Occupational Therapy Commons^™

Sensory Integration In The Intensive Care Unit Environment, Kara M. Lee

Graduate Theses, Dissertations, and Problem Reports (ETD)

Those admitted to the intensive care unit (ICU) commonly experience deficits in areas linked with cognition, mental health, and physical functioning (Rapolthy-Beck et al., 2023). Delirium is the most common complication among individuals who are mechanically ventilated, which can be associated with adverse outcomes, including increased mortality, cognitive decline, and decreased functional outcomes (Martinez et al., 2017). The primary purpose of the capstone project was to create a sensory-based program for patients admitted into the ICU. The program aimed to enhance the quality and consistency of care, ultimately reducing the prevalence of delirium. By doing so, it seeks to improve …

Improving Hospital Discharge Readiness Among Caregivers Of Children With Complex Medical Needs, Megan M. Bruce

Graduate Theses, Dissertations, and Problem Reports (ETD)

Advancements in medicine and technologies have led to an increase in the population of children living with complex and chronic health conditions. Children with medical complexities (CMCs) and their caregivers frequently have challenges navigating home life after transitioning from hospital to home-based care. A 14-week doctoral capstone project was conducted at Dayton Children’s Hospital to improve caregiver readiness for hospital discharge. Project participants included caregivers of CMCs (n = 6) admitted to the hospital and pediatric acute care occupational therapists (n = 4). The Pediatric Readiness for Hospital Discharge Scale – Long Form (Peds-RHDS) was used as a pre-and post-intervention …

Multifaceted Life Skills Training And Job-Orientation Supports For Individuals In Vocational Rehabilitation Programming, Laura R. Mccray

Graduate Theses, Dissertations, and Problem Reports (ETD)

There is growing support for those with an intellectual or developmental disability (IDD) in the transition process and within the workplace, however, there are areas that need to be addressed to facilitate further inclusion and success in this domain. There are structured institutions within the community that extend support for those transitioning out of high school, focusing on aligning with life training and professional skills while promoting societal integration by delivering services directly and avoiding isolation within traditional service environments (Accardo & Whitman, 2011). Growing research highlights the necessity of providing resources that support individuals with intellectual and developmental disabilities …

Providing Health Providers Best Practice Strategies When Working With The Deaf And Hard Of Hearing Population: A Continuing Education, Noah L. Epperson

Graduate Theses, Dissertations, and Problem Reports (ETD)

Background: Healthcare training has improved over the years. However, many healthcare providers are having a difficult time understanding the culture and the needs of the Deaf and Hard of Hearing (HOH) community. Continuing Education (CE) programs can be designed to improve cultural awareness to help close the gap by educating healthcare providers on the community’s culture, effective communication strategies, use of assistive technology, American Sign Language (ASL), and accommodations such as interpreters.

Purpose: The project aimed to develop a CE program that helped healthcare providers learn effective communication strategies, assistive devices, and accommodations for the Deaf and HOH community. Additionally, …

Effectiveness Of A Cumulative Pediatric-Based Practical Examination At Increasing Student Perceived Competence And Confidence In Working With Pediatric Populations, Nicholas J. Passarelli

Graduate Theses, Dissertations, and Problem Reports (ETD)

Current literature highlights the importance of utilizing practical examinations and actual patients and covering vast pediatric content within occupational therapy curricula. The needs assessment conducted within The West Virginia University Division of Occupational Therapy revealed that the division currently employs all three of these factors within their curriculum, however a gap presented in the combination of these three factors together. This project aimed to diminish this gap through the development, implementation, and execution of a pediatric practical examination, utilizing actual pediatric patients, to determine whether the examination is effective in increasing student perceived competence and confidence in working with pediatric …

Effectiveness Of Immersive Virtual Reality Combined With Task-Specific Training On Hemiplegic Arm Function Following Stroke: A Single Case Series Study, Rahsaan J. Holley

Theses and Dissertations

Motor recovery of the arm following a neurological injury is a common goal of the rehabilitation process for individuals impacted by the condition . Due to the long-term functional implications of impaired arm movement, individuals are often trained to use compensatory strategies to complete functional tasks without incorporating the weakened limb. While compensatory strategies offer stroke survivors the opportunity to regain a level of independence, such approaches fail to directly address the underlying causes of the disability (i.e., limited range of motion, decreased strength, poor coordination, motor planning difficulties) which can unfortunately result in long-term impairment and functional disability.

