Occupational Therapy Commons^™

Perceptions Of A Community-Based Playgroup To Promote Caregiver Knowledge Of Resources And Prevention Of Developmental Delays In A Rural Setting, Chesnee Clingman

UNLV Theses, Dissertations, Professional Papers, and Capstones

For children living in rural communities, the likelihood of having a developmental delay substantially increases compared to children living in urban areas (Weglarz-Ward et al., 2019). This can be due to a lack of access to resources, limited education, and geographical isolation. Despite the rising trend of developmental delays among rural children, there is a noteworthy lack of early intervention resources for both the child and their family. This trend of minimal resources is demonstrated in Lincoln County, Nevada. Using an occupational therapy lens, a community-based playgroup program was developed for residents in Lincoln County. Community-based playgroups involve a structured …

Educational Series On Sensory Processing Differences And Sensory-Related Responses: An Occupational Therapy Perspective To Promote Caregiver Understanding, Jessemae Delarmente

UNLV Theses, Dissertations, Professional Papers, and Capstones

The objective of this doctoral capstone was to create and conduct a five-part online educational series for caregivers of children ages 0-5 about the impact sensory processing differences (SPD) has on occupational participation and performance, as well as how to navigate sensory-related responses (SRRs) on a daily basis. SPD and SRRs are complex topics commonly talked about on a graduate level as it requires knowledge of the nervous system and child development. Caregiver resources on SPD and SRRs are difficult to obtain and may not present the information appropriately for varying health literacy levels. This leads many caregivers to have …

Can Occupational Therapy Take A Hit? A Guide To High-Intensity Training In Stroke Rehabilitation, Jared Demke

UNLV Theses, Dissertations, Professional Papers, and Capstones

Objective: Stroke has been considered a leading cause of functional impairment (Tsao et al., 2022). Recent evidence has supported a treatment approach that increases dosage (Scheets et al., 2021). High-intensity training (HIT) has shown promising evidence for functional recovery poststroke (Crozier et al., 2018). There have been minimal programs related to Occupational therapy (OT) and HIT have been created (Lamoureux, 2023). This doctoral capstone focused on program development of the OT-based HIT program. Theoretical frameworks included the Model of Human Occupation and Motor Learning Theory to provide a foundational structure.

Methods: A needs assessment was performed at the Saint George …

Cultural Adaptation Of The Ayres Sensory Integration® (Asi) Caregiver Education Module 1: "The Importance Of Play In Asi" For Parents Of Children In Hong Kong With Sensory Integration Challenges, Stephen Chan

Post-Professional Occupational Therapy Doctorate Culminating Presentations

Introduction: Occupational therapy using Ayres Sensory Integration® is an evidence-based intervention that includes parent education and participation to support outcomes. However, culturally-adapted guidelines for this parent component in Hong Kong have not been published.

Objective: To culturally and linguistically adapt Module 1 of the Ayres Sensory Integration® Caregiver Education Guidebook: “The Importance of Play” for Hong Kong parents of children with sensory integration challenges and obtain user input to determine if it is useful, easy to understand, and culturally relevant.

Method: Survey methodology from a convenient sample of 10 occupational therapists using Ayres Sensory Integration for at least 5 years. …

Parent Perceived Facilitators And Barriers To Implementation Of Ayres Sensory Integration® (Asi) Parent Education Modules For Autistic Children, Emily E. Lowry, Ms, Otr/L

Post-Professional Occupational Therapy Doctorate Culminating Presentations

Introduction: Ayres Sensory Integration® (ASI) is an evidence-based intervention for children with challenges in sensory integration. Parent education is an integral part of ASI (Parham et al., 2011). To address parent education, researchers developed the ASI Parent Education Modules, developed by a team of researchers (Schaaf et al., 2015) and embellished by others (Roan et al., 2022) designed to educate parents about their child’s sensory integrative challenges, ideas for addressing these at home, and to promote collaboration between therapists and parents.

