Occupational Therapy Commons^™

Mending The Mind: Exploring The Role Of Occupational Therapy For Executive Dysfunction Post-Pediatric Traumatic Brain Injury, Shannon E. Hegland

Occupational Therapy Capstone Presentations

Executive dysfunction is a common concern for children after experiencing a traumatic brain injury. This can greatly affect occupational performance. Occupational therapists can provide therapeutic services to improve executive function skills, utilize compensatory strategies to restore function over time, and educate parents and caregivers on the expected symptoms and impairments. During this capstone project, I focused on learning how to address executive dysfunction in the pediatric post TBI population and created deliverables to assist future therapists with the same task. Seven children who experienced executive dysfunction post- traumatic brain injury between the ages of two and eighteen were selected as …

Aquatic Developmental Play Program For Children In Early Intervention: A Case Series, Brynn N. Butzman, Cynthia Lau, Cheryl Vanier

The Open Journal of Occupational Therapy

Background: Despite limited evidence, aquatic programming has the potential to be an ideal intervention for young children with disabilities because of its unique and dynamic properties. This study explored the impact of an aquatic developmental play program in addressing sensory integration and motor development needs of children with disabilities as well as its impact on parental isolation.

Methods: A case series design was used. Children with disabilities under 3 years of age and their parents participated in a 9-week aquatic developmental play program held in the community. Goals were individualized for each participant and monitored using the Goal …

Advocating For Occupational Therapy In The Pediatric Primary Care Setting, Margaret Bauer

Spring 2022 Virtual OTD Capstone Symposium

This project explored the experiences of caregivers interacting within the pediatric primary care setting in order to determine a need for occupational therapy to help support acquisition of child developmental milestones, screening for developmental delays, and implementation of health behaviors into family routines. An IRB research study was conducted to survey primary caregivers of children across the country to ascertain their experiences and knowledge of OT, ease of health behavior implementation, and comfortably discussing child development with their pediatrician's. A needs assessment survey was distributed at a San Diego pediatric primary care clinic, and a program was developed to support …

Telehealth Vs Face To Face Pediatric Screenings: A Pilot Study, Katherine S. Ryan-Bloomer, Joan Ziegler Delahunt

Journal of Occupational Therapy Education

The global pandemic heightened the importance of occupational therapy (OT) education programs to prepare students for telehealth practice. The objective was to examine the following research questions: 1. Does self-assessment of pediatric competency skills improve following participation in pediatric screenings? 2. Is there a difference in self-assessment of pediatric competency skills between those students who perform pediatric screenings via telehealth versus face-to-face? 3. What is the lived experience for students who perform telehealth and face-to-face pediatric screenings? A mixed method- quasi-experimental design and phenomenological tradition were employed. The study utilized online surveys, focus groups, telehealth screenings with an urban preschool, …

A Comparison Of Activity Participation Between Children With And Without Asthma, Jacqueline R. Jezioro, Sharon A. Gutman, Stephanie Lovinsky-Desir, Virginia Rauh, Frederica P. Perera, Rachel L. Miller

The Open Journal of Occupational Therapy

Background: Asthma affects approximately 6 million children in the United States and can greatly impact quality of life and occupational engagement. Although occupational therapists are well-equipped to address participation limitations, insufficient evidence exists to support the role of occupational therapists in asthma treatment.

Method: The purpose of this study was to further understand the occupational limitations experienced by children with asthma. We also explored a dual diagnosis of asthma and obesity. The participants included children with (n = 84) and without (n = 63) asthma living in New York City. The Child Behavior Checklist, Youth Self Report, Brief …

Caregiver Perceptions Of Environmental Modifications For Sensory Processing, Jaimie Lynn Smith

