Occupational Therapy Commons^™

Occupatioanl Therapy In A Rural Public-School System: Exploring The Needs Of Elementary Schools Regarding Written Expression, Kaitlyn A. James

MOT Student Capstones

This capstone focused on the topic of written expression in a rural public school system setting, Edgecombe County Public Schools (ECPS). After investigating the needs of teachers in ECPS specifically and researching the evidence behind writing programs and current best practices, the end goal of this capstone was to make a formal recommendation for a writing program to the involved stakeholders in ECPS. Literature examined for this project included research from scholarly journals, presentations, evidenced-based databases, and credible web-based and academic resources. Gaining feedback from the teachers provided insight that specifically targeted areas of daily instruction while providing additional perspective …

Sensory, Motor And Process Skills As Compared To Symptom Severity In Adult Patients With Schizophrenia, Lola Halperin

Occupational Therapy Faculty Publications

Schizophrenia is a serious mental illness affecting millions of Americans. It is characterized by positive and negative symptoms; cognitive impairments; and sensory, motor, and process skill deficits; as well as compromised motor learning, functional difficulties, and diminished quality of life. Neuroscientists attribute the above deficits to abnormal brain development, exaggerated synaptic pruning, and neurodegenerative processes, causing disrupted connectivity and diminished plasticity in the brain, neurotransmitter dysfunction, and impaired sensory processing.

Presently, there is no cure for schizophrenia. Numerous medications and rehabilitation modalities exist; however, many of the affected individuals continue to struggle daily. Recovery of these individuals implies symptom management …

The Art And Science Of Occupation As Therapy, Jennifer Fortuna

The Open Journal of Occupational Therapy

Ashley Woo Lee, an occupational therapy student based in Loma Linda, CA, provided the cover art for the Winter 2018 issue of The Open Journal of Occupational Therapy (OJOT) (Figure 1). The piece, titled “Tree of Life,” is a 11” x 14” drawing made from mixed media. As a child living in Korea, Ashley enjoyed drawing as a favorite pastime. After her family relocated to the United States, art became Ashley’s primary means for self-expression. When a career in art was not an option, the field of occupational therapy satisfied Ashley’s artistic and scientific interests. In a recent interview, Ashley …

Factors Associated With Academic Performance Among Second-Year Undergraduate Occupational Therapy Students, Tore Bonsaksen, Brian J. Ellingham, Tove Carstensen

The Open Journal of Occupational Therapy

Background: Research into occupational therapy education and its outcomes for students is growing. More research is needed to determine the factors of importance for occupational therapy students’ academic outcomes. This study aimed to investigate factors associated with academic performance among second-year undergraduate occupational therapy students in Norway.

Methods: Occupational therapy students (n = 111) from two education programs completed questionnaires asking for sociodemographic, work-related, and education-related information. Hierarchical linear regression analysis was used to examine factors independently associated with the students’ academic performance.

Results: A higher age was associated with better average academic performance among the students, whereas having …

Co-Constructing Simulations With Learners: Roles, Responsibilities, And Impact, Diane E. Mackenzie, Kathleen E. Collins, Mylene J. Guimond, Abby C. Hunter, Kassia J. Jurcina, Johanna L. Mcdonald, Nikki L. Richards, Stephanie. H. Sinclair, Kelsey Y. Taylor

The Open Journal of Occupational Therapy

Co-constructed simulations were designed and piloted with senior occupational therapy master’s students in a neurorehabilitation practice module. The instructor served as the guide for the students through all phases of the case creation, simulation development, delivery, and debrief. The instructor facilitation promoted self-regulated learning (SRL) of knowledge and skill development through independent discovery and peer learning. This paper provides an evidence-informed co-construction simulation design with outlined stages, roles, and responsibilities for the instructor and learner. Thematic qualitative analysis of student feedback highlighted enhanced insight and SRL as a result of multiple role preparation, observation and interaction with peers, close interaction …

Use Of Religious Observance As A Meaningful Occupation In Occupational Therapy, Kelly Thompson, Bryan M. Gee, Sara Hartje

The Open Journal of Occupational Therapy

Background: Research shows that religious and spiritual beliefs influence a person’s health and quality of life. Studies have found that religious people are healthier and require less access to health services, and that clients want to have their religious and spiritual needs addressed as a part of their plan of care.

