini, Deepak Dale, Amanda Laccone

Occupational Therapy | Graduate Student Research Posters

To date, there is limited evidence to support the effectiveness of Occupational Therapy (OT) services delivered outside in nature. This study explored the benefits of OT intervention in Natural Settings (NS) for children by examining development in the areas of self-regulation, social skills, sensory processing, confidence, and motor skills. A quantitative, quasi-experimental pre-test/post-test design was used in this study. Researchers partnered with a local outpatient OT clinic that offers an 8-week outdoor program. Seven children and their parents were recruited and participated in the study. A modified version of the COPM and two BOT-2 subtests, along with a novel log …

Examining The Efficacy Of Yoga Nidra On Sleep Quality With Persons With Parkinson’S Disease (Pwpd), Kimberly Morrow, Karen Aranha, Angela Blackwell

Fall 2023 Virtual OTD Capstone Symposium

A pilot mixed methods study utilizing quantitative and qualitative phenomenological study methods to understand the overall the benefits of using Yoga Nidra on sleep quality and sleep management, and more precisely the dosage of Yoga Nidra.

Occupational Therapy Practitioners’ Perceptions Of Their Confidence And Skills When Providing Community And Social Interventions After A Guided Educational Experience, Jenny Williams

Occupational Therapy Doctorate Capstone Projects

Background: As the population is aging, occupational therapy practitioners (OTPs) are well placed to address the community and social needs of older adults to promote healthy aging. However, OTPs seem to be lacking the resources and guidance to implement community and social interventions routinely.

Purpose: This quantitative non-experimental, pre-, and post-survey design aims to determine the impact of a guided education intervention on how OTPs perceive their skills and confidence when providing community and social interventions.

Theoretical Framework: The Model of Health Promotion (Wilcocks, 2006) and Lifestyle Redesign® (Clark et al., 1997) program were used as the guiding theory and …

Asynchronous Online Telehealth Training: Occupational Therapist’S Perceptions Of Knowledge And Confidence, Breanna L. Campbell

Occupational Therapy Doctorate Capstone Projects

Telehealth was not a typical practice in occupational therapy prior to the pandemic (Allen-McHugh & Schleg, 2022; Douglass et al., 2023; Wittmeier et al., 2022). Understanding OT clinician knowledge and confidence in the delivery mode has progressed as a result (Allen-McHugh & Schleg, 2022; Douglass et al., 2023; Soba et al., 2022; Wittmeier et al., 2022). The purpose of this study was to investigate the effectiveness of an asynchronous online training module in increasing self-reported knowledge and confidence in occupational therapy clinicians utilizing telehealth with the pediatric population. A pre-experimental pre-posttest quantitative design was used to measure therapist’s perceived knowledge …

Barriers To Sleep In Us Army Service Members: A Scoping Review, Sally Paul

Occupational Therapy Doctorate Capstone Projects

Background: Insufficient sleep contributes to human health and performance deficits with Active Duty US Army soldiers being at highest risk for poor sleep and subsequent sleep disorders. Research in this area continues to grow and has focused on pathology and intervention, often related to deployment, yet it is vital to understand the barriers to sufficient sleep in healthy soldiers (the majority) in the garrison context, where they will spend most of their time. Purpose: Explore the current state of literature regarding barriers to sufficient sleep in healthy US Army active duty service members in the garrison setting. Theoretical Framework. Biopsychosocial …

Exploring The Perceived Meaning Of Community-Based Lifestyle Wellness Programs, Interprofessional Collaboration, And The Relationship To Occupational Therapy: A Phenomenological Approach, Christina Buchignani

Occupational Therapy Doctorate Capstone Projects

Community-based health care providers use interprofessional collaborative strategies to support the lifestyle wellness needs of older adult clients at risk for chronic disease. A phenomenological approach was taken to explore a sample of community-based health care professionals’ shared meanings of lifestyle wellness programming, interprofessional collaboration, and the Lifestyle Redesign® program and to determine the perceived relationship to occupational therapy, if any. The qualitative descriptive thematic analysis within the Framework of Occupational Justice context revealed positive perceptions of lifestyle wellness programming and interprofessional collaboration but limited awareness of Lifestyle Redesign® and occupational therapy’s distinct role in community-based preventive wellness. Occupational therapy …

A Pretest-Posttest Survey Study Of Parent Perceptions Of The Effectiveness Of Occupational Performance Coaching On Caregiver-Child Play Occupations, Hailee B. Lewis House

Occupational Therapy Doctorate Capstone Projects

Background: When the COVID-19 pandemic and telehealth was utilized, it was apparent that most client families did not have occupation-based play objects in the home due to having to drive 30 minutes to the closest store, difficulty affording toys, or did not know age-appropriate toys for their child.