Objective: To examine parental perceptions of the facilitators and barriers impacting the implementation of ASI Parent Education Modules for …

The Experience Of The Pediatric Outpatient Therapy Waiting Room Design For Autistic Children, Maria J. Vetter, Ms, Otr/L

Post-Professional Occupational Therapy Doctorate Culminating Presentations

Introduction: Autistic children attend an annual average of 41.5 outpatient visits, while typically developing children attend an average of 3.3 visits (Liptak, Stuart, & Auinger, 2006). Autistic children generally experience sensory processing and self-regulation differences. Outpatient therapy waiting rooms are frequented by autistic children for outpatient services. These settings consist of unpredictable and uncontrollable stimuli that may be difficult for children with different sensory needs to tolerate, leading to high stress levels and struggles with self-regulation impacting their experience (Higuera-Trujillo et al., 2020; Schaaf et al., 2011). However, there is scant occupational therapy research informing the design of supportive waiting …

Certified Hand Therapists’ Perceptions Of The Impact And Implications Of Psychosocial Factors On Patients With Complex Traumatic Hand Injuries, Noha A. Elfar, Otr/L, Cht

Post-Professional Occupational Therapy Doctorate Culminating Presentations

Background: Hand therapists utilize special skills in assessing, planning, and treating patients to prevent dysfunction, restore function, and/or reverse the progress of pathology of the upper limb to enhance an individual’s ability to execute tasks and participate fully in life. However, little is known about how hand therapists address psychosocial factors in patients with complex traumatic hand injuries (CTHIs) and their perspectives on how physical and psychological adaptation is required following hand trauma to optimize care.¹

Purpose: To identify Certified Hand Therapists’ (CHTs) perceptions of the impact and implications of psychosocial factors in patients with CTHIs by analyzing qualitative …

Steps To Success: The Lived Experiences Of College Students On The Autism Spectrum, Magdalene Pearl

Online Theses and Dissertations

Young adults on the autism spectrum are likely to experience an occupational imbalance after graduating high school. This is evidenced by the approximately 37% to 50% of youth with autism who report unemployment or not continuing their education after high school and their researched struggles with managing mental health conditions, living independently in the community, and engaging in social activities. In order to better understand the perspectives of young adults with autism experiencing an occupational imbalance after graduating high school, this thesis aims to explore the experiences of college students with autism using a qualitative approach. College students with autism …

Addressing The Physical Demands Of Caregiving Or Children With Disabilities In Nicaragua: A Quality Improvement Collaboration With Fne International, Grace Price

Entry-Level Occupational Therapy Doctorate - Doctoral Capstone Symposium

Many caregivers of children with disabilities experience chronic pain and related symptoms of cumulative physical trauma. This type of phenomenon is particularly prevalent in developing, low-income countries where environmental accommodations may not be as accessible. A quality improvement program, was conducted as a doctoral capstone project to create resources addressing the physical needs of caregivers of children with disabilities in Nicaragua. Program participants included teachers at a school for children with disabilities and special needs in Nicaragua. The primary project deliverable consisted of conducting an in-person workshop to train the teachers with evidence-based methods for preventing chronic pain and other …

Navigating Child-Rearing With A Physical Disability: An Occupational Therapy Approach With Lived Experience, Randi M. Glisson

MOT Student Capstones

Parenting is a difficult occupation for anyone, but parenting with a physical disability presents additional challenges. Despite there being a similar rate of pregnancy for women with disabilities as non-disabled mothers, there is limited information available for parenting with a physical disability. The author theorized that by providing the needed educational resources on adaptive parenting, including the use of activity and environmental modifications and assistive technology, to parents with physical disabilities, knowledge of adaptive parenting would increase. This capstone incorporates a thorough literature review and is guided by the Model of Human Occupation and Human Activity Assistive Technology Model to …

Collegiate Student-Athlete Mental Health In West Virginia: An Occupational Perspective, Natalie P. Gates, Bailey A. Riggs, Drew D. Altizer