Method: This study used a descriptive survey design to explore the attitudes and behaviors of occupational therapists concerning religious observance in clinical practice. The survey yielded 181 responses from a random sampling from members of the American Occupational Therapy Association.

Results: The study found that while …

Expressive Art To Facilitate The Development Of The Occupational Profile: A Scoping Review, Verna G. Eschenfelder, Christina M. Gavalas, Taylor M. Pendergast, Colleen A. Gorman

The Open Journal of Occupational Therapy

Background. The American Occupational Therapy Association and the American Medical Association have changed CPT codes to require a completed occupational profile at every evaluation and re-evaluation session for reimbursement as of January 1, 2017. A revitalization of art in occupational therapy has led to a recent increase in the evidence supporting the use of expressive art in practice. The benefits of expressive art can directly enhance the occupational profile required by these changing reimbursement requirements.

Methods. A scoping review method was applied in the current study. Out of 347 initial articles, 12 met the inclusion criteria and were analyzed through …

A Retrospective Pre-Post Treatment Study Of Occupational Therapy Intervention For Children With Sensory Processing Challenges, Sarah A. Schoen, Lucy Jane Miller, Joanne Flanagan

The Open Journal of Occupational Therapy

Background: This study investigated the impact of an intensive, short-term program that incorporates the principles of sensory integration and relationship-based therapies with extensive parent collaboration. The goals were to identify measures sensitive to change and explore the relation between sensory modulation characteristics and change in behavior after intervention.

Method: A retrospective chart review examined routine clinical data pre-post intervention from 179 children identified with sensory processing challenges without comorbid autism. Change in measures of adaptive behavior, emotional functioning, sensory-related behaviors, and motor functioning were evaluated. Relations between sensory modulation and behavior were explored.

Results: Improvements were noted …

Occupational Adaptation As A Construct: A Scoping Review Of Literature, Lenin Grajo, Angela Boisselle, Elaina Dalomba

The Open Journal of Occupational Therapy

Background: This study integrates research on practice applications of the construct of occupational adaptation with occupational therapy and occupational science literature.

Method: Using Arksey and O’Malley’s 5-step Scoping Study Framework (2005), we conducted a scoping review of 74 articles from five online databases and literature hand-searching and performed quantitative and thematic analyses.

Results: The Occupational Adaptation model (Schkade & Schultz, 1992; n = 74) and the Model of Human Occupation (Kielhofner, 2008; n = 37) were the most frequently cited literature influences. Occupational adaptation has been defined as a process (n = 49), an outcome (n = …

Three Professions Come Together For An Interdisciplinary Approach To 3d Printing: Occupational Therapy, Biomedical Engineering, And Medical Librarianship, Joan B. Wagner, Laurel Scheinfeld, Blanche Leeman, Keith Pardini, Jamie Saragossi, Katie Flood

Touro University Libraries Publications and Research

Background: Although many libraries have offered 3D printing as a service or available technology, there is a lack of information on course-integrated programs for 3D printing in which the library played a primary role. Therefore, librarians at the Touro College School of Health Sciences began exploring 3D printing for inclusion in the occupational and physical therapy curriculum.

Case Presentation: The goal of this project was to educate occupational and physical therapy students and faculty about the potential applications of 3D printing in health care and provide hands-on experience, while increasing collaboration between librarians and faculty. Students’ tasks included designing and …

Training Appalachian, Hospital-Based Occupational Therapists On The Use Of Standardized, Occupation-Based Outcome Measures And Treatment Concepts For Traumatic Upper Extremity Injuries: A Pilot Program, Donald G. Pitts

Occupational Therapy Doctorate Capstone Projects

Executive Summary

Background. Traumatic injuries to the upper extremity, such as crush injuries, tendon lacerations, burns, and amputations, are common and may result in missed work, decreased independence in activities of daily living, and decreased the quality of life. In urban areas, traumatic upper extremity injuries are often treated by a Certified Hand Therapist (CHT), who is an occupational or physical therapist with specialized training who has passed a national certification examination. In the Appalachian region of Kentucky, people with traumatic hand injuries are most likely to be treated in a hospital-based outpatient orthopedic setting that is primarily staffed with …

Transition In Occupations Of Refugees During Resettlement, Jennifer H. Daine, Adam A. Chan, Jacqueline-Elizabeth Cantrell, Kimberley Keagan Banuelos