Motor …

Regulation & Resilience: A Toolkit To Promote Pediatric Mental Health Within An Outpatient Setting, Aysia Crumbie

Occupational Therapy Doctorate Capstone Posters

The purpose of this doctoral ALE/Capstone project was to develop a pediatric mental health toolkit for clinicians to utilize at my site, the Georgetown Pediatric Therapy Center in Georgetown, Kentucky. The primary ACOTE areas of focus were education, advocacy, and program development. I collaborated with the two occupational therapists at the site to achieve the goals of 1) developing a pediatric mental health toolkit grounded in evidence, clinical use, and clinician feedback, 2) supporting clinician consistency and confidence when addressing mental health in sessions, and 3) providing accessible caregiver resources to support strategy carryover at home. A needs assessment was …

Improving Dementia Care Practices In The Swing Bed Program, Grace Donahue

Occupational Therapy Doctorate Capstone Posters

For my capstone/ALE, I partnered with the therapy team at CHI St. Joseph Berea’s Swing Bed Program to improve communication and care strategies for patients with dementia or cognitive impairments. My project focused on ACOTE areas of program development, education, and advocacy in an acute care setting. The goal was to implement dementia-friendly communication practices and promote meaningful engagement through activity toolboxes.The Swing Bed Program supports patients recovering from acute hospital stays who are not yet ready to return home. During my time there, I observed a lack of structured, personalized activities for patients, despite regulatory expectations for enrichment. My …

Beyond The Clinic: Developing An Animal-Assisted Therapy Program For School-Based Ot, Shelby R. Frazier

Occupational Therapy Doctorate Capstone Posters

This capstone project was created to equip Pineville Independent Schools, located in rural Kentucky, with the tools and strategies needed to implement and sustain an Animal-Assisted Therapy (AAT) program within their occupational therapy services. Although the district uniquely employs both a licensed occupational therapist and a veterinarian who teaches animal care and vocational skills to students, neither professional had experience with AAT or knowledge of its potential integration within the school system. This revealed a significant gap and an opportunity for innovative program development in a rural educational setting. The primary goals were to design a school-based AAT framework that …

Meaningful Participation Matters: Evaluating Resident Engagement In A Senior Living Activity Program, Mary C. Caudill

Occupational Therapy Doctorate Capstone Posters

This capstone project evaluated and improved the life enrichment program at Dominion Senior Living, an assisted living facility serving older adults, including those in memory care. Centered on the ACOTE focus area of program development, the project aimed to promote meaningful, accessible engagement through an occupational therapy lens.

Goals included assessing current activity effectiveness, identifying participation barriers, and developing evidence-based recommendations to improve variety, inclusivity, and therapeutic value. A needs assessment—using resident surveys, staff feedback, and structured observations—revealed low engagement among memory care and male residents, limited activity variety, and insufficient opportunities for meaningful social interaction. A literature review supported …

Occupational Therapy Interventions For Health, Safety, & Wellbeing In Farmers And Ranchers With Disabilities: ​ A Systematized Review, Trinity Edwards, Lauren Klone, Madilynn Edwards, Emily Morse, Danielle Westmark, Stacy Smallfield, Molly Whitlow

Student Systematized Reviews: Occupational Therapy

Objective: This systematized review synthesizes evidence on occupational therapy (OT) interventions that enhance health, safety, and participation of agriculture workers with disabilities, advancing evidence-based, context-specific approaches in OT practice.

Abstract: Background: Farmers and ranchers have higher rates of injury, disability, and chronic conditions than the general population. These challenge their health and lifestyle (National Institute for Occupational Safety and Health, 2024; Miller & Aherin, 2018; Desai et al., 2022).

Purpose: To determine the effectiveness of interventions within the scope of OT at improving safety, health, and well-being amongst agricultural workers with disabilities.

Design: We performed a systematized review of peer-reviewed …

Interventions To Improve Community Mobility In Autistic People: A Systematized Review, Sydney Maddox, Jada Ford, Heather Olson, Danielle Westmark, Stacy Smallfield, Molly Whitlow

Student Systematized Reviews: Occupational Therapy

Importance: Community mobility (CM) enables access to locations outside the home, allowing participation in work, leisure, and social environments. Autistic adults have reported less access to public transportation and driving than the general population (Wilson et al., 2021), impacting their community participation, life satisfaction, and likelihood of employment and further education (Egilson et al., 2016, Song et al., 2022, Wilson et al., 2021). Occupational therapists can support autistic people by providing interventions to increase CM.

Objective: To evaluate the effectiveness of interventions to improve CM in autistic people.