Graduate Student Scholarship

Collegiate athletes must take on multiple roles while they are attending a college or university, which can negatively impact their mental health. These student-athletes must not only follow the role demands and expectations of an athlete but also of a college student, all while emerging into adulthood in the college environment. This can be overwhelming for many collegiate athletes, and they often find it difficult to balance all their responsibilities to live a satisfactory life. Therefore, a role for occupational therapy exists in this realm. A quantitative study design using survey methods was chosen in hopes of identifying and describing …

Increasing Social Inclusion And Engagement Of Exercise For Individuals With Spinal Cord Injuries: A Universal Resource Development For Wellness Facilities, Alexa Hall

Entry-Level Occupational Therapy Doctorate - Doctoral Capstone Symposium

Individuals with spinal cord injuries (SCIs) are 1.5 times more likely to disengage in exercise one-year post-injury despite 80% of these individuals agreeing that exercise is critical to their overall health and quality of life (Baehr. Et al., 2022). A needs assessment was conducted on why the lack of engagement in exercise exists for individuals with SCIs within fitness facilities to identify barriers preventing participation. A quality improvement program called the Spinal Cord Injury Wellness Toolkit was created based off these findings and implemented at the MUSC Wellness Center. 14 individuals with SCIs participated at wellness center; REDCap surveys were …

Feeding Deficits Contributing To Picky Eating, Olivia Paige Allen, Brianna Paige Pestrosky, Caitlyn Shaffer

Graduate Student Scholarship

Children are often known as picky eaters but many aspects contribute to feeding that one may not be aware of. These factors include sensory, oral motor, behavioral, neuromuscular, social skills, developmental readiness, and functional feeding skills. This study analyzes the aspects of feeding that contribute to picky eating and examines why some aspects may contribute more than others. The study will be conducted through the use of observation and standardized occupational therapy assessments while looking at children ages 2-10 years old. The goal of the study is to increase the knowledge of picky eating by relating it to the various …

Sensory Exploration Curriculum Development For Individuals With Intellectual And Developmental Disabilities At Friends Life Community, Caroline F. Stegall

OTD Capstone Projects

This project served to promote sensory strategies among participants at a day program for adults with disabilities. Using an occupational therapy lens, a sensory exploration-based curriculum and collaborative efforts for a sensory room on site were developed.

The Impact Of Parent And Caregiver Perceptions Of Inclusivity Regarding The Concepts Of Inclusive Playgrounds​, Cydnee M. Bacci

OTD Capstone Projects

This capstone was completed in partnership with Recreational Concepts, LLC and Ingrid Kanics OTR/L, FOATA, CPSI. The purpose of this project was to collect current and accurate data regarding parent and caregiver perceptions of inclusive play throughout the Middle Tennessee area. The inclusive playgrounds that participated in this study were Mary’s Magical Place, Henslee Park, and the Thisbe and Noah Promise Park Foundation. Current literature highlights the fact that a sizeable gap exists regarding who is using inclusive playgrounds and if they are properly facilitating inclusive play. Obtaining a deeper understanding of how inclusive playgrounds are being used leads to …

Nashville Dolphins Water Safety Awareness Project, Evan D. Eidson

OTD Capstone Projects

This doctoral capstone project was completed with Nashville Dolphins. The Nashville Dolphins offer free learn to swim lessons and swim team programs for children and adults with disabilities at no cost. The organization serves over 300 swimmers in the learn to swim classes and over 100 swimmers on their swim team. The programs are run by volunteers. The focus of this project was to develop programming resources to raise awareness of water safety and the steps for the Nashville Dolphins to help lower statistics of drowning rates. Deliverables provided to the organization include PowerPoint presentation to be sent to parents …

Exploring Leisure And Recreation Programming Within A Transitional Living Community, Alexandra Joynes

OTD Capstone Projects

Dismas House is an approved Tennessee Department of Correction (TDOC), 501(c)(3) non-profit residential re-entry program serving men who are returning to the community from state and county jails and prisons. The purpose of this capstone experience is to collaborate with Dismas House staff and residents to create sustainable resources for community dinner and programming engagement through a recreation and leisure lens. At Dismas House, the goal is to support these men as they navigate a variety of challenges that come with transition from prison back into society, whether this is through providing basic needs, focusing on health & well-being, employing …