Student Research Posters

Purpose: In 2016, there were 22.5 million refugees worldwide (UNHCR, 2017). California resettled just over 5,000 of those 85,000 (Igielnik & Krogstad, 2017). Limited research has been conducted in the United States (U.S.) focusing on the refugee experience; furthermore, there is a significant gap in research regarding the impact of the refugee experience on the occupations of refugees as they transition to living in the U.S. Smith (2012) explored the adaptation of cultural weaving among Karen refugees to maintain their previous occupations and the impact of daily weaving on their lives within Western culture; however, the study focused only on …

Integration Of Pet Therapy To Enhance Occupational Performance, Brooke Harrell

MOT Student Capstones

Individuals with a Dementia diagnosis are on the continual rise in America. This debilitating condition remains incurable even with all the research and technology we have available today. Benefits of canine interactions have been demonstrated and it is becoming more common to incorporate canines into therapy practice. Canines have the ability to reduce anxiety and improve an individual's overall mood. By successfully impacting these two variables, canine interaction enhance client's potential and abilities tremendously. Canines provide an alternative outside of the box treatment method for clients with Dementia. Our role as an occupational therapist is to provide client centered care, …

The Benefits Of A Screening Tool For Seating And Mobility During The Initial Occupational Therapy Evaluation In Skilled Nursing Facilities, Ryan Haines

MOT Student Capstones

Occupational therapy practitioners are familiar with the idea that wheelchair positioning and mobility can have an impact on one's ability to participate in daily routines and leisure activities, yet many times it is overlooked during the initial evaluation process. Residents of skilled nursing facilities who rely upon wheelchairs for their mobility are at a particularly high risk of developing medical complications, such as pressure sores, and respiratory issues secondary to long-term seated positioning. The purpose of this project is to create an easy to use wheelchair positioning screening tool to use on both long-term care residents and individuals who are …

Let It Flow: Increasing Occupation-Centered Practice In Skilled Nursing Facilities, Patrick D. Robbins

MOT Student Capstones

The purpose of this study was to use the Kawa Model to discover and analyze the performance of the occupational therapy profession to incorporate occupation-centered practice in the skilled nursing setting. The guiding questions of the Kawa Model were used to guide phenomenological research inquiry into literature sources to generate drawings of the historical and current aspects of occupation-centered practice in the SNF setting. Environmental restrictions and obstacles from multiple sources were identified to prevent the implementation of occupation-centered services, while professional skills and values were identified with potential to initiate change in current practice trends. Two possible strategies for …

Perceptions Of Atp Certified Occupational Therapy Practitioners On Assistive Technology Education In Occupational Therapy Programs, Karen M. Dishman Otd, Otr, Atp

Occupational Therapy Doctorate Capstone Projects

This capstone project focused on identifying which categories of assistive technology (AT) that practitioners perceived to be needed in entry-level master’s occupational therapy (OT) programs; and validating the need for post-professional AT training and post-professional AT certificate programs. For this capstone project, a survey approach was used as the data collection method. The purpose of the survey was to determine perceptions of OT practitioners on AT education received during their entry-level OT program. The survey was returned by 148 occupational therapy practitioners certified as assistive technology professionals (ATP) by the Rehabilitation and Engineering Society of North America (RESNA). Results indicated …

Occupational Therapy Intervention For Project Search Interns With Autism Spectrum Disorder: Potential For Improved Transition Outcomes, Jessie L. Bricker

Occupational Therapy Doctorate Capstone Projects

As the prevalence of autism spectrum disorders (ASD) continues to rise, it is increasingly important to address the needs of adults with ASD as they transition into the work world. Project SEARCH, an internationally recognized program, has been successful in assisting individuals with disabilities in attaining competitive employment. Yet even in this program model, individuals with ASD have lower employment outcomes than individuals in other disability categories. The purpose of this action research study was to explore the needs of individuals with high functioning autism spectrum disorder (HFASD) within the Project SEARCH program from their own perspectives, and to examine …

Increasing Self-Efficacy Through Role Emerging Placements: Implications For Occupational Therapy Experiential Learning, Amy Mattila, Elizabeth D. Deiuliis, Ann B. Cook

