Occupational Therapy Commons^™

B1ending Of Worlds: A Massage And Occupational Therapy Intervention In-Service, Brandon S. Scott

MOT Student Capstones

The purpose of the Blending of Worlds capstone project is to provide an educational in-service to promote the use of complementary interventions, such as massage techniques, during occupational therapy practice with pediatric patients. It was hypothesized that intervention was underutilized in occupational therapy and could benefit clients in achieving occupational therapy goals. By creating this educational in-service, therapists would be educated on how massage would be part of an occupational therapist's scope and show connections to its practical application as a part of occupational therapy practice. It also provides evidenced based research to support the use of the intervention and …

The Impact Of The Lsvt Big Program On Perceptions Of Fall Risks And Safety For Clients With Parkinson's Disease, Sarah Jackson

MOT Student Capstones

Parkinson's Disease is a common, neurodegenerative condition that can be a disabling, often causing injury and impairing quality of life. The purpose of this study was to determine the effectiveness of the LSVT program by increase safety and decrease falls for clients with Parkinson's Disease. Using the Modified Falls Efficacy Scale, consisting of fourteen occupations performed inside and outside the home rated their confidence levels on a visual 0 analog scale of 0-10. Data was collected from therapists on most used and top five assessments along with the benefits of the MFES when completing the interventions and plan of care. …

A Guide For Occupational Therapy Professionals Using "Budding" Occupational Therapy Strategies: A Nature Approach, Jessie R. Gentz

MOT Student Capstones

The purpose of"Budding" Occupational Therapy Strategies: A Nature Approach was to develop a guide with sample activities and explanations to better understand why and how nature works. The guide provides a sample of nature based activities for occupational therapists working with children with sensory processing disorders to better understand how simple it is to incorporate natural materials and natural environments into treatment sessions to improve a child's occupational performance. The activities integrate plants, animals, the outdoors and everyday materials into treatment planning to improve performance skills by addressing the various components of the occupational therapy practice framework (OTPF). The guide …

A Systemic Literature Review Exploring The Effects Of Occupational Therapy Rehabilitation And Motivation On Geriatric Patients, Melissa A. Buckman

Honors Undergraduate Theses

The purpose of this thesis was to examine the effects of occupational therapy rehabilitation on geriatric patients by reviewing studies conducted on motivation in occupational therapy. In occupational therapy it is important that you set goals for your patients (Creek & Lougher, 2008). It is also important to understand what motivates a patient to achieve those goals because goals and valued activities are intimately connected to motivation. Motivation deals with why we perform certain behaviors. It can predict physical performance and how well a person might recover from an illness and has been suggested to be predictive for rehabilitation success …

Container Culture: An Educational Program To Reduce The Overuse, Ashleigh R. Toy

Occupational Therapy Doctorate Capstone Projects

The increased pace of society, improved safety, mobility and the need for parent efficiency have created a vast market of infant products to meet these demands: car seats that clip in and out of everything from the car to the grocery cart, jumpers, walkers, exersaucers, swings, bouncers and bumbos. These infant equipment products are helpful and can be beneficial if used effectively, however, the problem synthesized from the literature and clinical observation is that these containers designed to support safety and mobility are being overused causing a decrease in tummy time and human interaction which is leading to delays in …

Assistive Technology Provision By Occupational Therapists : A Process And Tools For Managing Clients With Spinal Cord Injury, Ikechukwu Anthony Igbo

Occupational Therapy Program Student Theses, Dissertations and Capstones

Occupational therapy focuses on complex dynamic relationships between people, occupations and environments. For clients with spinal cord injuries (SCI), a way of improving the connection between these three aspects is by providing assistive technology (AT). A fundamental issue identified by consumers regarding AT provision was abandonment, which is caused by a mismatch between aspects of the person, the assistive product, and characteristics of the environment. One solution is engaging collaboratively with clients and recognizing individual needs, thereby allowing therapists to meet clients’ occupational expectations and provide clients with increased functional independence. During this capstone project, barriers to AT provision were …