Creation Of Educational Resources And Program Development For The Empower Me Center, Sarah Marie T. Morris

OTD Capstone Projects

This doctoral capstone project was completed with the Empower Me Center, a multi-faceted non-profit organization based in Lebanon, Tennessee. They serve individuals with special needs through activities and opportunities for growth while providing community education on disabilities and inclusiveness. Educational content and disability awareness programming was created for teachers, clinicians, parents/caregivers, etc. to meet the needs of community education and disability awareness. Using an occupational therapy perspective, multiple presentations for future medical and educational conferences were created. In addition, Ryan’s Recess is a disability awareness program that was further developed to increase knowledge in an inclusive environment by offering exposure …

Rebuilding Lives: Occupational Therapy's Crucial Role In Community Reintegration To Reduce Recidivism Rates, Julie Burgoon, Kari Joyce

MOT Student Capstones

The integration of occupational therapy (OT) in the criminal justice system provides a promising and unique approach for addressing community reintegration, thereby contributing to the reduction of recidivism rates in the United States. OT impacts recidivism rates by addressing three main areas; occupational deprivation, mental health, and community reintegration. OT addresses the negative consequences of incarceration by promoting engagement in meaningful activities, establishing routine, and assisting individuals in achieving a variety of skills necessary for successful reintegration. OTs can provide valuable interventions that support mental and occupational engagement to decrease recidivism rates. OT led community reintegration program not only improves …

Implementing Caregiver Resources Handout And Enhancing Parent And Caregiver Appreciation Week, Sidney Coolidge

OTD Capstone Projects

This doctoral capstone project was completed in partnership with MOVE Inclusive Dance, an inclusive dance studio that empowers individuals of all ability levels to learn life skills through dance. The aim of this project was to provide parents and caregivers resources that would introduce them to different businesses and groups around the greater Nashville area. As a result, a parent and caregiver resource document was created to benefit families from early diagnosis in childhood to adulthood and included financial aid opportunities, respite care, support groups, legal planning, and many others. The project culminated with parent and caregiver appreciation week where …

Voices Beyond Bars: A Qualitative Study Examining Occupational Participation For Formerly Incarcerated Women, Brianna Correia, Mary Smith Otd, Otr/L, Cynthia Simons Rps, Mhps

Spring 2024 Virtual OTD Capstone Symposium

This capstone project addressed the research question: “What are the systemic, societal, and personal barriers and facilitators to occupational participation and engagement that formerly incarcerated women experience in Texas?” The project aimed to advocate for formerly incarcerated women living in Texas by interviewing and collaborating with them to create an advocacy booklet highlighting their lived experiences. Following USAHS IRB approval, recruitment, and screening, 20 participants engaged in a semi-structured interview via Zoom. Insights on their experience post-incarceration in Texas regarding housing, employment, family, healthcare, and change were explored. The data obtained was analyzed and codes and themes were identified. When …

Development And Implementation Of A Training Manual For Increased Utilization Of The Universal Exercise Unit (Ueu), Anya Marie Jones

OTD Capstone Projects

This doctoral capstone project was completed in partnership with Rehab Without Walls (RWW) Neuro Solutions in Hendersonville, TN; an outpatient clinic dedicated towards serving adults with various neurological conditions, including stroke, spinal cord injury, traumatic brain injury, cerebral palsy, and more. The focus of this project was to develop a training manual for the therapists at RWW to improve occupation-based utilization of the Universal Exercise Unit (UEU). Through the lens of the Ecology of Human Performance (EHP) model and Albert Bandura’s theory of behavior change, each therapist’s performance range (i.e., ability to perform tasks) depended on both the context (the …

An Adapted Yoga Program For Adults With Neuromuscular Impairments Designed To Improve Balance, Mood, Quality Of Life, And Engagement In Daily Occupations, Hayes Miller, Mary Smith Otd, Otr/L, Christienne Parten Otd, Med, Otr