Journal of Occupational Therapy Education

Fieldwork education is an essential component of occupational therapy curriculum design and student development. Today’s students are faced with a variety of challenges in the changing, diverse healthcare system, and educators need to ensure there are placements that best prepare them for these demands. Role emerging fieldwork offers an opportunity to not only meet the curricular requirements of fieldwork education, but also afford students the chance to develop confidence and skills unique to this kind of placement. The purpose of this explanatory case study was to explore graduate occupational therapy students’ self-efficacy before and after a Level I role emerging …

The Cognitive And Functional Impact Of Open Heart Surgery: A Pilot Study Including Three Common Procedures (Coronary Artery Bypass Graft, Heart Valve Replacement, And Left Ventricular Assist Device), Robert Fix

Theses and Dissertations

This study investigated the impact of open heart surgery (Coronary Artery Bypass Graft, Heart Valve Replacement, or Left Ventricular Assist Device placement) on cognition, functional performance, and mood in the three months following surgery. The Montreal Cognitive Assessment (MoCA), Kettle Test (KT), Physical Self Maintenance Scale (PSMS), and Hospital Anxiety and Depression Scale (HD) measured global cognition, functional cognition, functional performance, and mood states, respectively.

Thirteen male participants (ages 38 – 75) completed assessments at four time points -- when they were scheduled for surgery, within one week prior to surgery, before hospital discharge after surgery, and three months after …

A Qualitative Exploration Of Transformative Learning Within An Online Leadership Course, Melissa M. Sweetman

Journal of Occupational Therapy Education

As the profession of occupational therapy enters its second century of existence, it is important to recognize that for continued sustainability and strength through the effects of healthcare reform, strong leadership is required. While experts agree that leadership development for occupational therapists needs to begin in the classroom setting, there is little existing research on occupational therapy leadership education. Built upon a theoretical framework of the transformative learning theory, this qualitative study sought to determine whether students in an online leadership course within a post-professional doctor of occupational therapy degree program believed they experienced a transformation in their leadership knowledge …

Enhancing Collaboration Regarding Long-Term Therapy Planning For Children With Chronic Conditions Using Participatory Action Research, Victoria Ann Mcquiddy

Occupational Therapy Program Student Theses, Dissertations and Capstones

Children with chronic conditions often participate in therapy, but there is little information about how often or for how long therapy services should be provided. Participatory action research (PAR) methods were utilized in this study and, therefore, involved both parents and occupational and physical therapists throughout the study. Parental interviews were conducted to understand parent perception of self-management and how parents felt their child’s therapist was doing or could do to facilitate self-management, particularly as it related to discharge planning or having their child take a break from ongoing therapy. Through analysis of parent interviews completed by the therapist team …

Fine Motor Skills And The Occupations Of Young Adults With Multiple Sclerosis, Mary Squillace

Occupational Therapy Program Student Theses, Dissertations and Capstones

Objective: Multiple sclerosis (MS) is one of the most common neurological diseases affecting adults of working age, and those of younger ages of onset have been increasingly recognized. Twenty-seven percent of people with MS (PwMS) are age 30 years old or younger. The burden of MS for young adults puts them at risk for poorer outcomes regarding their education, family planning, vocation, and social skills as they transition to adulthood. Fine motor (FM) skill impairment might impede performance within the daily occupations of young adults who are transitioning into adulthood. Few studies focus on the occupations and occupational performance of …

Comprehensive Occupational Therapy In A Breast Cancer Program, Nicole Renee Scheiman

Occupational Therapy Program Student Theses, Dissertations and Capstones

The purpose of this capstone project is to develop an evidenced-based, innovative, and comprehensive occupational therapy evaluation and intervention protocol for breast cancer care. The contents of this paper will include an introduction into the current care provided to survivors, literature review on best practice in breast cancer care, outline of the procedures completed to discover what best practice care should be, results of these procedures, discussion of the results, and conclusion with proposed program and recommendations for further investigation. The concern investigated is the inconsistencies in care provided to survivors from the time of diagnosis throughout their lifespan or …

Impact Of Men's Shed On Social Participation And Health Outcomes, Joshua Grimmer

Honors Theses

This paper will explore the concept of a community-based organization, known as a Men’s Shed. The purpose of the research is to determine the positive impacts the North Belfast Men’s Shed has on social participation and overall health outcomes. The key factors observed in this study were the safe environment, camaraderie, social acceptance, and variety of activities the shed offers. The study included a sample of 11 men primarily over the age of 60. At the time of the study, all of the men were retired or unemployed and came from diverse occupational backgrounds. A set of semi-structure questions was …

A Review Of Occupation And Impairment Based Assessments Used In Occupational Therapy, Mariana D'Amico

OCCUPATION: A Medium of Inquiry about Health through Occupation

Objective: The objective of this paper was to analyze the psychometrics, efficacy, and usefulness of assessments to measure occupational performance and occupation-based outcomes.