Purpose: The study explored home program education strategies, and the relationships between store access, socioeconomic status, and parental education levels on having age-appropriate play-based occupational items in the home.

Theoretical Framework. Occupational Performance Coaching (OPC) is a coaching intervention that helps parents to recognize and implement changes for more successful occupational performance …

Stable Or Unstable Associations Between Learning Environment Factors, Study Approaches And Exam Grades: Cross-Sectional Analyses Across Two Consecutive Program Years, Jenny Solveig Mygland, Gry Mørk, Linda Stigen, Astrid Gramstad, Trine Alise A. Magne, Tore Bonsaksen

Journal of Occupational Therapy Education

Studies into the relationships between learning environment perceptions, approaches to studying, and academic outcomes have largely followed cross-sectional designs. As a result, knowledge is sparse with regards to whether, or to what degree, the established associations are consistent across years of study. This study aimed to (i) examine associations between occupational therapy students’ academic performance, their approaches to studying and perceptions of the learning environment, while in their second and third years of study, and (ii) evaluate the consistency of the results across years of study. Occupational therapy students in Norway were assessed annually with regards to their perceptions of …

A Nationwide Descriptive Study: Part Ii Understanding The Ways Academic Fieldwork Coordinators Describe The Responsibilities And Challenges Of Their Role, Patricia Laverdure, Elizabeth Lequieu, Elizabeth D. Deiuliis, Kimberley Persons

Journal of Occupational Therapy Education

The responsibilities and challenges of Academic Fieldwork Coordinators vary considerably across occupational therapy and occupational therapy assistant programs in the United States. In the second part of a nationwide convergent mixed-method study conducted to identify the roles and responsibilities of the Academic Fieldwork Coordinator, we examined the role responsibilities, structural supports, and barriers that influence their success and satisfaction. Academic Fieldwork Coordinators described the valuable role they play in supporting students’ achievement of learning outcomes, successful fieldwork experiences, and their entrance into the profession as competent practitioners. They additionally delineated the valuable contributions they make to their programs’ maintenance of …

Exploring Occupational Therapy Student And Entry-Level Practitioner Perceptions Of Mental Health Accommodations, Allison J. Naber, Ranelle Nissen, Whitney Lucas Molitor, Susan Puumala, Jewel Shepherd

Journal of Occupational Therapy Education

Mental health concerns are prevalent among occupational therapy graduate students and entry-level practitioners entering the workforce. Prior research has highlighted that the rise in mental health concerns and the high-achieving nature of occupational therapy students impacts their success in the classroom and the clinic. While formal and informal mental health accommodations are beneficial, obtaining and implementing such accommodations has been cited as a challenging process plagued with negative stigma. This study aimed to understand the perceived effectiveness of common academic and work-related mental health accommodations for meeting the role demands that occupational therapy students and practitioners encounter in the classroom, …

Generative Disruptive Questions: Operationalizing Diversity, Equity, Inclusion, Justice, And Accessibility In Occupational Therapy Education, Jaime P. Muñoz, Catherine Hoyt, Razan Hamed, Arameh Anvarizadeh, Steven D. Taff

Journal of Occupational Therapy Education

Diversity, equity, and inclusion is one of five pillars upholding the American Occupational Therapy Association’s (AOTA) strategic plan. Ensuring organizational, educational and governance structures, policies, programs, and services all reflect diversity, equity, inclusion, justice and accessibility (DEIJA) is a priority for the profession. Yet, addressing DEIJA remains a significant challenge in the occupational therapy academic community. Educational programs are a gateway to the profession and play a critical role in whether minoritized persons feel they belong in occupational therapy. This paper proposes a set of Generative Disruptive Questions (GDQ) that can be used to critically examine practices within education that …

Three-Dimensional Printing In Occupational Therapy: An Instructional Video Series, Toye Adefioye, Steven M. Gerardi, Christopher Ebner

Fall 2023 Virtual OTD Capstone Symposium

The three-dimensional printing instructional video series was created for occupational therapy practitioners on how to use 3D printers to print assistive devices.