Spring 2024 Virtual OTD Capstone Symposium

Neuromuscular impairments such as Parkinson's disease (PD) and Multiple Sclerosis (MS) affect an individual's balance, mood, and ability to engage in daily occupations, ultimately impacting their quality of life. Yoga is a practice that is adaptable to any level of function and is holistic in its goal of mind-body unity. However, there has been minimal research regarding yoga's efficacy as a modality for populations with neuromuscular impairments. This study aimed to improve these factors as well as proprioception and interoceptive awareness through the delivery of a 6-week community-based yoga program. The program involved 5 participants, 4 with PD and 1 …

Rebuilding Lives: Exploring The Advantages Of Occupational Therapy In A Community-Based Resource Center For Homeless Veterans, Melanie Clampitt

MOT Student Capstones

Current research demonstrates that homeless veterans continue to face unmet needs through ineffective government programs. Although community-based veterans resource centers have been established to address these gaps, they are often overwhelmed by the number of homeless veterans seeking assistance. The occupational therapy (OT) profession is uniquely positioned to address these challenges by utilizing interventions that enhance occupational performance and participation, 3 improving homeless veterans' overall quality of life. However, these programs are frequently overlooked due to a need for more awareness among resource center staff and community stakeholders regarding the benefits of OT. An extensive review of scholarly articles was …

Bridging Health And Function: Integrating Occupational Therapy Into An Urgent Care Campus Health Center, Brooke Mckeon

Three Minute Thesis (3MT)

No abstract provided.

Work Hardening And Mindfulness Training For Individuals Living With Traumatic Limb Loss, Jayda Gibson, Cassandra Nelson

Spring 2024 Virtual OTD Capstone Symposium

About 185,000 amputations occur every year, leaving roughly about 2 million individuals currently living with limb loss in the United States. Within this population, about 45% of these injuries occur from traumatic events (Department of Veteran Affairs, 2022). These events include military veterans injured in combat, civilian motor vehicle accidents, gun shot wounds, industrial incidents, and various other traumatic events (Pomares et al., 2020). Due to the the recent loss of a limb, individuals within this population are at high risk of occupational abandonment secondary to many factors that are discussed within the Model of Human Occupation. Following a traumatic …

Learning Within The Autism Perspective, Sarina Alvarez, Rebecca King

Spring 2024 Virtual OTD Capstone Symposium

The project addresses the needs of children with Autism Spectrum Disorder (ASD) within school settings, aiming to improve educational outcomes and quality of life. It highlights the role occupational therapists play in fostering collaboration and creating a supportive environment. The program utilizes a variety of activities to positively impact students education and encourage educational participation. Recommendations include further distribution of the activities to different campuses to promote program adoption.

Yoga Program For Children At Risk For Trauma: Promoting Self-Regulation And Educational Participation, Sydney Gonzales, Rebecca King

Spring 2024 Virtual OTD Capstone Symposium

This presentation describes implementing a yoga-based program within an early childhood education setting. Occupational therapists can utilize yoga-based activities and advocate for their use in classrooms to promote the positive development of self-regulation and educational participation for at-risk populations.

Respite Care And Relief For Brain Injury Survivors And Their Caregivers, Sydney Bradley

OTD Capstone Projects

This doctoral capstone was completed through a partnership with Neuro Therapy Nashville. Neuro Therapy Nashville (NTN) is an outpatient interdisciplinary clinic that provides services to brain injury survivors including stroke, traumatic brain injury, Parkinson’s, etc. Their mission is work in collaboration with patients to regain as much normal function as possible and return to better, more productive lives through a positive, hopeful and expectant environment. The primary purpose of this project was to create and develop three different programs to provide respite and relief for the brain injury survivors and their caregivers. The process of the project involved collaboration with …

Use Of Medication Management Strategies To Increase Medication Compliance In Person’S Who Have Suffered A Stroke, Mason Pace, Rebecca King

Spring 2024 Virtual OTD Capstone Symposium

The provided research provides education to increased independence in person with stroke for the occupation of medication adherence. Various exercises and education provided in the research to increase independence in persons with stroke.