Methods: We collaborated with a medical librarian to conduct a systematic review …

Interventions To Improve Functional Use Of Hemiplegic Upper Extremity Post-Stroke: A Systematized Review, Brieana R. Dean, Sarah N. Wamsley, Halle Clary, Max W. Granstrom, Danielle Westmark, Bridgette Quinn, Stacey Smallfield, Molly Whitlow

Student Systematized Reviews: Occupational Therapy

Purpose: Stroke is a leading cause of long-term disability with upper limb hemiplegia, significantly limiting participation in daily life (Lee & Howe, 2024; Long et al., 2020). This systematized review was conducted to address interventions within the scope of OT used to improve functional use of hemiplegic UE for adults post-stroke. Design: A systematized review protocol was used with inclusion criteria of full-text, English-language articles addressing rehabilitation interventions for hemiplegic UEs post-stroke containing participants ranging from ages 18-85. A medical librarian at the McGoogan Health Sciences library conducted a search across multiple databases for articles meeting the criteria for the …

Safety Of Healthcare Workers In Acute Care During Patient Mobilization: A Systematized Review, Lina Al Azzawi, Peyton Collier, Delaney Ehlers, Ruby Kulovitz, Danielle M. Westmark, Stacy Smallfield, Molly Whitlow

Student Systematized Reviews: Occupational Therapy

Abstract synopsis

Evidence shows that low-tech aids and lifting equipment promote safe patient handling in acute care, with the most consistent support found for lifting equipment in reducing worker injuries. There was mixed evidence to support ergonomic training.

Abstract

The aim of this study was to identify interventions within the scope of occupational therapy that enhance safety during patient mobilization for healthcare workers in acute care settings.

This systematized review of safe patient handling interventions included peer-reviewed studies that target healthcare worker safety during patient mobilization in acute care settings.

A medical librarian performed searches in Medline, CINAHL, and Scopus. …

Optimizing Recruitment Strategies, Outcome Measures, And Intervention In Clinical Research With Adults With Multiple Sclerosis: Insights From The Tele-Exercise And Multiple Sclerosis (Teams) Study, Tracy Flemming Tracy

All ETDs from UAB

Background: Recruiting people with multiple sclerosis (PwMS) into research can be a significant challenge. This is often due to limited awareness of the research objectives, lack of accessibility, and restrictive inclusion criteria. In addition to a general reluctance to participate, assessing multiple sclerosis (MS) and assigning appropriate interventions can be challenging due to the heterogeneity of symptoms. Identifying outcome measures that accurately reflect a participant’s perception and functional performance, while remaining sensitive to change across different levels of disability, poses a challenge. Methods: Data from the Tele-Exercise and Multiple Sclerosis (TEAMS) trial was analyzed to identify effective recruitment strategies (Study …

Current Practices In Implementing The Occupational Therapy Doctoral Capstone Needs Assessment: A National Survey, Laurie D. Stelter, Kaitlyn Cremer, Lou Rutigliano, Leslye Morris, Lima Ghulmi, Ana Allegretti

Occupational Therapy Faculty Publications

Entry-level occupational therapy doctorate (OTD) programs navigate curricular decisions related to designing, implementing, and refining doctoral capstone processes. One of the complex requirements is the doctoral capstone needs assessment (DCNA) which each student completes prior to the implementation of the doctoral capstone project. The researchers aimed to contribute to the specificity of DCNA-related understanding, informing quality decision-making, via a national, cross-sectional survey of current DCNA practices. Purposive sampling resulted in a 24.3% (n=54) response rate of mostly Doctoral Capstone Coordinators (DCCs; 98.1%) representing programs across doctoral capstone experience levels. The timing of DCNA processes trended toward the latter half of …

Warrior Life Transition Program, Joshua Gartner

OT Doctoral Capstones

The problem that exists is that the Willliam Beaumont Army Medical Center (WBAMC), Internal Medicine Clinic (IMC) treats issues amongst active duty and veteran personnel in a reactionary manner. 6 domains of need: Mental health, (including, sub-domains of anxiety, depression, PTSD, and stress), occupations, pain, family life/connection (Relationships), sleep and alcohol/ substance abuse. Currently there is no one assessment at the WBAMC IMC that looks to assess all of these areas in a reactive way. This project was to develop a reactive assessment to address these domains of need.