Occupational Therapy Capstone Presentations

This capstone project explored in-depth clinical practice skills in sensory based therapy along with caregiver perceptions of sensory environmental modifications. In person and telehealth treatment sessions focused on the achievement of sensory based goals. A three-part continuing education course was also completed to expand knowledge and understanding of sensory environmental modifications and strategies that were family friendly. The main project was to gain an understanding of caregiver perceptions of sensory environmental modifications. This was accomplished through interviews with families that focused on sensory aspects of the environmental, completion of Participation and Sensory Environmental Questionnaire, and feel-good menus. After environmental recommendations …

Role Of Occupational Therapy In The Nicu And Post-Nicu Settings, Katlyn M. Schochenmaier

Occupational Therapy Capstone Presentations

The purpose of this capstone experience was to gain advanced clinical experience and explore occupational therapy’s role in the NICU and post-NICU settings. Further focus of this capstone was on the feeding concerns and sensory development of infants following a NICU stay. This capstone project was completed at a Level IV NICU and an outpatient speech and occupational therapy clinic in a midwestern city. Theoretical models of Ayres’ Sensory Integration, Neonatal Integrative Developmental Care Model, and Biopsychosocial Model of Pediatric Feeding were used to develop and implement this capstone experience. A two-day continuing education course was completed prior to the …

Advocating For The Field Of Occupational Therapy In A Childcare Setting, Nicole K. Leinhart

Occupational Therapy Capstone Presentations

Significant physical, cognitive, social, and emotional development occurs during the first five years of life; many children spend time in the childcare setting during this crucial time of development. Appropriately meeting the needs of children is important for healthy growth and development throughout an individual’s life. Working in collaboration with the childcare staff, occupational therapists are beneficial when working with the pediatric population. With their extensive knowledge, expertise, and training in human development, as well as the physiological, psychological, social, and emotional needs of individuals throughout the lifespan, occupational therapists improve the children’s engagement and success within a childcare setting. …

Promotion Of Fine Motor Skills Through Video Supports, Kaitlin Hasher

MOT Student Capstones

Pediatric occupational therapists working with students in a school-based setting are consistently facing challenges with time management due to their high caseload numbers and limited documentation time in school-based settings. Along with time constraint issues, schoolbased occupational therapists find it difficult to communicate with caregivers on the skills being practiced in the school setting due to limited face-to-face time with caregivers. Children continue to require therapeutic services in school-based settings, however as occupational therapists continue to take on more responsibilities in this setting it becomes more challenging to find time to provide effective and efficient means to educate and reinforce …

Home And Parent Training Strategies For Pediatric Feeding Disorders: The Caregivers’ Perspective, K. Megan Carpenter, Mindy Garfinkel

The Open Journal of Occupational Therapy

Background: Twenty to 45% of the general pediatric population experience feeding problems. When children with disabilities exhibit feeding problems, they are more likely to develop maladaptive mealtime behaviors that may lead to poor nutrition. Home training to help treat a child’s feeding delay or disorder is a vital component of feeding treatment and supports holistic, family-centered treatment models. It is important for occupational therapists working with this population to understand the impact of these behaviors on individual and family functioning.

Method: This quantitative study examined caregivers’ perspectives of the training families receive to support their child’s feeding delay …

Inter-Rater Reliability Of Goal Attainment Scaling With Children With Sensory Processing Disorder, Teresa A. May-Benson, Sarah A. Schoen, Alison Teasdale, Jane Koomar

The Open Journal of Occupational Therapy

Background: Goal Attainment Scaling (GAS) is advocated as a meaningful outcome measure for parents and clinicians using an Ayres Sensory Integration^® Intervention (ASI) approach. Although used in several treatment effectiveness studies, reliability of therapist goal writing and scoring has not been established in this area.