Factors Influencing The Use Of Evidence-Based Practice Among Physiotherapists And Occupational Therapists In Their Clinical Work, Sofi Fristedt, Kristina Areskoug Josefsson, Ann-Sofi Kammerlind

Internet Journal of Allied Health Sciences and Practice

Background: Evidence-based practice (EBP) is a process through which research is applied in daily clinical practice. Occupational therapists (OTs) and physiotherapists (PTs) are expected to work in line with EBP in order to optimise health care resources. This expectation is too seldom fulfilled. Consequently, research findings may not be implemented in clinical practice in a timely manner, or at all. To remedy this situation, additional knowledge is needed regarding what factors influence the process of EBP among practitioners. The purpose of the present study was to identify factors that influence the use of EBP and the experienced effects of the …

Implementation And Strategies To Address Sensory Regulation Of Students With And Without Disabilities In Two Kindergarten Classrooms, Yvette Rosil Mere-Cook

Doctoral Dissertations

Results from previous research studies suggest that inclusive settings benefit all learners. However, general education teachers often do not have built in supports within the classroom to meet the needs of students with disabilities. Implementing a sensory diet curriculum (SDC) is one instructional practice that addresses needs of students with disabilities, such as autism spectrum disorder, and could be applied widely for students without disabilities. Sensory regulation is defined as the body’s physiological process of adapting arousal or alertness levels to cope with sensory events and situational demands that occur throughout the day. The purpose of this study was to …

The Experience Of Role Balance Among Australian Working Women With Multigenerational Caring Responsibilities, Kiah Lee Evans

Theses: Doctorates and Masters

Approximately 10% of women in developed countries are working sandwich generation women, who combine paid employment with ongoing multigenerational caring responsibilities for at least one child under 18 years and one parent or parent-in-law. This role combination is expected to become more common due to the increased workforce participation of women, childbirth at an older age, reduced fertility rates, an ageing population and a trend towards community based care. Although there are numerous benefits related to membership in the working sandwich generation, there are also a range of costs related to role participation and quality of life. In particular, these …

Sleep As An Occupation In College Students, Michelle Del Rosario, Lisa Mrsny, Amanda Cervantes, Carl Fitzgerald

Student Research Posters

The purpose of this study was to measure the quality of sleep in undergraduate college students and explore the relationship between academic self-efficacy and performance in student-related occupations. A quantitative, exploratory, descriptive and correlational research design was used to explore the relationship among sleep quality, perceived self-efficacy, and selected student characteristics. This study included undergraduate students, as well as self-identified student athletes, first generation students, and students with disabilities. To collect data, the researchers conducted an online survey, which consisted of the Pittsburgh Sleep Quality Index (PSQI), a demographic and self-efficacy questionnaire. The PSQI was used to evaluate the sleep …

Providing Compassion Through Flow, Lydia Royeen

The Open Journal of Occupational Therapy

Meg Kral, MS, OTR/L, CLT, is the cover artist for the Summer 2015 issue of The Open Journal of Occupational Therapy. Her untitled piece of art is an oil painting and is a re-creation of a photograph taken while on vacation. Meg is currently supervisor of outpatient services at Rush University Medical Center. She is lymphedema certified and has a specific interest in breast cancer lymphedema. Art and occupational therapy serve similar purposes for Meg: both provide a sense of flow. She values the outcomes, whether it is a piece of art or improved functional status.

Does Generalization Occur Following Computer-Based Cognitive Retraining?—An Exploratory Study, Kitsum Li, Jonathan Alonso, Nisha Chadha, Jennifer Pulido

Collected Faculty Scholarship

Computer-based cognitive retraining (CBCR) intervention has gained great popularity in recent years. This study aimed to investigate the occurrence of skill generalization to daily living task for individuals with acquired brain injury (ABI) after completion of eight modules of a commercially available CBCR program, the Parrot Software. The study investigated changes in individuals’ global cognition as measured by the Montreal Cognitive Assessment, and changes in individuals’ performance during a medication-box sorting task, a novel instrumental activity of daily living. The medication-box sorting task resembled real life medication management with daily prescribed and over-the-counter medications. Twelve individuals with ABI from a …