Methodology: Eight Doctor of Occupational Therapy Students at Nova Southeastern University, along with their professor, analyzed and appraised 46 commonly used assessments to discover and explore the assessments’ purposes, theory-bases, psychometric properties, and usefulness as outcome measures.

Results: We found that many high quality assessments exist and meet the standards for validity and reliability. Although some assessments are client-centered and useful, some still require additional research to strengthen their psychometric properties.

Conclusion: Some widely used assessments …

Using Virtual Reality To Improve Sitting Balance, Alice Kay Barnes

Graduate Theses/Dissertations

This thesis focuses on using virtual reality (VR) to enhance sitting balance and core strength. It is a study in how to create a VR exercise program which is interesting enough to keep players/patients motivated, but comfortable to play and not overwhelming to the senses. The software used for this study was written with the hope that a later version of it might be used with occupational/physical therapy patients one day. For this master’s thesis, the initial testing has been done with healthy volunteers. The software incorporates what developers know thus far about designing for VR, and it is hoped …

The Pathway To The Use Of A Structured And Supported Approach To Debriefing, Anne H. Zachry, S. B. Lancaster

Faculty Presentations

Debriefing plays a critical role in the transfer of knowledge in simulation education. Various methods are used in the debriefing process based on a variety of factors; this presentation sheds light on the pathway to the use of a structured and supported approach as traversed in the Department of Occupational Therapy at the University of Tennessee Healthcare Center as well as reflections and lessons learned along the way. Engagement in this session will allow learners to further develop their debriefing skills through exposure to information about strategies to use in the debriefing process that can be used as part of …

Tic Adapted Child Occupational Self-Assessment (Cosa-T): Modified Tool Based On Clinician Feedback, Heather S. Martin Ppotd, Otr/L, Jan Rowe Dr.Ot, Mph, Otr/L, Faota

Student Capstone Papers

Tic disorders and Tourette syndrome include motor and vocal tics, affecting as much as 1% of the population (Centers for Disease Control [CDC], 2016). In addition, Tourette syndrome is often associated with comorbid neuropsychiatric conditions that have been linked to poorer quality of life (QoL) in youth compared to peers (Conelea et al., 2011). To manage this lessened QoL, mental health providers have historically treated these youth (Woods et al., 2008). More recently, occupational therapists have noted success in treating these children (Rowe, Yuen & Dure, 2013). In general, occupational therapists address QoL by assessing and treating occupations, roles, and …

The Contribution Of Technology To The Development And Sustainability Of An Occupational Therapy Community Of Learners In Doctoral Education, Susan Toth-Cohen, Phd, Otr/L, Mary Gozza-Cohen, Phd, Sandra Schefkind, Otd, Otr/L, Faota

Department of Occupational Therapy Posters and Presentations

This case study describes the pivotal role of technology in developing a community of practice (COP) designed for post professional occupational therapists that enabled doctoral students, alumni and faculty to share information and insights about topics, initiatives and research critical to the Occupational Therapy field. The COP evolved through ongoing development of the post-professional occupational therapy doctorate (PPOTD) program at Jefferson University in Philadelphia.

The conceptual foundation for the COP moved beyond an initial focus on course delivery to an emphasis on development, implementation, and sustainability of a vibrant learning community. Transformation of the COP was greatly facilitated through the …

Movement Without Boundaries, Jennifer Fortuna

The Open Journal of Occupational Therapy

Johnson Simon, an artist based in West Palm Beach, FL, provided the cover art for the Fall 2017 edition of The Open Journal of Occupational Therapy (OJOT). “Dancing in Motion” is a 36” x 60” painting made from acrylic on canvas. Johnson always wanted to become a dancer. He was born with cerebral palsy, and therefore physical limitations make it difficult for Johnson to coordinate his body movements. Through use of vibrant colors and bold strokes, Johnson’s expressionist paintings evoke movement and motion. Occupational therapy helped Johnson discover his artistic abilities. Painting empowered him to move without limitations.