Method: Ten occupational therapists and 40 parents of children receiving ASI participated across two clinical sites. The interview therapists and inter-rater therapists wrote GAS goals based on the same goal-setting interviews conducted with parents. Follow-up parent interviews were conducted post-ASI intervention, and the GAS goals were rated by both the interview therapists …

Profile Of Pediatric Assessments Selected In Occupational Therapy Practice And The Influence Of Occupation-Based Assessments On Clinical Practice, Alysha Skuthan

Occupational Therapy Program Student Theses, Dissertations and Capstones

Occupational therapy practice is intended to reflect the core construct of occupation throughout all aspects of service delivery. In pediatricoccupational therapy, there is insufficient evidence examining regularly selected assessment tools and the occupational constructs ofselected assessment tools. A mixed methods research study was conducted to examine the most regularly selected assessment tools by pediatric occupational therapists and the resultant effects on service delivery specific to goal writing, intervention planning, length oftreatment, materials used in practice, and the context of service delivery among other practice outcomes generated by therapist participants. The primary assessment tools utilized by pediatric occupational therapists reflected a …

The Perceptions Of Four Novice Occupational Therapists' Preparedness And Ability To Perform Occupation-Based Practice In Pediatric Practice, Laurie Knis-Matthews, Meagan Koch, Alivia Nufrio, Melissa Neustein Gorman, Feby Zaki, Katheryne H. Wall

Journal of Occupational Therapy Education

Although occupation-based practice (OBP) is considered best practice within the occupational therapy profession, practitioners continue to have a difficult time actively implementing OBP into treatment. The Accreditation Council for Occupational Therapy Education (ACOTE) standards necessitate the implementation of OBP. Within the literature, there are gaps in the research investigating novice therapists’ perceptions of incorporating OBP in practice, especially in the United States. Since children and youth is a rapidly growing area of practice, this study focused on investigating how novice therapists are implementing OBP in pediatric settings. This qualitative study therefore investigated the perceptions of four novice pediatric occupational therapists’ …

An Unexpected Outcome Of A Pediatric Simulation Encounter For Occupational Therapy Students., Anne H. Zachry, K. Booker, S. B. Lancaster

Faculty Presentations

This presentation reviewed how to plan and implement a pediatric simulated educational experience to align with the targeted course learning objective(s). Participants learned how to incorporate best practices into simulation education in order to advance occupational therapy education.

Turning Everyday Activities Into Play: Building Relationships And Fostering Connections For Adopted Children And Children In Foster Care, Marissa E. Siu

Student Capstone Papers

The purpose of this capstone project was to create a program for community members, foster families, and adoptive families. In this project, community members was defined as any professional that works with foster and adoptive families in the community or in their profession. This included school staff, school administrators, therapists, and day care or respite providers.

The goal of this program was to use play to build stronger family bonds and relationships while also supporting the development of children in foster care and adopted children. By providing this program as a tool that can be used by families and community …

Long-Term Functional Effects Of Medulloblastoma Treatments, Serena Khiantani, Pamela Ponce, Bailey Diprima, Sarika Maymoundok, Leah Murray

Master of Occupational Therapy Student Critically Appraised Topics

All studies relate directly to components of the evidence-based practice question and were used to understand the possible long-term effects of treatment for clients diagnosed with medulloblastoma cancer. This Critically Appraised Topic (CAT) contains 6 research articles from both national and international journals. Study designs include two cohort studies with a control group, 1 cross sectional study with a control group, 1 retrospective cohort study without a control group, 1 descriptive report on a Randomized Control Trial (RCT), and 1 descriptive study. Through these studies, we found that radiation treatment is associated with impaired IQ and academic achievement and that …

Developing Educational Resources To Support The Use Of The Hippotherapy Evaluation And Assessment Tool, Emily Peoples

Student Capstone Papers

The Hippotherapy Evaluation and Assessment Tool (HEAT) was created in 2011 with the goal of creating an assessment specific to this therapeutic intervention and effectively tracking client progress. Based on the current literature of client progress during hippotherapy intervention, four domains of scoring were created: Static Posture, Dynamic Motor Behavior, Sensory Processing, and Psychosocial/Behavioral. Over the years, many thesis studies have been conducted to confirm the reliability and validity of the HEAT. However, further dissemination was required as many therapists had not yet heard of the tool. A doctoral capstone project was completed in 2019-2020 to create a training program …

Holistic Home Modification: Developing A Client-Centered Approach To Home Assessments And Quality Of Life Measures, Maggie Little

OTD Capstone Projects

This project is an appraisal of home assessments and quality of life measures in order to find the best fit for pediatric populations and their caregivers.