Occupational Deprivation Or Occupational Adaptation Of Mexican Americans On Renal Dialysis, Shirley A. Wells

Occupational Therapy Faculty Publications

The aim of this study was to explore the occupational changes and perceptions experienced by Mexican Americans with end-stage renal disease (ESRD) and their families living with dialysis. In-depth interviews were conducted with 17 Mexican Americans with ESRD and 17 family members. The participants with ESRD described altered or lost activity patterns, capacities and freedoms. With a heightened awareness of death, the family members made altered occupational choices, which were consistent with their cultural values. Changes in the physical body, adhering to the dialysis regimen and environmental restrictions created barriers to occupational participation. These findings suggest that living with dialysis …

A Matter Of Balance: Program Outcomes For Community-Dwelling Older Adults, Tiffany Lau, Victoria Reyes, Adrienne Angeles, Leslie Hollaway

Dissertations, Masters Theses, Capstones, and Culminating Projects

Aims: The purpose of this program evaluation was to determine if A Matter of Balance with volunteer lay leaders (AMOB/VLL) was effective in increasing fall self-efficacy, fall control, and fall management in community-dwelling older adults.

Methods: Participants included community-dwelling older adults over the age of 60 who were concerned about falls and attended at least five of the eight AMOB/VLL program sessions. Fear of falling, pretest, posttest, and 3-, 6-, and 12- month follow-up data were collected from program participants between 2012 and 2013.

Results: Participants demonstrated overall improvements in fall self-efficacy, fall control, and fall management. Qualitative analysis also …

The Preschool Kitchen Task Assessment (Pkta): Assessing Validity Of A Performance-Based Assessment Of Executive Function, Emily Fry, Hayley Gilligan, Liza Henty-Clark, Jennifer Weissensee

Dissertations, Masters Theses, Capstones, and Culminating Projects

Background and purpose. Executive function (EF) deficits is a growing area of focus in pediatric occupational therapy practice. However, there is a lack of performance-based assessments of EF in preschool-aged children. This study sought to establish preliminary criterion-related validity of the Preschool Kitchen Task Assessment (PKTA), a test of EF in preschoolers developed by Christine Berg, Ph.D., OTR/L, in which children complete a multi-step craft project.

Subjects. Fifteen typically developing preschool-aged children participated in this study.

Methods. An exploratory design was used to assess criterion-related validity of the PKTA. Participants completed the PKTA along with several established neuropsychological assessments of …

Standardized Patients In Occupational Therapy Education, Andrea E. Battle, Jessica M. Borceguin, Joanna P. Dizon, Lai Zan Saechao

Dissertations, Masters Theses, Capstones, and Culminating Projects

The use of standardized patients (SPs) in occupational therapy (OT) education has greatly increased in recent years; however, there is limited research on the perceptions of student’s clinical readiness utilizing SPs and whether or not the utilization of SPs prepare students for fieldwork. The purpose of this study was to examine the perceptions of SPs in OT education and the perceived clinical readiness of students. The use of SPs has been thoroughly researched in other healthcare related fields. It is important that the same critical attention be given to their use in our own field, which emphasizes the importance of …

The Role Of Occupational Therapy In The Prevention Of Infant Torticollis & Plagiocephaly, Anne H. Zachry

Faculty Presentations

AOTA includes health promotion as an Intervention approach in the Occupational Therapy Practice Framework: Domain and Process. As health care professionals, occupational therapy practitioners are responsible for promoting public health and wellness. Occupational therapists need to educate parents and caregivers about the importance of varying infant positions, providing tummy time, and limiting infant time spent in baby gear.

The Challenge Of Cultural Competency In The Multicultural 21st Century: A Conceptual Model To Guide Occupational Therapy Practice, Wesam Darawsheh, Gill Chard, Mona Eklund

The Open Journal of Occupational Therapy

Background: Occupational therapists increasingly encounter clients from diverse cultural backgrounds and need to meet their professional obligation of delivering culturally competent practice. Yet the process of cultural competency is poorly understood in occupational therapy practice. There is a need for a clear understanding of the meaning and process of cultural competency as it is enacted in practice with a wide range of individuals from culturally diverse backgrounds.