Supporting The Parents Of Transition Aged Students With Autism, Miguel Duran

OT Doctoral Capstones

The present capstone project sought to develop and implement an 8-week parent support program for the parents of transition aged youths diagnosed with autism spectrum disorder residing within the Socorro Independent School District. The parent support group included the topics of preparing for the transition process, state and local resources, and identifying caregiver strain for the first half of the program. The latter half of the program consisted of self-care and leisure activities for the parents to address levels of caregiver strain. The goal of the program was to identify potential changes in three areas: caregiver strain, perceived levels of …

Bright Futures: A Transitional Resource Guide​, Leslie Ayala

OT Doctoral Capstones

Bright Futures: A Transitional Resource Guide (BF) is a caregiver-informed collection of personal narratives shared by 15 caregivers of children with Down syndrome (DS), designed to promote preparedness, advocacy, and connection through storytelling and peer-recommended resources during key life transitions, including starting school and entering adulthood. Professionally published on the DS Coalition for El Paso website, BF was developed in collaboration with a software developer and funded by a grant from the College of Health Sciences at the University of Texas at El Paso, ensuring long-term, public accessibility.

Goals of BF:

• Disseminate trusted resources and lived experiences among caregivers of …

The Role Of Occupational Therapy In Postnatal Mental Health: An Eight-Week Postpartum Program, Paola Quiroz

OT Doctoral Capstones

Postpartum mental health includes various conditions such as postpartum anxiety and postpartum depression amongst others (Barbic Skye et al., 2021). Rates of postpartum depression (PPD) have been increasing in recent years, impacting mothers, children and entire families by changing the way a mother interacts with others (WHO, 2024). Postpartum mothers face unique challenges when transitioning into motherhood resulting in increased maternal stress and ultimately leading to PPD or PPA. Although rates of PPD and PPA are increasing, there is limited research involving non-pharmaceutical treatment options for new mothers.

Occupational therapy (OT) plays a vital role in maternal mental health because …

Reclaiming Control: A Self-Management Education Program For Cancer Survivors, Monica Elisa Gutierrez

OT Doctoral Capstones

Cancer survivors face physical, emotional, and cognitive side effects after cancer treatment which negatively affects their quality of life (QOL).

A remote 6-week self-management program was implemented to educate survivors on how to manage these challenges. Comparison of pre- and post-program surveys demonstrated increased confidence in managing side effects after participation in the program, indicating that self-management interventions can effectively enhance survivors’ symptom management skills. The Self-Management Program is effective in empowering cancer survivors, improving self-efficacy, and enhancing QOL.

Problematic Technology Use: An Education Program, Elijah Duran

OT Doctoral Capstones

There is a growing body of research on problematic technology use and its impact on children with autism. Studies have shown that excessive or unbalanced use of technology may contribute to challenges in mental health and social functioning for this population (Ang et al., 2018; Cerniglia et al., 2017; Ezeh et al., 2021; Hoge et al., 2017; Kawabe et al., 2016; Small et al., 2020; Yucelyigit & Aral, 2018). However, there is limited research on how this issue is being practically addressed. Children with autism, who are already at higher risk for developing problematic behaviors with technology (Normand et al., …

Pasos Seguros: Investigating The Impact Of Latin Dance And Fall Prevention Education On Fall Risk In Older Adults, Noelia De La Rosa

OT Doctoral Capstones

Introduction: Falls are a leading cause of injury and mortality among older adults, posing a significant public health concern worldwide. By participating in fun, culturally relevant, and recreational fall prevention interventions, older adults are more likely to be motivated and stay engaged in fall prevention educational programs.

Methods: Pasos Seguros (confident steps) provided six weekly 60-minute sessions at the UTEP Rehab Sciences Complex, each including 45 minutes of chair-supported Latin dance instruction (cumbia, bachata, salsa) followed by 15 minutes of fall prevention education (home safety, medication effects, and emergency preparedness) through the UTEP Osher Lifelong Learning Institute.

Results: A paired-samples …

Strength-Based Peer Mentoring To Empower Independence For Adults With Autism, Annmarie De La Rosa

OT Doctoral Capstones

Adults with autism face disproportionately high rates of unemployment or underemployment, limited engagement in post-secondary education, and restricted opportunities for social participation. This is largely due to the abrupt discontinuation of services after high school—often referred to as the “service cliff” (Roux, 2015). The loss of structured supports can result in a decline in functional independence, increased mental health concerns such as anxiety and depression, and heightened social isolation (Chun et al., 2023; Schiltz et al., 2021).