The Influence Of A Therapy Dog On A Pediatric Therapy Organization: A Mini Ethnography, Macy Burr, Peggy Wittman

Occupational Therapy Collection

Research confirms the beneficial effects of therapy dogs in therapeutic settings. However, there is little evidence on the impact of a therapy dog on an entire organization. The purpose of this study was to explore the role and meaning of a therapy dog in a pediatric therapy organization. An ethnographic approach was utilized. Interviews, observations, and artifacts revealed the valuable role a therapy dog plays in this setting and how he is incorporated into therapy routines. Additional themes included the value of animals, the environment being viewed as a safe place, learning, and major challenges. The results were consistent with …

The Impact Of Mobile Media On The Fine Motor Development Of Students Entering Into The Educational System, Bernadette H. Needham

Occupational Therapy Doctorate Capstone Projects

The prevalence of mobile technology has greatly increased in our society over the last ten years. As COVID-19 continues to impact our society, the long-term impact of mobile media continues to be a concern with the movement to remote learning. The purpose of this research is to examine the parent’s perspective of increased mobile media usage at a young age on the development of fine motor skills needed for participation in kindergarten. The literature that was reviewed indicates that currently no definitive understanding of the impact of increased mobile media is known. The research was guided through decision making based …

Caregiver Perspectives On Telehealth: A Service Delivery For Occupational Therapy, Rebecca Johnston

Student Capstone Papers

Telehealth; also known as telerehabilitation, telecare, telemedicine, teletherapy, and telepractice; is an emerging healthcare service that is utilized in various healthcare facilities with a span of ages, conditions, and locations (World Federation of Occupational Therapy [WFOT], 2014). Telehealth utilizes information and communication technologies to deliver services to a patient when the healthcare provider is not in the same location (WFOT, 2014). Telehealth can provide an online platform for evaluations, consultations, monitoring, supervision, and intervention with patients and other professionals (WFOT, 2014).

Telehealth is an emerging method of delivering occupational therapy (OT) services to various populations, including: children and youth; productive …

The Meaning And Motivation Of Children Participating In Animal-Assisted Therapy: A Pilot Study, Beth Laskowski, Melissa Y. Winkle, Whitney Lucas Molitor

People and Animals: The International Journal of Research and Practice

Background: Despite claims that animal-assisted therapy is beneficial, there is limited empirical evidence supporting this. Current literature supports the physical, emotional, and psychological benefits an animal can provide, but few studies have explored the outcomes of incorporating an animal into skilled treatment facilitated by a healthcare professional. This study seeks to explore the effects of animal-assisted therapy in outpatient pediatric occupational therapy practice.

Purpose: The purpose of this research is to explore the meaningfulness and motivation animal-assisted therapy interventions provide for pediatric clients when compared with traditional occupational therapy treatment.

Methods: Researchers utilized a within-participants repeated-measures design for this study. …

Exploring The Connections Between The Presence Of Developmental Trauma And Clinical Reasoning: The Lived Experience Of Pediatric Occupational Therapists, Gwendolyn R. Blake, Briar E. Plantinga, Julie Shafer

Pediatrics

Background: Developmental trauma is a current issue facing the nation. It adversely affects participation in occupations across the lifespan. This paper examines how the clinical reasoning of practicing pediatric occupational therapists changes when treating clients who have experienced developmental trauma.

Methods: A phenomenological approach was applied using multiple cases. Four individuals, who identified as working with clients with developmental trauma, were interviewed using a series of semi-structured and open-ended questions on their experience treating these clients.