Aim: To investigate the process, stages, characteristics, and requirements of cultural competency as practiced by experienced occupational therapists.

Method: Semi-structured interviews were carried out with 13 community occupational therapists experienced …

Time And Space Use Of Adults With Intellectual Disabilities, Terry K. Crowe, Jessica Salazar Sedillo, Emily F. Kertcher, Joy H. Lasalle

The Open Journal of Occupational Therapy

Purpose: This study analyzed the time and space use of adults with intellectual disabilities (ID) in order to better understand the occupational patterns of this population.

Methods: Time and space use data were collected through observation of 15 adults with ID during 4-hour periods on typical weekdays and weekend days. Data were coded into 12 time and 10 space use descriptive categories.

Results: The participants used a greater variety of locations during weekdays that contributed to greater amounts of weekday time spent in a wider variety of activity categories. In contrast, the participants spent a majority of …

An Exploration Of Volition: Caregiver Perceptions Of Persons With Dementia, Christine Raber, Mikel Stone

The Open Journal of Occupational Therapy

The purpose of this study was to understand what formal caregivers know about the volition of older adults with moderate dementia. A qualitative approach was used at one assisted living facility. Semi-structured interviews were conducted with formal caregivers to gain their perceptions of residents’ volition or motivation for occupation. Volition of resident participants was assessed using the Volitional Questionnaire (VQ). Caregiver interviews and resident VQ’s were analyzed using van Manen’s phenomenological approach to examine their congruence with regard to the volitional abilities of residents. Thematic analysis yielded two broad themes: (a) Caregivers possess varying layers of insight regarding the volitional …

State Of The Journal Year 2: Making Progress, Diane Powers Dirette

The Open Journal of Occupational Therapy

No abstract provided.

Exploring And Examining Sensory Processing And Social Participation In Gifted Students, Gwendolyn Goodman

MOT Student Capstones

The purpose of this project was to examine and explore the relationship of sensory processing and social anxieties among the gifted in order to better inform occupational intervention and education. With limited research regarding the sensory processing of this specific group, understanding where sensory and social characteristics intersect can assist in understanding occupation based needs. Gifted students have historically been labeled with oddities of social norm presentation and sensory idiosyncrasies. Occupational therapists, educators and parents can be empowered and broaden student diversity to increase participation in occupation for students that are otherwise deemed "self sufficienf' due to their intelligence yet …

Enriching Occupational Therapy In Early Intervention: Using And Documenting The Evidence, Shelli Dry, Christine Myers

Occupational Therapy Doctorate Capstone Projects

Occupational therapists working in Kentucky’s Early Intervention System (First Steps) are required to use evidence-based practice within their treatment sessions. Evidence-based practice incorporates information from scientific research, the clinician’s expertise and the family’s values in an all-encompassing treatment approach. Implementing evidence-based practice into treatment sessions promotes efficiency in treatment by improving clinical outcomes in a shorter period of time. This capstone project was developed as a first step in identifying methods to promote the implementation and documentation of evidence-based practice into early intervention services. This project included developing an online continuing education course and exploring changes in occupational therapists perceptions …

"Bent But Not Broken": A Mixed Methods Study Of Mothering During Chemotherapy For Breast Cancer, Julie A. Baltisberger

Theses and Dissertations--Rehabilitation Sciences

Breast cancer is the most common cancer diagnosis of women, with an estimated 232,670 new cases in 2014. With 89.2% of breast cancer patients surviving five years or longer, studies are needed to investigate the long-term impact of breast cancer on women and families (National Cancer Institute, 2014).