This Capstone project aimed to address the unmet post-secondary needs of young adults with autism by implementing a peer mentoring program grounded in …

“The Estrada Protocol”: A Mindfulness Approach To Rehabilitation, Krysten Estrada

OT Doctoral Capstones

Although there are numerous resources that effectively address the physical aspects of elbow injuries in baseball players, limited research explores athletes’ mental recovery. This fourteen-week Capstone Experience at Border Therapy Services in El Paso, Texas, focused on creating and implementing “The Estrada Protocol,” a mindfulness rehabilitation plan aimed at supporting both the physical and psychological needs of baseball players recovering from elbow injuries. Working closely with site supervisor and subject matter expert Mark Scott and his staff, the researcher led meetings, educational sessions, and athlete interviews, while administering pre- and post-readiness assessments. Initial results yielded limited familiarity with the protocol, …

Exploring Occupational Therapy Assistant Student Experiences In Mental Health, Behavioral Health, And Psychosocial Level I Fieldwork, Tiffany L. Benaroya, Michelle Zechner, Meredith Cimmino, Ann A. Murphy, Margaret Swarbrick, Pamela Rothpletz-Puglia

Journal of Occupational Therapy Education

Occupational therapy services offered in behavioral health remain low despite the growing number of individuals with behavioral health and psychosocial needs who could benefit from these services. Concurrently, in academia, all occupational therapy and occupational therapy assistant students must complete at least one fieldwork focused primarily on mental health, behavioral health, and/or psychosocial needs. Research is limited regarding these fieldwork experiences, especially among occupational therapy assistant students. This project aimed to understand this gap better and comprehend how these experiences impact readiness to work with individuals labeled with a serious mental illness. Forty-five occupational therapy assistant students completed pre- and …

Fieldwork Supervision, Motivation And Competency Among Norwegian Community-Based Occupational Therapists, Even E. Edvardsen, Tore Bonsaksen, Sissel Horghagen, Cathrine Arntzen, Unni Sveen, Astrid Gramstad, Ruca E. K. Maass, Linda Stigen

Journal of Occupational Therapy Education

Occupational therapists’ supervision of students remains a critical component during occupational therapy education. This study aimed to examine supervision practice, motivation, and competency among community-based occupational therapists in Norway, exploring organizational and personal factors associated with formal and perceived supervision competency, willingness to serve as fieldwork educators, and collaboration with educational institutions. A cross-sectional survey was distributed among occupational therapists in community-based practice in Norway. A total of 617 occupational therapists participated in the study. Free-text responses were thematically analyzed and interpreted. Differences between fieldwork educators and non-fieldwork educators’ training, recency of being fieldwork educators, willingness to assume the role …

Naming The Invisible: Exploring Implicit Design Thinking In Occupational Therapy Curricula, Dominique C. Sherratt, Mary Butler, Shoshannah Kiriam, Ben Sellar

Journal of Occupational Therapy Education

Occupational therapy inherently involves the application of design and co-design skills within professional practice, yet there is limited evidence about how these skills are taught to students. This study used a qualitative descriptive design to explore the perspectives of occupational therapy educators in Australia and New Zealand on how and where design and co-design skills are integrated within occupational therapy curricula. Educators were purposively sampled from the Australian and New Zealand Council of Occupational Therapy Educators (ANZCOTE), with additional participants recruited through snowball sampling. Eight semi-structured interviews were conducted with occupational therapy educators. Interviews were conducted and analyzed using the …

Vision Rehabilitation In Ot And Ota Curricula: A Survey To Academic Programs, Angela Butler, Beth A. Barstow

Journal of Occupational Therapy Education

Occupational therapists are trained to evaluate and treat occupational performance problems. Client factors, such as vision, greatly impact an individuals’ ability to participate in meaningful occupations. New accreditation standards do not include language related to vision. Therapists must be prepared to evaluate and treat the increasing prevalence of visual challenges from children with cerebral visual impairment to older adults with age related conditions. This survey explored how vision rehabilitation is covered in accredited occupational therapy and occupational therapy assistant programs and the expertise of faculty teaching vision content. A thirteen-question survey was sent to accredited programs. Questions included multiple response, …

How Identities Shape Belonging In Occupational Therapy Education: A Phenomenological Exploration Of Student Belonging, Quinn P. Tyminski, Rowhea Elmesky

Journal of Occupational Therapy Education

Belonging is defined in a variety of ways but most often refers to an individual’s feelings of acceptance, inclusion, support, and respect within a certain environment. Belonging is an innate human need and contributes to success in academic and professional settings. Within occupational therapy (OT) education, minimal attention has been paid to the specific concept of belonging with no research focused on long-term qualitative explorations of student belonging for students with historically minoritized identities (HMIs). Thus, the goal of the present study was to better understand how students with multiple HMIs experienced the phenomenon of belonging in OT education. Utilizing …