Occupational Therapy Certified Hand Therapists' Perceptions Of Remaining Rooted In Occupation In The Hand Clinic: A Phenomenological Study, Andrea E. Berke-Mclaughlin

Occupational Therapy Doctorate Capstone Projects

Background: Occupational Therapy Certified Hand Therapists (OT CHTs) working in the outpatient hand clinic tend to use the dominant biomechanical approach in the rehabilitation of their upper extremity (UE) clients. Due to the existence of a multitude of barriers and challenges for implementing an occupation-based approach, OT CHTs may not treat their UE clients holistically, placing less focus on treating the occupational performance deficits caused by the UE impairment. Purpose: The purpose of this Capstone is to explore the essence of OT CHTs’ current lived experiences in the use of occupation-based approach in the outpatient hand therapy clinic. Theoretical Framework. …

How Do Informal Caregivers Of A Person With Dementia Experience Stress And Which Supports Help Mitigate The Effect Of These Stressors?, Kwandra Andrews Brinson

Occupational Therapy Doctorate Capstone Projects

Background: Alzheimer's disease or related dementias (ADRD) are one of the most rapidly growing epidemics that the world is facing. Caring for a person with ADRD is challenging and often causes informal caregivers stress, loneliness, and social isolation.

Purpose: The aim of this qualitative instrumental case study was to obtain a better understanding of how informal caregivers of persons with ADRD experience stress and which supports helped mitigate the effect of these stressors in their role as a caregiver.

Theoretical Framework: The Model of Human Occupation focuses on therapy helping persons to engage in occupational behaviors that maintain, restore, reorganize, …

The Impact Of Brief Mindfulness Training On Occupational Therapy (Ot) Students' Perceived Level Of Stress, Emily K. Masters

Occupational Therapy Doctorate Capstone Projects

Background: Mental health issues and burnout are becoming more common among students in healthcare programs (Dyrbye et al., 2014). As demands placed on healthcare professions continue to increase, there has been an increased interest in researching the practice of mindfulness to promote self-care (Irving et al., 2009). Mindfulness has been defined as “the awareness that emerges through paying attention on purpose, in the present moment, and nonjudgmentally to the unfolding of experience moment by moment” (Kabat-Zinn, 2003, p. 145). Mindfulness has been shown to decrease stress and anxiety among pre-healthcare college students (Burgstahler & Stenson, 2020). Little research has investigated …

Biofeedback And Anxiety Reduction: An Occupational Therapy Intervention For Persons With Long Covid, Colette Freda

Occupational Therapy Doctorate Capstone Projects

Background: People who acquire Covid 19 may have symptoms lasting over three months, called Long Covid. It is estimated that one in five people in the United States has Long Covid. Unpleasant symptoms of Long Covid are many including anxiety. People with Long Covid have a difficult time engaging in everyday activities and have a poor quality of life. Occupational therapy practitioners using heart rate variability (HRV) biofeedback may help decrease anxiety in the Long Covid population. There is limited research on occupational therapy and HRV biofeedback.

Purpose: The problem the study addressed was to investigate the use of HRV …

The Perception Of Stroke On Iadl, Paula O. Buari

Occupational Therapy Doctorate Capstone Projects

Background: Residents in a skilled nursing home receiving rehabilitative services following a stroke may value instrumental activity of daily living (IADL) tasks more than ADL tasks. This research investigates the impact of IADL tasks on quality of life (QoL). Purpose: The research questions were: How do individuals post-stroke and receiving occupational therapy services in a skilled nursing facility perceive their participation, or lack of participation, in IADL, and how does this impact their perceived QoL? Theoretical Framework. The theoretical framework that guided this project was the Model of Human Occupation. Methods. A phenomenological research-based qualitative approach designed to understand …

Don’T Forget The Importance Of Leisure Occupations For The Community Dwelling Elder, Susan Witt

Occupational Therapy Doctorate Capstone Projects

Leisure exploration is important to the community dwelling elder (CDE) as research indicates that social and leisure activities correlate with well-being in this population (Adams et al., 2011). This research project aimed to gain insight on the CDE’s perspective on leisure as they age in place and the role occupational therapists play in leisure promotion for this population. This mixed method study included quantitative data from the Activity Card Sort (ACS) assessment which provided data on how leisure and activities of daily living have changed with aging. Qualitative data was gained through semi-structured interview and explored the perspectives of the …