The purpose of this study was to examine, using a mixed methods approach, the impact of chemotherapy on mothering occupations for patients diagnosed with breast cancer. Thirty-one women (mean age=39.6, SD=5.79), with breast cancer of any stage, who were currently undergoing chemotherapy and had at least one child under the age of …

The Experiences Of Occupational Therapists Working On Interprofessional Primary Health Care Teams: A Case Study., Emma Blake Mcclellan

Online Theses and Dissertations

The aim of this research was to provide evidence on the integration of occupational therapy (OT) intervention in primary care from the perspective of OTs. Typical services provided, experience with team members, and the identified value of OT in primary health care was explored. OT possesses the expertise and skill set to address the most common chronic conditions that primary care providers treat by entry level educational preparation. OT services are based upon a holistic view of individuals creating an affective skill set to participate in and coordinate health care delivery for the client. Currently limited evidence is available to …

Facilitating Effective Communication Between First Responders And Older Adults During Fall Incidents, Krystin M. Beeman, Erica L. Berger, Isabel A. Cabezas, Nicole M. Mathews

Student Research Posters

PURPOSE. The purpose of this project was to provide first responders with communication strategies for older adults that may help when responding to fall- related calls. General information was also provided to First Responders on working with older adults with a focus on the aging process, fall risk factors, and communications strategies.

METHODS. A series of educational sessions to first responders at a local fire district were developed and presented by occupational therapy students. Materials were developed by presenters from evidence-based resources and tailored to the target population. Each presentation focused on statistics about older adults, the aging process, fall …

The Effect Of Therapeutic Listening(R) On Bilateral Coordination, Emily Smiley, Daryl Arora, Jiawen Liang, Melissa Ramirez

Student Research Posters

This study concludes a 2-year long randomized control pretest posttest design study examining the effects Therapeutic Listening® Bilateral Quickshift intervention, on bilateral coordination in typically developing children between the ages of seven to eleven. Participants were recruited from after school programs at Coleman Elementary and St. Anselm School located in Marin County, California, as well as word of mouth from the Dominican University community. Participants were randomly assigned to either the Therapeutic Listening® intervention or white noise control intervention. All participants completed a pretest to establish a baseline of bilateral coordination abilities. Participants then listened to 15-minutes of the intervention, …

Growing Up In Ireland: Factors Impacting Sleep Patterns Of Preterm Infants, Joanne Fallon

Theses and Dissertations

GROWING UP IN IRELAND: FACTORS IMPACTING SLEEP PATTERNS OF PRETERM INFANTS

By Joanne Fallon MS, OT, PhD

A dissertation submitted in partial fulfillment of the requirements for the degree of Doctor of Philosophy at Virginia Commonwealth University

Virginia Commonwealth University, 2015.

Major Director: Shelly J. Lane, PhD, Professor, Department of Occupational Therapy

Preterm infants represent the largest child patient group in the European Union (EU), accounting for 5.5-11.4% of all births (European Foundation for the Care of Newborn Infants, 2011b). Preterm birth is defined as birth prior to 37 weeks gestation. Infants born late preterm (34-36 weeks) are considered more …

Identifying The Enablers And Barriers To Community Participation Amongst Older Adults, Nicole Papageorgiou

Theses : Honours

The older adult population in Western Australia (WA) has significantly increased over the last decade and continues to grow, highlighting the importance of maintaining their health, wellbeing and independence. This may be achieved by facilitating active ageing, enabling older adults to continue to live meaningful and fulfilling lives, contribute positively to society, and lower the demand on costly health and human services. Conversely, a lack of social engagement and community participation may hinder healthy ageing and lead to social isolation, which is adversely related to the quality of life and health status of older adults. Occupational participation is critical to …

Employment Needs Of The Age 21 And Over Id Population In South Florida : An Occupational Therapy Perspective, Ingris Treminio

Occupational Therapy Program Student Theses, Dissertations and Capstones

A review in the literature makes it evident that employment needs of the age 21 and over ID population are not being met; the employment rate for this population continues to be less than half of the employment rate of the general population (Siperstein et al., 2013). There is evidence that occupational therapy has the potential to meet the employment needs of this population, however, practice guidelines for occupational therapists working with this population are limited. This study recruited seven participants and interviewed them using a needs assessment approach to investigate the employment needs of the age 21 and over …