Results: Narrative transcripts were reviewed by the authors and organized into themes of performance patterns of the therapist and the context of developmental trauma …

The Power To Transform Development: Benefits Of Power Mobility Devices For Children 0-3 Years, Madeleine Clements, Ots, Chalia Bellis, Ots, Audrey Zapletal, Otd, Otr/L, Cla

Department of Occupational Therapy Posters and Presentations

The purpose of this poster is to describe the benefits of PMD for children 0-3 years old and to provide evidence-based recommendations for prescription and usage.

An Analysis Of The Developmental Enrichment Of The Seattle Children's Playgarden, Caitlin Koob

Honors Theses

This paper analyzes the opportunities for developmental enrichment, as provided by the Seattle Children’s PlayGarden, from the perspective of occupational therapy. The PlayGarden, located in Seattle, Washington, is an inclusive playground, preschool, and summer camp that promotes inclusion of children with disabilities. The analysis highlights each area of occupation, as identified in the Occupational Therapy Practice Framework, and discusses the garden’s contribution to facilitate growth in those specific skills (American Occupational Therapy Association [AOTA], 2014). The intentionality of the design and program structure advocates for children to maximize their independence in activities of daily living, despite the play-based approach. …

Examining The Benefits Of Educating Caregivers About Tummy Time In The Acute Care Setting, Alexandra L. Turner

Occupational Therapy Doctorate Capstone Projects

Background: This project addressed providing parents with education on tummy time in the acute care setting. This is based on a gap in the literature on occupational therapy (OT) services in the acute care setting.

Purpose: The purpose of this research project was to conduct a pilot study to examine the benefit of educating parents of infants in the acute care setting on providing tummy time as a developmental education measure.

Theoretical Framework: The occupational therapy practice theory, of the Model of Human Occupation (MOHO) supports the holistic supporting of families, in their role as a parent, to meet the …

Handwriting And Occupational Therapy In The Schools, Anne H. Zachry, L. Woods

Faculty Presentations

Handwriting is an important life skill, and handwriting tasks take up a significant amount of time during the school day. Research suggests that writing by hand influences reading skills, recall, academics, and motor and composition skills. Pediatric occupational therapists evaluate and treat children who are struggling with handwriting; therefore, it is important for practitioners to be aware of a variety of treatment strategies for addressing handwriting challenges. After participating in this session, the learner will be able to discuss the research on typical and atypical pencil grasps, identify and name 5 common handwriting errors, and explain 3 techniques for increasing …

Living With Fragile X Syndrome: Occupations As An Outcome Measure In A Clinical Trial, Theresa Chase, Ty Duong, Ana Baldinger, Kaylee Gothelf

Dissertations, Masters Theses, Capstones, and Culminating Projects

The purpose of this study was to evaluate the use of semi-structured interviews as an outcome measure in a clinical trial for children with fragile X syndrome (FXS). A qualitative approach was used to analyze twenty-five parent interviews with children with FXS who participated in a double-blind medication trial. Each participant received either sertraline or a placebo. The aim of this research was to assess differences in occupational functioning in the sertraline group and placebo group, that may not have been detected with the use quantitative outcome measures alone. Results showed greater improvements in the sertraline group in areas of …

Ot In Pediatric Primary Care, Anne H. Zachry, J. Flick

Faculty Presentations

This session described a program where licensed occupational therapists and master’s level OT students provide free developmental screenings to infants and young children in local pediatric medical practice. Strategies for strategies for developing relationships and bridging communication between occupational therapists, primary practice physicians, and families were reviewed.

A Piece Of The Evolution Of Occupational Therapy In North Dakota: Life History Of Rhoda Erhardt, Ms, Otr/L, Faota, Sidney Carlson, Alexis Tyce

Oral History Posters

This life history is one of 29 life history interviews which are a part of a larger project, Life Histories of Individuals Who Have Been Influential in Developing Occupational Therapy in North Dakota and Wyoming. The purpose of the project is to gather information about the history and evolution of OT practice in North Dakota and Wyoming through life histories of individuals who have been influential in developing OT in these two states. It is anticipated that the life history process will be a powerful way to gather this information. By using a life history approach, this study focused on …